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"content": "\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012.jpg\">\u003cimg class=\"size-medium wp-image-5650\" title=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Expect to hear a lot about obesity prevention in the coming days. A \u003ca title=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" href=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" target=\"_blank\">four-part HBO documentary\u003c/a> about the obesity crisis debuts next week. Today, the Centers for Disease Control opened \u003ca title=\"http://www.weightofthenation.org/\" href=\"http://www.weightofthenation.org/\" target=\"_blank\">a major conference\u003c/a> examining strategies to help Americans with this significant health challenge. At a \u003ca title=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" href=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" target=\"_blank\">report\u003c/a> released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\u003c/p>\n\u003cp>And believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.\u003c/p>\n\u003cp>Despite first lady Michelle Obama's \u003ca title=\"http://www.letsmove.gov/\" href=\"http://www.letsmove.gov/\" target=\"_blank\">Let's Move\u003c/a> campaign and its greater attention on childhood obesity, many public health leaders are frustrated with slow progress and say more must be done. They call for a different approach, using strategies similar to those used in the anti-tobacco movement. It was only after anti-tobacco advocates embraced community-based activism that smoking rates began to drop from a high of 42 percent in the mid-1960s to just over 19 percent today, they say.\u003c!--more-->\u003c/p>\n\u003cp>Instead of approaching obesity as a personal issue, it needs to be redefined as a community challenge that calls for collective action and wide-ranging policy changes such as more informative food labels, limits on marketing to children, and taxes on unhealthy products, some public health experts argue.\u003c/p>\n\u003cp>Kaiser Health News published \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" target=\"_blank\">a lengthy piece\u003c/a> examining the strategies and hurdles in adopting such action. State of Health excerpts from the article's eight points:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Children are central\u003c/strong>. The vast majority of people who use tobacco take up the habit as teenagers, and one-third of kids who smoke daily will eventually die prematurely of tobacco-related illnesses, according to the Campaign for Tobacco Free Kids.\u003c/p>\n\u003cp>The health impact of obesity is similar: seriously overweight children are at greater risk of developing a multitude of health problems that can continue through adulthood, including diabetes, liver disease, heart disease, joint problems and asthma, and are more likely to become obese adults, a wide body of research has demonstrated.\u003c/p>\n\u003cp>Preventing harm to young people is a central goal of both anti-tobacco and anti-obesity campaigns.\u003c/p>\n\u003cp>\u003cstrong>Changing social norms is the goal\u003c/strong>. \u003ca href=\"http://whsc.emory.edu/home/about/leadership/bio-jeffrey-koplan.html\" target=\"_blank\">Dr. Jeffrey Koplan\u003c/a>, former head of the CDC and vice president for global health at Emory University in Atlanta, remembers smoking a pipe while writing up patient notes at a prestigious New York hospital in the 1970s. (He gave up the habit more than 30 years ago.)\u003c/p>\n\u003cp>Today, that would be inconceivable: Smoking rates have been cut by more than half, intolerance of smoking in public places is widespread and anti-smoking policies are in place at hospitals, workplaces, and venues across the country.\u003c/p>\n\u003cp>Koplan is convinced the same shift in social norms is called for -- and achievable -- when it comes to childhood obesity. \"Our (eating and physical activity) tastes, our preferences and our behaviors are learned and can be changed,\" he said. It isn’t going to be easy and it isn’t going to be fast, but \"we’re dealing with a population that would like to be thinner and that works in our favor,\" he said.\u003c/p>\n\u003cp>\u003cstrong>We can’t just say no to food\u003c/strong>. \"Tobacco we can get rid of entirely. ... But we have to eat to live and make terms with food as the enemy,\" said Dr. David Katz, director of \u003ca href=\"http://www.yalegriffinprc.org/\" target=\"_blank\">Yale University’s Prevention Research Center\u003c/a>.\u003c/p>\n\u003cp>That makes curbing childhood obesity a much more complicated issue than tobacco use, Katz and other experts agree. The message to kids and their families can’t be \"stop, don’t do this,\" which is clear and easy to understand. Instead it has to be \"make good choices, do this in moderation, set boundaries,\" a message that is considerably more difficult to convey.\u003c/p>\n\u003cp>\u003cstrong>There is no second-hand smoke equivalent\u003c/strong>. The American public was alarmed when it learned that the cigarette smoke non-smokers breathed in airplanes, bars and restaurants was dangerous.\u003c/p>\n\u003cp>\"The notion that my behavior as a smoker can have an effect on you and can make you sick was critically important in accelerating people’s intolerance of smoking and their willingness to see the government take action,\" said \u003ca href=\"http://publichealth.gsu.edu/722.html\" target=\"_blank\">Michael Eriksen\u003c/a>, director of the Institute of Public Health at Georgia State University.\u003c/p>\n\u003cp>There is no equivalent in the fight against obesity. \"Your being obese does not affect me in the same direct way,\" Eriksen said.\u003c/p>\n\u003cp>\u003cstrong>The role of industry is less clear\u003c/strong>. In the anti-tobacco fight, tobacco companies were painted as an enemy willing to lie and manipulate the American public for the sake of profits. In turn, the demonization of Big Tobacco -- made possible by bitterly fought lawsuits and the release of thousands of company documents -- cultivated a common sense of threat.\u003c/p>\n\u003cp>By contrast, public health advocates aren’t willing to turn food and beverage into enemies in the fight against obesity.\u003c/p>\n\u003cp>\"With obesity (as compared to tobacco), there’s a much more nuanced relationship with industry,\" said \u003ca href=\"http://www.rwjf.org/about/staffbio.jsp?id=980\" target=\"_blank\">Dr. James S. Marks\u003c/a>, director of the health group at the Robert Wood Johnson Foundation. Food and beverage manufacturers, restaurants, and grocery stores all have a vital role to play in making healthier food more widely available, he noted.\u003c/p>\n\u003cp>\"We can’t regulate our way out of this,\" said \u003ca href=\"http://healthyamericans.org/pages/?id=67\" target=\"_blank\">Jeff Levi\u003c/a>, executive director of the Trust for America’s Health. \"We need to work with industry cooperatively to help change consumers’ tastes and habits.\"\u003c/p>\n\u003cp>Others are much less certain that the food and beverage industry can be trusted to be helpful partners.\u003c/p>\n\u003cp>\"Some companies are making huge profits off obesity,\" said \u003ca href=\"http://www.urban.org/bio/StanDorn.html\" target=\"_blank\">Stan Dorn\u003c/a>, a senior fellow at the Urban Institute, a public policy research center in Washington, D.C., \"and I worry that people who are focused on anti-obesity strategies aren’t being tough enough on them.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More from KQED's Quest:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cembed src=\"//ww2.kqed.org/quest/wp-content/uploads/sites/35/jw-player-plugin-for-wordpress/player/player.swf\" height=\"360\" width=\"640\" allowscriptaccess=\"always\" allowfullscreen=\"true\" flashvars=\"&bandwidth=2841&controlbar=over&dock=false&file=602a_kidsheart.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602A_Mariah_Mitchell_smells_mint_12-7-11_GQ_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003c/embed>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012.jpg\">\u003cimg class=\"size-medium wp-image-5650\" title=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Expect to hear a lot about obesity prevention in the coming days. A \u003ca title=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" href=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" target=\"_blank\">four-part HBO documentary\u003c/a> about the obesity crisis debuts next week. Today, the Centers for Disease Control opened \u003ca title=\"http://www.weightofthenation.org/\" href=\"http://www.weightofthenation.org/\" target=\"_blank\">a major conference\u003c/a> examining strategies to help Americans with this significant health challenge. At a \u003ca title=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" href=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" target=\"_blank\">report\u003c/a> released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\u003c/p>\n\u003cp>And believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.\u003c/p>\n\u003cp>Despite first lady Michelle Obama's \u003ca title=\"http://www.letsmove.gov/\" href=\"http://www.letsmove.gov/\" target=\"_blank\">Let's Move\u003c/a> campaign and its greater attention on childhood obesity, many public health leaders are frustrated with slow progress and say more must be done. They call for a different approach, using strategies similar to those used in the anti-tobacco movement. It was only after anti-tobacco advocates embraced community-based activism that smoking rates began to drop from a high of 42 percent in the mid-1960s to just over 19 percent today, they say.\u003c!--more-->\u003c/p>\n\u003cp>Instead of approaching obesity as a personal issue, it needs to be redefined as a community challenge that calls for collective action and wide-ranging policy changes such as more informative food labels, limits on marketing to children, and taxes on unhealthy products, some public health experts argue.\u003c/p>\n\u003cp>Kaiser Health News published \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" target=\"_blank\">a lengthy piece\u003c/a> examining the strategies and hurdles in adopting such action. State of Health excerpts from the article's eight points:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Children are central\u003c/strong>. The vast majority of people who use tobacco take up the habit as teenagers, and one-third of kids who smoke daily will eventually die prematurely of tobacco-related illnesses, according to the Campaign for Tobacco Free Kids.\u003c/p>\n\u003cp>The health impact of obesity is similar: seriously overweight children are at greater risk of developing a multitude of health problems that can continue through adulthood, including diabetes, liver disease, heart disease, joint problems and asthma, and are more likely to become obese adults, a wide body of research has demonstrated.\u003c/p>\n\u003cp>Preventing harm to young people is a central goal of both anti-tobacco and anti-obesity campaigns.\u003c/p>\n\u003cp>\u003cstrong>Changing social norms is the goal\u003c/strong>. \u003ca href=\"http://whsc.emory.edu/home/about/leadership/bio-jeffrey-koplan.html\" target=\"_blank\">Dr. Jeffrey Koplan\u003c/a>, former head of the CDC and vice president for global health at Emory University in Atlanta, remembers smoking a pipe while writing up patient notes at a prestigious New York hospital in the 1970s. (He gave up the habit more than 30 years ago.)\u003c/p>\n\u003cp>Today, that would be inconceivable: Smoking rates have been cut by more than half, intolerance of smoking in public places is widespread and anti-smoking policies are in place at hospitals, workplaces, and venues across the country.\u003c/p>\n\u003cp>Koplan is convinced the same shift in social norms is called for -- and achievable -- when it comes to childhood obesity. \"Our (eating and physical activity) tastes, our preferences and our behaviors are learned and can be changed,\" he said. It isn’t going to be easy and it isn’t going to be fast, but \"we’re dealing with a population that would like to be thinner and that works in our favor,\" he said.\u003c/p>\n\u003cp>\u003cstrong>We can’t just say no to food\u003c/strong>. \"Tobacco we can get rid of entirely. ... But we have to eat to live and make terms with food as the enemy,\" said Dr. David Katz, director of \u003ca href=\"http://www.yalegriffinprc.org/\" target=\"_blank\">Yale University’s Prevention Research Center\u003c/a>.\u003c/p>\n\u003cp>That makes curbing childhood obesity a much more complicated issue than tobacco use, Katz and other experts agree. The message to kids and their families can’t be \"stop, don’t do this,\" which is clear and easy to understand. Instead it has to be \"make good choices, do this in moderation, set boundaries,\" a message that is considerably more difficult to convey.\u003c/p>\n\u003cp>\u003cstrong>There is no second-hand smoke equivalent\u003c/strong>. The American public was alarmed when it learned that the cigarette smoke non-smokers breathed in airplanes, bars and restaurants was dangerous.\u003c/p>\n\u003cp>\"The notion that my behavior as a smoker can have an effect on you and can make you sick was critically important in accelerating people’s intolerance of smoking and their willingness to see the government take action,\" said \u003ca href=\"http://publichealth.gsu.edu/722.html\" target=\"_blank\">Michael Eriksen\u003c/a>, director of the Institute of Public Health at Georgia State University.\u003c/p>\n\u003cp>There is no equivalent in the fight against obesity. \"Your being obese does not affect me in the same direct way,\" Eriksen said.\u003c/p>\n\u003cp>\u003cstrong>The role of industry is less clear\u003c/strong>. In the anti-tobacco fight, tobacco companies were painted as an enemy willing to lie and manipulate the American public for the sake of profits. In turn, the demonization of Big Tobacco -- made possible by bitterly fought lawsuits and the release of thousands of company documents -- cultivated a common sense of threat.\u003c/p>\n\u003cp>By contrast, public health advocates aren’t willing to turn food and beverage into enemies in the fight against obesity.\u003c/p>\n\u003cp>\"With obesity (as compared to tobacco), there’s a much more nuanced relationship with industry,\" said \u003ca href=\"http://www.rwjf.org/about/staffbio.jsp?id=980\" target=\"_blank\">Dr. James S. Marks\u003c/a>, director of the health group at the Robert Wood Johnson Foundation. Food and beverage manufacturers, restaurants, and grocery stores all have a vital role to play in making healthier food more widely available, he noted.\u003c/p>\n\u003cp>\"We can’t regulate our way out of this,\" said \u003ca href=\"http://healthyamericans.org/pages/?id=67\" target=\"_blank\">Jeff Levi\u003c/a>, executive director of the Trust for America’s Health. \"We need to work with industry cooperatively to help change consumers’ tastes and habits.\"\u003c/p>\n\u003cp>Others are much less certain that the food and beverage industry can be trusted to be helpful partners.\u003c/p>\n\u003cp>\"Some companies are making huge profits off obesity,\" said \u003ca href=\"http://www.urban.org/bio/StanDorn.html\" target=\"_blank\">Stan Dorn\u003c/a>, a senior fellow at the Urban Institute, a public policy research center in Washington, D.C., \"and I worry that people who are focused on anti-obesity strategies aren’t being tough enough on them.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More from KQED's Quest:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cembed src=\"//ww2.kqed.org/quest/wp-content/uploads/sites/35/jw-player-plugin-for-wordpress/player/player.swf\" height=\"360\" width=\"640\" allowscriptaccess=\"always\" allowfullscreen=\"true\" flashvars=\"&bandwidth=2841&controlbar=over&dock=false&file=602a_kidsheart.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602A_Mariah_Mitchell_smells_mint_12-7-11_GQ_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003c/embed>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "\"Model\" Dental Program Ultimately Painful for Children",
"title": "\"Model\" Dental Program Ultimately Painful for Children",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Kelley Weiss, \u003ca title=\"http://centerforhealthreporting.org/\" href=\"http://centerforhealthreporting.org/\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4802\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ChildatDentist_EthanDenney_Flickr_04062012.jpg\">\u003cimg class=\"size-medium wp-image-4802\" title=\"(Ethan Denney: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ChildatDentist_EthanDenney_Flickr_04062012-300x225.jpg\" alt=\"(Ethan Denney: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ethan Denney: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Since February, reports from the \u003ca href=\"http://centerforhealthreporting.org/article/model-dental-program-proves-painful-kids785\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a> and \u003ca title=\"http://www.sacbee.com/2012/02/12/4256975/model-dental-program-proves-painful.html\" href=\"http://www.sacbee.com/2012/02/12/4256975/model-dental-program-proves-painful.html\" target=\"_blank\">The Sacramento Bee\u003c/a> have painted a grim picture of low-income children waiting for months or even years to see a dentist in Sacramento. And now some state lawmakers are calling for immediate action.\u003c/p>\n\u003cp>Almost two decades ago the state started a managed care pilot program in Sacramento County for children’s dental care. Since then, several families have described harrowing instances of long wait times and unsuccessful attempts to get through the red tape.\u003c/p>\n\u003cp>Alisa Erickson testified at the state Capitol on March 15th about her 18-year-old daughter’s struggle to get dental care in Sacramento.\u003c/p>\n\u003cp>“Her cheek was actually swollen and she was in so much pain, that she missed school, she could not sleep because every time she laid down … her tooth would throb so bad she’d start crying,” Erickson says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Erickson’s daughter, Stephanie, has coverage through Medi-Cal -- a program for low-income Californians. But Erickson says it took three years to get a broken tooth pulled. That’s because through her coverage, she couldn’t find any dentists to see her daughter. By the time she got treatment, it had gotten much worse.\u003c/p>\n\u003cp>“My daughter, the damage has been done,” Erickson testified. “All her teeth have been pulled.”\u003c/p>\n\u003cp>Last year less than a third of Sacramento’s 100,000 children with Medi-Cal saw a dentist. That’s compared to a state average of nearly 50 percent, which makes Sacramento one of the worst counties for kids to access public dental benefits.\u003c/p>\n\u003cp>Ongoing issues with Sacramento’s dental program were documented in a \u003ca title=\"http://www.first5sacramento.net/coswcms/groups/public/@wcm/@pub/@first5/@inter/documents/webcontent/sac_022976.pdf\" href=\"http://www.first5sacramento.net/coswcms/groups/public/@wcm/@pub/@first5/@inter/documents/webcontent/sac_022976.pdf\" target=\"_blank\">First 5 Sacramento report [PDF]\u003c/a> presented to government officials in 2010.\u003c/p>\n\u003cp>And \u003ca href=\"http://sd06.senate.ca.gov/news/2012-02-13-steinberg-calls-state-review-children-s-dental-care-program\" target=\"_blank\">Senate President Pro Tem Darrell Steinberg\u003c/a>, D-Sacramento, says children from low-income families shouldn’t be suffering like this.\u003c/p>\n\u003cp>He’s trying to change what’s called \u003ca href=\"http://www.denti-cal.ca.gov/WSI/ManagedCare.jsp?fname=ManagedCareOverview\" target=\"_blank\">Dental Geographic Managed Care,\u003c/a> or GMC, in Sacramento County. It’s a closed network of providers that get paid a flat monthly rate of about $12 for each child enrolled in the program. That’s whether they see them or not. But around the state, most children with Medi-Cal are not enrolled in dental managed care. But in Sacramento, that’s not the case: it’s the only county where kids have to be in this kind of program.\u003c/p>\n\u003cp>\u003ca href=\"http://centerforhealthreporting.org/article/senate-panel-backs-change-kids-dental-coverage832\" target=\"_blank\">Steinberg recently introduced a bill\u003c/a> to even the playing field for children in his district of Sacramento.\u003c/p>\n\u003cp>“We want to push for a voluntary program where there is some choice here, because when there is more choice more likely kids will get the access quickly,” Steinberg says.\u003c/p>\n\u003cp>Steinberg’s bill still has a long way to go. It needs lawmakers’ approval and then Governor Brown’s signature. The bill calls for much greater oversight of the health plans. And for regular reports to the Legislature about progress.\u003c/p>\n\u003cp>But California’s Department of Health Care Services director, \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a>, says he wants to stick with the current mandatory dental program.\u003c/p>\n\u003cp>“We strongly believe that managed care done right with really, really strong accountability, and working with our plans to make sure that providers are providing the right care, that it can be the right model,” Douglas says.\u003c/p>\n\u003cp>At the same time \u003ca href=\"http://centerforhealthreporting.org/article/state-health-chief-vows-changes-sacramento-county-dental-program802\">Toby Douglas is responding to the public scrutiny\u003c/a> of the program now. He says audits of the health plans in Sacramento are underway. And Douglas says the state will pay providers more if they see more children. If they don’t, Douglas says they won’t get paid.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.barbaraavedassociates.com/\">health care consultant Barbara Aved\u003c/a> is skeptical this will actually happen. She points to the state’s failing record with Sacramento’s Geographic Managed Care dental program saying, “very little attention is paid to the GMC side, very little oversight, very little enforcement.”\u003c/p>\n\u003cp>Aved says the root of the problem is the low payments to dentists. She says for every dollar dentists spend on care for Medi-Cal patients, they get reimbursed 10 to 20 cents. And this has led many to drop out of the program altogether.\u003c/p>\n\u003cp>“Quite honestly, and I know this is the wrong economic environment to say this, but you have to pay an equitable rate,” Aved says.\u003c/p>\n\u003cp>Aved says without increasing payments you can’t fully fix Sacramento’s program. And she says there’s a bigger picture here – these same problems could come up if a current state budget proposal is approved. It would expand dental managed care into 30 counties across the state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204060850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204060850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Since February, reports from the CHCF Center for Health Reporting and The Sacramento Bee have painted a grim picture of low-income children waiting for months or even years to see a dentist in Sacramento. And now some state lawmakers are calling for immediate action.\r\n\r\nAlmost two decades ago the state started a managed care pilot program in Sacramento County for children’s dental care. Since then several families have described harrowing instances of long wait times and unsuccessful attempts to get through the red tape.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Kelley Weiss, \u003ca title=\"http://centerforhealthreporting.org/\" href=\"http://centerforhealthreporting.org/\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4802\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ChildatDentist_EthanDenney_Flickr_04062012.jpg\">\u003cimg class=\"size-medium wp-image-4802\" title=\"(Ethan Denney: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/ChildatDentist_EthanDenney_Flickr_04062012-300x225.jpg\" alt=\"(Ethan Denney: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ethan Denney: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Since February, reports from the \u003ca href=\"http://centerforhealthreporting.org/article/model-dental-program-proves-painful-kids785\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a> and \u003ca title=\"http://www.sacbee.com/2012/02/12/4256975/model-dental-program-proves-painful.html\" href=\"http://www.sacbee.com/2012/02/12/4256975/model-dental-program-proves-painful.html\" target=\"_blank\">The Sacramento Bee\u003c/a> have painted a grim picture of low-income children waiting for months or even years to see a dentist in Sacramento. And now some state lawmakers are calling for immediate action.\u003c/p>\n\u003cp>Almost two decades ago the state started a managed care pilot program in Sacramento County for children’s dental care. Since then, several families have described harrowing instances of long wait times and unsuccessful attempts to get through the red tape.\u003c/p>\n\u003cp>Alisa Erickson testified at the state Capitol on March 15th about her 18-year-old daughter’s struggle to get dental care in Sacramento.\u003c/p>\n\u003cp>“Her cheek was actually swollen and she was in so much pain, that she missed school, she could not sleep because every time she laid down … her tooth would throb so bad she’d start crying,” Erickson says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Erickson’s daughter, Stephanie, has coverage through Medi-Cal -- a program for low-income Californians. But Erickson says it took three years to get a broken tooth pulled. That’s because through her coverage, she couldn’t find any dentists to see her daughter. By the time she got treatment, it had gotten much worse.\u003c/p>\n\u003cp>“My daughter, the damage has been done,” Erickson testified. “All her teeth have been pulled.”\u003c/p>\n\u003cp>Last year less than a third of Sacramento’s 100,000 children with Medi-Cal saw a dentist. That’s compared to a state average of nearly 50 percent, which makes Sacramento one of the worst counties for kids to access public dental benefits.\u003c/p>\n\u003cp>Ongoing issues with Sacramento’s dental program were documented in a \u003ca title=\"http://www.first5sacramento.net/coswcms/groups/public/@wcm/@pub/@first5/@inter/documents/webcontent/sac_022976.pdf\" href=\"http://www.first5sacramento.net/coswcms/groups/public/@wcm/@pub/@first5/@inter/documents/webcontent/sac_022976.pdf\" target=\"_blank\">First 5 Sacramento report [PDF]\u003c/a> presented to government officials in 2010.\u003c/p>\n\u003cp>And \u003ca href=\"http://sd06.senate.ca.gov/news/2012-02-13-steinberg-calls-state-review-children-s-dental-care-program\" target=\"_blank\">Senate President Pro Tem Darrell Steinberg\u003c/a>, D-Sacramento, says children from low-income families shouldn’t be suffering like this.\u003c/p>\n\u003cp>He’s trying to change what’s called \u003ca href=\"http://www.denti-cal.ca.gov/WSI/ManagedCare.jsp?fname=ManagedCareOverview\" target=\"_blank\">Dental Geographic Managed Care,\u003c/a> or GMC, in Sacramento County. It’s a closed network of providers that get paid a flat monthly rate of about $12 for each child enrolled in the program. That’s whether they see them or not. But around the state, most children with Medi-Cal are not enrolled in dental managed care. But in Sacramento, that’s not the case: it’s the only county where kids have to be in this kind of program.\u003c/p>\n\u003cp>\u003ca href=\"http://centerforhealthreporting.org/article/senate-panel-backs-change-kids-dental-coverage832\" target=\"_blank\">Steinberg recently introduced a bill\u003c/a> to even the playing field for children in his district of Sacramento.\u003c/p>\n\u003cp>“We want to push for a voluntary program where there is some choice here, because when there is more choice more likely kids will get the access quickly,” Steinberg says.\u003c/p>\n\u003cp>Steinberg’s bill still has a long way to go. It needs lawmakers’ approval and then Governor Brown’s signature. The bill calls for much greater oversight of the health plans. And for regular reports to the Legislature about progress.\u003c/p>\n\u003cp>But California’s Department of Health Care Services director, \u003ca title=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Toby Douglas\u003c/a>, says he wants to stick with the current mandatory dental program.\u003c/p>\n\u003cp>“We strongly believe that managed care done right with really, really strong accountability, and working with our plans to make sure that providers are providing the right care, that it can be the right model,” Douglas says.\u003c/p>\n\u003cp>At the same time \u003ca href=\"http://centerforhealthreporting.org/article/state-health-chief-vows-changes-sacramento-county-dental-program802\">Toby Douglas is responding to the public scrutiny\u003c/a> of the program now. He says audits of the health plans in Sacramento are underway. And Douglas says the state will pay providers more if they see more children. If they don’t, Douglas says they won’t get paid.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.barbaraavedassociates.com/\">health care consultant Barbara Aved\u003c/a> is skeptical this will actually happen. She points to the state’s failing record with Sacramento’s Geographic Managed Care dental program saying, “very little attention is paid to the GMC side, very little oversight, very little enforcement.”\u003c/p>\n\u003cp>Aved says the root of the problem is the low payments to dentists. She says for every dollar dentists spend on care for Medi-Cal patients, they get reimbursed 10 to 20 cents. And this has led many to drop out of the program altogether.\u003c/p>\n\u003cp>“Quite honestly, and I know this is the wrong economic environment to say this, but you have to pay an equitable rate,” Aved says.\u003c/p>\n\u003cp>Aved says without increasing payments you can’t fully fix Sacramento’s program. And she says there’s a bigger picture here – these same problems could come up if a current state budget proposal is approved. It would expand dental managed care into 30 counties across the state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204060850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204060850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "The Greatest Health Risk to Children? No, It's Not Drugs",
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"content": "\u003cfigure id=\"attachment_4750\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FrenchFries_IanBritton_04042012.jpg\">\u003cimg class=\"size-medium wp-image-4750 \" title=\"(Ian Britton: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FrenchFries_IanBritton_04042012-300x201.jpg\" alt=\"(Ian Britton: Flickr)\" width=\"300\" height=\"201\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People polled cited unhealthy eating habits and sedentary lifestyle as greatest threat to children's health. (Ian Britton: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly half of people surveyed in a \u003ca title=\"http://field.com/fieldpollonline/subscribers/Rls2408.pdf\" href=\"http://field.com/fieldpollonline/subscribers/Rls2408.pdf\" target=\"_blank\">poll released today\u003c/a> say an unhealthy diet combined with lack of physical activity are the greatest health risks facing California children today.\u003c/p>\n\u003cp>In addition, almost three in four respondents to the Field Poll -- 73 percent -- said prevention efforts, while starting with the family, must extend to the broader community, including health care providers, schools, community organizations and beyond -- to food and beverage companies and fast food restaurants.\u003c/p>\n\u003cp>\"Voters acknowledge they have a role to play,\" Mark DeCamillo, Director of The Field Poll told me. \"They should be involving the larger community and lots of different entities, companies included should be taking some responsibility in reducing obesity in kids.\u003c/p>\n\u003cp>The poll surveyed 1,000 registered California voters and was funded by \u003ca title=\"http://www.calendow.org/\" href=\"http://www.calendow.org/\" target=\"_blank\">The California Endowment\u003c/a>. (The California Endowment is a supporter of KQED). Respondents across political parties, ethnic backgrounds and household incomes all agreed a poor diet and sedentary lifestyle are the major health risks to children. Illegal drug use was a distant second at 22 percent.\u003c/p>\n\u003cp>More than half of respondents (60 percent) said that the neighborhood where a child is raised makes a difference in their health. A strong majority (68 percent) said a comprehensive program to prevent childhood obesity -- including building parks and promoting neighborhood safety -- would be worth it, even if it cost billions of dollars.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Californians understand that health happens in schools, in neighborhoods, and with prevention,\" said \u003ca title=\"http://www.calendow.org/Article.aspx?id=796\" href=\"http://www.calendow.org/Article.aspx?id=796\" target=\"_blank\">Dr. Robert Ross\u003c/a>, CEO of The California Endowment, said in a statement. \"Regardless of age, ethnicity, income or political ideology, they recognize that investments in prevention save money over the long run.\"\u003c/p>\n\u003cp>\u003cstrong>Support for \"soda tax\"\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>More than three out of five Californians (62 percent) would support a special fee on soda and other soft drinks, presuming the money was spent to fight childhood obesity. Richmond City Council Member \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?NID=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?NID=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is working to put a so-called \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/07/could-richmond-be-first-california-city-to-tax-soda/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/07/could-richmond-be-first-california-city-to-tax-soda/\" target=\"_blank\">\"soda tax\" before Richmond voters\u003c/a> in November. \"This is encouraging for us,\" he said in an interview, \"I think it will get people who are working on it feeling like they are going to win.\"\u003c/p>\n\u003cfigure id=\"attachment_4745\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Screen-Shot-2012-04-04-at-3.08.18-PM.png\">\u003cimg class=\"size-medium wp-image-4745 \" title=\"Screen Shot 2012-04-04 at 3.08.18 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Screen-Shot-2012-04-04-at-3.08.18-PM-300x252.png\" alt=\"\" width=\"300\" height=\"252\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Voter opinions about the state imposing a special fee on soda and soft drinks, using money to fight childhood obesity. (The Field Poll)\u003c/figcaption>\u003c/figure>\n\u003cp>DeCamillo told me that if you break the polling data down, 45 percent \"strongly support\" the idea of a special fee on sodas, up from 33 percent in last year's poll. \"That's a statistically significant change,\" he explained. \"Usually on tax measures -- and we do so many tax polls ... we really put the emphasis on the 'support strongly' proportion. Those people usually don't back down in the face of opposition campaigns. They are base core supporters.\"\u003c/p>\n\u003cp>\u003ca title=\"http://fitprogram.ucla.edu/body.cfm?id=21\" href=\"http://fitprogram.ucla.edu/body.cfm?id=21\" target=\"_blank\">Dr. Wendy Slusser\u003c/a> is the medical director of UCLA's Fit for Healthy Weight Program. In the past, she says, our major health issues were clean water and clear air. \"In a way, we've addressed that with legislation,\" she told me. \"Now it's really about health, healthy food and good health. These are the emerging issues of the next decade that we're going to have to be working on in a big way.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More: \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>Listen to Contra Costa County Public Health Director Dr. Wendel Brunner's\u003ca title=\"http://cchealth.org/topics/podcast/\" href=\"http://cchealth.org/topics/podcast/\" target=\"_blank\"> podcast\u003c/a> in response to today's poll. He discusses the health effects of childhood obesity and his opinion of a soda tax.\u003c/p>\n\n",
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"excerpt": "Nearly half of people surveyed in a poll released today say that an unhealthy diet combined with lack of physical activity are the greatest health risks facing California children today.\r\n\r\nAlmost three in four respondents -- 73 percent -- said prevention efforts, while starting with the family, must extend to the broader community, including health care providers, schools and community organizations, and yes, food and beverage companies and fast food restaurants.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4750\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FrenchFries_IanBritton_04042012.jpg\">\u003cimg class=\"size-medium wp-image-4750 \" title=\"(Ian Britton: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/FrenchFries_IanBritton_04042012-300x201.jpg\" alt=\"(Ian Britton: Flickr)\" width=\"300\" height=\"201\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People polled cited unhealthy eating habits and sedentary lifestyle as greatest threat to children's health. (Ian Britton: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly half of people surveyed in a \u003ca title=\"http://field.com/fieldpollonline/subscribers/Rls2408.pdf\" href=\"http://field.com/fieldpollonline/subscribers/Rls2408.pdf\" target=\"_blank\">poll released today\u003c/a> say an unhealthy diet combined with lack of physical activity are the greatest health risks facing California children today.\u003c/p>\n\u003cp>In addition, almost three in four respondents to the Field Poll -- 73 percent -- said prevention efforts, while starting with the family, must extend to the broader community, including health care providers, schools, community organizations and beyond -- to food and beverage companies and fast food restaurants.\u003c/p>\n\u003cp>\"Voters acknowledge they have a role to play,\" Mark DeCamillo, Director of The Field Poll told me. \"They should be involving the larger community and lots of different entities, companies included should be taking some responsibility in reducing obesity in kids.\u003c/p>\n\u003cp>The poll surveyed 1,000 registered California voters and was funded by \u003ca title=\"http://www.calendow.org/\" href=\"http://www.calendow.org/\" target=\"_blank\">The California Endowment\u003c/a>. (The California Endowment is a supporter of KQED). Respondents across political parties, ethnic backgrounds and household incomes all agreed a poor diet and sedentary lifestyle are the major health risks to children. Illegal drug use was a distant second at 22 percent.\u003c/p>\n\u003cp>More than half of respondents (60 percent) said that the neighborhood where a child is raised makes a difference in their health. A strong majority (68 percent) said a comprehensive program to prevent childhood obesity -- including building parks and promoting neighborhood safety -- would be worth it, even if it cost billions of dollars.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Californians understand that health happens in schools, in neighborhoods, and with prevention,\" said \u003ca title=\"http://www.calendow.org/Article.aspx?id=796\" href=\"http://www.calendow.org/Article.aspx?id=796\" target=\"_blank\">Dr. Robert Ross\u003c/a>, CEO of The California Endowment, said in a statement. \"Regardless of age, ethnicity, income or political ideology, they recognize that investments in prevention save money over the long run.\"\u003c/p>\n\u003cp>\u003cstrong>Support for \"soda tax\"\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>More than three out of five Californians (62 percent) would support a special fee on soda and other soft drinks, presuming the money was spent to fight childhood obesity. Richmond City Council Member \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?NID=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?NID=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is working to put a so-called \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/07/could-richmond-be-first-california-city-to-tax-soda/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/07/could-richmond-be-first-california-city-to-tax-soda/\" target=\"_blank\">\"soda tax\" before Richmond voters\u003c/a> in November. \"This is encouraging for us,\" he said in an interview, \"I think it will get people who are working on it feeling like they are going to win.\"\u003c/p>\n\u003cfigure id=\"attachment_4745\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Screen-Shot-2012-04-04-at-3.08.18-PM.png\">\u003cimg class=\"size-medium wp-image-4745 \" title=\"Screen Shot 2012-04-04 at 3.08.18 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Screen-Shot-2012-04-04-at-3.08.18-PM-300x252.png\" alt=\"\" width=\"300\" height=\"252\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Voter opinions about the state imposing a special fee on soda and soft drinks, using money to fight childhood obesity. (The Field Poll)\u003c/figcaption>\u003c/figure>\n\u003cp>DeCamillo told me that if you break the polling data down, 45 percent \"strongly support\" the idea of a special fee on sodas, up from 33 percent in last year's poll. \"That's a statistically significant change,\" he explained. \"Usually on tax measures -- and we do so many tax polls ... we really put the emphasis on the 'support strongly' proportion. Those people usually don't back down in the face of opposition campaigns. They are base core supporters.\"\u003c/p>\n\u003cp>\u003ca title=\"http://fitprogram.ucla.edu/body.cfm?id=21\" href=\"http://fitprogram.ucla.edu/body.cfm?id=21\" target=\"_blank\">Dr. Wendy Slusser\u003c/a> is the medical director of UCLA's Fit for Healthy Weight Program. In the past, she says, our major health issues were clean water and clear air. \"In a way, we've addressed that with legislation,\" she told me. \"Now it's really about health, healthy food and good health. These are the emerging issues of the next decade that we're going to have to be working on in a big way.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More: \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>Listen to Contra Costa County Public Health Director Dr. Wendel Brunner's\u003ca title=\"http://cchealth.org/topics/podcast/\" href=\"http://cchealth.org/topics/podcast/\" target=\"_blank\"> podcast\u003c/a> in response to today's poll. He discusses the health effects of childhood obesity and his opinion of a soda tax.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Autism on the Rise: But Why?",
"title": "Autism on the Rise: But Why?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4597\" class=\"wp-caption alignleft\" style=\"max-width: 248px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BoyProfileAutism.jpg\">\u003cimg class=\"size-full wp-image-4597 \" title=\"BoyProfileAutism\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BoyProfileAutism.jpg\" alt=\"Profile Picture of a Boy\" width=\"248\" height=\"140\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>It was news that startled many. A \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6103a1.htm?s_cid=ss6103a1_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6103a1.htm?s_cid=ss6103a1_w\" target=\"_blank\">new study\u003c/a> from the \u003ca title=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\" href=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\" target=\"_blank\">Centers for Diseases Control and Prevention\u003c/a> suggests that the prevalence of the disorder is much higher than previously thought. Up to 1 in 88 children is expected to develop autism or a related disorder, which is a 23 percent jump from the rate the CDC found just 2 years ago. Perhaps one million children and teens across the country are affected.\u003c/p>\n\u003cp>This morning on \u003ca href=\"http://www.kqed.org/a/forum/R201203300900\">KQED’s Forum\u003c/a>, autism experts discussed the significance of the new numbers and what progress is being made in the field of autism research.\u003c/p>\n\u003cp>The first question on everybody’s mind was whether the new number represents a true rise in the rate of autism – or is simply a reflection of the fact that more doctors are recognizing it.\u003c/p>\n\u003cp>“We’re not sure what the increase is due to. We do know that better identification, better diagnosis, and availability of services is contributing,” said \u003ca href=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\">Coleen Boyle\u003c/a>, Director of the National Center on Birth Defects and Developmental Disabilities at the CDC.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.doctornewmark.com/\">Sanford Newmark\u003c/a>, head of the Pediatric Integrative Neurodevelopmental Program at UCSF, says that doctors are also at a loss to explain the increased rate of autism.\u003c/p>\n\u003cp>“I don’t think we know,” he said. “It’s certainly partly better diagnosis, but it’s possible that there are more kids out there who have autism.”\u003c/p>\n\u003cp>One factor that may have led to the rise in autism diagnosis is that doctors are now more attuned to the early signs of autism. Newmark says that kids who are developing normally will begin to babble by eight months of age, but that kids with autism don’t. Another difference is that most kids will try to get their parents’ attention by pointing to something, but that kids with autism don’t have the same impulse to be social.\u003c/p>\n\u003cp>That is something that \u003ca title=\"http://www.squidalicious.com/\" href=\"http://www.squidalicious.com/\" target=\"_blank\">Shannon Des Roches Rosa\u003c/a>, an author and blogger, said that she saw in her autistic son when he was an infant. She described him at 18 months as having what she called a lack of “joint attention” – he was not interested in looking at the same things all the grown-ups were. “He was not responding to his name, and he was not responding to a lot of social cues,” she said.\u003c/p>\n\u003cp>Newmark added that when the parents smile or laugh, a young child should smile in response. “A warning sign is if the child just doesn’t pay any attention to that,” he said.\u003c/p>\n\u003cp>If parents suspect their child is showing early signs of autism, Newmark says they should seek support. “That is, to me, the most important part of what could come out of this [CDC study] -- is early screening.”\u003c/p>\n\u003cp>Both he and Des Roches Rosa think that parents should find a pediatrician they are comfortable with, one who they trust. If parents and their doctor find signs that a child may have autism, the next step is to get a formal evaluation at a state-run center. From there, children with autism or developmental delay can get access to speech, occupational, physical and most important, behavioral therapy.\u003c/p>\n\u003cp>Newmark says that researchers are continuing to look for treatment options beyond therapy that may help kids with autism, but that's not easy.\u003c/p>\n\u003cp>“We certainly don’t know the cause of autism, and that does make it more difficult to find a really great treatment,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Both he and Des Roches Rosa caution that parents should not try new treatments just because they feel they must do something. They recommend that parents should critically evaluate any treatment options they come across and be sure that they are safe and worth the risk.\u003c/p>\n\n",
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"excerpt": "Many parents fear that their young children will be diagnosed with autism. And now, a new study from the Centers for Diseases Control and Prevention suggests that the prevalence of the disorder is much higher than previously thought. As many as 1 in 88 kids is expected to develop autism or a related disorder, which is a 23% jump from the rate the CDC found just 2 years ago.\r\n\r\nThis morning on KQED’s Forum, autism experts discussed the significance of the new numbers and what progress is being made in the field of autism research.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4597\" class=\"wp-caption alignleft\" style=\"max-width: 248px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BoyProfileAutism.jpg\">\u003cimg class=\"size-full wp-image-4597 \" title=\"BoyProfileAutism\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BoyProfileAutism.jpg\" alt=\"Profile Picture of a Boy\" width=\"248\" height=\"140\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>It was news that startled many. A \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6103a1.htm?s_cid=ss6103a1_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6103a1.htm?s_cid=ss6103a1_w\" target=\"_blank\">new study\u003c/a> from the \u003ca title=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\" href=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\" target=\"_blank\">Centers for Diseases Control and Prevention\u003c/a> suggests that the prevalence of the disorder is much higher than previously thought. Up to 1 in 88 children is expected to develop autism or a related disorder, which is a 23 percent jump from the rate the CDC found just 2 years ago. Perhaps one million children and teens across the country are affected.\u003c/p>\n\u003cp>This morning on \u003ca href=\"http://www.kqed.org/a/forum/R201203300900\">KQED’s Forum\u003c/a>, autism experts discussed the significance of the new numbers and what progress is being made in the field of autism research.\u003c/p>\n\u003cp>The first question on everybody’s mind was whether the new number represents a true rise in the rate of autism – or is simply a reflection of the fact that more doctors are recognizing it.\u003c/p>\n\u003cp>“We’re not sure what the increase is due to. We do know that better identification, better diagnosis, and availability of services is contributing,” said \u003ca href=\"http://www.cdc.gov/ncbddd/AboutUs/biographies/Boyle.html\">Coleen Boyle\u003c/a>, Director of the National Center on Birth Defects and Developmental Disabilities at the CDC.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.doctornewmark.com/\">Sanford Newmark\u003c/a>, head of the Pediatric Integrative Neurodevelopmental Program at UCSF, says that doctors are also at a loss to explain the increased rate of autism.\u003c/p>\n\u003cp>“I don’t think we know,” he said. “It’s certainly partly better diagnosis, but it’s possible that there are more kids out there who have autism.”\u003c/p>\n\u003cp>One factor that may have led to the rise in autism diagnosis is that doctors are now more attuned to the early signs of autism. Newmark says that kids who are developing normally will begin to babble by eight months of age, but that kids with autism don’t. Another difference is that most kids will try to get their parents’ attention by pointing to something, but that kids with autism don’t have the same impulse to be social.\u003c/p>\n\u003cp>That is something that \u003ca title=\"http://www.squidalicious.com/\" href=\"http://www.squidalicious.com/\" target=\"_blank\">Shannon Des Roches Rosa\u003c/a>, an author and blogger, said that she saw in her autistic son when he was an infant. She described him at 18 months as having what she called a lack of “joint attention” – he was not interested in looking at the same things all the grown-ups were. “He was not responding to his name, and he was not responding to a lot of social cues,” she said.\u003c/p>\n\u003cp>Newmark added that when the parents smile or laugh, a young child should smile in response. “A warning sign is if the child just doesn’t pay any attention to that,” he said.\u003c/p>\n\u003cp>If parents suspect their child is showing early signs of autism, Newmark says they should seek support. “That is, to me, the most important part of what could come out of this [CDC study] -- is early screening.”\u003c/p>\n\u003cp>Both he and Des Roches Rosa think that parents should find a pediatrician they are comfortable with, one who they trust. If parents and their doctor find signs that a child may have autism, the next step is to get a formal evaluation at a state-run center. From there, children with autism or developmental delay can get access to speech, occupational, physical and most important, behavioral therapy.\u003c/p>\n\u003cp>Newmark says that researchers are continuing to look for treatment options beyond therapy that may help kids with autism, but that's not easy.\u003c/p>\n\u003cp>“We certainly don’t know the cause of autism, and that does make it more difficult to find a really great treatment,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Both he and Des Roches Rosa caution that parents should not try new treatments just because they feel they must do something. They recommend that parents should critically evaluate any treatment options they come across and be sure that they are safe and worth the risk.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4113\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1.jpg\">\u003cimg class=\"size-large wp-image-4113 \" title=\"Doing the Math\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1-620x412.jpg\" alt=\"\" width=\"329\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some school children respond with fear when facing math problems. (Alan Levine:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people are afraid of atomic explosions (atomosophobia), Bolsheviks (bolshephobia), nose bleeds (epistaxiophobia), forests (xylophobia), or long words (sesquipedalophobia).\u003c/p>\n\u003cp>But for many elementary school kids, the phobia is much more common. It's math. Teachers have known this for a long time, but now scientists are looking inside these kids' brains in search of clues.\u003c/p>\n\u003cp>As reported in this month’s \u003ca title=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" href=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" target=\"_blank\">\u003cem>Psychological Science\u003c/em>\u003c/a>, scientists have found that the brains of kids with \"math anxiety\" light up with fear when they are presented with math problems. This brain response also partially shuts down the part of the brain involved in problem solving and mathematical reasoning.\u003c/p>\n\u003cp>Stanford Professor \u003ca title=\"http://med.stanford.edu/profiles/Vinod_Menon/\" href=\"http://med.stanford.edu/profiles/Vinod_Menon/\" target=\"_blank\">Vinod Menon\u003c/a> is a neuroscientist and lead author on the study. “The same part of the brain that responds to fearful situations--such as seeing a spider or a snake-- also shows a heightened response in children with high math anxiety,\" he says. \"And that was a surprise to us.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study focused on second- and third-graders from around the Bay Area. Their fearful responses seemed to be specific to math problems, as these kids did not show signs of general anxiety. They also weren't significantly different from their peers in terms of IQ, memory or proficiency in math.\u003c/p>\n\u003cp>In the study, these kids' high math anxiety translated into taking longer to solve math problems. But as these kids get older, they may experience serious consequences as a result of their aversion to math.\u003c/p>\n\u003cp>“It’s now fairly well-documented that in high school, individuals who have math anxiety generally tend to avoid math-related classes. And you can see that if you avoid these classes, you’re not going to get very far in science or engineering or finance,” he said.\u003c/p>\n\u003cp>Getting more students to enter math-heavy fields has become a priority at schools across the country. At the White House Science Fair last month, President Obama \u003ca title=\"$80 Million for Math and Science Education\" href=\"http://www.whitehouse.gov/the-press-office/2012/02/07/president-obama-host-white-house-science-fair\" target=\"_blank\">announced\u003c/a> that he was seeking $80 million to boost math education in the U.S., with the goal of getting one million more American students to graduate in science, technology, engineering, and math over the next 10 years.\u003c/p>\n\u003cp>Reaching these goals will mean getting students to embrace math, not fear it. Menon's group found that the part of the brain that is most activated in math anxiety is associated with learned fear. \"How children come to see [math problems] as being particularly anxiety provoking, and what is the context in which that happens, is still a mystery,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But hope is not lost. Researchers believe that kids who experience this fear could still go on to successful careers in math-heavy fields. But it will depend on getting them more help when they're young, and their brains still have lots of plasticity. How best to do that is a question without an answer. Menon says research is still needed to determine what types of interventions might work best.\u003c/p>\n\n",
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"excerpt": "Some people are afraid of atomic explosions (atomosophobia), Bolsheviks (bolshephobia), nose bleeds (epistaxiophobia), forests (xylophobia), or long words (sesquipedalophobia).\r\n\r\nBut for many elementary school kids, the phobia is much more common. It's math. Teachers have known this for a long time, but now scientists are looking inside these kids' brains in search of clues.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4113\" class=\"wp-caption alignleft\" style=\"max-width: 329px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1.jpg\">\u003cimg class=\"size-large wp-image-4113 \" title=\"Doing the Math\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/MathImageSoH_Alan-Levine_cogdogblog_Flickr1-620x412.jpg\" alt=\"\" width=\"329\" height=\"219\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some school children respond with fear when facing math problems. (Alan Levine:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Some people are afraid of atomic explosions (atomosophobia), Bolsheviks (bolshephobia), nose bleeds (epistaxiophobia), forests (xylophobia), or long words (sesquipedalophobia).\u003c/p>\n\u003cp>But for many elementary school kids, the phobia is much more common. It's math. Teachers have known this for a long time, but now scientists are looking inside these kids' brains in search of clues.\u003c/p>\n\u003cp>As reported in this month’s \u003ca title=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" href=\"http://pss.sagepub.com/content/early/2012/03/20/0956797611429134.abstract?rss=1\" target=\"_blank\">\u003cem>Psychological Science\u003c/em>\u003c/a>, scientists have found that the brains of kids with \"math anxiety\" light up with fear when they are presented with math problems. This brain response also partially shuts down the part of the brain involved in problem solving and mathematical reasoning.\u003c/p>\n\u003cp>Stanford Professor \u003ca title=\"http://med.stanford.edu/profiles/Vinod_Menon/\" href=\"http://med.stanford.edu/profiles/Vinod_Menon/\" target=\"_blank\">Vinod Menon\u003c/a> is a neuroscientist and lead author on the study. “The same part of the brain that responds to fearful situations--such as seeing a spider or a snake-- also shows a heightened response in children with high math anxiety,\" he says. \"And that was a surprise to us.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study focused on second- and third-graders from around the Bay Area. Their fearful responses seemed to be specific to math problems, as these kids did not show signs of general anxiety. They also weren't significantly different from their peers in terms of IQ, memory or proficiency in math.\u003c/p>\n\u003cp>In the study, these kids' high math anxiety translated into taking longer to solve math problems. But as these kids get older, they may experience serious consequences as a result of their aversion to math.\u003c/p>\n\u003cp>“It’s now fairly well-documented that in high school, individuals who have math anxiety generally tend to avoid math-related classes. And you can see that if you avoid these classes, you’re not going to get very far in science or engineering or finance,” he said.\u003c/p>\n\u003cp>Getting more students to enter math-heavy fields has become a priority at schools across the country. At the White House Science Fair last month, President Obama \u003ca title=\"$80 Million for Math and Science Education\" href=\"http://www.whitehouse.gov/the-press-office/2012/02/07/president-obama-host-white-house-science-fair\" target=\"_blank\">announced\u003c/a> that he was seeking $80 million to boost math education in the U.S., with the goal of getting one million more American students to graduate in science, technology, engineering, and math over the next 10 years.\u003c/p>\n\u003cp>Reaching these goals will mean getting students to embrace math, not fear it. Menon's group found that the part of the brain that is most activated in math anxiety is associated with learned fear. \"How children come to see [math problems] as being particularly anxiety provoking, and what is the context in which that happens, is still a mystery,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But hope is not lost. Researchers believe that kids who experience this fear could still go on to successful careers in math-heavy fields. But it will depend on getting them more help when they're young, and their brains still have lots of plasticity. How best to do that is a question without an answer. Menon says research is still needed to determine what types of interventions might work best.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Global Experts Meet in Oakland to Share Ideas on Children's Health ",
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"content": "\u003cp>Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding.\u003c/p>\n\u003cfigure id=\"attachment_3952\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\">\u003cimg class=\"size-full wp-image-3952 \" title=\"SchoolLunch\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthier school lunches can help fight obesity and its related diseases. (Photo: USDAgov/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.phi.org/\" href=\"http://www.phi.org/\" target=\"_blank\">Public Health Institute\u003c/a> (PHI) convened the first-ever conference focusing exclusively on \u003cem>children\u003c/em> and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland. “Poverty is a root cause of a lot of the problems that bring diseases like this to the fore, and it’s something that we grapple with on a daily basis in Oakland,\" explained \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" target=\"_blank\">Jeff Meer\u003c/a>, PHI's special advisor for global health. \"If we can get a handle on how poverty relates to illness in Oakland, then we can understand it in Bujumbura and Kigali.\"\u003c/p>\n\u003cp>The four most common non-communicable diseases (NCDs) are diabetes, cancer, chronic lung disease and chronic heart disease. \"Most of us think of them as illnesses that strike in rich, highly developed countries; but the fact is that there is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world, and striking, frankly with great ferocity in very poor places that have fewer resources than we do to deal with them,” Meer told me. A tidal wave indeed -- two-thirds of deaths worldwide can be attributed to NCDs according to Meer.\u003c!--more-->\u003c/p>\n\u003cp>The presentations focused on preventing risk factors like obesity early, before they become a problem -- a big challenge when \u003ca title=\"http://www.who.int/dietphysicalactivity/childhood/en/\" href=\"http://www.who.int/dietphysicalactivity/childhood/en/\" target=\"_blank\">42 million children\u003c/a> under the age of five are obese or overweight worldwide and nearly 35 million of them live in the developing world.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world...\"\u003c/aside>\n\u003cp>California has been a leader in preventing NCDs. \"We are hearing today from some of the leading experts in the field who are based here in California because the funding exists here, the support exists here and quite frankly the track record exists here,” explained Meer. \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" target=\"_blank\">Mary Pittman\u003c/a>, the President and CEO of the Public Health Institute pointed to California's leadership on anti-smoking campaigns as an example. \"California was really one of the leading states to reduce tobacco consumption. And what we've been able to show is a decline in many of the diseases associated with tobacco consumption,\" she said.\u003c/p>\n\u003cfigure id=\"attachment_3959\" class=\"wp-caption alignright\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\">\u003cimg class=\"size-full wp-image-3959\" title=\"veggies\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetable cups prepared for the National School Lunch Program. Photo: USDAgov/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>California leads the way in some prevention areas like child nutrition. One presentation stressed a social media campaign targeting \"tweens,\" kids aged 9-11, who are open to messages of change and often bring what they learn back to their parents and their communities.“Nine-to-eleven year olds are at that age when they are becoming more active consumers,” said Steve Kempster, a social marketing specialist working on the \u003ca title=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" href=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" target=\"_blank\">California Department of Health's Network for a Healthy California program\u003c/a>. All the presentations stressed that in order to affect the health outcomes for children, healthy behaviors have to be taught early.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Much of the money for non-communicable disease prevention is embedded in federal funding for \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">food stamps\u003c/a>, school lunches, school breakfast and the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. If California wants to keep innovating in the field of public health it will have to aggressively continue to pursue federal funds for these activities, something that PHI actively supports. \"California has a lot to learn and we have a lot of ground to make up,\" Matthew Marsom, vice-president for public health policy and advocacy at PHI told me. While California initially led in reducing tobacco consumption, other states have passed it in levying higher taxes, he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the correct number of overweight and obese children both worldwide and in developing countries.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding. \r\n\r\n\r\nCalifornia public health advocates are integrating healthy food into free lunch programs to help prevent NCDs. Photo: USDAgov/Flickr\r\nThe Public Health Institute (PHI) convened the first-ever conference focusing on children and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland.",
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"description": "Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking "time bomb" that public health experts are desperately trying to prevent form exploding. \r\n\r\n\r\nCalifornia public health advocates are integrating healthy food into free lunch programs to help prevent NCDs. Photo: USDAgov/Flickr\r\nThe Public Health Institute (PHI) convened the first-ever conference focusing on children and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Malaria, tuberculosis, HIV -- these are the communicable diseases many people associate with death in the developing world. But increasingly diseases like diabetes, heart disease and conditions related to obesity have become the ticking \"time bomb\" that public health experts are desperately trying to prevent form exploding.\u003c/p>\n\u003cfigure id=\"attachment_3952\" class=\"wp-caption alignleft\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\">\u003cimg class=\"size-full wp-image-3952 \" title=\"SchoolLunch\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SchoolLunch.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/SchoolLunch-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthier school lunches can help fight obesity and its related diseases. (Photo: USDAgov/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.phi.org/\" href=\"http://www.phi.org/\" target=\"_blank\">Public Health Institute\u003c/a> (PHI) convened the first-ever conference focusing exclusively on \u003cem>children\u003c/em> and non-communicable diseases this week in downtown Oakland. Experts from around the world gathered to exchange ideas about how to prevent diseases that were once thought to be illnesses of the developed world from spreading globally. It's no coincidence that the conference is being held in Oakland. “Poverty is a root cause of a lot of the problems that bring diseases like this to the fore, and it’s something that we grapple with on a daily basis in Oakland,\" explained \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A571\" target=\"_blank\">Jeff Meer\u003c/a>, PHI's special advisor for global health. \"If we can get a handle on how poverty relates to illness in Oakland, then we can understand it in Bujumbura and Kigali.\"\u003c/p>\n\u003cp>The four most common non-communicable diseases (NCDs) are diabetes, cancer, chronic lung disease and chronic heart disease. \"Most of us think of them as illnesses that strike in rich, highly developed countries; but the fact is that there is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world, and striking, frankly with great ferocity in very poor places that have fewer resources than we do to deal with them,” Meer told me. A tidal wave indeed -- two-thirds of deaths worldwide can be attributed to NCDs according to Meer.\u003c!--more-->\u003c/p>\n\u003cp>The presentations focused on preventing risk factors like obesity early, before they become a problem -- a big challenge when \u003ca title=\"http://www.who.int/dietphysicalactivity/childhood/en/\" href=\"http://www.who.int/dietphysicalactivity/childhood/en/\" target=\"_blank\">42 million children\u003c/a> under the age of five are obese or overweight worldwide and nearly 35 million of them live in the developing world.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There is a tidal wave, an epidemic of non-communicable diseases that is striking populations all over the world...\"\u003c/aside>\n\u003cp>California has been a leader in preventing NCDs. \"We are hearing today from some of the leading experts in the field who are based here in California because the funding exists here, the support exists here and quite frankly the track record exists here,” explained Meer. \u003ca title=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" href=\"http://www.phi.org/people_programs/people-bio.cfm?AG=A547\" target=\"_blank\">Mary Pittman\u003c/a>, the President and CEO of the Public Health Institute pointed to California's leadership on anti-smoking campaigns as an example. \"California was really one of the leading states to reduce tobacco consumption. And what we've been able to show is a decline in many of the diseases associated with tobacco consumption,\" she said.\u003c/p>\n\u003cfigure id=\"attachment_3959\" class=\"wp-caption alignright\" style=\"max-width: 225px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\">\u003cimg class=\"size-full wp-image-3959\" title=\"veggies\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/veggies.gif\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies.gif 225w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/veggies-75x75.gif 75w\" sizes=\"(max-width: 225px) 100vw, 225px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh vegetable cups prepared for the National School Lunch Program. Photo: USDAgov/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>California leads the way in some prevention areas like child nutrition. One presentation stressed a social media campaign targeting \"tweens,\" kids aged 9-11, who are open to messages of change and often bring what they learn back to their parents and their communities.“Nine-to-eleven year olds are at that age when they are becoming more active consumers,” said Steve Kempster, a social marketing specialist working on the \u003ca title=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" href=\"http://www.cdph.ca.gov/programs/CPNS/Pages/default.aspx\" target=\"_blank\">California Department of Health's Network for a Healthy California program\u003c/a>. All the presentations stressed that in order to affect the health outcomes for children, healthy behaviors have to be taught early.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Much of the money for non-communicable disease prevention is embedded in federal funding for \u003ca title=\"http://www.fns.usda.gov/snap/\" href=\"http://www.fns.usda.gov/snap/\" target=\"_blank\">food stamps\u003c/a>, school lunches, school breakfast and the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. If California wants to keep innovating in the field of public health it will have to aggressively continue to pursue federal funds for these activities, something that PHI actively supports. \"California has a lot to learn and we have a lot of ground to make up,\" Matthew Marsom, vice-president for public health policy and advocacy at PHI told me. While California initially led in reducing tobacco consumption, other states have passed it in levying higher taxes, he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the correct number of overweight and obese children both worldwide and in developing countries.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Kids, Food Ads, and The First Amendment ",
"title": "Kids, Food Ads, and The First Amendment ",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2916\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012.jpg\">\u003cimg class=\"size-large wp-image-2916\" title=\"(Ed Uthman: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012-620x380.jpg\" alt=\"(Ed Uthman: Flickr)\" width=\"620\" height=\"380\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ed Uthman: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I know this is a health blog and not a law blog, but there's certainly plenty of overlap. The Supreme Court's\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" target=\"_blank\"> upcoming consideration\u003c/a> of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a> springs to mind, for starters. Now, we have public health and the law intersecting over food marketing and children.\u003c/p>\n\u003cp>Since 2006 when the Institute of Medicine (IOM) filed its landmark report \u003ca title=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" href=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" target=\"_blank\">Food Marketing to Children and Youth\u003c/a>, health advocates have been agitating to alter the mediascape of advertising children are immersed in every day. Food companies spend more than \u003ca title=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" href=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" target=\"_blank\">$1.6 billion\u003c/a> [PDF] each year marketing food and beverages to children and teens.\u003c!--more-->\u003c/p>\n\u003cp>The IOM concluded that food marketing efforts aimed at children were \"out of balance with healthful diets and contribute to an environment that puts their health at risk.\" Additionally, the authors wrote, \"television advertising influences children to prefer and request high-calorie and low-nutrient foods and beverages.\"\u003c/p>\n\u003cp>To public health advocates, limiting advertising to children seemed like a good idea. But food companies have long countered that their ads are protected by the First Amendment.\u003c/p>\n\u003cp>Americans clearly hold a certain degree of reverence for the First Amendment. But free speech is not an unlimited right. And just as Oliver Wendell Holmes said the First Amendment does not protect anyone from \"\u003ca title=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" href=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" target=\"_blank\">falsely shouting fire in a theater\u003c/a>,\" two recent analyses say the First Amendment doesn't necessarily give food marketers the unregulated right to advertise to children either.\u003c/p>\n\u003cfigure id=\"attachment_2933\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy.jpg\">\u003cimg class=\"size-medium wp-image-2933\" title=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy-300x199.jpg\" alt=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Food companies spend more than $1.6 billion each year marketing food and beverages to kids. (Kevin Krejci: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nplanonline.org/nplan/staff/graff\" href=\"http://www.nplanonline.org/nplan/staff/graff\" target=\"_blank\">Samantha Graff\u003c/a> co-authored both those analyses, one for the \u003ca title=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" target=\"_blank\">American Journal of Public Health \u003c/a>and one for \u003ca title=\"http://content.healthaffairs.org/content/31/2/392.abstract\" href=\"http://content.healthaffairs.org/content/31/2/392.abstract\" target=\"_blank\">Health Affairs\u003c/a>. Graff is the director of legal research at Oakland's \u003ca title=\"http://www.phlpnet.org/\" href=\"http://www.phlpnet.org/\" target=\"_blank\">Public Health Law and Policy\u003c/a>. \"My goal in these two articles was to clarify that it is not the First Amendment here that is a major impediment to government action to improve the food marketing environment for children.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I don't want to get too much into the weeds of Constitutional case law. I'll leave that to Graff and her co-authors. But in short they argue the Supreme Court has determined that if the government can demonstrate \"the advertising at issue is 'inherently likely to deceive' or has produced a 'record indicate[ing] that a particular form or method of advertising has in fact been deceptive,' it may prohibit the advertising.\"\u003c/p>\n\u003cp>So, at first blush, you might be thinking, \"doesn't ALL advertising try to deceive us?\"\u003c/p>\n\u003cp>But remember, we're talking about children here. \u003ca title=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" href=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" target=\"_blank\">Jennifer Harris\u003c/a>, of Yale's \u003ca title=\"http://www.yaleruddcenter.org/\" href=\"http://www.yaleruddcenter.org/\" target=\"_blank\">Rudd Center for Food Policy and Obesity \u003c/a>co-authored the analysis for the American Journal of Public Health. She says that while children can tell the difference between a TV program and an advertisement by the time they're three or four years old, they don't understand that the ads are trying to sell them something. That recognition doesn't happen until about age six or seven.\u003c/p>\n\u003cp>But it's one thing to understand someone is trying to sell you something and another to be mature enough to stand up to it. \"In order to counteract the influence of the ad,\" Harris said in an interview, \"you have to consciously counter-argue what the ad is trying to tell you. 'Oh, that's a bad product, my mom doesn't want me to eat that, so I'm not going to pay attention to that.' Even when you teach them media literacy, they don't do that.\" These more sophisticated thought processes don't develop until about age 11 or 12.\u003c/p>\n\u003cp>\"Thus, the entire category of advertising to children younger than age 12 may be considered inherently misleading,\" the writers argue in the Health Affairs analysis, \"and therefore unprotected by the First Amendment.\" In addition, Graff told me, \"Our goal is to clarify for advocates and policy makers that the First Amendment should not be an impediment to carefully tailored restriction on advertising to children and youth.\"\u003c/p>\n\u003cp>The writers cite a study where even those children who participated in a media literacy training \"exhibited greater preferences\" for the foods they saw in advertisements they had just learned about in the course.\u003c/p>\n\u003cp>\u003ca title=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" href=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" target=\"_blank\">Elaine Kolish\u003c/a> is Director of the \u003ca title=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" href=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" target=\"_blank\">Children's Food and Beverage Advertising Initiative\u003c/a>, a program within the \u003ca title=\"http://www.bbb.org/us/\" href=\"http://www.bbb.org/us/\" target=\"_blank\">Better Business Bureau\u003c/a>. She also worked for 25 years at the \u003ca title=\"http://www.ftc.gov/\" href=\"http://www.ftc.gov/\" target=\"_blank\">Federal Trade Commission \u003c/a>and developed an expertise in advertising. She says the First Amendment \u003cem>does\u003c/em> apply to food advertising to kids. \"If their argument were true,\" she said in an interview, \"it would mean that any advertising to kids, for a bicycle, for a video game, a ball, a movie, where do you draw the line? You can argue harm from any of those things.\"\u003c/p>\n\u003cp>She also pointed to the efforts of the Advertising Initiative she heads, an industry self-regulating program. She says that changes under the program have been \"meaningful and dramatic.\" Some large candy companies have said they will stop advertising their products to kids under 12 completely, she said, as one example.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Like last week's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">sugar debate\u003c/a>, this debate will be going on for awhile.\u003c/p>\n\n",
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"excerpt": "I know this is the health blog and not the law blog, but there's certainly plenty of overlap. The Supreme Court's upcoming consideration of the Affordable Care Act springs to mind, for starters. Today we have public health and the law intersecting over food marketing and children.\r\n\r\nSince 2006 when the Institute of Medicine (IOM) filed its landmark report on the topic, health advocates have been agitating to change the mediascape of advertising children are immersed in every day. Food companies spend more than $1.6 billion [PDF] marketing food and beverages to children and teens.",
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"description": "I know this is the health blog and not the law blog, but there's certainly plenty of overlap. The Supreme Court's upcoming consideration of the Affordable Care Act springs to mind, for starters. Today we have public health and the law intersecting over food marketing and children.\r\n\r\nSince 2006 when the Institute of Medicine (IOM) filed its landmark report on the topic, health advocates have been agitating to change the mediascape of advertising children are immersed in every day. Food companies spend more than $1.6 billion marketing food and beverages to children and teens.",
"title": "Kids, Food Ads, and The First Amendment | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2916\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012.jpg\">\u003cimg class=\"size-large wp-image-2916\" title=\"(Ed Uthman: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/FirstAmendmentPlaque_EdUthman_Flickr_02082012-620x380.jpg\" alt=\"(Ed Uthman: Flickr)\" width=\"620\" height=\"380\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ed Uthman: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I know this is a health blog and not a law blog, but there's certainly plenty of overlap. The Supreme Court's\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/15/the-4-health-care-reform-questions-before-the-supreme-court/\" target=\"_blank\"> upcoming consideration\u003c/a> of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a> springs to mind, for starters. Now, we have public health and the law intersecting over food marketing and children.\u003c/p>\n\u003cp>Since 2006 when the Institute of Medicine (IOM) filed its landmark report \u003ca title=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" href=\"http://www.iom.edu/Reports/2005/Food-Marketing-to-Children-and-Youth-Threat-or-Opportunity.aspx\" target=\"_blank\">Food Marketing to Children and Youth\u003c/a>, health advocates have been agitating to alter the mediascape of advertising children are immersed in every day. Food companies spend more than \u003ca title=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" href=\"http://www.ftc.gov/os/2008/07/P064504foodmktingreport.pdf\" target=\"_blank\">$1.6 billion\u003c/a> [PDF] each year marketing food and beverages to children and teens.\u003c!--more-->\u003c/p>\n\u003cp>The IOM concluded that food marketing efforts aimed at children were \"out of balance with healthful diets and contribute to an environment that puts their health at risk.\" Additionally, the authors wrote, \"television advertising influences children to prefer and request high-calorie and low-nutrient foods and beverages.\"\u003c/p>\n\u003cp>To public health advocates, limiting advertising to children seemed like a good idea. But food companies have long countered that their ads are protected by the First Amendment.\u003c/p>\n\u003cp>Americans clearly hold a certain degree of reverence for the First Amendment. But free speech is not an unlimited right. And just as Oliver Wendell Holmes said the First Amendment does not protect anyone from \"\u003ca title=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" href=\"http://www.law.cornell.edu/supct/html/historics/USSC_CR_0249_0047_ZO.html\" target=\"_blank\">falsely shouting fire in a theater\u003c/a>,\" two recent analyses say the First Amendment doesn't necessarily give food marketers the unregulated right to advertise to children either.\u003c/p>\n\u003cfigure id=\"attachment_2933\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy.jpg\">\u003cimg class=\"size-medium wp-image-2933\" title=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/junk-food-candy-300x199.jpg\" alt=\"Food companies spend more than $1.6 billion each year marketing food and beverages to children and teens. (Kevin Krejci: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Food companies spend more than $1.6 billion each year marketing food and beverages to kids. (Kevin Krejci: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nplanonline.org/nplan/staff/graff\" href=\"http://www.nplanonline.org/nplan/staff/graff\" target=\"_blank\">Samantha Graff\u003c/a> co-authored both those analyses, one for the \u003ca title=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2011.300328\" target=\"_blank\">American Journal of Public Health \u003c/a>and one for \u003ca title=\"http://content.healthaffairs.org/content/31/2/392.abstract\" href=\"http://content.healthaffairs.org/content/31/2/392.abstract\" target=\"_blank\">Health Affairs\u003c/a>. Graff is the director of legal research at Oakland's \u003ca title=\"http://www.phlpnet.org/\" href=\"http://www.phlpnet.org/\" target=\"_blank\">Public Health Law and Policy\u003c/a>. \"My goal in these two articles was to clarify that it is not the First Amendment here that is a major impediment to government action to improve the food marketing environment for children.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I don't want to get too much into the weeds of Constitutional case law. I'll leave that to Graff and her co-authors. But in short they argue the Supreme Court has determined that if the government can demonstrate \"the advertising at issue is 'inherently likely to deceive' or has produced a 'record indicate[ing] that a particular form or method of advertising has in fact been deceptive,' it may prohibit the advertising.\"\u003c/p>\n\u003cp>So, at first blush, you might be thinking, \"doesn't ALL advertising try to deceive us?\"\u003c/p>\n\u003cp>But remember, we're talking about children here. \u003ca title=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" href=\"http://www.yaleruddcenter.org/who_we_are.aspx?id=334\" target=\"_blank\">Jennifer Harris\u003c/a>, of Yale's \u003ca title=\"http://www.yaleruddcenter.org/\" href=\"http://www.yaleruddcenter.org/\" target=\"_blank\">Rudd Center for Food Policy and Obesity \u003c/a>co-authored the analysis for the American Journal of Public Health. She says that while children can tell the difference between a TV program and an advertisement by the time they're three or four years old, they don't understand that the ads are trying to sell them something. That recognition doesn't happen until about age six or seven.\u003c/p>\n\u003cp>But it's one thing to understand someone is trying to sell you something and another to be mature enough to stand up to it. \"In order to counteract the influence of the ad,\" Harris said in an interview, \"you have to consciously counter-argue what the ad is trying to tell you. 'Oh, that's a bad product, my mom doesn't want me to eat that, so I'm not going to pay attention to that.' Even when you teach them media literacy, they don't do that.\" These more sophisticated thought processes don't develop until about age 11 or 12.\u003c/p>\n\u003cp>\"Thus, the entire category of advertising to children younger than age 12 may be considered inherently misleading,\" the writers argue in the Health Affairs analysis, \"and therefore unprotected by the First Amendment.\" In addition, Graff told me, \"Our goal is to clarify for advocates and policy makers that the First Amendment should not be an impediment to carefully tailored restriction on advertising to children and youth.\"\u003c/p>\n\u003cp>The writers cite a study where even those children who participated in a media literacy training \"exhibited greater preferences\" for the foods they saw in advertisements they had just learned about in the course.\u003c/p>\n\u003cp>\u003ca title=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" href=\"http://www.bbb.org/us/cbbb-staff/elaine-kolish/\" target=\"_blank\">Elaine Kolish\u003c/a> is Director of the \u003ca title=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" href=\"http://www.bbb.org/us/children-food-beverage-advertising-initiative/\" target=\"_blank\">Children's Food and Beverage Advertising Initiative\u003c/a>, a program within the \u003ca title=\"http://www.bbb.org/us/\" href=\"http://www.bbb.org/us/\" target=\"_blank\">Better Business Bureau\u003c/a>. She also worked for 25 years at the \u003ca title=\"http://www.ftc.gov/\" href=\"http://www.ftc.gov/\" target=\"_blank\">Federal Trade Commission \u003c/a>and developed an expertise in advertising. She says the First Amendment \u003cem>does\u003c/em> apply to food advertising to kids. \"If their argument were true,\" she said in an interview, \"it would mean that any advertising to kids, for a bicycle, for a video game, a ball, a movie, where do you draw the line? You can argue harm from any of those things.\"\u003c/p>\n\u003cp>She also pointed to the efforts of the Advertising Initiative she heads, an industry self-regulating program. She says that changes under the program have been \"meaningful and dramatic.\" Some large candy companies have said they will stop advertising their products to kids under 12 completely, she said, as one example.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Like last week's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\">sugar debate\u003c/a>, this debate will be going on for awhile.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Screen All Kids for Cholesterol?",
"title": "Screen All Kids for Cholesterol?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>It could raise awareness or lead to overtreatment, depending on whom you ask.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Michelle Andrews\u003c/strong>, \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2865\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr.jpg\">\u003cimg class=\"size-large wp-image-2865\" title=\"(epSos.de: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr-620x348.jpg\" alt=\"(epSos.de: Flickr)\" width=\"620\" height=\"348\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(epSos.de: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">recommended that all children be screened\u003c/a> for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Reaction to the guidelines, which were included as part of a larger NHLBI report on improving cardiovascular health in children and adolescents, has been mixed. Some clinicians and researchers say universal screening is an important tool not only to help identify children who are genetically predisposed to high cholesterol, a condition called \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001429/\" target=\"_blank\">familial hypercholesterolemia\u003c/a>, but also to pinpoint others who could benefit from treatment, including those with high LDL related to being overweight or obese. Working with these kids to eat more healthfully and to exercise more may reduce the cumulative negative effect of high cholesterol on their cardiovascular systems and lead to fewer heart attacks and strokes later in life, the experts say.\u003c/p>\n\u003cdiv>\n\u003cp>Others, including clinicians \u003ca href=\"http://jama.ama-assn.org/content/307/3/259.full\" target=\"_blank\">who authored\u003c/a> a \u003ca href=\"http://jama.ama-assn.org/content/307/3/257.full\" target=\"_blank\">pair of articles\u003c/a> in the Journal of the American Medical Association last month, express concerns that screening may do more harm than good. To identify the relatively small number of kids who really need medical treatment, doctors cast a wide and expensive net that identifies many children as at risk who will never develop premature cardiovascular disease, says \u003ca href=\"http://www.populationmedicine.org/content/personnelDetail.asp?PID=6&CID=1&Sub=Y\" target=\"_blank\">Matthew Gillman\u003c/a>, director of the obesity prevention program at Harvard Medical School, who co-authored one of the articles. Some of those children will probably be needlessly put on cholesterol-lowering medications, he says.\u003c/p>\n\u003c/div>\n\u003cp>The \u003ca href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, an independent group of primary-care providers that evaluates the evidence for clinical care, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspschlip.htm\" target=\"_blank\">concluded in 2007\u003c/a> that there isn't enough evidence to recommend for or against routine lipid screening in children and adolescents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">Research has shown\u003c/a> that 10 to 13 percent of children have elevated cholesterol levels. Treatment for the vast majority should focus on lifestyle interventions, says \u003ca href=\"http://www.ucdenver.edu/academics/colleges/medicalschool/departments/pediatrics/people/bios/Pages/danielsbio.aspx\" target=\"_blank\">Stephen Daniels\u003c/a>, chairman of the Department of Pediatrics at the University of Colorado School of Medicine, who led the NHLBI panel. A much smaller number of those children, the ones with a genetic predisposition to high cholesterol, may need to take a statin, he says.\u003c/p>\n\u003cp>Until the new guidelines were released, the American Academy of Pediatrics \u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">recommended cholesterol screening in children primarily based on family history\u003c/a>. If a child had a father who had heart disease or a heart attack before age 55, for example, screening would be indicated. Children who had risk factors such as obesity or diabetes were also candidates for screening. The AAP has since endorsed the new NHLBI guidelines.\u003c/p>\n\u003cp>\"Family history doesn't really catch everybody\" with familial hypercholesterolemia, says Sarah de Ferranti, a member of the AAP committee on nutrition and the director of preventive cardiology at Children's Hospital Boston. In addition, she says, \"Anecdotally, I can tell you that when someone comes to my office and they know they have high cholesterol values, they're much more focused.\"\u003c/p>\n\u003cp>That's the case with the McFeeley family. Bill and Carolyn McFeeley, of Mullica Hill, N.J., had always considered themselves very healthy - until Bill had a heart attack two years ago at age 47. The pediatrician for their three children checked the kids' cholesterol and found that while levels for the two girls - Chelsea, now 17, and Chandler, 13 - were normal, Chase, 10, had slightly higher values: His total cholesterol was roughly 210. (In general, \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">anything over 200 is considered high\u003c/a>.)\u003c/p>\n\u003cp>Now Chase has replaced his beloved egg salad sandwiches with turkey and fat-free cheese ones. \"If we can get ahead of it and keep Chase healthy, it means a lot to us,\" says Bill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.chop.edu/doctors/brothers-julie.html\" target=\"_blank\">Julie Brothers\u003c/a>, medical director of the lipid heart clinic at Children's Hospital of Philadelphia, sees Chase once a year now and says she hopes they can manage his cholesterol without medication. \"None of us wants to slap medication on anyone,\" she says.\u003c/p>\n\u003cp>Maybe not. \"But if you're going to test every child, it's a sure bet you're going to be medicating more kids,\" says \u003ca href=\"http://tdi.dartmouth.edu/faculty/details/119\" target=\"_blank\">H. Gilbert Welch\u003c/a>, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, who has written extensively on the problems created by aggressive screening.\u003c/p>\n\u003cp>Research on the safety and effectiveness of statins in children is scant; studies that have looked at statin use haven't enrolled more than a few hundred kids, and none has followed them for more than two years, say experts. \"We don't know what taking a 10- to 11-year-old kid and putting them on statins long term will do,\" says \u003ca href=\"http://www.seattlechildrens.org/medical-staff/frederick-p-rivara/\" target=\"_blank\">Frederick Rivara\u003c/a>, division chief of general pediatrics at Seattle Children's Hospital and co-author of one of the JAMA articles.\u003c/p>\n\u003cp>Gillman says that while early intervention to prevent heart disease is critical, screening all children may not be the best way to do it. As an example, he cites a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20850759\" target=\"_blank\">study that he co-authored last year examining the cost-effectiveness of blood pressure screening in adolescents\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The bottom line of that study is that population approaches like taking the salt out of food are more effective and less costly than any screening program,\" he says.\u003c/p>\n\n",
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"excerpt": "One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute recommended that all children be screened for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>It could raise awareness or lead to overtreatment, depending on whom you ask.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>By Michelle Andrews\u003c/strong>, \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/Michelle-Andrews-on-children-cholesterol-screenings.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_2865\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr.jpg\">\u003cimg class=\"size-large wp-image-2865\" title=\"(epSos.de: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Children_Diverse_epSos.de_flickr-620x348.jpg\" alt=\"(epSos.de: Flickr)\" width=\"620\" height=\"348\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(epSos.de: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>One in 500 kids has an inherited disorder that causes high levels of LDL (\"bad\") cholesterol that may require medication to control. However, since the problem doesn't create observable symptoms, as many as half of these kids don't know they have the condition. To help identify these children, late last year an expert panel convened by the National Heart, Lung, and Blood Institute \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">recommended that all children be screened\u003c/a> for high cholesterol, once between the ages of 9 and 11 and again between ages 17 and 21.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Reaction to the guidelines, which were included as part of a larger NHLBI report on improving cardiovascular health in children and adolescents, has been mixed. Some clinicians and researchers say universal screening is an important tool not only to help identify children who are genetically predisposed to high cholesterol, a condition called \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001429/\" target=\"_blank\">familial hypercholesterolemia\u003c/a>, but also to pinpoint others who could benefit from treatment, including those with high LDL related to being overweight or obese. Working with these kids to eat more healthfully and to exercise more may reduce the cumulative negative effect of high cholesterol on their cardiovascular systems and lead to fewer heart attacks and strokes later in life, the experts say.\u003c/p>\n\u003cdiv>\n\u003cp>Others, including clinicians \u003ca href=\"http://jama.ama-assn.org/content/307/3/259.full\" target=\"_blank\">who authored\u003c/a> a \u003ca href=\"http://jama.ama-assn.org/content/307/3/257.full\" target=\"_blank\">pair of articles\u003c/a> in the Journal of the American Medical Association last month, express concerns that screening may do more harm than good. To identify the relatively small number of kids who really need medical treatment, doctors cast a wide and expensive net that identifies many children as at risk who will never develop premature cardiovascular disease, says \u003ca href=\"http://www.populationmedicine.org/content/personnelDetail.asp?PID=6&CID=1&Sub=Y\" target=\"_blank\">Matthew Gillman\u003c/a>, director of the obesity prevention program at Harvard Medical School, who co-authored one of the articles. Some of those children will probably be needlessly put on cholesterol-lowering medications, he says.\u003c/p>\n\u003c/div>\n\u003cp>The \u003ca href=\"http://www.ahrq.gov/clinic/uspstfix.htm\" target=\"_blank\">U.S. Preventive Services Task Force\u003c/a>, an independent group of primary-care providers that evaluates the evidence for clinical care, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspschlip.htm\" target=\"_blank\">concluded in 2007\u003c/a> that there isn't enough evidence to recommend for or against routine lipid screening in children and adolescents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">Research has shown\u003c/a> that 10 to 13 percent of children have elevated cholesterol levels. Treatment for the vast majority should focus on lifestyle interventions, says \u003ca href=\"http://www.ucdenver.edu/academics/colleges/medicalschool/departments/pediatrics/people/bios/Pages/danielsbio.aspx\" target=\"_blank\">Stephen Daniels\u003c/a>, chairman of the Department of Pediatrics at the University of Colorado School of Medicine, who led the NHLBI panel. A much smaller number of those children, the ones with a genetic predisposition to high cholesterol, may need to take a statin, he says.\u003c/p>\n\u003cp>Until the new guidelines were released, the American Academy of Pediatrics \u003ca href=\"http://www.pediatricsdigest.mobi/content/122/1/198.full\" target=\"_blank\">recommended cholesterol screening in children primarily based on family history\u003c/a>. If a child had a father who had heart disease or a heart attack before age 55, for example, screening would be indicated. Children who had risk factors such as obesity or diabetes were also candidates for screening. The AAP has since endorsed the new NHLBI guidelines.\u003c/p>\n\u003cp>\"Family history doesn't really catch everybody\" with familial hypercholesterolemia, says Sarah de Ferranti, a member of the AAP committee on nutrition and the director of preventive cardiology at Children's Hospital Boston. In addition, she says, \"Anecdotally, I can tell you that when someone comes to my office and they know they have high cholesterol values, they're much more focused.\"\u003c/p>\n\u003cp>That's the case with the McFeeley family. Bill and Carolyn McFeeley, of Mullica Hill, N.J., had always considered themselves very healthy - until Bill had a heart attack two years ago at age 47. The pediatrician for their three children checked the kids' cholesterol and found that while levels for the two girls - Chelsea, now 17, and Chandler, 13 - were normal, Chase, 10, had slightly higher values: His total cholesterol was roughly 210. (In general, \u003ca href=\"http://www.nhlbi.nih.gov/guidelines/cvd_ped/index.htm\" target=\"_blank\">anything over 200 is considered high\u003c/a>.)\u003c/p>\n\u003cp>Now Chase has replaced his beloved egg salad sandwiches with turkey and fat-free cheese ones. \"If we can get ahead of it and keep Chase healthy, it means a lot to us,\" says Bill.\u003c/p>\n\u003cp>\u003ca href=\"http://www.chop.edu/doctors/brothers-julie.html\" target=\"_blank\">Julie Brothers\u003c/a>, medical director of the lipid heart clinic at Children's Hospital of Philadelphia, sees Chase once a year now and says she hopes they can manage his cholesterol without medication. \"None of us wants to slap medication on anyone,\" she says.\u003c/p>\n\u003cp>Maybe not. \"But if you're going to test every child, it's a sure bet you're going to be medicating more kids,\" says \u003ca href=\"http://tdi.dartmouth.edu/faculty/details/119\" target=\"_blank\">H. Gilbert Welch\u003c/a>, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, who has written extensively on the problems created by aggressive screening.\u003c/p>\n\u003cp>Research on the safety and effectiveness of statins in children is scant; studies that have looked at statin use haven't enrolled more than a few hundred kids, and none has followed them for more than two years, say experts. \"We don't know what taking a 10- to 11-year-old kid and putting them on statins long term will do,\" says \u003ca href=\"http://www.seattlechildrens.org/medical-staff/frederick-p-rivara/\" target=\"_blank\">Frederick Rivara\u003c/a>, division chief of general pediatrics at Seattle Children's Hospital and co-author of one of the JAMA articles.\u003c/p>\n\u003cp>Gillman says that while early intervention to prevent heart disease is critical, screening all children may not be the best way to do it. As an example, he cites a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/20850759\" target=\"_blank\">study that he co-authored last year examining the cost-effectiveness of blood pressure screening in adolescents\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The bottom line of that study is that population approaches like taking the salt out of food are more effective and less costly than any screening program,\" he says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Common Chemical May Affect Children's Immune Systems",
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"content": "\u003cfigure id=\"attachment_2499\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PizzaBoxes_Flickr_EddieWelker.jpg\">\u003cimg class=\"size-medium wp-image-2499 \" title=\"Pizza boxes are one consumer product often coated with PFCs to repel water and grease. (Eddie Welker: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PizzaBoxes_Flickr_EddieWelker-300x199.jpg\" alt=\"Pizza boxes are often coated with PFCs to repel water or grease. (Eddie Welker: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pizza boxes are one consumer product often coated with PFCs to repel water and grease. (Eddie Welker: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Perfluorinated compounds, or PFCs, have been used for decades. This class of chemicals has both industrial and consumer uses, including in fast food wrappers, pizza boxes and stain-resistant clothing. In a study published today in the \u003ca title=\"http://jama.ama-assn.org/content/307/4/391.abstract\" href=\"http://jama.ama-assn.org/content/307/4/391.abstract\" target=\"_blank\">Journal of the American Medical Association,\u003c/a> researchers looked at children and found that higher levels of PFCs were associated with lower antibody response to routine immunizations, including diphtheria and tetanus. \u003c/p>\n\u003caside class=\"pullquote alignright\">PFCs are so ubiquitous ... \"you can find them in polar bears.\" \u003c/aside>\n\u003cp> \u003ca title=\"http://www.hsph.harvard.edu/faculty/philippe-grandjean/\" href=\"http://www.hsph.harvard.edu/faculty/philippe-grandjean/\" target=\"_blank\">Philippe Grandjean\u003c/a> of the Harvard School of Public Health led the team that looked at more than 600 children. Researchers looked at how children responded to vaccines, because the antibodies produced in response to vaccination can be easily measured and are a marker for immune system function. Researchers also quantified PFC levels. \"What we saw was that the children did not quite react the way we wanted them to to the vaccines,\" he said in an interview. \"The higher the exposure to the PFCs, the lower the antibody reaction in the blood.\"\u003c!--more-->\u003c/p>\n\u003cp>Grandjean and his team looked at children on the Faroe Islands, located in the Norwegian Sea north of Scotland. \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/19452929\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/19452929\" target=\"_blank\">Previous research\u003c/a> has already demonstrated that American children have similar or higher PFC levels than the Faroese children. PFCs have been used for decades, but Grandjean believes this is the first study to look at immune effects in children. While the study found an association between PFCs and reduced effectiveness of some vaccines, it does not prove PFCs are the definitive cause.\u003c/p>\n\u003cp>Olga Naidenko, Ph.D. is a senior scientist with the \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, a non-profit advocacy organization, where she focuses on health effects of chemical pollution. \"It's certainly sound research,\" she said. \"It's groundbreaking because it shows the risks to children's health.\" She called it a \"reasonable hypothesis\" that a similar study in the U.S. would find similar effects.\u003c/p>\n\u003cp>Grandjean says PFCs are so ubiquitous in the environment, \"you can find them in polar bears in high concentrations.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2008, the California legislature voted to ban certain PFCs from being used in many kinds of food packaging, including pizza boxes and fast-food sandwich wrappers. But Governor Schwarzenegger later vetoed the bill. Manufacturers are voluntarily phasing out one variety of PFC by 2015. In the meantime, other classes of PFCs are still widely used.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for today's study, Grandjean is troubled. \"This is really something that is upsetting in many ways, in particular because we're quite aware the pollution can cause health effects of various kinds, we just have not been paying attention to the immune system,\" Grandjean said. \"We think we're looking at the tip of an iceberg. We're examining these kids again right now and we will conduct further studies and hope we can inspire our colleagues to look at this too.\"\u003c/p>\n\n",
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"excerpt": "Perfluorinated Compounds, or PFCs, have been used for decades. This class of chemicals has both industrial and consumer uses, including in fast food wrappers, pizza boxes and stain-resistant clothing. In a study published today in the Journal of the American Medical Association, researchers looked at children and found that higher levels of PFCs were associated with lower antibody response to routine immunizations, including diphtheria and tetanus.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2499\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PizzaBoxes_Flickr_EddieWelker.jpg\">\u003cimg class=\"size-medium wp-image-2499 \" title=\"Pizza boxes are one consumer product often coated with PFCs to repel water and grease. (Eddie Welker: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PizzaBoxes_Flickr_EddieWelker-300x199.jpg\" alt=\"Pizza boxes are often coated with PFCs to repel water or grease. (Eddie Welker: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pizza boxes are one consumer product often coated with PFCs to repel water and grease. (Eddie Welker: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Perfluorinated compounds, or PFCs, have been used for decades. This class of chemicals has both industrial and consumer uses, including in fast food wrappers, pizza boxes and stain-resistant clothing. In a study published today in the \u003ca title=\"http://jama.ama-assn.org/content/307/4/391.abstract\" href=\"http://jama.ama-assn.org/content/307/4/391.abstract\" target=\"_blank\">Journal of the American Medical Association,\u003c/a> researchers looked at children and found that higher levels of PFCs were associated with lower antibody response to routine immunizations, including diphtheria and tetanus. \u003c/p>\n\u003caside class=\"pullquote alignright\">PFCs are so ubiquitous ... \"you can find them in polar bears.\" \u003c/aside>\n\u003cp> \u003ca title=\"http://www.hsph.harvard.edu/faculty/philippe-grandjean/\" href=\"http://www.hsph.harvard.edu/faculty/philippe-grandjean/\" target=\"_blank\">Philippe Grandjean\u003c/a> of the Harvard School of Public Health led the team that looked at more than 600 children. Researchers looked at how children responded to vaccines, because the antibodies produced in response to vaccination can be easily measured and are a marker for immune system function. Researchers also quantified PFC levels. \"What we saw was that the children did not quite react the way we wanted them to to the vaccines,\" he said in an interview. \"The higher the exposure to the PFCs, the lower the antibody reaction in the blood.\"\u003c!--more-->\u003c/p>\n\u003cp>Grandjean and his team looked at children on the Faroe Islands, located in the Norwegian Sea north of Scotland. \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/19452929\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/19452929\" target=\"_blank\">Previous research\u003c/a> has already demonstrated that American children have similar or higher PFC levels than the Faroese children. PFCs have been used for decades, but Grandjean believes this is the first study to look at immune effects in children. While the study found an association between PFCs and reduced effectiveness of some vaccines, it does not prove PFCs are the definitive cause.\u003c/p>\n\u003cp>Olga Naidenko, Ph.D. is a senior scientist with the \u003ca title=\"http://www.ewg.org/\" href=\"http://www.ewg.org/\" target=\"_blank\">Environmental Working Group\u003c/a>, a non-profit advocacy organization, where she focuses on health effects of chemical pollution. \"It's certainly sound research,\" she said. \"It's groundbreaking because it shows the risks to children's health.\" She called it a \"reasonable hypothesis\" that a similar study in the U.S. would find similar effects.\u003c/p>\n\u003cp>Grandjean says PFCs are so ubiquitous in the environment, \"you can find them in polar bears in high concentrations.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2008, the California legislature voted to ban certain PFCs from being used in many kinds of food packaging, including pizza boxes and fast-food sandwich wrappers. But Governor Schwarzenegger later vetoed the bill. Manufacturers are voluntarily phasing out one variety of PFC by 2015. In the meantime, other classes of PFCs are still widely used.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for today's study, Grandjean is troubled. \"This is really something that is upsetting in many ways, in particular because we're quite aware the pollution can cause health effects of various kinds, we just have not been paying attention to the immune system,\" Grandjean said. \"We think we're looking at the tip of an iceberg. We're examining these kids again right now and we will conduct further studies and hope we can inspire our colleagues to look at this too.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Congress Delays Guidelines to Limit Junk Food Marketing to Children",
"title": "Congress Delays Guidelines to Limit Junk Food Marketing to Children",
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"content": "\u003cfigure id=\"attachment_1491\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-16-at-4.11.08-PM.png\">\u003cimg class=\"size-medium wp-image-1491 \" title=\"One of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government. \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-16-at-4.11.08-PM-300x261.png\" alt=\"One of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government. \" width=\"300\" height=\"261\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Scan of one of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government.\u003c/figcaption>\u003c/figure>\n\u003cp>Score another round for junk food marketing. Just weeks after Congress turned back US Department of Agriculture efforts to make the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" target=\"_blank\">school lunch program more healthful\u003c/a>, today Congress delayed attempts at finalizing voluntary guidelines for food marketing to children.\u003c/p>\n\u003cp>Some background -- a year and a half ago, the Obama administration set in motion an effort to establish guidelines around the kinds of foods and drinks that can be marketed to children. The effort was to be voluntary, not regulatory, and the goal was to help combat \u003ca title=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" href=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" target=\"_blank\">childhood obesity\u003c/a>, now hovering around 20 percent for six to 19-year-olds. But, not surprisingly, the food and beverage industry has been fighting hard against the proposal. Today, public health advocates were set back when Congress asked for a cost/benefit analysis of the proposed guidelines.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"What's frustrating here is that Congress listened to industry instead of parents and the American public.\"\u003c/aside>\n\u003cp>As \u003ca title=\"http://www.washingtonpost.com/business/economy/lawmakers-want-cost-benefit-analysis-on-child-food-marketing-restrictions/2011/12/15/gIQAdqxywO_story.html\" href=\"http://www.washingtonpost.com/business/economy/lawmakers-want-cost-benefit-analysis-on-child-food-marketing-restrictions/2011/12/15/gIQAdqxywO_story.html\" target=\"_blank\">The Washington Post\u003c/a> reports, the cost-benefit requirement is buried in the huge spending bill Congress was debating today, the omnibus bill needed to keep the federal government running.\u003c/p>\n\u003cblockquote>\u003cp>The administration’s proposal aims to tackle childhood obesity by having the industry market to children only those foods and drinks that make a “meaningful contribution” to a healthful diet and limit sodium, fats and added sugars. Foods that do not meet the guidelines could not be advertised to children.\u003cbr>\n\u003c!--more-->The administration has stressed repeatedly that the plan is voluntary and meant to serve only as a guideline. But the industry says the initiative amounts to a backdoor regulation that will in effect wipe out advertising to children, eliminate millions of jobs and infringe on commercial free speech.\u003c/p>\n\u003cp>The spending bill rider bars the Federal Trade Commission, the lead agency on the food marketing initiative, from spending money on finalizing the proposal until the agency and its partners comply with an executive order signed in January by President Obama.\u003c/p>\u003c/blockquote>\n\u003cp>But the President's executive order is about regulations, not voluntary efforts. Margo Wootan of the Center for Science in the Public Interest pointed out in a statement today, \"There is no cost associated with something that is totally voluntary.\"\u003c/p>\n\u003cp>Lori Dorfman, co-chair of the \u003ca title=\"http://www.bmsg.org/about/projects/the-food-marketing-workgroup\" href=\"http://www.bmsg.org/about/projects/the-food-marketing-workgroup\" target=\"_blank\">Food Marketing Workgroup\u003c/a>, a national coalition of organizations and experts in support of the guideline, said from her office in Berkeley today that she was \"bitterly disappointed\" by the Congressional roadblock. \"What's frustrating here,\" she continued, \"is that Congress listened to industry instead of parents and the American public.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And the public had weighed in; 29,000 people responded to the request for public comment with the \u003ca title=\"http://Republicans.EnergyCommerce.house.gov/Media/file/Hearings/Joint/101211_CMT_Health/Wootan.pdf\" href=\"http://Republicans.EnergyCommerce.house.gov/Media/file/Hearings/Joint/101211_CMT_Health/Wootan.pdf\" target=\"_blank\">overwhelming majority reportedly\u003c/a> [PDF] favoring the guidelines. \"I read a lot of those comments,\" Dorfman said, \"some were hand written pleas from parents, saying 'please help us.' Those pleas have been ignored.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In her statement, Margo Wootan also registered her dismay and pointed to the money the food and beverage industry has spent\u003ca title=\"http://reporting.sunlightfoundation.com/2011/Food_and_media_companies_lobby/\" href=\"http://reporting.sunlightfoundation.com/2011/Food_and_media_companies_lobby/\" target=\"_blank\"> lobbying Congress\u003c/a> this year. \"First Congress declared \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" target=\"_blank\">pizza a vegetable\u003c/a>; now it defends companies' ability to market Froot Loops as healthy for children. This Congress has quite the nutrition track record. Too bad kids don't have their own PAC [political action committee], or $37 million in lobbying clout.\"\u003c/p>\n\n",
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"excerpt": "Score another round for junk food marketing. Just weeks after Congress turned back US Department of Agriculture efforts to make the school lunch program more healthful, today Congress delayed attempts at finalizing voluntary guidelines for food marketing to children.",
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"description": "Score another round for junk food marketing. Just weeks after Congress turned back US Department of Agriculture efforts to make the school lunch program more healthful, today Congress delayed attempts at finalizing voluntary guidelines for food marketing to children.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1491\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-16-at-4.11.08-PM.png\">\u003cimg class=\"size-medium wp-image-1491 \" title=\"One of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government. \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Screen-Shot-2011-12-16-at-4.11.08-PM-300x261.png\" alt=\"One of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government. \" width=\"300\" height=\"261\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Scan of one of the 29,000 public comments in response to food marketing guideline proposal submitted to the federal government.\u003c/figcaption>\u003c/figure>\n\u003cp>Score another round for junk food marketing. Just weeks after Congress turned back US Department of Agriculture efforts to make the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" target=\"_blank\">school lunch program more healthful\u003c/a>, today Congress delayed attempts at finalizing voluntary guidelines for food marketing to children.\u003c/p>\n\u003cp>Some background -- a year and a half ago, the Obama administration set in motion an effort to establish guidelines around the kinds of foods and drinks that can be marketed to children. The effort was to be voluntary, not regulatory, and the goal was to help combat \u003ca title=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" href=\"http://www.cdc.gov/healthyyouth/obesity/facts.htm\" target=\"_blank\">childhood obesity\u003c/a>, now hovering around 20 percent for six to 19-year-olds. But, not surprisingly, the food and beverage industry has been fighting hard against the proposal. Today, public health advocates were set back when Congress asked for a cost/benefit analysis of the proposed guidelines.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"What's frustrating here is that Congress listened to industry instead of parents and the American public.\"\u003c/aside>\n\u003cp>As \u003ca title=\"http://www.washingtonpost.com/business/economy/lawmakers-want-cost-benefit-analysis-on-child-food-marketing-restrictions/2011/12/15/gIQAdqxywO_story.html\" href=\"http://www.washingtonpost.com/business/economy/lawmakers-want-cost-benefit-analysis-on-child-food-marketing-restrictions/2011/12/15/gIQAdqxywO_story.html\" target=\"_blank\">The Washington Post\u003c/a> reports, the cost-benefit requirement is buried in the huge spending bill Congress was debating today, the omnibus bill needed to keep the federal government running.\u003c/p>\n\u003cblockquote>\u003cp>The administration’s proposal aims to tackle childhood obesity by having the industry market to children only those foods and drinks that make a “meaningful contribution” to a healthful diet and limit sodium, fats and added sugars. Foods that do not meet the guidelines could not be advertised to children.\u003cbr>\n\u003c!--more-->The administration has stressed repeatedly that the plan is voluntary and meant to serve only as a guideline. But the industry says the initiative amounts to a backdoor regulation that will in effect wipe out advertising to children, eliminate millions of jobs and infringe on commercial free speech.\u003c/p>\n\u003cp>The spending bill rider bars the Federal Trade Commission, the lead agency on the food marketing initiative, from spending money on finalizing the proposal until the agency and its partners comply with an executive order signed in January by President Obama.\u003c/p>\u003c/blockquote>\n\u003cp>But the President's executive order is about regulations, not voluntary efforts. Margo Wootan of the Center for Science in the Public Interest pointed out in a statement today, \"There is no cost associated with something that is totally voluntary.\"\u003c/p>\n\u003cp>Lori Dorfman, co-chair of the \u003ca title=\"http://www.bmsg.org/about/projects/the-food-marketing-workgroup\" href=\"http://www.bmsg.org/about/projects/the-food-marketing-workgroup\" target=\"_blank\">Food Marketing Workgroup\u003c/a>, a national coalition of organizations and experts in support of the guideline, said from her office in Berkeley today that she was \"bitterly disappointed\" by the Congressional roadblock. \"What's frustrating here,\" she continued, \"is that Congress listened to industry instead of parents and the American public.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And the public had weighed in; 29,000 people responded to the request for public comment with the \u003ca title=\"http://Republicans.EnergyCommerce.house.gov/Media/file/Hearings/Joint/101211_CMT_Health/Wootan.pdf\" href=\"http://Republicans.EnergyCommerce.house.gov/Media/file/Hearings/Joint/101211_CMT_Health/Wootan.pdf\" target=\"_blank\">overwhelming majority reportedly\u003c/a> [PDF] favoring the guidelines. \"I read a lot of those comments,\" Dorfman said, \"some were hand written pleas from parents, saying 'please help us.' Those pleas have been ignored.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In her statement, Margo Wootan also registered her dismay and pointed to the money the food and beverage industry has spent\u003ca title=\"http://reporting.sunlightfoundation.com/2011/Food_and_media_companies_lobby/\" href=\"http://reporting.sunlightfoundation.com/2011/Food_and_media_companies_lobby/\" target=\"_blank\"> lobbying Congress\u003c/a> this year. \"First Congress declared \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/17/mamma-mia-is-pizza-a-vegetable-or-not/\" target=\"_blank\">pizza a vegetable\u003c/a>; now it defends companies' ability to market Froot Loops as healthy for children. This Congress has quite the nutrition track record. Too bad kids don't have their own PAC [political action committee], or $37 million in lobbying clout.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
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