It’s Their Future Let’s Work to Create Healthy, Safe, and Livable Communities for Our Children Presented by the Santa Clara County Public Health Department Pamela Stoddard, PhD and Lori Martin, MS, RD May 4, 2011 Symposium: Status On Children’s Health In Santa Clara County

Health Refocused Shift Focus from Individual to Population Policy, System and Environmental Change Department Strategic Plan Share Data Chronic Disease and Injury Prevention Programs and Initiatives

Overweight and Obesity Breastfeeding among newborns Overweight and obesity among low income children aged 2 to 11 Middle and high school youth Overweight and obesity Physical activity Fruit/vegetable consumption

Newborn Breastfeeding Source: California Department of Public Health, Center for Family Health, Genetic Disease Screening Program, Newborn Screening Data, 2009 4

Overweight and Obesity Among Low-Income Children Healthy People 2020: 14.6% obese (children 2 to 19) Obesity highest among Hispanics and lowest among Asians (all age groups) 16.1% 18.0% 18.4% 17.2% 22.9% 27.0% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Ages 2 – 5 (n = 9,924) Ages 5 – 8 (n = 6,633) Ages 9 – 11 (n = 3,256) Overweight (85th ≤ BMI % < 95th) Obese (BMI % ≥ 95th) Source: 2009 PedNSS, Table 16B

Percentage of Santa Clara County Middle and High School Students Who Were Overweight or Obese, 2003-2008 Source: California Healthy Kids Survey, 2003-08

Percentage of Santa Clara County Middle and High School Students Who Were Obese by Race/Ethnicity, 2007-2008 Source: California Healthy Kids Survey, 2007-08

Percentage of Santa Clara County Middle and High School Students Who Performed Any Physical Activity Every Day in the Past Week, 2007-2008 Source: California Healthy Kids Survey, 2007-08

Percentage of Santa Clara County Middle and High School Students Who Ate Fruits and Vegetables the Previous Day, 2001-2008 0% 10% 20% 30% 40% 50% 60% 2001 - 02 2003 04 2005 06 2007 08 2 or more fruits 3 or more vegetables Source: California Healthy Kids Survey, 2001-08

Tobacco Use and Exposure Current cigarette smoking Age of smoking first cigarette and getting access to cigarettes Home exposure to smoke 10

Percentage of Santa Clara County Middle and High School Students Who Smoked Cigarettes in the Past 30 Days by Race/Ethnicity Source: California Healthy Kids Survey, 2007-08

Smoking Initiation and Cigarette Access in Santa Clara County Age 13 to 14 was most common age range for smoking first whole cigarette among middle and high school students A quarter of middle school kids & two-thirds of high school kids report it is easy to get cigarettes Source: California Healthy Kids Survey, 2007-08 12

Home Exposure to Cigarette Smoke Percentage of middle and high school youth that currently live with someone that smokes 19% were in same room at home with someone smoking cigarettes on 1+ days in last week Source: California Student Tobacco Survey, 2007-2008

Injury Prevention

Bicycle & Pedestrian Collisions Involving Youth SCC ranks:1 33 of 58 among counties for collisions involving pedestrians 15 years and younger 25 of 58 for collisions involving bicyclists 15 years and younger 48% of students walked, biked, or skated to school in the past week2 1 Source: 2009 Office of Traffic Safety 2 Source: 2009 California Health Interview Survey 15

Center for Chronic Disease and Injury Prevention Nutrition and Wellness Breastfeeding Promotion Program Childhood Feeding Collaborative Inspire Obesity Prevention - CPPW (Communities Putting Prevention to Work) Network for a Healthy California - LIA Program Network for a Healthy California - Bay Area Region Program Tobacco Prevention Inspire Tobacco Prevention - CPPW (Communities Putting Prevention to Work) Tobacco Prevention and Education Program Traffic Safe Communities Network Juvenile Traffic Diversion Safe Routes to School Teen Drinking and Drinking Prevention 16

Chronic Disease & Injury Prevention: Keeping Santa Clara County “Healthy, Safe, & Livable” 17

Tobacco / Smoke Free Environments Smoke Free Parks and Trails Smoke Free Outdoor Dining Smoke Free Campuses Smoke Free Multi-Unit Housing Tobacco Retail Licensing (TRL) Zoning to Limit Tobacco Sales Near Parks, Schools, and Playgrounds 18

Built Environment • General Plans • Climate Change • Joint Use • Transportation Planning – Pedestrian and Bicycling 19

Healthy Food and Beverage Environments Breastfeeding Promotion Retail Food Outlets Farmers’ Markets / Garden Projects Sugar Savvy Initiative – Promote Drinking Tap Water Restaurant Menu Labeling Law Nutritional Standards for Restaurant Food and Beverages that Come with Toys or Other Incentives 20

School Wellness and Childcare Environments School Wellness Policies Healthy School Fundraising Coordinated School Health Childhood Feeding Collaborative Messaging and Practices Integrated into Childcare Settings 21

Worksite Environments Organizational Policies that Support Worksite Wellness Worksite Wellness Programs & Campaigns Lactation Accommodation Law and Business Care for Breastfeeding Integration of Chronic Disease and Injury Prevention Programs / Initiatives into Workplace Settings Community Supported Agriculture (CSA) at the Workplace 22

Reaching Youth Directly Hard Hitting Media and Marketing campaigns Mobilize Youth and Young Adults to Promote Policy Changes

Contact Information Lori Martin, MS, RD Nutrition and Wellness Manager Santa Clara County Public Health Department Center for Chronic Disease and Injury Prevention Direct: (408) 793-2706 Main Line: (408) 793-2700 Lori.Martin@phd.sccgov.org Pamela Stoddard, PhD Senior Epidemiologist Santa Clara County Public Health Department Direct: (408) 792-5588 Main Line: (408) 792-5040 Pamela.Stoddard@phd.sccgov.org