The State-Local Government



1. Why are people obese?

2. What organizations were created for people dealing with obesity?
3. What has been done in schools to prevent obesity?
4. What programs are being offered for obese people?
5. What actions have been done to prevent obesity?
6. What has the state of California done to prevent obesity?



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San Diego County Childhood Obesity Initiative
By William Tango
San Diego rates of childhood obesity are higher than the national average. Some people in San Diego live in new neighborhoods were planned neighborhoods didn’t have a plan. So kids have to be driven 200 yards instead of walking that distance. Some other neighborhoods are food desserts where there are no sources of fresh food, so people have to buy food in mini marts or liquor stores where healthy options are not available. Going out to play in some neighborhoods have no sidewalks or the environment is not safe to play in. People from different organizations are trying to put an end to this. They are creating school gardens for examples to educate children about healthy foods.
http://www.youtube.com/watch?v=K-HWBZMPxB8

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Communities Putting Prevention to Work
By William Tango
Healthy works is the local Communities Putting Prevention to Work program. Health Works partners the County with numerous organizations designed to improve health and wellness. Some of the Communities Putting Prevention to Work interventions are Active Commuters, Fresh Fund, Healthy Communities, Peoples’ Produce, School and Community Gardens, and School Wellness.
http://www.sdcounty.ca.gov/hhsa/programs/phs/chronic_disease_health_disparities/CPPW.html
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Feeling Fit Clubs
By William Tango
These are clubs where adults meet 2-3 times per week. It strengthens major muscle groups and helps with posture. Participants progress by lighter to heavier weights. The goal is to develop adults’ level of physical fitness. You will socialize and have fun besides doing physical fitness. The outcomes of this program is better balance, better sleep, improved mood, better digestion, and more resistance to chronic illnesses.
http://www.sdcounty.ca.gov/hhsa/programs/ais/health_promotions/feeling_fit_club.html


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Childhood Obesity
By Jeff Nideffer
A committee of the Institute of Medicine looked at evidence on childhood obesity prevention efforts by local governments. The audience includes mayors; county, city, or township commissioners or other officials; local health departments; local boards of health; city planners; and other relevant local commissions and public entities. The committee has created a short report that summarizes local government efforts, and identifies and explains reasons for the practices along with discussing other related public health benefits of the practices.
http://www.iom.edu/Activities/Children/LocalObesPrevention.aspx

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Call to ActionSan Diego
By Ronnie Shires

Californiain October 2004 created a “Call to Action: Childhood Obesity Action Plan” which was a plan to help promote weight loss and to give kids less processed food and more fresh vegetables and fruits. The plan was initially was to influence over certain Agencies, Institutions, and even as simply as family neighborhoods. The plan pointed out the importance of Nutrition and a healthy exercise. It was to help connect families and help reduce weight and weight related health issues like diabetes, pulmonary heart issues which can lead to heart attacks and/or a stroke.

http://www.sdcounty.ca.gov/bos3/docs/coap.pdf

Continue of Call to Action San Diego
By Cynthia Ho
San Diego County Health has come up with a Call to Action: Childhood Obesity Prevention Action Plan which helps children with counseling, screening and preventing obesity. They hope these strategies will be taught to other health providers in other areas of the healthcare department. This plan has accomplished better healthcare for children in the past few years which include improving their surveillance of obesity and weight in the San Diego County children. They still continue to conduct and continue education and training in the areas of obesity prevention and treatment. A group of researchers, clinicians and other groups have regular meetings in order to help the age group 0-5 and addressing the birth continuum. They have made a surveillance system in order to watch the childhood BMI (Body Mass Index) to watch the progress in obesity reduction and prevention.
http://www.sdchip.org/domains--committees/healthcare.aspx

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Medi-cal Train the Trainer
By Cynthia Ho
Medi-Cal has came up with “Train the Trainer” workshops where they would help Medi-Cal providers, Child Health and Disability Prevention and training staff gain more education on how to teach each other with pediatric obesity and how to work with its’ measures. The Assessment and Treatment of Child and Adolescent Overweight and Obesity came up with 4 stages for treatment:
Stage 1: Prevention Plus
Stage 2: Structured Weight Management
Stage 3: Comprehensive Multidisciplinary Intervention
Stage 4: Tertiary Care Intervention
Medi-Cal decided to put a time frame of training, training objectives and different handouts that were needed in order to fulfill their requirements to accomplish their training.
http://www.dhcs.ca.gov/services/chdp/Pages/MC-CHDPPedObesityTr.aspx

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California Department of Public Health
By Cynthia Ho
Governor Schwarzenegger signed the legislation in 2005, the California Obesity Prevention Plan. This plan made sure that there were nutrition standards for any a la carte foods and beverages that were sold outside in school breakfasts or school lunches. High schools began banning sodas in the beverage machines and expanded all the way to elementary and middle schools. Any school meals were required to have vegetables and/or fruit. $3 million were spent to keep their nutritious meals in school lunches in 2006. By 2008, California became the first nation to have every restaurant post their nutrition menus. $40 million were spent on hiring new physical education teachers. Acts were put together such as the Statewide Park Development and Community Revitalization Act, the Complete Streets Act, and Safe Drinking Water, Water Quality and Supply, Flood Control, and River and Coastal Protection Bond Act. In 2010, the obesity prevention plan somewhat changed such as increasing consumption of fruits and vegetables, increase on physical activities, increasing breast feeding, decreasing sugar sweetened beverages and snacks, decreasing high energy dense foods and decreasing time to watch television. This plan became very significant and is still working hard on reversing the obesity trend in California.
[[http://www.cdph.ca.gov/‌programs/‌COPP/‌Pages/‌CaliforniaObesityPreventionPlan.aspx]].

Analysis:

Several local and state governments are taking action to prevent obesity. Many organizations in the state have taken part in an effort to overcome childhood obesity. They are creating programs to convince children to make healthy choices. There have been exercise, better diet, and lessons to educate the youth about healthy decisions. The families of obese kids should partner up with these organizations to make healthy choices for their kids. To get a better understanding of what their kids should do to prevent obesity should be implied. The government can't do everything to prevent obesity. It should be the parents of kids that should also contribute to this crisis.If parents can take obesity serious than there kids will step i and make the right choices.




Works Cited:
Call to Action San Diego County Childhood Obesity Action Plan 2006. N.p., n.d. Web. 22 Sept. 2011. [[http://www.sdcounty.ca.gov/‌bos3/‌docs/‌coap.pdf]].

Childhood Obesity Prevention Actions for Local Government. N.p., 2011. Web. 22 Sept. 2011. [[http://www.iom.edu/‌Activities/‌Children/‌LocalObesPrevention.aspx]].

Communities Putting Prevention to Work (CPPW). N.p., n.d. Web. 22 Sept. 2011. [[http://www.sdcounty.ca.gov/‌hhsa/‌programs/‌phs/‌chronic_disease_health_disparities/‌CPPW.html]].

Health Promotions. N.p., n.d. Web. 22 Sept. 2011. [[http://www.sdcounty.ca.gov/‌hhsa/‌programs/‌ais/‌health_promotions/‌feeling_fit_club.html]].

Local Government Actions to Prevent Childhood Obesity. N.p., n.d. Web. 22 Sept. 2011. [[http://www.rwjf.org/‌files/‌research/‌20090901iomreport.pdf]].

Medi-Cal and CHDP Pediatric Obesity “Train the Trainer” Workshops. N.p., 2007. Web. 22 Sept. 2011. [[http://www.dhcs.ca.gov/‌services/‌chdp/‌Pages/‌MC-CHDPPedObesityTr.aspx]].

Preventing Childhood Obesity: Health in the Balance. N.p., n.d. Web. 22 Sept. 2011. [[http://books.google.com/‌books?id=2SUDUbGquk4C&lpg=PR1&ots=MKRNWVRqUV&dq=Preventing%20Childhood%20Obesity%3A%20Health%20in%20the%20Balance&lr&pg=PR1#v=onepage&q&f=false|http://books.google.com/‌books?id=2SUDUbGquk4C&lpg=PR1&ots=MKRNWVRqUV&dq=Preventing%20Childhood%20Obesity%3A%20Health%20in%20the%20Balance&lr&pg=PR1#v=onepage&q&f=false]].

San Diego County Childhood Obesity Initiative. N.p., n.d. Web. 22 Sept. 2011. [[http://www.sdchip.org/‌domains--committees/‌healthcare.aspx]].

San Diego County Childhood Obesity Initiative. Youtube.com. N.p., n.d. Web. 22 Sept. 2011. [[http://Message bodyhttp:www.youtube.com/‌watch?v=K-HWBZMPxB8]].

2010 California Obesity Prevention Plan//. N.p., 2010. Web. 22 Sept. 2011. [[http://www.cdph.ca.gov/‌programs/‌COPP/‌Pages/‌CaliforniaObesityPreventionPlan.aspx]].



Project members:
Jeff Nideffer (Editor) - jeffreynideffer@yahoo.com
William Tango
Cynthia Ho
Ronnie Shires