Prevention and Control of Chronic Disease and Associated Risk Factors in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and P. R.

The purpose of this five-year program is to reduce the rates of disability and death associated with chronic disease in the U.S. Affiliated Pacific Islands, U.S. Virgin Islands, and Puerto Rico. The U.S. Affiliated Pacific Islands include American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau. Evidence-based strategies to reduce tobacco use and secondhand smoke exposure, prevent and improve management of diabetes and cardiovascular disease (CVD), improve availability and quality of data to inform programs, including maternal and child health and oral health, and monitor progress will be supported. Cross-cutting and unified approaches to address chronic disease and their risk factors, with an emphasis on tobacco use, diabetes, CVD, maternal and child health, and oral health will be supported. The purpose of this program is: a) To reduce tobacco use and secondhand smoke exposure b) To improve prevention and management of diabetes c) To prevent persons at risk for pre-diabetes from developing diabetes d) To improve prevention and management of high blood pressure and high cholesterol e) To collect data to inform programs and policies that aim to improve maternal and child health f) To better address oral health needs