The Future Of The Publics Health In The 21St Century, zdrowie publiczne
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T
HE
F
UTURE
OF
T
HE
P
UBLIC
’
S
H
EALTH
in the 21st Century
Committee on Assuring the Health of the Public in the
21st Century
Board on Health Promotion and Disease Prevention
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, N.W. • Washington, DC 20001
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 Na-
tional Academy of Sciences, the National Academy of Engineering, and the Institute of Medi-
cine. 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 Sub-
stance 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—dc21
2003008322
Additional copies of this report are available from the National Academies Press, 500 Fifth
Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in
For more information about the Institute of Medicine, visit the IOM home page at:
www.iom.edu.
Copyright 2003 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America.
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.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
—Goethe
Shaping the Future for Health
The
National Academy of Sciences
is a private, nonprofit, self-perpetuating society
of distinguished scholars engaged in scientific and engineering research, dedicated
to the furtherance of science and technology and to their use for the general welfare.
Upon the authority of the charter granted to it by the Congress in 1863, the Acad-
emy has a mandate that requires it to advise the federal government on scientific and
technical matters. Dr. Bruce M. Alberts is president of the National Academy of
Sciences.
The
National Academy of Engineering
was established in 1964, under the charter of
the National Academy of Sciences, as a parallel organization of outstanding engi-
neers. It is autonomous in its administration and in the selection of its members,
sharing with the National Academy of Sciences the responsibility for advising the
federal government. The National Academy of Engineering also sponsors engineer-
ing programs aimed at meeting national needs, encourages education and research,
and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president
of the National Academy of Engineering.
The
Institute of Medicine
was established in 1970 by the National Academy of
Sciences to secure the services of eminent members of appropriate professions in the
examination of policy matters pertaining to the health of the public. The Institute
acts under the responsibility given to the National Academy of Sciences by its
congressional charter to be an adviser to the federal government and, upon its own
initiative, to identify issues of medical care, research, and education. Dr. Harvey V.
Fineberg is president of the Institute of Medicine.
The
National Research Council
was organized by the National Academy of Sciences
in 1916 to associate the broad community of science and technology with the
Academy’s purposes of furthering knowledge and advising the federal government.
Functioning in accordance with general policies determined by the Academy, the
Council has become the principal operating agency of both the National Academy
of Sciences and the National Academy of Engineering in providing services to the
government, the public, and the scientific and engineering communities. The Coun-
cil is administered jointly by both Academies and the Institute of Medicine. Dr.
Bruce M. Alberts and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the
National Research Council.
www.national-academies.org
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