In the midst of an already serious national obesity epidemic, children and adolescents with disabilities are 38 percent more likely to be obese than their non-disabled peers.* Children and adolescents with disabilities face unique challenges to maintaining a healthy weight, including physical limitations and fitness and recreation programs that are inaccessible or not inclusive of children and adolescents with disabilities. The local health department (LHD) selected for this grant will investigate and assess the prevalence of obesity in children with disabilities in their community and develop and implement an action plan to reduce the rate of childhood obesity specifically for children with disabilities. The selected LHD will also be asked to summarize lessons learned, tools used, and tips and strategies for success for distribution to other LHDs. This initiative is funded by the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention.