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Program Overview

Communities Putting Prevention to Work (CPPW) is supporting 50 communities to tackle obesity and tobacco use. By effectively addressing obesity and tobacco use through environmental change at the local level, CPPW can make a significant impact on preventing serious health problems, such as heart disease, stroke, type 2 diabetes, and cancer.

Why Obesity?

Close-up photo of woman swimming in pool

As a major contributor to preventive death in the United States today, overweight and obesity pose a major public health challenge. Across the country, one in every three adults is obese,[1] and almost one in five youth between the ages of 6 and 19 is obese.[2] Learn More

Why Tobacco?

Photo of No Smoking sign in restaurant

Tobacco use is the single most preventable cause of disease, disability, and death in the United States,[3] yet approximately 46 million U.S. adults smoke cigarettes.[4] The harmful effects of smoking are not limited to the smoker. More than 126 million nonsmoking Americans—including children and adults—are exposed to secondhand smoke regularly.[5] Learn More

Why Environmental Change?

Photo of Asian man planting in a garden

The environment can have a profound impact on the health of individuals. Where individuals live, work, learn, and play affects their behavior. Communities can produce broad, lasting health outcomes by making healthier choices available to and practical for their residents through environmental change. Learn More

  1. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and Trends in Obesity Among US Adults, 1999-2008. JAMA. 2010;303(3):235-241. Available from:
  2. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008. JAMA. 2010;303(3):242-249. Available from:
  3. Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJL, Ezzati M. The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors. PLoS Med 2009; 6(4): e1000058. Available from:
  4. Centers for Disease Control and Prevention. Vital Signs: Current Cigarette Smoking Among Adults Aged ≥ 18 Years—United States, 2009. MMWR 2010;59(35):1135–40. Available from:
  5. U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General—Executive Summary. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006. Available from: