Abstract

The trends described earlier present basic challenges for the public health agenda and for the broader public policy agenda of the next half century. Rhetoric notwithstanding, however, they are not addressed as important considerations in most major public policy decisions today. Nor are they often accorded such priority even in the research or professional practice of public health and environmental protection themselves. To respond to them will, therefore, require deliberate redirection of attention, effort, and resources, beth within the public health and environmental professions and by broader political and economic institutions.

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