Healthy Communities- May 16, 2014

Fed Up
(encourage you to check this out!)
The documentary, Fed Up, produced by Laurie David (Inconvenient Truth) and narrated by Katie Couricopened last weekend. Watch the trailer here, see if it’s playing at a theater near you here, and share it on social media here.
The movie includes interviews with writers Mark Bittman and Michael Pollan, former President Bill Clinton, and Senator Tom Harkin – and me.
The producers hope the film will inspire people to make changes in their lives and in our food environment. The film makers are using the movie to encourage action to support implementation of the Smart Snack standards for food sold in schools through vending, school stores, and a la carte, and to support for taxes on soda and other sugary drinks.


Invitation to Town Hall Meetings on the Statewide Behavioral Health System Strategic Plan
Please consider attending one of six upcoming town hall meeting across Oregon (Portland, Bend, Seaside, Salem, Roseburg, Pendleton) to discuss the state’s behavioral health system hosted by the Oregon Health Authority (OHA). The goal is to create a shared vision for building and expanding an integrated, coordinated and culturally competent behavioral health system that provides better health, better care and lower cost for all Oregonians.

These events serve as an important opportunity to build relationships with behavioral health/community partners and to demonstrate your support for the wellbeing of Oregonians experiencing mental illness and substance use disorders.

By participating, you are also reinforcing the efforts of the Cross Agency Health Improvement Project (CAHIP), an initiative aiming to improve the health of employees, clients and consumers of the Oregon Health Authority and Department of Human Services.  As part of the 2013-2015 CAHIP workplan, OHA Addictions and Mental Health is working to ensure successful implementation of the Tobacco Freedom policy for staff, consumers and visitors at all licensed and funded AMH residential treatment facilities.

2014 Arthritis Pain Reliever Campaign: Great time for advocacy!
The Oregon Arthritis program is announcing an annual Arthritis Pain Reliever Campaign (APRC) required under a CDC grant State Public Health approaches to improving arthritis outcomes. Starting next week, Coates Kokes, HPCDP’s media contactor, will run this ten-week campaign aimed at raising awareness about arthritis and effectiveness of exercise for managing arthritis pain and improving mobility.

For this year’s campaign we chose Coos, Crook, Morrow and Union because the prevalence of arthritis there is high and availability of exercise programs is low in these counties. During the campaign, we will be using variety of means – print materials, radio, print media – to spread the information about arthritis and benefits of exercise, and to promote the Arthritis Foundation’s Walk with Ease program.

Additional information about the Walk With Ease program can be found here. If you have any questions about the Arthritis Program or the Arthritis Pain Reliever Campaign, please contact me at my email address or by phone: 971-673-1085.

Reports and Articles

Low-Income Americans Walk and Bike to Work the Most
This blog post shows why land use and transportation initiatives can be not only tools for health, but also for equity. The U.S. Census Bureau just released its first-ever report exclusively on walking and biking. Using data from the American Community Survey, the report shows how rates of active transportation vary by age, income, education, race, and the availability of a vehicle. It’s a lot more detail than the usual Census data release on how people get to work, which only breaks active commuting down by gender.

The Census report shows that low-income people bike and walk to work the most, hands down. Of those who make less than $10,000 a year, 1.5 percent commute by bike and 8.2 percent walk. In the $25,000-34,999 range, those numbers are halved. Then at the highest earning levels, active commuting rates start to creep back up. The income stats provide more evidence that safe walking and biking infrastructure isn’t mainly the concern of geared-up weekend warriors with expensive bikes.

Working with Hospitals for Joint Use Community Access to Facilities
Safe Routes to School National Partnership
For those local public health partners who have been gaining traction with local hospitals, clinics and health systems on food policies and practices, consider another avenue to healthy weight: physical activity, and the role that these facilities can play in helping people attain the activity levels that are so critical for preventing chronic disease.
Hospitals often have multi-purpose rooms for health education classes, fitness centers, walking paths, and simply large campuses which can be a convenient place for walking buddies to meet. Non-profit hospitals have community benefit requirements, and opening up facilities to shared use by the community can be one way to fulfill this goal.

Our review of the global research on ovarian cancer shows, for the first time, that being overweight increases your risk of developing the disease. The research, which was carried out as part of our Continuous Update Project – our comprehensive analysis of worldwide research on cancer prevention – can be found here.

Will 2014 be the year we see a domino effect for obesity prevention across the world?
Cancer Prevention Research and Policy Blog
oyd Swinburn is Professor of Population Nutrition and Global Health at the University of Auckland, and Co-Chair of the International Obesity Task Force.

Policies to create healthier food environments have been recommended as a high priority for obesity prevention across the world, but until recently there has been little action on this front. However, in the last few years, several countries have stepped up to the plate and become exemplars for other countries to follow. So as the International Congress on Obesity takes place this week, I am wondering whether the action taken by these countries will be the start of a domino effect, as more politicians become emboldened to implement the food policy recommendations contained in the World Health Organisation’s Global Plan for Action on Non-Communicable Diseases (NCDs).

Moderate Exercise Reduces Premature Death Risk in Older Men
RWJF: 5.13.14
Older men with hypertension can lower their risk of premature death with even moderate levels of exercise, according to a new study in Hypertension. The researchers say the needed level of fitness can be achieved by a brisk twenty to forty minute walk on most days. The researchers reviewed the fitness levels of 2,153 men, aged 70 years and older with high blood pressure by a standard treadmill exercise test, using a standard measure of fitness called metabolic equivalents (METs.) An MET is equal to the amount of oxygen the body uses per kilogram of body weight per minute. The peak MET level of a sedentary 50-year-old is about five to six METs; for a moderately fit individual it’s about seven to nine METS; and for a highly fit person it’s 10 to 12 METs. (Marathon runners, cyclists and other long distance athletes often have MET levels of 20 or higher.)

After an average follow-up of nine years, researchers found that the risk of death was 11 percent lower for every one-MET increase in exercise capacity:

  • Those in the low-fit category (4.1 to 6 peak METs) had an 18 percent lower risk of death.
  • Moderately-fit men (6.1 to 8 peak METs) had a 36 percent lower risk of death.
  • High-fit men with peak METs of more than 8 reduced the risk of death by 48 percent.

USDA Announces $78 Million Available for Local Food Enterprises
Agriculture Secretary Tom Vilsack today announced that USDA is making a historic $78 million investment in local and regional food systems, including food hubs, farmers markets, aggregation and processing facilities, distribution services, and other local food business enterprises.

“The 2014 Farm Bill has given USDA new tools, resources and authority to support the rural economy,” Vilsack said. “Consumer demand for locally-produced food is strong and growing, and farmers and ranchers are positioning their businesses to meet that demand. As this sector continues to mature, we see aggregation, processing, and distribution enterprises across the local food supply chain growing rapidly. These historic USDA investments in support of local food give farmers and ranchers more market opportunities, provide consumers with more choices, and create jobs in both rural and urban communities.”

Vilsack said that $48 million in loan guarantees for local food projects is now available through USDA ‘s Rural Development’s Business and Industry Guaranteed Loan Program, and $30 million is available through competitive grants via the Agricultural Marketing Service’s (AMS) Farmers Market and Local Foods Promotion Program. Eligible applicants include local government, tribal government, agricultural cooperatives and farmers market associations, nonprofit organizations and others.


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