Extension has taught successful classes to address heart disease, yet heart disease remains the number one killer in the United States. The U.S. government's Million Hearts initiative seeks collaboration among colleges, local and state health departments, Extension and other organizations, and medical providers in imparting a consistent message when educating the public about heart disease. Extension plays a key role in conveying this message and promoting cultural adaptations related to food preferences and meal preparation that will help people make necessary behavior changes. Partnering around the same message could improve Extension's ability to reduce the risk of heart disease and stroke in communities nationwide.

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