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By Paul E. Torgensen

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Lax enforcement had encouraged drug dealers to occupy houses in the area, but enforcement of codes requiring window repair and lawn maintenance forced the dealers out. It is noteworthy that annexation to the City of Orlando could not have taken place without these onthe-ground improvements, because the city would have taken steps to prevent annexation of an area with high crime and weak infrastructure. Analysis The Orlando Healthy Communities Initiative can be viewed as a partnership-type coalition because it has engaged in significant consultation with the community.

Managing their illnesses is made more difficult by the likelihood of underlying chronic conditions. Hospitals that operate emergency departments in troubled neighborhoods face special challenges, including the responsibility of treating people without health insurance or alternative sources of care. The severity of this problem is increased by the high rates of crime and violence that accompany low income, conditions resulting in frequent admission to the emergency room of people with severe trauma and no money or insurance to cover the costs.

Prior to the adolescent hepatitis b awareness campaign, school nurses observed that only half the eighth graders had been vaccinated. After three years of the intervention, they determined that 92 of the youths had been immunized. Analysis From this description, it is difficult to determine whether piv comes closer to a consultation or partnership-type intervention. Clearly, the operation involves consultation by public officials and experts regarding the expectations, beliefs, and resources of communities, but it is not clear whether the state has given any control over the immunization program to the localities represented in the coalition.

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