1. Stepping Up for a Healthier School Environment Healthy Eating and Living Initiative (HEAL) Benjamin Ortiz, MD Assistant Attending, Department of Pediatrics Harlem Hospital Center Assistant Professor of Clinical Pediatrics, Population and Family Health Columbia University Medical Center

2. What is HEAL? Yearlong initiative sponsored by Greater Harlem Chamber of Commerce Yearlong initiative sponsored by Greater Harlem Chamber of Commerce Acknowledgment of the negative economic impact that poor health has on businesses and consumers Acknowledgment of the negative economic impact that poor health has on businesses and consumers

3. Who is HEAL? Supported by US Rep. Charles Rangel Supported by US Rep. Charles Rangel Harlem Hospital is lead healthcare agency Harlem Hospital is lead healthcare agency Collaborations with other local hospitals (CUMC- NYPH, NGH, HSS, Mt. Sinai, Ralph Lauren Cancer Ctr, St. Luke’s) Collaborations with other local hospitals (CUMC- NYPH, NGH, HSS, Mt. Sinai, Ralph Lauren Cancer Ctr, St. Luke’s) NYC Agencies (Parks & Recreation, Health) NYC Agencies (Parks & Recreation, Health) Media partners (NY Daily News, NY Post, NY Times; WBLS, KISS-FM, WLIB, WHCR) Media partners (NY Daily News, NY Post, NY Times; WBLS, KISS-FM, WLIB, WHCR)

4. Mission of HEAL To reduce the number of people with diseases that have a direct correlation to the obesity epidemic, such as diabetes, high blood pressure, stroke, heart disease, kidney disease, blindness, and asthma To reduce the number of people with diseases that have a direct correlation to the obesity epidemic, such as diabetes, high blood pressure, stroke, heart disease, kidney disease, blindness, and asthma The initiative will educate the community to gain greater control over these diseases, by increasing access to and availability of healthier foods, teaching moderation and control over consumption, and increasing physical fitness in the daily routines of Harlem’s residents. The initiative will educate the community to gain greater control over these diseases, by increasing access to and availability of healthier foods, teaching moderation and control over consumption, and increasing physical fitness in the daily routines of Harlem’s residents.

5. HEAL Recommendations Outlined in Policy Statement (handout) Outlined in Policy Statement (handout) All residents of Harlem should implement a healthy diet and lifestyle initiative as a part of their regular daily routine All residents of Harlem should implement a healthy diet and lifestyle initiative as a part of their regular daily routine Local food providers, including neighborhood restaurants, supermarkets, greenmarkets, bodegas, franchises, and other eating establishments, should take affirmative steps to promote healthy eating Local food providers, including neighborhood restaurants, supermarkets, greenmarkets, bodegas, franchises, and other eating establishments, should take affirmative steps to promote healthy eating All food establishments should adhere to the NYC Department of Health and Mental Hygiene’s amendment to Article 81 of the New York City Health Code, which restricts the service of products containing artificial trans fats at all such establishments All food establishments should adhere to the NYC Department of Health and Mental Hygiene’s amendment to Article 81 of the New York City Health Code, which restricts the service of products containing artificial trans fats at all such establishments All residents should incorporate physical activity in their daily lifestyle. All residents should incorporate physical activity in their daily lifestyle.

6. HEAL Recommendations Community establishments and sites, such as schools, senior centers, day care centers, community centers, and work sites, should identify and increase opportunities for physical activity for students, clients, residents and employees Community establishments and sites, such as schools, senior centers, day care centers, community centers, and work sites, should identify and increase opportunities for physical activity for students, clients, residents and employees Medical providers should partner with community organizations, senior centers, and schools, to hold comprehensive health screenings focused on early detection of obesity, diabetes, and hypertension. These screenings should also include health education on a continual basis, and referrals for medical care on an as needed basis. Medical providers should partner with community organizations, senior centers, and schools, to hold comprehensive health screenings focused on early detection of obesity, diabetes, and hypertension. These screenings should also include health education on a continual basis, and referrals for medical care on an as needed basis.

7. Yearlong Activities Quarterly Health focus Quarterly Health focus 1 st (Feb-Apr 2008): Obesity and Stroke 1 st (Feb-Apr 2008): Obesity and Stroke 2 nd (May-July 2008): Mental & Orthopedic Health 2 nd (May-July 2008): Mental & Orthopedic Health 3 rd : (August-October 2008): Oral Health & Diabetes 3 rd : (August-October 2008): Oral Health & Diabetes 4 th : (November 2008-January 2009): Stress & Heart Disease 4 th : (November 2008-January 2009): Stress & Heart Disease Other conditions & activities integrated throughout the year Other conditions & activities integrated throughout the year Asthma (many activities in May for World Asthma Month) Asthma (many activities in May for World Asthma Month) School Health (focused in the Fall) School Health (focused in the Fall) Harlem Week (August) Harlem Week (August) Black History Month (2 articles in NY Daily News) Black History Month (2 articles in NY Daily News)

8. Quarterly Health Focus Main themes aggressively discussed in numerous media outlets (print and radio) Main themes aggressively discussed in numerous media outlets (print and radio) Public forums, seminars & conferences Public forums, seminars & conferences March 22: “The State of Women’s Health” March 22: “The State of Women’s Health” April 1: “2 nd Annual Stress & Obesity Conference” (collaboration with Central Harlem Health Revival) April 1: “2 nd Annual Stress & Obesity Conference” (collaboration with Central Harlem Health Revival) Access to HEAL & Harlem Week content via website: Access to HEAL & Harlem Week content via website:www.healthyeatingandliving.com