A CCLHDN CALL TO ACTION Soda and Other Sugary Drinks Charlotte Dickson, MSW Director of Local Policy

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 doesnt just happen

24.3%

71 resolutions & policies

Californias Economic Costs of Overweight, Obesity and Physical Inactivity

Individual Behavior OR The Environment

WITHIN Public Policy The Environment The 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 Major Public Health Movements

UNIVERSAL LESSONS 24.3% 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

Sports Drinks

Iced Teas

Energy Drinks

Vitamin Water

Flavored Milk

Reasons to Focus on Sugar- Loaded Beverages 7 Reasons to Focus on Sugar- Loaded Beverages Primary Source of Sugar in U.S. diet 1.Primary Source of Sugar in U.S. diet 10 tsp 17 tsp 27 tsp 12 oz 33 oz 20 oz teaspoons of sugar

Reasons to Focus on Sugar- Loaded Beverages 7 Reasons to Focus on Sugar- Loaded Beverages 1.Primary Source of Sugar in U.S. diet 2.Consumed in massive quantities

ADULT Consumption of Sugar- Loaded Beverages in California 50 gallons per year 39 pounds of sugar

KIDS Consumption 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 Alameda24% Orange24% Sacramento27% Riverside36% Los Angeles39% Merced45% San Bernardino45% Fresno57% Imperial59%

Reasons to Focus on Sugar- Loaded Beverages 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

Reasons to Focus on Sugar- Loaded Beverages 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 Sugar 9% compensation Solid Sugar 64% compensation

Reasons to Focus on Sugar- Loaded Beverages 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

Reasons to Focus on Sugar- Loaded Beverages 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!

278 cal/day 120 cal/day Equivalent of 43% of new calories Huge Contributor to Obesity Epidemic Increase in Per Capita Calorie Intake (1977 – 2001)

Sweetened beverage intake nearly tripled 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 2010 Sample 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 Beverage Policies 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.

Number of cigarettes ,000 4,000 3,000 2,000 1, US adults (18+ years ) Per Capita Cigarette Consumption

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* * US adults (18+ years) Percent Overweight 20% 40% 60% 80% 1988

We need very big PUBLIC POLICY CHANGES to stop diabetes and obesity from ruining our young people. Newt Gingrich Tavis Smiley Program, NPR June 11, 2004

We have everything we need right now to start solving America's childhood obesity problem. Michelle Obama January 21, 2010

Lets Work Together!

A CCLHDN CALL TO ACTION Soda and Other Sugary Drinks Charlotte Dickson, MSW Director of Local Policy