Weekly Wire: July 13, 2019

Weekly Wire: July 13, 2019

The Staying Abreast: Weekly Wire e-Newsletter is a compendium of news, actions, and resources considered to be of interest or relevance to the breastfeeding field. The newsletter aims to support the USBC's mission "To drive collaborative efforts for policy and practices that create a landscape of breastfeeding support across the United States." Included items are submitted for consideration or identified by the USBC e-news team via extensive online review. Whenever possible, the newsletter utilizes language directly from the primary source of an item without additional analysis or edits. In some cases, the USBC offers additional perspectives through the "USBC Insights," media and partner highlights, and the "News & Views" section. Inclusion of an item in the e-newsletter does not imply endorsement or support by the USBC of an item or organization, unless specifically noted.

In this Issue:

  • USBC Updates
    • National Breastfeeding Month Resources and Materials
    • Power Tools Webinar on Developmental Evaluation
    • Breastfeeding Public Health Partners Toolkit
    • Small Airport Mothers' Rooms Act Organizational Sign-On Letter
  • International News
    • ​Family Friendly Policy Research, summarized from UNICEF
  • National News​
    • Guidelines on Eating Fish While Pregnant and Breastfeeding, summarized from FDA
    • Revised Position Paper on WIC Promotion and Support of Breastfeeding, summarized from NWA
    • Report on Receipt of Breast Milk by Gestational Age, summarized from CDC
    • #SafeSleepSnap Webinar, summarized from CDC
    • Recording of Grand Rounds Session on Nutrition, summarized from CDC
    • Federal Employee Paid Leave Act Introduced into NDAA, summarized from Congress
    • Court Hearing Held on Constitutionality of the ACA, summarized from Courts
    • Coast Guard to Reimburse for Breast Milk Shipping, summarized from USCG
    • Roundtable on Obesity Solutions Webinar, summarized from NASEM
  • State/Community News​
    • Funding Awarded to Develop Breastfeeding Strategic Plan, summarized from New Jersey
    • Paid Family and Medical Leave Signed Into Law, summarized from Connecticut
  • Equity Lens​
    • Transgender Inclusive Healthcare Webinar, summarized from NEPHTC
  • Collective Impact Connection
    • Article on Emergence and Movement Building, summarized from Tamarack
    • Article on Inclusive Community Change Efforts, summarized from Tamarack
  • News & Views

  denotes a USBC member organization news item

USBC Updates

National Breastfeeding Month Resources and Materials

National Breastfeeding Month (NBM) is one month away! The 2019 theme is Support Changes Everything. There are four sub-themes focusing on the following:

  • Week 1: Empowered Parents & Partners
    • August 1-7 is also World Breastfeeding Week. The theme of World Breastfeeding Week is Empower Parents, Enable Breastfeeding.
  • Week 2: Investing in our Future
  • Week 3: Workplace & Work Life (or School Life)
  • Week 4: Black Breastfeeding Week. The theme of Black Breastfeeding Week is The World is Yours: Imagine. Innovate. Liberate.

Learn more about the weekly themes and relevant materials on the National Breastfeeding Month 2019 webpage. We are currently soliciting news, tools, and resources for NBM. Please submit using our online form. Posters, postcards, and stickers showcasing the 2019 NBM theme are available through the USBC's online store. Explore the full range of products—there's plenty of time to order before August!

Power Tools Webinar on Developmental Evaluation

Join the USBC and Kimberly Broomfield-Massey on Wednesday, July 17, from 2-3:30 p.m. ET for a webinar titled "Designing Evaluations for Systems Change." Presented as a part of the "Power Tools" webinar series, speakers will discuss developmental evaluation and how it can support innovative and adaptive processes. The purpose of developmental evaluation is to inform and support innovative and adaptive processes. It is the process of asking evaluative questions and gathering and reporting data to support intervention customization based on rapid feedback. Register for the webinar series.

Breastfeeding Public Health Partners Toolkit

In partnership with the Breastfeeding Public Health Partners (BPHP), the USBC has launched the "Communities and States Identifying and Actualizing their Roles in Breastfeeding Support" toolkit. The toolkit aims to improve working relationships between State and Local health departments, State, Local, Territorial, Tribal and Cultural Breastfeeding Coalitions; community-based organizations; and stakeholder groups. The purpose of the toolkit is to facilitate partnerships and opportunities to advance health equity by improving the reach and impact of existing resources and currently-funded investments in breastfeeding support, enhancing capacity to identify and address inequities in breastfeeding support, and integrate breastfeeding into the broader public health agenda.

Small Airport Mothers' Rooms Act Organizational Sign-On Letter

USBC has launched a sign-on letter in support of the Small Airport Mothers' Rooms Act of 2019 (H.R. 3362). The bill would amend last year's Federal Aviation Administration (FAA) reauthorization bill to require small hub airports to provide a private, non-bathroom space in each terminal for mothers to express breast milk. The space must be accessible to persons with disabilities, available in each terminal building after the security checkpoint, and include a place to sit, a table or other flat surface, and an electrical outlet. The bill would also require small airports to provide a baby changing table in at least one men's and at least one women's restroom in each passenger terminal building. These requirements are already in place for large and medium hub airports through the Friendly Airports for Mothers Act. Organizations can sign on using our online form before the deadline on Monday, July 15. 

International News

Family Friendly Policy Research, summarized from UNICEF

The United Children's Fund, Office of Research—Innocenti has published a report titled "Are the world's richest countries family friendly? Policy in the OECD and EU." The report looks at family-friendly policies in 41 high- and middle-income countries using four country-level indicators: the duration of paid leave available to mothers; the duration of paid leave reserved specifically for fathers; the share of children below the age of three in childcare centers; and the share of children between the age of three and compulsory school age in childcare or preschool centers. The United States is the only Organisation for Economic Co-operation and Development (OECD) country without nationwide, statutory, paid maternity leave, paternity leave or parental leave. Media highlights include:

National News

Guidelines on Eating Fish While Pregnant and Breastfeeding, summarized from FDA

The U.S. Food & Drug Administration has announced updated advice about eating fish for women who are or might become pregnant, breastfeeding mothers, and young children. The revised advice highlights the many nutritional components in fish, many of which have important roles in growth and development during pregnancy and early childhood. While the advice categorizing fish based on their mercury levels has not changed, the revised document further promotes the science-based recommendations of the Dietary Guidelines for Americans on the importance of fish in healthy eating patterns.

Revised Position Paper on WIC Promotion and Support of Breastfeeding, summarized from NWA

The National WIC Association has released a revised version of its position paper, "WIC's Promotion and Support of Breastfeeding: Making Breastfeeding Accessible and Equitable for the WIC Population." The position paper replaces the previous version titled "Breastfeeding Promotion and Support in the WIC Program." The new publication highlights breastfeeding successes in WIC, discusses how WIC addresses health equity, and explores opportunities through which the WIC program can achieve broad and consistent breastfeeding support for all mothers.

Report on Receipt of Breast Milk by Gestational Age, summarized from CDC

The Centers for Disease Control and Prevention have published a report titled "Receipt of Breast Milk by Gestational Age— United States, 2017." Released as part of the Morbidity and Mortality Weekly Report series, the report includes analysis of 2017 birth certificate data from 48 states and the District of Columbia (3,194,873; 82.7% of all births) to describe receipt of breast milk among extremely preterm (20–27 weeks), early preterm (28–33 weeks), late preterm (34–36 weeks), and term (≥37 weeks) infants with further stratification by maternal and infant characteristics. Term infants were more likely to have received breast milk than were preterm infants, with percentages increasing with gestational age: 71.3% of extremely preterm infants, 76.0% of early preterm infants, 77.3% of late preterm infants, and 84.6% of term infants. Hospital implementation of policies and practices that ensure that all mothers and their infants receive support for breast milk feeding and that preterm infants receive breast milk as soon as is medically feasible might help reduce these disparities.

#SafeSleepSnap Webinar, summarized from CDC

Join speakers from the Centers from Disease Control and Prevention, First Candle, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development on Monday, July 15, from 12-1 p.m. ET for a webinar to discuss the 2019 #SafeSleepSnap photo activity. Speakers will give an overview of the toolkit they plan to share that will help inform how organizations can conduct a #SafeSleepSnap activity during SIDS Awareness Month in October.

Recording of Grand Rounds Session on Nutrition, summarized from CDC

The Centers for Disease Control and Prevention have released a video recording of the June session of the Public Health Grand Rounds titled "Maternal, Infant and Early Childhood Nutrition — The Thousand Day Window of Opportunity." The session explored how a woman's nutrition during the period from pregnancy through a child's second birthday can impact both her own health and the child's health, identified strategies that support women to breastfeed, and provided recommendations regarding an infant's transition to the family diet

Federal Employee Paid Leave Act Introduced into NDAA, summarized from Congress

The House of Representatives has passed the National Defense Authorization Act (NDAA) for Fiscal Year 2020. The NDAA included an amendment based on the Federal Employee Paid Leave Act (FEPLA) which would provide 12 weeks of paid leave for the birth, adoption or foster placement of a new child; to care for a spouse, child or parent; for particular military caregiving and leave purposes; and for personal health reasons to federal workers who are eligible for job protected, unpaid leave under the Family and Medical Leave Act (FMLA). Highlights from the field include:

Court Hearing Held on Constitutionality of the ACA, summarized from Courts

The Fifth Circuit Court of Appeals has held a hearing in Texas v. United StatesThe hearing was on whether to affirm or reverse a district court decision that declared the Patient Protection and Affordable Care Act (ACA) invalid. The lawsuit alleges that after the passage of the Tax Cuts and Jobs Act of 2017, the individual mandate in the ACA is no longer constitutional. The United States District Court for the Northern District of Texas Fort Worth Division ruled in favor of the plaintiffs by determining that the individual mandate is no longer a tax and is therefore an unconstitutional exercise of congressional authority. The judge also found that the individual mandate was inseverable from the rest of the ACA, which makes the entire ACA unconstitutional. The defendents appealed this decision to the Fifth Circuit Court of Appeals. Media highlights include:

USBC Insight: The ruling will have no immediate effect on health coverage since the ACA will remain in place until the appeals have been exhausted. The Fifth Circuit ruling will likely be appealed to the U.S. Supreme Court. There are three provisions of the ACA that impact breastfeeding: health plan coverage requirements for preventive services, including breastfeeding support, supplies, and counseling; workplace breastfeeding support ("Break Time for Nursing Mothers" provision); and funding for CDC breastfeeding programs through the Prevention and Public Health Fund. Members of Congress have introduced Senate Resolution 273--Expressing The Sense Of The Senate With Respect To Health Care Rights. The Resolution asserts the right to health care including the right to breastfeeding support, counseling, and equipment. 

Coast Guard to Reimburse for Breast Milk Shipping, summarized from USCG

The United States Coast Guard has launched the Coast Guard Mutual Assistance (CGMA) Reimbursement Program to provide financial assistance to members who are faced with out of pocket costs for the shipment of breast milk while away from home due to temporary duty, being underway, traveling on government business or excused absences. The CGMA reimbursement program is open to all active duty members, including Public Health Service Officers and U.S. Navy chaplains attached to the Coast Guard, reservists on Active Duty Operational Support, and their spouses (on business travel for their job). Media highlights include:

Roundtable on Obesity Solutions Webinar, summarized from NASEM

Join the National Academies of Sciences, Engineering, and Medicine, Roundtable on Obesity Solutions on Thursday, July 18, from 12:00-1:15 p.m. ET for a webinar titled "The Potential Role of Nutrition in the First 2 Years of Life in the Prevention of Child Overweight and Obesity." Speakers will explore the role of infant and early childhood nutrition (birth to <2 years of age) related to healthy growth and the prevention of overweight and obesity later in childhood. Presentations will feature the current prevalence and trends of high weight-for-length in infants and young children, the state of the science on nutrition-related modifiable risk factors, and obesity prevention interventions that address healthy growth, with a special emphasis on reducing disparities in populations with above-average obesity risk.

USBC Insight: Breastfeeding is a proven prevention strategy. Children who are breastfed have a reduced risk of obesity. 

State/Community News

Funding Awarded to Develop Breastfeeding Strategic Plan, summarized from New Jersey

The New Jersey Department of Health has awarded the Central Jersey Family Health Consortium $114,000 to partner with the New Jersey Breastfeeding Coalition to develop a statewide Breastfeeding Strategic Plan for New Jersey. The plan will serve as a blueprint to coordinate government efforts and mobilize diverse stakeholders and prioritize actions to improve the state's breastfeeding rates. Priorities include increasing breastfeeding initiation and duration and increasing statewide lactation support. The statewide Breastfeeding Strategic Plan will also focus on alleviating barriers to breastfeeding among families of color and other underserved populations, including WIC and Supplemental Nutrition Assistance Program participants.

Paid Family and Medical Leave Signed Into Law, summarized from Connecticut

Connecticut Governor Ned Lamont has signed S.B. 1, a paid family and medical leave bill into law. When it goes fully into effect in 2022, the new state program will provide up to 12 weeks of family and medical leave, job-protected for those who have been employed for at least three months. To help make taking paid leave affordable for lower-income families, it includes a wage replacement rate of up to 95 percent for people with low incomes. The new program also features an inclusive definition of family, including any individual related by blood or affinity with the equivalent of a family relationship, and it covers paid leave for military exigency and organ or bone marrow donation in addition to new child bonding, family caregiving, and personal medical purposes.

USBC Insight: Connecticut is one of several states with paid family and medical leave programs. Learn more about the features of each program with the National Partnership for Women & Families "State Paid Family and Medical Leave Insurance Laws" chart.

Equity Lens

Transgender Inclusive Healthcare Webinar, summarized from NEPHTC

Join the New England Public Health Training Center on Tuesday, July 16, from 12-1 p.m. ET for a webinar titled "Creating Transgender Inclusive Healthcare Environments." The presentation is designed to support public health and healthcare professionals to develop inclusive environments for transgender and gender diverse individuals. Speakers will review current terms and methods for collecting useful and affirming demographic data and discuss the steps taken and strategies used to create an integrated trans health care program in a Federally Qualified Health Center in Rhode Island.

Collective Impact Connection

Article on Emergence and Movement Building, summarized from Tamarack

The Tamarack Institute has published a blog post titled "Emergence and Movement Building." The author highlights how embracing an emergence mindset and movement building are connected to each other. The article identifies nine practices for engaging in a constantly moving context and describes what is required for building or committing to a movement.

Article on Inclusive Community Change Efforts, summarized from Tamarack

The Tamarack Institute has published a blog post titled "Think Large, Act to Enable Small." The author reflects that the small, continuous efforts of many will be what reshapes our communities to be inclusive and asset-based.

News & Views

 AMCHP Pulse: "It Takes a Village"

And I'd rather be breastfeeding (blog): "Overcoming language barriers in lactation service"

Harvard Business Review: "The Rising U.S. Maternal Mortality Rate Demands Action from Employers"

NBC 26: "HSHS St. Mary's opens first breast milk dispensary in Northeast Wisconsin"

St. Louis Post-Dispatch: "Breastfeeding suites to open at Lambert Airport in August"

TIME: "Pregnant Teens and Young Mothers Are Especially Vulnerable During Border Crisis"

WTHI-TV: "'They just helped a lot, it feels like home here...' Early Head Start Program gets grant to help more families in Terre Haute"

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