The Carbon Footprints of U.S Diets

“The Carbon Footprints of U.S Diets: New Research Linking Environmental Impacts to Food Choices and Diet Quality”

Tulane Center of Excellence in Maternal and Child Health, Tulane Prevention and Research Center and the American Public Health Association will be hosting a webinar on May 16th, 2018 12pm – 1:30pm CST.

Lead by:

Diego Rose, PhD, Tulane University, School of Public Health and Tropical Medicine and

Martin Heller, PhD, University of Michigan, School for Environment and Sustainability

If you would like to join the on-campus group viewing, it will be held on the 22nd Floor of the Tulane Downtown Tidewater Building, 1440 Canal Street, Room 2212.

If you are unable to join the group viewing, we recommend joining remotely. Please register using the link

If you are unable to attend the webinar, a recording will be available after the event at the CEMCH blog, the Tulane PRC website and the APHA webinar page.

About the Webinar

Agriculture is a major contributor to climate change, representing 30-40% of greenhouse gas emissions (GHGE) globally, and about 10% in the US.  Individual dietary choices contribute to this problem by influencing what gets produced. Our research addresses the environmental impacts of individual food choices in the US and their implications for diet quality. We developed an approach to link environmental impacts of foods to 24-hour recall data on adult diets reported in the 2005-2010 National Health and Nutrition Examination Survey (NHANES). We constructed a distribution of the carbon footprint of 1-day diets by ranking diets from low to high impact. Those in the top quintile (i.e. high impact diets) had a carbon footprint close to eight times that of the bottom quintile. Shifting the top quintile diets to the mean resulted in a significant overall reduction in national GHGE. After scaling for energy intake, we examined the differences in food and nutrient content, and overall diet quality of these high and low-impact diets. The bottom quintile (i.e. low impact) diets scored better on vitamin E, fiber and saturated fat, but not on calcium, vitamin D, and potassium. Overall diet quality as measured by the Healthy Eating Index was better in the low impact group. These results suggest that food patterns with lower carbon footprints have a better overall diet quality and are more nutritious on several key dimensions. Our analyses highlight the importance of utilizing individual dietary behaviors rather than just population means when considering diet shift scenarios and set the stage for further policy and scenario simulations aimed at aligning environmental and nutritional outcomes. Attendees will learn how to 1. Explain what is meant by a carbon footprint and how to calculate it for specific foods.2. Describe the relationship between individual dietary choices and GHGE from food in the US context. 3. Explain the link between the GHGE of a diet and its overall nutritional quality

The Tulane Center of Excellence in Maternal and Child Health is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number T76MC04927 and title Maternal and Child Health Public Health Training Program. The information or content and conclusions in this webinar are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

May 7, 2018 at 12:00 pm Leave a comment

FREE Gift Community Breastfeeding Training


Thursday, May 17 2018
8:00 am – 4:00pm


East Jefferson General Hospital 4200 Houma Blvd Metairie, LA

WHAT: Learn the theory behind evidence-based maternity care practices as well as tips and tricks for how to effectively prepare mothers prenatally to receive these practices at the hospital. Provides an opportunity for networking among various community breastfeeding stakeholders.

WHO’S INVITED: This training is designed for individuals who educate staff, physicians or mothers and families about maternity care practices, including breastfeeding. Please feel free to share this invitation.








Register online:

For more information, email:

Lunch is on your own

There is no cost to attend this meeting

Nursing continuing education will be provided


April 26, 2018 at 1:57 pm Leave a comment

Reseach Assistant Opportunity

Tulane CEMCH is interested in hiring a highly motivated Student Research Assistant to work on a new Maternal and Child Health Project.  The ideal candidate is a self-starter, takes personal initiative and knowledgeable about setting up an Excel Database. Access to a car is preferred.


Contact Shokufeh Ramirez at for more information and to apply.


March 15, 2018 at 1:05 pm Leave a comment

BFH – The Gift Breastfeeding Program – Practicum Opportunity

Position: Practicum (unpaid)

Time Period:  May 2018 – April 2019 (preferred)

Background:  The Bureau of Family Health (BFH) is the recipient of the Title V Maternal and Child Health Block Grant funds and the Title X Family Planning Grant funds for the state of Louisiana. With these funds, the BFH manages family planning services, pregnancy prevention, mortality surveillance (Fetal, infant, child, and maternal), pregnancy and maternal and child health educational initiatives, as well as domestic violence prevention.

The BFH provides qualified public health students with a rewarding internship/practicum experience.  Students will gain valuable public health experience specific to maternal and child health and breastfeeding.  Students will provide programmatic support to a statewide breastfeeding initiative targeting LA maternity care facilities with a focus on evaluation, data collection, and analysis.

The Gift Program internship is designed to foster skilled public health professionals and advocates for maternal and child public health issues, specifically breastfeeding.  Students will learn how social, behavioral, environmental and biological factors contribute to breastfeeding outcomes and specific strategies to address policy, community, and organizational barriers to breastfeeding.  The intern will work with The Gift program manager and the Data to Action Team leader in the evaluation of The Gift program.

Detailed description of the internship

Primary Purpose:  To measure The Gift Program’s impact on breastfeeding initiation, exclusivity, and duration among women delivering in Gift designated hospitals.

Secondary Purpose: To evaluate the success of The Gift in aiding participating hospitals with the implementation of the Ten Steps to Successful Breastfeeding and to assist hospitals with achieving designation through The Gift and the Baby-Friendly Hospital initiative.


  1. Practice database design skills.
  2.  Analyze, summarize and present data.
  3.  Develop skills related to public health project management, implementation, and evaluation.


  1. Explore literature on the evaluation of the breastfeeding initiatives targetting delivery hospitals and healthcare providers.
  2. Describe design considerations for controlling for confounding factors in real-world evaluation of programs which exist in communities with multiple efforts aimed at influencing breastfeeding practices.
  3. Prepare and present reports based on aggregate and hospital-specific results to The Gift staff hospital surveys.
  4. Apply theory and strategy based communication principles across different settings and audiences.
  5. Demonstrate effective written and oral skills for communication in the process of design, implementation, and evaluation of public health programs.
  6. Assist with the production of a newsletter.

Main Responsibilities/Activites

Data and Analysis Tasks

The Gift-collected application, assessment, training and interview data and Louisiana PRAMS (2015) data, will be used for all analyses. Monitoring hospital improvements in the Ten Step process will include data entry, management, and analysis of application, assessment and survey data. Analyses will include calculation of totals and percentages. The internship is within the Data Action Team and the Community, Innovation, and Action (CIA) Team. A large part of the assignment is the preparation and communication of the findings/results and project management. The intern will be expected to prepare the results in easy to understand format and summarize what the data are “telling” us in terms of what “action” The Gift staff and participating hospitals can take to further refine their quality improvement efforts.

Administrative Function & Other

  •  Monitor and respond to emails
  • Attend and record minutes of meetings
  • Coordinate with other practicum students working on breastfeeding programs and initiatives
  • Prepare reports and newsletter
  • Data entry
  • Other tasks as assigned

Required Skills/Qualities

  • Strong aptitude for written and oral communications
  • Organized
  • Professional
  • Highly independent worker and self-motivated
  • Critical thinker
  • Foundation or interest in data management and manipulation
  • High level of competence with PPT, Excel
  • Microsoft Access skills for database and query design as well as creation of data entry forms for data input preferred
  • No specific analytic competencies are required, as they will be learned as part of the internship experience

Primary Supervisors

Jane Herwehe, MPH

1450 Poydras Street, Room 2038
New Orleans LA 70112
Epidemiology Supervisor
Louisiana Office of Public Health – Bureau of Family Health

Jane Herwehe, MPH has 24 years of public health experience. She received her Master of Public Health degree from Tulane University School of Public Health and Tropical Medicine in 1989 and has worked nationally and internationally, in program design and evaluation with an emphasis on health care access and utilization, infectious diseases, behavioral health, and public health informatics. She recently joined the staff at the Bureau of Family Health and is spearheading evaluation of select Bureau programs. In her previous position with the Louisiana State University Health System, she supervised and mentored six graduate student interns from LSU School of Public Health, Tulane University and George Washington University. With the BFH, she supervises the Data and Action Team comprised of 4 epidemiologists and 4 survey and interview coordinators for the Pregnancy Risk and Monitoring System (PRAMS). Jane designed the evaluation for The Gift Program, the Bureau’s breastfeeding initiative.

Marci Brewer, MPH

1450 Poydras Street, Rm 2032
New Orleans, Louisiana 70112
Breastfeeding Program Manager
Louisiana Office of Public Health – Bureau of Family Health

Marci Brewer received her Master of Public Health (MPH), with a focus in Maternal and Child Health, from Tulane University School of Public Health and Tropical Medicine in August 2008. Prior to moving to New Orleans to pursue her Master in Public Health (MPH) in 2006, she worked in Western Samoa in their Ministry of Health and with the Women, Infants, and Children Program (WIC) in Fairfax County, Virginia where her passion for breastfeeding as a public health issue developed. She has a strong passion and interest in breastfeeding as a public health issue and made breastfeeding and maternal and child health the focus of her MPH related studies. As the Breastfeeding Program Manager for the Bureau of Family Health, she coordinates The Gift, a hospital-based breastfeeding initiative and designation program, and also oversees the Louisiana Breastfeeding Coalition.

For more information or to apply, please contact Marci Brewer at

March 8, 2018 at 12:35 pm Leave a comment

Student Opportunity: Spring /Fall 2018

Research Assistant needed at the Mary Amelia Women’s Center. This paid student position will provide administrative and research support to our Early Head Start Child Care Partnership (EHS-CCP) Evaluation. Preference will be given to graduate-level students who are available for multiple consecutive semesters.


  • Must be available at least through the Fall 2018 semester, approximately 10-12 hours per week. The schedule is flexible.
  • Ability to maintain research databases and verify data accuracy
  • Detail-oriented and organized
  • Computer skills: data entry and proficiency in Microsoft Office particularly Excel
  • Experience programming surveys and managing databases preferred


  • Administrative and data management tasks (20%); Research support tasks (40%); Development of programmatic materials (20%); Contribute to report-writing (15%)
  • Prepare source data for computer entry; update and maintain information on designated computer systems including REDCap
  • Assist in survey design, programming, and implementation using Qualtrics online platform
  • Update and verify participant enrollment and tracking data
  • Assist in conducting qualitative interviews, synthesizing and analyzing results
  • Assist with program evaluation report-writing
  • Prepare project support documents as needed



  • To apply for this position, send a one page cover letter, resume and 2 references to Kira Wortmann at

For more information on the Early Head Start Child Care Partnership Program, visit our website:

March 6, 2018 at 1:06 pm Leave a comment

Get LinkedIn

Please join us for the second seminar in the spring Conference Series presented by the Tulane Center of Excellence in Maternal and Child Health, Tulane Career Services, Student Government Association, The Society for Young Black Public Health Professionals and the Tulane African Student Association.

What: “Get LinkedIn” presented by Catherine Pugh, Career Advisor in Tulane’s Career Services Department.

When: March 13, 2018, 12-12:45 PM.

Where: Room 1208, Tidewater Building, 1440 Canal Street, New Orleans, LA.

Learn the mechanics of setting up a Linked In profile and how to develop content, make connections and research perspective organizations.  Learn also how to effectively use Linked In as a tool in your job search and how to do advanced searches for your favorite perspective employers.

For more information, contact John Marmion at or 504 988 2090.

March 2, 2018 at 10:54 am Leave a comment

Seeing Public Health through a New Lens

One of our MPH students attended the annual meeting of the Association of Maternal and Child Health Programs (AMCHP), held February 10-13, in Arlington, Virginia. What follows is a post from one of these attendees.

By Emma Beall, BSPH

This Mardi Gras, I decided to trade in my beads for a trip to the AMCHP annual conference. The theme, Staying Focused: The Enduring Commitment of MCH to Families and Outcomes, featured several fascinating panel discussions, such as one emphasizing the importance of including fathers and men in MCH programs. Another focused on recent disasters across the U.S. – the recent wildfires, hurricanes, flooding – and rise of the opioid epidemic – as well as the threats these emergencies pose to public health.

The day before the conference officially started, I attended two skill-building sessions with other conference participants. The morning session, Transforming Health Centers into Adolescent- Centered Medical Homes, was one of my favorite parts of the conference. During this session, facilitators walked the group through specific ways health facilities can more effectively reach and serve adolescents, particularly through changes to clinic environments. Tips presented included both providing phone chargers in waiting rooms and posting confidentiality laws throughout the clinic so that teens know what they can disclose in confidence with providers – without fear of their parents finding out. Facilitators also noted the importance of extending clinic hours to allow for appointments later in the day and on the weekends in order to better reach teens. Other sessions focused on a range of topics, from preventing teen pregnancy in rural communities to improving maternal and child health using a collective impact model.

The conference ended with an inspiring keynote from Michael Lu, who previously served as the director of the Maternal and Child Health Bureau. Lu highlighted the importance of incorporating One Health into future MCH work. The Centers for Disease Control and Prevention (CDC) explains that this approach “recognizes that the health of people is connected to the health of animals and the environment.” Given the recent emergence of Zika and the readily visible impacts of climate change, from rising sea levels to severe storms, I hope that future initiatives will use this lens when aiming to address the health of mothers, children, and families.

Emma Beall is a second-year MPH student, concentrating in Maternal and Child Health. She plans to graduate in May 2018. She completed her Bachelor of Science in Public Health at Tulane University in December 2016. Her interests include preconception health, adolescent health, sexual and reproductive health, and clinic-based interventions. She enjoys yoga and exploring all that New Orleans has to offer


February 28, 2018 at 1:27 pm Leave a comment

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