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Community Health experts state that children and the elderly are the groups most adversely affected by a declining economy. This proposal is a collaborative effort between Pitt County Memorial Hospital and two economically distressed counties (Jones & Pamlico) that have been dramatically affected by the changing tobacco economy. The University Health Systems of Eastern Carolina, a division of Pitt Memorial, will use the grant to provide school nurses for these two counties. The project will also design and implement a school health program to assure children are healthy and ready to perform in the school environment. In addition, Pitt Memorial Hospital will further develop its curriculum for training school nurses.