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 appointed by the 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.

Support for this study was provided by the Centers for Disease Control (Contract no. 200-88-0690).

Library of Congress Cataloging-in-Publication Data

Institute of Medicine (U.S.). Committee on a National Agenda for Prevention of Disabilities.

Disability in America: toward a national agenda for prevention / Andrew M. Pope and Alvin R. Tarlov, editors: Committee on a National Agenda for the Prevention of Disabilities, Division of Health Promotion and Disease Prevention, Institute of Medicine.

p. cm.

Report of a study undertaken by the Committee on a National Agenda for the Prevention of Disabilities

Includes bibliographical references and index.

1. Chronic diseases—United States—Prevention. 2. Handicapped— United States. I. Pope, Andrew MacPherson, 1950-. II. Tarlov, Alvin R. (Alvin Richard), 1929-. III. Title.

[DNLM: 1. Handicapped. 2. Preventive Health Services—United States. 3. Primary Prevention—methods—United States. 4. Public Policy—United States. HV 1553 I59d]

RA644.6.I58 1991

614.5'99—dc20

DNLM/DLC

for Library of Congress 91-15496

CIP

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 image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held at the Staatlichemuseen in Berlin.