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INSTITUTE OF MEDICINE AS A PROFESSION: Physician Advocacy Conference November 18-19, 2010 Dr. Deborah A. Frank Professor of Pediatrics, Boston University School of Medicine Founder and Principal Investigator, Childrens HealthWatch Founder and Director, Grow Clinic for Children, Boston Medical Center Slide 2 WE SIT BESIDE THE GIANTS ON WHOSE SHOULDERS WE STAND Slide 3 How Did I Get Here? 3 Slide 4 4 Slide 5 You were Either Hospital or Orphanage 5 Slide 6 6 Slide 7 7 Slide 8 How Did I Get Here? 8 Slide 9 Riding Two Advocacy Horses 9 Slide 10 Trouble with Women is They Take Everything Personally! Slide 11 Childrens HealthWatch Collect data in five urban, safety-net hospitals Produce scientific research that is original and timely Share evidence with state and national partners to inform policy choices Slide 12 Childrens HealthWatch Deborah A. Frank, MD (Boston) Maureen Black, PhD (Baltimore) John Cook, PhD (Boston) Mariana Chilton, PhD (Philadelphia) Carol Berkowitz, MD (Los Angeles) Patrick Casey, MD, MPH (Little Rock) Diana Cutts, MD (Minneapolis) Alan Meyers, MD, MPH (Boston) Stephanie Ettinger de Cuba, MPH (Boston) Timothy Heeren, PhD (Boston) Sharon Coleman MPH (Boston) Megan Sandel MD (Boston) Zhaoyan Yang, MS (Boston) Slide 13 Why Watch Children Birth to 3? Slide 14 Slide 15 Slide 16 Data Supports Sensitive Period Hypothesis Sensitive Period Hypothesis: Insult during brain growth spurt most likely to be irreversible Poverty in early childhood has more severe and lasting effects on later health, cognition, and behavior than poverty at later ages (Duncan,Ziol-Guest,Kalil, Child Development,2010) Slide 17 Food Insecurity Limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways Source: USDA Slide 18 Help Connect the Dots 18 Slide 19 19 FOOD INSECURITY, HUNGER, AND MALNUTRITION ARE ALL Child Health Issues Adult Health Issues Mental Health Issues Educational Issues Political Issues Moral Issues Slide 20 20 CHANGES IN FAMILY SURVIVAL RESOURCES RAPIDLY REFLECTED IN HEALTH, LEARNING, AND GROWTH OF YOUNG CHILDREN Slide 21 The Problem to Address: Food Insecurity: Highest Since 1995 Overall, households with children (