Reinventing injury prevention in California: a model for reinventing local public health programs

The evolution of state injury control programs, like the evolution of public health itself, involves many jurisdictions and disciplines outside the health domain and requires the cooperation and coordination of many sectors. Perhaps most important is that it requires involvement by the states to assure success. In California, the federal investment of less than $2 million in capacity building spread over five years has produced more than $8 million in injury control programming in the subsequent four years.