New York City Obesity Task Force: Interim Progress Report

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New York City Obesity Task Force: Interim Progress Report
December 2013

In May 2012, Mayor Michael R. Bloomberg announced a plan, developed by a multi-agency
Obesity Task Force (OTF) he convened, to strengthen New York City’s anti-obesity efforts. The
Task Force, led by Deputy Mayors Linda Gibbs and Caswell Holloway, brought together
leadership of a dozen City agencies and offices and identified and recommended 26 initiatives
to accelerate progress toward reversing the obesity epidemic in New York City. Together, these
initiatives aimed at reducing obesity rates by 10 percent among adults and by 15 percent
among children by 2016. They also targeted improvement in key measures that are risk factors
for obesity: decreasing consumption of sugary drinks and increasing consumption of fruits and
vegetables among adults by 30 percent; and reducing the rate of adults who get no physical
activity by 15 percent by 2016.

In just 18 months since the Obesity Task Force Report and recommendations were announced
(www.nyc.gov/html/om/pdf/2012/otf_report.pdf), significant progress has been made toward
implementing the recommendations. Across the City, agencies have been engaged in building
and expanding programs, promoting awareness, conducting trainings and engaging in
policymaking to prevent obesity among children, encourage healthy eating, promote physical
activity, and make the City an example of healthy government practice. The efforts have
formed fundamental building blocks for a healthier environment: because of the Obesity Task
Force’s efforts, New Yorkers have better access to fruits and vegetables and increased
awareness of the harms of sugary drinks. New Food Standards have been developed and
implemented; hospitals have committed to improving the food environments for patients and
employees; nutrition has been improved in more than 800 summer camps, and salad bars and
water jets are operating in hundreds of schools. Community gardens have sprung up in low-
income neighborhoods, and large-scale urban agriculture projects are being developed in
several housing authority complexes. Physical activity opportunities have increased, and all city
agencies are required to incorporate design strategies that encourage physical activity into new
construction and major renovation projects. The Mayor launched the Center for Active Design,
dedicated to promoting wellness through the design of buildings, streets and communities.
Additionally, children in elementary schools are getting more regular physical activity, and
thousands of New Yorkers are using Citi Bike, the largest bike sharing program in the country.

Changing the food and physical activity environments and norms takes time. Many of the
Obesity Task Force initiatives are just getting underway and their impact cannot yet be
measured. Nonetheless, while the prevalence of obesity in New York City is not yet on a
sustained decline, we are starting to see signs of progress. New Yorkers are reducing their
consumption of sugary drinks and increasing their physical activity. Sustained and continued
improvement in these areas is key to turning the obesity epidemic around.

The following is an interim report on the City’s progress implementing the Obesity Task Force’s
recommendations. Thousands of hours of work and targeted resources have pushed the vast
majority of the Task Force’s recommendations into reality. A small number of initiatives have
proved particularly challenging and remain unfinished. Continued focus and innovation will
certainly be required to meet the ambitious targets for reducing obesity for 2016.

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New York City Obesity Task Force: Interim Progress Report
    December 2013

Goals and Indicators by 2016                                                                          FY 2010 (baseline) Indicators   FY 2012 Indicators
Reduce the Prevalence of Obesity:
A Reduce the percent of NYC adults who are obese by 10% (23.4% to 21.1%)                              23.4% adults are obese          24.2% adults are obese
B Reduce the percent of children (K-8th grade) who are obese by 15% (20.7% to 17.6%)                  20.7% children are obese        No new data
Reduce the percent of adult New Yorkers:
C Consume one or more sugary drinks per day by 30% (30.3% to 21.2%)                                   30.3% consume 1+ SSB/day        28.2% consume 1+ SSB/day
D Consumed no servings of fruits and vegetables in the previous day by 30% (11.6% to 8.1%)            11.6% consumed no fruits +      12.5% consumed no fruits +
                                                                                                      vegetables                      vegetables
E Reported no physical activity in the past 30 days by 15% (27.3% to 23.3%)                           27.3% reported no physical      22.2% reported no physical
                                                                                                      activity                        activity

#    INITIATIVE                                    DESCRPTION OF RECOMMENDATION                         AGENCY(IES)      UPDATES                           STATUS
Prevent Obesity in Children
1     Promote and expand the Department of         1. Increasing the School Wellness Council            DOE, DOHMH       125 grants awarded in 2012-       ★COMPLETE
      Education’s nutrition and wellness           Grant program, which allocates $2,500 to                              2013, up from 50 grants the
      efforts                                      schools that develop Wellness Councils and                            previous year, reaching
                                                   activities to an additional 75 schools per year,                      78,000 students
                                                   2. creating DOE staff “Wellness Coordinators”
                                                   to provide technical assistance and
                                                   implementation support to schools seeking to
                                                   enhance their environments,
                                                   3. linking health and nutrition education to the
                                                   school environment, particularly in the school
                                                   cafeteria
2     Install water jets in school cafeterias to   Adding more than 700 new water jets in               DOE              During FY13, DOE added 438        ✔On track
      promote student’s preference for and         schools and reaching the vast majority of City                        water jets to City schools,
      consumption of water                         students                                                              bringing the total number of
                                                                                                                         water jets to 789.

3     Expand the school gardens initiative to      Increasing school garden grants by 50                DOE, DOHMH,      350 schools registered with       ✔On track
      teach students about the origin and taste    additional grants per year                           Mayor's Office   Grow to Learn as of
      of healthy food                                                                                                    September 2013

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New York City Obesity Task Force: Interim Progress Report
    December 2013

#     INITIATIVE                                  DESCRPTION OF RECOMMENDATION                      AGENCY(IES)      UPDATES                          STATUS
4     Install salad bars in NYC schools           Installing salad bars in all NYC public schools   DOE              During 2012-2013 school          ✔On track
                                                  city-wide                                                          year DOE installed 300 salad
                                                                                                                     bars, bringing the total
                                                                                                                     number in city schools to
                                                                                                                     1,379 in over 1,000 sites as
                                                                                                                     of July 2013
5     Improve nutrition at City-licensed          Amending the New York City Health Code to         DOHMH            Board of Health adopted          ★COMPLETE
      children's camps                            create nutrition guidelines for the                                new guidelines on DATE
                                                  approximately 1,000 City permitted children’s
                                                  camps. Proposed changes will focus on
                                                  avoiding sugary drinks
6     Increase physical activity for elementary   Expanding Move-to-Improve capacity to train       DOE, DOHMH       3,482 trained teachers in MTI    ✔On track
      children through Move-To-Improve (MTI)      most public school classroom teachers                              to date. We also have 45 MTI
                                                                                                                     All-Star schools (schools with
                                                                                                                     85% or more of teachers
                                                                                                                     trained) and expect that
                                                                                                                     number to grow in the
                                                                                                                     second half of the academic
                                                                                                                     year.
7     Expand Kids in Motion, free physical        Hiring additional playground attendants to        DPR              Attendance increased by          ✔On track
      activity programs in City parks             administer Kids in Motion, especially in                           12% citywide, and more than
                                                  neighborhoods with high obesity rates,.                            doubled at OTF-funded sites;
                                                                                                                     300,000+ visits to the
                                                                                                                     program over the course of 8
                                                                                                                     weeks; Increased the
                                                                                                                     number of free summer
                                                                                                                     meals served at Kids in
                                                                                                                     Motion sites, serving more
                                                                                                                     than 50,000 meals
8     Share play spaces across programs such      Conducting a needs assessment to identify         Mayor's Office   Convened multiple agencies       X DELAYED
      as Head Start and Shape Up NYC              space shortfalls & potential space-sharing                         to discuss their needs and
                                                  opportunities for daycares, after school                           opportunities; specific
                                                  programs, and senior centers, among other                          updates still in progress.
                                                  programs.

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New York City Obesity Task Force: Interim Progress Report
    December 2013

#     INITIATIVE                                   DESCRPTION OF RECOMMENDATION                       AGENCY(IES)      UPDATES                          STATUS
9     Increase active transportation initiatives   Expanding curriculum support on the benefits       DOT, DOE                                          ★COMPLETE
      in schools                                   of active transportation as well as route
                                                   planning resources to 200 schools.
                                                   Additionally, drop off points near safe walking
                                                   corridors will be established in neighborhoods
                                                   where students are not walking based on
                                                   safety concerns or because their parents need
                                                   to drive them to get to their jobs.
Encourage Healthy Eating
10 Establish a maximum size for sugary             Setting a maximum size for sugary drinks           DOHMH            Board of Health promulgated      X DELAYED
     drinks in Food Service Establishments         offered and sold in restaurants and other Food                      requirements but legal
                                                   Service Establishments                                              challenges have stalled
                                                                                                                       implementation; case
                                                                                                                       pending before the NYS
                                                                                                                       Court of Appeals
11    Public education campaigns                   The City will continue to develop eye-catching     DOHMH            4 campaigns aired in total; 1    ✔On track
                                                   media campaigns to help the public                                  remaining
                                                   understand the health implications of
                                                   overconsumption of large portions and sugary
                                                   drinks
12    Healthy Hospital Initiative Standards        Hospitals throughout the city will be invited to   DOHMH, HHC       Updated list of partners         ★COMPLETE
                                                   adopt the New York City Healthy Hospital                            here:
                                                   Initiative Standards for settings including                         http://www.nyc.gov/html/d
                                                   vending and cafeterias, which give employees,                       oh/html/living/cardio-
                                                   patients, and visitors better access to healthy                     hospital-food-initiative.shtml
                                                   food and beverages.
13    Healthy food pantries and soup kitchens      The NYC DOHMH will develop                         DOHMH,           Healthy Pantries Initiative      ★COMPLETE
                                                   best nutrition practices for the City’s nearly     Mayor's Office   launched fall 2013; Cut the
                                                   500 EFAP pantries. An education component                           Junk booklets distributed to
                                                   for those frequenting these programs will also                      HRA's emergency food
                                                   be provided to help them better understand                          program partners
                                                   health concerns about obesity and how to
                                                   access, store, and cook healthier food.

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New York City Obesity Task Force: Interim Progress Report
 December 2013

#    INITIATIVE                             DESCRPTION OF RECOMMENDATION                        AGENCY(IES)      UPDATES                          STATUS
14   Urban agriculture @ NYCHA              NYCHA will seek to partner with nonprofit           DOHMH,           NYCHA issued an RFP seeking      ✔On track
     developments                           organizations to develop five one-acre farm         NYCHA,           partners for 5 one acre sites.
                                            sites and provide programming, including a          Mayor's Office
                                            job training component. Sites may result in
                                            farmers markets, education programming for
                                            youth, or activities for seniors, depending on
                                            the projects’ focus and development.
15   Create new community garden sites      15 municipal sites suitable for urban               Mayor's          20 sites were made available     ✔On track
                                            agriculture projects will be identified in the      Office, DPR      for community groups to
                                            South Bronx, East and Central Harlem, and                            apply for in Spring 2013
                                            North and Central Brooklyn, to target areas                          through the Garden's for
                                            most in need. These sites will be made                               Healthy Communities
                                            available through GreenThumb, a program                              Initiative. To date 13 sites
                                            administered by the NYC Parks and Recreation                         have been assigned to
                                            Department, and established to support urban                         community groups, 3 sites
                                            gardeners and farmers                                                are being relocated.
16   Expanding healthy food access in the   Add EBT (SNAP benefit) machines to 100              DOHMH, DCP,      94 Green Carts can now           ✔On track
     retail environment                     produce vendors in low-income                       Mayor's Office   accept SNAP benefits.
                                            neighborhoods; increase Health Bucks                                 Health Bucks was expanded
                                            program by 50%; launch “Shop Healthy NYC,”                           to all farmers markets in
                                            is a community based approach to encourage                           2012, more than doubling
                                            retailers to take specific steps such as offering                    the reach or the program.
                                            lower calorie and lower sodium items, fresh                          Shop Healthy NYC was
                                            produce, and healthy meal options.                                   launched in July of 2012.
                                                                                                                 The FRESH program was
                                                                                                                 expanded to Hallet's Point in
                                                                                                                 Queens.
17   Access to NYC tap water                Promote and expand NYC tap water                    DEP, Mayor's     Completed its fourth             ✔On track
                                            consumption in public spaces by working with        Office           successful WOTG season
                                            retail partners, testing a working prototype of                      attracting close to 600,000
                                            a redesigned “NYC Water Fountain,” and                               users, updated the online
                                            growing programs such as Water-On-the-Go                             app and brought NYC tap
                                            (WOTG). These efforts will be accompanied by                         water to more locations
                                            an education campaign informing New Yorkers                          across the five boroughs.
                                            of the high quality of NYC tap water.

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New York City Obesity Task Force: Interim Progress Report
 December 2013

#   INITIATIVE                                     DESCRPTION OF RECOMMENDATION                       AGENCY(IES)    UPDATES                           STATUS
Promote Physical Activity
18 Establish a Center for Active Design            Establish a “Center for Active Design” (CAD), a    DDC, Mayor's   Launched on July 17, 2013         ★COMPLETE
                                                   unique public/private partnership supporting       Office
                                                   the design and development community to
                                                   create an active built environment across NYC
                                                   and ultimately the country.
19   Facilitate active stair design in buildings   • Promote Exit Stairway Use for Daily Access       DDC, DOHMH,    2 bills still pending in City     X DELAYED
                                                     between Floors                                   DOB, OLTPS     Council with no hearing date
                                                   • Increase Stairway Visibility with Glazed Doors                  set
                                                   • Promote Stair Use Through Signage
                                                    Increase Access with Open Stairway Doors
                                                     with Fail-Safe-Hold-Open Devices
20   Increase physical activity for adults and     Offer 100 new indoor classes, 100 new              DPR, DOHMH                                       ★COMPLETE
     seniors by expanding the Shape Up NYC         outdoor classes per week at City Parks
     Program                                       facilities. An additional 100 weekly classes led
                                                   by new instructors trained in the Fitness
                                                   Instructor Training Program
21   Launch the Citi Bike Program                  10,000 bicycles & 600 docking stations, serving    DOT            In the first 200 days since the   ★COMPLETE
                                                   large portions of Manhattan and Brooklyn and                      launch, Citi Bike users took
                                                   part of Queens                                                    5.8 million trips for more
                                                                                                                     than 11 million miles. The
                                                                                                                     system currently has 95,000
                                                                                                                     annual members and
                                                                                                                     another 350,000 have
                                                                                                                     purchased daily and weekly
                                                                                                                     memberships. Since the
                                                                                                                     launch, New Yorkers make
                                                                                                                     an estimated 113,000 trips
                                                                                                                     on personal and bike share
                                                                                                                     bicycles combined daily in
                                                                                                                     the bike share service area
                                                                                                                     alone. (DOT press releases
                                                                                                                     for the latest statistics:
                                                                                                                     www.nyc.gov/html/dot/html
                                                                                                                     /pr2012/pr12_42.shtml)

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New York City Obesity Task Force: Interim Progress Report
 December 2013

#    INITIATIVE                                    DESCRPTION OF RECOMMENDATION                      AGENCY(IES)      UPDATES                         STATUS
Lead By Example
22 Evaluate all City construction projects for     New policy for all requests-for-proposals,        DDC, DOB,        Executive Order and Mayoral     ★COMPLETE
     active design opportunities                   contracts, standards, and guidelines that         Mayor's          press event 7/17/2013
                                                   regulate new construction and major               Office,
                                                   renovation projects for the City that will        DOHMH
                                                   require a project review of the ADGs &
                                                   incorporation of active design strategies
23   Offer wellness program to NYC                 Working with our partners in labor, we will       Mayor's          The issuance of the RFP has     X DELAYED
     employees with focus on healthy eating        explore how we can add a wellness program to      Office, DCAS     been enjoined and the City is
     and fitness                                   the City’s health care plans. While the                            appealing.
                                                   specifics of such a program must be worked
                                                   out, typical features of wellness programs
                                                   include health-risk assessments and
                                                   screenings, weight management and exercise
                                                   programs, health education—including classes
                                                   or referrals to online sites for health advice—
                                                   and changes in the work environment to
                                                   encourage exercise and healthy eating.
24   Adopt expanded NYC Food Standards at          Expanding these standards to include the food     DOHMH,           Memo to all agency heads        ★COMPLETE
     all City agencies to include food served at   and beverages provided at all City meetings,      Mayor's Office   announcing the Standards
     meetings, trainings, and events               trainings, and events will not only contribute                     on March 22, 2013.
                                                   to a healthy, balanced diet, but it also will
                                                   promote good health among employees.

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New York City Obesity Task Force: Interim Progress Report
 December 2013

#    INITIATIVE                                DESCRPTION OF RECOMMENDATION                      AGENCY(IES)   UPDATES                      STATUS
25   Improve and expand the identification     a. Health and Hospitals Corporation will          DOHMH, DOE,                                ★COMPLETE
     and treatment of obese children & their      develop new pediatric obesity guidelines for   HHC
     families at NYC hospitals and schools        its pediatricians and family physicians to
                                                  screen for and diagnose obesity among
                                                  children. Such guidelines should be used to
                                                  counsel children and parents on change
                                                  related to diet and physical activity by
                                                  referring them to services within HHC
                                                  facilities and resources offered by external
                                                  organizations.
                                               b. The NYC DOHMH will broaden its Healthy                       Assessments behind targets   X DELAYED
                                                  Options and Physical Activity Program in                     due to disruptions of
                                                  Schools that helps children in NYC public                    Hurricane Sandy
                                                  schools who are struggling with high levels
                                                  of excess weight. Following a clinical
                                                  assessment, school nurses educate these
                                                  at-risk students and make referrals to
                                                  primary care physicians and community
                                                  organizations to address students’ needs.
26   Examine sidewalk and stairway design      Conduct two studies with the goal of creating a   DDC, City     Sidewalk study completed;    ✔On track
     improvements to increase active           set of best practices on sidewalk and stairway    Planning      stairway study to be
     lifestyles                                design...[to] broaden our understanding of the                  completed by end of year
                                               various agencies and regulations that shape
                                               our sidewalk experience in New York City and
                                               a similar study on stair design will help
                                               developers comprehend how to make them
                                               more attractive and visible. Together, the
                                               findings will provide a resource to inform how
                                               new developments and neighborhoods are
                                               designed and built for a healthier New York.

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