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CPPW is a locally driven initiative supporting 50 communities to tackle obesity and tobacco use, two of the leading preventable causes of death and disability in the United States. CPPW communities span the nation and include urban, rural, and tribal communities.

More than 55 million people—or 1 out of 6 Americans—live in a city, town, or tribal community that is benefitting from this initiative. These communities are making healthy living easier by implementing environmental changes such as

  • Increasing opportunities for safe, active transportation;
  • Ensuring the provision of healthy food and beverage options in schools;
  • Limiting exposure to secondhand smoke; and
  • Increasing available tobacco cessation resources.

These efforts are laying the foundation for improved quality of life in the short term and a sustainable reduction in diseases associated with obesity and tobacco use over the long term.

No Smoking sign

CTG supports community-level efforts to reduce chronic disease. All awardees are working to improve the health of the nation with strategies that focus on tobacco-free living, active living and healthy eating, and clinical and community preventive services to prevent and control high blood pressure and high cholesterol.

Funded by the Affordable Care Act’s Prevention and Public Health Fund, CTG is expected to run for 5 years and reach more than 1 in 3 U.S. citizens—about 120 million Americans. In 2011, CTG awarded $103 million to 61 state and local government agencies, tribes and territories, and nonprofit organizations in 36 states. In 2012, CTG expanded to reach more people in more places. The CTG Small Communities Grants awarded approximately $70 million to communities with a population size of less than 500,000 residents.

Couple Exercising

The Healthy Communities Program (HCP) works with communities through local, state, territory, and national partnerships to establish, advance, and maintain effective population-based strategies reducing the burden of chronic disease and achieving health equity. Strategies focus on where people work, live, learn, and play, and address major risk factors, including tobacco exposure, physical inactivity, and unhealthy eating. Since 2009, 247 communities have received CDC resources.

HCP has—

  • Increased access to healthy foods in parks, schools, and low-income neighborhoods;
  • Increased breastfeeding rates by providing support to nursing mothers such as adequate facilities in public spaces;
  • Increased residents’ physical activity opportunities by working with schools to require daily physical education with at least the minimum recommended physical activity time;
  • Increased community walking, biking, and trail paths;
  • Provided safer opportunities for exercise by implementing the Complete Streets strategies and Safe Routes to Schools; and
  • Decreased residents’ exposure to secondhand smoke in parks, playgrounds, and public buildings.

REACH is a national program that serves as the cornerstone of CDC’s efforts to eliminate racial and ethnic disparities in health. Through REACH, CDC supports awardee partners that establish community-based programs and culturally-appropriate interventions across the nation to eliminate health disparities among African Americans, American Indians, Hispanics/Latinos, Asian Americans, Alaska Natives, and Pacific Islanders.

REACH complements CDC’s population-based initiatives, such as CTG, CPPW, and HCP, with an approach that cuts across a number of evidence- and practice-based interventions and a focus on cardiovascular disease, diabetes, breast and cervical cancer, infant mortality, asthma, and child and adult immunization. Since 2009, REACH has funded 56 awardees each year and a total of 147 sub-awardees.


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