1. Public Health Policy in New York City Zachary Adler Christina Cho Charles Maniego Bonnie Rose Jonathan Tepp QUEENS COLLEGE, SPRING 2013

2. Taking Care of New York  A shift in focus: From contagious disease to chronic  Protecting the public from adverse effects of health problems: Health care expenditures, second hand smoke  Caring for those who may not be able to care for themselves  The natural consequence: A focus on tobacco and obesity

3. Taking Care of New York  The criticism : “Nanny-in-chief” who is babying voting-aged adults  The praise : It’s worked! Obesity has been reduced by 31% while only 14% of New York City residents smoked in 2010 (lowest percentage in history)  The bottom line : Bloomberg’s policies can lay a promising road for New York City’s future if he will attempt to mollify the public and drum up support

4. Calorie Labeling Law (2008)  Bloomberg’s fight against obesity  Fast food and caloric intake  Opposition?  The law

5. Source: nyc.gov

6. Results  Conflicting data  Awareness of the public and restaurant industry  The Calorie Labeling Law – a success?  Plans for the future

7. Sugary Drinks “Mike Bloomberg: Combating Obesity.” Mikebloomberg.com

8. Sugary Drinks Policies  Soda tax (2010)  Food Stamps Soda Ban (2010)  Soda ban (2013)

9. Sugary Drinks Policies: Any Other Ideas? ALTERNATIVES:  Individual Counseling (limited resources, too expensive)  Social Pressure (immoral, ineffective) OPINIONS:  Sugary drinks policies mostly efficient and effective  Would be better if reasoning was explained to avoid accusations of autocracy

10. Trans Fats Ban in NYC  History  Success  Shortcomings

11. Decrease in trans fat content in fast food meal purchases, NYC Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York City’s Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86.

12. Increase in Other Unhealthy Ingredients? Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York City’s Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86.

13. Some Concluding Ideas  Modify rhetoric  Offer incentives to companies  Actual bans should be on chemicals, not products, with a focus on discouraging use of already-made products  Get the people involved !