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CHAPTER

28

THE ROLE OF HEALTH

EDUCATION ADVOCACY

IN REMOVING DISPARITIES

IN HEALTH CARE

J OHN P. A LLEGRANTE

D ONALD E. M ORISKY

B EHJAT A. S HARIF

S ince the founding of the Centers for Disease Control and Prevention over fifty years

ago, people in the United States have experienced unprecedented improvements in

health status. There are now almost one million fewer cases of measles compared to

1941, and two hundred thousand fewer cases of diphtheria. Average blood - lead levels

in children are now less than one - third of what they were in 1976. More than two million

Americans are alive today who otherwise would have died from tobacco -attributable

heart disease and stroke because of the landmark announcement by the Surgeon

General in 1964 regarding the threat posed by tobacco. Moreover, efforts to protect the

blood supply have now prevented more than two million Hepatitis B and C infections

and more than fifty thousand HIV infections, resulting in savings of more than $3.5 billion

in medical costs associated with these three diseases (Turnock, 1997).

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