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5 Innovations and Challenges of Emerging Strategies
Pages 45-60

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From page 45...
... Learning Community and presented preliminary findings from a needs assessment conducted in the Navajo Nation. Marlene Schwartz, director of the Rudd Center for Food Policy and Obesity, then provided an overview of the policy, outreach, and media approach taken in the Howard County Unsweetened campaign.
From page 46...
... Learning Community is aligned with the 2014 Dine Nation Act, which places a 2 percent tax on unhealthy foods in the Navajo 1  Thissection summarizes information presented by Henrietta Sandoval-Soland. 2  Sandoval-Soland briefly described the focus areas of the eight other awardees, as follows: (1)
From page 47...
... She explained that the project's mission is to "increase access to safe drinking water among families with preschool children." Between October 2016 and June 2017, COPE conducted a needs assessment within the Navajo Nation. From July 2017 through September 2018, COPE will move on to what Sandoval-Soland described as the "implementation phase." As part of their work during the first phase of the project, the COPE Program made a video that captures insight from a community elder regarding water and food (COPE Program, 2017)
From page 48...
... Sandoval-Soland shared some preliminary findings from the COPE Program's needs assessment, which consisted of 59 surveys collected across five Navajo Nation chapters. She highlighted a number of comments survey respondents provided regarding the influence of Navajo tradition involving food and beverages.
From page 49...
... Showing an image developed by the Horizon Foundation (see Figure 5-2) , Schwartz called Howard County Unsweetened the "social ecological model in practice." Employing a multiyear, multicomponent strategy allowed the campaign to address different levels in various ways.
From page 50...
... The Sugar Free Kids Maryland Coalition, which has more than 250 members, generated media attention during this time as it advocated for statelevel changes. One policy change that occurred was the Maryland Healthy Eating and Physical Activity in Childcare Act, which passed in 2014, and, among other things, limited sugar-sweetened beverages in child care settings.
From page 51...
... When daily sugar-sweetened beverage consumption was assessed by racial and ethnic groups, some differences emerged. Black and Hispanic students reported higher average daily consumption rates than white and Asian students.
From page 52...
... She added that funding was another important element, but thought funding should not be what dissuades a community from trying something. When questioned as to whether the Howard County Unsweetened campaign could be implemented in a less prosperous community, Schwartz countered by stating that children's health is a concern for any community.
From page 53...
... When children eat out, they consume more sugar-sweetened beverages, calories, saturated fat, and sugars, and fewer fruits, vegetables, and whole grains as compared to when they eat at home, she explained. The top food category marketed to children is restaurant food, stated Wootan.
From page 54...
... She argued, however, that restaurant food is heavily marketed and is a significant source of calories; making improvements to children's meals is a way to change social norms for children's food. Taxation and Warning Labels on Sugar-Sweetened Beverages5 Silver began her remarks by noting that various approaches have been attempted by localities in the United States to limit sugar-sweetened beverages, including fiscal measures (e.g., taxation, Supplemental Nutrition Assistance Program restrictions)
From page 55...
... gms added sweetener promotion, wellness, per 12 oz and chronic disease prevention Philadelphia 1.5¢ per ounce SSBs and artificially Pre-kindergarten (Pennsylvania) sweetened beverages education Cook County 1¢ per ounce SSBs and non- General revenue, (Illinois)
From page 56...
... . Reflecting on lawsuits that have been brought against sugar-sweetened beverage ordinances, Mello noted that regulating commercial speech is 6  This section summarizes information presented by Michelle Mello.
From page 57...
... In the case of the San Francisco warning label ordinance, the plaintiffs argue that the information is not uncontroversial because questions exist as to whether the health effects of added versus natural sugars are similar, and because there is disagreement about the specific contribution of sugar-sweetened beverages to the obesity epidemic, said Mello. She noted that it is not presently clear if the courts will require the disclosure to be uncontroversial, or merely accurate and factual.
From page 58...
... Silver stated the evidence base of the risk and epidemiological relationship about sugar-sweetened beverages exists and can be part of a sound evidence base used as a legal defense for local ordinances; evidence on how much each intervention affects risk will take time to build. Siega-Riz also asked the panelists to share what they thought could be learned from the Philadelphia sugar-sweetened beverage tax and what the next steps might be.
From page 59...
... Wootan commented that the message that works is the message that best resonates with consumers. She rationalized that nobody wants increased taxes, but people do want health and child care.


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