In 2004, the Food Trust in Philadelphia, PA, in partnership with The Reinvestment Fund and the Greater Philadelphia Urban Affairs Coalition, identified a strong need for government investment to finance supermarkets, grocery stores, and other healthy food retailers in underserved communities. This led to the first statewide fresh food financing initiative.

Believed to be the first ordinance of its kind, Chicago's legislation to limit restrictive land-use covenants prevents supermarkets and drugstores from restricting future use of vacated property in the event of store closures. This ordinance holds great promise to prevent neighborhood blight and promote residents' continued access to fresh, healthy food retailers.

The Garden of Eden is a community-run grocery like facility established to serve the African American community in St. Louis. The project was initiated because local advocates and researchers identified obesity as a major health concern.

In the rural town of Woodburn, Oregon with a more than 50% Latino population, the farmworkers union has developed a strong organizing and advocacy history on labor and housing issues. Now, through its 5,700+ members, the farmworkers, spouses, and children are also addressing healthy food access and physical activity to help local residents eat better and move more.

A community/academic partnership transforms vacant lots into community gardens in urban neighborhoods throughout Denver, creating new opportunities for physical activity, healthy eating and social connections among community residents, survivors of abuse and homeless people.

Working intensively in the low-income city of Muskegon, Michigan, this relatively new organization is galvanizing support for a local, sustainable food system and hopes to get a statewide initiative on the 2010 ballot that will declare healthy, sustainable food as a right for every Michigan resident.

This statewide advocacy center works at the nexus of nutrition, hunger, and poverty as it coordinates a network of nutrition activists and professionals to advocate for statewide legislation to improve school nutrition, increase participation in Supplemental Nutrition Assistance Program (SNAP)-formerly known as the Food Stamp Program, and increase the minimum wage.

In Northeast Iowa, a coalition of diverse stakeholders is creating opportunities for healthy eating and physical activity in a rural, geographically spread out region. As a W. K. Kellogg Foundation Food & Fitness Initiative project site, the Northeast Iowa Coalition is proving that strong collaboration can help achieve a vision of a healthier, more sustainable community.

Food and activity advocates in New York City are collaborating to develop a comprehensive and long-term plan for making changes to food and activity environments, particularly in high-need neighborhoods. Funded by the W.K. Kellogg Foundation, the New York City Food and Fitness Partnership is increasing access to healthy food in communities and enhancing opportunities for active living.

Alameda County, California experiences severe disparities in health outcomes and related disparities in education, poverty level, and housing. The depth of these disparities was first documented in the Alameda County Health Status Report (CHSR) 2000, and reiterated in the subsequent 2003 and 2006 Status Reports. Data from the CHSRs have sparked debate among residents and policy makers, and guided the Alameda County Public Health Department leadership to accelerate conversations about broadening the department's efforts to work more closely with community partners to address the social conditions that create health inequities. Funding for this report was provided by Public Health Foundation.