December 2020

In Health and Solidarity,

Wagahta Semere, MD, MHS
Fellowship Director & Assistant Professor
UCSF School of Medicine
Upcoming Activities
Webinar: January 21, 2021
12:15 - 1:15PM
The first webinar of 2021 will focus on health equity and how to approach PSE change through a health equity lens. More details will be forthcoming.
Work-In-Progress Call #9
February 11, 2021
12:15 - 1:15PM

For Fellows Only
LHD Check-In Call
February 18, 2021
2:00 - 3:00PM

For Local Health Departments Only
Persuasive Narrative Series Launches
February 23, 2021
We will be launching the first session of our three-part Persuasive Narrative Series in February. The Persuasive Narrative Series is open to all fellows, past and present. Information on the first session Audience, Actions and Approach is available online.
Fellow Activities
Dr. Marie Buell (Ventura County) has been working with multiple stakeholders in her county to launch More VC Smiles, a children’s oral health awareness campaign with the aim of educating children, families and caregivers about the importance of oral health and its role in preventing obesity, diabetes and poor nutrition. The campaign deploys multiple strategies to achieve better oral health outcomes.
Dr. Barry Chang (Yolo County) has been working with the Oral Health Advisory Board to launch a media campaign for National Children's Dental Health Month focusing on reducing sugary/acidic beverage consumption. The media campaign will include:
  • A 30-second media spot on such platforms as Hulu and Peacock in defined zip codes
  • Half-page ad in a local circular
  • Bus advertisements
  • Social media messaging
*Champion Provider Listserv*
Collaborate & communicate with Champion Provider
Fellows across the state about your community change efforts.
Post a message by emailing: champion-providers@googlegroups.com
NOTE: Please do not use the listserv to share treatment protocol for patients. 
Policy Brief
Public Comment Period Open: Restoration of Milk, Whole Grains and Sodium Flexibilities
Public comment period is now open for a proposed rule by Food and Nutrition Services (FNS) that would seek to reinstate measures outlined in the 2018 Final Rule that had proposed relaxed nutrition standards. In April 2020, a court vacated and remanded the 2018 Final Rule. Public comment period closes on December 28, 2020. The rule proposes to:
  • Allow National School Lunch Program and School Breakfast Program operators to permanently offer flavored, low-fat milk as part of a reimbursable meal and for sale as a competitive beverage and allow flavored, low-fat milk in the Special Milk Program for Children and in the Child and Adult Care Food Program for participants ages 6 and older;
  • Allow for half of the weekly grains in the National School Lunch Program and School Breakfast Program menus to be whole grain-rich; and
  • Provide schools participating in the National School Lunch Program and School Breakfast Programs more time for gradual sodium reduction and elimination of the final target.
From the Field
Note: Materials included in this section are for reference and information purposes only and do not imply endorsement by the federal government, California Department of Public Health, or the University of California, San Francisco.
Reed, J., Ballard, R., Hill, M., and Berringan, D. (2020). Int. J. Environ. Res. Public Health. 17(21), 7707.
This article reviewed studies looking at the effectiveness of programs to increase access to and usage of (physical activity) trails among youth from under-resourced communities. The article also examined barriers and correlates of trail use (ex. transportation, built environment, etc.). Unfortunately, studies examining trail usage among this population are lacking. The effectiveness of Safe Routes to Schools is highlighted in this review.
Leung, et al. (2020). Journal of Nutrition, 00:1-7. https://doi.org/10.1093/jn/nxaa305
The study examined the effectiveness of sugar-sweetened beverage (SSB) warning labels (located on beverage dispensers) on SSB consumption. One midwestern university was selected for the study and on-campus dining halls were randomized. SSB consumption at the intervention site decreased as compared to the control sites for the following beverages: fruit flavored drinks, sweetened teas and flavored milk. There was no significant difference for sodas, energy drinks, sweetened coffees and nonsugary drinks.
November 2020
The November issue of the Journal of the California Dental Association, aptly called The Sugar Issue, includes several articles looking at the impact of sugar-sweetened beverages on oral and systemic health and the role dental providers can play in addressing SSB consumption among their patient population.
November 2020. International Journal of Environmental Research and Public Health.
In January 2020, stakeholders from Johns Hopkins Bloomberg School of Public Health, Healthy Eating Research, Center for Science in the Public Interest, and The Food Trust met to discuss and develop a national healthy retail research agenda. The special issue includes articles highlighting commissioned research to inform discussions around the development of the research agenda and commentaries on the current state of the retail environment.
More Opportunities
Food Policy for Greater Health Equity
December 11, 10 - 11AM (EDT)

Hosted by the Harvard Law School Food Law and Policy Clinic, this is the first in a series of sessions designed to create dialogue on the most equitable and effective policy options for reducing consumption of foods and beverages high in added sugar.