Public Health Policy

Public Health Policyin New York CityZachary AdlerChristina ChoCharles ManiegoBonnie RoseJonathan TeppTaking Care of New YorkA shift in focus: From contagious disease to chronicProtecting the public from adverse effects of health problems: Health care expenditures, second hand smokeCaring for those who may not be able to care for themselves The natural consequence: A focus on tobacco and obesityTaking Care of New YorkThe criticism: Nanny-in-chief who is babying voting-aged adultsThe praise: Its worked! Obesity has been reduced by 31% while only 14% of New York City residents smoked in 2010 (lowest percentage in history) The bottom line: Bloombergs policies can lay a promising road for New York City if he will attempt to mollify the public and drum up supportNew York City Smoke Free Act of 2002 All businesses and establishments with employees, and public spaces of the sort, are required to be smoke free Removal of ash trays and the addition of No Smoking signs.killing more than 440,000 people nationwide each year As a result of passage of the SFAA of 2002, 150,000 fewer New Yorkers are exposed to second-hand smoke A Hike in Prices: Dont Lose Your Breath in the ProcessTax increase of $1.42 on a pack of cigarettes

New York State increase of $0.39 per pack

32% increase in retail price of approximately $6.85 Results of Smoke Free Act of 2002 and Increased City and State Tax 11% decrease in NYC smokers between 2002-2003 among all demographics21.4% of smokers reported an actual decrease in cigarette consumption Nearly half of NYC smokers had attempted to quit15.8% of smokers have quit or attempted to quit due to the increase in cigarette tax; 4.2% responded to SFABloomberg on Cigarettes: The OppositionToo intrusive and symptomatic of a busybody attitude on the part of city officials. Once we pass this, we will next be banning smoking on sidewalks, and then in the cars of people who are driving minors and then in the homes - Councilman Halloran III of Queens Why are singling out cigarette smoke?

Calorie Labeling Law (2008)Bloombergs fight against obesityFast food and caloric intakeOpposition? The law8

Source:nyc.govResultsConflicting dataAwareness of the public and restaurant industryThe Calorie Labeling Law a success?Plans for the future

Sugary Drinks

Mike Bloomberg: Combating Obesity. Mikebloomberg.comSugary Drinks PoliciesSoda tax (2010)Food Stamps Soda Ban (2010) Soda ban (2013)

Sugary Drinks Policies: Any Other Ideas? ALTERNATIVES:Individual Counseling (limited resources, too expensive) Social Pressure (immoral, ineffective) OPINIONS:Sugary drinks policies mostly efficient and effectiveWould be better if reasoning was explained to avoid accusations of autocracyTrans Fats Ban in NYCHistorySuccessShortcomings

Decrease in trans fat content in fast food meal purchases, NYC

Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York Citys Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86. 15Increase in Other Unhealthy Ingredients?

Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York Citys Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86. Some Concluding IdeasModify rhetoricOffer incentives to companiesActual bans should be on chemicals, not products, with a focus on discouraging use of already-made productsGet the people involved!