Federal Overview for Public
Health Nutrition
Dept. of
Homeland
Security
Some Major Public Health
Nutrition Players:
• USDA
• Food, Nutrition and Consumer Services
• Center for Nutrition Policy and Promotion
• Cooperative State Research, Education and Extension
Service (CSREES)
• Department of Health and Human Services
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CDC
HRSA
NIH
Administration on Aging
Office of Disease Prevention and Health Promotion
USDA Mission
• “We provide leadership on food,
agriculture, natural resources, and related
issues based on sound public policy, the
best available science, and efficient
management.”
Tom Vilsack
Tom
Vilsack
Kevin Concannon, Under Secretary for Food,
Nutrition and Consumer Services
Food, Nutrition Service and
Consumer Services (FNS)
• Works to increase food security and reduce hunger
by providing children and low-income people with
access to food, a healthy diet, and nutrition
education in a manner that supports U.S.
agriculture and inspires public confidence in the
Nation's domestic nutrition assistance programs.
• FNS nutrition assistance programs represent about
half of USDA's budget.
FNS Programs
• Supplemental Nutrition Assistance Program
Child Nutrition Programs
• Special Supplemental Nutrition Program for
Women, Infants, and Children (WIC)
• Child and Adult Care Food Program
• Food Distribution Programs
• Disaster Assistance
Child Nutrition Programs
• School Meals
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National School Lunch Program
School Breakfast Program
Special Milk Program
Team Nutrition
• Summer Food Service Program
Center for Nutrition Policy and
Promotion (CNPP)
• “The USDA Center for Nutrition Policy and
Promotion (CNPP) works to improve the
health and well-being of Americans by
developing and promoting dietary guidance
that links scientific research to the nutrition
needs of consumers.”
Center for Nutrition Policy and
Promotion (CNPP)
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Partner with HHS for Dietary Guidelines
Healthy Eating Index
Nutrient Content of the Food Supply
My Pyramid
Thrifty Food Plan
Publications:
– Nutrition Insights
– Family Economics and Nutrition Review
Thrifty Food Plan
• Last revised 2006
• Establishes menus and market basket costs
for a minimal cost healthful diet
• Based on 2005 Dietary Guidelines for
Americans, 2005 My Pyramid.
• Used as the basis for food stamp allocation
decisions, and to determine the federal
poverty level
Federal Poverty Guidelines
• Poverty thresholds were originally derived in
1963-1964, using:
– U.S. Department of Agriculture food budgets designed
for families under economic stress
– Data about what portion of their income families spent
on food
• The current thresholds were originally developed
as the cost of a minimum diet times three
• If total family income is less than the threshold
appropriate for that family, the family is in
poverty
Food Research Action Committee
(FRAC) on the Thrifty Food Plan
• “USDA research shows that only 12 percent
of low income households who spend at the
Thrifty Food Plan level get their
recommended dietary allowances for 11 key
nutrients.”
http://www.frac.org/html/federal_food_programs/program
s/fsp_faq.html
FRAC on the Thrifty Food Plan, cont.
• The Thrifty Food Plan contains a number of
assumptions which may not be accurate for many
food stamp recipients. For example, purchasing
foods for a nutritious diet requires adequate food
preparation facilities, extensive time for food
preparation, an in-depth knowledge about nutrition
and inexpensive transportation to warehouse-type
grocery stores or supermarkets.
Time Scarcity & Policy
• Thrifty Food Plan (1999) takes 16.1 hours a
week to prepare.
– Mean weekly time for food preparation by
employed women in 1999 was 6.4 hours
• Time scarcity exacerbated by lack of:
– Reliable, convenient transportation
– Affordable quality childcare
Reference: Jabs
– Job flexibility
Department of Health and
Human Services
U.S. Department
of Health &
Human Services
Secretary
Kathleen
Sebelius
National Institutes of Health
Many institutes include nutrition-related research
portfolios:
• National Heart Lung and Blood Institute (NHLBI)
• National Institute on Aging (NIA)
• National Institute of Diabetes & Digestive &
Kidney Diseases (NIDDK)
• National Institute of Child Health and Human
Development (NICHD)
• National Institute of Environmental Health
Sciences (NIEHS)
• John E. Fogarty International Center (FIC)
• National Center for Complimentary and
Alternative Medicine (NCCAM)
• National Cancer Institute
Health Resources and Services
Administration (HRSA)
• Diverse Agency
– Direct Services
– Supporting health care infrastructure
• Community and Migrant Health Services
• Health Centers
• Maternal and Child Health
• Block Grants to States
• Discretionary Grants
Centers for Disease
Control and Prevention
(CDC): Mission
Thomas R. Frieden, MD, MPH
Director, Centers for Disease
Control and Prevention
• Collaborating to create the expertise,
information, and tools that people and
communities need to protect their health –
through health promotion, prevention of disease,
injury and disability, and preparedness for new
health threats.
CDC Centers
National Center on Birth Defects and Developmental Disabilities (NCBDDD)
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
National Center for Environmental Health (NCEH)
National Center for Health Marketing (NCHM)
National Center for Health Statistics (NCHS)
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)
National Center for Immunization and Respiratory Diseases (NCIRD)
National Center for Injury Prevention and Control (NCIPC)
National Center for Preparedness, Detection and Control of Infectious Diseases (NCPDCID)
National Center for Public Health Informatics (NCPHI)
National Center for Zoonotic, Vector-Borne and Enteric Diseases (NCZVED)
National Institute for Occupational Safety and Health (NIOSH)
National Center for Chronic Disease
Prevention and Health Promotion
• Vision: All people living healthy lives
free from the devastation of chronic
diseases.
• Mission: To lead efforts that promote health
and well-being through prevention and
control of chronic diseases
National Center for Chronic Disease
Prevention and Health Promotion
Division of Nutrition, Physical
Activity and Obesity
NPAO: Supporting State Programs
1. Increase physical activity.
2. Increase the consumption of fruits and
vegetables.
3. Decrease the consumption of sugar sweetened
beverages.
4. Increase breastfeeding initiation, duration and
exclusivity.
5. Reduce the consumption of high energy dense
foods.
6. Decrease television viewing.
DHHS: Office of Disease
Prevention and Health
Promotion,
• Works to strengthen the disease prevention
and health promotion priorities of the
Department within the collaborative
framework of the HHS agencies.
• Collaborated with USDA on Dietary
Guidelines
Administration on Aging (AoA)
• Elderly Nutrition Program
Grants to support nutrition services to older people
throughout the country. The Elderly Nutrition
Program, authorized under Title III, Grants for
State and Community Programs on Aging, and
Title VI, Grants for Native Americans, under the
Older Americans Act, is intended to improve the
dietary intakes of participants and to offer
participants opportunities to form new friendships
and to create informal support networks.
Administration on Aging (AoA):
Nutrition Services to Older Adults
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Congregate & Home Delivered Meals
Nutrition screening
Nutrition education
Counseling
Supportive Health Services