USDA/FNS SUPPLEMENTAL FOOD PROGRAMS DIVISION WIC BREASTFEEDING DATA LOCAL AGENCY REPORT

USDA/FNS SUPPLEMENTAL FOOD PROGRAMS DIVISION WIC BREASTFEEDING DATA LOCAL AGENCY REPORT FY 2012 1

Table of Contents Abstract 3-4 Participation by Region 5 Two-Year Comparison 6 Breastfeeding Data by Local Agencies 7-28 Alphabetical Listing of Breastfeeding Data by 29-53 Local Agencies Highest % Infants 54-78 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 third year that State and local WIC agency breastfeeding performance measurements have been collected and published. This year s report is a compilation of fiscal year (FY) 2012 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. Additionally, the collection of these data allows WIC to track breastfeeding data trends in the WIC Program. The data indicate an overall 0.8 percentage increase in the number of total WIC infants reported as breastfed from 28.2% in FY 2011 to 29.0% in FY 2012. This increase in breastfeeding rates represents the successful efforts of WIC State and local agencies in continuing to provide quality 3

breastfeeding services, including peer counseling, to WIC participants. Other highlights from the FY 2012 WIC Breastfeeding Data Report include: An average of almost 2.07 million infants participated in the WIC Program nationally. Approximately 29% of infants were reported as breastfed nationally (12.1% were fully breastfed and 16.9 % were partially breastfed). The Northeast, Western and Southwest Regions performance measurements were above the national average with 37.4%, 36.9%, and 34.1% 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 20.6%. The data indicate a 0.9 percentage point increase from 11.2% to 12.1% in fully breastfed. The percentage of partially breastfed infants remained stable. 4

% of Infants Infant Breastfeeding Participation by Region FY 2012 30.0% 28.3% 25.2% 25.0% 20.6% 20.0% 15.0% 10.0% 9.1% 10.5% 13.8% 8.3% 15.0% 9.9% 10.2% 8.9% 15.7% 10.1% 16.4% 16.9% 12.1% 5.0% 0.0% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region % 9.1% 10.5% 8.3% 9.9% 8.9% 15.7% 20.6% 12.1% % 28.3% 13.8% 15.0% 10.2% 25.2% 10.1% 16.4% 16.9% National 5

% of Infants % of Infants % of Infants Two-Year Comparison, FY 2011 and FY 2012 Infants 9.1% 10.5% 8.4% 9.8% 7.2% 8.3% 9.9% 9.1% 8.5% 8.9% 15.7% 13.8% 20.6% 19.7% 11.2% 12.1% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region National FY 2011 8.4% 9.8% 7.2% 9.1% 8.5% 13.8% 19.7% 11.2% FY 2012 9.1% 10.5% 8.3% 9.9% 8.9% 15.7% 20.6% 12.1% 28.3% 28.0% Infants 25.2% 23.7% 16.3% 13.8% 15.0% 12.4% 10.2% 10.3% 12.4% 10.1% 16.6% 16.4% 17.0% 16.9% Northeast Region MidAtlantic Region Southeast Region Midwest Region Southwest Region Mountain Plains Region Western Region National FY 2011 28.0% 12.4% 16.3% 10.3% 23.7% 12.4% 16.6% 17.0% FY 2012 28.3% 13.8% 15.0% 10.2% 25.2% 10.1% 16.4% 16.9% 37.4% 36.4% Infants 34.1% 32.3% 24.4% 26.2% 25.8% 22.2% 23.5% 23.4% 20.1% 19.4% 36.9% 36.2% 29.0% 28.2% Northeast MidAtlantic Southeast Midwest Southwest Mountain Western National Region Region Region Region Region Plains Region Region FY 2011 36.4% 22.2% 23.5% 19.4% 32.3% 26.2% 36.2% 28.2% FY 2012 37.4% 24.4% 23.4% 20.1% 34.1% 25.8% 36.9% 29.0% 6

Breastfeeding Data by Local Agencies FY 2012 State/Region Local Agency Infants Connecticut TVCCA WIC Program 106 237 343 746 1,089 9.7% 21.8% 31.5% 68.5% Optimus Health Care WIC Program 79 483 562 1,324 1,886 4.2% 25.6% 29.8% 70.2% Hartford Health Department 71 404 475 1,423 1,898 3.7% 21.3% 25.0% 75.0% Hospital of St. Raphael 141 481 622 1,422 2,044 6.9% 23.5% 30.4% 69.6% Stamford WIC Program 56 265 321 830 1,151 4.9% 23.0% 27.9% 72.1% Waterbury Hlth Dept. WIC Program 64 266 330 1,122 1,452 4.4% 18.3% 22.7% 77.3% Meriden WIC Program 109 175 284 635 919 11.9% 19.0% 30.9% 69.1% Access/Windham WIC Program 65 72 137 441 578 11.2% 12.5% 23.7% 76.3% Bristol Hospital WIC Program 71 194 265 884 1,149 6.2% 16.9% 23.1% 76.9% Danbury WIC Program 65 198 263 325 588 11.1% 33.7% 44.7% 55.3% Family Strides/Torrington WIC Program 35 63 98 195 293 11.9% 21.5% 33.4% 66.6% East Hartford WIC Program 87 172 259 820 1,079 8.1% 15.9% 24.0% 76.0% Connecticut State Agency Mean 949 3,009 3,958 10,167 14,125 6.7% 21.3% 28.0% 72.0% Maine Aroostook County Action Program 52 10 62 344 406 12.8% 2.5% 15.3% 84.7% City of Bangor, Health & Community Services Department 149 21 170 615 785 19.0% 2.7% 21.7% 78.3% MidCoast Maine Community Action Program 120 17 137 395 532 22.6% 3.2% 25.8% 74.2% Downeast Health Services, INC. 69 9 78 284 362 19.1% 2.5% 21.5% 78.5% Health Reach Network 215 24 239 639 878 24.5% 2.7% 27.2% 72.8% Peoples Regional Opportunity Program 157 15 172 683 855 18.4% 1.8% 20.1% 79.9% Western Maine Cap 159 31 190 822 1,012 15.7% 3.1% 18.8% 81.2% York County Community Action Corp. 172 32 204 625 829 20.7% 3.9% 24.6% 75.4% Maine State Agency Mean 1,094 159 1,253 4,406 5,659 19.3% 2.8% 22.1% 77.9% Massachusetts Dorchester North WIC 72 164 236 163 399 18.0% 41.1% 59.1% 40.9% Blue Hill Corridor WIC 52 136 188 258 446 11.7% 30.5% 42.2% 57.8% South End WIC 61 238 299 324 623 9.8% 38.2% 48.0% 52.0% Chelsea/Revere WIC 174 326 500 611 1,111 15.7% 29.3% 45.0% 55.0% Jamaica Plain WIC 37 150 187 320 507 7.3% 29.6% 36.9% 63.1% Roxbury WIC 43 131 174 305 479 9.0% 27.3% 36.3% 63.7% Brighton/Roslindale WIC 110 102 212 261 473 23.3% 21.6% 44.8% 55.2% Quincy WIC 127 241 368 658 1,026 12.4% 23.5% 35.9% 64.1% South Boston WIC 15 37 52 77 129 11.6% 28.7% 40.3% 59.7% Springfield South WIC 71 126 197 726 923 7.7% 13.7% 21.3% 78.7% Framingham/Waltham WIC 117 284 401 573 974 12.0% 29.2% 41.2% 58.8% Plymouth WIC 78 54 132 395 527 14.8% 10.2% 25.0% 75.0% North Shore WIC 159 423 582 1,068 1,650 9.6% 25.6% 35.3% 64.7% Holyyoke/Chicopee WIC 132 142 274 855 1,129 11.7% 12.6% 24.3% 75.7% Lowell WIC 101 192 293 969 1,262 8.0% 15.2% 23.2% 76.8% Lawrence WIC 123 439 562 934 1,496 8.2% 29.3% 37.6% 62.4% Cambridge/Somerville WIC 174 307 481 414 895 19.4% 34.3% 53.7% 46.3% Fall River WIC 92 46 138 739 877 10.5% 5.2% 15.7% 84.3% Berkshire North WIC 78 55 133 386 519 15.0% 10.6% 25.6% 74.4% New Bedford WIC 88 126 214 816 1,030 8.5% 12.2% 20.8% 79.2% Northern Essex WIC 76 83 159 468 627 12.1% 13.2% 25.4% 74.6% Worcester WIC 203 427 630 1,052 1,682 12.1% 25.4% 37.5% 62.5% Franklin/Hampshire/North Quabbin WIC 124 74 198 340 538 23.0% 13.8% 36.8% 63.2% North Central WIC 139 122 261 670 931 14.9% 13.1% 28.0% 72.0% Brockton WIC 236 332 568 713 1,281 18.4% 25.9% 44.3% 55.7% South Central WIC 138 105 243 760 1,003 13.8% 10.5% 24.2% 75.8% Taunton/Attleboro WIC 112 62 174 562 736 15.2% 8.4% 23.6% 76.4% North Suburban WIC 116 198 314 449 763 15.2% 26.0% 41.2% 58.8% Cape Cod WIC 119 102 221 368 589 20.2% 17.3% 37.5% 62.5% East Boston WIC 135 315 450 324 774 17.4% 40.7% 58.1% 41.9% Berkshire South WIC 30 12 42 59 101 29.7% 11.9% 41.6% 58.4% Outer Cape WIC 23 20 43 62 105 21.9% 19.0% 41.0% 59.0% South Cove WIC 8 87 95 230 325 2.5% 26.8% 29.2% 70.8% Springfield North WIC 99 154 253 1,026 1,279 7.7% 12.0% 19.8% 80.2% Dorchester South WIC 70 231 301 427 728 9.6% 31.7% 41.3% 58.7% Massachusetts State Agency Mean 3,532 6,042 9,574 18,358 27,932 12.6% 21.6% 34.3% 65.7% New Hampshire Southwestern Comm Services 86 20 106 307 413 20.8% 4.8% 25.7% 74.3% So New Hampshire SVS 238 150 388 1,598 1,986 12.0% 7.6% 19.5% 80.5% Belknap-Merrimack CAP 224 74 298 789 1,087 20.6% 6.8% 27.4% 72.6% Goodwin Community Health 133 30 163 475 638 20.8% 4.7% 25.5% 74.5% New Hampshire State Agency Mean 681 274 955 3,169 4,124 16.5% 6.6% 23.2% 76.8% New York Women's Health Center of Albany Medical College 58 103 161 465 626 9.3% 16.5% 25.7% 74.3% Warren County Health Services 46 29 75 235 310 14.8% 9.4% 24.2% 75.8% Whitney M. Young, Jr. Health Center, Inc 44 118 162 470 632 7.0% 18.7% 25.6% 74.4% Commission on Economic Opportunity 56 82 138 668 806 6.9% 10.2% 17.1% 82.9% Schenectady County Public Health Services 69 108 177 664 841 8.2% 12.8% 21.0% 79.0% Fulmont Community Action Agency, Inc 35 55 90 476 566 6.2% 9.7% 15.9% 84.1% Delaware Opportunities, Inc. 29 19 48 155 203 14.3% 9.4% 23.6% 76.4% Schoharie County Community Action Program 18 9 27 102 129 14.0% 7.0% 20.9% 79.1% Opportunity For Chenango, Inc. 42 18 60 271 331 12.7% 5.4% 18.1% 81.9% Opportunities For Otsego, Inc. 31 21 52 185 237 13.1% 8.9% 21.9% 78.1% Catholic Charities of Columbia & Greene Counties 43 62 105 373 478 9.0% 13.0% 22.0% 78.0% Washington County Public Health Services 48 32 80 292 372 12.9% 8.6% 21.5% 78.5% Cayuga County Health Department 48 25 73 334 407 11.8% 6.1% 17.9% 82.1% Oswego County Opportunities, Inc 76 41 117 640 757 10.0% 5.4% 15.5% 84.5% Anthony L. Jordan Health Center 55 158 213 890 1,103 5.0% 14.3% 19.3% 80.7% Society for the Protection and Care of Children 136 80 216 938 1,154 11.8% 6.9% 18.7% 81.3% Cortland County Community Action Program, Inc. 40 19 59 224 283 14.1% 6.7% 20.8% 79.2% Tioga Opportunities Program, Inc 44 21 65 202 267 16.5% 7.9% 24.3% 75.7% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 7

State/Region Connecticut Local Agency Infants Oneida County Health Department 89 197 286 1,142 1,428 6.2% 13.8% 20.0% 80.0% Onondaga County Health Department 234 284 518 2,065 2,583 9.1% 11.0% 20.1% 79.9% Broome County Health Department 165 105 270 837 1,107 14.9% 9.5% 24.4% 75.6% North Country Children's Clinic 273 209 482 1,761 2,243 12.2% 9.3% 21.5% 78.5% Essex County Public Health 24 15 39 131 170 14.1% 8.8% 22.9% 77.1% Clinton County Department of Public Health 58 29 87 313 400 14.5% 7.3% 21.8% 78.3% Tompkins County Health Department Dept. 80 57 137 208 345 23.2% 16.5% 39.7% 60.3% St. Regis Mohawk Services 9 8 17 43 60 15.0% 13.3% 28.3% 71.7% Cattaraugus County Health Department 47 37 84 380 464 10.1% 8.0% 18.1% 81.9% Catholic Charities of Buffalo 449 618 1,067 4,454 5,521 8.1% 11.2% 19.3% 80.7% Livingston County Department of Health 63 27 90 287 377 16.7% 7.2% 23.9% 76.1% Oak Orchard Community Health Center 76 64 140 524 664 11.4% 9.6% 21.1% 78.9% Chemung County Health Department 62 47 109 578 687 9.0% 6.8% 15.9% 84.1% Monroe County Health Department 199 284 483 1,735 2,218 9.0% 12.8% 21.8% 78.2% ProAction of Steuben & Yates, Inc 67 29 96 413 509 13.2% 5.7% 18.9% 81.1% Saratoga County EOC, Inc 57 46 103 380 483 11.8% 9.5% 21.3% 78.7% Ulster County Health Department 64 80 144 421 565 11.3% 14.2% 25.5% 74.5% Sullivan County Public Health Nursing Service 61 79 140 333 473 12.9% 16.7% 29.6% 70.4% Putnam County Health Department 21 76 97 134 231 9.1% 32.9% 42.0% 58.0% Orange County Health Department 215 567 782 508 1,290 16.7% 44.0% 60.6% 39.4% Rockland County Health Department 666 958 1,624 739 2,363 28.2% 40.5% 68.7% 31.3% Hudson River Healthcare, Inc 155 303 458 778 1,236 12.5% 24.5% 37.1% 62.9% Open Door Family Medical Center 92 227 319 156 475 19.4% 47.8% 67.2% 32.8% Mt. Vernon Neighborhood Health Center, Inc. 21 278 299 349 648 3.2% 42.9% 46.1% 53.9% Sound Shore Medical Center 69 824 893 954 1,847 3.7% 44.6% 48.3% 51.7% Westchester County Department of Health 167 896 1,063 1,129 2,192 7.6% 40.9% 48.5% 51.5% East Harlem Council For Human Services, Inc 4 125 129 125 254 1.6% 49.2% 50.8% 49.2% William F. Ryan Community Health Center 50 201 251 496 747 6.7% 26.9% 33.6% 66.4% Gouverneur Hospital (NYCHHC) 20 265 285 744 1,029 1.9% 25.8% 27.7% 72.3% New York Downtown Hospital 10 81 91 263 354 2.8% 22.9% 25.7% 74.3% St. Luke's-Roosevelt Hospital Center 28 147 175 301 476 5.9% 30.9% 36.8% 63.2% Harlem Hospital (NYCHHC) 76 478 554 777 1,331 5.7% 35.9% 41.6% 58.4% North Central Bronx Hospital (NYCHHC) 31 830 861 1,040 1,901 1.6% 43.7% 45.3% 54.7% New York Presbyterian Medical Center 102 1,162 1,264 1,306 2,570 4.0% 45.2% 49.2% 50.8% Morrisania Diagnostic and Treatment Center (NYCHHC) 96 562 658 819 1,477 6.5% 38.1% 44.5% 55.5% St. Barnabas Hospital 29 829 858 809 1,667 1.7% 49.7% 51.5% 48.5% Bronx Lebanon Hospital Center 30 477 507 219 726 4.1% 65.7% 69.8% 30.2% Morris Heights Health Center 24 789 813 753 1,566 1.5% 50.4% 51.9% 48.1% Montefiore Medical Center 81 905 986 1,829 2,815 2.9% 32.1% 35.0% 65.0% Urban Health Plan, Inc. 48 567 615 735 1,350 3.6% 42.0% 45.6% 54.4% Maimonides Medical Center 168 857 1,025 1,099 2,124 7.9% 40.3% 48.3% 51.7% Jamaica Hospital 48 845 893 1,364 2,257 2.1% 37.4% 39.6% 60.4% Queens Hospital Center (NYCHHC) 88 781 869 999 1,868 4.7% 41.8% 46.5% 53.5% Bedford Stuyvesant Family Health Center 26 287 313 386 699 3.7% 41.1% 44.8% 55.2% Brownsville Community Development Corp. 23 274 297 668 965 2.4% 28.4% 30.8% 69.2% Brookdale Hospital and Medical Center 15 540 555 551 1,106 1.4% 48.8% 50.2% 49.8% Public Health Solutions 256 4,222 4,478 4,626 9,104 2.8% 46.4% 49.2% 50.8% Lutheran Family Health Center 27 1,136 1,163 2,003 3,166 0.9% 35.9% 36.7% 63.3% Wyckoff Heights Medical Center 104 577 681 1,013 1,694 6.1% 34.1% 40.2% 59.8% Brooklyn Hospital Center 288 3,307 3,595 411 4,006 7.2% 82.6% 89.7% 10.3% East New York Diagnostic and Treatment Center (NYCHHC) 25 303 328 519 847 3.0% 35.8% 38.7% 61.3% Kings County Hospital Center (NYCHHC) 75 1,336 1,411 1,569 2,980 2.5% 44.8% 47.3% 52.7% Joseph P. Addabbo Family Health Center 33 385 418 798 1,216 2.7% 31.7% 34.4% 65.6% Opportunity Development Association of Williamsburg 566 669 1,235 258 1,493 37.9% 44.8% 82.7% 17.3% Staten Island University Hospital 57 344 401 673 1,074 5.3% 32.0% 37.3% 62.7% Elmhurst Hospital Center (NYCHHC) 216 839 1,055 799 1,854 11.7% 45.3% 56.9% 43.1% Suffolk County Department of Health Services 194 1,708 1,902 2,855 4,757 4.1% 35.9% 40.0% 60.0% Nassau County Department of Health 98 1,202 1,300 1,807 3,107 3.2% 38.7% 41.8% 58.2% Allegany County Department of Health 32 11 43 185 228 14.0% 4.8% 18.9% 81.1% The Greather Hudson Valley Family Health Center, Inc 32 173 205 573 778 4.1% 22.2% 26.3% 73.7% Long Island Jewish Medical Center 46 266 312 317 629 7.3% 42.3% 49.6% 50.4% Yeled V'Yalda Early Childhood Center 520 938 1,458 324 1,782 29.2% 52.6% 81.8% 18.2% Coney Island Hospital (NYCHHC) 95 471 566 501 1,067 8.9% 44.1% 53.0% 47.0% Planned Parenthood Mohawk Hudson 90 65 155 603 758 11.9% 8.6% 20.4% 79.6% Research Foundation of SUNY Stony Brook 57 246 303 797 1,100 5.2% 22.4% 27.5% 72.5% Richmond University Medical Center 48 244 292 547 839 5.7% 29.1% 34.8% 65.2% Catholic Charities of Rockville Center 29 239 268 275 543 5.3% 44.0% 49.4% 50.6% Middletown Community Health Center 12 12 24 128 152 7.9% 7.9% 15.8% 84.2% East Side WIC Program (NYCHHC) 330 1,174 1,504 1,068 2,572 12.8% 45.6% 58.5% 41.5% North Brooklyn Health Network (NYCHHC) 46 529 575 1,012 1,587 2.9% 33.3% 36.2% 63.8% Lincoln Hospital 71 976 1,047 880 1,927 3.7% 50.6% 54.3% 45.7% Chautauqua County Health Department 89 63 152 691 843 10.6% 7.5% 18.0% 82.0% Catholic Charities Brooklyn Neighborhood 33 404 437 512 949 3.5% 42.6% 46.0% 54.0% Institute for Family Health 20 314 334 531 865 2.3% 36.3% 38.6% 61.4% New York State Agency Mean 8,890 40,493 49,383 69,910 119,293 7.5% 33.9% 41.4% 58.6% SENECA NATION, NY Seneca Nation Health Department 1 6 7 36 43 2.3% 14.0% 16.3% 83.7% Rhode Island Women and Infants Hospital 25 46 71 458 529 4.7% 8.7% 13.4% 86.6% St. Joseph Health Services 15 32 47 267 314 4.8% 10.2% 15.0% 85.0% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 8

State/Region Local Agency Infants Connecticut Eastbay Community Action Program 67 41 108 470 578 11.6% 7.1% 18.7% 81.3% Tri-Town Health Center 48 21 69 305 374 12.8% 5.6% 18.4% 81.6% West Bay Community Action, Inc. 41 30 71 382 453 9.1% 6.6% 15.7% 84.3% Wood River Health Services 21 7 28 91 119 17.6% 5.9% 23.5% 76.5% Family Health Services of Cranston 26 21 47 305 352 7.4% 6.0% 13.4% 86.6% Thundermist Health Center 64 34 98 565 663 9.7% 5.1% 14.8% 85.2% PCHC, INC 83 219 302 1,055 1,357 6.1% 16.1% 22.3% 77.7% Children's Friend & Service 38 122 160 663 823 4.6% 14.8% 19.4% 80.6% Rhode Island State Agency Mean 429 571 1,000 4,561 5,561 7.7% 10.3% 18.0% 82.0% Vermont VT Dept Health Barre 77 32 109 179 288 26.7% 11.1% 37.8% 62.2% VT Dept. Health Bennington 31 20 51 132 183 16.9% 10.9% 27.9% 72.1% VT Department Health Brattleboro 50 14 64 82 146 34.2% 9.6% 43.8% 56.2% VT Dept Health Burlington 153 88 241 272 513 29.8% 17.2% 47.0% 53.0% VT Dept Health Middlebury 46 15 61 67 128 35.9% 11.7% 47.7% 52.3% VT Dept Health Newport 58 13 71 138 209 27.8% 6.2% 34.0% 66.0% VT Dept Health Rutland 65 28 93 223 316 20.6% 8.9% 29.4% 70.6% VT Dept Health St. Albans 72 34 106 212 318 22.6% 10.7% 33.3% 66.7% VT Dept Health St. Johnsbury 65 18 83 125 208 31.3% 8.7% 39.9% 60.1% VT Dept Health Springfield 43 19 62 131 193 22.3% 9.8% 32.1% 67.9% VT Dept Health White River 48 17 65 120 185 25.9% 9.2% 35.1% 64.9% VT Dept of Health Morrisville 74 19 93 89 182 40.7% 10.4% 51.1% 48.9% Vermont State Agency Mean Northeast Region Mean 781 317 1,098 1,769 2,867 27.2% 11.1% 38.3% 61.7% 16,359 50,872 67,231 112,406 179,637 9.1% 28.3% 37.4% 62.6% Delaware Division of Public Health/Milford Clinic 183 127 310 2,125 2,435 7.5% 5.2% 12.7% 87.3% Division of Public Health/Hudson Clinic 168 251 419 2,716 3,135 5.4% 8.0% 13.4% 86.6% Delaware State Agency Mean 350 378 728 4,841 5,569 6.3% 6.8% 13.1% 86.9% District of Columbia Unity Health Care 103 371 474 1,837 2,311 4.5% 16.1% 20.5% 79.5% Children's National Medical Center 97 217 314 885 1,199 8.1% 18.1% 26.2% 73.8% Mary's Center for Maternal & Child Care 31 278 309 354 663 4.7% 41.9% 46.6% 53.4% Howard University Hospital 32 72 104 506 610 5.2% 11.8% 17.0% 83.0% District of Columbia State Agency Mean 263 938 1,201 3,582 4,783 5.5% 19.6% 25.1% 74.9% Maryland Allegany County WIC Program 61 21 82 379 461 13.2% 4.6% 17.8% 82.2% Anne Arundel County WIC Program 350 339 689 1,625 2,314 15.1% 14.6% 29.8% 70.2% Baltimore County WIC Program 400 765 1,165 2,994 4,159 9.6% 18.4% 28.0% 72.0% Caroline County WIC Program 111 82 193 539 732 15.2% 11.2% 26.4% 73.6% Carroll County WIC Program 71 58 129 378 507 14.0% 11.4% 25.4% 74.6% Harford County WIC Program 232 137 369 1,163 1,532 15.1% 8.9% 24.1% 75.9% Montgomery Co. (Community Clinic Inc.) WIC Program 681 2,995 3,676 3,012 6,688 10.2% 44.8% 55.0% 45.0% Prince Georges County WIC Program 337 1,338 1,675 2,652 4,327 7.8% 30.9% 38.7% 61.3% Washington County WIC Program 155 89 244 735 979 15.8% 9.1% 24.9% 75.1% Wicomico County Health Department 123 205 328 1,006 1,334 9.2% 15.4% 24.6% 75.4% Baltimore City WIC Program 256 551 807 3,698 4,505 5.7% 12.2% 17.9% 82.1% Queen Anne's County WIC Program 43 28 71 243 314 13.7% 8.9% 22.6% 77.4% Garrett County WIC Program 34 14 48 142 190 17.9% 7.4% 25.3% 74.7% Charles County WIC Program 145 249 394 1,306 1,700 8.5% 14.6% 23.2% 76.8% John's Hopkins WIC Program 175 472 647 1,736 2,383 7.3% 19.8% 27.2% 72.8% Frederick County WIC Program 109 252 361 716 1,077 10.1% 23.4% 33.5% 66.5% Howard County WIC Program 132 274 406 501 907 14.6% 30.2% 44.8% 55.2% Greater Baden WIC Program 83 311 394 869 1,263 6.6% 24.6% 31.2% 68.8% Maryland State Agency Mean 3,499 8,182 11,681 23,691 35,372 9.9% 23.1% 33.0% 67.0% New Jersey Atlantic City WIC Program 106 296 402 1,150 1,552 6.8% 19.1% 25.9% 74.1% Burlington County WIC Program 178 174 352 902 1,254 14.2% 13.9% 28.1% 71.9% Tri-County WIC Program 434 777 1,211 3,602 4,813 9.0% 16.1% 25.2% 74.8% E. Orange WIC Program 91 398 489 842 1,331 6.8% 29.9% 36.7% 63.3% Gloucester County WIC Program 87 110 197 745 942 9.2% 11.7% 20.9% 79.1% Jersey City Dept Hum Res WIC Program 132 733 865 1,394 2,259 5.8% 32.4% 38.3% 61.7% VNA of Central Jersey, Inc. 497 1,223 1,720 3,010 4,730 10.5% 25.9% 36.4% 63.6% Newark WIC Program 132 1,094 1,226 1,777 3,003 4.4% 36.4% 40.8% 59.2% N Hudson Community Action Corp. 265 826 1,091 1,139 2,230 11.9% 37.0% 48.9% 51.1% Norwescap WIC Program 138 261 399 734 1,133 12.2% 23.0% 35.2% 64.8% Plainfield WIC Program 39 205 244 636 880 4.4% 23.3% 27.7% 72.3% St. Joseph's Hospital & Med Center 496 1,447 1,943 2,663 4,606 10.8% 31.4% 42.2% 57.8% Children's Home Society of New Jersey's Mercer WIC Program 249 354 603 1,122 1,725 14.4% 20.5% 35.0% 65.0% UMDNJ WIC Program 63 509 572 780 1,352 4.7% 37.6% 42.3% 57.7% Ocean County WIC Program 960 932 1,892 1,511 3,403 28.2% 27.4% 55.6% 44.4% Passaic WIC Program 102 359 461 895 1,356 7.5% 26.5% 34.0% 66.0% Trinitas Hospital WIC Program 149 669 818 1,138 1,956 7.6% 34.2% 41.8% 58.2% New Jersey State Agency Mean 4,120 10,366 14,486 24,039 38,525 10.7% 26.9% 37.6% 62.4% Pennsylvania Allegheny County Health Department 580 132 712 3,723 4,435 13.1% 3.0% 16.1% 83.9% Broad Top Area Medical Center 101 7 108 386 494 20.4% 1.4% 21.9% 78.1% Maternal & Family Hlth Svcs, Inc. 1,789 416 2,205 10,814 13,019 13.7% 3.2% 16.9% 83.1% Crozer-Chester Medical Center 282 96 378 2,176 2,554 11.0% 3.8% 14.8% 85.2% Community Progress Council, Inc. 220 49 269 1,304 1,573 14.0% 3.1% 17.1% 82.9% Hamilton Health Ctrs 171 76 247 1,292 1,539 11.1% 4.9% 16.0% 84.0% Fayette Co. Community Action Agency 63 5 68 683 751 8.4% 0.7% 9.1% 90.9% Bucks County Health Department 243 55 298 1,079 1,377 17.6% 4.0% 21.6% 78.4% Chester County Health Department 266 93 359 867 1,226 21.7% 7.6% 29.3% 70.7% Bradford Hospital WIC Program 45 0 45 215 260 17.3% 0.0% 17.3% 82.7% United Neighborhood Facilities Hlth Care Corp. 323 38 361 1,405 1,766 18.3% 2.2% 20.4% 79.6% Community Health Services, Inc. 206 9 215 637 852 24.2% 1.1% 25.2% 74.8% Community Action Southwest 114 10 124 843 967 11.8% 1.0% 12.8% 87.2% Home Nursing Agency, WIC Program 251 19 270 846 1,116 22.5% 1.7% 24.2% 75.8% Comm Action Prog/Lanc Co. Inc. 364 88 452 1,656 2,108 17.3% 4.2% 21.4% 78.6% Shenango Valley Urban League, Inc. 182 19 201 721 922 19.7% 2.1% 21.8% 78.2% Comm Act. Partnership of Cambria Co. 106 16 122 534 656 16.2% 2.4% 18.6% 81.4% N Cent Org Reg For Health 1,427 495 1,922 14,084 16,006 8.9% 3.1% 12.0% 88.0% N Cent PA Reg Plng/Dev Commission 175 30 205 718 923 19.0% 3.3% 22.2% 77.8% Bi-County WIC Program 189 18 207 642 849 22.3% 2.1% 24.4% 75.6% Mon Valley Comm Hlth SVCS, Inc. 200 25 225 1,008 1,233 16.2% 2.0% 18.2% 81.8% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 9

State/Region Local Agency Infants Connecticut Family Health Council of Central PA, Inc. 613 94 707 2,620 3,327 18.4% 2.8% 21.3% 78.7% Adagio Health 450 55 505 2,073 2,578 17.5% 2.1% 19.6% 80.4% So Central Comm Act Program 280 56 336 1,013 1,349 20.8% 4.2% 24.9% 75.1% Pennsylvania State Agency Mean 8,641 1,903 10,544 51,338 61,882 14.0% 3.1% 17.0% 83.0% PUERTO RICO Puerto Rico WIC Program 3,615 4,702 8,317 31,060 39,377 9.2% 11.9% 21.1% 78.9% Virginia Central Shenandoah District 152 177 329 870 1,199 12.7% 14.8% 27.4% 72.6% Lord Fairfax District 118 133 251 783 1,034 11.4% 12.9% 24.3% 75.7% Rappahannock Area District 129 200 329 1,184 1,513 8.5% 13.2% 21.7% 78.3% Rappahannock-Rapidan District 68 87 155 594 749 9.1% 11.6% 20.7% 79.3% Thomas Jefferson District 129 104 233 652 885 14.6% 11.8% 26.3% 73.7% Alexandria District 64 254 318 433 751 8.5% 33.8% 42.3% 57.7% Arlington District 48 351 399 259 658 7.3% 53.3% 60.6% 39.4% Fairfax District 313 1,550 1,863 2,324 4,187 7.5% 37.0% 44.5% 55.5% Loudoun District 56 209 265 389 654 8.6% 32.0% 40.5% 59.5% Prince William District 103 484 587 1,300 1,887 5.5% 25.6% 31.1% 68.9% Alleghany District 61 25 86 470 556 11.0% 4.5% 15.5% 84.5% Central Virginia District 132 57 189 1,050 1,239 10.7% 4.6% 15.3% 84.7% Cumberland Plateau 27 16 43 568 611 4.4% 2.6% 7.0% 93.0% Pittsylvania-Danville District 35 29 64 584 648 5.4% 4.5% 9.9% 90.1% West Piedmont District 68 53 121 770 891 7.6% 5.9% 13.6% 86.4% Lenowisco District 29 15 44 565 609 4.8% 2.5% 7.2% 92.8% Mount Rogers District 97 54 151 1,070 1,221 7.9% 4.4% 12.4% 87.6% New River District 78 37 115 513 628 12.4% 5.9% 18.3% 81.7% Roanoke District 80 87 167 789 956 8.4% 9.1% 17.5% 82.5% Chesterfield District 105 121 226 1,232 1,458 7.2% 8.3% 15.5% 84.5% Crater District 76 72 148 1,006 1,154 6.6% 6.2% 12.8% 87.2% Chickahominy District 32 23 55 237 292 11.0% 7.9% 18.8% 81.2% Henrico District 149 86 235 1,139 1,374 10.8% 6.3% 17.1% 82.9% Piedmont District 41 32 73 571 644 6.4% 5.0% 11.3% 88.7% Richmond City District 69 145 214 1,510 1,724 4.0% 8.4% 12.4% 87.6% Southside District 21 23 44 443 487 4.3% 4.7% 9.0% 91.0% Chesapeake District 114 92 206 870 1,076 10.6% 8.6% 19.1% 80.9% Eastern Shore District 18 43 61 351 412 4.4% 10.4% 14.8% 85.2% Hampton District 120 105 225 733 958 12.5% 11.0% 23.5% 76.5% Norfolk District 108 100 208 1,841 2,049 5.3% 4.9% 10.2% 89.8% Three Rivers District 47 37 84 535 619 7.6% 6.0% 13.6% 86.4% Peninsula District 177 129 306 1,709 2,015 8.8% 6.4% 15.2% 84.8% Western Tidewater District 53 19 72 687 759 7.0% 2.5% 9.5% 90.5% Virginia Beach District 298 212 510 1,710 2,220 13.4% 9.5% 23.0% 77.0% Portsmouth District 77 45 122 864 986 7.8% 4.6% 12.4% 87.6% Virginia State Agency Mean 3,287 5,202 8,489 30,605 39,094 8.4% 13.3% 21.7% 78.3% Virgin Islands Dept. of Health-VI WIC Program 27 365 392 211 603 4.5% 60.5% 65.0% 35.0% Dept. of Health-VI WIC Program 37 293 330 228 558 6.6% 52.5% 59.1% 40.9% Virgin Islands State Agency Mean 64 658 722 439 1,161 5.5% 56.7% 62.2% 37.8% West Virginia TSN/WIC Program 160 62 222 1,995 2,217 7.2% 2.8% 10.0% 90.0% Central WV WIC 108 34 142 695 837 12.9% 4.1% 17.0% 83.0% Monongalia County Health Department 168 57 225 1,250 1,475 11.4% 3.9% 15.3% 84.7% Randolph/Elkins Health 142 47 189 751 940 15.1% 5.0% 20.1% 79.9% Shenandoah Valley Medical System 152 66 218 1,041 1,259 12.1% 5.2% 17.3% 82.7% Wheeling-Ohio County WIC 80 41 121 826 947 8.4% 4.3% 12.8% 87.2% Mid-Ohio Valley WIC Agency 116 54 170 1,076 1,246 9.3% 4.3% 13.6% 86.4% Valley Health Systems Inc WIC Program 257 90 347 2,267 2,614 9.8% 3.4% 13.3% 86.7% West Virginia State Agency Mean Mid-Atlantic Region Mean 1,184 451 1,635 9,901 11,536 10.3% 3.9% 14.2% 85.8% 25,022 32,780 57,802 179,496 237,298 10.5% 13.8% 24.4% 75.6% Alabama Public Health Area 1 108 357 465 1,813 2,278 4.7% 15.7% 20.4% 79.6% Public Health Area 2 350 592 942 4,643 5,585 6.3% 10.6% 16.9% 83.1% Public Health Area 3 61 126 187 1,767 1,954 3.1% 6.4% 9.6% 90.4% Public Health Area 4 179 514 693 3,862 4,555 3.9% 11.3% 15.2% 84.8% Public Health Area 10 129 186 315 2,243 2,558 5.0% 7.3% 12.3% 87.7% Public Health Area 11 140 249 389 3,169 3,558 3.9% 7.0% 10.9% 89.1% Public Health Area 8 238 463 701 4,183 4,884 4.9% 9.5% 14.4% 85.6% Public Health Area 9 158 220 378 2,218 2,596 6.1% 8.5% 14.6% 85.4% Public Health Area 5 273 470 743 2,746 3,489 7.8% 13.5% 21.3% 78.7% Public Health Area 6 148 264 412 2,280 2,692 5.5% 9.8% 15.3% 84.7% Public Health Area 7 45 94 139 1,246 1,385 3.2% 6.8% 10.0% 90.0% Alabama State Agency Mean 1,829 3,533 5,362 30,169 35,531 5.1% 9.9% 15.1% 84.9% Florida Bay County Health Department 229 195 424 1,382 1,806 12.7% 10.8% 23.5% 76.5% Brevard County Health Dept 450 348 798 1,884 2,682 16.8% 13.0% 29.8% 70.2% Broward County Hlth Department 1,522 2,695 4,217 6,700 10,917 13.9% 24.7% 38.6% 61.4% Charlotte County Health Department 109 46 155 533 688 15.8% 6.7% 22.5% 77.5% Citrus County Health Department 76 46 122 564 686 11.1% 6.7% 17.8% 82.2% Clay County Health Department 124 103 227 652 879 14.1% 11.7% 25.8% 74.2% Collier County Hlth Department 409 442 851 1,098 1,949 21.0% 22.7% 43.7% 56.3% Dade County Health Department 1,662 4,895 6,557 10,805 17,362 9.6% 28.2% 37.8% 62.2% Desoto County Health Department 36 64 100 227 327 11.0% 19.6% 30.6% 69.4% Duval County Health Department 679 1,018 1,697 4,727 6,424 10.6% 15.8% 26.4% 73.6% Escambia Co Hlth Department 296 194 490 1,867 2,357 12.6% 8.2% 20.8% 79.2% Gadsden County Health Department 35 68 103 328 431 8.1% 15.8% 23.9% 76.1% Hernando County Health Department 105 69 174 756 930 11.3% 7.4% 18.7% 81.3% Highlands County Health Department 81 82 163 484 647 12.5% 12.7% 25.2% 74.8% Hillsborough County Health Department 775 1,438 2,213 6,432 8,645 9.0% 16.6% 25.6% 74.4% Indian River County Health Department 115 141 256 501 757 15.2% 18.6% 33.8% 66.2% Jackson County Health Department 62 71 133 692 825 7.5% 8.6% 16.1% 83.9% Lake County Health Department 172 288 460 1,252 1,712 10.0% 16.8% 26.9% 73.1% Lee County Health Department 457 953 1,410 2,911 4,321 10.6% 22.1% 32.6% 67.4% Leon County Health Department 189 255 444 1,544 1,988 9.5% 12.8% 22.3% 77.7% Manatee County Health Department 205 347 552 1,364 1,916 10.7% 18.1% 28.8% 71.2% Marion County Health Department 233 366 599 1,610 2,209 10.5% 16.6% 27.1% 72.9% Martin County Health Department 102 138 240 416 656 15.5% 21.0% 36.6% 63.4% Monroe County Health Department 49 83 132 189 321 15.3% 25.9% 41.1% 58.9% Nassau County Health Department 131 90 221 499 720 18.2% 12.5% 30.7% 69.3% Okaloosa County Health Department 205 151 356 911 1,267 16.2% 11.9% 28.1% 71.9% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 10

State/Region Local Agency Infants Connecticut Okeechobee County Hlth Department 65 48 113 269 382 17.0% 12.6% 29.6% 70.4% Orange County Health Department 809 1,918 2,727 5,615 8,342 9.7% 23.0% 32.7% 67.3% Osceola County Hlth Department 441 387 828 1,929 2,757 16.0% 14.0% 30.0% 70.0% Palm Beach County Health Department 765 1,980 2,745 4,394 7,139 10.7% 27.7% 38.5% 61.5% Pasco County Health Department 305 242 547 1,801 2,348 13.0% 10.3% 23.3% 76.7% Pinellas County Health Department 473 609 1,082 3,176 4,258 11.1% 14.3% 25.4% 74.6% Polk County Health Department 523 891 1,414 3,545 4,959 10.5% 18.0% 28.5% 71.5% Putnam County Health Department 63 61 124 552 676 9.3% 9.0% 18.3% 81.7% St Johns County Health Department 128 62 190 413 603 21.2% 10.3% 31.5% 68.5% St Lucie County Hlth Department 236 366 602 1,321 1,923 12.3% 19.0% 31.3% 68.7% Santa Rosa County Health Department 128 46 174 616 790 16.2% 5.8% 22.0% 78.0% Sarasota County Health Department 292 180 472 917 1,389 21.0% 13.0% 34.0% 66.0% Seminole County Health Department 300 313 613 1,305 1,918 15.6% 16.3% 32.0% 68.0% Volusia County Health Department 330 316 646 1,972 2,618 12.6% 12.1% 24.7% 75.3% North Central FL WIC Project 408 358 766 2,764 3,530 11.6% 10.1% 21.7% 78.3% University of Miami WIC Project 124 332 456 509 965 12.8% 34.4% 47.3% 52.7% Flagler County Health Department 83 54 137 328 465 17.8% 11.6% 29.5% 70.5% Florida State Agency Mean 13,980 22,748 36,728 81,753 118,481 11.8% 19.2% 31.0% 69.0% Georgia Dist./Unit 01-1 Northwest GA Hlth Dist. 233 724 957 3,339 4,296 5.4% 16.9% 22.3% 77.7% Dist./Unit 01-2 Northwest Hlth District 340 503 843 2,087 2,930 11.6% 17.2% 28.8% 71.2% Dist./Unit 02-0 North Health District 326 813 1,139 2,776 3,915 8.3% 20.8% 29.1% 70.9% Dist./Unit 03-1 Metro West Hlth Dist. 476 1,325 1,801 2,763 4,564 10.4% 29.0% 39.5% 60.5% Dist./Unit 03-2 Fulton Co. Hlth Dist. 108 768 876 2,981 3,857 2.8% 19.9% 22.7% 77.3% Dist./Unit 03-3 Clayton Co. Hlth District 78 608 686 1,706 2,392 3.3% 25.4% 28.7% 71.3% Dist/Unit 03-4 East Metro Hlth Dist. 425 1,965 2,390 4,477 6,867 6.2% 28.6% 34.8% 65.2% Dist/Unit 03-5 Metro East Hlth District 298 1,943 2,241 3,634 5,875 5.1% 33.1% 38.1% 61.9% Dist/Unit 04-0 LaGrange Hlth Services 344 714 1,058 4,199 5,257 6.5% 13.6% 20.1% 79.9% Dist/Unit 05-1 South Central Hlth Dist. 43 36 79 1,109 1,188 3.6% 3.0% 6.6% 93.4% Dist/Unit 05-1 North Central Hlth Dist. 138 310 448 3,863 4,311 3.2% 7.2% 10.4% 89.6% Dist/Unit 06-0 East Central Hlth Dist. 232 461 693 2,858 3,551 6.5% 13.0% 19.5% 80.5% Dist/Unit 07-0 West Central Hlth Dist 197 556 753 2,882 3,635 5.4% 15.3% 20.7% 79.3% Dist/Unit 08-1 South Central Health Dist 114 101 215 2,097 2,312 4.9% 4.4% 9.3% 90.7% Dist/Unit 08-2 Southwest Hlth District 126 403 529 2,861 3,390 3.7% 11.9% 15.6% 84.4% Dist/Unit 09-2 Southeast Health District 426 709 1,135 3,712 4,847 8.8% 14.6% 23.4% 76.6% Dist/Unit 09-3 Coastal Health District 158 467 625 2,838 3,463 4.6% 13.5% 18.0% 82.0% Dist/Unit 10-0 Northeast Health District 217 314 531 2,184 2,715 8.0% 11.6% 19.6% 80.4% Dist/Unit 11-0 Southside Hlthcare, Inc. 0 4 4 55 59 0.0% 6.8% 6.8% 93.2% Grady Health System 48 238 286 1,079 1,365 3.5% 17.4% 21.0% 79.0% Georgia State Agency Mean 4,325 12,960 17,285 53,501 70,786 6.1% 18.3% 24.4% 75.6% Kentucky Allen County Health Department 27 11 38 142 180 15.0% 6.1% 21.1% 78.9% Anderson County Health Department 15 19 34 109 143 10.5% 13.3% 23.8% 76.2% Bourbon County Health Department 16 36 52 128 180 8.9% 20.0% 28.9% 71.1% Boyle County Health Department 23 20 43 152 195 11.8% 10.3% 22.1% 77.9% Breathitt County Health Department 4 10 14 118 132 3.0% 7.6% 10.6% 89.4% Bullitt County Health Department 42 131 173 281 454 9.3% 28.9% 38.1% 61.9% Clark County Health Department 17 73 90 221 311 5.5% 23.5% 28.9% 71.1% Estill County Health Department 9 12 21 110 131 6.9% 9.2% 16.0% 84.0% Lexington-Fayette Co.Health Dept 214 491 705 1,212 1,917 11.2% 25.6% 36.8% 63.2% Fleming County Health Department 7 14 21 101 122 5.7% 11.5% 17.2% 82.8% Floyd County Health Department 13 48 61 399 460 2.8% 10.4% 13.3% 86.7% Franklin County Health Department 44 72 116 251 367 12.0% 19.6% 31.6% 68.4% Greenup County Health Department 11 39 50 198 248 4.4% 15.7% 20.2% 79.8% Louisville-Jefferson Metro H. D. 366 1,869 2,235 2,310 4,545 8.1% 41.1% 49.2% 50.8% Jessamine County Health Department 48 99 147 271 418 11.5% 23.7% 35.2% 64.8% Johnson County Health Department 14 28 42 211 253 5.5% 11.1% 16.6% 83.4% Knox County Health Department 30 29 59 275 334 9.0% 8.7% 17.7% 82.3% Laurel County Health Department 63 38 101 387 488 12.9% 7.8% 20.7% 79.3% Lewis County Health Department 9 22 31 103 134 6.7% 16.4% 23.1% 76.9% Lincoln County Health Department 17 23 40 161 201 8.5% 11.4% 19.9% 80.1% Madison County Health Department 57 134 191 423 614 9.3% 21.8% 31.1% 68.9% Magoffin County Health Department 4 21 25 113 138 2.9% 15.2% 18.1% 81.9% Martin County Health Department 5 19 24 121 145 3.4% 13.1% 16.6% 83.4% Monroe County Health Department 13 5 18 72 90 14.4% 5.6% 20.0% 80.0% Oldham County Health Department 25 56 81 112 193 13.0% 29.0% 42.0% 58.0% Pike County Health Department 22 60 82 523 605 3.6% 9.9% 13.6% 86.4% Powell County Health Department 9 32 41 92 133 6.8% 24.1% 30.8% 69.2% Whitley County Health Department 45 49 94 469 563 8.0% 8.7% 16.7% 83.3% Woodford County Health Department 21 12 33 117 150 14.0% 8.0% 22.0% 78.0% Children and Youth Project 15 127 142 252 394 3.8% 32.2% 36.0% 64.0% Lincoln Trail District 126 870 996 1,140 2,136 5.9% 40.7% 46.6% 53.4% Barren River District 220 224 444 1,583 2,027 10.9% 11.1% 21.9% 78.1% Purchase District 102 76 178 555 733 13.9% 10.4% 24.3% 75.7% North Central District 30 185 215 364 579 5.2% 32.0% 37.1% 62.9% Lake Cumberland District 160 183 343 1,598 1,941 8.2% 9.4% 17.7% 82.3% Northern Kentucky District 238 565 803 1,848 2,651 9.0% 21.3% 30.3% 69.7% Little Sandy District 23 42 65 307 372 6.2% 11.3% 17.5% 82.5% Kentucky River District 54 104 158 870 1,028 5.3% 10.1% 15.4% 84.6% Cumberland Valley District 67 140 207 1,048 1,255 5.3% 11.2% 16.5% 83.5% Green River District 147 91 238 1,419 1,657 8.9% 5.5% 14.4% 85.6% Wedco District 47 84 131 383 514 9.1% 16.3% 25.5% 74.5% Gateway District 40 72 112 435 547 7.3% 13.2% 20.5% 79.5% Three Rivers District 24 92 116 330 446 5.4% 20.6% 26.0% 74.0% Pennyrile District 44 26 70 336 406 10.8% 6.4% 17.2% 82.8% Buffalo Trace District 11 33 44 128 172 6.4% 19.2% 25.6% 74.4% Park Duvalle Health Center 16 134 150 258 408 3.9% 32.8% 36.8% 63.2% Muhlenberg County Health Department 19 7 26 210 236 8.1% 3.0% 11.0% 89.0% Marshall County Health Department 25 15 40 157 197 12.7% 7.6% 20.3% 79.7% Hopkins County Health Department 35 19 54 306 360 9.7% 5.3% 15.0% 85.0% Christian County Health Department 172 133 305 920 1,225 14.0% 10.9% 24.9% 75.1% Todd County Health Department 9 4 13 97 110 8.2% 3.6% 11.8% 88.2% Bracken County Health Department 11 9 20 64 84 13.1% 10.7% 23.8% 76.2% Montgomery County Health Department 27 38 65 184 249 10.8% 15.3% 26.1% 73.9% Garrard County Health Department 16 16 32 122 154 10.4% 10.4% 20.8% 79.2% Mercer County Health Department 20 24 44 156 200 10.0% 12.0% 22.0% 78.0% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 11

State/Region Local Agency Infants Connecticut Breckinridge County Health Department 10 52 62 86 148 6.8% 35.1% 41.9% 58.1% Ashland-Boyd County Health Dept. 27 55 82 329 411 6.6% 13.4% 20.0% 80.0% Lawrence County Health Dept. 15 18 33 119 152 9.9% 11.8% 21.7% 78.3% Calloway County Health Department 35 31 66 184 250 14.0% 12.4% 26.4% 73.6% Graves County Health Department 36 50 86 258 344 10.5% 14.5% 25.0% 75.0% Kentucky State Agency Mean 3,007 6,984 9,991 25,230 35,221 8.5% 19.8% 28.4% 71.6% Mississippi District I WIC 69 102 171 2,410 2,581 2.7% 4.0% 6.6% 93.4% District II WIC 104 274 378 2,954 3,332 3.1% 8.2% 11.3% 88.7% District III WIC 31 112 143 2,509 2,652 1.2% 4.2% 5.4% 94.6% District IV WIC 46 124 170 1,814 1,984 2.3% 6.3% 8.6% 91.4% District V WIC 103 334 437 4,717 5,154 2.0% 6.5% 8.5% 91.5% District VI WIC 50 105 155 1,871 2,026 2.5% 5.2% 7.7% 92.3% District VII WIC 26 95 121 1,541 1,662 1.6% 5.7% 7.3% 92.7% District VIII WIC 92 251 343 2,372 2,715 3.4% 9.2% 12.6% 87.4% District IX WIC 126 176 302 3,369 3,671 3.4% 4.8% 8.2% 91.8% Mississippi State Agency Mean 648 1,575 2,223 23,556 25,779 2.5% 6.1% 8.6% 91.4% CHOCTAW RESERVATION, MS MS Choctaw Reservation Health Center 0 11 11 192 203 0.0% 5.4% 5.4% 94.6% North Carolina Alamance County Health Department 106 138 244 752 996 10.6% 13.9% 24.5% 75.5% Alexander County Health Department 20 27 47 167 214 9.3% 12.6% 22.0% 78.0% Anson County Health Dept 3 19 22 192 214 1.4% 8.9% 10.3% 89.7% Appalachian District Health Department 89 32 121 242 363 24.5% 8.8% 33.3% 66.7% Beaufort County Health Department 25 48 73 289 362 6.9% 13.3% 20.2% 79.8% Bertie County Health Department 1 9 10 131 141 0.7% 6.4% 7.1% 92.9% Bladen County Health Department 12 38 50 221 271 4.4% 14.0% 18.5% 81.5% Brunswick County Health Department 44 64 108 457 565 7.8% 11.3% 19.1% 80.9% Buncombe County Health Department 268 194 462 810 1,272 21.1% 15.3% 36.3% 63.7% Burke County Health Department 55 58 113 477 590 9.3% 9.8% 19.2% 80.8% Cabarrus Health Alliance 121 211 332 817 1,149 10.5% 18.4% 28.9% 71.1% Caldwell County Health Department 52 71 123 414 537 9.7% 13.2% 22.9% 77.1% Carteret County Health Department 36 34 70 280 350 10.3% 9.7% 20.0% 80.0% Caswell County Health Department 13 13 26 117 143 9.1% 9.1% 18.2% 81.8% Catawba County Health Department 124 143 267 798 1,065 11.6% 13.4% 25.1% 74.9% Cherokee County Health Department 25 6 31 127 158 15.8% 3.8% 19.6% 80.4% Clay County Health Department 13 9 22 34 56 23.2% 16.1% 39.3% 60.7% Cleveland County Health Department 41 35 76 647 723 5.7% 4.8% 10.5% 89.5% Columbus County Health Department 20 51 71 459 530 3.8% 9.6% 13.4% 86.6% Craven County Health Department 103 83 186 705 891 11.6% 9.3% 20.9% 79.1% Cumberland County Public Health Center 409 433 842 2,861 3,703 11.0% 11.7% 22.7% 77.3% Dare County Health Department 46 38 84 122 206 22.3% 18.4% 40.8% 59.2% Davidson County Health Department 104 120 224 811 1,035 10.0% 11.6% 21.6% 78.4% Davie County Health Department 25 17 42 170 212 11.8% 8.0% 19.8% 80.2% Duplin County Health Department 25 118 143 456 599 4.2% 19.7% 23.9% 76.1% Edgecombe County Health Department 11 28 39 471 510 2.2% 5.5% 7.6% 92.4% Franklin County Health Department 31 33 64 300 364 8.5% 9.1% 17.6% 82.4% Gaston County Health Department 113 231 344 1,140 1,484 7.6% 15.6% 23.2% 76.8% Graham County Health Department 7 0 7 66 73 9.6% 0.0% 9.6% 90.4% Granville-Vance District Health Department 38 72 110 639 749 5.1% 9.6% 14.7% 85.3% Greene County Health Department 15 24 39 141 180 8.3% 13.3% 21.7% 78.3% Guilford County Health Department 397 590 987 2,341 3,328 11.9% 17.7% 29.7% 70.3% Harnett County Health Department 45 90 135 612 747 6.0% 12.0% 18.1% 81.9% Haywood County Health Department 60 28 88 261 349 17.2% 8.0% 25.2% 74.8% Henderson County Health Department 100 89 189 366 555 18.0% 16.0% 34.1% 65.9% Hertford County Health Department 11 11 22 185 207 5.3% 5.3% 10.6% 89.4% Hoke County Health Department 30 60 90 367 457 6.6% 13.1% 19.7% 80.3% Hyde County Health Department 3 3 6 29 35 8.6% 8.6% 17.1% 82.9% Iredell County Health Department 79 102 181 743 924 8.5% 11.0% 19.6% 80.4% Jackson County Health Department 31 23 54 135 189 16.4% 12.2% 28.6% 71.4% Johnston County Health Department 75 149 224 816 1,040 7.2% 14.3% 21.5% 78.5% Jones County Health Department 8 5 13 68 81 9.9% 6.2% 16.0% 84.0% Lenoir Community Health Center 30 50 80 421 501 6.0% 10.0% 16.0% 84.0% Lincoln Community Health Center 148 314 462 1,452 1,914 7.7% 16.4% 24.1% 75.9% Lincoln County Health Department 49 39 88 347 435 11.3% 9.0% 20.2% 79.8% Macon County Health Department 36 32 68 151 219 16.4% 14.6% 31.1% 68.9% Madison County Health Department 30 14 44 94 138 21.7% 10.1% 31.9% 68.1% Martin-Tyrell-Washington 11 20 31 277 308 3.6% 6.5% 10.1% 89.9% Mecklenburg County Health Department 407 1,057 1,464 4,233 5,697 7.1% 18.6% 25.7% 74.3% Montgomery County Health Department 13 50 63 210 273 4.8% 18.3% 23.1% 76.9% Moore County Health Department 30 43 73 415 488 6.1% 8.8% 15.0% 85.0% Nash County Health Department 26 77 103 727 830 3.1% 9.3% 12.4% 87.6% New Hanover County Health Department 143 93 236 802 1,038 13.8% 9.0% 22.7% 77.3% Northampton County Health Department 9 11 20 133 153 5.9% 7.2% 13.1% 86.9% Onslow County Health Department 283 179 462 1,635 2,097 13.5% 8.5% 22.0% 78.0% Piedmont Health Services 165 280 445 657 1,102 15.0% 25.4% 40.4% 59.6% Albemarle Regional Health Services 51 49 100 567 667 7.6% 7.3% 15.0% 85.0% Pender County Health Department 21 32 53 253 306 6.9% 10.5% 17.3% 82.7% Pitt County Public Health Center 130 143 273 924 1,197 10.9% 11.9% 22.8% 77.2% Randolph County Health Department 99 173 272 693 965 10.3% 17.9% 28.2% 71.8% Forsyth County Health Department 365 617 982 1,575 2,557 14.3% 24.1% 38.4% 61.6% Richmond County Health Department 17 40 57 375 432 3.9% 9.3% 13.2% 86.8% Robeson County Health Department 34 145 179 1,176 1,355 2.5% 10.7% 13.2% 86.8% Rockingham County Health Department 27 43 70 491 561 4.8% 7.7% 12.5% 87.5% Rowan County Health Department 55 117 172 693 865 6.4% 13.5% 19.9% 80.1% Rutherford, Polk, McDowell Health District 98 97 195 667 862 11.4% 11.3% 22.6% 77.4% Sampson County Health Department 10 55 65 471 536 1.9% 10.3% 12.1% 87.9% Scotland County Health Department 15 44 59 355 414 3.6% 10.6% 14.3% 85.7% Stanly County Health Department 41 50 91 283 374 11.0% 13.4% 24.3% 75.7% Stokes County Health Department 27 37 64 176 240 11.3% 15.4% 26.7% 73.3% Surry County Health Department 34 82 116 379 495 6.9% 16.6% 23.4% 76.6% Swain County Health Department 16 15 31 51 82 19.5% 18.3% 37.8% 62.2% Toe River Health District 60 45 105 204 309 19.4% 14.6% 34.0% 66.0% Transylvania County Health Department 38 23 61 101 162 23.5% 14.2% 37.7% 62.3% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 12

State/Region Local Agency Infants Connecticut Tri-County Community Health Center 16 73 89 165 254 6.3% 28.7% 35.0% 65.0% Rural Health Group Inc. 17 25 42 440 482 3.5% 5.2% 8.7% 91.3% Union County Health Department 134 165 299 676 975 13.7% 16.9% 30.7% 69.3% Wake County Health Department 369 961 1,330 2,682 4,012 9.2% 24.0% 33.2% 66.8% Warren County Health Department 10 16 26 102 128 7.8% 12.5% 20.3% 79.7% Wayne County Health Department 82 139 221 966 1,187 6.9% 11.7% 18.6% 81.4% Wilson County Health Department 21 72 93 641 734 2.9% 9.8% 12.7% 87.3% Yadkin County Health Department 23 52 75 183 258 8.9% 20.2% 29.1% 70.9% Pamlico County Health Department 11 16 27 50 77 14.3% 20.8% 35.1% 64.9% Lee County Health Department 19 65 84 429 513 3.7% 12.7% 16.4% 83.6% Person County Health Department 17 17 34 219 253 6.7% 6.7% 13.4% 86.6% Wilkes County Health Dept 43 49 92 304 396 10.9% 12.4% 23.2% 76.8% North Carolina State Agency Mean 6,110 9,260 15,370 49,078 64,448 9.5% 14.4% 23.8% 76.2% CHEROKEE RESERVATION, NC NC-E. Cherokee Reservation 21 19 40 94 134 15.7% 14.2% 29.9% 70.1% South Carolina Beaufort-Jasper Comp Center 67 89 156 431 587 11.4% 15.2% 26.6% 73.4% Region 1 224 213 437 3,155 3,592 6.2% 5.9% 12.2% 87.8% Region 2 500 519 1,019 5,818 6,837 7.3% 7.6% 14.9% 85.1% Region 3 481 552 1,033 6,002 7,035 6.8% 7.8% 14.7% 85.3% Region 4 233 348 581 4,821 5,402 4.3% 6.4% 10.8% 89.2% Region 5 98 166 264 2,475 2,739 3.6% 6.1% 9.6% 90.4% Region 6 186 247 433 2,292 2,725 6.8% 9.1% 15.9% 84.1% Region 7 502 389 891 3,586 4,477 11.2% 8.7% 19.9% 80.1% Region 8 106 186 292 1,142 1,434 7.4% 13.0% 20.4% 79.6% South Carolina State Agency Mean 2,395 2,708 5,103 29,723 34,826 6.9% 7.8% 14.7% 85.3% Tennessee Northeast Tennessee Region 248 163 411 1,751 2,162 11.5% 7.5% 19.0% 81.0% East Tennessee Region 455 418 873 4,057 4,930 9.2% 8.5% 17.7% 82.3% Southeast Region 189 184 373 1,820 2,193 8.6% 8.4% 17.0% 83.0% Upper Cumberland Region 203 196 399 2,098 2,497 8.1% 7.8% 16.0% 84.0% Mid-Cumberland Region 704 663 1,367 4,563 5,930 11.9% 11.2% 23.1% 76.9% South Central Region 213 214 427 2,217 2,644 8.1% 8.1% 16.1% 83.9% West TN Region Union City 82 95 177 1,767 1,944 4.2% 4.9% 9.1% 90.9% West TN Region Jackson 81 118 199 1,780 1,979 4.1% 6.0% 10.1% 89.9% Memphis Shelby County Health Dept 207 917 1,124 7,501 8,625 2.4% 10.6% 13.0% 87.0% Metro-Davidson Health Department 521 1,045 1,566 3,560 5,126 10.2% 20.4% 30.6% 69.4% Knox County Regional Office 255 211 466 1,491 1,957 13.0% 10.8% 23.8% 76.2% Hamilton County Regional Office 195 278 473 1,578 2,051 9.5% 13.6% 23.1% 76.9% Sullivan County Regional Office 110 42 152 742 894 12.3% 4.7% 17.0% 83.0% Madison County Health Dept 49 75 124 696 820 6.0% 9.1% 15.1% 84.9% Tennessee State Agency Mean 3,510 4,620 8,130 35,621 43,751 8.0% 10.6% 18.6% 81.4% Southeast Region Mean 35,825 64,416 100,241 328,915 429,156 8.3% 15.0% 23.4% 76.6% Illinois TCA Health Altgeld Health Center 25 71 96 1,151 1,247 2.0% 5.7% 7.7% 92.3% Bond County Health Dept 19 7 26 95 121 15.7% 5.8% 21.5% 78.5% Logan County Health Department 17 6 23 118 141 12.1% 4.3% 16.3% 83.7% Chicago Department of Health 182 1,320 1,502 8,389 9,891 1.8% 13.3% 15.2% 84.8% Champaign-Urbana Public Health 115 164 279 778 1,057 10.9% 15.5% 26.4% 73.6% Community & Econ Dev Assoc CEDA 775 3,021 3,796 8,596 12,392 6.3% 24.4% 30.6% 69.4% Coordinated Youth Services 149 122 271 1,312 1,583 9.4% 7.7% 17.1% 82.9% Eastside Health District 31 81 112 889 1,001 3.1% 8.1% 11.2% 88.8% Egyptian Health Department 13 13 26 302 328 4.0% 4.0% 7.9% 92.1% Ford Iroquois Public Health 12 17 29 185 214 5.6% 7.9% 13.6% 86.4% Fulton County Health Department 28 13 41 164 205 13.7% 6.3% 20.0% 80.0% Greene County Health Department 6 4 10 88 98 6.1% 4.1% 10.2% 89.8% Henderson County Health Department 13 12 25 139 164 7.9% 7.3% 15.2% 84.8% Hancock County Health Department 17 4 21 79 100 17.0% 4.0% 21.0% 79.0% Henry County Health Department 38 18 56 223 279 13.6% 6.5% 20.1% 79.9% Jackson County Health Department 79 41 120 277 397 19.9% 10.3% 30.2% 69.8% Kankakee County Health Department 63 56 119 615 734 8.6% 7.6% 16.2% 83.8% Lake Co. Hlth Dept. & Comm. Hlth. Ctr. 265 783 1,048 2,239 3,287 8.1% 23.8% 31.9% 68.1% Lee County Health Department 32 13 45 150 195 16.4% 6.7% 23.1% 76.9% Macon Health Department 44 35 79 680 759 5.8% 4.6% 10.4% 89.6% Mason County Health Department 11 4 15 73 88 12.5% 4.5% 17.0% 83.0% McLean County Health Department 88 101 189 531 720 12.2% 14.0% 26.3% 73.8% Menard County Health Department 9 5 14 36 50 18.0% 10.0% 28.0% 72.0% Peoria City Health Department 67 136 203 1,091 1,294 5.2% 10.5% 15.7% 84.3% Perry County Health Department 15 8 23 115 138 10.9% 5.8% 16.7% 83.3% Randolph County Health Department 20 11 31 148 179 11.2% 6.1% 17.3% 82.7% Rock Island County Health Dept 58 206 264 850 1,114 5.2% 18.5% 23.7% 76.3% Roseland Community Hospital 14 286 300 710 1,010 1.4% 28.3% 29.7% 70.3% St. Clair County Health Department 93 71 164 650 814 11.4% 8.7% 20.1% 79.9% Shelby County Health Department 8 7 15 94 109 7.3% 6.4% 13.8% 86.2% Southern Seven Health Department 25 27 52 440 492 5.1% 5.5% 10.6% 89.4% Tazewell County Health Department 67 43 110 438 548 12.2% 7.8% 20.1% 79.9% Vermilion County Health Department 37 33 70 645 715 5.2% 4.6% 9.8% 90.2% Visiting Nurse Association 127 355 482 1,081 1,563 8.1% 22.7% 30.8% 69.2% Well Child Center, Inc. 216 530 746 1,259 2,005 10.8% 26.4% 37.2% 62.8% Winnebago County Health Department 135 167 302 1,712 2,014 6.7% 8.3% 15.0% 85.0% Coles County Health Department 22 21 43 249 292 7.5% 7.2% 14.7% 85.3% Du Page County Health Department 391 641 1,032 1,986 3,018 13.0% 21.2% 34.2% 65.8% Effingham County Health Department 23 10 33 160 193 11.9% 5.2% 17.1% 82.9% Grundy County Health Department 19 20 39 149 188 10.1% 10.6% 20.7% 79.3% McDonough County Health Department 24 15 39 104 143 16.8% 10.5% 27.3% 72.7% McHenry County Health Department 141 202 343 635 978 14.4% 20.7% 35.1% 64.9% Montgomery County Health 20 7 27 151 178 11.2% 3.9% 15.2% 84.8% Schuyler County Health Department 2 1 3 42 45 4.4% 2.2% 6.7% 93.3% Woodford County Health Department 17 3 20 88 108 15.7% 2.8% 18.5% 81.5% Stickney Public Health District. 12 24 36 85 121 9.9% 19.8% 29.8% 70.2% Cook County Dept of Public Health 252 1,220 1,472 3,622 5,094 4.9% 23.9% 28.9% 71.1% Macoupin County Health Dept 16 19 35 180 215 7.4% 8.8% 16.3% 83.7% Jasper County Health Dept 19 13 32 143 175 10.9% 7.4% 18.3% 81.7% Livingston County Health Department 19 6 25 176 201 9.5% 3.0% 12.4% 87.6% Fayette County Health Dept 21 11 32 136 168 12.5% 6.5% 19.0% 81.0% *To maintain the privacy of participants, Local Agencies with less than 30 Infant Participants are not published. 13