1. Template Instructions 1.Look for boxes with red instructions on each slide. Follow the directions and then delete the text box. 2.Delete any slides you want to make the presentation meet your time requirements. 3.Update the charts on slides 3 and 4. 4.Replace red placeholder text with your data. 5.Slides 25-30 are optional. They are included for any health departments presenting findings for “reassessed neighborhoods.” 6.Delete this instruction slide.

2. A Health Snapshot of Our Communities Insert county logo Replace with pictures from your neighborhoods

3. Communities of Excellence Communities of Excellence in Nutrition, Physical Activity, and Obesity Prevention (CX 3 ) takes a look at select low-income neighborhoods in to measure the nutrition environment and identify opportunities for improvement. Replace with pictures from your neighborhoods

4. Obesity on the Rise CDC Behavioral Risk Factor Surveillance System Trends Data, 1995-2010

5. Childhood Obesity For Position Only County staff or Network staff to Update Chart with possible sources of Fitnessgram, CalCHEEPS, CalTEENS or other data source

6. Understanding the Problem More than half of all adults are overweight or obese Likelihood of being overweight is influenced by the environment in which you live In California there are four times as many unhealthy food outlets as healthy outlets Low-income communities tend to have the poorest food choices Designed for Disease: The Link between Local Food Environments and Obesity and Diabetes. California Center for Public Health Advocacy, PolicyLink, and the UCLA Center for Health Policy Research. April 2008.

7. The Cost of Obesity Significant increase in related chronic diseases Obesity is taking a toll on the County’s economy:  Increased health care costs  Increased workers compensation costs  Increased absenteeism  Lost productivity  Reduced competitiveness Visscher T.L. and Seidell, J.C. “The Public Health Impact of Obesity.” Annu Rv Public Health, 2002, 22:355-375; and U.S. Department of Health and Human Services. “Overweight and Obesity: Health Consequences.”

8. Mapping the Neighborhoods collected and analyzed local data from to in three steps: 1.Geographic Information System website 2.Field surveys of neighborhood stores 3.Standardized scoring system developed by CX 3 Replace with pictures from your neighborhoods

9. What Did We Look At? All types of foods stores in neighborhood Replace with pictures from your neighborhoods

10. What Did We Look At? Fast Food Outlets Replace with pictures from your neighborhoods

11. What Did We Look At? Walkability Replace with pictures from your neighborhoods

12. What Else Did We Look At? Parks, Schools, Healthy Foods & Emergency Food Outlets Replace with pictures from your neighborhoods

13. Criteria for Measuring Quality Access Price Availability Nutrition Information Exterior Advertising Interior Advertising & Promotions Walkability

14. Neighborhood Food Store Quality Access, availability, quality and promotion of nutritious foods are key measurements of a healthy environment Stores scoring 75 points or better (100 points possible) met “quality standards” Scores were awarded on a variety of factors Replace with picture(s) from your neighborhoods

15. Fast Food Score The marketing of fast food takes a variety of forms and shapes the diet and expectations of a neighborhood Stores scoring 37/50 or better met “quality standards” Scores were awarded on a variety of factors Replace with picture(s) from your neighborhoods

16. In California’s Low-Income Neighborhoods... 22% of neighborhoods have no healthy food sources More than 90% of schools are within a ½ mile of small markets and convenience stores Fast food outlets are in 94% of neighborhoods Schools have an average of 5 fast food outlets within a ½ mile Only 25% of neighborhoods have farmers’ markets 27% of food banks do not offer fresh produce on a daily basis

17. Food Stores in California’s Low-Income Neighborhoods... The mean store score was 43.7 points out of 100 Majority of supermarkets and large grocery stores are “high quality” 81% of small markets sell fresh produce, but quality varies with only 1/3 carrying good quality fruit Small markets have the most room for improvement 46.3% Small Market 33.2% Convenience Store 7.6% Other 7.4% Supermarket 5.5% Large Grocery

18. SAMPLE Insert Maps of Neighborhood(s) here How Does Our Community Compare?

19. Key Neighborhood Findings Our neighborhoods are out-of-balance from a nutrition and health perspective Characterized by limited access to affordable, healthy foods Dominated by stores where packaged, less healthy food dominate List a compelling finding here Replace with picture(s) from your neighborhoods

20. Copy and paste the Neighborhood Snapshot from your Community Brief here

21. Pleasant Surprises! Insert pictures of impressive food environments (great f&v display, food mural, etc.)

22. Individual Store Scores X small markets X convenience stores X grocery stores X out of X met quality standards Insert photo of store in community

23. Opportunities X stores were close to meeting quality score With some help, these stores could: –Better serve neighborhood –Offer access to healthy foods –Play role in improving health

24. Raising the Score List Replace with picture(s) from your neighborhoods

25. Tackling Challenges… Seizing Opportunities Key strategy local government should move on Replace with picture(s) from your neighborhoods

26. Insert Maps of Neighborhood(s) here Reassessed Neighborhoods SAMPLE Slides 25 – 30 are OPTIONAL

27. What’s Changed? List a key improvement here Replace with picture(s) from your neighborhoods OPTIONAL SLIDE

28. Copy and paste the Neighborhood Snapshot from your Community Brief here OPTIONAL SLIDE

29. What Made a Difference? List a key factor that made a difference here Replace with picture(s) from your neighborhoods OPTIONAL SLIDE

30. Partnerships Are Critical List a partner you want to thank Replace with picture(s) from your neighborhoods OPTIONAL SLIDE

31. What’s Next? List an area where there’s still room for improvement Replace with picture(s) from your neighborhoods OPTIONAL SLIDE

32. This material was produced by the California Department of Public Health’s Network for a Healthy California with funding from United States Department of Agriculture’s Supplemental Nutrition Assistance Program, known in California as CalFresh (formerly Food Stamps). These institutions are equal opportunity providers and employers. CalFresh provides assistance to low- income households and can help buy nutritious foods for better health. For CalFresh information, call 1-877-847-3663. For important nutrition information, visit www.cachampionsforchange.net.www.cachampionsforchange.net Insert county logo Replace with picture(s) from your neighborhoods