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Community Health Planning and Policy Development
Section Newsletter
Fall 2010

Chair's Message: Have you tried "Camp CHPPD"?

Every June when schools close here on the East Coast, the young and old at our home take a deep breath and brace ourselves for the summer camp months. They are fun, educational, and with potential to cause anxiety, as this phase requires constant adjustments. As the outgoing Section chair, I feel the same way about "Camp CHPPD". It has been fun and educational with moments of anxiety.

When I donned the chair "cap" in Fall 2008, the Section had experienced a bump in membership. As a result, we had more funds than usual to work with. We had to spend down $5,000 in three months. With a volunteer staff of 1,700, none of it could go to salaries. We gave out great awards and plaques, bought ribbons, developed and printed brochures, and still had substantial funds left over. We had to get creative, and we did.

We sent out proposals to solicit photo journals. The five photojournalists will be presenting their work on Monday, Nov. 8, 12:30 – 2:00 p.m., Session #3210. Be sure to "watch your funds at work" in Denver.

We also solicited members to create a design on the theme "Health in All Policies". Tammy Pilisuk, the new incoming governing councilor, created the winning entry. The design was printed on t-shirts and tote-bags. We distributed 40 T-shirts and 40 tote-bags on the CHPPD Section’s 40th anniversary at the 2009 Annual Meeting in Philadelphia. The t-shirts and tote bags were hot items at the CHPPD Section booth.

In 2009, we created the "CHPPD: Celebrating 40 years" Slide Show. Scroll down to the link in the "About" tab of the website.

For the first time, members donated $900 to the Section Enrichment funds in 2010. We learned that the Section should only accept check or credit card donations, and not cash, to allow our donors to get tax deductible benefits. Thank you to all of you who donated. We will invest these enrichment funds into innovative community health planning and policy development projects. Donations can be made to the CHPPD Section with the form, a portable document format (pdf), posted on the CHPPD section home page.

Chair-Elect Amy Carroll-Scott, PhD, has conducted the business meetings when section chairs were unable to attend the Annual Meeting in San Diego in 2008, and will do so again in Fall 2010. Amy with Section leaders Paul Meissner, Russell McIntire, Ashley Wennerstrom, Shawn Kimmel, Winston Tseng, and many others - will be hard at work. I am unable to travel to Denver for the Annual Meeting. Thank you for filling in. 

I would also like to thank Section members who agreed to be nominated to section and APHA leadership roles.  Congratulations to members who were elected as new officers.

I would also like to thank all of you who have supported and trusted me to facilitate our work. For the Section, 2008 and 2009 were also the years of well-attended and thought-provoking webinars.

Finally, I thank my supervisors and colleagues at the Office of Public Health Practice, New York State Department of Health and my family because I borrowed time from them for our work.

In July 2010, the Section leaders have initiated an Improvement Initiative which will run through June 2011. We are adapting the Institute of Healthcare Improvement’s "Model for Improvement" Framework to three projects:

  1. Enabling members to identify projects that they would like to work on within the section. Contacts: Amy Carroll-Scott, and Winston Tseng,
  2. Improving the process of CHPPD Section Invited Sessions. Contacts: Padma Arvind, and Tammy Pilisuk,
  3. Transportation and Public Health. Contacts: Karyn Warsow,, and Priti Irani,

    The improvement projects aims, measures and changes interventions are being identified and posted on the section wiki at If you want to be involved, please e-mail the project contacts.

"Camp CHPPD" is about experimenting with new ideas and taking risks in a safe and caring environment with the benefit of receiving feedback from a very knowledgeable and diverse group of colleagues. Veteran section members can use this opportunity to teach and model new methods.

If you are looking to making changes in the big, wide world, won’t you consider trying out your spunky ideas with the CHPPD Community?

By Priti Irani, MSPH
Section Chair

Congratulations CHPPD Section's Newly Elected Leaders!

Chair-Elect Elect Winston Tseng, PhD, is a Research Sociologist in Community Health and Human Development at the University of California in Berkeley. He has been a Section member since 2003 and is currently CHPPD treasurer (2008-2010) and Section Councilor (2008-2010). He has worked closely with the chair and chair-elect in planning and implementing Section activities as well as providing input and direction on budgetary issues. He is past-chair of the Asian Pacific Islander Caucus and has served as an officer of the API Caucus since 2005. He served as a CHPPD proxy as well as API Caucus ex-officio representative on the Governing Council in 2009. He has also been a member of the California Public Health Association – North. He has served an advisor on the Community-Based Participatory Research Subcommittee of National Institute of Health’s (NIH) National Center on Minority Health and Health Disparities since 2007. His community health policy and research work focuses on health inequities facing medically under-served populations and the role of policy-makers and service organizations in mediating health inequities. He seeks to strengthen CHPPD’s influence and visibility across APHA, contribute to CHPPD’s efforts in developing and advancing community-relevant health policies and bolster CHPPD’s diverse membership base to be more active within APHA leadership and in their own communities. 

Secretary-Elect Kristi Pettibone is new to the CHPPD Section. She earned a PhD in Policy Science with a concentration in health policy from the University of Maryland, Baltimore County. Dr. Pettibone was a Research Scientist with The MayaTech Corporation, and moved to a new position as a Health Science Administrator within the Program Analysis Branch of the Division of Extramural Research and Training at the National Institute of Environmental Health Science.

Dr. Pettibone serves as board member for the local YWCA and is currently the fundraising chair for that board. Dr. Pettibone also serves on the local United Way Health Impact Council, which evaluates programs in order to make allocation decisions. All of these positions require Dr. Pettibone to actively participate in meetings, document decisions and action steps discussed and format notes for distribution to members. Dr. Pettibone says “ As a secretary, I would bring my experience with these volunteer positions, along with my education and experience in the area of community health planning and policy to ensure that the CHPPD section continues to both serve its members and advance the field of public health planning and policy by documenting meetings in an accurate and timely manner.” 


Coco and Roy Grant
Incoming Governing Councilor Roy Grant is a public health professional experienced in clinical care, program development, and policy/advocacy. He has presented at APHA conferences since 1995. Mr. Grant chaired the CHPPD Program Committee from 2006-2008, overseeing the review of 400-500 abstracts and development of more than 50 scientific sessions for each year’s APHA conference. He has worked with multiple Sections to propose an APHA Policy Statement endorsing the “health care home” model of care. Mr. Grant is a past chair, New York State Coalition on School Based Primary Care and has been a gubernatorial appointee to the New York State Department of Health Early Intervention Coordinating Committee since 1994. He has more than two dozen published book chapters and articles in peer reviewed journals including New England Journal of Medicine, Pediatrics, American Journal of Public Health, and Professional Psychology, and reviews articles for many of these journals. Mr. Grant’s clinical training is in psychotherapy with specialization in infancy and early childhood. As a Governing Councilor, Mr. Grant would work towards the development of APHA policy and advocacy positions that are clinically informed and contribute to ongoing health reform efforts, using his background in pediatric, mental health, and child development services to emphasize multi-disciplinary team models of care especially for high-risk populations.


Incoming Governing Councilor Tammy Pilisuk, MPH, is a Health Educator with the California Department of Public Health. Ms. Pilisuk says, “Since joining in 1986, APHA has inspired me through its bold policies. I have more than 20 years in public health planning, policy, and education at local, state, and national levels.  My experience spans prevention, health care access, to long-term care.  I would aspire to ensure that APHA champions overlooked and emerging issues including social, environmental, and economic justice determinants of health, meaningful reforms, oversight, social marketing and technology innovations. Ms. Pilizuk is the author, 2009 policy statement “Public Health’s Critical Role in Health Reform” ; a recipient, CHPPD Section’s “Henrik L Blum Award for Excellence in Health Policy” and  winner, “Health in all policies” design contest. Ms. Pilizuk also was awarded the National Multiple Sclerosis “Advocacy Hall of Fame Award”2009 for spearheading “Principles for Health Care Reform,” national advocacy centerpiece; is involved with risk communications for H1N1 vaccine delivery and vaccine safety concerns; a member of the coalition for health reform, cervical cancer prevention, immunization registry, caregiving; and has advocated at State Capitol and Congress, trained lay advocates on health care, disability rights, helmet laws, and community-based supports.  

Incoming Section Councilor Dawn Alayon, MPH, CPH, BS, is Research Programs Coordinator, University of Florida: College of Pharmacy: Dept of Pharmaceutical Outcomes and Policy. Since 2008, Ms. Alayon has been an active member of the CHPPD Student Committee as the Student Representative to the Communications Team. Ms Alayon says “ I have had wonderful experience in learning about CHPPD and fostering student involvement in this Section. As Section Councilor, I bring a great deal of organizational skills. I have experience in coordinating a fellowship program, including recruitment, interview, and selection procedures. I have excellent attention to detail with experience with the Institutional Review Board, grant applications, and contract negotiations. In addition, I am direct and tenacious which is instrumental in focusing on important matters. In April 2008, I was part of a group of public health students who convened with the Vice Minister of Health in El Salvador. We were effective in explaining the impoverished conditions of one of the poorest villages, and our presentation was a decisive factor to ensure the availability of electricity to those people. My goals as Section Councilor include the utilization of my communication skills for reviewing and deciding on Section procedures and employing my interpersonal skills to sustain a good working relationship with the Governing Council. It is my hope that this Section finds my abilities as beneficial in furthering the growth of CHPPD.”

Incoming Section Councilor Sami Jarrah is currently pursuing his MPH and is the Director of Corporate, Foundation and Government Relations at Marylhurst University. Mr. Jarrah has served CHPPD as newsletter co-editor since January 2009. He has also produced a section brochure and served on an ad hoc committee focused on recommendations related to the social determinants of health. Other health-related leadership activities have included m Policy Committee of the Oregon Public Health Association, membership on the Multnomah County Health Department’s Community Health Council, and chairperson the National Organization for Women’s Oregon Health Care & Reproductive Rights Task Force. Mr. Jarrah have also served as the chairperson of Equality Florida’s Policy Research & Advocacy Task Force and currently serve on the Equity Foundation’s grant review committee, where he examines proposals through an equity lens. Sami says, “I would like to focus on policy development at the local and state levels. CHPPD has knowledgeable and influential public health policy advocates in its section, and I’d like to leverage that resource for the benefit of section members. Based on the section needs, perhaps I could organize some professional development opportunities (via webinar or phone conference) for the benefit of section members. Public health policy implementation at the local and state levels is key and is important work of our section members.”

Register for Section Reception and Award Recognition Ceremony on Sunday, November 7

On Sunday, Nov. 7, 6:30 - 8:30 p.m., the CHPPD Section will be hosting a small cocktail reception and awards recognition ceremony at "The Avenue Grill", a restaurant located one mile from the Colorado Convention Center.  Register at by Oct. 30, and we will you send you an update.

There is no cost to attend the reception. Donations, via check or credit card, are appreciated, and are tax-deductible. The donation form is available on the CHPPD Section Home Page. Donations go into the Section Enrichment Fund and are used to encourage innovative Community Health Planning and Policy Development Practice.

The Warwick Hotel and Hampton Inn (Route 2 on complimentary shuttle service) are located near the restaurant.  We will also be organizing "walking groups" from the Convention Center to the restaurant.  So be sure to register if you would like to walk with CHPPD Section members.

For more information on the Reception, please contact Russell McIntire,, Amy Carroll-Scott, or Priti Irani,

CHPPD Section Business Meeting to Focus on "Working with Social Determinants of Health"

In Denver, the CHPPD business meetings will focus on how the section projects are working with social determinants of health. Be sure to introduce yourself to one of the CHPPD officers.  All the meetings are on Sunday, Nov. 7, 2010. The locations of these meetings will be listed in your program guide.

Sunday, Nov. 7

Session Number

Business Meeting Focus

10:00 a.m. – 11:30 a.m.


Working with Social Determinants of Health

2:00 p.m. –

3:30 p.m.


New Member Orientation and Student Committee meeting

6:30 p.m. –

8:30 p.m.


Section Reception and Awards Ceremony.  Register at:


Do You Have 30 Minutes to Help Out With CHPPD Booth in Denver?

CHPPD Section booth in Denver

Can you help out for 30 minutes at the Community Health Planning and Policy Development Booth? As was done last year, the coordinators will attempt to pair each regular member volunteer with a student member of the Section. This matching received rave reviews from students and members alike last year, as the matching allowed student members to get to know more about the Section and APHA, and make important career contacts.

This year, the Section will be offering 10 student stipends of $60 for students who staff the booth for at least two hours.  The stipends will be awarded on a first-come, first-served basis. Students will be asked for their social security numbers after they have completed the work to receive the stipend as required by APHA audit rules.

The CHPPD booth will be in the Main Exhibit Hall, and the proposed hours are:

Day     Time
Sunday, Nov. 7 2:00 p.m. -  5:00 p.m.
Monday, Nov. 8 9:30 a.m. -  5:00 p.m.
Tuesday, Nov. 9 9:30 a.m. -  5:00 p.m.
Wednesday, Nov. 10 8:30 a.m. - 11:00 a.m.

To volunteer, or for more information, please contact Priti Irani at, Russell McIntire at, or Michelle Denision at

Improving TB control among rural-to-urban migrants in Shanghai, China


Tuberculosis remains one of the most infectious diseases worldwide. There are wide regional variations in the burden and incidence rate of TB due to important factors such as global migration [1].

Shanghai is the largest metropolitan area in China, with a resident population of 13 million. Shanghai has an integrated TB control network involving TB hospitals, Centers for Disease Control (CDC), as well as community health centers (CHCs). TB hospitals are mainly responsible for TB diagnosis and treatment; CDC is mainly responsible for surveillance and developing TB control strategies; and CHCs are responsible for finding suspect TB cases, case management and follow-up. The notification rate of pulmonary TB in Shanghai was 38.6 per 100,000 population in 2008, much lower than the national rate of 88.5 per 100,000 [2].

However, the number of active TB cases among rural-to-urban migrants in Shanghai increased from 2,968 in 2001 to 3,277 in 2008. The migrant population in Shanghai increased from 3.87 million in 2001 to 5.17 million in 2008. Due to the high cost of living, low socio-economic status and incomplete health insurance, migrants face barriers to access TB care in Shanghai [3]. The TB Control Program of the Shanghai CDC sought to strengthen TB case detection and treatment among migrants in Shanghai. Funding for a five-year project, from Oct. 1, 2006 until Sept. 30, 2011, was provided by the Shanghai government and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), Round 5.



Project areas

Eight of the 19 districts of Shanghai were selected as project areas, based on the number of TB cases detected annually and the area’s socioeconomic and geographic characteristics. The project started in one district in Year 1, and in eight districts by Year 2.


A rural-to-urban migrant was defined as an individual who leaves the hometown, where he/she was registered after birth, and stays in Shanghai for three months or longer. A TB case was defined as an individual who was sputum smear positive or culture positive for Mycobacterium tuberculosis.


Project interventions

Under the project, the designated hospital in each district increased the working hours for migrant TB patients by one hour per weekday and one day per weekend. Free chest X-ray screening was provided to migrant workers who went to the hospital for a routine physical examination, which was required to get a job in the city.

Shanghai CDC extended free screening to migrants who were TB suspects, free treatment with first- and second-line anti-TB drugs, and free liver function assays and protective drugs. Each migrant TB patient could also get 130 Yuan RMB (US $20) per month during the treatment course, as a subsidy for living expenses and transportation.     


Project Data Collection and Statistical Analysis

Data was collected quarterly and was entered and analyzed using EpiData Analysis (EpiData Analysis, EpiData Association, Odense. Denmark. Version By year, we calculated the case detection rate and the percentage of sputum smear-positive TB cases who were cured. We compared the case detection rate and treatment success rates of different areas and different years using the chi-square test of proportions.



In Year 1, the case detection rate and the treatment success rate among migrant TB cases were significantly higher in the district that implemented the interventions. In Year 2, the treatment success rate among migrant TB cases was significantly higher in the eight districts that implemented the interventions.


The case detection rate decreased significantly in project areas from Year 1 to Year 2, but no significant difference was found in non-project areas. No significant difference in the treatment success rate was found in the project area and non-project areas. (Table 1)


Free X-Ray Screening is offered to migrant workers in Shanghai

Tuberculosis is a disease whose treatment outcome is influenced by socioeconomic factors, as well as biological factors. Since 2004, the Shanghai government has provided free TB diagnosis and treatment (first-line drugs only) to migrant TB patients, as well as the local residents who are TB patients. However, before the project started, less than half of the migrant TB patients were successfully treated. Another study found that migrants in Shanghai had financial concerns such as the cost of living in the metropolitan area, an important barrier for completion of their TB treatment [3].


This project was the first project in Shanghai that provided a living and transportation subsidy to migrant TB patients. The subsidies, plus the changes in the TB program that made health care more accessible, significantly improved treatment outcomes in the districts where the project was implemented in Shanghai. The project continues to be implemented, and additional evaluations will determine the long-term benefits and sustainability of the project.  



1. Global tuberculosis control: surveillance, planning, financing. WHO report 2006. WHO/HTM/TB2006.362. Geneva, Switzerland: WHO, 2006.

2. Ministry of Health of the People's Republic of China

3. Xiaolin Wei. Barriers to TB care for rural-to-urban migrant TB patients in Shanghai: a qualitative study. Tropical Medicine and International Health.2009, Vol 14(7): 754-760.

By Jing Chen1 Kathy DeRiemer2 Xin Shen1 Jian Mei1

 1 Department of TB Control, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, PR China

2 School of Medicine, University of California, One Shields Avenue, Davis, California, USA


Free Workshop Focuses on Linking Practitioners and Academic Partners to Improve Public Health

Kathi Traugh, MPH, from the Yale School of Public Health, has invited Community Health Planning and Policy Development Section  members to a free interactive workshop to explore selected priority research areas for public health systems and

services research. This work is supported by a grant from the Robert Wood Johnson Foundation.


Where: APHA 2010 Annual Meeting, Denver


When: Sunday, Nov. 7, 8:00 a.m. – 11:30 a.m.


Venue: Hyatt Regency Denver, Capitol Ballroom 2


Register: By taking a quick online survey on research question areas and RSVP for the workshop session at


For more information contact Kathi Traugh, MPH, at or at (203) 764-9718.

Nov. 6 Learning Institute Workshop: Communicating Public Health Data to the Public

The Learning Institute of the 138th Annual Meeting of APHA will offer a presentation entitled, "Making Data Talk: Communicating Public Health Data to the Public."

As public health professionals, our ability to effectively communicate public health data is critical to the success of raising public awareness and facilitating informed decision-making on key health issues. However, communicating public health data, especially to lay audiences, is difficult. The purpose of this workshop is to provide practical suggestions and examples on how scientists, health promoters, health educators, clinicians, statisticians, and others can better communicate data to the public, policy makers, and the news media. Case studies using "real world" scenarios in cancer control and prevention will be presented and participants will have the opportunity to apply information and utilize the OPT-IN (Organize, Plan, Test, Integrate) framework to develop data presentations for key audiences.

The presentation will be at the Colorado Convention Center in Denver on Saturday, Nov. 6 from 1:30-5:00 p.m. Presenting faculty members are David E. Nelson, MD, MPH, and Harry T. Kwon, PhD, MPH, CHES. Questions? Please contact Dr. Nelson at

On Social Justice and Democracy

In the last newsletter ("An Inconvenient Truth: Politics, Economics, and Ethics"), I argued that it is our responsibility to speak scientific truth to political power out of consideration of professional ethics and of the mission of public health – social justice.


I would like all of us to see that C. Wright Mills had public health leaders and researchers in mind when he wrote (in Dissent, 1955): "The intellectual ought to be the moral conscience of his society, at least with reference to the value of truth, for in the defining instance, that is his politics."


There is greater attention being given to factors "upstream" from traditional public health practice, evidenced by "the social determinants of health." However, too many articles about them fail to take account of the political and economic factors that largely determine them. The way public health research is funded, assessed, rewarded and published isolates it from having positive effects on the social determinants of health.1


By limiting analyses of societal health to its social determinants, we play into the hands of those who enforce the status quo to block all progressive efforts, a process well described by Noam Chomsky: "The smart way to keep people passive and obedient is to strictly limit the spectrum of acceptable opinion, but allow very lively debate within that spectrum - even encourage the more critical and dissident views. That gives people the sense that there's free thinking going on, while all the time the presuppositions of the system are being reinforced by the limits put on the range of the debate."


So long as that debate remains epidemiological, the status quo is protected, for as Albert Einstein noted, "the significant problems we face cannot be solved at the same level of thinking we were at when we created them." For medicine to realize its promise, Rudolph Virchow wrote (1848), "it must enter into the larger political and social life of our time; it must indicate the barriers which obstruct the normal completion of the life cycle and remove them." In his idealism, he saw medicine as "a social science, and politics nothing but medicine on a grand scale."


My idealism requires me to argue that our politics is bad medicine on a grand scale, virulent in obscuring the causes of the inequities that deny us social justice. As John Dewey wrote in "The Need for a New Party" (1931), "Politics is the shadow cast on society by big business." Against that we must fight with the equity inherent in our democracy and in those liberties whose exercise protects and promotes democracy.


The first truth is that the liberty of a democracy is not safe if the people tolerate the growth of private power to a point where it becomes stronger than their democratic state itself. That, in its essence, is fascism - ownership of government by an individual, by a group, or by any other controlling private power.
-- Franklin D. Roosevelt (message to Congress, 1938)

We Americans need to realize that our desire for wealth, manifest in the for-profit corporation, concentrates not only wealth, but the power to control our government and determine our politics, a power that must be reserved to The People democratically in order to preserve the republican government promised by our Constitution.


Recent political events may make my ideals seem hopelessly impractical to achieve, but I’ll continue promoting them in the very interest of hope. As Andrei Sakharov said (interview, 1973), "There is a need to create ideals even when you can’t see any route by which to achieve them, because if there are no ideals then there can be no hope and then one would be completely in the dark, in a hopeless blind alley." So for a liberal, the hope is always that The People will develop the political acuity necessary to realize the promise of America now being squandered, and that we are still the America where, as De Tocqueville noted, events "can move from the impossible to the inevitable without ever stopping at the probable."

Each of us promotes social justice by doing the right thing – telling the whole truth: Right in principle, right in practice.


By John Steen, Consultant in Health Planning, Health Regulation and Public Health


1 See Fran Baum, “Overcoming Barriers to Improved Research on the Social Determinants of Health,” MEDICC Review, Vol. 12, No. 3, July 2010, pp. 36-38. This perspective addresses needed changes in the ways public health research is funded and assessed, and in the ways researchers are rewarded and recognized for their work.

Welcome New Co-Editors for Section Newsletter

Barbara Bernstein, PhD, the Section’s new newsletter co-editor, is an experienced, licensed psychologist and is completing an MPH in Health Policy and Management through the Executive Program at the Mailman School, Columbia University.  Her interest is in health policy and practices that promote health.  Dr. Bernstein recently joined APHA and CHPPD.  "Serving as a Co-Editor would provide an opportunity for me to become active with APHA and the Section, and to contribute by drawing on my skills", Dr. Berstein said.  

For the past several years, Dr. Berstein has served as Co-Chair of the Westchester Task Force on Child Abuse and Neglect (WTFCAN), and was recently elected as Co-Chair of the Board of the Suicide Intervention Skills Trainer Consortium (SIST), a statewide group.  Dr. Bernstein has worked collaboratively on many multi-agency, multi-disciplinary committees and projects, as well as team projects within the agency. Dr Bernstein says “I have found it essential, when working on group projects, to agree upon clearly delineated assignments and time frames, and to develop a mechanism for ongoing communication.”   

Nitasha Chaudhary, MPH, a Senior Associate Analyst at Homeland Security Studies and Analysis Institute ( HSSAI),  is also a newsletter co-editor. Nitasha explains, “A goal for me this year for the CHPPD newsletter is to invite articles on what is happening at the ground level in regards to community health. How are students, community leaders and organizations working with community members to increase the awareness and help eliminate health disparities?” 

Additionally, Ms. Chaudhary says “I would like to highlight student efforts in this arena. As part of school program requirements, students are in the field developing and sustaining interventions. I would like to highlight community programs that are established to eliminate health disparities among minority and immigrant groups. These populations have been largely affected by the economic recession; it would be great to share how communities are resilient and their means to continue to address health issues.”  


Ms. Chaudhary's expertise ranges from public health preparedness and emergency management to community health.  Prior to joining HSSAI, Ms. Chaudhary spent approximately four years at the National Association of County & City Health Officials (NACCHO). Nitasha has a Masters in Public Health from The George Washington University.  She is the co-chair for the South Asian Public Health Association and works on multiple projects in collaboration with The George Washington University on raising the visibility of health issues amongst South Asians living in the Washington, D.C., metropolitan area.