Post on 30-Mar-2015
A CCLHDN CALL TO ACTION
Soda and Other Sugary Drinks
Charlotte Dickson, MSWDirector of Local Policy
www.PublicHealthAdvocacy.org
Promote the establishment of public health policy at both
the state and local levels
Childhood Obesity
School Nutrition Standards Physical Education Funding Menu labeling in Chain Restaurants Soda & other sugary drinks
Because health doesn’t just happen
24.3%
24.3%
71 resolutions & policies
California’s
Economic Costs
of Overweight, Obesity and
Physical Inactivity
Individual BehaviorOR
The Environment
WITHIN
Public Policy
The EnvironmentThe social, economic, and political context in which we make our food
and activity choices
Public Policy
Individual Behavior
Sanitation Worker Safety Clear Air / Clean Water Auto Safety Drunk Driving Lead Poisoning Violence Prevention Tobacco Control
MajorPublic Health
Movements
UNIVERSAL
LESSONS24.3%
Solution is NOT only a matter of personal responsibility
Education is critical, AND
School and community environments must be changed
Federal, state, and local policies are crucial
The World of Sugar-Loaded
Beverages
Carbonated Sweetened Beverages
SportsDrinks
IcedTeas
EnergyDrinks
Vitamin Water
Flavored Milk
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
10 tsp 17 tsp 27 tsp
12 oz
33 oz
20 oz
teaspoons of sugar
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
2. Consumed in massive quantities
ADULTConsumption
of Sugar-Loaded
Beverages in California
50 gallons per year
39 poundsof sugar
KIDSConsumption
of Sugar-Loaded
Beverages in California
DRINK A SODA OR MORE A DAY
Age 2-11: 41%
Age 12-17: 62%
175 calories per day!
Whites: 25%
Latinos: 42%
African Americans: 47%
YOUNG KIDS(2-5)
Consumption of Sugar-
Sweetened Beverages in
California
33% Drink soda daily
Alameda 24%Orange 24%Sacramento 27%Riverside 36%Los Angeles 39%Merced 45%San Bernardino 45%Fresno 57%Imperial 59%
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
2. Consumed in massive quantities
3. Clearly linked to obesity and diabetes
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
2. Consumed in massive quantities
3. Clearly linked to obesity and diabetes
4. No nutritional benefits
5. Poor calorie compensation
Change in Appetite Influenced by Form of Sugar
(Source: Mattes, 1996)
Liquid Sugar9%
compensation
Solid Sugar64%
compensation
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
2. Consumed in massive quantities
3. Clearly linked to obesity and diabetes
4. No nutritional benefits
5. Poor calorie compensation
6. Primary cause of dental decay
Soda consumption doubles the risk of cavitated dental caries
7 Reasons to Focus on
Sugar-Loaded
Beverages
1. Primary Source of Sugar in U.S. diet
2. Consumed in massive quantities
3. Clearly linked to obesity and diabetes
4. No nutritional benefits
5. Poor calorie compensation
6. Primary cause of dental decay
7. Food product MOST marketed to children! ($500 million annually)
8. Beverage environment has changed dramatically
6.5 oz (1920s)
12 oz(1960s)
20 oz (1990s)
33 oz (1L) Today
Portion Size
6.5 oz (1920s)
12 oz(1960s)
20 oz (1990s)
33 oz (1L) Today
How did it happen?Portion Size
6.5 oz (1920s)
12 oz(1960s)
20 oz (1990s)
33 oz (1L) Today
How did it happen?Portion Size
6.5 oz (1920s)
12 oz(1960s)
20 oz (1990s)
33 oz (1L) Today
How did it happen?Portion Size
6 - Pack
12 - Pack
24 - Pack
SODA…
Consumer Price Index, 2010
Best Deal on the Market!
0
50
100
150
200
250
300
Total Sweetened Beverages
kcal
/per
son
/day
Increase in Per Capita Calorie Intake from 1977-2001
278 cal/day
120 cal/day
Equivalent of 43% of new
calories
Huge Contributorto Obesity Epidemic
Increase in Per Capita Calorie Intake(1977 – 2001)
Sweetened beverage intake nearly tripled
0
2
4
6
8
10
12
14
All 2-18 19-39 40-59 > 60
% T
otal
Cal
orie
Inta
ke
1977-78
1989-91
1994-96
1999-01
center foreight &
ealthhDr. Robert C. and Veronica Atkins
University of California, Berkeley
Public education
Grassroots organizing
City & county policies
State policies
CA Campaign for Healthy Beverages
AB 699 (Monning)
Sugar-Sweetened Beverage
Tax
One penny per ounce
Raise $1.7 billion annual
Funds for obesity prevention
GOAL: Fund communities in proportion to consumption
Public
Support
for Soda
Tax
56% of voters support
Field Research, April 2010Sample of 503 registered voters
Low Income (<$40k/year): 60%
Latinos: 66%
Vending machines on city / county property, youth venues, parks & recs, businesses
Purchasing policy
Marketing / sponsorship
Access to clean water for everyone
Local BeveragePolicies
Everyone has a role to play
1988: $90 million/year for social norm change
1999: Results were clear
27% decrease in smoking
19% decrease in lung cancer deaths 10% lower than rest of country
“Seeing dramatic results like these is proof that what we have done in California has worked.”
Diana Bonta, State Health Director (2003)
Proposition 99
Surgeon General on Smoking: 1964
“…cigarette smoking contributes substantially to mortality from certain specific diseases and to the overall death rate.”
Num
ber of cigare
ttes
1964
5,000
4,000
3,000
2,000
1,000
1955 1970 1980 1990 2002
US adults (18+ years)
Per Capita Cigarette Consumption1955-2002
Smoke-free schools, workplaces
Extensive K-12 education
Health care sector participation
Advertising restrictions
Warning labels
Tobacco taxes (CA Prop 99)- funding state/local programs- anti-tobacco ads
Tobacco Policies
Surgeon General on Diet: 1988
“…over consumption of certain dietary compo-nents is now a major
concern for Americans.”
“Overweight and obesity have reached epidemic proportions nationwide.”
Surgeon General on Obesity: 2001
Overweight Prevalence*1980-2010
* US adults (18+ years)
1980 1990 2000
Percent O
verweight
20%
40%
60%
80%
1988
“We need very big PUBLIC POLICY CHANGES
to stop diabetes and obesity from ruining our young people.”
Newt GingrichTavis Smiley Program, NPR
June 11, 2004
We have everything we need right now to start
solving America's childhood obesity
problem.
Michelle ObamaJanuary 21, 2010
Let’s
Work
Together!
A CCLHDN CALL TO ACTION
Soda and Other Sugary Drinks
Charlotte Dickson, MSWDirector of Local Policy
www.PublicHealthAdvocacy.org