1. The Environmental Nutrition and Activity Local Policy Database:
A tool for health advocates to address disparities in unhealthy eating and activity environments
Linda Shak, MSW
APHA Annual Meeting
November 5, 2007

2. ENACT is designed on the basis that often times it is not enough for people to have information about healthy eating and activity, they also need to live, work, play and learn in environments that support and encourage these healthy behaviors.

3. “
It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. ”
Institute of Medicine

4. One Key Fact
Useful policy
is often
developed
locally.

5. Promising Practices in Nutrition and Physical Activity
ENACT Local Policy Database
Promising Practices in Nutrition and Physical Activity
Catalogues promising policies in nutrition and activity at the local level

7. What is ENACT?
An online tool that offers a specific menu of achievable strategies for implementation
Each strategy is complemented by practical how-to information including: tools, resources, model policies and more

8. ENACT is designed to…
Compliment current education and community efforts
Empower local action to address priority issues
Engage users so that implementation can become a reality

9. ENACT History
Based on best practices and promising approaches from around the country
Comprehensive
Environmental
Sustainable

10. ENACT Environments Neighborhoods Preschools Schools
After School Programs
Workplaces
Health care
Government Institutions and Practices
Injury Free Coalition for Kids of Philadelphia

14. Increase Access to Parks and Sidewalks
Olympia, WA

15. Limit Restrictive Land Use Covenants
Chicago, IL
Prevents blight caused by vacant retail parcels designed for grocery and drug stores.
Believed to be the first ordinance of its kind.
After five years of tireless efforts, community organizing and lobbying of city government, Partners Through Food along with the Mayor convinced Tops, a major grocery chain, to bring a shopping plaza and full-service supermarket to their neighborhood.
The new shopping plaza opened in 1997 and since then residents say the retail area has transformed the neighborhood. Tops Grocery is using Upper Falls as a model for how business can contribute to urban redevelopment.
Morland Study based on over 10,000 residents in 221 census tracts (Maryland, North Carolina, Mississippi and Minnesota)
[i] Morland K, Wing S, Diez Roux A. The contextual effect of the local food environment on residents' diets: the atherosclerosis risk in communities study. American Journal of Public Health. 2002;92(11): A landmark study found that for each supermarket in their census tract, residents ate more fruits and vegetables (Morland, et al, 2002)
Profile: Partners Through Food increases access to healthy food by bringing a full-service supermarket into the community (Rochester, New York)

16. Promote Joint Use of Recreational Facilities
Pitt County, NC

17. Include Health in the General Plan
Madison, WI and Chula Vista, CA

18. Limit Unhealthy Retail Establishments
Los Angeles, CA
Comprhensive neighborhoods --arcata
Limits proposed on fast-food restaurants

19. David Brower, environmentalist
“Don't expect politicians, even good ones, to do your job for you. Politicians are like weather vanes. Our job is to make the wind blow.”
David Brower, environmentalist

20. CHAPTER 8 Making Change: The Power of Local Communities Fostering Policy By Makani Themba-Nixon

21. CHAPTER 12 Health and the Built Environment: Opportunities for Prevention By Howard Frumkin and Andrew L. Dannenberg

22. CHAPTER 13 Creating Healthy Food Environments, Preventing Chronic Disease By Leslie Mikkelsen, Catherine S. Erickson, and Marion Nestle

23. 221 Oak Street Oakland, California 94607
221 Oak Street
Oakland, California 94607
phone: fax: