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1422 State and Local Public Health Actions to Prevent Obesity, Diabetes, Heart Disease and Stroke

State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke (1422), a 4-year cooperative agreement initiated in 2014, builds on the work of State Public Health Actions (1305) and intensifies efforts in 17 state and 4 large city health departments to prevent obesity, diabetes, heart disease, and stroke and reduce health disparities among adults through a combination of community and health system interventions. States funded under 1422 are required to subaward at least half of their funds to support implementation activities in 4-8 targeted communities in their states. Community strategies will build support for lifestyle change, particularly for those at high risk, to support diabetes and heart disease and stroke prevention efforts. Health system interventions and community programs linked to clinical services strategies will aim to improve the quality of health care delivery and preventive services to populations with the highest hypertension and prediabetes disparities. These efforts will be supported by state/jurisdiction-level leadership and coordination and technical assistance to selected communities. Activities will complement but not duplicate those funded under State Public Health Actions (1305).