1. Ending Hunger in Oregon: 2012 Food Security Summit Public Health Strategies for Increasing Access to Healthy Food Sonia Manhas Community Wellness & Prevention Multnomah County Health Department January 19, 2012

2. Role of Local Health Departments Maintain working relationships with State Public Health partners, as well as multiple public, non-profit, and private sector organizations Focus specifically on preventing disease, promoting health and protecting all people Carry out statutory authority within their jurisdiction Develop deep knowledge about the communities and people they serve

3. 1999 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2008 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2008 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

4. Disproportionate burden Native Americans/Alaska Natives and Hispanics had the highest proportions of overweight and obesity. African Americans have a higher stroke mortality rate than their white, Non- Hispanic counterparts. African Americans had a diabetes mortality rate more than twice as great as their white, non-Hispanic counterparts

5. Public health prevention: Increase access to healthy food Access Physical availability Product quality Nutritional value Affordability Cultural relevance

6. Maximizing population-wide impact & increasing health equity Multiple strategies Farm to institution partnerships Urban agriculture Increasing electronic benefit transfer access Nutrition standards Nutritional labeling Product placement & marketing Facility improvements City planning Multiple settings Schools Retail stores Faith-based centers Parks & recreation centers Health care & hospitals Senior centers Neighborhoods Worksites

7. Through extensive partnerships Upstream Public Health Oregon Public Health Institute Oregon Physicians for Social Responsibility / Healthcare Without Harm Highland Haven Church Immigrant Refugee Community Organization (IRCO) African American Health Coalition El Programa Hispano Ecumenical Ministries of Oregon (EMO) Janus Youth – Village Market Cascadia Behavioral Health Ecotrust Urban League of Portland Portland Multnomah Food Policy Council Multnomah County SUN Program Multnomah County Aging & Disability Services Portland Public School District David Douglas School District Parkrose School District Centennial School District Gresham-Barlow School District Reynolds School District Riverdale School District Oregon & Multnomah County Women, Infants, and Children (WIC) Program Food Retailers

8. Multnomah County Healthy Retail Initiative Working in partnership with corner store owners and operators to increase the availability, promotion, and marketing of healthy food and beverages

9. Healthy Active Schools Program Working with school districts to implement wellness policies and changes to the school environment that increase availability of healthy food and encourage healthy eating

10. Nutrition Guidelines & Food Procurement Policy Working with cross-sector partners, including non-profit organizations, governmental entities, and private employers, to adopt nutrition policies that improve the food environment and increase food choices.

11. Opportunities for Partnerships Community Assessments Community Planning Food Policy Councils Community Coalitions Food Donations Community Health Improvement Plans

12. Built Environment Atlas web.multco.us/news/how-healthy-your-neighborhood It Starts Here: Campaign for a Healthy Active Multnomah County multco-itstartshere.org Portland Multnomah Food Policy Council portlandonline.com Multnomah Food Initiative multnomahfood.org Resources