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BK:00025 PG <br />U53 <br />For the sake of clarity, the entire Paragraph B. Assessment states, as of April 1, 2013: Page 3 of 5 <br />B. Assessment: Use tools and measures provided by the state to assess the current conditions and needs <br />in the county especially looking at the ability of low - resource populations to have access to healthy <br />foods and/or physical activity opportunities including: <br />a. The availability of healthy food retail outlets; <br />b. The availability of local healthy food sources; <br />c. deleted <br />d. deleted <br />e. The availability of places for physical activity; and <br />f. Land use planning and policies that support physical activity. <br />The Paragraph C. Planning is now effective through March 31, 2013: <br />C Planning: Use the results of the county assessment to prioritize needs and develop a long range <br />Healthy Communities (HC) plan to address these needs. This includes analysis of <br />environmental/policy gaps and opportunities that exist in the region. The HC Plan should focus <br />solely on needs assessment and planning during fiscal year 12/13. If assessments and planning are <br />already complete funding can be used to support implementation of environmental and/or policy <br />change that supports active living and healthy eating. <br />The Paragraph C. Planning above is replaced with the following as ofApril 1, 2013: <br />C. Planning: Develop a Community Action Plan (CA Plans) that includes one or more of the <br />intervention strategies (listed in D.) to create system and environmental changes that address one or <br />more of the following: access to healthy foods and safe places to be physically active, tobacco free <br />environments, diabetes self-management and/or violence and injury prevention. CA Plans should be <br />population and community based and should include efforts to address health disparities among <br />special populations. If assessments and planning are already complete funding can be used to <br />support implementation of environmental and/or policy change that promote active living and <br />healthy eating, support tobacco free environments and diabetes self-management programs and <br />reduce violence and unintentional injury. <br />The Paragraph D. County Coordination is now effective through March 31, 2013: <br />D. County Coordination: Facilitate coordination by engaging decision makers, community leaders an d <br />partners in the selection and implementation of strategies, tracking progress and evaluation of <br />success. <br />The Paragraph D. County Coordination above is replaced with the following as of April 1, 2013: <br />D. Interventions: Choose one or more of these strategies to include in CA Plan: <br />1. <br />Increase the number of local businesses that provide support for breastfeeding for <br />staff and <br />clients. <br />2. <br />Promote the adoption of food service guidelines /nutrition standards in schools, early <br />childcare and education or worksites <br />3. <br />Promote the adoption of physical education or physical activity policies in schools. <br />4. <br />Promote the adoption of physical activity in early childcare and education or worksites. <br />_5. <br />Support creation of or enhancing access to places for physical activity combined with <br />informational outreach. <br />6. <br />Support community -scale urban design land use policies for physical activity and/or healthy <br />eating. <br />7. <br />Support transportation and travel policies and practices for physical activity and/or healthy <br />eating. <br />8. <br />Promote Eat Smart, Move More, Weigh Less as a resource for clinicians. <br />Revised 9 /26111 <br />