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CDC State Heart Disease and Stroke Prevention Program
In 1998, the U.S. Congress provided funding for CDC to initiate a
national, state-based heart disease and stroke prevention program with
funding for eight states. Currently, 32 states and the District of Columbia
are funded, 21 as capacity building programs and 12 as basic implementation programs
(see highlighted map below).
Capacity building states are funded to:
- Facilitate collaboration among public and private sector partners.
- Define the cardiovascular disease (CVD) burden and assess existing population-based strategies for
primary and secondary heart disease and stroke prevention.
- Develop and update a comprehensive state plan for heart disease and
stroke prevention with developing heart-healthy policies,
changing physical and social environments, and eliminating disparities
(e.g., based on geography, gender, race or ethnicity, or income).
- Identify culturally appropriate approaches to promote cardiovascular
health (CVH) with racial, ethnic, and other priority populations.
- Increase
awareness of the signs and symptoms of heart attack and stroke.
Basic implementation states are funded to:
- Enhance all capacity–building program
activities.
- Implement and evaluate policy,
environmental, and educational interventions in health care sites, work
sites, schools, and communities.
- Provide training and technical
assistance to public health and health care professionals and partners to
support primary and secondary heart disease and stroke prevention.
The goals of the CDC
State Heart Disease and Stroke Prevention Program are:
- To increase state
capacity by planning, implementing, tracking, and sustaining population-based
interventions that address heart disease, stroke, and related risk factors
(e.g., high blood pressure, high blood cholesterol, tobacco use, physical
inactivity, and poor nutrition). Population-based strategies focus on an
identified population (e.g., women aged 35–65) or area (e.g., residents of
state) rather than individual behavior change. Strategies should
include policy, environmental, and systems changes to
support cardiovascular health and education to increase awareness of the
need for such changes.
- To conduct
surveillance of CVD and related risk factors and assess policy and
environmental support for heart disease and stroke prevention within
states.
- To identify promising
strategies for promoting heart-healthy interventions in states.
- To promote
cardiovascular health in a variety of settings (health care, work site,
school, and community settings) through education, policy, systems, and
environmental changes.
Examples:
Education:
- Sponsor public
awareness campaigns to raise awareness about signs and symptoms of heart
disease and stroke and the importance of calling 9-1-1 when such
symptoms appear.
- Implement
informational campaigns to educate the public that high blood pressure
is a major modifiable risk factor for heart disease and stroke, and that
having blood pressure checked is an important first step in identifying
and controlling high blood pressure and reducing the risk of heart
disease and stroke.
- Promote professional
education and training programs on systems that support quality health
care.
- Strengthen
prevention efforts through increased awareness and education about risk factor
and lifestyle changes that affect high blood pressure, high cholesterol,
diabetes, and smoking.
Policy:
- Promote
development of policies to increase adherence to national guidelines for the
prevention and control of high blood pressure.
- Support state-based
policy development for universal 9-1-1 coverage.
- Promote enhanced policies for
treating stroke as an acute emergency.
- Strengthen policies
in a variety of settings that encourage healthy lifestyles.
Environmental/systems:
- Collaborate on
developing systems and intervention programs to detect and control
high blood pressure among high-risk groups.
- Promote health care
system supports to increase adherence to guidelines for the primary and
secondary heart disease and stroke prevention.
- Promote
environmental supports that promote cardiovascular health in a variety of
settings.
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