Coordinated Chronic Disease Program Leads and Chronic Disease Program Directors:
Welcome to the Coordinated Chronic Disease Prevention and Health Promotion Program’s (CCDP) weekly update featuring news, tools, and resources that may be useful for your state-based chronic disease prevention and health promotion efforts.
Should you have any questions about the update, please feel free to contact me using the information located at the end of the update. Enjoy!
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BETTER TRANSPORTATION OPTIONS=HEALTHIER LIVES
The NewPublicHealth National Prevention Strategy series is underway, including interviews with Cabinet Secretaries and their National Prevention Council designees, exploring the impact of transportation, education and more on health. "Better Transportation Options = Healthier Lives" tells a visual story on the role of transportation in the health of our communities.
ROBERT WOOD JOHNSON FOUNDATION: THE FUTURE OF HEALTH
Visit RWJF.org/futureofhealthfor new interviews, research updates, and project spotlights on critical issues shaping the future of our nation’s health and health care, including:
Reversing the trend of childhood obesity: Jessica Donze Black of the Kids’ Safe & Healthful Foods Project examines snacks sold in secondary schools and stories of states moving in the right direction. Also, a new study from the Yale Rudd Center for Food Policy & Obesity looks at parents’ attitudes about food marketing to children.
Working across sectors to improve health: Big ideas for bridging across sectors from thought leaders, including conversations with the California Endowment President Robert Ross and new APHA President Adewale Troutman.
UPCOMING WEBINARS: HOW TO ACHIEVE GOALS OF LET’S MOVE! CITIES, TOWNS, AND COUNTIES
This month, the YEF Institute will host two free, hour-long webinars on the Let's Move! Cities, Towns and Counties (LMCTC) initiative. Listeners will learn strategies for promoting healthy lifestyles and reducing high rates of childhood obesity.
Goal I: Start Early, Start Smart, November 14, 3:00pm (ET) This webinar will provide valuable information related to the first LMCTC goal: Start Early, Start Smart. Learn how local elected officials can provide children with a healthier start by helping early care and education program providers incorporate best practices for nutrition, physical activity and screen time into their programs. Representatives of an LMCTC site will share their experience in achieving this goal. Attendees will also hear from Kam Sripada, Ed.M., Office of Child Care, Administration for Children & Families, U.S. Department of Health & Human Services, and other subject matter experts. Click here to register. Highlighting Your Community's Achievements, December 5, 3:00pm (ET) Learn about new features on the Healthy Communities for a Healthy Future website. This webinar will show website users how to submit information about their city, town or county's Let's Move! activities for display on their community profile page. Click here to register.
November is National Diabetes Month. In 2010, nearly 26 million persons in the United States had diabetes, and an estimated 79 million adults had prediabetes (1). Persons with diabetes can take steps to control the disease and prevent complications, and those with prediabetes can prevent or delay the onset of type 2 diabetes through weight loss and physical activity (1,2).
Diabetes can occur at any age (1). To address the burden of diabetes among U.S. youths, CDC and the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health support the SEARCH for Diabetes in Youth study (http://www.searchfordiabetes.org). The study provides estimates of the incidence and prevalence of diabetes in young persons in the United States.
Persons with diabetes might be exposed to bloodborne viruses through contaminated equipment. Insulin pens and similar devices for delivery of diabetes medications are meant for one person only and should never be shared. New resources include print materials (http://www.oneandonlycampaign.org/content/print-materials) to raise awareness about the basics of injection safety. Because adults with diabetes are at increased risk for developing kidney disease (1), CDC also is launching the National Chronic Kidney Disease Surveillance System (http://www.cdc.gov/ckd) to monitor chronic kidney disease trends in the United States. Access full text article.
DIABETES DEATH RATES AMONG YOUTHS AGED < 19 YEARS—UNITED STATES, 1968-2009
Although diabetes mellitus most often is diagnosed in adulthood, it remains one of the most common serious chronic diseases of childhood (1). Youths with diabetes are at risk for diabetes-related mortality because of acute complications that can result from the condition (2), including diabetic ketoacidosis and hypoglycemia (3). In the United States in 2010, an estimated 215,000 persons aged ≤19 years had diagnosed diabetes (3). Medical care for diabetes has improved considerably in recent decades, leading to improved survival rates. However, recent trends in diabetes death rates among youths aged <10 years and 10–19 years in the United States have not been reported. To assess these trends, CDC analyzed data from the National Vital Statistics System for deaths in the United States with diabetes listed as the underlying cause during 1968–2009. This report highlights the results of that analysis, which found that diabetes-related mortality decreased 61%, from an annual rate of 2.69 per million for the period 1968–1969 to a rate of 1.05 per million in 2008–2009. The percentage decrease was greater among youths aged <10 years (78%) than among youths aged 10–19 years (52%). These findings demonstrate improvements in diabetes mortality among youths but also indicate a need for continued improvement in diabetes diagnosis and care. Access full article.
NUTRITION, PHYSICAL ACTIVITY, AND OBESITY
QUICKSTATS: LEISURE-TIME PHYSICAL ACTIVITY AMONG MEN AGED 25-64 YEARS, BY AGE GROUP AND VETERAN STATUS – NATIONAL HEALH INTERVIEW SURVEY, UNITED STATES, 2007-2010
During 2007–2010, higher percentages of male veterans than nonveterans aged 25–34 years (37% versus 28%), 35–44 years (31% versus 22%), and 45–54 years (22% versus 19%) participated in leisure-time physical activities that met the federal 2008 Physical Activity Guidelines for Americans. Little difference was observed between veterans and nonveterans in the 55–64 years age group. Levels of leisure-time physical activity decreased with age among both veterans and nonveterans. Access article.
APHA & THE PEDESTRIAN AND BICYCLE INFORMATION CENTER WEBINAR: TRAIL PROJECTS AND WALKING PROGRAMS THAT PROMOTE PUBLIC HEALTH, NOVEMBER 13, 2:00PM
APHA, in conjunction with the Pedestrian and Bicycle Information Center, is offering a free webinar that showcases how public health professionals are supporting trails and walking programs. To register, visit: https://www2.gotomeeting.com/register/479261866
To encourage appropriate levels of physical activity in their communities, public health practitioners across the nation are getting involved in promoting walking programs and trail use. Additionally, trail managers and walking advocates are leveraging opportunities for collaboration with their partners in health to promote walking and trail use as a safe, accessible way to improve health. Walking programs can contribute to the treatment and prevention of a number of chronic conditions such as diabetes, depression and high blood pressure. This webinar will show how diverse communities are aiming to improve public health through trail use and walking programs. For more information, visithttp://www.apha.org/transportation.
Hosted by the American School Health Association and the Centers for Disease Control and Prevention (CDC), this webinar will discuss how parent engagement in school health positively influences the health of children and adolescents. Dr. Joyce Epstein, Director of the Center on School, Family, and Community Partnerships and National Network of Partnership Schools at Johns Hopkins University, will provide an overview of high quality programs for school, family, and community partnerships. Dr. Shannon Michael, adolescent health researcher at the CDC, will describe how parent engagement in schools positively impacts adolescent education and health outcomes, and will identify evidence-based strategies and actions for engaging parents in school health. The session will end with an in-depth overview of CDC’s newly released resources for parent engagement in school health. Click here to register.
Join Dr. Kevin Fenton, Director of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, and subject matter experts Dr. Shannon Michael, adolescent health researcher in CDC’s Division of Adolescent and School Health and Dr. Patricia Dittus, behavioral scientist in CDC’s Division of STD Prevention, for an interactive TwitterChat to share and discuss evidence-based strategies and actions for engaging parents in school health. Follow #HealthyYouthChat to participate.
CURRENT TOBACCO USE AND SECONDHAND SMOKE EXPOSURE AMONG WOMEN OF REPRODUCTIVE AGE – 14 COUNTRIES, 2008-2010
Tobacco use and secondhand smoke (SHS) exposure in reproductive-aged women can cause adverse reproductive health outcomes, such as pregnancy complications, fetal growth restriction, preterm delivery, stillbirths, and infant death (1–3). Data on tobacco use and SHS exposure among reproductive-aged women in low- and middle-income countries are scarce. To examine current tobacco use and SHS exposure in women aged 15–49 years, data were analyzed from the 2008–2010 Global Adult Tobacco Survey (GATS) from 14 low- and middle-income countries: Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam. The results of this analysis indicated that, among reproductive-aged women, current tobacco smoking ranged from 0.4% in Egypt to 30.8% in Russia, current smokeless tobacco use was <1% in most countries, but common in Bangladesh (20.1%) and India (14.9%), and SHS exposure at home was common in all countries, ranging from 17.8% in Mexico to 72.3% in Vietnam. High tobacco smoking prevalence in some countries suggests that strategies promoting cessation should be a priority, whereas low prevalence in other countries suggests that strategies should focus on preventing smoking initiation. Promoting cessation and preventing initiation among both men and women would help to reduce the exposure of reproductive-aged women to SHS. Access full article.