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Jeffrey P. Koplan, MD, MPH; David W. Fleming, MD

JAMA. 2000;284:1696-1698.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

During the past century, public health has faced numerous challenges and has made much progress. Childhood immunizations, antibiotics, fortified foods, and clean water are just a few of the public health advances of the 20th century that have extended life expectancy from 45 years at the turn of the century to more than 75 years today. In fact, for the first time, this year's census forms offer a 3-digit space for entering one's age—an accommodation to the approximately 70,000 centenarians living in the United States.¹ Moreover, knowledge and attitudes about healthy behaviors also have contributed to improved longevity and quality of life, such as knowledge of the hazards of smoking, the value of personal and food hygiene, and the concept that injuries in the workplace, at home, or on the roads can be prevented.

While there is reason to be justifiably . . . [Full Text of this Article]

TEN CHALLENGES

Institute a Rational Health Care System

Eliminate Health Disparities

Focus on Children's Emotional and Intellectual Development

Achieve a Longer "Healthspan"

Integrate Physical Activity and Healthy Eating Into Daily Lives

Clean Up and Protect the Environment

Prepare to Respond to Emerging Infectious Diseases

Recognize and Address the Contributions of Mental Health to Overall Health and Well-being

Reduce the Toll of Violence in Society

Use New Scientific Knowledge and Technological Advances Wisely

Author Affiliations: Centers for Disease Control and Prevention, Atlanta, Ga.

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