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The Dr. Hyman Show

Why Being Sick and Overweight Is Not a Personal Choice with Dr. Sonia Angell

The Dr. Hyman Show

Dr. Mark Hyman

Nutrition, Medicine, Health & Fitness

4.59.1K Ratings

🗓️ 27 March 2019

⏱️ 58 minutes

🧾️ Download transcript

Summary

Our food and healthcare systems are broken; they are not serving public health and are even putting certain communities at a disproportionate risk. We are up against social, economic, environmental, and political dysfunctions that contribute to chronic disease. Heart disease, cancer, and stroke are the leading causes of death, and premature death at that, in the US. These diseases all have several risk factors in common, like smoking, physical inactivity, and poor diet, which policy often views simply as personal choices. But you can’t make healthy choices if you don’t have healthy choices available. There are social and cultural inputs at play and many reasons we need to begin looking at health beyond the individual and on a community and population-based level. Today’s guest on The Doctor’s Farmacy is the perfect person to weigh-in on these issues. Dr. Sonia Angell is a Deputy Commissioner at the New York City Department of Health and Mental Hygiene (DOHMH), overseeing the Division of Prevention and Primary Care. Throughout her career, she has overseen nutrition-related policy initiatives, including restricting trans fat use in NYC restaurants, launching the National Salt Reduction Initiative, establishing food procurement nutrition standards for NYC government agencies, and establishing sodium warning labels in chain restaurants and expanding calorie labeling regulations.

Transcript

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0:00.0

Welcome to the doctor's pharmacy. I'm Dr. Mark Hyman. This is a place for conversations

0:08.5

that matter. And I think this conversation today will really matter with Dr. Sonia Angel,

0:12.7

who's the deputy commissioner of the New York City Health Department in mental hygiene

0:16.4

and has done extraordinary work in her life. We're going to talk about it all. I'm really

0:20.0

thrilled to be here with her. She oversees the division of prevention and primary care

0:24.6

at the New York City Department of Health in mental hygiene. She's overseen nutrition and

0:29.1

policy initiatives across the government. She's been involved in restricting trans fats

0:33.4

in the New York City restaurants, which is then spread across the country. She's led a

0:37.0

national initiative around national salt reduction and established food procurement standards

0:42.0

for the New York City government agencies, meaning the government buys a lot of food. And

0:46.0

are they going to buy junk? Are they going to buy stuff that promotes health? And they

0:48.8

have the ability to do that. She's also helped move forward and changing labeling around

0:55.2

sodium and chain restaurants and expanding calorie label regulations. She's a practicing doctor.

0:59.9

She's board certified internal medicine. She's on the faculty of Columbia. And she went to UCSF

1:05.9

medical school. I did my residency there as well. She did her residency at Brigham and

1:09.6

Women's. She's got a diploma in tropical medicine hygiene from the London School of Hygiene

1:15.0

and Tropical Medicine and Masters in Public Health. You must have been in school for a long time.

1:20.8

She was a senior advisor for the global non-communicable disease at the CDC. And

1:25.0

non-communicable disease is basically hard to see diabetes. I don't think they're non-communicable.

1:28.7

I think they're very contagious and driven by the social environments in which we live.

1:32.4

And she's also Robert Wood Johnson clinical scholar and a fellow of the Aspen Institute Health

1:36.5

Innovators program. Quite a resume. And we met at this conference called Food for Thought,

...

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