Training Opportunities- April 18, 2014

Webinar: “Igniting a Spark: Tips for Building Impactful Campaigns with Limited Funding.”
May 7, 2:00 – 3:30 p.m. EST. Community Anti-Drug Coalitions of America (CADCA)
This webinar will explore how to develop and implement campaigns to reduce tobacco use in rural and frontier communities. The presenters will also discuss how coalitions can apply cost-effective strategies to sustain campaign visibility overtime using social media mechanisms, resources from national tobacco prevention campaigns and other non-conventional mediums. Registration deadline is May 5.

Recording: Food Justice and Health Equity webinar series.
To watch the recording of Food Justice, Obesity & the Social Determinants of Health find us on youtube:
You can also find resources (slides, recordings, bios) related to this webinar here:

Call for 2014 Worksite Wellness Summit speakers: proposals due April 25th
The American Heart Association currently has an open call for speakers for the 2014 Worksite Wellness Summit on September 17, 2014.  Now in its 5th year the Summit is unique all-day conference that attracts employers, wellness professionals, and industry providers alike.  Seeking to provide attendees with relevant and timely worksite wellness education and networking opportunities, each year the event has grown in attendance and content.
The American Heart Association and its partners would like to invite you to participate in the 2014 Worksite Wellness Summit Speaker RFP to be considered for an opportunity to showcase your expertise and experience in multiple speaking formats.  Hour-long breakout sessions are intended to provide participants with relevant content and an opportunity for interactive and participatory learning. Well Talks are 20-minute power presentations with innovative, interesting wellness topics that inspire, energize and motivate participants. To learn more about the Summit please go to:
Speaker RFPs are due by April 25th . Proposals can be submitted online:

Thank you for your interest.

“Tracking in Action – Using the Tracking Network to Promote Health and Prevent Disease”
Click HERE to register
May 1st at 2:30 pm ET
The National Environmental Public Health Tracking Network (Tracking Network) is operated by the Environmental Health Tracking Branch at the Centers for Disease Control and Prevention (CDC).  The Tracking Network is a system of integrated health, exposure, and environmental hazard information and data obtained from a variety of national, state, and city sources. It presents what is known about where environmental hazards exist, where people are exposed to hazards, and how targeted action can protect health, reduce illness, and save lives. Data from the Tracking Network can be used in various public health specialties including chronic disease prevention.

This webinar is the first in a series of webinars facilitated by NACDD with CDC subject matter expertise.  In addition to increasing the awareness and use of the Tracking Network, the “Tracking in Action” webinar series will feature new state success stories that highlight the role of grantee tracking programs and the impact of using the Tracking Network data in various capacities around the country.

Webinar: Clearing the Air: Reducing Tobacco Use among Racial and Ethnic Minorities
Who Should Attend:   Health care, health promotion and service providers, community organizations, retailers and others interested in tobacco prevention
When:   April 21, 2-3:15 p.m. ET
To join the event (no pre-registration needed):
Conference number: RW2029726
Passcode: 5780103
Dial-in: 1-877-669-4124

Grantees – Please consult with your liaison regarding questions about the appropriateness of attending any training or conference using TPEP or Healthy Communities funds. This list of training opportunities is provided as a resource for grantees and partners but is not an endorsement of any training or conference hosted by an external organization


Tobacco- April 18, 2014


Wall of Tobacco Products at Gas Station

Wall of Tobacco Products at Gas Station

Point-of-Sale Strategies: A Tobacco Control Guide
The Center for Public Health Systems Science at Washington University in St. Louis, in partnership with the Tobacco Control Legal Consortium, a program of the Public Health Law Center in St. Paul, Minnesota, is excited to announce the release of our Point-of-Sale Strategies Tobacco Control Guide. The guide content is based on current research and interviews with local, state, and national point-of-sale experts. The 52-page guide provides practical guidance on selecting and implementing strategies to limit the sale, display, and advertising of tobacco products in the retail environment.

The Point-of-Sale Strategies Tobacco Control Guide covers six broad point-of-sale approaches, including:

  1. Reducing (or restricting) the number, location, density, and types of tobacco retail outlets;
  2. Increasing the cost of tobacco products through non-tax approaches;
  3. Implementing prevention and cessation messaging;
  4. Restricting point-of-sale advertising;
  5. Restricting product placement; and
  6. Other point-of-sale strategies (e.g., restricting the sale of flavored non-cigarette tobacco products).

This guide can help you:

  • Understand the mechanisms and legal considerations for point-of-sale strategies;
  • Select and implement point-of-sale strategies based on their legal feasibility;
  • Learn from case studies of other practitioners’ successes;
  • Provide information to stakeholders to gain support for point-of-sale efforts; and
  • Identify the best tobacco control resources and tools on point-of-sale strategies.

Reports and Articles
E-cig truck E-Cig Marketing Budgets Growing by More than 100% Year over Year
The second coming of tobacco marketing is pouring millions into adland, a new report confirmed.
Last year, the largest e-cigarette makers spent nearly $60 million combined on advertising and promotion, with marketing budgets at some e-cig companies growing by more than 100% year over year,according to the report, released Monday by Sen. Dick Durbin, the Democrat from Illinois.
Lawmakers are concerned that e-cigarette companies’ marketing strategies are targeting young people, a tactic from Big Tobacco’s old playbook that anti-smoking advocates spent years trying to stop. The report from Sen. Durbin, who was joined by a consortium of other Democratic members of Congress, urges the Food and Drug Administration to “promptly” issue regulations around the booming e-cig industry. It also calls upon the e-cig makers to refrain from certain kinds of marketing, including radio and TV ads.

Reynolds American touts e-cig safety features in wake of CDC warning
Winston-Salem Journal: April 4, 2014
A federal report on the potential safety risks of electronic cigarettes has drawn a response from Reynolds American Inc. that claims its Vuse product is designed to “minimize chances for accidental exposure.”
The federal Centers for Disease Control and Prevention released a report Thursday that found a higher level of poisoning events related to the liquid used in electronic cigarettes, particularly for those age 5 and under.
E-cigarettes are battery-powered devices that heat a liquid nicotine solution in a disposable cartridge and create a vapor that is inhaled.
The industry, advocacy groups and consumers have been waiting since 2009 for the Food and Drug Administration to decide how it will regulate e-cigs for product safety, minimum legal age for use, flavors, marketing and retail availability.
Reynolds placed on its website information about Vuse’s safety features, including that it contains a “keep out of the reach of children” warning. The Vuse e-cigs are designed and assembled domestically, with the liquid made in Winston-Salem. The company said it plans to begin national distribution of Vuse later this year.
The CDC reported 2,405 e-cig exposure calls from September 2010 through February 2014, including 215 in February 2014. About 51 percent of the e-cig exposure calls were related to individuals age 5 and under, while another 42 percent were to those over age 20.
Exposure risks came primarily from the nicotine liquid and/or the e-cig device, and included ingestion, inhalation, eyes and skin. The most common adverse health effects in e-cig exposure calls were vomiting, nausea and eye irritation.

An Opinion Piece: CVS pharmacies will stop sales of all tobacco products and Walgreens won’t:
 New York Times: April 10, 2014
I DON’T smoke, but if during the day I wanted to buy cigarettes, I could walk into the CVS pharmacy across the street from my office, or the Walgreens two blocks away, and get them. They’re kept right behind the cash register.
But beginning this fall, that is going to change. CVS pharmacies will stop sales of all tobacco products. Walgreens, well, won’t.
So, here’s a quiz. Which chain do you think is more heavily celebrated on the website of the American Cancer Society? Well, it’s not CVS. Instead,testimonials and profiles hailing Walgreens abound. There is a glowing profileof the Walgreens chief executive that focuses on his tireless efforts to promote healthy living in his workplace and stores. There is no mention of the tobacco sales at the front of those stores.
The Cancer Society is the brass ring of advocacy partnerships. It ranks in the Top 10 of Forbes magazine’s largest United States charities in the donations it receives, and is the largest cancer charity. Its reputation as a vanguard of tobacco control efforts makes its support of Walgreens particularly sanitizing. The society was, for instance, one of the first organizations to decide that people who applied for research grants could not have any ties to the tobacco industry.

ecigsign e-Cig Signs.
The Hawaii Department of Health has a sign available on its website that says, “No Smoking, Including E-cigarettes and All Other Electronic Smoking Devices.”

Smoking Motives, Quitting Motives, and Opinions About Smoking Cessation Support Among Expectant or New Fathers.
Journal of Addictions Nursing: July 2013
The perinatal period may be an opportune time for a motivationally based proactive smoking cessation intervention among male smokers.

FDA’s “Real Cost” Campaign – Free Print Materials Available for Stakeholders
Orders can be placed online for prints of stakeholder posters and postcards. Stakeholders can use these materials to promote awareness of “The Real Cost” campaign. For example, healthcare practitioners can make these materials available in waiting rooms and clinics frequented by teens.

CVS Goes Cold Turkey; May Pressure Rivals, or Not
The New York Times: April, 9 2014
It has long been gospel among retailers that tobacco pulls so much business into stores, with smokers also picking up water, gum or a bag of chips, that dumping it would be a sales killer.
However, with pressure from anti-smoking forces growing, tobacco use waning and now a national drugstore chain jettisoning cigarettes for good, is this calculus starting to crack?
It’s probably too early to say, but major retailers will be paying close attention to the sales numbers after CVS Caremark pulls tobacco from its shelves by October. If the old retail rules governing tobacco have not changed outright, they are at least coming up for review.

FDA Sees Rising Number of Cases of Injuries Linked to E-cigarettes
The rising use of e-cigarettes has been accompanied by a rising number of injury complaints linked to e-cigarettes, including burns, nicotine toxicity, respiratory problems and cardiovascular problems, according to new data. From March 2013 to March 2014 there were more than 50 such complaints filed with the U.S. Food and Drug Administration (FDA), roughly the total reported over the previous five years. The findings come as the FDA prepares to regulate e-cigarettes and other “vaping” devices for the first time.

Decreased Smoking Disparities Among Vietnamese and Cambodian Communities — Racial and Ethnic Approaches to Community Health (REACH) Project, 2002–2006
Morbidity and Mortality Weekly Report (MMWR): April 18, 2014
Since 1964, smoking prevalence in the United States has declined because of nationwide intervention efforts. However, smoking interventions have not been implemented uniformly throughout all communities. Some of the highest smoking rates in the United States have been reported among Southeast Asian men, and socioeconomic status has been strongly associated with smoking. To compare the effect in reducing racial and ethnic disparities between men in Southeast Asian (Vietnamese and Cambodian) communities and men residing in the same states, CDC analyzed 2002–2006 data from The Racial and Ethnic Approaches to Community Health (REACH) project. The prevalence of current smoking significantly decreased and the quit ratio (percentage of ever smokers who have quit) significantly increased in REACH Vietnamese and Cambodian communities, but changes were minimal among all men in California or all men in Massachusetts (where these communities were located). The smoking rate also declined significantly, and the quit ratio showed an upward trend in U.S. men overall; however, the changes were significantly greater in REACH communities than in the nation. Stratified analyses showed decreasing trends of smoking and increasing trends of quit ratio in persons of both high and low education levels in Vietnamese REACH communities. The relative disparities in the prevalence of smoking and in the quit ratio decreased or were eliminated between less educated Vietnamese and less educated California men and between Cambodian and Massachusetts men regardless of education level.

Early Data in E-Cigarette Study May Raise Safety Concerns
The New York Times: April 15, 2014
A laboratory study presented early this year reported that the nicotine-laced vapor generated by an electronic cigarette promoted the development of cancer in certain types of human cells much in the same way that tobacco smoke does.
Researchers involved in the little-noticed study emphasized that their findings were preliminary and that the study did not involve people but specially treated human lung cells. Many researchers have expressed the belief that e-cigarettes pose a far lower cancer risk than conventional cigarettes because they do not burn tobacco, a major source of carcinogens.
However, the findings, which were presented in January at a meeting of lung cancer researchers, may attract the interest of federal officials who are considering how to regulate e-cigarettes. In a report to investors sent Tuesday, David J. Adelman, an industry analyst at Morgan Stanley, said the report, while preliminary, could “result in legitimate questions from public health officials.”

Congressional Report Presses for e-Cigarette Rules
The New York Times: April 14, 2015
Concerns about electronic cigarettes, including flavors and marketing that could appeal to young people, underscore the need to regulate the fast-growing industry, according to a Congressional report released Monday.
The report written by the staff of Illinois Sen. Dick Durbin, Iowa Sen. Tom Harkin, California Rep. Henry Waxman and others highlights several issues including the lack of age restrictions and no uniform warning labels for the battery-powered devices that heat a liquid nicotine solution and create vapor that’s inhaled.
While the Food and Drug Administration plans to set marketing and product regulations for electronic cigarettes in the near future, for now, almost anything goes. A 2009 law gave the FDA the power to regulate a number of aspects of tobacco marketing and manufacturing, though it cannot ban nicotine or cigarettes outright. The agency first said it planned to assert authority over e-cigarettes in 2011 but hasn’t yet. The proposed FDA regulation was submitted to the Office of Management and Budget for review in October.

E-Cigarettes Are Targeted at Youths, Report Says
The New York Times: April 14, 2014
An investigation by Democratic members of Congress into the marketing practices of electronic cigarette companies has found that major producers are targeting young people by giving away free samples at music and sporting events and running radio and television advertisements during youth-oriented programs.
The inquiry, led by Senator Richard J. Durbin, Democrat of Illinois, and Representative Henry A. Waxman, Democrat of California, was conducted as the Food and Drug Administration prepared a major package of tobacco control rules that would place e-cigarettes under federal regulation for the first time.
The new rules have been slow to appear, and lawmakers said they hoped their report, which came out Monday, might help speed their release.
“It’s time for the F.D.A. to step up and regulate these products,” Senator Durbin said during a conference call with reporters. “We’ve got to put an end to the marketing of these products to kids.”

Mizuno Campaign Asks What Makes Sammy — and Everybody Else — Run
The New York Times: April 14, 2014
A running shoe firm is seeking to attract new customers and encourage current ones with a campaign that promotes the positive changes that could occur if only more people were to put one foot in front of the other.
The campaign, now underway, is for the Mizuno line of running shoes sold by the Mizuno USA division of the Mizuno Corporation, the Japanese maker of sporting goods and sportswear. The campaign, by the McKinney advertising agency in Durham, N.C., delivers its theme in the form of a question, as if it were part of a game of “Jeopardy”: “What if everybody ran?”

Letter to the Editor regarding smoking on Miami’s beaches
Washington Post
I must take exception to Michael W. Shue’s Free for All letter [“Stub out Travel’s opinion pieces,” April 5] about including in the Travel section the opinion of a writer dismayed by smoking on Miami’s beaches. As someone with a lung disease, I most certainly do not want to be assaulted by cigarette smoke. Ocean air truly is — or should be — a breath of fresh air.

Letter to the Editor regarding how e-cigarettes helped the contributor quit smoking
Washington Post
I smoked off and on for more than 60 years. Nothing — not patches, not gum — helped beat my desire to smoke until the electronic cigarette came along. I have not smoked conventional cigarettes for two years.

Chicago Sets Example for the Nation by Reducing High School Smoking to Record Low
Chicago has set an example for other cities and the nation as a whole by reducing its high smoking rate to a record low of just 10.7 percent in 2013, representing a decline of over 20 percent since 2011 and nearly 60 percent since 2001. Chicago’s high school smoking rate is well below the national rate, which was 18.1 percent in 2011 (data are from the CDC’s Youth Risk Behavior Survey. New national data for 2013 are expected to be released later this year).

Social influence is particularly difficult to measure.
But researchers in New Zealand have come up with one potential method on the cigarette front: mapping smoking visibility on local city streets. The result is a fascinating cross-pollination of geospatial data and public health: WashingtonPost

Healthy Communities- April 18, 2014

bakersonemillionstrong Portland’s One Million Strong March helps raise awareness for colon cancer prevention (photos/video)
After a short parade wound through downtown, the Portland One Million Strong March ended at Pioneer Courthouse Square on Saturday. Speakers kicked off activities by helping raise awareness about colorectal cancer, which kills hundreds of Oregonians each year. Three in five afflicted are diagnosed in later stages, when it’s more difficult to treat and cure


The Arthritis Foundation’s Walk with Ease (WWE) program
The WWE program is becoming more and more popular. A story in the Statesman Journal talks about benefits of the program for people with arthritis and older adults who have difficulty moving.  Studies have shown that physical activity decreases pain, improves fitness and quality of life, and delays disability.

Using the funding from CDC grant and with support from OHA, OSU Extension has been actively promoting the program across the state by providing WWE leader training and offering WWE classes. For more information about the WWE program, visit Arthritis Foundation webpage.  If you want to know more about an on-going program in Salem desribed in the Statesman Journal story, contact Tonya Johnson, Marion County Extension Family & Community Health at (503) 373-3763 or email  tonya.johnson@oregon.

With nice spring weather settling in, this is a perfect time for physical exercise. Please spread the word about this great Walk with Ease program!

The RWJF/AHA “Voices for Healthy Kids” project has several toolkits available at no cost.
These are aligned with and support several of our [optional] strategic objectives for Healthy Communities with schools, and the healthy eating and active living work that most public health partners are engaged in generally.

Toolkits include:
Healthy Food Financing Toolkit: What’s In Store for Us?
Competitive Foods Toolkit: Make Food Choices an Easy ‘A’
Sugar-Sweetened Beverages Toolkit: Don’t Sugarcoat Our Future
Shared Use Liability Toolkit
Safe Routes to School State Appropriations Toolkit
Healthy Food Financing Corner Stores Toolkit

Bridging the Gap: How Local Health Departments and States Collaborate on Cancer Prevention and Control:
Download NACCHO’s tip sheet to learn how state-based NCCCP coalitions work with local health departments (LHDs) as key partners in cancer prevention and control.

The Community Guide Team has announced the launch of the Community Guide Toolbox!
The Community Guide Toolbox is an online resource that works hand-in-hand with The Community Guide website to help public health practitioners apply evidence-based intervention strategies. The Toolbox contains more than 20 tools for putting the recommendations found in The Community Guide into practice.
The team invites you to visit the Toolbox and share it with your colleagues and constituents.

Reports and Articles
Hospitals revamping their menus
UTSanDiego: April 8, 2014
From organic lettuce to hormone-free milk, healthier food just costs more. But meal managers at local hospitals said they’re finding ways to improve the quality of their menus without plowing their budgets under.
Across the county, hospitals are revamping their menus — adding a scoop of brown rice here and a bunch of bok choy there, shutting down deep fat fryers and pushing sodas to the bottom shelf of the cooler.
These days, health providers are under pressure to become role models for the communities they serve by showcasing food habits that can help keep patients out of hospital beds in the first place.
Providers in the San Diego region are getting the message, said Seema Wadhwa, director of the Healthier Hospital Initiative, a nationwide campaign that challenges medical centers to do better on the food front. “It’s a matter of practicing what we’re preaching,” she said.

CDC: Significant Drops in Five Major Diabetes-related Complications
The last two decades has seen declines in five major diabetes-related complications, according to a new study in the New England Journal of Medicine. Researchers at the U.S. Centers for Disease Control and Prevention (CDC) found declining rates of lower-limb amputation (about 50 percent), end-stage kidney failure (about 30 percent, heart attack (more than 60 percent) , stroke (about 50 percent) and deaths due to high blood sugar (more than 60 percent). “These findings show that we have come a long way in preventing complications and improving quality of life for people with diabetes,” said Edward Gregg, Ph.D., a senior epidemiologist in CDC’s Division of Diabetes Translation and lead author of the study. “While the declines in complications are good news, they are still high and will stay with us unless we can make substantial progress in preventing type 2 diabetes.” A recent study determined that approximately one in 10 U.S. adults have either type 1 or type 2 diabetes. Read more on diabetes.

Study: Rural Girls Get More Daily Exercise than Those in Suburban, Urban Communities
While the level of urbanicty—whether they live in rural, suburban or urban communities—does not seem to affect boys’ levels of moderate-to-vigorous physical activity, there is a noticeable effect for girls, according to a new study in the American Journal of Preventive Medicine. Researchers determined that girls from rural areas are 4.6 times more likely than those in suburban areas and 2.8 times more likely than those in urban areas to exceed the national physical activity recommendation of 60 or more minutes of moderate-to-vigorous physical activity each day. The study tracked the daily activity of a random selection of 1,354 youth in 20 counties in North Carolina. Read more on physical activity.

Every Kid Healthy Week 
Every Kid Healthy Week,
hosted by Action for Healthy Kids, is coming up on April 21-25. This week gives educators an opportunity to showcase the contributions they’re making to students’ health and wellness. Now is a good opportunity to let schools and stakeholders in your network know about this opportunity to create healthier environments for kids.

Updates from the Kids’ Safe and Healthful Foods Project
It’s been a busy few weeks for the Kids’ Safe and Healthful Foods Project! We hope that you will consider sharing the information below with your networks in an effort to ensure that all students have healthy foods in schools. Disclaimer: Some of these updates are related to our legislative activities, and while everything is related to school foods, we want to note that these were all separate events.
Issue Briefs: States Need Updated School Kitchen Equipment:
The Kids’ Safe and Healthful Foods Project released issue briefs that detail the types and costs of kitchen upgrades that each state needs to better serve healthy school meals.
Most school districts in the United States (88 percent) need at least one additional piece of kitchen equipment, and more than half (55 percent) need infrastructure upgrades to serve healthier school meals that meet strong, science-based nutrition standards. See the data for your state.

Ponderosa Elementary in Bend purchases Bike Fleet
In a giant sustainable leap forward for Commute Options’ Safe Routes to School (SRTS) program, Ponderosa Elementary has purchased it’s very own bicycle fleet. The fleet, containing 22 bicycles to start, will be used in a variety of ways to promote healthy active living at the school.
Ponderosa PTA President, Jules Baumgarte, states they want to create a culture around active transportation at Ponderosa. Having a complete set of bicycles at the school will benefit education in many ways. Bicycle field trips to Pine Nursery Park, integrated SRTS education with classroom teachers and P.E., and in-classroom instruction focusing on mathematics/geometry around bicycles, to name a few of the uses. Further, Baumgarte feels like they “bought a classroom” and not just a mode of transportation.
The bicycles were purchased for $1,700 from the Bicycle Resource of Bend (BRoB). Executive Jeff Schuller could not be happier to help the school. BRoB plans to sustain involvement with SRTS schools by teaching bicycle maintenance and assisting to maintain the fleet. Funds for the fleet were raised by the PTA during their Spring Auction.
Principal Steve Austin has been a longtime supporter of SRTS and is looking forward to the bicycle fleets great variety of uses at the school. Expanding education time for science based learning in the adjacent park, is one of the most prominent at the school. Commute Options Executive Director Jeff Monson states, above all, incorporating active transportation into the school and creating a sustainable culture is key for healthy active living. Commute Options is proud to be a catalyst to this reality at Ponderosa.
Three cheers for Ponderosa Elementary!

Leading Comprehensive Cancer Prevention and Control Efforts in Local Health Departments: Learn how LHDs can undertake strategic planning, mobilize and train staff and partners, and more to strengthen their CCC efforts.

Study: Banning Chocolate Milk in Elementary Schools Also Decreases Overall Sales, Increases Waste
Banning chocolate milk in 11 Oregon elementary schools and replacing it with healthier fat-free white milk had the unintended consequence of reducing milk consumption overall, according to a recent study in the journal PLOS One. The study determined that the chocolate milk ban led to a 10 percent overall drop in milk sales; a 29 percent increase in the amount of wasted milk; drops in calcium and protein intake; and a 7 percent decrease in the number of students taking part in the Eugene School District’s lunch program. “Given that the role of the federal school meal program is to provide nutritious meals to students who may otherwise have no access to healthy foods, I wouldn’t recommend banning flavored milk unless you have a comprehensive plan in place to compensate for the lost nutrients when kids stop drinking milk altogether,” said Nicole Zammit, former assistant director of nutrition services at the Eugene School District in Oregon, in a Cornell University news release. The study was conducted by the Cornell Food and Brand Lab. Read more on nutrition.

County health rankings break down Linn, Benton habits, resources
The Democrat Herald
The headlines from the recent release of the county health rankings – a measurement prepared by the national Robert Wood Johnson Foundation – likely sounded familiar:
The 2014 edition of the rankings, released last month, showed Benton County regaining its position as the healthiest county in Oregon after a drop the previous year to No. 2.
And Linn County continued its upward move in the rankings, up to 22nd – an increase from the No. 28 ranking it held in 2010.
But county health officials on both sides of the river again downplayed the overall rankings, and instead called attention to some of the individual statistics that went into the rankings.

U.S. diabetes, prediabetes rates continue to climb, data show
A study in the Annals of Internal Medicine says the rate of both undiagnosed and diagnosed diabetes in the U.S. grew from 5.5% between 1988 and 1994 to 9.3% between 2005 and 2010. Researchers also found that prediabetes rates went from less than 6% to more than 12% during the study period, while obesity rates among diabetes patients grew from 44% to 61%. U.S. News & World Report/HealthDay News

For Diabetics, Health Risks Fall Sharply
The New York Times: April 16, 2014
Federal researchers on Wednesday reported the first broad national picture of progress against some of the most devastating complications of diabetes, which affects millions of Americans, finding that rates of heart attacks, strokes, kidney failure and amputations fell sharply over the past two decades.
The biggest declines were in the rates of heart attacks and deaths from high blood sugar, which dropped by more than 60 percent from 1990 to 2010, the period studied. While researchers had had patchy indications that outcomes were improving for diabetic patients in recent years, the study, published in The New England Journal of Medicine, documents startling gains.

Tobacco- April 4, 2014


quitline quitline2

Reports and Articles 

E-Cigarettes, by Other Names, Lure Young and Worry Experts
Calming inmates and raising capital. This phrase has been used by e-cigarette distributors to describe a supposed “win-win relationship” between tightly budgeted county jails and agitated inmates. Smoking is banned in federal prisons and the majority of state-run facilities have enacted similar restrictions, due to health and safety concerns. However, some county jails have created a loophole—turning to e-cigarettes to supplement limited resources and purportedly calm inmates.

E- Cigarette Study in JAMA: E-cigarettes Don’t Help People Quit Smoking
The yearlong study showed that 88 of the 949 smokers in the study that were using e-cigarettes did not decrease consumption at the end of the year.


The Tobacco Control Network (TCN) presents to you the March 2014 edition of the Tobacco Free Press which summarizes tobacco -related news, research, training opportunities, and tools from the past month.


Funding Opportunities- April 4, 2014

Accepting Applications for Learning Together and Connecting Communities
Northwest Health Foundation is pleased to announce a funding opportunity to strengthen the capacity of communities o­f people with disabilities to self-organize, and to build relationships with organizations and communities for a broader conversation about disability, race/ethnicity and geography.

Northwest Health Foundation wants to:

  • learn more about efforts in Oregon and Southwest Washington that are engaging and led by people with disabilities;
  • promote self-determination and build relationships among and with these communities;
  • and inform the Foundation’s organizational practices.
    Learn more here.

2014 Kaiser Permanente Community Fund Cycle
We are excited to announce the 2014 Kaiser Permanente Community Fund Grant cycle!
The cycle will open on April 10. Organizations and/or collaboratives must submit their intent to apply by noon on May 14 and their Letter of Inquiry by noon on May 23.
To learn more,visit our website and join us for one of four information sessions during the last two weeks of April.

Call for applications for Fall 2014-2015 Oregon Health Authority VISTA members
The Oregon Health Authority VISTA Partnership Project aims to alleviate, prevent and reduce poverty by engaging new public health professionals in a year of full-time service in public health organizations in order to improve public health systems capacity.

The applications are due by 5 PM on Monday, April 14, 2014. We have changed the application due to some program changes at the federal and program level, so please review it carefully.  The VISTA Assignment Description (VAD) needs to be more detailed than in previous applications, and every objective needs a strong tie to the VISTA anti-poverty mission. I have attached a document, “How to Write Effective VADs” as guidance.

Please mark on the application whether or not you will be able to cost-share: $13,136 for rural Oregon, or $13,352 for metro areas for the year. Host sites choosing to cost-share and meeting the goals, mission, and vision of VISTA and our project will receive approval upon application and review. Based on final CNCS approval, we will be able to award several standard VISTA members which will cost $2,500 for the year. The number of standard placements will be based on federal resources and the approval of the Corporation for National and Community Service. If your site can cost-share, you will have a stronger chance to be guaranteed a VISTA resource.

The application also includes the additional request for consideration for grant funding from the Performance Management Program to support a VISTA who will address health department accreditation.
Whenever possible, completed applications should be returned electronically in MS Word format via e-mail to Applications will be accepted in hard copy or fax and should be sent to:
Eric Gebbie
OHA-Public Health Division
800 NE Oregon Street Suite 465B
Portland OR 97232
Fax: 971-673-1309

Training Opportunities- April 4, 2014

Register just once for all webinars in the four-part series and attend as many as you like. 

Food Justice, Obesity & the Social Determinants of Health
April 10, 2 p.m. EST
Presented in conjunction with National Public Health WeekShiriki Kumanyika, PhD, MPH, APHA president-electCecilia Martinez, PhD, Center for Earth, Energy & Democracy
Healthy communities depend on food environments that offer all residents access to healthy food choices. Where people live should not dictate how well they can eat, but it often does. APHA President-elect Shiriki Kumanyika, PhD, discusses food environments as drivers of obesity and related diseases as well as critical elements in achieving health equity. Speaker Cecilia Martinez, PhD, will discuss community indicators for food justice.

Transforming Community Food: Stories from the Ground Up
May 28,  3 p.m. EST
The Centers for Disease Control and Prevention’s Community Transformation Grants have supported American Indian, Alaska Native, Native Hawaiian, Hmong, Hispanic, black and many other communities in developing programs aimed at preventing food-related disease epidemics such as diabetes and heart disease. Since 2011, the grant program has awarded over $170 million. Hear three communities’ stories of trying to change their food systems, their success so far, and the many challenges that remain as residents tackle food justice, community and job development, and health inequity.

Culture is Health:  Sovereignty & Food Systems
Sept. 23, 1 p.m. EST
Maile Taualii, PhD, MPH, APHA Executive Board
Obesity, diabetes and related disease typically have greater impacts within American Indian, Alaska Native, Native Hawaiian and immigrant communities. Growing, cooking together and eating traditional foods are often integral to their cultures as well as key to social cohesion and community health. Yet these communities often have less-than-healthy food environments, in which policies and conditions make access to highly processed, fatty and sugary nontraditional foods more available. Thus, chronic disease prevention in many such communities is inseparable from the issue of food sovereignty.

Building Healthy Food Systems, Overcoming Historical Trauma
Oct. 15, 2 p.m. EST
Ladonna Redmond, founder, Campaign for Food Justice Now
Register now for the full series! Space is limited. Questions? Email

National DPP Lifestyle Coach Training Portland, Oregon May 16 – 17, 2014
Is your organization planning on delivering the National Diabetes Prevention Program lifestyle change program – the nation’s foremost evidence-based program for the prevention of type 2 diabetes? The Diabetes Training and Technical Assistance Center (DTTAC) at Emory University is bringing National Diabetes Prevention Program Lifestyle Coach Training to Portland, Oregon on May 16, and 17, 2014.

DTTAC Lifestyle Coach Training is a highly interactive, 2-day, in-person training with an expert DTTAC Master Trainer that provides your Lifestyle Coaches with the skills, knowledge and experience that they need to successfully facilitate the proven-effective lifestyle change program. DTTAC Lifestyle Coach Training:

  • Features an interactive, small group format with hands-on practice in group facilitation techniques
  • Includes detailed review of the core and post-core National DPP curriculum, developed by CDC in collaboration with DTTAC
  • Includes the most up-to-date information on the CDC recognition process and the national program
  • Offers continuing education credits for dietitians, certified diabetes educators and nurses.

Dates:  Friday, May 16–Saturday, May 17, 2014; 9:00 am – 5:00 pm both days

Location:  Oregon Health & Science University Center for Health & Healing 2nd Floor March Wellness Fitness Center 3303 SW Bond Ave Portland, Oregon 97239

Fee:  $670 per person (Online payment option is available. The fee includes all training materials. Participants will break for lunch on their own.)

Register:  Click the following link for more information and to register for the training. Learn more about DTTAC Lifestyle Coach Training

About the National Diabetes Prevention Program An estimated 79 million Americans (about 1 in 3) have prediabetes, which means that a person has a blood sugar reading that is higher than normal, but not high enough to be classified as diabetes. The National Diabetes Prevention Program (National DPP) can reduce the risk for transitioning from prediabetes to type 2 diabetes by 58%. The National DPP is a year-long program (16 weekly sessions followed by monthly meetings for the balance of the year) led by trained Lifestyle Coaches. The primary goals of the National DPP are that participants experience a 7% weight loss and average 150 minutes of physical activity on a weekly basis over the course of the program.

A growing number of organizations are offering the National DPP in communities across the U.S. These organizations run the gamut from small community-based organizations serving specific populations, to large health systems. You can see a list of organizations in Oregon that are offering (or preparing to offer) the National DPP here:

Lifestyle Coaches come from all walks of life.  Some coaches are medical providers and some aren’t. The only requirement of a Lifestyle Coach is that he or she is comfortable leading a group.

Interested in seeing a DPP in action?  Please click on this link:

Interested in becoming a National DPP Lifestyle Coach? For information and registration for an upcoming training for Lifestyle Coaches in Portland on May 16-17, 2014:

Additional questions about the National DPP?  Feel free to contact Don Kain at 503.494.5249, or Don is a National DPP Master Trainer and Diabetes Program Education & Outreach Manager at theHarold Schnitzer Diabetes Health Center at Oregon Health & Science University.

Grantees– Please consult with your liaison regarding questions about the appropriateness of attending any training or conference using TPEP or Healthy Communities funds. This list of training opportunities is provided as a resource for grantees and partners but is not an endorsement of any training or conference hosted by an external organization

Healthy Communities- April 4, 2014

Reports and Articles
fruit and veg in market Review cites link between lower diabetes risk, Mediterranean diet
People who adhered to the Mediterranean diet were 21% less likely than those in the control group to develop type 2 diabetes, according to Greek researchers who reviewed 12 studies. The findings were slated for presentation at the American College of Cardiology meeting. News

Study: Diet of Fruit, Vegetables Linked to Reduced Risk of Death
Diets heavy on fruits and vegetables can reduce the risk of death at any age by as much as 42 percent, according to a new study in the Journal of Epidemiology and Community Health. Using data on the eating habits of more than 65,000 people in England from 2011 to 2013, researchers determined that the risk of death was reduced by 36 percent with five to seven portions, 29 percent with three to five portions and 14 percent with one to three portions. More specifically, they also determined that eating seven or more portions of fruits and vegetables reduced the risk of death from heart disease by 31 percent and the risk of death from cancer by 25 percent. “We all know that eating fruit and vegetables is healthy, but the size of the effect is staggering,” study author Oyinlola Oyebode, at the department of epidemiology and public health of University College London, in a release. “Vegetables have a larger effect than fruit, but fruit still makes a real difference. If you’re happy to snack on carrots or other vegetables, then that is a great choice but if you fancy something sweeter, a banana or any fruit will also do you good.” Read more on nutrition.

The Public Health Action Plan to Prevent Heart Disease and Stroke:Ten-Year Update
The National Forum for Heart Disease and Stroke Prevention
The report calls for a series of actions to be taken, while detailing progress made to date –  “Since the launch of the original Action Plan, the opportunities to reduce CVD incidence and risk have become significantly clearer, and specific actions have been identified to exploit these opportunities. Sound policies and programs to improve cardiovascular health are in place and known to be effective. Significant progress has been made over the past decade.”

Diabetes in pregnancy may spur long-term health risks in offspring
An analysis in the journal Current Diabetes Reports revealed men born to mothers who had diabetes during pregnancy had a higher BMI than their brothers born prior to their mother’s diagnosis. Researchers also found diabetes during pregnancy was associated with increased incidence of obesity and type 2 diabetes in offspring. (4/1)

In Smart Growth America’s new report on sprawl
There is a focus on health indicators. The report found significant associations between sprawl and BMI, obesity, blood pressure, diabetes, and life expectancy, but no significant relationship between sprawl and “any physical activity” as measured by BRFSS. This report covers large metropolitan areas, but may have lessons for smaller cities too. The research found that people in compact, connected communities:

  •          have greater upward economic mobility
  •          spend less on the combined expenses of housing and transportation
  •          choose to use transit and walk more
  •          live longer
  •          have fewer fatal car crashes
  •          have lower body mass index


Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data
Background Governments worldwide recommend daily consumption of fruit and vegetables. We examine whether this benefits health in the general population of England.

Methods Cox regression was used to estimate HRs and 95% CI for an association between fruit and vegetable consumption and all-cause, cancer and cardiovascular mortality, adjusting for age, sex, social class, education, BMI, alcohol consumption and physical activity, in 65 226 participants aged 35+ years in the 2001–2008 Health Surveys for England, annual surveys of nationally representative random samples of the non-institutionalised population of England linked to mortality data (median follow-up: 7.7 years).

Results Fruit and vegetable consumption was associated with decreased all-cause mortality (adjusted HR for 7+ portions 0.67 (95% CI 0.58 to 0.78), reference category <1 portion). This association was more pronounced when excluding deaths within a year of baseline (0.58 (0.46 to 0.71)). Fruit and vegetable consumption was associated with reduced cancer (0.75 (0.59–0.96)) and cardiovascular mortality (0.69 (0.53 to 0.88)). Vegetables may have a stronger association with mortality than fruit (HR for 2 to 3 portions 0.81 (0.73 to 0.89) and 0.90 (0.82 to 0.98), respectively). Consumption of vegetables (0.85 (0.81 to 0.89) per portion) or salad (0.87 (0.82 to 0.92) per portion) were most protective, while frozen/canned fruit consumption was apparently associated with increased mortality (1.17 (1.07 to 1.28) per portion).

Conclusions A robust inverse association exists between fruit and vegetable consumption and mortality, with benefits seen in up to 7+ portions daily. Further investigations into the effects of different types of fruit and vegetables are warranted.