PHIT Edition III_4_24Final

PUBLIC HEALTH INFORMATION FOR TEENS SPRING 2014PLUS:• ARE YOU PUMPED? SPRING IS A GREAT TIME FOR SPORTS• FOUR THINGS YOU SHOULD KNOW ABOUT YOUR BODY• UNHEALTHY RELATIONSHIPS: KNOW THE WARNING SIGNS



CONTENTSWhat is HPV and how First Things Firstdoes it concern me? You’ve probably heard about theHPV, or Human Papillomavirus, is one of importance of making a good firstthe most common sexually transmitted impression on a job interview. Manyinfections (STIs) in the United States. people lose a job as soon as they walkPage 2 in the door, before they even open their mouth! Page 11Relationships andsex Depression: a closer look Information on relationships, birth control and sex education in schools. People suffering from depression may feel Pages 4-9 unmotivated and tired from daily activities. They may withdraw from friends and family. Page 12 a note from phit mAGAZINE 445 WINN WAY - BOX 987 dr. ford DECATUR, GA 30031 We are excited to share with you our 404.294.3700 first issue of PHIT for 2014! We hope you find this publication stimulating, advisory committee entertaining and, most importantly, informative. The articles provide insight Director of community health on behaviors that can impact your health, safety and well-being, and offer easy ways and prevention services Les J. Richmond, MD, MBA you can take ownership of your health. P.H. Educator – Safe Communities J. Leigh Anderson, MPH We encourage you to seek information from your parents, your healthcareprovider and this magazine to improve your well-being. Please use the Project Specialist Patricia Bricker, MPHinformation to make informed decisions and to share what you’ve learnedwith others. Join us as we become healthy and fit! Public Health Nurse Specialist Tori Cheney, RN, MSN Sincerely, Chronic Disease Coordinator Cheryl Desbordes, MSPHS. Elizabeth Ford, MD, MBADirector Epidemiologist Jessica Grippo, MPHDeKalb County Board of Health Documentation Specialist Chesare S. Horton P.H. Education Consultant Andrea Stokfisz, MPH, CHES Health Promotion & Prevention Coordinator Brandi Whitney, MPH, MCHESconnect with us! Public Health Information for Teens (PHIT) is a product of the DeKalb County Board of Health's Health Assessment and Promotion Department. Twitter.com/@PHITmag Facebook.com/PHITmagazine YouTube.com/HealthyDeKalb 1www.dekalbhealth.net

prevent diseaseHPVHuman PapillomavirusWhat is hpv and how does it concern me? HPV, or Human Papillomavirus, Some statisticsis one of the most common sexuallytransmitted infections (STIs) in the • 79 million Americans are infected United States. Certain types of HPV with HPV.cause genital warts and cancers of • 14 million people are newly infected the mouth, throat, anus, genitals and with HPV each year.cervix (the part of the uterus that opens • 360,000 new cases of genital warts into the upper part of the vagina). are diagnosed each year.HPV is spread easily, especially • 10,300 women are diagnosed with among preteens and teens—even by cervical cancer each year.intimate skin-to-skin contact. Mostpeople become infected within two to Every year, about 17,000 womenthree years of their first time having and 9,000 men are affected bysex. Even someone who waits until HPV-related cancers. Many of thesemarriage for sex and has only one cancers could be prevented just bysexual partner can get HPV. What’s getting the HPV vaccine! This is theeven scarier is almost everyone who most important step in preventing thehas sex will get HPV at some time spread of HPV.in their life and pass it on to otherswithout even knowing it. Photo by: James GathanyHow can I avoid HPV? Girls: age 11 or 12 through age 26 Pap smears when a doctor recommends it Guys: age 11 or 12 through age 21 — usually around age 21 unless there are You can do several things to lower your signs of a problem before that.chances of getting HPV. About the vaccine side effects• The only way to completely avoid The HPV vaccine is given as three getting HPV and other STIs is to not injections over a 6-month period. The Side effects from the vaccine are mild, have sex (practice abstinence). vaccine does not protect people who including pain where the shot was given, were infected with HPV before they were fever, dizziness and nausea. Vaccine safety• If you are sexually active, be in a vaccinated. That’s why getting the vaccine continues to be monitored by Centers for relationship with someone who before having sex for the first time is the Disease Control (CDC) and the U.S. Food has sex only with you. Use latex most effective way for it to help prevent and Drug Administration (FDA). More condoms the right way every time the infection. than 46 million doses of HPV vaccine you have sex. However, they offer only have been distributed in the United States limited protection against HPV. The vaccine doesn’t protect against all types of HPV. Anyone having sex should as of June 2012. P• Doctors recommend that all girls and get routine checkups at a doctor’s officeguys get the HPV vaccine at these ages: or health clinic. Girls should begin getting —Tori Cheney, RN, MSN, Public Health Nurse Specialist, DeKalb County Board of HealthSources: Centers for Disease Control and Prevention, http://kidshealth.org and American Academy of Pediatrics.22 wwwww.wde.dkeaklbahlbehaeltahl.tnhe.ntet

sporting newsSAwpesromine gSportsAre you pumped? Spring is a great time for sports.Maybe you’ve had a break over the winter or wereplaying something else indoors. Stay at the top ofyour game by following these steps:Eat Well: Food labels can be Keep Your Coach in theconfusing, but you probably don’t need Loop: Coaches know the rightsupplements or a special diet. Eating a workouts for certain sports, butwide variety of foods is good —­ you’ll get tell them if you’ve recently beenimportant carbs, protein and fat, as well as sick or hurt and your doctorvitamins and minerals. Eat a good meal wants you to rest. Remind yourtwo to four hours before the game. Be parents to keep copies of yoursure your meals include: medical info for your coach.• Lean meat• Fruit Sleep Well: You’ll need• Vegetables at least eight and a half hours• Dairy products of sleep a night. Caffeine• Whole grain products is not your friend — it can• Nuts and beans make you jittery and keep you• Water! awake.Dress for the Weather: You Have a great season! Pmight be waiting a while at a game orhave an early practice. Layers work —Andrea Stokfisz, MPH,best — you can take off or put on warm CHES, Public Health Educationclothes over your uniform. Remember Consultant, DeKalb County Boardsunscreen! You can burn even in cloudy of Healthweather or if you have dark skin.www.dekalbhealth.net 3

LET’S TALK ABOUT SEX so you’re in a relationship Take Charge of Your Body! how to have a Healthy Sexual Relationship If you’re having sex or thinking about it, start planning now! Sexual health means knowing how to make decisions that are in line with your identity, goals and values. • It’s knowing how to prevent pregnancy and STIs (sexually transmitted infections). • It’s knowing how to make healthy decisions based on knowledge and access to health care. • It’s understanding your rights to confidentiality, even if you’re under 18. • It’s about learning what it takes to have a healthy relationship, and where to go for help if needed. 4 www.dekalbhealth.net

STOP THE VIOLENCEAre you in an unhealthyrelationship? Ask yourselfthese simple questions: Is your boyfriend or girlfriend To get help for yourself orconstantly making you check in and someone you know, contact:wanting to know where you are andwhat you’re doing? Do they get angry National Teen Dating Abuse Hotlinewhen you don’t? 1-866-331-9474 Call to be connected to a trained advocate who can help you. Does your boyfriend or girlfriend From 3 p.m. to 1 a.m., calls are answered by trained 16 to 24 year olds.say hurtful things to you and thenmake you feel like it’s your fault? Love Is Respect loveisrespect.org Is your boyfriend or girlfriend Go to loveisrespect.org where you can live-chat (IM-style) from 3 p.m. to 1 a.m.physical with you when they get with trained peer advocates.angry? Do they grab or grip your armor shove you? National Domestic Violence Hotline 1-800-799-SAFE (7233) Teen dating abuse happens often. Call anonymously and confidentially for help 24/7.In 2013, approximately one in sixteens in DeKalb County reportedbeing physically hurt by their partner.By their senior year of high school,approximately one in ten teens inDeKalb County has been forced to havesex when they did not want to. Thatmeans that, more than likely, you orsomeone you know has experiencedabuse in a romantic relationship. Teen dating abuse does notdiscriminate. Abuse happens to teens ofall races, religions, family backgrounds,ages, sexual orientations, genders andcultures. And while most abusers aremale, females can also be abusers. Abuse is about power and control, andtypically gets worse and more dangerousover time. If abuse is happening in yourrelationship, it’s not likely that it willget better or go away. If your partner isabusive, their behavior is their choice —it is never your fault or responsibility. P—J. Leigh Anderson, P.H. Educator- Safe Communities, DeKalb CountyBoard of Healthwww5.dekalbhealth.net 5

let’s talk about sexSafer is hotter... What you need • 63% of teens used condoms the last time they had sex,to know about sex that percentage goes down every year. • Among high schoolers, seniors use condoms the least. If you’re having sex, you are at risk for getting an STI • One out of five teens drank or did drugs the last time they (sexually transmitted infection) if your partner has sex had sex.with other people. STIs include Chlamydia (the “clap”),gonorrhea, syphilis and HIV. You are at an even higher risk So think about it…Wouldn’t sex be more fun if you usedif you are having sex with more than one person. Teenagers protection and avoided alcohol and drugs? There would beare more at risk because they’re less experienced than less chance of a disease or pregnancy and you’d remember theadults, don’t always have good access to health services and sex better if you’re not drunk or high.contraception, and also have risky behaviors, such as drinkingalcohol or using drugs. Don’t become part of a statistic!What Are Teens Around youDoing? DeKalb County was 6th highest in the state for pregnancy rate in females 15 to 19. In DeKalb County, 807 babies wereAccording to the DeKalb Youth Risk Behavior Survey: born in 2011 to females aged 15 to 19. That is 38 births per• Nearly half of all teens report that they have had sex. 1,000 females (aged 15 to 19).• One in five males has had sex with four or more people.• One in 10 females has had sex with four or more people.Did you know testing and treatment, pregnancy Teaching about birth controlthat there are options, and counseling. You have methods is not required. You doplaces nearby the right to confidential treatment not need your parent’s permissionto get tested and medical care, even if you are to participate in sexuality, STIfor STIs and Get under 18 In Georgia, you can get or HIV education, although yourbirth control tested for STIs and HIV and obtain school will probably send a notesupplies? a birth control prescription from home about the class. Parents can a clinic, or even your own doctor, pull you out of class if they object If you’re having sex or thinking without a parent’s permission. to what is being taught.about it, you need to know thatthere are many ways to prepare for Sex Education in Eighty-seven percent of Georgiasafer sex. Sexual health involves Georgia Schools— teens report that they have beeneverything related to your sex life How Much? taught about HIV/AIDS in school.and reproductive system. It’s best Whites (97%) are more likelyto get information from a parent Georgia law requires education on than African-American (87%) andor a school counselor, but if you sexuality, STIs and HIV/AIDS. Did Hispanic (83%) teens to reportcannot, you can go to a health care you know that your school district this.provider. A health care provider, decides which topics this educationwhether it is your private doctor covers and the grade levels in For more information on DeKalbor a health department clinic, which topics are introduced? Did County health department clinicwill provide you with accurate you know that abstinence must locations, please see page 9.information about sex, so you be taught as the only completelycan make informed decisions. effective protection againstHealth care providers also provide unplanned pregnancy, STIs andinformation about birth control, HIV?6 www.dekalbhealth.net

let’s talk about sexBirth Control: Whattype and how welldoes it work? Teens should know about birthcontrol options, even if they aren’tsexually active or considering sex.Prepared persons are likely to protectthemselves from unplanned pregnancyand sexually transmitted infections(STIs), if and when sex happens. Couples who do have sex need to usebirth control properly and every timeto prevent pregnancy. The chart belowshows how many couples will getpregnant each year based on the type ofbirth control used.Birth control method How many couples will get How well does this Can this method also pregnant in a year? method work in protect against STIs? preventing pregnancy? Abstinence None Completely effective Yes Birth control “patch” 8 out of 100 Effective No Birth control “pill” 8 out of 100 Effective No Birth control “ring” 8 out of 100 Effective No Birth control shot 3 out of 100 Effective No Female condom 21 out of 100 Less effective Yes* Male condom 18 out of 100 Moderately effective Yes* Diaphragm 16 out of 100 Moderately effective No Intrauterine device (IUD) Fewer than 1 out of 100 Very effective No Spermicide 27 out of 100 Less effective No Withdrawal “pulling out” 29 out of 100 Less effective No Not using any birth control 85 out of 100 Not at all effective NoSource: KidsHealth.org*Condoms provide some protection against STIs. Since other birth control methods do not protect against STIs, a condom should be used. Since 2003, the number of sexually active youth decreased sexual experience-- increases from 34.6% to 28.0 %. every year. The percentage ofDeKalb sexually active DeKalb County students reporting that they have Unfortunately, the rates of other had an STI has significantly adolescents has decreased. The sexual choices have increased. increased almost 50%, from 4.0%County High percentage of youth who have DeKalb County high schoolersSchoolers’ had sex decreased from 53% reported a drop in condom use, in 2009 to 7.6% in 2013. PSexual from 72% in 2003 to 63% inBehaviors in 2003 to 46% in 2013. In the 2013. Teens’ use of alcohol or —Trish Bricker MPH, Project drugs--before their most recent Specialist, DeKalb County Board same time period, the percentage of Healthand Condom of youth who first had sex beforeuse age 13 decreased from 14.5% to 9.0%. The percentage of currentlywww.dekalbhealth.net 7

let’s talk about sex Reasons to Use a Condom (EVERY time) 10. Condoms give you control over your body and can help protect your health. 9. You don’t need a prescription to buy condoms.8. Condoms don’t cost a lot of money and are free at some clinics and health departments. 7. Condoms are easy to find in supermarkets, drug stores and convenience stores. 6. You don’t need your parents’ permission to buy condoms. 5. Using condoms can help a male partner last longer before ejaculating (cumming). 4. Men and women can buy and use condoms whenever they need them. 3. Using condoms helps prevent unplanned pregnancy. 2. Using condoms helps prevent the spread of most STIs from one partner to another. 1. Using condoms shows you care about your sexual health and about your partner. Source: American Sexual Health Organization Get Free Condoms By taking a simple step, like using a condom, you can widely available to the public.protect yourself and others from HIV and other sexually transmitted infections. The Free Condom Project is aligned with the National HIV/ AIDS Strategy, the U.S. Department of Health and Human The DeKalb County Board of Health, through the Get HIPP Services, the Centers for Disease Control and Prevention’s2 HIV campaign, makes condoms available, accessible, and Enhanced Comprehensive HIV Prevention and the DeKalbfree by reaching under-served communities with high rates of County Get HIPP 2 HIV campaign.STI/HIV/AIDS and other health problems. To get free condoms from your nearest clinic, please click The Get HIPP 2 HIV campaign works with clinics, the link www.dekalbhealth.net or see page 9.community organizations and businesses to make condoms8 www.dekalbhealth.net

just say noThe N.I.C.E. Way to Say No to Sex Think everybody’s “doing it”? Think uncomfortable, it’s okay to simply say “I’magain. More than half of all high school out of here” and leave.students in DeKalb County have neverhad sex.† And of those teens that have had It is impossible to predict if or when yousex, the majority are not currently sexually will experience sexual pressure, so it is aactive.† That means that a lot of teens are good idea to think ahead and be prepared.choosing to say “no” to sex, which can be Ask yourself: What would you say? Whomtough to do. would you call for help? How would you handle a situation that made you feelHere is the N.I.C.E. way to say no to sex: uncomfortable?N... Say “NO.” Not “maybe” or “later.” C... If the pressure continues, “Change.” There is no right or wrong way to sayStand tall, speak clearly and make eye Change the topic: “Did you see the game “no” to sex. You have a choice, and if youcontact. Remember: it’s your choice and on TV last night?” Change the conversationyou’ve chosen “no.” partner: “Brandi is here. I need to go talk choose no, you can say it N.I.C.E.‡ P to her.” Change the location: “I’m goingI... Follow with an “I” statement. “I’m back into the kitchen.” — J. Leigh Anderson, P.H. Educatorgoing to wait several years before I have - Safe Communities, DeKalb Countysex.” “Sex isn’t part of my game plan right E... Exit plan. Leave a bad situation Board of Health and Alicia Parks, Youthnow.” “I’m going to wait until I marry.” immediately. Have an exit plan with a Development Division Administrator, parent, trusted adult or friend. If you feel GA Governor’s Office for Children and Families† DeKalb County Board of Health (2010), Youth Risk Behavior Survey. ‡ Source: Parents, Speak Up! U.S. Department of Health and Human Services. CENTERS DeKalb County Board of Health Centers and Services Richardson Health Center Adult health Maternal and child health Promoting healthy lifestyles 445 Winn Way • BreasTest and More • Adolescent health and youth • Exercise • Dental health development • Healthy eating Decatur, GA 30030 • Family planning • Babies Can’t Wait • Injury prevention 404.294.3700 • Refugee health • Children 1st • Smoke-free environments • Ryan White Early Care Clinic • Children’s Medical Services • Tobacco use prevention North DeKalb Health Center (HIV/AIDS) • Foster care and sports physicals • Health screenings 3807 Clairmont Rd., N.E. » Primary medical care • Dental health • Community health education Chamblee, GA 30341 » Immunizations • Health checks • Chronic disease prevention 770.454.1144 » Mental health/substance • Immunizations education abuse counseling • Mothers Offering Resources and East DeKalb Health Center » Outreach and education Education (M.O.R.E.) * Available at North DeKalb Health2277 S. Stone Mtn.-Lithonia Rd. » Peer advocacy and navigation • Perinatal care and obstetrics Center and T.O. Vinson Health Center • Sexually Transmitted Diseases • Vision and hearing screenings only. Lithonia, GA 30058 (STDs) • Right from the Start Medicaid 770.484.2600 • Travel medicine* • Pregnancy testing At the DeKalb County Board • Tuberculosis (TB) • Women, Infants and Children of Health, we envision safe, Kirkwood Health Center (WIC) healthy communities in which all 30 Warren St., S.E. Emergency preparedness individuals have access to quality, Atlanta, GA 30317 • Public health response Environmental Health Services affordable health services. 404.370.7360 • Community awareness • Body crafting permits and inspections and preparedness • Hotel and motel permits and Your Body. Your Health. Clifton Springs Health Center inspections You’re Worth It!3110 Clifton Springs Rd., Suite D Improving community health • Lead poisoning prevention • Comprehensive community • Mosquito and rodent control Decatur, GA 30034 health reports • Radon testing 404.244.2200 • Infectious disease control • Restaurant permits and • Notifiable disease reporting inspections T.O. Vinson Health Center • Outbreak investigation and control • Septic tank permits and 440 Winn Way inspections Birth and death certificates • Swimming pool and spa permits and Decatur, GA 30030 inspections 404.294.3762www.dekalbhealth.net 9

get fit Map My Run: Map My Run is built to help top runners, joggers and walkers of all ability five levels and ages. Easily track pace, distance, fitness calories and time! apps DailyBurn: DailyBurn has everything you need to get better fitness results in less time. DailyBurn’s extensive library of professionally produced workout videos are some of the best and most accessible in the industry. With great workout variety, you’ll never get bored as you get in great shape. Fooducate: Lose weight, track your progress and eat. Scan a product barcode to see what’s really in your food. Fooducate will also show you healthier alternatives.Pact: Pact can be an WaterLog: Drinkingeffective way to actually enough water each daykeep your healthy can be a challenge, butresolutions. Earn cash it’s critical to a properlyfor living healthy, paid functioning body.by members who don’t. Adequate water intakeSet your exercise and prevents dehydration,healthy eating goals cleanses the body andeach week. Manage promotes healing.how much money is on WaterLog helps keepthe line. Check in to the track of your dailygym or track workouts water intake. Drinksvia GPS. can be logged with a single tap of a button with configurable preset container amounts.10 www.dekalbhealth.net

first things firstfirst impressionsYou’ve probably heard about the importance of making a good first impression on a job interview. Many people lose a job as soon as they walk in the door, before they even open their mouth! Acceptable ladies’ attire 5 strategies to help you ace your job interview for a job interview. 1. Dress the part. The way you dress for an interview tells the Acceptable men’s attire potential employer that you will take the job seriously. It for a job interview. is not appropriate to wear jeans, t-shirts or open-toed shoes to an interview. Ladies • Don’t wear tank tops or clothes that expose shoulders, cleavage or midriff. • Dress conservatively. No cutoffs or ultra-short skirts or dresses. • Limit the amount of makeup, jewelry and perfume. Gentlemen • Wear slacks or khakis, a button-up shirt or at least a shirt with a collar, and a tie. • A jacket would complete the outfit, but it is not necessary. • If wearing dress shoes, make sure they are clean and polished. 2. Appear confident. Look your potential employer in the eye, shake his or her hand and remember good manners. If seated, don’t slouch! Lean in and listen carefully to what your potential employer is saying. 3. Be prepared. • Research the company where you are applying. This shows the interviewer that you’re smart and eager to learn. Think about: What will make you stand out from others applying for this job? Can you provide solid examples of success at school, your current job or extracurricular activities? If you do not have previous experience, use school projects or extracurricular activities to show examples of teamwork, reliability, and problem solving and organization skills. 4. Answer (and ask!) questions. You’ll probably be asked typical interview questions, such as why you’re interested in the position and what skills you offer. Don’t be afraid to ask your own questions. 5. Follow up. Send the interviewer a brief email or letter thanking him or her for taking the time to interview you. In your message, reiterate your interest in working for them. —S. Elizabeth Ford, MD, MBAwww.dekalbhealth.net 11

free your mind We all feel sad, down or discouraged at times. These are natural human emotions that are normal reactions to life’s stressors. However, when the sadness persists well beyond the immediate stressor or interferes with day-to-day function, this may be an indication of clinical depression. Depression is more than just feeling blue. Depression is a persistent state of sadness and/or lack of interest in day-to-day activities that can last for weeks, months or longer. For young people, depression may not show with sadness, but with irritability and moodiness. Clinical depression is common in teens and affects more than just your mood. It affects the way you think about the world. People with depression see themselves and the world around them through gray lenses. They are often self-critical and sensitive and may feel hopeless or helpless. People suffering from depression may feel unmotivated and drained from daily activities. They may withdraw from friends and family. They may have difficulty concentrating in school and grades may suffer. Depression also has physical symptoms, such as frequent headaches, upset stomach, lack of appetite or overeating, and trouble sleeping. Depression often goes unrecognized. Since people who are depressed are often self-critical, they may mistake themselves for a failure or slacker. Due to effects on mood, others may think that they are just being combative or not trying hard enough. Others may say “just shake it off,” which may feed into the negative thoughts of “why can’t I just get over it?” The good news is that depression is very treatable! Help is out there! Talk to your parents, teachers, counselors or other trusted adults. The Georgia Crisis and Access Line. 1-800-715-4225 This line will assist with both locating mental health services and in emergencies. —Nicole M. King, M.D., Child, Adolescent and Adult Psychiatrist, DeKalb Community Service BoardIndividuals interested in more information can call the DeKalb Community Service Board’s Central Access Line at 404-892-4646,or visit our website http://dekcsb.org/ 12 www.dekalbhealth.net

know your bodyfour things you should know about your body WAIST SIZE WEIGHT CHOLESTEROL FASTING BLOOD A large waistline nearly Obesity can contribute to High cholesterol is a major SUGARdoubles your risk of dying health problems such asprematurely because belly heart disease, high blood risk factor for heart disease. Your Fasting Blood Sugarfat sends a toxic stream of measures your risk forchemicals throughout your pressure and cancer. diabetes, a disease that entire body. can lead to blindness, heart disease, kidney failure and nerve problems.how healthy is your plate? the five food groups below are essential for a healthy dietHow much food from the dairy group is needed daily? *These amounts areGirls: 9-13 years old: 3 cups; 14-18 years old: 3 cups appropriate for individualsBoys: 9-13 years old: 3 cups; 14-18 years old: 3 cups who get less than 30How much food from the vegetable group is needed daily? minutes per day ofGirls: 9-13 years old: 2 cups*; 14-18 years old: 2.5 cups* moderate physicalBoys: 9-13 years old: 2.5 cups*; 14-18 years old: 3 cups* activity, beyond normal daily activities. ThoseHow much fruit is needed daily? who are more physicallyGirls: 9-13 years old: 1.5 cups*; 14-18 years old: 1.5 cups* active may be able toBoys: 9-13 years old: 1.5 cups*; 14-18 years old: 2 cups* consume more while staying within calorie needs.How many grain foods are needed daily?Girls: 9-13 years old: 5 ounce equivalents*; 14-18 years old: 6 ounce equivalents*Boys: 9-13 years old: 6 ounce equivalents*; 14-18 years old: 8 ounce equivalents* How much food from the protein food group is needed daily? 13 Girls: 9-13 years old: 5 ounce equivalents*; 14-18 years old: 5 ounce equivalents* Boys: 9-13 years old: 5 ounce equivalents*; 14-18 years old: 6.5 ounce equivalents* Source: ChooseMyPlate.govwww.dekalbhealth.net