Reinventing public health

Annu Rev Public Health. 1997:18:1-35. doi: 10.1146/annurev.publhealth.18.1.1.


This chapter is a review of the current state of public health in light of the social, political, economic, scientific, and technological changes buffeting the United States. As an assessment of progress in current public health efforts, we address the five major issues in public health for the 1990s raised by Breslow (8): reconstruction of public health; setting objectives for public health; from disease control to health promotion; determinants of health and health policy; continuing social inequities and their impacts on health; and the health implications of accelerating developments in technology. Finally, we look to the twenty-first century and provide five clear paths necessary to strengthen the capacity of public health agencies to protect and improve the health status of the population.

Publication types

  • Review

MeSH terms

  • Health Care Reform*
  • Health Priorities*
  • Health Status
  • Humans
  • Medical Laboratory Science
  • Organizational Objectives
  • Public Health Administration*
  • Public Health*
  • United States