January 2019
Happy New Year! We hope everyone had an opportunity to relax and spend time with friends and family over the holidays. As you know, we closed out the recruitment for the third cohort of the Champion Provider Fellowship in December, and will be officially announcing the third cohort of Champion Providers on January 28th. We will be announcing the new cohort in the February e-newsletter, so stay tuned!
In Health,

Vanessa Thompson, MD
Associate Professor, UCSF School of Medicine
Principal Investigator, Champion Provider Fellowship
Upcoming Events
(for fellows only)
Date: Tuesday, January 29, 2019
Time: 12:15 – 1:15pm 
Moderator: Dr. Alicia Fernandez, Professor, UCSF School of Medicine

The Work-In-Progress call series provides an informal platform where fellows can talk about the policy, system and environmental change work they are doing in their communities and solicit feedback from their cohort and UCSF faculty members. These calls are designed to facilitate peer-to-peer knowledge exchange and networking opportunities. 
Date: Thursday, April 25 - Friday, April 26, 2019
Time: All Day 
Location: Bay Area (Venue: TBA)

Please join us to network, collaborate, and reflect on your work, as we welcome the newest cohort of Champion Provider Fellows at the Onboarding Training on Friday April 26th, 2019 in the Bay Area. We will have guest speakers, a Champion Provider Fellow panel, and skill-building workshops. Travel related expenses will be reimbursed for Cohort 2 fellows who attend Day 2. More details regarding the meeting location, agenda, registration, and travel logistics are forthcoming.
Fellow Activities
Vivi Stafford, MD. Capitol Weekly . December 31, 2018.
Congratulations to Kings County Champion Provider Fellow, Dr. Vivi Stafford, for exercising her media skills over the holidays!
SB 1192: Children's Meals - Effective January 1, 2019
This new law requires restaurants that sell a children’s meal that includes a beverage, to make the default beverage water, sparkling water, flavored water, unflavored milk, or a nondairy milk alternative.
HR 7342 : "Stop Subsidizing Childhood Obesity Act"
Since introduced to the House of Representatives in 2012 , this bill has been re-introduced multiple times, most recently in December, 2018. This Act would amend the IRS Tax Code to end federal tax deductions for advertising that is directed at children to promote unhealthy food consumption. The tax revenue would be put toward enhancing nutrition programs for children.
or, the "SWEET Act"
This bill, introduced to Congress December 19, 2018, would impose an excise tax on sugar-sweetened beverages and dedicate revenue to the prevention, treatment, and research of diet-related health conditions in priority populations, and for other purposes.
Organization Spotlight
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.
USDA Updates Available Functions During Lapse in Funding
USDA. December 28, 2018.
The USDA issued an update on the status of food assistance programs during the government shutdown, including:
  • Supplemental Nutrition Assistance Program (SNAP) benefits will be available in January.
  • Most other domestic nutrition assistance programs, such as the Commodity Supplemental Food Program, WIC, and the Food Distribution Program on Indian Reservations, must use State and local funding to remain available. Additional Federal funds will not be provided during the period of the lapse, however deliveries of already-purchased commodities will continue.
  • The Child Nutrition (CN) Programs, including School Lunch, School Breakfast, Child and Adult Care Feeding, Summer Food Service and Special Milk will continue operations into February. 
  • Federal admin/support staff for many of the programs are on Furlough.
Ickovics, Jeannette R., et al. American Journal of Preventive Medicine. January 2019.
Results of this study showed a significantly smaller BMI increase for students at middle schools randomized to receive nutrition policy implementation support, but no difference in change in BMI between students at schools randomized to receive physical activity policy implementation support, and the control schools. Students at the nutrition policy supported schools consumed fewer unhealthy foods and sugar-sweetened beverages, and ate less frequently at fast-food restaurants. The study demonstrated effectiveness of providing support for implementation of school-based nutrition policies.
Laura Donnelly . The Telegraph. January 2, 2019.
Data from Public Health England (PHE) and the National Diet and Nutrition Survey (NDNS) showed that British children, on average, consume half of the recommended daily sugar intake before starting the school day. In response, PHE created the Change4Life Sugar Swaps Campaign that urges parents to “swap out” foods they buy for their children with healthier options. Below are some components of the campaign:

Change4Life Sugar Swaps Campaign : “ Make a swap when you next shop
  • TV, radio and digital campaign advertisement
  • Food Scanner app that helps shoppers find lower sugar options
  • Popular brands will display “Good Choice” badges online, in-stores and throughout their advertising.
  • Health officials to continue working with the food industry to remove 20% of sugar from the foods which contribute towards children’s sugar intakes by 2020.
Rachel Kaufman. Next City . December 27, 2018.
St. Paul, Minnesota released a draft of the city’s first-ever pedestrian plan .
The plan prioritizes 9 "actions to support and sustain the Safe Routes to School Program," by calling upon Public Works, the Mayor's Office, Police Department, City Council, and Public Schools to take responsibility in the effort. The plan incorporates activities like:

  • Walk-With-A-Doc
  • District-wide Walk to School Day
  • Bike safety classes at schools using a district-owned bicycle fleet
  • Crosswalk re-striping
  • Paint the Pavement: encourages community created murals that improve visibility at intersections (pictured below)
Wild, Parke, PhD, et al. American Journal of Public Health. December 20, 2018.
This study used a stratified analysis, which allowed them to describe the distinct estimated health impact and cost-effectiveness from multiple stakeholder perspectives. For example:
  • Healthcare/Society: the SSB tax was found to be highly cost-saving, as determined by estimated cardiovascular disease reductions, quality-adjusted life years gained, taxes paid, and out-of-pocket health care savings.
  • Beverage Industry: accumulated net costs after partial industry coverage of the tax
  • Government: the SSB tax positively affected both tax revenues and health care cost savings.
Jennifer L. Pomeranz JD, MPH, Leslie Zellers JD, Michael Bare MPH, Mark Pertschuk JD. American Journal of Preventive Medicine. January 2019.
This article examines the interaction between food related local, preemptive state, and governmental laws, concluding that state preemption "may hinder public health progress by impeding local food and nutrition policies and government-initiated litigation."
More Opportunities
February is National Children's Dental Health Month (NCDHM)!
NCDHM 2019 Campaign:

Prepare for the month-long national health observance that brings together thousands of dedicated professionals, healthcare providers, and educators to promote the benefits of good oral health:

  • Free Posters
  • Program Planning Guide
  • Creating A Press Release
  • Broadcasting Tips
  • Sample Newspaper Articles
  • Activity Ideas
"Give Kids A Smile!"
Sign-up to host your own event!

Since Give Kids A Smile program was launched nationally by the American Dental Association in 2003, more than 5.5 million underserved children have received free oral health services. These free services are provided by volunteers including approximately 10,000 dentists annually, along with 30,000 other dental team members.
UCSF Continuing Medical Education (CME) Course
Feb 28-Mar 2, 2019 | San Francisco
World-class experts will discuss updates on diseases that disproportionately affect vulnerable patients, how clinicians can address social factors that complicate the management of medical illness, and how to integrate behavioral health care for patients with chronic pain, mental illness, and Substance Abuse. 
2019 CalFresh Forum
March 6, 2019 | Sacramento
Who:  CalFresh administrators, advocates, outreach partners, and all interested stakeholders.
Hundreds of key stakeholders from across the state will join to identify opportunities and discuss strategies to improve the reach and impact of CalFresh. 2019 focus: upcoming opportunities to improve how CalFresh serves vulnerable populations and continue improving access and participation across the state.
2019 California School-Based Health Conference
May 9-10, 2019 | Redondo Beach
Learn, grow, and connect with fellow providers, educators, advocates, and other leaders in the school-based health care movement across the state. (Workshops for all levels of experience and engagement).
Join the nation’s largest, most influential collaboration of professionals dedicated to combating pediatric obesity/overweight to share and discuss:
  • emerging research
  • best practices
  • community-based efforts and
  • effective policy strategies