This document outlines a vision for improving food and fitness in northeast Iowa. It discusses how the places people live, learn, work and play affect their health. The initiative aims to make northeast Iowa a place where residents and visitors can experience and celebrate locally grown, healthy food and have abundant opportunities for physical activity every day. It notes that policy and system changes will drive the work, which involves the entire community and has led to increased engagement, leadership and regional capacity. People are encouraged to get involved by attending meetings, receiving emails, visiting the website and providing feedback.