Healthy Communities – March 29, 2013


For a list of Public Health Week events in Oregon, please visit:

The Child Care Division is committed to adopting rules in an open manner. Seeking informal review and public comment on proposed rule changes for Registered Family Child Care Homes. The current OARs these relate to are found at

To insure your comments are received please follow the link below to review and comment on these proposed rule changes.


Obama Administration Proposes “Promise Zones” Initiative
On February 11, the president delivered his second Inaugural Address in which he proposed a vision for America that builds “new ladders of opportunity into the middle class” by investing in the nation’s infrastructure, workforce, and communities. It is commonly accepted that where someone lives can determine their access to resources, thereby having a significant impact on health, education, and employment outcomes. With this in mind, the administration is proposing to align a number of signature revitalization initiatives from the Departments of Education, Housing and Urban Development, Commerce, Health and Human Services, Justice, and Agriculture to ensure that federal programs and resources are focused on 20 local communities— rural and urban—hardest hit by the recession.  Each of these designated “Promise Zones” will serve as laboratories for better coordinated local, nonprofit, and private sector investments to help transform high-poverty communities into places of opportunity by creating jobs, improving and expanding early childhood education, building new mixed-income homes, and decreasing crime rates and persistent health disparities. These communities will be selected over the next several years. Updates will be provided as they develop.

Reports and Articles

eat-less-saltEnergy drinks may increase blood pressure, disturb heart rhythm
American Heart Association Meeting Report:  March 21, 2013
Study Highlights:

  • Energy drinks may increase blood pressure and disturb the heart’s rhythm.
  • Researchers who analyzed seven previously published studies found an increase of 3.5 points in systolic blood pressure for those consuming energy drinks.
  • Consuming energy drinks may increase the chances of developing an abnormal heart rhythym

Most pre-packaged meals, snacks for toddlers contain too much salt
American Heart Association Meeting Report: March 21, 2013
Study Highlights:

  • Most pre-packaged meals and snacks for toddlers contain high amounts of sodium.
  • Some toddler meals had as much as 630 mg of sodium per serving.

Abstract # P253 Embargoed until 3 p.m. CT / 4 p.m. ET on Thursday, March 21, 2013

Vodcast (video story posted in the AHA Podcast/Vodcast Library at embargo)

Adults worldwide eat almost double daily AHA recommended amount of sodium
American Heart Association Meeting Report: March 21, 2013
Study Highlights:

  • Adults worldwide consume almost double the daily recommended amount of sodium (salt).
  • The study is the first to provide information about sodium intake by country, age and gender.

1 in 10 U.S. Deaths Blamed on Salt
Abc News: March 21, 2013
The new study, by the same Harvard research team, linked excessive salt consumption to nearly 2.3 million cardiovascular deaths worldwide in 2010. One in 10 Americans dies from eating too much salt, the researchers found. “The burden of sodium is much higher than the burden of sugar-sweetened beverages,” said Dr. Dariush Mozaffarian, an epidemiologist at the Harvard School of Public Health and author of both the salt and sugary drink studies.

Millions on Verge of Diabetes Don’t Know It: CDC
HealthDay News: March 21, 2013
Only 11 percent of the estimated 79 million Americans who are at risk for diabetes know they are at risk, federal health officials reported Thursday.  The condition, known as prediabetes, describes higher-than-normal blood sugar levels that put people in danger of developing diabetes, according to the U.S. Centers for Disease Control and Prevention.

Celebrity endorsers may impact how much kids eat
Reuters Health: March 22, 2013
Celebrities who endorse specific foods in TV commercials are a powerful influence on children, and that effect may extend beyond the advertisement itself, according to a new study from the UK.

Based on observations of 181 children, researchers found the kids ate more potato chips after seeing ads featuring a popular UK sports figure – and after seeing him as the host of a TV show – than kids who watched commercials for toys and nuts.

Awareness of Prediabetes — United States, 2005–2010
MMWR: 3.22.13
In 2010, approximately one in three U.S. adults aged ≥20 years (an estimated 79 million persons) had prediabetes, a condition in which blood glucose or hemoglobin A1c (A1c) levels are higher than normal but not high enough to be classified as diabetes (1). Persons with prediabetes are at high risk for developing type 2 diabetes, which accounts for 90%–95% of all cases of diabetes

Fit Kids May Dodge Fractures in Old Age
HealthDay News: March 23, 2013
Regular exercise linked to increases in peak bone mass, study says physically active children may be at lower risk for fractures when they grow older, according to a new study from Sweden. The findings add to evidence that regular daily exercise can improve children’s health now and in the future, the researchers said.

ChangeLab Solutions Stands Behind NYC Portion Control Measure
Change Lab Solutions:  March 26, 2013
Today ChangeLab Solutions joined with other national public health organizations in filing an amicus (“friend of the court”) brief with the New York Appellate Division of the Supreme Court.

The brief shows our support for the city board of health’s rationale and authority to limit serving sizes of sugary beverages to 16 ounces in certain city food establishments. Find out more in our announcement on the filing.

The CVS Health-Screening Debate
Washington Post, Jena McGregor, 03/21/2013
Retailer CVS was in the news Tuesday for requiring that all of its 200,000 employees who participate in the company’s health-insurance plan get a health screening (paid for by CVS) that assesses their weight, height, body fat and cholesterol levels-or pay some $600 more for their health coverage a year.

Why Am I Out of Shape?

New York Times, Eric Nagourney, 03/21/2013
“The first generation to grow up exercising.”

Companies Get Strict on Health of Workers
New York Times, Katie Thomas, 03/25/2013
Employers are increasingly trying to lower health care costs by using incentives to persuade workers to make better lifestyle choices, a new survey shows, but what remains less clear is whether a reward is better than a punishment — or whether the programs work at all.

Large Companies are Increasingly Offering Workers Only High Deductible Health Plans
Kaiser Health News, Michelle Andrews, 03/26/2013
Historically, one of the perks of working at a big company has been generous health benefits with modest out-of-pocket costs.

Fizzy Soft Drink Sales Fizzle Again in 2012
Associated Press, Staff Writer, 03/25/2013
Americans’ consumption of fizzy soft drinks, on the decline since 2005, fell last year to its lowest level since 1996.

U.S. Abandons Effort to Place Graphic Labeling on Cigarettes
HealthDay, Steve Reinberg, 03/20/2013
The U.S. government won’t pursue a legal battle to mandate large, gruesome images on cigarette labeling in an effort to dissuade potential smokers and get current smokers to quit.

How Healthy Is Your County? County Health Rankings 2013
NewPublicHealth, 03/19/2013
How healthy is your county? Answers are out today in the 2013 County Health Rankings, which examine the health and well-being of people living in nearly every county in the United States and show that how long and well people live depends on multiple factors beyond just their access to medical care.

Energy Drink Marketing Restricted in Suffolk County
4 New York: March 20, 2013
Suffolk County in New York State has passed legislation that blocks companies from giving free samples and coupons to minors and selling the drinks in county parks.

In a New Aisle, Energy Drinks Sidestep Some Rules
The New York Times: March 19, 2013
Fans of Monster Energy, the popular high-caffeine energy drink, may not notice the change: its ingredients will be the same and its familiar label bearing a green, clawlike monogram will change only slightly. But the drink’s maker has decided after a decade of selling it as a dietary supplement to market it as a beverage, a switch that will bring significant changes in how it is regulated.

The Potential of Parks (With Programs), Jonathan Purtle, 03/27/2013
What gets people out and exercising in the park?

Fate of Same-Sex Marriage Cases Likely to Influence Public Health
Los Angeles Times (Blog), Karen Kaplan, 03/26/2013
Advocates for and against same-sex marriage will make legal arguments to the Supreme Court this week about whether laws such as the federal Defense of Marriage Act and California’s Proposition 8 run afoul of the Constitution.

Community Health Needs Assessment
A free web-based platform designed to assist hospitals, nonprofits, health departments, and other organizations to better understand the needs and assets of their communities. The tools and resources on this site may be particularly useful for nonprofit hospitals now required under the Affordable Care Act to include community health needs assessments as part of their community benefit reporting requirements.

Stressful life events may increase stillbirth risk, NIH network study finds
03/27/2013 12:57 PM EDT
Pregnant women who experienced financial, emotional or other personal stress in the year before their delivery had an increased chance of having a stillbirth, say researchers who conducted a National Institutes of Health network study.

97% of Kids’ Meals Flunk Nutrition, as Fried Chicken Fingers, Burgers, Fries, Soda Dominate at Chain Restaurants
CSPI: March 28, 2013  Nearly all of the meal possibilities offered to kids at America’s top chain restaurants are of poor nutritional quality, according to the nonprofit Center for Science in the Public Interest.

The National Council on Aging hosted a webinar last week about new results on CDSMP (Living Well) outcomes from a national study conducted by Stanford, the CDC and the National Council on Aging. Slides and a sound recording are now available online at

The study followed more than 800 participants for a year, and found statistically significant improvements in fatigue, pain, shortness of breath, sleep problems and physical activity levels. They also looked at the health care “triple aim” (improved outcomes, better care, cost reduction) and found improvements in each domain, including a reduced percentage of participants who used the emergency room within the past six months. Hospitalization results were less conclusive. They also estimated potential cost savings, similarly to what we did in our 2010 Impact Report at


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