Healthy Communities- November 20, 2015


Eleven States Improving Capacity for Sodium Reduction through Food Availability
With support from CDC and ASTHO, 11 states have begun initiatives to reduce sodium consumption in the workplace for employees and clients. After identifying and analyzing potential challenges, opportunities, and resources, and developing an overall strategy, these states have created pathways toward healthier food procurement and availability for agency workers and the individuals with whom they do business. More information on their efforts is available on ASTHO’s website

New CDC Web Resources to Improve Population Health
CDC’s Office of the Associate Director for Policy (OADP) is excited to share the following Web resources with public health practitioners, hospital and health system professionals, and others working to improve population health. Achieving a healthier nation requires partnerships across every sector. Together, we can prioritize prevention and create environments that support health.

Check out the new Web resources
Social Determinants of Health (SDOH) website: Visit the new website to find CDC resources for SDOH data, tools for action, programs, and policies.

Health in All Policies (HiAP) Resource Center: The new website is a one-stop-shop that provides practical resources and tools for collaboration across sectors to achieve policies that improve community health.

CDC Community Health Improvement Navigator: The recently launched website offers tools and resources to support nonprofit hospitals, public health, and community stakeholders.

OADP developed the SDOH website with CDC’s Office of Minority Health & Health Equity and Office for State, Tribal, Local and Territorial Support. This website complements CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention social determinants Web resources.

OADP’s Office of the National Prevention Strategy developed the HiAP Resource Center. The larger National Prevention Strategy aims to guide our nation in the most effective and achievable means for improving health and well-being. Also, the strategy prioritizes a HiAP approach by integrating recommendations and actions across multiple settings to improve health and save lives.

The Regional Equity Atlas
The Regional Equity Atlas has served as a powerful tool for creating and measuring equitable change.  It demonstrates the geography of opportunity, the patterns of investment, and the impact of disinvestment in our community. It has served as a model for other regions that have developed their own atlases. The Coalition for a Livable Future is pleased to announce that 1000 Friends of Oregon, Ecotrust, and Futurewise in Washington State will be pulling together a transition roundtable, welcoming community-based partners to develop the next version of the Equity Atlas. The transition team believes working with members of the Equity Atlas advisory committee, funders of the Equity Atlas, and community engagement organizations is the priority at this time of transition.  Further, the three partner organizations are dedicated to providing the technical and data support needed to keep the Equity Atlas updated, accessible, and effective. As the geographic scope of the first three transition partners indicates, the vision for a viable future for the Equity Atlas includes the ability to evaluate data across a larger region, including more of Oregon and Washington. As we announce this transition for the Equity Atlas, we invite new and existing partners to join in and be a part of designing the next version of an invaluable, and inalienable, tool for community empowerment.

Metrics to Measure Progress toward Health Equity
Prevention Institute’s new paper, “Measuring What Works to Achieve Health Equity: Metrics for the Determinants of Health”, was commissioned by the Robert Wood Johnson Foundation (RWJF) to help communities count what matters when it comes to health, safety and equity.

Measuring What Works to Achieve Health Equity: Metrics for the Determinants of Health
draws on the Prevention Institute’s health equity framework, and identifies the determinants of health that must be improved to achieve health equity – including structural drivers, community determinants, and healthcare. Prevention Institute reviewed existing metrics, conducted interviews, and applied health equity principles and other considerations, to identify 35 recommended metrics for the determinants of health that could track progress toward achieving health equity.

To access the full report, go to:

November is Lung Cancer Awareness Month
Lung cancer is the leading cause of cancer death and the second most common cancer among both men and women in the United States.  Each year, about 200,000 people in the United States are told they have lung cancer and more than 150,000 people die from this disease. About 90% of lung cancers are linked with cigarette smoking. Test your knowledge about lung cancer with a simple quiz on CDC’s Disease of the Week application!

New Resource: Policy, Systems, and Environmental Change Resource Guide
The Policy, Systems and Environmental Change (PSE) Resource Guide is the result of several years of collaboration between the Comprehensive Cancer Control National Partners and select CCC Program PSE demonstration projects. The purpose of the Resource Guide is to provide models and tools to assist you with planning and implementing your PSE agenda

Reports and Articles

Food Insecurity, Hunger, and Obesity Among Informal Caregivers
CDC Introduction Increasing numbers of US residents rely on informal caregiving from friends and family members. Caregiving can have substantial health and financial impacts on caregivers. This study addressed whether those impacts include adverse nutritional states. Specifically, we examined household food insecurity, individual hunger, and obesity among caregivers compared with noncaregivers.

Research points to why some colorectal cancers recur after treatment
MNT November 2015 Cetuximab, marketed as Erbitux®, is one of the key therapies for metastatic colorectal cancer. Yet the cancer still returns in some patients, shortening overall survival. A study at The University of Texas MD Anderson Cancer Center may help explain why the body sometimes becomes resistant to this therapy. The results, published in the Nov. 16 online issue of the Journal of Clinical Investigation reveal new insight into how key proteins, known as epidermal growth factor receptors (EGFR), are regulated, leading to resistance. “Our study investigated the role of extracellular methylation in EGFR signaling, and unexpectedly discovered new information about how EGFR renders cancer cells resistant to cetuximab antibody therapy,” said Mien Chie Hung, Ph.D., chair of Molecular and Cellular Oncology.

Disparities in colorectal cancer death rates take a large economic toll
MNT November 2015 Preventable deaths account for $6.4 billion in lost productivity. Disparities in colorectal cancer death rates take a large toll on the national economy, with poorer, less-educated communities bearing the greatest burden, according to data presented at the American Association for Cancer Research (AACR) conference on The Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved, held Nov. 13-16.

FDA takes action to protect consumers from potentially dangerous dietary supplements MNT November The U.S. Food and Drug Administration, in partnership with other government agencies, has announced the results of a yearlong sweep of dietary supplements to identify potentially unsafe or tainted supplements. The sweep resulted in civil injunctions and criminal actions against 117 various manufacturers and/or distributors of dietary supplements and tainted products falsely marketed as dietary supplements. Among the cases announced today is a criminal case charging USPlabs LLC and several of its corporate officers. USPlabs was known for its widely popular workout and weight loss supplements, which it sold under names such as Jack3d and OxyElite Pro.

Obesity and type 2 diabetes harm bone health
MNT November Obesity and Type 2 diabetes have been linked to several health issues, including an increased risk of bone fractures. In a new animal study, University of Missouri researchers examined how the development of obesity and insulin resistance contribute to bone-fracture risk and whether exercise prevents weight gain and diabetes and protects bone health. They found obesity and Type 2 diabetes negatively affected bone, but exercise prevented weight gain and diabetes and increased bone strength. These findings could inform interventions to improve bone health among individuals with obesity and Type 2 diabetes.


Experts call for healthy eating and physical activity on World Diabetes Day
MNT November 2015 There are two main forms of diabetes: type 1, in which the body is unable to produce the hormoneinsulin, and type 2, in which the body is unable to use insulin effectively. Type 2 is the most common form, accounting for around 90% of all diabetes cases worldwide. People with diabetes are at much greater risk for poor cardiovascular health than the general population. For example, the condition can increase heart attack risk by up to three times for men and five times for women

Snack Facts Report Released The UConn Rudd Center for Food Policy & Obesity released a new report that evaluates snack food nutrition and marketing to youth. While the report highlights some progress, it also shows children saw substantially more television advertising for unhealthy snack foods in the past five years. The Snack FACTS report, funded by the Robert Wood Johnson Foundation, also shows that companies’ advertising disproportionately targets unhealthy snack foods to black and Hispanic youth, and the disparities in exposure between white youth and their black and Hispanic peers increased from 2010 to 2014. Click here for briefs and full report.

Investing in cost-effective primary prevention strategies to reduce childhood obesity
New data from researchers at the Harvard TH Chan School of Public Health, led by Dr. Steven Gortmaker, documents the potential reach, comparative effectiveness, implementation cost, and cost-effectiveness of a range of childhood obesity interventions, providing decision makers with a rigorous methodology to prioritize the highest-value interventions. The results identify three interventions that would more than pay for themselves by reducing healthcare costs related to obesity: an excise tax on sugar-sweetened beverages; elimination of the tax subsidy for advertising unhealthy food to children; and nutrition standards for food and drinks sold in schools outside of school meals. More information about the project can be found at and on twitter @CHOICESproject.

Public Health Institute — Berkeley soda tax: It’s working Interim results presented November 3, 2015 at the American Public Health Association, from the largest-to-date evaluation of Berkeley, California’s 2014 sugar sweetened beverage excise tax, show that the one cent per ounce tax has been fully passed on to the retail pricing of sugar sweetened beverages in large and small chain supermarkets and chain gas stations, a prerequisite for taxes to reduce consumption. Data from the City of Berkeley also show that over $692,000 in revenues were raised in the first six months (or over a dollar for every resident per month), to be used in general fund efforts to promote healthier communities in the City.

Reduced diabetes risk seen with public transport use, study finds
Adults who used public transport to go to work were 34% less likely to have diabetes, 44% less likely to become overweight and 27% less likely to have high blood pressure, compared with adults who drove to work, researchers reported at the American Heart Association’s annual meeting. The study, based on 5,908 Japanese adults, showed that women were more likely to walk, cycle or use public transport to commute to work than men, who were more likely to drive to work. Medical News Today (11/9)

Study: Few preschoolers meet daily physical activity recommendations
A study in the American Journal of Preventive Medicine showed only 40% of preschool-age children had two or more outdoor play periods daily, while 32% had no time outside. The findings, based on 388 children enrolled in 30 child care centers in Cincinnati from November 2009 to January 2011, revealed children who spent at least 60 minutes playing outdoors were more active over 24 hours than children who didn’t play outside. United Press International (11/12)

The National Association of Chronic Disease Directors (NACDD) has posted the following information:

All of the following articles regarding a clinical trial to control hypertension are important:
A Randomized Trial of Intensive versus Standard Blood-Pressure Control
The SPRINT Research Group


Focus on Research: Time to Reassess Blood-Pressure Goals
A.V. Chobanian


A SPRINT to the Finish
J.M. Drazen and Others


Redefining Blood-Pressure Targets — SPRINT Starts the Marathon
Perkovic and A. Rodgers





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