In 2001, the University of Texas School of Public Health (UTSPH) Brownsville campus began clinical research to identify and quantify what health risks existed in Brownsville. They found 80 percent of residents were either obese or overweight, one in three were diabetic (50 percent unknowingly), and 70 percent of residents had no healthcare coverage. After initiating a community media campaign called Tu Salud Si Cuenta, UTSPH formed a Community Advisory Board (CAB) in order to speak about the findings and promote change in the Brownsville community. They involved local clinicians, including Dr. Rose Zavaletta Gowen, an Obstetrician Gynecologist, to inform clinicians and encourage them to get involved. After agreeing actions needed to be taken, a team of UTSPH, the City Health Department, a local community health clinic Su Clinica, and Rose organized and designed a farmers’ market, with the goal of making fresh fruits and vegetables accessible and affordable to every income level in the city. The Brownsville Farmers’ Market opened in 2006 followed by an integrated network of initiatives including The Challenge, an annual weight loss event; CycloBia, an open streets program; policy changes including Sidewalk ordinance, Safe Passing ordinance, Complete Streets Resolution, and Smoking ban ordinance; and a Master Bike and Hike Plan aimed at providing a trail within one half mile of every residence in the city. The CAB, which today includes over 200 members, is actively involved in all of these programs in a variety of capacities to promote a healthier Brownsville.