35 Ways to Change the Food System

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1 35 Ways to Change the Food System The Essential Food Day Toolkit September 12, 2013; 2 3 pm ET

2 Using GoToWebinar During presentations, please type any questions into the box in your dashboard, and we ll address them at the end. During Q&A, you may also press the Raise Hand icon on your dashboard and we will unmute you. This seminar will be recorded; a link will be sent to all call registrants within one week of the call. For questions, please contact foodday@cspinet.org.

3 Call Agenda 1. Lilia Smelkova, Food Day Campaign Manager 2. Nancy Huehnergarth, Executive Director, New York State Healthy Eating and Physical Activity Alliance 3. Katherine Bishop, Nutrition Policy Associate, Center for Science in the Public Interest 4. Louise Mitchell, Regional Organizer, Healthy Food in Health Care Program, Health Care Without Harm 5. Q&A

4 nationwide celebration of healthy, affordable, and sustainably produced food a grassroots campaign for better food policies 3,200 events in 2012

5 On Food Day Let's change the food system

6 Food marketing

7 Send us your suggestions, ideas, and thoughts

8 Advocating for Food Policy on Food Day Nancy Huehnergarth Nancy Huehnergarth Consulting

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10 Land Use and Zoning

11 Land Use and Zoning Policy that encourages the development of community gardens Policy that protects farming and keeps development away from farmland. Policy that requires a minimum distance of 500 feet between fast food, carry-out, and drive-in restaurants and elementary, junior high, or high schools. Reduce density of fast food outlets through zoning specifications. Land use policies that protect and promote Farmers Markets.

12 Sugary Drink Tax

13 Sugary Drink Tax Penny per ounce excise tax on sugary drinks

14 Restaurant Hygiene

15 Restaurant Hygiene Restaurant Grading

16 Hunger/Food Access

17 Hunger/Food Access Ensure that farmer s markets accept EBT cards for SNAP and WIC Incentive Program for SNAP Recipients that increase the value of benefits when purchasing produce at Farmers Markets. Allow Mobile Food Markets to bring healthy food weekly into communities with poor food access. Incentivize grocery stores and other purveyors of healthy foods to locate in underserved neighborhoods.

18 Pesticide Taxes and Bans

19 Pesticide Taxes and Bans Assess a tax on pesticides and fertilizers to reduce their use Ban pesticide use

20 Animal Welfare

21 Animal Welfare Ban use of gestation crates for sows Ban use of crates for calves raised for veal Ban battery cages for egg-laying hens

22 Agriculture and Organic Farming

23 Agriculture and Organic Farming Incentives for farms to convert from conventional to organic. Policies that protect farmland from development. Zoning policies to permit urban agriculture.

24 Thank you for advocating for local food policies!

25 Food Day 2013 Policy Suggestions Katie Bishop, M.S., M.P.H. Nutrition Policy Associate

26 Schools Set standards for food nutrition education and food literacy in schools Nutrition standards for school celebrations, rewards, and fundraisers Nutrition standards for food marketing in schools

27 Schools Improve local wellness policy and make sure it is implemented fully Call for a state plan to implement healthy nutrition environments in schools

28 Workplace Nutrition standards for workplace vending and food service Adopt a healthy meeting policy Provide calorie labeling for food service and vending machines

29 Government/Public Venues Nutrition standards for all foods and beverages sold and served on government-run property Vending, concessions, cafeterias, meetings Agency buildings, parks, highway rest stops, hospitals, universities, senior centers, youth homes, etc.

30 Restaurants/Food Service Establishments Improve default options in kids meals Nutrition standards for kid s meals sold with toys Menu labeling at nonchain restaurants Ban use of artificial trans fat

31 Food Marketing Adopt nutrition standards for food advertising in government facilities and property Nutrition standards for kid s meals sold with toys Nutrition standards for food marketing in schools

32 Engaging Health Care in Sustainable Food Policies Thursday, September 12, 2013 Webinar: Advancing Better Food Policies on Food Day Best Practices and Tools for Engagement Louise Mitchell Regional Organizer Healthy Food in Health Care Program Health Care Without Harm

33 Why Healthy Food in Health Care? National Health Crisis of diet related diseases Increasing understanding of linkages between industrialized food systems and human and environmental health Health Care in prime position to support a healthier food system and food environments: Large purchaser of food Health authority Major employer Community member/leader Anchor institutions in community

34 Healthy Food in Health Care Defining Healthy Food Nutritious, Whole Foods Environmentally Sound Economically Viable Socially Responsible

35 Healthy Food in Health Care Program Key Strategies: Sustainable Food Policies and Action Plans Purchasing Locally and Sustainably Produced Food Menu Changes to support whole, seasonal, reduced meat meals Farmers Markets/ Farm Stands/ CSA s Hospital Gardens Healthy Vending and Healthy Beverage Programs Composting and Waste Reduction

36 HFHC Program Initiatives Guide for Operating a Healthy and Sustainable Food Service HHI Call to action for the health care sector Healthier Food Challenge Healthy Food Pledge Clinical Education & Advocacy Program Balanced Menus Initiative Healthy Beverage Initiative

37 Conferences, Webinars, Trainings, Website Webinars healthcare.org/events.php

38 Healthy Food in Health Care Pledge A Pledge for fresh, local, sustainable food. The Healthy Food in Health Care Pledge is a framework that outlines steps to be taken by the health care industry to improve the health of patients, communities and the environment. Over 450 facilities from across the US have signed the Pledge. We pledge to encourage our vendors to supply us with food that is, among other attributes, produced without synthetic pesticides and hormones or antibiotics given to animals in the absence of diagnosed disease.

39 Implementation Tools and Resources Sustainable Food Purchasing & Policies Green Guide for Health Care Food Service Credits GGHC Food Service Toolkit o o Policy Templates Tracking Tools National Listserv Factsheets Purchasing Guides Contact a Regional Organizer

40 Sample: Policy Vision Statement Hospital Food and Nutrition Services department is committed to adopting operational practices that: Integrate health, research and service through ethically sound practices, doing no harm. Prevent disease and promote health and healing, based on scientific research. Provide educational services to patients, staff, visitors, and the general public. Establish ecologically sound, economically viable and socially responsible principles. Demonstrate an understanding of the inextricable links between human, public and ecosystem health.

41 Formal Commitment to Sustainability Environmental Mission Charter Core Values CEO Engagement Strategy Get it in writing.

42 Sample: Procurement Policy Poultry Ultimate goal: Certified Sustainable, Certified Humane, regionally purchased (within 250 mile radius) 1 st priority: Food Alliance Next : Organic Next : No non therapeutic abx used in feed or water (or injected) Next : No arsenic in feed or water Next : Certified Humane Raised and Handled or Animal Welfare Approved Next : Regionally Grown

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44 Health Association Policies American Medical Association: Resolution Supporting Sustainable Food System, 2009 American Public Health Association: Resolution Towards a Healthy Sustainable Food System,2007 American Nurses Association: Resolution for Healthy Food in Health Care, 2008 Importance: Provide authority for action in healthcare facilities/practice Provide practical guidance and resources for implementation Deliver unified healthcare voice to decision and policy makers

45 Physicians, Nurses, Clinicians, Hospitals Ask Congress to Enact Legislation Prohibiting Non-therapeutic use of Antibiotics in Animal Production Requests Come on Eve of Congressional Hearing on Use of Antibiotics in Agriculture July 13, 2010, Washington, DC More than 1000 physicians and other clinicians, including nurses, have signed statements asking Congress to pass legislation to reduce the use of nontherapeutic antibiotics in food animals. Hospital and Healthy Systems representing over sixty healthcare facilities also signed a petition in support of legislation to end unnecessary antibiotics use in food animal agriculture. Another 300 hospitals have pledged to make changes in their food service meat purchases to exclude meat raised with antibiotics. Health Care Without Harm announced the health care sector s support of antibiotics legislation on the eve of a July 14 hearing conducted by the House Energy and Commerce Subcommittee on Health to examine the use of antibiotics in animal agriculture.

46 Press Release: April 20, 2012 Maryland Bans Arsenic in Chicken Feed, Health Care Instrumental in Passing Legislation Baltimore, Md. The collective voice of the health care and public health communities helped tip the scales in a long-running legislative battle that culminated on April 7 th in Maryland becoming the first state in the country to adopt a ban on arsenic additives in chicken feed. This was the third consecutive year that the state legislature considered the arsenic ban in Maryland, which is the nation s 8th-largest producer of broiler chickens. The letters, calls and testimonies we received from hospitals, health care and public health professionals and their associations played an important role in helping to pass this bill, said State Delegate Tom Hucker (D-Montgomery), the primary sponsor and champion of the legislation. Health Care Sponsors included: American Academy of Pediatrics Maryland Academy of Nutrition and Dietetics Maryland Nurses Association MedChi The Maryland State Medical Society Carroll Hospital Center Union Hospital of Cecil County Many individual health care clinicians

47 Proposed State Pesticide Policy Public Policies often take years to get passed Maryland Pesticide Information and Reporting Act Health Care Sign ons: from January April 2013 o 140 individual health care professionals signed on o 1 hospital o 2 health professional associations

48 Other Policies Genetically Engineered Salmon Comments submitted to FDA in Spring 2013 Food and Farm Policy Farm Bill Specifications to Meet Sustainability Criteria in Contracts Purchasing Contracts Contracts with Group Purchasing Organizations Contracts with Food Service Management Companies

49 How Food Day Coordinators Can Collaborate to Engage Health Care in Policies Collaborate with a HCWH regional organizer Identify which hospitals have signed Healthy Food in Health Care Pledge Identify which hospitals have signed Healthier Hospitals Food Challenge Invite HCWH, hospitals and health care professionals to participate in your campaigns Introduce hospitals in your region to HFHC Program, website and our resources Invite your health care contacts to sign on to Antibiotics Letter on HCWH website

50 Protecting the Antibiotic Toolkit Support the Preservation of Antibiotics Medical Treatment Act Stop the routine use of nontherapeutic antibiotics and keep antibiotics working for human therapy and sick animals. Sign on Letter

51 Health Care: Tell Congress to Protect Antibiotics for Human Medicine Eighty percent of the antibiotics sold in the U.S. are used in animal agriculture. Many of these antibiotics are medicallyimportant, and are used to treat illnesses in humans. However, their use in animal agriculture threatens their efficacy in treating infections in people. Antibiotic resistance is now a growing medical crisis. Two bills before Congress would protect antibiotics for human medicine. The Preservation of Antibiotics for Medical Treatment Act (PAMTA) in the House and the Preventing Antibiotic Resistance Act (PARA) in the Senate represent comprehensive steps towards combatting antibiotic resistance in our country. These companion bills would protect eight classes of antibiotics important for treating sick people, by withdrawing their use from food animal production, unless animals or herds are sick with disease, or unless drug companies can prove that their use does not harm human health. Health care professionals can play an important role in making sure our elected officials protect antibiotics. Please voice your support for these bills by sending a letter to your Senator and Congressperson today. Find your elected official and sign onto our letter here:

52 Additional Resources Hospital Policies: Healthy Food Pledge Kaiser Permanente Policy Health Association Resolutions Statewide Policy pdf

53 List of Regional Organizers in U.S. Healthy Food in Health Care Program Health Care Without Harm You can also participate in: Regional Leadership Councils Work Groups Alliances

54 Healthy Food in Health Care Regional Organizers California Lucia Sayre Kendra Klein Sapna Thottathil San Francisco Physicians for Social Responsibility Maryland Louise Mitchell Gina Navarro Michigan Hillary Bisnett Kathryn Savoie The Ecology Center New England Stacia Clinton Michelle Gottlieb John Stoddard Kit Perkins Oregon Gretchen Miller Emma Sirois Oregon Physicians for Social Responsibility Pennsylvania Fran Cassidy Common Market Philadelphia Washington Kathy Pryor Washington Physicians for Social Responsibility

55 Contact Information Louise Mitchell Regional Organizer Healthy Food in Health Care Program Health Care Without Harm