,,iii  #aai? ,,congress  #a/ ,session   
,s4 ,,res4 #ahb  ,,9 ,,! ,,s5ate ,,( ,,!
 ,,unit$ ,,/ates  ,april #aj1 #bjbe,mr4 
,lujn submitt$ ! foll[+ resolution2 :i* 
0 ref]r$ to ! ,committee on ,heal?1     
,education1 ,labor1 & ,p5sions          
,,resolution  ,support+ ! goals & ideals
 ( ,national ,public ,heal? ,week4      
,:]eas ! week ( ,april #g1 #bjbe1 is    
,national ,public ,heal? ,week2 ,:]eas1 
9 #bjbe1 ! !me = ,national ,public      
,heal? ,week is ,x ,/>ts ,"h &          
highlights ! importance ( mak+ a        
diff]5ce 9 our homes & communities2     
,:]eas1 9 #bjbe1 ! goal ( ,national     
,public ,heal? ,week is to recognize !  
contributions ( public heal? 9-- 7#a7   
improv+ ! heal? ( ! p ( ! ,unit$ ,/ates2
 &  7#b7 a*iev+ heal? equity2 ,:]eas1 f 
#bjai to #bjba1 ! life expectancy at    
bir? = ! population ( ! ,unit$ ,/ates   
decl9$ by #b4g ye>s1 :i* is ! bigge/    
#b-ye> decl9e 9 life expectancy s9ce    
#aiba to #aibc2 ,:]eas _m ( ! lead+     
causes ( dea? = individuals 9 ! ,unit$  

,/ates result f *ronic conditions1 :i*  
are among ! mo/ common1 co/ly1 &        
prev5table ( all heal? *all5ges2 ,:]eas 
!re are significant diff]5ces 9 ! heal? 
/atus ( individuals liv+ 9 ! heal?ie/   
,/ates & ^? liv+ 9 ! lea/ heal?y ,/ates1
 includ+ diff]5ces 9 obesity rates1 !   
preval5ce ( *ronic disease1 & !         
preval5ce ( infecti\s disease2 ,:]eas   
racial & e?nic m9ority populations 9 !  
,unit$ ,/ates cont9ue to exp]i5ce       
disp>ities 9 rates ( illness & dea?1 z  
comp>$ ) ! entire population ( ! ,unit$ 
,/ates2 ,:]eas viol5ce is a lead+ cause 
( premature dea?1 & x is e/imat$ t m ?an
 #h individuals p] h\r die a viol5t dea?
 9 ! ,unit$ ,/ates2 ,:]eas dea?s f      
homicides co/ ! economy ( ! ,unit$      
,/ates billions ( doll>s1 & ! viol5ce ( 
homicides c cause social & emotional    
di/ress1 community trauma1 injury1      
disability1 depression1 anxiety1 &      
po/-traumatic /ress disord]2 ,:]eas     
#di1dgf p di$ by suicide 9 #bjbb1 )     
fire>ms be+ us$ 9 ov] #ed p]c5t (       

suicides2 ,:]eas significant progress   
has be5 made 9 r$uc+ ! infant mortality 
rate 9 ! ,unit$ ,/ates to a hi/oric l[ (
 #e4f infant dea?s p] #a1jjj live bir?s 
9 #bjbb1 b !re are /ill />k disp>ities 9
 infant mortality by race1 e?nicity1    
geography1 & income1 su* z ! fact t     
,black infants exp]i5ce infant mortality
 at a rate twice t ( ,:ite infants2     
,:]eas wom5 die f pregnancy-relat$      
complications 9 ! ,unit$ ,/ates at a    
high] rate ?an 9 _m o!r develop$        
c\ntries1 ) ! rate ( mat]nal mortality  
be+ #bb4c dea?s p] #ajj1jjj live bir?s 9
 #bjbb2 ,:]eas an e/imat$ #hj p]c5t (   
mat]nal dea?s 9 ! ,unit$ ,/ates are     
prev5table2 ,:]eas1 9 #bjbb1 ,am]ican   
,indian or ,alaskan ,native mo!rs       
exp]i5c$ mat]nal mortality at a rate    
twice t ( ,:ite mo!rs1 & ,black mo!rs   
exp]i5c$ mat]nal mortality at a rate    
#b4e times t ( ,:ite mo!rs2 ,:]eas1 9   
#bjbb1 !re 7 an e/imat$ #ajg1ida drug   
ov]dose dea?s1 an increase ( #ag p]c5t f
 #bjbj & an increase ( ov] d\ble f      

#bjae2 ,:]eas cig>ette smok+ is ! lead+ 
cause ( prev5table disease & dea? 9 !   
,unit$ ,/ates1 acc\nt+ = m ?an #dhj1jjj 
dea?s e ye>2 ,:]eas ! p]c5tage ( adults 
9 ! ,unit$ ,/ates :o smoke cig>ettes has
 decreas$ f #bj4i p]c5t ( ! population 9
 #bjje to #aa4f p]c5t ( ! population 9  
#bjbb2 ,:]eas e-cig>ettes h be5 ! mo/   
commonly us$ tobacco product among y\?  
s9ce #bjad1 ) #g4h p]c5t ( high s*ool   
/ud5ts report+ e-cig>ette use 9 #bjbd2  
,:]eas1 9 #bjbj1 !re 7 approximately    
#cb1jjj dea?s 9 ! ,unit$ ,/ates due to  
exposure to p>ticulate matt]1 #cg p]c5t 
( :i* 7 directly relat$ to fossil fuel  
burn+2 ,:]eas1 comp>$ to #bjjj to #bjjd1
 ! numb] ( heat-relat$ dea?s 0          
approximately #gd p]c5t m 9 #bjag to    
#bjba2 ,:]eas vot+ helps %ape !         
conditions 9 :i* p c be heal?y2 ,:]eas  
good heal? is consi/5tly positively     
associat$ ) a high] likelihood ( vot]   
p>ticipation1 b only #fd p]c5t (        
eligible adults report$ vot+ 9 !        
,novemb] #bjbd election2 ,:]eas ?is ye> 

is ! #cj? anniv]s>y ( celebrat+         
,national ,public ,heal? ,week1 & 9 !   
pa/ #cj ye>s1 significant /rides h be5  
made 9 public heal?1 includ+-- 7#a7     
significantly decreas+ ! numb] ( dea?s  
due to ,,hiv & ,,aids1 :i* peak$ 9 #aiid
 at #di1jie ,,aids-relat$ dea?s 9 !     
,unit$ ,/ates1 ) antiretroviral !rapy n[
 ensur+ mo/ p ) ,,hiv c live normal     
lifespans & prev5tion tools l ,pr,e,p   
significantly r$uc+ transmission2  7#b7 
decreas+ smok+ rates1 :i* 7 z high z    
#be4e p]c5t among ,unit$ ,/ates adults 9
 #aiid & h n[ fall5 to #aa4d p]c5t due  
to compreh5sive smoke-free policies1    
public aw>5ess campaigns1 & taxation    
policies2  7#c7 decreas+ *ildhood       
mortality1 :i* 0 at a rate ( #ac4h dea?s
 p] #a1jjj live bir?s 9 #aiid & has n[  
fall5 to #e4d dea?s p] #a1jjj live bir?s
 due to bett] heal? c>e access1 vacc9es1
 & nutrition2  7#d7 increas+ heal?      
insurance cov]age1 ) #ae p]c5t ( p 9 !  
,unit$ ,/ates un9sur$ 9 #aiid1 :i* has  
n[ improv$ due to ! ,pati5t ,protection 

& ,af=dable ,c>e ,act 7,public ,law     
#aaa-adh7 exp&+ ,m$icaid & private      
insurance cov]age1 cov]+ m ?an          
#ce1jjj1jjj additional p1 & l[]+ !      
un9sur$ rate to #h4f p]c5t2  7#e7       
increas+ m5tal heal? aw>5ess & treatm5t1
 ) #dj p]c5t ( p ) m5tal heal?          
conditions be+ untreat$ 9 #aiid1 :i* has
 improv$ due to increas$ aw>5ess1 p>ity 
laws1 & integration into prim>y c>e1    
result+ 9 exp&$ access to m5tal heal?   
s]vices & r$uc$ treatm5t gaps2  7#f7    
decreas+ lead poison+1 ) #d4d p]c5t (   
,unit$ ,/ates *ildr5 hav+ elevat$ blood 
lead levels 9 #aiid1 :i* has n[ fall5 to
 less ?an #j4e p]c5t due to policies    
bann+ lead$ gasol9e & r$uc+ lead 9 pa9t1
 pipes1 & wat] sy/ems2  7#g7 decreas+   
antibiotic misuse1 :i* 0 rampant 9      
#aiid1 fuel$ antibiotic resi/ance ) no  
programs to combat x1 & is n[ be+       
address$ by ! ,c5t]s = ,disease ,control
 & ,prev5tion's ,antibiotic ,resi/ance  
,solutions ,initiative t *ampions       
antibiotic /ew>d%ip2  7#h7 decreas+ !   

heal? impacts ( climate *ange1 z evid5c$
 by ! ris+ heat-relat$ dea?s t 7        
und]recogniz$ 9 #aiid t are n[ be+      
mitigat$ by actions su* z public heal?  
campaigns & cool+ c5t]s1 z well z       
frameworks l ! ,unit$ ,nations          
,framework ,conv5tion on ,climate       
,*ange's #ba/ ,conf]5ce ( ,p>ties 9     
,p>is1 ,france1 adopt$ ,decemb] #ab1    
#bjae 7commonly ref]r$ to z ! ,p>is     
,agreem5t72 &  7#i7 increas+ p&emic     
prep>$ness1 :i* 0 9 its infancy 9 #aiid 
& has n[ gr[n1 especially aft] !        
,,covid-#ai p&emic1 spurr+ significant  
advancem5ts 9 m,r,n,a te*nology1 global 
vacc9e deploym5t1 & increas$ inve/m5ts 9
 /ockpiles & global surveillance2 ,:]eas
 propos$ cuts to ,m$icaid w h>m p seek+ 
heal? c>e s]vices & inhibit public      
heal?2 ,:]eas ! re/ructur+ ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices w be a /ep  
backw>ds 9 ! provision ( public heal?1  
includ+-- 7#a7 r$uc+ ! ,dep>tm5t (      
,heal? & ,human ,s]vices work=ce f      
#hb1jjj to #fb1jjj employees2 &  7#b7   

comb9+ ! ,(fice ( ! ,assi/ant ,secret>y 
= ,heal?1 ! ,heal? ,res\rces & ,s]vices 
,adm9i/ration1 ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1 ! 
,ag5cy = ,toxic ,sub/ances & ,disease   
,regi/ry1 & ! ,national ,in/itute =     
,occupational ,safety & ,heal? into #a  
new ag5cy nam$ ! ,adm9i/ration = a      
,heal?y ,am]ica2 ,:]eas ! ,national     
,in/itutes ( ,heal? has fac$ /aff &     
fund+ cuts1 imp$+-- 7#a7 progress t[>ds 
advanc+ basic sci5ce & improv+ und]/&+  
human biology & disease2  7#b7 !        
developm5t ( !rapeutics & devices to    
treat human disease & pa?og5ic          
infections2  7#c7 work=ce developm5t & !
 bol/]+ ( sci5tific education & tra9+2 &
  7#d7 global competitiv5ess 9 sci5tific
 rese>* & developm5t2 ,:]eas ! ,c5t]s = 
,disease ,control & ,prev5tion has fac$ 
/aff cuts & paus$ critical programs1    
limit+ ! ability ( ! ,unit$ ,/ates to-- 
7#a7 respond to ! ongo+ measles         
outbreaks 9 at lea/ #d ,/ates1 includ+  
,texas1 ,new ,mexico1 ,ohio1 & ,kansas2 

7#b7 respond to future infecti\s disease
 outbreaks1 :i* requires robu/ response 
f public heal? exp]ts1 sci5ti/s1 &      
provid]s2  7#c7 protect ! mo/ vuln]able 
communities ( ! ,unit$ ,/ates1 su* z    
*ildr51 ! eld]ly1 & ! immunocompromis$1 
f dang]\s1 life-?reat5+ infections2 &   
7#d7 /r5g!n our national security aga9/ 
pot5tial attacks us+ bi[eapons2 ,:]eas !
 elim9ation ( ! ,unit$ ,/ates ,ag5cy =  
,int]national ,developm5t endang]s !    
public heal? ( all p ( ! ,unit$ ,/ates2 
,:]eas public heal? organizations use   
,national ,public ,heal? ,week to       
educate public policymak]s & public     
heal? pr(essionals on issues t are      
important to improv+ ! heal? ( ! p ( !  
,unit$ ,/ates2 ,:]eas /udies %[ t small 
/rategic inve/m5ts 9 disease prev5tion c
 result 9 significant sav+s 9 heal? c>e 
co/s2 ,:]eas vacc9ation is "o ( ! mo/   
significant public heal? a*ievem5ts 9   
hi/ory & has result$ 9 sub/antial       
decreases 9-- 7#a7 ! numb] ( cases1     
hospitalizations1 & dea?s associat$ )   

vacc9e-prev5table diseases2 &  7#b7     
heal? c>e co/s associat$ )              
vacc9e-prev5table diseases2 ,:]eas      
public heal? pr(essionals help          
communities prev5t1 prep>e =1 mitigate1 
& recov] f ! impact ( a full range (    
heal? ?reats1 includ+-- 7#a7 disease    
outbreaks1 su* z ! ,,covid-#ai p&emic2  
7#b7 natural disa/]s1 su* z wildfires1  
flood+1 & sev]e /orms2  7#c7 o!r        
disa/]s1 su* z disa/]s caus$ by human   
activity2 &  7#d7 public heal?          
em]g5cies2 ,:]eas public heal?          
pr(essionals collaborate ) p>tn]s       
outside ( ! heal? sector1 includ+ city  
plann]s1 transportation (ficials1       
education (ficials1 & private sector    
bus9esses1 recogniz+ t o!r sectors c    
influ5ce heal? outcomes2 ,:]eas1 9      
communities across ! ,unit$ ,/ates1     
individuals are *ang+ ! way !y c>e = _! 
heal? by avoid+ tobacco use1 eat+       
heal?i]1 increas+ physical activity1 &  
prev5t+ un9t5tional injuries at home & 9
 ! workplace2 & ,:]eas ef=ts to         

adequately support public heal? & !     
prev5tion ( disease & injury c cont9ue  
to trans=m a heal? sy/em focus$ on      
treat+ illness into a heal? sy/em focus$
 on prev5t+ disease & injury & promot+  
wellness3 ,n[1 !re=e1 be x ,t ! ,s5ate--
 7#a7 supports ! goals & ideals (       
,national ,public ,heal? ,week2  7#b7   
recognizes ! ef=ts ( public heal?       
pr(essionals1 ! ,f$]al ,gov]nm5t1       
,/ates1 ,tribes1 municipalities1 local  
communities1 & individuals 9 prev5t+    
disease & injury2  7#c7 recognizes !    
role ( public heal? 9-- 7,a7 prev5t+ &  
respond+ to infecti\s disease outbreaks1
 su* z ! ,,covid-#ai p&emic & ! ongo+   
measles outbreak2  7,b7 mitigat+ !      
%ort-t]m & long-t]m impacts ( infecti\s 
disease outbreaks on ! heal? & wellness 
( individuals 9 ! ,unit$ ,/ates2  7,c7  
address+ social & o!r det]m9ants (      
heal?1 includ+ heal? disp>ities exp]i5c$
 by m9ority populations2 &  7,d7 improv+
 ! ov]all heal? ( individuals &         
communities 9 ! ,unit$ ,/ates2  7#d7    

enc\rages increas$ ef=ts & res\rces to--
 7,a7 improve ! heal? ( individuals 9 ! 
,unit$ ,/ates2 &  7,b7 make ! ,unit$    
,/ates1 9 #a g5]ation1 ! heal?ie/       
,nation 9 ! _w by-- 7i7 provid+ great]  
opportunities to improve community heal?
 & prev5t disease & injury2 &  7ii7     
/r5g!n+ ! public heal? sy/em & work=ce 9
 ! ,unit$ ,/ates2 &  7#e7 enc\rages ! p 
( ! ,unit$ ,/ates to le>n ab\t ! role ( 
! public heal? sy/em 9 improv+ heal?    
across ! ,unit$ ,/ates4