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It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. “ ” Institute of Medicine

Reframing the nutrition & physical activity debate...to corporate & government responsibility from simply a matter of individual choice...

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While a movement cannot succeed without substantial mass sentiment to support it, the strength and effectiveness of its infrastructure shape its precise level of success. “ ” Jean Hardisty

Taking Action for a HealthierCalifornia

 Neighborhoods  Preschools  Schools  After School Programs  Workplaces  Health care  Government Institutions and Practices ENACT Environments Injury Free Coalition for Kids of Philadelphia

Improved Opportunities for Walking and Jogging Boyle Heights, California East Los Angeles

 A local coalition established a rubberized jogging path around the cemetery  More than 1,000 people a day use the new path  Nearness to walking paths appears to have a significant impact on physical activity for adults. Improved Opportunities for Walking and Jogging Boyle Heights, California

Creating Bike and Walking Paths to Promote Activity Citywide Seattle, Washington  Over 28 miles of shared use paths, 22 miles of on-street, striped bike lanes  Low pedestrian fatalities/high rates of walking to work  Convenience and access to walking and bicycle facilities associated with increased activity

Increasing Access to Healthy Food  Predominantly African American & Puerto Rican  Low median income, high population density  Fire left residents without access to fresh affordable foods Upper Falls Community: Rochester, New York

 Partners Through Food and Mayor recruited a full-service market, Tops  Residents now have a grocery store within walking distance  Fruit and vegetable consumption increases for each supermarket in a census tract (Morland, et al, 2002) Increasing Access to Healthy Food Upper Falls Community: Rochester, New York

The Food System

Funded by: Clarence E. Heller Charitable Foundation and the Columbia Foundation Cultivating Common Ground Linking Health and Sustainable Agriculture

ChronicDiseasePrevention Sustainable Agriculture Forming Broader Partnerships for Mutual Benefit Cultivating Common Ground

Difference in Paradigms & Focus Systems Orientation vs. Individual Orientation Precautionary Principle vs. Indisputable Proof Appropriate Technology vs. High-Tech Fixes Movement vs. Discipline

Health Impacts of the Current Food System  Over Production of a Range of Unhealthy Food Products  Use of and Exposure to Toxins  Dangers to Farmer and Worker Health and Safety  Antibiotic Resistance  Foodborne Illness  Respiratory Illness and Poor Air Quality

Foodborne Illness

Dangers to Farmer and Worker Health and Safety

DISPARITIES IN HEALTH DISPARITIES IN HEALTH ROOT FACTORS ENVIRONMENTALFACTORS & BEHAVIORAL MEDICALSERVICES The Trajectory of Health Disparities

Useful policy is often developedlocally. One Key Fact

Promising Practices in Nutrition and Physical Activity Catalogues promising policies in nutrition and activity at the local level Catalogues promising policies in nutrition and activity at the local level Local Policy Database

Build on Our Success

 County provides property tax break to landowners who convert farmland to organic  Food bought by county must be organically produced and processed within 100-mile radius Sustainable Food Policies Woodbury County, Iowa

 Prevents blight caused by vacant retail parcels designed for grocery and drug stores.  Believed to be the first ordinance of its kind. Limiting Land Use Covenants Chicago

Provide healthy food options for employees Prevention Institute weekly fruit box

“Life was there again. It transformed the neighborhood.” Hank Herrera, President/CEO Center for Popular Research Education and Policy Increasing Access to Healthy Food Upper Falls Community: Rochester, New York

“Small things like the jogging path make a huge difference in how community residents see themselves and the community.” Community Advocate Improved Opportunities for Walking and Jogging Boyle Heights, California

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