Health Progress in the United States

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Abstract
ON JUNE 25, 1992, Department of Health and Human Services Secretary Louis W. Sullivan released the results of progress toward the nation's health objectives for 1990, culminating a 10-year process to chart a course for our nation's health. In 1979,Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention1introduced and quantified new opportunities for improving the health of Americans through changes in behavioral choices (health promotion), the environment (health protection), and access to screening, immunization, and counseling (clinical preventive services). Specific goals were set for achievement by the year 1990, according to age groups. In 1980, measurable objectives designed to achieve these goals were released inPromoting Health/Preventing Disease: Objectives for the Nation.2This article summarizes the nation's progress toward those health goals and objectives, reviews the role of the objectives process in offering a sense of the opportunities, and describes the relationship to

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