WIC BREASTFEEDING DATA LOCAL AGENCY REPORT

United States Department of Agriculture USDA/FNS SUPPLEMENTAL FOOD PROGRAMS DIVISION WIC BREASTFEEDING DATA LOCAL AGENCY REPORT FY 2015 1 July 29, 2016

Table of Contents Abstract 3-4 Participation by Region 5 Two-Year Comparison 6 Breastfeeding Data by Local Agencies 7-42 Alphabetical Listing of Breastfeeding Data by 43-77 Local Agency Highest % of Fully Infants by Local Agency 78-112 2

Breastfeeding promotion and support is a priority in the WIC Program and is a core component of the nutrition services that the WIC Program provides to meet its mission of safeguarding the health of low-income women, infants and children. Research continues to reinforce breastfeeding as the best source of nutrition for infants as it provides numerous health, nutritional, economical, and emotional benefits to both mother and infant. The WIC Program has achieved many accomplishments in promoting and supporting breastfeeding and continues to build upon these successes through its various breastfeeding efforts. Breastfeeding rates are steadily improving among WIC participants nationwide thanks to the efforts of WIC staff, who provide the education and support mothers need to successfully breastfeed. This is the sixth year that WIC State and local agency breastfeeding performance measurements have been collected and published. This year s report is a compilation of fiscal year (FY) 2015 breastfeeding performance measurements based on program participant data of the number of partially and fully breastfed infants for each WIC State and local agency. The Healthy, Hunger-Free Kids Act of 2010 (the Act), Public Law 111-296, requires the Department of Agriculture to annually compile and publish breastfeeding performance measurements. The collection and publication of breastfeeding performance measurements is one of several provisions in the Act that strengthens the WIC Program s emphasis on breastfeeding promotion and support and underscores the importance of exclusive, continued breastfeeding to the health of WIC participants. This reporting requirement provides an exciting opportunity to help further the efforts of WIC State and local agencies by highlighting agencies that demonstrate success in breastfeeding through high breastfeeding rates and by motivating other agencies to strengthen their breastfeeding promotion and support services with the goal of increasing their breastfeeding rates. The breastfeeding performance measurements will be used in the process to determine awardees for initiatives that recognize the exemplary performance of WIC State and local agencies in breastfeeding, such as the Loving Support Awards for Excellence and the WIC Breastfeeding Performance Bonus Awards. Lastly, this data collection provides the WIC Program with a means to track breastfeeding data trends over time. The data indicate an increase of 0.5 percent in the number of total WIC infants reported as breastfed from 30.4% in FY 2014 to 30.9% in FY 2015. This increase in breastfeeding rates represents the successful efforts of WIC State and local agencies in continuing to provide quality breastfeeding services, including peer counseling, to WIC participants. Other highlights from the FY 2015WIC Breastfeeding Data Report include: 3

An average of over 1.93 million infants participated in the WIC Program nationally. Approximately 30.9% of infants were reported as breastfed nationally (12.9% were fully breastfed and 18.0 % were partially breastfed). The Northeast, Western and Southwest Regions performance measurements were above the national average with 38.6%, 38.9%, and 37.2% of infants reported as breastfed respectively. In the Mountain Plains and Western regions, the percentage of fully breastfed infants is higher than the percentage of partially breastfed infants. Western Region had the greatest percentage of infants reported as fully breastfed 21.4%. The data indicate an increase of 0.1 percent in fully breastfed infants nationally from 12.8% to 12.9%. The percentage of partially breastfed infants increased from 17.6% to 18.0% in the WIC Program nationally. 4

% of Infants Infant Breastfeeding Participation by Region FY 2015 30.0% 28.6% 27.8% 25.0% 21.4% 20.0% 15.0% 10.0% 10.1% 15.0% 15.3% 12.3% 9.3% 10.7% 10.7% 9.5% 15.7% 12.0% 17.5% 18.0% 12.9% 5.0% 0.0% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region % Fully 10.1% 12.3% 9.3% 10.7% 9.5% 15.7% 21.4% 12.9% % 28.6% 15.0% 15.3% 10.7% 27.8% 12.0% 17.5% 18.0% National Total 5

% of Total Infants % of Infants % of Fully Infants Two-Year Comparison, FY 2014 and FY 2015 Fully Infants 21.3% 21.4% 9.7% 10.1% 12.0% 12.3% 9.3% 9.3% 10.7% 10.6% 9.3% 9.5% 15.2% 15.7% 12.8% 12.9% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region National Total FY 2014 9.7% 12.0% 9.3% 10.6% 9.3% 15.2% 21.3% 12.8% FY 2015 10.1% 12.3% 9.3% 10.7% 9.5% 15.7% 21.4% 12.9% Infants 29.6% 28.6% 27.8% 26.8% 15.0% 15.3% 14.4% 14.6% 10.7% 10.7% 11.7% 12.0% 17.5% 17.1% 17.6% 18.0% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region National Total FY 2014 29.6% 14.4% 14.6% 10.7% 26.8% 11.7% 17.1% 17.6% FY 2015 28.6% 15.0% 15.3% 10.7% 27.8% 12.0% 17.5% 18.0% 39.3% 38.6% 26.4% Total Infants 36.2% 37.2% 27.3% 26.9% 24.5% 24.0% 21.3% 21.4% 27.7% 38.4% 38.9% 30.4% 30.9% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region National Total FY 2014 39.3% 26.4% 24.0% 21.3% 36.2% 26.9% 38.4% 30.4% FY 2015 38.6% 27.3% 24.5% 21.4% 37.2% 27.7% 38.9% 30.9% 6

Breastfeeding Data by Local Agencies* Fiscal Year 2015 Infant Data State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut TVCCA WIC Program 110 205 315 594 909 12.1% 22.6% 34.7% 65.3% Optimus Health Care WIC Program 73 517 590 1,157 1,747 4.2% 29.6% 33.8% 66.2% Hartford Health Department 89 399 488 1,184 1,672 5.3% 23.9% 29.2% 70.8% Hospital of St. Raphael 132 485 617 1,244 1,861 7.1% 26.1% 33.2% 66.8% Stamford WIC Program 75 445 520 587 1,107 6.8% 40.2% 47.0% 53.0% Waterbury Hlth Dept. WIC Program 65 322 387 1,011 1,398 4.6% 23.0% 27.7% 72.3% Meriden WIC Program 84 170 254 529 783 10.7% 21.7% 32.4% 67.6% Access/Windham WIC Program 67 99 166 374 540 12.4% 18.3% 30.7% 69.3% Bristol Hospital WIC Program 89 203 292 806 1,098 8.1% 18.5% 26.6% 73.4% Danbury WIC Program 57 221 278 269 547 10.4% 40.4% 50.8% 49.2% Family Strides/Torrington WIC Program 26 62 88 167 255 10.2% 24.3% 34.5% 65.5% East Hartford WIC Program 98 192 290 748 1,038 9.4% 18.5% 27.9% 72.1% Connecticut State Mean Maine 965 3,320 4,285 8,670 12,955 7.4% 25.6% 33.1% 66.9% Aroostook County Action Program 54 15 69 282 351 15.4% 4.3% 19.7% 80.3% City of Bangor, Health & Community Services Department 129 64 193 587 780 16.5% 8.2% 24.7% 75.3% MidCoast Maine Community Action Program 108 33 141 360 501 21.6% 6.6% 28.1% 71.9% Maine Family Planning 64 28 92 250 342 18.7% 8.2% 26.9% 73.1% MaineGeneral Community Care 167 69 236 530 766 21.8% 9.0% 30.8% 69.2% The Opportunity Alliance 117 167 284 504 788 14.8% 21.2% 36.0% 64.0% Western Maine Community Action 135 129 264 659 923 14.6% 14.0% 28.6% 71.4% York County Community Action Corp. 125 54 179 500 679 18.4% 8.0% 26.4% 73.6% Maine State Mean Massachusetts 899 559 1,458 3,672 5,130 17.5% 10.9% 28.4% 71.6% Dorchester North WIC 60 102 162 209 371 16.2% 27.5% 43.7% 56.3% Blue Hill Corridor WIC 29 102 131 212 343 8.5% 29.7% 38.2% 61.8% South End WIC 41 196 237 292 529 7.8% 37.1% 44.8% 55.2% Chelsea/Revere WIC 127 338 465 517 982 12.9% 34.4% 47.4% 52.6% Jamaica Plain WIC 32 101 133 253 386 8.3% 26.2% 34.5% 65.5% Roxbury WIC 36 115 151 277 428 8.4% 26.9% 35.3% 64.7% Brighton/Roslindale WIC 93 96 189 207 396 23.5% 24.2% 47.7% 52.3% Quincy WIC 106 197 303 668 971 10.9% 20.3% 31.2% 68.8% South Boston WIC 15 24 39 75 114 13.2% 21.1% 34.2% 65.8% Springfield South WIC 65 108 173 617 790 8.2% 13.7% 21.9% 78.1% Framingham/Waltham WIC 102 257 359 589 948 10.8% 27.1% 37.9% 62.1% Plymouth WIC 73 52 125 370 495 14.7% 10.5% 25.3% 74.7% North Shore WIC 125 400 525 1,018 1,543 8.1% 25.9% 34.0% 66.0% Holyyoke/Chicopee WIC 143 125 268 749 1,017 14.1% 12.3% 26.4% 73.6% Lowell WIC 115 162 277 947 1,224 9.4% 13.2% 22.6% 77.4% Lawrence WIC 80 391 471 892 1,363 5.9% 28.7% 34.6% 65.4% Cambridge/Somerville WIC 137 275 412 393 805 17.0% 34.2% 51.2% 48.8% Fall River WIC 86 65 151 668 819 10.5% 7.9% 18.4% 81.6% Berkshire North WIC 83 44 127 335 462 18.0% 9.5% 27.5% 72.5% New Bedford WIC 70 124 194 775 969 7.2% 12.8% 20.0% 80.0% Northern Essex WIC 83 78 161 414 575 14.4% 13.6% 28.0% 72.0% Worcester WIC 165 407 572 988 1,560 10.6% 26.1% 36.7% 63.3% Franklin/Hampshire/North Quabbin WIC 119 71 190 269 459 25.9% 15.5% 41.4% 58.6% North Central WIC 132 110 242 649 891 14.8% 12.3% 27.2% 72.8% Brockton WIC 207 314 521 751 1,272 16.3% 24.7% 41.0% 59.0% South Central WIC 124 96 220 668 888 14.0% 10.8% 24.8% 75.2% **Local Agencies reporting 30 or less total infant participants were not published. 7

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Taunton/Attleboro WIC 83 63 146 511 657 12.6% 9.6% 22.2% 77.8% North Suburban WIC 94 193 287 415 702 13.4% 27.5% 40.9% 59.1% Cape Cod WIC 106 95 201 338 539 19.7% 17.6% 37.3% 62.7% East Boston WIC 104 384 488 378 866 12.0% 44.3% 56.4% 43.6% Berkshire South WIC 27 12 39 56 95 28.4% 12.6% 41.1% 58.9% Outer Cape WIC 26 15 41 45 86 30.2% 17.4% 47.7% 52.3% South Cove WIC 15 71 86 222 308 4.9% 23.1% 27.9% 72.1% Springfield North WIC 109 153 262 1,026 1,288 8.5% 11.9% 20.3% 79.7% Dorchester South WIC 73 202 275 460 735 9.9% 27.5% 37.4% 62.6% Massachusetts State Mean New Hampshire 3,085 5,538 8,623 17,253 25,876 11.9% 21.4% 33.3% 66.7% Southwestern Comm Services 84 25 109 261 370 22.7% 6.8% 29.5% 70.5% So New Hampshire SVS 219 208 427 1,286 1,713 12.8% 12.1% 24.9% 75.1% Belknap-Merrimack CAP 198 84 282 665 947 20.9% 8.9% 29.8% 70.2% Goodwin Community Health 147 41 188 434 622 23.6% 6.6% 30.2% 69.8% New Hampshire State Mean New York 648 358 1,006 2,646 3,652 17.7% 9.8% 27.5% 72.5% Women's Health Center of Albany Medical College 71 100 171 407 578 12.3% 17.3% 29.6% 70.4% Warren County Health Services 39 23 62 180 242 16.1% 9.5% 25.6% 74.4% Whitney M. Young, Jr. Health Center, Inc 47 92 139 382 521 9.0% 17.7% 26.7% 73.3% Commission on Economic Opportunity 68 73 141 551 692 9.8% 10.5% 20.4% 79.6% Schenectady County Public Health Services 52 116 168 648 816 6.4% 14.2% 20.6% 79.4% Fulmont Community Action Agency, Inc 36 45 81 416 497 7.2% 9.1% 16.3% 83.7% Delaware Opportunities, Inc. 27 18 45 138 183 14.8% 9.8% 24.6% 75.4% Schoharie County Community Action Program 23 11 34 86 120 19.2% 9.2% 28.3% 71.7% Opportunity For Chenango, Inc. 50 17 67 255 322 15.5% 5.3% 20.8% 79.2% Opportunities For Otsego, Inc. 29 21 50 171 221 13.1% 9.5% 22.6% 77.4% Catholic Charities of Columbia & Greene Counties 48 49 97 292 389 12.3% 12.6% 24.9% 75.1% Washington County Public Health Services 47 32 79 232 311 15.1% 10.3% 25.4% 74.6% Cayuga County Health Department 34 28 62 270 332 10.2% 8.4% 18.7% 81.3% Oswego County Opportunities, Inc 68 37 105 506 611 11.1% 6.1% 17.2% 82.8% Anthony L. Jordan Health Center 42 167 209 830 1,039 4.0% 16.1% 20.1% 79.9% Society for the Protection and Care of Children 131 82 213 832 1,045 12.5% 7.8% 20.4% 79.6% Cortland County Community Action Program, Inc. 37 20 57 204 261 14.2% 7.7% 21.8% 78.2% Tioga Opportunities Program, Inc 44 23 67 192 259 17.0% 8.9% 25.9% 74.1% Oneida County Health Department 113 183 296 902 1,198 9.4% 15.3% 24.7% 75.3% Onondaga County Health Department 195 291 486 1,830 2,316 8.4% 12.6% 21.0% 79.0% Broome County Health Department 137 106 243 764 1,007 13.6% 10.5% 24.1% 75.9% North Country Children's Clinic 273 172 445 1,392 1,837 14.9% 9.4% 24.2% 75.8% Essex County Public Health 23 10 33 107 140 16.4% 7.1% 23.6% 76.4% Clinton County Department of Public Health 59 39 98 250 348 17.0% 11.2% 28.2% 71.8% Tompkins County Health Department Dept. 84 52 136 164 300 28.0% 17.3% 45.3% 54.7% St. Regis Mohawk Services 10 8 18 31 49 20.4% 16.3% 36.7% 63.3% Cattaraugus County Health Department 49 31 80 312 392 12.5% 7.9% 20.4% 79.6% Catholic Charities of Buffalo 492 637 1,129 4,301 5,430 9.1% 11.7% 20.8% 79.2% Livingston County Department of Health 55 24 79 226 305 18.0% 7.9% 25.9% 74.1% Oak Orchard Community Health Center 92 66 158 508 666 13.8% 9.9% 23.7% 76.3% Chemung County Health Department 77 43 120 475 595 12.9% 7.2% 20.2% 79.8% Monroe County Health Department 189 291 480 1,592 2,072 9.1% 14.0% 23.2% 76.8% ProAction of Steuben & Yates, Inc 72 24 96 363 459 15.7% 5.2% 20.9% 79.1% Saratoga County EOC, Inc 59 47 106 347 453 13.0% 10.4% 23.4% 76.6% Ulster County Health Department 61 69 130 348 478 12.8% 14.4% 27.2% 72.8% **Local Agencies reporting 30 or less total infant participants were not published. 8

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Sullivan County Public Health Nursing Service 70 56 126 292 418 16.7% 13.4% 30.1% 69.9% Putnam County Health Department 26 88 114 132 246 10.6% 35.8% 46.3% 53.7% Orange County Health Department 209 530 739 413 1,152 18.1% 46.0% 64.1% 35.9% Rockland County Health Department 711 983 1,694 716 2,410 29.5% 40.8% 70.3% 29.7% Hudson River Healthcare, Inc 150 252 402 692 1,094 13.7% 23.0% 36.7% 63.3% Open Door Family Medical Center 87 203 290 159 449 19.4% 45.2% 64.6% 35.4% Mt. Vernon Neighborhood Health Center, Inc. 27 239 266 350 616 4.4% 38.8% 43.2% 56.8% Westchester County Department of Health 229 625 854 1,178 2,032 11.3% 30.8% 42.0% 58.0% East Harlem Council For Human Services, Inc 8 123 131 97 228 3.5% 53.9% 57.5% 42.5% William F. Ryan Community Health Center 51 177 228 423 651 7.8% 27.2% 35.0% 65.0% Gouverneur Hospital (NYCHHC) 25 243 268 439 707 3.5% 34.4% 37.9% 62.1% St. Luke's-Roosevelt Hospital Center 27 104 131 205 336 8.0% 31.0% 39.0% 61.0% Harlem Hospital (NYCHHC) 99 381 480 620 1,100 9.0% 34.6% 43.6% 56.4% North Central Bronx Hospital (NYCHHC) 30 672 702 761 1,463 2.1% 45.9% 48.0% 52.0% New York Presbyterian Medical Center 102 778 880 1,518 2,398 4.3% 32.4% 36.7% 63.3% Morrisania Diagnostic and Treatment Center (NYCHHC) 90 462 552 744 1,296 6.9% 35.6% 42.6% 57.4% St. Barnabas Hospital 41 753 794 716 1,510 2.7% 49.9% 52.6% 47.4% Bronx Lebanon Hospital Center 41 280 321 354 675 6.1% 41.5% 47.6% 52.4% Morris Heights Health Center 50 767 817 1,120 1,937 2.6% 39.6% 42.2% 57.8% Montefiore Medical Center 95 815 910 1,562 2,472 3.8% 33.0% 36.8% 63.2% Urban Health Plan, Inc. 117 839 956 877 1,833 6.4% 45.8% 52.2% 47.8% Maimonides Medical Center 140 719 859 866 1,725 8.1% 41.7% 49.8% 50.2% Jamaica Hospital 97 958 1,055 1,350 2,405 4.0% 39.8% 43.9% 56.1% Queens Hospital Center (NYCHHC) 91 613 704 775 1,479 6.2% 41.4% 47.6% 52.4% Bedford Stuyvesant Family Health Center 42 260 302 334 636 6.6% 40.9% 47.5% 52.5% Brownsville Community Development Corp. 22 203 225 543 768 2.9% 26.4% 29.3% 70.7% Brookdale Hospital and Medical Center 25 367 392 588 980 2.6% 37.4% 40.0% 60.0% Public Health Solutions 352 3,141 3,493 3,818 7,311 4.8% 43.0% 47.8% 52.2% Lutheran Family Health Center 36 973 1,009 1,556 2,565 1.4% 37.9% 39.3% 60.7% Wyckoff Heights Medical Center 140 528 668 723 1,391 10.1% 38.0% 48.0% 52.0% Brooklyn Hospital Center 295 3,290 3,585 619 4,204 7.0% 78.3% 85.3% 14.7% East New York Diagnostic and Treatment Center (NYCHHC) 28 239 267 377 644 4.3% 37.1% 41.5% 58.5% Kings County Hospital Center (NYCHHC) 108 1,043 1,151 1,292 2,443 4.4% 42.7% 47.1% 52.9% Joseph P. Addabbo Family Health Center 39 173 212 854 1,066 3.7% 16.2% 19.9% 80.1% Opportunity Development Association of Williamsburg 519 612 1,131 203 1,334 38.9% 45.9% 84.8% 15.2% Staten Island University Hospital 72 308 380 739 1,119 6.4% 27.5% 34.0% 66.0% Elmhurst Hospital Center (NYCHHC) 220 799 1,019 615 1,634 13.5% 48.9% 62.4% 37.6% Suffolk County Department of Health Services 235 1,391 1,626 2,450 4,076 5.8% 34.1% 39.9% 60.1% Nassau County Department of Health 113 1,055 1,168 1,623 2,791 4.0% 37.8% 41.8% 58.2% Allegany County Department of Health 28 15 43 163 206 13.6% 7.3% 20.9% 79.1% The Greather Hudson Valley Family Health Center, Inc 33 163 196 482 678 4.9% 24.0% 28.9% 71.1% Long Island Jewish Medical Center 47 240 287 327 614 7.7% 39.1% 46.7% 53.3% Yeled V'Yalda Early Childhood Center 607 992 1,599 351 1,950 31.1% 50.9% 82.0% 18.0% Coney Island Hospital (NYCHHC) 171 474 645 387 1,032 16.6% 45.9% 62.5% 37.5% Planned Parenthood Mohawk Hudson 5 9 14 76 90 5.6% 10.0% 15.6% 84.4% Research Foundation of SUNY Stony Brook 64 252 316 759 1,075 6.0% 23.4% 29.4% 70.6% Richmond University Medical Center 36 158 194 397 591 6.1% 26.7% 32.8% 67.2% Catholic Charities of Rockville Center 35 232 267 507 774 4.5% 30.0% 34.5% 65.5% Middletown Community Health Center 8 12 20 115 135 5.9% 8.9% 14.8% 85.2% East Side WIC Program (NYCHHC) 334 1,111 1,445 857 2,302 14.5% 48.3% 62.8% 37.2% **Local Agencies reporting 30 or less total infant participants were not published. 9

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut North Brooklyn Health Network (NYCHHC) 41 429 470 812 1,282 3.2% 33.5% 36.7% 63.3% Lincoln Hospital 80 880 960 736 1,696 4.7% 51.9% 56.6% 43.4% Chautauqua County Health Department 80 55 135 655 790 10.1% 7.0% 17.1% 82.9% Catholic Charities Brooklyn Neighborhood 66 505 571 600 1,171 5.6% 43.1% 48.8% 51.2% Institute for Family Health 28 250 278 433 711 3.9% 35.2% 39.1% 60.9% Montefiore New Rochelle Hospital 86 904 990 906 1,896 4.5% 47.7% 52.2% 47.8% Mohawk Valley Community Action Agency 74 50 124 432 556 13.3% 9.0% 22.3% 77.7% New York Presbyterian - Lower Manhattan Hospital 7 95 102 225 327 2.1% 29.1% 31.2% 68.8% New York State Mean SENECA NATION, NY Rhode Island 9,623 35,916 45,539 62,424 107,963 8.9% 33.3% 42.2% 57.8% Seneca Nation Health Department 6 7 13 44 57 10.5% 12.3% 22.8% 77.2% Women and Infants Hospital 49 68 117 543 660 7.4% 10.3% 17.7% 82.3% St. Joseph Health Services 22 50 72 263 335 6.6% 14.9% 21.5% 78.5% Eastbay Community Action Program 97 36 133 339 472 20.6% 7.6% 28.2% 71.8% Tri-Town Health Center 42 35 77 299 376 11.2% 9.3% 20.5% 79.5% West Bay Community Action, Inc. 38 22 60 298 358 10.6% 6.1% 16.8% 83.2% Wood River Health Services 26 7 33 110 143 18.2% 4.9% 23.1% 76.9% Family Health Services of Cranston 28 28 56 298 354 7.9% 7.9% 15.8% 84.2% Thundermist Health Center 74 47 121 510 631 11.7% 7.4% 19.2% 80.8% PCHC, INC 42 66 108 388 496 8.5% 13.3% 21.8% 78.2% Children's Friend & Service 81 209 290 862 1,152 7.0% 18.1% 25.2% 74.8% Scalabrini Dukcevich Center 10 56 66 178 244 4.1% 23.0% 27.0% 73.0% Rhode Island State Mean Vermont 509 626 1,135 4,093 5,228 9.7% 12.0% 21.7% 78.3% VT Dept Health Barre 75 22 97 128 225 33.3% 9.8% 43.1% 56.9% VT Dept. Health Bennington 42 25 67 137 204 20.6% 12.3% 32.8% 67.2% VT Department Health Brattleboro 38 13 51 83 134 28.4% 9.7% 38.1% 61.9% VT Dept Health Burlington 152 110 262 201 463 32.8% 23.8% 56.6% 43.4% VT Dept Health Middlebury 47 22 69 71 140 33.6% 15.7% 49.3% 50.7% VT Dept Health Newport 63 21 84 111 195 32.3% 10.8% 43.1% 56.9% VT Dept Health Rutland 65 40 105 189 294 22.1% 13.6% 35.7% 64.3% VT Dept Health St. Albans 72 33 105 204 309 23.3% 10.7% 34.0% 66.0% VT Dept Health St. Johnsbury 52 21 73 100 173 30.1% 12.1% 42.2% 57.8% VT Dept Health Springfield 27 16 43 105 148 18.2% 10.8% 29.1% 70.9% VT Dept Health White River 47 13 60 103 163 28.8% 8.0% 36.8% 63.2% VT Dept of Health Morrisville 58 17 75 75 150 38.7% 11.3% 50.0% 50.0% Vermont State Mean 738 353 1,091 1,507 2,598 28.4% 13.6% 42.0% 58.0% Northeast Region Mean Delaware 16,477 46,675 63,152 100,333 163,485 10.1% 28.6% 38.6% 61.4% Division of Public Health/Milford Clinic 210 263 473 1,844 2,317 9.1% 11.4% 20.4% 79.6% Division of Public Health/Hudson Clinic 189 566 755 1,982 2,737 6.9% 20.7% 27.6% 72.4% Delaware State Mean District of Columbia 399 829 1,228 3,826 5,054 7.9% 16.4% 24.3% 75.7% Unity Health Care 134 510 644 1,129 1,773 7.6% 28.8% 36.3% 63.7% Children's National Medical Center 105 222 327 734 1,061 9.9% 20.9% 30.8% 69.2% Mary's Center for Maternal & Child Care 99 354 453 291 744 13.3% 47.6% 60.9% 39.1% Howard University Hospital 73 164 237 385 622 11.7% 26.4% 38.1% 61.9% District of Columbia State Mean Maryland 411 1,250 1,661 2,539 4,200 9.8% 29.8% 39.5% 60.5% Allegany County WIC Program 83 21 104 327 431 19.3% 4.9% 24.1% 75.9% Anne Arundel County WIC Program 323 412 735 1,347 2,082 15.5% 19.8% 35.3% 64.7% Baltimore County WIC Program 452 831 1,283 2,791 4,074 11.1% 20.4% 31.5% 68.5% Caroline County WIC Program 91 103 194 527 721 12.6% 14.3% 26.9% 73.1% Carroll County WIC Program 73 46 119 318 437 16.7% 10.5% 27.2% 72.8% Harford County WIC Program 249 172 421 1,020 1,441 17.3% 11.9% 29.2% 70.8% **Local Agencies reporting 30 or less total infant participants were not published. 10

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Montgomery Co. (Community Clinic Inc.) WIC Program 834 2,996 3,830 2,801 6,631 12.6% 45.2% 57.8% 42.2% Prince Georges County WIC Program 487 1,430 1,917 2,238 4,155 11.7% 34.4% 46.1% 53.9% Washington County WIC Program 173 90 263 703 966 17.9% 9.3% 27.2% 72.8% Wicomico County Health Department 115 222 337 866 1,203 9.6% 18.5% 28.0% 72.0% Baltimore City WIC Program 272 603 875 3,590 4,465 6.1% 13.5% 19.6% 80.4% Queen Anne's County WIC Program 54 28 82 189 271 19.9% 10.3% 30.3% 69.7% Garrett County WIC Program 37 11 48 128 176 21.0% 6.3% 27.3% 72.7% Charles County WIC Program 188 251 439 1,200 1,639 11.5% 15.3% 26.8% 73.2% John's Hopkins WIC Program 163 491 654 1,567 2,221 7.3% 22.1% 29.4% 70.6% Frederick County WIC Program 142 231 373 607 980 14.5% 23.6% 38.1% 61.9% Howard County WIC Program 163 264 427 491 918 17.8% 28.8% 46.5% 53.5% Greater Baden WIC Program 143 293 436 970 1,406 10.2% 20.8% 31.0% 69.0% Maryland State Mean New Jersey 4,042 8,495 12,537 21,680 34,217 11.8% 24.8% 36.6% 63.4% Atlantic City WIC Program 114 340 454 875 1,329 8.6% 25.6% 34.2% 65.8% Burlington County WIC Program 183 176 359 783 1,142 16.0% 15.4% 31.4% 68.6% Gateway Community Action Partnership WIC Program 339 833 1,172 3,358 4,530 7.5% 18.4% 25.9% 74.1% East Orange WIC Program 119 405 524 788 1,312 9.1% 30.9% 39.9% 60.1% Gloucester County WIC Program 90 112 202 670 872 10.3% 12.8% 23.2% 76.8% Jersey City Dept Hum Res WIC Program 170 687 857 1,197 2,054 8.3% 33.4% 41.7% 58.3% VNA of Central Jersey, Inc. 539 1,371 1,910 2,549 4,459 12.1% 30.7% 42.8% 57.2% Newark WIC Program 145 1,003 1,148 1,547 2,695 5.4% 37.2% 42.6% 57.4% North Hudson Community Action Corp. 327 734 1,061 1,077 2,138 15.3% 34.3% 49.6% 50.4% NORWESCAP WIC Program 135 308 443 583 1,026 13.2% 30.0% 43.2% 56.8% Plainfield WIC Program 48 188 236 668 904 5.3% 20.8% 26.1% 73.9% St. Joseph's Hospital & Medical Center 460 1,453 1,913 2,607 4,520 10.2% 32.1% 42.3% 57.7% Children's Home Society of New Jersey's Mercer WIC Program 242 485 727 1,081 1,808 13.4% 26.8% 40.2% 59.8% Rutgers WIC Program 39 429 468 698 1,166 3.3% 36.8% 40.1% 59.9% Ocean County WIC Program 1,020 1,007 2,027 1,439 3,466 29.4% 29.1% 58.5% 41.5% Passaic WIC Program 134 321 455 804 1,259 10.6% 25.5% 36.1% 63.9% Trinitas Hospital WIC Program 158 736 894 1,007 1,901 8.3% 38.7% 47.0% 53.0% New Jersey State Mean Pennsylvania 4,262 10,588 14,850 21,731 36,581 11.7% 28.9% 40.6% 59.4% Allegheny County Health Department 541 176 717 4,026 4,743 11.4% 3.7% 15.1% 84.9% Broad Top Area Medical Center 101 24 125 435 560 18.0% 4.3% 22.3% 77.7% Maternal & Family Hlth Svcs, Inc. 1,766 806 2,572 11,787 14,359 12.3% 5.6% 17.9% 82.1% Crozer-Chester Medical Center 276 215 491 2,163 2,654 10.4% 8.1% 18.5% 81.5% Community Progress Council, Inc. 206 104 310 1,365 1,675 12.3% 6.2% 18.5% 81.5% Hamilton Health Ctrs 243 150 393 1,362 1,755 13.8% 8.5% 22.4% 77.6% Fayette Co. Community Action Agency 80 12 92 711 803 10.0% 1.5% 11.5% 88.5% Bucks County Health Department 186 99 285 1,077 1,362 13.7% 7.3% 20.9% 79.1% Chester County Health Department 235 138 373 862 1,235 19.0% 11.2% 30.2% 69.8% Bradford Hospital WIC Program 41 5 46 204 250 16.4% 2.0% 18.4% 81.6% United Neighborhood Facilities Hlth Care Corp. 300 97 397 1,458 1,855 16.2% 5.2% 21.4% 78.6% Community Health Services, Inc. 200 23 223 652 875 22.9% 2.6% 25.5% 74.5% Community Action Southwest 109 23 132 916 1,048 10.4% 2.2% 12.6% 87.4% Home Nursing Agency, WIC Program 243 30 273 841 1,114 21.8% 2.7% 24.5% 75.5% Comm Action Prog/Lanc Co. Inc. 470 161 631 1,602 2,233 21.0% 7.2% 28.3% 71.7% Shenango Valley Urban League, Inc. 158 23 181 761 942 16.8% 2.4% 19.2% 80.8% Comm Act. Partnership of Cambria Co. 111 20 131 570 701 15.8% 2.9% 18.7% 81.3% N Cent Org Reg For Total Health 1,453 842 2,295 13,508 15,803 9.2% 5.3% 14.5% 85.5% N Cent PA Reg Plng/Dev Commission 168 37 205 747 952 17.6% 3.9% 21.5% 78.5% **Local Agencies reporting 30 or less total infant participants were not published. 11

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut HOPE Enterprises, Inc (Bi-County WIC) 170 44 214 687 901 18.9% 4.9% 23.8% 76.2% Mon Valley Comm Hlth SVCS, Inc. 165 37 202 989 1,191 13.9% 3.1% 17.0% 83.0% Family Health Council of Central PA, Inc. 624 157 781 2,942 3,723 16.8% 4.2% 21.0% 79.0% Adagio Health 432 99 531 2,211 2,742 15.8% 3.6% 19.4% 80.6% So Central Comm Act Program 297 116 413 1,036 1,449 20.5% 8.0% 28.5% 71.5% Pennsylvania State Mean 8,575 3,438 12,013 52,912 64,925 13.2% 5.3% 18.5% 81.5% Región Bayamón 796 545 1,341 3,592 4,933 16.1% 11.0% 27.2% 72.8% Región Ponce 612 464 1,076 4,131 5,207 11.8% 8.9% 20.7% 79.3% Arecibo Region 561 374 935 2,842 3,777 14.9% 9.9% 24.8% 75.2% Caguas Region 769 559 1,328 3,384 4,712 16.3% 11.9% 28.2% 71.8% Fajardo Region 166 190 356 819 1,175 14.1% 16.2% 30.3% 69.7% Mayaguez Region 467 506 973 3,157 4,130 11.3% 12.3% 23.6% 76.4% San Juan Region 916 745 1,661 4,179 5,840 15.7% 12.8% 28.4% 71.6% Puerto Rico State Mean Virginia 4,287 3,383 7,670 22,104 29,774 14.4% 11.4% 25.8% 74.2% Central Shenandoah District 178 117 295 876 1,171 15.2% 10.0% 25.2% 74.8% Lord Fairfax District 128 76 204 678 882 14.5% 8.6% 23.1% 76.9% Rappahannock Area District 170 164 334 1,004 1,338 12.7% 12.3% 25.0% 75.0% Rappahannock-Rapidan District 91 83 174 520 694 13.1% 12.0% 25.1% 74.9% Thomas Jefferson District 154 86 240 622 862 17.9% 10.0% 27.8% 72.2% Alexandria District 104 193 297 415 712 14.6% 27.1% 41.7% 58.3% Arlington District 58 280 338 275 613 9.5% 45.7% 55.1% 44.9% Fairfax District 366 1,147 1,513 2,395 3,908 9.4% 29.4% 38.7% 61.3% Loudoun District 71 220 291 399 690 10.3% 31.9% 42.2% 57.8% Prince William District 211 381 592 1,707 2,299 9.2% 16.6% 25.8% 74.2% Alleghany District 75 30 105 395 500 15.0% 6.0% 21.0% 79.0% Central Virginia District 163 60 223 885 1,108 14.7% 5.4% 20.1% 79.9% Cumberland Plateau 48 11 59 555 614 7.8% 1.8% 9.6% 90.4% Pittsylvania-Danville District 43 18 61 512 573 7.5% 3.1% 10.6% 89.4% West Piedmont District 79 36 115 655 770 10.3% 4.7% 14.9% 85.1% Lenowisco District 47 14 61 522 583 8.1% 2.4% 10.5% 89.5% Mount Rogers District 121 39 160 929 1,089 11.1% 3.6% 14.7% 85.3% New River District 90 22 112 449 561 16.0% 3.9% 20.0% 80.0% Roanoke District 124 62 186 822 1,008 12.3% 6.2% 18.5% 81.5% Chesterfield District 148 112 260 1,113 1,373 10.8% 8.2% 18.9% 81.1% Crater District 94 52 146 968 1,114 8.4% 4.7% 13.1% 86.9% Chickahominy District 38 28 66 233 299 12.7% 9.4% 22.1% 77.9% Henrico District 158 107 265 1,135 1,400 11.3% 7.6% 18.9% 81.1% Piedmont District 49 18 67 513 580 8.4% 3.1% 11.6% 88.4% Richmond City District 135 109 244 1,248 1,492 9.0% 7.3% 16.4% 83.6% Southside District 35 26 61 472 533 6.6% 4.9% 11.4% 88.6% Chesapeake District 123 82 205 787 992 12.4% 8.3% 20.7% 79.3% Eastern Shore District 22 32 54 298 352 6.3% 9.1% 15.3% 84.7% Hampton District 143 80 223 750 973 14.7% 8.2% 22.9% 77.1% Norfolk District 139 87 226 1,447 1,673 8.3% 5.2% 13.5% 86.5% Three Rivers District 68 26 94 497 591 11.5% 4.4% 15.9% 84.1% Peninsula District 193 127 320 1,403 1,723 11.2% 7.4% 18.6% 81.4% Western Tidewater District 53 31 84 623 707 7.5% 4.4% 11.9% 88.1% Virginia Beach District 410 183 593 1,483 2,076 19.7% 8.8% 28.6% 71.4% Portsmouth District 84 19 103 755 858 9.8% 2.2% 12.0% 88.0% Virginia State Mean 4,213 4,158 8,371 28,340 36,711 11.5% 11.3% 22.8% 77.2% **Local Agencies reporting 30 or less total infant participants were not published. 12

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Virgin Islands Dept. of Health-VI WIC Program 47 306 353 155 508 9.3% 60.2% 69.5% 30.5% Dept. of Health-VI WIC Program 49 225 274 185 459 10.7% 49.0% 59.7% 40.3% Virgin Islands State Mean West Virginia 96 531 627 340 967 9.9% 54.9% 64.8% 35.2% TSN/WIC Program 151 103 254 1,715 1,969 7.7% 5.2% 12.9% 87.1% Central WV WIC 120 57 177 595 772 15.5% 7.4% 22.9% 77.1% Monongalia County Health Department 157 119 276 1,146 1,422 11.0% 8.4% 19.4% 80.6% Randolph/Elkins Health 112 83 195 658 853 13.1% 9.7% 22.9% 77.1% Shenandoah Valley Medical System 160 83 243 959 1,202 13.3% 6.9% 20.2% 79.8% Wheeling-Ohio County WIC 72 44 116 741 857 8.4% 5.1% 13.5% 86.5% Mid-Ohio Valley WIC Agency 117 76 193 1,026 1,219 9.6% 6.2% 15.8% 84.2% Valley Health Systems Inc WIC Program 239 206 445 2,026 2,471 9.7% 8.3% 18.0% 82.0% West Virginia State Mean 1,128 771 1,899 8,866 10,765 10.5% 7.2% 17.6% 82.4% Mid-Atlantic Region Mean Alabama 27,407 33,441 60,848 162,338 223,186 12.3% 15.0% 27.3% 72.7% Public Health Area 1 118 148 266 1,981 2,247 5.3% 6.6% 11.8% 88.2% Public Health Area 2 301 425 726 4,670 5,396 5.6% 7.9% 13.5% 86.5% Public Health Area 3 59 87 146 1,857 2,003 2.9% 4.3% 7.3% 92.7% Public Health Area 4 208 474 682 3,675 4,357 4.8% 10.9% 15.7% 84.3% Public Health Area 10 130 146 276 2,139 2,415 5.4% 6.0% 11.4% 88.6% Public Health Area 11 133 230 363 3,244 3,607 3.7% 6.4% 10.1% 89.9% Public Health Area 8 241 382 623 4,285 4,908 4.9% 7.8% 12.7% 87.3% Public Health Area 9 159 157 316 2,237 2,553 6.2% 6.1% 12.4% 87.6% Public Health Area 5 229 349 578 2,783 3,361 6.8% 10.4% 17.2% 82.8% Public Health Area 6 138 204 342 2,275 2,617 5.3% 7.8% 13.1% 86.9% Public Health Area 7 39 64 103 1,208 1,311 3.0% 4.9% 7.9% 92.1% Alabama State Mean Florida 1,755 2,666 4,421 30,354 34,775 5.0% 7.7% 12.7% 87.3% Bay County Health Department 259 209 468 1,378 1,846 14.0% 11.3% 25.4% 74.6% Brevard County Health Department 437 372 809 1,884 2,693 16.2% 13.8% 30.0% 70.0% Broward County Health Department 1,381 2,693 4,074 7,568 11,642 11.9% 23.1% 35.0% 65.0% Charlotte County Health Department 122 81 203 493 696 17.5% 11.6% 29.2% 70.8% Citrus County Health Department 77 53 130 512 642 12.0% 8.3% 20.2% 79.8% Clay County Health Department 125 95 220 660 880 14.2% 10.8% 25.0% 75.0% Collier County Health Department 262 371 633 1,145 1,778 14.7% 20.9% 35.6% 64.4% Dade County Health Department 1,431 5,503 6,934 10,684 17,618 8.1% 31.2% 39.4% 60.6% Desoto County Health Department 36 60 96 209 305 11.8% 19.7% 31.5% 68.5% Duval County Health Department 714 937 1,651 4,590 6,241 11.4% 15.0% 26.5% 73.5% Escambia Co Health Department 263 211 474 1,780 2,254 11.7% 9.4% 21.0% 79.0% Gadsden County Health Department 23 74 97 301 398 5.8% 18.6% 24.4% 75.6% Hernando County Health Department 130 76 206 713 919 14.1% 8.3% 22.4% 77.6% Highlands County Health Department 74 103 177 514 691 10.7% 14.9% 25.6% 74.4% Hillsborough County Health Department 831 1,108 1,939 6,564 8,503 9.8% 13.0% 22.8% 77.2% Indian River County Health Department 90 145 235 471 706 12.7% 20.5% 33.3% 66.7% Jackson County Health Department 56 70 126 719 845 6.6% 8.3% 14.9% 85.1% Lake County Health Department 220 342 562 1,564 2,126 10.3% 16.1% 26.4% 73.6% Lee County Health Department 459 983 1,442 2,845 4,287 10.7% 22.9% 33.6% 66.4% Leon County Health Department 170 296 466 1,531 1,997 8.5% 14.8% 23.3% 76.7% Manatee County Health Department 158 327 485 1,385 1,870 8.4% 17.5% 25.9% 74.1% Marion County Health Department 207 344 551 1,668 2,219 9.3% 15.5% 24.8% 75.2% Martin County Health Department 107 187 294 361 655 16.3% 28.5% 44.9% 55.1% Monroe County Health Department 52 73 125 244 369 14.1% 19.8% 33.9% 66.1% Nassau County Health Department 118 110 228 501 729 16.2% 15.1% 31.3% 68.7% **Local Agencies reporting 30 or less total infant participants were not published. 13

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Okaloosa County Health Department 224 142 366 909 1,275 17.6% 11.1% 28.7% 71.3% Okeechobee County Health Department 56 40 96 306 402 13.9% 10.0% 23.9% 76.1% Orange County Health Department 765 1,588 2,353 6,168 8,521 9.0% 18.6% 27.6% 72.4% Osceola County Health Department 496 541 1,037 2,148 3,185 15.6% 17.0% 32.6% 67.4% Palm Beach County Health Department 642 1,769 2,411 5,016 7,427 8.6% 23.8% 32.5% 67.5% Pasco County Health Department 291 241 532 1,946 2,478 11.7% 9.7% 21.5% 78.5% Pinellas County Health Department 460 543 1,003 3,218 4,221 10.9% 12.9% 23.8% 76.2% Polk County Health Department 491 936 1,427 3,758 5,185 9.5% 18.1% 27.5% 72.5% Putnam County Health Department 70 114 184 493 677 10.3% 16.8% 27.2% 72.8% St Johns County Health Department 120 90 210 381 591 20.3% 15.2% 35.5% 64.5% St Lucie County Health Department 243 357 600 1,347 1,947 12.5% 18.3% 30.8% 69.2% Santa Rosa County Health Department 138 76 214 572 786 17.6% 9.7% 27.2% 72.8% Sarasota County Health Department 252 243 495 875 1,370 18.4% 17.7% 36.1% 63.9% Seminole County Health Department 294 257 551 1,385 1,936 15.2% 13.3% 28.5% 71.5% Volusia County Health Department 355 414 769 1,944 2,713 13.1% 15.3% 28.3% 71.7% North Central FL WIC Project 265 207 472 1,626 2,098 12.6% 9.9% 22.5% 77.5% University of Miami WIC Project 83 198 281 505 786 10.6% 25.2% 35.8% 64.2% Flagler County Health Department 81 53 134 317 451 18.0% 11.8% 29.7% 70.3% Alachua County Health Department 369 342 711 2,343 3,054 12.1% 11.2% 23.3% 76.7% Florida State Mean Georgia 13,497 22,974 36,471 85,541 122,012 11.1% 18.8% 29.9% 70.1% Dist./Unit 01-1 Northwest GA Hlth Dist. 328 721 1,049 2,980 4,029 8.1% 17.9% 26.0% 74.0% Dist./Unit 01-2 North Georgia Health District 439 598 1,037 1,855 2,892 15.2% 20.7% 35.9% 64.1% Dist./Unit 02-0 North Health District 400 920 1,320 2,399 3,719 10.8% 24.7% 35.5% 64.5% Dist./Unit 03-1 Cobb/Douglas Hlth Dist. 482 1,251 1,733 2,297 4,030 12.0% 31.0% 43.0% 57.0% Dist./Unit 03-2 Fulton Co. Hlth Dist. 212 833 1,045 2,859 3,904 5.4% 21.3% 26.8% 73.2% Dist./Unit 03-3 Clayton Co. Hlth District 132 518 650 1,519 2,169 6.1% 23.9% 30.0% 70.0% Dist/Unit 03-4 East Metro Hlth Dist. 587 1,930 2,517 3,893 6,410 9.2% 30.1% 39.3% 60.7% Dist/Unit 03-5 DeKalb Co. Hlth District 400 1,763 2,163 3,447 5,610 7.1% 31.4% 38.6% 61.4% Dist/Unit 04-0 LaGrange Hlth Services 572 850 1,422 3,689 5,111 11.2% 16.6% 27.8% 72.2% Dist/Unit 05-1 South Central Hlth Dist. 65 71 136 961 1,097 5.9% 6.5% 12.4% 87.6% Dist/Unit 05-1 North Central Hlth Dist. 228 622 850 3,121 3,971 5.7% 15.7% 21.4% 78.6% Dist/Unit 06-0 East Central Hlth Dist. 293 521 814 2,475 3,289 8.9% 15.8% 24.7% 75.3% Dist/Unit 07-0 West Central Hlth Dist 306 447 753 2,462 3,215 9.5% 13.9% 23.4% 76.6% Dist/Unit 08-1 South Health Dist 163 170 333 1,913 2,246 7.3% 7.6% 14.8% 85.2% Dist/Unit 08-2 Southwest Hlth District 159 368 527 2,504 3,031 5.2% 12.1% 17.4% 82.6% Dist/Unit 09-2 Southeast Health District 584 872 1,456 3,127 4,583 12.7% 19.0% 31.8% 68.2% Dist/Unit 09-1 Coastal Health District 218 478 696 2,558 3,254 6.7% 14.7% 21.4% 78.6% Dist/Unit 10-0 Northeast Health District 257 298 555 1,866 2,421 10.6% 12.3% 22.9% 77.1% Grady Health System 73 287 360 206 566 12.9% 50.7% 63.6% 36.4% Georgia State Mean Kentucky 5,898 13,518 19,416 46,131 65,547 9.0% 20.6% 29.6% 70.4% Allen County Health Department 16 6 22 150 172 9.3% 3.5% 12.8% 87.2% Anderson County Health Department 12 8 20 100 120 10.0% 6.7% 16.7% 83.3% Bourbon County Health Department 143 205 348 1,533 1,881 7.6% 10.9% 18.5% 81.5% Boyle County Health Department 9 12 21 119 140 6.4% 8.6% 15.0% 85.0% Breathitt County Health Department 4 11 15 57 72 5.6% 15.3% 20.8% 79.2% Bullitt County Health Department 15 10 25 114 139 10.8% 7.2% 18.0% 82.0% Clark County Health Department 24 74 98 371 469 5.1% 15.8% 20.9% 79.1% Estill County Health Department 19 28 47 163 210 9.0% 13.3% 22.4% 77.6% Lexington-Fayette Co.Health Dept 137 76 213 765 978 14.0% 7.8% 21.8% 78.2% Fleming County Health Department 21 43 64 210 274 7.7% 15.7% 23.4% 76.6% **Local Agencies reporting 30 or less total infant participants were not published. 14

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Floyd County Health Department 19 40 59 433 492 3.9% 8.1% 12.0% 88.0% Franklin County Health Department 19 21 40 192 232 8.2% 9.1% 17.2% 82.8% Greenup County Health Department 28 63 91 232 323 8.7% 19.5% 28.2% 71.8% Louisville-Jefferson Metro H. D. 16 41 57 239 296 5.4% 13.9% 19.3% 80.7% Jessamine County Health Department 87 50 137 1,268 1,405 6.2% 3.6% 9.8% 90.2% Johnson County Health Department 16 16 32 171 203 7.9% 7.9% 15.8% 84.2% Knox County Health Department 27 24 51 277 328 8.2% 7.3% 15.5% 84.5% Laurel County Health Department 37 38 75 265 340 10.9% 11.2% 22.1% 77.9% Lewis County Health Department 31 58 89 855 944 3.3% 6.1% 9.4% 90.6% Lincoln County Health Department 14 12 26 291 317 4.4% 3.8% 8.2% 91.8% Madison County Health Department 116 164 280 1,449 1,729 6.7% 9.5% 16.2% 83.8% Magoffin County Health Department 33 60 93 442 535 6.2% 11.2% 17.4% 82.6% Martin County Health Department 7 7 14 98 112 6.3% 6.3% 12.5% 87.5% Monroe County Health Department 10 11 21 171 192 5.2% 5.7% 10.9% 89.1% Oldham County Health Department 25 18 43 272 315 7.9% 5.7% 13.7% 86.3% Pike County Health Department 277 926 1,203 2,467 3,670 7.5% 25.2% 32.8% 67.2% Powell County Health Department 51 72 123 445 568 9.0% 12.7% 21.7% 78.3% Whitley County Health Department 14 12 26 183 209 6.7% 5.7% 12.4% 87.6% Woodford County Health Department 3 4 7 89 96 3.1% 4.2% 7.3% 92.7% U of L Pediatrics - Downtown 12 25 37 88 125 9.6% 20.0% 29.6% 70.4% Lincoln Trail District 12 9 21 118 139 8.6% 6.5% 15.1% 84.9% Barren River District 7 1 8 95 103 6.8% 1.0% 7.8% 92.2% Purchase District 13 38 51 192 243 5.3% 15.6% 21.0% 79.0% North Central District 21 3 24 207 231 9.1% 1.3% 10.4% 89.6% Lake Cumberland District 38 29 67 403 470 8.1% 6.2% 14.3% 85.7% Northern Kentucky District 144 180 324 1,806 2,130 6.8% 8.5% 15.2% 84.8% Little Sandy District 21 20 41 116 157 13.4% 12.7% 26.1% 73.9% Kentucky River District 15 48 63 343 406 3.7% 11.8% 15.5% 84.5% Cumberland Valley District 32 21 53 310 363 8.8% 5.8% 14.6% 85.4% Green River District 21 37 58 428 486 4.3% 7.6% 11.9% 88.1% Wedco District 6 12 18 112 130 4.6% 9.2% 13.8% 86.2% Gateway District 41 60 101 543 644 6.4% 9.3% 15.7% 84.3% Three Rivers District 20 21 41 301 342 5.8% 6.1% 12.0% 88.0% Pennyrile District 4 7 11 81 92 4.3% 7.6% 12.0% 88.0% Buffalo Trace District 35 29 64 403 467 7.5% 6.2% 13.7% 86.3% Park Duvalle Health Center 27 39 66 394 460 5.9% 8.5% 14.3% 85.7% Muhlenberg County Health Department 107 73 180 1,374 1,554 6.9% 4.7% 11.6% 88.4% Marshall County Health Department 14 11 25 98 123 11.4% 8.9% 20.3% 79.7% Hopkins County Health Department 44 38 82 393 475 9.3% 8.0% 17.3% 82.7% Christian County Health Department 28 21 49 345 394 7.1% 5.3% 12.4% 87.6% Todd County Health Department 2 9 11 105 116 1.7% 7.8% 9.5% 90.5% Bracken County Health Department 16 10 26 167 193 8.3% 5.2% 13.5% 86.5% Montgomery County Health Department 9 25 34 238 272 3.3% 9.2% 12.5% 87.5% Garrard County Health Department 8 8 16 99 115 7.0% 7.0% 13.9% 86.1% Mercer County Health Department 161 307 468 1,045 1,513 10.6% 20.3% 30.9% 69.1% Breckinridge County Health Department 4 6 10 124 134 3.0% 4.5% 7.5% 92.5% Ashland-Boyd County Health Dept. 16 4 20 292 312 5.1% 1.3% 6.4% 93.6% Lawrence County Health Dept. 11 11 22 166 188 5.9% 5.9% 11.7% 88.3% Calloway County Health Department 8 4 12 132 144 5.6% 2.8% 8.3% 91.7% Bell County Health Dept 24 6 30 300 330 7.3% 1.8% 9.1% 90.9% **Local Agencies reporting 30 or less total infant participants were not published. 15

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Graves County Health Department 7 1 8 111 119 5.9% 0.8% 6.7% 93.3% Grayson County Health Center 9 20 29 337 366 2.5% 5.5% 7.9% 92.1% Harlan County Center 11 6 17 117 134 8.2% 4.5% 12.7% 87.3% Kentucky State Mean Mississippi 2,178 3,249 5,427 24,804 30,231 7.2% 10.7% 18.0% 82.0% Delta Community Health Center 1 10 11 111 122 0.8% 8.2% 9.0% 91.0% Jefferson Comp Health Center 1 1 2 44 46 2.2% 2.2% 4.3% 95.7% Family Health Care Clinic 4 10 14 200 214 1.9% 4.7% 6.5% 93.5% Jackson-Hinds Comp Health Center 16 46 62 469 531 3.0% 8.7% 11.7% 88.3% GA Carmichael Family Health Center 10 37 47 588 635 1.6% 5.8% 7.4% 92.6% District I WIC 74 148 222 2,245 2,467 3.0% 6.0% 9.0% 91.0% District II WIC 112 175 287 2,694 2,981 3.8% 5.9% 9.6% 90.4% District III WIC 17 178 195 1,954 2,149 0.8% 8.3% 9.1% 90.9% District IV WIC 54 104 158 1,852 2,010 2.7% 5.2% 7.9% 92.1% District V WIC 75 263 338 3,341 3,679 2.0% 7.1% 9.2% 90.8% District VI WIC 38 107 145 1,740 1,885 2.0% 5.7% 7.7% 92.3% District VII WIC 33 70 103 1,458 1,561 2.1% 4.5% 6.6% 93.4% District VIII WIC 99 226 325 2,077 2,402 4.1% 9.4% 13.5% 86.5% District IX WIC 172 202 374 2,945 3,319 5.2% 6.1% 11.3% 88.7% Coastal Family Health Center 14 31 45 306 351 4.0% 8.8% 12.8% 87.2% Greater Meridian Health Center 2 16 18 219 237 0.8% 6.8% 7.6% 92.4% Northeast MS Health Care Clinic 3 6 9 123 132 2.3% 4.5% 6.8% 93.2% Family Health Center 2 28 30 276 306 0.7% 9.2% 9.8% 90.2% Aaron Henry Community Health Center - 6 6 378 384 0.0% 1.6% 1.6% 98.4% University Hospital/Wiser Hospital 7 72 79 118 197 3.6% 36.5% 40.1% 59.9% Mallory Community Health Center - 3 3 109 112 0.0% 2.7% 2.7% 97.3% North Mississippi Primary Health Care 2 1 3 49 52 3.8% 1.9% 5.8% 94.2% Mississippi State Mean CHOCTAW RESERVATION, MS North Carolina 736 1,740 2,476 23,296 25,772 2.9% 6.8% 9.6% 90.4% MS Choctaw Reservation Health Center 2 9 11 172 183 1.1% 4.9% 6.0% 94.0% Alamance County Health Department 108 156 264 725 989 10.9% 15.8% 26.7% 73.3% Alexander County Health Department 30 17 47 145 192 15.6% 8.9% 24.5% 75.5% Anson County Health Dept 9 19 28 164 192 4.7% 9.9% 14.6% 85.4% Appalachian District Health Department 98 37 135 219 354 27.7% 10.5% 38.1% 61.9% Beaufort County Health Department 37 49 86 233 319 11.6% 15.4% 27.0% 73.0% Bladen County Health Department 12 34 46 217 263 4.6% 12.9% 17.5% 82.5% Brunswick County Health Department 87 62 149 433 582 14.9% 10.7% 25.6% 74.4% Buncombe County Health Department 268 174 442 719 1,161 23.1% 15.0% 38.1% 61.9% Burke County Health Department 66 71 137 440 577 11.4% 12.3% 23.7% 76.3% Cabarrus Health Alliance 140 232 372 707 1,079 13.0% 21.5% 34.5% 65.5% Caldwell County Health Department 60 62 122 344 466 12.9% 13.3% 26.2% 73.8% Carteret County Health Department 53 38 91 210 301 17.6% 12.6% 30.2% 69.8% Caswell County Health Department 13 18 31 103 134 9.7% 13.4% 23.1% 76.9% Catawba County Health Department 160 163 323 764 1,087 14.7% 15.0% 29.7% 70.3% Cherokee County Health Department 22 23 45 100 145 15.2% 15.9% 31.0% 69.0% Clay County Health Department 12 6 18 29 47 25.5% 12.8% 38.3% 61.7% Cleveland County Health Department 66 49 115 587 702 9.4% 7.0% 16.4% 83.6% Columbus County Health Department 34 29 63 405 468 7.3% 6.2% 13.5% 86.5% Craven County Health Department 131 67 198 599 797 16.4% 8.4% 24.8% 75.2% Cumberland County Public Health Center 567 442 1,009 2,317 3,326 17.0% 13.3% 30.3% 69.7% Dare County Health Department 46 36 82 97 179 25.7% 20.1% 45.8% 54.2% Davidson County Health Department 127 97 224 785 1,009 12.6% 9.6% 22.2% 77.8% **Local Agencies reporting 30 or less total infant participants were not published. 16

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Davie County Health Department 29 35 64 146 210 13.8% 16.7% 30.5% 69.5% Duplin County Health Department 25 122 147 423 570 4.4% 21.4% 25.8% 74.2% Edgecombe County Health Department 20 49 69 396 465 4.3% 10.5% 14.8% 85.2% Franklin County Health Department 34 35 69 281 350 9.7% 10.0% 19.7% 80.3% Gaston County Health Department 130 177 307 1,017 1,324 9.8% 13.4% 23.2% 76.8% Graham County Health Department 10 3 13 51 64 15.6% 4.7% 20.3% 79.7% Granville-Vance District Health Department 43 81 124 558 682 6.3% 11.9% 18.2% 81.8% Greene County Health Department 14 22 36 128 164 8.5% 13.4% 22.0% 78.0% Guilford County Health Department 444 586 1,030 2,125 3,155 14.1% 18.6% 32.6% 67.4% Harnett County Health Department 52 80 132 558 690 7.5% 11.6% 19.1% 80.9% Haywood County Health Department 62 46 108 327 435 14.3% 10.6% 24.8% 75.2% Henderson County Health Department 113 90 203 311 514 22.0% 17.5% 39.5% 60.5% Hertford County Health Department 44 35 79 204 283 15.5% 12.4% 27.9% 72.1% Hoke County Health Department 31 58 89 299 388 8.0% 14.9% 22.9% 77.1% Hyde County Health Department 16 25 41 97 138 11.6% 18.1% 29.7% 70.3% Iredell County Health Department 63 83 146 504 650 9.7% 12.8% 22.5% 77.5% Jackson County Health Department 55 41 96 270 366 15.0% 11.2% 26.2% 73.8% Johnston County Health Department 87 156 243 587 830 10.5% 18.8% 29.3% 70.7% Jones County Health Department 37 46 83 219 302 12.3% 15.2% 27.5% 72.5% Lenoir Community Health Center 24 62 86 376 462 5.2% 13.4% 18.6% 81.4% Lincoln Community Health Center 146 322 468 962 1,430 10.2% 22.5% 32.7% 67.3% Lincoln County Health Department 59 52 111 327 438 13.5% 11.9% 25.3% 74.7% Macon County Health Department 52 39 91 185 276 18.8% 14.1% 33.0% 67.0% Madison County Health Department 31 13 44 107 151 20.5% 8.6% 29.1% 70.9% Martin-Tyrell-Washington 29 39 68 261 329 8.8% 11.9% 20.7% 79.3% Mecklenburg County Health Department 345 816 1,161 3,067 4,228 8.2% 19.3% 27.5% 72.5% Montgomery County Health Department 144 356 500 1,176 1,676 8.6% 21.2% 29.8% 70.2% Moore County Health Department 36 60 96 301 397 9.1% 15.1% 24.2% 75.8% Nash County Health Department 28 74 102 512 614 4.6% 12.1% 16.6% 83.4% New Hanover County Health Department 125 138 263 608 871 14.4% 15.8% 30.2% 69.8% Northampton County Health Department 53 47 100 241 341 15.5% 13.8% 29.3% 70.7% Onslow County Health Department 375 169 544 1,045 1,589 23.6% 10.6% 34.2% 65.8% Piedmont Health Services 133 244 377 479 856 15.5% 28.5% 44.0% 56.0% Albemarle Regional Health Services 78 71 149 630 779 10.0% 9.1% 19.1% 80.9% Pender County Health Department 32 29 61 191 252 12.7% 11.5% 24.2% 75.8% Pitt County Public Health Center 139 179 318 775 1,093 12.7% 16.4% 29.1% 70.9% Randolph County Health Department 128 136 264 710 974 13.1% 14.0% 27.1% 72.9% Forsyth County Health Department 379 467 846 1,501 2,347 16.1% 19.9% 36.0% 64.0% Richmond County Health Department 54 65 119 397 516 10.5% 12.6% 23.1% 76.9% Robeson County Health Department 53 118 171 867 1,038 5.1% 11.4% 16.5% 83.5% Rockingham County Health Department 51 80 131 611 742 6.9% 10.8% 17.7% 82.3% Rowan County Health Department 55 100 155 591 746 7.4% 13.4% 20.8% 79.2% Rutherford, Polk, McDowell Health District 99 107 206 624 830 11.9% 12.9% 24.8% 75.2% Sampson County Health Department 19 72 91 415 506 3.8% 14.2% 18.0% 82.0% Scotland County Health Department 19 47 66 349 415 4.6% 11.3% 15.9% 84.1% Stanly County Health Department 50 51 101 322 423 11.8% 12.1% 23.9% 76.1% Stokes County Health Department 24 21 45 184 229 10.5% 9.2% 19.7% 80.3% Surry County Health Department 53 75 128 335 463 11.4% 16.2% 27.6% 72.4% Swain County Health Department 22 9 31 49 80 27.5% 11.3% 38.8% 61.3% Toe River Health District 56 34 90 194 284 19.7% 12.0% 31.7% 68.3% **Local Agencies reporting 30 or less total infant participants were not published. 17

State/Region Local Agency ** Fully Total Total Infants Fully Total Connecticut Transylvania County Health Department 47 17 64 100 164 28.7% 10.4% 39.0% 61.0% Tri-County Community Health Center d/b/a CommWell Health 32 100 132 91 223 14.3% 44.8% 59.2% 40.8% Halifax County Health Department 48 42 90 462 552 8.7% 7.6% 16.3% 83.7% Union County Health Department 173 155 328 566 894 19.4% 17.3% 36.7% 63.3% Wake County Health Department 560 1,055 1,615 2,298 3,913 14.3% 27.0% 41.3% 58.7% Warren County Health Department 13 13 26 130 156 8.3% 8.3% 16.7% 83.3% Wayne County Health Department 107 163 270 822 1,092 9.8% 14.9% 24.7% 75.3% Wilson County Health Department 35 112 147 501 648 5.4% 17.3% 22.7% 77.3% Yadkin County Health Department 32 38 70 142 212 15.1% 17.9% 33.0% 67.0% Pamlico County Health Department 151 70 221 358 579 26.1% 12.1% 38.2% 61.8% Lee County Health Department 79 164 243 570 813 9.7% 20.2% 29.9% 70.1% Person County Health Department 19 27 46 202 248 7.7% 10.9% 18.5% 81.5% Wilkes County Health Dept 50 51 101 339 440 11.4% 11.6% 23.0% 77.0% North Carolina State Mean CHEROKEE RESERVATION, NC South Carolina 7,692 9,750 17,442 43,816 61,258 12.6% 15.9% 28.5% 71.5% NC-E. Cherokee Reservation 23 15 38 98 136 16.9% 11.0% 27.9% 72.1% Beaufort-Jasper Comp Center 79 89 168 369 537 14.7% 16.6% 31.3% 68.7% Upstate - Public Health Regional Office 900 1,288 2,188 7,170 9,358 9.6% 13.8% 23.4% 76.6% Midlands - Public Health Regional Office 604 1,217 1,821 6,711 8,532 7.1% 14.3% 21.3% 78.7% Pee Dee - Public Health Regional Office 448 867 1,315 5,625 6,940 6.5% 12.5% 18.9% 81.1% Lowcountry - Public Health Regional Office 729 1,105 1,834 4,994 6,828 10.7% 16.2% 26.9% 73.1% Little River Medical Center 22 22 44 192 236 9.3% 9.3% 18.6% 81.4% South Carolina State Mean Tennessee 2,782 4,588 7,370 25,061 32,431 8.6% 14.1% 22.7% 77.3% Northeast Tennessee Region 275 167 442 1,644 2,086 13.2% 8.0% 21.2% 78.8% East Tennessee Region 552 470 1,022 3,870 4,892 11.3% 9.6% 20.9% 79.1% Southeast Region 229 171 400 1,725 2,125 10.8% 8.0% 18.8% 81.2% Upper Cumberland Region 247 186 433 1,951 2,384 10.4% 7.8% 18.2% 81.8% Mid-Cumberland Region 763 679 1,442 4,457 5,899 12.9% 11.5% 24.4% 75.6% South Central Region 232 222 454 2,211 2,665 8.7% 8.3% 17.0% 83.0% West TN Region Union City 131 120 251 1,533 1,784 7.3% 6.7% 14.1% 85.9% West TN Region Jackson 111 122 233 1,665 1,898 5.8% 6.4% 12.3% 87.7% Memphis Shelby County Health Dept 221 1,022 1,243 6,785 8,028 2.8% 12.7% 15.5% 84.5% Metro-Davidson Health Department 505 926 1,431 3,675 5,106 9.9% 18.1% 28.0% 72.0% Knox County Regional Office 268 214 482 1,436 1,918 14.0% 11.2% 25.1% 74.9% Hamilton County Regional Office 178 262 440 1,439 1,879 9.5% 13.9% 23.4% 76.6% Sullivan County Regional Office 113 60 173 689 862 13.1% 7.0% 20.1% 79.9% Madison County Health Dept 49 52 101 659 760 6.4% 6.8% 13.3% 86.7% Tennessee State Mean 3,874 4,673 8,547 33,739 42,286 9.2% 11.1% 20.2% 79.8% Southeast Region Mean Illinois 38,152 62,951 101,103 311,334 412,437 9.3% 15.3% 24.5% 75.5% TCA Health Altgeld Health Center 40 91 131 1,077 1,208 3.3% 7.5% 10.8% 89.2% Bond County Health Dept 16 5 21 84 105 15.2% 4.8% 20.0% 80.0% Logan County Health Department 18 9 27 124 151 11.9% 6.0% 17.9% 82.1% Chicago Department of Health 248 971 1,219 7,100 8,319 3.0% 11.7% 14.7% 85.3% Champaign-Urbana Public Health 92 172 264 683 947 9.7% 18.2% 27.9% 72.1% Community & Econ Dev Assoc CEDA 833 3,433 4,266 8,157 12,423 6.7% 27.6% 34.3% 65.7% Coordinated Youth Services 162 120 282 1,129 1,411 11.5% 8.5% 20.0% 80.0% Eastside Health District 41 69 110 837 947 4.3% 7.3% 11.6% 88.4% Egyptian Health Department 24 17 41 284 325 7.4% 5.2% 12.6% 87.4% Ford County Public Health Department 7 4 11 48 59 11.9% 6.8% 18.6% 81.4% Fulton County Health Department 23 12 35 133 168 13.7% 7.1% 20.8% 79.2% Greene County Health Department 10 2 12 61 73 13.7% 2.7% 16.4% 83.6% **Local Agencies reporting 30 or less total infant participants were not published. 18