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Big Cities Chronic Disease Community of Practice

The Big Cities Chronic Disease Community of Practice (BC-COP) consists of health officials or senior-level chronic disease programmatic staff from local health departments representing the 50 largest cities and metropolitan areas in the United States. The group's goal is to develop strategies for addressing chronic disease prevention for local health departments serving large populations and to serve as a unified voice in national policy discussions while maintaining communication with communities impacted by proposed policies.

The current priority areas for the Big Cities work group are the following:

  • Improving healthy nutrition standards/guidelines and healthy food access initiatives
  • Reducing consumption of sugar sweetened beverages
  • Create a built environment/healthy community design that supports access to physical activities within communities
  • Policy, systems and environmental change strategies that promote population-based reduction of chronic disease

NACCHO Big Cities Chronic Disease Community of Practice members can share information, access resources and review recent Big Cities priorities. Contact Erica Haller-Stevenson for more information.

Upcoming Webinars

Implementing Health in All Policies at the Local Level: Experiences from Local Health Departments

Tuesday, September 30th, 2:00 –3:00 PM ET

Many communities face a variety of complex problems that significantly impact health. These problems are often driven by multiple factors outside the public health or healthcare sectors. Health in All Policies (HiAP) offers an approach that seeks to address complex challenges and improve the health of all people by incorporating health considerations into decision-making processes and emphasizing the need to collaborate across sectors to achieve common goals and innovatively tackle problems. The webinar will showcase the implementation of HiAP in three U.S. cities –Houston, Baltimore City, and San Diego - and aims to discuss:

  • How local health departments and their partners are implementing HiAP approaches in their communities.
  • Successful strategies and tactics to implement HiAP.
  • Lessons learned and pearls of wisdom from their experiences engaging in this work to improve the health of communities using a multiple determinants of health framework.

Registration is free, but space is limited. For more information and to register, click here

New Resources

NACCHO's BC-COP staff have compiled a list of resources to assist local health departments in their work to promote policy, systems and environmental change strategies to reduce the incidence and prevalence of chronic disease in their communities.


Healthy Food Access

Sugar-Sweetened Beverages 

Big Cities Chronic Disease Community of Practice Extranet Site

Visit NACCHO's Big Cities Chronic Disease Community of Practice member only external site for call notes, emerging news and other resources. click here