Title: Federal Overview for Public Health Nutrition
1Federal 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.
4Food 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.
5FNS 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
6Center 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
7Center 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
8Dietary Guidelines 2000 A
- Aim for Fitness
- Aim for a healthy weight.
- Be physically active each day.
9Dietary 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.
10Dietary 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.
11Department of Health and Human Services
12Office 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
13National 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.
14Centers for Disease Control Mission
- To promote health and quality of life by
preventing and controlling disease, injury, and
disability
15Centers 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
16National Center for Chronic Disease Prevention
and Health Promotion
- Vision Enabling all people in an increasingly
diverse society to lead long healthy, satisfying
lives.
17National 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.
18Division 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
19Division of Nutrition and Physical Activity
Scope
- Epidemiology
- Applied research
- Public health policy
- Surveillance
- Community interventions,
- Evaluation
- Communications
20Sample 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
21Future 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.
22Healthy People 2010
23What 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.
24Predecessors
- 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
25Process 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)
272 Overarching Goals
- Increase Quality and Years of Healthy Life
- Eliminate Health Disparities
2810 Leading Health Indicators Establish
Priorities and Focus
- Physical Activity
- Overweight and obesity
- Tobacco use
- Substance abuse
- Responsible sexual behavior
2910 Leading Health Indicators Establish
Priorities and Focus
- Mental health
- Injury and violence
- Environmental quality
- Immunization
- Access to health care
3028 Focus Areas, Including
- Overweight and nutrition
- Food Safety
31Overweight and Nutrition
- Goal Promote health and reduce chronic disease
associated with diet and weight.
32Weight 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
33Food 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
34Iron 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
35Schools, 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
36Food Security
- 19-18 Increase food security among U.S.
households and in so doing reduce hunger
37Related Objectives
- Access to Quality Health Services
- Arthritis, Osteoporosis, and Chronic Back
Conditions - Cancer
- Chronic Kidney Disease
- Diabetes
- Educational and Community-Based Programs
38Related Objectives, Cont..
- Health Communication
- Heart Disease and Stroke
- Maternal, Infant, and Child Health
- Mental Health and Mental Disorders
- Physical Activity and Fitness
- Substance Abuse
39Food Safety Objectives
- Goal Reduce foodborne illnesses
40Food 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
41Food 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
42Food 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
43Food Safety and Inspection Service (FSIS)
- sets standards for food safety and inspects meat,
poultry, and egg products produced domestically
and imported
44FDA
- 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.
46EPA 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