ODPHP Director

People need people. We connect with one another as family and friends, through the communities within which we live, in our workplaces, across support networks that stretch beyond our geographic location, and in many other ways that — whether we intend them to or not — help fulfill our fundamental human need to socialize and interact. All these encounters, big and small, add up and reflect an individual’s level of connection with the world — a vital ingredient in developing and maintaining overall health and well-being. This connection is a social imperative that we, both individually and as communities, have come to overlook far too often.

In the United States, nearly 1 in 5 children and adolescents aged 2 to 19 years were affected by obesity in 2020. Worse still, childhood obesity rates rose during the pandemic, and they continue to increase. These statistics aren’t abstract epidemiologic concepts. They clearly reflect that our children are becoming sicker and at greater risk for lifelong problems, and they are entirely preventable.

Hypertension, or high blood pressure, puts tens of millions of people at risk for largely preventable conditions — such as heart attacks, strokes, and heart failure — and premature death. Hypertension is one of the leading modifiable risk factors causing chronic disease and premature mortality in the United States. Yet a large percentage of Americans are unaware that they have hypertension, and only about 1 in 4 adults in the United States have it under control. Preventing and controlling hypertension for Americans will save lives, reduce inordinate costs, and improve health, well-being, and resilience. The first step toward these outcomes is acknowledging that hypertension, sometimes called the “silent killer” for often going undetected before leading to serious harm, is also a “silent pandemic” — and though it’s not a contagious threat in the traditional sense, hypertension needs to be addressed with even greater attention and urgency. The statistics clearly define the problem.

Clinical preventive services (CPS) play an integral role in protecting and promoting individual health and the health of communities. Such services can help people recognize health problems early, when treatment often is most effective. CPS can also help prevent certain diseases altogether. However, despite the benefits, very few people in the United States receive all recommended preventive services and many access few. As public health professionals, we have a responsibility to not just deliver the message about the critical role that CPS play in supporting good health, but also work to expand CPS access in whatever ways we can.