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Recent studies have documented the substantial health benefits and financial savings associated with many disease prevention and health promotion programs.~ 5 Examples of effective strategies include employee health risk appraisal, counseling, and lifestyle change programs, 6, r cultural change strategies within organizational settings, 8, 9 and the provision of clinical preventive services to enhance maternal and child health?, 11 A mid-decade appraisal of progress toward meeting the Healthy People 2000 goals in the United States found substantial reductions in adult use of tobacco products and in alcohol-related automobile deaths and moderate gains in the proportion of adults exercising regularly and eating less fatty diets. Also noted was an increase in the proportion of workplaces providing health promotion programs for their employees. 12.13 Despite these encouraging trends, not all health promotion …