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In 2011, San Francisco passed the first citywide ordinance to improve the nutritional standards of children’s meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at ordinance-affected restaurants on restaurant response (eg, toy-distribution practices, change in children’s menus), and the energy and nutrient content of all orders and children’s-meal–only orders purchased for children aged 0 through12 years.

Health Literacy Activities by State, including state data and related links

Channing D. Sheets, MSEd1, Kathleen Harriman, PhD1, Jennifer Zipprich, PhD1, Janice K. Louie, MD1, William S.

Valley fever is a fungal respiratory disease that can be devastating. Learning about valley fever can help you and your doctor recognize the symptoms early.

Because smoking rates are high among Vietnamese men, we used data from the 2007–2008 California Vietnamese Adult Tobacco Use Survey to estimate secondhand smoke exposure and associated risk factors among Vietnamese nonsmokers. Thirty percent of nonsmokers were exposed to secondhand smoke (SHS) at home, 8% at work, 52% in bars, and 67% on a college campus. At home, odds of SHS exposure were greater for women than for men and for adults aged less than 40 years than for older adults. Odds of SHS exposure were higher for former smokers at work (among employed men) and among men when in bars. Future interventions should consider sex, age, and smoking history in efforts to prevent SHS exposure among Vietnamese adults.

Jason A. Wilken, PhD1,2, Patricia Marquez, MPH3, Dawn Terashita, MD3, Jennifer McNary, MPH1, Gayle Windham, PhD1, Barbara Materna, PhD1 (Author affiliations at end of text).

Paula Kriner, MPH1, Karla Lopez, MD1, Jessica Leung, MPH2, Rafael Harpaz, MD2, Stephanie R. Bialek, MD2 (Author affiliations at end of text).

Patrick Ayscue, DVM, PhD1,2, Erin Murray, PhD2, Timothy Uyeki, MD3, Jennifer Zipprich, PhD2, Kathleen Harriman, PhD2, Catheryn Salibay, MPH2, Monica Kang2, Annie Luu2, Rose Glenn-Finer2, James Watt, MD2, Carol Glaser, DVM, MD2, Janice Louie, MD2 (Author affiliations at end of text).

News of California Medicare Fraud