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 competencies and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education.

This project was supported by funds from the National Institute on Aging, the National Institute for Dental Research, the Food and Drug Administration, the Alliance on Aging, the Charles A. Dana Foundation, and the Pew Charitable Trusts.

Library of Congress Cataloging-in-Publication Data

Institute of Medicine (U.S.). Division of Health Promotion and Disease Prevention.

The second fifty years : promoting health and preventing disability / Division of Health Promotion and Disease Prevention, Institute of Medicine.

p. cm.

Report of a study undertaken by the Committee on Health Promotion and Disability Prevention for the Second Fifty.

Includes bibliographical references.

Includes index.

1. Aged—Health and hygiene—United States. 2. Health promotion—United States. 3. Aged—Diseases—United States. 4. Aged—Services for—United States. 5. Primary Prevention—in old age. I. Institute of Medicine (U.S.). Committee on Health Promotion and Disability Prevention for the Second Fifty. II. Title.

[DNLM: 1. Health Promotion—United States. 2. Health Services for the Aged—trends—United States. WT 30 I5915]

RA564.8I57 1991

613'.0438' 0973—dc20

DNLM/DLC

for Library of Congress 90-13385

CIP

Cover photograph: Superstock, Inc.