(7) Seattle & King County Department of Public Health, Washington $25.5 Million (Obesity $15.5 Million, Tobacco $10 Million)
The District of Columbia will implement Live Well DC, a comprehensive wellness campaign to cultivate a culture of wellness where people live, work, learn, and play. Live Well DC will use media for public education, explore limiting tobacco access through zoning/license restrictions, restrict point-of-purchase advertising of tobacco products, support the elimination of price discounts, and provide social support through quitline and other cessation services.
To tackle the burden of obesity, the Cherokee Nation will develop local media strategies to promote healthy food and beverage choices; limit unhealthy food and beverage availability in schools; implement rm-to-school programs; adopt quality physical education in schools; increase safe, attractive, and accessible places for physical activity; adopt procurement and purchasing policies to reduce the price of healthy foods; develop prompts for healthy food and beverage items and implement menu labeling; reduce the cost of recreation services; and expand activity groups in workplaces, community gathering places, parks, and neighborhoods.
Maui will work to prevent obesity by educating residents, increasing knowledge, and raising awareness about healthy eating and active living through multiple media venues; increasing physical activity and improving nutrition through social support, culturally appropriate education and behavior change; increasing access to and consumption of local produce; restricting the availability of unhealthy foods in schools; promoting healthy foods in grocery stores; and improving active transport and public transportation infrastructure.
Indiana State Department of Health $5.4 Million
The Department of Public Health will launch a new initiative, Renew Environments for Nutrition, Exercise & Wellness in Los Angeles County (Renew LAC), to reduce the obesity epidemic in this populous region. In the area of nutrition, the initiative will implement a targeted public education campaign in an effort to reduce sugar-sweetened beverage consumption and promote healthy eating. To target physical activity, the initiative will increase capacity to implement physical education policies in schools.
(27) Kauai
Top of Page
Top of Page
(22) Nashville/Davidson County Metro Public Health Department, Tennessee $7.5 Million
(16) Orange County Health Department, Florida$6.6 Million
Top of Page
Minnesota Department of Health $5.9 Million
Jefferson Countys tobacco use prevention and cessation initiative will promote changes in policies to reduce smoking opportunities and reduce access to tobacco products. The county will encourage coverage of cessation services and products through worksite insurance and health policies. The county will also continue its efforts to highlight the negative aspects of tobacco use via an aggressive educational campaign including social networking sites.
To reduce obesity by improving nutrition and increasing physical activity, Minneapolis will improve park safety; increase youth access to transportation; improve mobility/access plans; improve the biking and walking environment and access to locally grown foods in underserved neighborhoods; provide structured mily recreational opportunities in school buildings; support access to rmers markets; and enhance Safe Routes to School.
Top of Page
Top of Page
Austin /Travis County will prevent and reduce tobacco use by working with community partners in schools, worksites, health care settings, ith-based organizations, retail settings, and the media. Key activities include assisting major health care providers and substance abuse cilities inreferring clients to telephone quitlines and other local community cessation services;reducing youth access to tobacco products and marketing; implementing educational campaigns to promote a tobacco-free lifestyle and counteract tobacco industry promotions; andpromote tobacco-free environments in worksites and othercommunity settings.
The Tri-County Health Department, the largest local health department in Colorado which serves more than a million residents of Adams, Arapahoe and Douglas Counties, will partner with schools to enhance school wellness policies and support Safe Routes to School activities. The Department will also conduct an educational campaign to raise awareness of the many benefits of healthy eating and physical activity; advise municipalities in their city planning, zoning, and transportation efforts to promote physical activity and access to healthy foods; increase signage for healthy menu items in restaurants; establish community gardens to increase access to fresh fruits and vegetables and physical activity; and support community partners in advancing additional policy, systems, and environmental changes to promote healthy eating and physical activity.
(2)Cherokee Nation Health Service Group, Oklahoma $2.1 Million (Obesity $1 Million, Tobacco $1.1 Million)
West Virginia Department of Health and Human Resources $4.5 Million
King County, including its principal city of Seattle, will implement multiple interventions to prevent obesity. Healthy eating strategies include increasing access to healthy foods in schools and childcare settings and supporting the development of healthy corner stores. To increase active living, King County and its cities will include elements in master plans that promote walking and biking, increase access to safe and accessible places for activity in schools and parks, and increase opportunities for physical activity in schools by instituting daily quality physical education and recess in grades K8.
(12) San Antonio Metropolitan Health District, Texas$15.6 Million
Top of Page
(26) St. Louis County, Missouri $7.6 Million
(35) Mid-Ohio Valley, West Virginia
The Douglas County Health Department, through the Live Well Omaha community partnership, will implement community-wide and targeted communication strategies to promote physical activity and healthy eating messages and to invite organizational commitment to policy change. The project will also focus on enhancing signage for community trails, parks, and green spaces; adding opportunities for alternate modes of transportation; expanding Safe Routes to School to include connections to public spaces such as libraries; and adding physical activity standards and limiting sweetened beverages in after-school programs. In addition, the project will increase the number of healthy food options in the community by introducing Healthy Storesa program employing product placement and pricing strategies along with community educationand a Farm to School program centered around school gardens.
(5) New York City (Fund for Public Health in New York, Inc.), New York $31.1 Million (Obesity $15.5 Million, Tobacco $15.6 Million)
The Mid-Ohio Valley will work to encourage increased physical activity among youth and adults, increase healthy food options during school events held outside the instructional day, increase the consumption of fresh fruits and vegetables by elementary school students and milies, reduce the consumption of less healthy foods and beverages while increasing the cons
(13) Tri-County Health Department, Colorado $10.5 Million
Pima County Health Department will work with Activate Tucson and other partners in a variety of activities that will increase physical activity and improve nutrition in Pima County by ensuring that residents have convenient and affordable access to safe, high-quality parks and recreation cilities; residents have improved access to affordable, healthy, locally produced food through the fostering of private and community gardens, composting cooperatives, rmers markets, and food cooperatives; schools serve as centers of wellness for students, staff, and the surrounding neighborhoods; wellness education and health promotion practices are incorporated into workplaces, health and human services organizations, and ith-based settings; and residents enjoy restaurants that provide them with information that helps them make healthy food choices. To help realize this vision, the health department will also coordinate a culturally relevant public education campaign that includes television, radio, and outdoor advertising and communications tailored to neighborhoods, schools, worksites, health and human services agencies, and ith-based organizations serving Pima County.
Top of Page
New York City will use multiple strategies to prevent obesity and improve health. To encourage consumption of healthy foods, the city will increase the availability of fresh produce, promote venues (e.g. rmers markets, mobile vendors, local bodegas) where fruits and vegetables are sold, and make produce and tap water more accessible in schools. At the same time, the city will sponsor major awareness campaigns to discourage consumption of unhealthy foods, sugar-sweetened beverages, and oversized portions. NYC will also work to set policies and create environments that reduce consumption of sugar-sweetened beverages and overly salted foods. And to get New Yorkers moving, the city will train thousands of teachers in physical education and promote active design by planners and architects. It will also use communication campaigns to encourage people to improve their health and protect the environment by biking, walking, and using the stairs instead of elevators.
(11) Pima County, Arizona $15.8 Million
(14) City of Chicago (Respiratory Health Association of Metropolitan Chicago), Illinois $11.6 Million
The Tobacco Control & Prevention Program will implement Project TRUST, which aims to further reduce smoking prevalence and decrease exposure to secondhand smoke, especially in disadvantaged communities. Activities include producing a multiceted educational campaign and encouraging comprehensive smoke-free outdoor air policies.
(3) County of Los Angeles Department of Public Health, California$32.1 Million (Obesity $15.9 Million, Tobacco $16.2 Million)
As part of theCommunity Putting Prevention to Workinitiative, the U.S. Department of Health and Human Services awarded grants to prevent chronic disease and promote wellness to 44 communities around the country on March 19, 2010.
Top of Page
The Cherokee Nation will address the burden of tobacco use by implementing 24/7 tobacco-free policies in various sectors of the community; developing product placement guidelines for Cherokee Nation businesses and a voluntary product placement program for other merchants not operated by the Cherokee Nation; supporting the elimination of free samples of tobacco and price discounts at Cherokee Nation businesses and events; and increasing access to cessation services for students and for patients of Cherokee Nation Health Services and area Indian Health Services.
Top of Page
(18) Douglas County Health Department, Nebraska $5.7 Million
Top of Page
In the area of nutrition and physical activity, Philadelphia will make healthy foods more available and affordable by dramatically expanding the number of rmers markets in low-income neighborhoods and by creating 1,000 healthy corner stores that sell fresh produce and water. Unhealthy foods will be removed from school stores and fundraisers, and a citywide pedestrian and bike plan will be completed.
Top of Page
Community-wide strategies include releasing a Food Fight educational campaign and creating an initiative to enhance infrastructure to support bicycling and walking. School-based strategies will increase student input in food and beverage choices and use student-grown produce. The project will also implement strategies that focus on neighborhoods in need by improving community policing to create safe places to walk, connecting neighborhoods to walking trails, and implementing Healthy in a Hurry corner stores to increase the availability of healthy foods in undeserved neighborhoods.
Alabama ranks as the third unhealthiest state and the second most obese state in the nation. The Jefferson County project is committed to changing environments where residents live, work, learn, and play to ensure that the healthy choice is the easy choice to make for all generations. Focused interventions include improving options for safe physical activity by supporting mixed-use land development; developing greenways to increase everyday movement and access to physical activity hot spots; improving access to healthy food and beverage options in food deserts; establishing neighborhood walking groups in low-income communities; promoting exercise as medicine through employer-sponsored flexible spending accounts; and disseminating health information through mass media and targeted radio dramas.
Orange County will implement tobacco prevention and control policy changes that will expand the smoke-free environment to all Orange County and municipal parks, reduce youth access to tobacco, and implement Ask, Advise, Refer as part of tobacco use assessments by health care providers. To accomplish these goals, Orange County will educate policy makers about the impact of usage bans (100% smoke-free policies or 100% tobacco-free policies) and zoning rCommunities Putting Prevention to Work Project Descriptions los angeles technical schoolsestrictions; increase labeling, signage, and placement to discourage consumption of tobacco; support evidence-based pricing strategies that discourage tobacco use; and implement quitline and other cessation services. Policy, systems, and environmental interventions will be implemented in schools, parks, health care provider offices, and neighborhoods to support behavior change among residents of all ages.
Top of Page
To improve opportunities for physical activity, nutrition, and active living, the San Antonio Metropolitan Health District willwork with community partners toexpand the number of public cilities, including schools that are available for after-hours use for physical activity. San Antonioalso willencourage city development projects to improve protection for vulnerable users, in accordance withComplete Streetsrecommendations. The project also will implementvoluntaryhealthy food and beverage guidelines for local restaurants and will conducttrainings for education leaders to improve physical activity and the availability of healthy foods in schools.
New York City will also expand and enhance its comprehensive tobacco control program. Proposed activities include expanding the departments campaign to educate the public and policy makers about the adverse impacts of tobacco; enhancing the citys nicotine patch and gum program to better support smokers trying to quit; and supporting interventions to benefit groups with disproportionately high rates of smoking, including individuals with mental health and substance abuse disorders, low-income residents, and young adults.
(1)Boston Public Health Commission, Massachusetts$12.5 Million (Obesity $6.4 Million, Tobacco $6.1 Million)
Top of Page
(17) Southern Nevada Health District, Nevada $14.6 Million
(24) DeKalb County Board of Health, Georgia$3.2 Million
The Commissions tobacco prevention effort will engage youth and community members in policy efforts to reduce youth tobacco use and exposure, including reducing exposure of youth and communities of color to tobacco industry marketing. A smoke-free homes initiative will result in 1,000 new units of smoke-free housing in Boston. Finally, the initiative will ensure the availability of multilingual smoking cessation services to Boston residents and build public awareness to utilize services. To ensure sustainability, the project will embed smoking cessation referral systems in electronic health records and provide training and technical assistance to health care professionals in accessing health insurance reimbursement for smoking cessation services.
(31) Healthy Portland, City of Portland Health and Human Services Department, Public Health Division
(20) Louisville/Jefferson County Metro Government, Kentucky$7.9 Million
(30) Vanderburgh County, Indiana
Communities Putting Prevention to Work Project Descriptions los angeles technical schools,Under theCommunity Initiative, the communities receiving awards are diverse and highlights of these projects are grouped below by type of project:
Located in Clark County, the project will be managed by the Southern Nevada Health District Tobacco Control Program. Specific strategies will include supporting the elimination of tobacco industry sponsorships and implementing restrictions related to minors possessing, using, and purchasing cigarettes. These changes are intended to support residents in choices to abstain from using tobacco products and to limit exposure to secondhand smoke. The programs interventions and strategies will impact all age groups in multiple sectors (i.e., schools, worksites, places of ith, communities). Practice- and evidence-based strategies will include social support in the schools and communities to reinforce the behaviors being promoted by the proposed policy and environmental changes.
Chicagos Tobacco Prevention Project will implement citywide policy strategies designed to decrease tobacco use and exposure to secondhand smoke, with concentrated efforts aimed at high-burden population groups. Population-based strategies include public education and policies to prohibit vending and restrict tobacco advertising in retail outlets and in the community. The project will increase the availability of cessation services by enhancing insurance coverage and creating health care and community systems that support tobacco control initiatives through engaging diverse communities.
Top of Page
Santa Clara Countys Tobacco Prevention and Control Program will use media and other educational strategies to counter pro-tobacco influences, support the establishment of local tobacco retail licensing requirements, limit tobacco advertising near schools, support evidence-based pricing strategies to deter tobacco use, and build greater capacity for smoking cession services. The program also will include focused efforts on populations that smoke in disproportionately high numbers and suffer disproportionately from the burdens of chronic disease.
Top of Page
Bartholomew County will promote healthy nutrition by decreasing the cost of healthy foods relative to unhealthy foods and increasing the number of organizationsadopting healthy meeting guidelines. The county will promote increased physical activity by reducing screen time in after-school programs, supporting daily physical activity in after-school programs, and increasing point-of-decision health prompts at stairwells and elevators in public venues.
The Commissions nutrition/physical activity initiative will support 1) decreased consumption of sugar-sweetened beverages; 2) increased active transit through a new bike share program and implementation ofComplete Streetspolicies; 3) improved neighborhood-based food production and distribution through environmental changes for additional community/backyard gardening and land use policies; and 4) enhanced integration of high-quality and frequent physical activity and education into the school day.
To promote improved nutrition, the County of San Diego will address regional food systems and the establishment of a San Diego-based food distribution center, link local food demand to supply, and increase access to healthy foods, especially in high-need areas. To increase physical activity, interventions will improve the built environment through integrating public health in transportation and land use planning policies. To promote healthy school environments, the county will enhance and implement school wellness and before- and after-school physical activity policies to create environments that promote nutrition, physical activity, and overall student wellness.
Top of Page
Top of Page
Top of Page
Hawaii Department of Health $3.4 Million
Top of Page
Vanderburgh County will expand the reach of its HEROES healthy schools initiative, based on CDCs Coordinated School Health Model, by adding more schools within the public system and introducing the initiative within several of the Catholic Diocese schools. On the broader community level, theMove•mentinitiative will negotiate healthy vending options, post signage in walkable areas and point-of-decision prompts in high-traffic areas, support breastfeeding in the workplace, and develop a Safe Routes to School plan.
Kauai will increase residents awareness and knowledge of healthy eating and active living through multiple media venues; increase physical activity and improve nutrition through social support, culturally appropriate education, and behavior change; increase access to and consumption of local produce including links to restaurants and grocery stores; restrict the availability of unhealthy foods in schools; promote healthy foods in grocery stores; and improve active transport and public transportation infrastructure.
Top of Page
Top of Page
(34) Olmsted County, Minnesota
Top of Page
(21) Multnomah County Health Department, Oregon $7.5 Million
Top of Page
(25) District of Columbia Department of Health, District of Columbia, $4.9 Million
Project strategies will include an educational campaign to promote healthy eating and physical activity, improved access to healthy options through implementation of school-based vending policies and community garden development, improved access to safe spaces for physical activity through school-to-community shared-use agreements, and policies to support 30 minutes of daily physical activity in after-school programs. The project also plans to expand the use of existing subsidies for community recreation, use geographic information systems (GIS) mapping to document and promote healthy eating and physical activity resources, and expand infrastructure for ith-based health ministries to provide social support for change.
(8) Cook County (Cook County Department of Public Health/Public Health Institute of Metropolitan Chicago), Illinois $15.9 Million
(6) Philadelphia Department of Public Health, Pennsylvania$25.4 Million (Obesity $15 Million, Tobacco $10.4 Million)
To promote healthy eating, the Chronic Disease Prevention Program (CDPP) will create a Healthy Active Schools Network to work collaboratively with school districts and community partners to reduce the availability of unhealthy foods and beverages and increase the availability of healthy foods and beverages. To promote physical activity, CDPP will work to increase the proportion of bike, pedestrian, public transit, and other active transportation projects rather than road-widening and expansion projects.
Nashville/Davidson County will support healthier urban design that promotes physical activity and work to increase access to other safe opportunities for physical activity. The project also will work to increase access to fresh fruits and vegetables in schools and targeted neighborhoods as well as promote increased policy, environmental, and social support for breastfeeding.
(33) Minneapolis, Minnesota
Top of Page
(15) County of Santa Clara Public Health Department, California $6.9 Million
(9) County of San Diego Health & Human Services Agency, California $16.1 Million
Top of Page
Philadelphias tobacco initiative will utilize public education campaigns and policies to promote an anti-smoking, pro-cessation climate in a city where nearly three in ten adults smoke regularly. Smokers will be encouraged to quit with assistance from the state quitline, large-scale giveaways of nicotine replacement products, and comprehensive cessation benefits through employers and insurers. Philadelphia will also seek to limit access to and marketing of tobacco products to minors.
The Healthy Lakes, Healthy Lives initiative will work with schools and community institutions in the Lakes Region to increase knowledge of and access to nutritious locally grown food. The community will increase options for physical activity in elementary schools and after-school programs; for older youth, it will create outing clubs at each middle and high school, offering opportunities to students not interested in traditional school sports to become engaged in less competitive ways of getting physically fit. To encourage increased physical activity by adults, the community will increase signage for public trails and will work with Lakes Region recreation departments, adult education centers, and private fitness cilities to offer subsidized memberships. The community also will conduct public education campaigns promoting healthy foods, healthy beverages, and physical activity opportunities.
Maine Department of Health and Human Services $4.3 Million
The Cook County initiative will include two principal components: informing state and local decision makers about evidence- and practice-based pricing and access strategies to improve nutrition and physical activity outcomes, and cilitating and empowering local-level change by providing financial and technical resources to local governments, community-based organizations, and other institutions participating in a proposed Model Communities and Model Schools program.
(10) Miami-Dade County Health Department, Florida $14.7 Million
To reduce the burden of obesity, Olmsted County will implement way-finding signage, and promote Olmsted County as a destination for recreational trails; decreaslos angeles technical schoolse the relative costs of healthy foods and beverages in community vending machines; and enhance Safe Routes to School.
Top of Page
(19) Hamilton County General Health District, Ohio$6.7 Million
The St. Louis County Department of Health will engage in a variety of interventions to decrease secondhand smoke exposure, increase smoking cessation, and reduce smoking initiation. Strategies include mounting an educational campaign to promote comprehensive tobacco control, implementing voluntary retailer advertising policies, increasing use of the quitline, increasing employer-sponsored cessation coverage, and implementing a system of tobacco use screening and counseling. Changing Tobacco Norms in St. Louis County is a collaborative effort that will promote 100% smoke-free workplaces and public venues for county residents, workers, and visitors.
Top of Page
Top of Page
The Power up Portland initiative will increase access to healthy foods and promote physical activity by establishing rm-to-school food systems; sponsoring a public education campaign to promote healthy foods and beverages; providing support for required daily structured physical activity in after-school/child care settings; taking actions designed to increase the number of safe, attractive, and accessible places for activity; increasing physical activity opportunities and signage in walkable/mixed-use neighborhoods and public transportation (e.g., through bike lanes/boulevards); cilitating increased use of parks and cilities through subsidization of membership; and cilitating increased physical activity through Safe Routes to School programs.
(4) Jefferson County Department of Health, Alabama $13.3 Million (Obesity $6.3 Million, Tobacco $7 Million)
Top of Page
(23) Austin/Travis County Health and Human Services Department, Texas $7.5 Million
The Miami-Dade County Health Department will increase the availability of healthy foods and beverages by revising procurement policies and practices at schools, worksites, hospitals, and other community institutions.Miami-Dade hopes to reduce sodium consumption in Miami-Dade County through labeling initiatives and restaurant standards. These efforts will be complemented by a media campaign to promote healthy food and drink choices and increased physical activity. The departmentplans toenhance signage for bike lanes, boulevards, and walkable neighborhoodsto encourage physical activity such as biking and walking. The Department will also work with child care cilities to increase the amount of physical activity.
Top of Page
(32) Healthy Lakes, Communities Promoting Health Coalition, Peoples Regional Opportunity Program
(29) Bartholomew County, Indiana
(28) Maui
The DeKalb County Initiative aims to create a healthier, tobacco-free community by implementing evidence-based intervention strategies to increase awareness of the health consequences of tobacco use, decrease exposure to secondhand smoke, increase efforts to restrict youth access to tobacco products, support pricing strategies to decrease tobacco use, increase access to cessation resources, and increase social support for residents ready to quit using tobacco. Proposed interventions include establishing tobacco-free parks and college campuses and conducting a multi-ethnic educational campaign to ensure that tobacco-free messages span the spectrum of DeKalbs population.
Top of Page
Top of Page
Top of Page
In the area of tobacco prevention, funds will be used in the seven sectors best positioned in King County to advance tobacco control: media, schools, community organizations, worksites, housing, local government, and community health clinics. The strategies include instituting 100% smoke-free housing, parks, schools, and college campuses and further restricting advertising of tobacco products. Educational campaigns addressing tobacco and unhealthy foods will support these interventions.
