Dr. Eliseo J. Pérez-Stable, the Director of the National Institute on Minority Health and Health Disparities (NIMD) at the NIH at the April Grand Rounds

                                                                                      Photo via NIH website.

This post is written by Emily Oppenheimer, Program Coordinator for the Partnership for a Healthier Bronx.

On Friday, April 8th, Dr. Eliseo J. Pérez-Stable, the Director of the National Institute on Minority Health and Health Disparities (NIMD) at the National Institutes of Health (NIH) presented on Health Equity. His presentation, “Reducing Disparities in Health Outcomes: The NIMHD Agenda on Equity,” was the April Grand Rounds feature of the Department of Family Medicine and Community Health at the Icahn School of Medicine at Mount Sinai. Dr. Perez- Stable was invited by Neil Calman, MD, President and CEO of The Institute for Family Health and Chair of the Department of Family Medicine at Icahn School of Medicine.

Dr. Pérez-Stable shared his optimistic, yet pragmatic views on shifting internal medicine approaches to reduce health disparities. His presentation examined the cultural, environmental, and biological factors and emphasized five ways to reduce health disparity in healthcare settings: (1) expand access, (2) public health consensus, (3) coordinated care, (4) patient-centered care and (5) performance measurement. Primary care works, and access to care makes a difference. He argued that comprehensive systems changes can target health issues and shift disparity.

An important point made by Dr. Pérez-Stable with particular resonance to Bronx Health REACH, given that 90% of the Bronx population is Black and Hispanic, was his statement that even though 40% of the U.S. population qualifies as racial/ethnic minorities, health equity is simply social justice and common sense.

Looking ahead, Dr. Pérez-Stable explained that NIMHD will be looking to collaborate more with the Agency for Healthcare and Quality (AHRQ), diversifying the biomedical workforce, enhancing cultural competence in care, examining structural racism, and focusing research on mental health and epigenetics. Bronx Health REACH is excited to learn that the National Institutes of Health has invigorated efforts and refined its focus on reducing health disparities.

To learn more, visit the National Institute on Minority Health and Health Disparities(NIMD) website.

Bronx Health REACH Applauds Mayor de Blasio’s FY17 Budget Allocation for Physical Education in NYC Elementary Schools

Bronx Health REACH is thrilled about Mayor de Blasio’s budget allocation for physical education in NYC elementary schools.  As Comptroller Stringer mentioned in his “Dropping the Ball” report, many NYC schools have not been meeting the state mandates for physical education, due to a number of challenges such as insufficient numbers of certified physical education instructors, limited training for existing teachers, and space constraints. Now, with this investment into physical education for NYC’s schoolchildren, Bronx Health REACH and the Phys Ed for All Coalition can work together with the NYC Department of Education Office of School Wellness to identify ways to fill the gaps in schools lacking Comprehensive School Physical Activity Programs (CSPAP), which includes physical education, before and after school physical activity, active recess, classroom physical activity breaks, and parent and community engagement.

In 1893, Thomas D. Wood, pioneer in health and physical education, stated: “The great thought of physical education is not the education of the physical nature, but the relation of physical training to complete education, and then the effort to make the physical contribute its full share to the life of the individual.”

Public schools are responsible for preparing pupils to become complete citizens that will propel our society towards new heights. As part of becoming well educated and self-directed citizens, there must be knowledge, skills, capacities, and values along with the enthusiasm to maintain a healthy lifestyle into adulthood. For many Bronx schools burdened with the effects of childhood obesity, children need to learn at an early age how to practice, and adopt a healthy lifestyle, eating fruits and vegetables, exercising daily, and coping with stress. These are life skills that will be a mainstay throughout the course of an individual’s life. Like the right to education, the right to a complete and effective physical education is a right of every student.

Bronx Health REACH has partnered with over 20 schools in districts 7, 8, 9, and 12 in the South Bronx to more closely examine wellness policies and environments. We have discovered in School Districts 7 and 12, districts which have not yet received intensive support on CSPAP implementation from the Department of Education, the impact of the PE deficit.  In District 7, public schools face the highest rates of childhood obesity in New York City.  Several schools are unable to offer daily physical education because of the challenges of co-location, declines in quality of equipment from wear and tear, and the lack of adequate budgeting to not only fund new programs but to increase students’ access to activity before and after school, and most importantly—meeting the Centers for Disease Control and Prevention’s standards for daily recommended physical activity.

Schools in District 7 have responded by partnering with community based organizations such as the National Football League’s Fuel Up to Play 60 initiative, Cookshop, and others. However, the need for integrated physical education programs to support wellness initiatives in schools is sorely lacking. These schools will greatly benefit from Mayor Bill de Blasio’s approval of increased spending for physical education programs in elementary schools.

In District 12, co-location is equally challenging for both students and physical education instructors. Furthermore, one school has outdated facilities that cannot serve a campus with over 500 students from grades kindergarten through eighth grade. A physical education instructor who asked to remain anonymous paints a picture of the situation, “Health and wellness are not taken seriously in my school—it is essentially an afterthought. This has been the mindset for years and this—I believe—begins with a lack of commitment at the city level.” Another PE Instructor residing in upstate New York agrees, “Yes, the funding [for physical education at their school] is much less than where I live—I think that contributes to how healthy students are.”

With strides made in the PE4All Campaign and Mayor de Blasio’s receptivity to fund physical education, Bronx Health REACH and the Phys Ed for All Coalition hope health and wellness begins to be treated as a right and made a high priority in our schools.