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It is unreasonable to expect It is unreasonable to expect

that people will change their that people will change their

behavior behavior easilyeasily when so many when so many

forces in the social, cultural, forces in the social, cultural,

and physical environment and physical environment

conspire against such change.conspire against such change.

““

””Institute of MedicineInstitute of Medicine

ReframingReframingthe nutrition & the nutrition & physical activity physical activity

debatedebate ...to corporate...to corporate& government& governmentresponsibilityresponsibility

from simply a matter from simply a matter of individual choice...of individual choice...

Visit us today at Visit us today at www.eatbettermovemore.orgwww.eatbettermovemore.org

While a movement cannot While a movement cannot

succeed without substantial succeed without substantial

mass sentiment to support it, mass sentiment to support it,

the strength and effectiveness the strength and effectiveness

of its infrastructure shape its of its infrastructure shape its

precise level of success.precise level of success.

““

””Jean HardistyJean Hardisty

Taking Taking Action Action

for a for a

Healthier Healthier

CaliforniaCalifornia

NeighborhoodsNeighborhoods

PreschoolsPreschools

SchoolsSchools

After School ProgramsAfter School Programs

WorkplacesWorkplaces

Health careHealth care

Government Institutions and PracticesGovernment Institutions and Practices

ENACT EnvironmentsENACT Environments

Injury Free Coalition for Kids of Philadelphia

Improved Opportunities Improved Opportunities for Walking and Joggingfor Walking and Jogging

Boyle Heights, CaliforniaBoyle Heights, California

East Los AngelesEast Los Angeles

A local coalition established A local coalition established a rubberized jogging path a rubberized jogging path around the cemeteryaround the cemetery

More than 1,000 people a More than 1,000 people a day use the new pathday use the new path

Nearness to walking paths Nearness to walking paths appears to have a significant appears to have a significant impact on physical activity impact on physical activity for adults. for adults.

Improved Opportunities Improved Opportunities for Walking and Joggingfor Walking and Jogging

Boyle Heights, CaliforniaBoyle Heights, California

Creating Bike and Walking Creating Bike and Walking Paths to Promote Activity CitywidePaths to Promote Activity Citywide

Seattle, WashingtonSeattle, Washington

Over 28 miles of shared use paths, Over 28 miles of shared use paths, 22 miles of on-street, striped bike lanes22 miles of on-street, striped bike lanes

Low pedestrian fatalities/high rates Low pedestrian fatalities/high rates of walking to workof walking to work

Convenience and access to walking and Convenience and access to walking and bicycle facilities associated with bicycle facilities associated with increased activityincreased activity

Increasing Access to Healthy FoodIncreasing Access to Healthy Food

Predominantly African American & Puerto RicanPredominantly African American & Puerto Rican

Low median income, high population densityLow median income, high population density

Fire left residents Fire left residents without access to without access to fresh affordable foodsfresh affordable foods

Upper Falls Community: Rochester, New YorkUpper Falls Community: Rochester, New York

Partners Through Food and Mayor recruited a full-service Partners Through Food and Mayor recruited a full-service market, Topsmarket, Tops

Residents now have a grocery store within walking distance Residents now have a grocery store within walking distance

Fruit and vegetable Fruit and vegetable consumption increases consumption increases for each supermarket for each supermarket in a census tract in a census tract ((Morland, et al, 2002Morland, et al, 2002))

Increasing Access to Healthy FoodIncreasing Access to Healthy FoodUpper Falls Community: Rochester, New YorkUpper Falls Community: Rochester, New York

The Food SystemThe Food System

Funded by: Funded by: Clarence E. Heller Clarence E. Heller Charitable Foundation Charitable Foundation and the and the Columbia Foundation Columbia Foundation

Cultivating Common GroundCultivating Common GroundLinking Health Linking Health and Sustainable Agricultureand Sustainable Agriculture

Chronic Chronic DiseaseDisease

PreventionPrevention

Sustainable Sustainable AgricultureAgriculture

Forming Broader Partnerships for Mutual BenefitForming Broader Partnerships for Mutual Benefit

Cultivating Common GroundCultivating Common Ground

Difference in Paradigms & FocusDifference in Paradigms & Focus

Systems Orientation Systems Orientation vs.vs. Individual Orientation Individual Orientation

Precautionary Principle Precautionary Principle vs.vs. Indisputable Proof Indisputable Proof

Appropriate Technology Appropriate Technology vs.vs. High-Tech Fixes High-Tech Fixes

Movement Movement vs.vs. Discipline Discipline

Health ImpactsHealth Impactsof the Current Food Systemof the Current Food System

Over Production of a Range of Unhealthy Food Over Production of a Range of Unhealthy Food ProductsProducts

Use of and Exposure to ToxinsUse of and Exposure to Toxins

Dangers to Farmer and Worker Health and SafetyDangers to Farmer and Worker Health and Safety

Antibiotic ResistanceAntibiotic Resistance

Foodborne Illness Foodborne Illness

Respiratory Illness and Poor Air QualityRespiratory Illness and Poor Air Quality

Foodborne Foodborne IllnessIllness

www.foodsafe.cawww.foodsafe.ca

Dangers to Farmer and Dangers to Farmer and Worker Health and SafetyWorker Health and Safety

DISPARITIDISPARITIES ES ININ

HEALTHHEALTH

DISPARITIDISPARITIES ES ININ

HEALTHHEALTH

ROOT ROOT FACTORSFACTORS

ENVIRONMENTENVIRONMENTAL AL

FACTORSFACTORS

& BEHAVIORAL& BEHAVIORAL MEDICALMEDICALSERVICESSERVICES

The Trajectory of Health DisparitiesThe Trajectory of Health Disparities

Useful policyUseful policy

is oftenis often

developeddeveloped

locally.locally.

One Key FactOne Key Fact

Promising Practices in Nutrition and Promising Practices in Nutrition and Physical ActivityPhysical Activity

Catalogues promising Catalogues promising policies in nutrition and policies in nutrition and activity at the local level activity at the local level

http://www.preventioninstitute.org/sa/policies/http://www.preventioninstitute.org/sa/policies/

Local Policy DatabaseLocal Policy Database

Build Build on Our on Our

SuccessSuccess

County provides property County provides property tax break to landowners tax break to landowners who convert farmland to who convert farmland to organicorganic

Food bought by county Food bought by county must be organically must be organically produced and processed produced and processed within 100-mile radiuswithin 100-mile radius

Sustainable Food PoliciesSustainable Food PoliciesWoodbury County, IowaWoodbury County, Iowa

Prevents blight caused by vacant Prevents blight caused by vacant retail parcels designed for grocery retail parcels designed for grocery and drug stores. and drug stores.

Believed to be Believed to be the first ordinance the first ordinance of its kind. of its kind.

Limiting Land Use CovenantsLimiting Land Use CovenantsChicagoChicago

Provide healthy food options for Provide healthy food options for employeesemployees

Prevention Institute weekly fruit boxPrevention Institute weekly fruit box

““Life was there Life was there again. again.

It transformed the It transformed the neighborhood.”neighborhood.”

Hank Herrera, President/CEOHank Herrera, President/CEOCenter for Popular Research Education and PolicyCenter for Popular Research Education and Policy

Increasing Access to Healthy FoodIncreasing Access to Healthy FoodUpper Falls Community: Rochester, New YorkUpper Falls Community: Rochester, New York

““Small things like the jogging Small things like the jogging path make a huge difference path make a huge difference in how community residents in how community residents

see themselves and the see themselves and the community.”community.”

Community AdvocateCommunity Advocate

Improved Opportunities Improved Opportunities for Walking and Joggingfor Walking and Jogging

Boyle Heights, CaliforniaBoyle Heights, California

www.preventioninstitute.org

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