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D.3
To: Board of Supervisors
From: Supervisors John Gioia and Federal D. Glover
Date: December  15, 2015
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Application to the Let’s Move! Cities, Towns and Counties Initiative
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On:   12/15/2015
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Tracey Rattray, 925-313-6835
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:     December  15, 2015
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

1. Approve submission of an application to the Let’s Move! Cities, Towns and Counties Initiative  
2. Direct the Health Services Department to convene a group of local cities, community partners and county staff to collectively develop a plan of action to accomplish the goals of Let’s Move Cities, Towns and Counties Initiative.  

3. Offer recognition or acknowledgement to the County and those Cities that accomplish the criteria for Let’s Move! medal awards.

FISCAL IMPACT:

In the long term, there will be savings to the health care delivery system as rates of obesity decrease and more residents eat healthy food and engage in more physical activity.
BACKGROUND:

    Chronic diseases such as cancer, heart disease, stroke, and diabetes are the leading causes of preventable morbidity and premature mortality in Contra Costa County and indeed, the rest of the country. Obesity, which has increased so rapidly throughout the United States that it is considered a public health crisis, is directly linked to the onset of chronic diseases.   
      
    Poor diet and lack of physical activity are key risk factors for obesity and for chronic diseases, which impact the everyday lives of families living in Contra Costa communities. The California Health Interview Survey (CHIS) shows that among adults in Contra Costa, 10.8% have been diagnosed with diabetes (2014); 5.6 % have been diagnosed with heart disease (2012-2014); and 28.9 % have been diagnosed with high blood pressure (2014).

      
    Local elected officials have an opportunity to address risk factors for obesity and chronic diseases through Let’s Move! Cities, Towns, and Counties, which is a comprehensive initiative that was launched by the First Lady in 2010. The National League of Cities (NLC) is working in partnership with Lets Move! and the U.S. Department of Health and Human Services to provide cities, towns and counties with the tools they need to build healthy communities. NLC provides technical assistance to local elected officials to develop long-term, sustainable, and holistic strategies that reduce rates of obesity by improving nutrition and increasing physical activity in their communities. The goals of Let’s Move are consistent with the statewide Let’s Get Healthy campaign and the California Wellness Plan. In addition, the Let’s Move initiative compliments efforts imbedded with the 1115 Waiver and within the Contra Costa Health System to improve population health and contain health care cost.  
      
    Developed with the role of local elected officials in mind, the five pillars listed below are designed to promote and improve the health of local constituents: They include:

    1. Start Early, Start Smart: To provide children with a healthier start, local elected officials commit to helping early care and education program providers incorporate best practices for nutrition, physical activity and screen time into their programs.
    2. MyPlate, Your Place: To empower parents and caregivers, local officials commit to prominently displaying MyPlate, which illustrates the 5 healthy food groups in a daily meal, in all municipally-or county-owned or operated venues that offer or sell food/beverages.
    3. Smart Servings for Students: To provide healthy food to children and youth, local officials commit to expanding access to meal programs before, during and after the school day, and/or over the summer months.
    4. Model Food Service: To improve access to healthy, affordable foods, local elected officials commit to implementing healthy and sustainable food service guidelines that are aligned with the Dietary Guidelines for all Americans in all municipally- or county-owned or operated venues that offer or sell food/beverages.
    5. Active Kids at Play: To promote physical activity, local elected officials commit to mapping local play spaces, completing a needs assessment, developing an action plan and launching a minimum of three recommended policies, programs or initiatives.
    Combining this comprehensive approach with the support of cities, towns, and counties can provide parents with information and foster environments that support healthy choices; provide healthier foods in our schools; ensure that every family has access to healthy affordable food; and help kids become more physically active.  
    Cities, towns, and counties participating in the Let’s Move! Initiative are awarded bronze, silver and gold medals for achieving specific benchmarks in each of the five pillars, and have the opportunity to be recognized monthly; gain access to technical assistance from experts; have a variety of opportunities to learn what works at the local level; share success stories and discuss challenges with peers in other communities; and participate in a national movement to build healthy communities for a healthy future. A summary of steps required to earn bronze, silver and gold medals for each goal is attached (Attachment 1).  
      
    Within the Bay Area, the counties that are participating in the Lets Move! Initiative include: Alameda, San Mateo, Santa Clara, and Solano County. In addition, the cities of Daly City, Emeryville, Mountain View, Oakland, Palo Alto, Redwood City, San Francisco, San Jose, San Leandro, San Pablo, Saratoga, and South San Francisco are also participating in the movement.   
    Contra Costa County has the opportunity to join the movement with other participating cities and counties. With direction from the Board of Supervisors, Contra Costa Health Services will convene the Lets Move! partners within the county and develop an action plan. The City of San Pablo is an official Let’s Move City and many other agencies, school districts, and cities are engaged in activities that are aligned in the Let’s Move Campaign.  
      
    Signing up for this initiative requires a local elected official or his/her designee to fill out and submit an application that will be reviewed by the Let’s Move! Cities, Towns and Counties (LMCTC). LMCTC will then send a survey asking about work that has already been accomplished locally that qualifies for Let’s Move medals. The elected official will complete the medal status survey and identify a plan of action for achieving the goals required to receive additional medals. A survey has already been started to assess activities taking place county-wide that will qualify for medals and is attached (Attachment 2).  
      
    Local Data  
      
    Local data in Contra Costa County data supports the development of a Let’s Move Campaign. In Contra Costa, low-income communities, especially those of color, disproportionately qualify for food assistance programs like the United State Department of Agriculture’s (USDA) Supplemental Nutrition Assistance Program Education (SNAP-ED). Twenty two percent of individuals living in Contra Costa are eligible for SNAP-ED. Of these, 41% identify as Hispanic; 30% as White; 15% as African American; 11% as Asian; 0.3% as American Indian/Alaskan Native; 0.6% as Native Hawaiian/Other Pacific Islander; 3% as multiracial; and 0.5% identify as another race.  
      
    In relationship to diet, data from the California Health Interview Survey (CHIS) in 2011/2012 shows that when asked how many servings of fruits and vegetables the survey taker had eaten the day before, 64% of Contra Costa children (2-11 years) reported that they had eaten five or more servings of fruits and vegetables; and 30% of adults reported that they had eaten three servings of fruits and vegetables the day prior to the survey. The data also shows that 29% of children and teens (ages 2-17) and 21% of adults consumed one or more sugar sweetened beverages a day. The SNAP ED Program also reports that the prevalence of adults who identify as overweight or obese that qualify for the Program was 73%. Fitness gram data collected as schools in 2010 revealed that 33% of 5th, 7th, and 9th grade students in Contra Costa were overweight or obese.  
      
    In addition to good nutrition, physical activity plays a large role in maintaining a healthy weight for both adults and children, and rates of physical activity is one way to measure a community’s ability to engage in regular exercise every day. According to the 2011/2012 CHIS data, when asked how often they engaged in physical activity, 34% of adults reported they engaged in regular walking activity within the past week. Other physical activity data as indicated by the 2013/2014 California Physical Fitness Report for Contra Costa County school-aged children states that 25% of 5th graders need improvement in their aerobic capacity; this is data that is measured by running, either pacer or mile runs. Prevalence rates for children who walk to school in Contra Costa County are not known, however we do know that 86% of children and teens (ages 2-17) reported that they live within walking distance to a park or open space, though we do not have data on conditions of all parks in Contra Costa County in terms of amenities or safety. The number of recreational facilities for the County is low. According to the Robert Wood Johnson Foundation’s County Health Rankings and Road Maps for 2010, there are only 11 recreational facilities per 100,000 people.  
      
    This data helps to paint a picture of the existing community needs and demonstrates the importance of providing nutrition education, access to healthy food, physical activity promotion and safe places where residents can be physically active. These types of obesity prevention interventions will improve the health of all Contra Costa County residents.

    CONSEQUENCE OF NEGATIVE ACTION:

    Contra Costa County will not participate in the Let’s Move! Cities and Counties campaign.
    CHILDREN'S IMPACT STATEMENT:

    Children and their families will have more access to nutrition education, healthy food and opportunities to be physically active.

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