1. 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

2. 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

3. 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

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

5. 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

6. Percentage of Santa Clara County Middle and High School Students Who Were Overweight or Obese,
Source: California Healthy Kids Survey,

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

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

9. Percentage of Santa Clara County Middle and High School Students Who Ate Fruits and Vegetables the Previous Day, 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,

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

11. 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,

12. 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, 12

13. 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,

14. Injury Prevention

15. 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

16. 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

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

18. 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

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

20. 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

21. 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

22. 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

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

25. 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)
Main Line: (408)
Pamela Stoddard, PhD
Senior Epidemiologist
Santa Clara County Public Health Department
Direct: (408)
Main Line: (408)