Abstract
An historical viewpoint disclosed 2 potential impediments to effective primary prevention of alcoholism with a community-wide focus: weak evaluation instruments measuring the outcome of primary prevention programs and the difficulty of creating and maintaining a sufficiently high degree of interorganizational coordination. The origin of the [USA] National Council on Alcoholism during the 1940s was used as a focal point for the study. The importance, today as well as 4 decades ago, of designing prevention programs that are well conceived, implemented and evaluated is discussed.

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