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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. Thirty-two states receive extra funds to enhance their program and to reach more people. 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 75% of the more than $2.5 trillion we spend annually on health care is related to chronic disease.
  • In 2005, 133 million Americans – almost 1 of every 2 adults – had at least one chronic illness. 1
  • About 1 of every 4 people with chronic diseases cannot perform one or more daily activities. 2

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. All states and the District of Columbia are funded for a non-competitive, basic component. In addition to basic funding, 32 states are funded for a competitive, enhanced component.


StateBasic ComponentEnhanced Component *
Alabama$ 596,217$ 0
Alaska$ 503,091$ 0
Arizona$ 624,405$ 1,291,468
Arkansas$ 601,480$ 1,108,016
California$ 744,997$ 1,704,640
Colorado$ 522,169$ 1,218,691
Connecticut$ 515,514$ 1,033,174
Delaware$ 503,930$ 0
District of Columbia$ 598,939$ 0
Florida$ 582,208$ 1,582,160
Georgia$ 635,818$ 0
Hawaii$ 505,956$ 0
Idaho$ 506,867$ 1,000,000
Illinois$ 555,757$ 0
Indiana$ 528,234$ 1,269,943
Iowa$ 513,268$ 1,022,784
Kansas$ 512,434$ 1,065,400
Kentucky$ 604,155$ 1,097,748
Louisiana$ 615,132$ 0
Maine$ 505,754$ 1,047,646
Maryland$ 525,251$ 1,205,370
Massachusetts$ 528,540$ 1,197,310
Michigan$ 542,789$ 1,420,615
Minnesota$ 523,157$ 1,205,370
Mississippi$ 618,805$ 1,119,272
Missouri$ 526,042$ 1,248,419
Montana$ 504,325$ 1,076,223
Nebraska$ 507,983$ 1,026,266
Nevada$ 511,799$ 0
New Hampshire$ 505,711$ 0
New Jersey$ 538,218$ 1,348,827
New Mexico$ 609,375$ 0
New York$ 584,334$ 1,603,540
North Carolina$ 625,549$ 1,442,139
North Dakota$ 502,963$ 0
Ohio$ 550,019$ 0
Oklahoma$ 516,427$ 0
Oregon$ 516,775$ 1,032,696
Pennsylvania$ 555,209$ 1,560,779
Rhode Island$ 504,555$ 1,047,646
South Carolina$ 603,983$ 1,243,450
South Dakota$ 503,570$ 0
Tennessee$ 610,952$ 1,243,268
Texas$ 700,496$ 0
Utah$ 512,204$ 1,033,174
Vermont$ 502,714$ 0
Virginia$ 535,079$ 1,377,566
Washington$ 529,590$ 1,399,090
West Virginia$ 592,255$ 0
Wisconsin$ 524,746$ 1,226,894
Wyoming$ 502,460$ 0


* Anticipated award amounts.

1 Kung HC, Hoyert DL, Xu JQ, Murphy SL. Deaths: final data for 2005. National Vital Statistics Reports 2008;56(10).

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

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  • Page last reviewed: July 19, 2013
  • Page last updated: July 19, 2013 The U.S. Government's Official Web PortalDepartment of Health and Human Services
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