National Prevention Strategy on Environmental Health - Resources for Exploring the NPS


National Prevention Strategy

The National Prevention Strategy is a comprehensive plan that will help increase the number of Americans who are healthy at every stage of life. Created by the National Prevention, Health Promotion, and Public Health Council in consultation with the public and an advisory group of outside experts, the strategy recognizes that good health comes not just from receiving quality medical care but from stopping disease before it starts. Good health also comes from clean air and water, safe outdoor spaces for physical activity, safe worksites, healthy foods, violence-free environments and healthy homes. Prevention should be woven into all aspects of our lives, including where and how we live, learn, work and play. Everyone—businesses, educators, health care institutions, government, communities and every single American—has a role in creating a healthier nation.

Created by the Affordable Care Act, the National Prevention Strategy includes actions that public and private partners can take to help Americans stay healthy and fit. It helps move the nation away from a health care system focused on sickness and disease to one focused on wellness and prevention.

Importance of Prevention

Increasing the focus on prevention in our communities will help improve America's health, quality of life and prosperity. For example, seven out of 10 deaths among Americans each year are from chronic diseases (such as cancer and heart disease), and almost one out of every two adults has at least one chronic illness, many of which are preventable. Racial and ethnic minority communities experience higher rates of obesity, cancer, diabetes and AIDS. Children are also becoming increasingly vulnerable. Today, almost one in every three children in our nation is overweight or obese which predisposes them to chronic disease; the numbers are even higher in African American and Hispanic communities.

Focusing on preventing disease and illness before they occur will create healthier homes, workplaces, schools and communities so that people can live long and productive lives and reduce their healthcare costs. Better health positively impacts our communities and our economy:

  • With better health, children are in school more days and are better able to learn. Numerous studies have found that regular physical activity supports better learning. Student fitness levels have been correlated with academic achievement, including improved math, reading and writing scores.
  • With better health, adults are more productive and at work more days. Preventing disease increases productivity—asthma, high blood pressure, smoking and obesity each reduce annual productivity by between $200 and $440 per person.
  • With better health, seniors keep their independence. Support for older adults who choose to remain in their homes and communities and retain their independence ("aging in place") helps promote and maintain positive mental and emotional health.

Investments in prevention across the life span complement and support treatment and care. Prevention policies and programs can be cost-effective, reduce health care costs, and improve productivity.

A Plan for Better Health and Wellness

The over-arching goal of the National Prevention Strategy is to increase the number of Americans who are healthy at every stage of life. The strategy provides evidence-based recommendations that are fundamental to improving the nation's health through the active engagement of all sectors of society to help achieve four broad strategic directions:

  • Building Healthy and Safe Community Environments: Prevention of disease starts in our communities and at home; not just in the doctor's office. For example, businesses and employers can adopt practices to encourage their workforce to increase physical activity and reduce pollution (e.g., workplace flexibility, rideshare and vanpool programs, park-and-ride incentives, travel demand management initiatives, and telecommuting options).
  • Expanding Quality Preventive Services in Both Clinical and Community Settings: When people receive preventive care, such as immunizations and cancer screenings, they have better health and lower health care costs. For example, expanding the linkages between clinical and community prevention efforts, such as diabetes prevention programs that support preventive efforts among underserved groups and can improve access to preventive services.
  • Empowering People to Make Healthy Choices: Policies and programs can make healthy options the easy and affordable choice, and when people have access to actionable and easy-to-understand information and resources, they are empowered to make healthier choices. For example, health care professionals can use multiple communication tools (e.g., mobile phone applications, personal health records, and credible health websites) and culturally competent methods to support more traditional written and oral communication.
  • Eliminating Health Disparities: By eliminating disparities in achieving and maintaining health, we can help improve quality of life for all Americans. For example, health care providers can train and hire more qualified staff from underrepresented racial and ethnic minority groups and people with disabilities.

To help achieve these goals, the strategy identifies evidence-based recommendations that are most likely to reduce the burden of leading causes of preventable death and major illness. The strategy's seven priority areas are:

  • Tobacco free living
  • Preventing drug abuse and excessive alcohol use
  • Healthy eating
  • Active living
  • Injury and violence-free living
  • Reproductive and sexual health
  • Mental and emotional well-being


Exclusive NCSL Resources

For more information about the National Prevention Strategy, please check out these resources below:

  • Hear CDC NPS Acting Director Brigette Ulin speak about the National Prevention Strategy at NCSL's annual legislative summit in this interactive video.
  • Read LegisBriefs from NCSL environmental and public health experts Doug Farquhar and Amy Winterfield.
  • Suzanne K. Condon, MSM, is the associate commissioner and director of the Bureau of Environmental Health at the Massachusetts Department of Public Health. Condon recently sat down with NCSL to discuss the National Prevention Strategy.  Listen to the conversation.