• Front Matter R1-R14

• Summary and Recommendations 1-18

• 1. The Disarray of Public Health: A Threat to the Health of the Public 19-34

• 2. A Vision of Public Health in America: An Attainable Ideal 35-55

• 3. A History of the Public Health System 56-72

• 4. An Assessment of the Current Public Health System: A Shattered Vision 73-106

• 5. Public Health As A Problem-Solving Activity: Barriers to Effective Action 107-137

• 6. Conclusions and Recommendations 138-159

• Supplementary Statements 160-162

• Appendix A: A Summary of the Public Health System in the United States 163-202

• Appendix B: Biographies of Committee Members 203-210

• Appendix C: Model Standards 211-212

• Appendix D: Site Visits: Site Selection and Methodology 213-216

• Index 217-225

" 1. The Disarray of Public Health: A Threat to the Health of the Public ." The Future of Public Health . Washington, DC: The National Academies Press, 1988 .

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