Preface
In 1988， after extensive review of data， interviews， forums， and analyses， the
Institute of Medicine (IOM) released a landmark report， The Future of Public
Health. While this report raised questions about many aspects of public health as
it was practiced at the time， it also found much to commend. Its primary impact
was setting forth a \"vision\" for public health， including the mission and substance
of governmental public health agencies， an organizational framework， and specific
recommendations. The Future of Public Health also served as a catalyst for
change in the public health system， and the response to the report was wide
ranging， varied， and extensive. During the years since The Future of Public
Health was released， there has been a significant stren=mlaening of practice by
governmental public health agencies in many respects.
Almost a decade after the committee that wrote The Future of Public Health
was created， the IOM established the Committee on Public Health to review the
progress that has been made since the release of The Future of Public Health and
to address selected areas that have experienced substantial changes. To assist the
committee in its efforts， the IOM also identified a liaison panel of people from
government， academia， industry， and citizen and other private-sector groups to
help identify emerging issues and to facilitate an informed dialogue on current
issues in public health. This group was called the Public Health Rotmdtable.
The discussions initiated by the Committee on Public Health were richly
substantive and allowed its members to address， fundamental issues in public
health that were not being dealt with in other settings. Over a nine-month period，
the committee held three meetings focused on (1) progress toward achieving the
recommendations presented in The Future of Public Health， (2) the relationship
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