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Aims and approach In order to chart the way for long-tenn policies
in the field of public health, the Dutch government needs to have
the best possible insight into potential future trends and the
problems to which these could give rise. It was with a view to
compiling a number of long-range studies that the independent
Steering Committee on Future Health Scenarios was set up in 1983.
In 1988 this body appointed a board of experts to sUivey the future
of Chronic Diseases. Three chronic diseases have been selected:
diabetes mellitus, CNSLD (chronic non-specific lung disease) and
rheumatoid arthritis (a chronic disorder of the joints). In close
consultation with this board, the study has been conducted by the
Department of Epidemiology of the National Institute of Public
Health and Environmental Protection in Bilthoven. This report
contains the results of the research into CNSLD. The report on
diabetes mellitus was published in March 1990, while that on
rheumatoid arthritis followed shortly (1991). The series has been
concluded with a fmal report (spring 1992), in which, among other
things, the results of the three reports have been brought together
with a view to arriving at an overall picture of chronic diseases.
The research had two main objectives: 1.
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