city of funds. Despite the opportunities provided to public health in terms of resources and attention directed at disaster preparedness as a result of September 11, 2001, and the subsequent anthrax attacks, it is critical that this admittedly important issue not dwarf other challenges of public health and that necessary attention and support be given to strengthening the public health system, including educating public health professionals.

It is against this background that the committee developed its recommendations. Our recommendations are sometimes incremental, occasionally quite radical given our current baseline, but always grounded on a vision that if we lose sight of who will keep the public healthy, we will have lost an opportunity to improve the public’s health during the 21st century.

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