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J. Michael McGinnis, MD

JAMA. 2002;287:2711-2712.

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

The late Speaker of the House Tip O'Neill is often remembered for his observation that "all politics is local." That observation also applies to progress in public health, where priorities, capacity, and results vary widely from place to place. Recently, the anthrax outbreak dramatically underscored shortfalls in the US public health system, the failure to support that system, and the consequences that can follow being caught unprepared for a health emergency. But, just as important, public health is also about the ability of state and local agencies to monitor and attend to the everyday health problems that all Americans face, regardless of where they live.

In this issue of THE JOURNAL, Nelson and colleagues¹ report on trends at the state level regarding key factors in preventing disease and promoting health. The authors assess how state prevalences varied from 1991 through 2000 for the health risk factors . . . [Full Text of this Article]

Author Affiliation: The Robert Wood Johnson Foundation, Princeton, NJ.

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State Trends in Health Risk Factors and Receipt of Clinical Preventive Services Among US Adults During the 1990s
David E. Nelson, Shayne Bland, Eve Powell-Griner, Richard Klein, Henry E. Wells, Gary Hogelin, and James S. Marks
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