drinking water in schools: the role of schools in health

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    Michelle Tang

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    Promote physical

    activity and healthy

    eating, reduce the rate

    of overweight andobesity among children

    and teenagers, and

    improve academic

    achievement Encourage and

    reinforce healthy dietary

    behaviors in all venues

    accessible to students

    Source: U.S. Department of Health and HumanServices. The Surgeon Generals Vision for a

    Healthy and Fit Nation.Rockville, MD: U.S.

    Department of Health and Human Services, Office

    of the Surgeon General, January 2010.

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    Did your school have a lotof water fountains?

    What do you remember

    drinking when you were inelementary school?

    Were there any issues with

    the water at your school orin your community?

    Did you drink from thefountains? If so, how was

    it?

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    Access

    Barriers

    Contamination

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    Federal law now requires

    schools participating in

    federal meal programs,

    such as the National

    School Lunch Programo Make water available

    during mealtimes at nocost

    Some states are enacting

    broader requirements

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    1999, California: inadequate ratio of water fountains topeople on school campuses throughout the state

    Over 40% of school districts reporting they had no access tofree drinking water during school meals

    Source: Survey, CA Superintendent of Instruction; Survey, CA Dept of Education

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    Water jets that can fill up reusable bottles and cups in

    the cafeteria

    Water fountain down the hallway from the cafeteria

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    A majority of U.S. schools were built before 1969

    In need of significant infrastructure repairs for old

    plumbing or fixtures

    Cash-strapped school districts

    Source: Preventing Chronic Disease (2010)

    Patel, Bogart, and Uyeda

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    Students tend to avoid

    water fountains that are

    broken or dirty, orproduce water that tastesbad.

    Where drinking fountainsare still usable, there may

    be few, situated in

    inconvenient locations.

    Source: Preventing Chronic Disease (2010)Patel, Bogart, and Uyeda

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    Potentially expensive

    o Create or modernize the

    infrastructure to serve chilled and

    filtered water in cafeteriaso Install or maintain water jets,

    hydration stations, and water

    fountains

    Relatively inexpensiveo Offering pitchers of cold tap water

    and a stack of paper cups

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    Boulder, COo District spends 3 per disposable waxed paper

    cup

    How much would it cost perschool year to provide apaper cup per day for a

    district of 200,000 students?

    $0.03 * 200,000 * 180 =$1,080,000

    (cost per cup x # of students x # of school days)

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    1 water fountain for every 150

    students?

    Thats a long line!

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    1970s until now:Americans are consuming 278more calories today

    43% of these calories coming from SSBs

    235 fewer excess caloriesper day being consumed by children

    and adolescents

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    Saying we need to add sugar and

    flavoring to milk to get kids to drink

    it is like saying we need to feed

    kids apple pie if they dont like

    apples.

    Chef Ann Cooper

    adding sugar to it is necessary to

    ensure adequate calcium intake

    From Chocolate Milk in Schools:

    Should It Be Banned?

    Huffington Post 4/20/11

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    About a third of children and adolescents in the

    United States are overweight or obese

    Rising obesity rates linked to consumption of soda

    and other sugar-sweetened beverageso Significantly higher in calories, sugar, and

    sodium

    o

    Usually contains artificial colors and flavorso 11 grams (nearly three teaspoons) of added

    sugar in one cup of flavored milk

    Source:American Journal of Clinical Nutrition (2006)Malik, Schulze, and Hu

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    62%Adolescents ages 12 to 17

    41%Children ages 2 to 11

    Drinking at least onesoda or sugar-

    sweetened beverage

    per day

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    Focus on tap watermore regulated and tested

    Concernsboth real and perceivedabout thequality and safety of local tap water supplies

    Los Angeles, New York City, and the District ofColumbia, and Seattle:o Concerns with lead contamination

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    unsafe tap water,

    public health concern

    Fertilizer and pesticide

    runoff from irrigated fields

    along with animal waste fromnearby dairy farms percolate

    down into the groundwater,

    tainting their wells.

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    Access:

    o Bad tasting water, broken, disrepair, not enough fountains in

    general

    o Restore deteriorating infrastructure: work with local and state

    government to cover the costs of repairs

    Barriers:

    o Sugar-sweetened beverages Increasing obesity rates

    Contamination:o Requirement for local water agencies, county state public

    health departments to annually inform schools about water

    quality

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