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HEALTHY HOMES PROGRAM This program investigates the relationship between housing conditions and the respiratory health of occupants living in at risk housing. Public health sanitarians conduct healthy homes investigations for income qualifying residents in homes of infants and seniors at risk for respiratory disease (including asthma). Interventions aze conducted through a grant with the U.S. Department of Housing & Urban Development. INDOOR AIR QUALITY The Indoor Air Quality (IAQ) Program involves the investigation and testing of residences, schools and other public buildings for various indoor air quality indicators on a complaint basis. CREATING HEALTHY COMMUNITIES The Creating Healthy Communities (CHC) Program was created to lower the leading causes of death in our communities. Since many diseases are linked to living habits such as poor diet, low activity levels, and smoking, the CHC program is designed to create system and policy changes that promote healthy eating, active living and smoke-free areas in our schools, work places, health caze facilities, and neighborhoods. The two main areas of concentration for this program are East Cleveland and Euclid, Ohio. PERSONAL RESPONSIBILITY EDUCATION PROGRAM (PREP) The goal of the PREP program is to reduce teen pregnancy and sexually transmitted infection rates for youth in Cuyahoga County and four surrounding counties who are currently in foster care or the juvenile justice systems by educating the direct-care staff in those systems to become trainers in evidence-based pregnancy prevention programming. This train-the-trainer model seeks to enhance professional development at the local level for direct care staff while providing sustainability for pregnancy prevention and life skills education for youth in the foster care and juvenile justice systems. RYAN WHITE The Ryan White HN/AIDS Part A program provides HIV-related services for those who do not have sufficient health caze coverage or financial resources for coping with HN disease. The Cuyahoga County Board of Health (CCBH) serves as the Administrator of the Cleveland Transitional Grant Area (TGA) which serves the following Ohio Counties: Cuyahoga, Ashtabula, Geauga, Lake, Lorain, and Medina. The Ryan white Part A program contracts with local community partners to provide services in the areas of: outpatient ambulatory, medical case management, oral health, medical nutrition therapy, mental health, early intervention, home health care, home and community health care, substance abuse inpatient and outpatient, hospice, housing, medical transportation, outreach, food bank/home delivered meals and psychosocial support services. Community Assessments REPORTABLE DISEASE SURVEILLANCE/PUBLIC HEALTH PREPAREDNESS GRANT The Public Health Emergency Preparedness Grant (PHEP) encompasses reportable disease and surveillance activities. The purpose of this program is to increase public health response and capacity regarding infectious disease, acts of bioterrorism and other major public health events. Activities also include developing emergency plans and supporting the County Emergency Operations Plan by serving as the lead agency under Emergency Support Function (ESF) #8. This program is also supported by the Cities Readiness Initiative (CRI) grant. IMMUNIZATION ACTION PLAN (IAP) This program is designed to raise infant immunization rates in Ohio so that 90% of children will be up to date by 24 months of age. This is accomplished by implementing best practices identified to increase immunization rates including immunization assessment, education and tracking objectives. 100*" 2