New York City Obesity Task Force: Interim Progress Report
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New York City Obesity Task Force: Interim Progress Report December 2013 In May 2012, Mayor Michael R. Bloomberg announced a plan, developed by a multi-agency Obesity Task Force (OTF) he convened, to strengthen New York City’s anti-obesity efforts. The Task Force, led by Deputy Mayors Linda Gibbs and Caswell Holloway, brought together leadership of a dozen City agencies and offices and identified and recommended 26 initiatives to accelerate progress toward reversing the obesity epidemic in New York City. Together, these initiatives aimed at reducing obesity rates by 10 percent among adults and by 15 percent among children by 2016. They also targeted improvement in key measures that are risk factors for obesity: decreasing consumption of sugary drinks and increasing consumption of fruits and vegetables among adults by 30 percent; and reducing the rate of adults who get no physical activity by 15 percent by 2016. In just 18 months since the Obesity Task Force Report and recommendations were announced (www.nyc.gov/html/om/pdf/2012/otf_report.pdf), significant progress has been made toward implementing the recommendations. Across the City, agencies have been engaged in building and expanding programs, promoting awareness, conducting trainings and engaging in policymaking to prevent obesity among children, encourage healthy eating, promote physical activity, and make the City an example of healthy government practice. The efforts have formed fundamental building blocks for a healthier environment: because of the Obesity Task Force’s efforts, New Yorkers have better access to fruits and vegetables and increased awareness of the harms of sugary drinks. New Food Standards have been developed and implemented; hospitals have committed to improving the food environments for patients and employees; nutrition has been improved in more than 800 summer camps, and salad bars and water jets are operating in hundreds of schools. Community gardens have sprung up in low- income neighborhoods, and large-scale urban agriculture projects are being developed in several housing authority complexes. Physical activity opportunities have increased, and all city agencies are required to incorporate design strategies that encourage physical activity into new construction and major renovation projects. The Mayor launched the Center for Active Design, dedicated to promoting wellness through the design of buildings, streets and communities. Additionally, children in elementary schools are getting more regular physical activity, and thousands of New Yorkers are using Citi Bike, the largest bike sharing program in the country. Changing the food and physical activity environments and norms takes time. Many of the Obesity Task Force initiatives are just getting underway and their impact cannot yet be measured. Nonetheless, while the prevalence of obesity in New York City is not yet on a sustained decline, we are starting to see signs of progress. New Yorkers are reducing their consumption of sugary drinks and increasing their physical activity. Sustained and continued improvement in these areas is key to turning the obesity epidemic around. The following is an interim report on the City’s progress implementing the Obesity Task Force’s recommendations. Thousands of hours of work and targeted resources have pushed the vast majority of the Task Force’s recommendations into reality. A small number of initiatives have proved particularly challenging and remain unfinished. Continued focus and innovation will certainly be required to meet the ambitious targets for reducing obesity for 2016. 1
New York City Obesity Task Force: Interim Progress Report December 2013 Goals and Indicators by 2016 FY 2010 (baseline) Indicators FY 2012 Indicators Reduce the Prevalence of Obesity: A Reduce the percent of NYC adults who are obese by 10% (23.4% to 21.1%) 23.4% adults are obese 24.2% adults are obese B Reduce the percent of children (K-8th grade) who are obese by 15% (20.7% to 17.6%) 20.7% children are obese No new data Reduce the percent of adult New Yorkers: C Consume one or more sugary drinks per day by 30% (30.3% to 21.2%) 30.3% consume 1+ SSB/day 28.2% consume 1+ SSB/day D Consumed no servings of fruits and vegetables in the previous day by 30% (11.6% to 8.1%) 11.6% consumed no fruits + 12.5% consumed no fruits + vegetables vegetables E Reported no physical activity in the past 30 days by 15% (27.3% to 23.3%) 27.3% reported no physical 22.2% reported no physical activity activity # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS Prevent Obesity in Children 1 Promote and expand the Department of 1. Increasing the School Wellness Council DOE, DOHMH 125 grants awarded in 2012- ★COMPLETE Education’s nutrition and wellness Grant program, which allocates $2,500 to 2013, up from 50 grants the efforts schools that develop Wellness Councils and previous year, reaching activities to an additional 75 schools per year, 78,000 students 2. creating DOE staff “Wellness Coordinators” to provide technical assistance and implementation support to schools seeking to enhance their environments, 3. linking health and nutrition education to the school environment, particularly in the school cafeteria 2 Install water jets in school cafeterias to Adding more than 700 new water jets in DOE During FY13, DOE added 438 ✔On track promote student’s preference for and schools and reaching the vast majority of City water jets to City schools, consumption of water students bringing the total number of water jets to 789. 3 Expand the school gardens initiative to Increasing school garden grants by 50 DOE, DOHMH, 350 schools registered with ✔On track teach students about the origin and taste additional grants per year Mayor's Office Grow to Learn as of of healthy food September 2013 2
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS 4 Install salad bars in NYC schools Installing salad bars in all NYC public schools DOE During 2012-2013 school ✔On track city-wide year DOE installed 300 salad bars, bringing the total number in city schools to 1,379 in over 1,000 sites as of July 2013 5 Improve nutrition at City-licensed Amending the New York City Health Code to DOHMH Board of Health adopted ★COMPLETE children's camps create nutrition guidelines for the new guidelines on DATE approximately 1,000 City permitted children’s camps. Proposed changes will focus on avoiding sugary drinks 6 Increase physical activity for elementary Expanding Move-to-Improve capacity to train DOE, DOHMH 3,482 trained teachers in MTI ✔On track children through Move-To-Improve (MTI) most public school classroom teachers to date. We also have 45 MTI All-Star schools (schools with 85% or more of teachers trained) and expect that number to grow in the second half of the academic year. 7 Expand Kids in Motion, free physical Hiring additional playground attendants to DPR Attendance increased by ✔On track activity programs in City parks administer Kids in Motion, especially in 12% citywide, and more than neighborhoods with high obesity rates,. doubled at OTF-funded sites; 300,000+ visits to the program over the course of 8 weeks; Increased the number of free summer meals served at Kids in Motion sites, serving more than 50,000 meals 8 Share play spaces across programs such Conducting a needs assessment to identify Mayor's Office Convened multiple agencies X DELAYED as Head Start and Shape Up NYC space shortfalls & potential space-sharing to discuss their needs and opportunities for daycares, after school opportunities; specific programs, and senior centers, among other updates still in progress. programs. 3
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS 9 Increase active transportation initiatives Expanding curriculum support on the benefits DOT, DOE ★COMPLETE in schools of active transportation as well as route planning resources to 200 schools. Additionally, drop off points near safe walking corridors will be established in neighborhoods where students are not walking based on safety concerns or because their parents need to drive them to get to their jobs. Encourage Healthy Eating 10 Establish a maximum size for sugary Setting a maximum size for sugary drinks DOHMH Board of Health promulgated X DELAYED drinks in Food Service Establishments offered and sold in restaurants and other Food requirements but legal Service Establishments challenges have stalled implementation; case pending before the NYS Court of Appeals 11 Public education campaigns The City will continue to develop eye-catching DOHMH 4 campaigns aired in total; 1 ✔On track media campaigns to help the public remaining understand the health implications of overconsumption of large portions and sugary drinks 12 Healthy Hospital Initiative Standards Hospitals throughout the city will be invited to DOHMH, HHC Updated list of partners ★COMPLETE adopt the New York City Healthy Hospital here: Initiative Standards for settings including http://www.nyc.gov/html/d vending and cafeterias, which give employees, oh/html/living/cardio- patients, and visitors better access to healthy hospital-food-initiative.shtml food and beverages. 13 Healthy food pantries and soup kitchens The NYC DOHMH will develop DOHMH, Healthy Pantries Initiative ★COMPLETE best nutrition practices for the City’s nearly Mayor's Office launched fall 2013; Cut the 500 EFAP pantries. An education component Junk booklets distributed to for those frequenting these programs will also HRA's emergency food be provided to help them better understand program partners health concerns about obesity and how to access, store, and cook healthier food. 4
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS 14 Urban agriculture @ NYCHA NYCHA will seek to partner with nonprofit DOHMH, NYCHA issued an RFP seeking ✔On track developments organizations to develop five one-acre farm NYCHA, partners for 5 one acre sites. sites and provide programming, including a Mayor's Office job training component. Sites may result in farmers markets, education programming for youth, or activities for seniors, depending on the projects’ focus and development. 15 Create new community garden sites 15 municipal sites suitable for urban Mayor's 20 sites were made available ✔On track agriculture projects will be identified in the Office, DPR for community groups to South Bronx, East and Central Harlem, and apply for in Spring 2013 North and Central Brooklyn, to target areas through the Garden's for most in need. These sites will be made Healthy Communities available through GreenThumb, a program Initiative. To date 13 sites administered by the NYC Parks and Recreation have been assigned to Department, and established to support urban community groups, 3 sites gardeners and farmers are being relocated. 16 Expanding healthy food access in the Add EBT (SNAP benefit) machines to 100 DOHMH, DCP, 94 Green Carts can now ✔On track retail environment produce vendors in low-income Mayor's Office accept SNAP benefits. neighborhoods; increase Health Bucks Health Bucks was expanded program by 50%; launch “Shop Healthy NYC,” to all farmers markets in is a community based approach to encourage 2012, more than doubling retailers to take specific steps such as offering the reach or the program. lower calorie and lower sodium items, fresh Shop Healthy NYC was produce, and healthy meal options. launched in July of 2012. The FRESH program was expanded to Hallet's Point in Queens. 17 Access to NYC tap water Promote and expand NYC tap water DEP, Mayor's Completed its fourth ✔On track consumption in public spaces by working with Office successful WOTG season retail partners, testing a working prototype of attracting close to 600,000 a redesigned “NYC Water Fountain,” and users, updated the online growing programs such as Water-On-the-Go app and brought NYC tap (WOTG). These efforts will be accompanied by water to more locations an education campaign informing New Yorkers across the five boroughs. of the high quality of NYC tap water. 5
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS Promote Physical Activity 18 Establish a Center for Active Design Establish a “Center for Active Design” (CAD), a DDC, Mayor's Launched on July 17, 2013 ★COMPLETE unique public/private partnership supporting Office the design and development community to create an active built environment across NYC and ultimately the country. 19 Facilitate active stair design in buildings • Promote Exit Stairway Use for Daily Access DDC, DOHMH, 2 bills still pending in City X DELAYED between Floors DOB, OLTPS Council with no hearing date • Increase Stairway Visibility with Glazed Doors set • Promote Stair Use Through Signage Increase Access with Open Stairway Doors with Fail-Safe-Hold-Open Devices 20 Increase physical activity for adults and Offer 100 new indoor classes, 100 new DPR, DOHMH ★COMPLETE seniors by expanding the Shape Up NYC outdoor classes per week at City Parks Program facilities. An additional 100 weekly classes led by new instructors trained in the Fitness Instructor Training Program 21 Launch the Citi Bike Program 10,000 bicycles & 600 docking stations, serving DOT In the first 200 days since the ★COMPLETE large portions of Manhattan and Brooklyn and launch, Citi Bike users took part of Queens 5.8 million trips for more than 11 million miles. The system currently has 95,000 annual members and another 350,000 have purchased daily and weekly memberships. Since the launch, New Yorkers make an estimated 113,000 trips on personal and bike share bicycles combined daily in the bike share service area alone. (DOT press releases for the latest statistics: www.nyc.gov/html/dot/html /pr2012/pr12_42.shtml) 6
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS Lead By Example 22 Evaluate all City construction projects for New policy for all requests-for-proposals, DDC, DOB, Executive Order and Mayoral ★COMPLETE active design opportunities contracts, standards, and guidelines that Mayor's press event 7/17/2013 regulate new construction and major Office, renovation projects for the City that will DOHMH require a project review of the ADGs & incorporation of active design strategies 23 Offer wellness program to NYC Working with our partners in labor, we will Mayor's The issuance of the RFP has X DELAYED employees with focus on healthy eating explore how we can add a wellness program to Office, DCAS been enjoined and the City is and fitness the City’s health care plans. While the appealing. specifics of such a program must be worked out, typical features of wellness programs include health-risk assessments and screenings, weight management and exercise programs, health education—including classes or referrals to online sites for health advice— and changes in the work environment to encourage exercise and healthy eating. 24 Adopt expanded NYC Food Standards at Expanding these standards to include the food DOHMH, Memo to all agency heads ★COMPLETE all City agencies to include food served at and beverages provided at all City meetings, Mayor's Office announcing the Standards meetings, trainings, and events trainings, and events will not only contribute on March 22, 2013. to a healthy, balanced diet, but it also will promote good health among employees. 7
New York City Obesity Task Force: Interim Progress Report December 2013 # INITIATIVE DESCRPTION OF RECOMMENDATION AGENCY(IES) UPDATES STATUS 25 Improve and expand the identification a. Health and Hospitals Corporation will DOHMH, DOE, ★COMPLETE and treatment of obese children & their develop new pediatric obesity guidelines for HHC families at NYC hospitals and schools its pediatricians and family physicians to screen for and diagnose obesity among children. Such guidelines should be used to counsel children and parents on change related to diet and physical activity by referring them to services within HHC facilities and resources offered by external organizations. b. The NYC DOHMH will broaden its Healthy Assessments behind targets X DELAYED Options and Physical Activity Program in due to disruptions of Schools that helps children in NYC public Hurricane Sandy schools who are struggling with high levels of excess weight. Following a clinical assessment, school nurses educate these at-risk students and make referrals to primary care physicians and community organizations to address students’ needs. 26 Examine sidewalk and stairway design Conduct two studies with the goal of creating a DDC, City Sidewalk study completed; ✔On track improvements to increase active set of best practices on sidewalk and stairway Planning stairway study to be lifestyles design...[to] broaden our understanding of the completed by end of year various agencies and regulations that shape our sidewalk experience in New York City and a similar study on stair design will help developers comprehend how to make them more attractive and visible. Together, the findings will provide a resource to inform how new developments and neighborhoods are designed and built for a healthier New York. 8
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