School Health in Texas Schools
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Transcript of School Health in Texas Schools
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School Health in Texas Schools
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What’s Going on in Texas?• Texas Obesity Numbers Grow
• Everything's bigger in Texas, including the people. • Houston, We Have a Big Problem • Texas senator proposes ‘obesity reports’
• Houston again tops fattest city list − USA Today, 2005
• America's Fattest City Two years running, Houston heavyweights take the cake − New York Times Company, 2005
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11th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
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8th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
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4th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
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Texas Responds
“Of greatest concern to me is that more than one out of three Texas children, 35 percent to be exact, are considered overweight or obese
• According to the Texas Obesity Task Force, if nothing is done to change poor eating and exercise habits among our children, the youngest generation is likely to have a shorter life expectancy than their parents” Rick Perry− Speech - January 8, 2004
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Texas Responds
1.State Laws • SB 19/1357/42
2.School Health Advisory Councils
3.Daily Physical Activity
4.Coordinated School Health Program
5.Local Wellness Policy
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1. State LawsSenate Bill 19-2001-Establish a School Health Advisory Council
- Implement 4 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program-K-6
-Daily Physical Activity
-Abstinence Education
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1. State LawsSenate Bill 1357-2003-Amended SB 19
-Strengthen School Health Advisory Councils
-Implement 8 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program K-6
-Daily Physical Activity
-Abstinence Education
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1. State LawsHouse Bill 42-2005-Expanded SB 1357
-Strengthen School Health Advisory Councils
-Implement 8 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program (TEA to develop criteria-6-8)
-Daily Physical Activity (SBOE to rule)
-Abstinence Education
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2. School Health Advisory Councils
• SHAC is a group of parents, community members and school personnel working together to ensure all children have every opportunity to be healthy, and that schools provide a healthy learning environment.
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2. School Health Advisory Councils
Who Should Be A Member?
• 51% must be parents in the district that are not employees of the School District.
• School Personnel • Students
• Colleges • Civic Organizations
• Faith Community • Government
• Business • Social Services
• Medical Community • Law Enforcement
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3. Daily Physical Activity
• It authorizes the State Board of Education to adopt rules mandating daily physical activity for students in grades K-6,
• SBOE adopted rules for physical activity−30 minutes daily−135 minutes weekly
• SBOE may adopt for 6-8.
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4. Coordinated School Health Program
4 component for the adoption of a Coordinated School Health Program
8 components for curriculum
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Componentsof an ideal
coordinated school health
program
Family &CommunityInvolvement
PhysicalEducation
School Health
Services
Nutrition Services
Counseling, Psychological & Social Services
ComprehensiveSchoolHealth
Education
School-site Health
Promotion forStaff
HealthySchool
Environment
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4. Approved Coordinated School Health Programs
• Bienestar Health Program −210-533-8886
• CATCH −www.CATCHTexas.org
• The Great Body Shop −www.TheGreatBodyShop.net
• Healthy and Wise −800-383-1927
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5. Wellness Policy
Child Nutrition Reauthorization Act 2004
− No later than the first day of the school year beginning after June 30, 2006, each local education agency (LEA) with a federally-funded school meals program must develop and implement a wellness policy.
− The law places the responsibility of developing a wellness policy at the local level so the individual needs of each school district can be addressed
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House Bill 984Management of Diabetes in School Children
Passed
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What’s It All About?• Allows for 3 unlicensed diabetes
care assistants if there is no school nurse or 1 if there is a school nurse
• If school nurse is present, they will provide primary assistance
• Assistants can give support if parents sign waiver
• Students if capable can self-manage their own diabetes
• Bus drivers and others during off campus activities will be provided with a one page information sheet
Passed
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House Bills 1259, 3099 and Senate
Bills 467, 545, 1239Modification of Acanthosis Nigricans
Screening
Failed
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What’s It All About?• Would have renamed Acanthosis
Nigricans Screening Program to Risk Assessment Program for Type 2 Diabetes
• Would have used BMI as the initial screening mechanism
• Further screening would use the AN marker and blood pressure to identify Type 2 Diabetes
Failed
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House Bill 3097 and Senate Bill 1666
Diabetes Registry
Failed
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What’s It All About?• Would have established a
diabetes registration program
Failed
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Senate Bill 42Expansion of School Health and PE
Programs, much more. Oh, and “cupcakes” too. Passed
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What’s It All About?• Adds important accountability
requirements existing law
• Establishes a new state School Health Advisory Committee
• If the State Board of Education adopts rules, it expands physical activity and coordinated school health into middle school and junior high
• Allows parents to bring food for birthdays and other celebrations
• Contains lots of compromise
Passed
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Senate Bill 426Childhood obesity prevention and school
health
Near Miss
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What’s It All About?• Would have required reporting
compliance with health and physical activity requirements
• Would have required reporting through PEIMS
• Would have required PE in middle and junior high
• Would have established a Texas Fruit and Vegetable Pilot Program
Near Miss
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Senate Bill 1379Childhood obesity prevention and school
health
Near Miss
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What’s It All About?• Would have created an
Interagency Obesity Council
• Would have promoted participation in federal school breakfast and lunch programs
• Would have prohibited sales of carbonated beverages in containers larger than 12 ounces
Near Miss
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House Bill 107The “Cheeseburger” Bill
Passed
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What’s It All About?• Prevents Texans from suing
restaurants or food manufacturers for obesity-related health problems
Passed
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House Bill 3283A Snack Tax
Failed
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What’s It All About?• Would have imposed a 1% tax on
the sales of snack foods
• Funds would have supported childhood obesity programs
Failed
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Senate Bill 205BMI Report Card
Failed
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What’s It All About?• Would have required school
districts to compute student BMI and report the results on student report cards
Failed
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House Bill 1316Immunization of Children
Passed
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What’s It All About?• Requires immunization of
children in regulated child-care facilities
• Each child at an appropriate age shall have immunization as recommended by the DSHS by the start of school
• May be provisionally admitted if immunizations have begun and are completed ASAP
Passed
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Special SessionsIncluded tobacco excise tax and of course
school finance/reform Still Waiting!
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What’s Next?• Not sure.
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Federal Legislation
What has been passed, proposed, it’s impact, and strategies for addressing it.
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Child Nutrition Reauthorization ActMandates a wellness policy for every school
system
In Effect
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What’s It All About?• There’s a ton of stuff regulating
the federal child nutrition program
• A critical component is the requirement that every school system must have a wellness policy
In Effect
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Region Education
Service Center Workshop Session:
School Health Advisory Council
Construction
Welcome
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Coordinated School HealthCoordinated School Health
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School Health
Advisory Councils