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"Chronic diseases are common and costly, yet they are also among the most preventable health problems. Comprehensive and accurate disease surveillance systems are needed to implement successful efforts which will reduce the burden of chronic diseases on the U.S. population. A number of sources of surveillance data--including population surveys, cohort studies, disease registries, administrative health data, and vital statistics--contribute critical information about chronic disease. But no central surveillance system provides the information needed to analyze how chronic disease impacts the U.S. population, to identify public health priorities, or to track the progress of preventive efforts. A nationwide framework for surveillance of cardiovascular and chronic lung diseases outlines a conceptual framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases. This system should be capable of providing data on disparities in incidence and prevalence of the diseases by race, ethnicity, socioeconomic status, and geographic region, along with data on disease risk factors, clinical care delivery, and functional health outcomes. This coordinated surveillance system is needed to integrate and expand existing information across the multiple levels of decision making in order to generate actionable, timely knowledge for a range of stakeholders at the local, state or regional, and national levels. The recommendations presented in A nationwide framework for surveillance of cardiovascular and chronic lung diseases focus on data collection, resource allocation, monitoring activities, and implementation. The report also recommends that systems evolve along with new knowledge about emerging risk factors, advancing technologies, and new understanding of the basis for disease. This report will inform decision-making among federal health agencies, especially the Department of Health and Human Services; public health and clinical practitioners; non-governmental organizations; and policy makers, among others."--Publisher's description.

Cardiovascular system --- Lungs --- Coronary heart disease --- Health Surveys --- Respiratory Tract Diseases --- Data Collection --- Demography --- Diseases --- Public Health Practice --- Disease Attributes --- Public Health --- Investigative Techniques --- Information Science --- Epidemiologic Methods --- Epidemiologic Measurements --- Population Characteristics --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Pathologic Processes --- Medicine --- Health Care Evaluation Mechanisms --- Health Care --- Environment and Public Health --- Health Occupations --- Pathological Conditions, Signs and Symptoms --- Disciplines and Occupations --- Quality of Health Care --- Health Care Quality, Access, and Evaluation --- Vital Statistics --- Epidemiology --- Population Surveillance --- Lung Diseases --- Cardiovascular Diseases --- Chronic Disease --- Methods --- Health & Biological Sciences --- Prevention --- Risk factors --- Diseases, Obstructive --- Prevention. --- Risk factors.

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"U.S. Marine Corps Base Camp Lejeune, located in eastern North Carolina, is a large installation that covers 156,000 acres and is home at any given time to a population of about 170,000 active-duty personnel, family members, retirees, and civilian employees living on base or in the surrounding community. Between 1957 and 1987, the ground water at Camp Lejeune was inadvertently contaminated with chemicals, primarily industrial solvents that are now known to cause cancer and other health problems. In 1980, drinking water contaminants, primarily trichloroethylene (TCE) and perchloroethylene (PCE), as well as other solvents, were first detected at Camp Lejeune in treated drinking water. The contaminated wells were closed in 1987. In 1989, the U.S. Environmental Protection Agency placed Camp Lejeune on the National Priorities List, also known as Superfund. It is estimated that between 500,000 and 1,000,000 people may have used the contaminated water and many of them continue to have concerns about the long-term effects that might result from that exposure. In 2012 Congress passed the Honoring America's Veterans and Caring for Camp Lejeune Families Act. The law provides health benefits to veterans and family members who have any of 15 health outcomes associated with exposure to TCE, PCE, or solvent mixtures. At the request of the Veteran's Administration, Review of the VA Guidance for the Health Conditions Identified by the Camp Lejeune Legislation reviews the latest scientific literature to ensure that the clinical guidance provided for the 15 covered medical conditions is scientifically sound. This report also describes the medical conditions that result from renal toxicity due to solvent exposures and characterizes neurobehavioral effects as mandated for coverage in the law."--

Drinking water -- Contamination -- North Carolina -- Camp Lejeune. --- United States. -- Veterans Administration -- Rules and practice. --- Drinking water --- Veterans --- Water --- Environmental Pollution --- Public Health --- Water Pollution --- Appalachian Region --- Organization and Administration --- Facility Design and Construction --- Preventive Medicine --- Environment and Public Health --- United States --- Architecture as Topic --- Health Services Administration --- Health Care --- Medicine --- Technology, Industry, and Agriculture --- North America --- Technology, Industry, Agriculture --- Americas --- Health Occupations --- Disciplines and Occupations --- Geographic Locations --- Geographicals --- North Carolina --- Water Pollution, Chemical --- Environmental Exposure --- Military Facilities --- Environmental Medicine --- Eligibility Determination --- Military & Naval Science --- Law - U.S. --- Law, Politics & Government --- Law - U.S. - General --- Military Administration --- Contamination --- Evaluation --- Medical care --- Health aspects --- Pollution --- United States.

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Minorities in science. --- Minorities in technology. --- Technology --- Science

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Hygiene. Public health. Protection --- Sociology of health --- MEDICAL --- Health Risk Assessment --- Medicine and psychology --- Social medicine --- Health Behavior --- Preventive Health Services --- Socioeconomic Factors --- Attitude to Health --- Attitude --- Delivery of Health Care --- Health Services --- Sociology --- Population Characteristics --- Behavior --- Community Health Services --- Health Care Facilities, Manpower, and Services --- Health Care --- Social Sciences --- Behavior and Behavior Mechanisms --- Health Care Quality, Access, and Evaluation --- Psychiatry and Psychology --- Anthropology, Education, Sociology and Social Phenomena --- Clinical Psychology --- Psychiatry --- Health & Biological Sciences --- Medicine and psychology. --- Social medicine. --- Health Behavior. --- Attitude to Health. --- Preventive Health Services. --- Socioeconomic Factors. --- Medical care --- Medical sociology --- Medicine --- Medicine, Social --- Behavioral medicine --- Psychology and medicine --- Social aspects --- Public health --- Public welfare --- Medical ethics --- Medical sociologists --- Psychology, Applied

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MEDICAL --- Nutrition --- Antioxidants --- Food --- Reference values (Medicine) --- Health & Biological Sciences --- Diet & Clinical Nutrition --- Composition --- Antioxidants. --- Composition. --- Biochemical reference values --- Clinical reference values --- Medical reference values --- Normal ranges (Medicine) --- Normal values (Medicine) --- Physiological reference values --- Ranges, Reference (Medicine) --- Reference ranges (Medicine) --- Values, Reference (Medicine) --- Chemistry of food --- Food, Chemistry of --- Food chemistry --- Chemistry --- Clinical chemistry --- Chemical inhibitors --- Analysis