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Last updated:  July 03, 2008

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Board of Health Policy Goals and Priority Work Projects

Goal 4: Encourage healthy behaviors

Children's Health and Well Being Committee: David Crump, Mel Tonasket
Lead Staff: Tara Wolff

NOTE: The Children's Health and Well Being Committee agreed to take responsibility for the broader goal of encouraging healthy behaviors, although much of its work under this goal continues to focus on children's health.


Children’s health and well being has been a priority policy area for the Board since 2000. In 2007, the Board adopted a five-year strategic plan.  Policy projects affecting the health and well-being of children are reflected in many of the strategic plan’s five goal areas:

1.         Strengthen the public health system.
2.         Increase access to preventive services.
3.         Reduce health disparities.
4.         Encourage healthy behaviors.
5.         Promote healthy and save environments.

For instance, the Board is working to increase preventive health services for children by working to ensure that more children have medical homes and that private insurance companies offer a wide array of preventive services for children. These activities and others are designed to help assure access to critical health services (goal 2 above). You can review the Board’s five-year strategic plan to see more examples of how children’s health and well-being is incorporated into the Board’s five main goals.

The Board's 2007 Strategic Plan identifies two objectives under the goal of encouraging healthy behaviors:

  • Improving nutrition and increasing physical activity

  • Reducing tobacco use and secondhand smoke exposure

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Community Forums: Food, Fitness, and Our Kids

In response to the growing childhood obesity epidemic in our state, the Board convened a number of organizations including the Washington State School Directors' Association, the Department of Health, the Office of Superintendent of Public Instruction, the University of Washington Center for Public Health Nutrition, the Washington State Parent Teacher Association, the Washington School Food Service Association, and local health jurisdictions in three counties (Benton-Franklin, Clark, and Island) to organize a series of community meetings. These meetings provided an opportunity to discuss the far-reaching consequences of children’s inactivity and poor nutrition and share ways schools can help address this serious problem. Practical resources and information regarding these community meetings can be found online.

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Each Student Successful Summit: Exploring policies to address health disparities and the academic achievement gap

On May 18, the Board co-hosted a day long summit on health disparities and the academic achievement gap. Research has shown that the same students who are disproportionately affected by the academic achievement gap are also adversely affected by health disparities. This event brought together policy makers, educators, public health professionals, parents, students, families, and advocates to discuss policy and system changes needed to promote good health and narrow the academic achievement gap. More information.

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Immunization Advisory Committee

It is the purpose of the Immunization Advisory Committee (IAC) to provide recommendations to the Board on criteria to determine which vaccines should be required for child care center and/or school entry.

Many new vaccines for children and young adults are expected to be available over the next few years. A number of these vaccines will end up on the Advisory Committee on Immunization Practices (ACIP) Recommended Childhood and Adolescent Immunization Schedule. The board will face complex decisions about which vaccines to include in the child care/school immunization rule (WAC 246-100-166). Factors other than those considered by the ACIP will need to be considered to address the unique needs of our state. The Board believes that approaching this decision using rational criteria is the best method for protecting children and the community at large while balancing the interests of parents and families.

The IAC met three times to develop the recommendations. In addition, between the second and third meeting of the IAC a Technical Advisory Group (TAG) further refined the criteria and tested them against the pertussis antigen. The TAG comprised representatives from the fields of public health, primary care, epidemiology, and medical ethics. The IAC reviewed and further refined the TAG’s work at its final meeting in March 2006.  These criteria were presented to the SBOH at the April 12, 2006 meeting.   The board adopted the report as an interim report and asked that the TAG be re-convened to further refine the criteria and to test them against three antigens (pertussis, tetanus, and diphtheria). The TAG met on May 17, 2006.  The results of the TAG deliberations were presented to and adopted by the board on June 14, 2006. 

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Newborn Screening Advisory Committee

On September 24, 2007, an advisory committee met to review the conditions set forth in the American College of Medical Genetics’ report that are currently not included in Chapter 246-650 WAC against the Board’s five criteria for evaluating new disorders. The Advisory Committee is charged with producing recommendations on additional conditions that might be included in Chapter 246-650 WAC. This report will be presented to the State Board of Health in December of 2007. Details about this meeting and reference materials are available.

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