Date: Sun, 22 Oct 2006 08:14:23 -0500

From: Debra Lafler <deblafler@CHARTER.NET>

Subject: sin tax and vending machines

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Hi again HEDIRs,

Speaking of sin tax...if anyone has any information on VENDING MACHINE changes, suggestions, talking to vendors, which vendors are making or offering healthier choices, what information (or resources) are available for the business professionals in charge of the vending machine vendor relationships (so they know what/how to say/request changes). And so on..

If you are unfamiliar with this area, I know that some schools, worksites or communities are doing things like:

- only offering diet soda, juice (100%), and water

- putting a higher cost on higher sugar/fat choices (i.e. candy bars)

and lower costs on lower sugar/fat choices (e.g. popcorn, pretzels, etc.)

Any further information (resources, websites) would be appreciated.

Thanks.

Deb

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#736

Date: Sun, 22 Oct 2006 08:19:12 -0500

From: Debra Lafler <deblafler@CHARTER.NET>

Subject: point system

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There were some questions on what I meant by "point system". Some companies are giving points for preventive health activities, or participating in health education or wellness programs.

For example, you get XX points for getting your annual physical, XX points for your dental visit, XX points for going to a health class (healthy cooking, stress management, etc.), XX points for participating in regular exercise, and so on.

With those points, you build up to what Margo Harris was talking about - something like a bronze, silver and gold standards.....and then depending on that standard, you either get prizes/rewards, or get discounts on your health insurance premium, or something.

So, I am looking for ACTUAL examples, ACTUAL point systems in place, and so on, as reference.

Any assistance would be appreciated.

And as Mark suggested, please post to the group. :)

Thanks

Deb

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#737

Date: Sun, 22 Oct 2006 10:47:57 -0700

From: Margo Harris <margo@PNWHEALTH.COM>

Subject: Re: sin tax and vending machines

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Vending machine changes are part of our program. We always had a mix in the "Coke" machine, i.e. water, juice, etc. We increased the number of "healthy" choices and reduced the number of carbonated choices.

In the snack/candy vending machine, there is now a two-layer upper tier of "healthy" choices. Power Bar is one, a granola bar is another. I'll check in and find out vendor and check on the full range of choices and seek any data on actually purchasing of the "new" choices.

To be honest, the vending machines in our floor (recall we are all health department employees as compared to other county employee groups) are "underpatronized" in the words of the vendor. Many of us "brown bag" it, bring in our own water bottles (cheaper), and prefer to select our own snack of choice - fresh fruit, than select what is offered in the vending machines. Several times a year the vendor suggests it might make sense to remove our vending machines!! We buy a little bit more, and they quiet down. Margo

Margo Harris

Seattle, WA

206/932-1273

Email: margo@pnwhealth.com

Sent: Sunday, October 22, 2006 5:14 AM

To: HEDIR-L@listserv.siu.edu

Subject: sin tax and vending machines

** Join AAHE

**

** Thank you Neena Chandra for

** your generous gift to the HEDIR!

**

Hi again HEDIRs,

Speaking of sin tax...if anyone has any information on VENDING MACHINE changes, suggestions, talking to vendors, which vendors are making or offering healthier choices, what information (or resources) are available for the business professionals in charge of the vending machine vendor relationships (so they know what/how to say/request changes). And so on..

If you are unfamiliar with this area, I know that some schools, worksites or communities are doing things like:

- only offering diet soda, juice (100%), and water

- putting a higher cost on higher sugar/fat choices (i.e. candy bars)

and lower costs on lower sugar/fat choices (e.g. popcorn, pretzels, etc.)

Any further information (resources, websites) would be appreciated.

Thanks.

Deb

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#738

Date: Sun, 22 Oct 2006 15:00:44 -0400

From: Daniel Leviton <dleviton@UMD.EDU>

Subject: Addressing Mark Fulop's concern over Iraqi deaths

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Using the estimated excess mortality data of Iraqis killed in the war = (see Roberts, L., Lafta, R., Garfield, R., Khudhairi, J., & Burnham, G. = (2004). Mortality before and after the 2003 invasion of Iraq: cluster = sample survey. The Lancet, 364(9448), 1857-1864.), Mark Fulop iasks the = profound question for the health education/promotion profession -- "what = can we do to (1) prevent similar megadeaths from occurring in the = future, and (2) what can we do to stop the carnage now? The discussion = segued to Horrendous Death but Mark's questions need further dialogue.=20

His questions are important because they suggest the need for a new = paradigm for the professions. Forgive my error of generalization but = ours is a profession that has never reached its potential (in my =

opinion) because we have rarely tackled the tough, earth-shaking issues. = Secondly we have never led the way (e.g., segregation and racism, Viet = nam, human rights).=20

I received an announcement from the Peace Caucus of the APHA pertaining = to the APHA conference in Boston. PC announced several sessions having = to do with our topic none of which were cosposored by the PHEHP = section.Topics included, "War and Public Health," "Terrorism and Public = Health," Health Impacts of War in the Middle East," "Labor, the War in = Iraq and Publicv Health, parts 1 and 2," and "Building Peace: = Initiatives and Education." In this day and age I would think this would = be our concern. My rationale is that preventing that which causes = premature mortality (i.e., excess deaths), morbidity, and suffering is = fair game for our profession. Who are the usual sponsors and = co-sponsors? OHS, IHS, Socialist Caucus, CHPPDS, ES, MCHS, etc.=20

Beside gaining knowledge and raising consciousness other approaches to = reducing excess deaths due to war and other forms of HD at the = University/College level include service-learning and community outreach = where diverse groups of students and members of the community interact = in mutually beneficial ways.An asset of HP/HE is that it is = non-threatening and can develop camaraderie. Endeavors such as sport, = play, and other "team" endeavors can reduce negative ethnic-racial = stereotypes that, in turnm reduces hostility. We do this in our AHDP = (see below for website). In training students are told that the ideal = matchup is to have a Jewish student working with a Muslim older adult = "member." This is exactly what we have done since 1972.=20

Again, Mark's comment is worthy of continuous discussion by HEDIR = participants. My question is, what are we doing to prevent other Iraqs? = What are we doing to prevent war with Iran and N. Korea? What are we = doing to prevent homicide and other forms of HD in the U.S. For myself, = I am not doing nearly enough.=20

Forgive my rambling. I am writing quickly because my Black Lab is = demanding his walk time. Tomorrow I will have him removed from my Will.=20

Professor Daniel Leviton, ret.

2007 Pelden Road

Adelphi, MD 20783

Phone and fax: 301-445-1546

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#739

Date: Sun, 22 Oct 2006 15:01:33 -0400

From: Daniel Leviton <dleviton@UMD.EDU>

Subject: Fw: Addressing Mark Fulop's concern over Iraqi deaths

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** Thank you Neena Chandra for

** your generous gift to the HEDIR!

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Professor Daniel Leviton, ret.

2007 Pelden Road

Adelphi, MD 20783

Phone and fax: 301-445-1546

----- Original Message -----=20

From: Daniel Leviton=20

To: HEDIR=20

Sent: Sunday, October 22, 2006 3:00 PM

Subject: Addressing Mark Fulop's concern over Iraqi deaths

Using the estimated excess mortality data of Iraqis killed in the war = (see Roberts, L., Lafta, R., Garfield, R., Khudhairi, J., & Burnham, G. = (2004). Mortality before and after the 2003 invasion of Iraq: cluster = sample survey. The Lancet, 364(9448), 1857-1864.), Mark Fulop iasks the = profound question for the health education/promotion profession -- "what = can we do to (1) prevent similar megadeaths from occurring in the = future, and (2) what can we do to stop the carnage now? The discussion = segued to Horrendous Death but Mark's questions need further dialogue.=20

His questions are important because they suggest the need for a new = paradigm for the professions. Forgive my error of generalization but = ours is a profession that has never reached its potential (in my =

opinion) because we have rarely tackled the tough, earth-shaking issues. = Secondly we have never led the way (e.g., segregation and racism, Viet = nam, human rights).=20

I received an announcement from the Peace Caucus of the APHA pertaining = to the APHA conference in Boston. PC announced several sessions having = to do with our topic none of which were cosposored by the PHEHP = section.Topics included, "War and Public Health," "Terrorism and Public = Health," Health Impacts of War in the Middle East," "Labor, the War in = Iraq and Publicv Health, parts 1 and 2," and "Building Peace: = Initiatives and Education." In this day and age I would think this would = be our concern. My rationale is that preventing that which causes = premature mortality (i.e., excess deaths), morbidity, and suffering is = fair game for our profession. Who are the usual sponsors and = co-sponsors? OHS, IHS, Socialist Caucus, CHPPDS, ES, MCHS, etc.=20

Beside gaining knowledge and raising consciousness other approaches to = reducing excess deaths due to war and other forms of HD at the = University/College level include service-learning and community outreach = where diverse groups of students and members of the community interact = in mutually beneficial ways.An asset of HP/HE is that it is = non-threatening and can develop camaraderie. Endeavors such as sport, = play, and other "team" endeavors can reduce negative ethnic-racial = stereotypes that, in turnm reduces hostility. We do this in our AHDP = (see below for website). In training students are told that the ideal = matchup is to have a Jewish student working with a Muslim older adult = "member." This is exactly what we have done since 1972.=20

Again, Mark's comment is worthy of continuous discussion by HEDIR = participants. My question is, what are we doing to prevent other Iraqs? = What are we doing to prevent war with Iran and N. Korea? What are we = doing to prevent homicide and other forms of HD in the U.S. For myself, = I am not doing nearly enough.=20

Forgive my rambling. I am writing quickly because my Black Lab is = demanding his walk time. Tomorrow I will have him removed from my Will.=20

Professor Daniel Leviton, ret.

2007 Pelden Road

Adelphi, MD 20783

Phone and fax: 301-445-1546

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