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        Emerging Infectious Diseases Journal
        MMWR


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        Volume 3: No. 1, January 2006

        TOOLS & TECHNIQUES
        The Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases: Monitoring Progress in Funded States

        State $
        Alabama 1320
        Alaska 195
        Arizona (2004) 752
        Arkansas (2005) 663
        California 7675
        Colorado (2004) 874
        Connecticut 856
        Delaware 207
        Florida (2004) 3987
        Georgia (2004) 2133
        Hawaii 290
        Idaho 227
        Illinois (2004) 3439
        Indiana 1637
        Iowa (2005) 783
        Kansas 657
        Kentucky (2004) 1163
        Louisiana 1373
        Maine (2004) 357
        Maryland (2004) 1533
        Massachusetts (2004) 1822
        Michigan (2005) 2931
        Minnesota 1307
        Mississippi 757
        Missouri (2004) 1636
        Montana (2005) 175
        Nebraska 454
        Nevada 337
        New Hampshire 302
        New Jersey 2342
        New Mexico (2004) 324
        New York (2004) 6080
        North Carolina (2004) 2138
        North Dakota 209
        Ohio 3304
        Oklahoma (2005) 854
        Oregon (2004) 781
        Pennsylvania (2004) 4138
        Rhode Island (2005) 305
        South Carolina (2004) 1060
        South Dakota (2005) 195
        Tennessee 1840
        Texas (2004) 5340
        Utah 393
        Vermont (2005) 141
        Virginia 1641
        Washington (2004) 1130
        Washington, DC 372
        West Virginia (2004) 588
        Wisconsin (2004) 1487
        Wyoming 87

        Figure 1. Funded states and state-level estimates of annual medical expenditures attributable to obesity (2003 dollars, in millions). Years in parentheses show fiscal year through which states were funded. The states funded through 2004 are the 20 states addressed in this article. Source: Adapted from Finkelstein EA et al (5).

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        Policies Initiated: 30% (6) Planned: 30% (6)
        Legislation Initiated: 45% (9) Planned: 55% (11)
        Other Environmental Changes Initiated: 15% (3) Planned: 10% (2)

        Figure 2. Percentage of states reporting environmental changes through policies, legislation, and other environmental changes. Data are based on December 2004 progress reports from the 20 state programs and reflect environmental changes that were initiated and planned between January and June 2004. Other environmental changes are strategies other than policies and legislation, such as urban planning, that alter or control the legal, social, economic, and physical environment affecting nutrition and physical activity.

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        Increasing Physical Activity 83% (24)
        Increasing Fruit and Vegetable Consumption 55% (16)
        Balancing Caloric Intake and Expenditure 38% (11)
        Decreasing Television-Viewing Time 38% (11)
        Increasing Breastfeeding 21% (6)

        Figure 3. Percentage of interventions incorporating key evidence-based strategies. Percentages were calculated based on 29 active interventions from January to June 2004. Because some interventions incorporated multiple strategies, totals across all columns exceed 100%.

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        The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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