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SEPTEMBER 2007

Letter From The Director

Greetings!

I want to share exciting news with you and your staff.  Recently, The George Washington University School of Public Health and Health Services helped established The Strategies to Overcome and Prevent (STOP) Obesity Alliance; a powerful alliance whose mission is to help change society's perceptions of, and approaches to, preventing and treating obesity and related health conditions such as diabetes and cardio vascular disease.  The organizations that have committed to this alliance and participated in the first steering committee meeting form a truly impressive group, with diverse experiences, perspectives and resources. Their insights will help to ensure that the alliance delivers outputs that take a multi-dimensional approach to an issue that is currently plaguing our country.
 
As you know, obesity ranks second only to smoking as the leading cause of death in the U.S.  Therefore, Alliance leaders and steering committee members plan to work together on a tiered action plan to: (1) conduct research that identifies biases and barriers; (2) consider research-based initiatives to improve patient care and prevention; and (3) make recommendations to promote needed systemic change.
 
As a service from the Alliance, we will send this e-newsletter to keep you in the know on the latest activities of this Alliance as well as what's new on the topic of obesity and its related conditions, both in the news and in Congress.

Knowing of your interest in this area, I would greatly appreciate your input, thoughts, questions, and suggestions as we embark on this new endeavor.  And, also, let me know if you would like to schedule a meeting.  I'd be happy to provide you with any additional information you may need.  

Sincerely,

Christine C. Ferguson, JD
Director, The STOP Obesity Alliance
Associate Research Professor
School of Public Health and Health Services
Department of Health Policy
The George Washington University
Christine Ferguson
In This Issue
Alliance News

Key Legislative Actions

Key Related Events

News Round-Up


STOP Obesity Alliance Steering Committee
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American Academy of Pediatrics, American Diabetes Association, American Heart Association, America's Health Insurance Plans, American Medical Group Association, Disease Management Association of America, National Business Group on Health, National Committee for Quality Assurance, National Quality Forum, Service Employees International Union and The Obesity Society.   

Alliance News
September 19 conference. The Obesity Society, the Strategies to Overcome and Prevent (STOP) Obesity Alliance and the National Journal held a conference entitled "The Obesity Challenge:  What Should the Next President Do" on Wednesday, September 19, at the Jack Morton Auditorium at The George Washington University in Washington, D.C.  The conference looked at the budgetary and health implications of the nation's rising obesity problem from the perspective of the major presidential candidates as well as health policy experts.  Panels included roundtables of presidential campaign policy advisors, moderated by Linda Douglass of the National Journal, speaking to the obesity challenge in the context of their campaign's health plans.  A Web cast of the event can be viewed here
 
Alliance Director on Today Show
.  As news of the Alliance and its unique approach to the obesity issue continues to spread, Christine Ferguson was approached by the Today Show to participate in a segment addressing the recent proposal in Los Angeles to impose a two-year moratorium on any new fast food restaurants in South LA - an area with a third more obese people than the national average and where, according to the article, in just one-quarter of a mile, there are about 20 fast-food outlets.  To view the segment, please click here.
 
Immediately following the program, the Christian Science Monitor, also requested an interview and included Ms. Ferguson in its story regarding fast food restaurants and their efforts to improve their menus.

Alliance survey. In collaboration with the National Opinion Research Center (NORC), the Alliance has begun to develop an important survey, which will be looking to measure the attitudes of employers and employees toward obese/overweight, and their opinions on efforts to address obesity and effective obesity control.  Results of this research are expected in early 2008.

Call for measurements.  The Alliance is working with the National Quality Forum on a first-of-its-kind research project regarding community-based obesity measurements. 


Key Legislative Actions

The 110th Congress has shown a broad, bipartisan interest in this topic by introducing a series of bills that look at different ways of addressing the obesity epidemic in the United States.

Obesity Legislation:

S.358 - Genetic Information Nondiscrimination Act of 2007
Title: A bill to prohibit discrimination on the basis of genetic information with respect to health insurance and employment. This bill is sponsored by Sen. Snowe and co-sponsored by 34 others. 
Related Bills: H.R.493

S.1031 - School Food Fresh Act of 2007
Title: A bill to amend the Farm Security and Rural Investment Act of 2002 to provide coordination and direction for commodity programs, and to ensure the distribution of fresh fruits and vegetables to schools and service institutions in the United States. The bill is sponsored by Senator Clinton. 

H.R.1163 - Stop Obesity In Schools Act 2007
Title: To reduce childhood obesity, and for other purposes. The bill is sponsored by Rep. Lowery and cosponsored by Rep. Shays.

H.R.426 - Medicaid Obesity Treatment Act 2007
Title: To amend title XIX of the Social Security Act to require States that provide Medicaid prescription drug coverage to cover drugs medically necessary to treat obesity. The bill is sponsored by Rep. Towns. 

S.1323 - Commonsense Consumption Act of 2007
Title: A bill to prevent legislative and regulatory functions from being usurped by civil liability actions brought or continued against food manufacturers, marketers, distributors, advertisers, sellers, and trade associations for claims of injury relating to a person's weight gain, obesity, or any health condition associated with weight gain or obesity. This bill is sponsored by Sen. McConnell and co-sponsored by 16 others. 
Related Bills: H.R.2183

H.R.2677 - IMPACT Act 2007
Title: To establish grants to provide health services for improved nutrition, increased physical activity, obesity and eating disorder prevention, and for other purposes. This bill is sponsored by Rep. Bono and co-sponsored by 37 others. 
 
S.771 - Child Nutrition Promotion and School Lunch Protection Act 2007
Title: A bill to amend the Child Nutrition Act of 1966 to improve the nutrition and health of schoolchildren by updating the definition of "food of minimal nutritional value" to conform to current nutrition science and to protect the Federal investment in the national school lunch and breakfast programs. This bill is sponsored by Sen. Harkin and co-sponsored by 21 others. 
Related Bills: H.R.1363

Cardiovascular Disease:

H.R.1014 - HEART For Women Act
Title: To amend the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women. This bill is sponsored by Rep. Capps and co-sponsored by 194 others. 
Related Bills: S.573
 
H.R.2404 - WISEWOMAN Expansion Act of 2007
Title: To reduce health care costs and promote improved health by providing supplemental grants for additional preventive health services for women. This bill was introduced by Rep. DeLauro and co-sponsored by 11 others. 
 
Diabetes:

S.1343 - Diabetes Treatment and Prevention Act
Title: A bill to amend the Public Health Service Act with respect to prevention and treatment of diabetes, and for other purposes. This bill is sponsored by Sen. Clinton and co-sponsored by 2 others. 
Related Bills: H.R.2241

S.907 - GEDI Act of 2007
Title: A bill to establish an Advisory Committee on Gestational Diabetes, to provide grants to better understand and reduce gestational diabetes, and for other purposes. This bill is sponsored by Sen. Clinton and co-sponsored by Sen. Collins. 
Related Bills: H.R.1544

H.R.3373 - Catalyst to Better Diabetes Care Act of 2007
Title: To catalyze change in the care and treatment of diabetes in the United States. The bill is sponsored by Rep. Space and co-sponsored by 4 others. 

H.R.2210 - Diabetes Prevention Access and Care Act of 2007
Title: To amend the Public Health Service Act to prevent and cure diabetes and to promote and improve the care of individuals with diabetes for the reduction of health disparities within racial and ethnic minority groups, including the African-American, Hispanic American, Asian American and Pacific Islander, and American Indian and Alaskan Native communities. This bill is introduced by Rep. DeGette and co-sponsored by 34 others. 

S.755 - Diabetes Screenings and Medicaid Savings Act of 2007
Title: A bill to amend title XIX of the Social Security Act to require States to provide diabetes screening tests under the Medicaid program for adult enrollees with diabetes risk factors, to ensure that States offer a comprehensive package of benefits under that program for individuals with diabetes, and for other purposes. This bill is introduced by Sen. Schumer and co-sponsored by 7 others. 

H.R.1031 - Minority Diabetes Initiative Act
Title: To amend the Public Health Service Act to authorize grants to provide treatment for diabetes in minority communities. This bill was introduced by Rep. Waters and is co-sponsored by 42 others. 

Key Related Events:  On and Off Capitol Hill

Along with Congress hearings on health care issues, various organizations are holding conferences and events addressing obesity and its related conditions, along with other health care-related topics.

Relevant Meetings/Conference:
 
National Quality Forum  
Eighth Annual Meeting and National Policy Conference on Quality
September 26-28    

Cardiometabolic Health Congress 
Boston, MA - September 27-29

The Obesity Society 
Annual Scientific Meeting
October 20 - 24, 2007


News Round-Up

Addicted to Food? Maybe It's All In Your Head
September 4, 2007
washingtonpost.com
Sally Squires

Alchohol, nicotine and cocaine are a few of the substances known to be addictive.
Now some scientists wonder whether food should be added to the list. The cravings descriptions certainly sound like the feelings doctors associate with addiction. But whether they stem from the same physiological changes that occur with drug and alcohol dependency is not yet known.

The Heavy Road To A Weight-Loss Drug
August 29, 2007
Fortune
John Simons

Despite the market potential for a weight-loss wonder drug, safe and effective
fat-fighting treatments seem to be elusive to pharmacological researchers. As a result, the current global market for obesity drugs - a little more than $1 billion a year - is much smaller than it could be. The article notes that a drug maker has tried and failed to develop and market weight-loss medication. 
 
U.S. Obesity Rates Continue to Rise
August 29, 2007
Associated Press Newswires
Kevin Freking

According to the Trust for America's Health, a research group that focuses on disease prevention, obesity rates continued their climb in 31 states last year and no state showed a decline this year either. A lack of exercise and poverty play a huge factor in obesity rates, and people who are overweight are at an increased risk for diabetes, heart problems and other chronic diseases that contribute to greater health care costs.  

A Crisis of Great Magnitude
August 26, 2007
sfgate.com
Nayer Khazeni
 
Obesity continues to be a dangerous medical condition and a national public health crisis, costing Americans $100 billion in health care expenditures and more than 400,000 premature deaths each year. According to a July 2007 study from the Johns Hopkins Bloomberg School of Public Health, 75 percent of American adults will be overweight or obese by 2015. It also notes that certain medications and endocrine disorders can play a role in developing obesity, as can genetics, but the majority of cases are related to a sedentary lifestyle and increased caloric intake.
GWU School of Public Health and Health Services
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