BUILDING A HEALTHY CLARK COUNTY

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BUILDING A HEALTHY CLARK COUNTY

• Barbara K. Paulsen, MS, RD

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Where Are We Going?

• 2003 - 1,620,748
• 2010 - 1,945,409
• 2020 - 2,306,290
• 2035 - 2,796,596 (72 increase)

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Challenges of Growing

• Marketing
• Programs
• Our organizations/agencies
• Communities
• Totally new physically and in population
• Programs
• Changing ethnic mix
• Data collection challenges

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The School Environment

• 5th largest school district in the country
• (was 6th last year)
• 301 schools with 285,000 students
• Average of 12 new schools per year
• 18 for next year
• Rezoning and student movement

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Schools continued

• Transient population
• In and out of the city
• From school to school
• How do you measure change?
• Increasing of ESL schools

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Exciting Times

• Growing number of organizations, agencies and
  individuals who have made healthy schools a
  priority and have joined together to create
  change.
• Positive change is happening.
• Clark County School District is proactively
  addressing key issues in schools.

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Key Activities

• Nevada Action For Healthy Kids StateTeam (NVAFHK)
• Dairy Council
• Clark County School District Nutrition Policy

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AFHK

• Founded in the fall of 2002, AFHK is an
  integrated, national-state effort that is
  addressing the epidemic of overweight,
  undernourished and sedentary youth by focusing on
  changes in the school environment.
• Former Surgeon General David Satcher, MD, PhD was
  the first chair of the group.

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• Over 35 national organizations and government
  agencies representing education, fitness and
  health and nutrition provide guidance to the
  national group.
• There are 51 AFHK state teams that include
  volunteer leaders in education, administration,
  health, physical activity, government, student
  leaders, concerned parents and business leaders.

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Locating Your State Team

• www.ActionForHealthyKids.org
• Click on state teams on top banner
• Click on your state
• Read an overview of activities and key contacts

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NVAFHK Objectives

• Increase participation in school breakfast
  programs.
• Introduce new breakfast approaches such as
  Breakfast in the Classroom.
• Encourage schools to have recess before lunch.
• Assist schools in implementing more lifetime
  activity programming during the school day.

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NVAFHK Physical Activity Objective

• Initially establish baseline on what schools are
  currently doing.
• Determine the primary barriers to change.
• Build further partnerships to assist in
  developing strategies for schools.

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Survey of Principals

• Separate survey for elementary, middle and high
  schools
• Mailed to all principals in Nevada
• Asked about
• Physical education classes
• Physical activity programming before, during and
  after school
• Types of programming
• Barriers

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Background Information

• Physical education is mandated by the state for
  secondary level students.
• 4 credits to graduate
• 2 credits must be in formal PE classes 2 can
  come from a variety of activities such as
  organized sports, marching band, etc.
• Physical education is recommended, but not
  mandated at the elementary level.
• Recommended level is 90 minutes per week (3
  sessions)

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Survey Results

• 204 schools responded
• 143 schools in Clark County
• 89 elementary schools
• 23 middle/junior high schools
• 20 high schools
• 1 K-9 school
• 10 alternative schools

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Results Continued

• All 89 elementary schools in Clark County provide
  physical education classes.
• 86 elementary schools have PE 2x per week falling
  short of the 90 minute recommendation.
• 2 elementary schools have PE 1x per week.

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Results Continued

• Middle schools offer anywhere from 1 to 9
  semesters of PE.
• All high schools and 5 alternative schools met
  the 4 semester requirement.

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Physical Activity Programming
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Type of Programming

• Intramural Sports
• Organized Sports
• Walking Programs
• Dance
• Other
• Our hypothesis is that intramural and organized
  sports will be listed most frequently.
• Informal survey of 2700 students at a local high
  schools indicated that only 15 were
  participating in sports activities.

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Reasons For Not Offering PA Programs
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Where Do We Go From Here

• Work toward establishing a mandate for physical
  education at the elementary level.
• Educate school administrators about lifetime
  physical activity versus sports activity.
• Identify funding sources for PA programming.
• Provide schools with information on existing
  lifetime PA programs.

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Additional AFHK Objectives

• To support established nutrition and wellness
  policies.
• To host a conference in 2005 to foster
• Sharing among groups with similar objectives
• Development of a coordinated plan for healthy
  schools in Nevada
• Maximize use of resources

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Dairy Council

• National non-profit scientific and educational
  organization funded by dairy farmers.
• Mission is to promote optimal health through
  leadership in nutrition education and research by
  encouraging food selection patterns that include
  dairy foods and other major food categories in
  accordance with scientific recommendations.

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Dairy Council

• Has a variety of nutrition education materials
  and programs for educators, health professionals
  and consumers.
• Regional/state organizations employ registered
  dietitians to serve as a resource in their
  communities.
• Dairy Council staff participate in health
  promotion initiatives/ coalitions at the local,
  state and national levels.

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Materials for Schools

• Comprehensive curriculum kits for 2nd and
• 4th grade teachers
• After-school program focusing on nutrition,
  physical activity and teamwork coming Fall 2005
• Variety of other colorful, interactive learning
  tools
• Teacher website with downloadables at
  www.nutritionexplorations.org

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Contact Information

• www.nationaldairycouncil.org
• Nutrition information
• Downloadable health education kits
• Listing of local Dairy Council contacts
• Type in Contact Us and scroll down to media
  section and click on local dairy council
  directory
• Click on your state

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Clark County School District Nutrition Policy

• Effective July 1, 2004.
• Applies from ½ hour before the start of school
  until ½ hour after school ends.
• Covers all foods sold in schools including food
  service a la carte sales, school stores, vending
  and fund raising.
• Is administered by the School Food Service
  Department.

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Nutrition Policy Continued

• Provides specific nutrition requirements foods
  and beverages must meet.
• Provides portion size limits for product
  categories.
• No carbonated beverages at any school including
  high schools during effective hours.

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The Nutrition Policy Does NOT Cover

• Food sales outside the effective hours.
• Foods used by teachers in classroom activities.
• Foods provided by parents for class parties, etc.

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High Risk Schools/SBHC

• There are currently 3 School Based Health Centers
  in Clark County in communities that have a high
  rate of poverty disparities in access to health
  services and health education lower test scores
  and increasing drop out rates (21st Century
  Learning Center Report).

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2001 Behavioral Risk Results

• 53 of students believe that they are at the
  right weight.
• 49 of students were trying to lose weight
  through exercise (63), eat less food (43), diet
  pills (8), vomiting or laxatives (8).
• 83 of Nevada students do not eat five or more
  servings of fruits and vegetables per day and 87
  do not drink three or more glasses of milk per
  day.
• 35 of students do not exercise or participate in
  sports activities for at least 20 minutes that
  make them sweat and breathe hard on 3 or more
  occasions per week.

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USDA Grant/SBHC Project

• Obtained funding from the USDA to provide
  educational materials to middle school students

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Results of Survey Questions

• Written survey captured students responses to
  questions related to food choices at their
  schools
• Not many choices at school (pizza served
  frequently)
• Confusion over what is considered a healthy lunch
• Discussion questions probed students about
  activities they would be interested in doing if a
  club were organized
• Several types of dancing, sports, computer and
  video games

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Next Steps

• CCHD health education staff is committed to work
  with other community groups (AFHK) focused on
  supporting the recent nutrition policy changes in
  the schools.
• Introducing students to the healthier choices
  available in the lunchroom and in vending
  machines by implementing in-school marketing of
  healthy food items and by offering opportunities
  to taste new food items.

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Other CCHD Projects

• Developed Worksite Wellness Kits for Small
  Businesses
• Tobacco use, unhealthy diet and physical activity
  
• Sent 58 kits in 2004, will revise content 2004-05
• Increase physical activity (pedometer) and
  healthy eating habits (5 a Day)
• Smoke-free worksite and restaurant information
• Low-cost tips and resources to add wellness into
  each worksite

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Other Projects Continued

• Walking programs for employees
• Campaign to Take the Stairs instead of elevators
• Online walking program
• Diabetes Screening at VONS stores
• Smoke-free Restaurant Campaign
• Contact Rayleen Earney for additional information
  at phone [phone], E-mail
  earney_at_cchd.org
• Check out our website at www.gethealthyclarkcount
  y.org

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Building a Healthy Clark County

• Work together
• Coordinate activities to maximize resources
• Establish baseline data
• Build on existing successful programs
• Always be ready for change