A CCLHDN CALL TO ACTION

Soda and Other Sugary Drinks

Charlotte Dickson, MSWDirector of Local Policy

www.PublicHealthAdvocacy.org

Promote the establishment of public health policy at both

the state and local levels

Childhood Obesity

School Nutrition Standards Physical Education Funding Menu labeling in Chain Restaurants Soda & other sugary drinks

Because health doesn’t just happen

24.3%

24.3%

71 resolutions & policies

California’s

Economic Costs

of Overweight, Obesity and

Physical Inactivity

Individual BehaviorOR

The Environment

WITHIN

Public Policy

The EnvironmentThe social, economic, and political context in which we make our food

and activity choices

Public Policy

Individual Behavior

Sanitation Worker Safety Clear Air / Clean Water Auto Safety Drunk Driving Lead Poisoning Violence Prevention Tobacco Control

MajorPublic Health

Movements

UNIVERSAL

LESSONS24.3%

Solution is NOT only a matter of personal responsibility

Education is critical, AND

School and community environments must be changed

Federal, state, and local policies are crucial

The World of Sugar-Loaded

Beverages

Carbonated Sweetened Beverages

SportsDrinks

IcedTeas

EnergyDrinks

Vitamin Water

Flavored Milk

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

10 tsp 17 tsp 27 tsp

12 oz

33 oz

20 oz

teaspoons of sugar

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

2. Consumed in massive quantities

ADULTConsumption

of Sugar-Loaded

Beverages in California

50 gallons per year

39 poundsof sugar

KIDSConsumption

of Sugar-Loaded

Beverages in California

DRINK A SODA OR MORE A DAY

Age 2-11: 41%

Age 12-17: 62%

175 calories per day!

Whites: 25%

Latinos: 42%

African Americans: 47%

YOUNG KIDS(2-5)

Consumption of Sugar-

Sweetened Beverages in

California

33% Drink soda daily

Alameda 24%Orange 24%Sacramento 27%Riverside 36%Los Angeles 39%Merced 45%San Bernardino 45%Fresno 57%Imperial 59%

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

2. Consumed in massive quantities

3. Clearly linked to obesity and diabetes

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

2. Consumed in massive quantities

3. Clearly linked to obesity and diabetes

4. No nutritional benefits

5. Poor calorie compensation

Change in Appetite Influenced by Form of Sugar

(Source: Mattes, 1996)

Liquid Sugar9%

compensation

Solid Sugar64%

compensation

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

2. Consumed in massive quantities

3. Clearly linked to obesity and diabetes

4. No nutritional benefits

5. Poor calorie compensation

6. Primary cause of dental decay

Soda consumption doubles the risk of cavitated dental caries

7 Reasons to Focus on

Sugar-Loaded

Beverages

1. Primary Source of Sugar in U.S. diet

2. Consumed in massive quantities

3. Clearly linked to obesity and diabetes

4. No nutritional benefits

5. Poor calorie compensation

6. Primary cause of dental decay

7. Food product MOST marketed to children! ($500 million annually)

8. Beverage environment has changed dramatically

6.5 oz (1920s)

12 oz(1960s)

20 oz (1990s)

33 oz (1L) Today

Portion Size

6.5 oz (1920s)

12 oz(1960s)

20 oz (1990s)

33 oz (1L) Today

How did it happen?Portion Size

6.5 oz (1920s)

12 oz(1960s)

20 oz (1990s)

33 oz (1L) Today

How did it happen?Portion Size

6.5 oz (1920s)

12 oz(1960s)

20 oz (1990s)

33 oz (1L) Today

How did it happen?Portion Size

6 - Pack

12 - Pack

24 - Pack

SODA…

Consumer Price Index, 2010

Best Deal on the Market!

0

50

100

150

200

250

300

Total Sweetened Beverages

kcal

/per

son

/day

Increase in Per Capita Calorie Intake from 1977-2001

278 cal/day

120 cal/day

Equivalent of 43% of new

calories

Huge Contributorto Obesity Epidemic

Increase in Per Capita Calorie Intake(1977 – 2001)

Sweetened beverage intake nearly tripled

0

2

4

6

8

10

12

14

All 2-18 19-39 40-59 > 60

% T

otal

Cal

orie

Inta

ke

1977-78

1989-91

1994-96

1999-01

center foreight &

ealthhDr. Robert C. and Veronica Atkins

University of California, Berkeley

Public education

Grassroots organizing

City & county policies

State policies

CA Campaign for Healthy Beverages

AB 699 (Monning)

Sugar-Sweetened Beverage

Tax

One penny per ounce

Raise $1.7 billion annual

Funds for obesity prevention

GOAL: Fund communities in proportion to consumption

Public

Support

for Soda

Tax

56% of voters support

Field Research, April 2010Sample of 503 registered voters

Low Income (<$40k/year): 60%

Latinos: 66%

Vending machines on city / county property, youth venues, parks & recs, businesses

Purchasing policy

Marketing / sponsorship

Access to clean water for everyone

Local BeveragePolicies

Everyone has a role to play

1988: $90 million/year for social norm change

1999: Results were clear

27% decrease in smoking

19% decrease in lung cancer deaths 10% lower than rest of country

“Seeing dramatic results like these is proof that what we have done in California has worked.”

Diana Bonta, State Health Director (2003)

Proposition 99

Surgeon General on Smoking: 1964

“…cigarette smoking contributes substantially to mortality from certain specific diseases and to the overall death rate.”

Num

ber of cigare

ttes

1964

5,000

4,000

3,000

2,000

1,000

1955 1970 1980 1990 2002

US adults (18+ years)

Per Capita Cigarette Consumption1955-2002

Smoke-free schools, workplaces

Extensive K-12 education

Health care sector participation

Advertising restrictions

Warning labels

Tobacco taxes (CA Prop 99)- funding state/local programs- anti-tobacco ads

Tobacco Policies

Surgeon General on Diet: 1988

“…over consumption of certain dietary compo-nents is now a major

concern for Americans.”

“Overweight and obesity have reached epidemic proportions nationwide.”

Surgeon General on Obesity: 2001

Overweight Prevalence*1980-2010

* US adults (18+ years)

1980 1990 2000

Percent O

verweight

20%

40%

60%

80%

1988

“We need very big PUBLIC POLICY CHANGES

to stop diabetes and obesity from ruining our young people.”

Newt GingrichTavis Smiley Program, NPR

June 11, 2004

We have everything we need right now to start

solving America's childhood obesity

problem.

Michelle ObamaJanuary 21, 2010

Let’s

Work

Together!

A CCLHDN CALL TO ACTION

Soda and Other Sugary Drinks

Charlotte Dickson, MSWDirector of Local Policy

www.PublicHealthAdvocacy.org