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Zachary Adler Christina Cho Charles Maniego Bonnie Rose Jonathan Tepp. Public Health Policy. i n New York City. Taking Care of New York. A shift in focus: From contagious disease to chronic
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Zachary Adler Christina Cho Charles Maniego Bonnie Rose Jonathan Tepp Public Health Policy in New York City
Taking Care of New York A shift in focus: From contagious disease to chronic Protecting the public from adverse effects of health problems: Health care expenditures, second hand smoke Caring for those who may not be able to care for themselves The natural consequence: A focus on tobacco and obesity
Taking Care of New York The criticism: “Nanny-in-chief” who is babying voting-aged adults The praise: It’s worked! Obesity has been reduced by 31% while only 14% of New York City residents smoked in 2010 (lowest percentage in history) The bottom line: Bloomberg’s policies can lay a promising road for New York City if he will attempt to mollify the public and drum up support
New York City Smoke Free Act of 2002 All businesses and establishments with employees, and public spaces of the sort, are required to be smoke free Removal of ash trays and the addition of “No Smoking” signs. “…killing more than 440,000 people nationwide each year… As a result of passage of the SFAA of 2002, 150,000 fewer New Yorkers are exposed to second-hand smoke…”
A Hike in Prices: Don’t Lose Your Breath in the Process • Tax increase of $1.42 on a pack of cigarettes • New York State increase of $0.39 per pack • 32% increase in retail price of approximately $6.85
Results of Smoke Free Act of 2002 and Increased City and State Tax 11% decrease in NYC smokers between 2002-2003 among all demographics 21.4% of smokers reported an actual decrease in cigarette consumption Nearly half of NYC smokers had “attempted” to quit 15.8% of smokers have quit or attempted to quit due to the increase in cigarette tax; 4.2% responded to SFA
Bloomberg on Cigarettes: The Opposition “Too intrusive and symptomatic of a busybody attitude on the part of city officials.” “Once we pass this, we will next be banning smoking on sidewalks, and then in the cars of people who are driving minors and then in the homes” - Councilman Halloran III of Queens Why are singling out cigarette smoke?
Calorie Labeling Law (2008) Bloomberg’s fight against obesity Fast food and caloric intake Opposition? The law
Source: nyc.gov
Results • Conflicting data • Awareness of the public and restaurant industry • The Calorie Labeling Law – a success? • Plans for the future
Sugary Drinks “Mike Bloomberg: Combating Obesity.” Mikebloomberg.com
Sugary Drinks Policies Soda tax (2010) Food Stamps Soda Ban (2010) Soda ban (2013)
Sugary Drinks Policies: Any Other Ideas? ALTERNATIVES: Individual Counseling (limited resources, too expensive) Social Pressure (immoral, ineffective) OPINIONS: Sugary drinks policies mostly efficient and effective Would be better if reasoning was explainedto avoid accusations of autocracy
Trans Fats Ban in NYC History Success Shortcomings
Decrease in trans fat content in fast food meal purchases, NYC Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York City’s Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86.
Increase in Other Unhealthy Ingredients? Source: Angell, S., Cobb, L. K., Curtis, C. J., Konty, K. J., & Silver, L. D. (2012). Change in Trans Fatty Acid Content of Fast-Food Purchases Associated With New York City’s Restaurant Regulation. Annals of Internal Medicine, 157(2), 81-86.
Some Concluding Ideas Modify rhetoric Offer incentives to companies Actual bans should be on chemicals, not products, with a focus on discouraging use of already-made products Get the peopleinvolved!