Loading...
HomeMy WebLinkAbout2016-05-09 CHC PacketAgenda Community Health Commission City Of Edina, Minnesota City Hall, Community Room 4801 West 50th St. Edina, MN 55424 Monday, May 9, 2016 6:30 PM I.Call To Order II.Roll Call III.Approval Of Meeting Agenda IV.Approval Of Meeting Minutes A.April 11, 2016 CHC Minutes V.Community Comment During "Community Comment," the Board/Commission will invite residents to share relevant issues or concerns. Individuals must limit their comments to three minutes. The Chair may limit the number of speakers on the same issue in the interest of time and topic. Generally speaking, items that are elsewhere on tonight's agenda may not be addressed during Community Comment. Individuals should not expect the Chair or Board/Commission Members to respond to their comments tonight. Instead, the Board/Commission might refer the matter to sta% for consideration at a future meeting. VI.Reports/Recommendations A.Joint Work Session Topics/Workplan Update B.Turf Update - Media C.Public Health Emergency Preparedness Grant D.Sugar Sweetened Beverages Info VII.Correspondence And Petitions VIII.Chair And Member Comments IX.Sta3 Comments A.EPS Mental Health and Wellness Initiative Update B.Upcoming Meetings X.Adjournment The City of Edina wants all residents to be comfortable being part of the public process. If you need assistance in the way of hearing ampli5cation, an interpreter, large-print documents or something else, please call 952-927-8861 72 hours in advance of the meeting. Date: May 9, 2016 Agenda Item #: IV.A. To:Community Health Commission Item Type: Minutes From:Britta Orr Item Activity: Subject:April 11, 2016 CHC Minutes CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: ATTACHMENTS: Description April 11, 2016 Minutes MINUTES Community Health Commission April 11, 2016 at 6:30 PM City Hall, Community Room I.Call To Order A.New CHC Picture for Website II.Roll Call Attending: Caleb Shultz, Alison Pence, Britta Orr, Kristen Conner, Melinda Bothun-Hurley, Connie Weston, student members Nina Sokol and Jessica Hong. Staff: Jeff Brown Absent: Christy Zilka, Steve Sarles, Cathy Cozad. III.Approval Of Meeting Agenda Motion by Melinda Bothun-Hurley to approve meeting agenda. Seconded by Connie Weston. Motion Passed. IV.Approval Of Meeting Minutes Motion by Caleb Schultz to approve meeting minutes. Seconded by Allison Pence. Motion Passed. A.March 14, 2016 Draft Minutes V.Community Comment VI.Reports/Recommendations A.Tri-City Meeting Discussion/Report Update from Alison Pence and Staff Liaison Brown regarding the tri-city meeting. Minutes from meeting included in meeting agenda. VII.Correspondence And Petitions VIII.Chair And Member Comments Discussed latest concerns regarding Zika virus and that effects may be more severe than previously thought. Discussed sugar sweetened beverage taxes, and avenues for bringing idea forward to council. Work session on August 16th may be forum for discussion. IX.Staff Comments A.Field Turf Update B.Traffic Safety Update C.MDH Videoconference - Flint Water Crisis Discussed annual videoconference between MDH Commissioner Ehlinger and local elected officials. This year's topic is the Flint Water Crisis. CHC membership is invited to attend the videoconference on Tuesday, May 3rd. X.Adjournment Meeting Adjourned by Chair Orr. Date: May 9, 2016 Agenda Item #: VI.A. To:Community Health Commission Item Type: From:Britta Orr Item Activity: Subject:Joint Work Session Topics/Workplan Update CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: ATTACHMENTS: Description 2016 CHC Workplan Board/Commission: Community Health Commission 2016 Annual Work Plan DRAFT *Complete each section with a white background & designate it initiative is new or a continuation from the previous year *Return to MJ Lamon by September 29 Initiative ☐ New Initiative ☐ Continued Initiative ☒ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Work with Edina Resource Center and Bloomington Public Health to promote the health of the City by focusing on three key areas: Mental Health/Substance Abuse • Increase the presence of stress management tools in the community and awareness of the impact of stress on the physical, mental, and social well-being of Edina residents. • Explore common mental health issues and available resources. Child/Adolescent Health • Increase awareness of healthy eating and physical activity options for all children/adolescents in the City. Adult Physical Health • Evaluate resources available through BPH and other state, county and local organizations and agencies that support the health of those that live and work in Edina. • Evaluate senior Mobility and Access to and Use of Local and State/County Services Continuous development and updating of resource availability. None at this time. Continuous Progress Report: 34T Initiative ☐ New Initiative ☐ Continued Initiative ☒ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Create or provide content and continually review Community Health pages on City website (e.g., tools and resources focused on the health of those that live and work in the community) and other media outlets (e.g., About Town) Ongoing None Continuous Progress Report: 34T Initiative ☒ New Initiative ☐ Continued Initiative ☐ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Coordinate with School District during creation of new Student Wellness/Chemical Health Coordinator Position(s). Partner with new staff person(s) to align with Community Health Commission and City Priorities. June 2016 None As needed. Progress Report: 34T Initiative ☐ New Initiative ☐ Continued Initiative ☒ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Coordinate with School District, Sober Squad, Student Health Commission, and other Student Organizations on potential improvements related to alcohol, drug, and tobacco usage and bullying. Ongoing None As needed. Progress Report: 34T Initiative ☒ New Initiative ☐ Continued Initiative ☐ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Work with Hennepin County Public Health, Bloomington Public Health and the City to ensure data collection methods result in data specific to City of Edina; provide specific recommendation to City Council regarding SHAPE Survey, including cost estimate. March 2016 None As needed Progress Report: 34T Initiative ☒ New Initiative Target Completion Budget Staff Support Required Council ☐ Continued Initiative ☐ On-Going Initiative Date Required Approval Participate in City’s comprehensive plan process to position Health-in-all-Policies concepts as an integral part of City processes. Ongoing None As needed Progress Report: 34T Initiative ☐ New Initiative ☒ Continued Initiative ☐ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval Provide recommendation regarding regulation of Medical Cannabis dispensaries within the City. June 2016 None As needed Progress Report: 34T Initiative ☐ New Initiative ☐ Continued Initiative ☐ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval 34T 34T 34T Progress Report: 34T Initiative ☐ New Initiative ☐ Continued Initiative ☐ On-Going Initiative Target Completion Date Budget Required Staff Support Required Council Approval 34T 34T 34T 34T Progress Report: 34T Ongoing Responsibilities Annual review of Public Health Services provided to Edina by Bloomington Public Health Annual review of Public Health Emergency Preparedness Services provided to Edina by Bloomington Public Health Monitor Health Promotion, Disease Prevention and Control, and Family Health Programs in the City – Provided through contract with BPH Annual update from Edina Resource Center staff. Other Work Plan Ideas Considered for Current Year or Future Years Proposed Month for Joint Work Session: June Staff Comments: The Community Health Commission has continually refined its goals and objectives over the past year. The 2016 work plan will increase focus on some specific, measureable goals, while maintaining some ongoing responsibilities to monitor programming within Edina. The CHC has attempted to balance issue-specific activity while also considering the overall health of Edina residents. Council Comments: Date: May 9, 2016 Agenda Item #: VI.B. To:Community Health Commission Item Type: From:Britta Orr Item Activity: Subject:Turf Update - Media CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: ATTACHMENTS: Description Suncurrent Article Star Tribune Article - Edina Startribune Update - Edina Approval Parents voice concerns over synthetic turf Published April 24, 2016 at 12:19 pm By Ethan Groothius by Ethan Groothuis Sun CURRENT Newspapers The Edina School Board approved bids for more than $50 million for the high school reconstruction and additions. But, despite the price tag, several detractors come out against one piece of the massive project – synthetic turf fields. The board was not voting on bids for the actual fill of the fields, but instead for the groundwork to begin the work – still a crucial first step in the turf replacement. Safe Athletic Fields Edina, a group formed in response to the potential switch from grass to crumb rubber, started a petition on change.org asking the board to delay their affirmative vote until more research could be done. At the time of the meeting, more than 400 had signed the petition, all submitted from Edina residents. The synthetic turf is made from crumb rubber, essentially ground up rubber tires, which some have speculated to contain carcinogens. SAFE co-founder Clover Hackett was one of a handful of parents that spoke in front of the school board at the April 11 regular meeting. “You would be committing this community to an influx … of tires – tires that have been proved to contain multiple toxic chemicals,” Hackett said. “Don’t you think you owe it to your community to wait until you found out? At least with that scenario, you are not solely responsible for this health and environmental decision.” Hackett added that if the fields are found to be toxic, the school district would be open to a lawsuit, an added expense on top of needing to replace the fields. Superintendent Ric Dressen said that the district has held a lot of discussion and research dating back to 2003 when two other fields had been converted to crumb rubber. “We know that 98 percent of the schools that are turf fields nationally are crumb rubber, and 97 percent in the state of Minnesota are. And so we are just working together to make sure this is a good, safe situation and one that will work from a maintenance standpoint, that will work from a cost standpoint, that will serve all of our needs in the best interest,” Dressen said. “We are comfortable moving forward with it. We are going to monitor that study that they reference and if those findings are significant, we will respond to the findings and so we will make sure that it is a safe place for our students and our athletes and the community to recreate.” “I’ll be playing on these fields for 18 years,” Boardmember Amir Gharbi said. “We looked at what other states looked into. I’ve been comforted by what is in these studies. Long- term assessments of inhalations [show] no connection.” The Consumer Products Safety Commission currently has a study underway about the safety of crumb rubber. It is expected to be completed in late 2016, but there is no guarantee that the study will be either finished or conclusive at that time. Even with the groundwork beginning soon, the fields will not be usable until fall 2017. While the fill will not be included in the project until next year, Chad Rettke of Kraus Anderson construction said the decision to bid on in-fill will happen before 2017. WEST METRO Debate over turf fields in Edina echoes national health concerns Reports of possible cancer threat raise parents' fears. By Beena Raghavendran (http://www.startribune.com/beena-raghavendran/330703391/) Star Tribune APRIL 23, 2016 — 9:07PM A turf war is raging in Edina. Edina school administrators want to change over four grass sports fields to crumb rubber and replace a fifth that already has that type of synthetic turf, which is filled with tiny black pellets shredded from ground tires. Outcry is coming from hundreds of parents afraid of the potential health risks linked to recycled rubber. It’s spiraled into a debate about what’s best for kids in the Edina district: giving them chances to kick soccer balls through fresh turf fields, or holding off on a decision until the government can better examine health risks. The decision comes Monday, when the school board votes on a purchase agreement with vendor FieldTurf. “I know that people around the country are ripping this out and replacing it, so I don’t see why we’re going forward with it if there’s such a level of concern with so many people,” said Clover Hackett, an Edina parent who started the campaign to delay a decision. Murmurings that carcinogens may be hidden in the black crumb rubber pellets have surfaced nationally since NBC News and ESPN reports last year documented that a number of soccer players in Washington state developed cancer after playing on crumb rubber fields. Some studies have shown the presence of toxins in crumb rubber, and one from Environment and Human Health Inc. in 2015 found carcinogens in crumb rubber fill. The Environmental Protection Agency, the Centers for Disease Control and Prevention and other federal agencies started a study on crumb rubber in February in response to the concerns, and they will release a draft report this year. More than 400 supporters have signed a Change.org petition asking the Edina school board to wait to make a decision until then. Edina schools Superintendent Ric Dressen and his staff maintain that crumb rubber is durable and safe. It’s half as costly as some of the alternatives. Dressen and board members have said that studies examining the health risks so far have been inconclusive. “In terms of exposure and risk to kids, crumb rubber is not a risk that I view as significant, or public health studies view as being a significant risk,” said board member David Goldstein, who dismissed the concern as a nonissue. Crumb effects The piece in the spotlight in Edina is turf infill, the part that fills into the fake blades of grass that make up turf. The dives, scores and dramatic saves popular in soccer kick up black clouds of crumb rubber pellets every time cleats or soccer balls make contact with the infill. These can sneak into mouths, eyelids and sores — especially for goalkeepers who slide more than their teammates. Four Edina natural grass fields are slated to be replaced with crumb rubber in 2016 and 2017: two near Edina High School and Valley View Middle School, and two across town near the Edina Community Center and South View Middle School. A fifth, Kuhlman Field, already has synthetic turf with crumb rubber infill, but it’s aging and due for replacement. Nationwide, 98 percent of synthetic turf fields, including those in parks and universities, are filled with crumb rubber, Dressen reported at the April 11 meeting. Neighboring west metro schools including Hopkins, Minnetonka and Wayzata all use crumb rubber fields, he said. JIM GEHRZ, STAR TRIBUNE Eighth-graders are among many who play on a synthetic sports turf outside Valley View Middle School in Edina. A 2014 Edina task force recommended the field replacement, saying it was difficult for grass fields to rest to get back to safe conditions because of the demand for fields, causing safety risks for players. The district added that it’s aware of the federal study and will go forward with “necessary replacements should conclusive evidence warrant doing so.” Comfort or concern? The inconclusive piece is why Edina parent Winnie Martin is in favor of pausing. “If we waited a little bit, then that’s not such a bad thing,” Martin said. Board member Amir Gharbi has young children in the district and knows he’ll “be playing soccer with my children on these fields for 18 years,” he said at the April 11 board meeting. He said he was comforted by the studies, saying he hasn’t seen a correlation to any of the scares parents are citing. Hackett has the opposite take. Her daughter, 7, loves soccer, but she said the family will have to reconsider if Edina’s fields turn to crumb rubber. It’s just too much of a risk, she said. “We can probably find another sport that she’ll love just as much,” Hackett said. beena.raghavendran@startribune.com 612-673-4569 thebeenster BLOG Class Act Edina approves four new crumb rubber playing fields, despite parent concerns By Beena Raghavendran APRIL 26, 2016 — 1:48PM OLDER POST (HTTP://WWW.STARTRIBUNE.COM/ST- PAUL-STUDENTS-STAGE-WALKOUT-MARCH-IN- SUPPORT-OF-TEACHER/377008101/) St. Paul students stage walkout, march in support of teacher(http://www.startribune.com/st-paul-students- stage-walkout-march-in-support-of-teacher/377008101/) NEWER POST New principal at Bloomington's Jefferson High School (http://www.startribune.com/new-principal-at- bloomington-s-jefferson-high-school/377311891/) More synthetic turf fields are headed to Edina after a Monday school board vote approved an agreement with synthetic turf vendor FieldTurf. Four grass fields are switching to synthetic turf and a fifth synthetic field is being replaced with new crumb rubber. The two fields at the Edina Community Center will be completed this summer, and the two at Edina High School are scheduled for summer 2017. Parents in the district have voiced their concerns (https://www.change.org/p/edina- school-board-safe-athletic-fields-edina) about the recycled tire material, surfacing from some reports that have found toxins in crumb rubber. They asked the district to hold off on a decision (http://www.startribune.com/debate-over-turf-fields-in-edina-echoes- national-health-concerns/376856811/) until later this year, when federal agencies including the EPA are slated to release recommendations on crumb rubber. Superintendent Ric Dressen and his staff have said that crumb rubber is strong and safe. The fields in Edina will all be priced at the current rate, but the district could end the 2017 field purchase contract if the federal findings recommend crumb rubber shouldn't be used, according to a release from the Edina district (http://edinaschools.org/site/default.aspx? PageType=3&DomainID=4&ModuleInstanceID=8566&ViewID=047E6BE3-6D87-4130- 8424-D8E4E9ED6C2A&RenderLoc=0&FlexDataID=12917&PageID=1) . The board voted 6 to 1 in favor of the agreement, the release said. Sarah Patzloff, the board's vice chair, was the only vote against it, saying she was afraid that if the federal agencies' study recommended removing crumb rubber, the federal government wouldn't provide funding to do so. At Monday's meeting, board chair Leny Wallen-Friedman called the choice one "that weighs heavily on all of us," according to the release. "I do take consolation in knowing that our agreement allows for us to do something different in 2017 should the federal study provide conclusive evidence," he said. Date: May 9, 2016 Agenda Item #: VI.C. To:Community Health Commission Item Type: Report and Recommendation From:Jeff Brown, Community Health Administrator Item Activity: Subject:Public Health Emergency Preparedness Grant Information CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: ATTACHMENTS: Description PHEP/CRI Contract with MDH Date: May 9, 2016 Agenda Item #: VI.D. To:Community Health Commission Item Type: From:Britta Orr Item Activity: Subject:Sugar Sweetened Beverages Info CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: ATTACHMENTS: Description SSB Info Minnesota Healthy Kids Research Findings CREATING A PUBLIC MANDATE FOR ACTION TO SUPPORT HEALTHY KIDS About the Research Survey Survey conducted Oct. 25 –Nov. 6, 2013, by The Morris Leatherman Company (formerly Decision Resources, Ltd.). Some questions parallel 2008 survey (Complete Streets/Active Living) and 2011 survey (Sugar-Sweetened Beverages). Survey interviewed 800 randomly-selected Minnesota adults. The average interview took 17 minutes. The results of the sample are projectable to all Minnesota residents within ±3.5 % in 95 out of 100 cases. Focus Groups Six focus groups conducted in January 2014 in three locations: St. Louis Park, Mankato and Minneapolis. Participants were recruited via telephone and screened to assure an appropriate mix of people. There were a total of 43 participants: o 23 men, 20 women; o 11 political conservatives, 20 moderates, 12 liberals (all self-identified); o 9 people of color; o 13 with annual household incomes under $35,000; 19 with incomes of $35,000 to $75,000; and, 11 with incomes of $75,000 or more; and, o 8 between the ages of 18 and 34; 21 between 35 and 54; and, 14 55 and older. Children’s Health is Important, But… Healthier 25% Less Healthy 34% About Same 40% DK 1% IN GENERAL, DO YOU THINK CHILDREN IN MINNESOTA ARE GETTING HEALTHIER, LESS HEALTHY OR STAYING ABOUT THE SAME? Healthier Less Healthy About Same DK Only 1-in-4 say childhood obesity is a “very serious” issue while 19% say it is “not very serious at all.” Good Economy…Fewer Health Concerns Minnesotans’ perception of childhood obesity is improving with the economy. In 2011, 63% felt more children were obese than 10 years earlier; in 2013, 48% see more obesity. The most affluent Minnesotans are more likely to perceive that children are getting healthier. Conversely, those who are feeling stressed about their household finances are likely proponents of actions to combat childhood obesity. Middle-income families –those earning between $35,000 and $75,000 –tend to be the most aware of the challenge of childhood obesity and are most supportive of different solutions. I Know the Problem… 47% 45% 22% 40% 46% 36% 10% 7% 29% 2% 22 10% BULLYING OF OBESE CHILDREN OFTEN CREATES LIFELONG PROBLEMS HEALTH PROBLEMS AFFECTING OBESE CHILDREN WILL AFFECT EVERYONE. OBESE CHILDREN OFTEN BECOME LESS PRODUCTIVE WORKERS AS ADULTS. IMPACT OF OBESITY Strong Agree Somewhat Agree Somewhat Disagree Strong Disagree 2% 2% Focus group participants were very articulate in describing the causes of childhood obesity, from sedentary lifestyles to cheap calories to effective advertising. …And It’s Not Mine 43% 12%8% 37% FAMILY EDUCATION (SCHOOLS) PUBLIC HEALTH (GOVERNMENT) SHARED IS CHILDHOOD OBESITY A FAMILY PROBLEM, AN EDUCATION PROBLEM OR A PUBLIC HEALTH PROBLEM? Survey: “A lot of health problems of kids would be solved if parents took away their video games and TV.” Strongly agree: 52% Somewhat agree:40% Somewhat disagree: 6% Strongly disagree:1% Among those more likely than the general population to view the challenge as a personal one include African-Americans, Hispanics, men, Republicans, lower- income Minnesotans and families with pre-school children. Solutions Public Support for Sidewalks, Bike Paths Good News: Public support for more transportation options and for taxes to pay for them is growing. Bad News: Sidewalks, bike paths are not perceived as a solution to reducing the unhealthy weight of children. Support for Growing for Transportation Taxes 0% 10% 20% 30% 40% 50% 60% Strongly Support Somewhat Support Somewhat Oppose Strongly Oppose 9% 39% 26% 16%13% 51% 30% 4% WOULD YOU SUPPORT/OPPOSE TAX DOLLARS TO EXPAND/IMPROVE PUBLIC TRANSPORTATION, SIDEWALKS AND BIKE PATHS IN YOUR COMMUNITY? 2008 2013 Republicans support transportation taxes by a 52-46 percent margin Support decreases with age, although majorities continue to support transportation taxes. For example, among those 55 and older, transportation taxes still are supported 55 percent –42 percent. But it’s Not Linked to Childhood Health 47%29%39%45%10%18%2%6%CHILDREN/FAMILIES WHO WANT TO WALK/BIKE WILL FIND A WAY CHILDREN/FAMILIES WILL WALK/BIKE MORE IF SAFER/MORE CONVENIENT IMPACT OF TRAILS/SIDEWALKS ON BIKING/WALKING Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree Focus Groups: Test scenario paired family responsibility with safer paths to school. Support eroded with discussion. Safety is a huge concern. Not credible that kids walking/biking to school are safe. If parents really want to take responsibility, they don’t need new sidewalks/bike paths for exercise. Solutions Public Not Ready for Beverage Tax 27% 24%22% 26% HIGHER TAXES HELPED REDUCE SMOKING; WE SHOULD TRY HIGHER TAXES ON SUGAR- SWEETENED BEVERAGES. Strongly Support Somewhat Support Somewhat Oppose Strongly Oppose Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree Women support tax, 53-44%; Men oppose, 48-51% Strongest opponents in households with incomes less than $35K; oppose 39-59%. Middle-income households ($35-$75K) are strongest supporters, 56%. Little disparity among age groups; least support among 18-35 (48%); others parallel overall population. African Americans are among the strongest supporters; 59% support a tax. Asian-Americans strongly oppose the tax, 45-55%. Cost, Anti-Tax Sentiment Fuel Opposition Focus Groups Generally opposed the tax, even while acknowledging it likely would reduce consumption. Supporters were soft, opponents were adamant. Gender gap in focus groups went counter to survey. Male focus group participants weren’t heavy consumers of soft drinks. Women raised cost issue (reflecting survey finding of opposition among lower-income households). Focus group women tended to be skeptical of government. Concern was how government would use money. Discussion frequently turned to parental responsibility. Solutions Shared, Focused, Targeted Efforts Focus Groups Scenario with parents, communities and schools “working together to make sure our kids have a healthy future” was most positive, especially among women. Emphasis on solutions that promoted personal responsibility and specific actions - promoting breast-feeding, programs that teach parents how to prepare more nutritious meals, etc. Positive response to specific outcomes, especially targeting low-income children. The scenario of collaboration was ranked favorably in spite of including the action of “spending tax dollars to make sure that sidewalks and walking and biking trails are save and accessible.” This statement was in the context of “healthier communities” and not viewed by focus group participants as undermining parental responsibility. Solutions Don’t Undermine Academics Strongly Agree 19% Somewhat Agree 24% Somewhat Disagree 36% Strongly Disagree 21% IT'S MORE IMPORTANT FOR SCHOOLS TO SPEND CLASSROOM TIME ON ACADEMIC SUBJECTS THAN ON PHYSICAL EDUCATION. Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree Majority support for spending more time on academics exists among key demographics: 56% of self-identified political conservatives; 54% of those who believe children today are healthier; and 53% of those who believe childhood obesity is a family problem. Schools Have a Role… Survey 97% agree that children who have more nutritious diets do better academically, 84% agree that children who are more active do better academically. 80% agree that it’s a worthwhile investment to teach good eating habits to kids even if it costs some money. Focus Groups Discussion of the issue was a catalyst to support, especially when physical education was re-framed as part of a student’s academic curriculum; as one person said, “It’s not taking away from academics. Physical education is part of academics.” …As Long as it is Focused Most focus group participants support eliminating the sale of sugar-sweetened beverages and junk food in schools. ◦…But many –and especially women –were willing to allow exceptions to the ban on vending machine sales for after-school and athletic events. Most focus group participants support more nutritious school meals, even limiting options. ◦…But, broad opposition to schools teaching parents how to prepare quicker, cheaper and more nutritious meals. Survey respondents support local school districts deciding whether or not to offer physical education (55-42%). ◦…But, Intensity on the issue is more closely divided; 22 percent strongly agree while 15 percent strongly disagree. Conclusions The Need is for a Long-Term Awareness, Education Campaign. The challenge isn’t to get opponents to stand down, but to get supporters to stand up. Opposition entrenched, support is soft. Conversation does move people, in the survey and in focus groups. Currently, discussion is moving people to support and oppose. ◦Those who perceive there are more obese children than 10 years ago can become stronger supporters. ◦Physical education taking time away from academics reinforces opposition. People need to connect the dots from problem to solution to me 5.8 6 6.4 5.3 6.7 6.1 5.7 7.5 5.75 5.4 5.86.1 5.5 5.8 6.2 5.9 6.3 5.2 6.7 5.1 5.3 5.6 7.5 7.85 7.6 7.45 8.7 7.8 7.6 7.7 5.4 7.5 7.7 Evaluation of Solutions Statement 1 Statement 2 Statement 3 Statement 1: Parents taking personal responsibility to fix better meals, exercising; would like safer routes for kids to walk/bike to school. Men: 4As/5Fs Women: 4As/5Fs Statement 2: Tax increases on tobacco has contributed to a decline in use; we should apply that lesson and increase taxes on sugar-sweetened beverages. Men: 9As/2Fs 3As/6Fs Statement 3: Parents, schools and communities working together can improve health of kids. Examples include MDH working with schools to improve nutrition and working with new parents to promote breast feeding. Men: 11As/2Fs Women: 16As/1F Conclusions We Know the Problem…and It’s Not Ours People generally have a good understanding of the problem. Focus group participants see few personal consequences. Agree with the 91% of survey respondents who say the problem eventually will affect health costs, but it’s the children and their parents who will pay. One opening: Higher insurance premiums. Discussion should focus on the “what” not the “so what.” Sell the consequences, not problem. Conclusions Parents, Parents, Parents Solutions start and end with parental responsibility. Overall health is improving (79% say Minnesotans are healthier or about the same as a decade ago), but more Minnesota children are obese (48%) or no change (34%). Focus groups: Adults are more knowledgeable and engaged in their own health, but not taking responsibility for kids. Parents have to be part of every solution. Conclusions Government’s Role is Narrowly Defined Solutions can’t be too broad; transportation taxes are to move people, not to make kids healthier. Support for grassroots action supported by government funds (e.g., SHIP). Support for government-sponsored education programs implemented by families (e.g., breast-feeding). Support for government action focused on at-risk kids (e.g., low-income programs). Parents, communities are in charge. Government is a partner, not the problem-solver. Conclusions Direct Talk is OK; Blaming Crosses the Line Identifying people –including kids –as “obese” is okay as long as it’s backed by consistent standards. Non-health outcomes derived from unhealthy weight is perceived as blaming. ◦Overweight workers might miss more work, but they are perceived to be as productive as anyone else when they are on the job. ◦Girls face enormous peer pressure, and weight can contribute to that. But unhealthy weight isn’t the cause of poor academic performance. Emphasize positive outcomes of improving the health of children. Conclusions Need to Create Urgency Children’s health is just another important but not imperative issue. Urgency created by impact on kids and, ultimately, on Minnesota: ◦Physically active kids and those who have better diets perform better in school. ◦“We’ve seen a disturbing growth in obesity-related diseases among our kids. This increase includes conditions like Type 2 diabetes, heart disease, liver disease, asthma, and joint problems –some of which were previously uncommon in children.” -Alan L. Goldbloom, M.D., president and CEO of Children’s Hospital of Minnesota We are creating the first generation of kids who will be poorer and less educated than their parents because they will be less healthy. Bottom Line Parents are the first line of action…but time-stressed parents acting alone can’t overcome advertising, the availability of junk food, peer pressure and communities designed for cars and adults. There is a direct cost to me. Because of overweight and obese children, I will pay higher health insurance premiums. I will live in a less competitive state. There are solutions. They are evidenced-based. They require cooperation, starting with parents and involving schools and communities in focused, targeted grassroots efforts. Strongest Platform for Opponents The good news is that as the economy recovers, families are better able to focus on healthier meals. They have the time to get out and do things together. Thanks to better awareness among parents, we are turning the corner on childhood obesity. We need to keep at it, though –not through more taxes that punish low-and middle- income families who are at most risk, but by encouraging parents to get their kids off the couch and outdoors for exercise. Strongest Platform for Proponents The number of unhealthy children –especially those who are overweight and obese –continues to be a Minnesota crisis, in good economic times and bad. There are solutions, starting at home. It’s important for parents to teach children lifelong exercise and nutrition habits, to prepare healthy meals and to make sure their kids are active. Schools should make physical education a part of academic success; communities can make sure kids have safe places to play; and public programs can reach out to low-income and other at-risk kids. If we don’t succeed, we all will pay the price in higher insurance premiums, more unhealthy adults and a less competitive state. Date: May 9, 2016 Agenda Item #: IX.A. To:Community Health Commission Item Type: From:Jeff Brown, Community Health Administrator Item Activity: Subject:EPS Mental Health and Wellness Initiative Update Information CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: School board action in early June to finalize plan for services. Decision will be announced after that meeting. Plan is to use both contractors who responded to RFP. One for elementary, one for secondary. Training will take place over the summer with implementation planned for the Fall of 2016. Hoping to address wide range of issues. Forecasted 2-3 years to get fully operational. Date: May 9, 2016 Agenda Item #: IX.B. To:Community Health Commission Item Type: From:Jeff Brown Item Activity: Subject:Upcoming Meetings Information CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: Annual Televised Meeting: June 13th, 6:30 pm in the Council Chambers. Work Session with City Council: August 16th, 6:15 pm in the Community Room.