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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