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December 10, 2004
APHA: New 'Community Guide' Gathers Nation's Best Practices in Public Health

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David Satcher
Public health’s best practices in areas ranging from violence prevention to tobacco control have been collected in a new Guide to Community Preventive Services: What Works to Promote Health, announced former U.S. Surgeon General David Satcher at a press conference at APHA on November 10. Content is currently available online free of charge at www.thecommunityguide.org. The full print version, published by Oxford University Press, is expected to be available for purchase in January.

The Community Guide reflects nearly a decade of intensive reviews of thousands of scientific studies, offers insights into 119 public health interventions, and makes 54 specific recommendations. Topics fall into three broad categories of: changing risky behaviors; reducing diseases, injuries, and impairments; and addressing environmental and ecosystem challenges. Included are more specific topics such as physical inactivity, cancer, diabetes, vaccine-preventable diseases, tobacco, interventions in educational and housing sectors, motor vehicle injuries, oral health, and violence.

"Evidence-based public health is an idea whose time has long come and [is] overdue," said Satcher, who was involved in early discussions about the publication. "I think this [guide] moves us forward significantly."

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Jonathan Fielding holds the guide.
The Community Guide was produced by a task force created in 1996 by the U.S. Department of Health and Human Services. The Task Force includes representatives from health departments, schools of public health, and industry. Recommendations developed by the Task Force over the years have been implemented. In 2001, the panel recommended that states reduce the legal blood alcohol concentration limit for adult drivers from 0.10 percent to 0.08 percent based on evidence that the reduction would help prevent deaths. Congress created incentives for states to make the change. Now, such a policy has been enacted by all 50 states.

The guide is "an important milestone in our efforts to improve the public’s health by a variety of means," said Jonathan Fielding, chairperson of the Task Force and director of public health for the Los Angeles County Department of Health Services. It answers the questions that communities, employers, and health care organizations need to know, he said. "That is, what do we know that can improve the health of the American people?" said Fielding.


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