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.


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