Washington State Nutrition and Physical Activity Plan: Policy and Environmental Changes

1. Washington State Nutrition and Physical Activity Plan: Policy and Environmental Changes Presented by: The Cardiovascular, Diabetes, Nutrition and Physical Activity Section of the Washington State Department of Health Monica A. Dixon, Ph.D., R.D.

2. DOH Obesity Efforts In 2003, DOH was funded by CDC to develop and support Nutrition and Physical Activity Programs to prevent obesity and chronic diseases

3. Cardiovascular, Diabetes, Nutrition and Physical Activity Section This section houses the obesity work at DOH and also includes: Diabetes Prevention Program 5 A Day/Access to Healthy Foods Basic Food Nutrition Education Program Physical Activity Cardiovascular

4. Washington State Nutrition and Physical Activity State Plan Based on the Socio-ecological model Plan focuses mainly on policy, systems, and environment Future editions will focus on other levels of the model Developed with input from the Nutrition and Physical Activity Advisory Group

5. How Does the Plan Address Obesity? Nutrition objectives: Increase access to health promoting foods Reduce hunger and food insecurity Increase the proportion of mothers who breastfeed their infants and toddlers

6. How Does the Plan Address Obesity? Physical Activity Objectives Increase the number of people who have access to free or low cost recreational opportunities for physical activity Increase the number of physical activity opportunities available to children Increase the number of active community environments

7. Partnering With Other Agencies Child obesity prevention will require collaboration and teamwork Currently, DOH is working with OSPI, MCH, WIC, WSDA, CTED, DSHS, DOT, Universities, Local Health Departments, Health Care Organizations, Parks and Recreation Departments, Childcare Providers, Advocacy Organizations, School Districts, Cities, Communities, and others

8. Implementing the Plan Pilot the State Nutrition and Physical Activity Plan in a community The cities of Moses Lake and Mount Vernon are piloting strategies from the state plan Collaborating partners have been asked to incorporate the plan into their working environment DOH will track implementation and activities that occur as a result of the plan DOH will continue to revise the plan and build it into a comprehensive document that addresses nutrition and physical activity at every level

9. Access to Healthy Foods Primary Objective: Provide healthy food options within the environments Washingtonians live, learn, work and play

10. AHFC Steering Committee WA State Dept of Agriculture WA Food Industry NW Vending Association From the Heart of Washington American Cancer Society WA Military Department DSHS WA Restaurant Association WA Medical Association Rotary First Harvest WA Chef’s Association WA School Food Service Association Steps to a Healthier U.S. Grant

11. Principle Work Areas: Point of Purchase Projects Restaurants, Vending, Supermarkets Food Assistance Programs Worksite Interventions

12. Future Activities Provide resources to state Broaden scope of work as coalition builds Gather more partners Continue to promote policy and environmental changes to increase physical activity and healthy eating.

13.  7 ) Eat Whole Food

16. Barriers to Policy Change: Ethical limitations Access Other political priorities Lack of understanding Linkage to other programs

17. The 5 P’s of Policy Change: Passion Pay Attention Pamper Piece Together Persuade

19. Successes! SB 5486 DSHS model Farmer’s Markets Seattle/King County Seattle School District USDA Fruit and Vegetable Program EB Farmers Market

20. In Process… Food Policy Council Access to Healthy Foods Coalition Winner’s Circle “Food For Life” Database Transportation project Vending pilot and Marketplace Expo Youth Wellness Team Senior Nutrition Project

21. Future: Compliance with Model Policies Increased access to governmental programs Competitive foods Pricing of fruits and vegetables Labeling policies Support of agriculture and Farm-to-Cafeteria Contract policy changes

22. What can YOU do? Go forth and spread the word! Attend the coalition meetings or share information with potential partners Contact us for more information, programs occurring in your communities or support materials Monica.dixon@doh.wa.gov Be pro-active, not reactive!