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State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health

CDC supports efforts nationwide to reduce the risk factors associated with childhood and adult obesity, diabetes, heart disease, and stroke. Through a federal grant, all 50 states and the District of Columbia receive funds to help prevent these chronic diseases. This program focuses on healthy environments in workplaces, schools, early childhood education facilities, and in the community. This program also focuses on working through health systems and communities to reduce complications from multiple chronic diseases such as diabetes, heart disease, and stroke. The goal is to make healthy living easier for all Americans.

How Chronic Disease Affects Americans

  • Chronic diseases are the leading causes of death and disability in the United States. Seven of every 10 deaths are caused by them.1
  • About 86% of our annual health care spending is related to chronic disease.2
  • As of 2012, about half of all adults—117 million people—have one or more chronic health conditions. One in four adults has two or more chronic health conditions.3
  • About 1 of every 4 people with chronic diseases cannot perform one or more daily activities.4

CDC Programs Work Together to Improve Health for All Americans

Four CDC programs work together through this program to support chronic disease prevention programs nationwide. Those programs are: diabetes; heart disease and stroke prevention; nutrition, physical activity, and obesity; and school health. These chronic diseases often happen at the same time and are the result of risk factors that are related. The strategies to prevent these health conditions are often similar and by combining approaches, public health programs can work together to be more impactful and efficient. This combined effort builds upon lessons learned in controlling diabetes, heart disease, and obesity, and promoting school health.

States focus work in four areas:

  1. Epidemiology, surveillance, and evaluation to inform, prioritize, and monitor diseases and risk factors and the delivery of interventions.
  2. Environmental strategies that reinforce healthful behaviors and expand access to healthy choices.
  3. Health systems interventions to improve the delivery and use of clinical and other preventive services.
  4. Clinical and community linkages to better support chronic disease self-management.

The funding award has three short-term goals:

  1. Improve environments in worksites, schools, early childhood education services, state and local government agencies, and community settings to promote healthy behaviors. Also, to expand access to healthy choices for people of all ages related to diabetes, cardiovascular health, physical activity, healthy foods and beverages, obesity, and breastfeeding.
  2. Improve the delivery and use of quality clinical and other health services aimed at preventing and managing high blood pressure and diabetes.
  3. Increase links between community and clinical organizations to support prevention, self-management and control of diabetes, high blood pressure, and obesity.

The program funds two components with project periods of up to 5 years. As of September 2014, all states and the District of Columbia are funded for the basic and enhanced components.

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StateBase FundingEnhanced FundingTotal Funding
Alabama$ 596,217$801,537$1,397,754
Alaska$ 503,091$ 537,952$1,041,043
Arizona$ 624,405$ 1,937,763$2,562,168
Arkansas$ 601,480$ 1,674,320$2,275,800
California$ 744,997$ 3,055,258$3,800,255
Colorado$ 499,651$ 1,834,165$2,333,816
Connecticut$ 515,514$ 1,613,982$2,129,496
Delaware$ 503,930$ 592,112$1,096,042
District of Columbia$ 598,939$ 617,643$1,216,582
Florida$ 582,208$ 2,512,243$3,094,451
Georgia$ 635,818$ 774,711$1,410,529
Hawaii$ 505,956$ 599,254$1,105,210
Idaho$ 506,867$ 1,535,769$2,042,636
Illinois$ 555,757$ 885,198$1,440,955
Indiana$ 528,234$ 1,917,015$2,445,249
Iowa$ 513,268$ 1,591,893$2,105,161
Kansas$ 512,434$ 1,630,197$2,142,631
Kentucky$ 604,155$ 1,696,354$2,300,509
Louisiana$ 615,132$ 554,055$1,169,187
Maine$ 505,754$ 1,577,620$2,083,374
Maryland$ 525,251$ 1,836,901$2,362,152
Massachusetts$ 528,540$ 1,845,975$2,374,515
Michigan$ 542,789$2,143,497$2,686,286
Minnesota$ 523,157$ 1,825,991$2,349,148
Mississippi$ 618,805$ 1,686,490$2,305,295
Missouri$ 526,042$ 1,884,066$2,410,108
Montana$ 504,325$ 1,598,750$2,103,075
Nebraska$ 507,983$ 1,567,850$2,075,833
Nevada$ 511,799$ 611,511$1,123,310
New Hampshire$ 505,711$ 532,952$1,038,663
New Jersey$ 538,218$ 2,047,900$2,586,118
New Mexico$ 609,375$ 573,083$1,182,458
New York$ 584,334$ 2,542,824$3,127,158
North Carolina$ 625,549$ 2,160,061$2,785,610
North Dakota$ 502,963$ 617,643$1,120,606
Ohio$ 550,019$ 767,986$1,318,005
Oklahoma$ 516,427$ 336,790$853,217
Oregon$ 516,775$ 1,620,074$2,136,849
Pennsylvania$ 555,209$ 2,348,356$2,903,565
Rhode Island$ 504,555$ 1,571,372$2,075,927
South Carolina$ 603,983$ 1,849,049$2,453,032
South Dakota$ 503,570$ 475,454$979,024
Tennessee$ 610,952$ 1,887,776$2,498,728
Texas$ 700,496$ 882,384$1,582,880
Utah$ 512,204$ 1,596,752$2,108,956
Vermont$ 502,714$ 581,593$1,084,307
Virginia$ 535,079$ 2,060,287$2,595,366
Washington$ 529,590$ 2,053,228$2,582,818
West Virginia$ 592,255$ 593,141$1,185,396
Wisconsin$ 524,746$ 1,855,795$2,380,541
Wyoming$ 454,392$ 605,011$1,059,403

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1 Centers for Disease Control and Prevention. Death and Mortality. NCHS FastStats Web site. . Accessed December 20, 2013.

2 Gerteis J, Izrael D, Deitz D, LeRoy L, Ricciardi R, Miller T, Basu J. Multiple Chronic Conditions Chartbook. [PDF - 10.62 MB] AHRQ Publications No, Q14-0038. Rockville, MD: Agency for Healthcare Research and Quality; 2014. Accessed November 18, 2014.

3 Ward BW, Schiller JS, Goodman RA. Multiple chronic conditions among US adults: a 2012 update. Prev Chronic Dis. 2014;11:130389. DOI:

4 Anderson G. Chronic conditions: Making the case for ongoing care. Baltimore, MD: Johns Hopkins University; 2004.