Healthy Communities- April 17th, 2015


Enhance Fitness program available in Oregon!
Enhance Fitness, an award winning physical activity program developed by Senior Services (Seattle, WA), is gaining popularity across the nation. EnhanceFitness helps older adults at all levels of fitness become more active, energized, and empowered to sustain independent lives. Thanks to the efforts of Senior Services and YMCA, the program is now available in several Oregon counties.

Want to learn more about the program, find a class in your community or become an EnhanceFitness licensed affiliate? For more information, visit the of the Senior Services or contact Paige Dennison at If you are looking for classes in Douglas County, contact Steven Stanfield at

To find out more about self-management programs available in Oregon, visit the Self-Management – Take Control of your Health webpage of the Oregon Public Health Division at or call 1-888-576-7414

breast pump

Breastfeeding in the Workplace
Breastfeeding offers many health benefits for infants and the American Academy of Pediatrics recommends that mothers breastfeed exclusively for the first six months of infancy, followed by continued breastfeeding, as other foods are introduced, for at least one year. Mothers who return to work face barriers to breastfeeding, such as lack of space and time to express milk. Accommodating breastfeeding in the workplace benefits employers and the U.S. health care system. This new resource provides information on federal and state laws regarding breastfeeding in the U.S. workplace. View/download the resource on breastfeeding in the workplace.

CDC Seeks Young Women to Share Personal Stories in New Breast Cancer Education Campaign – DEADLINE May 15
The Centers for Disease Control and Prevention’s (CDC) new Bring Your Brave campaign will feature young women telling their personal stories about how their lives have been affected by breast cancer. The goals of the campaign are to motivate young women to learn about the disease and its prevention, learn their family history of cancer, and engage in conversations with their health care provider.

CDC is looking for stories from women ages 18-44 who:

  • Found a lump or abnormal change in their breast that turned out not to be breast cancer.
  • Have a mother, sister, or first cousin who had breast cancer before the age of 50 and is BRCA+.
  • Have a family history of breast and/or ovarian cancer.
  • Have undergone genetic counseling and testing, and fit at least one of the following criteria:
  • Have had breast cancer and have a BRCA mutation.
  • Have a family history of breast or ovarian cancer and have a BRCA gene mutation.
  • Are of Ashkenazi Jewish heritage and have a personal or family history of breast cancer and have a BRCA gene mutation

CDC is also looking for stories from women of any age who:

  • Have been diagnosed with breast cancer before age 50, have a BRCA mutation, AND have a daughter age 18 through 40. Both women must be willing to share their story about hereditary cancer, learning about family history, and having a BRCA mutation.

To be considered for this project women must:

  • Not smoke or use illegal drugs.
  • Have completed their cancer treatment (if applicable) at least one year ago.

Deadline:  May 15, 2015.  For additional information: Web; e-mail; phone (202) 729-4099.

Voices for Healthy Kids Food Marketing in Schools Toolkit Available
This terrific new tool from our partners at Voices for Healthy Kids can help you stop unhealthy food marketing in schools: Unhealthy school marketing undermines parents, school food improvements, nutrition education & kids’ health.

Companies spend over $150 million a year marketing (mostly unhealthy) foods and beverages to kids in schools.  They market junk food through posters/signs, fronts of vending machines, ads on buses, scoreboards, corporate-sponsored educational materials, team sponsorships, in-school television ads, etc.  Please share this tool with your PTA, community organizations, parents and others committed to children’s health and wellbeing.

Annual Report to the Nation on the Status of Cancer, 1975-2011, Featuring Incidence of Breast Cancer Subtypes by Race/Ethnicity, Poverty, and State
CDC’s Division of Cancer Prevention and Control’s (DCPC) Cancer Surveillance Branch announces the publication of the most recent Annual Report to the Nation on the Status of Cancer, 1975-2011. DCPC co-authors this year include Christie Eheman, Jane Henley, and Blythe Ryerson. This report represents a long-standing collaboration with the North American Association of Central Cancer Registries (this year’s lead), the American Cancer Society, the         National Cancer Institute, and our own National Center for Health Statistics.
The report provides an overview of the latest cancer incidence and mortality rates. Each year, the report focuses on a special topic; this year it is breast cancer subtypes. For the first time on a national level, newly-available data on breast cancer incidence rates by demographic and tumor characteristics for the four intrinsic molecular subtypes (HR+/HER-, triple negative, HR+/HER+, and HR-/HER+) is published.  Rates for each subtype stratified by race/ethnicity and by age, stage, grade, and census tract-based poverty is provided.

The report will be published in JNCI and is currently available at: Annual Report to the Nation on the Status of Cancer, 1975-2011, Featuring Incidence of Breast Cancer Subtypes by Race-Ethnicity, Poverty, and State.pdf. Related infographics, are available at: infographics

CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) Announces Launch of New Online Data Trends and Maps Database
The Centers for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is pleased to announce the launch of its new online Data, Trends & Maps interactive database.
What is the Data, Trends & Maps database?
It is an interactive tool that provides state-specific behavior, policy, and environmental indicators from multiple data sources about obesity, nutrition, physical activity, and breastfeeding.
What can users expect?
You can view statistics in a variety of formats, including maps, tables, and trend lines in the areas of:

  • Obesity/Weight Status
  • Fruit and Vegetable Consumption
  • Physical Activity
  • Sugar Drink Consumption
  • Television Viewing
  • Breastfeeding

Users can also display all indicators for one state or all states for one indicator.
How can users access the database?

The database can be accessed from DNPAO’s Web site, Data, Trends & Maps. You can also post the Data, Trends & Maps Web button on your Web site for your users to link directly to the database. Please share the attached Data, Trends, and Maps fact sheet with interested colleagues and partners.
If you have comments or questions about the Data, Trends & Maps database, please contact Heather C. Hamner (

Increasing Physical Activity through Joint-Use Agreements Spotlights: Arkansas and Virginia
CDC’s DNPAO has released two new spotlights in its Evaluability Assessments Spotlights series. These new documents focus on joint-use agreement (JUA) initiatives in Arkansas and Virginia.
JUAs increase opportunities for physical activity by allowing groups – usually a school and a city or private organization – to share indoor and outdoor spaces for physical activity, such as gymnasiums, athletic fields, and playgrounds. These JUA spotlights describe Arkansas’ and Virginia’s initiatives, including their goals, what the initiatives were able to accomplish, and lessons for states that are considering similar undertakings.
Spotlights on three more states will be available in the future.

Lowering Sodium in School Meals
The American Heart Association (AHA) developed two infographic resources that support the targets for lower sodium in school meals by grade group and demonstrate changes in meals to successfully meet targets.

Reports and Articles


Stop drinking soda, for (your own) good
CNN March 27th, 2015
(CNN)You know soda’s not exactly good for you—but at the same time, it can be hard to resist. Its sweet taste, pleasant fizz, and energizing jolt often seems like just what you need to wash down your dinner, get you through an afternoon slump, or quench your thirst at the movies.

But the more soda you consume (regular or diet), the more hazardous your habit can become. And whether you’re a six-pack-a-day drinker or an occasional soft-drink sipper, cutting back can likely have benefits for your weight and your overall health. Here’s why you should be drinking less, plus tips on how to make the transition easier.

CRC lab

New Noninvasive Colorectal Cancer Screening Test Lags Traditional Colonoscopy in Prevention
The Oregonian
Medical manufacturer Exact Science Corp. recently announced that 4,000 doctors around the United States have prescribed a noninvasive tool to screen for colorectal cancer called Cologuard to their patients since it received FDA approval in August 2014. While this new medical technology is showing promise as a noninvasive alternative to traditional means of looking for colorectal cancer, colonoscopy continues to be the most effective cancer prevention procedure.

Colorectal cancer is the second leading cause of death in the United States. The American Cancer Society estimates that 132,700 people will be diagnosed with colon or rectal cancer in 2015. However, the death rate for colorectal cancer has steadily dropped due to the proven practice of colonoscopy. This procedure is currently the gold standard of colorectal testing.  Regular screening with colonoscopy reduces the risk of colorectal cancer going undetected by 90 percent.

France announces planned limits on unlimited free refills of sugary drinks
April 2, 2015
The French government voted to ban free unlimited soft drinks from restaurants and fast food chains as part of France’s initiative to reduce children’s consumption of sugary drinks by 25%. The law is being framed as a necessary government intervention to “protect the population against commercial competition which aims to . . . encourage [consumers] to consume unhealthy products excessively.”

Physical activity benefits lung cancer patients and survivors
Exercise and physical activity should be considered as therapeutic options for lung cancer as they have been shown to reduce symptoms, increase exercise tolerance, improve quality of life, and potentially reduce length of hospital stay and complications following surgery for lung cancer.

Lung cancer is the leading cause of cancer deaths in the United States with an estimated 160,000 deaths each year and worldwide there are 1.4 million deaths. In the last two decades lung cancer therapy has improved, but the overall 5-year survival rate is still quite low at 17%. Lung cancer patients experience many debilitating symptoms including difficulty breathing, cough, fatigueanxietydepressioninsomnia, and pain. A third of long term survivors, those >5 years from diagnosis, experience reduced quality of life and report lower physical and health scores compared to healthy patients. Given the incidence of lung cancer and the associated costs An inexpensive and relatively easy cancer therapy to reduce symptoms and improve quality of life, like physical activity, could be beneficial, especially for therapy, but clinicians underutilize exercise as a therapy, in part due to the lack of evidence-based consensus as to how and when to implement increasing physical activity.

Road to health: Bike and pedestrian paths play greater role in transportation project funding
Mail Tribune
Pedestrian paths and painted bicycle lanes that seemed to randomly appear along roadways in the past sometimes would satisfy bureaucratic requirements but little else.
That’s changing.
State agencies have come to see transportation as not just moving people and freight, but also helping build healthier communities by connecting pedestrian and bike routes to the places people want to go.
The Oregon Department of Transportation now has an Active Transportation Section that addresses pedestrian and bicycle elements and how they tie in with public roadways. More recently, the Oregon Health Authority was given a say in ODOT plans with an eye toward producing future generations that are leaner and healthier.
The metamorphosis has changed thinking at every level and impacts how projects are funded, said ODOT Active Transportation Section Manager Mac Lynde.

safter streets

New Report from Complete Streets: ‘Safer Streets, Stronger Economies’ 
A new report is available from Smart Growth America’s National Complete Streets Coalition and Kaiser Permanente – ‘Safer Streets, Stronger Economies.’

The report includes data from 37 Complete Street projects from across the country and explores the impact of these projects. Specifically, the report explores the impact of Complete Street projects on transportation goals, community economics, and much more. Download the report and/or watch the achieved March 24th webinar discussing its results.

Bill Introduced to Increase Physical Activity Training in U.S. Medical Schools
While physicians play a vital role in monitoring and promoting patient physical activity behaviors, a new research from Oregon State University suggests that fewer than half of U.S. trained physicians have received formal education or training on the topic. Overall, few medical school curriculums were found to offer any course related to physical activity. Of those that did, the course was rarely required. The full article on the findings has been accepted for publication in an upcoming issue of the Journal of Physical Activity and Health.

A new bill, the Expanding Nutrition’s Role in Curricula and Healthcare (ENRICH) Act (H.R. 1411), aims to address the lack of training in physical activity and nutrition in U.S. medical schools. Last month, a revised version of the bill was introduced and included the addition of physical activity training into the bill language. Important things to keep in mind:

Very few commercial weight-loss programs are effective, study finds
Many of us have turned to commercial weight-loss programs in a bid to shed the pounds. But do they really work? According to a comprehensive review of such programs conducted by Johns Hopkins researchers, very few are effective.

Working up a sweat: It could save your life
Science Daily
Physical activity that makes you puff and sweat is key to avoiding an early death, a large study of middle-aged and older adults has found. The researchers followed 204,542 people for more than six years, and compared those who engaged in only moderate activity (such as gentle swimming, social tennis, or household chores) with those who included at least some vigorous activity (such as jogging, aerobics or competitive tennis).

Researchers list reasons why the U. S. Surgeon General should announce that UV tanning causes skin cancer
Science Daily
A July, 2014 Call to Action to Prevent Skin Cancer by acting Surgeon General Dr. Boris Lushniak points out that indoor tanning is “strongly associated with increased skin cancer risk,” but stops short of reporting that tanning causes cancer. A new opinion article points out that UV tanning meets the same criteria as smoking as a cause of cancer and argues that announcing the causality could save lives.

Do Antibiotics Raise Diabetes Risk via Gut Microbiota?
People who take multiple courses of antibiotics may face an increased risk of developing both type 1 and type 2 diabetes, potentially through alterations in gut microbiota, conclude US researchers.

The team, led by Ben Boursi, MD, a postdoctoral researcher in the department of gastroenterology at the University of Pennsylvania, Philadelphia, found that the risk of diabetes was increased by up to 37%, depending on the type of antibiotic and the number of courses prescribed.


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