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Healthy Youth, Healthy Future Tennessee Child Health Week 2009 Project Summary The Governor’s Office of Children’s Care Coordination Bob Duncan, Director Tennessee Child Health Week 2009 “Healthy Youth, Healthy Future” Project Summary Prepared by staff in The Governor’s Office of Children’s Care Coordination Table of Contents Background Information Background ..................................................................................................... Page 4 Official Child Health Week Proclamation by Governor Phil Bredesen ............. Page 6 National Child Health Day Proclamation by President Barack Obama ............ Page 7 Child Health Week State Agency & Department Partners ............................... Page 8 Child Health Week Community Partners ......................................................... Page 9 List of Participating Counties ......................................................................... Page 18 Map of Participating Counties........................................................................ Page 19 Counties Participating for the First Time in 2009 ........................................... Page 20 Resources Official Child Health Week Web Site ............................................................. Page 22 Resources and Tools Developed for Child Health Week ............................... Page 23 Appendix Master List of Child Health Week Activities ................................................... Page 26 Media Placements ......................................................................................... Page 51 Resources and Tools .................................................................................... Page 52 Background Child Health Day Nationally, Child Health Day is celebrated each year on the first Monday in October. President Calvin Coolidge first set aside this special day in 1928 to focus the nation’s attention on the health of its children. Now in its 81st year, Child Health Day is coordi- nated annually by the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA). Child Health Week in Tennessee Tennessee celebrated Child Health Week for the first time in 2008. Based on the suc- cess of the inaugural year, the Governor’s Office of Children’s Care Coordination worked with numerous partners to plan Child Health Week 2009. The theme for the week was “Healthy Youth, Healthy Future,” underscoring the fact that the future of our state depends on the health and well-being of our children. There are no specific budget appropriations for Child Health Week in Tennessee. The approach of the Governor’s Office of Children’s Care Coordination has been to work collaboratively with partner agencies (at the state and local level) and encourage them to spotlight the work they are already doing that is related to child health and well- 4 being. In this way, no new programs were created and no additional budget appropria- tions were required. Left: Children and families learned about the importance of yearly checkups during the Memphis and Shelby County Community Infor- mational Health Fair, held at the Benjamin Hooks Library. Below: Staff from the Monroe Carell, Jr. Chil- dren’s Hospital at Vanderbilt promoted safety at a Car Seat check during Child Health Week. The Governor’s Office of Children’s Care Coordination The Governor's Office of Children's Care Coordination (GOCCC) was established by Governor Bredesen in May 2004 to coordinate a wide range of services available to children through state departments and the private sector, with an emphasis on the de- livery of children's physical and behavioral health services. The Office collaborates with numerous government, business and community partners to ensure state depart- ments are meeting requirements of state and federal laws and of court orders relating to health care services for children. The office places a particular emphasis on chil- dren at risk of custody due to health-related matters, reducing infant mortality and achieving programmatic and financial efficiencies in systems serving children and their families. The Office spearheads efforts to translate science into public policy and to implement evidence-based practices throughout the system in an effort to elevate the quality of all services to Tennessee's children. Left: The “Healthy Youth Child Health Celebration” was held in Putnam County. Participants en- gaged in exercise activities, 5 played educational games, made healthy snacks, and learned about ways to stay healthy. Below: Jackson Mayor Jerry Gist, joined by special guest “Elmo,” reads to students about the impor- tance of handwashing. Proclamation by Governor Bredesen 6 Proclamation by President Obama 7 State Agency & Department Partners The statewide celebration of Child Health Week was a collaborative effort between many state and local entities. At the state level, involved departments and agencies included: Governor’s Office of Children’s Care Coordination Office of the Governor Office of the First Lady Bureau of TennCare CoverKids Department of Education -Coordinated School Health First Lady Andrea Conte participates in -School Nutrition Program “Walk to School Day” at Caldwell Enhanced Option School. 8 Department of Health -Get Fit TN Program -HUGS Program -Maternal & Child Health -Nutrition and Wellness -County and Regional Health Departments Department of Mental Health & Developmental Disabilities -Alcohol and Drug Prevention -Tobacco Use Prevention TENNderCare Outreach Program TennCare Managed Care Organizations: -AmeriChoice -AMERIGROUP -Blue Cross Blue Shield Volunteer State Health Plan -Doral Dental Community Partners (By County) Much of the work done in planning and implementing activities for Child Health Week occurs at the local level. Listed here (grouped by county) are community partners who were integral to the success of Child Health Week 2009 in Tennessee. Note: Great efforts were made to ensure the accuracy of this list. Names of partner groups/agencies were submitted by the individuals responsible for planning the activi- ties. Anderson Bledsoe Anderson County Coordinated School Health Bledsoe County Advisory Board Anderson County Head Start Bledsoe County Juvenile Court Anderson County Health Department Bledsoe County Sheriff's Office Anderson County Sherriff's Department—DARE Coordinated School Health Clinton Police Department UT Extension Community Action Coalition Volunteer State Health Plan CoverTN Many others Oak Ridge Solid Waste Management Take Charge Fitness Blount TENNderCare Blount County Community Health Initiative-- UT Ag Extension Volunteer State Health Plan Substance Abuse Prevention Team Blount County Health Department 9 Blount County, Maryville City, & Alcoa City Schools Benton Coordinated School Health Benton County Anti-Drug Coalition Blount Memorial Hospital Chilhowee Middle School TENNderCare Community Advisory Board Coordinated School Health Family Resource TENNderCare Tennessee Department of Health Students at the Richard Hardy Memorial School in South Pittsburg, TN work up a sweat during a spe- cial health fair held during Child Health Week. Bradley Cocke Boys & Girls Club of Bradley County Cocke County Health Department Cleveland Apple Festival Cocke County Coordinated School Health Numerous Cleveland Tennessee Area Business Mercy Health Partners Sponsors Starfish Project Coffee TENNderCare Child Care Resource and Referral TENNderCare Cannon Busy Kids Learning Center Crockett Cannon County Coordinated School Health Crockett County Health Department Cannon County Health Department LeBonheur Children's Medical Center Cannon County Pre K & Head Start REACH After School Program Cumberland TENNderCare AmeriChoice TNCEP AMERIGROUP Cumberland County Government Carroll Cumberland County Health Department Carroll County Coordinated School Health Cumberland Mountain Mental Health Center CoverKids Gateway Educational Center McKenzie Elementary School Teens Against Drugs Center Milan Family YMCA TENNderCare Volunteer State Health Plan Carter Boys & Girls Club Davidson Carter County Health Department AmeriChoice by United Healthcare Coordinated School Health TENNderCare Baptist Sports Medicine Commit to Get Fit Caldwell Enhanced Options School 10 UT Extension Agency Community Health and Wellness Team CoverKids Cheatham Girl Scouts of Middle Tennessee AmeriChoice Grace M. Eaton Child Care Center AMERIGROUP Kohl’s Cares for Kids Foundation Cheatham County Fire/Police Matthew Walker CHC Cheatham County Health Department Metro Action Commission Cheatham County Lions Club Metro Nashville Davidson County Public Health Cheatham County School System Department Local doctors/dentists (TennCare providers) Local hospital TENNderCare UT Extension Chester Coordinated School Health Claiborne Clinch-Powell Head Start Programs TENNderCare Students at the YMCA Fun Company at Goodlettsville Elementary School take turns leading their peers in fun exercises. Davidson County, Carroll County cont. students learned Metro Nashville Public how to tell the dif- Schools ference between Monroe Carell Jr. Chil- poisons and eve- dren's Hospital at ryday items dur- Vanderbilt ing Child Health Nashville Predators Week. The Nashville Rotary Club “Poison Proof” Oasis Center program was Office of the First Lady sponsored by Car- Safe Kids Cumberland roll County Coor- Valley dinated School SunTrust Bank Health. Vanderbilt Athletics YMCA of Middle Ten- nessee Yoganastics Decatur UT Extension Decatur County Health Department Volunteer Behavioral Healthcare System Parsons Elementary Extended School Care (Cumberland Mountain Mental Health Center) Volunteer State Health Plan Dekalb Coordinated School Health Gibson Dekalb County Health Department CoverKids DeKalb EMS TENNderCare Milan Family YMCA 11 Well Child Inc Giles American Heart Association Dickson First National Bank Dickson County Health Department Frito Lay Dickson County UT Extension Giles County Health Department Dickson Housing Authority Giles County Office of Coordinated School Health TENNderCare Hillside Hospital Richland School Peer Educators Dyer Coordinated School Health Grainger TENNderCare Douglas Cherokee Afterschool Program TENNderCare Fayette Fayette County Schools Greene Well Child Inc Boys and Girls Club Coordinated School Health Fentress Greene County Youth Subcommittee Chair AmeriChoice Greene County Health Department Children's Center of the Cumberlands Rural Resources Coordinated School Health TENNderCare program Fentress County Health Department VSHP Jamestown Regional Medical Center Plateau Mental Health Grundy Plateau Pregnancy Services CoverTN South Fentress Elementary 21st Century Grant Grundy County Health Council TENNderCare Grundy County Health Department TN Highway Patrol Volunteer State Health Plan TN National Guard (Counter Drug Division) Hamblen Shepherd's Corner (Of One Accord Ministry) Boy Scouts TENNderCare Hamblen County Health Department Hamblen Substance Abuse Coalition Hardeman Morristown Fire Department LeBonheur Children's Medical Center Morristown Hamblen Hospital Morristown Parks and Recreation Hardin Morristown Police Department Department of Human Services Morristown-Hamblen Child Care Centers District Attorney's Office TENNderCare Hardin County Coordinated School Health Tennessee Department of Health Hardin County Health Council UT Hamblen County Extension Hardin County Health Department Hardin Medical Center Hamilton LifeSpan Health Center Chattanooga-Hamilton County Health Department UT Extension Chattanooga Parks and Recreation Volunteer State Health Plan Coordinated School Health Hamilton County Hawkins Hamilton County Department of Education AmeriChoice Hamilton County Step 1 Boys & Girls Club of Hawkins County La Paz de Dios Coordinated School Health Parents Are First Teachers East Tennessee Child Passenger Safety Center Ronald McDonald House Charities Hawkins County Health Department Salvation Army Hawkins County Schools TENNderCare Hawkins County TNCEP Coalition Tennessee Dietetic Association Head Start Tennessee Multicultural Chamber of Commerce TNCEP Shepherd's Corner (Of One Accord Ministry) TENNderCare 12 Volunteer State Health Plan UT Extension Hawkins County Hancock Haywood Coordinated School Health Family Resource Center Hancock County Health Council Adolescent Issues Haywood County Health Department Subcommittee LeBonheur Children's Medical Center Hancock County Health Department SunnyHill School System School Based Health Center UT Extension School Nutritionist Students and faculty at South Polk Elementary School learned about the importance of healthy snacks during Child Health Week. Students received apples to help encourage them to make healthy choices. Henderson Youngsters Henderson County Health De- attending the partment Grace M. UT Extension Eaton Child Health Week Henry Block Party Coordinated School Health were able to Grove School--Drama Club enjoy inflat- Grove School--Healthy School able games Team that pro- Grove School--Wellness Class moted fun Harrelson School--Healthy physical ac- School Team tivity. Henry Cafeteria Staff Henry County High School-- Broadcasting class Henry County High School--Healthy School Team Knox Henry County High School--HOSA students AmeriChoice Henry County Medical Center CoverKids Henry County Safe and Drug Free Task Force CoverTN Henry Elementary--Healthy School Team Doral Dental Lakewood Schools--Healthy School Team East Tennessee Children's Hospital Movie Center Fountain City Connections Paris Family Fun Center Knox Adolescent Pregnancy Prevention Initiative School board member (KAPPI) UT Extension Knox County Health Department Houston Knox County Parks and Recreation Knox County Schools 13 Houston County UT Extension Knox County Schools Coordinated School Health Stewart County Health Department Knox County Sheriff's Office TENNderCare Knoxville Police Department Safe Haven Humphreys Safe Kids Coalition of Greater Knox Area Humphreys County Public Library TENNderCare TENNderCare The Literacy Imperative Transportation Planning Organization Jefferson UT Athletics Dandridge Christian Learning Center UT Extension-(EFNEP)-Expanded Food and Nutri- Jefferson County Coordinated School Health Pro- tion Education Program gram Volunteer State Health Plan Jefferson County Schools Jefferson County Schools (Service Learning Pro- Lake gram, Nursing Supervisor) Coordinated School Health Tennessee Department of Health Lake County Schools Johnson Lawrence Coordinated School Health American Academy of Family Physicians Johnson County Community Center Coordinated School Health Johnson County Health Department Ethridge Elementary School Johnson County High School Lawrence County School System Johnson County School System Tennessee Technology Center of Pulaski Laurel Elementary School USDA Mountain Fitness TENNderCare Program Lewis UT Extension Coordinated School Health Loudon Meigs Coordinated School Health Lenoir City Schools Meigs County and City of Decatur Inter-Agency Council of Loudon County Meigs County-Decatur Chamber of Commerce Macon Monroe AmeriChoice Coordinated School Health AMERIGROUP Food Service Department Coordinated School Health Health Advisory Council Department of Safety Health Department Health Department Members of local community Interact Club UT Extension Service Macon County Government TENNderCare Montgomery Volunteer State Health Plan Clarksville Montgomery County Coordinated School Health Madison Montgomery County Health Department Boys & Girls Club of JMC Special Olympics City of Jackson - Recreation & Parks TENNderCare Coordinated School Health YMCA of Middle Tennessee Jackson-Madison County Regional Health Depart- ment Moore Jackson Madison County School System Coordinated School Health JMC Health Promotions JMC TENNderCare Outreach Program Morgan Jumpstart Jackson Coordinated School Health UT Extension Sunbright Student Council Marion Pickett 14 Coordinated School Health Pickett County Coordinated School Health CoverTN Pickett County Health Council Marion Co Health Council TENNderCare Marion County Schools Marshall Coordinated School Staff from the Health Milan Family Well Child Inc YMCA held a Jr. Olympics McMinn for students in Coordinated School the YMCA Health program at Daily Post Athenian McKenzie Elementary McNairy School. Coordinated School Health District Attorney's Office McNairy County Health Council McNairy County Health Department McNairy Regional Hos- pital UT Extension Volunteer State Health Plan Women's Resource Center Students at The Lit- eracy Imperative in Knoxville listened to a story about the im- portance of milk and then had the oppor- tunity to prepare a healthy snack. Polk Jr. League of Murfreesboro Copper Basin High School MTSU Copper Basin Medical Center Murfreesboro City Schools South Polk Elementary Murfreesboro Parks & Recreation South Polk PE Department Publix Putnam Rutherford County Health Department Rutherford County Schools 15 Brighter Paths Rutherford County TENNderCare & Health Educa- Cookeville Leisure Services tion Putnam County Health Department United Way TENNderCare YMCA of Middle Tennessee YMCA of Middle Tennessee Scott Roane Scott County Head Start Coordinated School Health Scott County Health Department Roane County Health Department Scott County Schools TENNderCare TENNderCare UT Extension UT Extension: TNCEP Sequatchie Volunteer State Health Plan Department of Health TENNderCare Robertson Child Advocacy Center Sevier Coordinated School Health CoverKids Ollie Otter Booster Seat & Seatbelt Awareness Sevier County Family Resource Center Program Sevier County Health Department Robertson County Health Department Sevier County School Food Service TENNderCare Well Child Inc Shelby Child Safety Seat Program Rutherford Children's Special Services AmeriChoice Healthy Kids & Teens AMERIGROUP Healthy Memphis Common Table City of Murfreesboro Immunization and Community Development Shelby County, cont. Knox County Memphis and Shelby County School Health Health Department Coordinator Memphis City Schools Aneisa McDonald Newborn Outreach gets teachers at Porter Leath Head Start Halls Elementary Shelby County moving during a Shelby County Schools Take 10! training. TENNderCare The Urban Child Institute Well Child Inc Smith TENNderCare Stewart Stewart County Health Depart- ment TENNderCare Sullivan Coordinated School Health Doral Dental SCAPPI Sullivan County Health Depart- ment TAPPP TENNderCare 16 VSHP YMCA Tipton Coordinated School Health Sumner American Heart Association Trousdale Centerstone Coordinated School Health Children are People, Inc. TENNderCare Clyde Riggs PTO UT Extension Cumberland Mental Health Gallatin High School Unicoi H. B. Williams Elementary AmeriChoice Home Safe Telamon Migrant Headstart Jason Foundation TENNderCare Mental Health Cooperative Unicoi County Health Department Oasis Center Unicoi County Health Department Health Educator Pathfinders, Inc. Unicoi Elementary School RTF Sumner County Schools YMCA Sumner County Schools Sumner County YMCA Union TENNderCare Douglas Cherokee Afterschool Program Tennessee Technology Schools Maynardville Public Library University of Tennessee Health Outreach Watt Hardison Elementary Van Buren Work Force Essentials Coordinated School Health YMCA of Middle Tennessee TENNderCare Youth Tobacco Coalition UT Extension/TNCEP Van Buren County Health Department Washington AmeriChoice Boone’s Creek Elementary Boone's Creek Middle School Coalition for Kids Coordinated School Health ETSU KinderCare Mountain States Health Alliance Ridgview School South Central TENNderCare Washington County Health Council Washington County Health Council Child Health Subcommittee Washington County Health Department Washington County Health Department Health Educators West View Elementary Weakley Community Advisory Board CoverKids Department of Mental Health Interagency Council NW Council on Children and Youth TENNderCare UTM 17 Weakley County Health Department Weakley County Imagination Library Weakley County Schools Weakley Interagency Council White Sparta Fire Department Sparta Police Department TENNderCare TNCEP TTI Nursing Students White County Coordinated School Health Williamson Bowie Nature Park District Coordinated School Health Coordina- tor Top: Students at South Fentress Elementary School FSSD Coordinated School Health participated in a Health Fair. Troopers from the TN Hillsboro Elementary School Team Nutrition Highway Patrol were on hand with goggles to simu- Moore Elementary School late the effects of alcohol on movement and coordi- Nashville Predators Amateur & Youth nation. Hockey Development Williamson Co Health Department Middle: Children and families at the Autumn Chil- YMCA of Middle Tennessee dren’s Festival in Hamilton County enjoy a sunny af- ternoon of fun and games while learning about healthy habits. Bottom: Students at Bowers Elementary in Roane County received blood pressure, hearing, and vision screens as part of Child health Week. Participating Counties Listed below are the 79 counties that participated in Child Health Week 2009. Coun- ties that also participated in 2008 are marked with an asterisk (*). The following page contains a map of all participating counties for 2009. Anderson Knox* Benton Lake* Bledsoe* Lawrence Blount Lewis* Bradley* Loudon Cannon Macon* Carroll* Madison* Carter* Marion* Cheatham Marshall* Chester McMinn* Claiborne* McNairy* Cocke* Meigs Coffee* Monroe* Crockett* Montgomery* 18 Cumberland* Moore Davidson* Morgan Decatur Pickett* Dekalb* Polk Dickson* Putnam* Dyer Roane* Fayette Robertson* Fentress* Rutherford* Gibson* Scott* Giles* Sequatchie Grainger* Sevier* Greene* Shelby* Grundy Smith Hamblen* Stewart* Hamilton* Sullivan* Hancock* Sumner* Hardeman Tipton Hardin* Trousdale* Hawkins* Unicoi* Haywood* Union* Henderson* Van Buren* Henry* Washington* Houston Weakley* Humphreys White* Jefferson Williamson* Johnson* Child Health Week 2009 Participating Counties 19 New Counties in 2009 Twenty-three counties participated in Child Health Week for the first time in 2009. Those counties are listed below. Anderson Benton Blount Cannon Cheatham Chester Decatur Dyer Fayette Grundy 20 Hardeman Houston Humphreys Jefferson Above: A variety of educational Lawrence booths await atten- dees at the Loudon Cheatham County Meigs Health Fair. Moore Left: Children and families attending Morgan the “It’s a Small World” event in Polk Grundy County helped design the Sequatchie caterpillar body Smith while listening to volunteers read Tipton “The Very Hungry Caterpillar.” Resources Child Health Week Web Site ......................................................................... Page 22 Resources & Tools Developed for Child Health Week .................................. Page 23 21 Left: UT Extension Agent Wendy Warner races with students during a Child Health Week cele- bration in Van Buren County. Right: Elementary students in Hawkins County created artwork to display health themes during Child Health Week. This poster depicts the importance of avoiding the “T zone” (eyes, nose, and mouth) in preventing the spread of germs. Child Health Week Website In response to suggestions made by community partners involved in Child Health Week 2008, the Governor’s Office of Children’s Care Coordination worked to establish a website for Child Health Week 2009. The website contained general information about Child Health Week, including date, theme, and contact infor- mation. There was also a section for download- able resources; this sec- tion featured resources developed by the GOCCC and other Child Health Week partners. For community partners 22 who were planning events, the website fea- tured a “Submit Your Ac- tivity” form through which partners could enter data about their event. Events designated as public were listed on the main Child Health Week calendar, available to website visitors. The calendar was created using Google Calendar, which was avail- able for free and was easily incorporated into the web page. This exciting addition to the site allowed visitors to look for Child Health Week events in their county or city. A link to the website was included in all Child Health Week promotional materials. In addition, a banner on the state’s main website (www.tn.gov) directed visitors to the Child Health Week site during the week of October 5-11. The GOCCC is indebted to Kelly Berg for her hard work in designing and maintaining the Child Health Week website. Resources and Tools In an effort to provide communities with tools to promote the health and well-being of children, a number of resources and tools were developed by state and local Child Health Week partners. The materials listed here were made available for free public download on the Child Health Week web site. All materials are included in the appen- dix. Governor’s Office of Children’s Care Coordination The Governor’s Office of Children’s Care Coordination (GOCCC) developed materials for use by community partners in planning Child Health Week Activities. (Pages 53-64) Child Health Week—Facts for Parents Online Resources for Parents, Schools, and Communities Child Health Week—Facts for Schools Sample Article (Target Audience: Parents) Sample Article 2 (Target Audience: Parents) Sample Article 3 (Target Audience: General) Child Health Week—Information for Faith-Based Communities 23 Maternal & Child Health The Tennessee Department of Health, Division of Maternal and Child Health, devel- oped a toolkit for use during Child Health Week. The toolkit was developed by a com- mittee including representatives of the Governor’s Office of Children’s Care Coordina- tion, Maternal and Child Health, Office of Nutrition and Wellness, Mental Health and Developmental Disabilities, Tobacco Use Prevention, Alcohol and Drug Prevention, and TENNderCare. (Pages 65-87) CHW Resources & Ideas for Activities Fact Sheet—Childhood Obesity Fact Sheet—Depression in Children Fact Sheet—How Smoking Harms My Baby Fact Sheet—Immunizations Fact Sheet—Prescription Drug Use Fact Sheet—Teen Smoking Fact Sheet—Teens Be A Leader Fact Sheet—TENNderCare Directors Fact Sheet—Word Search and Teen Quiz Fact Sheet—Youth Suicide Flyer—Suicide Press Release—TN WIC Press Release—Tobacco Use Prevention Youngsters at the South Central CCRR in Tullahoma enjoy the monkey bars during Child Health Week 2009. Chattanooga-Hamilton Region Child Health Week Committee This is an educational kit created by a Child Health Week Committee in the Chatta- nooga-Hamilton Region. This committee was composed of community and agency members, including: Tennessee Dietetic Association, Coordinated School Health, Chattanooga Parks and Recreation, TENNderCare, Parents are First Teachers, TNCEP, Hamilton County Step 1, and Hamilton County. This toolkit was circulated within the community during Child Health Week. (Pages 88-100) Child Health Week Background Information Helpful Ways to Reduce Screen Time Cyber Safety for Children Healthy Info for New Parents Nutrition You Can Use! Halloween Games That Keep Kids Moving! Flu Prevention Tennessee Dietetic Association The Tennessee Dietetic Association developed a flier outlining child health statistics in Tennessee. (Page 101) 24 Left: Mayor Brock Hill signed a proclamation declaring October 5- 11 as Child Health Week in Cum- berland County. Below: Students in Lawrence County had the opportunity to learn basic CPR during Child Health Week 2009. Appendix Master List of Child Health Week Activities ................................................... Page 26 Media Placements ......................................................................................... Page 51 Resources and Tools Developed for Child Health Week ............................... Page 52 25 Marquee signs proclaimed Child Health Week throughout the state. Shown clockwise from top left: Van Bu- ren County, Macon County, Fentress County, and White County. Master List of Activities Anderson County Bledsoe County Clinton Family Night Out Give A Child A Chance Day This event provided the Clinton community with an The purpose of this activity was to promote health opportunity to join in community celebration focus- and wellness for children in Bledsoe County and to ing on family safety and preventive health. This provide needed school supplies and clothing for event provided educational material, fun and children in need of those items. This day was de- games for the entire family. The target audience signed to help children with school supplies and was family members of all ages (especially kids). other basic needs, at no cost to them. This event Planned activities included: National Guard's Mo- targeted low income children and their parents. bile Drug Task Force Unit viewing, Clinton Police Many organizations were available to offer services K-9 Unit demonstration, live music, food, games, to the children. Some of the goods and services information booths (including TENNderCare and provided were: school supplies, backpacks, hair the Anderson County Health Dept., door prizes, cuts, vision and hearing screenings, and lunch for etc.) the children. There were also snacks, balloons, games, the Tennessee Highway Patrol with the Handwashing Class Roll-Over Car, TWRA with the wildlife trailer, and Teachers and staff at the Anderson County Head the TN Army National Guard with the Meth trailer. Start Center were given information about the H1N1 flu. A follow-up activity taught children how Blount County to safely and effectively wash hands using an age- Health Behaviors Survey appropriate lesson. Blount County 6th, 8th, 10th, & 12th grade students were surveyed to learn more about their health be- 26 Anderson County - Children's Health Fair Event haviors regarding alcohol, tobacco, and substance Parents and families learned how they can help our use and abuse. children be healthier! Planned activities included: a family-friendly exercise class, 1 mile fun walk, Blount Takes on Child Health Week information booths and special prize giveaways. TENNderCare programs and handwashing tech- niques were presented to youth at 10 day care Benton County sites in Blount County. Child Health Week Kick-Off Event A county-wide wellness day kicked off the week Bradley County with parenting sessions and educational sessions Blythe Avenue Boys & Girls Club, LLC for children and teens. In addition, School Health Health education booths and food were presented Teams promoted various healthy facts throughout at the Boys and Girls Club. the county, "Lunchroom Ladies" wore promotional stickers each day, and the PTO emailed tips to par- The Cleveland Apple Festival ents on the PTO distribution list. The Cleveland Apple Festival is a 501(c)(3) public charity that donates all proceeds to other non-profit Healthy Recipe Contest organizations. Activities at the festival included: To encourage healthy eating, students and faculty arts & crafts booths, home & community informa- at Chilhowee Middle School in Benton, TN, com- tion booths, and food booths. Entertainment in- peted in a Healthy Recipe Contest. The contest cluded the Little Miss Apple Blossom & Junior Miss was open to anyone interested in submitting a Apple Blossom Contests, the Apple Dessert Con- healthy recipe. When the winning recipe was cho- test and Pie Eating Contest. In addition, there was sen, the Advanced Teen Living class prepared the a Trailhead Bike Giveaway. recipe. The winning recipe received a prize. Cannon County CoverKids presentation Cannon County Child Health Week Declaration A presentation on CoverKids was given at the and Health Screening Kickoff Northwest TN Regional Headstart workshop. Several local agencies gathered for a photo oppor- tunity with County Mayor, Mike Gannon, to declare McKenzie Elementary After-School Jr. Olympics Child Health Week in Cannon County. A press re- Kids were able to compete in basketball, track and lease highlighting child health and the school sys- field, soccer and tennis. tem's upcoming health screenings accompanied this picture in the weekly edition of the Cannon Carter County Courier. Food Fiesta The Public Health Educator partnered with the UT Health Rocks DVD Extension Agency and the Coordinated School The “Health Rocks” DVD was played at the local Health Team to hold a presentation called “Food health department in Cannon County. Fiesta.” This presentation introduced the food pyramid and taught portion control and recognition Carroll County of fruits and vegetables. The targeted audience Poison Prevention Awareness Program was students in grades 3-5. Coordinated School Health staff created a "Poison Proof" visual aid board using popular candy and Hand Wash Against the Flu! over-the-counter medications that children may The Public Health Educator partnered with the come in contact with in their own homes. The vis- Carter County Coordinated School Health Team to ual aid board was used to show the children the offer a handwashing class to 1st-5th grade stu- similarities in the candy and medications and to dents at Range Elementary School. In this class, illustrate how younger siblings may mistake these students learned the importance of handwashing items for things they are able to eat. Items used and had the chance to learn about the flu and how included: "Hershey's" bite size bars / Exlax, "Red to stay healthy during flu season. Hots" / Sudafed, and other candy/medications which resemble each other. Jars were used to dis- BMI Measurement 27 play similar substances such as liquid medications, The Public Health educator partnered with the cleaners, drinks such as Kool-Aid, glitter tooth- Carter County Coordinated School Health Team to paste/glitter glue, and other liquids. The students provide BMI checks to the 4th and 6th grade stu- were "tested" by being asked which liquid they dents at Hunter Elementary. would think is safe to drink between the two similar looking liquids contained in the jars. Students ac- Stay Healthy For a Better You tively participated by raising their hands and an- The Public Health Educator partnered with the staff nouncing the correct answers for each "safe" and at the Boys & Girls Club, the UT Extension Agency, "unsafe" liquid. Students viewed age-appropriate and the TENNderCare program to present a series videos geared toward helping them recognize of classes for the afterschool students in grades 3- harmful chemical substances and teaching how to 8. These classes covered a number of topics that properly store them "out of site and out of reach." included good nutrition, hygiene, and personal ac- One video used for elementary student viewing tivity. was from the Texas Poison Center Network enti- tled "The Poison Patrol: Inspector Nick Carson, TENNderCare Information Distribution You Can Make a Difference." This 20-minute video A booth was set up in the lobby of the health de- explained how many items from household plants partment with programmatic information emphasiz- to cleaning supplies can be poisonous and should ing the importance of EPSDT screenings and im- be stored out of reach and out of site. The other munizations. Coloring pages were also provided. video used for Pre-K student viewing was "Spike's Poison Prevention Adventure." Spike concentrated on letting his quills alert him to danger when he encountered dangerous items or poisons. A total of 830 students at three different primary and ele- mentary schools in Carroll County were reached through this program. Fight the Germ Healthy Lifestyles The purpose of this program was to educate pre- This activity encouraged students to develop school children on how to fight germs to prevent healthy lifestyles on a regular basis. A local regis- illness. The book "Germs are Not For Sharing" tered dietician spoke to the freshmen class at one was read, followed by a coloring activity with chil- of the high schools. dren's coloring pages that presented proper hand- washing practices. Coordinated School Health and Importance of Good Hygiene UT Extension assisted in teaching illness preven- Staff from the local health department came to the tion. school and stressed the importance of good hand- washing practices in order to prevent the spread of Cheatham County germs. This was for grades K-2. Children's Health Fair The purpose of this event was to educate middle Coffee County school students on the importance of getting their Newspaper Article yearly EPSDT checkup. Students were made The Resource and Referral Specialist for the Child aware of good eating habits and ways of protecting Care Resource & Referral Service wrote an article their safety. The Mayor of the Town of Ashland City for the local newspaper about children's physical proclaimed Children's Health Day and asked fami- activity in child care facilities and Child Health lies to continue to educate their children. Week. Chester County Adoption Tour 09 When I Get Big.... This activity included a parade and booths with The High School Student Health Council visited the child activities on the square. All children from elementary school. They read books (Berenstein Manchester and Coffee County were invited. Bears/Junk Food) and talked with students about what it takes to be healthy and how it makes you Crockett County grow big and strong. The council also served them exotic fruits at lunchtime. All students went home Child Health at Green Frog Fun Fest The community was invited to visit the Child Health 28 with "Just Say No" coloring books, jump ropes, and Week activity center at the Green Frog Fun Fest. healthy eating stickers. The fun fest also included a petting zoo, hay ride, corn maze, and pumpkin picking. Claiborne County H1N1 Presentations for Child Health Week LeBonheur Mobile Unit The purpose of these presentations was to inform The mobile unit from LeBonheur Children's Medical the faculty, staff, and Head Start parents about the Center visited the county and took the opportunity H1N1 virus. These presentations took place during to educate patients using educational materials the parent meetings. These presentations also and demonstrations on the mobile units. Hand helped to prepare the teachers for instructing stu- sanitizer was also distributed. dents about the flu and handwashing during Child Health Week. During Child Health Week, the stu- Cumberland County dents received instruction on the importance of Healthy Youth October Fest hygiene and proper handwashing. The teachers The purpose of this event was to provide children were offered the opportunity to have the hand- and teens with valuable preventive health informa- washing instruction for the students provided by tion about the importance of daily exercising, the health department's health educator. healthy eating choices, the importance of preven- tive checkups and the importance of positive ac- Cocke County tions. Well checkups were encouraged by a special An Apple a Day drawing for gift cards for proof of a well check, an This activity encouraged students to eat fruits and appointment scheduled for a well checkup, or if include them in their daily diet. Apples were ob- help is needed with scheduling a well checkup ei- tained from a local orchard and passed out to three ther for a medical checkup or a dental checkup. of the elementary schools. Participants had a time for exercise and a time for education. Educational materials were provided to each child to promote healthy choices. Health Rocks DVD Community Conversation on "High School Drop The “Health Rocks” DVD was played at the local Out Issues" health department in Cumberland County. Oasis Center's Youth United (an alternative to youth violence group) hosted a Community Con- Child Health Week Proclamation versation on "High School Drop Out Issues." A Child Health Week Proclamation was signed by the Cumberland County Mayor, Brock Hill. Drop Out Prevention Summit America's Promise Alliance Drop Out Prevention Davidson Initiative hosted a summit. Grace M. Eaton Child Health Week Block Party A community "Block Party" was hosted by the Girl Scout Fit Club Grace M. Eaton Child Care and Early Learning Girls in 4th, 5th and 6th grade participated in Center. The event included Governor's office rep- twelve weeks of fitness and badge-earning activi- resentatives, members of the Tennessee Legisla- ties led by Girl Scouts of Middle Tennessee and ture, radio stations, state and Metro services, facili- Baptist Sports Medicine “Commit to Get Fit” train- ties to provide health screenings, food, and enter- ers. This program is sponsored by the Nashville tainment. Rotary Club. International Walk To School Day TENNderCare Outreach at Matthew Walker CHC International Walk To School Day was sponsored WIC and Primary Care Clinics nationally by Safe Kids Worldwide and FedEx. In Nashville Davidson County set up a booth inside Nashville, many local schools participated in the Matthew Walker CHC and provided TENNderCare event by joining together and celebrating their walk outreach and information to families visiting WIC, to school. Glengarry Elementary was the lead Pediatrics, and OBGYN clinics to inform and edu- school for Walk to School Day in Nashville and cate them about TENNderCare and the importance hosted a walk and assembly for students and fami- of preventive care for their health. lies. Nashville Mayor Karl Dean and Tennessee Department of Health Commissioner Susan Coo- Teen Clinic 29 per were among those in attendance. United Neighborhood Health Services, a partner to the Youth Opportunity Center, staffed a teen clinic Walk to School Day within the Youth Opportunity center. Tennessee First Lady Andrea Conte joined stu- dents from Caldwell Enhanced Options School in Driving Skills for Life their "Walk to School Event." The First Lady also Oasis Center partnered with the Ford Foundation joined students in reciting the Pledge of Allegiance in an effort to improve teen driving safety. and School Pledge and she read the school's morning announcements. Scoreboard Announcement at Vanderbilt Football Game Kohl's Cares for Kids Car Seat Check The Vanderbilt Athletic Department agreed to This car seat check was open to all families of the make a public service announcement during the Metro Action Commission Head Start program in football game held during Child Health Week with Nashville. Studies have shown that 85% of all chil- the following message: "Governor Bredesen re- dren in TN are improperly restrained. Certified minds Commodore fans that October fifth through technicians were available to check car seats at the eleventh is Child Health Week in Tennessee. this event for proper installation and fit to ensure As a team, let's make a difference by making that all children are riding safely. healthy food choices and encouraging active life- styles. Together, we can ensure a healthier future Mid-Cumberland Council on Children & Youth for our youth and a healthier Tennessee." CoverKids provided a booth at this event. Shade Tree Clinic Health Fair CoverTN provided a booth at this event. Scoreboard Announcement at Nashville Predators the nutritional information for the dish as well as Game the recipe. There was also a healthy snack mix The Nashville Predators administration agreed to station for children to be able to mix up their own make a public service announcement during the healthy snacks. All nutritional information was pro- hockey game held during Child Health Week with vided for all ingredients. A story time was held with the following message: "Governor Bredesen re- a focus on how to stay healthy. A “Fruit & Veggie” minds Predator fans that October fifth through the snack tray was brought in for children to sample eleventh is Child Health Week in Tennessee. As a and broaden their horizon in the nutrition world. At team, let's make a difference by making healthy one center, a local chef came in to provide a food choices and encouraging active lifestyles. healthy food demonstration for members. Together, we can ensure a healthier future for our youth and a healthier Tennessee." YMCA—Be Active YMCA centers throughout Davidson County cele- TEENS UNITED! brated Child Health Week with a variety of activities Oasis Center hosted the Celebration of Cultures. focused on the importance of being active. Activi- New to the festival this year was an area exclu- ties included jump ropes, hula hoops, parachute sively for teens called TEENS UNITED! In partner- games, youth strength classes, “Run for Fun,” mu- ship with the Oasis Center, TEENS UNITED! was sical chairs, and youth Zumba. Youth were also organized by a group of local teens from 10 differ- able to roll the “Fitness Dice.” Parents and kids ent countries, including Palestine, Ethiopia, Haiti, rolled a dice to see how long they would do a spe- and Sudan. cific exercise. The parents and the kids were able to challenge each other by rolling a high number YMCA—Water as the Primary Drink and making it difficult to finish the specific exercise. YMCA centers throughout Davidson County cele- They were taught how to calculate their targeted brated Child Health Week with a variety of activities heart rate, so at the end of the circuit they could focused on water as the primary drink. Water was check their pulse and see how high their heart rate served during Hang Time hours and afternoon YPlay hours. Hang Time played Water Bingo reached. Other activities included: Kids H2O Cardio with Parents, Youth Fit Camp, and Kids 30 (children answer questions pertaining to water, with Zumba. information taken from the YNew books) and Water Jeopardy. Water games were offered outside. YMCA—Family Health Practices Children also participated in a “Water Scavenger YMCA centers throughout Davidson County cele- Hunt.” They were given a sheet with information brated Child Health Week with a variety of activities about water to fill in. They went to designated sta- focused on the role of families in keeping children tions around the facility to gather the answers for healthy. Activities included a Family Fit Class, their sheet. They ended up in Wellness where they Family Zumba, a Healthy Family Cooking session, were rewarded with water. Along the way, they and group fitness classes that were “family learned the health benefits of drinking water. A friendly.” A “Family Obstacle Course” was also “Say No to Soda” Activity demonstrated the available. Families were able to create a family amount of sugar in soda. recipe card that was compiled into a Healthy Fam- ily Y-Play Cookbook. YMCA—Healthy Food Choices YMCA centers throughout Davidson County cele- Decatur County brated Child Health Week with a variety of activities Child Health Week Community Fun Walk focused on healthy food choices. Nutrition Bingo The entire community was invited to come walk in (information taken from YNew books) was played observance of Child Health Week. in Hang Time & offered to kids within the building. Each department had answers either posted in an Dekalb County obvious place or staff members helped the children Health Rocks DVD answer questions to complete the Nutrition Bingo. The “Health Rocks” DVD was played at the local During Hang Time the kids played Nutrition Jeop- health department in Dekalb County. ardy with information taken from the YNew books. A “Healthy Cooking Class” was also offered, in EPSDT Exams which the kids were able to watch the dish (dinner Comprehensive health screens were provided to meal) get created, taste the food, and take away students in Dekalb County. Fire Safety Dyer County The DeKalb county EMS provided fire safety Child Health Week Art Contest classes for all elementary students in DeKalb The Dyersburg City and the Dyer County Schools County during Child Health and Safety Week. participated in school-wide art contests. The Ten- derCare employee for the county coordinated the Dickson County contest. The younger students used the theme of In-Service for Child Care Providers Child Health Week for their entries. The middle A health-related in-service for child care providers and high school students used the "I Get It" theme addressed the Gold Sneaker Initiative, Flu Preven- for their entries. Winners received WalMart gift tion, and H1N1. The first topic featured an effort cards provided by MedSouth Health Clinic of that encourages child care centers to enhance ac- Dyersburg. Selected entries were duplicated and tive play and good nutrition. Attendees were up- used as flyers on pizza boxes across the county. dated about the Gold Sneaker Initiative and re- Local mayors also signed a proclamation. ceived some educational resources for physical activity and nutrition to use for the children in their Fayette County care. The second topic session reviewed general EPSDT Health Screening flu prevention protocols and Dr. Lori MacDonald, Annual EPSDT screening was provided to school the Regional Medical Director, provided an H1N1 children. update and also assisted with a Q&A Session. The Question and Answer Session addressed specific Fentress County audience questions. South Fentress Elementary Health Fair This event for approximately 150 middle school FARM Fun Day at J&J Farms students promoted healthy choices such as exer- In order to encourage physical activity and familiar- cising, healthy eating, preventive well checkups, ity with fruits and vegetables and how they are handwashing. This event provided elementary stu- grown, low-income youth and adults were intro- dents valuable information to help them make duced to a local farm where they were able to play healthier life choices. Area agencies collaborated and learn. to provide this essential education for these stu- 31 dents. TENNderCare Display A TENNderCare display was set up in the lobby of Marquee Displays the Dickson location of the Dickson County Health The Child Health Week theme and dates were dis- Department providing education in the areas of played on marquees of various business sites germs & handwashing, eating healthy, children's throughout the county. health, immunizations and TENNderCare bro- chures. Gibson County Jr. Olympics TENNderCare Display Children were able to play “Run for Fun,” racquet- A TENNderCare display was set up in the lobby of ball, and musical chairs as well as participate in the White Bluff location of the Dickson County track and field, soccer, basketball, and tennis. Health Department providing education in the ar- eas of germs & handwashing, importance of YMCA 10-Year Celebration EPSDT screenings, pamphlets on children's health, CoverTN provided a booth at the YMCA 10-Year and TENNderCare brochures. A goody bag was celebration. provided for children along with coloring pages. A Healthy You J-I-N-G-O In order to familiarize children of all ages with words and pictures used in the health care field, participants played the game “A Healthy You J-I-N -G-O,” a BINGO-style game for all ages. There were prizes for the winners. Educational materials, pamphlets, coloring pages and TENNderCare bro- chures were distributed. Giles County TENNderCare Booth at the Farm Arts Festival Heart Healthy Walk TENNderCare staff provided a booth at the 2009 This event was held to promote physical activity Farm Arts Festival at Rural Resources in Greene- and help reintroduce the American Heart Associa- ville. The booth provided information on the impor- tion's missions and goals to the Giles County com- tance of EPSDT screenings. munity. This event was made possible by commu- nity-wide partnerships between the American Heart Healthy Eating and Physical Fitness Association, Giles County Coordinated School The Public Health Educator partnered with the Health, Hillside Hospital, First National Bank, andBoys and Girls Club to plan and promote Child Frito Lay. Activities included a 2-mile Heart Walk Health Week through after school activities at the around the community-accessible walking trail in club each day. On Monday, children ages 6-12 conjunction with Bicentennial Activities. Coordi- were given instructions on healthy snack foods by nated School Health offered a mini-grant for the the Nutrition Educator from the Greene County school with most walking participation. One hun- Health Department. On Tuesday, an aerobics in- structor from the local YMCA came to the club to dred seventy five people participated in this event, raising $6,384 for the American Heart Association. teach basic aerobic and yoga skills. On Wednes- day, a local professional storyteller came to the Hand Hygeine club to tell stories that complement making healthy Richland School Peer Educators taught hand hyge- choices. On Thursday, Volunteer State Health ine to PreK-4th graders at Richland Elementary Plan conducted the program "Get Fit Kids," and on School. Friday, the Public Health Educator from the Health Department led the children and youth on a hike Grainger County along the newly-developed Tusculum Walking "Germs, Hygeine, and Handwashing" Trail. The purpose of this presentation was to educate Rutledge Primary after school students about the Daily Health Information Announcement Spots importance of hygiene and handwashing. The Public Health Educator developed daily an- nouncement spots on various child/youth health 32 Handwashing Instruction for Head Start Students issues to be used during the week at all Greene- The purpose of these presentations was to educate ville City/Greene County Schools. Topics for the Head Start students about germs and proper hand- spots included healthy nutrition choices, the impor- washing. tance of physical fitness, tobacco prevention, stu- dent stress factors, and sexual violence prevention Greene County for the high school level. Announcement spots Press Release on Child Health Issues were provided for elementary, middle, and high The Public Health Educator provided information school levels. These announcement spots were on child health issues through a media release to read by selected students during the daily an- the local newspaper, the Greeneville Sun. Local nouncements or on televised announcements. The information for this press release was merged with Public Health Educator partnered with the two Co- the press release that was issued from the Com- ordinated School Health Directors to develop and missioner's Office on Child Health Week. implement the announcements. Quick WIC Treat Bags TENNderCare Display at the Greene County Treat bags were provided to all Quick WIC partici- Health Department pants during Child Health Week. The bags con- The Public Health Educator provided an informa- tained new toothbrushes, coloring books, TENN- tional display throughout the week in the lobby of derCare information, and various health-related the Greene County Health Department. The dis- brochures and tip sheets. play included pamphlets on various child health issues such as nutrition, physical fitness, tobacco Greene Co. "Get Fit Kids" prevention, and the TENNderCare program. The Children were educated on healthy eating habits, display booth was centrally located within the completed an exercise program that could also be health department. done at home, and received jump ropes to take home to encourage physical activity. Grundy County was to provide important health screenings and Grundy County Back to School Event educate Hispanic families about the importance of The event encouraged students in the community preventive health and the value of staying healthy. to stay in school, stay out of trouble, and be pro- ductive and healthy students. Students at the event Autumn Children's Festival received free school supplies. The mission was to The Annual Autumn Children's Festival was held promote well child check ups, offer H1N1 educa- during the second weekend in October at the Ten- tion, and provide school supplies in a fun and inter- nessee Riverpark. It is the largest festival in the active environment. area entirely devoted to children. The festival fea- tured more than 100 fun-filled games and activities It's a Small World including: giant inflatables, pony rides, arts and The Young Child Health Expo was a free, fun, fam- crafts, magic shows, carnival games, a petting zoo, ily event for everyone with a baby/young child in and free Mayfield ice cream plus health, wellness their life now or in the future--parents, expecting and EPSDT and H1N1 education. parents, grandparents, children, and friends! The event provided an opportunity for interested indi- Hancock County viduals and families to learn about maternal/child Child Health Week Packets community resources. The event featured educa- Packets were disseminated to 5th grade parents tional sessions, health institutions, H1N1 informa- and included information on violence prevention, tion, Well Child Check ups, social service agencies keeping kids tobacco-free, and physical activity/ and other community organizations exhibiting. Ad- nutrition. ditionally, information was available on EPSDT ex- ams, healthy eating, proper use of child safety Child Health Week Educational Booth seats, reading to children, breastfeeding, fire The Public Health Educator set up an educational safety, and other topics of importance to young booth in the health department lobby to reach re- children. cipients of the WIC and CHAD/HUGS programs. Hamblen County Information was available on smoking during preg- nancy, immunizations, child safety, nutrition, and 33 Touch A Truck physical activity. This program was designed to allow children to touch, climb, and explore utility vehicles, cars, Walk to School Day trucks, and heavy machinery and to learn what pur- The purpose of this event was to encourage kids pose these vehicles serve in the community. and parents to increase physical activity. Partici- pants received certificates, a healthy snack, and Presentation to Local Child Care Facility incentives. A presentation was given to local child care facility staff regarding germs/disease prevention, flu, and Treat Bags for Children Seen for EPSDT at Clinic the importance of handwashing. Treat bags were provided to children during clinic visits that week. The bags contained toothbrushes, Boo Fest coloring books, TENNderCare information, various This event was for children ages 2 to 12 at the health-related brochures and tip sheets for parents. Fred Miller Park Trick or Treat Trail. Vendors were present with booths, contests, and health and TENNderCare display at Hancock County Health safety information. Department A TENNderCare display was set up in the lobby of Handwashing the Hancock County Health Department. The dis- This event was held to teach the correct way to play featured programmatic information emphasiz- wash hands to Pre-K, Kindergarten & first grade ing the importance of EPSDT screenings. students. Staff used “glitter bug lotion” & black lights to show kids the correct way to wash hands. Fruit and Vegetable Taste Party The Public Health Educator partnered with Coordi- Hamilton County nated School Health, the School Based Health Latino Health Fair Center, and the school nutritionist to provide fresh The target audience for this event was Hispanic fruits and vegetables (provided by grant money) to families in Chattanooga. The purpose of this event encourage healthy eating habits. TENNderCare Display at Shepherd's Corner Thrift Carter's Valley Elementary "Healthy Day" Store (Of One Accord Ministry) in Sneedville This activity provided education in the area of A TENNderCare display was set up in the lobby of germs, nutrition, and first aid. In addition, a TENN- the Shepherd's Corner thrift store. The display fea- derCare display was set up at the elementary tured programmatic information emphasizing the school. TENNderCare information was given to the importance of EPSDT screenings. students prior to activities provided by the TNCEP coalition. Tobacco Letter-Writing Campaign The Public Health Educator disseminated letters A Safe and Healthy Ride signed by fourth grade students to thank busi- The East Tennessee Child Passenger Safety Cen- nesses for being smoke free. ter conducted car seat safety checks during Quick WIC classes at the Rogersville Office of the Haw- Parenting Class kins County Health Department. The Hawkins The Public Health Educator disseminated packets County Health Department also provided informa- to parents containing child health information and tion about tobacco-free cars and second hand to- provided an opportunity for group discussions. bacco smoke. Other collaborators included the UT Extension office and the TENNderCare program. Hardeman County LeBonheur Mobile Unit Quick WIC Treat Bags The mobile unit from LeBonheur Children's Medical Treat bags were provided to all Quick WIC partici- Center visited the county and took the opportunity pants during Child Health Week. The bags con- to educate patients using educational materials tained new toothbrushes, coloring books, TENN- and demonstrations on the mobile units. Hand derCare information, and various health-related sanitizer was also distributed. brochures and tip sheets. Hardin County Head Start Parent Meeting Packets Hardin County ExtraOrdinary Baby Shower The target population was prenatal women. The TENNderCare staff partnered with the Health Edu- cator in providing parent packets for a Head Start 34 baby shower consisted of educational displays, parent meeting. Packets included TENNderCare guest speakers, and a light, healthy snack. Goody information, age-appropriate snacking, health de- bags were given to the prenatal participants. partment services, food pyramid information, and tobacco use prevention tip sheets for parents. Mini Health Fair The purpose of this event was to give the students Health Rocks of West Hardin elementary a small experience of a Packets were distributed to parents which included health fair. Local community organizations were information about how to talk to your child about present to give educational information and incen- sensitive issues, basic hygiene, nutrition, and pu- tives related to health. berty. Healthy Children Rock! Handwashing Art Project Competition This activity included nutrition education, informa- Elementary students in Hawkins County Schools tion on internet safety, and information on the participated in handwashing-oriented art projects Cover Kids program. A mini health fair was held that were judged locally. The handwashing educa- for students to hear a brief presentation by agen- tion coincided with ongoing measures to decrease cies and to obtain free goodies to carry home to the spread of illness as flu season approaches. their parents. Areas of emphasis included: Wash for 20 seconds; Sneeze into your sleeve; Keep your hands away Hawkins County from your T zone (eyes, nose, and mouth); Wash Heads Up with Head Start after: using the restroom, playing outside, touching Packets were distributed to parents which included animals, blowing your nose, etc; and Wash before information about TENNderCare, childhood nutri- meals. tion, dealing with picky eaters, portion control, and physical activities for rainy days. TENNderCare Display at Hawkins County Health Henry Elementary—Child Health Week Activity Department (Church Hill) A poster contest was held for sixth grade students. A TENNderCare display was set up in the lobby of the Church Hill Health Department. The display Henry Elementary—Alpha Man featured programmatic information emphasizing Students received a lesson on how germs are the importance of EPSDT screenings. spread using glitter. Students had to figure out how the germs got on them. Students noticed how TENNderCare Display at Shepherd's Corner Thrift germs were spread. Proper handwashing was also Store (Of One Accord Ministry) in Rogersville, TN discussed. A TENNderCare display was set up in the lobby of the Shepherd's Corner thrift store. The display fea- Henry Elementary—Child Health Week Activity tured programmatic information emphasizing the Brochures on diabetes and junk food were distrib- importance of EPSDT screenings. uted at the football game. TENNderCare Display at Hawkins County Health Grove School—Health Tip Department (Rogersville) A health tip was read during morning announce- A TENNderCare display was set up in the lobby of ments by Healthy School Team students. the Rogersville Health Department. The display featured programmatic information emphasizing Grove School—Health Display the importance of EPSDT screenings. A health display was set up in the lunch room. Haywood County Grove School—Child Health Week Activity Haywood County Book Jam Students made posters on proper handwashing This event was designed to bring awareness to and displayed them throughout the school. Child Health and encourage reading by providing free books. It was open to the general population Grove School—Handwashing Video and students received a book. A self-esteem skit was performed by UT Extension. The drama club made a video on proper hand- washing and showed it to the whole school. They 35 also made a video on Zumba dancing to be shown LeBonheur Mobile Unit later. The mobile unit from LeBonheur Children's Medical Center visited the county and took the opportunity Harrelson School—Coloring Contest to educate patients using educational materials A coloring contest with a theme of nutrition and and demonstrations on the mobile units. Hand physical activity was held for students in grades K- sanitizer was also distributed. 2. Henderson County Harrelson School—Poster Contest Child Health Week Community Fun Walk A poster contest promoting healthy eating and The entire community was invited to walk in obser- physical activity was held for students in grades 3- vance of Child Health Week. 5. Henry County Harrelson School—Door Decorating Contest Henry Elementary—Milk Campaign A door decorating contest was held for students in Pictures were taken of staff and students with milk grades 6-8. moustaches. Milk nutritional posters were dis- played. A contest was held for students who could Harrelson School—Morning Health Tip correctly guess the staff moustache. A morning health tip was read by Healthy School Team student members. Henry Elementary—Child Health Week Activity Students led a morning health announcement and Harrelson School—Child Health Week Activity boost up exercise. Brochures on diabetes and junk food were distrib- uted at the football game. Henry Elementary—Child Health Week Activity A coloring contest focused on “germs” was held for grades K-5. Henry County High School—Morning Walk Humphreys County A morning walk was held for students starting at 8 Healthy Reading Rainbow AM until 8:25 AM, with daily prizes--one pedome- This event provided health education to pre-school ter, one Subway card, and one grand prize at end and school aged children and parents visiting the of week. library. TENNderCare shared in the Healthy story time and provided other activities such as games to Henry County High School—Morning Broadcast help promote: Healthy Youth, Healthy Future! On the morning broadcast, a student on the Healthy School Team shared a health tip. Jefferson County Presentation to Local Child Care Facility Henry County High School—Health Tip Staff gave a presentation to a local child care facil- A different health tip was announced daily over the ity staff regarding germs/disease prevention, flu, intercom by an administrator. and the importance of handwashing. Lakewood Schools—Coloring Contest Child Health Month Activity A coloring contest using the themes of nutrition and A “Milk Moustache Campaign” was held to cele- physical activity was held for students in grades K- brate Child Health Week. 2. Child Health Month Activity Lakewood Schools—Poster Contest Promotion of dental, vision, and hearing screening A poster contest promoting healthy eating and occurred throughout the month. physical activity was held for students in grades 3- 8. Johnson County Classroom Health Lessons—Extended Service Lakewood Schools—Morning Health Tip Center A morning health tip was read by Healthy School Child Health Week activities provided health infor- Team student members. mation regarding TENNderCare benefits and advo- cated to teens that they get their physical and im- 36 Lakewood Schools—Child Health Week Activity munizations up to date. Three health lessons were Healthy School Team members demonstrated provided on topics including: covering coughs/ physical activity for the entire school. sneezes, proper handwashing, and stopping spread of germs. Information packets were given Go Green Assembly to participants; the packets included tooth brushes, A “Go Green” assembly was held, with physical tooth paste and various health-related brochures activity boost up and a handwashing rap. and health tip sheets for teens and parents. The “Health Rocks” video was shown in the classroom Lakewood Schools—Morning Walking Program as well. A morning walking program was held throughout the month of October. Johnson County Community Center After School Program Lakewood Schools—Child Health Week Activity Child Health Week activities provided health infor- Brochures on diabetes and junk food were distrib- mation regarding TENNderCare benefits and advo- uted at the football game. cated to teens that they get their physical and im- munizations up to date. Three health lessons were Houston County provided on topics including: covering coughs/ Food and Fun sneezes, proper handwashing, and stopping This activity was designed to educate children in spread of germs. Information packets were given the local housing authority about how to eat to participants; the packets included tooth brushes, healthy and to get them involved in physical activ- tooth paste and various health-related brochures ity. A food demonstration and physical activity and health tip sheets for teens and parents. The game was part of the event. “Health Rocks” video was shown in the classroom as well. Graduate on Time health information and community resources that Weekly health lessons were conducted at Johnson they can use to help build a healthier life style. County High School on each Friday. Lessons were taught on the “Graduate on Time” program. Part- Take 10! Training with Halls Elementary ners included Coordinated School Health, Johnson Coordinated School Health staff worked with the County High School, and Johnson County Health faculty and staff at Halls Elementary to provide the Department. “Take 10!” curriculum tool. The purpose of the Take 10! curriculum is to increase physical activity Classroom Health Lessons—Johnson County High during the school day. School Child Health Week activities provided health infor- Day Cares and Parent Outreach mation regarding TENNderCare benefits and advo- This activity was held to assist day cares and par- cated to teens that they get their physical and im- ents in their efforts to teach their children preven- munizations up to date. Three health lessons were tive health habits that can positively impact their provided on topics including: covering coughs/ well being in the future. sneezes, proper handwashing, and stopping spread of germs. Information packets were given Smart Choices to participants; the packets included tooth brushes, Children 2-5 years of age had a storytime with local tooth paste and various health-related brochures author Margaret Holt followed by a session by and health tip sheets for teens and parents. The EFNEP-UT Extension. This program was designed “Health Rocks” video was shown in the classroom to provide families and children information and as well. skills to make healthy food choices on a limited budget. Kids helped to make a healthy snack & do TN Shapes Up Kick-Off fun physical activities. Each day there was a general “health topic of the day,” “nutrition tip of the day,” and “physical activity Walk to School Day of the day.” This served as a kick-off for the 8- week TN Shapes Up program offered through UT This event was held to encourage parents to par- ticipate in physical activity with their child, to raise 37 Extension. Partners included UT Extension, John- the level of awareness in the community for the son County Health Department, Mountain Fitness, importance of safe routes and sidewalks for chil- and Laurel Elementary School. dren, and to promote walking and riding bicycles as great physical activities that parents and children Knox County can to do together. High School Tailgate Contest KAPPI, TENNderCare-Knox County, Ameri- Teacher Workshop to Increase Physical Activity in Choice,and Volunteer State Health Plan sponsored Elementary Classrooms a contest to select the best tailgate decorations Coordinated School Health staff provided re- during the Powell/Hardin Valley football game. sources and training on physical activity in the Information on a variety of health topics and com- classroom. The workshop was open to all teachers munication tips was provided for parents and chil- in Knox and surrounding counties. dren. Tents were located outside the gate for fans from both schools to visit. Booster clubs from the Teen Health Fair schools promoted the event, in addition to teen A Teen Health Fair was held at a local high school groups within the schools. Each school was invited to provide health information for the freshman to compete in two competitions: 1) the best- class. Participating agencies provided an exhibit decorated vehicle and 2) the school with the most with short interactive activities for a take-home registered participants. Each school had to visit the message to encourage teens to take responsibility various preventive health vendors set up and regis- for their health and promote the message that ter to compete in the competition. practicing good preventive health now can posi- tively affect their future. Healthy Youth, Healthy Future Fair The “Healthy Youth, Healthy Future Fair” focused on encouraging youth to make positive health changes in their everyday routine. Area organiza- tions provided children and their parents with Community Day Daily Physical Activity and Health Announcements This event, as part of Mental Health Awareness All elementary and middle school students partici- Week, promoted healthy minds and bodies for chil- pated in physical activity and heard healthy mes- dren and teens. Health information was available sages during the daily morning announcements. to parents and children. Free Healthy Desserts Covenant Health Check All students and faculty received free healthy des- CoverTN provided a booth at the Covenant Health serts (fruit pizza and fruit parfaits). Check. Healthy Snacks Scout and Community Day School nurses helped all K-5 grade students make This event focused on elementary school-age chil- a healthy snack during classroom health education dren and parents/caregivers. The goal was to "get time. the word out" that good eating habits and physical activities will help you grow up strong and live a Ciggy Butts Greeting Students long, healthy life. Ciggy Butts greeted all elementary students as they entered school in the morning and handed out Lunch and Learn healthy-themed stickers, which were worn through- A workshop was held for parents on how to talk to out the day. their children about sensitive issues. Lawrence Lunch and Learn Tar Wars A workshop was held for parents on "Children and Tar Wars is the tobacco-free education program for Social Media." 4th and 5th grade students owned & operated by the American Academy of Family Physicians. Law- Central High School Teen Health Fair rence County Coordinated School Health spon- The purpose of this fair was to provide teen stu- dents with health information that will improve their sored this program for 5th grade students in all Lawrence County private & parochial schools dur- 38 overall health. Area organizations were on hand to ing Child Health Week. share information on services that are available to the community. The students were able to learn Healthy Snacks more about healthy changes that they can make in During this activity for grades K-8, students learned their everyday routine. what healthy snacks are and were also able to make and eat a healthy snack. Knox County School Recognition of Child Health Week Personal Health Schools displayed the Child Health Week message Blood pressure, height and weight were measured on school marquees. on all students, who were then given a form to take home so that parents are aware of current health Scoreboard Announcement at University of Ten- status. nessee Football Game The University of Tennessee Athletic Department Food Pyramid agreed to make a public service announcement This event taught children in grades 2-8 about the during the football game held during Child Health food pyramid. Week with the following message: "Governor Bre- desen reminds Vols fans that October fifth through Physical Activity the eleventh is Child Health Week in Tennessee. Personal trainer Marilyn McCormick conducted As a team, let's make a difference by making different strategies on physical activity for all stu- healthy food choices and encouraging active life- dents K-8th grade. styles. Together, we can ensure a healthier future for our youth and a healthier Tennessee." Lake County Out and About Run/Walk Program Child Health Week kicked off a new Run/Walk Pro- gram for the community. The Run/Walk program will take place 2 days a week and continue for a minimum of 8 weeks. Proper Handwashing National School Lunch Week Students in grades K-2 learned about proper hand- Lewis County Schools celebrated National School washing techniques. Lunch Week. P.A.C.K. Loudon County Pack Assorted Colors for Kids Week. This simple 5 Healthy Eating Skit—Lenoir City Elementary -day program promoted eating more fruits and School vegetables as well as a wider color variety. The high school child development class wrote and produced a skit on healthy eating and presented it CPR to all students at Lenoir City Elementary School. A local paramedic/American Red Cross Instructor taught the basics of CPR to all 6th to 8th grade Lenoir City National Night Out/ Street Festival students. Mannequins were also available for This festival allowed the total population of Lenoir hands-on training as well. City to receive information on health, fitness, coun- seling and referral sources. Say NO to Drugs and Alcohol During Child Health Week, art students promoted Macon the message of “Say NO to Drugs and Alcohol” by Child Health Week Proclamation drawing posters during art time. Macon County Mayor, Shelvy Linville, signed a Child Health Week proclamation. National School Lunch Week To promote healthy eating during breakfast and Child Health Celebration in Macon County lunch, a variety of fruits, vegetables, and other The purpose of this activity was to educate young healthy foods were served during the week. mothers-to-be on the importance of healthy choices while pregnant and healthy choices while TAKE 10! caring for a newborn with emphasis on immuniza- The purpose of this training session was to pro- mote 10 minutes of some kind of physical activity tions, well checkups, car seat safety, healthy eating to avoid obesity and a healthy environment. The 39 on a daily basis. This is done some time during the targeted audience was pregnant women under the day by the classroom teacher. age of 21 years and mothers of newborns. This event was an educational baby shower. An infor- P.A.C.E /Physically Active Choices to Enjoy mational scavenger hunt encouraged the partici- The purpose is to add more physical activity and pants to search for information from displays promote wellness for chidren in grades 3-8. This throughout the room which included information on activity takes place every Tues., Wed., and Thurs. tobacco use, immunizations, TENNderCare, Chil- morning before 8 a.m. dren Special Services Program, and child develop- ment. A speaker from Doral Dental discussed Noodle Hockey good oral hygiene for the women and newborns. This was a physical activity event for students in The Department of Safety Department discussed grades 2-8. and demonstrated appropriate car seat safety. Various health department staff gave presentations Nutritional Activities/Computer Lab on immunizations, diabetes, baby spacing, exer- The purpose of the nutritional activites on the web cise, healthy eating and WIC. Refreshments were is for all students to learn about different ways to served and door prizes given (including a stroller, remain healthy. During students' computer lab time baby monitor, baby thermometer, and a car seat.) they looked up information online about healthy Each expectant and new mother was given a eating. "goodie bag" to take home. Students Promoting Drug Free Awareness Child Health Week Marquee Displays This activity promoted drug free awareness for all Child Health Week messages were displayed on students in the school. The Summertown High Stu- marquees of various business sites throughout the dents on the Advisory Board presented this activity. county. Lewis County Bully-Free Week Lewis County Schools celebrated Bully-Free Week. Madison County Fitness and Fun JMC Library Story Time Students participated in the timed 1 Mile Run, TENNderCare staff read "It's Check Up Time, danced the Cha Cha Slide and learned a new Elmo" to school-age children. game called “Frisbee Hoops.” TENNderCare Mini Health Fair Calories Count TENNderCare staff, in collaboration with JMC The PE teachers discussed nutrition and the role Health Promotions staff, targeted teens with educa- calories play in fueling your body. Students partici- tional booths during lunch periods to provide infor- pated in activities using fitness cards and then mation on well check-ups, handwashing, and hy- measured the energy level used for each activity. giene. Healthy Teen Initiative Jumpstart Jackson Child Health Week Teachers started after school activities for the stu- A week-long celebration of health-related events dents that focused on active, fun lifestyles. In- and activities were held in all JMC Schools and cluded activities were dancing, tennis, kickball, after-school facilities. Monday’s theme was “Give walking/running to build up to a 3K run, and aero- Hygiene a Hand.” Elmo from Sesame Street vis- bics. ited pre-K and K classes to teach handwashing techniques. "Germ City" was set up at several Marshall County schools and Boys & Girls Clubs. Tuesday’s theme EPSDT Examinations was “Total Health Tuesday.” TENNderCare pro- As part of Child Health Week, comprehensive grams were presented in the schools. On health screenings were provided to students. Wednesday, the theme was “Walking Wednesday” and walking marathons were held in the schools. Walking the Talk! Thursday’s theme was “5,2,1 Almost None.” “Fruit The purpose of "Walking the Talk!" was to get each & Veggie Tasting Parties” were held at selected of the nine Marshall County Schools students, schools. Friday’s theme was “Fit For Friday,” and special PE fitness activities were held, with local staff, faculty, and administration physically active and excited about healthy choices. Art exhibits of 40 officials & personalities visiting schools to partici- healthy foods and activities were displayed pate in PE classes. The week concluded on Satur- throughout the schools. Student math, graphs, and day with a Grand Opening walk with the Mayor at essays pertaining to health were also displayed on the city’s newest walking trail. centralized bulletin boards within each school. All participants walked a mile or more each day. "Give Marion County Me 5" was the mile-a-day program for Child Health Healthy Youth Health Fair Week. Participants during Child Health Week were Jump rope activities, nutrition activities, and fitness also encouraged to wear athletic shoes during the centers were provided to actively engage students week of October 5-11. in Pre-K through 6th grades in vigorous activities and to provide information about nutrition to stu- McMinn County dents. Healthy School Children Display A 52" X 100" pictorial display featuring local stu- Richard Hardy Memorial School Health Fair dents in activities that promote healthy lifestyles Twelve vendors provided educational information was displayed at the McMinn County Board of Edu- to students ages Pre-K through 12 on topics rang- cation during Child Health Week. ing from handwashing to diabetes, and heart prob- lems to risky behavior. Also, health screenings Play Hard, Eat Smart, Live Well Essay Contest (with hearing and vision screening) were com- Coordinated School Health sponsored an essay pleted. contest for 7th and 8th grade Language Arts stu- dents. The winning essay was published in the Wellness Walk local newspaper during Child Health Week. Students participated in a 3 mile run/walk. The stu- dents had been learning about health and wellness during their PE classes and they finished the week walking for wellness. McNairy County YMCA—“Be Active” ExtraOrdinary Baby Shower The YMCA celebrated Child Health Week with a This event targeted pregnant women. There were variety of activities focused on encouraging youth table displays, guest speakers and light, healthy to be active 5 days a week. There were many ac- snacks. Each prenatal woman received a goody tivities for the youth to be involved in, encouraging bag. them to be active and have fun. Activities included the Plinko Board with exercise information, Jump Meigs County Rope Relay, and educational handouts. Decatur Fall Festival This event featured crafts, food, information YMCA—Water as the Primary Drink booths, children’s activities, and entertainment. The YMCA celebrated Child Health Week with a variety of activities focused on water as the primary Monroe County drink. Staff handed out bottles of water. Children Healthy Youth, Healthy Future in the Center and YPlay were asked questions These activities focused on nutrition education and about water (information taken from the YNew involved students at: Sweetwater Primary, Sweet- books). Children in the YPlay area had inside water water Elementary, Brown Intermediate, and Sweet- play. water Jr. High School. A UT Health Educator pre- sented nutrition education to all classes. Coordi- YMCA—Healthy Food Choices nated School Health, the Food Service Depart- The YMCA celebrated Child Health Week with a ment, and other partners joined together to provide variety of activities focused on making healthy food samples of different fruits and vegetables for a tast- choices. Tennessee Nutrition and Consumer Edu- ing party. This was followed by a poster contest cation Program (TNCEP) and Expanded Food and with one entry from each classroom. The objective Nutrition Program (EFNEP) provided information to of the poster contest was to encourage students to participants. Yplay kids also put together a healthy learn about good nutrition and display their knowl- snack. edge in an attractive poster. Outside judges se- lected a winning poster from each grade level. YMCA—Family Health Practices 41 Winning classrooms received a "healthy snack The YMCA celebrated Child Health Week with a party” from Coordinated School Health. variety of activities focused on the role of families in keeping children healthy. Activities included Montgomery County Family Boot Camp Class Gym and Family Zumba. Special Olympics Bowling This event was for children with special health care Moore County needs at a local bowling alley. TENNderCare was Jumpstart Program with The Very Hungry Caterpil- present with a table and an outreach representa- lar tive to talk to participants and caregivers. Students in grades Pre-K through 3 were read “The Very Hungry Caterpillar” in conjunction with the Healthy Choices Program "Read for the Record" program. Students received On October 7th, a Healthy Choices program was apples for snacks and used apples for artwork. held at the Learning Center North. Patti Hill, Mont- gomery County Health Educator, and Mesina Bul- Morgan County lock, CMCSS Student Wellness Coordinator were Pass the Plate on-site to provide information on how to promote The Sunbright Student Council was very proud to healthy living in the home. Patti provided a pro- present "Pass the Plate" to the students of Sun- gram on nutrition, focusing on "How to Read Food bright School during National Health Week. Labels", while Mesina provided a program on Healthy recipes with the theme of tomatoes were "Ways to Get your Family Active". cleverly displayed during the "We are the World" homecoming week activities. Announcements Prenatal Fair were made each day describing the display and The target audience was WIC prenatal patients. encouraging healthy foods and healthy living. The The main topic was breast feeding. Representa- Sunbright tiger held the plate while being dressed tives from TENNderCare were available to talk to up like the country the food was from in the lobby the expecting parents. of the school each day. To top the week off, at the homecoming game, healthy tailgating recipes were collected and a winner was drawn at the game. Pickett County Putnam County Children's Safety Day Healthy Youth Child Health Celebration Day The Pickett County Health Council and Coordi- At this health celebration, children participated in nated School Health sponsored "Safety Day." Local exercise activities, played educational games, health providers were present to teach K-8 stu- watched a video, made a healthy snack to eat, and dents lessons about what they do in their jobs and took educational materials home with them. what people should do when they need their help. Fitness Day Marquee Display for Child Health Week Cookeville Leisure Services celebrated Child Child Health Week messages were displayed on Health Week by offering activities that promoted marquees of various business sites throughout the healthy behavior and ways for the whole family to county. make healthier eating choices and to engage in physical activity. Activities included: Volleyball Polk County Day, Basketball Day, Soccer Day, Fun Day (ping Dance Day pong, corn toss, four-square), Toddler Time, and All 4 pull-out classes went to the gym each period Bring a Child to Fitness Class. and were introduced to different dances. The pur- pose of this activity was to learn, to exercise, and YMCA—Water as the Primary Drink to celebrate Child Health Week The YMCA celebrated Child Health Week with a variety of activities focused on water as the primary Copper Basin Medical Center Health Fair drink. Activities at YPlay included: water play, wa- This event included crafts, food, information ter experiments, and water bottles for kids. In addi- booths, and a Halloween costume contest for chil- tion, parents received a copy of “Quenchers.” dren. YMCA—Healthy Food Choices Intramural Competitions The YMCA celebrated Child Health Week with a Students did team-oriented, nontraditional, intra- mural activities to give non-athlete students a variety of activities focused on the importance of making healthy food choices. Participants were 42 chance to participate in sports. The goal was to able to make healthy snack mixes. Other activities emphasize being active and expose students to included a healthy food chart game and healthy sporting activities besides the normal school- food puzzles. Parents received a “Healthy Eating sponsored athletics. Food Pyramid” handout. “Kids On The Block” Nutrition Show from Cleve- YMCA—Be Active land, TN The YMCA celebrated Child Health Week with a This activity was offered for students in grades Pre- variety of activities focused on the importance of K through 5 and was a nutrition and exercise pro- being active. YPlay featured a group fitness class, gram to target obesity. and parents received an “Exercise for Children” handout. Walking for Health Students at South Polk Elementary were outside, YMCA—Family Healthy Practices walking the track throughout the day. This was the The YMCA celebrated Child Health Week with a culmination of a week-long walking contest. variety of activities focused on the role of families in keeping children healthy. Activities included a Healthy Snacks for Healthy Kids Family Class and Partner Exercise Classes Students learned about making healthy choices for (stretching and exercising). In addition, partici- their snacks. Students received an apple (donated pants received a handout on ideas for “Family Ac- by Apple Valley Orchards) on one day and a Nutri- tivities.” Grain bar on another. Food, Glorious Food A musical review discussing food and nutrition was presented by the students at South Polk Elemen- tary. Roane County Rutherford County Tasty Tuesday Bippity Bobbity Boo Baby Fair Coordinated School Health staff visited elementary This was a Baby Fair for expecting mothers and schools and provided a "taste" of a new or unique young families. fruit or vegetable. During lunch, staff wore chef's hats and offered samples to students. The tasting BAM (Body & Mind) Parent Night was followed up with literature and games in the This activity promoted health education and TENN- classroom highlighting the new item. The “Tasty derCare with parents of the BAM program at Tuesday” program is in partnership with TNCEP, Scales Elementary. the Roane County Health Department, and the Co- ordinated School Health Program of Roane YMCA—Water as the Primary Drink County. Department of Health Commissioner The YMCA celebrated Child Health Week with a Susan Cooper visited Midtown Elementary School variety of activities focused on water as the primary in Roane County. Commissioner Cooper also drink. Water was served to participants at Y-Play, watched the school's physical activity program in Hang Time and the Teen Center. Departmental progress and dined in the school cafeteria with the staff distributed handouts on the importance of students. drinking water and discussed information contained in the Y-New booklet with children in all areas. A BMI Screenings in Roane County variety of games were played with the children. The Roane County Coordinated School Health There was a relay challenge for ages 7-12 and the Program partnered with the Health Department and children who completed the challenge received a the Volunteer State Health Plan to do BMI screen- bottle of water. There was also a water trivia game ings. Along with that, the students received a pres- which taught students about water, the human entation on healthy eating, and the importance of body, and why water is so important. at least 10 minutes of vigorous activity each day. Students also received personal jump ropes to mo- YMCA—Healthy Food Choices tivate them to exercise regularly. The YMCA celebrated Child Health Week with a variety of activities focused on the importance of 43 High School Poster Contest making healthy food choices. Healthy food choices High School students participated in the TennCare and options were displayed in the Y-Play, Hang poster contest. Time & Teen Center areas. Staff helped the chil- dren make fruit kabobs and talked with the children Robertson County about the importance of healthy food choices. A TENNderCare Health & Safety variety of games centered around nutrition were This activity was designed to provide health/safety utilized as well. “Healthy Heroes” and “Running education to pre-school youth (age 2-5) and school Wild” classes were offered in the evening. A local aged youth (grades 4-6). The activities were spon- business came in the evening and showed the chil- sored by the Robertson County TENNderCare dren how to prepare a simple, healthy snack/meal. Outreach Program. Throughout the day, there were games involving healthy food choices—Healthy Food Bingo (ages 7 Seatbelt Satety w/ Ollie the Otter -12) and Hungry Harry (ages 3-6). The children This activity educated pre-schoolers on the impor- also learned which foods are healthy and why it’s tance of seatbelt safety to share with their parents. important to eat these foods everyday. The chil- dren received easy, healthy food recipes that they Stop the Bullying can make at home with their parents. The recipes This program educated and encouraged positive included nutritional information so that parents and safe behavior to 6th graders. children can learn about what they’re eating. Health Screenings As part of Child Health Week, vision, hearing, and BMI screenings were offered to students. Healthy Child Week Robertson! Safety information was distributed throughout Robertson County Schools. Additionally, informa- tion was provided on: staying healthy through handwashing, wearing seatbelts, and eating. YMCA—Be Active Sevier County The YMCA celebrated Child Health Week with a Child Health Fair variety of activities focused on the importance of Sevier County Schools, along with the Sevier being active. Kidfit exercise classes were offered County Health Dept. and Sevier County Family to the Y-Play participants in the morning and eve- Resource Center, focuses on two primary/ ning. In the evening, multiple Healthy Heroes elementary schools every year in October. The classes were offered to the youth. All departments first one this year was October 2nd at Pigeon discussed the importance of daily exercise/activity Forge Primary School, and the second one was on with the children and youth. An exercise chart for October 9th at Pittman Center School. Eight the youth was distributed. YPlay took the children booths were set up in the gym on topics such as outside and played with hula hoops, jump ropes, Nutrition, Personal Hygiene, Dangers in Smoking, and balls. Youth Activity Center took the children Dental Care, Lice & Scabies Prevention, Water vs outside and did obstacle courses, relay races, and Cola, Exercise Fun, and Safety Issues (Fire Safety played some large group games (kickball, basket- or Halloween Safety).The students stayed with ball, etc.). Staff talked about being involved in the their class and received a 5 to 7 minute talk on one youth fitness classes that take place at the center of the topics and then a whistle was blown and the during the week. class rotated to the next table. After they com- pleted the rotation of all 8 tables (along with a fun YMCA—Family Healthy Practices exercise), then each student received a gift bag The YMCA celebrated Child Health Week with a filled with information along with health-related variety of activities focused on the role of families items to reinforce the message that was just in keeping children healthy. Family swim was pro- shared with them at the health fair. A Halloween moted and the evenings featured family cardio bag, donated by the local hospital, included items time, Healthy Heroes, and Running Wild. Family such as toothpaste, toothbrush, shampoo, soap, kickball and waffle ball games were also offered. coloring books on Nutrition and Smoking, crayons, Additional activities included: family fitness pencils, exercise stickers, key chains, and nutri- classes, Zumba, Yoga, and H2O Cardio. Staff also tious snacks like a box of raisins along with a pam- encouraged families to play and be active together. phlet for their parent. The gym was decorated with 44 balloons and the students felt as if they were hav- Child Health Week Poster Contest ing a party while receiving some important health- Rutherford County Schools Child Health Week related information. This was the 12th successful Poster Contest winners were posted in Stones year in doing this and the community as well as the River Mall. school system have really contributed to that suc- cess. Scott County Handwashing Class CoverKids Booth The Head Start students learned how proper hand- CoverKids provided a booth to share information washing can keep germs away and how important on CoverTN programs. handwashing is for health. Shelby County TENNderCare Poster Contest Walking School Bus Day High school students participated in this project to This day symbolized the combined efforts of adults help promote awareness of annual health exams in and youth to increase physical activity. To continue a positive message. Students worked to create efforts to reverse the trend of high obesity rates posters that support annual health exams for stu- and diabetes in the Memphis community, all adults dents. throughout Memphis and the surrounding areas were encouraged to walk with a student or a group Sequatchie County of students to school on October 7th. Griffith Elementary Fall Carnival/Health Expo The purpose of this event was to combine the EPSDT Health screening Health Expo with the school Fall Carnival to target As part of Child Health Week, annual EPSDT school age children and their parents. In addition to health screenings were provided for elementary the PTO Fall Carnival, the Health Expo provided school children. health screening and health education. Health Department Lobby Display Flu Prevention through Proper Handwashing A lobby display was hosted by the Memphis and This event was held for children, families, and staff Shelby County Health Department--Children's Spe- of Lil' Treehouse Childcare. Children and adults cial Services. Information was provided regarding were given guidelines on proper handwashing, flu services offered by the program. Incentives were vaccines, and tips on staying healthy from the also available. health educator. The children were given the op- portunity to use the Glitter Bug to observe their “Ask First Is It Good For The Children" Column hands under the UV light to see how clean they The Memphis Commercial Appeal newspaper pub- were. lished a column on "Child Health Week" featuring Ashley Barbee (of the Governor’s Office of Chil- Flu Prevention through Proper Handwashing dren’s Care Coordination) as the guest columnist. This event was held for children, families, and staff of The Village. Children and adults were given Memphis and Shelby County's Community Infor- guidelines on proper handwashing, flu vaccines, mational Health Fair and tips on staying healthy from the health educa- Information was provided regarding nutrition, tor. The children were given the opportunity to use healthy lifestyles, H1N1, and child health matters. the Glitter Bug to observe their hands under the UV Additionally, there were pamphlets and various light to see how clean they were. educational flyers/brochures available on child health issues such as physical fitness, tobacco pre- Sullivan County vention, and other topics. Incentives, such as pe- Kid's Night at Chick-Fil-A dometers, food journals, and other items were also TENNderCare staff set up an informational table available. 150 people participated in the event. with various educational material for children and their parents. In addition, prizes and the activity Flu Information wheel were available. During the Orthopedic Clinic (Children’s Special Services), staff provided information regarding Bluff City Middle School Health Fair H1N1 Flu Vaccine Awareness and Preparing for a Middle schoolers received appropriate health edu- 45 Flu Pandemic at the Memphis and Shelby County cation information on topics relative to their age Health Department. and also received a pedometer to encourage physical activity. Car Sear Educational Presentation Demonstration A car seat educational presentation and demon- Sullivan Central High School Health Fair stration was presented by the Memphis and Shelby High School students received appropriate health County Health Department's "Car Seat Safety" pro- education information pertinent to their age group gram. as well as pedometers to encourage them to stay physically active. Various agencies set up tables Smith County to promote Child Health Week and distribute infor- Marquee Displays mation regarding adolescent health. Child Health Week messages were displayed on marquees of various business sites throughout the Holston Valley Middle School Health Fair county. Middle schoolers received appropriate health edu- cation information and were encouraged to get 60 Stewart County minutes of physical fitness each day. They also Healthy Habits received a pedometer to take home with them to This educational program taught preschool children track their walking steps. the importance of healthy eating and proper hand- washing to stay healthy. Healthy Youth Day at Girls Inc. Youth at Girls Inc. engaged in activities such as Better Me jump roping, nutrition activities, and a heart health This program was designed to educate 5th graders game. on different aspects of healthy habits and the im- portance of physical activity (this was the 1st ses- sion in a series of 6 sessions). Informational Table at Health Department Jump Rope Jamboree Staff from the health department set up an informa- The purpose of the Jump Rope Jamboree was to tional table and display promoting Child Health promote cardiovascular activity and wellness Week. Various educational materials were avail- among students. The target audience was grades able for participants to take with them. K-5. Students had daily jump rope contests during Child Health Week. YMCA—Child Health Week Activities Children ages 6-12 at the Greater Kingsport Family Heart Saver CPR YMCA engaged in various activities through the High school and middle school students were certi- week. Some activities included floor hockey, circuit fied for Heart Saver CPR. training, Wii challenges and Wii Fit. Information was also distributed about good health including "Child Health Week" Coloring Art Contest diet, exercise, and hygiene. This event was held for the pre-school daycares that participate in DHS Families First. TENNder- Sumner County Care staff talked to the children about the TENN- Fun Family Fitness Day—Clyde Riggs Elementary derCare program and read a book with Elmo about Family members and the Portland community were the importance of going to the doctor. invited to participate in the Fun Family Fitness Day. The event began with fun warm-up exercises that 10 at 10, Walking Across the Heartland included team work. There were also races, cup Each classroom at H.B. Williams did 10 repetitions stacking, rope jumping, hula hooping, scarf danc- of any physical activity at 10:00 each day during ing and a karate demonstration by Kirby's Karate Child Health Week. The school also kicked off its Academy. A community health specialist attended walking program this year: Walking Across the to give out information for a healthy lifestyle. Heartland. Each grade level has a trail (Oregon Trail, Appalachian Trail, etc) and will be logging Girl's Get Up and Dance miles on the walking track throughout the year. An instructor came to lead a Zumba class for high school and middle school girls at the R.T. Fisher YMCA—Water as the Primary Drink 46 Alternative School. The YMCA celebrated Child Health Week with a variety of activities focused on water as the primary Social Services Fair drink. Staff explained the importance of drinking During parent conference night at the R.T. Fisher water before/during/after Kids Fit class. Children Alternative School on October 8th, various social also participated in Kid Fit and the YNEW. service agencies were available with information for parents. YMCA—Healthy Food Choices The YMCA celebrated Child Health Week with a Basketball Tournament--Intramural variety of activities focused on the importance of High school and middle school boys from the R.T. making healthy food choices. Children learned to Fisher Alternative School competed in an intramu- make healthy snacks (cheerios, pretzels, trail mix, ral basketball tournament. etc.). They also played Nutrition BINGO in Hang- time using YNEW. Buccaneer Stomp Parents and community leaders participated in a YMCA—Be Active one-mile walk with students at Beech Elementary. The YMCA celebrated Child Health Week with a variety of activities focused on the importance of Healthy Youth, Healthy Future being active. Activities included a fitness class Posters were displayed that account for basic calo- with the kids in Kids Zone (jumping jacks, push ries in food as well as activities/exercises that can ups, sit ups, stretching, etc) and a Kids Fit class in be done to burn a certain amount of calories. the gym using YNEW. Gallatin High School also offered BMI screenings to faculty, staff, and students in the morning during Child Health Week. YMCA—Family Healthy Practices and other illness. A dental health program also The YMCA celebrated Child Health Week with a stressed the importance of proper oral hygiene to variety of activities focused on the role of families overall good health. The TENNderCare Program in keeping children healthy. Activities included a demonstrated how to properly brush and provided Family Fitness Class and Family Zumba. a free toothbrush to all participants. Tipton County Union County Newsletter Article Douglas Cherokee Headstart Parenting Fair An article about Child Health Week appeared in The purpose of this event was to educate/inform Out Reach, the newsletter of REACH (Tipton parents and children on health topics. Planned County Coordinated School Health program). activities included a presentation on H1N1 and the seasonal flu. Trousdale County Get Healthy TCES Van Buren County Trousdale County Elementary School hosted both Marquee Displays Germ City with UT Extension Service & Taking Child Health Week messages were displayed on Care of Kids with the TENNderCare Program for marquees of various business sites throughout the Students in Grades Pre-K-3. county. Unicoi County You Are What You Eat Handwashing and Dental Health During Spencer Elementary's Parent Teacher Con- The purpose of this program was to educate the ference, the school was open to the public. Activi- children on proper handwashing to prevent the flu ties included nutrition lessons, games, and activi- and other illness. A dental health program also ties to make learning about foods more fun for the stressed the importance of proper oral hygiene to entire family. Staff provided creative alternatives to overall good health. The health educator demon- meal planning and getting families exercising to- strated proper handwashing and discussed other ways to prevent the flu. The TENNderCare Pro- gether. 47 gram demonstrated how to properly brush and pro- Health Rocks DVD vided a free toothbrush to all participants The “Health Rocks” DVD was played at the local health department in Van Buren County. Flu Vaccination Awareness The Public Health Educator provided a display at Washington County the Unicoi Piza Hut and in the Unicoi County Coalition for Kids Healthy Habits Class Health Department waiting room on flu vaccination The purpose of this class was to stress the impor- awareness. tance of handwashing in the fight against the flu and illness in general. Staff from the TENNder- TENNderCare Information Distribution Care Program talked about the importance of Information about the TENNderCare program was EPSDT screenings and staying up to date on im- distributed in the lobby of the Unicoi County Health munizations. Department during Child Health Week. Walk to School Day at Lamar Elementary YMCA After School Program: Handwashing and The purpose of this event was to stress the impor- Dental Health tance of safety, to promote physical activity and The purpose of this program was to educate the pedestrian safety, and to make students more children on proper handwashing to prevent the flu aware of the health benefits of walking to school. and other illness. A dental health program also stressed the importance of proper oral hygiene to Young Mom's and Dad's Class overall good health. The TENNderCare Program The purpose of this program was to stress the im- demonstrated how to properly brush and provided portance of dental health in children, including in- a free toothbrush to all participants. formation on healthy snacking. The effects of sec- ondhand smoke on dental health were also cov- Unicoi Elementary Afterschool Program: Hand- ered. This was presented by TENNderCare and washing and Dental Health the Washington County Health Department Health The purpose of this program was to educate the Educators. children on proper handwashing to prevent the flu Dental Health Program ing the importance of EPSDT screenings and im- The health educators conducted a presentation munizations. Coloring pages were also provided. about the importance of dental hygiene and the correct way to brush your teeth. Challenge Alert at Westview Elementary The purpose of this activity was to get children and Healthy Smoothie Day parents more aware of nutritional needs. The target Community helpers were invited to help students at audience was K-8th grade. Activities included a Boone’s Creek Elementary School prepare “Challenge Alert” calendar that each student took smoothies. In addition, smoothie recipes were home. The calendar had certain things for them to handed out to the children. Activity logs were do and not do. For example, Monday showed that passed out to the classrooms, and children who they were not to eat fast food, but instead prepare participated everyday were awarded a prize. a healthy snack using a fruit, drink 2 glasses of water, and exercise outside for 30 minutes. Walk From School Day at North Side Elementary School Guessing Game Johnson City Schools held a "Walk Home from Students were asked to guess how many cereal School Day" at North Side School on Roan Street pieces are in a jar. to promote physical activity and pedestrian safety and to make students more aware of the health Picture Contest benefits of walking from school. Students were asked to take a picture of them- selves drinking milk in a crazy place. Pictures were Ridgeview Elementary School Health Fair displayed in the cafeteria. The overall purpose of the event was to provide free information on how to stay healthy. Display Weakley tables included information on dental health, men- Family Fall Fest tal health, physical health and safety practices for The Family Fun Fest targeted all Weakley County home and school. The TENNderCare program provided information on immunizations and well children and family members to bring awareness to child health issues. Door prizes, activities, free 48 child checkups. food, and informational booths were provided. Healthy Habits Calendar Step Up for Kids Students at Boone's Creek Middle School received This event was a forum for public support of pro- a healthy habits calendar for the week. They grams to help children. tracked their healthy behavior, with each day hav- ing a different activity (for example, on Monday: do High School Health Fair not eat fast food). If they completed the calendar The TENNderCare outreach worker worked with and brought it back in, they were eligible for a 5th and 6th graders to get EPSDT screenings. prize. Child Health Week Media Placements To Start A Healthy Day Four public service announcements were played Students at Fall Branch Elementary School did on the radio. An article about School Health Ser- stretching exercises for 5-7 minutes at the begin- vices with a picture of the School Health Services ning of each morning during Child Health Week. Team was in two newspapers. One newspaper First grade students also participated in “Healthy had a spotlight on school screenings with Coordi- Snack Day” and picked their favorite snack. nated School Health. Challenge Alert Octoberfest Students at South Central School did the Chal- The purpose of this activity was to bring children lenge Alert. Each class participated in walks and their families downtown for physical activity through the day. There were also nutritional post- and fun. There were two fun obstacle courses set ers on display throughout the school. up from a local inflatable company. Sponsors talked with parents and provided handouts from the TENNderCare Information Distribution Child Health Week website. Additional activities A booth was set up in the lobby of the health de- included face painting and carving pumpkins. partment with programmatic information emphasiz- White County Smart Girls Marquee Displays This weekly group meets at the Williamson County Child Health Week messages were displayed on Boys and Girls Club of Fairview and encourages marquees of various business sites throughout the girls to make smart choices. In honor of CHW, par- county. ticipants discussed healthy eating and physical activity. Health Fair White County Middle School held a health fair with Celebrate Child Health Week education booths on nutrition, fire safety, anti- Moore Elementary Students celebrated children's smoking, exercise, handwashing & flu, TENNder- health with a number of activities. Throughout the Care & dental care, and Cyber Safety. All schools week, students ran a mile for brain and body advertised Child Health Week to their parents on health. Students had opportunities to run at early newsletters and marquees. morning walk/run club, during physical education class, during recess and /or at home. Parents, Williamson County teachers, administrators, and staff were invited to Barks for Parks join students with this effort. On Tuesday, students This free event promoted physical activity by get- celebrated active lifestyles--no screen (television, ting exercise with your dog. Lots of giveaways computer, video games) time from midnight Mon- were provided for people and their four-legged day until midnight Tuesday. Students were asked friends! Participants walked together on a trail that to bring in a note from a parent indicating they ob- is approximately one mile long. served this. The class with best percentage of par- ticipation received a "free-choice" physical educa- Better Me tion class. On Wednesday, Parent Day was held in Students at Westwood Elementary School partici- kindergarten SMART class and 1st through 4th pated in this program designed to teach 4th and grade physical education classes. Parents were 5th grade students the importance of choosing invited to come and observe and/or participate in healthy foods and getting physical activity. PE classes. Thursday was designated as “Pick up Your Fruit at Lunch” Day. The cafeteria offered a 49 Better Me variety of fruit. Friday featured a Surprise Activity- Students at Heritage Middle School participated in Packed Physical Education Class for students. this program designed to teach 6th grade students the importance of healthy eating and physical activ- Healthy Habits Competition ity. Hillsboro Elementary School hosted a Healthy Habits Competition for students in Kindergarten Nashville Predators Get Out And Learn! through Fifth Grade. Prizes were awarded to the The Nashville Predators Get Out and Learn! student in each grade who received the most (G.O.A.L!) program is a free on-ice youth hockey points for making healthy choices during the week. program hosted by the Predators in association The choices included: 5 or more servings of fruits/ with local ice rinks. Designed for boys and girls vegetables, 3 or more servings of dairy products, (ages 4-9) with no prior skating or hockey experi- 64 oz. of water, 60 minutes of physical activities, ence, the four-week program introduced the sport and 8-10 hours of sleep per day. Different point of ice hockey to kids while teaching the life experi- values were given for each of these activities and ences of teamwork, sportsmanship and self- the children and their parents kept up with the confidence through athletic participation. Full points. Students turned in their point totals on Fri- hockey equipment, including skate rental, was pro- day and the student in each grade level with the vided free of charge. Once the four-week session highest number of points received a backpack full is complete, there are hockey programs available of gifts. This was to encourage children and their at local rinks in Nashville for continued develop- families to make healthy choices. ment. The Nashville Predators are dedicated to supporting the development of youth hockey at all levels and recognize the need for local skating fa- cilities to be accessible for beginners to help to grow the sport. YMCA—Water as the Primary Drink The YMCA celebrated Child Health Week with a variety of activities focused on water as the primary drink. Staff members handed out water to kids in Fitness Zone, the Teen Center, and YAC, and fo- cused on water pages in YNew. Water games and demos were held in YAC and Yplay area. Free swim lessons were provided, and participants re- ceived a free bottle of water. YMCA—Healthy Food Choices The YMCA celebrated Child Health Week with a variety of activities focused on the importance of making healthy food choices. Activities included: a Healthy Cooking Demo/tasting in Teen Center, talking about healthy eating in Fit Kid class, Healthy Food craft in Yplay, and food demos with healthy snacks and smoothies. YMCA—Be Active The YMCA celebrated Child Health Week with a variety of activities focused on the importance of being active. Activities included: sportwall/kids' workout time in the Fitness Zone, YMCA Preschool fitness games, a Winter Basketball “Fun” practice to actively promote Winter Basketball, activity demos for Yplay kids, and a Kids Class. 50 YMCA—Family Healthy Practices The YMCA celebrated Child Health Week with a variety of activities focused on the role of families in keeping children healthy. Activities included: a Parent/child Sportwall challenge with healthy snacks, Fit Kid class, a family fitness class with Zumba, Kick-boxing, and Boot camp, and a “Family Fitness Challenge” celebration in which participat- ing families shared a Healthy Pot Luck dinner. YMCA—Child Health Week Activity Chick-Fil-A was present at Klesko fields with the spinning wheel, give-aways, the Chick-Fil-A cow, and items for sale. Chick-Fil-A promoted their focus on kids and healthy choices on their menu. Jeanne Hammontree, Operator of the Cool Springs Galle- ria store and new owner of the planned store for South Franklin, had a table set up with games and food for sale. Media Placements News Items Knox County Health Department (Television, Print, Radio, Web) LeBonheur Express Roane County Schools TN.GOV Capitol Journal Southern Governors’ Association TN.GOV Newsroom Tipton County Outreach Newsletter Governor’s Communications Office Tennessee Chapter of the AAP Anderson County Schools Cannon Courier Chattanoogan.com Online Calendar Listings Chattanooga Times Free Press Cleveland Daily Banner Clinton City Schools Commercial Appeal Madison Academic High School Cookeville Herald-Citizen NowPlayingNashville.com Cookeville Times South Side High School Daily News Journal Tennessee Dietetic Association Dyersburg State Gazette Tennessee Nurses Association Johnson City Press TN Public Health Association Knox County Health Department Upper Cumberland CCR&R 51 Mountain View UT Obesity Research Center NewsChannel5.com YMCA of Middle Tennessee NewsChannel9.com NWTNToday.com Polk News Online Social Media Seymour Herald Tennessean Facebook—Knox County Health Tennessee Tribune Department Thunderbolt Broadcasting Facebook—YMCA of Middle Tennessee TriCities.com Twitter—YMCA of Middle Tennessee Upper Cumberland Daily News WATE.com WBBJ-TV Activity Fliers 105.3 WOW Country Give TN Kids a Chance Kickoff Grace M. Eaton Block Party Agency/Organization Jackson-Madison County Activities Websites & Newsletters TN.GOV: Department of Health TN.GOV: Maternal & Child Health TN.GOV: TENNderCare Henry County School System Resources and Tools Governor’s Office of Children’s Care Coordination (pages 53-64) Child Health Week—Facts for Parents Online Resources for Parents, Schools, and Communities Child Health Week—Facts for Schools Sample Article (Target Audience: Parents) Sample Article 2 (Target Audience: Parents) Sample Article 3 (Target Audience: General) Child Health Week—Information for Faith-Based Communities Maternal & Child Health (pages 65-87) CHW Resources & Ideas for Activities Fact Sheet—Childhood Obesity Fact Sheet—Depression in Children Fact Sheet—How Smoking Harms My Baby Fact Sheet—Immunizations Fact Sheet—Prescription Drug Use Fact Sheet—Teen Smoking Fact Sheet—Teens Be A Leader 52 Fact Sheet—TENNderCare Directors Fact Sheet—Word Search and Teen Quiz Fact Sheet—Youth Suicide Flyer—Suicide Press Release—TN WIC Press Release—Tobacco Use Prevention Chattanooga-Hamilton Region Child Health Week Committee (pages 88-100) Child Health Week Background Information Helpful Ways to Reduce Screen Time Cyber Safety for Children Healthy Info for New Parents Nutrition You Can Use! Halloween Games That Keep Kids Moving! Flu Prevention Tennessee Dietetic Association (page 101) Child Health Statistics Flier Child Health Week 2009 Information for Parents Child Health Week is coming up! • Governor Bredesen has declared October 5-11 as Child Health Week in Tennessee. • This is a time for us to help children make good habits that will let them lead long, healthy lives. • The Governor’s Office of Children’s Care Coordination is working to spotlight ways that children and families can eat healthy and be active. • The theme for Child Health Week is: “Healthy Youth, Healthy Future.” If children make healthy choices now, they can live longer, healthier lives. Childhood Obesity in Tennessee • More children in our state and country are overweight than ever before. • Tennessee ranks fifth in the country for teenagers who are obese. • Children who are overweight or obese are more likely to grow up to be overweight or obese adults. • Being overweight or obese makes children more likely to have high blood pressure, high cholesterol or diabetes. • Adults who are overweight or obese are more likely to have a heart attack, stroke or get diabetes. 53 You can help your child have a long, healthy life. • The two major causes of obesity are eating unhealthy foods and not getting enough physical activity. • Making good food choices and being active every day can help your child be healthy. Eat healthy foods every day. • Start each day by eating breakfast. • Help your child eat fruits and vegetables every day. • Try to make your child’s plate as colorful as possible. • Limit high-calorie foods, sodas and juice, and fast food. Be active every day. • Children should be active for at least one hour every day. • Being active can be fun—parents and children can be healthy by playing together every day. • Limit the time that your children spend watching TV or playing video games. Be good role models to your children. • Children look up to their parents. They want to be like you! • If you have good habits, your children will build those same habits. • Making healthy eating choices and being active not only helps your children, but also helps you be healthier. For more information, please visit http://www.tennesseeanytime.org/gov/child-health/ or contact the Governor’s Office of Children’s Care Coordination at 615-741-5192 Child Health Week 2009 Links to Online Resources For Promoting Child Health Week in Tennessee Tennessee Child Health Week: http://www.tennesseeanytime.org/gov/child-health/ Health Resources and Services Administration – Materials for National Child Health Day: http://mchb.hrsa.gov/childhealthday/ Tennessee Resources: Get Fit Tennessee: http://www.getfittn.com/ Coordinated School Health: http://www.tennessee.gov/education/schoolhealth/ Tools and Tips for Parents and Teachers Connect for Kids Obesity Resource List: http://www.connectforkids.org/taxonomy/term/549 Centers for Disease Control – Ideas to Help Children Maintain a Healthy Weight: http://www.cdc.gov/nccdphp/dnpa/healthyweight/children/index.htm Centers for Disease Control – Resources you (and your child) can use to help reach or keep a healthy weight through physical activity and healthy food choices: http://www.cdc.gov/nccdphp/dnpa/healthyweight/children/index.htm#more National Institutes of Health – Families Finding the Balance Parent Guide: 54 http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan_mats/parent_hb_en.pdf National Institutes of Health – Helping your overweight child: http://win.niddk.nih.gov/publications/over_child.htm National Institutes of Health – We Can! Tips to Eat Well and Move More: http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/tips.pdf National Institutes of Health – Weekly Meal Planner: http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/tip_planner.pdf Centers for Disease Control – Recipes Using Fruits and Veggies: http://apps.nccd.cdc.gov/dnparecipe/recipesearch.aspx Body Mass Index Calculator for Children and Teens: http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx U.S. Department of Agriculture – My Pyramid Health Planner: http://www.mypyramidtracker.gov/planner/launchPage.aspx National Institutes of Health – Ways to Enhance Children’s Activity and Nutrition: http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/whats-we-can/resources.htm Portion Distortion – Serving Size Wallet Card: http://hp2010.nhlbihin.net/portion/servingcard7.pdf U.S. Department of Agriculture – Eat Smart, Play Hard Resources: http://www.fns.usda.gov/eatsmartplayhardhealthylifestyle/ American Heart Association Tips for Parents: http://www.americanheart.org/presenter.jhtml?identifier=3033987 Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity: http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_adolescents.htm For Educators Eat Smart, Play Hard for Educators: http://www.fns.usda.gov/eatsmartplayhardeducators/ U.S. Department of Agriculture – Team Nutrition classroom materials: http://teamnutrition.usda.gov/educators.html Childhood Obesity Resource List: http://www.nal.usda.gov/fnic/pubs/bibs/topics/weight/childhoodobesity.pdf Connect for Kids: http://www.connectforkids.org/taxonomy/term/548 Public Broadcasting Service Teachers – Health and Fitness Resources: http://www.pbs.org/teachers/healthfitness/ Color Me Healthy for Preschoolers: http://www.colormehealthy.com/ For Health Care Providers The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity http://www.surgeongeneral.gov/obesityprevention/index.html American Academy of Pediatrics – Overweight & Obesity Resources (handouts, coding resources, continuing medical education): http://www.aap.org/obesity/about.html American Academy of Pediatrics Policy Statement – Prevention of Pediatric Overweight & Obesity http://aappolicy.aappublications.org/cgi/reprint/pediatrics;112/2/424.pdf American Academy of Pediatrics Policy Statement – Active Healthy Living: Prevention of Childhood Obesity through Increased Physical Activity: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;117/5/1834.pdf American Heart Association – Dietary Recommendations for Children and Adolescents Practitioners’ Guide: http://circ.ahajournals.org/cgi/reprint/112/13/2061 55 American Academy of Pediatrics Clinical Report – Lipid Screening and Cardiovascular Health in Childhood: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;122/1/198.pdf American Academy of Pediatrics Clinical Report – Promoting the Participation of Children with Disabilities in Sports, Recreation, and Physical Activities: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;121/5/1057.pdf American Academy of Pediatrics Clinical Report – Optimizing Bone Health and Calcium Intakes of Infants, Children, and Adolescents: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;117/2/578.pdf American Academy of Pediatrics Clinical Report – Promotion of Healthy Weight Control Practices in Young Athletes: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;116/6/1557.pdf American Heart Association – Overweight in Children and Adolescents: http://circ.ahajournals.org/cgi/reprint/111/15/1999?ck=nck Just for Kids – Games, Activities & More! BAM! Body and Mind: http://www.bam.gov/index.html Powerful Girls Have Powerful Bones: http://www.girlshealth.gov/bones/ U.S. Department of Agriculture – Eat Smart, Play Hard! http://www.fns.usda.gov/eatsmartplayhardkids/ My Pyramid Resources for Kids: http://www.mypyramid.gov/kids/index.html; My Pyramid Games: http://www.mypyramid.gov/kids/kids_game.html Vote for School Lunch: http://www.voteforschoollunch.org/ Connect for Kids—Resources for Teens: http://www.connectforkids.org/taxonomy/term/552 Child Health Week 2009 Child Health Week 2009 Information for Schools DID YOU KNOW? • Twenty percent of children in Tennessee have a body mass index (BMI) greater than the 95th percentile. Fifteen percent of children in Tennessee have a BMI between the 85th and 95th percentile. This means that more than one third of all Tennessee children are either overweight or obese. • Tennessee ranks fifth in the nation for the number of children who are overweight. • It is not surprising that Tennessee also ranks in the top six states for lowest physical activity and for chronic problems related to obesity—high blood pressure, heart disease and diabetes. YOU have the opportunity to change the future health of Tennesseans! School health coordinators can help tackle the challenge of childhood obesity in Tennessee. • Child Health Week is October 5-11 • The theme for the week is: “Healthy Youth, Healthy Future” • The Office of Coordinated School Health is a key partner in planning this week 56 We are asking every school health coordinator to promote Child Health Week and organize nutrition and physical activity events at the schools in your LEA. Consider these ideas: • Get the Word Out o Write a column for your local newspaper or school newsletter about healthy eating or physical activity o Offer to write an opinion piece for your local newspaper about the impact of childhood obesity in your area • Organize a Health Event o Body Mass Index (BMI) Screenings o Educational Booths/Activities o Open house for school clinic or Coordinated School Health program o Find student athlete role models from the high school speak to youth about nutrition and exercise • Plan Activities to Spotlight Nutrition o Cook-off for healthy foods — let students be the judge o Hands-on activities, such as preparing healthy snacks o Collaborate with school cafeteria staff to highlight nutritious choices in cafeteria o Invite your state legislators to join the children in your school for lunch o Distribute fruits and vegetables • Get Moving with Physical Fitness Activities o Pedometer challenges or other physical activity challenges (set goal and issue challenge between classes, grades, school faculty/staff) o Organize a school-wide field day or activity day o Invite principal, town mayor, county officials, or local celebrities to join PE class Resources State • Governor’s Office of Children’s Care Coordination o Child Health Week: http://www.tennesseeanytime.org/gov/child-health/ • Office of Coordinated School Health o Childhood Overweight: http://www.state.tn.us/education/schoolhealth/overweight/index.shtml o Overweight Resources & Information: http://www.state.tn.us/education/schoolhealth/overweight/doc/oweight_resour ces.pdf • Department of Health o Get Fit TN Program: http://www.getfittn.com/ 57 o Office of Child Nutrition & Wellness: http://health.state.tn.us/childwellness/ National • CDC (Centers for Disease Control and Prevention) o Division of Nutrition, Physical Activity, and Obesity Prevention: http://www.cdc.gov/nccdphp/dnpa/index.htm • Office of the Surgeon General o Childhood Overweight and Obesity Prevention Initiative: http://www.surgeongeneral.gov/obesityprevention/ • National Institutes of Health o We can! Program (Ways to Enhance Child Activity and Nutrition): http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/index.htm • U.S. Department of Agriculture o Food Pyramid: http://www.mypyramid.gov/kids/ o 5-A-Day Program (now Fruit & Veggies More Matters): http://www.fruitsandveggiesmorematters.org/ Child Health Week 2009 Child Health Week 2009 Sample Article 1: Parents Habits form early in life. Parents work hard to help their children learn good habits, like wearing seat belts, brushing teeth and getting a good night’s sleep. Childhood is also the time to teach children other good habits that will help them grow up strong and live long, healthy lives. These habits include eating healthy foods and being active every day. Unfortunately, many children don’t develop these healthy habits early in life. They spend too much time watching TV or playing video games. They eat high-calorie foods and drink sodas and juices that are high in sugar. These habits start early and stick, leading to overweight and obese children who grow up to be overweight and obese adults at risk for heart attack, stroke and diabetes. Some problems, like diabetes and high cholesterol, are now starting in childhood, and are directly related to poor food choices and inactive lifestyles. What’s the best way to help your child develop good habits that will keep them healthy? • First, be a good role model for your child. Young children love to imitate adults, so let them see you being active every day and choosing fruits and vegetables for snacks. As they try to be like you, they will build good habits and learn to make healthy choices all the time. • Help your children be active for at least one hour a day. Play outside games together, go for 58 walks, and limit time spent watching TV and video games. • Let your children help you make healthy snacks, pick colorful foods for their plate, and limit sodas and fast food. Tennessee will celebrate Child Health Week October 5-11 to focus on ways for children and families to make healthy eating choices and be physically active. Do everything you can during Child Health Week and every week to be a good role model for your child by helping to make healthy choices every day. For more information, visit: http://www.tennesseeanytime.org/gov/child-health/. Child Health Week 2009 Sample Article 2: Parents You have the chance to prevent a disease. More children in Tennessee are overweight or obese than ever before. But by helping a child to be active and eat healthy foods, you can help prevent obesity. One in three children in Tennessee is overweight or obese. In fact, Tennessee ranks fifth in the nation for teenagers who are overweight or obese. Kids who are overweight or obese are more likely to be overweight or obese when they grow up. They can have health problems like high blood pressure, high cholesterol and diabetes. When they get older, they are more likely to have a heart attack, stroke or diabetes. Sometimes, the cause of a disease is a mystery. But it is no secret why so many kids are overweight or obese. Many children spend more time inside watching TV or playing video games than playing outside. Children and families eat foods that are high in calories and fat. These behaviors cause us to take in more energy than we use. When that happens, that extra energy is stored as fat. How can you help prevent this disease? 59 • The most important thing you can do is to set a good example for children. Children want to be like adults, so make sure that the choices you make are ones that will help keep them healthy. • Help your child be active for at least one hour each day. Play outside games together, go for walks, and limit time spent watching TV and video games. • Let your children help you make healthy snacks, pick colorful foods for their plate, and limit sodas and fast food. Tennessee will celebrate Child Health Week October 5-11, focusing on ways for children and families to make healthy eating choices and be physically active. Do everything you can during Child Health Week and every week to be a good role model for your child by helping to make healthy choices every day. Child Health Week 2009 Sample Article: General Audiences With an eye toward the future health of Tennesseans, Governor Bredesen has set aside October 5-11, 2009 as Child Health Week in Tennessee. Child Health Week will focus the state’s attention on childhood obesity while highlighting ways for Tennessee’s children and families to make healthy eating choices and engage in physical activity. The number of children in the United States who are overweight has more than tripled in the past three decades. Nearly one-third of all U.S. children are now estimated to be overweight or obese. Tennessee is not immune to this national phenomenon; a recent national report ranks our state fifth in the nation for the number of 10- to17-year-olds who are overweight or obese. While there are genetic or endocrine disorders that can cause obesity, these are exceedingly rare and most obesity is caused by a lack of physical activity and excess calorie intake. Surveys indicate that over more than half of Tennessee high school students do not meet the recommended levels of physical activity, and less than 20 percent eat the appropriate servings of fruits and vegetables. Conversely, more than one-third of these students watch three or more hours of television daily, and nearly half drink regular sodas at least once a day. 60 Diseases that were previously seen exclusively in overweight or obese adults—diabetes, high blood pressure and high cholesterol—are now being seen more commonly in children. Unfortunately, being obese in childhood predicts obesity in adulthood. Adolescents who are overweight have a 70 percent chance of being overweight as an adult. That risk increases to 80 percent for adolescents with overweight parents. Adults who are overweight have a higher risk of heart disease, stroke and certain types of cancers. In addition to the human impact of obesity, the economic toll on the state is staggering – Tennessee spends over $1.8 billion annually caring for obesity and obesity-related complications, 22 percent more per capita than the national average. Existing programs across the state, including Get Fit Tennessee, Project Diabetes and Coordinated School Health already offer community-based approaches to combating the epidemic of obesity. During Child Health Week, the Governor’s Office of Children’s Care Coordination will be working with numerous other community partners to highlight programs that help children and families develop healthy habits that will promote a lifetime of health. For more information or to find out how you can be involved in Child Health Week, please visit the Child Health Week Web site at: http://www.tennesseeanytime.org/gov/child-health/ or contact the Governor’s Office of Children’s Care Coordination at 615-741-5192. Child Health Week 2009 Information for Faith-Based Communities DID YOU KNOW? • More than one-third of all Tennessee children are either overweight or obese • Tennessee ranks fifth in the nation for the number of children who are overweight • Children who are overweight or obese grow up to be overweight or obese adults • Problems that result from being overweight, like high blood pressure and diabetes, are starting at younger ages than ever before • It is not surprising that Tennessee also ranks in the top six states for lowest physical activity and for chronic problems related to obesity, including high blood pressure, heart disease and diabetes YOU have the opportunity to change the future health of Tennesseans! Faith-based communities can help tackle the challenge of childhood obesity in Tennessee. • Child Health Week is October 5-11th • The theme for the week is: Healthy Youth, Healthy Future • Faith-based communities have a tremendous opportunity to share important information about nutrition and physical activity with their congregations 61 If your congregation is interested in creating an event or undertaking other activities to increase awareness about Child Health Week, consider these ideas: Get the Word Out o Post information in your congregational newsletter or bulletin o Write a column for your community or neighborhood newsletter Organize a Health Event o Body Mass Index (BMI) screenings o Educational booths and activities o Open house for programs related to health and fitness Plan Activities to Spotlight Nutrition o Cook-off for healthy foods – let your youth judge the entries o Hands-on activities, such as instruction in preparing healthy snacks o A “healthy potluck” meal in which your congregation brings healthy food to share Get Moving with Physical Fitness Activities o Pedometer challenges or other physical activity challenges -- set a goal and issue challenges between different age groups, classes, etc. o Congregation-wide activity day If your organization is planning a Child Health Week event, please let us know using the event information form available on our Web site so that we can keep track of all the great things going on across Tennessee during Child Health Week For more information, please visit the Child Health Week Web page or contact Ashley Barbee in the Governor’s Office of Children’s Care Coordination at 615-741-5192. RESOURCES SPECIFICALLY FOR FAITH-BASED COMMUNITIES Tennessee Department of Health Office of Faith-Based Initiatives (http://health.state.tn.us/DMHDE/faith.shtml) • 10 Tips for Building a Healthy Ministry http://health.state.tn.us/DMHDE/faithtips.shtml • Health Facts for Congregations http://health.state.tn.us/DMHDE/healthfacts.shtml • Resources and Tools for Building a Healthy Ministry http://health.state.tn.us/DMHDE/faithresources.shtml National Institutes of Health – Body and Soul: A Celebration of Healthy Living http://bodyandsoul.nih.gov/index.shtml Live Healthy in Faith: A Faith Community Guide to Promoting Nutrition and Physical Activity http://www.district4health.org/pdf/faithbased%20toolkit.pdf Eat Smart, Move More NC -- Resources for Faith-Based Communities http://www.eatsmartmovemorenc.com/ProgramsNTools/ProgramsNTools.html http://www.eatsmartmovemorenc.com/Faith.html 62 Lighten Up Forever: A Faith-Based Approach to Lifestyle Change http://www.lightenupforever.org/index.htm OTHER RESOURCES Department of Health Get Fit Tennessee Program http://www.getfittn.com/ Tennessee Office of Child Nutrition and Wellness http://health.state.tn.us/childwellness/ Centers for Disease Control and Prevention: Division of Nutrition, Physical Activity, and Obesity Prevention http://www.cdc.gov/nccdphp/dnpa/index.htm http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/interventions/ Shape Up America! http://www.shapeup.org/ Office of the Surgeon General: Childhood Overweight and Obesity Prevention Initiative http://www.surgeongeneral.gov/obesityprevention/ National Institutes of Health -- We can! Program (Ways to Enhance Child Activity and Nutrition) http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/index.htm U.S. Department of Agriculture, Food Pyramid http://www.mypyramid.gov/kids/ Child Health Week 2009 The New Soul Food Pyramid -- A Guide for Daily Food Choices http://www.blackdoctor.org/soulfoodpyramid.pdf Fruit and Veggies More Matters 5-A-Day Program http://www.fruitsandveggiesmorematters.org/ Centers for Disease Control and Prevention Tips for Parents - Ideas to help children maintain a healthy weight http://www.cdc.gov/nccdphp/dnpa/healthyweight/children/index.htm Resources you (and your child) can use to help reach or keep a healthy weight through physical activity and healthy food choices. http://www.cdc.gov/healthyweight/tools/index.html National Heart Lunch and Blood Institute -- Families Finding the Balance Parent Guide http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan_mats/parent_hb_en.pdf Helping Your Overweight Child http://win.niddk.nih.gov/publications/over_child.htm We Can! Tips to Eat Well and Move More http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/tips.pdf Weekly Meal Planner http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/tip_planner.pdf Recipes using fruits and veggies 63 http://apps.nccd.cdc.gov/dnparecipe/recipesearch.aspx Body Mass Index Calculator for Children and Teens http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx U.S. Department of Agriculture -- My Pyramid Health Planner http://www.mypyramidtracker.gov/planner/launchPage.aspx Ways to Enhance Children’s Activity and Nutrition http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/whats-we-can/resources.htm Portion Distortion – Serving Size Wallet Card http://hp2010.nhlbihin.net/portion/servingcard7.pdf U.S. Department of Agriculture – Eat Smart, Play Hard Resources http://www.fns.usda.gov/eatsmartplayhardhealthylifestyle/ American Heart Association Tips for Parents http://www.americanheart.org/presenter.jhtml?identifier=3033987 HealthierUS.gov (This Web site provides credible, accurate information to help you choose to live a healthier life.) http://www.healthierus.gov/ Center for Disease Control and Prevention -- Healthy Youth, Physical Activity http://www.cdc.gov/HealthyYouth/physicalactivity/index.htm Child Health Week 2009 Center for Disease Control and Prevention -- Healthy Youth, Nutrition http://www.cdc.gov/HealthyYouth/nutrition/index.htm Healthy Communities – Promoting Physical Activity (Washington State) http://www.mrsc.org/subjects/humanservices/healthyActivity.aspx Physical Activity and Nutrition Resource List http://www.med.uvm.edu/ahec/downloads/school_nurse_resource_list.pdf 64 Child Health Week 2009 THE FOLLOWING MATERIALS ARE AVAILABLE UPON REQUEST FOR AGENCIES POSTING THEIR CHILD HEALTH WEEK ACTIVITIES ON THE GOCCC WEB SITE http://www.tennesseeanytime.org/gov/child-health/. Please note the maximum quantities when you make your requests. For Brochures and Promotional Items contact: Olga Masrejian Tennessee Department of Health 615-741-0319 Olga.firstname.lastname@example.org Promotional Items: Maximum Refrigerator clips 50 Pencils 50 Markers 50 Jump Ropes 50 Coloring books and Crayons ea. 50 Stress Balls 50 Computer Brushes 50 Badge Holders 50 Stickers 50 Emery Boards 50 Hand Sanitizer 50 65 Mouse Pads 50 Best Bones Forever Journals 50 Best Bones Forever Parent Brochure 50 Best Bones Forever Magnets 50 Best Bones Forever Book Covers 50 Best Bones Forever Logo Tattoos 50 Best Bones Forever Posters (Sets) 1 Brochures: Maximum Room Sharing is Safer than Bed Sharing 50 Prevent Shaken Baby Syndrome 50 Child Abuse and Neglect 50 Rx Zones: The Search Starts at Home 50 Secondhand Smoke 50 Smoke-Free Cares 50 Which Friend Do You Want to Lose 50 Suspect your Teen is Using Drugs or Drinking 50 The Abuse of Prescription & Over-the-Counter Drugs 50 R-U-O-K, Don’t Duck Mental Health 50 10 Things You Can Do To Keep Your Child Tobacco-free 50 I Love It When…Coloring Book 50 Protect Your Child From Environmental Health Hazards 50 In the Home Child Health Week 2009 October 5-11, 2009 “Healthy Youth, Healthy Future” Potential Ideas for Events/Activities Broadcast Messages Columns in local newspaper about health topics, i.e. tobacco use prevention Op-Ed pieces in local newspaper about the impact of childhood obesity in your area Child Health Fairs BMI Screenings Educational Booths/Activities Nutrition Activities Healthy eating spot on local news show cooking segment 66 Cook-off for healthy foods Healthy recipe contest Physical Fitness Activities Walk to school event Community walk/jog Pedometer challenges (set goal and issue challenge w/ friends, co-workers, school staff) Spotlight Events Mass Media Releases Open Houses for community programs, parks School Activities School-wide fitness events, games Physical activity challenges between classrooms, grades, etc Pedometer challenges between teachers, administrators Focus on nutritious cafeteria choices, educational activities re: healthy foods CHILDHOOD OBESITY Overweight children are at much greater risk for health problems now and in the future than children who are in a healthy weight range. Serious weight related conditions that were once rare in youth, like high blood pressure and Type 2 diabetes, are now being seen more frequently in children. It is important to understand that the longer a child remains overweight, the greater his or her risk for serious long-term health problems. The best way to find out if a youth between the ages of 2 and 20 is overweight is to have a physician measure their Body Mass Index-for-age (BMI-for-age). These measurements should be a standard part of your child’s routine physical examination or well child visit, and the results will determine whether a child is underweight, healthy weight, overweight or obese. In most cases, a child should not be put on a weight loss diet. The recommended goal is to stop or slow weight gain as the child continues to grow so that their height and weight eventually achieve a healthy balance. Ways to encourage changes to your child’s eating: 67 Buy, prepare and offer the foods you would like for your child to eat. Allow them to choose what, and how much of these foods they will eat. Keep offering healthy foods even if they are initially refused. Offer mostly whole grain breads and cereals, vegetables and fruits with moderate amounts of meat products and low-fat dairy foods. Include your child’s choices in the family menu. Make healthy food fun by cutting fruit or vegetables into different shapes. Involve children in simple food preparation. Offer treats such as cakes, chips or “fast foods” only occasionally. Limit sweet drinks, including juice, soda and sports drinks, as they add unnecessary calories. Offer water instead – it is the best drink for children. Let your child decide when they are full to help them understand feelings of fullness and hunger. These habits help control appetite and prevent overeating as they grow. Encourage slower eating if your family eats quickly. Put your knife and fork down between mouthfuls. Chat during the meal. Help your child recognize if they eat when they are bored, sad or lonely. Suggest another activity to help distract them. Do not punish, reward or cheer your child up with food. Doing so may lead to a lifetime habit of using food as comfort or as a reward. Increase everyday activity at home: Plan and ensure your child is physically active on a daily basis. At least 60 minutes of active play is recommended. Physical activity can help to build physical, mental and social skills and increases the feeling of being healthy. Activity should be fun and satisfying without focusing only on competition, fitness or skills. As children get older, your role as a parent changes from being active with your child to supporting your child’s involvement with outside activity. Be active together. Family-based activities should happen at least once per week. Encourage lots of free, outside playtime every day. Try to use the car less; for shorter distances walk or cycle to school or shops. Have a plan to walk increasingly further distances. Help your child find a balance between organized team sport, individual activities like swimming and dancing and fun activities such as youth groups, voluntary service and family outings. Look for an active play buddy who can encourage your child to be more active. Reduce screen time: Watching too much television is often linked closely with overweight in children. Inactive 68 behavior is not just watching television. It also includes playing electronic games, sitting for long periods of time in transit, long sleep-ins and extended phone calls. When children watch television they are not being active and are more likely to see food advertisements that encourage them to eat regardless of hunger. Televisions in bedrooms have been shown to increase viewing time. Try to: Limit sedentary activities like watching television to less than two hours per day. Avoid eating while the television is on. Suggest or offer alternative activities to television watching. Resources: http://kidshealth.org/ http://www.nlm.nih.gov/medlineplus/obesityinchildren.html http://www.mypyramid.gov/ http://www.getfittn.com/ http://www.walkingworksforschoolstn.com/ http://www.fruitsandveggiesmorematters.org/ DEPRESSION IN CHILDREN Problem: Depression is more than just “feeling blue” or having a bad day. It is different from feelings of grief or sorrow that follow a major loss, such as a death in the family. It’s not a personal weakness or a character flaw. Children and teens with clinical depression cannot simply “snap out of it.” Depression is a serious health problem that affects feelings, thoughts and action, and can appear as a physical illness. As many as one in eight teens and one in 33 children have clinical depression. Fortunately, depression in youth is treatable. The behavior of depressed children and teenagers may differ from the behavior of depressed adults. 69 Signs and Symptoms: If one or more of these signs of depression persist, parents should seek help. Frequent sadness, tearfulness, crying Hopelessness Decreased interest in activities or inability to enjoy previously favorite activities Persistent boredom, low energy Social isolation, poor communication Low self esteem and guilt Extreme sensitivity to rejection or failure Increased irritability, anger or hostility Play that involves excessive aggression towards self or others, or that involves persistently sad themes Difficulty with relationships Frequent complaints of physical illnesses such as headaches and stomachaches Frequent absences from school or poor performance in school Poor concentration, indecision or forgetfulness A major change in eating and/or sleeping patterns Talk of or efforts to run away from home Thoughts or expressions of suicide or self destructive behaviors Recommendations: Know the warning signs for depression and note the duration, frequency and severity of troubling behavior. Get accurate information from libraries, hotlines, the Internet and other sources. Take your child to a mental health professional or their primary care physician for an evaluation and diagnosis if he or she is exhibiting several of the warning signs. The evaluation may include psychological testing, laboratory tests and consultation with other specialists. Ask questions about treatments and services. A comprehensive treatment plan may include psychotherapy, ongoing evaluation and in some cases, medication. Optimally, the treatment plan is developed with the family and whenever possible, the child. Resources: Primary care physicians Local mental health centers/providers Others who can help include psychiatrists, psychologists, nurses, professional counselors, social workers, school counselors and counselors in faith based organizations Tennessee Voices for Children 70 www.TNvoices.org NAMI Tennessee www.NAMITN.org 211 Social Services Help Line www.211tn.org TENNderCare www.tennessee.gov/tenncare/tenndercare 1-866-311-4287 Youth Villages www.youthvillages.org Tennessee Department of Mental Health and Developmental Disabilities (TDMHDD)’s Best Practice Guidelines for Children and Adolescents at http://tennessee.gov/mental/omd/clinical_docs/bpg.pdf. Go to Mood Disorders page 72. Statewide Crisis Intervention Line If you or someone you know is in a crisis now, seek help immediately. 1-800-809-9957 National Suicide Prevention Lifeline If you or someone you know is exhibiting signs and symptoms of suicide. 1-800-273-TALK (8255) Adapted from the American Academy of Child and Adolescent Psychiatry and Mental Health America Fact Sheet How Does Smoking Harm My Baby? Learning that you’re going to have a baby can be a time of great joy and a time of anxiety and stress. For many women who smoke, thinking about stopping when pregnant may seem very difficult and overwhelming. According to the Office of the Surgeon General: Stopping smoking is probably the most important change women in the United States can make to prevent unhealthy pregnancies. Stopping smoking offers you and your baby the best chance for a healthy start. 1. Stop and think for a moment about what you just read. 2. Now, read further to see how you can give your baby a healthy start! 71 How will I help my baby when I stop smoking? Your baby gets more oxygen. Your baby has a lower chance of being born too small. Your baby’s chance of health problems such as asthma is reduced. You lower the chance of miscarriage, stillbirth and infant death. How can I quit? Giving up something I do every day is really hard! 1. Make every effort to stop 2. Create a quit plan 3. Tell your doctor or nurse (or pharmacist) you want to stop 4. Ask for support 5. Try to avoid other smokers 6. Think about what makes you want to smoke 7. Be active You have the two best reasons to stop smoking: YOU and YOUR BABY. Give your baby the best chance for a healthy start. You can do it! Call the Tennessee Tobacco QuitLine at 1-800-QUIT-NOW (1-800-784-8669). It’s FREE! TENNDERCARE Adolescent Health Facts about Adolescent Immunizations Problem: Pertussis (whooping cough) incidence has been gradually increasing since the early 1980s. Approximately 60 percent of the reported cases in 2004-2005 were among persons 11 years of age and older. Approximately 1,000 to 3,000 cases meningococcal disease are reported each year in the United States. The proportion of cases among adolescents and young adults has increased in recent years. The rate of disease is twice that in persons 17-20 years compared to the overall U.S population. Even with antibiotic treatment, 72 adolescents die in about 10 percent of cases. About 20 percent of survivors will have long-term disability such as loss of a limb, deafness, nervous system problems or brain damage. Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States among adolescents and young adults. Up to 75 percent of new infections occur among persons 15-24 years of age. Signs/Symptoms: The causes of most vaccine-preventable diseases are either bacterial or viral infections. The range of symptoms can be vast and the long-term effect can be damaging. Whooping cough (pertussis) causes severe coughing spells, vomiting and disturbed sleep. It can lead to weight loss, incontinence, rib fractures and passing out from violent coughing. Meningococcal infection can become deadly fast, sometime in 48 hours or less. It can cause sudden onset of fever, headache and stiff neck, often accompanied by other symptoms such as nausea, vomiting and photophobia (eye sensitivity to light). HPV infections don’t cause any symptoms and often go away on their own. However, if they don’t go away, some strains of HPV can cause cervical cancer, genital warts and warts in the upper respiratory tract. There is no treatment for HPV infection, but the conditions it causes can be treated. Recommendations: Pre-teens and teens need annual health checks, even if they seem healthy. TENNCare eligibles can receive all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) from their primary care provider at no cost. Ask your adolescent’s doctor if your child is up-to-date for all Advisory Committee on Immunization Practices (ACIP) recommended vaccines: o TdaP Vaccine– 1 dose o Meningococcal “meningitis” Vaccine (MCV) – 1 dose o Varicella Vaccine – 2 doses total o Human Papillomavirus Vaccine (HPV) – 3 doses total (Females Only) o Hepatitis A Vaccine – 2 doses total 73 o Hepatitis B Vaccine – 3 doses total o Annual influenza “flu” shot Maintain a copy of your child’s immunization record and take it to every doctor’s appointment. Resources: To find out additional information about immunizations, visit these Web sites: Department of Health – Immunization Program http://health.state.tn.us/CEDS/immunization Recommended Immunization Schedule for Persons Aged 7 through 18 Years http://www.cdc.gov/vaccines/recs/schedules/downloads/child/2009/09_7- 18yrs_schedule_pr.pdf Pre-Teens and Teens Immunization Information What Parents Should Know! http://www.cdc.gov/vaccines/spec-grps/preteens-adol.htm#shouldknow PRESCRIPTION DRUG AND OVER THE COUNTER DRUG MISUSE Problem: Although recent drug use trends in the U.S. suggest that the use of illicit drugs among young people has been declining, at the same time misuse of prescription and over-the-counter medications continues to rise. More teens abuse prescription drugs than any illicit drug except marijuana. Misuse can refer to the practice of diverting medications that are normally needed by someone else, or taking more than the therapeutic dose to intentionally obtain an increased feeling of euphoria or other side effect such as hallucinations. Teens today do not need to look further than the family medicine cabinet to get drugs. 74 In Tennessee, one in three teens report knowing someone who abuses prescription drugs. The most commonly abused classes of prescription drugs include opioids or pain relievers, sedatives and tranquilizers, and stimulants, with most of the recent rise in prevalence attributable to abuse of prescription or over-the-counter (OTC) pain medications. Among youths ages 12 to 17, Tennessee has the sixth highest percentage who abuse prescription pain medication. Signs/ Symptoms: A range of symptoms of prescription drug use can occur. The specific symptom depends on the drug being abused. 1. Opioids are used as pain killers in clinical settings. They lower heart and breathing rates that in turn may leave a person looking lethargic or intoxicated. 2. Stimulants have the opposite effect. They increase metabolism, heart and respiration rates. Nervousness, irritability, hyper-sensitivity and insomnia are some visible side effects. 3. Sedatives are used to control anxiety. Drowsiness, confusion and impaired judgment can be seen in people that abuse this medication. 4. Over the Counter (OTC) medications such as dextromethorphan can be found in some cough and cold medications. High doses of these medications can cause hallucinations, numbness and stomach pain. Medications that combine opioids and over-the-counter medication can cause organ damage. Excess acetaminophen may cause liver damage and excess ibuprofen may cause damage to the stomach and intestines. Recommendations: To reduce prescription drug abuse, The Center on Addiction and Substance Abuse (CASA) recommends these strategies: 1. Safeguard all medications at home. Monitor quantities and control access. 2. Set clear rules for children about all drug use, including not sharing medicine and always following the medical provider’s advice and dosages. 3. Be a good role model by following these same rules with your own medicine. 4. Properly conceal and dispose of old or unused medicines in the trash. 5. Ask friends and family to safeguard their prescriptions as well. 75 Resources: To find more information about prescription drug abuse: www.whoyouwant2be.org A service of Centerstone Mental Health Center in Tennessee (888) 291-HELP (4357) www.taadas.org A wide array of substance abuse related information (free and for purchase) from the Tennessee Association of Alcohol, Drug and other Addiction Services (877) 863-6914 or locally (615) 780-5901 Great Resources for Parents at: www.drugfree.org www.theantidrug.com How to Talk to Teens About Smoking? Encouraging your children to make the right decisions about tobacco and helping them understand the consequences of using tobacco is very important. Approximately 3,000 kids in the U.S. become smokers every day. The most common reasons are… Peer pressure Wanting to look grown-up Lack of positive parental involvement Here are a few things that you can do as parents related to peer pressure: Provide positive support to teens teaching them how to say “no” in situations related to peer pressure. Teach them how they can build confidence and self-esteem by being a leader and 76 walking away. Here are a few things that you can do as parents related to your teen wanting to look grown up: Discuss the long-term risks of smoking based on facts not opinion. Explain that starting smoking is easy, but quitting is very difficult. Help your teen weigh the risks of smoking against what they consider the benefits. Explain that while they may think smoking makes them look older, it does not. In fact, they look like they are just trying to look grown-up. Here are a few ways that you can become more active in your teen’s life: Explain to your teens how choosing the wrong friends can result in pressure to make wrong decisions. Explore ideas for getting involved in after school activities or sports. Most importantly, talk to your teen. Be honest about the impact of smoking. If you are a smoker yourself, discuss why you started and if you have been able to stop or not. Develop a plan together to stop smoking. Call the Tennessee Tobacco QuitLine at 1-800-QUIT-NOW (1-800-784- 8669) It’s FREE! Teens Be a Leader- Stop Smoking! Have you ever heard this “Smoke, everyone else is.” “What, are you scared?” “I guess you aren’t cool.” “Come on, it’s fun.” Peer pressure is difficult and you want to fit in with friends. Before you start smoking or if you are thinking of quitting smoking…read on! 1. A few cigarettes won’t hurt me. With each puff, you inhale thousands of poisonous chemicals. Your heart beats faster and your blood pressure goes up. Your throat, nose and eyes burn especially when you first start smoking. You may cough and become short of breath. The nicotine in cigarettes can cause you to feel sick to your stomach and dizzy. Carbon monoxide replaces the oxygen in your blood, which decreases your ability to play sports. You won’t cough or feel sick every time you smoke. Your body will get used to it. But the 77 damage to your body increases each time you smoke. Is it really worth it? 2. I’ll stop when I want to. It’s easy to start but hard to quit. Seven out of 10 teen smokers say they wish they had never started. Most teen smokers have seriously tried at least once to stop smoking and failed. The younger you are when you start, the harder it will be to stop when you are older. The younger you start, the greater your risk of disease. It only takes a short time to become addicted to nicotine. You will know you are addicted when you start craving cigarettes and feeling nervous without them. You will really know you are addicted when you try to stop and you can’t. Are you addicted? 3. Smoking looks cool. Smoking makes your teeth yellow and gives you bad breath. Smoking makes your clothes and hair stink. Smoking makes your skin wrinkle sooner. You are becoming unhealthier with each puff you take and reducing your life expectancy. Is this really cool? 4. Smoking makes me sexy. According to an American Cancer Society survey, 78 percent of boys ages 12 to 17 said they do not want to date someone who smokes and 69 percent of girls prefer to date a nonsmoker. In fact, a lot of people do not want to be around smokers. Most teens do not think smoking, dipping or chewing tobacco is sexy and they think it is disgusting. Look at those percentages again! 5. Smoking really relaxes me. It may feel like it, but nicotine actually does the opposite for your body. It speeds up how your body reacts inside and increases your heart rate. Does that sound like relaxing? 6. Smoking keeps me thin. I’ll gain weight if I stop. Smoking does not keep you slim. Smoking keeps your hands busy so you do not eat. The small amount of weight you may gain when you stop smoking is much less harmful than smoking. A simple exercise plan can help with any weight gain. 7. All my friends smoke. If all your friends jumped off a bridge, would you? If you follow your friends on this one, you will have bad skin, yellow teeth and bad breath. You will also put yourself at risk for disease and poor health and be in the uncool group in most teen’s eyes. What’s your choice? 8. Do you want to be a leader or a follower? Many teens are smoking without thinking of the health risks that come with smoking. Peer pressure is hard to ignore. The smokers think they are the cool people and they are the leaders who others want to be like. Maybe that is true. Maybe others see those smokers as being cool but are they really after what you read about what smoking does to people’s bodies and how smoking causes 78 serious illness? Start today, you be the leader and the new trendsetter not the follower of what every one else does. Talk to your friends about how cool it is NOT to smoke and how much better you feel when you do not. Show your friends that “cool” is not smoking! Be a LEADER… call the Tennessee Tobacco QuitLine at 1-800-QUIT-NOW (1- 800-784-8669)… IT’S FREE!! TENNderCare is a full program of check ups and health care services for children who have TennCare. These services make sure babies, children, teens and young adults receive the health care they need. For additional information regarding the TENNderCare program and current outreach efforts, please contact your Regional TENNderCare Director: Region Program Dir/Manager Phone Number Address Nashville-Davidson Renee Roberson (615) 340-2223 Nashville-Davidson County Health Department Renee.Roberson@nashville.gov 311 23rd Avenue North Nashville, TN 37203-1503 East Nancy Foshee (865) 909--9404 East Tennessee Regional Office Nancy.Foshee@tn.gov EXT.102 4310 Papermill Dr. Knoxville, TN 37909 Chattanooga-Hamilton Cheryl Shouse (423) 209-8337 Chattanooga-Hamilton County Health Department Cheryls@hamiltontn.gov 921 East Third Street Chattanooga, TN 37403 Knoxville-Knox Charlayne Frazier (865) 215-5173 Knoxville-Knox County Health Department Charlayne.Frazier@Knoxcounty.org 140 Dameron Avenue Knoxville, TN 37917-6413 Jackson-Madison Chris Ellis (731) 927-8545 Jackson-Madison County Health Department Cellis@jmchd.com 804 North Parkway Jackson, TN 38305 79 Mid-Cumberland Carol Sylvis (615) 650-7016 Mid-Cumberland Regional Office Carol.Sylvis@tn.gov 710 Hart Lane Nashville, TN 37247-0801 North East Teresa Roberts (423) 979-4670 Northeast Tennessee Regional Office Teresa.Roberts@tn.gov 1233 Southwest Avenue Extension Johnson City, TN 37604-6519 South Central Sharon Nelson (931) 490-8340 South Central Regional Office Sharon.Nelson@tn.gov 1216 Trotwood Avenue Columbia, TN 38401-4809 South East Teena Myers (423) 634-5796 Southeast Regional Office Teena.Myers@tn.gov 540 McCallie Avenue, Suite 450 Chattanooga, TN 37402-2013 Memphis-Shelby Cassandra Brown (901) 545-7099 Memphis-Shelby County Health Department Cbrown@co.shelby.tn.us 814 Jefferson Ave. Memphis TN 38105 Sullivan Angela Eaton (423) 279-2657 Sullivan County Health Department Aeaton@sullivanhealth.org 164 Blountville Bypass, P.O Box 630 Blountville, TN 37617 Upper Cumberland Karen Roper (931) 646-7527 Upper Cumberland Regional Office Karen.Roper@tn.gov 200 West 10th Street Cookeville, TN 38501-6076 West Cathy S. Turner (731) 426-1451 West Tennessee Regional Office Cathy.S.Turner@tn.gov 295 Summar Street Jackson, TN 38301 TEENCARE Word Search T S H S M F Y H T L A E H B G R F M T E W R L C P M X N O N A Y J O A L A U P P B E G F I N Y N T D T B O I T O R L D K S U E R N N I A N T P C S W L P R F E T N O E T L S I S G A O P D H T E M C A E Z S R N T R I M M J T E N W Y G E F I P T Z E O A A N N S C W E X T C A N G E F I U L A M V F V N P 80 T X R K N R E R F G V B A E I I T M G D O C T O R E L C V L O N U T R I T I O N O R F E L N M Z M A Q X M W W V D S R S S G N I N E E R C S Y S R P U APPOINTMENT CONDOMS DENTAL DOCTOR EXERCISE FRUITS HEALTHY NUTRITION PILLS PLANNING PREVENTING SCREENINGS TALKING TEENAGERS TRANSPORTATION TREATMENT VEGETABLES 81 YOUTH SUICIDE Problem: “More teenagers and young adults die from suicide then from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza, and chronic lung disease COMBINED”, Surgeon General Satcher stated in the 2002 National Call to Action for Suicide Prevention. The teenage and young adult years can be a period of loneliness and confusion. Youth deal with a number of new experiences such as new relationships, decisions about their future and the physical changes that are taking place in their bodies. Suicide is the third leading cause of death among young people ages 15 to 24. Every day 12 young people die by suicide. 82 Male youth are 5 times more likely then females to die by suicide. In a survey of Tennessee teens, 1 in 14 admitted that they attempted suicide. Firearms are the most commonly used suicide method. 53% of young people who die by suicide abused drugs or alcohol. The Key Risk Factors and Warning Signs: Impulsivity Lack of connection to family or friends Ready access to firearms Depression, moodiness, expression of hopelessness A previous suicide attempt Current talk about suicide (direct or shielded, “You’d be better off if I’m gone.”) Strong wish to die, giving away prized possessions Suicide attempt or suicide by a friend or family member Withdrawing from friends or family Increased alcohol or drug use Rage, anger, acting reckless Hopelessness Untreated depression is the # 1 cause of suicide Recommendations: Talk, offer help and hope. Most important, listen if you think someone is considering suicide. ASK. It won’t put the idea in their head if that isn’t what they are thinking. Teens need reassurance that someone cares. Show interest, non-judgmentally, be supportive. Let them know help is available Trust your instincts, if you feel the situation is critical get immediate help, call 911 Don’t act shocked, judgmental or lecture on all the reasons they have to live Don’t give advice or false reassurances Don’t be afraid to talk directly about suicide, ask specifics, how they would do it, when and do they have the means Don’t dismiss problems as unimportant and don’t assume they are just seeking attention Resources: There are many resources; your physician and your local mental health agency are two important sources of help 83 The National Lifeline 1-800-273-TALK is a resource that will automatically connect you to the nearest crisis service where help and direction can be obtained. Youth Villages have staff that are available to do an onsite assessment (800) 791- 9221 Tennessee Suicide Prevention Network www.TSPN.org Jason Foundation 1- 888- 881- 2323 www.jasonfoundation.org American Association of Suicidology www.suicidology.org Tennessee Voices for Children www.TNVoices.org National Institute of Mental Health Fact Sheets www.nimh,nih.gov/research/suicidefaq.cfm Suicide Prevention Resource Center www.sprc.org YOUTH SUICIDE… BE AWARE SOMEONE WILL MISS YOU If you feel like you can’t go on; give life a chance… www.tspn.org Call 1-800-273-TALK (8255) and LIVE TO SEE BETTER DAYS (Regional or County Letterhead) FOR IMMEDIATE RELEASE Contact: Regional/Co. Director Date Phone Number TENNESSEE WIC PROGAM…BRINGING MORE TO THE TABLE Participants enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are preparing for an exciting change! The food packages are changing to better meet the nutritional needs of WIC families. New foods will include fruits, vegetables, whole grains, soy products and baby foods. Changes, based on the Dietary Guidelines for Americans, decrease the amount of saturated fats, increase fiber and offer more food choices. The new food packages better promote and support the establishment of long-term breastfeeding and strengthen WIC’s breastfeeding promotion efforts. Fully breastfeeding mothers receive more variety and larger quantities of foods, including a monthly $10 cash value voucher for fruits and vegetables. Fully breastfed infants receive larger quantities and more types of baby foods at 6 months of age. 85 The new Tennessee WIC Food Packages for women and children will include a cash value voucher for fresh or frozen fruits and vegetables, whole grains from cereals, breads, brown rice, bulgur, or soft corn or whole wheat tortillas, and only children 12 through 23 months of age can receive whole milk. All other women and children will receive reduced fat milk. The choices of fish for the fully breastfeeding woman have expanded to include salmon and sardines along with light tuna. WIC provides low-income pregnant and breastfeeding women, new mothers, infants, and children up to age five with nutritious supplemental foods. The program also provides nutrition education and referrals to healthcare services. WIC foods currently include iron- fortified adult cereal, vitamin C-rich fruit or vegetable juice, eggs, milk, cheese, peanut butter, dried cereal, dried beans/peas, and canned fish and iron-fortified infant formula and infant cereal. Special therapeutic infant formulas and medical foods may be provided when prescribed by a physician for a special medical condition. More than 175,000 Tennesseans receive WIC benefits each month through this federally funded nutrition assistance program. WIC is a Federal grant program for which Congress authorized a specific amount of funding each year for program operations. The Food and Nutrition Service, which administers the program at the Federal level, provides these funds to WIC State agencies. For more information call 1-800-342-5942 or log onto the WIC Web site@ http://health.state.tn.us/wic/. 86 87 Healthy Tips for Families and Kids! Sponsored By: 88 1 What is Child Health Week? Child Health Day is an annual event sponsored nationally by the Maternal & Child Health Bureau of Health Resources & Services Administration (HRSA). Tennessee will extend the event to a week and host Child Health Week 2009 October 5-11. Our theme for the week is “Healthy Youth, Healthy Future.” The goal of the Governor’s Office of Children’s Care Coordination (GOCCC) and the Tennessee Department of Health (DOH) is to spotlight ways that Tennessee children and families can make healthy life choices. We are collaborating with a number of child and family-serving organizations that already have activities geared toward these topics. A kit of fact sheets, press releases, resources and ideas for activities is now available. Promotional items are available upon request to those agencies adding their activities on the Child Health Week events calendar on the Governor’s Office of Children’s Care Coordination (GOCCC). For additional information on Child Health Week, please visit http://www.tennesseeanytime.org/gov/child-health/ or contact Ashley Barbee in the Governor’s Office of Children’s Care Coordination (GOCCC). The local partners that collected this information would like to disseminate it out to the public for the 2009 Child Health Week. All information was taken from reliable sources and links are provided in this document. We encourage everyone to make copies, email, and share this information with children and their families. 89 Teachers can use this information provided to teach short 5 minute lessons on any of the topics provided. Parents can use the fun games and information to make changes at home. Schools, daycares, and recreation centers can send this home with parents. Organizations can send these out on their mailing lists We hope everyone finds this information useful and informative. Please pass it on! 2 Helpful Ways to Reduce Screen Time Here are a few simple tips to help your children reduce their screen time and increase physical activity in order to maintain a healthy weight. Know how much screen time, active time your family is getting. By knowing how much screen media time, including TV, DVD, video games, and non-school- or non-work- related computer and Internet use, your family spends and how much physical activity they get, you will be more aware of their needs for physical activity to maintain energy balance. Talk to your family. Explain to your children that it's important to sit less and move more to stay at a healthy weight. They will also be more energized, have a chance to practice certain skills (such as riding a bike or shooting hoops), and have fun with friends and peers. Tell them that you also are going to limit your screen time and increase your physical activity, so you will all be working toward this goal together. Set limits on screen time. Set a house rule that your children may spend no more than two hours a day of screen time. More importantly, enforce the rule once it's made. Minimize the influence of TV in the home. Do not put a TV or computer in your child's bedroom. This tends to physically isolate family members and decrease interaction. 90 Also, children who have TVs in their room tend to spend almost 1 1/2 hours more in a typical day watching TV than their peers without a set in their room. Make meal time, family time. Turn off the TV during family meal time. Better yet, remove the TV from the eating area if you have one there. Family meals are a good time to talk to each other. Research has shown that families who eat together tend to eat more nutritious meals than families who eat separately. Make eating together a priority and schedule family meals at least two to three times a week. Provide other options and alternatives. Watching TV can become a habit for your child. Provide other alternatives for them to spend their time, such as playing outside, learning a hobby or sport, or spending time with family and friends. Set a good example. You need to be a good role model and also limit your screen time to no more than two hours per day. If your kids see you following your own rules, then they will be more likely to follow. Instead of watching TV or surfing the Internet, spend time with your family doing something fun and active. Don't use TV to reward or punish a child. Practices like this make TV seem even more important to children. 3 Helpful Ways to Reduce Screen Time Be a savvy media consumer. Don't expect your child to ignore the influences of television advertising of snack foods, candy, soda, and fast food. Help your child develop healthy eating habits and become media savvy by teaching them to recognize a sales pitch. Ask your child why their favorite cartoon character is trying to get them to eat a certain brand of breakfast cereal. Explain to them that this is a way for advertisers to make the cereal more appealing to young people, so that they ask their parents to buy it for them and the company can make money. Make screen time, active time. Stretch, do yoga, lift hand weights while watching TV; challenge the family to see who can do the most push-ups, jumping jacks, or leg lifts during commercial breaks, or switch to an exercise tape during commercials. We Can! and the We Can! logo are trademarks of the U.S. Department of Health and Human Services (DHHS). Information collected by the City of Chattanooga Parks and Recreation 91 4 Cyber Safety for Children Teens I will never give out personal details that would identify who I am, such as my name, address, phone number, school or photographs. I will tell a parent or teacher if I see any bad language or pictures on the Internet, or if anyone writes me anything I don’t like. I will not reply to any messages or bulletin board items that are suggestive, obscene, aggressive, or distressing. I will not use bad language online, neither will I take part in arguments or fights online. I will not accept any offers of money or presents, even free offers. I will never order anything online or give out credit card details. 92 I will not enter chat rooms and websites that I have agreed with my parents are off-limits. I will not arrange any face-to-face meetings with anyone I have met on the Internet unless my parents consent and they accompany me. Information collected by the City of Chattanooga Parks and Recreation 5 Cyber Safety for Children Pre-Teens I will never give out personal details that would identify who I am, such as my name, address, phone number, school or photographs. I will tell a parent or teacher if I see any bad language or pictures on the Internet, or if anyone writes me anything I don’t like. I will not reply to any messages or bulletin board items that are suggestive, obscene, aggressive, or distressing. I will not use bad language online, neither will I take part in arguments or fights online. I will not accept any offers of money or presents, even free offers. 93 I will never order anything online or give out credit card details. I will not enter chat rooms and websites that I have agreed with my parents are off-limits. I will not arrange any face-to-face meetings with anyone I have met on the Internet unless my parents consent and they accompany me. Information collected by the City of Chattanooga Parks and Recreation 6 Healthy Info for New Parents Tobacco Use-Detrimental to Unborn Babies, Infants, Children and Adolescents Find More At http://www.cdc.gov/features/childrenandsmoke/ Smoking during pregnancy increases the baby’s risk to be born prematurely, of low birth weight, be stillborn or later be a victim of Sudden Infant Death Syndrome. Children and infants who are exposed to secondhand smoke are more prone to severe respiratory infections such as bronchitis and pneumonia. Adolescents who smoke are less physically fit, have impaired lung growth, have more respiratory illnesses, and chronically cough and wheeze. Good Nutrition-Basic for a Child’s Development Find More At http://www.aap.org/healthtopics/nutrition.cfm Babies should receive most of the needed nutrients from breast milk or formula during the first year of life. Solids should be introduced after 6 months of age. Children should eat vegetables and fruit each day. Eating a nutritious breakfast each day helps assure children and teens will have the physical and mental energy needed to learn. Children are responsible for how much they eat. Parents are responsible for what, when and how children eat. Physical Fitness-Begins at Birth Find More At http://www.aap.org/family/fitness.htm 94 A child’s physical development begins at birth and his or her motor activities continually set the stage for the next growth period. Parents are to design a safe environment for their children to explore and accomplish the necessary physical milestones. Parents, by their actions, are the model for how physically active children become as they mature. Sleep Find More At http://www.sleepforkids.org Sufficient, uninterrupted sleep is crucial for children to develop and function efficiently. Children who do not get enough quality sleep are: irritable, fatigued, but hyper alert (awake but exhausted), and inattentive and unable to learn in school. Studies show that children who sleep longer have higher IQs. Developing a sleep routine for their children assists parents to consistently get them in bed at a time that allows for a full night’s sleep. Information Collected by Parents are First Teachers 7 Nutrition You Can Use! Find more at http://www.mypyramid.gov/tips_resources/index.html Tips to help you eat whole grains As Snacks: Snack on ready-to-eat, whole grain cereals such as toasted oat cereal. Add whole-grain flour or oatmeal when making cookies or other baked treats. Try a whole-grain snack chip, such as baked tortilla chips. Popcorn, a whole grain, can be a healthy snack with little or no added salt and butter. Whole Grain Tips for kids Set a good example for children by eating whole grains with meals or as snacks. Let children select and help prepare a whole grain side dish. Teach older children to read the ingredient list on cereals or snack food packages and choose those with whole grains at the top of the list. Tips to help you eat vegetables 95 Make vegetables more appealing Many vegetables taste great with a dip or dressing. Try a low-fat salad dressing with raw broccoli, red and green peppers, celery sticks or cauliflower. Add color to salads by adding baby carrots, shredded red cabbage, or spinach leaves. Include in-season vegetables for variety through the year. Include cooked dry beans or peas in flavorful mixed dishes, such as chili or minestrone soup. Decorate plates or serving dishes with vegetable slices. Keep a bowl of cut-up vegetables in a see-through container in the refrigerator. Carrot and celery sticks are traditional, but consider broccoli florettes, cucumber slices, or red or green pepper strips. Information Collected by the Tennessee Dietetic Association 8 Nutrition You Can Use! Find more at http://www.mypyramid.gov/tips_resources/index.html Vegetable tips for Kids: Set a good example for children by eating vegetables with meals and as snacks. Let children decide on the dinner vegetables or what goes into salads. Depending on their age, children can help shop for, clean, peel, or cut up vegetables. Allow children to pick a new vegetable to try while shopping. Use cut-up vegetables as part of afternoon snacks. Children often prefer foods served separately. So, rather than mixed vegetables try serving two vegetables separately. Tips to help you eat fruits As snacks: Cut-up fruit makes a great snack. Either cut them yourself, or buy pre-cut packages of fruit pieces like pineapples or melons. Or, try whole fresh berries or grapes. Dried fruits also make a great snack. They are easy to carry and store well. Because they are dried, ¼ cup is equivalent to ½ cup of other fruits. Keep a package of dried fruit in your desk or bag. Some fruits that are available dried include apricots, apples, pineapple, bananas, cherries, figs, dates, cranberries, blueberries, prunes (dried plums), and raisins (dried grapes). As a snack, spread peanut butter on apple slices or top frozen yogurt with berries or 96 slices of kiwi fruit. Frozen juice bars (100% juice) make healthy alternatives to high-fat snacks. Fruit tips for kids: Set a good example for children by eating fruit everyday with meals or as snacks. Offer children a choice of fruits for lunch. Depending on their age, children can help shop for, clean, peel, or cut up fruits. While shopping, allow children to pick out a new fruit to try later at home. Decorate plates or serving dishes with fruit slices. Top off a bowl of cereal with some berries. Or, make a smiley face with sliced bananas for eyes, raisins for a nose, and an orange slice for a mouth. Offer raisins or other dried fruits instead of candy. Make fruit kabobs using pineapple chunks, bananas, grapes, and berries. Pack a juice box (100% juice) in children’s lunches versus soda or other sugar-sweetened beverages. Choose fruit options, such as sliced apples, mixed fruit cup, or 100% fruit juices that are available in some fast food restaurants. Offer fruit pieces and 100% fruit juice to children. There is often little fruit in “fruit- flavored” beverages or chewy fruit snacks. Information Collected by the Tennessee Dietetic Association 9 Halloween Games That Keep Kids Moving! Find more at http://familyfitness.about.com/od/seasonalsportsandfun/tp/halloween_games.htm 1. Monster Freeze Dance Put on "Monster Mash" and other seasonal tunes. Have kids show off their silliest monster dance moves—but they must freeze in place when the tunes turn off! 2. Snap Apple Instead of bobbing for apples in a bucket of water (which can really wreak havoc on costumes or face paint!), have kids try to "snap" a bite from an apple hanging on a string. You'll need apples with stems—tie the string to the stem, then loop it around a tree branch (outside) or a broomstick or suspension curtain rod (inside). 3. Relay Races Get creative with this one—there are lots of silly ways for kids to get from the starting line to the finish! Try having them stagger like zombies, fly on broomsticks like witches, or hop like toads. They can also carry a Halloween-themed snack. Or stage a costume relay for guaranteed silly results. 4. Pumpkin Bowling Choose smallish pumpkins with short stems (depending on the ages of your party guests). Set up 1- or 2-liter plastic bottles and tape off a starting line for an instant bowling alley. Fill the bottles with a bit of sand or rice if they topple over too easily. You can also have kids decorate 97 the bottles with stickers, markers, and other art materials. 5. Skeleton Scavenger Hunt Have kids roam the yard or the house on the hunt for skeleton parts (cut from paper, or plastic ones purchased from a toy store or craft shop). For an extra challenge, see if the party guests can reassemble their bony treasures into a complete skeleton set. 6. Musical Pumpkins Cut pumpkin shapes from construction paper and arrange them on the floor; kids must move from pumpkin to pumpkin while music plays, just like in musical chairs. To keep kids from being excluded, allow them to share pumpkins as you remove a pumpkin for each round. By the end of the game, all the kids have to squeeze onto one spot. For variety, you could also use spider webs, tombstones, or witchy cauldrons for targets. 7. Wiggle Worm This goofy race requires kids to work together (and stick together) as a team. Divide the group into two equal teams. Teams must line up and form a "worm." The person at the front of the line reaches his left hand between his legs; the player behind him grabs it with her right hand; and so on all the way to the end of the line. When you say "Go" (or "Boo!"), each team must run to a goal line and back. Whichever team gets back first is the winner—but only if their worm is still intact! 10 Halloween Games That Keep Kids Moving! Find more at http://familyfitness.about.com/od/seasonalsportsandfun/tp/halloween_games.htm 8. Ghostcatcher Challenge kids to decorate a pumpkin without being nabbed by the ghostcatcher! Choose a child to be in the center of the circle of children. Divide the rest of the children into teams of ghosts, for example Red Ghosts, Blue Ghosts. Place the pumpkin in the middle of the circle and blindfold the Ghostcatcher. Ghosts crawl around the circle on their knees and try to sneak to the middle to put their stickers on the pumpkin. If the Ghostcatcher hears a sound, he points in that direction and says, 'Ghost!' If the Ghostcatcher catches a Ghost before he places his sticker, that child must start over again. Information Collected by Step ONE 98 11 Flu Prevention Find more at http://www.flu.gov/individualfamily/parents/index.html Symptoms of H1N1 (Swine) Flu It is important to watch for any signs that your child doesn’t feel well and to pay attention to any unusual behavior. Although the symptoms for all flu are similar, infants could have a fever or be lethargic, but may not have a cough or other respiratory symptoms. Seasonal Flu All types of flu can cause: Fever Coughing and/or sore throat Runny or stuffy nose Headaches and/or body aches Chills Fatigue H1N1 (Swine) Flu Same as seasonal flu, but symptoms may be more severe. Fever Coughing and/or sore throat Runny or stuffy nose Headaches and/or body aches Chills 99 Fatigue There may be additional symptoms. A number of H1N1 (swine) flu cases reported: Vomiting Diarrhea Talking To Children About H1N1 Educate yourself first. Know the basic facts about H1N1—the symptoms, how it spreads, and how you can help protect yourself and your child from getting sick. Consider following some of these helpful tips: Share information about H1N1 in a calm, reassuring manner. Be careful not to worry children. Limit their exposure to media and adult conversations about H1N1. If your children are watching television, try to watch with them or make sure you are available to answer questions about H1N1. Use their questions as an opportunity to talk about what they can do to avoid getting H1N1 flu. Keep activities as consistent and normal as possible even if your normal routine changes (due to daycare or school closures). 12 Flu Prevention Find more at http://www.flu.gov/individualfamily/parents/index.html Be a good example. Show children that you wash your hands frequently with soap and water. When you cough or sneeze, cover your mouth or use a tissue then throw the tissue away. Prevention & Treatment Get Vaccinated. Vaccination is the best protection against contracting the flu. You need two vaccines to be fully protected this year. The seasonal flu vaccine is different from the H1N1 (Swine) flu vaccine. The CDC is encouraging people to get both vaccinations. Get the seasonal vaccination as soon as possible and get the H1N1 (Swine) flu vaccination as soon as it is available in early fall. Find a Flu Clinic Near You and Get Vaccinated. The American Lung Association (ALA) has an online tool called, Flu Clinic Locator. Visit the ALA Flu Clinic Locator to find a clinic near you. If you do contract the flu, talk to your doctor about antivirals. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that can be used for prevention or treatment of flu viruses. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. Two types of antivirals, Oseltamivir (TAMIFLU®) and Zanamivir (RELENZA®) may be effective against the H1N1 (Swine) flu. More information 100 on medications and antivirals. Take these everyday steps to protect your health: Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. Avoid touching your eyes, nose or mouth. Germs spread this way. Try to avoid close contact with sick people. Stay home if you are sick for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer. This is to keep from infecting others and spreading the virus further. Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. If you must have close contact with a sick person (for example, hold a sick infant), try to wear a facemask or N95 disposable respirator. More on Facemasks and Respirators. Information collected by the Chattanooga-Hamilton County Health Department 13 PUBLIC & HEALTH POLICY Which choices are politicians, lobbyists, & administrators making for child health? • 95% of school systems implemented the 90 minute physical activity law (House Bill 3750). 6 • 1,035 schools implemented a Coordinated School Health (CSH) program (TCA 49-1-1002, PC 1001). 2 We have the 5th • Over 104,000 children have been referred by CSH for needed health care.6 highest rate of overweight youth • $7,308,000 was awarded to 45 agencies for diabetes prevention & treatment (10-17 years): 36.5%.4 activities (TCA 4-40-401).8 COMMUNITY & ENVIRONMENT In 2008 1 of every 2 middle school students Which choices have been made by TN school systems that impact child health? failed to meet the recommendation of vigorous physical activity daily.6 • 38.8% of students received free or reduced priced lunch in 2007.3 • 60% of schools provide daily physical education.2 13.5% of children 2-5 years are obese.1 • 1027 schools use the School Health Index assessment.2 8.1% of children less than 5 years CLINICAL CARE are anemic.1 How do decisions made by doctors, clinics, hospitals, & insurance companies impact child health? 87% of schools have implemented system-wide CSH.6 • 39.4% of children & adolescents are on Tenncare.3 • 61.4% of children received care within a medical home in 2007.5 • 1 in 13 children are uninsured.7 BEHAVIORS Which choices about your child’s health have you made or will you make? • 14.5% of children younger than 5 are breastfed until they are 6 months old.1 • 61.7% of children (1-5 years) watched TV for Child Health Week 2009 1 or more hours during a weekday.5 Developed by S. Looney, MPH, University of Tennessee, Knoxville (Modified with permission from the Center for Public Health) Developed by S. Looney, MPH, University of Tennessee, Knoxville (Modified with permission from the Center for Public Health) Developed by S. Looney, MPH, University of Tennessee, Knoxville (Modified with permission from the Center for Public Health) Developed by S. Looney, MPH, University of Tennessee, Knoxville (Modified with permission from the Center for Public Health) 1Polhamus et al., Pediatric Nutrition Surveillance 2007 Report; 2009; 2TN Department of Education, Office of Coordinated School Health Annual Data and Compliance Report 2008 (http://www.tennessee.gov/education/schoolhealth/data_reports/doc/DataandComplianceReport2008FINAL.pdf); 3Annie E. Casey Foundation. KIDS COUNT Data Center. (http://datacenter.kidscount.org/); 4Levi et al. F as in Fat: How Obesity Policies are Failing in America (http://healthyamericans.org/reports/obesity2009/); 5US DHHS, Maternal & Child Health Bureau. The Health and Well-Being of Children: A Portrait of States & the Nation 2007 (http://mchb.hrsa.gov/nsch07/state/tennessee.html); 6TN Department of Health. TN Coordinated School Health Report 2007 http://www.state.tn.us/education/schoolhealth/data_reports/doc/CSH07ExecSummRevisedwPromulNumb.pdf); 7Families USA. Left Behind: Tennessee's Uninsured Children (http://www.familiesusa.org/assets/pdfs/uninsured-kids-2008/tennessee.pdf); 8TN Center for Diabetes Prevention & Health Improvement. Operations & Financial Status (http://health.state.tn.us/Downloads/DiabetesPreventionReport2009.pdf). Developed with support through grant number T79 MC 09805, from the Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. The Governor’s Office of Children’s Care Coordination expresses sincerest thanks for all the hard work done by our community part- ners in celebrating Child Health Week 2009. Thank you for the work you do every week, not just during Child Health Week, to keep our children safe and healthy.
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