| EXAMPLES OF FUNDED PROJECTS |
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The Cardiovascular Health Program (CVH): The New York Healthy Heart Program has partnered with its Dairy Council to educate the public about the benefits of drinking low-fat milk. The campaign increased the sale of milk by five percent and the sale of low fat milk by 15 percent. It has also assessed more than 600 businesses concerning a heart healthy worksite. Based on this assessment over 300 worksites have implement changes to make it easier for their employees to be heart healthy during the workday: workday: offering low-fat food choices in vending machines, being smoke-free, smoke-free, providing physical activity breaks during the workday, making stairwells safe, and safe, and encouraging employees to be physically active. The North Carolina CVH Carolina CVH Program provided the Strike Out Stroke program that targets hypertension targets hypertension in African Americans in partnership with the North the North Carolina Association of Pharmacies and through local health departments. The Missouri CVH Program partners with the State Diabetes State Diabetes Control Program (DCPC) and Federal qualified health centers to improve to improve outcome measures related to Diabetes and CVD. Arthritis. Alabama Arthritis Program has effectively partnered with the Alabama Division of Senior Services to expand the use of an effective arthritis physical activity program. Senior Services has incorporated this program as a core activity at nutrition sites. Nutrition coordinators have been trained as program leaders. Using this systems approach, the Alabama Arthritis Program has tripled the number of people participating in the program. The Tennessee Arthritis Program has successfully partnered with the Tennessee Agricultural Extension Service to expand the reach of an evidence-based self management program, the Arthritis Foundation Self Help Course. More than 500 people have been reached through this partnership.REACH: The Charlotte REACH 2010 coalition initiated a lay health advisor (LHA) program in the city?s Northwest Area, where the average mortality rate for heart disease among residents is nearly 40% higher than the rest of Mecklenburg County. In 2000, 10% of residents had diabetes, compared with 7% of all North Carolinians. Community residents are recruited and trained to help their neighbors make healthy behavior changes. The LHAs conduct outreach activities such as peer education and referrals. They also provide diabetes education and encourage residents to monitor their blood sugar levels, increase their physical activity levels, make healthier food choices, and visit their doctors regularly. The program includes a neighborhood farmers? market, a diabetes management registry, and community exercise classes. Preliminary results from a community survey indicate that the percentage of African American adults who participate in at least 30 minutes of daily moderate activity for 5 days a week increased from 27.8% in 2002 to 30.1% in 2004. The percentage who reported eating 5 or more fruits and vegetables a day had increased from 24.9% to 28.3%. The REACH for Wellness program in Georgia is working to improve nutrition, increase physical activity, create a smoke-free community, and help residents manage their stress in the Atlanta Empowerment Zone. The program includes cardiovascular wellness centers, empowerment classes, low-impact physical activity classes, the REACH for 5 to 9 Campaign, vegetarian cooking classes, and acupressure to help people stop smoking. Results from a community survey indicate many positive improvements since the program began. For example, the percentage of African American adults who currently smoke decreased from 25.8% in 2002 to 20.8% in 2004. Adults who reported having had their blood cholesterol checked increased from 69.1% to 79.7%. Medication adherence among adults with high blood pressure increased from 79.1% to 80.5%. The percentage of adults who participa |
| PROGRAM ACCOMPLISHMENTS |
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Cardiovascular Health Program (CVH): CDC funded 32 States and DC in 2005. Fourteen of the 33 States are funded for basic implementation programs and 19 States are building core capacity for cardiovascular health. State CVH programs are defining the CVD burden within their State; developing a comprehensive CVH State Plan with emphasis on developing heart-healthy policies, changing physical and social environments, and reducing disparities; and designing population- based strategies for the primary and secondary prevention of CVD and promotion of CVH. Arthritis. The Arthritis Program currently funds 28 States at Capacity level A. These States are further developing the public health infrastructure to address arthritis: the are also monitoring the burden of arthritis, and expanding the reach of evidence-based intervention programs designed to improve the quality of life for people with arthritis. Much of this work is done with partners. The eight states funded at Capacity Level B are conducting the same activities as those funded at Capacity Level A, but on a broader scale. Epilepsy: CDC, in partnership with the national Epilepsy Foundation (EF), is developing and implementing programs to enhance public awareness about epilepsy and promote partnerships, education, and communication at local and national levels. Diverse racial and ethnic communities are the focus of yearly national epilepsy awareness media campaigns that include a multifaceted media outreach strategy and educational events. Other CDC collaborations with the EF include the development of educational curricula for middle and high school students and staff members, a school nurse training program, a workshop to support parents of teens with epilepsy, curricula for police and emergency responders, replication and dissemination of successful affiliate programs and products, collaboration with state health departments to conduct surveillance related to epilepsy and seizures through the Behavioral Risk Factor Surveillance System, and an initiative addressing seniors with seizures and their care givers. Working with other partners, the program provides funding for epidemiologic studies that are defining risk factors and severity of epilepsy in several diverse communities, identifying health disparities and factors contributing to health disparities among people with epilepsy, identifying process and outcome measures that may be used to define optimum epilepsy care, and developing and evaluating self-management strategies designed to improve the quality of life of persons with epilepsy. Lupus: CDC, through its arthritis program, has initiated two population-based lupus registries to better define and monitor the incidence and prevalence of lupus and characterize individuals with this severe rheumatic condition, which predominately affects women and minorities. Two state health departments are currently funded to develop and pilot test this registry - Michigan and Georgia. These states are currently collecting data. The registry will serve as a foundation for more focused prevalence studies and can serve as a platform for addressing other connective tissue diseases such as scleroderma. REACH 2010: Supported by CDC funds 42 projects in 20 states, 31 Intervention Communities, 5 American Indian/Alaska Native Core Capacity Building Communities, and 4 Elderly Communities. REACH 2010 supports community coalitions in the design, implementation, and evaluation of community-driven strategies to eliminate disparities in the following priority health areas: cardiovascular disease, immunization, screening for and management of breast cancer and cervical cancer, diabetes, HIV/AIDS, and infant mortality. The program targets the following racial and ethnic groups: African Americans, American Indians, Alaska Natives, Asian Americans, Hispanic Americans, and Pacific Islanders. Specific project activities include media campaigns, breast and cervi |
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