State Programs

ATSDR’s Partnership to Promote Local Efforts to Reduce Environmental Exposure (APPLETREE) Program is a cooperative agreement that funds 28 state health departments. APPLETREE helps states increase their capacity to advance ATSDR’s goal of keeping communities safe from harmful chemical exposures and related diseases.

Because ATSDR is committed to promoting the healthy development of children, ATSDR expanded the scope of APPLETREE in 2017 to include Choose Safe Places for Early Care and Education (CSPECE).

APPLETREE states are working to achieve CSPECE program goals by:

  • defining how locations for ECE programs are selected
  • developing methods to help ensure ECE programs are placed on safe sites
  • implementing a pilot Choose Safe Places program

For more information on the APPLETREE program and the states funded by it, please visit

Want to know more about how APPLETREE states are choosing safe places for early care and education facilities?

Click here to check out case studies and lessons learned in our Stories from the Field feature.

Page last reviewed: December 14, 2020