Minority Health Archive

Asleep at the Switch: Local Public Health and Chronic Disease

Frieden, Thomas R. (2004) Asleep at the Switch: Local Public Health and Chronic Disease. American Journal of Public Health, 94 (12). pp. 2059-2061. ISSN 0090-0036

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Local health departments generally do a good job of monitoring and controlling conditions that killed people in the United States 100 years ago. Yet noncommunicable diseases, which accounted for less than 20% of US deaths in 1900,1 now account for about 80% of deaths.2 Our local public health infrastructure has not kept pace with this transition. Health departments must continue to handle traditional public health priorities as well as emerging infectious diseases. They must also increasingly address terrorism detection, preparedness, and response. But it is even more urgent that they adjust to the epidemiological transition from communicable to chronic disease. All too many are asleep at the switch.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: chronic disease; prevention and control; public health; survelliance;environmental interventions
Subjects: Health > Public Health
Health > Public Health > Chronic Illness & Diseases
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Depositing User: Users 141 not found.
Date Deposited: 02 Oct 2008
Last Modified: 30 Jun 2011 10:12
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1025

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