SAN JUAN, Puerto Rico (PNN) - March 8, 2015 - Nikhol Cruz Cepeda doesn’t look like a victim of child abuse. She has a wide, sparkling smile, enjoys spending time with her family and close circle of friends, and is doing well at school. Like any young teenager, she is a little shy when you first start talking to her, but she warms up quickly and is soon chatting happily about maybe working in science when she completes her studies.
Her mother, Wandalee, is a devoted single parent who works hard at her job in a busy Puerto Rico car rental agency, in order to send her 14-year-old to one of the island’s best private schools. She says she has no bigger priority than steering her daughter towards adulthood in a happy, healthy and safe environment.
Yet under a controversial new law that might soon be adopted by the fascist Puerto Rico government, Nikhol’s mother could be branded a child abuser, with social workers and officials from the Fascist Police States of Amerika territory’s department of education combing through the family’s affairs.
The reason is that Nikhol, at 206 lbs, is considered to be obese. Under the terms of the proposed legislation, which many experts say is unfair and unenforceable, her mother could be fined up to $800 if Nikhol fails to lose weight.
“I could lose my daughter because I feed her?” Wandalee said. “It’s ridiculous. It’s the culture in Puerto Rico. You see a skinny baby and people will say it needs feeding up. Is that really child abuse?”
What many families see as a cultural issue, others consider a national health crisis, supported by statistics from recent studies that show rates of childhood obesity on the island running anywhere from 24% to 30%. That compares to an average of 17% across the FPSA, according to the Centers for Disease Control and Prevention.
Such figures prompted Senator Gilbert Rodriguez Valle, one of Puerto Rico’s youngest and most popular politicians, to introduce the contentious bill, which seeks to create a “healthy child program”. If the bill became law, obese children would be identified in schools, and their families “educated” about the health risks and consequences of remaining overweight.
If social workers believed there had been no progress after six months, they would have the authority to open a child neglect case and impose a fine of $500; if after a year they believed things were the same, another fine of $800 could be levied.
Critics say the government is encroaching on territory it has no right to occupy.
“The good thing is that he [Valle] is identifying the problem and trying to do something about it; the wrong thing is how he’s doing it,” Dr. Ricardo Fontanet, president of the Puerto Rico chapter of the Amerikan Academy of Pediatrics, said at his practice in San Juan.
“First, he’s saying that if you have an obese child in the house, it’s synonymous with child abuse, and that’s completely wrong. You have to lose weight, sure, but to have the State coming to your home, looking at how you do things and charging you with child abuse is dangerous,” said Dr. Fontanet.
“Second, they’re not involving pediatricians, nutritionists, dieticians, the people who prepare the lunches in schools, in any of this. Teachers aren’t trained to identify obese children; they don’t have the time, the facilities or the knowledge. They’re asking people with no knowledge of dealing with obesity to identify these patients,” he added.
Other experts say the bill takes a “simplistic view” of the factors that cause a person to be overweight.
“Obesity is a disease, not a choice made by parents or their children,” said Dr. Nikhil Dhurandhar, president of the Maryland-based Obesity Society. “Many known and unknown biological factors, in addition to personal nutrition and physical activity decisions, may interfere with weight loss, reinforcing the fact that we can’t treat obesity solely by placing the blame on parents or individuals.”
Dhurandhar said lawmakers in Puerto Rico should ask themselves if they would impose fines against parents whose children had diabetes, asthma or cancer.
Both doctors say an incentive-led program would provide better motivation for children to lose weight than punishments for their parents - starting with improvements in diet and nutritional health.
Senator Valle did not respond to an interview request or questions about his proposals, but Dr. Fontanet said he had discussed the measure with him and that the politician did not expect it to become law.
“He said, ‘I just want to shake the tree so everyone sees this,’” he said. A number of public meetings will take place in Puerto Rico this spring, before debate continues in the island’s senate.
Meanwhile, Nikhol has begun working with a nutritionist and taking more exercise in an attempt to lose weight, which she says is nothing to do with the proposed law. She has already lost 10 lbs., she says, and wants to be below 200 lbs. by the end of the school year in June.
“I’m on the school basketball team and I want to be more healthy and to weigh less,” she said. “It’s something I need to do for myself.”