September 2020
Note: CME and CDE units will be available.

In Health and Solidarity,

Vanessa Thompson, MD
Fellowship Director & Associate Professor
UCSF School of Medicine
Fellow Activities
Both Drs. Arunrut and Steinberg reported submitting public comment on the recommendations put forth by the Dietary Guidelines Advisory Committee in their scientific report published in July 2020. More information on the scientific report and its implications is provided in the Policy Brief section.
Dr. Thompson (Marin County) has been working to identify opportunities to keep her patients and community active during the COVID-19 pandemic. This has included developing short work-out videos available on the Marin Community Clinics Facebook page. Dr. Thompson continues to prioritize efforts related to ParkRx in the county.
*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
Extension of Summer Food Service Program and Seamless Summer Option Through December 31, 2020
On August 31 the USDA announced a decision that allows summer meal operators to continue to feed children through December 31. This decision will allow summer meal operators to continue to meet the nutritional needs of children, especially while many schools remain closed due to COVID.
Pandemic Child Hunger Prevention Act
On July 30 the House of Representatives introduced legislation, Pandemic Child Hunger Prevention Act, that would make all students eligible for free school lunch and breakfast through the National School Lunch Program and School Breakfast Program for the 2020 - 2021 school year.
Dietary Guidelines 2020 - 2025
Federal law requires that the United States Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (HHS) review and release the Dietary Guidelines for Americans (DGA) at least every five years so that the DGA reflects "the preponderance of scientific and medical knowledge that is current at the time the report is prepared.” The DGA’s purpose is to inform the development of federal food, nutrition, and health policies and programs.

On July 15, 2020, the USDA posted the Dietary Guidelines Advisory Committee's (DGAC) 2020 Scientific Report. While not every recommendation the scientific committee has made will necessarily be included in the 2020-2025 DGA due out at the end the end of this year, here are a few of the changes the committee has put forward:
  • Men who drink should reduce their intake to one alcoholic drink per day (This was two drinks per day in the last DGA).
  • Americans age two and older should consume less than 6% of calories from added sugars. (This figure was 10% in the last DGA).
  • Parents should avoid giving foods and beverages with added sugars to children less than two years old. (Infants and children less than two years old are included in the DGA for the first time starting in 2020).
Organization Spotlight
The upcoming Mini College will include a discussion with Brianna Pittman-Spencer, Legislative Director, California Dental Association (CDA). In preparation for the Mini College, we are providing an overview of the CDA and its key policy priorities.

For more information contact Brianna Pittman-Spencer at brianna.pittman@cda.org or 916-554-7340.
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.
This article looks at the evidence-base for several intervention types administered in the health care setting to increase food access. These interventions include provision of food (either on-site or through food delivery programs), fruit and vegetable vouchers, and food referral programs. The authors looked at the impact of these interventions on the following outcomes: food resource use, food security, health behaviors, health or health care costs or utilization. While home-meal delivery showed a positive impact on several measures, the authors agreed that all interventions required more research.
Brenda Ann Kenneally, The New York Times
September 2, 2020
A New York Times' photographer traveled across the country to document the experience of families living with food insecurity and the daily struggle of putting food on the table. As the article highlights, Black and Latinx families are almost twice as likely to experience food insecurity than white families.
Karpyn A, et al. Healthy Eating Research. August 2020.
“Healthy default beverage” policies aim to limit kids’ sugary drink consumption, by requiring restaurants to offer only healthier drinks, such as water, milk, and unsweetened juice, as the default drink with kids’ meals. This brief evaluates the implementation and restaurant manager perceptions of this policy approach in California and Wilmington, Delaware, where such policies took effect last year. 
NPR Weekend Edition, September 5, 2020
The states of Oaxaca and Tabasco has passed laws that prohibit the sale of junk food and sugar-sweetened beverages to minors (those 18 years of age and younger). The legislation extends to vending machines at school. The impetus for these bills has been in part due to the pandemic and increased vulnerability of those living with obesity for poorer outcomes when infected with COVID-19. Several other states are considering similar legislation. In October, Mexico will be implementing another public health measure: a new warning system, similar to Chile, where black stop signs will be added to packages of foods high in added sugar, saturated fats, calories and added sodium.
More Opportunities
This year's conference, hosted by the California School Based Health Alliance, will bring together providers, educators, administrators and others to address schools' capacity to care for students during this unprecedented period.