CDCDivision of Nutrition, Physical Activity and Obesity

and United States Department of Agriculture:

Cross-Agency Collaboration

ASTPHND, Fruit & Vegetable State Coordinators6-16-10

Christa Essig, MPH, CDC/DNPAO – FNCS/USDA Detail

CDC/USDA Collaboration• FNS, WIC and PedNSS/PNNS – Larry Grummer-Strawn• Healthy People 2020 – Latetia Moore• Food Environment and Diet Quality Research with ERS - Latetia Moore• AMS, Farmers Market Consortium & Eval Project - Joel Kimmons, CDC• National Fruit & Vegetable Alliance – Duke Storen, OSIPO, Larry Grummer-

Strawn, CDC• National Collaborative on Childhood Obesity Research- Laura Kettel-Kahn,

CDC, Molly Kretsch, Office of Chief Scientist, USDA • School and Child Nutrition, School Wellness Policies- Howell Wechsler,

DASH, CDC • DNPAO working on state childcare – Barb Polhamous, Meredith Reynolds• CDC/FDA/FTA/USDA working on criteria for foods marketed to children

National Collaboration on Childhood Obesity Research (NCCOR)

Participation• CDC – Laura Kettel-Kahn• USDA – Molly Kretsch• NIH• Robert Wood Johnson Foundation

Key Projects and Research Initiatives• Registry of Measures• Catalog of Childhood Obesity-Related Policy and Health Monitoring

Systems• Examining Effects of Community Programs to Reduce Childhood Obesity

Healthy Food Financing Initiative

• $400 million partnership of Treasury, USDA, and HHS

• Includes bringing healthy foods into underserved areas via grocery stores, convenience stores, farmers markets

• Eliminate food deserts across the country in seven years• USDA Food Atlas – Inclusion of CDC surveillance

Healthier US Schools Challenge

FNCS/USDA – CDC Detail Goals• Facilitate connections for ongoing communication at

various levels• Develop understanding of each other for identifying

collaboration entry points including goals, research, future directions, and each other’s perspectives

• Develop an action plan with steps for CDC and FNCS to integrate programs, strengthen and institutionalize organizational linkages

Food, Nutrition and Consumer Services

Center for Nutrition Policy and Promotion (CNPP)

- Nutrition Evidence Library- Dietary Guidelines for Americans- Food Guide Pyramid- Nutrient Content of the US Food Supply- USDA Food Plans: Cost of Food

FNS

• SNAP – State Social Services• SNAP-Ed – State Social Services (EARS)• Farmers Market Nutrition Program • WIC – Dep. of Health• Child Nutrition Programs – Dep. Of Education

Office of Research and AnalysisOffice of Strategic Initiatives, Partnerships and Outreach

MissionsFNS

Reduce hunger and food insecurity by ensuring better access to food, a healthful diet, and nutrition education for children and needy families

DNPAO Lead strategic public health efforts to prevent and control obesity, chronic disease and other health conditions through physical activity and good nutrition

FNS Priorities (my perception): Address hunger and obesity in school lunch programsEnd childhood hungerIncrease program participation and outreachStreamline nutrition assistance program applications Expand Summer Food Service Program

Collaboration Challenges• Individual benefit vs. population approach• Food Security and Ending Hunger vs. Obesity• FNCS ‘authority’ and legislative language

(Waiting for Child Nutrition Reauthorization)• SNAP-Ed interpretation• SNAP-Ed reach to non-SNAP people• SNAP use of Partnerships• Making nutrition education and environmental and

policy changes complementary

State Program F&V Highlights

http://www.cdc.gov/obesity/stateprograms/statestories.html

State Collaboration Highlights:Non-profit, State Health, and USDA Programs

Expanding Access to Fresh Fruits and Vegetables Through WIC-Authorized Corner Storeshttp://www.health.state.mn.us/divs/fh/wic/vendor/fpchng/index.html

Increased Fruit and Vegetable Access Through EBT at Farmers Marketshttp://www.farmersmarket.msu.edu

Cross-Agency Examples:• Farm-to-School • Farmers Markets EBT• Urban Agriculture• Food Policy Councils • Comprehensive City Plans• Food Hubs• Community Food Assessments, Food Shed/ Local

Food Assessments, Health Impact Assessment, F2S Analysis

Southeast F2S Summit and Collaboration

• Partners: USDA (RD, NRCS, AMS, FSA, RMA) SE Regional Office, UGA (Extension Service), Dep. Of Education, GA Alliance with Georgia Organics, EPA

• Fed Team to support State Team with communication needs, TA and resources

• State Legislation• AMS – Farmer Co-ops• FSA – Processing and storage equipment

Examples

• WI, Research, Education, Action and Policy Food Group, DHS and Dep. Of Ag:

Farm-to-School and Got Dirt• Nutrition Programs = One Bureau• CPPW

Opportunities for Collaboration• Support state and local partnerships and coalitions• Complementary programs for broad system impact• Support common policy change - local, state, and national levels• Share research, data, grant opportunities (CPPW), resources, joint

trainings and technical assistance, and identify and communicate promising practices

• Coordinate program messages• Plan cross-program data inventories and reporting• i.e. Programs areas focusing on intersection of obesity and health

disparities and food insecurity, food access, healthy food system support

State Contacts: Food, Nutrition and Consumer Services

(FNCS)

Nutrition Assistance Programs: SNAP and SNAP Ed – State Social Services WIC – Dep. of Health School Meals – Dep. of Education

State Contacts: Agriculture Cooperative Extension

State Land Grant Universities

National Institutes for Food and Agriculture (NIFA) – Expanded Food and Nutrition Program– 4-H Youth Development– Community Food Projects

Contacts: Others

• Agriculture Research Service (ARS)• Agriculture Marketing Service (AMS)• National Agricultural Statistics Service (NASS)• Economic Research Service (ERS)• Food Safety and Inspection Service (FSIS)• Rural Development (RD)• Know Your Farmer, Know Your Food (KYF)

Know Your Farmer, Know Your Food MISSION:

Know Your Farmer, Know Your Food (KFY2) strengthens the critical connection between farmers and consumers and supports local and regional food systems. Through this initiative, USDA integrates and emphasizes programs and policies that:

• Stimulate food- and agriculturally-based community economic development; • Foster new opportunities for farmers and ranchers; • Promote locally and regionally produced and processed food; • Cultivate healthy eating habits and educated, empowered consumers; • Expand access to affordable fresh and local food; and • Demonstrate the connection between food, agriculture, community and the

environment.

KYF2 also leads a national conversation about food and agriculture to increase the linkages between consumers and farmers.

Steward cross-agency initiatives to better leverage USDA resources

I. Farm-to-school and school-to-farm II. Local meat III. Food distribution hubs IV. Food deserts V. USDA in-house operations VI. Opportunities in agriculture VII. Business structures

USDA 2010-2015 Strategic Plan• STRATEGIC GOAL 1: ASSIST RURAL COMMUNITIES TO CREATE PROSPERITY SO THEY ARE

SELF-SUSTAINING, REPOPULATING, AND ECONOMICALLY THRIVING • STRATEGIC GOAL 2: ENSURE OUR NATIONAL FORESTS AND PRIVATE WORKING LANDS

ARE CONSERVED, RESTORED, AND MADE MORE RESILIENT TO CLIMATE CHANGE, WHILE ENHANCING OUR WATER RESOURCES

• STRATEGIC GOAL 3: HELP AMERICA PROMOTE AGRICULTURAL PRODUCTION AND BIOTECHNOLOGY EXPORTS AS AMERICA WORKS TO INCREASE FOOD SECURITY

• STRATEGIC GOAL 4: ENSURE THAT ALL OF AMERICA’S CHILDREN HAVE ACCESS TO SAFE, NUTRITIOUS, AND BALANCED MEALSObjective 4.1 – Increase Access to Nutritious FoodObjective 4.2 – Promote Healthy Diet and Physical Activity BehaviorsObjective 4.3 – Protect Public Health by Ensuring Food is SafeObjective 4.4 – Protect Agricultural Health by Minimizing Major Diseases and Pests to Ensure Access to Safe, Plentiful, and Nutritious Food

http://www.ocfo.usda.gov/usdasp/sp2010/sp2010.pdf

USDA Grant Opportunities

FNS: Fresh Fruit and Vegetable ProgramHealthy Incentives PilotsFarmers Market Nutrition Programs School Facilities

Grant Opportunities• NIFA:

Community Food ProjectsHealthy Urban Food EnterpriseAgriculture and Food Research Initiatives4-H Youth Development

• RD:Community Facilities ProgramFaith Based and Community Initiatives

• ERS:Specialty Crops Block GrantsResearch Innovation and Development Grants in Economics (RIDGE) Food Assistance and Nutrition Research Program (FANRP)

USDA Resources• 2007 Cooperative Extension includes:“Helping U.S. residents to become

physically, mentally, and emotionally healthy” http://www.aplu.org/NetCommunity/Document.Doc?id=369) • Land Grant Universityhttp://www.nifa.usda.gov/qlinks/partners/state_partners.html• Extension Resources http://www.extension.org/ • Families, Food and Fitness http://www.extension.org/families%20food

%20fitness• Ag in the Classroomhttp://www.agclassroom.org/index.htm• Center for Nutrition Policy and Promotion (CNPP), MyPyramidhttp://www.mypyramid.gov/

• ERS Food Desert ResearchHTTP://WWW.ERS.USDA.GOV/PUBLICATIONS/AP/AP036/• Research Reportshttp://www.ers.usda.gov/Briefing/FoodSecurity/ • Local Food Systems: Concepts, Impacts, and Issueshttp://www.ers.usda.gov/Publications/ERR97/ERR97.pdf• Healthier US Schoolshttp://www.fns.usda.gov/tn/healthierus/all_chart.pdf• 4-H Youth Development for community leadership in support of healthier

life choices http://4-h.org/programs_mission_mandates/healthyliving.html

Questions and Suggestions?