CDC Division of Nutrition Physical Activity and Obesity

CDC Division of Nutrition, Physical Activity and Obesity and United States Department of Agriculture: Cross-Agency Collaboration ASTPHND, Fruit & Vegetable State Coordinators 6 -16 -10 Christa Essig, MPH, CDC/DNPAO – FNCS/USDA Detail

CDC/USDA Collaboration • • • FNS, WIC and Ped. NSS/PNNS – Larry Grummer-Strawn Healthy People 2020 – Latetia Moore Food Environment and Diet Quality Research with ERS - Latetia Moore AMS, Farmers Market Consortium & Eval Project - Joel Kimmons, CDC National Fruit & Vegetable Alliance – Duke Storen, OSIPO, Larry Grummer. Strawn, CDC National Collaborative on Childhood Obesity Research- Laura Kettel-Kahn, CDC, Molly Kretsch, Office of Chief Scientist, USDA School and Child Nutrition, School Wellness Policies- Howell Wechsler, DASH, CDC DNPAO working on state childcare – Barb Polhamous, Meredith Reynolds CDC/FDA/FTA/USDA working on criteria for foods marketed to children

National Collaboration on Childhood Obesity Research (NCCOR) Participation • CDC – Laura Kettel-Kahn • USDA – Molly Kretsch • NIH • Robert Wood Johnson Foundation Key Projects and Research Initiatives • Registry of Measures • Catalog of Childhood Obesity-Related Policy and Health Monitoring Systems • Examining Effects of Community Programs to Reduce Childhood Obesity

Healthy Food Financing Initiative • $400 million partnership of Treasury, USDA, and HHS • Includes bringing healthy foods into underserved areas via grocery stores, convenience stores, farmers markets • Eliminate food deserts across the country in seven years • USDA Food Atlas – Inclusion of CDC surveillance

Healthier US Schools Challenge

FNCS/USDA – CDC Detail Goals • Facilitate connections for ongoing communication at various levels • Develop understanding of each other for identifying collaboration entry points including goals, research, future directions, and each other’s perspectives • Develop an action plan with steps for CDC and FNCS to integrate programs, strengthen and institutionalize organizational linkages

Food, Nutrition and Consumer Services Center for Nutrition Policy and Promotion (CNPP) - Nutrition Evidence Library - Dietary Guidelines for Americans - Food Guide Pyramid - Nutrient Content of the US Food Supply - USDA Food Plans: Cost of Food

FNS • • • SNAP – State Social Services SNAP-Ed – State Social Services (EARS) Farmers Market Nutrition Program WIC – Dep. of Health Child Nutrition Programs – Dep. Of Education Office of Research and Analysis Office of Strategic Initiatives, Partnerships and Outreach

Missions FNS Reduce hunger and food insecurity by ensuring better access to food, a healthful diet, and nutrition education for children and needy families DNPAO Lead strategic public health efforts to prevent and control obesity, chronic disease and other health conditions through physical activity and good nutrition FNS Priorities (my perception): Address hunger and obesity in school lunch programs End childhood hunger Increase program participation and outreach Streamline nutrition assistance program applications Expand Summer Food Service Program

Collaboration Challenges • Individual benefit vs. population approach • Food Security and Ending Hunger vs. Obesity • FNCS ‘authority’ and legislative language (Waiting for Child Nutrition Reauthorization) • SNAP-Ed interpretation • SNAP-Ed reach to non-SNAP people • SNAP use of Partnerships • Making nutrition education and environmental and policy changes complementary

State Program F&V Highlights http: //www. cdc. gov/obesity/stateprograms/statestories. html

State Collaboration Highlights: Non-profit, State Health, and USDA Programs Expanding Access to Fresh Fruits and Vegetables Through WIC-Authorized Corner Stores http: //www. health. state. mn. us/divs/fh/wic/vendor/fpchng/index. html Increased Fruit and Vegetable Access Through EBT at Farmers Markets http: //www. farmersmarket. msu. edu

Cross-Agency Examples: • • Farm-to-School Farmers Markets EBT Urban Agriculture Food Policy Councils Comprehensive City Plans Food Hubs Community Food Assessments, Food Shed/ Local Food Assessments, Health Impact Assessment, F 2 S Analysis

Southeast F 2 S Summit and Collaboration • Partners: USDA (RD, NRCS, AMS, FSA, RMA) SE Regional Office, UGA (Extension Service), Dep. Of Education, GA Alliance with Georgia Organics, EPA • Fed Team to support State Team with communication needs, TA and resources • State Legislation • AMS – Farmer Co-ops • FSA – Processing and storage equipment

Examples • WI, Research, Education, Action and Policy Food Group, DHS and Dep. Of Ag: Farm-to-School and Got Dirt • Nutrition Programs = One Bureau • CPPW

Opportunities for Collaboration • Support state and local partnerships and coalitions • Complementary programs for broad system impact • Support common policy change - local, state, and national levels • Share research, data, grant opportunities (CPPW), resources, joint trainings and technical assistance, and identify and communicate promising practices • Coordinate program messages • Plan cross-program data inventories and reporting • i. e. Programs areas focusing on intersection of obesity and health disparities and food insecurity, food access, healthy food system support

State Contacts: Food, Nutrition and Consumer Services (FNCS) Nutrition Assistance Programs: SNAP and SNAP Ed – State Social Services WIC – Dep. of Health School Meals – Dep. of Education

State Contacts: Agriculture Cooperative Extension State Land Grant Universities National Institutes for Food and Agriculture (NIFA) – Expanded Food and Nutrition Program – 4 -H Youth Development – Community Food Projects

Contacts: Others • • Agriculture Research Service (ARS) Agriculture Marketing Service (AMS) National Agricultural Statistics Service (NASS) Economic Research Service (ERS) Food Safety and Inspection Service (FSIS) Rural Development (RD) Know Your Farmer, Know Your Food (KYF)

Know Your Farmer, Know Your Food MISSION: Know Your Farmer, Know Your Food (KFY 2) strengthens the critical connection between farmers and consumers and supports local and regional food systems. Through this initiative, USDA integrates and emphasizes programs and policies that: • • • Stimulate food- and agriculturally-based community economic development; Foster new opportunities for farmers and ranchers; Promote locally and regionally produced and processed food; Cultivate healthy eating habits and educated, empowered consumers; Expand access to affordable fresh and local food; and Demonstrate the connection between food, agriculture, community and the environment. KYF 2 also leads a national conversation about food and agriculture to increase the linkages between consumers and farmers.

Steward cross-agency initiatives to better leverage USDA resources I. Farm-to-school and school-to-farm II. Local meat III. Food distribution hubs IV. Food deserts V. USDA in-house operations VI. Opportunities in agriculture VII. Business structures

USDA 2010 -2015 Strategic Plan • • STRATEGIC GOAL 1: ASSIST RURAL COMMUNITIES TO CREATE PROSPERITY SO THEY ARE SELF-SUSTAINING, REPOPULATING, AND ECONOMICALLY THRIVING STRATEGIC GOAL 2: ENSURE OUR NATIONAL FORESTS AND PRIVATE WORKING LANDS ARE CONSERVED, RESTORED, AND MADE MORE RESILIENT TO CLIMATE CHANGE, WHILE ENHANCING OUR WATER RESOURCES STRATEGIC GOAL 3: HELP AMERICA PROMOTE AGRICULTURAL PRODUCTION AND BIOTECHNOLOGY EXPORTS AS AMERICA WORKS TO INCREASE FOOD SECURITY STRATEGIC GOAL 4: ENSURE THAT ALL OF AMERICA’S CHILDREN HAVE ACCESS TO SAFE, NUTRITIOUS, AND BALANCED MEALS Objective 4. 1 – Increase Access to Nutritious Food Objective 4. 2 – Promote Healthy Diet and Physical Activity Behaviors Objective 4. 3 – Protect Public Health by Ensuring Food is Safe Objective 4. 4 – Protect Agricultural Health by Minimizing Major Diseases and Pests to Ensure Access to Safe, Plentiful, and Nutritious Food http: //www. ocfo. usda. gov/usdasp/sp 2010. pdf

USDA Grant Opportunities FNS: Fresh Fruit and Vegetable Program Healthy Incentives Pilots Farmers Market Nutrition Programs School Facilities

Grant Opportunities • NIFA: Community Food Projects Healthy Urban Food Enterprise Agriculture and Food Research Initiatives 4 -H Youth Development • RD: Community Facilities Program Faith Based and Community Initiatives • ERS: Specialty Crops Block Grants Research Innovation and Development Grants in Economics (RIDGE) Food Assistance and Nutrition Research Program (FANRP)

USDA Resources • 2007 Cooperative Extension includes: “Helping U. S. residents to become physically, mentally, and emotionally healthy” http: //www. aplu. org/Net. Community/Document. Doc? id=369) • Land Grant University http: //www. nifa. usda. gov/qlinks/partners/state_partners. html • Extension Resources http: //www. extension. org/ • Families, Food and Fitness http: //www. extension. org/families%20 food%20 fitness • Ag in the Classroom http: //www. agclassroom. org/index. htm • Center for Nutrition Policy and Promotion (CNPP), My. Pyramid http: //www. mypyramid. gov/

• ERS Food Desert Research HTTP: //WWW. ERS. USDA. GOV/PUBLICATIONS/AP/AP 036/ • Research Reports http: //www. ers. usda. gov/Briefing/Food. Security/ • Local Food Systems: Concepts, Impacts, and Issues http: //www. ers. usda. gov/Publications/ERR 97. pdf • Healthier US Schools http: //www. fns. usda. gov/tn/healthierus/all_chart. pdf • 4 -H Youth Development for community leadership in support of healthier life choices http: //4 -h. org/programs_mission_mandates/healthyliving. html

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