Jamie Harvie, P.E.Institute for a Sustainable Future

www.isfusa.org www.healthyfoodinhealthcare.org harvie@isfusa.org

Healthy Food in Healthcare: The Role for Healthcare in Food and Agriculture

Policy

September 9th, 2010 Webinar

Health Costs of Biological Manufacturing

• Human Health– Nutrition Related

• Sugars / oils/ commodities • Heart disease, stroke, diabetes, etc

• Social Health– Community Health – Loss of Family Farms,

Food Access– Moral Ethical Concerns – Humane Treatment,

Child Labour, Working Conditions• Environmental Health

– Climate Change– Water Pollution– Habitat Loss– Toxics

Ecological Model of Health / Disease

Progressive nesting of individuals within families within communities and finally within ecosystems.

Variables at any level can directly or indirectly influence measures of health at any level.

Influences may be identifiable as individual markers or as community level markers

GBPSR – Healthy Aging Report

American Medical Association Resolution 405, A-08 2009

• That our AMA support practices and policies in medical schools, hospitals, and other health care facilities that support and model a healthy and ecologically sustainable food system, which provides food and beverages of naturally high nutritional quality.

• That our AMA encourage the development of a healthier food system through the US Farm Bill and other federal legislation.

• That our AMA consider working with other health care and public health organizations to educate the health care community and the public about the importance of healthy and ecologically sustainable food systems

2012 - Farm Bill or Food Bill?

USDA

PCRM

““Climate change is the largest health Climate change is the largest health threat in the 21threat in the 21stst century” – century” –The LancetThe Lancet

30.9%

•anthropogenic (human-caused), CO2-equivalent

IPCC 2007 http://www.ipcc.ch/graphics/graphics/syr/fig2-1.jpg; http://www.epa.gov/climatechange/emissions/downloads/08_ES.pdf

Global Greenhouse Gas Emissions*

Balanced Menus Challenge: Less Meat, Better Meat

Reduce meat purchases by 25% Serve smaller quantities of

sustainable meat to promote healthy eating habits

Hospitals saving money and mitigate climate

www.healthyfoodinhealthcare.org

The Healthy Food in Health Care Pledge

“recognize that … healthy food must be defined not only by nutritional quality, but equally by a food system that is economically viable, environmentally sustainable, and supportive of human dignity and justice “

More than 300 hospitals…

Food Service Credits

FS Credit 1: Sustainable Food Policy and Plan FS Credit 2: Sustainable Food Education and Promotion FS Credit 3: Local, Sustainably Produced Food PurchasingFS Credit 4: Reusable & Non-Reusable Products FS Credit 5: Hospital Supported Agriculture: Food and Farm LinkagesFS Credit 6.1: Food Donation and CompostingFS Credit 6.2: Food Services RecyclingFS Credit 7: Food Vendors FS Credit 8: Chemical Management for Food Services

Food Service Operational Credits

Preservation of Antibiotics and Medical Treatment Act (PAMTA) S.

619/H.R. 1549 • PAMTA directs FDA to

phase out medically impt. antibiotics unless demonstrated not to promoted resistance

• Hospital Petition• Health Practitioner

Petition– MDs, RDs, RNs, CDM, etc

www. Protectantibiotics.org

Fresh Food Access

• Government investment can provide financing for supermarkets, grocery stores, and other healthy food retailers that plan to operate in underserved communities. This initiative, known as Fresh Food Financing,

• Can provide loans, grants and technical assistance to retailers. The first statewide policy, passed in Pennsylvania in 2004, committed $21.9 million in grants and loans.

Policy Engagement

• Voice support at institution with decision makers/administrators/ board

• Provide and model examples at meetings/ conferences

• Offer time / voice to sustainable agriculture, food access, similar organizations

• Meet and/or write with/to legislators

RESOURCES • Health Care Without Harm Food Workgroup www.healthyfoodinhealthcare.org • American Dietetic Association Hunger and

Environmental Nutrition Dietary Practice Group www.hendpg.com/

• Healthy Food Pledge www.noharm.org/us/food/pledge • GGHC Food Service Credits

www.noharm.org/us/food/resources#GGHC• National Sustaianable Agriculture Coalition

http://sustainableagriculture.net• AMA – Council on Science and Health Report

http://www.ama-assn.org/ama1/pub/upload/mm/475/refcomd.pdf

• Kaiser Institute for Health Policy http://www.kpinstituteforhealthpolicy.org/kpihp/CMS/Files/In_Focus_5-09%20Sustainable%20Food%20Procurement.pdf