Policy Proposal

Changing Fayetteville, NC's Carbon Footprint along with physical readiness & education to
reduce Childhood Diabetes

Problem

My city, community, neighborhood is in need of a drastic change.  Automobile smog,
industry plants that dispel harmful gases, and environmental challenges cripple our children's
chance for maximum education, knowledge, and community involvement. Diabetes, in humans
and children, can cause stroke and heart disease especially to its minority and at-risk
communities. Considering what the negative aspects of not acting now on reducing our carbon
footprint and brainstorming the negative effects of not introducing our youth to devoted
aspects of relieving future stressful situations can be damaging to our youth, city, community,
and neighborhoods across America.  What is prediabetes?  Before people develop type 2 diabetes, they almost always have "prediabetes"—blood sugar levels that are higher than normal but not yet high enough to be diagnosed as diabetes. Doctors sometimes refer to prediabetes as impaired glucose tolerance (IGT) or impaired fasting glucose (IFG), depending on what test was used when it was detected.  This condition puts youth at a higher risk for developing type 2 diabetes and cardiovascular disease. 
 Preventing type 2 diabetes:  You will not develop type 2 diabetes automatically if you have prediabetes. For some people with prediabetes, early treatment can actually return blood sugar levels to the normal range.  Research shows that you can lower your risk for type 2 diabetes by 58% by advocating exercise for change in your community or society. I know it's going to take some city governmental persuasion of positive data towards helping everyone in the city. My dream for Fayeteville involves transforming the city through E-lanes for work commutes and cycle therapy sessons involving neighborhood pump trail tracks.  Getting such ideas into office is not going to be easy. My personal campaign to make this happen also involves competition toward healthy family exercises that will be coupled with educational pamphlet handouts  about diabetes, eating correctly, hereditary onset, & setting goals. I feel I must determine these positive avenues for human beings to better our future for families ad our children.

Alternatives

My approach to reducing Fayetteville, NC's carbon footprint is to have more electric cars, bicycle, E-scooter, roller blades, & skateboards being used to commute their way to Fort Bragg. An E-travel lane must be built to accomplish this life changing addition. This additional lane created to reduce Fayetteville, NC's carbon footprint by 50%.  This action must happen immediately with a construction cost of 7 billion dollars for this travel reduction lane to be built.  This reduction lane will be somewhat like a travel lane for E-traffic only.  Incentive for buying a bicycle, E-scooter, Electric Car, or other green ways of traveling will be tax deductible by the year. Fayetteville, NC will lead the way in this new way of thinking toward this possible future. Bicycle competitions involving pump track designed courses will be the new healthy community activity added to each neighborhood in the Fayetteville, NC.  Sanctioned bicycle, skateboard, & electric scooter pump trail races will be held for 7 to 11 year old neighborhood participants.  Each neighborhood will have a track champion.  Each track champion will have the chance to become part of a team of bicycle riders at the closest local BMX track to his or her home.  Electric scooter champions will have the opportunity to gain free access passes to the Skate Cary, in Cary, NC.

Role of Government in Protecting Public Health

The role of Government in protecting public health has dual meaning to me because of the role I play at my job at Womack Army Medical Center.  Population health methods, implementation science, & community engagement is how I'll use my learning to improve my community as time moves forward.  By providing a cognitive bike assembly pump trail race, on bicycles at Carpenter Park in Cary, NC, will be my planned engagement where I created healthy equity promotion for children. My practice of public health was realized and learned from my Dad, Roy Washington Sr.  His ability to combine life skills learning with fun & healthy roles of future prevention and health equity play important roles in my individual USA BMX coaching efforts.  My dad was a Government employee who would bring me to his job on Fort Bragg, NC to show me what he did as an Advanced Medical Laboratory Technician.  His example gave me an inner feeling that I wanted to be part of a bigger picture toward helping others.  My involvement with bicycle moto cross racing was a way to build health equity "from within" and I still relieve my daily stress in a positive way through this method.  Schultz, J.M.'s depiction of population health methods being strengthened by Governmental standard operating procedures and variable health data is what helps patients get better.  With my family having a history of heart disease, environmental exposures, & gun violence here in the United States, I'm still able to avoid these pitfalls and diseases which can be passed on to the next generation. Not only did I have the influence of my father being a Government employee, my understanding of public health through the study of current controversies is the best way to learn how Government can help people.  I remain to be the example for my current family members who may also experinece hereditary health diseases.

Understanding the Role of Government through Health Care

Understanding public health through the study of controversies helps me to connect public health and healthcare. Carney, J.K's depiction of health system changes at the state level gives a breadth & scope of individual patient issues that have evidence based on prevention, healthy habit strategy and healthy goal progression. Government implementation also involves a history of background evidence of previous findings or tools per individual which will help to improve his or her healthy outcome. Did you know that furniture or the color of a room can improve a patients outcome? (DMLSS) or the Defense Medical Logistics Standardized System is a perfect example of how I personally use Government computer tools to assist customers account for property owned by the hospital.
  In some countries like Africa obesity is a cultural norm. Nutritional aid is also given at a momnets notice to aid in different Goverment-Aid ongoings. In this country eating pork, although high in salt content, is also a African American cultural norm.  This fact leads to why African American have a higher mortality rate than Caucasions. It seems as if these history inbedded traditions have plagued us all for the worse.  After reading about the opiate prescription drug abuse epidemic going on in America now in 2022 also helped me to reflect on the crack cocaine epidemic from the 1980's and what Government involvement can do to lend a helping hand or not.  Addiction counseling via governmental agencies for individuals who have basic health care insurance is the answer to America's opiate addiction problem now unlike the crack cocaine epidemic of the 1080"s revealed mostly African American men caught in an onslot of blame becuase of the drugs use and profit made.  Most of these men were locked up unjustly or trapped into street survival with lack of know how or education to improve. Governmet programs that work transforms lives everyday.  I was a member of "Camp Jeronemo" here on Fort Bragg way back in the 1980's.  That influece still pushes me to help others.
Air pollution modeling, here in North Carolina, is regulated for environmental justice analysis in the Carolina hog industry. Here in NC, air pollution dispersion models are applied to estimate ammonia concentrations at locations downwind of hog Concentrated Animal Feeding Operations or (CAFO's).  The evaluation of disproportionately exposed children, elderly, whites and minorities is used with meteorological and CAFO data to determine ammonia concentrations at these locations and the toxic affect of these smells leaving the feeding operations.  The role of Government in protecting public health played an important role in connecting the dots for human safety. I will continue to come up with new ideas to stimulate the whole family and or individual participant.  I'm so blessed to have had the teachings by living  with my father who showed me purpose with education. My positive drive comes from He who protected me with knowledge & education. Roy Washington Sr gave me "The Example" of who I could become and also prepared me for the role of helping people everyday. My personal medical education also fills the role I play as component to a bigger system of helping patients at Womack Army Medical Center (WAMC).  

My Answer:  Cognitive Bike Assembly Pump Trail Race (C.A.P.T.R.)

This is outdoor bicycle competition, I’ve created to help reduce the diabetes disease and to involve family, is going to be held in Cary, NC at Carpenter Park's above ground pump trail.  7 -11 year old classes will be timed assembling their front tire, pedals, and seat onto their bicycles along with a timed three lap bicycle pump race on the above-ground track located at Carpenter Park on July 16th, 2022.  All children who participate will get trophies and a chance to sign up for the BMX team under Cary Action Sports.  This will be an annual event that I have signed a contract for which involved the city of Cary's Governmental process before they hired me. Come joine me on my birthday July, 16 2022 at Carpenter Park, Cary NC for this glorius day and healthy outdoor childrens competition. 

Understanding Health Literacy & Health disparity

Health Literacy and health disparity go hand in hand.  Being able to understand what the doctor suggest is a big part of understanding individual health.  Individual efforts to maintain the suggestion from the doctor is believing what the doctor suggests and that it is good for you.  Individual improvement or motivation to act on such knowledge is health Literacy.  Health disparity, because of lack of financial status or family disfunction is a subject that needs study collaboration or more detailed study and positive resolve for minorities or individuals born into this cycle. Structural and social determinants overall impact the lives of us all but to improve this disparity and lack of understanding with plain and simple "EDUCATION".  Education in the form of conceptual frameworks or individual scenarios to inform & help individuals help themselves along with real data from negative outcomes vs. individual change toward a smarter ongoing behavior with lifestyle results that will change health care for the better. 

Policy Proposal: Changing our Carbon Footprint Along w aiding to reduce Child Diabetes

Best Solution:  While advocating for this change in my society, I know it's going to take some city governmental persuasion of positive data towards helping everyone in the city.  Getting such ideas into office is not going to be easy but the While competing in these family exercises, education about diabetes, eating correctly, hereditary onset, setting goals, mentorship, & prediabetes will be available before, during, and after for family education avenues.  We must determine these positive avenues as human beings to better our future for our children.  We must light the match of education from unknowledgeable ancestral eating, thinking, and being.  The price of Fayetteville's bicycle, E-tunnel is a small price to pay for our future for our children. The competition Tanbark Racing Enterprise will bring to Fayetteville's youth will transform the athletics of our community youth.  Avoiding prediabetes because of exercise programs like the "bicycle pump trail race" will also put my city, community, and neighborhoods in the safe zone for avoiding prediabetes, type 2 diabetes, and we give the children future life skills to relieving stress in a positive way subliminally through the whole mentorship community experience.

We must light the match of education from unknowledgeable ancestral eating, thinking, and
being.  The price of Fayetteville's bicycle, travel lane is a small price to pay for our future for our
children. The competition Tanbark Racing Enterprise will bring to Fayetteville's youth will
transform the athletics of our community youth.  Avoiding prediabetes because of exercise
programs like the "bicycle pump trail race" will also put my city, community, and neighborhoods
in the safe zone for avoiding prediabetes, type 2 diabetes, and we give the children future life
skills to relieving stress in a positive way subliminally through the whole mentorship community
experience.  The North Carolina Minority Diabetes Prevention Program (NC MDPP) is a
statewide collaborative effort between local health departments, local health care providers,
and community organizations across North Carolina to keep people with prediabetes from
developing type 2 diabetes and other health problems, such as stroke and heart disease. Each
region works with multi-county collaboratives that engage, screen, and deliver the CDC lifestyle
classes to its minority and at-risk communities.  No matter where a child may be within his or
her own understanding of type 2 diabetes, prevention is controlled with healthy eating an
exercizing. Once the child developes type 2 diabetes, medication or isulin is used to manage it.
Finding helpful application or motivation to eat healthy to best suit your active lifestyle is the key.  Fittness is a key part of keeping this disease away.  Starting slowly with a key activities will keep you wanting to go back to this execise.  First, talk to your doctor to determine what level of activity you can participate in. To configure your time that you’re going to devote to your new healthy life you must Set goals.  Consider what the negative aspects of not exercising would be.  Biuld on different activities.  Start Slow and keep track of what you’re doing for weekly repitition.  Listen to your Body.  Losing 7% of your body weight (or 15 pounds if you weigh 200 pounds) Exercising moderately (such as brisk walking) 30 minutes a day, five days a week. 

Definitions

BMX: Bicycle moto Cross racing on designated sanctioned @usabmx tracks across the United States.  My home track is in Raleigh, NC but hope to have one built here in sunny Fayetteville, NC. With my ongoing learning from my NCCU Masters degree, learning and know how, I will achieve this goal.

USA BMX: Sanction I race under but was formerly the ABA or American Bicycle Association.  When I started racigng bicycles, as an 11 year old youth, the National Bicycle League was the sanction I raced on the East Coast,  The ABA tracks were spread out on the West coast.  in 2011 both the sanctions merged to  became @usabmx and I competed in the last NBL Grands in 2011.  

References: 1. Shultz,J.M. Sullivan, l.M., Glalea, S. (2021) Public Health: An introduction to the Science and Practice of Populatin Health.Springer
                   2.  Carney, J.K. (2016) Controversies in Public Health & Policy. 1s Edition
                    Semantic Scholar semanticscholar.org/paper/CAFOs-and-Environmental-Justice%3A-The-Case-of-North-Nicole/29-ed68dff61of751r36s46d852r571f2cel895

 
3.
Paper Full Text Design and Manufacturing of an Electric Vehicle for Car-sharing in
Bogota´Mendoza-Collazos, JC. IET Conference Proceedings; Stevenage  Stevenage: The
Institution of Engineering & Technology. (Apr 18, 2018  or Website
4.
Full Text VW plans to launch an all-electric car-sharing service next year TechCrunch, New
York: AOL Inc. Jul 4, 2018.
 5. Full Text Electrify America will use robots to charge self-driving EVs Fisher,
Christine.Engadget, New York: AOL Inc. Aug 1,
2019.https://www.proquest.com/hightechjournals/docview/816279677/
3E1FFFFFAF6049E2PQ/4?accountid=12713
6.
Citation/Abstract Feds revving up electric car fleet: [1]Medici, Andy. Federal Times;
Springfield, Va. [Springfield, Va]. 15 Nov 2010: 1.
7.
.https://www.proquest.com/hightechjournals/docview/2441016351/3E1FFFFFAF6049E2PQ/
6?accountid=12713

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Nancie MacIver, MD, PhD
 
Pediatric Endocrinology and Diabetes,
Amy Elizabeth
Levenson
, MD
 
Pediatric Endocrinology and Diabetes,
Ali S.  HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign=" HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source= HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign="& HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign="utm_medium= HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign="& HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign="utm_campaign=" HYPERLINK "https://safe.menlosecurity.com/https:/findadoc.unchealthcare.org/nc/wilmington/ali-s-calikoglu-md-510-carolina-bay-drive?utm_source=&utm_medium=&utm_campaign="Calikoglu
, MD