News (Page 144)

CALIFORNIA HEALTHY CITIES AND COMMUNITIES. CELEBRATION. DEVELOPING A STATEWIDE NETWORK

Community building and collaboration require hard work and perseverance; it may take years before there is discernible progress. Celebration and recognition are important elements in promoting and sustaining community efforts. Through its publications and when providing technical assistance, the Program encourages participating cities and communities to regularly celebrate their accomplishments. Participants have devised many ways to celebrate. The city of Tulare, for example, has a “Take Stock in Tulare” program that issues shares of “stock” to resident volunteers for a broad array of non-paid community service activities such as mentoring and house painting. The awards […]

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CALIFORNIA HEALTHY CITIES AND COMMUNITIES. COORDINATION AND COLLABORATION

Coordination and collaboration among public, private, and nonprofit groups is the cornerstone of the Healthy Cities and Communities philosophy. The road to collaboration is fraught with challenges. Turf issues, crossed communications, and conceptual misunderstandings all have the potential to derail rewarding, synergistic efforts. Nonetheless, collaboration has been a key ingredient in much of the Program’s success. To promote the collaboration, the Project decided to locate its office in the state capital. In Sacramento the Project was well positioned to form significant partnerships with DHS programs and with local government associations, policy groups, health care organizations […]

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CALIFORNIA HEALTHY CITIES AND COMMUNITIES. SYSTEMS REFORM

One of the Program’s goals has always been to influence policy making and resource allocations on the part of public and private organizations at the local and state level. In California, systems reform at the municipal level—which generally has no statutory responsibility for public health—has involved instituting policies and practices that make explicit the city’s role and contribution in community health promotion and protection. At the local level, policy initiatives have transformed vacant land, increased access to healthful foods, expanded community gardening, reduced exposure to environmental tobacco smoke, restricted alcohol availability, and improved transportation safety.

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CALIFORNIA HEALTHY CITIES AND COMMUNITIES. FUNDING

The initial funding for the Project was provided through the Preventive Health Services Block Grant from the Centers for Disease Control and Prevention, administered by DHS. This funding has remained at the same level since 1993. In the last few years, additional funding streams have been added to increase local grants, bolster the infrastructure of the state program, conduct a cross-site evaluation, and support special projects, such as conference scholarships and publications. Resource limitations, and a goal of engaging communities that are genuinely committed to Healthy Cities and Communities principles, determine local funding strategies. At […]

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OPERATION OF CALIFORNIA HEALTHY CITIES AND COMMUNITIES

The Program takes a multi-tiered approach that includes technical assistance, funding, promotion, coordination and collaboration, systems reform, program evaluation, and celebration. Technical assistance. The goal of the Programs technical assistance services is to help participating cities and communities to develop, implement, and evaluate community-driven programs, policies, and plans for improved quality of life. Site-specific technical assistance is tailored to each community’s characteristics—recognizing its assets and challenges—to facilitate the discovery and sustainability of its collective wisdom and power. In addition, the Program facilitates networking and peer-to-peer exchange among communities in order to share resources and institutionalize […]

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CALIFORNIA’S HEALTHY CITIES AND COMMUNITIES PROGRAM

During the 1980s, efforts to improve health focused on changing the behavior of individuals. The public was cautioned to quit smoking, eat low fat diets, exercise more, and adopt other lifestyle changes that medical researchers had proven to lower health risks. Unfortunately, a focus on individual behavior change did not translate into appreciable improvement in the health of Americans, especially those with disproportionate risk for disease, disability, and premature death.

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Making Healthy Communities

Public health, with the emphasis on public, encompasses but goes beyond the traditional medical emphasis on pre vention, detection, and cure. “Public” suggests that the power to make health rests not only with a medical elite, but with people from all backgrounds and walks of life, both as individuals and as members of communities. It also suggests that public assets, such as education, work, housing, and transportation, enhance community life and well-being.  

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TheTraceback Investigation

Once the groundwork had been laid and the legal hurdles surmounted, the traceback investigation was launched in earnest. Initially, Selanikio and Pulham suspected that contaminated propylene glycol might be the chemical culprit as in the 1990 Nigerian epidemic of renal failure and the 1990 Bangladesh outbreak. The two men went to the Pharval facility, trying to identify the ingredients used in the manufacture of lots CI, C2, and C3 of Afebril and Valodon. They were able to obtain samples of the leftover propylene glycol used in these lots, but the company’s records and retain samples […]

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