1. Role of Personal Health Behaviors
Cause Estimated deaths
Tobacco ,000
Diet/activity patterns ,000
Alcohol ,000
Microbial agents ,000
Toxic agents ,000
Firearms ,000
Sexual behavior ,000
Motor vehicles ,000
Illicit use of drugs ,000
Source: McGinnis and Foege. JAMA 1993;270:

2. The Logic of Prevention
38% of all U.S. deaths attributable to 4 behaviors*:
Tobacco use
Diet
Physical inactivity
Alcohol misuse
*Mokdad et al., 2001

3. Source: O’Grady MJ, Capretta JC
Source: O’Grady MJ, Capretta JC. Health-Care Cost Projections for Diabetes and other Chronic Diseases: The Current Context and Potential Enhancements. Washington, DC: Partnership to Fight Chronic Disease, 2009.

4. Clinical-Community Collaboration
Clinical settings
Public health and community organizations

5. Provider Referrals to Community Counseling5

7. The Obesity Players

8. Budget Cuts: For the Good of the Economy

10. Deaths Prevented And Change In Health Care Costs Plus Program Spending, Three Intervention Scenarios, At Year 10 And Year 25.
Deaths Prevented And Change In Health Care Costs Plus Program Spending, Three Intervention Scenarios, At Year 10 And Year 25
Milstein B et al. Health Aff 2011;30:
©2011 by Project HOPE - The People-to-People Health Foundation, Inc.

11. Annual Costs (Health Care And Program Spending), Three Layered Intervention Scenarios, Year 0 To Year 25.
Annual Costs (Health Care And Program Spending), Three Layered Intervention Scenarios, Year 0 To Year 25
Milstein B et al. Health Aff 2011;30:
©2011 by Project HOPE - The People-to-People Health Foundation, Inc.

12. Contact Information
Steven H. Woolf, MD, MPH
Department of Family Medicine
Virginia Commonwealth University