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Public Health 3.0: A Call to Action for Public Health to Meet the Challenges of the 21st Century


The illustration depicts 3 buckets, situated in a row. The first bucket is labeled “Traditional Clinical Prevention” and contains the description “Increase the use of evidence-based services.” The second bucket is labeled “Innovative Clinical Prevention” and contains the description “Provide services outside the clinical setting.” The third bucket is labeled “Total Population or Community-Wide Prevention” and contains the description “Implement interventions that reach whole populations.” Underneath the 3 buckets are two shaded ovals that overlap in the middle, just underneath the second bucket. The first oval is titled “Health Care,” and the second oval is titled “Public Health.”

Figure 1.
Centers for Disease Control and Prevention’s Three Buckets of Prevention.

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The figure contains 3 text boxes, situated in a row. The text of the first box says, “Tremendous growth of knowledge and tools for both medicine and public health” and “Uneven access to care and public health.” The text of the second box says, “Systematic development of public health governmental agency capacity across the United States” and “Focus limited to traditional public health agency programs.” The text of the third box says “Engage multiple sectors and community partners to generate collective impact” and “Improve social determinants of health.” Each box has an arrow on top of it. The first box’s arrow says “Public Health 1.0” and stretches across the top of the 3 boxes. The second box’s arrow says “Public Health 2.0” and begins above the second box and stretches across it and the third box. The third box’s arrow says “Public Health 3.0” and sits only above the third box. One long arrow stretches across the bottom of the 3 boxes and serves as a timeline, over which the following events are listed, from left to right: late 1800s, 1988 IOM The Future of Public Health report, recession, Affordable Care Act, and 2012 IOM For the Public’s Health reports.

Figure 2.
Evolution of public health practices. Abbreviation: IOM, Institute of Medicine.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.

Page last reviewed: September 7, 2017