LET’S MOVE

1. LET’S MOVE Captain Jose H. Belardo Regional Health Administrator U.S. Department of Health and Human Services

4. Key Priorities • Putting PREVENTION First • Promoting healthy lifestyles and behaviors • Emergency Preparedness and Response • Pandemic Flu preparedness • All-Hazards preparedness • Eliminating Disparities in health • Racial • Ethnic • Economic

5. LEADING CAUSES OF DEATH • HEART DISEASE • CANCER • HIV/AIDS • INFLUENZA • UNINTENTIONAL INJURY

6. HEART DISEASE BEHAVIOR • Tobacco Use • Diet • Obesity • Physical Activity • Alcohol

7. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

8. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

9. The Facts Over the past THREE decades, obesity has more than TRIPLED among children and adolescents, rising from 5% to 17%.

10. The Facts Currently, 1 in 3 American children is overweight or obese. www.ncsl.org/.../programs/health/ObesityMap.jpg The National Survey of Children's Health, Overweight and Physical Activity Among Children: A Portrait of States and the Nation 2005; HRSA,Health, United States, U.S. Department of Health and Human Services,Centers for Disease Control and Prevention, National Center for Health Statistics, 2007.

11. The Facts Over the past THREE decades, obesity has more than TRIPLED among children and adolescents, rising from 5% to 17%.

12. The Costs There are major health effects Obesity is estimated to cause: 112,000 DEATHS/year in the US 1 in 3 children born in 2000 are destined to develop diabetes in their lifetime

13. The Costs This is more than health… It affects our human capital, our economic growth, our communities, our neighborhoods, our national security.

14. The Costs The economic consequences are staggering Obese adults incur an estimated $1,429 more in health care costs than their normal weight peers

15. The Costs The economic consequences are staggering Adult obesity related health care costs: $147 Billion Childhood obesity related health care costs: $3 Billion

16. Social Determinants of Health (SHD) • The World Health Organization has 2 Definitions. • SDH are complex, integrated, and overlapping social structures and economic systems that include social environment, physical environment, and health services. SDH are influenced by policies and are shaped by money, power, and resources. • SDH are circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. SDH are shaped by economic, social, and political forces.

17. Key Terms • Health Disparity • Specific types of health differences that is closely linked with social and economic disadvantages • Health Equity • DHHS definition: valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities • Health Inequity • Negative health outcomes that are a result of social and economical injustices

18. Social Determinants of Health • 3 Categories of Social Determinants of Health • Social environment (i.e. discrimination, income, education) • Physical environment (i.e. buildings, spaces, and transportation) • Health Services (i.e. access and quality care) • These 3 categories are beyond the individual’s control but affects the individual’s environment.

19. SOCIAL DETERMINANTS OF MENTAL HEALTH, WORKING DEFINITION • Income inequality • Food security • Housing quality • Social Status • Violence • Education • Employment Conditions • Social Exclusion • Political disadvantage • Cultural Norms • Discrimination • Literacy

20. HEALTHY AND SAFE COMMUNITY ENVIRONMENTS • Health and Wellness are influenced by the places in which people live, learn, pray, and play.

21. Let’s Move! "The physical and emotional health of an entire generation and the economic health and security of our nation is at stake." - First Lady Michelle Obama at the Let’s Move! launch on February 9, 2010

22. There’s good news!

23. The Process • The Domestic Policy Council produced an extensive report outlining the science and proposing the direction for solving the problem of childhood obesity http://www.letsmove.gov/sites/letsmove.gov/files/TaskForce_on_Childhood_Obesity_May2010_FullReport.pdf

24. Five Pillars of Let’s Move! Creating a healthy start for children Empowering parents and caregivers Providing healthy foods in schools Improving access to healthy, affordable foods Increasing physical activity

25. Creating a Healthy Start for Children Get Kids Moving Reduce Screen Time Make Nutrition Fun Offer Healthier Beverages Support Infant Feeding Let’s Move! in the Clinic

26. Empowering Parents and Caregivers

27. Providing Healthy Foods in Schools • Healthy, Hunger Free Kids Act • HealthierUS School Challenge • Chefs Move to Schools

28. Let’s Move Salad Bars • Provide salad bars to schools across the country • Any K-12 school or district participating in Natl. School Lunch Program • Visit ww.saladbars2schools.org to learn more and complete an application. • Superintendant, Principal, and Nutrition Service Director approval.

29. HealthierUS School Challenge

30. Improving Access to Healthy, Affordable Foods

31. Let’s Move Museums and Gardens

32. Food Industry Listening

33. Increasing Physical Activity 1.7 million PALAs accomplished

34. USTA photo?

35. How we’re doing it… Let’s Move! Faith and Communities

38. National Prevention Strategy

39. The Affordable Care Act In Addition to Coverage, Quality, and Cost… Unique Opportunities for Prevention

40. Priorities Source: National Vital Statistics Report, CDC, 2008 Tobacco Free Living Preventing Drug Abuse and Excessive Alcohol Use Healthy Eating Active Living Mental and Emotional Well-being Reproductive and Sexual Health Injury and Violence Free Living

41. Recommendations (Example)

42. Actions (Example)

43. HUD-DOT-EPA - HHSSustainable Communities Partnership Mobility Matters Workshop November 5, 2010

44. Partnership Mission To coordinate our policies, programs, and resources to help urban, suburban, and rural areas and regions to build sustainable communities, and to make sustainable communities the leading style of development in the United States.

45. Livable Communities Can Provide TransportationOptions

46. Livable Communities Can Provide HousingOptions

47. Livable Communities Can Provide Options That Best Fit Their Citizens’ Needs

48. Environmental and Social Benefits of Sustainable Communities Reduced Emissions and Improved Air Quality Reduced Water Demand and Water Impacts Reclaimed Abandoned and Hazardous Lands More Walkable, Healthier Neighborhoods Enhanced Quality of Life and Strengthened Social Fabric

49. Partnership Project – Iowa City • Iowa City’s Riverfront Crossings District is led by EPA with assistance from FTA, FHWA, HUD, and Iowa Department of Natural Resources. • Iowa City has requested assistance in transforming a 10-square block area south of their downtown that presently consists of brownfield properties into an urban park and high density mixed use neighborhood • This project is building on a previous EPA-led project that provided assistance for redeveloping areas impacted by flooding in 2008.

50. Partnership Project – Iowa City • EPA is in the process of accessing urban design experts to develop a conceptual plan for the area. • The revitalized District will become a Smart Growth urban neighborhood that will emphasize walkablility and the use of public transit. • It will provide a mix of uses including affordable housing, ground floor retail and office space, pedestrian-oriented streetscapes, entertainment and recreational facilities, and public open space including trails and other amenities along the Iowa River.