,i #aah? ,,congress #a/ ,session ,h4 ,r4 #fgdf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #ac1 #bjbc,ms4 ,c>aveo 7= h]self1 ,ms4 ,budz9ski1 ,ms4 ,sewell1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,pett]s51 ,mr4 ,c>t] ( ,l\isiana1 ,mr4 ,grijalva1 ,mr4 ,davis ( ,nor? ,c>ol9a1 & ,mr4 ,g>ca ( ,ill9ois7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to provide = a public aw>5ess campaign ) respect to iron defici5cy4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,iron ,defici5cy ,education & ,aw>5ess ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,iron defici5cy occurs :5 !re are insuffici5t am\nts ( iron 9 ! body4 ,)\t en\gh iron1 ! body _c produce suffici5t am\nts ( hemoglob91 :i* is ! prote9 t enables r$ blood cells to c>ry oxyg54 7#b7 ,m5/rual ble$+ & pregnancy are major reasons = l[] levels ( iron 9 ! body4 ,! symptoms ( iron defici5cy include fatigue1 cold extremities1 hair loss1 cognitive issues1 %ortness ( brea?1 heada*es1 & sleep disord]s4 7#c7 ,iron defici5cy (t5 goes undiagnos$ due to difficulty recogniz+ symptoms & lack ( urg5cy 9 diagnos+4 ,:5 left untreat$1 ! condition c progress to iron-defici5cy anemia4 ,?is may increase ! risk ( develop+ organ complications1 su* z an abnormally fa/ he>tbeat1 or ta*yc>dia1 & he>t failure4 7#d7 ,among pregnant wom51 iron defici5cy & iron-defici5cy anemia has be5 l9k$ to increas$ mat]nal illness1 premature bir? & l[ bir? weight among babies1 & intraut]9e gr[? re/riction4 7#e7 ,approximately #ce p]c5t ( wom5 ( reproductive age 9 ! ,unit$ ,/ates d n h a suffici5t am\nt ( iron 9 _! bodies4 ,additionally1 ne>ly #dj p]c5t ( girls & "y wom5 ages #ab to #ba are affect$ by iron defici5cy1 & #f p]c5t are iron-defici5t anemic4 7#f7 ,*ildr5 "u ! age ( two are at a high risk = iron defici5cy4 ,ab\t #f p]c5t ( *ildr5 ages #a-b h iron defici5cy4 7#g7 ,elim9at+ b>ri]s to aw>5ess1 education1 & scre5+ w assi/ 9 prev5t+ & treat+ iron defici5cy1 iron defici5cy anemia1 & relat$ heal? issues among wom5 & *ildr5 "u ! age ( two4 #c4 ,iron defici5cy aw>5ess campaign 7a7 ,9 g5]al ,section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$ by add+ at ! end ! foll[+3 7o7 ,iron defici5cy public aw>5ess campaign 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out a national campaign to-- 7,a7 increase aw>5ess ( ! importance ( iron defici5cy scre5+2 7,b7 combat misconceptions ab\t iron defici5cy1 includ+ misconceptions 9 diagnosis & managem5t ( iron defici5cy2 7,c7 increase aw>5ess ab\t miss$ diagnoses due to inadequate scre5+ te/s2 & 7,d7 increase iron defici5cy scre5+ among wom5 & *ildr5 "u ! age ( two4 7#b7 ,consultation ,9 c>ry+ out ! national campaign requir$ by p>agraph 7#a71 ! ,secret>y %all consult ) ! ,national ,academy ( ,m$ic9e1 heal? c>e provid]s1 public heal? associations1 nonpr(it organizations1 ,/ate & local public heal? dep>tm5ts1 & in/itutions ( high] education to solicit advice on evid5ce-bas$ in=mation = policy developm5t & program developm5t1 implem5tation1 & evaluation4 7#c7 ,requirem5ts ,! national campaign requir$ by p>agraph 7#a7 %all-- 7,a7 include ! use ( evid5ce-bas$ m$ia & public engagem5t2 7,b7 be c>ri$ out ?r\gh competitive grants or coop]ative agreem5ts aw>d$ to #a or m private1 nonpr(it entities ) a hi/ory develop+ & implem5t+ simil> campaigns2 7,c7 include ! developm5t ( culturally & l+ui/ically compet5t res\rces t %all be tailor$ =-- 7i7 wom5 :o are pregnant1 rec5tly gave bir?1 or are brea/fe$+2 7ii7 wom5 :o m5/ruate1 especially if m5/rual p]iods are heavy2 7iii7 wom5 :o h und]gone major surg]y or physical trauma2 7iv7 wom5 ) limit$ ,engli% pr(ici5cy2 7v7 wom5 ) ga/ro9te/9al diseases1 su* z ,celiac disease & inflammatory b[el diseases su* z ulc]ative colitis & ,crohn's disease2 7vi7 wom5 ) peptic ulc] disease2 7vii7 populations ) a high preval5ce ( iron defici5cy 7su* z ,black & ,hispanic wom572 7viii7 p>5ts ) *ildr5 "u ! age ( two2 7ix7 rural communities2 & 7x7 su* o!r communities z ! ,secret>y det]m9es appropriate2 7,d7 include ! dissem9ation ( iron defici5cy in=mation & communication res\rces to heal? c>e provid]s & heal? c>e facilities 7includ+ p$iatricians1 prim>y c>e provid]s1 community heal? c5t]s1 d5ti/s1 ob/etricians1 & gynecologi/s71 ,/ate & local public heal? dep>tm5ts1 elem5t>y & second>y s*ools1 *ild c>e c5t]s1 & colleges & univ]sities2 7,e7 be complem5t>y to1 & coord9at$ )1 any o!r ,f$]al ef=ts ) respect to iron defici5cy aw>5ess2 7,f7 include message te/+ to id5tify culturally compet5t & effective messages = behavioral *ange2 & 7,g7 include ! aw>d ( grants or coop]ative agreem5ts to ,/ate1 local1 & ,tribal public heal? dep>tm5ts to engage )-- 7i7 communities specifi$ 9 subp>agraph 7,c72 7ii7 local educational ag5cies2 7iii7 heal? c>e provid]s2 7iv7 community organizations2 or 7v7 o!r gr\ps ! ,secret>y det]m9es are appropriate to develop & deliv] effective /rategies to decrease iron defici5cy rates4 7#d7 ,options = dissem9ation ( in=mation ,! national campaign requir$ by p>agraph 7#a7 may-- 7,a7 include ! use (-- 7i7 social m$ia1 television1 radio1 pr9t1 ! int]net1 & o!r m$ia2 7ii7 9-p]son or virtual public communications2 & 7iii7 recogniz$1 tru/$ figures2 7,b7 be t>get$ to specific communities specifi$ 9 p>agraph 7#c77;,c72 & 7,c7 include ! dissem9ation ( in=mation highlight+-- 7i7 appropriate scre5+ = iron defici5cy1 includ+ ! recomm5d$ populations to be scre5$ by age range or o!r crit]ia2 7ii7 ! preval5ce ( iron defici5cy2 7iii7 symptoms ( iron defici5cy2 & 7iv7 me*anisms ( prev5t+ & manag+ iron defici5cy4 7#e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #g1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh4 4 7b7 ,report to ,congress 7#a7 ,9 g5]al ,n lat] ?an ! end ( fiscal ye> #bjbg1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! campaign "u section #cag7o7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a74 7#b7 ,qualitative assessm5t ,! report "u p>agraph 7#a7 %all include a qualitative assessm5t (-- 7,a7 ! ov]all campaign "u section #cag7o7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a72 & 7,b7 ! impacts ( ! activities conduct$ ?r\gh ! campaign1 includ+ su* impacts on iron defici5cy1 & iron defici5cy anemia1 among wom5 & *ildr5 "u ! age ( two4