Agenda

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SD.7

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	November 10, 2009

Contra

Costa

County

Subject:

Submission of Centers for Disease Control Grant for Children’s Obesity Funding

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/10/2009

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

Supervisor Glover was designated as the Board's representative, and Supervisor Gioia, the alternate.

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Gayle B. Uilkema, District II Supervisor
Mary N. Piepho, District III Supervisor
Susan A. Bonilla, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Wendel Brunner, M.D., 313-6712
cc:	Tasha Scott Barbara Borbon Dave Shoemaker

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: November 10, 2009
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and Authorize:


A. The Health Services Director or his designee, to submit an application for funding to the Centers for Disease Control (CDC) for the “Communities Putting Prevention to Work” Funding Opportunity Announcement (FOA) CDC-RFA-DP09-912ARRA09, in an amount from $10,000,000 up to $20,000,000, for fiscal years 2010/2011 and 2011/2012, to address obesity and physical activity throughout Contra Costa and in the 19 school district systems;

RECOMMENDATION(S): (CONT'D)

B. The Chair of the Board of Supervisors (BOS) to sign a letter of support for the application, emphasizing the successful policy and systems change efforts, the Board has promoted on obesity and physical activity, as well as tobacco control, and expressing the Board’s interest in continuing to promote policy and systems change efforts that address physical activity and the epidemic of obesity as part of this CDC initiative, including addressing the major impact of sweetened beverages on obesity and related disease among youth; and

C. Designate a member of the Board of Supervisors as a representative on leadership council.

FISCAL IMPACT:

The County could receive between $10 and $20 million in Federal funding for the two year period. No County match is required to receive these funds.

BACKGROUND:

As part of the American Recovery and Reinvestment Act of 2009, the CDC is releasing $377 Million for health departments to address obesity and physical activity or tobacco control. The CDC’s required strategies emphasize systems and norm change, and policy development in partnership with elected officials, school districts, health systems and community groups. Jurisdictions of over one million in population (Contra Costa) are expected to apply for between $10 and $20 million over two years.

This funding will be very competitive, but Contra Costa is well-positioned for this funding. The Contra Costa Board of Supervisors (the “Board”) has 25 years of continuous history in enacting policy and promoting norm change to reduce tobacco use in the county, with the most recent advance just this month. Likewise the Board has been a leader in California by:

recognizing and addressing the epidemic of obesity in the nation, and adopted the Childhood Obesity Prevention Plan in 2006;
promoting the work of community coalitions like, Healthy and Active Before Five, and worked in partnership with Kaiser and others to sponsor an Obesity Summit in January 2008, which developed into a community-wide Obesity Action Plan;
following up on these efforts through regular reports through the Family and Human Services Committee; and
supporting important policy efforts, including endorsing the state bill requiring menu labeling in chain restaurants and lobbying the legislature and Governor for its successful passage.

The Board is a leader in recognizing the importance of community planning and building an environment on health, which is one of the strategies the CDC wants employed by successful applicants in this projects. In February 2007, the Board directed the Departments of Conservation and Development, Health Services, and Public Works to form a Planning Integration Team for Community Health (PITCH) to address issues on building an environment and public health. The PITCH reports were submitted regularly through the Smart Growth Committee of the Board and have implemented a “complete streets” policy and a Bay Point Healthy Community Pilot Program, among other activities. Health Services is now also working with Redevelopment on the North Richmond Specific Plan and other issues. The PITCH Board Order has been distributed nationally by academics and state and national public health groups as a model for local planners and health departments.

The grant requires a Leadership Team of 8-10 high level community leaders including a representative of the senior political leadership of the jurisdiction, which in our case is the Board of Supervisors. The Leadership Team works with the CCHS Project Director and other Project Staff to oversee the strategic direction of the project. Several of the Team members will participate in required meetings with CDC staff and other funded projects.

CONSEQUENCE OF NEGATIVE ACTION:

Lose opportunity for major funding for schools and community to address one of the most important public health issues facing our communities.