Chronic disease programs in state public health agencies across the United States are increasingly taking action to integrate activities across single-disease program lines. Comprehensive cancer control programs have in many cases benefited from chronic disease program integration because of the potential for efficient use of staff, funds, and surveillance and intervention efforts. Such integration however is not without barriers, challenges and constraints. Despite these barriers, there is a growing determination among public health professionals and policy makers to coordinate and link chronic disease public health programs.

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