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A Public Health Action Plan to Prevent Heart Disease and Stroke

By Department of Health and Human Services

Excerpt
Heart disease and stroke are among the nation’s leading causes of death and disability, projected to cost more than $351 billion in 2003. Heart disease and stroke can affect anyone without regard to age, race, ethnicity, sex, or income level. And as our population ages, these largely preventable conditions are projected to increase. This nation has the tools to substantially reduce the devastating impact that heart disease and stroke have on individuals, their families, and the nation’s economy. We can take significant steps toward a heart-healthy and stroke-free America through several actions. These include early and continuous health education that focuses on prevention and healthy lifestyle choices; medical services that provide the most effective drugs and therapies without disparity; and environmental policies in schools, work sites, and communities that promote good nutrition, regular physical activity, and abstinence from smoking.

Table of Contents
CONTENTS A Message from the Secretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii A Message from the Directors of CDC and NIH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 A Comprehensive Public Health Strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 The Challenge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 The Public Health Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 The Action Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Fundamental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Summary Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Section 1. Heart Disease and Stroke Prevention: Time for Action . . . . . . . . . . . . . . . 13 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Introduction: Planning for the Prevention of Heart Disease and Stroke . . . . . . . . . . . . .14 Heart Disease and Stroke: Scope, Burden, Disparities, and a Forecast . . . . . . . . . . . . . . 14 Myths and Misconceptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 The Knowledge Base for Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Evolution of Prevention Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Healthy People 2010 Goals and Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 The Present Opportunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Section 2. A Comprehensive Public Health Strategy and the Five Essential Components of the Plan: A Platform for Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Introduction: A Vision of Cardiovascular Health for America . . . . . . . . . . . . . . . . . . . . 34 A Framework for a Comprehensive Public Health Strategy . . . . . . . . . . . . . . . . . . . . . . 34 The Three Core Functions of Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Five Essential Components of the Action Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Section 3. Recommendations: A Call to Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Overarching Premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Fundamental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Recommendations for the Five Essential Components of the Plan . . . . . . . . . . . . . . . . 47 Taking Action: Putting Present Knowledge to Work . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Strengthening Cap

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Book Id: WPLBN0000200285
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Reproduction Date: 2005
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Title: A Public Health Action Plan to Prevent Heart Disease and Stroke  
Author: Department of Health and Human Services
Volume:
Language: English
Subject: Health., Medical research, Medical reports
Collection: Medical Library Collection
Subcollection:
Historic
Publication Date:
Publisher: Centers for Disease Control and Prevention
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