Lake County is located 30 miles east of Cleveland and has a total population of approximately 233,000.  The ACHIEVE Initiative targets all residents living in the county.  Approximately 10 percent of residents live in poverty and 5.1 percent represent minority populations.  The leading causes of death are heart disease, cancer, and chronic lower respiratory disease.  According to the Healthy Ohio Community Profile, the risk factors associated with these diseases in Lake County are attributable to lifestyle choices that include poor diet, being overweight or obese, use of tobacco, lack of physical activity, and excessive alcohol consumption.