On the rural Coeur d'Alene Indian Reservation in Plummer, Idaho, the incidence of obesity, diabetes, and other food-related illnesses are exceptionally high. Disconnected from the traditions of their native ancestors, members of this community are often left with unhealthy food choices, such as processed foods, deli foods, fast food, or microwaveable options. To tackle this issue, the Youth Activity Director, an active member in the art community, and Laura Laumatia collaborated with one another to create the One Sky/One Earth Food Coalition, with the simple goal of "making it easier for individuals to make good food choices."

Local North Carolina-grown fruits and vegetables will be more available, especially to rural communities and low-income residents through new farmers' markets. Teenagers picking up a quick afterschool snack will find healthy items at the convenience store. Children will participate in child-care programs with more physical activity. Mothers will be encouraged and provided the support necessary to breast-feed. Residents will take advantage of new shared-use agreements to exercise at facilities throughout the community.

• In Wood County, 19 new gardens have been created at childcare centers serving 1,800 children. The gardens support early learning about healthy eating and increasing consumption of fruits and vegetables.
• More than 200 second- through fourth-grade students at 10 Wood County elementary schools participated in Fit-tastic, an eight-week afterschool program that helped them develop healthier eating and physical-activity habits.

This community-driven project engaged a variety of age groups in revitalizing Hunting Park to prevent violence and promote healthy food access through a new community garden and farmers market.

This project developed a healthy local food system that addressed underlying inequities that contributed to violence in the underserved Westwood community of Denver.

A pilot program to Prevent Violence and Promote Healthy Eating and Active Living focuses on influencing infrastructure and landscaping improvements to improve the health and safety for all residents.

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.

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.

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.