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Monograph Menu
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Director's Foreword
Table of Contents
Tables and Figures
Acknowledgements
Abstract
Prologue
Introduction
Navigating Health Futures
Valuing Conditions
Crafting Conditions
Perceiving Dynamic Conditions
Reorienting Public Health Work
Transforming Conditions
Reflecting on Public. Health. Work.
Glossary
References
About the Author
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Director's Forward

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Each life is a story. Some are long, rich epics filled with happiness, health, and rewarding work, while others—far too numerous—are punctuated by excessive adversity, affliction, and loss. Often, helping to define and ameliorate those extremes is another kind of story: the rapidly evolving drama of our collective effort to establish and maintain the conditions necessary for health. In Hygeia’s Constellation, the focus is on both health protection, over time and across places, as well as health equity. It is a unique inquiry into the dynamic and democratic dimensions of health in the 21st Century.

Hygeia’s Constellation points the way toward a promising new horizon for thinking and action at a time when health threats and the provision of health care are increasingly complicated, and health professionals of all types are challenged to respond. Building on past and current innovations, Bobby Milstein asks us to think differently: to consider more than one problem at a time; to see the health landscape in larger, more dynamic terms; and to question what exactly each of us can do, across our respective spheres of influence, to create the conditions for a healthier, more equitable future. Health systems in the United States and around the world are rapidly changing, and need to be guided by an orientation in which problems are confronted in a holistic manner that acknowledges both their contours and connections.

The grave dangers and abundant opportunities that characterize today’s health protection enterprise require a broad outlook to navigate health futures—the alternative trajectories that could unfold for the people's health over time. Hygeia’s Constellation is an arresting resource that should be read by every health professional. Readers will be inspired and challenged to learn how their work, along with that of their fellow citizens, may indeed provide the leverage necessary to create a healthier, happier, and more prosperous future for all. Please join us in exploring this unique perspective and its power to transform our daily efforts to protect the public’s health and achieve health equity.

Julie Louise Gerberding, M.D., M.P.H.
Director, Centers for Disease Control and Prevention
Administrator, Agency for Toxic Substances and Disease Registry

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Page last reviewed: April 4, 2008
Page last modified: April 4, 2008

Content source: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion

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