Funding Opportunities- June 19, 2015

Plan4Health Funding Opportunity
Last year, the American Planning Association (APA) and American Public Health Association (APHA) launched a Centers for Disease Control (CDC)-funded joint project called “Plan4Health,” which aims to build local capacity to address population health goals and promote the inclusion of health in non-traditional sectors, namely planning. Their vision is “The Plan4Health community envisions the full integration of planning and public health where we live, work, and play.”

A new funding opportunity through Plan4Health has been released. The purpose of this funding opportunity is to improve the capacity of planning and public health professionals to advance community-based strategies providing for equitable access to opportunities for physical activity and to nutritious food and beverages. Strategies could relate to land uses, zoning, transportation, or other issues.

Please note that only state chapters of APA are eligible to apply – not cities, counties, or tribes. Oregon APA is currently reaching out to identify communities in Oregon that have interest in this work and are ready to either build their capacity or to implement a specific, tangible project. There is a focus on creating local “healthy planning coalitions” and leveraging the complementary expertise of local planners and local public health professionals to tackle issues.

To explore whether this fits, I suggest you learn more about Plan4Health and see examples of current grantees/target communities at and read the RFP at Read the RFP carefully – for example, it states that APA chapters cannot partner with communities that receive CDC REACH funding.

If you believe that your community may be a good fit, please contact Becky Steckler, AICP, OAPA Program and Policy Manager to explore options. She can be reached at (503) 889-6536 or Her letter of intent is due to APA by July 1, so do not delay!

Please also feel free to contact your liaison to discuss and brainstorm.

Training Opportunities- June 19, 2015

Tobacco Use in the LGBT Community: Preconceptions, Challenges & Experiences Webinar, June 30, 2:00PM (ET)
The program will explore the evidence for an LGBT smoking disparity, the reasons for this disparity, and challenges the LGBT population faces in smoking cessation. Register.

Webinar – Hunger & Health: Connecting Patients to Food Assistance, June 23, 1:00pm (ET)
This webinar will feature presentations on the benefits of screening for food insecurity in health settings, as well as lessons learned on how to best connect patients to food assistance resources. Register here.

Making Sense of the Science on Sodium, June 25, 3:00PM (ET)
The American Heart Association will provide a 45-50 minute presentation, followed by 10-15 minutes Q&A. Register.

Environments Supporting Healthy Eating (ESHE) Index Webinar, June 19
The ESHE Index maps healthy food environments and serves as a benchmarking tool that ranks food environments. The interactive webinar will provide an overview of the ESHE Index. Register.

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- June 19, 2015

Reports and Articles

New e-cigarette laws. File photo dated 24/10/14 of a man smoking an electronic cigarette, as electronic cigarettes would be banned from bars, restaurants and workplaces and made illegal for under-18s, under proposed new laws in Ireland. Issue date: Friday January 30, 2015. Like any other tobacco product, they would also be subject to bans on advertising and sponsorship, under the plan. See PA story IRISH ECigarettes. Photo credit should read: Yui Mok/PA Wire URN:22094298

New e-cigarette laws. File photo dated 24/10/14 of a man smoking an electronic cigarette, as electronic cigarettes would be banned from bars, restaurants and workplaces and made illegal for under-18s, under proposed new laws in Ireland. Issue date: Friday January 30, 2015. Like any other tobacco product, they would also be subject to bans on advertising and sponsorship, under the plan. See PA story IRISH ECigarettes. Photo credit should read: Yui Mok/PA Wire URN:22094298

Oregon Law sees ‘vaping’ same as smoking
Statesman Journal
Oregon has begun regulating electronic cigarettes in ways similar to tobacco cigarettes, banning sales to minors and the use of the devices in indoor public spaces and workplaces.

But some people who use e-cigarettes say the new law, signed by Gov. Kate Brown on Tuesday, is an overreach.

E-cigarettes and the liquids they vaporize are not regulated by the U.S. Food and Drug Administration, and their long-term health effects are unknown — as are the often unlisted ingredients of the liquids, or “e-juice.” Unlike combustible cigarettes, there’s no burning in e-cigarettes. Instead, a coil inside the device heats up the e-juice, turning it into cloud-like vapor.

vape liquid

One in 10 Americans Now Vape but Most Also Use Regular Tobacco Products
Time: June 10, 2015
Three out of four of e-cigarette users are now both vaping and smoking
E-cigarette use may be on the rise but isn’t helping Americans kick tobacco addictions, according to new research
A poll of 5,679 Americans conducted by Reuters found 75% of people who use electronic cigarettes or other vaporizing devices continue to also smoke traditional tobacco products. The poll indicates that this population of “vapers” is now up to roughly 10% of U.S. adults and 15% of U.S. adults under the age of 40. This number represents a significant rise from 2013, when the U.S. government estimated the figure to be about 2.6% of Americans. Almost 70% of this poll’s e-cigarette users claim to have started in the last year.

E-cigarette usage surges in past year: Reuters/Ipsos poll
Reuters: June 10, 2015
Significantly more Americans are using electronic-cigarettes and other vaporizing devices than a year ago, but most of those consumers are also smoking conventional cigarettes, according to a new Reuters/Ipsos poll.

The findings support evidence that smokers are using both traditional tobacco products and e-cigarettes to deliver nicotine, rather than giving up traditional cigarettes altogether. Researchers are studying many questions about the potential benefits and dangers of e-cigarettes and U.S. health regulators are still working on their first set of rules governing the products.

Portland considers amendments to smoking ban in parks
PORTLAND, Ore. (AP) — Though Portland’s citywide parks smoking ban has yet to begin, Commissioner Amanda Fritz already wants to change the consequences for would-be offenders.

The Oregonian reports ( ) that the ban will include e-cigarettes and nicotine vaporizers, chewing tobacco, snuff — tobacco in any form and is set to begin July 1. Fritz is set to propose several amendments Wednesday that would remove the possibility of a misdemeanor fine or park exclusion.

Fritz is proposing an amendment that instead only requires smokers to leave the park for the rest of the day. Enforcement would fall on park rangers, not police.

Parks officials budgeted $9,500 for signs and decals in city parks on the new rules. According to a bureau spokesman, the city will start installing them in July.

Indoor Clean Air Act will affect vape shops, e-cigarettes
ROSEBURG, Ore. — The Indoor Clean Air Act has recently been expanded to include the use of inhalant delivery systems, such as e-cigarettes.
We visited with local vape shops to see how it affects them.

Although Smoking Has Declined, Its Consequences Continue, Study Finds
The Lund Report
According to a study published Monday in the journal JAMA Internal Medicine, almost half of the 346,000 deaths from 12 different types of cancers in individuals 35 years of age or older in 2011 were attributable to smoking cigarettes.

Smoking has long been associated with increased risks of cancer, but a research team has now estimated the number of deaths from a wide variety of cancers that are linked to cigarette use.

According to a study published Monday in the journal JAMA Internal Medicine, almost half of the 346,000 deaths from 12 different types of cancers in individuals 35 years of age or older in 2011 were attributable to smoking cigarettes.


Smoking levels across New York hit historic low, Cuomo says New York is ‘healthier than ever’ 
Daily News: June 8, 2015
ALBANY — New Yorkers are butting out.
Statewide smoking levels have dropped to a historic low, according to data released Monday by the state.
Over the past four years, smoking among high school students dropped 42%, with the rate now just 7.2%, the data show.
The adult smoking rate is now 14.5%.
The national average is 17.8%.
“With the lowest smoking rate in recorded history, it’s clear that New York State is becoming healthier than ever,” Gov. Cuomo said.
The statewide drop comes even as smoking has been on the rise in the city after years of decline.
The city’s rate was 16% in 2013, up from a low of 14% in 2010. The city stats showed more than 1 million in the city were smokers, the first time the number has hit seven figures since 2007.

If lawmakers nationwide raised the legal age for buying cigarettes to 21, the country could achieve a 12 percent decrease in smoking prevalence by year 2100, according to a new report from the Institute of Medicine: Nation’s Health:

Healthy Communities- June 19, 2015


CDC Foundation announces launch of the Million Hearts® “Healthy is Strong” campaign
“Healthy is Strong” will raise awareness about lifestyle changes and medical condition management among African-American men for prevention of cardiovascular disease, including talking to a health care provider about the ABCS of heart health.

The campaign promotes patient engagement with the healthcare system and includes a suite of culturally-tailored educational materials for consumers and health care providers. “Healthy is Strong” includes an ongoing evaluation of the program to determine if this model could be used in other communities to reduce health disparities.

Help us prevent one million heart attacks and strokes by using the resources, tools, and promotional materials on the “Healthy Is Strong” website to promote the launch.

Reports and Articles


U.S. Life Expectancy Up, But Still Ranked 34th Globally
U.S. life expectancy is at a new high, at 78.8 years, according to the National Center for Health Statistics, but the nation still trails behind many of its high-income peers. According to the 2014 America’s Health Rankings, the U.S. is ranked 34th globally in life expectancy.
Countries such as Australia, Singapore and Canada all have longer life expectancies than the U.S., and 18 countries have life expectancies that are at least three years longer, according to the rankings.  The article in The Nation’s Health takes a close look at the rankings and the American Public Health Association’s (APHA) Healthiest Nation in One Generation campaign.  For more information on APHA’s Healthiest Nation in One Generation campaign, visit

Strategies needed for community health worker programs to solve healthcare challenges
Science Daily: June 10, 2015
Community health workers (CHW) are expected to be a growing and vital part of healthcare delivery in the United States as the Affordable Care Act is fully implemented. A slate of steps detailing how CHW programs can maximize their effectiveness and impact on patients and healthcare spending is provided in a new perspective piece in The New England Journal of Medicine by experts at the University of Pennsylvania’s Perelman School of Medicine and New York University. The piece offers guidance for the growing number of organizations who are looking to community health workers (CHWs) as a strategy for improving health outcomes and reducing costs.

Movement in ADHD may help children think, perform better in school
Science Daily: June 11, 2015
The constant movement of children with attention-deficit/hyperactivity disorder (ADHD) may be distracting — but the fidgeting also may improve their cognitive performance, a study by researchers with the UC Davis MIND Institute has found.

The study of pre-teens and teenagers with ADHD examined how movement — its intensity and frequency — correlated with accuracy on cognitively demanding tasks requiring good attention. It found that participants who moved more intensely exhibited substantially better cognitive performance

FDA Cuts Trans Fat in Processed Foods
You may have seen the amount of trans fat listed on a Nutrition Facts label, but were uncertain why it’s there.

Trans fat intake has been linked to an increased risk of coronary heart disease by contributing to the buildup of plaque inside the arteries that may cause a heart attack. For this reason, the Food and Drug Administration requires that the trans fat content of food be declared on the Nutrition Facts label to help consumers determine how each food contributes to their overall dietary intake oftrans fat. Many processed foods contain partially hydrogenated oils (PHOs), the major dietary source of industrially-produced trans fat in processed food.

Now, the FDA is taking a step to remove artificial trans fat from the food supply. This step is expected to reduce coronary heart disease and prevent thousands of fatal heart attacks every year.

Lynne Saxton Speaks Out on Public Health
Lund Report
Sustaining coordinated care organizations financially “dovetails with public health modernization,” according to Lynne Saxton, director of the Oregon Health Authority. “Modernization is the single greatest opportunity to integrate into the CCOs. The way to do that is the way it’s always done — with optimism, collegiality and data.”

Saxton’s appearance before the Public Health Advisory Board came one day after the Legislature passed a $528.7 million public health budget for 2015-2017, nearly half of which comes from federal funds often earmarked for programs such as WIC.

“Public health is engaging in the conversation at the wrong level due to categorical funding,” said Loreen Nichols, director of community health services for Multnomah County. “We hope for additional funding” from the state to be able to try more upstream public health innovations.

Patrick Luedtke, who described himself as working half time for Lane County public health and half time at the Eugene area’s five federally qualified health clinics, said his CCO is discussing how to “cut out a couple joint replacements” to save money instead of asking a public health question such as “what’s behind all the joint replacements – obesity.”

If you cut out two joint replacements this year, it won’t help next year’s budget. “We’re getting older and fatter,” Luedtke said. “Public health needs a seat at the table” on CCO boards.

Modernization of public health seeks to improve quality of life and increase years of healthy life; promote and protect safe, healthy and resilient environments; strengthen public health capacity; and integrate with healthcare transformation.


Columbia Gorge ‘Veggie Rx’ program writes prescription for free food
The Oregonian: June 11, 2015
Even as farmers markets and CSAs — community supported agriculture programs — become more common in the Columbia Gorge, about 30 percent of people in the area reportedly worry about running out of food. Gorge Grown Food Network, a nonprofit made up of farmers and advocates, is trying to bring that number down with a program that gives families vouchers for free vegetables.

Understanding today’s uninsured
A new poll finds that most of the uninsured population values health insurance but many see cost as a barrier. In fact, 58% uninsured individuals have $100 or less left over every month after paying bills.

How five miles can mean living 13 fewer years
Read about Atlanta’s approach to addressing health equity.

Transforming care for rural, underserved populations
Nurse practitioners are more likely than primary care physicians to practice in rural areas, and to treat Medicaid recipients, and other vulnerable populations.


San Francisco approves health warning on sugary drink ads
Daily Astorian: June 10, 2015
San Francisco supervisors approve health warning on ads for sugary sodas, some other drinks

SAN FRANCISCO (AP) — San Francisco supervisors voted unanimously Tuesday to approve health warnings on ads for sugary sodas and some other drinks, saying such beverages contribute to obesity, diabetes and other health problems.

It’s believed that San Francisco would be the first place in the country to require such a warning on ads for soda if it receives a second approval from the Board of Supervisors next week and the mayor does not veto it.

John Maa, a general surgeon and member of the board of the American Heart Association in San Francisco, which lobbied for the ordinance, said it will seek to expand the warning requirement beyond the city.

Redmond biking boom?
The Bulletin
UO students present bike/ped ideas: from “walking school buses” to better bike access to Dry Canyon
Published Jun 14, 2015 at 12:03AM
Bike boulevards, “walking school buses” and more cycling access points into Dry Canyon could all be in Redmond’s future.

Undergraduate and graduate students from the University of Oregon presented city staff with a bike-load of ideas last week on how to make Redmond more cycle- and pedestrian-friendly. The bike/ped project was the first collaboration between the city and the university as part of UO’sSustainable City Year Program .

“I was really impressed with the quality of the work,” Redmond City Councilor Anne Graham said. “My university days didn’t produce that kind of quality output.”

Training Opportunities- June 12, 2015

The Smoking Cessation Leadership Center will sponsor the free webinar, “Tobacco Use in the LGBT Community: Preconceptions, Challenges & Experiences,” on Tuesday, June 30, 2015, at 2:00pm Eastern time (90 minutes). The program will explore the evidence for an LGBT smoking disparity, the reasons for this disparity, and challenges the LGBT population faces in smoking cessation. To register, click HERE

The Walking College Webinar Series
In early May, America Walks awarded 25 Walking College Fellowships to local advocates for walking and walkable communities.  These Fellows, who hail from 22 different states plus the island-nation of Palau, will participate in a five-month peer-mentoring program designed to expand their capacity as change agents in their home communities.  The “Walking College Webinar Series” is a component of the program that is open to Fellows and non-Fellows alike.
Part 1 of the “Walking College Webinar Series” will be broadcast in June and July.  These three webinars will cover the “why” and “how” of walkability, and will include nationally-renowned speakers Dan Burden and Mark Fenton. More webinars to build on this introductory knowledge are to follow in coming months.

#1: Thursday, June 18th (10am Pacific, 1pm Eastern): “Why Walking?”
Why do we care about walking, and why do we put so much effort into campaigning for walkable communities? In our first Walking College Webinar, we take an introspective look at the walking movement with the help of two of its most accomplished practitioners.  Jonathon Stalls, Founder and Lead Itinerant with Walk2Connect, will discuss the human, psychosocial practice of walking and give examples from the increasing popular vogue of walking groups, clubs, and programs.  Then, Jim Stone, Executive Director of Circulate San Diego will present “The Ecology of Walking” – an exploration of  the interrelationships between walking, health, the environment, and the economy; and a chronology of the fall and rise of walking as transportation over the last 100 years.

#2: Tuesday, June 23rd (11am Pacific, 2pm Eastern): “Designing Places for People”
After delving into the foundations of the walking movement, the Walking College Webinar Series gets into the nuts and bolts of walkable communities with the acknowledged expert in this area.  Dan Burden, Director of Innovation and Inspiration with Blue Zones, has worked in 3,500 communities to transform streets and public spaces into livable, walkable communities that support healthy, affordable lifestyles. Along with Samantha Thomas, Blue Zones’ Built Environment Manager, Dan will teach us all to see through his eyes, as he surveys a desolate and abandoned downtown district, and visualizes its transformation into a modern, vibrant marketplace of human interaction – welcoming people of all ages, incomes, ethnicities, and religions.

#3: Wednesday, July 15th (11am Pacific, 2pm Eastern): ” Institutionalizing the Change”
With an understanding of the physical components of a walkable community, the next step is to redesign and rebuild our streets and public places – and that means engaging in the public policy process and working with the business establishment.  No-one knows more about “changing the system” than celebrated speaker and walkability expert Mark Fenton, who recently authored a Practice Guide for the Every Body Walk! Collaborative titled, Making Walking Routine: Building Walkability Through Policies and Market Forces.  Join Mark as he describes the most effective and achievable strategies for modifying both public- and private-sector procedures so they lead inevitably to walkable communities.

Integrating Tobacco Cessation Tools and Practices within Behavioral Health Settings
Date: Tues., June 23, 2:30-4:00pm EDT
Presenters: Chad Morris and Jim Pavlik, Behavioral Health & Wellness Program, University of Colorado; Mike Luxemburger, Pittsburgh Mercy Health System; Carolyn James, CODAC Behavioral Healthcare.
Register here.
While tobacco use rates are nearly double for people with mental illness and addictions, access to evidence-based tobacco cessation treatments and support can greatly improve health outcomes of this population. Long-term benefits of tobacco cessation may include improved self-esteem and promotion of recovery by increasing the likelihood of long-term drug and alcohol abstinence. Community mental health and addiction treatment providers can directly impact clients’ overall health and wellness by addressing tobacco use and providing cessation supports, including the prescription of FDA-approved cessation medications, and the use of evidence-based counseling techniques, such as the 5 A’s model (Ask, Advise, Refer) and cessation group therapy.

During this webinar, participants will learn about:

  • Making the case for integrating tobacco cessation practices and utilizing tobacco cessation tools within community behavioral health settings
  • Tobacco cessation practice guidelines and evidence-based cessation tools
  • Successes and lessons learned from community behavioral health provider(s) that have integrated tobacco cessation efforts into practice

Creating Community-Clinical Linkages to Address & Prevent Chronic Disease
Thursday, June 18, 2015 at 2:00 PM ET
Join NACCHO and Summit County Public Health (Summit County, Ohio) on the upcoming webinar highlighting robust referral networks linking primary care providers with public health and community resources that can be an effective model for improving health outcomes and promoting health equity for all populations.

Leveraging Innovations in Health Information Technology to Advance Public Health: How are States Using Data to Inform Policies, Programs, and Action? 
Monday, June 29, 1:00 pm (ET)  This call will focus on how states are using data to inform policies, programs, and action.

Preventing Prediabetes through the National Diabetes Prevention Program: Lessons Learned from Local Health Departments
Wednesday, June 24, 2015 at 2:00 PM ET
Join NACCHO for a webinar that will highlight the experiences and lessons learned of two local health departments that have been successful in establishing and running a CDC-recognized lifestyle change program under the National Diabetes Prevention Program (DPP).

When Safe Routes to School Meets Violence Prevention
June 25th 1:00pm Eastern
Hear from speakers about the impacts of violence on youth and communities, strategies to make routes to school safe from violence and crime, and how we can work collaboratively to create communities where kids can be active and safe.

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- June 12, 2015

Klamath County Public Health and Klamath Tribal Health Tobacco Prevention and Education Program
Why it Matters” luncheon planned to discuss tobacco programs
The Klamath County Public Health and Klamath Tribal Health Tobacco Prevention and Education Programs will host a “Why It Matters” luncheon June 23 to explore tobacco issues and why it matters in the community.
The event will include special presentations by representatives of the Oregon Health Authority, local tobacco programs and Lou Moerner, an inspirational speaker with years of experience working with low income and Native populations on tobacco issues, according to the event flyer. During the luncheon, attendees will explore political, social, medical and current trends in tobacco polices.

Kristen Wils, the health promotion and chronic disease prevention program coordinator at the health department, said the event will help organizations and individuals learn more about the tobacco prevention programs, as well as how the various stakeholders can help each other.

“We’re trying to be more involved in the community,” Wils said, including asking community members what the tobacco programs are missing and what the staff can do to help them. “That’s really the goal.”

Reports and Articles
TF zone
Comprehensive Cancer Control Programs and Tobacco Control Programs: A Qualitative Study of 6 States, United States, 2012
Introduction: Historically, federal funding streams to address cancer and tobacco use have been provided separately to state health departments. This study aims to document the impact of a recent focus on coordinating chronic disease efforts through collaboration between the two programs.
Methods: Through a case-study approach using semi structured interviews, information was collected on the organizational context, infrastructure, and interaction between cancer and tobacco control programs in 6 states from March through July 2012. Data were analyzed with NVivo software, using a grounded-theory approach.
Results: Between-program activities were found in the state health department and coordinated implementation of interventions in the community. Factors identified as facilitating integrated interventions in the community included collaboration between programs in the strategic planning process, incorporation of one another’s priorities into state strategic plans, co-location, and leadership support for collaboration. Coalitions were used to deliver integrated interventions to the community. Five states perceived high staff turnover as a barrier to collaboration, and all 5 states felt that federal funding requirements were a barrier.
Conclusions: Cancer and tobacco programs are beginning to implement integrated interventions to address chronic disease. Findings can inform the development of future efforts to integrate program activities across chronic disease prevention efforts.

All forms of smoking are bad for the heart
MNT:June, 2015
The European Society of Cardiology (ESC) warn that all forms of smoking are bad for the heart.
ESC prevention spokesperson Professor Joep Perk said,
“Smoking of all types is still, without any competition, the strongest risk factor for cardiovascular disease. It beats everything. There has been a lot of research over the past 2-3 years which makes us very clear that all tobacco use, including the waterpipe, smokeless tobacco and electronic cigarettes, is simply not good for your health.”1
Studies suggest that waterpipe smoking, also referred to as shisha and hookah, may be associated with even greater toxin exposure because sessions are longer and involve more and larger “puffs”, leading to smoke inhalation as much as 100 times more than from a cigarette.2

Ban of e-cigarettes coming to Oregon public buildings

DJC Oregon
The executive director of the Building Owners and Managers Association of Oregon was instrumental in the recent passage of House Bill 2546, which bans e-cigarettes in public buildings under the state’s Clean Air Act.

Powerful new “Tips From Former Smokers” ads focus on living with vision loss and colorectal cancer
PRN Newswire
ATLANTA, March 26, 2015 /PRNewswire-USNewswire/ — The Centers for Disease Control and Prevention is launching its 2015 “Tips From Former Smokers” campaign with a series of powerful new ads featuring former smokers who suffer from smoking-related illnesses, including vision loss and colorectal cancer.
Ads also highlight the benefits of quitting for smokers’ loved ones, and the importance of quitting cigarettes completely, not just cutting down. Beginning March 30, these ads will run for 20 weeks on television, radio, billboards, online, and in theaters, magazines, and newspapers.
CDC’s successful Tips national tobacco education campaign has helped prompt millions of smokers to try to quit since it began in 2012. It has also proven to be a “best buy” in public health by costing just $393 to save a year of life.

APHA is advocating for all government-subsidized housing to be smoke-free
Nation’s Health

Use of Tobacco Tax Stamps to Prevent and Reduce Illicit Tobacco Trade — United States, 2014
Increasing the unit price on tobacco products is the most effective tobacco prevention and control measure. Illicit tobacco trade (illicit trade) undermines high tobacco prices by providing tobacco users with cheaper-priced alternatives. Applying tax stamps to tobacco products, which provides documentation that taxes have been paid, is an important tool to combat illicit trade.

Healthy Communities- June 12, 2015


Oregon Hospital and Healthcare Guide
Medical Publishing, LLC is proud to present the 2015-2016 Oregon Hospital & Healthcare Guide.  Please find your complimentary copy via the enclosed link.  Feel free to forward this link to any and all interested parties. You are also welcome to post this guide on your website and/or social media and share it with your community. Oregon Hospital & Healthcare Guide

CDC Releases New Quality Improvement Action Guide
One in every three American adults — approximately 70 million—has high blood pressure. CDC Division for Heart Disease and Stroke Prevention has released a new quality improvement action guide to help improve hypertension control, the Hypertension Control: Change Package for Clinicians.  This guide provides examples of tools that have worked in a variety of clinical settings that may be adopted by or adapted to individual practices or health systems.

The Professional Standards for School Nutrition Professionals Training Tracker Tool
Download it to record trainings for you and your staff, and keep it all in one place. User guide, telephone and email assistance are also available. You can also watch a pre-recorded webinar on how to use this tool.

Reports and Articles
desk stand up

Desk-based employees ‘should work standing up’
MNT: June, 2015
Workers whose jobs are predominantly desk-based should eventually progress to a total of 4 hours standing, advises the panel.
The recommendation comes as part of a set of guidelines, published in theBritish Journal of Sports Medicine, with the aim to provide guidance to employers and office workers to counteract the health risks that come with long periods of seated office work.
“For those working in offices, 65-75% of their working hours are spent sitting, of which more than 50% of this is accumulated in prolonged periods of sustained sitting,” write the authors. “The evidence is clearly emerging that a first ‘behavioral’ step could be simply to get people standing and moving more frequently as part of their working day.”
An increasing number of studies associate sedentary living – including time spent at work – with an increased risk of several serious illnesses and causes of death, including cardiovascular disease, diabetes and some forms of cancer.

couple mood
Spouses’ mood may impact the well-being of cancer survivors
MNT: June, 2015
Cancer survivors whose spouses reported depressed mood were more likely to be depressed after about a year. However, cancer survivors whose spouses reported better mental and physical health-related quality of life (HRQoL) were less likely to be depressed after about a year.
There are an estimated 14.5 million cancer survivors in the United States. Family members, especially spouses, often provide multiple types of support for cancer survivors, including attending medical appointments, helping with care, and sharing financial responsibilities. Understanding how cancer survivors and their families influence one another can provide directions in improving the health care they all receive and their outcomes in terms of health and well-being, Litzelman explained. Previous studies have shown that depressed mood in cancer survivors is associated with poor health outcomes, including worse treatment adherence and premature mortality, she said.

Research links impulsivity and binge eating
MNT: June, 2015
Do you get impulsive when you’re upset? If so, this could be putting you at risk for binge eating.
According to Kelly Klump, professor of psychology at Michigan State University and senior author, the more impulsive you are, the more likely it is you’ll binge eat when experiencing negative feelings.
‘It’s human nature to want to turn to something for comfort after a bad day, but what our research found is that the tendency to act rashly when faced with negative emotions is a personality trait that can lead to binge eating,’ Klump said.
Binge eating — the uncontrollable consumption of a large amount of food in a short period of time — doesn’t just happen because someone’s had a rotten day, it’s tied to how impulsive you are.

Picture perfect: Researchers use photos to understand how diabetes affects kids
MNT: June, 2015
If a picture is worth a thousand words, UF Health Type 1 diabetes researchers and their colleagues have tapped into an encyclopedia, revealing new insights into how young people cope with the disease.
The sophisticated scientific instrument? A camera.
More than 13,000 children and teens are diagnosed with Type 1 diabetes each year. To find out more about their experiences as they live with this chronic disorder, a group of diabetes researchers from three universities, including the University of Florida, gave 40 adolescents disposable cameras and asked them to take pictures about what diabetes means to them. They discovered key differences in adolescents of different genders and socioeconomic classes that could shape patient care and diabetes education, especially for boys and less-affluent young people.

Study shows colorectal cancer genetically different in older and younger patients
MNT: June, 2015
While the overall rate of colorectal cancer (CRC) is declining, CRC specifically among young patients is increasing. Previous studies have shown that CRC in patients younger than 50 years old tends to be more aggressive than CRC in older patients. A University of Colorado Cancer Center study published in conjunction with the American Society for Clinical Oncology (ASCO) Annual Meeting 2015 offers early evidence of genetic differences between CRC in young and old patients, possibly pointing toward different treatments and strategies in combating the young form of the disease.
“We saw differences in two important gene signaling pathways, PPAR and IGF1R, which are involved in regulating cell development, metabolism, and growth,” says Christopher Lieu, MD, investigator at the CU Cancer Center and assistant professor of medical oncology at the University of Colorado School of Medicine.
Alterations in these signaling pathways have been implicated in the development of several types of cancer.

Human papillomavirus vaccination: what are college students thinking?
MNT: June, 2015
reliminary results from a survey of 192 Oakland University undergraduate female students in Auburn Hills, Michigan, revealed that although a vast majority of them are aware of the human papillomavirus vaccine (HPV), about 54% are not vaccinated. This research is being presented at the annual meeting of the American Society for Microbiology.
“A survey of their knowledge on the HPV vaccination and infection indicates a lack of understanding about the consequences, therapy, and prophylaxis for an HPV infection,” said Aishwarya Navalpakam. Moreover, Navalpakam and her mentor, Dr. Inaya Hajj Hussein at Oakland University William Beaumont School of Medicine found that there is a perceived low risk of acquiring the infection even after information about the infection and vaccination was provided. Further analysis based on demographic factors correlating with knowledge and attitudes will be performed.

Obesity may lead to type 2 diabetes via bacteria
MNT: June, 2015
The study, published in the journal mBio, adds to growing evidence about the role of bacteria and viruses in causing noninfectious diseases, such as cervical cancer (human papillomavirus) and stomach ulcers (H. pylori bacteria).
Microbiologists at the University of Iowa (UI) found that when rabbits are chronically exposed to a toxin produced by Staphylococcus aureus (staph) bacteria, they develop the hallmarks of type 2 diabetes, such as insulin resistance, glucose intolerance and inflammation.
Lead researcher Patrick Schlievert, professor of microbiology at the UI Carver College of Medicine, says:
“We basically reproduced Type 2 diabetes in rabbits simply through chronic exposure to the staph superantigen.”
The study is important because we already know that the human microbiome changes with obesity and that one of these changes is the increase in staph colonization and infections. Now, the new findings suggest the bacterium may play a role in the progression to type 2 diabetes.

s Baltazar Ortiz Center.

s Baltazar Ortiz Center.

El Hispanic News
A dozen women in black aprons clustered around a kitchen island chopping onions, shredding chicken and chatting in Spanish.
At a community center in Gresham, they were making chicken chili (recipe in English at, and in Spanish at in a nutrition and exercise program for Hispanic families taught in Spanish by Oregon State University’s Extension Service. The free eight-week class helps participants with the fundamentals of healthy eating like choosing more vegetables over too many carbohydrates, baking instead of frying and substituting water for soda.
Extension offers the course every four months in nine communities in Multnomah, Clackamas and Washington counties. Since the nutrition education programs launched 12 years ago, more than 6,300 adults and 9,000 children have taken classes, according to Lynn Steele, leader of OSU Extension’s Hispanic nutrition program in the metro area.
Hispanic immigrants often eat less nutritiously once they leave their traditional diets and lifestyles, said Steele. Health problems such as diabetes and high cholesterol spike as they begin eating the high-fat, high-sugar diets common in the United States.

Warning: Soda May Be Bad for Your Health, San Francisco Says
New York Times
San Francisco could soon be the first city in the country to place health warnings on advertisements for sugary drinks.
Lawmakers there voted unanimously this week in favor of a measure that would require a stark warning label – akin to the caution label on cigarettes – noting the link between sugary drink consumption and chronic disease. The warning labels would appear only on advertisements for sugary drinks, not on the products themselves, though a separate measure at the state level would require such warnings directly on soda cans and bottles.
“Warning,” the new label on the advertisements would read. “Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay. This is a message from the City and County of San Francisco.”

Impact of Arthritis and Multiple Chronic Conditions on Selected Life Domains — United States, 2013
Jin Qin, ScD, Kristina A. Theis, PhD, Kamil E. Barbour, PhD, et al.
MMWR Morb Mortal Wkly Rep 2015;64:578-82

USDA Collaborative Sodium Reduction Initiative
The U.S. Department of Agriculture (USDA) recently launched a collaborative sodium reduction initiative called, “What’s Shaking? Creative Ways to Boost Flavor with Less Sodium”. The initiative aims to support sodium reduction in school meals by finding creative ways to boost flavor and maximize taste.