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Reference Committee A:
Science and Public Health

Resolution 101a-03: Childhood Obesity
Resolution 102-03: Centers for the Treatment of Obesity

Resolution 103a-03: Physical Education in Schools
Resolution 104a-03: Nutrition Standards in Schools
Resolution 105-03: Competitive Food Standards in School
Resolution 106-03: Physicial Education in Schools
Resolution 107-03: Warning Labels on Wine Bottles
Resolution 108-03: Voluntary Smallpox Vaccination for Clinicians
Resolution 109-03: Preventive Intervetions Against Cardiovascular Disease
Resolution 110-03: Rehabilitation of Substance Abusers
Resolution 111-03: Environmental Chemical and Disease Tracking and Reduction
Resolution 112-03: Mercury in Food as a Human Health Hazard
Resolution 113-03: Toxicity of Computers and Electronics Waste
Resolution 114-03: Limitations on Residential Wood Burning Fireplaces
Resolution 115-03: Prohibition of Gasoline Powered Leaf Blowers/Weed Whackers
Resolution 116a-03: Medical Marijuana Minimum Practice Standard
Resolution 117-03: Mandatory Testing and Treatment for Mothers
Resolution 118-03: Calibration of Blood Pressure Measuring Devices
Resolution 119-03: International Ban on Tobacco Advertising
Resolution 120a-03: Publications with Tobacco Advertising
Resolution 121-03: Tobacoo-Free Pharmacies and Drug Stores
Resolution 122-03: Support for U.N. Population Fund
Resolution 123-03: Scientific Credibility of Public Health Advisory Committees
Resolution 124-03: Opposition to Racial Privacy Initiative
Report A-1-03: Policy Review

 

Resolution 101a-03: CHILDHOOD OBESITY
RESOLVED: That CMA recognize the many benefits of educating parents, children and physicians about obesity, about its treatment and about healthy lifestyles; encourage inclusion of obesity prevention in the public school curriculum; and support collaborative efforts among health organizations to promote education about, and treatment of obesity; and be it further

RESOLVED: That CMA strongly encourage the development of programs for the treatment of morbid childhood obesity financed through private and public sources.

ACTION: Substitute adopted for combined Resolutions 101-03 and 102-03 
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Resolution 102-03: CENTERS FOR THE TREATMENT OF OBESITY
ACTION: See Resolution 101a-03 
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Resolution 103a-03: PHYSICAL EDUCATION IN SCHOOLS
RESOLVED: That CMA work with health and educational entities to support measures that ensure compliance with state law mandating physical education (PE) in schools; and be it further

RESOLVED: That CMA recommend that individual physicians and county medical societies work with schools to increase physical activity and PE in schools; and be it further

RESOLVED: That CMA explore methods to protect schools from litigation when they make their facilities available to communities for after-hours physical activities.

ACTION: Substitute adopted for combined Resolutions 103-03 and 106-03.
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Resolution 104a-03: NUTRITION STANDARDS IN SCHOOLS
RESOLVED: That CMA urge that all food made available in public schools (K-12) meet scientifically based nutritional standards; and be it further

RESOLVED: That CMA support legislation and work with health organizations to strengthen existing standards established by the "Pupil Nutrition, Health and Achievement Act of 2001" (SB 19); and be it further

RESOLVED: That CMA urge physicians and local medical societies to work with their local schools to implement SB 19 standards.

ACTION: Substitute adopted for combined Resolutions 104-03 and 105-03
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Resolution 105-03: COMPETITIVE FOOD STANDARDS FOR SCHOOLS
ACTION: See Resolution 104a-03
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Resolution 106-03: PHYSICAL EDUCATION IN SCHOOLS
ACTION: See Resolution 103a-03
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Resolution 107-03: WARNING LABELS ON WINE BOTTLES
ACTION: Not adopted
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Resolution 108-03: VOLUNTARY SMALLPOX VACCINATION FOR CLINICIANS
RESOLVED: That any plans for smallpox vaccination of civilian physicians and other health workers remain voluntary at this time; and be it further

RESOLVED: That preparation be undertaken in California so that mass vaccination of the public could begin within 2 days of potential exposure; and be it further

RESOLVED: That the CMA urge CDC and other agencies to immediately undertake studies to ascertain availability, efficacy and risk/benefit ratio of smallpox vaccination, particularly in populations with increased risk factors, to provide more details regarding potential need for such vaccination, and to publish and distribute these findings as soon as possible; and be it further

RESOLVED: That invoking of mass smallpox vaccination be withheld until and unless a credible threat or confirmed outbreak occurs, and that officials provide more information regarding rationale, risks, and plans for vaccination; and be it further

RESOLVED: That any substantial vaccination mandates and program be funded adequately so as not to detract resources from existing and already strained public health efforts; and be it further

RESOLVED: That this matter be referred for national action.

ACTION: Adopted as amended
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Resolution 109-03: PREVENTIVE INTERVENTIONS AGAINST CARDIOVASCULAR DISEASE
RESOLVED: That CMA encourage and endorse CME programs designed to educate physicians on the proper use of evidence-based standard of care therapies for the primary and secondary prevention of cardiovascular disease events; and be it further

RESOLVED: That CMA encourage and endorse medical staff, ER and clinic policies and procedures that initiate evidence-based standards of care for primary and secondary prevention at the point-of-service.

ACTION: Adopted as amended
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Resolution 110-03: REHABILITATION OF SUBSTANCE ABUSERS
RESOLVED: That CMA support research on the most effective programs for rehabilitation of chemically dependent patients and on the best techniques for decreasing use of tobacco, alcohol and drugs.

ACTION: Adopted as amended
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Resolution 111-03: ENVIRONMENTAL CHEMICAL AND DISEASE TRACKING AND REDUCTION
RESOLVED: That CMA fully support the State of California's new Environmental Health Tracking Network and urge physicians and their organizations to collaborate in this important research effort, and that this program be expanded nationwide; and be it further

RESOLVED: That CMA urges that the primary findings of the 2003 CDC report on chemicals be widely disseminated to physicians and patients for education regarding clinical and public impacts of chemicals on health; and be it further

RESOLVED: That this matter be referred for national action.

ACTION: Adopted
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Resolution 112-03: MERCURY IN FOOD AS A HUMAN HEALTH HAZARD
RESOLVED: That testing of mercury content in fish be continued by appropriate agencies, and laboratory reporting of results of mercury testing be updated and consistent with current EPA and National Academy of Sciences standards; and be it further

RESOLVED: That the results and advisories of any mercury testing of fish should be readily available where fish are sold, including labeling of packaged/canned fish; and be it further

RESOLVED: That CMA encourage physicians to educate their patients about the dangers of mercury toxicity in food items, especially fish, and to advise pregnant women to limit their consumption of fish and parents to limit their children’s consumption of fish; and be it further

RESOLVED: That this matter be referred for national action.

ACTION: Adopted as amended
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Resolution 113-03: TOXICITY OF COMPUTERS AND ELECTRONICS WASTE
RESOLVED: That CMA encourage its members and California health institutions to adopt purchasing or leasing contracts only with electronics manufacturers who are committed to safely handling the products at the end of life, meaning that they reuse and recycle to the greatest extent possible, do not export hazardous electronic waste to developing countries and safely dispose of the waste that can not be reused or recycled; and be it further

RESOLVED: That CMA encourage its members and California health institutions to provide purchasing/leasing preferences to electronics manufacturers that minimize the use of toxic and hazardous constituents, use recycled content and design products that can be easily recycled in order to minimize the adverse public health impacts from electronic waste; and be it further

RESOLVED: That CMA support policies that hold electronics manufacturers responsible for taking back their products at the end of life, with the objective of re-designing their products for longevity and reduction of harmful materials; and be it further

RESOLVED: That CMA refer this issue for national action.

ACTION: Adopted
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Resolution 114-03: LIMITATIONS ON RESIDENTIAL WOOD BURNING FIREPLACES
RESOLVED: That CMA support statewide legislation that would restrict non EPA-certified wood-burning stoves and fireplaces in new urban housing and urban fireplace and wood-burning stove replacement projects.

ACTION: Adopted as amended
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Resolution 115-03: PROHIBITION OF GASOLINE POWERED LEAF BLOWERS AND WEED WHACKERS
ACTION: Not adopted
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Resolution 116a-03: MEDICAL MARIJUANA MINIMUM PRACTICE STANDARD
RESOLVED: That CMA urge the Medical Board to revise its guidelines concerning medical marijuana so that the guidelines include the requirement for a good faith exam with diagnosis, treatment and follow up recommendations, and more fully clarify and affirm the legitimate role of physicians in recommending marijuana to appropriate patients; and be it further

RESOLVED: That CMA urge the Medical Board to apply clinically appropriate standards of care to all physicians, and not to apply a higher standard of care or to require a higher degree of evidence in cases where medical marijuana is involved.

ACTION: Substitute adopted
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Resolution 117-03: MANDATORY TESTING AND TREATMENT FOR MOTHERS
RESOLVED: That CMA support immediate entry into a chemical dependency treatment program and subsequent completion for all mothers with newborns who test positive in toxicity screenings; and be it further

RESOLVED: That CMA support legislation to increase the number of effective chemical dependency treatment and rehabilitation programs in California that are targeted to meet the needs of the state’s low-income residents.

ACTION: Adopted as amended
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Resolution 118-03: CALIBRATION OF BLOOD PRESSURE MEASURING DEVICES
ACTION: Not adopted
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Resolution 119-03: INTERNATIONAL BAN ON TOBACCO ADVERTISING
RESOLVED: That CMA support a national and international ban on tobacco advertising; and be it further

RESOLVED: That CMA encourage the U.S. government to include a ban on tobacco advertising in the international treaty on tobacco controls; and be it further

RESOLVED: That this matter be referred for national action.

ACTION: Adopted as amended
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Resolution 120a-03: PUBLICATIONS WITH TOBACCO ADVERTISING
RESOLVED: That CMA look for Internet resources that would inform physicians about the tobacco advertising policies of magazines and, if available, provide a link and pamphlet formatted download on the CMA website to such sites for interested physicians.

ACTION: Substitute adopted
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Resolution 121-03: TOBACCO-FREE PHARMACIES AND DRUGSTORES
ACTION: Not adopted
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Resolution 122-03: SUPPORT FOR U.N. POPULATION FUND
ACTION: Not adopted
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Resolution 123-03: SCIENTIFIC CREDIBILITY OF GOVERNMENT PUBLIC HEALTH ADVISORY COMMITTEES
RESOLVED: That CMA urge government officials at all levels to follow the existing guidelines set forth in the Federal Advisory Committee Act pertaining to the membership on scientific and public health advisory committees, and to develop more specific criteria related to scientific expertise, financial disclosure, conflict of interest and diversity; and be it further

RESOLVED: That this matter be referred for national action.

ACTION: Adopted as amended
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Resolution 124-03: OPPOSITION TO RACIAL PRIVACY INITIATIVE
RESOLVED: That CMA oppose the Racial Privacy Initiative.

ACTION: Adopted
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Report A-1-03: POLICY REVIEW
RECOMMENDED ACTION: THAT THE FOLLOWING POLICIES BE ALLOWED TO EXPIRE: Resolutions 116-85, 718a-85, 719a-85, 702a-86, 103a-87, 704a-87, 721-87, 736-87, 101-89, 713-89 and 720a-89

ACTION: Adopted
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