Wednesday, March 24, 2010

Memo to Michelle Obama: Big Food Makers Don't Give a Fructose About Our Kids


I love Michelle Obama. Her strength, professionalism, sass and savvy are enviable. And as a mom, I can only applaud her efforts to reduce the embarrassingly high obesity rates in this country. Earlier this month she spoke at the Grocery Manufacturers Association meeting and asked big food companies like General Mills, Kraft Foods and Coca-Cola to produce more healthful food. What chutzpah! Then she went one step further by asking the food companies to then market the healthy food to children, instead of the red-dye, high sodium, high calories crap they usually market to our children.


Now I can certainly understand that the First Lady has to ask everybody to join in the fight against obesity. It is certainly an all-hands-on-deck type of goal. But if she really thinks big food companies will actually do something , then I'm a little concerned. I'm hoping she figured, "well, the event is in D.C. and I won't have to miss school pick up so what the heck."


The truth is, big food makers are not going to kill their cash cow by actually making healthier food, especially when making the unhealthy stuff is so cheap and rakes in serious money. I mean, hey, if it ain't broke, why fix it? That was like asking the healthcare companies to support health care reform with a public option. It was never going to happen. These corporations are big businesses looking for a profitable business model that works. Remember the multi-billion dollar kick in the bottom line it took for the tobacco industry to actually clean up their act? Big business, no matter what public relations spin they try to put on it, only acts in their own self interest. That interest is to keep shareholders happy and CEOs happier with fat paychecks and even fatter bonuses. My child's health is the last thing on the mind.


Thankfully it is the first thing on my mind. That's why it is really my responsibility and that of every other parent to make sure their child has a healthy diet and an active lifestyle. This is particularly true in our community where studies show that almost 36 percent of black children between the ages of six and eleven are overweight, and more than 19 percent are considered obese. Among twelve- to nineteen-year-olds, 40 percent are overweight and nearly 24 percent are obese.


More importantly, we as black mothers have to set a good example by modeling healthy living and healthy eating ourselves. Our own health impacts our children from pregnancy through adulthood.


I appreciate that the First Lady has to make all the appropriate rounds (and like I said, no out of town trip required) but no parent or reasonable adult should ever expect big business (or government, for that matter) to do what we need to do for ourselves and our children. That is, take back our power as parents and as the CNO (chief nutrition officer) in our homes. When your child begs for unhealthy crap, try this novel approach and simply utter, "No!" and actually mean it. Or better say, yes, but only once in a while.


Attention world, here's how to get the food makers on board: Stop buying the unhealthy stuff. When they lose the financial incentive for making unhealthy food options then they will stop. Period. When we educate ourselves as parents so that, as Mrs. Obama noted, we don't fall for gimmicks such as a food maker marketing one healthy aspect (such as adding one gram of fiber) while doubling the calories, then they will be forced to clean up their act. Until then it's just photo opps, PR spin and back to the sodium-laden processed foods with ingredients you can't even pronounce (Someone please ask the good folks at Hooked on Phonics to produce a special edition to help us get through our food labels).


That's fine for them. But we, as moms, have plenty of work to do. Let's get down to our big business.

Wednesday, March 17, 2010

Saving Ourselves: We Need Our Village Back

I was walking in Harlem one day and I heard and saw a young African American boy, about 10 years old, being scolded by his father. Like most kids, it seemed like his father was telling him to do something he didn't want to do. The exchange escalated to the point where the father was yelling at his son and it became more intense. The rest of the conversation–-voices elevated, high intensity, passersby watching-–went something like this:


Young Black Boy: "I wish I could kill myself." (Repeat, repeat, repeat.)


Father: "Oh yeah, what good would that do?"


Young Black Boy: "At least I could be in heaven and I wouldn't have to be around you."


I stop in my tracks.


I couldn't move. The father continued to yell at the boy, while the mother stood by quietly holding onto a baby stroller.


Now I know emotional blackmail when I hear it and I could see this boy's pain in his face and in his body language. It was one of those moments when my mommy instinct told me to run over there, hug that boy and tell him millions of moms are rooting for him and his success.


I would add that this life here on earth can be beautiful and peaceful and full of possibilities. "And that, even when it isn't, you don't ever give up."


I wanted to run over to his mother with hugs as well and an understanding and empathetic look that would send the message, "I know, sister, it ain't easy" and then maybe share some of my own struggles in childrearing.


I knew none of these options was allowed.


Back in the day, it was a given in most black neighborhoods that everybody on the block or apartment building was responsible for the wellbeing of each child. Every neighbor could tell you off or tell your parents what you were up to (and their concern was welcome) and a few select neighbors may have had punishment or spanking privileges. Your child was everybody's child. Your wellbeing was everybody's well-being.


But, on that day, I knew that our "village" mentality has long disappeared and that I needed to mind my own business, stop standing on the corner acting as if I was lost (when I was really engaged in the drama) and keep it moving to my car.


I drove off very sad that day. I was sad to hear that beautiful young boy declare that he thought death could be better than his life. I was sad to know that at a time when we need other mothers, aunties, grandmothers and sometimes well-meaning strangers more than ever before to help us raise powerful and productive black children that we have rid ourselves of these traditions. To our own detriment, I believe.


At the time when we need full community support to improve our individual health as black women and to have healthier babies, we have instead resorted to isolationism and leave-me-alone-ism, followed by do-nothing-ism. It's a dangerous combination.


But on that day, I was even more upset with myself. I felt I should have said something, done something anything, despite the consequences. I even dreamed about it--my negligence haunting me in my sleep.


I wonder, if we can start showing African-American mothers that we care, understand and support each other, can we bring “the village” back? If we add community responsibility to the basic tenets of personal responsibility then would you take a stand for me to have a healthy lifestyle? If we rewrite the rules for what actually defines “my own business,” and say every African-American child is connected and if yours fails, mine fails so therefore, by some very fundamental rules of logic and humanity, it is indeed very much “my business,” can we bring it back?


Can we????

Thursday, March 11, 2010

My Sister in the Struggle to Reduce Infant Mortality


There are sisters. And there are sisters. I consider Phyllis Rabinowitz to be my sister in the struggle to save infants who never make it to their first birthday--a cause I am passionately committed to. Phyllis joined the fight after enduring a mother's worst nightmare.


On July 21, 2006, her daughter Rebecca Ava died at 8-day-old after being misdiagnosed in the emergency room. The trauma began with their ER experience.


"The doctor was so dismissive. He was like, 'This is just a common cold. I've seen children for 20 years. I've got to get to a real emergency down the hall.' . . . No matter what my husband and I asked for, the whole experience was very condescending. We knew she was sick," Phyllis recalls.


They refused to readmit her. By the next morning baby Rebecca was septic and bleeding from the nose. Phyllis will never forget the sight of her husband desperately performing CPR and the seemingly endless ride in the ambulance, but baby Rebecca didn't make it. The Rabinowitz's ordered a state autopsy, independent of the hospital, which revealed that baby Rebecca had a common enteroviral infection, not a common cold. Had baby Rebecca's symptoms been properly diagnosed and treated she would still be here today.


Instead Phyllis and her husband, Andrew, learned in the most horrible way that most emergency room physicians are not properly trained in pediatric emergency care. In fact, very few hospitals have all the necessary equipment to properly treat babies.


"Like any parent, we were profoundly sad and angry. I was in a deep depression. We started researching for answers. We knew something was not right. We learned how all ERs are not created equal when it comes to being ready to treat infants," Phyllis says.


And then, sitting in their den, with supportive friends and family, Phyllis and her husband decided to do something. The R Baby Foundation http://www.rbabyfoundation.org/index.php was born with the distinct purpose of saving as many babies lives as possible, particularly those have some sort of viral infection in their first month of life, by improving pediatric care in emergency rooms across the country.


Today their work includes, raising awareness around infant mortality and emergency room care, providing training opportunities for anyone who touches a baby, providing life-saving equipment to hospitals and parent education (check the website for a soon-to-be-released 10-page guide for parents).


I'm a proud supporter of the R Baby Foundation and I am always inspired by Phyllis' commitment to teach parents how to advocate for their children. This for me is especially important in the African American community, where the quality of the healthcare we receive is often tainted by bias, stereotypes and living in underserved communities.


This year, the MochaManual team and I will be once again participating in the R Baby Foundation's Mother's Day Run/Walk http://www.rbabyrunwalk.org/Markslist/ext/rba/home.do?masterCampaignId=3130 on Sunday, May 9th in Central Park, New York City, to raise awareness and funds to improve emergency pediatric care for babies. There are plenty of activities for the whole family. Visit www.mochamanual.com for details for our team. What a great way to start my Mother's Day!


As for life after loss, Phyllis said it best: "My baby only lived 8 days, but she's in my heart everyday. And she inspired us to help save other babies so they could live their lives."

Wednesday, March 3, 2010

Text 4 Baby! : New Service Delivers Info to Moms to Be


I'm all for getting information out to expecting moms by any means necessary--especially when it's new ways to reach African American women with the information they need to have healthy pregnancies. That's why I was really excited to hear about the new Text4Baby http://text4baby.org/ service.


At first, I thought, why didn't they have this when I was pregnant? But enough of my envy. It's great to have timely information, practical tips and friendly reminders on your mobile phone. We're always attached to them anyway. Heck, we've invented a whole new texting language that leaves many of us pausing and stumped when we have to fully type out an actual word for a work-related email.


What's even more remarkable about this project is that it represents an unprecedented coming together of the government and the private sector (pause for shocking gasps!) using new technology (double gasps!) to actually help improve maternal health among underserved women (you know what to do now).


But it's true. Text4Baby is the first ever free mobile health service in the United States, and it sends free text messages to pregnant women and new moms through their first year. It also really shows the power of mobile phones and other technology to get powerful information to people who need it most. Not everyone has a home computer, but nearly everyone these days has a mobile phone.


All you have to do is text BABY to 511411 (or BEBE for Spanish) to get three free text messages each week just right for your due date or your baby's age. These messages focus on a variety of topics related to maternal and child health, including birth defects prevention, immunization, nutrition, seasonal flu, mental health, oral health and safe sleep. Text4baby messages also connect women to prenatal and infant care services and other resources, if you need them.


Please tell everyone you know. Underserved, overserved, supersized or emphasized. This service is great for all moms!


And holds great promise of things to come. " Text4Baby demonstrates the ability of mobile phones to inform and engage people to help them live healthier lives. These same tools can be applied to many of America's big health care challenges, " said Paul Meyer, chairman and president of Voxiva, the mobile health platform provider for the service.


Here's hoping.


To make this amazing resource happen The National Healthy Mothers, Healthy Babies Coalition http://www.hmhb.org/ (I'm a big fan of their work) collaborated with White House Office of Science and Technology Policy, the Department of Health and Human Services and Department of Defense Military Health System. Johnson and Johnson is a major sponsor as is Johnson Baby. Then the wireless carriers joined the party and voluntarily agreed to distribute the text messages for free. (Participating carriers include: Alltel, Assurance Wireless, ATandT, Boost Mobile, Cellular South, Cellcom, Centennial Cellular, Cincinnati Bell, Metro PCS, N-Telos, Sprint Nextel, T-Mobile, U.S. Cellular, Verizon Wireless and Virgin Mobile USA--if you're carrier isn't on this list, switch now. It's a bad message (not text) to moms, if they didn't jump on this boat! )


There's a critical mission to be taken on to improve maternal health in this country. Infant mortality rates in the U.S. are embarrassing at best and abysmal in the African American community. And if a mobile phone, fax, wooden spoon or pot and pan can help. Then I'm all in.


ConTEXTually yours,


Kimberly