April 2004

Prevention: A Blueprint for Action

Over the past 100 years, our investment in research and technology has lead to unprecedented improvements in the lives of Americans. Life expectancy in the United States is at an all time high. Advances in medical treatment and care have dramatically reduced infant and childhood mortality and deaths from infectious diseases, trauma, and other acute medical emergencies. As a result of medical progress, individuals with chronic diseases are enjoying longer, more independent lives. Yet despite these achievements, complex chronic health problems persist in challenging us. Chronic diseases and conditions account for at least 7 of every 10 deaths in the United States and for more than 60 percent of medical care expenditures. In 2000, poor diet and physical inactivity, which contribute to obesity, cancer, cardiovascular disease and diabetes, accounted for 400,000 actual deaths in the U.S. Only tobacco use caused more preventable deaths (435,000). Moreover, many chronic diseases result in disability and decrease the quality of life for millions of Americans.