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Talking Points for NPHW

Monday April, 7th: Be Healthy From the Start Tuesday April, 8th: Dont Panic Wednesday April, 9th: Get Out Ahead Thursday April, 10th: Eat Well Friday April, 11th: Be the Healthiest Nation in One Generation

Be Healthy From the Start The first steps the community takes toward public health are in the comfort of their own home. Breastfeeding Prenatal Care Obesity High School Drop Out Rates Dont Panic Were here to help the community withstand the impact of a natural or man-made disaster by planning ahead, acting as a source of information during the crisis and helping to mitigate the long- and short-term effects. Emergency preparedness Sever Weather threats Home Fires Cybersecurity Flu Season Get Out Ahead- Prevention is now a nationwide priority, and as the public health system evolves, there are more options than ever when it comes to preventive health measures. Preventable Diseases Community-Based Public Health Programs HIV infection Medical Expenses for Diabetics of all Cancer Deaths Can Be Prevented Smoking

Eat Well -The system that keeps our nations food safe and healthy is complex. There is a lot of information to parse in order to understand food labels and to learn the best practices during a food borne illness outbreak. New Food Labeling Requirements Dietary Guidelines Eating Increases in the Last 40 Years School Lunches Food Borne Contaminants Be The Healthiest Nation in One Generation For the first time in decades, the current generation isnt as healthy as the one that came before. Communities need to band together to take a stance against this disturbing trend to make sure that children and young adults have bright, healthy futures Health Care Costs Clean Air Act Clean Water Technologies Expanded Medicaid Eligibility Health Care Innovation Awards


Be Healthy From the Start - Monday

Breastfeeding o Breastfeeding is recommended for at least the first year of a childs life, and exclusively for the first 6 months. o Longer lifetime durations of breastfeeding are associated with decreased risks of maternal breast cancer, ovarian cancer, Type 2 diabetes and cardiovascular disease. o In addition, longer durations of breastfeeding are associated with decreased risk of many common childhood infections and sudden infant death syndrome, as well as chronic conditions in offspring such as obesity, Type 1 diabetes, and leukemia Prenatal care can help keep mothers and their babies healthy. o Babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care. [2] Obesity o Globally, an estimated 43 million preschool children were overweight or obese in 2010, a 60 percent increase since 1990. o Childrens early-life experiences, such as lack of breast feeding, too-little sleep and too-much television can increase the risk of obesity later in life. o Thats why early child care providers have such a crucial role to play in turning around the obesity epidemic. Health Effects of Not Graduating High School o Nearly one-third of all students in the United States do not graduate from high school on time. o Its a destructive cycle: Students who dont graduate face lifelong health risks and high medical costs, and they are more likely to engage in risky health behaviors.

o They are less likely to be employed and insured, and they earn less all of which continues the cycle of poverty and disparities.

FAQs About Breastfeeding (CDC)

When should a baby start eating solid foods such as cereals, vegetables, and fruits?

Breast milk alone is sufficient to support optimal growth and development for approximately the first 6 months after birth. For these very young infants, the American Academy of Pediatrics (AAP) states that water, juice, and other foods are generally unnecessary. Even when babies enjoy discovering new tastes and textures, solid foods should not replace breastfeeding, but merely complement breast milk as the infant's main source of nutrients throughout the first year. Beyond one year, as the variety and volume of solid foods gradually increase, breast milk remains an ideal addition to the child's diet.

How long should a mother breastfeed?

The American Academy of Pediatrics (AAP) recommends that breastfeeding continue for at least 12 months, and thereafter for as long as mother and baby desire. The World Health Organization recommends continued breastfeeding up to 2 years of age or beyond.

What can happen if someone else's breast milk is given to another child?

HIV and other serious infectious diseases can be transmitted through breast milk. However, the risk of infection from a single bottle of breast milk, even if the mother is HIV positive, is extremely small. For women who do not have HIV or other serious infectious diseases, there is little risk to the child who receives her breast milk.

Are special precautions needed for handling breast milk?

CDC does not list human breast milk as a body fluid for which most healthcare personnel should use special handling precautions. Occupational exposure to human breast milk has not been shown to lead to transmission of HIV or HBV infection. However, because human breast milk has been implicated in transmitting HIV from mother to infant, gloves may be worn as a precaution by health care workers who are frequently exposed to breast milk

Should mothers who smoke breastfeed?

Mothers who smoke are encouraged to quit, however, breast milk remains the ideal food for a baby even if the mother smokes. Although nicotine may be present in breast milk, adverse effects on the infant during breastfeeding have not been reported. AAP recognizes pregnancy and lactation as two ideal times to promote smoking cessation, but does not indicate that mothers who smoke should not breastfeed.

Dont Panic - Tuesday

Emergency Preparedness: o Most communities may be affected by several types of hazards during a lifetime. Americans also travel more than ever before to areas with different hazard risks than at home. Severe Weather Threats o Every year, thousands of people are affected by severe weather threats, such as tornadoes and severe thunderstorms. Data for 2012 shows there were more than 450 weather-related fatalities and nearly 2,600 injuries. Home Fires o Each year, more than 2,500 people die and 12,600 are injured in home fires in the United States, with direct property loss due to home fires estimated at $7.3 billion annually. Home fires can be prevented! Cybersecurity o Oftentimes, we may not realize that our actions online might put us, our families and even our country at risk. Learning about the dangers online and taking action to protect ourselves is the first step in making the Internet a safer place for everyone. Cybersecurity is a shared responsibility and we all have a role to play. o Flu seasons are unpredictable and can be severe. Over a period of 30 years, between 1976 and 2006, estimates of flu-associated deaths in the United States range from a low of about 3,000 to a high of about 49,000 people.

Get Out Ahead - Wednesday

Preventable Diseases o Today, seven in 10 deaths in the U.S. are related to preventable diseases such as obesity, diabetes, high blood pressure, heart disease and cancer. Another striking fact is that 75 percent of our health care dollars are spent treating such diseases. However, only 3 percent of our health care dollars go toward prevention. Community Based Public Health Programs o According to recent research, investments such as the Prevention and Public Health Fund have the potential to improve health outcomes and reduce costs. For example, every 10 percent increase in funding for community-based public health programs is estimated to reduce deaths due to preventable causes by 1 to 7 percent, and a $2.9 billion investment in community-based disease prevention programs was estimated to save $16.5 billion annually within five years (in 2004 dollars). HIV Infections o CDC estimates that 1,144,500 people ages 13 and older are living with HIV infection, including 180,900, or 15.8 percent, who are unaware of their infection. Over the past decade, the number of people living with HIV has increased, while the annual number of new HIV infections has remained relatively stable. Still, the pace of new infections continues at far too high a level particularly among certain groups. Medical Expenses for Diabetics o Average medical expenses are more than twice as high for a person with diabetes as they are for a person without diabetes. In 2007, the estimated cost of diabetes in the United States was $174 billion. That amount included $116 billion in direct medical care costs and $58 billion in indirect costs from disability, productivity loss and premature death. Cancer Prevention o More than half of all cancer deaths could be prevented by making healthy choices such as not smoking, staying at a healthy weight, eating right, keeping active and getting recommended screening tests.

Smoking o Among adults who smoke, 68 percent began smoking regularly at age 18 or younger, and 85 percent started when they were 21 or younger. The average age of daily smoking initiation for new smokers in 2008 was 20.1 years among those ages 12-49. o People who begin smoking at an early age are more likely to develop a severe addiction to nicotine than those who start at a later age. Of adolescents who have smoked at least 100 cigarettes in their lifetimes, most report that they would like to quit, but are not able to do so.

FAQs About Vaccines (CDC)

Why are Childhood Vaccines So Important?

Newborn babies are immune to many diseases because they have antibodies they got from their mothers. However, this immunity goes away during the first year of life. Also, young children do not have this "maternal immunity" against some diseases, such as whooping cough. If an unvaccinated child is exposed to a disease germ, the child's body may not be strong enough to fight the disease. Before vaccines, many children died from diseases that vaccines now prevent, such as whooping cough, measles, and polio. Those same germs exist today, but because babies are now protected by vaccines, we do not see these diseases nearly as often. Immunizing individual children also helps to protect the health of our community, especially those people who cannot be immunized. These include children who are too young to be vaccinated (for example, children less than a year old cannot receive the measles vaccine but can be infected by the measles virus), those who cannot be vaccinated for medical reasons (for example, children with leukemia), and those who cannot make an adequate response to vaccination.

Are there additives in vaccines?

Millions of doses of vaccines are administered to children in this country each year. Ensuring that those vaccines are potent, sterile, and safe requires the addition of minute amounts of chemical additives. Chemicals are added to vaccines to inactivate a virus or bacteria and stabilize the vaccine, helping to preserve the vaccine and prevent it from losing its potency over time. The amount of chemical additives found in vaccines is very small. All routinely recommended pediatric vaccines manufactured for the U.S. market are available in formulations that contain no thimerosal or only trace amounts.

Eat Well Thursday

Food Labeling o The Affordable Care Act extends to food safety and information with new requirements for food labeling. Under the new law, restaurants are required to list the number of calories in each standard menu item, must put the caloric content in context, additional nutritional information must be made available to consumers and the number of calories per serving must be visible on self-service foods. Dietary Guidelines o The Dietary Guidelines for Americans, 2010, released on Jan. 31, 2011, emphasizes three major goals for Americans: Balance calories with physical activity to manage weight, consume more of certain foods and nutrients such as fruits, vegetables, whole grains, fat-free and low-fat dairy products, and seafood, and consume fewer foods with sodium, saturated fats, trans fats, cholesterol, added sugars and refined grains. o The Department of Health and Human Services Office of Disease Prevention and Health Promotion is working with the U.S. Department of Agriculture and other government agencies to revise the dietary guidelines for release in 2015. Increase in Food Consumption o In total, we are now eating 31 percent more calories than we were 40 years ago including 56 percent more fats and oils and 14 percent more sugars and sweeteners. The average American now eats 15 more pounds of sugar a year than in 1970. School Lunches o USDA led efforts to pass the Healthy, Hunger-Free Kids Act, legislation that paves the way to make real reforms to the school lunch and breakfast programs by improving the critical nutrition and hunger safety net for nearly 32 million children who eat school lunch each day and the 12 million who eat breakfast at school. Food Borne Contaminants o Food borne contaminants cause an average of 5,000 deaths, 325,000 hospitalizations and 76 million illnesses and cost billions of dollars annually. The five most common food borne

pathogens cost the U.S. economy more than $44 billion each year in medical costs and lost productivity.

FAQs Food Labels

(Via: American Heart Association) Help! Can you explain the sugar terms on my food labels?

Sugar-Freeless than 0.5 g of sugar per serving Reduced Sugar or Less Sugarat least 25% less sugars per serving compared to an appropriate reference food No Added Sugars or Without Added Sugarsno sugar or sugarcontaining ingredient such as juice or dry fruit is added during processing Low Sugarnot defined nor allowed as a claim on food labels

Why cant I see monounsaturated fat and polyunsaturated fat on many food labels? Currently, food manufacturers arent required to show the monounsaturated and polyunsaturated fat content in their products. If the food manufacturer chooses not to disclose it, you wont see it. How can I tell by looking at a Nutrition Facts panel if a product has added sugars? The line for sugars you see on a nutrition label includes both added and naturally occurring sugars in the product. Naturally occurring sugars are found in milk (lactose) and fruit (fructose). Any product that contains milk (such as yogurt, milk, cream) or fruit (fresh, dried) contains some natural sugars. But you can read the ingredient list on a processed foods label to tell if the product contains added sugars. Names for added sugars on labels include:

Brown sugar Corn sweetener Corn syrup Sugar molecules ending in ose (dextrose, fructose, glucose, lactose, maltose, sucrose) High-fructose corn syrup

Fruit juice concentrates Honey Invert sugar Malt sugar Molasses Raw sugar Sugar Syrup

Be the Healthiest Nation in One Generation Friday

Healthcare Costs o The U.S. spends far more on health care than any other country, with such costs rising tenfold from 1980 to 2010 and expected to rise faster than national income during the foreseeable future. However, investing just $10 per person each year in proven, community-based public health efforts could save the nation more than $16 billion within five years. Clean Air Act o By 2020, the direct benefits of the federal Clean Air Act will have reached almost $2 trillion, much more than the $65 billion it will have cost to implement the law. About 85 percent of the $2 trillion is attributable to decreases in premature death and illness related to air pollution. Clean Water Technologies o Twenty-three to one: That's the rate of the return on investment in clean water technologies in the first half of the 20th century. Medicaid Eligibility o Widening access to care by investing in expanded Medicaid eligibility, which is encouraged and funded via the Affordable Care Act, results in better health outcomes and reductions in mortality, especially among communities already struggling with health problems. Health Care Innovation Awards o The Health Care Innovation Awards are funding up to $1 billion in awards to organizations that implement the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and Children's Health Insurance Program, or CHIP, particularly those with the highest health care needs.

FAQ Healthcare Reform ( Why should people with insurance pay to cover those who dont have it? They are already paying for the uninsured.

American families with insurance pay a hidden tax of roughly $1000 for the cost of caring for people without insurance. As more Americans become insured, that hidden tax will begin to disappear. In addition, covering everyone will put downward pressure on costs. Bringing younger, healthier people into the system will spread the risk. As more Americans become covered, insurance companies will compete for their business. That will begin to lower costs. And health insurance reform will create stability and security for everyone. If you lose or change jobs you will have the peace of mind of knowing that you will always be able to find an affordable health insurance option for your family.

You keep talking about expanding insurance coverage by cutting Medicare. Why would health reform be good for seniors?

The savings being proposed from Medicare wont harm patient care. In fact it will improve it. We are talking about eliminating billions of dollars in overpayments to insurance companies that do nothing except benefit the insurers bottom lines. We will go after waste, fraud and abuse that do not improve care for seniors. Not only will these changes enable us to improve the quality of care for seniors, they will stabilize Medicare and put it on better financial footing.

What is the insurance exchange?

The health insurance exchange is a marketplace that will offer affordable high-quality health insurance options. It will provide relief to families who have no insurance or do not get adequate insurance at work and cannot afford to buy it in the costly individual or small group market. It is also for small businesses that cannot afford small group health insurance. It is one-stop shopping that will enable you and your family to find a plan that is right for you.

For workers at big companies with group coverage, you can keep what you have with new protections against unfair insurance regulations that could limit your coverage if you get sick. And if you lose your job, move or decide to leave that company, you will know that there will be high-quality affordable health insurance options available for you on the exchange.

What are the benefits of the public option?

Health reform must be built on three fundamental principles: It must lower the skyrocketing cost of health care; guarantee choice of doctors and plans; and assure quality affordable health care for every American. A public option would achieve those goals and give the American people more choices. It would foster greater competition; lower costs; and give consumers a greater variety of affordable choices.

Where to Start

Be Healthy From the Start Monday

Breastfeeding o Soon to be and new mothers are encouraged to educate themselves on the benefits of breastfeeding and the best way to start. Talking to your family care physician is the best place to start, or go to the Johnson County Public Health page for more information about our Maternal and Child Health services. o Local businesses also need to take child health into their own hands by providing breastfeeding centers for their employees o Child care providers are in a unique position to initiate healthy eating and exercise habits among young children and encourage similar behavior at home. Graduating o Give your child the tools they need to graduate by taking advantage of afterschool programs

Dont Panic - Tuesday

emergency preparedness

Gather your household for a night of emergency preparedness: make plans for putting together an emergency stockpile kit, create a crisis communication plan, designate an emergency meeting place and hold household emergency drills. All Americans should have at least a three-day supply of food and water stored in their homes, with at least one gallon of water per person per day and a weeks supply of food that doesnt require refrigeration. Understand how to develop and maintain an emergency stockpile with resources such as and APHA's Get Ready.

Food and Water Safety

We encourage residents and leaders to take a moment to imagine how dramatically our lives would change if the system that keeps our food and water safe disappeared.

Flu Vaccine

CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step toward protecting against this serious disease. While there are many different flu viruses, the flu vaccine is designed to protect against the three main flu strains that research indicates will cause the most illness during the flu season. Get the flu vaccine as soon as it becomes available each year the protection you get from vaccination will last throughout the flu season.

Get Out Ahead Wednesday

Volunteering o Take part in national health observances, such as National HIV Testing Day, National Youth Violence Prevention Week and National Minority Health Month. APHA will partner with the Substance Abuse and Mental Health Services Administration in May 2014 for National Prevention Month. Share this information with your community so they can participate in events and learn more about prevention and treatment. Diabetes o Diabetes prevention is as basic as eating more healthfully and becoming more physically active. Making simple lifestyle changes may help you avoid the serious health complications of diabetes down the road, such as nerve, kidney and heart damage. Consider the latest diabetes prevention tips from the American Diabetes Association, Screenings o Learn about cancer screening guidelines and make sure you, your family, and community are aware of them. Schedule your screenings in advance and visit the American Cancer Societys website for more information. Smoking

o National lung health hot line 1-800-LUNGUSA and/or national quit lines 1-800-QUIT-NOW

Eat Well- Thursday

Eating Healthy o Recognize meatless Monday where everyone forgoes meat for one day to help individuals and families learn how to cut back on fats and enjoy adding more fruits and vegetables into their diets. o Support local farmers markets and other access points to fresh fruits and vegetables. It's not only good for your health; it's good for the local economy too. o Create a local health movement! Start a healthy food co-op, organize a canning circle, gather a walking group or form a club dedicated to volunteering. Visit for more information and resources to encourage healthier activities in your community. o Volunteer at local schools to help provide healthy breakfast and lunch to growing kids. Food Safety o Chilling foods to proper temperatures is one of the best ways to slow the growth of bacteria. o An efficient kitchen refrigerator is the most effective tool in protecting families from food-borne illnesses. Make sure refrigerators are kept at 40 F or below; the freezer should be at 0 F. o Since few refrigerator controls show actual temperatures, using an inexpensive freestanding appliance thermometer can monitor temperatures to make sure theyre at the right levels for optimal food safety.

Be the Healthiest Nation in One Generation

Affordable Care Act o There are numerous ways that the Affordable Care Act will benefit specific populations such as children and parents, childless adults, the elderly, women, low-income individuals and families, LGBT individuals and families, racial and ethnic minorities and others. The ACA will also benefit small

businesses, health care providers, and states. Visit APHAs website for consumer education resources on the ACA. o Visit to learn more about newly available options for health care and enroll in coverage provided under the Affordable Care Act.