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chronic disease control branch

Lifetime of Wellness

In September 2014, the California Department of Public Health (CDPH) was awarded a four-year grant from the Centers for Disease Control and Prevention State and Local Public Health Actions to Prevent Obesity, Diabetes, Heart Disease, and Stroke (1422). The California initiative is known as Lifetime of Wellness: Communities in Action (Lifetime of Wellness).

Heart disease, stroke, diabetes, obesity and associated risk factors make a huge impact on the health of Californians. CDPH contracts with local health departments (LHDs) to focus on evidence-based primary, secondary, and tertiary prevention measures within target populations. California will not only improve its people's overall health, but also reduce health inequities.

Lifetime of Wellness staff and partners coordinate with CDPH programs including: Prevention First (1305); California Arthritis Partnership Program; Well-integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN); California Tobacco Control Program; Nutrition Education and Obesity Prevention Branch; and the Office of Health Equity.

Local Health Departments

CDPH conducted a systematic process to identify counties for local action in this funding opportunity. The process included a burden of disease analysis for cardiovascular disease, diabetes and obesity, as well as conducting social determinants of health analysis.

Lifetime of Wellness diabetes prevention efforts are primarily conducted at the local level. CDPH provides funding to LHDs in Fresno, Tulare, Merced, Shasta, San Joaquin and Solano counties for activities that include:

  1. Utilizing data to build support for lifestyle changes
  2. Engaging communities to build support for lifestyle changes
  3. Increasing coverage for lifestyle-change programs
  4. Identifying patients with hypertension and pre-diabetes
  5. Engaging community health workers to link patients with high blood pressure and prediabetes to community resources
  6. Implementing referral systems between health systems and community resources


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