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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

Support for this project was provided by the Centers for Disease Control and Prevention; the National Institutes of Health; the Health Resources and Services Administration; the Substance Abuse and Mental Health Services Administration; the Department of Health and Human Services, Office of the Secretary, Assistant Secretary for Planning and Evaluation; and the Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Contract No. 200-2000-00629. The views presented in this report are those of the Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century.

Library of Congress Cataloging-in-Publication Data

The future of the public’s health in the 21st century / Committee on Assuring the Health of the Public in the 21st Century, Board on Health Promotion and Disease Prevention.

p. ; cm.

Includes bibliographical references.

ISBN 0-309-08622-1 (hardback) — ISBN 0-309-08704-X (pbk.) — ISBN 0-309-50655-7 (pdf)

1. Public health—United States. 2. Medical policy—United States. [DNLM: 1. Public Health—trends—United States. WA 100 F9955 2003]

I. Institute of Medicine (U.S.). Committee on Assuring the Health of the Public in the 21st Century.

RA445.F885 2003

362.1’0973’0905—dc 21

2003008322

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Copyright 2003 by the National Academy of Sciences. All rights reserved.

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The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.



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