>>WELCOME.
WE ARE GLAD YOU ARE HERE.
THIS IS EXCITING FOR US.
IT IS ALWAYS EXCITING.
WE ARE HAPPY TO BE HERE ON
WEDNESDAY, ALREADY, IF YOU CAN
BELIEVE IT.
THERE MORNING WE WANTED TO START
WITH SOME REALLY WONDERFUL
RECOGNITION FOR THE AMOUNT OF
EFFORT PEOPLE ARE PUTTING OUT.
AMANDA WAS GOING TO CHECK.
I THINK WE HAVE 174 SUBMITTALS,
REALLY AMAZING ABSTRACTS.
I DON'T KNOW HOW MANY PROGRAM
COMMITTEE MEMBERS ARE HERE IN
THIS ROOM, BUT I KNOW THE
SELECTION PROCESS, WHICH IS PEER
REVIEWED.
IT IS VERY ORGANIZED AND WE USE
A PEER-REVIEWED SYSTEM WHERE
THERE ARE RANKINGS, IT IS
WONDERFUL.
I THINK IT IS BLIND.
BUT THEY ALL HAVE ACCESS TO
SELECT THE SPEED SESSIONS, THE
DIFFERENT PANELS.
IT IS A LOT OF WORK, BUT IT IS
ALSO INCREDIBLY REWARDING TO SEE
THE QUALITY OF THINGS SELECTED.
THIS MORNING WE ARE RECOGNIZING
THE 23 POSTERS?
DID YOU HAVE A CHANCE TO SEE
THEM LAST NIGHT?
THEY ARE AMAZING.
THEY WILL BE UP THE REST OF THE
CONFERENCE.
TO GET STARTED, I'M GOING TO
TURN IT OVER TO POSTER AWARD
CHAIR, MICHAEL LOPEZ.
DO YOU WANT TO TALK ABOUT IT?
>> GOOD MORNING.
I HAD THE OPPORTUNITY TO HELP
SUPPORT THE POSTER AWARD
COMMITTEE.
I WOULD LIKE TO ACKNOWLEDGE AND
RECOGNIZE EVERYONE WHO SERVED ON
THE MULTIPLE CALLS LEADING UP TO
THE CONFERENCE AND THOSE WHO
SERVED AS REVIEWERS FOR THE
POSTERS.
YOU MAY HAVE SEEN US.
WE TRIED TO BE STEALTHY WITH OUR
PAPERWORK, BUT WE MAY NOT HAVE
BEEN AS STEALTHY AS WE IMAGINED.
FOR THOSE IN THE ROOM, I AT
LEAST SEE A COUPLE.
IF YOU WOULDN'T MIND WAVING OR
STANDING UP AS YOU ARE ABLE TO
ACKNOWLEDGE AND THANK YOU FOR
ALL YOUR WORK.
I BELIEVE EVERYONE SPENT TWO
HOURSES DURING THE POSTER
SESSION VISITING WITH AS MANY
PEOPLE AS POSSIBLE.
IT WOULDN'T BE POSSIBLE WITHOUT
YOUR HELP AND SUPPORT AND TRULY
A TEAM EFFORT.
I HAPPENED TO BE FORTUNATE
ENOUGH TO REPRESENT THE GROUP
THIS MORNING.
WITH THAT, I WOULD LIKE TO TALK
A LITTLE BIT ABOUT THE REVIEW
PROCESS.
WE DID TAKE A SYSTEMATIC
APPROACH WITH THE POSTER AWARDS.
THREE CRITERIA, LAYOUT, CON AS
WELL AS PRESENTATION DELIVERY OF
THE POSTER.
-- CONTENT AS WELL AS
PRESENTATION DELIVERY OF THE
POSTER.
THERE WERE CATEGORIES SELECTED
DURING THE POSTER SUBMISSION
PROCESS.
THE STUDENT CATEGORY AS WELL AS
THE EMERGING LEADER CATEGORY.
WITHOUT FURTHER ADO --
>> CAN I.
>> SURE.
>> WE RECOGNIZE THERE ARE LEGACY
PROFESSIONALS, PEOPLE IN THE
FIELD A LONG TIME.
THERE WAS HIGH QUALITY PROPOSALS
THERE, BUT WE DECIDED TO FOCUS
ON THE EMERGING PROFESSIONAL.
WE HAVE TWO AWARDS THAT ARE
COMING.
WE HAVE DECIDED TO SPONSOR, OR
WITH THE AWARD YOU RECEIVE A
COMPLIMENTARY REGISTRATION FOR
NEXT YEAR'S ACTIVE LIVING
CONFERENCE.
WE CAN HELP IN THE NEXT PHASE.
THE MORE ESTABLISHED
PROFESSIONALS HAVE FUNDING AND
THEY CAN COME.
SO WE SAID LET'S MAKE SURE THE
EMERGING LEADERS CAN COME NEXT
YEAR.
>> THE SCORING PROCESS FOR
TRANSPARENCY.
EACH CRITERIA WAS BASED ON A
FIVE POINT SCALE AND EACH POSTER
HAD AT LEAST THREE REVIEWERS.
WE HAD A TOTAL OF SIX REVIEWERS,
MYSELF INCLUDED LAST NIGHT.
I WANTED TO MENTION THAT.
AND THANK YOU FOR ADDING ON THE
AMAZING AWARD, TOO.
WITHOUT FURTHER ADO FOR THE
STUDENT POSTER AWARD
PRESENTATION, WE HAVE MARISSA
SHULKE.
I SEE YOU IN THE ROOM.
PLEASE COME UP.
WE HAVE AER CERTIFICATE, GAP IN
PLAY SPACES FOR ACTIVITY IN
ARIZONA ELEMENTARY SCHOOLS.
>> THANK YOU.
>> NOT AS BRIGHT OF AN ASU SHIRT
TODAY.
NEXT EMERGING LEADER POSTER
AWARD, SO WE WOULD LIKE TO
RECOGNIZE --
>> DO YOU WANT TO TALK ABOUT
WHAT THAT CATEGORY IS?
>> THAT CATEGORY WAS
SELF-SELECTED DURING THE POSTER
SUBMISSION PROCESS AND YOU MIGHT
BE ABLE TO ADD TO IT.
AN EMERGE S -- EMERGING LEADER,
WE HAD CONFERENCE SESSIONS,
LUNCH ROUNDTABLES WHERE WE
WORKED WITH A WHOLE TEAM OF
EMERGING LEADERS TO COLLABORATE
AND BUILD EACH OTHER'S NETWORKS
AS THOSE WHO ARE ESTABLISHING
THEMSELVES IN THE FIELD OF
ACTIVE LIVING.
>> YEAH.
I THINK THAT IS ONE OF THE
THINGS THAT HAS BEEN REALLY
IMPORTANT WITH GP RED AS WE
CARRY FORWARD, WE WANT TO
RECOGNIZE THE EARLY CAREER
PROFESSIONALS BRINGING THE FRESH
VOICE.
IT WAS SELF-SELECTIVE.
WE ARE NOT AGEIST.
BUT THAT IS THE CHECK BOX ON THE
REGISTRATION, YOU PROBABLY SAW
THAT.
BECAUSE WE HAD THE MEET AND
GREET ON MONDAY NIGHT PEOPLE
HAVE GONE, AM I AN EARLY --
WELL, IT IS UP TO YOU?
EMERGING LEADER.
SO WE THINK WE HAVE SO MANY
HERE.
FOR ME, THAT IS ONE OF THE MOST
EXCITING PARTS.
AS WE HEAR THE YOUNGER VOICES.
STUDENTS MAY EVOLVE INTO THE
CAREER PROFESSIONAL OR EMERGING
LEADER AS MOST ARE LOOKING FOR
POSITIONS AFTER.
>> EXACTLY.
WE WOULD LIKE TO RECOGNIZE IN
THE EMERGING LEADER KATIE
CHRIST, WITH HER PRESENTATION ON
THE TROLLY STUDY, TRANSIT
OPPORTUNITIES FOR HEALTH,
LIVABILITY, EXERCISE AND EQUITY.
[ APPLAUSE ]
QUICK CLARIFICATION, CRIST.
>> THANK YOU SO MUCH.
>> ALL RIGHT.
WELL, THANK YOU.
THAT IS SO EXCITING.
I ALSO WANT TO THANK MIKE AND
TODD HUMPHREY AND EVERYBODY.
THEY WERE TABULATING LATE LAST
NIGHT AND GETTING IT DONE AND
TODD WAS PRINTING CERTIFICATES
THIS MORNING.
YOU ALL KNOW HOW THAT WORKS AT
CONVERSATI
CONFERENCES.
WE WANT TO WITH THE FEW MINUTES
WE HAVE LEFT RECOGNIZE OUR
SPONSORS.
SPONSORS ARE VERY, VERY
IMPORTANT.
THIS IS A NICHE CONFERENCE.
WE DON'T HAVE A HUGE AMOUNT OF
PEOPLE DOING THIS WORK.
AND WE DON'T HAVE LIKE IN THE
EARLY YEARS HAVE FUNDING FROM
ROBERT WOODS JOHNSON FOUNDATION.
WE ARE STILL LOOKING FOR FUNDING
TO MAKE THE CONFERENCE AND
SUPPORT OF THIS WORK
SUSTAINABLE.
SO WE ARE INCREDIBLY PROUD THESE
PEOPLE HAVE STEPPED UP.
I'M GOING TO START FIRST BECAUSE
GP RED, TO GIVE YOU BACKGROUND
WAS GREENPLAY RED.
I WAS THE CEO AND FOUNDER OF
GREEN PLAY, A MANAGEMENT AND
CONSULTING FIRM THAT WORKED WITH
PARKS, RECREATION AND
ORGANIZATIONS AROUND THE
COUNTRY.
I RAN THAT FOR 22 YEARS.
GP RED IS A NONPROFIT, 501C3, TO
SUPPORT EDUCATION IN 2010.
OVER THE YEARS IT JUST EVOLVED.
GREENPLAY WAS ALWAYS AN
ORGANIZATIONAL SPONSOR.
I HAVE TECHNICALLY WORKED FOR
BOTH SINCE 2010.
AND SO IN JANUARY OF 22, I SOLD
GREENPLAY TO BARRY DUNN ALONG
WITH MY BUSINESS PARTNER.
PART OF THAT NEGOTIATION AS WE
TALKED TO COMPANIES ALL OVER THE
COUNTRY IS WE HAVE THIS
SUPPORTIVE NONPROFIT ARM WE NEED
TO TAKE CARE OF.
BARRY DUNN WAS WONDERFUL.
TAX ASSURANCE CONSULTANT FIRM
OUT OF PORTLAND, MAINE.
THEY ARE A HUGE FIRM, WORK ALL
OVER THE WORLD, OFFICES IN
DIFFERENT PLACES.
THEY STARTED A PARKS, RECREATION
AND LIBRARIES A FEW YEARS AGO
THAT IS WHY THEY WERE INTERESTED
IN GREENPLAY.
I WORK FOR BARRY .6F T E.
I HAVE NO DECISION MAKING
AUTHORITY, WHICH IS WONDERFUL.
WE HAVE BEEN ABLE TO NEGOTIATE
THIS SPONSORSHIP WHICH HELPS US
WITH THE VARIOUS CONVENING,
SHIFT SUMMIT, ACTIVE LIVING AND
THINK TANK.
WE ARE HAPPY TO HAVE BERRY
DUNN'S SUPPORT.
GP IS SUSTAINABLE.
YAY BERRY DUNN.
I'M HERE.
THE OTHERS WHO ARE NOT IN THE
ROOM I DON'T THINK, IS JOURNAL
OF HEALTHY EATING AND ACTIVE
LIVING.
JAY.
HE HAD A POSTER.
HE COULDN'T MAKE IT THIS
MORNING.
THEY ARE DOING A SPECIAL ISSUE
OF SELECTED ABSTRACTS.
I DON'T KNOW IF ANYBODY HAS BEEN
NOTIFIED.
THOSE WILL BE COMING OUT AS PART
OF THE ACTIVE LIVING
CONVERSATION.
WE WANT TO THANK JAY.
SAY HI TO JAY.
THANK HIM FOR THAT.
TRUST FOR PUBLIC LAND.
SHE COULDN'T MAKE IT EITHER
TODAY.
TPL HAS BEEN A PROUD SPONSOR FOR
A LONG TIME.
THEY SPONSOR GPRED, WE LOOK AT
VARIOUS COLLABORATIONS AROUND
THE COUNTRY.
RED FOCUSING ON RESEARCH AND
EDUCATION AND COLLABORATIVE
MARKETING, WE ARE ABLE TO SHARE
THE INCREDIBLY GREAT WORK TRUST
FOR PUBLIC LAND IS DOING.
ANYBODY HERE FROM TPL.
ANYBODY WORK WITH THEM?
YAY.
IF NOT, TAKE A LOOK AT THEIR
WEBSITE.
BERRY DUNN IS DOING OTHER GOOD
WORK BEYOND WHAT IS BEING DONE
HERE.
CHECK THEM OUT AND SEE HOW YOU
MIGHT WANT TO COLLABORATE.
THAT IS TPL.
WE HAVE THREE SPONSORS HERE AND
I WOULD LIKE TO INVITE THEM UP
FOR A QUICK OVERVIEW.
I'M NOT SURE WHAT ORDER THEY ARE
IN.
DO WE HAVE SLIDES?
OKAY.
NEXT SLIDE.
I THINK THE SPECIAL PEOPLE IN
THE BOOTH ARE HELPING US OUT.
HERE WE GO.
NCOR IS UP FIRST.
WE ARE INVITING THEM TO SAY A
COUPLE MINUTES ABOUT WHAT THEY
DO AND RECOGNIZE THE INCREDIBLE
SUPPORT AND THANK YOU SO MUCH
FOR BEING HERE.
>> GREAT.
GOOD MORNING, I'M MELISSA VAN
ORMAN, THE COMMUNICATION MANAGER
AT NCOR.
WE ARE HAPPY TO BE AT THE ACTIVE
LIVING CONFERENCE AS A SPONSOR
AND SHARING SOME SOF OUR MOST
RECENT WORK ON ACTIVITY FRIENDLY
COMMUNITIES.
MARK FETON AND THE ACTIVE LIVING
GROUP PRESENTED I THINK ON
MONDAY.
VERY EXCITED TO SHARE SOME OF
THIS WORK WITH THIS CONFERENCE.
I KNOW MANY NCCOR MEMBERS ARE
HERE, IT IS A COLLABORATION OF
CDC, NIH, ROBERT WOOD JOHNSON
FOUNDATION AND USDA.
I WORK TO HELP SUPPORT OUR
RESEARCH PROGRAM.
SO THE WORK GROUPS CREATE
PRODUCTS AND INFORMATION BASED
ON RESEARCH ON EITHER PHYSICAL
ACTIVITY OR NUTRITION-RELATED
TOPICS.
WE SORT OF HELP GET THAT MESSAGE
OUT.
OUR MISSION AT NCCOR IS TO
ACCELERATE PROGRESS IN REDUCING
CHILDHOOD OBESITY WITH ATTENTION
TO HIGH-RISK POPULATIONS AND
COMMUNITIES.
OUR GOALS ARE TO IDENTIFY AND
EVALUATE INTERVENTIONS, INCREASE
AND IMPROVE SURVEILLANCE,
IMPROVE CAPACITY TO CONDUCT
RESEARCH AND EVALUATION, TO
PROVIDE NATIONAL LEADERSHIP TO
ACCELERATE IMPLEMENTATION
THROUGH COMMUNICATION AND
OUTREACH.
AGAIN, SOME OF OUR MORE RECENT
PRODUCTS HAVE BEEN FOCUSED ON
HOW TO APPLY RESEARCH IN YOUR
COMMUNITY AND THE ACTIVITY
FRIENDLY COMMUNITIES PROJECT IS
A GREAT EXAMPLE OF THAT.
WE WORK WITH NONHEALTH PARTNERS
TO INTEGRATE CHILDHOOD OBESITY
PRIORITIES.
SO HOW WE WORK?
OUR NCCOR MEMBERS FROM DIFFERENT
AGENCIES COME TOGETHER, AS I
MENTIONED, TO WORK ON PRODUCTS
RELATED TO CORE MISSION AND
GOALS.
MEASUREMENT, PHYSICAL ACTIVITY.
AGAIN, IN RECENT YEARS WE HAD A
STRONG FOCUS ON PHYSICAL
ACTIVITY AND DIET ASSESSMENT AND
IN RESPONSE TO THE PANDEMIC WE
HAVE A WORK GROUP IDENTIFYING
NEEDS EMERGES FROM THE PANDEMIC,
ESPECIALLY EARLY CHILDHOOD
EDUCATION AND CHILD CARE
CENTERS.
OUR NEWEST PROJECTS, CREATE
THRIVING COMMUNITIES.
EQUIPPING RESIDENTS WITH
TANGIBLE TOOLS TO IMPROVING THE
BUILT-IN ENVIRONMENT, INVESTING
IN SIDEWALKS, PARKS, ROUTES,
MAKING THOSE ROUTES, THE
SIDEWALKS PLEASANT PLACES TO BE
SO TO ENCOURAGE PEOPLE TO BE
THERE.
THIS TOOLKIT HAS A FACT SHEET,
CUSTOMIZABLE POWER POINT
PRESENTATION, TALKING POINTS.
IT IS DESIGNED TO BE VERY USER
FRIENDLY AND TO HELP GENERATE
AND FOSTER CONVERSATION AT THE
LOCAL LEVEL.
THE QR CODE IS HERE TO TAKE YOU
RIGHT TO THE WEBSITE FOR THE
MATERIALS AS WELL AS LINK YOU TO
THE ECONOMIC INDICATORS LIBRARY
THAT IS REALLY FOCUSED ON,
AGAIN, MAKING THIS BUSINESS CASE
FOR ACTIVITY FRIENDLY
COMMUNITIES.
OUR SIGNATURE TOOL IS THE
MEASURES REGISTRY RESOURCE
SUITE, THE ONE WE HAVE HOSTED
FOR THE LONGEST AMOUNT OF TIME.
IT INCLUDES A SEARCHABLE DATA
BASE WITH VALIDATED MEASURES ON
CONDUCTING CHILDHOOD OBESITY
RELATED RESEARCH AS WELL AS WE
HAVE SEVERAL TOOLS TO HELP GUIDE
AND TRAIN FOLKS ON HOW TO USE
THIS RESOURCE.
WE ALSO HAVE A CATALOG OF
SURVEILLANCE SYSTEMS AND SOME OF
OUR NEWER PRODUCTS ARE THE YOUTH
COMPENDIUM FOR PHYSICAL
ACTIVITIES.
THIS IS AN INTERESTING TOOL.
IT LISTS COMMON ACTIVITIES THAT
CHILDREN ARE INVOLVED IN AND
PROVIDES MEASURES TO HELP WITH
ESTIMATING THE ENERGY
EXPENDITURE.
IT HAS SEVERAL FACT SHEETS AND
OTHER SORT OF PRACTICAL GUIDES
TO HELP PUT THIS INFORMATION
INTO PRACTICE.
WE HAVE A GUIDE FOR ASSESSING
ATOPOCITY AND A TOOL KIT FOR
EVALUATING CHILDHOOD HEALTHY
WEIGHT PROGRAMS.
WE HAVE THESE AT OUR BOOTH SO
I'M HAPPY TO CHAT MORE AND SHARE
SOME OF THESE PRODUCTS WITH YOU.
WE ALSO HOST SEVERAL WEBINARS.
IF YOU ARE INTERESTED WE HAVE
ONE COMING UP ON THE NEW
AMERICAN PEDIATRIC GUIDELINES ON
EVALUATING AND TREATING
CHILDHOOD OBESITY.
WE HAVE AN IN DEPTH LIBRARY OF
RECORDED WEBINARS AND IT IS ALL
FREE AND AVAILABLE ON OUR
WEBSITE.
I ENCOURAGE YOU ALL IF YOU ARE
INTERESTED IN NCCOR TO SIGN UP
FOR OUR NEWSLETTER.
I HAVE A SIGN-UP SHEET OUTSIDE.
WE WOULD BE HAPPY TO CONNECT YOU
WITH THAT.
THE BEST WAY TO STAY IN TOUCH
WITH NCCOR AND THE LATEST IN
CHILDHOOD OBESITY RELATED NEWS,
FUNDING OPPORTUNITIES, EVENTS,
ET CETERA.
WE ALSO, FOR THOSE OF YOU WHO
ARE STUDENTS OR KNOW STUDENTS,
WE HAVE SPECIAL PRODUCTS JUST
FOR STUDENTS.
SO WE HAVE AN AREA OF OUR
WEBSITE GEARED TOWARDS HELPING
STUDENTS USE NCCOR RESOURCES AND
TAILORED NEWSLETTER JUST FOR
GRADUATE STUDENTS IN NUTRITION,
PHYSICAL ACTIVITY AND PUBLIC
HEALTH.
FINALLY, FOLLOW US ON SOCIAL
MEDIA.
WE ARE ON TWITTER, FACEBOOK AND
LINKEDIN.
IF YOU HAVE INFORMATION THAT
WOULD BE VALUABLE WE ARE HAPPY
TO SHARE YOUR INFORMATION.
I WILL BE OUTSIDE THIS MORNING
AT OUR BOOTH.
IF THERE IS ANYTHING YOU WOULD
LIKE TO SHARE OR DISCUSS, I
WOULD BE HAPPY TO CONNECT WITH
YOU THERE.
THANKS.
>> THANK YOU SO MUCH.
ALL RIGHT.
ONE MORE HAND FOR NCCOR.
WE REALLY APPRECIATE YOUR
SUPPORT AND WE LOOK FORWARD TO
MORE AS WE GO FORWARD.
I WOULD LIKE TO WELCOME RUSS
CARSON.
WE HAVE A GREAT RELATIONSHIP
WITH PLAY CORE.
I THINK WE HAVE AN ALLIANCE
ESTABLISHED.
GREAT SPONSOR.
THANK YOU.
>> THANK YOU.
I'M EXCITED TO TALK ABOUT PLAY
CORE, SOME OF YOU MAY BE CURIOUS
ABOUT WHAT WE DO.
I MAY NEED TO TALK OFF THE CUFF,
TOO.
YEAH.
WE HAVE THE R WORD IN OUR
MISSION.
WE CARE ABOUT RESEARCH AND
ADVANCING RESEARCH THROUGH A
WHOLE PORTFOLIO OF PRODUCT,
PROGRAM AND SERVICES AND WE ARE
ABOUT HEALTHY COMMUNITIES AND
THROUGH PLAY, RECREATION AND
OUTDOOR SPACES.
WE HAVE ABOUT 40 PLUS IN GROWING
DIFFERENT BRANDS IN NORTH
AMERICA.
ON THE PRODUCT SIDE WE DO
EVERYTHING FROM PLAY TO SITE
AMENITIES TO SURFACING TO
SPECIALTY AREAS.
ONLY 30% OF WHAT WE DO IS
PLAYGROUNDS.
THAT IS WHERE WE STARTED.
WE HAVE EVOLVED.
MYSELF AND A COUPLE OF TEAMMATES
ARE REPRESENTING CORE, CENTER
FOR OUTREACH AND EDUCATION.
OUR SERVICE DIVISION, IF YOU
WILL, OF OUR ORGANIZATION.
AGAIN, WE LIKE THE TERM RESEARCH
AND TO PUT IT INTO PRACTICE.
ONE OF THE MAIN REASONS WHY WE
ARE HERE.
WE CARE WHAT YOU ARE DOING.
WE HAVE A GROWING NUMBER OF
SCHOLARS THAT WORK CLOSELY WITH
US IN RESEARCH INSTITUTE.
LEARN WITH THEM, FROM THEM, TAKE
THEIR KNOWLEDGE AND GET IT TO
THE MASSES WHO WANT TO USE IT
AND PUT IT IN PRACTICE.
COME CHAT MORE ABOUT HOW YOU CAN
GET INVOLVED.
WE PUT IN PRACTICES IN A COUPLE
OF WAYS.
A GROWING LIBRARY OF RESOURCES
FREELY AVAILABLE, HOW YOU DESIGN
FACES TO ADVOCATING FOR SPACES
AND PROGRAMS AS WELL AS
CURRICULUM FOR SCHOOLS FOR
SPACES.
ALWAYS EXCITED TO FIND WAYS TO
TAKE YOUR GREAT RESEARCH AND
HELP GET IT OUT TO THE MASSES.
IF FOLKS DON'T WANT TO READ
RESOURCES, THEY MAY WANT TO
ATTEND AN EVENT.
WE DO 100 IN PERSON AND
VIRTUALLY.
WE ARE AN EDUCATION TEAM.
WHERE WE SIT, THESE FOLKS
REPRESENTING PLAYCORE, THIS
CONFERENCE IS OUR NEW GROWING
DATA SERVICE LAB.
WE LEARN THAT FOLKS WANT TO HAVE
ACCESS TO DATA THEY CAN TRUST,
THEY CAN HELP EVALUATE WHAT THEY
ARE DOING IN THEIR COMMUNITIES
AS WELL AS MAKE THE CASE FOR
WHAT THEY ARE DOING IN THEIR
COMMUNITIES.
ONE WAY WE DO THAT IS THROUGH QR
CODES.
WE TAKE THE KNOWLEDGE AND
RESEARCH FROM OUR SCHOLAR
PARTNERS, TURN THEM INTO
RESOURCES AND GIVES FOLKS SOME
EVIDENCE-BASED DECISIONS AND
PRINCIPLES OF HOW TO DESIGN
DIFFERENT SPACES AROUND
INFRASTRUCTURE.
FULLY INCLUSIVE SPACES, TO
ADOLESCENTS AND ADULTS WITH
FITNESS POCKETS AND PARKS AND
INFUSING NATURE WITH LONG TRAIL
SYSTEMS AND ACTIVATING THEM.
THIS IS NATIONAL DEMONSTRATION
SITE PROGRAM.
WE HAVE OVER 1,000 IN NORTH
AMERICA OF COMMUNITIES TURNING
RESEARCH INTO PRACTICE.
HOW WE SUPPORT THEM IS WE MANAGE
DATA AND OUTCOMES.
THROUGH THOSE QR CODES AS WELL
AS OTHER WAYS.
PULLING DATA DOWN.
WE DO A SERIES OF REPORTS WITH
OUR COMMUNITY PARTNERS TO DO
THAT.
THIS GIVES THEM SUPPORT, IF YOU
NEED A DIFFERENT APPROACH, WE
SUPPORT THAT AND WE WANT TO GIVE
YOU TOOLS TO ADVOCATE FOR THAT
EFFORT MOVING FORWARD.
I WILL END WITH THIS.
YOU KNOW, IT IS RESEARCH, BUT IT
IS TRANSLATION.
THAT IS THE GAP I WAS WILLING TO
TAKE A LEAP OF FAITH FOUR YEARS
AGO FROM HIGHER ED AFTER 20
YEARS.
THE SPACE OF TRANSLATION IS SO
SO CRITICAL.
WE HEAR EVERY DAY THAT COMMUNITY
MEMBERS WANT TO ACCESS OUR GREAT
RESEARCH BUT HAVE A TOUGH TIME
ACCESSING.
WHEN THEY DO, THEY HAVE A TOUGH
TIME READING IT.
WHEN THEY READ IT, THEY HAVE A
TOUGH TIME INTERPRETING IT AND
USING IT.
THAT IS A TOUGH SPACE WE ARE
TRYING TO FILL.
WE ARE CONSTANTLY SCOURING THIS
LITERATURE AND GETTING IT OUT
THERE FOR THE MASSES TO USE.
WE HAVE A SOCIAL TONIGHT.
WE ARE GIVING AWAY IN A PLAYFUL
WAY OUR PICNIC BLANKETS AT
BARREL AND CROW.
WE HAVE A REPLENISHMENT OF SWAG
THAT WENT IN THE FIRST DAY, YOU
ALL.
WE HAVE MORE COMING THIS
AFTERNOON.
COME BY.
THANK YOU VERY MUCH.
[ APPLAUSE ]
>> THANK YOU SO MUCH.
IT IS A GREAT RELATIONSHIP AND
WE APPRECIATE THE SUPPORT.
NEXT UP, CERTAINLY LAST, BUT NOT
LEAST, WE HAVE A COLLABORATIVE
ALLIANCE WITH THE GPRED.
WHO IS GOING TO BE PRESENTING?
KAREN.
WONDERFUL.
SO THIS RELATIONSHIP IS SHARING
LIKE MISSIONS IN SOME WAYS AND
REALLY WANTING TO SUPPORT
GETTING THINGS OUT THERE SO WE
ARE VERY, VERY HAPPY KAREN IS
COMING UP.
DO YOU WANT TO DO YOUR SLIDES?
WE HAVE OTHER FOLKS HERE.
JAMIE IS HERE.
SHE IS BACK THERE.
COME ON IN.
>> GOOD MORNING, EVERYBODY.
SO I'M KAREN VALENTINE GOYNES.
I'M PART OF THE COORDINATING
CENTER.
JAMIE AND STEPHANIE ARE THE
MULTI-PIs FOR THAT.
SO WE HAVE ACTUALLY HAVE A
SERIES OF PRESENTATIONS THAT OUR
MEMBERS ARE DOING, AND ALSO
SEVERAL EVENTS.
SOME OF YOU MAY ATTENDED THE
SPEED TALK SESSION WHERE WORK
GROUPS WERE FEATURED.
THIS INFORMATION MAY BE FAMILIAR
TO YOU.
WE ARE A NETWORK FUNDED BY CDC,
THE PHYSICAL ACTIVITY AND HEALTH
BRANCH IN THE DIVISION OF
PHYSICAL ACTIVITY AND OBESITY.
WE HAVE OVER 850 MEMBERS.
WE SUPPORT AS A NETWORK TO GROW
PROFESSIONAL CAPACITY AND
COLLABORATION AMONG MULTISECTOR
RESEARCHERS AND NONRESEARCHERS
OR PRACTITIONERS TO DO APPLIED
RESEARCH AND EVALUATION, BUILD
NEW EVIDENCE AND SUPPORT
TRANSLATION OF THAT EVIDENCE
INTO PRACTICE.
I APPRECIATE RUSS' REMARKS
EARLIER.
IT SAYS 840 AS OF MARCH 1.
WE PUSHED IT OVER THAT WITH THIS
WEEK'S CONFERENCE.
WE ARE BRINGING TOGETHER
PROFESSIONALS FROM MULTIPLE
SECTORS WHO ALL SHARE THAT
VISION OF HEALTHY COMMUNITIES.
WE ARE REALLY EXCITED ABOUT THE
RANGE OF DISCIPLINES WE HAVE
REPRESENTED AND IT CONTINUES TO
GROW.
SO YOU'VE GOT RESEARCHERS, BUT
PLANNERS, ENGINEERS, POLICY
MAKERS, MANAGERS OF RECREATION
AND GREEN SPACE, ADVOCATES AND
PUBLIC HEALTH PROFESSIONALS.
SO THE RESEARCH THAT WE ARE
FOCUSED ON IS REALLY ABOUT
EVALUATION OF PHYSICAL ACTIVITY
RELATED POLICIES OR
IMPLEMENTATION.
INCREASINGLY IMPLEMENTATION.
OUR RESEARCH IS GROUNDED IN TASK
FORCE RECOMMENDATIONS WITH A
COMBINATION OF TRANSPORTATION
AND LAND USE STRATEGIES TO
SUPPORT PHYSICAL ACTIVITY.
WE ARE AN APPLIED RESEARCH
PARTNER OF THE ACTIVE PEOPLE
HEALTHY NATION INITIATIVE WHO I
THOUGHT WAS PRECEDING US.
THAT WOULD HAVE GROUNDED IT.
I ENCOURAGE PEOPLE TO SIGN UP
FOR ACTIVE PEOPLE HEALTHY NATION
INITIATIVE, WITH THE GOAL OF 27
MILLION MORE AMERICANS
PHYSICALLY ACTIVE BY 2027.
A LOT OF OUR WORK IS DONE
THROUGH OUR SIX WORK GROUPS.
ANYONE CAN JOIN.
I SHOULD SAY, WE ARE A RESEARCH
INITIATIVE.
WE ARE NOT -- WE HAVE MEMBERS,
BUT IT IS NOT ANY KIND OF A FEE
BASE.
IT IS YOU PARTICIPATE AS MUCH AS
YOU WANT TO.
ONE OF THE OPTIONS IS TO JOIN
ONE OF OUR SIX WORK GROUPS WHICH
ARE PEOPLE WHO ARE REALLY
INTEREST GROUPS.
THERE IS AN OPPORTUNITY FOR
CO-LEARNING AND COLLABORATING ON
SMALL AND FUNDED PROJECTS,
DEVELOPING PRODUCTS AND TOOLS
FROM RESEARCH AND INFO GRAPHICS
USEFUL FOR THE PRACTITIONER
COMMUNITY.
IT IS A PRETTY UNIQUE SPACE FOR
PEOPLE FROM NOT ONLY THOSE
MULTIPLE DISCIPLINES BUT THE
RESEARCH TO PRACTICE CONTINUUM
TO COLLABORATE ON PROJECTS.
I SHOULD SAY, I'M THE CO-CHAIR
WITH ANGIE CAADDOCK.
HERE IS OUR CONTACT INFORMATION.
WE ENCOURAGE YOU TO JOIN US.
IF YOU ARE NOT A MEMBER, WE ARE
AROUND FOR THE FULL
CONVERSATION.
WE HAVE A SOCIAL TONIGHT.
WE ARE COMPETING WITH RUSS'.
OURS IS AT MATCH BOX AND I
WELCOME ANYBODY TO COME UP AND
INTERACT WITH US ABOUT PAPREN.
THANK YOU.
>> EXCELLENT.
THANK YOU SO MUCH.
WE REALLY LOVE THE ALLIANCE WITH
PAPREN.
THERE ARE LOTS OF OTHER PEOPLE
TO ACKNOWLEDGE.
THIS IS TRULY A VOLUNTEER-LED
NONPROFIT CONVENING.
AND SO WE HAVE SO MANY PEOPLE
WHO HAVE BEEN INVOLVED.
I WANT TO RECOGNIZE NIH AND THE
NATIONAL CANCER INSTITUTE FOR
GIVING US THE FACILITIES AND THE
A.V.
ALL OF THIS HAS BEEN SPONSORED
FOR US.
THAT ALLOWS US TO KEEP YOUR
REGISTRATION RATES REASONABLE.
THIS IS A NONPROFIT GATHERING.
IT IS NOT SOMEBODY OUT THERE
TRYING TO MAKE MONEY, WE ARE
TRYING TO BALANCE THE BUDGET AND
BUDGET LINES.
IN TERMS OF SPONSORSHIPS,
ANYBODY YOU KNOW WHO WOULD LIKE
TO COLLABORATE FOR THE ACTIVE
LIVIE INE ING CONFERENCE OR BUNDLING
FOR OTHER GPRED INITIATIVES, YOU
CAN TALK TO ME OR AMANDA.
WE ARE GOING TO MOVE RIGHT INTO
OUR PANEL.
I WANT TO WELCOME LORI.
IT WILL BE JUST ONE MINUTE.
WE WILL TAKE JUST A BREAK.
THANK YOU FOR COMING THIS
MORNING AND I LOOK FORWARD TO
SEEING YOU ALL DAY.
IT IS SO GREAT TO BE HERE.
I'M LAURIE WITZEL, NATIONAL VICE
PRESIDENT FOR HEART ASSOCIATION
AND SENIOR ADVISER TO THE
ACTIVITY ALLIANCE.
IT IS ABSOLUTELY GREAT TO BE IN
PERSON.
MY LAST TRIP BEFORE COVID WAS
ACTIVE LIVING AND EVERYTHING
SHUT DOWN.
WHAT A GREAT THING TO BE BACK
TOGETHER.
AND WHAT A PRIVILEGE TO MODERATE
THIS PANEL WITH SOME AMAZING
COLLEAGUES I GET AN OPPORTUNITY
TO WORK WITH VERY OFTEN.
I GET TO DO QUICK INTRODUCTIONS.
FIRST, WE ARE GOING TO BE
FOCUSED TODAY ON THE WHOLE OF
GOVERNMENT APPROACH, WHAT WE ARE
ALL DOING TOGETHER.
I WOULD SAY ALL OF GOVERNMENT
WORKING CLOSELY WITH
STAKEHOLDERS SO IT IS A CONSTANT
PARTNERSHIP ACROSS THE
PRIVATE/PUBLIC DOMAIN.
IT IS EXCITING TO HAVE THE
CHANCE TO DO THAT EVERY DAY.
WE GET A CHANCE TO TALK ABOUT
WHAT IS HAPPENING AFTER THE
WHITE HOUSE CONFERENCE, HOW
AGENCIES ARE COORDINATING, HOW
ADVOCACY ORGANIZATIONS ARE
WORKING WITH GOVERNMENT AGENCIES
AND WE HOPE THERE WILL BE LOTS
OF QUESTIONS FROM THE AUDIENCE.
WE WANT THIS TO BE A FIRESIDE
CHAT.
OUR PANELISTS ARE GOING TO DO A
SHORT PRESENTATION BEFORE
QUESTIONS AND CONFERENCES.
FIRST UP IS KATRINA PIERCY.
IF YOU HAVEN'T HAD A CHANCE TO
GET TO KNOW HER, THE DIRECTOR
FOR THE DIVISION OF PREVENTION
SCIENCE IN THE OFFICE OF DISEASE
PREVENTION AND HEALTH PROMOTION.
AS A CLINICAL EXERCISE
PHYSIOLOGIST, REGISTERED
DIETITIAN, SHE THE MASTERMIND
FROM THE GUIDELINES FOR
AMERICANS, MID COURSE REPORT,
ALL THE GREAT RESOURCES COMING
OUT OF HHS.
IT IS AMAZING TO WORK WITH
KATRINA.
KEN ROSE, THE CHIEF OF THE
PHYSICAL ACTIVITY AND HEALTH
BRANCH AT THE CDC.
LEADING ACTIVE PEOPLE, HEALTHY
NATION AND THE GREAT WORK
HAPPENING THERE.
LOOKING FORWARD TO HEAR FROM KEN
IN HIS REMARKS TODAY.
I HAVEN'T HAD A CHANCE TO WORK
WITH KEITH AS MUCH.
KEITH BENJAMIN II, ASSOCIATE
ADMINISTRATOR FOR HIGHWAY POLICY
AND EXTERNAL AFFAIRS AT THE
FEDERAL HIGHWAY ADMINISTRATION.
I AM SO EXCITED TO HEAR YOUR
REMARKS THIS MORNING, KEITH, AND
HEAR MORE ABOUT THE WAYS WE CAN
WORK TOGETHER.
KEITH IS THE ASSOCIATED
ADMINISTRATOR FOR HIGHWAY POLICY
AND EXTERNAL AFFAIRS FOR THE
FEDERAL HIGHWAY ADMINISTRATION
AT THE U.S. DEPARTMENT OF
TRANSPORTATION.
IN THIS ROLE HE ADVANCES THE
MISSION AND GOALS OF THE FEDERAL
HIGHWAY ADMINISTRATION WORKING
WITH NUMEROUS EXTERNAL
STAKEHOLDERS, MEMBERS OF
CONVERSATION, LEADING THE OFFICE
OF POLICY AND GOVERNMENTAL
AFFAIRS.
EXCITED TO HEAR KEITH'S
COMMENTS.
THE PROGRESSION IS KATARINA
PHYSICAL ACTIVITY GUIDELINES,
KEN ACTIVE PEOPLE, HEALTHY
NATION, AND KEITH WITH THE
CONNECTION WITH ACTIVE
TRANSPORTATION AND HEALTHY
LIVING.
WITHOUT FURTHER ADO, I TURN IT
TO KATRINA NEXT.
THANKS SO MUCH.
>> AWESOME.
THANK YOU, LAURA, FOR THE
INTRODUCTION.
I'M EXCITED TO KICK THINGS OFF.
WHAT I WANTED TO START YOU OFF
WITH TODAY IS A LITTLE BIT ABOUT
WHERE WE ARE WITH THE PHYSICAL
ACTIVITY GUIDELINES.
WHAT IS COMING DOWN THE PIKE AS
WELL AS THE WHITE HOUSE
CONVERSATION ON HUNGER,
NUTRITION AND HEALTH WHICH OUR
OFFICE WAS HEAVILY INVOLVED
WITH.
THE SECOND EDITION OF THE
GUIDELINES CAME OUT IN 2018, THE
AMOUNTS OF EXERCISE AMERICANS
NEED TO GET.
BROKEN DOWN BY AGE, POPULATIONS,
YOU CAN READ MORE ABOUT THESE
DIFFERENT PIECES.
THIS IS THE BIG PICTURE OF WHERE
WE HAVE THE EVIDENCE IN TERMS OF
WHAT ACTIVITIES WE NEED TO BE
DOING.
SO MANY OF YOU MAY KNOW WE DO
NOT HAVE A CONGRESSIONAL MANDATE
TO PUT THE GUIDELINES OUT ON A
REGULAR PSYCH.
DIETARY GUIDELINES HAVE A
FIVE-YEAR CYCLE MANDATED BY
CONGRESS.
IT TAKES FIVE YEARS TO DO A FULL
ROUND OF THE GUIDELINES AND FULL
SCIENTIFIC REVIEW.
A GROUP OF US CAME BACK IN 2011
AFTER THE FIRST EDITION OF THE
GUIDELINES CAME OUT IN 2008.
PEOPLE WERE ASKING ON THE
FEDERAL SIDE AND EXTERNAL
COMMUNITY, WHAT'S NEXT?
WE LOOKED AT THE STATE OF THE
SCIENCE AND REALIZED THE BEST
TIME AND EFFORT WOULDN'T BE
REVIEWING THAT SCIENCE EVERY
FIVE YEARS, BUT THE LONGER
INTERVAL, THE 10-YEAR MARK.
IN THE INTERIM THERE IS AN
OPPORTUNITY TO HIGHLIGHT AND
HONE INTO WHAT WORKS MESSAGE.
THE GUIDELINES PROVIDE THE
ACTUAL SCIENCE, 150 OR MORE FOR
ADULTS, SO WHERE WE ARE IS MID
COURSE REPORT.
IN 2013 WE FOCUSED ON YOUTH AND
STRATEGIES TO INCREASE MOVEMENT
IN THAT POPULATION.
FIVE YEARS AFTER THE OTHER
EDITION, WE ARE LOOKING AT THE
OTHER END OF THE SPECTRUM, OLDER
ADULTS.
WE PARTICULARLY CHOSE OLDER
ADULTS IF YOU LOOK AT THE RATES
OF THOSE MEETING THE GUIDELINES
FOR OLDER ADULTS THE DATA COMING
DOWN.
LESS THAN 15% OF OLDER ADULTS
ARE MEETING AEROBIC AND MUSCLE
STRENGTHENING.
WITH COVID AND SOCIAL ISOLATION.
MY OWN GRANDMOTHER'S PHYSICAL
ACTIVITY DECLINED.
THIS IS A TIME TO HONE IN ON THE
STRATEGIES AND SETTINGS AND HOW
CAN WE BE A PART OF THAT.
HOPEFULLY YOU PROVIDED COMMENTS
ON THE MID COURSE REPORT.
IT WAS JUST OUT FOR INPUT.
WE REACH EACH AND EVERY ONE OF
THOSE.
THAT IS WHAT WE WILL DO AFTER
THIS CONFERENCE IS SITTING DOWN
WITH THE FEEDBACK AND REFINING
IT.
WE WERE LOOKING TO DO THE MID
COURSE REPORT.
THE REPORT IS WRITTEN FOR POLICY
MAKERS.
PHYSICAL ACTIVITY, ALLIED HEALTH
AND GERONTOLOGISTS AND THOSE
WORKING WITH OLDER ADULTS.
WHAT WORKS AND HOW DO WE ADVANCE
THAT FURTHER.
THAT TIES IN NICELY WITH THE
REST OF THE WORK THAT COMES OUT
OF OUR OFFICE.
HOW DO WE DISSEMINATE AND
COMMUNICATE ABOUT THE
GUIDELINES.
LAURIE MENTIONS THE
COLLABORATION IN THE GOVERNMENT
AND BEYOND THAT.
OUR OPPORTUNITY IS TO PROVIDE
MESSAGES AND GUIDANCE ON HOW WE
DISSEMINATE THE GUIDELINES.
THE GUIDELINES ARE WRITTEN FOR
HEALTH CARE PROVIDERS, POLICY
MAKERS.
THEY ARE AT A TECHNICAL LEVEL
AND WE NEED TO TRANSLATE TO
ACTIONABLE STRATEGIES.
SO MOVE YOUR WAY IS OUR
COMMUNICATIONS CAMPAIGN WE
LAUNCHED WITH THE GUIDELINES IN
2018.
IT IS AKIN TO MY PLATE FOR THE
DIETARY GUIDELINES FOR
AMERICANS.
WE NEEDED SOMETHING TO GIVE
PEOPLE A VISUAL REPRESENTATION
AND BREAKING DOWN STRATEGIES.
WE KNOW WHEN WE TELL PEOPLE 150
MINUTES OR MORE EACH WEEK THEIR
EYES GLAZE OVER.
HOW DO WE BREAK THAT APART SO
THAT IS WHERE MOVE YOUR WAY
COMES.
THE IDEA IS TARGETED TO
CONTEMPLATORS.
THOSE NOT MEETING THE GUIDELINES
BUT HOPEFULLY MOVING TOWARDS
THAT.
75% OF THE AMERICAN PUBLIC DOES
NOT MEET THE AEROBIC AND
STRENGTH TRAINING.
THE GOAL WITH MOVE YOUR WAY IS
TO RAISE AWARENESS ABOUT THE
GUIDELINES, THE BENEFITS AND
INCREASE SELF-EFFICACY TO GET
STARTED.
IT MAY BE DIFFICULT TO READ AT
THE BOTTOM, BUT THE KEY PIECE IS
TO START SOMETHING.
FIVE MINUTES.
BUILDING UP.
THAT MESSAGE TO BREAK DOWN FROM
THE GUIDELINES.
THERE IS A LOT MORE INFORMATION
ABOUT MOVE YOUR WAY.
OUR OFFICE HAS A BOOTH OUTSIDE
WITH FACT SHEETS AND RESOURCES.
THERE IS A PRESENTATION RIGHT
AFTER THIS AT 10:45 IF YOU WANT
TO KNOW MORE.
THESE ARE ALL FREE INFORMATION
TO USE FROM THE FEDERAL
GOVERNMENT.
WE SPENT YEARS DOING FORMATIVE
RESEARCH AND MESSAGE TESTING TO
MAKE SURE WE COULD COME UP WITH
MATERIALIS THAT WORK FOR
DIFFERENT DEMOGRAPHIC.
80 RESOURCES IN ENGLISH AND
SPANISH, GROWING THAT.
WE JUST PUT OUT INFORMATION FOR
INDIVIDUALS PREGNANT OR POST
PARTUM.
SO THERE ARE A LOT OF DIFFERENT
MATERIALS TO BE TAILORED AND WE
ENCOURAGE EVERYONE TO USE THESE
IN THE COMMUNITIES YOU MAY WORK
WITH.
THE OTHER PIECE SHIFTING BACK TO
THE VISION WITH THE GUIDELINES
AND WHERE WE ARE GOING.
THESE TOPICS ARE THE 2018
ADVISORY TEAM LOOKED AT.
WE ARE LOOKING AT THE NEXT IN
2028.
SOME GAPS AND AREAS WE WILL BE
ABLE TO TALK MORE ABOUT.
IN 2018, WE WERE ABLE TO TALK
ABOUT BOUTS, CHANGING THAT
REQUIREMENT.
WE ADDED INFORMATION ON
SEDENTARY, THINGS LIKE CANCERS
AND OTHER AREAS WE HAVE SEEN THE
EVIDENCE BASE GROWN.
THAT IS SOMETHING THE FEDERAL
GOVERNMENT IS KEEPING AN EYE ON
AND WATCHING TO SEE WHERE THINGS
MAY EMERGE TO THINK ABOUT THE
EXPERTISE WE MAY NEED ON THE
ADVISORY COMMITTEE.
JIM SALLIS SPOKE ABOUT THIS
YESTERDAY.
ONE OF THE NEW TOPICS IS
PHYSICAL ACTIVITY AND IMMUNITY.
WE HAVE A NOW GROWING BODY OF
EVIDENCE, PHYSICAL ACTIVITY,
COVID-19 OUTCOMES.
CDC SUMMARIZED ALL OF THAT
EVIDENCE.
WE DO THE GUIDELINES ON A
10-YEAR CYCLE, WE HAVE TIME TO
LET THE EVIDENCE ACCUMULATE TO
PULL TOGETHER.
WHEN WE BRING A COMMUNITY
TOGETHER THE 2018 GROUP DID 38
QUESTIONS AND 104 SUB QUESTIONS.
SO A MASSIVE REVIEW OF THE
EVIDENCE ON PHYSICAL ACTIVITY
AND HEALTH.
WE ANTICIPATE WE WOULD BE DOING
A SIMILAR PROCESS AND LOOKING TO
SEE WHERE NEW AND EMERGING AREAS
WE WANT TO TALK ABOUT.
THE FLAVOR OF THING COMING AND
WE ARE LOOKING AT THE
PREPONDERANCE OF THE EVIDENCE SO
MAKING SURE WE HAVE ENOUGH IN
THERE TO PUT INTO THE
GUIDELINES.
SWITCHING GEARS AND INTERRELATED
TO ALL OF THIS IS I MENTIONED
OUR OFFICE IS INVOLVED WITH THE
WHITE HOUSE CONVERSATION ON
HUNGER, NUTRITION AND HEALTH.
LET ME GET A PULSE FROM THE
AUDIENCE, HOW MANY PEOPLE ARE
AWARE WITH THIS OR WATCHED THE
CONFERENCE?
OKAY.
FABULOUS.
GREAT.
ALL OF THIS CAME ABOUT, A LITTLE
HISTORY FOR YOU, FROM MEMBERS OF
CONGRESS PUTTING PRESSURE ON THE
ADMINISTRATION SAYING WE HAVEN'T
HAD A CONFERENCE IN NUTRITION IN
OVER 60 YEARS.
THERE WAS INTEREST IN BRINGING
THIS CONVERSATION TOGETHER.
PRESIDENT BIDEN SENT A VERY
BROAD GOAL TO END HUNGER AND
REDUCE CHRONIC DISEASES RELATED
TO INACTIVITY.
RACHEL FISHER, THE ACTING -- WAS
TAPPED TO LEAD THIS ON BEHALF OF
THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES.
ONE AREA WE HONED IN ON, THESE
ARE THE FIVE PILLARS THAT
CENTERED THE CONFERENCE AND THE
STRATEGY ITSELF.
PHYSICAL ACTIVITY IS A PART OF
IT.
YES, THERE WAS A BIG FOCUS ON
NUTRITION AND HUNGER.
AND I MADE EVERY EFFORT AND
EVERY OPPORTUNITY TO PUT IN THE
PHYSICAL ACTIVITY PIECE BECAUSE
THAT IS A BIG PART OF THIS AS
WELL.
WE HAVE THE EVIDENCE WITH THE
CHRONIC DISEASES.
SO THE CONFERENCE WAS A ONE DAY
EVENT.
THEY RELEASED A STRATEGY WITH
OVER 200 OPPORTUNITIES THE
FEDERAL GOVERNMENT COULD BE
DOING TO ADVANCE THIS WORK AS IT
RELATES TO THESE PILLARS.
WITH THIS THERE WAS $8 BILLION
IN COMMITMENTS NAMED THAT DAY AS
WELL FROM BUSINESSES, CIVIC
GROUPS, ACADEMIA, PHILANTHROPIC
GROUPS.
THIS IS ONGOING.
THE PRESIDENT'S BUDGET FOR 24,
THERE IS DRAFT LANGUAGE AT THIS
POINT THAT WOULD HELP SUPPORT
MANY OF THESE COMMITMENTS.
IF YOU LOOK AT THE STRATEGY IN
AND OF ITSELF, THERE ARE MANY
PEOPLES THAT RELATE TO PUTTING
THE GUIDELINES OUT ON A REGULAR
CYCLE, COMMUNICATING WITH MOVE
YOUR WAY, ACTIVE PEOPLE HEALTHY
NATION, GRANTS CDC PUTS OUT WITH
SPAN HUP REACH, ALL OF THOSE
PIECES.
THIS IS A GREAT OPPORTUNITY TO
ADVANCE OUR WORK AND TO ELEVATE
THE IMPORTANCE OF PHYSICAL
ACTIVITY IN THESE CONVERSATIONS.
THEY ARE STILL IN THE
IMPLEMENTATION PHASES.
THERE IS MORE COMING RELATED TO
THIS WORK AND MORE INTEREST IN
KIND OF GETTING COMMITMENTS AND
ENGAGING THOSE NOT ONLY ON THE
FEDERAL SIDE BUT THROUGH ALL
SECTORS TOWARDS THIS BIG BOLD
GOAL.
SO LAST FEW THINGS TO WRAP US UP
HERE.
I WANTED TO CENTER THIS BACK TO
THE CRUX OF THE CONVERSATIONS
AROUND THIS CONVERSATION.
AS WE THINK ABOUT HOW WE ARE
COMMUNICATING ABOUT PHYSICAL
ACTIVITIES, WE MAKE A CONCERTED
EFFORT ON THE FEDERAL GOVERNMENT
SIDE TO ALIGN OUR WORK, MOVE
YOUR WAY, ACTIVE PEOPLE, HEALTHY
NATION.
WE HAVE A MEMORANDUM OF
UNDERSTANDING WITH THE PHYSICAL
ACTIVITY ALLIANCE WE HAVE HAD
FOR MANY, MANY YEARS.
ONE PIECE OF THIS THAT IS
HELPFUL TO REMEMBER.
THIS IS HOW THE GENERAL PUBLIC
THINKS ABOUT PHYSICAL ACTIVITY,
IN A SPECIFIC LOCATION WITH
SPECIALIZED EQUIPMENT AND NO
PAIN, NO GAIN MENTALITY.
THIS IS HOW YOU MEET THE
GUIDELINES.
WHICH IS WONDERFUL.
WE MAY BE AN ANOMALY.
THIS IS HOW THE PUBLIC SEES IT.
FROM OUR WORK WITH MOVE YOUR
WAY, THE FRAMEWORKS INSTITUTE
WORK WE KNOW THIS CAN MAKE IT
VERY INTIMIDATING AND IT CAN --
FEEDING THESE MESSAGES CAN MAKE
IT DIFFICULT FOR PEOPLE TO GET
STARTED.
SO I WANT TO REMIND US ALL WE
ARE TALKING ABOUT THE IMPORTANCE
OF PHYSICAL ACTIVITIES, I
HAVEN'T USED THE TERM EXERCISE.
WE ARE TALKING ABOUT ACTIVITIES
THAT ARE MORE ACCESSIBLE,
ACTIVITIES THAT INDIVIDUALS MAY
ALREADY BE DOING OR PART OF
THEIR DAILY LIFE.
DOING CHORES, TAKING THE DOG FOR
A WALK.
OPPORTUNITIES TO FIND THOSE AND
MOVE YOUR WAY.
SOME OPPORTUNITIES TO GET
STARTED BECAUSE SOMETHING IS
ALWAYS BETTER THAN NOTHING.
WITH THAT I WILL HAND IT TO KEN
AND LOOK FORWARD TO ANSWERING
QUESTIONS IN THE DISCUSSION
AFTERWARDS.
[ APPLAUSE ]
>> SO WE ARE GOING TO TRY
SOMETHING NEW HERE.
THIS IS MY FIRST SPEECH AFTER
THE PANDEMIC.
SO BEAR WITH ME FOR A SECOND.
I HAVE ANY NOTES ON MY LAPTOP.
IT IS A GOVERNMENT LAPTOP AND IT
ALWAYS TAKES ABOUT TWO MINUTES
TO BOOT UP.
SO GREAT.
FIRST OF ALL, I JUST WANT TO SAY
THANK YOU TO EACH AND EVERY
PERSON HERE FOR COMING TO THIS
MEETING.
FOR THE WORK THAT YOU DO IN THE
FIELD TO PROMOTE PHYSICAL
ACTIVITY AND IN A LOT OF WAYS
WHEN I WAS THINKING ABOUT
PUTTING TOGETHER THIS TALK, I
THOUGHT ABOUT THIS AS HOME WEEK.
THE FIRST THING I JUST WANT TO
SAY TODAY IS I WANT TO HIGHLIGHT
THE FACT THAT THIS IS THREE
YEARS.
THREE YEARS AGO THIS WEEK WE --
THE PANDEMIC STARTED.
AND I JUST WANT TO STOP AND
ACKNOWLEDGE, MY SLIDES RIGHT NOW
WOULD SHOW YOU A PHOTO OF A FOUR
LANE ARTERIAL IN FRONT OF THE
CDC MAIN CAMPUS THAT WAS
COMPLETELY EMPTY.
IT WAS A PHOTO ON MY WALK IN TO
THE EMERGENCY OPERATIONS CENTER.
AND I JUST WANT TO SAY FOR ME AT
LEAST I STOOD IN THE MIDDLE OF
THAT FOUR LANE ARTERIAL AND TOOK
A PICTURE.
EVERY YEAR WHEN THE SPRING BUDS
COME OUT, MY MEMORY OF THE
PANDEMIC.
OUR WORLD CHANGED THAT DAY.
OVER THE FOLLOWING YEARS
THOUSANDS OF CDC EMPLOYEES LEFT
THEIR DAY JOBS TO DEPLOY TO TASK
FORCES TO WORK AROUND THE CLOCK
TO DO THINGS, WORK ON
EPIDEMIOLOGY, WORK ON QUARANTINE
ORDERS AND WORK ON COMMUNITY
AT-RISK SETTINGS.
JUST A YEAR AFTER THE PHOTO YOU
WOULD BE LOOKING AT RIGHT NOW
WAS TAKEN, WE HAD DEPLOYED
VACCINE INTO THE FIELD AND A
LARGE PORTION OF THE POPULATION
HAD THEIR FIRST DOSE.
I WANT TO NOTE THAT.
THAT DEPLOYMENT INCLUDED PEOPLE
IN THIS ROOM, FROM OUR PHYSICAL
ACTIVITY AND HEALTH BRANCH.
AT ONE TIME ROUGHLY ABOUT 50% OF
SOME OF THE FOLKS IN THIS ROOM
HELPED WORK ON THAT RESPONSE.
BUT AT THE SAME TIME, WE KEPT
DOING THE WORK.
WE CONTINUED THE IMPORTANT WORK
THROUGH ACTIVE PEOPLE, HEALTHY
NATION.
WE HAVE BEEN ON THAT JOURNEY
TOGETHER, THOSE OF US ON THAT
PANEL, THOSE OF US IN THIS ROOM.
WE DID NOT STOP DOING THE WORK
EVEN THOUGH MANY OF US HAD OTHER
JOBS AT THE TIME.
SO I WANT TO QUICKLY SAY THANK
YOU FOR THE AMAZING WORK YOU DID
TO PUSH THIS WORK FORWARD AND
TODAY WHAT I'M GOING TO TALK
ABOUT IS WHAT WE'VE DONE OVER
THE LAST THREE YEARS TO PUSH
THIS WORK.
I'M GOING TO TALK ABOUT THE WORK
WE HAVE DONE TO CREATE A
NATIONAL MOVEMENT TO GET 27
MILLION MORE PEOPLE PHYSICAL
ACTIVITY BY 2027.
I WANT TO TALK ABOUT THE WORK WE
HAVE DONE TO ADDRESS BARRIERS
ASSOCIATED WITH HEALTH EQUITY
AND BLACK AND BROWN COMMUNITIES.
I'M GOING TO QUICKLY TALK ABOUT
SOME OF THE SCIENCE WE PRODUCED.
YOU DO HAVE A CRUTCH.
YOU DO HAVE YOUR APP.
IF YOU LOOK IN YOUR APP, THERE
IS A SPEAKER NOTES SECTION.
SO IF YOU WANT TO SEE ANY MORE
INFORMATION ABOUT ANY OF THESE
THINGS, IT IS THIS YOUR APP.
IF YOU ARE TIRED OF LISTENING TO
ME, PICK UP YOUR PHONE AND LOOK
AT APP.
I WANT TO START AND SAY THANKS
TO DAVID BERRIGAN AND MY
COLLEAGUES AT NIH FOR THE
ORGANIZATION OF THIS MEETING.
IT WAS NO SMALL EFFORT.
I KNOW MY COLLEAGUES AT NIH
WORKED VERY HARD TO MAKE THIS
WORK.
SO THANK YOU.
I WANT TO ACKNOWLEDGE MY FEDERAL
PARTNERS FROM USDOT.
I KNOW THERE ARE FEDERAL
PARTNERS FROM NATIONAL PARK
SERVICE.
WE HAVE BEEN WORKING ON A
VARIETY OF PROJECTS TOGETHER,
FINALIZING AN MOU WITH THE
NATIONAL PARK SERVICE AND WE
HAVE RECENTLY ISSUED SUPPORT FOR
THE NATIONAL ROADWAY SAFETY
STRATEGY AS AN ALLY IN ACTION.
WE HAVE AN OFFICIALLY CLEARED
CDC STATEMENT THAT DECLARES THAT
SUPPORT AND WE HAVE ENGAGED IN A
RANGE OF ACTIVITIES OVER THE
LAST TWO YEARS.
OH.
AWESOME.
PERFECT.
THERE YOU TWO.
THERE IS THE PHOTO.
AND LET'S SEE IF THIS WILL WORK.
THERE IS MY OUTLINE.
THERE ARE THE LOGOS I JUST
TALKED ABOUT AND THERE IS IS THE
STATEMENT.
I JUST PREFACED IT AND NOW YOU
CAN SEE IT IN FAST MOTION.
SO I ALSO WANT TO NOTE THAT WE
HAVE BEEN WORKING IN VERY CLOSE
PARTNERSHIP WITH A RANGE OF
NATIONAL PARTNERS TO MAKE THIS
WORK A REALITY.
YOU CAN SEE MANY OF THEM HERE, I
WON'T GO INTO THEM IN DETAIL
BECAUSE I DON'T HAVE THE TIME AT
THIS POINT, BUT I WANT TO
RECOGNIZE ALL OF THE WORK GROUP
CHAIRS FOR THEIR HARD WORK.
I WANT TO THANK STEPHANIE, JAMIE
AND KAREN FOR MOVING THIS WORK
FORWARD OVER THE LAST TWO TO
THREE YEARS AS I HAVE BEEN
INVOLVED.
AND WE ARE MAKING A DIFFERENCE.
JAMIE WILL TELL YOU HOW MANY NEW
MEMBERS WE HAVE IN THE PAPREN
NETWORK NOW.
I'M NOT GOING TO GET THIS NUMBER
EXACTLY CORRECT AND SHE WILL
TELL ME LATER WHAT IT ACTUALLY
IS.
WE ARE ROUGHLY CLOSE TO 800 NEW
MEMBERS FROM A NUMBER WE STARTED
AROUND 200 OR 250.
SO HUGE PROGRESS AND AS A RESULT
OF A LOT OF WORK IN THIS ROOM.
[ APPLAUSE ]
THANK YOU, PAPREN.
ALL RIGHT.
NOW YOU ARE GOING TO GET A RAPID
SET OF SLIDES TO GIVE YOU A
SENSE OF THE WORK THAT HAS BEEN
ACCOMPLISHED IN THE LAST THREE
YEARS, SINCE THE PANDEMIC
STARTED.
FIRST I WANT TO HIGHLIGHT THE
GREAT WORK OF THE PHYSICAL
ACTIVITY ALLIANCE.
WE WERE ABLE AT CDC TO PUT
TOGETHER AND CLEAR AN OFFICIAL
LETTER OF SUPPORT FOR THIS
EFFORT TO CREATE PHYSICAL
ACTIVITY AS A VITAL SIGN.
WE HAVE UPDATED LANGUAGE ON OUR
WEBSITE.
AS MANY OF YOU PROBABLY ALREADY
KNOW, WE HAVE THREE NOFOS, SPAN
HOP AND REACH.
WE UPDATED OUR INTERVENTION
LANGUAGE TO ADDRESS INCREASING
PHYSICAL ACTIVITY THROUGH
COMMUNITY DESIGN, TO ACKNOWLEDGE
THE UPDATES IN SCIENCE THROUGH
THE COMMUNITY GUIDE.
I ENCOURAGE YOU TO VISIT THIS
WEBSITE.
THERE IS A LOT OF NEW
INFORMATION.
WE WILL BE DROPPING FAIRLY SOON
INFORMATION SPECIFIC TO PARKS.
SO JUST A NOTE WE ARE COVERING
ABOUT 11 MILLION PEOPLE.
HOPEFULLY NEXT YEAR, MANY OF YOU
HAVE A PROCLAMATION IN YOUR OWN
COMMUNITY.
.
THIS IS QUALITATIVE RESEARCH
THAT IDENTIFIED BARRIERS OF
PHYSICAL ACTIVITY ASSOCIATED
WITH VIGILANCE, GENTRIFICATION,
SAFETY, AND DISPLACEMENT AS WELL
AS TRAFFIC SAFETY AS YOU MIGHT
IMAGINE.
I ALSO WANT TO HIGHLIGHT THE
FOLKS THAT FOLKS IN PAPREN DID
TO PUBLISH THIS REVIEW OF
ANTI-DISPLACEMENT STRATEGIES.
MANY OF YOU WHO WORK IN THIS
FIELD WOULD HAVE HEARD AND KNOW
THE WIDESPREAD PERCEPTION OF THE
FACT OUR INTERVENTION OF
INCREASING PHYSICAL ACTIVITY
DRIVES GENTRIFICATION AND
DISPLACEMENT.
THIS IS THE FIRST STEP OF
SCOPING REVIEW TO IDENTIFY
MITIGATION STRATEGIES.
IF YOU CAME IN EARLIER, YOU WILL
HAVE SEEN THIS.
WE WORKED IN PARTNER SHIP WITH
ENCORE TO PRODUCE ECONOMIC BEB
FITS THROUGH INCREASING PHYSICAL
ACTIVITY THROUGH COMMUNITY
DESIGN.
WE HEARD A LOT THROUGH THE FIELD
AND REALLY IS IMPORTANT IN
ECONOMICALLY DISTRESSED
COMMUNITIES.
NOW I'M GOING TO TALK A LITTLE
ABOUT THE SCIENCE THAT HAS BEEN
PRODUCED OVER THE LAST THREE
YEARS.
DR. WEBBER, WHO SAY TENDING
TODAY, I THINK, I SAW HIM
RUNNING DOWN THE STAIRS AND HE
WAS IMPRESSED WITH THE SPEED
WITH WHICH I WAS DESCENDING.
SO I KNOW HE IS HERE.
HE WAS ON A RUN WITH DR. PIERCY
AT ACSM LAST YEAR AND THEY
CONCEIVED OF THIS ARTICLE THAT
IS REPORTED HERE.
WHAT BETTER WAY TO DO RESEARCH?
PRACTICING WHAT WE PREACH.
SO THIS ANALYSIS SHOWS -- ADDS
TO THE LITERATURE WHEN IT COMES
TO OLDER ADULTS AND IS -- OH,
SORRY.
THIS LITERATURE ADDS TO OLDER
ADULTS IN STRENGTHENING AND
AEROBIC BASED PHYSICAL ACTIVITY.
IT IS IMPORTANT RESEARCH COMING
OUT WITH THE MID COURSE REVIEW
LATER THIS SPRING.
I WANT TO HIGHLIGHT THE TWO OF
THEM FOR THIS AMAZING -- THEY
PUT IT TOGETHER IN LIKE ROCKET
TIME.
THIS IS ANOTHER ARTICLE THAT WAS
PUT OUT SHOWING ADDING PHYSICAL
READINESS TO THE CONCEPT OF BMI.
I WON'T GO INTO DETAIL, 2 IN 5
YOUNG AMERICANS ARE WEIGHT
ELIGIBLE AND PHYSICALLY PREPARED
FOR BASIC TRAINING.
HERE I WANT TO HIGHLIGHT -- SO
DR. SALLIS MENTIONED THE
FRUSTRATIONS YESTERDAY AROUND
THE INACTIVITY IN COVID
FINDINGS.
BUT THANKS TO HIS LEADERSHIP, ON
THAT GROUNDBREAKING STUDY, WE
WERE ABLE TO CONDUCT THAT
SYSTEMATIC REVIEW.
IT ALLOWED US TO HELP PUSH THAT
ISSUE WITH THE RESPONSE AND WORK
WITH THEM TO SUPPORT THAT
REVIEW.
AND WE DIDN'T GET A PRESS
RELEASE, BUT WHAT WE DID GET IS
A PFIZER COMMERCIAL HIGHLIGHTING
PHYSICAL INACTIVITY THAT AIRED
IN THE GRAMMYS AND THE SUPER
BOWL.
THANK YOU DR. SALLIS.
MICHAEL PHELPS WITH PHYSICAL
INACTIVITY.
SO THANK YOU.
[ APPLAUSE ]
SO THIS JUST SHOWS SOME WORK ON
THE DATA MODERNIZATION FRONT.
I WON'T GO INTO DETAIL.
WE ARE LOOKING AT WAYS TO LOOK
AT MACHINE LEARNING METHODS TO
BETTER UNDERSTAND HOW PEOPLE
MOVE, WHERE THE ENVIRONMENTAL
SUPPORTS ARE AND WHAT THE POLICY
SUPPORTS ARE.
FINALLY, RESEARCH-WISE, MANY OF
YOU MAY BE AWARE OF THIS, BUT WE
WORKED WITH THE NATIONAL
RECREATIONAL PARKS ASSOCIATION
TO PUT OUT A TRANSLATION ON
PARKS, TRAILS AND GREENWAYS.
I HOPE YOU WILL CHECK THAT OUT.
THERE IS MORE INFORMATION ON OUR
WEBSITE COMING SOON.
IT WILL IMPACT OUR WORK IN THE
NEXT FIVE-YEAR CYCLE.
WITH THAT, THAT IS ALMOST DONE.
SCAN THIS, JOIN ACTIVE PEOPLE.
THIS IS THE LANGUAGE THAT
KATARINA REFERENCED.
FOR ME THIS IS A WATERSHED
MOMENT, HAVING PHYSICAL ACTIVITY
AND ACTIVE PEOPLE RECOGNIZED IN
THE PRESIDENT US BUDGET IS A
HUGE CHANGE, A SEA CHANGE FOR
ME.
THAT IS THE ACTUAL LANGUAGE.
IT IS IN THE BUDGET.
YOU ALL KNOW HOW TO BUDGET
PROCESS WORKS.
I'M NOT GOING TO SAY ANYTHING
MORE FROM THERE.
AND THAT IS MY CONTACT AND I
REALLY APPRECIATE YOUR PATIENCE
WITH MY SLIDES.
SO THANKS SO MUCH.
[ APPLAUSE ]
IT IS WONDERFUL TO BE HERE.
JUST WANT TO START BY THANKING
YOU FOR THE OPPORTUNITY TO MEET
WITH ALL OF YOU TODAY.
AS SOME OF YOU KNOW ACTIVE
TRANSPORTATION AND COMMUNITY
CONNECTIONS IS EXTREMELY
IMPORTANT TO ME AND THROUGHOUT
MY CAREER I HAVE TRIED TO
CHAMPION THOSE GOALS AND SO
DEFINITELY FEEL LIKE I'M IN THE
ROOM OF FAMILY.
TODAY AS ASSOCIATED
ADMINISTRATOR FOR HIGHWAY POLICY
AND EXTERNAL AFFAIRS AT THE
FEDERAL HIGHWAY ADMINISTRATION
IT IS BEYOND EXCITING TO BE A
PART OF FEDERAL HIGHWAY AND THAT
TEAM AND BEING ABLE TO SERVE ON
BEHALF OF THE PRESIDENT AND OUR
SECRETARY, PETE BUT TURKS --
BUTTIGIEG.
EQUITY, SAFETY, CLIMATE CHANGE
AT THE FOREFRONT.
THESE PRIORITIES DOVE TAIL WHY
WE ARE ALL HERE TODAY AND WHY IT
IS SO IMPORTANT WE CONTINUE THIS
WORK.
EARLY IN MY CAREER I WAS GIVEN
THE PRIVILEGE OF HELPING LEAD
THE ACTIVE TRANSPORTATION
HEALTHY KIDS CAMPAIGN EFFORT
WITH SAFE ROUTES TO SCHOOL
NATIONAL PARTNERSHIP AND WE JUST
HAD A MOMENT TO TALK ABOUT THE
LIFE AND LEGACY OF DEB O. SMITH
AND WHAT LEGACY SHE WAS ABLE TO
BRING TO THE TABLE.
ABLE TO BE WITH YOU ALL.
WITH ACTIVE LIVING RESEARCH
CONFERENCE ITSELF, EIGHT YEARS
AGO, I GOT A CHANCE TO GO TO
THAT IN INDIANAPOLIS COLE KEITH
WAS THE CONFERENCE CHAIR.
IN 2019 THE DEPARTMENT OF
TRANSPORTATION IN CHARLESTON,
SOUTH CAROLINA TO BE A PART OF
THAT HOST COMMITTEE AND BRING
THE CONFERENCE THERE, TOO.
REALLY, REALLY APPRECIATE THE
WORK OF ALL OF YOU IN THE ROOM
IN WHICH YOU BRING TO THE TABLE
ON A REGULAR BASIS.
WHEN WE GOT THE PHONE CALL THIS
WAS HAPPENING AND I COULD TAKE A
QUICK REDLINE TRIP UP HERE, I
HAD NO EXCUSE BUT TO MAKE SURE I
HAD MYSELF IN THE PLACE.
I'M VERY PASSIONATE AND BELIEVE
IN THE WORK THAT YOU ALL DO.
AND NOW IN 2023 IT IS EVEN MORE
EXCITING BECAUSE OF ALL THE
STUDIES, ALL THE RESEARCH, ALL
THE POLICIES WE HAVE BEEN
WORKING ON BECOMES A REALITY IN
THE BIPARTISAN INFRASTRUCTURE
LAW.
THE KEY HERE IS ABOUT ITS
IMPLEMENTATION.
ONE OF THE THINGS THAT SECRETARY
PETE BUTTIGIEG IS FOCUSED ON OUR
DEPARTMENT HOW WE DELIVER THE
MAXIMUM AMOUNT OF VALANCIUNAS IN
ENABLING ECONOMIC GROWTH,
PROTECTING PEOPLE AGAINST
CLIMATE CHANGE, DELIVERING A
MORE EQUITABLE TRANSPORTATION
SYSTEM AND EMBRACING INNOVATIVE
TECHNOLOGIES FOR ALL.
WE FULLY ACKNOWLEDGE WE IN
WASHINGTON DON'T HAVE ALL THE
ANSWERS AND SOME OF THE BEST
PARTNERSHIPS, TECHNICAL
ASSISTANCE PRACTICES AND PUBLIC
ENGAGEMENT STRATEGIES ARE GOING
TO COME FROM LOCAL GOVERNMENT,
COMMUNITY ADVOCACY AND GROUPS
LIKE THOSE OF YOU REPRESENTED IN
THIS ROOM.
THE DO Ts STRATEGIC PLAN FOR 22
TO 26 IS VERY SPECIFIC WHEN IT
COMES TO ACTIVE TRANSPORTATION.
ONE PERFORMANCE INDICATOR CALLS
FOR INCREASING THE PERCENTAGE OF
PERSONS, TRIPS BY TRANSIT IN
ACTIVE TRANSPORTATION MODES BY
50%.
THOSE WHO DEALT WITH THE FEDS WE
ARE OBLIGATED TO REPORT ON A
YEARLY BASIS.
THE BIPARTISAN INFRASTRUCTURE
LAW OR BILL IS THIS ONCE IN A
GENERATION OPPORTUNITY TO MATCH
THE RESOURCES WITH PRIORITIES.
THE BILL INCLUDES IMPORTANT
CHANGES FROM OUR FORMULA
PROGRAMS AND THE ELIGIBILITIES
THAT WILL ADVANCE INVESTMENT IN
ACTIVE TRANSPORTATION AND
ENHANCES SAFETY AND
ACCESSIBILITY TO ALL.
IT PROVIDES ADDITIONAL
CLARIFICATIONS ON ELIGIBILITIES
FOR FUNDING PROJECTS UNDER THE
HIGHWAY SAFETY IMPROVEMENT
PROGRAM SUCH AS ELIGIBLE FOR
TRAFFIC CONTROL DEVICES.
AND ROADWAY IMPROVEMENTS THAT
SEPARATE MOTOR VEHICLES FROM
BIKES AND PEDS.
THEY CAN IMPROVE SAFETY AND
ENHANCE THE FEELING OF SECURITY
FOR THOSE USERS OF THOSE
FACILITIES FURTHER SUPPORTING
ACTIVE TRANSPORTATION.
IN ADDITION, BILL INCLUDES OVER
$40 BILLION IN DEDICATED BRIDGE
FUNDING.
EVEN THOUGH THAT IS MAJOR PIECES
OF INFRASTRUCTURE, ONE OF THE
BIGGEST ASPECTS IS WITHIN THE
FORMULA PROGRAM FOR EVERY STATE
AT LEAST 15% OF THEIR
APPORTIONED MONEY HAS TO GO TO
ALL SYSTEM BRIDGES.
THAT MEANS BRIDGES THAT MIGHT BE
OWNED BY A CITY OR COUNTY.
IN ADDITION TO THAT, SPECIFIC
LANGUAGE IN THERE THAT
STIPULATES IF THERE ARE
CONNECTIONS AT EITHER SIDE OF
THAT BRIDGE, ACCOMMODATIONS FOR
BIKES AND PEDS HAVE TO BE PART
OF THOSE FUNDS.
THE BILL PROVIDES $1 BILLION FOR
A PROGRAM OVER THE NEXT FIVE
YEARS SAFE STREETS AND ROADS FOR
ALL PROGRAM.
WE JUST DID AN ANNOUNCEMENT.
OVER 473 GRANTS WENT OUT.
ACTION PLANNING TO SEE HOW OUR
COMMUNITY CHANGE AND 37
IMPLEMENTATION GRANTS IN OUR
HOPES THAT THESE SMALL IMPACT
OPPORTUNITIES CAN SHOWCASE
THEMSELVES AT THE LOCAL LEVEL.
THE INTERESTING THING ABOUT THAT
PROGRAM IS STATES DON'T QUALIFY
FOR DISCRETIONARY.
IT IS INTENTIONAL THAT LOCAL
CITIES, TRIBES, COUNTIES, MPOs
ACCESS TO ACTUALIZE WHAT THEY
WANT TO SEE IN THEIR COMMUNITY.
THROUGH COMPLETE STREETS
INITIATIVE, FEDERAL HIGHWAYS IS
SUPPORTING ADOPTIONS OF THOSE
ENTITIES.
WE RECENTLY SENT A REPORT TO
CONGRESS SPECIFICALLY ABOUT
COMPLETE STREETS.
WE MOVED FORWARD WITH ALLOWING A
CERTAIN SECTION OF FEDERAL
HIGHWAY PLANS AS WELL AS WITH
PLANNING FOR LOCAL COMMUNITIES
TO NOT HAVE TO BRING A MATCH TO
THE TABLE TO DO CERTAIN SETS OF
ACTIVITIES.
WE RECENTLY ANNOUNCED THE
RECONNECTING COMMUNITIES
PROGRAM.
THOSE NOT FAMILIAR WITH THAT, $1
BILLION OVER THE NEXT FIVE YEARS
SPECIFICALLY TO ADDRESS
INEQUITIES OF HOW COMMUNITIES
HAVE BEEN BIFURCATED BY
INFRASTRUCTURE AND WHAT THAT
LOOKS LIKE ON PLANNING AND
IMPLEMENTATION SIDE.
ON FEBRUARY 28, WE ANNOUNCED
PLANNING AND IMPLEMENTATION OF
45 PROJECTS IN THAT REGARD.
SO EXCITED ABOUT THAT WORK AS
WELL.
SO ONE OF THE THINGS THAT I
THINK IS EXTREMELY IMPORTANT FOR
US TO RAISE ALSO IS NOT JUST
WHAT WE ARE DOING IN ACTIVE
TRANSPORTATION, WHAT WE ARE
DOING IN TRYING TO CONNECT
COMMUNITIES, BUT ALSO HOW WE ARE
FOCUSED IN ON CLIMATE CHANGE AND
THAT SPECIFIC WORK.
ESPECIALLY FOR THE COMMUNITIES
THAT ARE DISPROPORTIONATELY
AFFECTED.
LATE LAST YEAR IN THE FALL WE
RELEASED THE FORMULA FUNDS FOR A
PROGRAM CALLED PROTECT AND
PROMOTING OPERATIONS FOR COST
SAVINGS TRANSPORTATION.
SIGNIFICANT DOLLARS SPECIFICALLY
TO ADDRESS NOT JUST CLIMB
RESILIENCY, BUT HOW WE ARE USING
THE PUBLIC RIGHT-OF-WAY TO BE
ACCEPTABLE TO NOT JUST WHAT
PHYSICAL INFRASTRUCTURE IS
THERE, BUT GREEN INFRASTRUCTURE
IS INTRODUCED TO DIRECTLY
ADDRESS HOW WE CREATE BETTER
FACTORS FOR VULNERABLE
ASSESSMENTS OF PROPERTIES AND
EVACUATIONS AND ALL THOSE
THINGS.
THAT CAME FROM A CITY THAT HAD
80 DAYS OF SUNNY DAY FLOODS.
HOW ARE WE ADDRESSING THOSE.
BEYOND THE FORMULA FUNDING
HOPEFULLY IN THE COMING MONTHS
WE WILL INTRODUCE THE
DISCRETIONARY PART OF THAT
PROGRAM SO LOCAL COMMUNITIES CAN
PARTICIPATE IN THOSE, TOO.
I'LL SAVE SOME OF MY COMMENTS
FOR WHEN WE SIT DOWN, BUT ONE OF
THE BIGGEST THINGS I DO WANT TO
EMPHASIZE.
THIS IS NOT YOUR NORMAL
RE-AUTHORIZATION.
WHAT I MEAN BY THAT IS USUALLY
THERE IS THIS STATES, MAKE YOUR
CONNECTIONS.
THIS IS A WIDE OPEN INVITATION
FOR ADVOCACY, AND OTHERWISE TO
COME TO THE TABLE TO SAY WE HAVE
BEEN LOOKING TO MAKE SOME CHANGE
IN OUR COMMUNITIES AND WE WANT
TO PARTICIPATE.
IN IMPLEMENTATION AND THE
PLANNING SIDE, CAPITAL
INVESTMENT SIDE AND THE
AVAILABILITY OF TECHNICAL
ASSISTANCE TO EMPOWER THESE
COMMUNITIES TO PARTICIPATE.
WE ARE ADAMANT AT THE DEPARTMENT
TO MAKE SURE WE HAVE SUCCESS IN
THIS REGARD.
WE HOPE THIS SETS A LEVEL OF
PRECEDENCE OF WHAT WE ARE ABLE
TO DO IN THE BIPARTISAN
INFRASTRUCTURE LAW, BUT IN A
COUPLE OF YEARS WE WILL BE
NEGOTIATING THE NEXT
RE-AUTHORIZATION AND WE WON'T
JUST SHOW A PIPELINE OF
PROJECTS, BUT SHOWING THAT LOCAL
COMMUNITIES CAN STEP UP AND BE A
PART OF BUILDING THE COMMUNITIES
WE WANT TO SEE THAT ARE
EQUITABLE FOR ALL.
THANK YOU ALL FOR THE FEW
MOMENTS.
[ APPLAUSE ]
>> WELL, FANTASTIC
PRESENTATIONS.
THAT WAS INCREDIBLE.
TO KIND OF SEE ALL THE AMAZING
WORK THAT IS HAPPENING ACROSS
GOVERNMENT AGENCIES.
I'M HOPING WE HAVE MORE OF A
FIRESIDE CHAT RIGHT NOW.
I CAN START WITH A QUESTION FOR
EACH OF OUR PANELISTS.
WE WOULD LOVE THE AUDIENCE TO
COME FORWARD AND HOPEFULLY THERE
ARE LOTS OF QUESTIONS OUT THERE.
I GUESS I WILL START WITH YOU
KATRINA, SINCE IT'S -- I GUESS
ONE OF THE QUESTIONS I WANT TO
ASK YOU ABOUT IS CAN YOU TALK
ABOUT THE QUALITY AND BREADTH OF
EVIDENCE REQUIRED TO GET THE
ATTENTION OF THE PHYSICAL
ACTIVITY GUIDELINES PROCESS AS
WE START TO THINK ABOUT THE
FUTURE?
>> YES.
ABSOLUTELY.
IT IS A RIGOROUS SCIENTIFIC
PROCESS.
IF ANYBODY LOOKED AT THE
ADVISORY REPORTS.
THE COMMITTEE SUMMARIZES ALL OF
THE SCIENCE AND GRADE THE
EVIDENCE.
SO WE TRY TO DO SOME OF THIS
WORK AHEAD OF TIME AS PART OF
THE FEDERAL TEAM TO IDENTIFY
WHERE THE TOPIC AREAS, WHERE THE
EVIDENCE MIGHT BE ENOUGH TO GO
DOWN THAT PATH TO DO A FULL
EVIDENCE REVIEW.
AND SO IDEALLY, WE ARE TRYING
NOT TO DO A FULL SYSTEMIC REVIEW
AND COME BACK WITH NO EVIDENCE.
SO THERE IS WORK AHEAD OF TIME.
WHAT ENDS UP IN THE GUIDELINES,
THE 38, 104 SUB QUESTIONS GET
GRADED WITH CONCLUSION
STATEMENTS.
IS GRADING RUBRIC AND THE
COMMITTEE DEBATES EVERYONE CAN
USE THIS STANDARD SETUP.
IT IS ADAPTED USUALLY FROM
PREVIOUS WORK SIMILAR.
WE TAKE THE PREVIOUS ADVISORY
COMMITTEE, THE DIETARY
GUIDELINES THEY HAVE USED AND
GRADE THE EVIDENCE.
SO THE AREAS THAT ARE STRONG OR
MODERATE IS WHAT WE ARE LOOKING
AT WHAT GETS POOLED INTO THE
PHYSICAL ACTIVITY GUIDELINES.
WE MIGHT POINT TO SOME OF THE
OTHERS OR LOOK TO THEM FOR
RESEARCH NEEDS.
THAT IS ANOTHER WHOLE SECTION
THAT IS IN THE ADVISORY
COMMITTEE REPORT.
I TELL PEOPLE WHO ARE WRITING
GRANTS THEY NEED JUSTIFICATION
FOR SOME OF THESE TOPICS, THE
ADVISORY COMMITTEE MAY HAVE
POINTED TO THEM, WE WANT TO TALK
MORE ABOUT THIS BUT THERE IS A
GAP IN THE EVIDENCE AND WE NEED
TO LOOK AT THAT FURTHER.
WE TRY TO TAKE IT THERE IS
SUFFICIENT EVIDENCE TO MAKE A
STATEMENT OF PHYSICAL ACTIVITY
REDUCES THE RISK OF THESE
CANCERS OR CARDIOVASCULAR
DISEASE OR SOMETHING LIKE THAT.
THE BENEFIT OF THIS 10-YEAR
CYCLE IS YOU CAN WATCH SOME OF
THE EVIDENCE EVOLVE AND GROW AND
BE AT THE POINT WHERE WE CAN
MAKE MORE DEFINITIVE STATEMENTS
ON THINGS.
IF YOU START COMPARING
GUIDELINES TO GUIDELINES WHERE
WE HAVE CHANGED THE LANGUAGE OR
BE MORE STRONG AND SOME MORE
SETTLES.
BILL KRAUSE ON THE COMMITTEE
LAST TIME, THE CARDIOVASCULAR
DISEASE SECTION SAID THIS
EVIDENCE IS STRONG.
IT IS NOT CHANGING.
THERE IS SO MUCH EVIDENCE IN
THIS A AREA.
HOW DO WE PUT EFFORT AND
RESOURCES IN OTHER AREAS TO LOOK
AT THOSE FURTHER.
>> SO AS WE THINK ABOUT
TRANSLATING THE GUIDELINES, KEN,
AND IN THE BEST IDEAL WORLD
WHERE THE PRESIDENT'S BUDGET
BECOMES REALITY AND THAT IS, AS
WE ALL KNOW -- BUT, NO,
SERIOUSLY, BECAUSE WE ARE ALL
COMMITTED TO THAT 50-STATE
STRATEGY ON SPAN FUNDING AND SO
FORTH.
IF WE WERE TO ACHIEVE THAT, HOW
WOULD THAT -- CAN YOU TALK ABOUT
THE DETAILS ON HOW CDC WOULD USE
THAT FUNDING TO TRANSFORM HEALTH
AND PHYSICAL ACTIVITY AND ACTIVE
LIVING IN COMMUNITIES?
>> WELL, SO, THAT FUNDING IS
IMPORTANT FOR KRECREASE PHYSICAL
ACTIVITY THROUGH COMMUNITY
DE-STEIN.
THAT IS OUR STRATEGY OVER THE
LAST FY -- FIVE YEARS OF
FUNDING 15 STATES.
WE HAVE REACHED ROUGHLY
IRONICALLY ENOUGH, 27 MILLION.
THE POTENTIAL OF REACHING 27
MILLION PEOPLE, WITH PLANS AND
POLICIES.
SO THAT MEANS YOU HAVE PLANS AND
POLICIES ON THE BOOKS.
WE ALL KNOW THAT PLANS AND
POLICIES DON'T CREATE PHYSICAL
ACTIVITY INFRASTRUCTURE.
BUT WE THINK THAT BEING ABLE TO
GO TO 50 STATES, YOU KNOW,
MULTIPLY THAT, YOU KNOW, BY TWO
AND, YOU KNOW, YOU THINK WE
WOULD GET PLANS AND POLICIES
MUCH MORE BROADLY DISSEMINATED.
THAT IS THE FIRST STEP.
WE HAVE TO GET PLANS AND
POLICIES ACROSS THE NATION.
THE SECOND STEP IS LOOKING AT
REALLY IMPORTANT INNOVATIVE WAYS
IN WHICH WE CAN PUSH DOLLARS TO
QUALITY PROJECTS.
WE HAVE BEEN WORKING CLOSELY
WITH FHWA AND OUR NATIONAL
PARTNERS TO LOOK AT EXAMPLES IN
THE FIELD WHERE WE CAN HELP, FOR
EXAMPLE, FACILITATE ACCESS TO
RURAL COMMUNITIES WITH FOR
TRANSPORTATION ALTERNATIVE
PROGRAM DOLLARS.
IT IS NOT ME.
JESSICA IS IN THE AUDIENCE.
SHE WORKS WITH OUR LOUISIANA
HIGH OBESITY PROGRAM.
SHE IS IN THE PROCESS OF
CREATING A NATIONAL MODEL FOR
CREATING THE CONNECTIONS THAT
ALLOW THOSE DOLLARS TO FLOW TO
THE MOST DISTRESSED COMMUNITIES
IN LOUISIANA.
SO I ENCOURAGE YOU TO TALK TO
JESSICA ABOUT HOW THIS WORK CAN
WORK IN THE FIELD AND HOW CAN WE
MAKE A DIFFERENCE.
MY GOAL WOULD BE TO EXPAND THAT
TO ALL 50 STATES AND ULTIMATELY
HELP INFLUENCE TRANSPORTATION
DLA
DOLLARS SO WE ARE SPENDING THEM
ON ACTIVE LIVING.
>> THANK YOU FOR THE AMAZING
WORK YOU ARE DOING.
CAN YOU TALK MORE ABOUT THE
INTERSECTION OF EQUITY AND
ACTIVE LIVING AND TO CREATE
EQUITABLE ACCESS TO ACTIVE
TRANSPORTATION?
>> YES.
IT IS A BIG DEAL FOR US AND
SOMETHING WE WANT TO PRIORITIZE
WHILE ALSO RECOGNIZING ALL OF
AMAZING WORK THAT HAS GONE INTO
FORCING, QUITE FRANKLY, I WANT
TO USE THAT WORD, EQUITY BEING
AT THE NEXUS OF HOW WE BUILD
COMMUNITIES FOR ALL.
THERE HAS BEEN SO MUCH ADVOCACY
OVER THE YEARS TO GETTING TO
THIS PLACE WHERE THERE IS THIS
MERGER BETWEEN THE NECESSARY
RESOURCES AND THE CONVERSATION.
AND SO ONE OF THE LESSONS
INTERNALLY AT USDOT AND FEDERAL
HIGHWAYS IS THAT FOR THOSE OF US
WHO -- I WAS ONE WHO HAD A
PRIVILEGE OF BEING A PART OF
THE -- DURING THE OBAMA
ADMINISTRATION UNDER SECRETARY
FOX AND A LOT OF CONVERSATION
AROUND EQUITY AND WHAT THAT
LOOKED LIKE.
WE HAD SO MANY CHAMPIONS WITHIN
OUR SPACE FOR WHAT THAT COULD
BE.
BUT THERE WAS A LOT OF WORK WE
COULD HAVE DONE TO
INSTITUTIONALIZE MORE OF THE
WORK.
SO IT WASN'T JUST DEPENDENT ON
US READY WITH THE GUSTO.
WE SAW QUICKLY WITHIN THE
FOLLOWING ADMINISTRATION HOW
QUICKLY SOME OF THE THINGS WE
WORKED SO HARD FOR HAD BEEN
MOVED OFF THE TABLE.
SO ONE OF THE THINGS, AS A
DEPARTMENT, AS AN AGENCY, WE
HAVE BEEN ADAMANT ABOUT, NOT
JUST TALKING ABOUT IT, HOW DO WE
INSTITUTIONALIZE IT THROUGHOUT
ALL THE WAYS WE DO OUR WORK.
IN MAY OF LAST YEAR THE OFFICE
OF THE SECRETARY RELEASED THIS
EQUITY ACTION PLAN FOR THE
ENTIRE DEPARTMENT OF HOW ALL OF
US AS A DEPARTMENT AND SPECIFIC
IN OUR OAs ARE DOING THE WORK OF
EQUITY THROUGH OUR PROGRAMS ON
THE NON-CAREER SIDE AND OUR
CAREER STAFF AS WELL.
FROM EVERYTHING OF HOW THINGS
ARE INTEGRATED INTO REGULAR
PLANNING AND OPERATIONS TO
DIRECT STAFF WHOSE ON THE CAREER
SIDE WILL BE TAKING ON THAT
OWNERSHIP AROUND THE EQUITY
AGENDA TO OUR FORMULA GUIDANCE
AND NOFOS THAT HAVE SPECIFIC
LANGUAGE IN THERE AROUND WHAT
EQUITY, SAFETY AND RESILIENCY IS
SUPPOSED TO BE AND HOW WE HOLD
UP THOSE ADMINISTRATIVE
PRIORITIES AND HOW OUR DOLLARS
ARE SPENT.
I THINK THAT IS CRUCIAL.
SOMEBODY WHO WAS LOCAL DO T
HEAD, IT WAS HELPFUL WHEN WE HAD
LANGUAGE LEVERAGE IN OUR
NEGOTIATIONS IN WHAT WE WANTED
TO SEE HAPPEN IN OUR COMMUNITIES
AND BERECOGNIZE THAT AND THAT IS
EXTREMELY IMPORTANT TO US.
ULTIMATELY WE FEEL THIS IS A
CRITICAL TIME.
THE SAME WAY THAT IN THE '50S OR
INFLUX OF DOLLARS TO TAKE WHAT
INFRASTRUCTURE LOOK LIKE, WE ARE
IN THAT MOMENT NOW SO HOW DO WE,
AS OUR SECRETARY HAS SAID, LOOK
BACK ON THIS 50, 100 YEARS FROM
NOW AND SEE THE PHYSICAL
INFRASTRUCTURE IS INDICATIVE OF
THE TYPE OF COMMUNITIES WE WANT
TO SEE.
THOSE INVOLVED IN BUILDING THAT
INFRASTRUCTURE ARE REFLECTIVE OF
THE VERY COMMUNITIES INVOLVED,
THAT INFRASTRUCTURE IS GOING IN,
RIGHT?
SO REALLY ADAMANT ABOUT THAT
EQUITY WITHIN OUR POLICIES.
EQUITY IS WITHIN OUR ALLOCATION
OF FUNDS.
EQUITY IS WITHIN WHO IS
PARTNERING TOGETHER TO BUILD OUT
THIS INFRASTRUCTURE.
SO IT IS VERY BIG FOR US, BUT WE
ALSO WELCOME THE CONTINUED
ACCOUNTABILITY, TOO, BECAUSE THE
REASON WHY WE ARE ABLE TO HAVE
THE CONVERSATIONS WE ARE IS
BECAUSE THERE HAS BEEN
STAKEHOLDERS ACROSS THE BOARD
WHO SAID, HEY, IF WE ARE TALKING
ABOUT INFRASTRUCTURE FOR ALL, WE
HAVE TO PUT OUR MONEY WHERE OUR
MOUTH IS.
>> THANK YOU.
CAN I JUST SAY AS SOMEBODY WHO
HAS THE PRIVILEGE OF INTERACTING
WITH THESE AMAZING FOLKS WHO ARE
THE CAREER FOLKS IN THE
REGULATORY AGENCIES, BUILDING
THOSE RELATIONSHIPS IS
ABSOLUTELY FUNDAMENTAL TO THE
WORK THAT WE NEED TO DO IN
PHYSICAL ACTIVITY.
THEY ARE THE FOLKS WHO MAKE
THINGS HAPPEN THROUGH A CROSS
ADMINISTRATIONS, ACROSS
POLITICAL APPOINTMENTS.
SO I WOULD ENCOURAGE YOU AS MUCH
AS POSSIBLE TO BUILD
RELATIONSHIPS WITH THE FOLKS WHO
ARE JUST MAKING THAT DIFFERENCE
EVERY DAY.
I JUST WANT TO THANK YOU, EACH
OF YOU FOR THE WORK YOU DO EVERY
DAY.
I WOULD LOVE TO TURN IT OVER TO
THE AUDIENCE RIGHT NOW BECAUSE
WE WANT TO HEAR FROM YOU AND
YOUR QUESTIONS.
SO LET'S GO TO THE MICROPHONES
>> RICK TRANELL, FORMERLY OF
NCI.
GREAT PRESENTATION.
YOUR LAST STATEMENT LAURIE, WAS
THE PERFECT SEGUE TO MY
QUESTION.
OBSERVATION OVER MY CAREER AND
WHAT WE HEARD HERE TODAY IS MUCH
OF THIS PARTNERSHIP AND
COORDINATION IS BUILT ON
PERSONAL RELATIONSHIPS.
AND THAT'S DIFFERENT, I THINK,
SOMEWHAT, FROM WHAT GOES ON IN
THE NUTRITION WORLD WHERE THERE
ARE MORE FORMAL INTERAGENCY
STRUCTURES THAT GO IN AND OUT OF
EXISTENCE, BUT THERE IS NOW AN
INTERAGENCY COMMITTEE ON HUMAN
NUTRITION RESEARCH ACROSS THE
AGENCIES A COUPLE OF YEARS AGO
GOT RE-ESTABLISHED.
SO MY QUESTION FOR ALL OF YOU IS
DON'T ROCK THE BOAT, THE
RELATIONSHIP MODEL WORKS GREAT.
DON'T GIVE US MORE
ADMINISTRATIVE BUSY WORK TO DEAL
WITH IN THESE COMMITTEES OR DO
YOU THINK THERE IS STRENGTH IN
HAVING THAT FORMAL
INFRASTRUCTURE THAT WOULD
PERHAPS PROVIDE SOME SYNERGY,
PREVENT OVERLAPPING EFFORTS?
JUST COMMENTS IN YOUR EXPERIENCE
EITHER LEAVE US ALONE, WE ARE
DOING GREAT OR A WISH LIST,
SIMILAR TO THE LEGISLATION FOR
THE DIETARY GUIDELINES.
WE WISH WE HAD THAT FOR PHYSICAL
ACTIVITY GUIDELINES.
DO WE NEED INTERAGENCY FOR
PHYSICAL ACTIVITY RESEARCH?
>> GREAT QUESTION.
I WOULD LOVE TO HEAR YOUR
ANSWERS.
DOES IT NEAT TO BE FORMAL OR CAN
WE GO WITH THE PERSONAL
RELATIONSHIPS WE HAVE?
>> I WILL START.
I THINK WE HAVE DONE IT A FEW
DIFFERENT WAYS.
FOR EXAMPLE, THE PHYSICAL
ACTIVITY GUIDELINES, WE MADE A
FORMAL MOU.
OUR OFFICE, CDC, NIH, THE MAIN
LEADERSHIP AGENCIES WITHIN
DEVELOPING THE PHYSICAL ACTIVITY
GUIDELINES ON BEHALF OF HHS.
WE DID SIGN A MOU FOR THAT AND
CONTINUED THIS COLLABORATIVE
WORK, BUT IT HAS BEEN LESS
FORMAL IN SOME REGARDS.
WE DID JUST ESTABLISH LAST
SPRING AND I REALIZE I DIDN'T
MENTION IN MY REMARKS, A
PHYSICAL ACTIVITY NETWORKING
GROUP, ACROSS, RIGHT NOW IT IS
HHS, BUT WE TALKED ABOUT HOW WE
MIGHT BROADEN THAT AND PULL IN
OTHERS WITH SOME OF THE SAME
GOALS OF NOT DUPLICATING
EFFORTS.
WE ARE A LITTLE LESS WELL KNOWN
THAN THE NUTRITION SIDE OF
THINGS.
WE HAVE ONLY HAD TWO EDITIONS OF
THE PHYSICAL ACTIVITY
GUIDELINES.
PUBLIC AWARENESS OF THE
GUIDELINES IS RELATIVELY LOW,
STILL, UNFORTUNATELY.
AT LEAST ACROSS THE FEDERAL
GOVERNMENT THERE AREN'T A WHOLE
LOT OF PEOPLE WHO ARE DOING
PHYSICAL ACTIVITY WORK IF YOU
COMPARE TO NUTRITION SIDE.
I LOOK AT MY OFFICE IN ODPHP,
RICK WAS IN OUR EFFORT TO LEAD
THE PHYSICAL ACTIVITY GUIDELINES
BEFORE I JOINED THE OFFICE IN
2011, THERE WAS NO ONE IN THE
OFFICE WITH PHYSICAL ACTIVITY
EXPERTISE.
NOW WE HAVE HALF OF MY DIVISION
FOCUSED ON PHYSICAL ACTIVITY.
WE ARE GROWING THAT EXPERTISE,
BUT PART OF THE IDEA OF
INSTITUTIONALIZING A PHYSICAL
ACTIVITY NETWORKING GROUP, A WAY
TO BRING TOGETHER IDEAS TO SHARE
INFORMATION TO REINFORCE THAT,
HEY, WE HAVE MOVE YOUR WAY,
ACTIVE PEOPLE, HEALTHY NATION.
WE HAVE RESOURCES.
DON'T GO REINVENT THE WHEEL.
PART OF THAT CAME OUT OF WORK
THAT HAPPENED -- THIS IS
SOMETIMES WHERE A CHANGE OF THE
ADMINISTRATION.
UNDER THE OBAMA ADMINISTRATION
THERE WAS A LET'S MOVE
MEETING -- I'M BLANKING ON THE
EXACT NAME, DR. COE LED A
MONTHLY MEETING AT HHS WHERE WE
HAD THE DOMESTIC POLICY COUNCIL.
THERE WAS COORDINATION ON THE
FEDERAL SIDE AROUND LET'S MOVE
EFFORTS.
THAT GROUP SUNSETED WITH THAT
ADMINISTRATION.
WE ARE CONSCIOUS OF HOW DO WE
HAVE PIECES IN PLACE TO CONNECT
DOTS.
WE LEAD DIETARY GUIDELINES AS
WELL.
I SEE BOTH SIDES AND THERE ARE
PROS AND CONS OF THESE PIECES.
I LOVE MEETINGS LIKE THIS WHERE
YOU BRING EVERYBODY ON THE
FEDERAL SIDE AND THE OUTSIDE AND
THE CONNECTIONS, I MENTIONED THE
MOU WITH THE PHYSICAL ACTIVITY
ALLIANCE.
ON THE FEDERAL SIDE IT IS TRICKY
TO PARTNER WITH OUTSIDE GROUPS.
CONNECTIONS WITH PHYSICAL
ACTIVITY ALLIANCE AND THROUGH
ALL OF THOSE GROUPS ARE WAYS WE
CAN DISSEMINATE AND SHARE AND BE
CONSISTENT ON MESSAGING.
>> KEITH OR KEN?
>> YEAH.
I WOULD SAY TWO THINGS.
ONE ON EXTERNAL, ONE ON
INTERNAL.
WHEN I WAS WITH SAFE ROUTES TO
SCHOOL, HAD THE PRIVILEGE OF
BUILDING OUT NATIONAL CAMPAIGN
EFFORTS IN 40 DIFFERENT STATES.
SPECIFICALLY AROUND HOW WE WERE
CHANGING POLICY AND IDENTIFYING
FUNDING AROUND PHYSICAL
ACTIVITY, TRYING TO PERSUADE
STATES AND LOCALITIES AROUND
COMPLETE STREETS POLICIES.
THE INTERESTING ASPECT OF THAT
IS OUR ADVOCACY WAS FOR THE
POLICY CHANGE AND FIGURING OUT
HOW TO GET A PIECE OF THIS SMALL
PIE OF FUNDING.
IT WASN'T JUST HEY, CAN YOU MAKE
SURE SOMETHING IS IN YOUR
LEGISLATION, BUT THE WAY YOU
HAVE BEEN SPENDING MONEY, CAN
YOU CHANGE THAT, TOO.
FLASH FORWARD THERE IS A FLUSH
OF FUNDING AND WHERE DOES IT GO
IN CHECKING SOME OF THE BOXES
FOR GOALS WE HAVE BEEN FOCUSING
ON A LONG TIME.
THE NUMBER OF MECHANISMS AND
COALITIONS BUILT OUT OF
RELATIONSHIP AND STRATEGIC
PLANNING, HOW CAN THOSE BE
REACTIVATED OR MORE EMPOWERED TO
CHANNEL TOWARDS NOT JUST, HEY,
WE WANT THESE POLICY CHANGES,
BUT THERE IS ALL THIS MONEY.
WHERE IS IT GOING?
HOW ARE WE MAKING SURE THE DATA
WE ARE SEEING OR OTHERWISE THE
COMMUNITIES AREN'T GETTING
ACCESS TO ACTIVE TRANSPORTATION
OR PHYSICAL ACTIVITY AND ALL THE
THINGS WE CARE ABOUT OUR
ADVOCACY IS MOVING TOWARDS HOW
THOSE DOLLARS, NOW THOSE DOLLARS
EXIST HOW DO THEY GET SPENT.
THE OTHER THING I WOULD SAY
INTERNALLY AND WE WOULD SAY THIS
WHEN WE WERE WORKING WITH I WILL
PUT IN QUOTES NONTRADITIONAL
GROUPS THAT WOULD ASSUME TO NOT
BE A PART OF PHYSICAL ACTIVITY
OR OTHERWISE, BUT THEY ARE
DEALING WITH THOSE CONSTITUENTS
ON A REGULAR BASIS IS THERE ARE
POLICIES THAT ARE BEING WALKED
THROUGH RIGHT NOW THAT INVOLVE
MULTIPLE FEDERAL AGENCIES THAT
DON'T NECESSARILY HAVE PHYSICAL
ACTIVITY OR NUTRITION ATTACHED
TO THEM, BUT THE IMPLICATIONS OF
HOW THEY ARE APPLIED AFFECT
THOSE THINGS.
ONE EXAMPLE THAT INCLUDES 17
DIFFERENT FEDERAL AGENCIES IS
THE YOU FORM RELOCATION ACT.
THIS IS A POLICY, A REGULATION
THAT DICTATES WHAT THE MITT GAIT
GAGS REQUIREMENTS ARE FOR STATES
THAT INTRODUCE INFRASTRUCTURE
THAT COULD DISPROPORTION ATLY
AFFECT NEARBY COMMUNITIES.
HOW MUCH WILL THEY GET FOR THEIR
HOUSING?
IMPLICATIONS OF PARK SPACE, THE
WHOLE NINE.
HASN'T BEEN TOUCHED IN YEARS.
AND THERE IS SOME SMALL DWEEK
TWEAKS THAT ARE MOVING FORWARD.
THERE HAS TO BE A FOLLOW-UP
CONVERSATION WITH 17 AGENCIES OF
WHAT THAT LOOKS LIKE.
I BELIEVE $37,000 FOR A
REPLACEMENT HOME WON'T WORK AND
LACK OF PARK SPACE ARE
MITIGATION STRATEGIES.
THAT DOESN'T SAY PHYSICAL
ACTIVITY, BUT IMPLICATIONS FOR
WHAT THAT MEANS FOR NEW
INFRASTRUCTURE INTRODUCED OR
PROJECTS THAT HAVE PASSED
THROUGH AND MOVING FORWARD THAT
HAVE DISPROPORTIONATE EFFECTS.
THERE HAS TO BE SOME LEVERAGE AT
THE FEDERAL LEVEL TO NEGOTIATE
WHAT THOSE THINGS CAN BE.
I THINK THERE IS PRIME
OPPORTUNITY TO DO IT THAT IS NOT
JUST BASED ON RELATIONAL SPECIAL
EDUCATION -- RELATIONAL SPACE
AND BEYOND ACTIVE TRANSPORTATION
AND PHYSICAL ACTIVITY OF THINGS
INVOLVED THE ENVIRONMENT.
>> I DON'T HAVE MUCH TO ADD.
I THINK RELATIONSHIPS MATTER.
THEY ARE ESSENTIAL AND THEY ARE
ESSENTIAL BECAUSE THEY CONTINUE
OVER TIME THROUGH DIFFERENT
POLITICAL ADMINISTRATIONS AND
THERE ARE TIMES WHEN YOU NEED
THOSE PERSONAL RELATIONSHIPS.
I THINK STRUCTURE MATTERS AS
WELL.
IT REQUIRES RESOURCES TO
IMPLEMENT STRUCTURES
CONSISTENTLY OVER TIME.
BUT I DID SEE THE VALUE IN THE
OBAMA ADMINISTRATION OF LET'S
MOVE CITIES, TOWNS AND COUNTIES.
SO I ALSO ACKNOWLEDGE YOUR POINT
WHAT WE DO ISN'T NECESSARILY
PHYSICAL ACTIVITY TO EVERYONE.
IF WE CAN ACCOMPLISH OUR GOAL
CALLING IT SOMETHING ELSE, THAT
IS ABSOLUTELY -- THAT IS ANOTHER
WAY TO GET TO THE GOAL.
JEFF LIKES TO TALK ABOUT OUR
WORK BEING FUNDAMENTAL SUPPORT
OF SOCIAL DETERMINANTS OF HEALTH
BECAUSE IF YOU DON'T HAVE A CAR,
OUR WORK HELPS YOU GET
SOMEPLACE.
>> GREAT COMMENTS.
THANKS.
>> HELLO.
THANK YOU ALL OF YOU FOR YOUR
CONTRIBUTIONS.
SARAH BENTLEY, U T SCHOOL OF
PUBLIC HEALTH IN AUSTIN, TEXAS.
I'M GOING TO TAKE IT IN THE
POLITICAL DIRECTION.
I COME FROM A CONSERVATIVE
STATE.
I'M A LITTLE GREEN WHEN IT COMES
TO UNDERSTANDING THE FUNDING
MECHANISM, I BELIEVE
TRANSPORTATION ALTERNATIVES
TYPICALLY COME THROUGH THE
STATE.
I WAS HAPPY TO HEAR YOU SAY,
KEITH, ABOUT SOME OF THE
IMPLEMENTATION GRANTS BEING ONLY
AVAILABLE FOR CITIES AND TRIBAL
LANDS.
AUSTIN ACTUALLY HAD A MOBILITY
BOND IN 2016, ANOTHER ONE IN
2020, WHERE WE ACTUALLY 2016,
$27.5 MILLION IS GOING TO JUST
SAFE ROUTES TO SCHOOL, WHICH IS
MORE THAN A LOT OF STATES
INCLUDING TEXAS SPENDING ON SAFE
ROUTES INFRASTRUCTURE.
THE NEED IS MUCH GREATER JUST IN
AUSTIN.
MY QUESTION FOR YOU MAINLY,
KEITH, IS DO YOU EXPECT ANY
RESISTANCE IN STATES LIKE TEXAS
AND FLORIDA THAT ARE RESISTANT
TO ANYTHING THAT HAS EQUITY OR
DIVERSITY ATTACHED TO IT?
EVEN SOCIAL DETERMINANTS OF
HEALTH IS BECOMING A BAD WORD IN
THE TEXAS CAPITOL RIGHT NOW.
SO I GUESS, YEAH, JUST HOW DO WE
MAKE SURE THAT STATES LIKE TEXAS
ARE ACTUALLY GOING TO RECEIVE
THAT MONEY WHERE WE'VE IN THE
PAST REJECTED MEDICAID FUNDING
AND THINGS LIKE THAT THAT OUR
COMMUNITIES REALLY NEED?
>> MAN, THERE IS SO MUCH I COULD
SAY ABOUT THAT.
BUT HERE IS WHY.
SO, YOU KNOW, MY PASSION AND
TOOK AN OPPORTUNITY TO LEAD THE
DEPARTMENT OF TRANSPORTATION IN
CHARLESTON, SOUTH CAROLINA, AND
REPRESENT THE MAYOR ON THE
TRANSIT BOARD, AIRPORT AUTHORITY
AND TRICOUNTY IN THE STATE
FOURTH IN THE COUNTRY OF ROADS
OWNED BY THE STATE DOT.
EVEN THOUGH CHARLESTON CITY WAS
GENERATED, OUR DLASS WENT
STRAIGHT TO THE COUNTY.
I HAD TO GO TO ONE ENTITY TO ASK
FOR PERMISSION TO WORK IN THE
RIGHT-OF-WAY AND ANOTHER ENTITY
TO ASK FOR PERMISSION.
CONSTITUENTS WERE COMING AND
SAYING SO AND SO DIED ON THE
STREET OR YOU PROMISED THIS.
I WANT TO ADDRESS DIRECTLY THE
TRANSPORTATION ALTERNATIVES
PROGRAM.
A BIG CHANGE IN THE BIPARTISAN
INFRASTRUCTURE LAW FOR THOSE OF
YOU WHO HELPED NEGOTIATE MAG 21
WHEN THEY TOOK AWAY THE SLUSH
FUND AND TOOK AWAY THE MONEY FOR
SAFE ROUTES AND FAST ACT,
TRANSPORTATION ALTERNATIVES
PROGRAM CAN NO LONGER BE UNSER
MOAN -- UNCEREMONIOSLY.
IT HAS TO BE SPENT ON THOSE
DOLLARS.
THERE HAS TO BE A SIGN OFF FROM
THE SECRETARY.
THEY HAVE TO AT LEAST ATTEMPT A
COMPETITIVE PROCESS TO EXPEND
THOSE FUNDS.
FAST ACT MAP 21, THE GOAL IS FOR
THOSE DOLLARS TO BE SPENT ON
THEIR INTENDED PURPOSE AS MUCH
AS POSSIBLE AND THAT IS WRITTEN
IN STATUTE.
IN YOUR CONVERSATION TO LEVERAGE
THAT.
I KNOW MANY OF YOU UNDERSTAND
THIS, BUT IT IS IMPERATIVE IF
YOU ARE HAVE PROJECTS MOVING
FORWARD HAVING THEM ON YOUR TIP
AND STIP, THAT GIVES YOU THE
ADVANTAGE OF THIS IS
PRIORITIZED.
IN TERMS OF YOUR QUESTION OF
WORKING IN A CONSERVATIVE STATE.
IT IS TWO LESSONS THAT HAVE BEEN
IMPORTANT OR THREE LESSONS
IMPORTANT TO ME.
ONE IS THE POWER OF PRECEDENCE.
LIKE SOMETIMES WHEN WE ARE
TRYING TO GET SOMETHING WE ARE
THINKING ABOUT, LIKE THE BIG
THING THAT WE CAN HAVE AND ONE
OF THOSE FOR ME WAS IF I CAN
MAKE THIS SMALL CHANGE HERE, IT
WILL HAVE THIS DOMINO EFFECT OF
I WANT THAT IN MY COMMUNITY,
TOO.
RIGHT?
IT WAS VERY HELPFUL BEING ABLE
TO MOVE THE NEEDLE.
BEING OKAY WITH THE CENTIMETER
MOVE VERSUS FOOT MOVE.
BECAUSE YOU GET THE PROGRESS.
AS AN ADVOCATE AT HEART WHEN I
MAKE THE ASSUMPTION THERE WILL
BE ANTAGONISTIC VIEWS TOWARD HOW
I WANT TO MOVE, I GO INTO BATTLE
MODE OF HOW TO APPROACH IT.
AN EXAMPLE IS WE WANTED TO SEE A
STATE LEVEL COMPLETE STREETS
POLICY IN SOUTH CAROLINA.
WE DECIDED TO GO THE ROUTE OF
THE LEGISLATURE.
TO ADVOCATE TO MOVE IN THAT
REGARD.
IT CREATED VISCERAL REACTION
WITH STATE DOT.
IT WASN'T UNTIL I HAD A
ONE-ON-ONE CONVERSATION WITH THE
SECRETARY, KEITH, I BELIEVE IN
THESE THINGS, I WANT TO MOVE BUT
I WANT TO MOVE IN OUR WAY.
OUR WAY, THERE IS STILL A
FEELING ABOUT THAT, BUT SHE WAS
SAYING I DON'T WANT TO BE
LEGISLATED INTO THIS.
LET'S FIGURE THIS OUT.
IN FEBRUARY 2021 SOUTH CAROLINA
HAD FIRST COMPLETE STREETS
POLICY FOR THE ENTIRETY OF THE
STATE.
THE LAST THING I WILL SAY IS
WITHIN THE BIPARTISAN
INFRASTRUCTURE LAW I THINK ONE
OF THE MOST AMAZING PIECES
ESPECIALLY FOR LOCAL COMMUNITIES
IS THAT THEY WILL NO LONGER HAVE
TO GO TO AN ENTITY AND SAY, HEY,
CHANGE THE POLICY AND GIVE US
THE MONEY.
IT IS A DIFFERENT STORY WHEN YOU
CAN COME TO THE PARTNER YOU NEED
TO WORK WITH AND SAY, HEY, WE
WANT TO SEE THIS CHANGE AND WE
HAVE ALREADY DONE THE PLANS FOR
IT.
WE WANT TO SEE THIS CHANGE AND
WE ARE BRINGING $600,000 TO THE
TABLE TO ADD THESE BIKE LANES.
IT IS A DIFFERENT CONVERSATION
IN TERMS OF LEVERAGE PROVIDED
FOR LOCAL ENTITY TO ENGAGE.
THAT IS HOW WE INTRODUCED THE
FIRST PROTECTED BIKE LANE IN THE
CITY'S HISTORY.
AT AN INTERSECTION ONE MOST
DANGEROUS IN DOWNTOWN.
BOTH ARTERIALS WERE OWNED BY THE
STATE, BUT BECAUSE WE WERE ABLE
TO USE PREVIOUS DOLLARS TO DO
PRELIMINARY ENGINEERING PLANS
AND I WAS ABLE TO NEGOTIATE WITH
OUR CITY COUNCIL TO ADD WITHIN A
TAX IMPROVEMENT FUND DISTRICT TO
STRETCH OVER THAT AREA, I WAS
ABLE TO GO TO THE STATE DOT AND
SAY WE WANT TO MAKE THIS CHANGE
HERE.
HERE ARE THE PLANS WE HAVE
WORKED THROUGH THAT SHOWS HOW IT
WILL AND WILL NOT AFFECT AD T,
LOS, AND MAKE THAT CASE.
BUT ALSO WE ARE READY TO BRING
MONEY TO THE TABLE TO HELP MOVE
THIS FORWARD.
WHAT ENDED UP HAPPENING IS WE
HAD AN AGREEMENT THE CITY HAD A
PLAN TO GET THAT MOVING, THE
STATE DID IT FOR US.
WE HAD THE FIRST PROTECTED BIKE
LANE.
IT IS NOT IMPOSSIBILITY, BUT
YOUR STRATEGY OF YOUR APPROACH
TO GET THERE.
AND HAVING -- ADVOCACY PLAYING
INTO THAT, BUT WHERE ARE THE
POINTS I CAN BRING TO THE TABLE
TO GET THE LEVERAGE NECESSARY TO
GET TO THE ANGLE.
HOPEFULLY I HAVE SAID SOMETHING
THAT IS HELPFUL.
>> THAT IS GREAT.
>> I WOULD ADD ONE QUICK THING.
I WANT TO BUILD ON THE COMMENT
ON INCREMENTAL APPROACHES.
I THINK THAT IS IMPORTANT
BECAUSE IT SETS A PRECEDENT AND
A MODEL.
SECONDLY I WANT TO SAY MESSAGING
MATTERS AND YOUR AUDIENCE
MATTERS AND YOU MAY NEED TO
CHANGE YOUR MESSAGING BASED ON
YOUR AUDIENCE.
IT MAY BE WALKING AND BIKING OR
ECONOMIC BENEFITS, A REFERENCE
TO A TOOL WE USED.
JESSICA'S WORK IN LOUISIANA HAS
BEEN WORKING TO GET THOSE TAP
DOLLARS TO THE PLACES THEY NEED
THEM AND HAD TO NEGOTIATE IN A
DIFFERENT WAY YOU JUST
REFERENCED, OBVIOUSLY.
>> THANK YOU.
>> DAVID BROWN WITH CDC.
I JUST WANTED TO COMMENT ON WHAT
I PERCEIVE TO BE THE TENSION --
SCIENCE AND TENSION OF GETTING
SCIENCE OUT THE DOOR, ALL IN
FAVOR OF THE RIGOROUS REVIEWS
AND BODY OF EVIDENCE THAT GOES
INTO THE GUIDELINES AND
PREVENTIVE SERVICES TASK FORCE
RECOMMENDATIONS BUT ON THE OTHER
HAND PUBLIC HEALTH IS GETTING A
LOT OF PRESSURE TO GET FINDINGS
OUT THE DOOR TO THE PUBLIC
ESPECIALLY DURING TIMES OF COVID
AND OTHER CRISES.
I THINK JIM, HIS STORY
YESTERDAY, WHICH I APPRECIATE
YOU SHARING WITH US, HE IS SORT
OF CAUGHT IN THAT BALANCE
BETWEEN THE SCIENCE AND
COMMUNICATING THE SCIENCE.
I'M JUST WONDERING IF THERE'S
SOME POSSIBLE OPTIONS?
IT SEEMS LIKE WE COULD CONSIDER
TO ESCALATE THE SCIENCE TO
GETTING IT OUT TO THE PEOPLE
THAT NEED TO KNOW ABOUT IT OTHER
THAN WAITING, WHAT IS THE NEXT
GUIDELINE, 2028, FOR EXAMPLE.
IF YOU HAVE ANYTHING ON THAT
ISSUE.
WE MIGHT HAVE EMERGING GREAT
EVIDENCE ON EQUITY IN THIS NEXT
THREE, FOUR, FIVE YEARS TO GET
OUT THE DOOR AS SOON AS
POSSIBLE.
THAT TENSION.
>> I CAN TALK ABOUT THAT.
THAT IS SUCH A GREAT QUESTION
AND ONE OF THE REASONS I WAS
ASKING KATRINA.
THE AMERICAN HEART ASSOCIATION,
WE ARE AN EVIDENCE-BASED POLICY
ORGANIZATION.
WE SHOULDN'T BE CREATING POLICY
WITHOUT SOME SENSE OF ITS
INTENDED IMPACT ON INTENDED
CONSEQUENCES.
VALUE THE EVIDENCE BASE, BUT HOW
CAN WE GET IT OUT QUICKLY.
I APPRECIATE THE GUIDELINES ARE
ON A 10-YEAR TIMELINE.
AS KATRINA SAID THERE IS A LOT
OF CONVERSATION ABOUT THAT.
IT HAS GONE BACK AND FORTH FOR
DECADES.
WHEN WE DO HAVE THE SCIENCE
GETTING IT OUT IS CRITICAL
BETWEEN THE 10 YEARS.
I THINK YOU ARE DOING A GREAT
JOB.
WE AS AN ADVOCACY ORGANIZATION
ARE TAKING THAT.
WHAT WOULD YOU SAY IN TIMING OF
GETTING THINGS OUT.
EVIDENCE BASE FOR OUR POLICY
WORK?
>> I THINK IT IS A PROCESS AND
WE HAD SOME OF THESE SAME
CONVERSATIONS EVEN, YOU
REMEMBER, DAVID, WHEN WE WERE
STARTING TO PLAN FOR THE NEXT
MID COURSE.
WHAT IS THE TOPIC?
WE WERE STARTING TO SEE EMERGES
EVIDENCE WITH COVID OUTCOMES AND
PHYSICAL ACTIVITY.
DO WE GO DOWN THAT PATH?
SO I THINK IT IS A BALANCE.
I SEE -- I LIKE THAT THE
GUIDELINES ARE KIND OF ROOTED IN
THE AMOUNTS AND TYPES OF
PHYSICAL ACTIVITY FOR HEALTH
BENEFITS THAT IS THE CRUX OF THE
GUIDELINES.
EACH EDITION WE GET A GROWING
LIST OF THAT BODY OF EVIDENCE.
I THINK ABOUT SEDENTARY BEHAVIOR
AS A TOPIC.
SEDENTARY BEHAVIOR IS THE NEW
SMOKING.
IF YOU DO PHYSICAL -- YOU GO FOR
A RUN IN THE MORNING AND SIT ALL
DAY IT NEGATES EVERYTHING.
THE MEDIA WAS POPULARIZING THAT.
HAD WE TRIED TO COME OUT WITH
SOMETHING EARLIER, ONE, IT TAKES
A LOT OF MONEY TO DO A FULL
SYSTEMIC REVIEW, A RIGOROUS
REVIEW WE WOULD LIKE AS A
STANDARD FROM THE GOVERNMENT'S
PERSPECTIVE.
EVERY TIME WE DO THE GUIDELINES,
WE DON'T HAVE FUNDING TO DO THE
GUIDELINES.
IT IS SOMETHING WE HAVE THOUGHT
ABOUT.
THERE ARE OTHER COUNTRIES THAT
DO CONTINUOUS REVIEW AND
CONTINUOUSLY PUT OUT INFORMATION
ON THE DIETARY GUIDELINES SIDE.
IT IS CONVERSATIONS ON THE
NUTRITION.
I DON'T THINK WE ARE THERE ON
THE PHYSICAL ACTIVITY SIDE,
KEEPING WITH THE 10-YEAR CYCLE
BUT FINDING OPPORTUNITIES LIKE
WHEN THE CDC REVIEW CAME OUT
LAST SPRING OR SUMMER THAT WE
COULD ALL BE AMPLIFYING THAT.
AND THE PHYSICAL ACTIVITY
ALLIANCE WITH IS PUTTING THAT
THROUGH THEIR NETWORK.
PUTTING THING INTO JOURNALS OR
GETTING OUT INFORMATION IS A WAY
TO KEEP BUILDING THIS AND A WAY
TO COMMUNICATE THAT OUT.
IT GETS PICKED UP IN THE NEXT
GUIDELINE CYCLE AS PART OF THAT
PIECE OF THING.
AT LEAST THAT IS THE MODEL WE
ARE AT NOW.
IF THE PRESIDENT'S BUDGET COMES
THROUGH AND WE HAVE A TON MORE
MONEY FOR PHYSICAL ACTIVITY,
THAT IS SOMETHING WE COULD
RECONSIDER HOW WE LOOK AT THE
EVIDENCE AND THE FREQUENCY WE
PUT IT OUT.
EVERY TIME WE DO THE GUIDELINES
WE HAVE BUDGET CONVERSATIONS AND
WE ARE PINCHING PENNIES TO PUT
THE PIECES TOGETHER.
>> I WANT TO BE SURE WE HAVE
TIME -- I WANT TO TRY TO GET TO
ALL OF THE QUESTIONS.
IT IS GREAT TO HAVE SO MUCH
INTEREST.
>> THANK YOU SO MUCH.
MY NAME IS SARAH NEWMAN.
I'M A U.S. PUBLIC HEALTH SERVICE
OFFICER.
I'M NOT IN THE NAVY.
NEITHER IS SHE.
I'M ASSIGNED TO THE NATIONAL
PARK SERVICE.
ETHERE HAVE BEEN OFFICERS
WORKING IN THE PARK SERVICE FOR
100 YEARS ACTUALLY.
I WANT TO BUILD ON THE GREAT
QUESTION FROM RICK ABOUT
RELATIONSHIPS VERSUS STRUCTURE.
THIS IS A QUESTION I HAD IN MIND
AND AN ISSUE.
BECAUSE I WOULD LIKE TO MAKE A
CASE AND I WOULD LOVE TO HEAR
YOUR REACTIONS THAT WE HAVE TO
BE MORE STRUCTURED.
BECAUSE WE HAVE AGENCIES LIKE
THE DEPARTMENT OF INTERIOR WITH
EMBEDDED PUBLIC HEALTH, WITH
TREMENDOUS OPPORTUNITIES TO
ADVANCE THE WORK THAT YOU ARE
DOING.
I THINK WE HAVE TO BE STRATEGIC
ABOUT IT AND TAKE ADVANTAGE OF
OPPORTUNITIES.
FOR EXAMPLE, PARK -- HAPPENS
EVERY YEAR RECOGNIZING OUR
NATIONAL PARKS, COMMUNITY PARKS
AS A RESOURCE FOR HEALTH.
HAVING MESSAGING FROM YOUR
SCIENCE REACHES THOUSANDS OF
PEOPLE.
300 MILLION PEOPLE COME TO PARKS
EVERY YEAR.
WHY ARE WE NOT MORE STRATEGIC
WITH OUR RANGERS WHO COMMUNICATE
DAILY.
I THINK WE ARE MISSING
OPPORTUNITIES TO CONNECT MORE
INTENTIONALLY IN A REALLY
STRATEGIC WAY BECAUSE WE HAVE TO
SUSTAIN THIS THROUGHOUT WHATEVER
POLITICS IS AROUND US.
I THINK THIS IS THE ONLY WAY WE
CAN DO IT AND THAT BUILDS
RELATIONSHIPS.
IT IS NOT MUTUALLY EXCLUSIVE.
IN MY VIEW IT IS REQUIRED.
WE COULD HAVE PROCLAMATIONS THAT
SET THINGS IN PLACE, MAY
PHYSICAL ACTIVITY SPORTS MONTH,
JUNE GET OUTDOORS OR NATIONAL
PARK WEEK IN APRIL, WE HAVE SO
MANY OPPORTUNITIES AND I THINK
WE ARE MISSING THEM BECAUSE WE
ARE BUSY.
LET'S BE STRATEGIC AND WORK
TOGETHER EFFICIENTLY.
IS IT POSSIBLE CAN WE DO IT?
WE ARE DOING LOTS TOGETHER, BUT
I FEEL LIKE WE COULD DO MUCH
MORE AND EXPLORE OTHER AGENCIES
THAT COULD ADVANCE OUR WORK.
SO THANK YOU ALL SO MUCH.
>> THANK YOU FOR THAT COMMENT.
SO BACK WHEN THE ADMINISTRATION
SHIFTED, WE SENT PHYSICAL
ACTIVITY ALLIANCE SENT A LETTER
TO THE CONGRESS ADVOCATING FOR
THAT FORMALLY.
I SO APPRECIATE YOUR COMMENT.
WE CONTINUE TO ADVOCATE THAT
ESPECIALLY AFTER THE WHITE HOUSE
CONFERENCE.
MAKING SURE THE AGENCIES ARE
MEETING AND COMMUNICATING.
I WONDER IF THERE ARE
OPPORTUNITIES FOR CONVENING AT A
CONFERENCE LIKE WHERE WE BRING
AGENCIES TOGETHER AS ADVOCACY
ORGANIZATIONS WHERE WE COULD
FACILITATE A CONVERSATION AND
MAYBE MAKE IT AN ONGOING ONE.
WE HAVE TO EXPLORE THAT.
I LOVE THAT IDEA.
DO YOU GUYS WANT TO SAY ANYTHING
ABOUT THAT COMMENT?
DO YOU WANT TO REACT TO THAT?
>> YES.
I THINK IT IS REALLY IMPORTANT.
>> OKAY.
ALL RIGHT.
[ LAUGHTER ]
>> THANK YOU.
I'M SAMANTHA PIERCEON WITH WALK
WORKS IN PENNSYLVANIA.
I REALLY APPRECIATE ALL THE
COMMENTS THAT HAVE BEEN
HAPPENING AND THE EXPERIENCE ON
THE STAGE ESPECIALLY YOUR
EXPERIENCE WITH ON THE GROUND
TRANSPORTATION PLANNING.
I'M WONDERING SOME OF THE
QUESTIONS HAVE TALKED ABOUT HOW
THESE THINGS TRANSLATE IN
SPECIFIC STATES.
THERE IS A NEED TO UNDERSTAND
THE ORGANIZAL CULTURE OF STATE
DOTs.
THERE IS A WIDE RANGE OF HOW
THEY OPERATE, ARE STRUCTURED,
HOW THEY THINK ABOUT THINGS SUCH
THAT WHEN GUIDANCE GOES OUT, IT
GETS INTERPRETED IN WAYS THAT
ARE INTERNALLY CONSISTENT FOR
THE DOT, BUT DON'T ACCOMPLISH
WHAT WE WANT.
THE VULNERABLE ROAD USER RULE,
THE 15% RULE.
PENNSYLVANIA, VERY
ENTHUSIASTICALLY CAME UP WITH A
WAY TO SPEND ALL THE MONEY WHICH
HAS ALMOST NOTHING TO DO WITH
WHAT IS USEFUL, RIGHT, BUT THEY
ARE VERY PROUD OF THEMSELVES.
THEY ARE AMPING UP COUNTDOWN
TIMERS THROUGHOUT THE STATE
BECAUSE THEY ARE EXPENSIVE.
THEY HAVE A LOT OF MONEY TO
SPEND.
THEY PRESENT THAT AT
CONFERENCES, LOOK AT US.
WE CAME UP WITH THIS.
JESSICA STRUP IS DOING GREAT
STUFF IN LOUISIANA.
IT HELPS TO KNOW HOW ARE OTHER
STATES ARE STRUCTURES TO KNOW
HOW WE CAN BRING THOSE TO THE
TABLE.
IS ANYONE DOING THAT OR IS THERE
ANY SORT OF PRESSURE OR INTEREST
IN DOING ORGANIZATIONAL ANALYSIS
OF DOTs AS A CULTURE AND
ANTHROPOLOGY OF DOTs.
>> I THINK THE WAY I WILL ANSWER
IS THERE IS WORK ON CAMPAIGN
STRATEGIES TO ENGAGE STATE DOTs
AND STATE LEGISLATURES AROUND
TRANSPORTATION AND MOVE THE
NEEDLE ON COMPLETE STREETS AND
OTHERWISE.
I THINK ONE OF THE THINGS THAT
WE HAVE PUSHED AT FEDERAL
HIGHWAYS SPECIFICALLY IS
CHALLENGING, YOU KNOW, WE HAVE
DIVISION OFFICES IN ALL 50
STATES AND OUR TERRITORIES.
AND TRADITIONALLY, THERE IS A
DIRECT LINE OF COMMUNICATION
BETWEEN THAT DIVISION AND THE
STATE DOT.
BUT BECAUSE OF THE BIPARTISAN
INFRASTRUCTURE LAW EXPANDING THE
TENT OF WHO IS ELIGIBLE FOR
FUNDING WE HAVE BEEN CHALLENGING
OUR DIVISIONS THAT YOUR
OBLIGATION IS TO GO BEYOND THE
STATE DOT.
IN TERMS OF YOUR ENGAGEMENT,
ASSISTANCE, TECHNICAL
ASSISTANCE, COLLABORATION AND
OTHERWISE.
AND THAT IS AN ACTIVATION WE
FEEL IS CRUCIAL TO BE SURE MAKE
SURE FOLK ON THE GROUND ARE WELL
ENABLED TO NEGOTIATE AND ACCESS.
THAT IS A BIG PIECE THERE.
I THINK THE OTHER PART IS THAT
FOR STATE DOTs, FOR A LOT OF
STATE DOTs, THAT APPORTION MONEY
ON THE FORMULA SIDE CAME IN,
EYES LIT UP ON PROJECTS THAT HAD
BEEN ON THEIR TIP, TRAPGS
IMPROVEMENT PROGRAM OR STATE
TRANSPORTATION IMPROVEMENT
PROGRAM.
GNG THROUGH METROPOLITAN
PLANNING ORGANIZATIONS TO
DICTATE ON CAPACITY OR ACTIVE
TRANSPORTATION SIDE WHAT
PROJECTS GO FIRST, SECOND, OR
THIRD.
WHEN THEY GET APPORTIONED THOSE
FUNDS THEY IMMEDIATELY GO TO
THAT LIST TO SAY WHAT IS SITTING
THAT HASN'T BEEN FUNDED FOR A
LONG TIME.
A HIGHWAY PROJECT, A BIKE
PROJECT, WHATEVER THAT IS,
TRANSIT PROJECT, THEY ARE GOING
STRAIGHT TO THAT LIST AND SAYING
WHAT IS ON HERE YET TO BE
FUNDED.
LET'S START PRIORITIZING FROM
THERE.
AND THAT LIST MAY OR MAY NOT BE
INDICATIVE OF WHAT THE COMMUNITY
IS SAYING NEEDS TO BE
PRIORITIZED.
AND THAT NEGOTIATION OCCURS AT
THAT PLANNING ORGANIZATION
LEVEL.
NOT AT THE FEDERAL OR STATE DOT.
WHERE THEY ARE BRINGING FOLK
TOGETHER TO NAVIGATE THAT.
I THINK THAT, TO ME, IS A MAJOR
TARGET OF ADVOCACY THAT COULD
MAKESHIFTS THERE.
I MEAN, THAT IS AN ESSENTIAL WAY
OF MAKING SURE THAT IS NOT JUST
ON THE EXTERNAL WE'RE ADVOCATING
AND PUSHING AND SAYING WE WANT
THESE CHANGES, THE SYSTEMATIC
PROCESS OF THE WAY PROJECTS ARE
PICKED.
IT IS IN FEDERAL STIPULATION.
THAT IS A HELPFUL PLACE.
THIS PROJECT HAS NOW BEEN
PRIORITIZED.
WE AS THE LOCAL ENTITY ARE
BRINGING A COUPLE OF THINGS TO
THE TABLE.
BRINGING ADVOCACY AND DATA
DIVERSITY OF THE GROUP.
THERE MAY BE SOME ASUMSUMPTIASSUMPTIONS.
THAT IS WHERE STRATEGIC
PARTNERING COMES IN.
>> I THINK WE HAVE TIME FOR ONE
MORE.
OR ARE WE OUT OF TIME?
WE DON'T HAVE TIME.
>> I HAVE BEEN TASKED WITH
INVITING PEOPLE TO THE NEXT
SESSIONS.
>> DO A WRAPUP.
>> THANKS, AMANDA.
I WANT TO THANK OUR PANELISTS.
I'M SORRY WE DIDN'T GET TO OUR
LAST QUESTION.
BUT IT WAS A FANTASTIC
FOUNDATION FOR HOPEFULLY
CONTINUED CONVERSATIONS AS WE GO
ABOUT OUR DAY.
SO THANK YOU SO MUCH AND I GUESS
WE ARE OFF TO THE NEXT SESSION.
[ APPLAUSE ]
AND I'M DELIGHTED TO INTRODUCE
DR. SHANNON ZENK, OUR KEYNOTE
SPEAKER.
SHE IS THE DIRECTOR OF THE
NATIONAL INSTITUTE OF NURSING
RESEARCH.
PREVIOUSLY, SHE WAS A NURSING
COLLEGIATE PROFESSOR IN THE
POPULATION HEALTH NURSING
SCIENCE AT UNIVERSITY OF
ILLINOIS AND THE THE FELLOW AT
HEALTH RESEARCH AND POLICY.
DR. ZENK HAS SO MANY AWARDS IT
IS SICK, I WON'T READ ALL OF
THEM.
ELECTED A MEMBER OF THE NATIONAL
ACADEMY OF MEDICINE IN 2021, THE
BACHELOR'S FROM ILLINOIS
WESLEYAN, MASTER'S IN PUBLIC
HEALTH NURSING AND DOCTORATE IN
HEALTH BEHAVIOR FROM THE
UNIVERSITY OF MICHIGAN.
I'M ESPECIALLY IMPRESSED WITH
HER BECAUSE SHE HAS, SINCE HER K
AWARD FROM NINR, SHE HAS BEEN
FUNDED NCI, NIHD, ROBERT JOHNSON
AND OTHER INSTITUTIONS.
I HAVE A VIVID MEMORY OF MEETING
SHANNON IN PERSON AT A RECEPTION
AT THE U.N. IN NEW YORK AS PART
OF THE 2010 INTERNATIONAL
SOCIETY OF URBAN HEALTH.
IT WAS -- IT WAS A LITTLE SPOOKY
AT THE U.N., IT WAS RAINING AND
INTERNATIONAL TYPES I HAD NO
IDEA WHO THEY WERE.
IT WAS NIS TO HAVE A FRIEND.
I HAVE BEEN FOLLOWING HER WORK
INSIDIOUSLY.
NCI PROVIDED GRANTS FOR ACTIVITY
SPACE AND ENVIRONMENTAL
INFLUENCES ON WEIGHT LOSS
PROGRAMS.
IT IS FANTASTIC SHE IS AT NIH.
NSF IS REALLY GOOD AT BRINGING
IN PROFESSORS FOR VARIOUS
LENGTHS OF TIME, BUT NIH NOT
ALWAYS AS GOOD.
WE NEED MORE ACADEMICS TO FIGURE
OUT HOW TO DO A STINT AT NIH TO
BRING FRESH PERSPECTIVES.
SO I COMMEND THAT PATH.
YOU MIGHT NOT BE INSTITUTE
DIRECTORS, BUT THERE ARE WAYS TO
ARRANGE THAT.
WITHOUT FURTHER ADO, DR. ZENK.
>> THANK YOU, DAVID.
[ APPLAUSE ]
>> HI, GOOD AFTERNOON TO
EVERYONE.
REALLY WANT TO THANK DAVID FOR
THE INVITATION TO JOIN YOU
TODAY.
I HAVE PARTICIPATED IN THIS
CONFERENCE MANY TIMES OVER THE
YEARS AND IT IS SO NICE.
I JUST SAW NEW COLLEAGUES OR OLD
COLLEAGUES IN THE AUDIENCE.
IT IS REALLY NICE TO BE HERE.
AND I AM ESPECIALLY HONORED TO
SHARE THE STAGE, SO TO SPEAK,
WITH DAVID.
OVER THE YEARS, YOU KNOW, DAVID,
AS YOU KNOW, HAS BEEN AN EARLY
ADVOCATE AND LEADER FOR THIS
AREA OF SCIENCE AT NIH AND WELL
BEYOND.
HE IS AN AVID SUPPORTER OF
RESEARCHERS WORKING IN THIS
SPACE INCLUDING ME.
I AM REALLY PROUD NOT BE A
COLLEAGUE -- PROUD NOW TO BE A
COLLEAGUE OF DAVID'S AT NIH.
HE HAS BEEN AN ADVOCATE OF NINR
AND HELPED ME LEARN THE ROPES.
I AM ONE OF MANY WHO WOULD NOT
BE HERE WITHOUT DAVID.
SO, THANK YOU, DAVID, FOR YOUR
LEADERSHIP AND YOUR SERVICE.
SO WITH THE CONFERENCE THEME OF
EXPANDING ACTIVE LIVING
APPLICATIONS, BEYOND CHRONIC
DISEASE, JUST A SYNERGISTIC
EPIDEMIC.
I WANT TO TALK ABOUT THE ROLE OF
SOCIAL AND STRUCTURAL FACTORS IN
SYNDEM
SYNDEMICS.
WE KNOW THERE IS EXTENSIVE
RESEARCH SHOWING BENEFITS OF
ACTIVITIES, PREVENTING DISEASE,
PROMOTING HEALTH AND IMPROVING
MENTAL HEALTH.
WE ARE STILL DISCOVERING AND
WHAT MANY OF YOU HAVE BEEN
PRESENTING ON THIS WEEK HOW THE
CONDITIONS PEOPLE BORN WITH,
WORK, LEARN, LIVE, PLAY AND AGE
HOW THAT IMPACTS PEOPLE'S
ABILITY TO BE ACTIVE.
WE ARE STILL LEARNING IN
PARTICULAR ABOUT THE ROLE OF
STRUCTURAL FACTORS AND THE ROLE
THEY PLAY IN PHYSICAL ACTIVITY
AND ACTIVE LIVING.
SO THESE ARE THE ECONOMIC,
SOCIAL, POLITICAL, AND CULTURAL
SYSTEMS AND FORCES IN SOCIETY.
AND I FUNDAMENTALLY BELIEVE THAT
IN ORDER TO IMPROVE PHYSICAL
ACTIVITY AND USE IT AS A MEANS
TO ADDRESS THE MULTIPLE
INTERSECTING SYNDEMICS THAT WE
FACE TODAY, THAT WE HAVE TO
DEVELOP SOLUTIONS THAT TACKLE
THESE SOCIAL AND STRUCTURAL
FACTORS.
SO LET'S TAKE A LOOK AT SOME OF
THE SYNDEMICS WE ARE CURRENTLY
FACING IN THE U.S. AND ACROSS
THE GLOBE.
BEGINNING WITH COVID-19.
AS OF MARCH 1, MORE THAN 103
MILLION COVID-19 CASES HAVE BEEN
REPORTED IN THE UNITED STATES.
WITH MORE THAN 1.1 MILLION
DEATHS.
IT IS REALLY STAGGERING.
PEOPLE WHO ARE AMERICAN INDIAN,
ALASKA NATIVE, AFRICAN-AMERICAN,
AND HISPANIC OR LATINO WE KNOW
ARE TWO TO THREE TIMES MORE
LIKELY TO HAVE BEEN HOSPITALIZED
DUE TO COVID AND NEARLY TWICE AS
LIKELY TO HAVE DIED FROM COVID
THAN THEIR NONHISPANIC WHITE
COUNTERPARTS.
IT IS INCREASINGLY UNDERSTOOD
THAT THESE OUTCOMES ARE A
CONSEQUENCE OF AN EVEN BROADER
SYNDEMIC.
THE PERFECT STORM OF CLUSTERING
INTERACTING DISEASE STATES FOR
WHICH LONG STANDING STRUCTURAL
INEQUALITIES, RACISM, AND
VIOLENCE SET THE STAGE FOR WHO
GOT SICK, WHY THEY GOT SICK, AND
THEIR OUTCOMES.
SO IT IS REALLY ESSENTIAL THAT
WE NOT BECOME NUMB TO OR FORGET
WHAT COVID-19 HAS EXPOSED.
BUT WE ALSO KNOW THAT SYNDEMIC
CONDITIONS DON'T END AND THEY
DIDN'T START WITH COVID-19.
CLIMATE CHANGE IS ANOTHER
EXAMPLE OF AN ACCELERATING
SERIOUS THREAT TO OUR COUNTRY
AND THE WORLD THAT PROVIDES
INEQUITABLE CONDITIONS TO
EXACERBATE THE INTERACTIONS
AMONG CO-AND MULTIMORBIDITIES.
CONSIDER THE IMPACT OF EXTREME
WEATHER EVENTS.
26 MILLION PEOPLE ARE MOVED INTO POVERTY
IN THE U.S., NEARLY HALF OF OUR
POPULATION WILL EXPERIENCE A
DECLINE IN THE COMING DECADES.
EACH YEAR 20 MILLION PEOPLE ARE
FORCED TO MOVE BECAUSE OF
WEATHER RELATED EVENTS, LINKED
TO ANXIETY, DEPRESSION AND A
LACK OF SOCIAL COHESION.
GLOBALLY, THE CLIMATE CHANGE
CREATES WHAT THE THE GLOBAL SYN
SYNDEMIC.
THEY ARE CONSISTENT IN THEIR
CLUSTERING AND SPACE AND TIME.
INTERACTIONS WITH BIOLOGICAL,
PSYCHOLOGICAL AND SOCIAL FACTORS
AND COMMON LARGE SCALE SOCIETAL
DRIVERS AND DETERMINANTS.
SO LET'S TURN TO PHYSICAL
ACTIVITY WHICH IS WHAT THIS
CONFERENCE IS ALL ABOUT.
WE KNOW PHYSICAL ACTIVITY IS A
MAJOR RISK FACTOR IF CONDITIONS
THAT ARE A FUNDAMENTAL PART OF
THE S YIRKS NDEMICS WE HAVE BEEN
TALKING ABOUT TODAY.
IN JANUARY 2020, STATE DATA OF
ADULT PHYSICAL ACTIVITIES
RELEASED BY THE CDC, SHOWS
INACTIVITY AMONG THE U.S. AND
ITS TERRITORIES IS HIGH, AS WE
KNOW.
RANGING FROM 17% IN OHIO TO 47%
IN PUERTO RICO.
OVERALL A LARGER PERCENTAGE OF
HISPANIC AND BLACK ADULTS ARE
PHYSICALLY INACTIVE WHEN
COMPARED WITH NONHISPANIC WHITE
COUNTERPARTS.
A MULTINATIONAL STUDY CONDUCTED
IN 14 COUNTRIES SHOW
PRE-PANDEMIC 80% OF PEOPLE WERE
MEETING WHO GUIDELINES FOR
PHYSICAL ACTIVITY BUT AFTER THE
PANDEMIC THE NUMBER DROPPED TO
62%.
ADDITIONAL, ACROSS SECTIONAL
STUDY REPORTED ADULTS REPORTED
DECREASED PHYSICAL AK TOUGHTY IN
THE PANDEMIC.
NOT ONLY DID BLACK AND HISPANIC
INDIVIDUALS FACE AN INCREASED
RISK OF IMPACTS OF COVID-19,
THEY REPORTED HIGHER LEVELS OF
DECREAS
DECREASED.
THIS IS MORE IMPORTANT NOW THAN
EVER GIVEN COVID-19.
MANY OF THE INEQUALITIES ARE
TRACED TO RACISM, WIDE REACHING
DISCRIMINATORY POLICIES AND
PRACTICES.
THESE INCLUDE EXPROPRIATED LAND
FROM INDIGENOUS PEOPLE,
PRACTICES AND POLICIES THAT
CREATED AND ENFORCED RACE-BASED
RESIDENTIAL SEGREGATION,
POLICIES AND PRACTICES THAT
DEDUCE ACTED DIVESTMENT FROM
COMMUNITIES OF COLOR.
THE PROFOUND CONSEQUENCES FOR
SUCH POLICIES FOR THE
DISTRIBUTION OF HEALTH RESOURCES
AND RISKS ACROSS COMMUNITIES
PERSIST TODAY.
AMONG THESE CONSEQUENCES ARE THE
INEQUITABLE COMMUNITY CONDITIONS
THAT PEOPLE ENCOUNTER FOR ACTIVE
LIVING.
I, ECONOMIC CONDITIONS THAT
AFFECT HEALTH AND QUALITY OF
LIFE AND I BELIEVE THAT SOLVING
THEM IS CRUCIAL TO ENDING A
MYRIAD OF SYNDEMICS.
SO CONSIDER AN EXAMPLE THAT THE
RACIALLY DISCRIMINATORY PRACTICE
OF REDLINES IS WORSE LOCAL
ENVIRONMENTAL QUALITY, INCREASED
AIR POLLUTION, LACK OF GREEN
SPACE, TREE CANOPY AND WORSENING
URBAN HEAT.
BUT POLICIES LIKE REDLINING
IMPACTED THE VARIABLE OF
RESOURCES IN THE BUILT AND
SOCIAL ENVIRONMENTS, LIKE JOBS
THAT PAY ALIVING WAGE, GOOD
SCHOOLS, MUNICIPAL SERVICES,
GROCERY STORES AND HEALTHY
FOODS.
AS WELL AS EXPOSURES TO HAZARDS
LIKE THE AVAILABILITY AND
MARKETING OF TOBACCO, ALCOHOL
AND JUNK FOOD.
POLICE MONITORING AND VIOLENCE.
THE LIST COULD GO ON AND ON.
WE NEED POLICY SOLUTIONS THAT
IMPACT THE DRIVERS OF CLIMATE
CHANGE AND ENVIRONMENTAL HEALTH.
BUT WE ALSO NEED POLICIES AND
OTHER STRUCTURAL INTERVENTIONS
THAT WILL HELP IMPROVE THE
RESILIENCY OF COMMUNITIES,
ESPECIALLY FOR COMMUNITIES THAT
ARE ALREADY AT A DISADVANTAGE.
DUE TO UNFAIR AND UNJUST
POLICIES THAT CREATED HEALTH
DISPARITIES.
SO HERE'S AN ILLUSTRATION THAT
YOU PROBABLY ARE AWARE OF
DRAWING ON TRANSPORTATION
INFRASTRUCTURE.
DURING THE CONSTRUCTION OF THE
NATION'S INTERSTATE HIGHWAY
SYSTEM, ROUGHLY FROM THE 1950s
THROUGH THE 1970s, FEDERAL
DOLLARS PAID FOR THE ROADWAYS,
BUT STATE AND LOCAL OFFICIALS
SELECTED THE PATHS OF THESE
INTERSTATE HIGHWAYS.
THUS INTERSTATE HIGHWAYS WERE
OFTEN ROUTED THROUGH POOR
NEIGHBORHOOD AND VERY OFTEN
THROUGH BLACK NEIGHBORHOODS.
NEARLY 40,000 URBAN HOUSING
UNITS PER YEAR WERE BEING
DEMOLISHED BY THE 1960s TO MAKE
ROOM FOR HIGHWAYS, BUT LITTLE
THOUGHT WAS GIVEN TO THE WIDE
RANGE OF IMPACTS ON THESE
AFFECTED COMMUNITIES.
AND ON THE FAMILIES THAT WERE
DISPLACED.
FOR EXAMPLE, ESTABLISHED
COMMUNITY RESOURCES, LIKE
SCHOOLS, CHURCHES, BUSINESS
DISTRICTS, THAT SERVED BLACK
NEIGHBORHOODS WERE LOST DUE TO
HIGHWAY CONSTRUCTION.
CONTRIBUTING TO THE
UNDERDEVELOPMENT OF THESE
COMMUNITIES.
THIS UNDERDEVELOPMENT FURTHER
PERPETUATING DISADVANTAGES FOR
BLACK COMMUNITIES WHEN IT CAME
TO ECONOMIC OPPORTUNITIES AND
BENEFITS.
COMMUNITIES WERE LITERALLY
DIVIDED BY THE NEW HIGHWAYS,
DISRUPTING ESTABLISHED SOCIAL
NETWORKS AND TIES AND
REINFORCING NEIGHBORHOOD
SEGREGATION.
THUS THE STRUCTURAL VIOLENCE
EXPERIENCED BY THESE COMMUNITIES
HAS HAD LONG LASTING IMPACTS ON
COMMUNITY BUILT AND SOCIAL
ENVIRONMENTS.
THOUGH LOWER INCOME AND
COMMUNITIES OF COLOR WERE
DISPROPORTIONATELY DISPLACED BY
HIGHWAY CONSTRUCTION, THESE
POPULATIONS ARE STILL MORE
LIKELY TO BE IN AREAS WITH POOR
INFRASTRUCTURE FOR WALKING AND
BIKING, INCREASED SAFETY
CONCERNED AND NO IMMEDIATE
ACCESS TO HIGH-QUALITY GREEN
SPACES AND PARKS.
UNFORTUNATELY, OUR FAILURE TO
ADDRESS RACISM AND THE RESULTING
INEQUITIES AND COMMUNITY
ENVIRONMENTS MEANS THEIR
DAMAGING EFFECTS CONTINUE TO
PLAY OUT ON A WIDE RANGE OF
HEALTH -- CHRONIC HEALTH
CONDITIONS AND AS NEW DISEASES
EMERGE SUCH AS COVID-19.
SO NOW THAT I HAVE SET THE
STAGE, LET ME TELL YOU A LITTLE
BIT ABOUT WHAT WE ARE DOING AT
THE NATIONAL INSTITUTE OF
NURSING RESEARCH AND NIH MORE
GENERALLY TO MOVE AS QUICK AS WE
CAN TO ACCELERATE RESEARCH ON
COMMUNITY CONDITIONS, AND OTHER
SOCIAL DETERMINANTS OF HEALTH.
IN ORDER TO IMPROVE OUR NATION'S
HEALTH AND TO ENSURE THAT
EVERYONE HAS A FAIR AND JUST
OPPORTUNITY TO LIVE A LONG AND
HEALTHY LIFE.
SO TO DO THAT, LET ME TELL YOU
FIRST A LITTLE BIT ABOUT THE
NATIONAL INSTITUTE OF NURSING
RESEARCH AND THE PERSPECTIVE
THAT NURSES BRING TO BIOMEDICAL
AND BEHAVIORAL RESEARCH.
NURSES INTERACT CLOSELY WITH
PATIENTS AND FAMILIES ACROSS A
VARIETY OF SETTINGS.
CERTAINLY IN HOSPITALS AND
CLINICS, WHICH IS WHAT WE OFTEN
THINK ABOUT.
BUT NURSES ARE IN SCHOOLS AND
WORK PLACES, IN HOMES AND
JUSTICE SETTINGS, AND IN
COMMUNITIES FROM URBAN TO
SUBURBAN TO RURAL.
OUR WORK ACROSS COMMUNITIES
GIVES US A DEEP UNDERSTANDING OF
NOT ONLY THE PERSONAL FACTORS
BUT ALL THE WAY UP TO THE
SOCIETAL FACTORS THAT LEAD TO
HEALTH AMONG SOME AND ILLNESS
AMONG OTHERS.
NURSES KNOW PEOPLE AND THEIR
COMMUNITIES.
THEIR STRENGTHS AS WELL AS THE
OBSTACLES THAT THEY FACE TO
ACHIEVING OPTIMAL HEALTH.
WITH THIS KNOWLEDGE AND
PERSPECTIVE, WE CAN AND WE DO
DESIGN PROGRAMS OF RESEARCH THAT
CAN HAVE A SIGNIFICANT REAL
WORLD IMPACT ON PEOPLE'S LIVES.
AND, IN FACT, THAT IS EXACTLY
WHAT WE ARE DOING AT THE
NATIONAL INSTITUTE OF NURSING
RESEARCH.
WHAT SETS NINR APART FROM OTHER
INSTITUTES AT NIH IS RESEARCH IS
FOCUSED ON HEALTH SOLUTIONS FOR
PEOPLE IN THE CONTEXT OF THEIR
LIVES AND LIVING CONDITIONS.
LAST MAY, WE RELEASED A NEW
STRATEGIC PLAN INCLUDING A NEW
MISSION STATEMENT TO LEAD
NURSING SCIENCE TO SOLVE
PRESSING HEALTH CHALLENGES AND
INFORM PRACTICE AND POLICY IN
ORDER TO OPTIMIZE HEALTH AND
ADVANCE HEALTH EQUITY WAY INTO
THE FUTURE.
IN OUR STRATEGIC PLAN, WE
OUTLINE FIVE RESEARCH LENSES
WHICH YOU CAN SEE HERE.
SIMPLY PUT, WHEN WE SAY A LENS,
WE ARE DESCRIBING A PERSPECTIVE
THROUGH WHICH TO SOLVE A HEALTH
CHALLENGE.
IN DEVELOPING OUR SCIENTIFIC
STRATEGY, WE IDENTIFIED FIVE
LENSES THAT WE THINK BUILD ON
THE STRENGTHS OF NURSES AND
NURSING.
ONE OF WHICH FOCUSES ON SOCIAL
DETERMINANTS OF HEALTH.
THROUGH THIS LENS, WE AIM TO
IDENTIFY EFFECTIVE APPROACHES TO
IMPROVE HEALTH AND QUALITY OF
LIFE BY ADDRESSING THE
CONDITIONS OF DAILY LIFE.
WE WANT OUR INVESTIGATORS TO
ADDRESS UPSTREAM AND MIDSTREAM
CAUSES OF HEALTH OUTCOMES, TO
IDENTIFY HOW TO LIMIT EXPOSURES
TO ADVERSE SOCIAL AND ECONOMIC
CONDITIONS.
AND HOW TO LIMIT SUSCEPTIBILITY
TO THE BIOLOGICAL EMBEDDING OF
SOCIAL DETERMINANTS.
THESE RESEARCH LENSES, AS YOU
KNOW, ARE COMPLEMENTARY, THEY
ARE SYNERGISTIC.
MULTILEVEL APPROACHES, CROSS
DISCIPLINARY AND CROSS SECTORAL
COLLABORATION AND COMMUNITY
ENGAGEMENT IN RESEARCH.
SO AS SHOWN IN THIS RESEARCH
FRAMEWORK, NINR INVESTIGATORS
HAVE THE FLEXIBILITY TO APPLY A
SINGLE LENS OR A COMBINATION OF
LENSES IN STUDY AND TRAINING
PROGRAMS.
WE DO, THOUGH, ENCOURAGE
RESEARCHERS TO VIEW THE HEALTH,
EQUITY AND SOCIAL DETERMINANTS
OF HEALTH LENSES AS THE PRIMARY
FOCI THROUGH WHICH TO CONSIDER
THE OTHER LENSES.
WE'VE BEGUN RELEASING FUNDING
OPPORTUNITIES AGAINST THESE
LENSES AND ENCOURAGE SCIENTISTS
ACROSS DISCIPLINES TO APPLY.
USING THESE LENSES WE BELIEVE
THERE ARE A NUMBER OF
OPPORTUNITIES TO BETTER
UNDERSTAND THE INTERPLAY BETWEEN
ACTIVE LIVING, CHRONIC
CONDITIONS AND SOCIAL
DETERMINANTS OF HEALTH AND TO
TEST INTERVENTIONS AIMED AT
ADDRESSING SOCIAL DETERMINANTS
OF HEALTH WITHIN THIS CONTEXT.
SO I HOPE THAT THOSE OF YOU HERE
TODAY WILL CONSIDER THESE LENSES
IN YOUR OWN RESEARCH.
SO I'M GOING TO HIGHLIGHT A
COUPLE OF STUDIES RELATED TO
ACTIVE LIVING AND PHYSICAL
ACTIVITY.
SO WITH THESE LENSES IN MIND,
HERE ARE A COUPLE OF OUR FUNDED
STUDIES.
IN THIS FIRST EXAMPLE
RESEARCHERS ARE IMPLEMENTING TWO
MULTILEVEL PHYSICAL ACTIVITY
INTERVENTIONS TO DETERMINE WHICH
IS MOST APPLICABLE AND FEASIBLE
IN RURAL COMMUNITIES.
THE RESEARCHERS ARE CONDUCTING A
WORK BASED WALKING PROGRAM
VERSUS A COMBINED WORK BASE
WALKING PROGRAM PLUS CIVIC
ENGAGEMENT PROGRAM.
BOTH PROGRAMS ARE BEING
IMPLEMENTED BY LOCAL LIBRARIES
ACROSS 16 TOWNS IN RURAL AREAS.
IN THE SECOND EXAMPLE,
RESEARCHERS ARE LOOKING AT HOW
TO IMPROVE PHYSICAL AND
PSYCHOSOCIAL FUNCTIONING AMONG
OLDER AFRICAN-AMERICAN ADULTS IN
DETROIT.
SOCIAL ISOLATION IS WIDESPREAD
DISILLUSION, THERE ARE FEW SAVE
OPTIONS FOR PHYSICAL ACTIVITY.
MANY OLDER ADULTS IN DETROIT
BURDENED BY POOR HEALTH EVEN
BEFORE THE PANDEMIC FACE A
DOWNWARD SPIRAL OF INCREASED
STRESS, REDUCED PHYSICAL AND
SOCIAL ACTIVITY AND PHYSICAL
DECONDITIONING.
SO RESEARCHERS IN THIS STUDY ARE
TESTING WHETHER A
SELF-MANAGEMENT AND RESILIENCE
BUILDING INTERVENTION LED BY
COMMUNITY HEALTH WORKERS IN THE
DETROIT HEALTH DEPARTMENT
IMPROVE PSYCHOSOCIAL AND
PHYSICAL FUNCTIONING AMONG
AFRICAN-AMERICAN OLDER ADULTS.
AS I SAID, WE ARE RELEASING
FUNDING OPPORTUNITIES TO SUPPORT
OUR RESEARCH PRIORITIES.
HERE ARE TWO OF THE CURRENT
FUNDING OPPORTUNITIES THAT
SUPPORT OUR INTERESTS IN SOCIAL
DETERMINANTS OF HEALTH IN ORDER
TO OPTIMIZE HEALTH AND ADVANCE
HEALTH EQUITY.
SO WITH THESE ANNOUNCEMENTS, WE
ARE LOOKING FOR RESEARCH
PROJECTS THAT ARE ROOTED IN
NURSING'S HOLISTIC
CONTEXTUALIZED PERSPECTIVE TO
ADDRESS THE MOST PRESSING
CHALLENGES, THAT INCLUDES
CHALLENGES RELATED TO ACTIVE
LIVING.
WE WANT TO SUPPORT PROJECTS THAT
EMPLOYEE INNOVATIVE AND RIGOROUS
STUDY DESIGNS TO INFORM PRACTICE
AND POLICY WITH AN EMPHASIS ON
SOLUTIONS.
SO, FOR THOSE WHO MAY WANT TO
CONSIDER APPLYING AND WOULD LIKE
TO REQUEST THAT YOUR APPLICATION
BE SENT TO NINR, THERE ARE A
COUPLE OF THINGS YOU CAN DO.
FIRST AND FOREMOST, TALK TO YOUR
PROGRAM OFFICER EARLY AND OFTEN.
PLEASE FEEL FREE TO REACH OUT TO
OUR COLLEAGUES AT NINR.
THEY ARE HAPPY TO TALK TO YOU
ABOUT YOUR IDEAS.
PROGRAM OFFICERS CAN ADVOCATE
FOR YOUR APPLICATION TO BE
ASSIGNED TO THE INSTITUTE.
ADDITIONALLY, AS AN APPLICANT
YOURSELF, YOU CAN COMPLETE A PHS
ASSIGNMENT REQUEST FORM.
THIS FORM CAN BE USED TO
COMMUNICATE SPECIFIC APPLICATION
ASSIGNMENT AND REVIEW REQUESTS
TO THE DIVISION OF RECEIPT AND
REFERRAL AND TO SCIENTIFIC
REVIEW OFFICERS.
NOW, THERE IS NO GUARANTEE WHERE
AN APPLICATION CAN GO, BUT THESE
ARE STEPS YOU CAN TAKE IF YOU
WANT TO SUBMIT YOUR APPLICATION
TO NINR.
SO IN LINE WITH OUR NEW
STRATEGIC PLAN, WE ARE PLEASED
TO PARTNER WITH A NUMBER OF NIH
INSTITUTES CENTERS AND OFFICES
IN A COMMITMENT TO ACCELERATING
RESEARCH ON SOCIAL DETERMINANTS
OF HEALTH ACROSS THE NIH.
THAT INCLUDES NCI.
IN FACT, LAST SPRING WE LAUNCHED
A NEW WIDE COORDINATING
COMMITTEE.
ITS GOAL TO ACCELERATE RESEARCH
ON SOCIAL DETERMINANTS OF HEALTH
ACROSS DISEASES, CONDITIONS,
LIFE COURSE STAGES AND DOMAINS
OF SOCIAL DETERMINANTS.
18 NIH INSTITUTES CENTERS AND
OFFICES HAVE JOINED THE
EXECUTIVE COMMITTEE, WHICH IS A
CLEAR INDICATION THAT WE AT NIH
RECOGNIZE THE IMPORTANCE OF
SOCIAL DETERMINANTS OF HEALTH IN
SOLVING THE MOST PRESSING HEALTH
CHALLENGES THAT OUR NATION
FACES.
BEFORE I CLOSE, AND I SEE -- I
CAN SEE MY COLLEAGUES GETTING
NERVOUS OVER THERE TO SEE THEIR
PICTURE ON THE SCREEN, BUT I
WANT TO MENTION THAT
ENVIRONMENTAL HEALTH AND
SPECIFICALLY ENVIRONMENT
INJUSTICE IS REALLY NEAR AND
DEAR TO MY HEART.
IT HAS BEEN THE FOCUS OF MY
RESEARCH EVER SINCE I STARTED.
I AM VERY EXCITED TO CONTINUE MY
RESEARCH AT NIH.
WE HAVE A LAB AT THE NATIONAL
INTEUT, A MINORITY HEALTH AND
HEALTH DISPARITIES.
WE ARE CURRENTLY LAUNCHING A NEW
PROGRAM OF RESEARCH FOCUSED ON
THE IMPACT OF HEAT EXPOSURE ON
SPATIAL AND HEALTH BEHAVIORS,
INCLUDING PHYSICAL ACTIVITY AND
THE POTENTIAL FOR INCREASING
URBAN HEAT TO EXACERBATE
EXISTING HEALTH DISPARITIES.
SO WE ARE LOOKING FOR A POST
DOC.
SO IF YOU ARE IN AUDIENCE AND
LOOKING FOR A POST DOC, WE WOULD
WELCOME YOUR APPLICATION AND
FEEL FREE TO SPREAD THE NEWS TO
OTHERS.
MY COLLEAGUES, KELLY JONES, AS
WELL AS ERIN AND MELANIE ARE IN
THE AUDIENCE AND AT THE
CONFERENCE SO FEEL FREE TO GRAB
THEM.
AND NOW YOU KNOW WHAT THEY LOOK
LIKE.
THEY ARE RIGHT THERE ON THE
SCREEN SO YOU CAN LOOK FOR THEM.
ALL RIGHT.
SO WE ARE ALSO HIRING AT THE
NATIONAL INSTITUTE OF NURSING
RESEARCH.
I COULDN'T AGREE WITH DEFENSIVE
END -- I COULDN'T AGREE WITH
DAVID MORE, WE NEED MORE TO
INFORM THE PERSPECTIVES OF NIH.
WE AGREE WITH THAT AT THE
NATIONAL INSTITUTE OF NURSING
RESEARCH.
IF YOU ARE LOOKING FOR NEW
AVENUES, NEW CAREER PATHS, A WAY
TO CONTRIBUTE TO IMPROVING OUR
NATION'S HEALTH, WE AT NINR AND
ACROSS THE NIH HAVE JOB
OPPORTUNITIES FOR YOU AS WELL AS
TRAINING OPPORTUNITIES FROM POST
BACCALAUREATE TRAINING
OPPORTUNITIES THROUGH POST DOC
OPPORTUNITIES.
SO WITH THAT, AGAIN, I WANT TO
THANK YOU FOR ALLOWING ME TO
SHARE OUR PERSPECTIVE AND
LOOKING FORWARD TO TALKING WITH
DAVID AND YOU ALL ABOUT YOUR
QUESTIONS.
SO, THANK YOU.
[ APPLAUSE ]
>> DO YOU WANT TO SIT DOWN OR
PREFER TO STAND?
>> NO.
THIS IS GREAT.
>> WHILE PEOPLE ARE GETTING
THEIR QUESTIONS IN ORDER, I HAVE
A FEW CANNED ONES.
DURING THE PANDEMIC I GOT A
CHANCE TO DO A DETAIL WITH
SHANNON AND NINR AND THE HEALTH
WORK FORCE AT HHS.
IT OPENED MY EYES TO THE
INCREDIBLE CONTRIBUTION NURSING
IN ALL DIFFERENT SECTORS MAKE TO
HEALTH AND TO COMMUNITY HEALTH
AND TO FAMILY HEALTH.
SO IT WAS SUCH AN EYE-OPENER.
IT TOTALLY CHANGED MY
PERSPECTIVE ON WHAT IS IMPORTANT
IN THE LANDSCAPE OF HEALTH CARE
AND HEALTH PROMOTION IN THE
UNITED STATES.
SO IT WAS REALLY A BEAUTIFUL
EXPERIENCE.
AND SO WHILE PEOPLE ARE COMING
UP, COULD YOU SAY A LITTLE MORE
ABOUT WHEN WE HEAR THE NURSING
INSTITUTE, WE THINK, MY GRANT
SHOULD HAVE NURSES IN IT AND
NURSE SCIENTISTS AND COME OUT OF
THE DEPARTMENT OF NURSING, BUT
IT LOOKS LIKE THAT IS NOT QUITE
EXACTLY THE CASE AS WE MIGHT
HAVE THOUGHT.
COULD YOU SAY A LITTLE MORE
ABOUT WHAT KIND OF GRANTS YOU
WANT TO SEE SORT OF IN RELATION
TO NURSES AND NURSING RESEARCH
VERSUS THE SOCIAL DETERMINANTS
OF HEALTH LENS.
DO THEY HAVE TO OVERLAP, ET
CETERA?
>> THANK YOU, DAVID.
IT IS A GREAT QUESTION.
WE HEAR THAT QUESTION AS WELL.
SO WE FUND A WIDE VARIETY OF
INVESTIGATORS FROM VARIOUS
DISCIPLINES AND REALLY ON A WIDE
VARIETY OF TOPICS.
THAT INCLUDES ACTIVE LIVING AND
IT INCLUDES COMMUNITY HELP.
CERTAINLY WE WELCOME
APPLICATIONS FROM NURSE
SCIENTISTS.
REALLY WHAT IS MOST IMPORTANT TO
US IS INVESTIGATORS FROM ANY
DISCIPLINE ALIGNED WITH OUR
PERSPECTIVE AND PRIORITIES.
STRONG SCIENCE TO INFORM
PRACTICE AND POLICY AND THAT
INCLUDES IN THIS FIELD OF
RESEARCH WHICH IS THE FOCUS OF
TODAY'S CONFERENCE.
>> BUT I IMAGINE ALSO YOU WOULD
ENCOURAGE THE AUDIENCE TO REACH
OUT TO SOME OF THE NURSING
RESEARCHERS AND NURSING FOR
PRACTICE TO SEE HOW THEY CAN
ENGAGE THEM AND ENGAGE THEIR
WORK.
>> ABSOLUTELY
>> MAYBE THAT IS AN INTERVENTION
HERE.
THINK ABOUT HOW YOU CAN MIX UP
YOUR WORK WITH THE NURSING WORK
FORCE COMMUNITY.
>> WE COULDN'T AGREE MORE.
AS I HOPEFULLY CONVEYED IN MY
TALK, NURSES HAVE A VERY
VALUABLE PERSPECTIVE, REALLY
RANGING FROM CLINICAL CARE AND A
CLINICAL PERSPECTIVE THROUGH
COMMUNITY AND HOW TO BLEND THE
TWO.
I ENCOURAGE YOU TO KEEP AN EYE
OUT FOR NURSE SCIENTISTS AND
NURSING COLLEAGUES IN PRACTICE
BECAUSE THROUGH THAT CROSS
DISCIPLINARY COLLABORATION AND
TEAMWORK WE WILL MAKE A DENT AND
SOLVE OUR NATION'S MOST PRESSING
CHALLENGES.
SO THANKS FOR THAT.
>> SO WE URGE QUESTIONS FROM THE
AUDIENCE.
>> WE ARE GOING TO BEG YOU TO
COME TO THE MICROPHONE.
PLEASE, HAVE A QUESTION.
>> WHILE WE ARE WAITING, AGAIN,
SO I WANT TO SWITCH GEARS NOW
AND ASK YOU A LITTLE MORE ABOUT
SCIENCE.
BECAUSE, TO ME, A CRITICAL
QUESTION IN ACTIVE LIVING
RESEARCH AND A VARIETY OF AREA
BASED ANALYSES OF ACTIVITY SPACE
YOU CHAMPIONED.
WHEN I FIRST LEARNED ABOUT THAT
AND WAS READING YOUR PAPERS IT
SEEMED SO COMPELLING YOU COULD
HAVE MORE EXPLANATORY POWER ON
INFLUENCES ON BEHAVIOR IF YOU
LOOKED AT EVERYWHERE PEOPLE WENT
INSTEAD OF DRAWING A CIRCLE
AROUND THEIR HOUSE.
I FEEL LIKE IN THE LAST 10 OR 15
YEARS IT HAS BEEN HARD TO GET TO
COMPELLING ILLUSTRATIONS OF
WHETHER OR NOT THE ACTIVITY
SPACE CONCEPT REALLY IMPROVES
OUR UNDERSTANDING OF
ENVIRONMENTAL INFLUENCES.
SO AM I WRONG AND WHY IS THAT,
IF I'M NOT WRONG?
>> I WOULD NEVER SAY YOU WERE
WRONG, DAVID.
NEVER.
>> I'M OFTEN WRONG.
ALWAYS, I WOULD SAY.
>> I MEAN, DAVID AND I HAVE HAD
A LOT OF NERDY CONVERSATIONS
OVER THE YEARS ABOUT ACTIVITY
SPACE.
SO, NO, I THINK IT IS AN
EXCITING AREA OF RESEARCH.
I THINK THERE'S CHALLENGES WITH
IT, AS YOU KNOW.
IT IS NOT SOMETHING YOU CAN DO
WITH EXISTS SECONDARY DATA.
THE FIELD IS STILL IN ITS
INFANCY.
THERE ARE MEASUREMENT ISSUES WE
NEED TO TACKLE AND DEAL WITH
FIRST IN ORDER TO SEE THE HEALTH
IMPACT AND IMPACT ON HEALTH
BEHAVIOR.
AS YOU KNOW, TO REALLY MEASURE
ACTIVITY SPACE WELL, THERE ARE
DIFFERENT APPROACHES FROM
SURVEYS, WHICH HAVE ITS OWN SET
OF LIMITATIONS TO GPS, WHICH
ALSO HAVE LIMITATIONS.
THERE IS A LOT OF WORK TO DO TO
COME TO SOME CONSENSUS ON THE
BEST APPROACH FOR DATA
COLLECTION AND THE BEST APPROACH
OF HOW TO ACTUALLY CONCEPTUALIZE
AND MEASURE THE ACTIVITY SPACE
ITSELF.
SO I THINK THERE IS A LOT OF
WORK TO BE DONE STILL AND I
DON'T GIVE UP EASILY.
I THINK THERE IS A LOT OF
INTERESTING WORK IN THAT AREA TO
COME.
>> I WAS JUST AT A CONFERENCE
OUT IN CALIFORNIA ON GEOSPATIAL
APPROACHES TO CANCER CONTROL AND
A NUMBER OF TEAMS DOWNLOADED
TERA BYTES OF PHONE DATA AND
DIDN'T REPORT ANSWERS, BUT
CHALLENGES IN FIGURING OUT HOW
TO INTERPRET THOSE PIECES OF
PEOPLE ACTIVITY SPACE INTO A
FULLER PICTURE.
THE TECHNOLOGICAL CHALLENGES
SEEM TO LOOM LARGE.
>> THEY DO.
INCLUDING TIME.
REALLY, IT IS ABOUT EXPOSURE.
AND IN NEIGHBORHOOD RESEARCH IT
IS ALWAYS THE CHALLENGE AND THE
SAME WITH ACTIVITY SPACE.
THAT REQUIRES A SOPHISTICATION
TO WEIGHT EXPOSURES WITH TIME.
SO I THINK AGAIN THERE'S NEAT
OPPORTUNITIES, BUT IT IS A
COMPLEX FIELD.
>> YOU CAN FIGURE THIS OUT IF
YOU BECOME A POST DOC IN DR.
ZENK'S LAB
>> DID YOU HEAR.
WE ARE LOOKING FOR POST DOCS.
>> HI, MY NAME IS ELIZABETH.
I'M NOT A POST DOC.
SORRY.
I'M CURE USE TO HEAR YOUR
REACTION TO WHAT I WILL PROPOSE.
NURSING AND HEALTH CARE WORKERS
IN GENERAL ARE BACKBONES OF OUR
SOCIETY.
I WAS RAISED BY A JER @ II IIC --
GERIATRIC NURSE PRACTITIONER, SO
OVERWORKED.
THE WAY NURSES ARE CURRENTLY
TREATED IN OUR HOSPITAL SYSTEM
AND HEALTH CARE SYSTEM, THE WAY
THAT WE'VE SEEN DURING THE
PANDEMIC THAT HEALTH CARE
WORKERS CAN START TO BECOME
ABUSED WHEN IT COMES DOWN TO
PEOPLE NEEDING CARE.
HOW DO YOU THINK YOUR NINR
RESEARCH IS GOING TO FIT INTO
NURSING THE WAY IT IS, OR DO YOU
SEE YOURSELF WANTING TO CHANGE
NURSING AND FLIP IT ON ITS HEAD
TO GET THE COMMUNITY CONNECTION
THERE?
>> GREAT QUESTION.
LET ME KNOW IF I DON'T ANSWER
ALL THE PIECES.
WE'RE CONCERNED ABOUT THE
NURSING WORK FORCE AS WELL.
I THINK THE PANDEMIC REVEALED
THE INVALUABLE CONTRIBUTION OF
NURSES TO THE HEALTH CARE
SYSTEM.
AND ALSO EXPOSED ISSUES OF
BURNOUT AND OVERWORK AND REALLY
THE NEED FOR US TO SUPPORT THE
NURSING WORK FORCE.
SO IN TERMS OF HOW I THINK ABOUT
SUPPORTING THE NURSING WORK
FORCE, IT THINK IT IS IN A
VARIETY OF WAYS.
ONE OF THE WAYS WE DO IS BY
GENERATING THE EVIDENCE AROUND
WHAT IS EFFECTIVE PRACTICE AS
WELL AS POLICY BROADLY, BUT
INCLUDING POLICIES THAT AFFECT
THE NURSING WORKFORCE.
I THINK THAT ROLE IN TERMS OF
RESEARCH AND ITS IMPORTANCE IN
GENERATING THE EVIDENCE WE NEED
TO SUPPORT THE NURSING WORKFORCE
TO MAKE THEIR CONTRIBUTIONS TO
SOCIETY MORE EFFECTIVE AND THEY
CAN SEE THE VALUE AND IMPACT OF
THEIR WORK IS SOMETHING WE
STRIVE TO FOCUS ON AT THE
INSTITUTE.
>> THANK YOU.
>> TERRIFIC.
JIM.
>> JIM SALLIS FROM SAN DIEGO.
I MIGHT BE READY FOR ANOTHER
POST DOC.
>> PERFECT, JIM.
PUT IN YOUR APPLICATION AND
WE'LL SEE.
YEAH.
>> JUST KIDDING.
I WANT TO CONGRATULATE YOU ON
BEING ELEVATED TO THIS POSITION.
IT IS GREAT TO HAVE SUCH AN
ACTIVE LIVING RESEARCHER IN THIS
POSITION.
THIS IS, I THINK, FANTASTIC.
YOU KNOW, I'M REALLY GLAD YOU
INCLUDED SOME IMPORTANT COMMENTS
ON THE THEME OF THIS MEETING ON
THE SYNDEMICS.
I WANT TO FOCUS ON THE CLIMATE
CHANGE FOR A MINUTE.
AND I WONDER IF YOU COULD GIVE
US ANY INSIGHTS INTO HOW TO
THINK ABOUT DOING RESEARCH AT
THE INTERSECTION OF ACTIVE
LIVING, CLIMATE CHANGE, RISKS OF
VARIOUS KINDS AND PARTICULARLY
VULNERABLE POPULATIONS.
YOU KNOW, I THINK THIS IS
RESEARCH THAT WE NEED TO BECOME
PREPARED AND TO AT LEAST LIMIT
THE DAMAGE THAT WE EXPECT IS
COMING.
AND I WOULD ASSUME THAT YOU
DON'T HAVE ANY SPECIFIC, YOU
KNOW, INITIATIVES AT NINR.
BUT ARE THERE WAYS NIH IS
LOOKING AT CLIMATE CHANGE MORE
GENERALLY AND, YOU KNOW, CAN YOU
GIVE US ANY GUIDANCE ABOUT HOW
TO APPROACH THAT AS PEOPLE HERE
MIGHT BE THINKING ABOUT HOW CAN
I GET INVOLVED IN RESEARCH IN
THIS KIND OF BROAD AREA?
>> YEAH.
I THINK IT IS A REALLY IMPORTANT
AREA.
I TRIED TO HIGHLIGHT IT IN MY
TALK.
PHYSICAL ACTIVITY IS SO CENTRAL
TO MANY OF THE SYNDEMICS WE ARE
FACING.
THIS AREA OF RESEARCH IS REALLY
IMPORTANT.
I'LL JUST JUMP TO THE MOST
EXCITING NEWS FOR ALL OF YOU AS
NIH IS PRIORITIZING THIS AREA OF
RESEARCH.
SO WE HAVE AN NIH WIDE CLIMATE
CHANGE AND HEALTH INITIATIVE AT
NIH AND WE HAVE ALREADY STARTED
RELEASING FUNDING OPPORTUNITIES
AGAINST THAT AREA OF RESEARCH.
SO THE EXECUTIVE COMMITTEE,
INCLUDING NINR, IS LED BY SEVEN,
I THINK, INSTITUTES AND CENTERS
WITH MANY OTHERS PART OF THE
WORKING GROUP.
SO THERE ARE FUNDING
OPPORTUNITIES, SPECIFICALLY
FOCUSED ON CLIMATE CHANGE AND
HEALTH OUT THERE RIGHT NOW.
AND I THINK YOU'LL SEE A LOT
MORE TO COME IN TERMS OF
TRAINING OPPORTUNITIES, WHICH WE
DESPERATELY NEED.
THIS IS A CRITICAL WORLDWIDE
CHALLENGE AND WE NEED
RESEARCHERS TRAINING IN THIS
AREA.
SO BOTH FROM THE IMMEDIATE
OPPORTUNITIES TO SUPPORT
RESEARCH AS WELL AS TRAINING
OPPORTUNITIES TO GET US ALL
PREPARED TO CONTRIBUTE TO
SOLUTIONS IN THIS AREA.
BE ON THE LOOKOUT.
YOU'LL HEAR MORE FROM NINR
SPECIFICALLY FROM OUR
INITIATIVES, TOO.
DO YOU WANT TO ADD ANYTHING TO
THAT, DAVID?
>> UM, NO.
BUT DO GOOGLE NIH AND CLIMATE
CHANGE AND DO LOOK INTO IT AND
DO REACH OUT TO FOLKS WHO ARE
NAMED AS CONTACTS AND IF NOBODY
REPLIES TO YOU, E-MAIL ME AND I
WILL HELP YOU.
>> WELL, THAT'S -- I CONSIDER
THAT VERY GOOD NEWS AND I HOPE
THAT ENCOURAGES SOME PEOPLE TO
DO JUST THAT.
THANKS.
>> THANK YOU.
>> MARK.
>> MARK FEINT FENTON FROM TUFTS
UNIVERSITY.
I'M INTRIGUED BY THE LIBRARY
STUDY AND WONDER IF YOU WON'T
SPEAK TO THAT MORE.
ONE ARM IS ENCOURAGING PEOPLE TO
ENGAGE IN WALKING MORE.
THAT IS NOT A POPULATION
SOLUTION FROM MY PERSPECTIVE
HAVING DONE A LOT OF THAT.
THE OTHER GROUP, YOU ARE
TEACHING THEM ABOUT COMMUNITY
ENGAGEMENT AND ACTIVISM.
IF I HEARD YOU RIGHT?
THOSE CHANGE AGENTS COULD BECOME
THE SPREADING WAVES IN THE POND
FROM THE PEBBLE THAT GETS THROWN
IN.
AND YOU ONLY NEED A FEW OF THOSE
PEOPLE POTENTIALLY TO CHANGE THE
ENVIRONMENT FOR EVERYBODY IN
THAT COMMUNITY.
IS THAT THE GOAL?
IS THAT THE DIRECTION YOU ARE
GOING WITH THIS?
>> THE ANSWER IS I DON'T KNOW
BECAUSE IT IS NOT MY STUDY, BUT
WE ARE PROUD TO SUPPORT THE
STUDY.
WE COULD, YOU KNOW, IF YOU
WANTED TO REACH OUT TO LEARN
MORE ABOUT THE STUDY, WE'LL BE
AVAILABLE ON THE INTERNET SO YOU
COULD LEARN MORE.
I CAN'T REMEMBER WHO --
>> REBECCA SWINN-FOWLER, WHO IS
RIGHT HERE.
>> I WAS GOING TO ASK A
QUESTION, BUT I COULD SPEAK TO
THAT.
>> I'M CINDY PERRY, FROM OREGON
HEALTH SCIENCE SCHOOL OF
NURSING.
SO, YES, WE ARE LOOKING AT THE
GROUP BASE WALKED PROGRAM AS OUR
START APPROACH BECAUSE THAT IS
EFFECTIVE.
WE ARE SEEING ADDING IN THE
GROUPS THAT ARE COMMITTED TO
IMPROVING THE ENVIRONMENT
THROUGH CIVIC ENGAGEMENT PROGRAM
THAT REBECCA AND HER COLLEAGUES
HAVE DEVELOPED, BY HAVING THAT
ADDITIONAL COMMITMENT, ONE, WILL
THE PEOPLE IN THE GROUP BE MORE
COMMITTED TO WALKING AND ALSO,
BY IMPROVING THE ENVIRONMENT,
THAT SORT OF SPREADS OUT WHO IS
BENEFITING FROM THE WALKING
GROUP.
SO, YEAH, THAT IS IN ESSENCE
WHAT WE ARE DOING.
WE HAVE JUST STARTED.
YEAH.
>> WOW, WELL LUCKY ME.
>> BUT ANYWAYS, THE QUESTION I
WAS GOING TO ASK IS YOU TALKED
ABOUT ALL THE PLACES NURSING IS
IN THE COMMUNITY AND HOME, THE
HOSPITAL, YOU ALSO TALKED ABOUT
THE IMPORTANCE OF THE NURSING
PERSPECTIVE WHEN WE ARE DOING
RESEARCH.
AND REACHING OUT TO GET THAT
PERSPECTIVE.
I WONDER IF YOU COULD SPEAK MORE
TO HOW YOU SEE NURSING INFORMING
RESEARCH, IN PARTICULAR ACTIVE
LIVING RESEARCH AND HOW THAT
RESEARCH MIGHT TRANSLATE BACK
INTO THE NURSING PRACTICE.
>> SO YOUR QUESTION IS HOW
NURSING -- SORRY.
CAN YOU SAY THE LAST PART AGAIN.
>> SO HOW YOU SEE NURSING
PRACTICE AND WHATEVER THAT
LOCATION IS INFORMING OUR ACTIVE
LIVING RESEARCH AND HOW THE
RESEARCH RESULTS THEN CAN GO
BACK TO -- TRANSLATE BACK INTO
THE PRACTICE, BACK AND FORTH
BETWEEN NURSING AND THE
RESEARCHERS.
>> YEAH.
YEAH.
WELL, BECAUSE NURSES ARE
EVERYWHERE IN ALL OF THESE
SETTINGS, THEY ARE THE PERFECT
COLLABORATOR TO UNDERSTAND THE
LOCAL CONTEXT, THE LOCAL
POPULATION, THE RESOURCES AND
BARRIERS THAT THOSE COMMUNITIES
AND POPULATIONS FACE.
I THINK THEY ARE VALUABLE TO
INFORM WHAT THE RESEARCH NEEDS
ARE AND WHAT THE POPULATION --
WHAT ARE THE NEEDS AND STRENGTHS
OF THE POPULATION THAT
RESEARCHERS MIGHT BE INTERESTED
IN WORKING WITH.
SO I THINK THEY CAN HELP TO
GENERATE RESEARCH IDEAS, CONDUCT
THE RESEARCH AS WELL AS HELP TO
TRANSLATE THOSE FINDINGS INTO
ALL OF THESE VARIOUS SETTINGS
WHERE NURSES PRACTICE.
I AGREE, YOUR QUESTION IS A
GREAT SETUP.
I THINK THEY ARE IN A PERFECT
POSITION TO WORK BOTH WAYS TO
INFORM AND CARRY OUT THE
RESEARCH AS WELL AS TO TRANSLATE
IT BACK INTO ALL OF THESE
SETTINGS WHERE THEY ARE.
>> THANK YOU.
>> YEAH.
>> TERRY HORTON, NORTHWESTERN
UNIVERSITY.
I HAVE A QUESTION ABOUT ONE OF
THE PLACES WHERE NURSES USED TO
BE A LOT AND THAT WAS IN
SCHOOLS.
WE HAVE SEEN THE LOSS OF SCHOOL
NURSES.
MAYBE WE'LL HAVE A HEALTH CLERK
IN THE SCHOOL, BUT THAT IS NOT
THE SAME AS A NURSE.
THE OTHER THING LOST MORE AND
MORE IN SCHOOLS IS PHYSICAL
EDUCATION AND RECESS AND THINGS
LIKE THAT.
HOW CAN YOU OR HOW CAN OTHERS IN
THE NURSING PROFESSION BEGIN TO
CONTRIBUTE TO AN EVIDENCE-BASED
AND ADVOCATE FOR BOTH INCREASING
PHYSICAL ACTIVITY IN SCHOOLS AND
RETURNING NURSES AND APPROPRIATE
HEALTH CARE AND MONITORING INTO
SCHOOLS?
>> YEAH.
WELL, I GUESS TWO THINGS.
FIRST YOU POINTED OUT THAT
UNFORTUNATELY THERE AREN'T AS
MANY SCHOOL NURSES AS THERE USED
TO BE.
CERTAINLY THE INSTITUTE CAN
CONTRIBUTE TO THE EVIDENCE BASE
ON WHAT NURSES DO CONTRIBUTE IN
TERMS OF IMPROVING THE HEALTH,
PROTECTING THE HEALTH OF, YOU
KNOW, OUR CHILDREN IN THIS
COUNTRY.
AND THE IMPORTANCE OF HAVING
NURSES IN SCHOOLS.
THERE ARE A VARIETY OF PROGRAMS
IN SCHOOLS THAT NURSES PLAY A
ROLE IN.
AND AGAIN, INFORMING THE
EVIDENCE BASE THERE IS ALSO
IMPORTANT.
RELATED TO PHYSICAL ACTIVITY.
I THINK IT IS A NATURAL
CONNECTION AGAIN.
IF WE THINK ABOUT THE HEALTH OF
CHILDREN AND THE ROLE NURSES
PLAY, SO, AGAIN, FROM THE
INSTITUTE PERSPECTIVE, I CAN SEE
US AGAIN SUPPORTING THE RESEARCH
THAT IS NEEDED IN THIS AREA AND
THEN HELPING TO DISTRIBUTE THAT
EVIDENCE TO THE COMMUNITY AND A
WIDE VARIETY OF STAKEHOLDERS WHO
COULD USE THAT EVIDENCE TO
INFORM POLICY.
>> THANKS.
SO I'M GOING TO ASK ONE MORE
QUESTION OR MAKE A SPEECH.
>> IS IT GOING TO BE A HARD ONE?
>> ALL MY QUESTIONS ARE
SOFTBALLS FOR YOU.
YESTERDAY JEN ROBERTS, THE
CO-CHAIR FROM THE UNIVERSITY OF
MARYLAND OF THE CONFERENCE AND
TARA BLACKSHEERS FROM TOWSON,
WERE EMPHASIZING SOCIAL
DETERMINANTS OF HEALTH, RACISM
AND STRUCTURAL RACISM.
ONE OF THE POINTS THEY MADE
IMPLICITLY AND EXPLICITLY, HOW
YOU DO IT.
WE HAVE BEEN HEARING ABOUT
COMMITTEES, CONVERSATIONS,
PROCLAMATIONS.
TELL US A LITTLE ABOUT WHAT YOU
THINK IS BEING DONE ESPECIALLY
TO FOCUS ON MAKING SURE THAT
STUFF IS TRANSLATED INTO
MEANINGFUL ACTION.
EASY QUESTION, RIGHT?
>> IS THAT THE EASY ONE?
SO WELL, I THINK THERE'S A
NUMBER OF THINGS.
I THINK THE RESEARCH
COORDINATING COMMITTEE IS A WAY
TO MAKE SURE WE ARE COORDINATING
AND GENERATING THE EVIDENCE IN A
WAY THAT WE ARE NOT COMPETING,
BUT WE ARE COMPLEMENTING AND
BUILDING ON WHAT WE ARE
SUPPORTING ACROSS THE NIH.
I THINK IN TERMS OF HELPING TO
MAKE SURE THAT'S TRANSLATED, I
THINK WORKING WITH OUR
COLLEAGUES, RIGHT, AT OTHER
SISTER AGENCIES AS PART OF ONE
OF OUR GOALS AS THE RESEARCH
COORDINATING COMMITTEE, AS YOU
KNOW.
>> YEAH.
>> HAVING THAT CLOSE CONNECTION
BETWEEN UNDERSTANDING WHAT THE
EVIDENCE BASE NEEDS ARE FROM
THEIR PERSPECTIVE AS WELL AS THE
COMMUNITY AT LARGE IS ANOTHER
WAY WE CAN HELP ENSURE WE ARE
SUPPORTING THE MOST IMPACTFUL
RESEARCH TO INFORM POLICY.
>> TERRIFIC.
OKAY.
LET'S GIVE SHANNON ANOTHER ROUND
OF APPLAUSE.
ONLY YOU GET STANDING OVATIONS
AT ALC.
>> THANK YOU.