1. A CCLHDN CALL TO ACTION Soda and Other Sugary Drinks Charlotte Dickson, MSW Director of Local Policy www.PublicHealthAdvocacy.org

2. 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

3. 24.3%

4. 71 resolutions & policies

6. Californias Economic Costs of Overweight, Obesity and Physical Inactivity

7. Individual Behavior OR The Environment

8. WITHIN Public Policy The Environment The social, economic, and political context in which we make our food and activity choices Public Policy Individual Behavior

9. Sanitation Worker Safety Clear Air / Clean Water Auto Safety Drunk Driving Lead Poisoning Violence Prevention Tobacco Control Major Public Health Movements

10. 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

11. The World of Sugar-Loaded Beverages

12. Carbonated Sweetened Beverages

13. Sports Drinks

14. Iced Teas

15. Energy Drinks

16. Vitamin Water

17. Flavored Milk

18. 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

19. 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

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

21. 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!

22. 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%

23. 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

24. 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

25. Change in Appetite Influenced by Form of Sugar (Source: Mattes, 1996) Liquid Sugar 9% compensation Solid Sugar 64% compensation

26. 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

27. Soda consumption doubles the risk of cavitated dental caries

28. 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

29. 6.5 oz (1920s) 12 oz (1960s) 20 oz (1990s) 33 oz (1L) Today Portion Size

30. 6.5 oz (1920s) 12 oz (1960s) 20 oz (1990s) 33 oz (1L) Today How did it happen? Portion Size

31. 6.5 oz (1920s) 12 oz (1960s) 20 oz (1990s) 33 oz (1L) Today How did it happen? Portion Size

32. 6.5 oz (1920s) 12 oz (1960s) 20 oz (1990s) 33 oz (1L) Today How did it happen? Portion Size

33. 6 - Pack

34. 12 - Pack

35. 24 - Pack

37. SODA… Consumer Price Index, 2010 Best Deal on the Market!

38. 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)

39. Sweetened beverage intake nearly tripled University of California, Berkeley

40. Public education Grassroots organizing City & county policies State policies CA Campaign for Healthy Beverages

41. 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

42. 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%

43. 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

44. 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

45. Surgeon General on Smoking: 1964 …cigarette smoking contributes substantially to mortality from certain specific diseases and to the overall death rate.

46. Number of cigarettes 1964 5,000 4,000 3,000 2,000 1,000 1955 1970 1980 1990 2002 US adults (18+ years ) Per Capita Cigarette Consumption 1955-2002

47. 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

48. Surgeon General on Diet: 1988 …over consumption of certain dietary compo- nents is now a major concern for Americans.

49. Overweight and obesity have reached epidemic proportions nationwide. Surgeon General on Obesity: 2001

50. Overweight Prevalence* 1980-2010 * US adults (18+ years) Percent Overweight 20% 40% 60% 80% 1988

52. 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

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

54. Lets Work Together!

55. A CCLHDN CALL TO ACTION Soda and Other Sugary Drinks Charlotte Dickson, MSW Director of Local Policy www.PublicHealthAdvocacy.org