fruit & vegetable nutrition coordinator call fruit and vegetable surveillance april 7, 2009...
TRANSCRIPT
![Page 1: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/1.jpg)
Fruit & Vegetable Nutrition Coordinator CallFruit and Vegetable SurveillanceApril 7, 2009
Heidi Blanck, MS, PhD Research and Surveillance Team Lead
Division of Nutrition, Physical Activity and Obesity, NCCDPHP, CDC
![Page 2: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/2.jpg)
DNPAO Goals
• Increase health-related physical activity through population-based approaches.
• Improve those aspects of dietary quality most related to population burden of chronic disease and unhealthy child development.
• Decrease prevalence of obesity through prevention of excess weight gain and maintenance of healthy weight loss.
![Page 3: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/3.jpg)
Nutrition Targets
• Increase the consumption of fruits and vegetables
• Decrease the consumption of sugar-sweetened beverages
• Reduce the consumption of high-energy-dense foods
• Increase breastfeeding initiation, duration, and exclusivity
![Page 4: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/4.jpg)
Fruit and Vegetable Focus Area
• Influencing the influencers to make policy and environmental changes
• Why “influencing the influencers”?• To impact 300 million Americans, we must work through others• Expect multiplier effect
• Who are the “influencers”?• School administrators, employers, state legislatures, planning
commissions, U.S. Congress, restaurant owners, retailers, grocery manufacturers
![Page 5: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/5.jpg)
Fruit and Vegetable Objectives
• Enhance state capacity to implement environmental and policy interventions
• Strengthen partnerships and advocacy efforts, strategies, and activities
• Identify, adapt, and/or develop surveillance systems to measure behavior, policy and environmental change
• Strengthen the science base related to environment and policy strategies and interventions
• Translate and disseminate effective/promising interventions
• Identify and reduce disparities related to access, availability, and consumption
![Page 6: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/6.jpg)
F&V Objectives
Identify, adapt, and/or develop surveillance systems to measure behavior, policy and
environmental change
![Page 7: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/7.jpg)
Story, M., K. M. Kaphingst, et al. (2008). "Creating healthy food and eating environments: policy and environmental approaches." Annual Rev Public Health 29: 253-72, Figure 1.
F&V Surveillance
• Surveillance across various levels of the SE model
• Individual
•FV Consumption
• Physical environment
•Workplace
•Schools
• Macro-level environments
•Policy actions
![Page 8: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/8.jpg)
Population-Based Surveillance: Individual F&V Data
• Behavioral Risk Factor Surveillance System (BRFSS) – F&V in odd years (6-item screener)
• Youth Risk Behavioral Survey (YRBS) – Classroom survey of high school students, F&V in odd years
![Page 9: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/9.jpg)
State-Based FV Surveillance
Use of an Abbreviated FV frequency questionnaire
• Measure FV intake of populations to monitor local (state) and trends in consumption overtime
• Evaluate interventions to promote fruit and vegetable consumption for the primary prevention of disease
• Use data to leverage resources, target programs, change policy
![Page 10: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/10.jpg)
BRFSS F&V Screener
• BRFSS 6-item F&V Frequency Screener
• How often do you drink fruit juices such as orange, grapefruit, or tomato?
• Not counting juice, how often do you eat fruit?
• How often do you eat green salad?
• How often do you eat potatoes not including French fries, fried potatoes, or potato chips?
• How often do you eat carrots?
• Not counting carrots, potatoes, or salad, how many servings of vegetables do you usually eat?
![Page 11: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/11.jpg)
F&V Consumption Among Adults
Cohen, Blanck et al., MMWR, 2007
2005 BRFSS Data, 50 States and D.C.
Healthy People 2010 health objectives include
• 75% the percentage of persons aged >2 y who eat at least 2 daily servings of fruit (objective 19-5)
• 33% ate fruit >=2 times/day
• 50% the proportion of persons aged >2 y who eat at least 3 daily servings of vegetables, with at least one third being dark green or orange vegetables (objective 19-6)
• 27% ate vegetables >=3 times/day
BOTH• 14% at both >=2 fruit/day and >=3 vegetables/day
• 2008 BRFSS Conference, Blanck et al.
![Page 12: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/12.jpg)
www.fruitsandveggiesmatter.gov
![Page 13: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/13.jpg)
BRFSS 2007Adults consuming ≥2 Fruit
![Page 14: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/14.jpg)
BRFSS 2007Adults consuming ≥3 Vegetable
![Page 15: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/15.jpg)
BRFSS 2007Adults consuming ≥2 Fruit & ≥3 Vegetable
![Page 16: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/16.jpg)
2007 Web F&V Data
• http://www.fruitsandveggiesmatter.gov/
• For Health Professionals section• Research
• 2007 Surveillance Data, BRFSS- Adults
• National, State
• By: Age, Sex, Race, Education, Income, BMI, physical activity
• Compare State to State• Compare State to National• Compare multiple years of data (back to 1996)
![Page 17: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/17.jpg)
2007 Web F&V Data
• http://www.fruitsandveggiesmatter.gov/
• For Health Professionals section• Research
• 2007 Surveillance Data, BRFSS- Adults
• GIS Maps – from BRFSS site
• State and MMSA• Metropolitan/Micropolitan Area Risk Trends (SMART)• Metropolitan/micropolitan statistical area (MMSA)
2000 Census.
• MMSAs with at least 500 completed interviews
![Page 18: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/18.jpg)
![Page 19: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/19.jpg)
![Page 20: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/20.jpg)
BRFSS F&V Screener
• BRFSS 6-item F&V Frequency Screener
• How often do you drink fruit juices such as orange, grapefruit, or tomato?
• Not counting juice, how often do you eat fruit?
• How often do you eat green salad?
• How often do you eat potatoes not including French fries, fried potatoes, or potato chips?
• How often do you eat carrots?
• Not counting carrots, potatoes, or salad, how many servings of vegetables do you usually eat?
![Page 21: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/21.jpg)
BRFSS F&V Screener
Strengths: • Short, moderate validity in most groups, lowest in Hispanic
mothers enrolled in WIC
• Created in 1989: No change overtime has allowed trends
Limitations:• Lacks text about forms: Fresh, frozen, canned, as well as
cooked versus raw forms
• Juice question does not specify 100% juice and thus lemonade and other fruit-flavored added sugar drinks (Hi-C, Sunny Delight) might be included
• Beans not included as vegetable (DG2005)
• Frequency only, new recommendations in Cups
![Page 22: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/22.jpg)
BRFSS F&V Revisions
• Catalogued concerns from state coordinators and CATI staff
• Adapted National Cancer Institute’s NHIS/CHIS questions, 8 item frequency screener6-item: Fruit juice, fruit, salad, potatoes (non-fried), beans/legumes,
other vegetables – rotation core questions
2-item: dark green, orange vegetables - state-added questions (stand alone)
• Analyzed NHANES 2003-04 24-hour recall data on top F&V contributors among adults for example listings (Kimmons et al., Submitted)
• Conducted two rounds of cognitive interviews, Fall 2007
• Field Tested Telephone, Summer 2008
![Page 23: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/23.jpg)
BRFSS F&V Pilot Plan
• In 2009, MA, TX & WA are testing in parallel with current screener, reliability via call-back
• Working with NCI to estimate median portion size in CUPS by age/sex/race-ethnicity• Allow states to determine proportion of adults meeting MyPyramid
individualized recommendations based on caloric needs, e.g. 2 cups fruit, 2.5 cups vegetables
• 2010 BRFSS methodology (weighting changes and mixed-modes: telephone, call, mailed surveys) will break ability to assess trends
Long Term Goal: 2011+, new F&V core module
![Page 24: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/24.jpg)
Environmental Surveillance Data
• Perceptions of physical access and availability of healthy eating (variety, forms, quality)
• MESA Study, Massachusetts BRFSS, NY BRFSS, NC CHAMP
• Community checklists (Physical presence):• Farmer’s markets, grocery & food stores, restaurants (WI Tool)
• Consumer environment (What food is in the store; quality, amount, cost):
• Nutrition Environment Measures Survey (NEMS), Thrifty Food Basket
• GIS, Spatial analysis• Census Tract level on presence of different types of grocery stores,
produce markets, farmers’ markets for California www.cnngis.org
• Organizational survey• School Health Policies and Programs Study (SHPPS)• ICMA survey (International City/County Management Association; NGO;
local government organization) typically examines the services, practices, and policies of local governments.
![Page 25: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/25.jpg)
Environmental Surveillance Data
Compiling what researchers and practitioners are using for:
• Perceptions of physical access and availability of healthy eating (variety, forms, quality)
• MESA Study, Massachusetts BRFSS, NY BRFSS, NC CHAMP
• Staff Member: Latetia Moore – [email protected]• Please send any questions your state or community have been
using to assess residents perceptions of food environment –
Examples - It is difficult for me to buy high quality fruits and vegetables in my
community? The cost of fruits and vegetables is too high? I make my family dinner most nights of the week; agree, disagreeTo get to the store I drive/take transit/hire a taxi/ask a friend for a ride
![Page 26: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/26.jpg)
Environmental Surveillance Data
Compiling what researchers and practitioners are using for:
• Perceptions of physical access and availability of healthy eating (variety, forms, quality)
• Staff Member: Latetia Moore – [email protected]• Please send any questions your state or community have been
using to assess residents perceptions of food environment –
Goal: Create a module for states to use in their own surveys or as state-added questions for BRFSS in 2011 (next time the FV module is also asked)
![Page 27: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/27.jpg)
Story, M., K. M. Kaphingst, et al. (2008). "Creating healthy food and eating environments: policy and environmental approaches." Annual Rev Public Health 29: 253-72, Figure 1.
F&V Surveillance
• Surveillance across various levels of the SE model
• Individual
•FV Consumption
• Physical environment
•Workplace
•Schools
• Macro-level environments
•Policy actions
![Page 28: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/28.jpg)
Nutrition Policy Surveillance Data
• DNPAO State Legislative Database: Nutrition and Physical activity (introduced, enacted, pending)
– http://apps.nccd.cdc.gov/DNPALeg/index.asp
• National Council of State Legislatures
• National Association of Counties' Healthy Counties Database Database for model policies, programs and initiatives from counties nationwide.
• National Association of State Boards of Education– Sample General School Health Policies to Encourage Healthy Eating
and Physical Activity.
• ENACT: Local policies reported at http://www.preventioninstitute.org/sa/policies/ (note: please encourage your communities to go here and enter)
![Page 29: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/29.jpg)
Nutrition Policy Surveillance Project
• DNPAO State Legislative Database: Nutrition and Physical activity (introduced, enacted, pending)
– http://apps.nccd.cdc.gov/DNPALeg/index.asp
Sonia Kim, PhD [email protected]
Postdoctoral Fellow, Nutrition Branch, DNPAO
![Page 30: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/30.jpg)
Nutrition Policy Surveillance and Policy Analysis
• Identify & Describe State legislation that can improve access to affordable, high quality fruits and vegetables
– Content areas, By state, by year
• Evaluate policy language, content area in relation to action, enforcement, and impact
• Compare states’ identified legislative behaviors to fruit and vegetable consumption
• Disseminate “model” policy language for states, counties, cities
![Page 31: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/31.jpg)
Nutrition Policy Surveillance and Policy Analysis
• Identify & Describe State legislation that can improve access to affordable, high quality fruits and vegetables
– Content areas, By state, by year
• Evaluate policy language, content area in relation to action and impact
• Compare states’ identified legislative behaviors to fruit and vegetable consumption
• Disseminate “model” policy language for states, counties, cities
![Page 32: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/32.jpg)
Policy Search: Methods
Sources
• Division of Nutrition, Physical Activity and Obesity (DNPAO) State Legislative database
• National Conference for State Legislation (NCSL) website
• Lexis-Nexis Legislative database (enacted bills)
Check sources against Published compiled reports: Robert Wood Johnson Report on Child Obesity (2007) and Food Policy Council Report (2006)
![Page 33: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/33.jpg)
http://apps.nccd.cdc.gov/DNPALeg/
![Page 34: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/34.jpg)
State F&V/Nutrition Policies
Community Related
Studies, councils, or task forces
Establish a commission, committee, council, task force, or study to address community food security.
Farmers’ marketsSupport and make appropriations for farmers’ market initiatives.
Local procurement preference
Directs state agencies to procure state-grown food products whenever available.
Agricultural land useExpands the duties of the Department of Agriculture regarding the preservation of viable farm land.
Grocery and food stores
Establishes a Healthy Food Retail fund to provide residents of underserved communities with retail food markets providing high quality fruits and vegetables.
![Page 35: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/35.jpg)
State Bills n=315 Community
TOTAL 315 BILLS
Dead 16953%
Enacted 10935%
Pending37
12%
![Page 36: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/36.jpg)
State FV Bills Over Time
9 1533
525
12
92 60
37
0
50
100
150
01/02 03/04 05/06 07/08
# B
ills
Pending
Dead
Enacted
14
27
125
149
![Page 37: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/37.jpg)
States that introduced FV legislation 2001-2008
47
58
![Page 38: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/38.jpg)
States that enacted FV legislation 2001-2008
13
8
![Page 39: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/39.jpg)
FV Policy – We’d like to know
A) Have you been involved in providing testimony on either food access, healthy food retail, food systems OR anything related to fruits and vegetables?
B) Have you been involved in drafting legislation related to either food access, healthy food retail, food systems OR anything related to fruits and vegetables?
C) Have you been involved in writing regulations related to either food access, healthy food retail, food systems OR anything related to fruits and vegetables?
What was the process, were stakeholders consulted, and if so, who?
![Page 40: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/40.jpg)
FV Policy – We’d like to know
D) Have you done any work in evaluating state legislation and/or regulations?
E) Do you engage in information advocacy related to either food access, healthy food retail, food systems OR anything related to fruits and vegetables?
F) Do you work with any advocacy groups related to either food access, healthy food retail, food systems OR anything related to fruits and vegetables?
- If so, who?
G) Have you written policy briefs related to either food access, healthy food retail, food systems OR anything related to fruits and vegetables? For what audience? (are they automatically for legislators?)
H) Are you part of a Food Policy Council? In what capacity? Have you worked with this group to inform policy, and if so, how?
![Page 41: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/41.jpg)
FV Policy
If you are interested discussing your role in FV policy please contact:
Sonia Kim
We would be very appreciative!
![Page 42: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/42.jpg)
HealthStyles 2008Consumer Opinion for Policy Change
• How likely would you be to support changes to local or state rules or policies that would do each of the following:
• Create local community markets or farmers markets?
• Create a program that helps small food stores have fresh fruits and vegetables?
• Create community gardens or plots for raising fruits and vegetables?
• Create farm-to-school programs to provide locally grown fruits and vegetables in schools for breakfast, lunch, and snacks?
• Require city/county government agencies to favor the purchase of locally grown fruits and vegetables to serve in cafeterias and at meetings?
Available Late Summer 2009 DNPAO Website
![Page 43: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/43.jpg)
F&V Research and Surveillance Staff
• Heidi Blanck, Team Lead [email protected]
• Sonia Kim [email protected]
• Latetia Moore [email protected]
• Kirsten Grimm
• Joel Kimmons
• Larry Grummer-Strawn, Branch Chief
![Page 44: Fruit & Vegetable Nutrition Coordinator Call Fruit and Vegetable Surveillance April 7, 2009 Heidi Blanck, MS, PhD Research and Surveillance Team Lead Division](https://reader036.vdocument.in/reader036/viewer/2022062516/56649e405503460f94b31c0c/html5/thumbnails/44.jpg)
THANK YOU!
www.cdc.gov/nccdphp/dnpa
www.fruitsandveggiesmatter.gov
Questions?