1. Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Best of Times, Worst of Times Best of Times, Worst of Times

2. School Health Profiles (2006) 2006) School Health Policies and Programs Study (2006) CDC Data Sources Youth Risk Behavior 2005) Survey (2005) Youth Risk Behavior 2005) Survey (2005)

3. Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004 * Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar 72 93 55 36 89 35 67 65 0 25 50 75 100 State Median IowaNew Hampshire OklahomaDelawareNorth Carolina UtahWashington In Percent

4. Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004 Source: CDC School Health Profiles 2004 11 80 93 9 9 83 16 86 56 Median ChicagoDallasLos AngelesMemphisPhiladelphiaMiamiSan Diego 0 25 50 75 100

6. Black students are  Least likely to report use of tobacco, alcohol, cocaine, inhalants, hallucinogens, methamphetamine, and ecstasy.  Least likely to drive when drinking alcohol.  Most likely to report sexual risk behaviors and sedentary behaviors. Black students are  Least likely to report use of tobacco, alcohol, cocaine, inhalants, hallucinogens, methamphetamine, and ecstasy.  Least likely to drive when drinking alcohol.  Most likely to report sexual risk behaviors and sedentary behaviors. 2005 YRBS: Racial/Ethnic Differences

7. White students are  Least likely to report physical fighting, sexual risk behaviors, and being overweight.  Most likely to report frequent cigarette use, smokeless tobacco use, and episodic heavy drinking. Hispanic students are  Most likely to report attempted suicide and use of cocaine, heroine, methamphetamine, and ecstasy.

8. Percentage of High School Students Who Ever Had Sexual Intercourse, by Sex and Race/Ethnicity,* 2005 * B > H > W Source: CDC, National Youth Risk Behavior Survey, 2005

9. Percentage of High School Students Who Actually Attempted Suicide,* by Sex and Race/Ethnicity,** 2005 Females Males * One or more times during the 12 months preceding the survey ** F > M; *** H > W, B Source: CDC, National Youth Risk Behavior Survey, 2005

10. DASH-Funded SEAs, TEAs, and LEAs  HIV: 48 SEAs, 7 TEAs, 18 LEAs  CSHP / PANT: 23 SEAs  Asthma: 6 LEAs, 1 SEA

11. NEW NGO PROGRAM ANNOUNCEMENT National Programs to Build the Capacity of Societal Institutions That Influence Youth Behavior HIV PREVENTION  SEAs and LEAs  SHAs and LHAs  Organizations that Serve Youth at High Risk YMSM African American and Latina Females Youth in Juvenile Justice and/or Alternative Schools Runaway and Homeless Youth  HBCUs  Sexual Abstinence

12. NEW NGO PROGRAM ANNOUNCEMENT National Programs to Build the Capacity of Societal Institutions That Influence Youth Behavior NON-HIV PREVENTION  Asthma for SEAs, LEAs, SHAs, and LHAs  Chronic Disease Prevention for SEAs and LEAs Physical Activity Nutrition Tobacco-Use Prevention  CSHP for SEAs and LEAs  School Mental Health Services for SEAs and LEAs  Professional Development for DASH-Funded NGOs

13. Coordinated School Health Program Healthy School Environment Health Promotion for Staff Health Promotion for Staff Family and Community Involvement Physical Education Health Education Health Services Counseling, Psychological, and Social Services Nutrition Services Nutrition Services

14. CDC School Health Guidelines

16. Emerging Areas of Activity for DASH  Mental health  Management of chronic diseases  School connectedness  Association between health and academics  Mental health  Management of chronic diseases  School connectedness  Association between health and academics

17. SHI Mini-Grants Awarded to 47 Schools

18. Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Best of Times, Worst of Times Best of Times, Worst of Times