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HomeMy WebLinkAboutMINUTES - 10242006 - D.3 _.sE_.L_.o�. Con ra TO: BOARD OF SUPERVISORS - FROM: Family and Human Services Committee O _ - `s Costa ' 7 .er7+llPJ7.L�-�-e'�DATE: October 24, 2006 °sT----- - - County A SUBJECT: CHILDHOOD OBESITY SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S): 1) ADOPT.a policy of promoting recommendations from the Center for Disease Control and Prevention and the National Institutes of Health against child obesity. 2) DIRECT the Health Services Department to support public school districts within Contra Costa County as they develop and implement federally required school wellness policies. 3) DIRECT the Health Services Department to research and evaluate policies to guide the display of nutritional information at point of purchase for retail food and beverage establishments having 20 or more locations nationally and to solicit community, stakeholder, and public health input on this issue; and to report findings back to Family and Human Services Committee in a timely manner. 4) DIRECT the Health Services Department to offer technical assistance, support and encouragement to park and recreation facilities that want to voluntarily eliminate provision of soft drink and junk food and replace with healthy alternatives. CONTINUED ON ATTACHMENT: YES S NATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): MARK DeSAULNIER,Char-y� FEDERAL GLOVER,Member ACTION OF BOARD ON / PROVE AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED JOHN CULLEN,CLERK OF THE-BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: i BY: /-"—"PUTY SUBJECT: CHILDHOOD OBESITY 5) DIRECT the Health Services Department to support staff at after school programs that want to voluntarily provide healthy food options,physical education, and equipment for active play; and to provide lists of low-cost healthy snacks and training to after-school staff for activities that promote physical activity. 6) DIRECT the Health Services Department to offer training to medical providers on standards of practice that focus on effective patient education and counseling to prevent and treat childhood obesity; and to provide or refer patients to appropriate health education programs as available. 7) DIRECT the Health Services Department to provide information to all schools and day care providers in Contra Costa about the benefits of participating in available federal school meal programs(including the School Breakfast Program,National School Lunch Program [including after-school snacks], Summer Food Service Program, Fruit and Vegetable Snack Program, and Child and Adult Care Food Program [including suppers]).. 8) DIRECT the Health Services Department to work with community partners to promote nutrition education for children age 0-5 and to make a formal presentation to the First 5 Contra Costa Children and Families Commission regarding childhood obesity; and to work with Community Services Department to review menus for children age 0-5 in the Head Start and Early Head Start programs in order to promote good nutrition and health. 9) DIRECT the Health Services Department to offer technical assistance and support to all school districts in Contra Costa County that are interested in exploring discontinuing exclusive soft drink and fast food contracts as they expire, establishing alternative funding streams, and providing healthy food and beverages on school campuses. 10) DIRECT the Health Services Department to report to the Board of Supervisors on progress in six months, including any further recommendations. BACKGROUND: The Family and Human Services Committee reviewed the ten recommendations above. Supervisor DeSaulnier's office held a stakeholders meeting to solicit input from restaurant owners and integrate their views into recommendation three. Following discussion, recommendations three and four were altered. According to the Centers for Disease Control and Prevention,the proportion of overweight children ages 6 to 11 has skyrocketed in recent decades, from 7 percent in 1980 to 16 percent in 2002. Among those 12 to 19,the rate of obesity more than tripled, from 5 percent to 16 percent. For these reasons, many health officials have called child obesity a pandemic. Surveys and studies too countless to enumerate, speak of the many trends by which children have become overweight in recent years. There are many contributing factors, including diet. Currently, the biggest single source of calories in the American diet is the soft drink. The average teenage boy, for example, will get 15 teaspoons of sugar a day from these drinks alone, according to one report. And while soft drinks are frequently consumed,healthy alternatives like milk too often go unconsumed. A diet such as this may also lead to other health problems like diabetes. The lack of exercise due to common sedentary habits such as lengthy television watching or computer using have also escalated the prominence of child obesity. Exercise and athletics are often relegated to the sidelines. The built environment also impedes physical activity because our communities are designed for SUBJECT: CHILDHOOD OBESITY transportation by car. Bike riding and walking are either unfeasible or unsafe. And television makes an impression upon children in another, more subtle fashion. Advertising impacts them. A child may see thousands of television commercials in any given year. It is estimated that more than 90 percent of the ads targeted to this demographic consist of fast food, soft drinks, candy or sugared cereals. Schools play an extraordinarily significant role in the diet, health and weight of our children as well. Kids consume two of their daily meals in some cases at school. The menu available to the children of our county at their particular schools,therefore,takes on added importance,not only in terms of nutrition, but also because of the dietary lessons they learn and emulate outside of class and will continue to retain later on as adults. The fact that roughly 50 percent of school districts in the nation have contracts with soft- drink companies for the sale of such beverages on school premises is not encouraging news. In the 1970's,the proportion of a child's calories that originated from fast food was only two percent. Today, it is ten-percent. A 2002 survey even placed the percentage of children eating fast food on any particular day at approximately thirty percent. Fast food consumption has increased, in part, due to the number of fast food restaurants that were constructed in the past 15 years and the availability and accessibility to such food choices. Such are the contributing factors that help to explain why between 25 and 30 percent of American children have excessive body weight today and why childhood diabetes has skyrocketed in the past twenty years. Matters are not improving. Educators are responding in part to the federal government's demand that virtually every school system in the nation create a"local wellness policy". Aimed at getting kids to exercise more and eat more nutritious food,the plan, required of all schools where lunchrooms get federal money, must be in place by the start of the next school year. The law allows each system to develop its own plan, based on the needs of its students and the facilities and resources available. Innovative concepts are also being tried nationally to fight child obesity. The"Walking School Bus", a program begun in Europe, works just like a car pool, and consists of a group of children walking to school with one or more adults. It is a program supported by the Centers for Disease Control and Prevention and the National Institutes of Health, which recently started a website called"We Can!"to promote healthy activities for parents and children. The American Heart Association too has recognized the grave problem of childhood obesity and is partnering with the Nickelodeon network to reach children with a comprehensive health and wellness message. Partnerships on many levels will be required to reverse the current trend. Contra Costa County can encourage such efforts by adopting a policy geared towards better nutrition and greater exercise. J Addendum to D.3 October 24, 2006 Page 2 of 3 The Chair asked for public comments and the following people spoke: • Dr. Diane Dooley, Chairperson, Pediatrics Department, Contra Costa County Health Services Department told the Board the County has a nationally recognized pediatric obesity program called"Have Fun and Be Healthy"; • Blanca Campos, Concord resident, said he supports the Board Order and thanked Tracy Rattaray and her team for including children ages 0-5 in the child obesity programs; • Ron Wetter, Kaiser Permanente official, said he supports the initiative on the reduction of child obesity program and looks forward to working with the Board and other community leaders on this issue; • Johnise Down, California Restaurant Association, thanked the County for taking a comprehensive approach to child obesity,but said she has concerns with recommendation No. 3 "DIRECT the Health Services Department to research and evaluate policies to guide the display of nutritional information at point of purchase for retail food and beverage establishments having 20 or more locations nationally and to solicit community, stakeholder, and public health input on this issue, and to report findings back to Family and Human Services Committee in a timely manner. " She said there is no need for a mandate for actions already taken, and this would also impact establishments that have 20 or more locations nationally; • Barbara Becknel,Neighborhood House of North Richmond, said she supports this Board Order. She shared with the Board good news regarding a program Kaiser Permanent has funded named "HEAL"that stands for Health Eating Act of Living. Supervisor DeSaulnier added the following amendments consistent with concerns raised by Supervisor Piepho, Supervisor Uilkema and Johnise Down. To include under section 8 - Work with Welcome Home Baby and other Home visiting programs; To include under section 3 —Continue to seek out input from the California Restaurant Association and other individual representatives of the Restaurant industry in Contra Costa County. By a unanimous vote with none absent, the Board of Supervisors took the following action: Addendum to D.3 October 24, 2006 Page 3 of 3 ADOPTED the recommendations 1-10 on Board Order; ADDED the words under section 8 - "Work with Welcome Home Baby and other Home visiting programs And under section 3 —"Continue to seek out input from the California Restaurant Association and other individual representatives of the Restaurant industry in Contra Costa County." o�0eh 25-_ 2006F 4: 25PM MARK DESAULNIER (925) 6465767 No, 1586 P. 4,01.103 t " CALIFORNIA )NA S 5 0 C I A T 10 !�P CELZISRATING 100 YEARS Of 5ERVI;V ! i 1.1,,i iG0®• .9.004 �Ir?(; 4 posit_„ To: Contra Costs County From: Fahr iii;p poster Downs Board of Supervisors Local Goverment Affairs!iirec°ur Californior ReSt:trurant Association Photno:,) ti-4wt.272o Fax:916.447,6182 jdownsUcalrest.org I www.calrest.ora Fax: Pages 2 llndudin9 Cover} Phone: Dratam 10/2312006 Re: Childhood Obesity Recommendations cc: 0 Urgent 10 For Review ©Please Comment 0 Plea"Reply 173 Please Recycle Qgnfidantiality Nota; Thisfacsimile transmission contains information from the California Restaurant Association that may be confidential or privileged,The information is intsnded to be for the use of the individual or entity earned above. If you are not the intentsed recipient, please be aware that any dieclosurs, copying,distribution or use of the contents of thls information Is prohibited. If you have received this electronic transmission in error, please immediately notify us by telephone at(800)7$5.4842. Thank you. • Comments: Deur Members of the Board. Attached is a letter detailing our concems with the childhood obesity proposal that will be presented to the Board October 24, 2006. If you have any questions or concerns please feel free to contact me at the information above. Sincerely, .1 tti�'•t4+t tar UIr'SS �.CI'1Ut•Clt;[;t812'{� L�Qf{7ili D'1"�ftOr California Restaurant Aaeoclatlon Reee i ved Tiaie Oct, 23, 5.55PM ocpct._2 5._ 20068 4: 24P.M MARK DESAULNIER (925) 6465767 No. 1586 P. 2.02/03 October 23, 2006 Contra Costa County Board of Supervisors Supervisor Mark DeSaulnier 2425 Bisso Lane, Suite 110 Concord, CA 94520 Dear Supervisor DeSaulnier, The California Restaurant Association(CRA), on behalf of 87,000 foodservice establishments in California, and our members in Contra Costa County, would like to express our concern with the mandatory menu labeling proposal. The California Restaurant Association is the largast and longest serving non-profit restaurant trade association in the nation, representing the restaurant and hospitality industries since 1906_ During our discussions and stakeholder meeting, CRA provided examples of brochures, menus and website printouts detailing the nutritional information that restaurants are already voluntarily providing to consumers. To cater to increasingly health conscious diners,restaurants across the country are increasing their efforts to provide what their;nests ask for, including developing special menu items for those watching their calorie, carbohydrate and/or fat intake_ When Californians dine out,they choose from a myriad of options and have the opportunity to customize their meals to meet rheir individual diets. Mandating point-of-purchase menu labeling poses liability concerns for operators who provide these customizing options. We applaud the effort of the County to make the fight against obesity a comprehensive approach, however, we believe that restaurants have been unfairly targeted. The restaurant industry is already putting forth efforts of providing nutritional information. Many restaurants have already implernented programs, voluntarily providing nutritional information in brochures and on web sites and establishing their own initiatives to assist consumers in making!Healthy choices alid living a healthy lifestyle. CRA is deeply concerned about moving forward with this ordinance. The state legislature has already rejected mandatory menu labeling. 'there are some very good policy reasons why: I. Full-service and fine dining restaurants would be discouraged to make changes or variations in the menu;this would eliminate creativity, i.e. no daily specials or substitute menu items if chef is unable to purchase a particular item that has been assessed/evaluated. 2. This recommendation targets retail and food establishments having 20 or more locations nationally. The unfair targeting of large chain restaurants in your proposal is inappropriate, Less than i 9%of all restaurants are part of companies that operate 20 or more restaurants; supporting the fact that this is not the best approach for addressing childhood.obesiry. CELEBRATING 100 Y6ARQ. OF SERVICE REGONAL OF, tt 5PMSURE10C.LONG Of�c.., Boz.Timeg`0 }. 23. t 5: 5 .. .....�a, 9Z-0.3 -s6�.4e0a�ao.O7f.a9xdo•6•06f 1�0O.=iO.OII.6 J9 R•o•• VLOO.CA 4. nAN JOSEUt I ICE. 01 I N.MAQKEISTRr=.9UIYE]11.*^NJo SL.OA 0711a-aOA.:G I.z Ozo•4 a.rvI.a89— o(Oct. 25. 2006.E 4: 24PM MARK DESAULNIER (925) 6465167 No. 1586 P. 3.03/03 3. CRA and most quick service restaurants have taken a proactive approach toward information sharing and consumer education, Quick service restaurants are already the most transparent in the restaurant industry. The market has been driving the fact that people want more information and the industry has responded: The information is available in various ways via websites, brochures and displayed at the restaurant. Research has shown that less than 10%of all meals are purchased from quick•servico chain restaurants. However,due to the high focus on obesity they are unfairly being mrgoted as the culprit behind child obesity. 4. Food labeling has been around for.many years,at least a couple of decades now and a recent poll showed that"although most consumers check labels they are still likely to purchase `unhealthy' products. 5. The causes of obesity are complex.; in addition to overall dietary choices and level of exercise, family history, genetic susceptibility and other medical conditions may determine why some people are prone to becoming overweight and even obese. We believe that programs encouraging good nutrition, education, physical activity, and Choice should be the focus of the recommendations to address the County's concerns with child obesity. We respectfully ask that you reconsider moving forward with a mondate regarding providing nutritional information because it is a misguided approach in trying to address the problem of childhood obesity. For the above stated reasons CRA Cann.u-U h recommendation txesented to the Board of Supervisors and respectfully requests your"NO"vote whoa this as before you for consideration. Sincerely, c Johnnise Foster Downs Director, Local Government Affairs Cc: Board of Supervisors Received Time Oct- 23. 5:55PM TOTAL P.03 Office of the Clerk of the Board of Supervisors CONTRA COSTA COUNTY 651 Pine Street, Room 106 Martinez, CA 94553 Phone: 925..335:1900 Fax: 925.335. 1913 Memo of Transmittal Date: 1;0� pl(b Via: To: " First Class Mail Fax: r- Overnight By: Katherine Sinclair, Deputy Clerk 925.335-1902 CC: � ` �`+ /"�,r ,uuy 1'R �`� '�+' 'R.k �e � z�: , �g�. 'cam .�° `' �' �•; rve s ,s Notes: Z _. Q 7' sv Z Q rn @ a 0 � N N 41 �. o o . o m - � N "�° 0 3 M N' tp N �M, 0- � -a o o 3 �. -°o'rt o oo o y G cn 6. to m 3 , m o ° # � rn W -a c N p 'oma- � � N `� © m m CD co �. C p _, 3 N ..� @ Vs to CD N, a N p N" tin N tr N CD. i (D CL Q O O 3 i @ 'S0 (D co � ¢ rn - . 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