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Recent years have been marked by unprecedented accomplishments in preventing disease and reducing mortality. More gains can be expected, but there are limits. The forces shaping the nature and potential of prevention programs can be characterized as points falling along a spectrum ranging from the purely scientific to the purely social. This paper focuses on four elements of that spectrum, discussing some of the limitations to prevention that are presented by biological, technical, ethical, and economic factors. The author concludes with an essentially optimistic perspective on the prospects, special opportunities, and imperatives inherent in each of the categories of limitations discussed.
In 1971, waste oil containing 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) was sprayed for dust control on a number of residential, recreational, and wo...
Death certificates were used as a source of information to characterize fatalities associated with farm tractor injuries in Georgia for the period 197...
For accidental electrocutions in Washington State from 1950 to 1979, the standardized proportionate mortality ratio for farmers compared with the gene...
This paper reviews restraints on the provision of mental health services in primary health care under the broad categories of physician profile, patie...
A needs assessment survey was originally conducted at the George Washington University Health Plan in 1981 and repeated in 1983 for evaluation and red...
The Hill People of Laos in Southeast Asia, who are called the Hmong, are from a primitive culture which has had a written language for only 31 years. ...
Between January 1, 1981, and December 31, 1982, the Colorado Department of Health received reports of 1,185 culture-confirmed cases of Campylobacter j...
A survey of 93 nursing homes in and near Rhode Island in May 1982 identified all head-injured patients who were State residents. Nineteen were identif...
Slightly more than 11 percent of the 1,616 children in Northern Mississippi households receiving Aid to Families with Dependent Children regularly use...
Cigarette smoking and 5-year survivorship of 20,017 British and 10,016 Norwegian migrants to the U.S. were compared with 17,696 British and 26,155 Nor...
In 1981, more than 3,200 Pennsylvania children, ages 4 to 18 years, were surveyed about their dog bite histories and attitudes toward animals. Dog bit...
This paper describes the Psychosocial Cancer Counseling Line (PCCL) of the University of California at Los Angeles, a National Cancer Institute-suppor...
A telephone survey of residents of metropolitan Baltimore was conducted in 1981 to assess awareness of the Maryland Poison Center and a program based ...
The problem of sexually transmitted diseases (STDs) in the United States has been growing, in both scope and complexity, at an alarming rate. As evide...
Previous epidemiological research indicates that police officers have an elevated risk of death relative to the general population overall and for sev...
PurposeTo estimate quality-adjusted life expectancy (QALE) loss among US adults due to depression and QALE losses associated with the increased risk o...
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