**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** ON SEPTEMBER 26TH 2024 SOUTH CAROLINA (SC) WAS HIT BY HURRICANE HELENE THE MOST DEVASTATING INLAND HURRICANE ON RECORD. WIDESPREAD EXTENDED POWER OUTAGES RESULTED IN SIGNIFICANT LOSSES FOR MANY INDIVIDUALS AND ORGANIZATIONS INCLUDING FOOD AND MEDICATIONS. HURRICANE HELENE'S IMPACT IS PARTICULARLY CONCERNING FOR POPULATIONS WITH DIET-RELATED CHRONIC CONDITIONS THAT REQUIRE CONSISTENT LONG-TERM ACCESS TO SPECIFIC FOODS. NOTABLY SOUTH CAROLINA IS BURDENED WITH HIGHER CHRONIC DISEASE RATES (13.7% LIVE WITH DIABETES) THAN THE NATIONAL AVERAGE AND HAS THE HIGHEST PREVALENCE OF VERY LOW FOOD SECURITY (6.8%) IN THE U.S. CLEMSON UNIVERSITY EXTENSION'S RURAL HEALTH AND NUTRITION (RHN) TEAM ORIGINATED IN 2016 FOCUSING TO DATE ON DEVELOPING INFRASTRUCTURE PROGRAMMING AND COLLABORATIONS. AN EXTREME WEATHER EVENT LIKE HURRICANE HELENE HAS NOT OCCURRED IN SOUTH CAROLINA SINCE THE TEAM'S CREATION LEAVING FEW RESOURCES TO UTILIZE DURING HURRICANE HELENE DISASTER RELIEF. THUS THIS RAPID RESPONSE PROGRAM OFFERS AN ESSENTIAL OPPORTUNITY TO SUPPORT RHN'S EFFORTS TO PROMOTE FOOD AND NUTRITION SECURITY AND DIET-RELATED CHRONIC DISEASE MANAGEMENT AMONG SC RESIDENTS AFFECTED BY HURRICANE HELENE. TO ACHIEVE THIS GOAL WE WILL: 1) IDENTIFY AND ADDRESS IMPACTS OF HURRICANE HELENE-RELATED LOSSES OF MEDICALLY TAILORED GROCERIES AMONG CLEMSON EXTENSION CHRONIC DISEASE PREVENTION AND SELF-MANAGEMENT PROGRAM PARTICIPANTS; 2) DEVELOP NUTRITION AND HEALTH EDUCATION RESOURCES TO ADDRESS IMMEDIATE HURRICANE HELENE AND FUTURE WEATHER-RELATED IMPACTS ACROSS SOUTH CAROLINA; AND 3) ASSESS AND INCREASE CAPACITY OF SC FOOD ASSISTANCE ORGANIZATIONS TO ADDRESS IMMEDIATE AND FUTURE FOOD AND NUTRITION SECURITY NEEDS ACROSS THE LIFESPAN FOLLOWING HURRICANE HELENE.WE EXPECT THIS PROJECT TO BOTH ADDRESS IMMEDIATE NUTRITION AND HEALTH NEEDS AMONG SOUTH CAROLINIANS IMPACTED BY HURRICANE HELENE AS WELL AS FILL GAPS IN OUR CURRENT KNOWLEDGE AND AVAILABLE STATE-SPECIFIC RESOURCES ABOUT DIET-RELATED CHRONIC DISEASE MANAGEMENT DURING WEATHER-RELATED DISASTERS. SPECIFICALLY WE EXPECT TO SEE IMPROVED FOOD SECURITY AMONG PARTICIPANTS IN OBJECTIVE 1 IMMEDIATE AND LONG-TERM USAGE OF MATERIALS DEVELOPED IN OBJECTIVE 2 AND ADOPTION AND IMPLEMENTATION OF DISASTER RELIEF/PREPAREDNESS ACTIVITIES/PARTNERSHIPS AMONG AT LEAST HALF OF CONTACTED ORGANIZATIONS.