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Americans' health improved dramatically over the twentieth century.
Public health programs for disease and injury prevention were
responsible for much of this advance. Over the century, America's
public health system grew dramatically, employing science and
political authority in response to an increasing array of health
problems. As the disease burden of the old scourges of infection,
perinatal mortality, and dietary deficiencies began to lift, public
health's mandate expanded to take on new health threats, such as
those resulting from a changing workplace, the rise of the
automobile, and chronic and complex conditions caused by smoking,
diet and other lifestyle and environmental factors. Public health
measures almost always occur on contested ground; accordingly,
controversies and recriminations over past failures often persist.
In contrast, public health's many successes, even the imperfect
ones, become part of the fabric of everyday life, a fact already
apparent early in the last century, when C.E.A. Winslow reminded
his peers that the lives saved and healthy years extended were the
"silent victories" of public health. In its exploration of ten
major public health issues addressed in the 20th century, Silent
Victories takes a unique approach: for each issue, leading
scientists in the field trace the discoveries, practices and
programs that reduced morbidity and mortality from disease and
injury, and an accompanying chapter by a historian or social
scientist highlights key moments or conflicts that shaped public
health action on that issue. The book concludes with a look toward
the challenges public health must face in the future. Silent
Victories reveals the lessons of history in aformat designed to
appeal to students, health professionals and the public seeking to
understand how public health advanced the country's health in the
20th century, and the challenges to protecting health in the
future.
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