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Federal Overview for Public Health Nutrition

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Title: Federal Overview for Public Health Nutrition


1
Federal Overview for Public Health Nutrition
2
Some Major Players
  • USDA
  • Food and Nutrition Service
  • Center for Nutrition Policy and Promotion
  • Food Safety and Inspection Service (FSIS)
  • Department of Health and Human Services
  • CDC
  • HRSA
  • FDA
  • NCI
  • Office of Disease Prevention and Health Promotion
  • EPA

3
  • USDA Mission Enhance the quality of life for the
    American people by supporting production of
    agriculture
  • ensuring a safe, affordable, nutritious, and
    accessible food supply
  • caring for agricultural, forest, and range lands
  • supporting sound development of rural
    communities
  • providing economic opportunities for farm and
    rural residents
  • expanding global markets for agricultural and
    forest products and services
  • and working to reduce hunger in America and
    throughout the world.
  • USDA Vision A healthy and productive Nation in
    harmony with the land.

4
Food and Nutrition Service (FNS)
  • works to increase food security and reduce hunger
    by providing children and low-income people with
    access to food, a healthy diet, and nutrition
    education in a manner that supports U.S.
    agriculture and inspires public confidence in the
    Nation's domestic nutrition assistance programs.
  • FNS nutrition assistance programs represent over
    nearly half of USDA's budget.

5
FNS Programs
  • Food Stamp Program
  • Child Nutrition Programs
  • Special Supplemental Nutrition Program for Women,
    Infants, and Children (WIC).
  • Commodities to low-income Americans.
  • Monitoring of the eating habits of program
    participants

6
Center for Nutrition Policy and Promotion (CNPP)
  • develops and promotes science-based dietary
    guidance and economic information for consumers
    and professionals in health, education, industry,
    and media

7
Center for Nutrition Policy and Promotion (CNPP)
  • Partner with HHS for Dietary Guidelines
  • Healthy Eating Index
  • Nutrient Content of the Food Supply
  • Food Guide Pyramid
  • Thrifty Food Plan

8
Dietary Guidelines 2000 A
  • Aim for Fitness
  • Aim for a healthy weight.
  • Be physically active each day.

9
Dietary Guidelines 2000 B
  • Build a Healthy Base.
  • Let the Pyramid guide your food choices.
  • Choose a variety of grains daily, especially
    whole grains.
  • Chose a variety of fruits and vegetables daily.
  • Keep food safe to eat.

10
Dietary Guidelines 2000 C
  • Choose Sensibly.
  • Choose a diet that is low in saturated fat and
    cholesterol and moderate in total fat.
  • Choose beverages and foods to moderate your
    intake of sugars.
  • Choose and prepare foods with less salt.
  • If you drink alcoholic beverages, do so in
    moderation.

11
Department of Health and Human Services
12
Office of Disease Prevention and Health Promotion,
  • Works to strengthen the disease prevention and
    health promotion priorities of the Department
    within the collaborative framework of the HHS
    agencies.
  • Collaborated with USDA on Dietary Guidelines

13
National Cancer Institute 5 A Day for Better
Health
  • The national Program gives Americans a simple,
    positive message - eat 5 or more servings of
    fruits and vegetables every day for better
    health. The program is jointly sponsored by the
    National Cancer Institute in the U.S. Department
    of Health and Human Services and the Produce for
    Better Health Foundation, a nonprofit consumer
    education foundation representing the fruit and
    vegetable industry. The National Cancer Institute
    funds behavior change and communications research
    to determine strategies that are effective to
    increase fruit and vegetable consumption.

14
Centers for Disease Control Mission
  • To promote health and quality of life by
    preventing and controlling disease, injury, and
    disability

15
Centers for Disease Control 11 Centers,
Institutes, and Offices
  • Epidemiology Program Office
  • National Center for Chronic Disease Prevention
    and Health Promotion
  • National Center for Environmental Health
  • Office of Genetics and Disease Prevention
  • National Center for Health Statistics
  • National Center for HIV, STD, and TB Prevention
  • National Center for Infectious Diseases
  • National Center for Injury Prevention and Control
  • National Immunization Program
  • National Institute for Occupational Safety and
    Health
  • Public Health Practice Program Office

16
National Center for Chronic Disease Prevention
and Health Promotion
  • Vision Enabling all people in an increasingly
    diverse society to lead long healthy, satisfying
    lives.

17
National Center for Chronic Disease Prevention
and Health Promotion
  • Mission
  • To prevent death and disability from chronic
    diseases
  • To promote maternal, infant, and adolescent
    health.
  • To promote healthy personal behaviors.
  • To accomplish these goals in partnership with
    health and education agencies, major voluntary
    associations, the private sector, and other
    federal agencies.

18
Division of Nutrition and Physical Activity
Purpose
  • provides science-based activities for children
    and adults that address the role of nutrition and
    physical activity in health promotion and the
    prevention and control of chronic diseases

19
Division of Nutrition and Physical Activity
Scope
  • Epidemiology
  • Applied research
  • Public health policy
  • Surveillance
  • Community interventions,
  • Evaluation
  • Communications

20
Sample of CDC Nutrition and Physical Activity
Projects
  • Surgeon Generals report on Physical Activity in
    1996.
  • Funding of 24 Prevention Research Centers
  • Funding 16 states to provide coordinated school
    based programs for nutrition and physical
    activity
  • Creation of Healthy Schools Indices
  • Expansion of National Breast and Cervical Cancer
    Early Detection Program to include dietary and
    physical activity interventions
  • Promotion of Active Community Environments

21
Future Activities for DNPA
  • CDC considers it a priority that people be
    afforded opportunities to pursue and maintain
    good health through such avenues as safe walking
    and cycling trails low-fat, high-fruit-and-vegeta
    ble menu selections in restaurants, schools, and
    worksite cafeterias and physical activity
    programs in schools, worksites, and community
    gathering places.

22
Healthy People 2010
23
What is Healthy People?
  • Healthy People 2010 is the prevention agenda for
    the Nation. It is a statement of national health
    objectives designed to identify the most
    significant preventable threats to health and to
    establish national goals to reduce these threats.

24
Predecessors
  • 1979 - Healthy People The Surgeon Generals
    Report on Health Promotion and Disease Prevention
  • 1980 - Promoting Health/Preventing Disease
    Objectives for the Nation,Healthy People
  • 1990 - Healthy People 2000 National Health
    Promotion and Disease Prevention Objectives

25
Process of Development
  • Broad Consultation Process Healthy People
    Consortium with 350 organizations and 250
    government agencies
  • Built on best scientific evidence final
    objectives developed by teams of experts from
    variety of federal agencies
  • Coordinated by Office of Disease Prevention and
    Health Promotion
  • Designed to measure progress over time

26
(No Transcript)
27
2 Overarching Goals
  • Increase Quality and Years of Healthy Life
  • Eliminate Health Disparities

28
10 Leading Health Indicators Establish
Priorities and Focus
  • Physical Activity
  • Overweight and obesity
  • Tobacco use
  • Substance abuse
  • Responsible sexual behavior

29
10 Leading Health Indicators Establish
Priorities and Focus
  • Mental health
  • Injury and violence
  • Environmental quality
  • Immunization
  • Access to health care

30
28 Focus Areas, Including
  • Overweight and nutrition
  • Food Safety

31
Overweight and Nutrition
  • Goal Promote health and reduce chronic disease
    associated with diet and weight.

32
Weight Status and Growth
  • 19-1 Healthy weight in adults
  • 19-2 Obesity in adults
  • 19-3 Overweight or obesity in children and
    adolescents
  • 19-4 Growth retardation in children

33
Food and Nutrient Consumption
  • 19-5 Fruit intake
  • 19-6 Vegetable intake
  • 19-7 Grain product intake
  • 19-8 Saturated fat intake
  • 19-9 Total fat intake
  • 19-10 Sodium intake
  • 19-11 Calcium intake

34
Iron Deficiency and Anemia
  • 19-12 Iron deficiency in young children and in
    females of childbearing age
  • 19-13 Anemia in low-income pregnant females
  • 19-14 Iron deficiency in pregnant females

35
Schools, Worksites, and Nutrition Counseling
  • 19-15 Meals and snacks at school
  • 19-16 Worksite promotion of nutrition
    education and weight management
  • 19-17 Nutrition counseling for medical
    conditions

36
Food Security
  • 19-18 Increase food security among U.S.
    households and in so doing reduce hunger

37
Related Objectives
  • Access to Quality Health Services
  • Arthritis, Osteoporosis, and Chronic Back
    Conditions
  • Cancer
  • Chronic Kidney Disease
  • Diabetes
  • Educational and Community-Based Programs

38
Related Objectives, Cont..
  • Health Communication
  • Heart Disease and Stroke
  • Maternal, Infant, and Child Health
  • Mental Health and Mental Disorders
  • Physical Activity and Fitness
  • Substance Abuse

39
Food Safety Objectives
  • Goal Reduce foodborne illnesses

40
Food Safety Objectives
  • 10-1 Foodborne infections
  • 10-2 Outbreaks of foodborne infections
  • 10-3 Antimicrobial resistance of Salmonella
    species
  • 10-4 Food allergy deaths
  • 10-5 Consumer food safety practices
  • 10-6 Safe food preparation practices in retail
    establishments
  • 10-7 Organophosphate pesticide exposure

41
Food Safety A Team Approachhttp//vm.cfsan.fda.g
ov/lrd/foodteam.htmlCDC
  • FDA
  • CDC
  • USDA
  • Cooperative Extension Service
  • National Agricultural Library USDA/FDA
    Foodborne Illness Education Information Center
  • EPA
  • U.S. Department of Commerce National Oceanic
    and Atmospheric Administration

42
Food Safety Team, Cont..
  • U.S. Department of the Treasury Bureau of
    Alcohol, Tobacco and Firearms
  • U.S. Customs Service
  • U.S. Department of Justice
  • Federal Trade Commission
  • State and Local Governments

43
Food Safety and Inspection Service (FSIS)
  • sets standards for food safety and inspects meat,
    poultry, and egg products produced domestically
    and imported

44
FDA
  • FDA's mission is to promote and protect the
    public health by helping safe and effective
    products reach the market in a timely way, and
    monitoring products for continued safety after
    they are in use.

45
  • FDA safeguards the nation's food supply by making
    sure that all ingredients used in foods are safe,
    and that food is free of contaminants -- like
    disease-causing organisms, chemicals, or other
    harmful substances.
  • The agency must approve new food additives before
    they can be used in foods. FDA also monitors the
    safety of dietary supplements and the content of
    infant formulas and medical foods.
  • Meat and poultry products, however, are regulated
    by the USDA.

46
EPA Food and Water Safety
  • Establishes safe drinking water standards
    Regulates toxic substances and wastes to prevent
    their entry into the environment and food chain
  • Assists states in monitoring quality of drinking
    water and finding ways to prevent contamination
    of drinking water
  • Determines safety of new pesticides, sets
    tolerance levels for pesticide residues in foods,
    and publishes directions on safe use of
    pesticides
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