Lynn Silver, MD, MPH, FAAP Bakersfield, August 22, 2016 New 2016 USDA Wellness Requirements What is the Minimum and Why Go Further? Lynn Silver, MD, MPH, FAAP Bakersfield, August 22, 2016

Whole School, Whole Community, Whole Child connectedness and engagement with school, absenteeism, and dropping outLatinos AS you can see, a number of different dimensions are needed to create a healthy school with healthy kids, For years the Centers for Disease Control promoted to coordinated achool health approach, with 8 components. Most recently this is being updated to the so-called Whole School, Whole community, whole child approach, with 10 components and 4 catgeories, Last time we did a broad overview of this approach. Tonight I am going to focus on nutrition and physical activity. While they are very important, they are not the only important parts of school health and wellness wellness

Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

What is a local school wellness policy? A local school wellness policy (“wellness policy”) is a written document that guides a local educational Agency’s (LEA) or school district’s efforts to establish a school environment that promotes students’ health, well-being, and ability to learn.

Where did the wellness policy requirement come from? Started with the Child Nutrition and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Reauthorization Act of 2004 and its 2007 rule Strengthened by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) Requires each LEA participating in the National School Lunch Program and/or School Breakfast Program to develop a wellness policy. \ Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

The July 29, 2016 final rule: Expands the requirements to strengthen policies Increases transparency. Responsibility for developing, implementing, and evaluating a wellness policy is placed at the local level, so the unique needs of each school under the LEA’s jurisdiction can be addressed.

Child Nutrition Timeline HHFKA Update Nutrition standards Update compeititve foods Stricter wellness policies Professional standards for school nutrition staff Update CACFP Farm to School funding 2016 rule New wellness reqt Marketing restricted CA Smart Snacks in Schools Whole Campus standards Childhood obesity explodes 1980s-2010 _______________________________________________ Child Nutrition Reauthorization Child Nutrition Act 2012 1946 1966 1990s 2000 2004 2007 2010 2014 2016 Nutrition standards for schools Require District Wellness Policy Updated standards less salt more whole grains less sugar and sat fat School meals start Surgeon general report Schools become Convenience stores Evaluations More varied fruits and vegetables but not more waste Enough time to eat increased consumption

You have Until Next June 30 On July 29, 2016, after receiving 57,838 public comments, the USDA Food and Nutrition Service (FNS) finalized regulations to create a framework and guidelines for written wellness policies established by LEAs. LEAs must begin developing a revised local school wellness policy during School Year 2016-2017 (start by August 29, 2016) LEAs must fully comply with the requirements of the final rule by June 30, 2017

What does the Policy have to Cover? At a minimum, policies are required to include: Specific goals for nutrition promotion and education, physical activity, and other school-based activities that promote student wellness. LEAs are required to review and consider evidence-based strategies in determining these goals.

• Standards and nutrition guidelines for all foods and beverages SOLD to students on the school campus during the school day that are consistent with Federal regulations for: ◦School meal nutrition standards, and the ◦Smart Snacks in School nutrition standards.

Standards for all foods and beverages provided, but not sold, to students during the school day (e.g., in classroom parties, classroom snacks brought by parents, or other foods given as incentives). Can be more or less stringent or the same as federal meal and competitive food standards

No Marketing of Unhealthy Foods Policies for food and beverage marketing that allow marketing and advertising of ONLY those foods and beverages that meet the Smart Snacks in School nutrition standards. (can be more stringent). Food and beverage marketing are commonly present in areas of the school campus that are owned or leased by the school and used at any time for school-related activities such as the school building or on the school campus, including on the outside of the school building, areas adjacent to the school building, school buses or other vehicles used to transport students, athletic fields and stadiums (e.g., on scoreboards, coolers, cups, and water bottles), or parking lots. Under these standards, the logos and products marketed in these areas and items are required to meet the competitive foods standards for foods sold in schools.

Description of public involvement, public updates, policy leadership, and evaluation plan LEAs must establish wellness policy leadership of one or more LEA and/or school official(s) who have the authority and responsibility to ensure each school complies with the policy

Public Involvement At a minimum, LEAs must: • Permit participation by the general public and the school Community (including parents, students, and representatives of the school food authority, teachers of physical education, school health professionals, the school board, and school administrators) in the wellness policy process.

Each District must assess implementation of its LSWP at least every 3 years This assessment will determine: • Compliance with the wellness policy, • How the wellness policy compares to model wellness policies, and • Progress made in attaining the goals of the wellness policy

The State’s looking every 3 years - State Triennial Assessments Requires State agencies to assess compliance with the wellness policy requirements as a part of the general areas of the administrative review every 3 years.

LEAs must make available to the public: Public Updates LEAs must make available to the public: The wellness policy, including any updates to and about the wellness policy, on an annual basis, at a minimum, and • The Triennial Assessment, including progress toward meeting the goals of the policy

Coordinated School Health Approach - Postive Discipline, etc… Water, water eveywhere No sugary drinks. Period. No Marketing, Period. Local, Sustainable food (Ex: CA Thursdays, Meatless Mondays), local sourcing More PE/PA than required Put your money where your policy is - Using lCAPs or other grants to improve health and wellness “It is important to remember that the Federal competitive food standards are minimum standards. State agencies and LEAs have discretion to adopt more stringent standards for the types of food and beverages allowed to be sold and also may limit the frequency of fundraisers that may include foods that do not meet Federal competitive foods standards. A local school wellness policy can be an excellent tool for establishing LEA-specific standards and communicating them to students, parents, and other stakeholders. USDA 7 - 29 - 16

TODAY - Hot off the presses New AHA Guidlines recoomends children cut added sugar from their 19 teaspoons a day to <6 teaspoons No added sugar below age 2

Ex: Good Food Policy

https://vimeo.com/162925975

Access to a school garden will help children learn about healthy and sustainable eating enjoyably We were pleased in a recent survey we did with CSBA to learn that over 50% off responding schools had gardens! .

So what is a school board member to do? Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

Ask questions! Is there a Wellness Council? Why not? Who is on it? Is it working? How can the Board help it? What is our current policy and how could it be better? How are we tracking progress? Can I join? What resources are needed and are they a priority?

How is our food for students? Are we working with local farmers or our own gardens? Are we educating our kids on healthy eating? Have we gotten all the junk food and unhealthy beverages out? Have we gotten marketing out? Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

Are we meeting or exceeding our PE requirements? Elementary: 200 minutes/10 schooldays Grades 7-12: 400 minutes/ 10 schooldays Are non-PE teachers using PA breaks? How can we do better? Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

Opportunities Local Control funding in CA/ LCAPs SNAP’s Nutrtion Ed & Obesity Prevention $ Carol M White PE grants CA Active Transportation Program $ Hospital community benefits Federal fresh Fruit and vegetab;e program Agua4All and more ………

Here to help the S. Kern BHC community Helping schools since 1987 Here to help the S. Kern BHC community We can support your school wellness process and help engage your parents and teachers Obesity is coming from two fundamental risks - poor nutrition, including but not limited to sugary drinks and junk food, and insufficient physical activity. Here you see a little of both. Your basic facebooking couch potato and his junk food.

Open doors to a healthier school

Lynn Silver, MD, MPH, FAAP lsilver@phi.org 917-974-7065 Thank you Lynn Silver, MD, MPH, FAAP lsilver@phi.org 917-974-7065 Thanks also to the California Endowment, CSBA & Kern County Health Department

Are we getting better ? No Kids meeting all physical fitness standards Kern County & CA 2011-2014 Kern County is not doing well on physiical fitness. California is already dismal with only 27% of kids meeting all standards for fitness, and Kern is at 21% Source: kidsdata.org

Students Who Are Overweight or Obese, by Grade Level: 2015 (Grade Level: All) Definition: Percentage of public school students in grades 5, 7, and 9 with body composition scores above the Healthy Fitness Zone of the Fitnessgram assessment (e.g., 40.3% of 5th graders in California public schools were overweight or obese in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Who Are Overweight or Obese, by Grade Level: 2015 (Grade Level: All) Definition: Percentage of public school students in grades 5, 7, and 9 with body composition scores above the Healthy Fitness Zone of the Fitnessgram assessment (e.g., 40.3% of 5th graders in California public schools were overweight or obese in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Who Are Overweight or Obese, by Grade Level: 2015 (Grade Level: All) Definition: Percentage of public school students in grades 5, 7, and 9 with body composition scores above the Healthy Fitness Zone of the Fitnessgram assessment (e.g., 40.3% of 5th graders in California public schools were overweight or obese in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Who Are Overweight or Obese, by Grade Level: 2015 (Grade Level: All) Definition: Percentage of public school students in grades 5, 7, and 9 with body composition scores above the Healthy Fitness Zone of the Fitnessgram assessment (e.g., 40.3% of 5th graders in California public schools were overweight or obese in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Meeting All Fitness Standards, by Gender and Grade Level: 2015 (Gender: All; Grade Level: Grade 5) Definition: Percentage of public school students in grades 5, 7, and 9 meeting 6 of 6 fitness standards, by gender (e.g., 25.6% of male 5th graders in California met all fitness standards in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Meeting All Fitness Standards, by Gender and Grade Level: 2015 (Gender: All; Grade Level: Grade 5) Definition: Percentage of public school students in grades 5, 7, and 9 meeting 6 of 6 fitness standards, by gender (e.g., 25.6% of male 5th graders in California met all fitness standards in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).

Students Meeting All Fitness Standards, by Gender and Grade Level: 2015 (Gender: All; Grade Level: Grade 5) Definition: Percentage of public school students in grades 5, 7, and 9 meeting 6 of 6 fitness standards, by gender (e.g., 25.6% of male 5th graders in California met all fitness standards in 2015). Data Source: As cited on kidsdata.org, California Dept. of Education, Physical Fitness Testing Research Files (Dec. 2015).