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Medical community ponders report calling for revitalization of public health system.

THE LATE Rene Dubos, PhD, in his book The Mirage of Health pointed out that improvements in health during the past century have been due more to public health measures than to "wonder" drugs. Now, making the rounds of the medical community is a report from the Washington-based Institute of Medicine (which operates under the National Academy of Sciences' congressional charter as a federal advisory agency) that suggests that the nation is forgetting this and its public health system is in a parlous state. Two-Year Study A 22-member committee, named by the institute and chaired by Richard D. Remington, PhD, University of Iowa College of Medicine, Iowa City, spent two years on the study. It was undertaken to address a growing perception among those concerned that the nation has lost sight of its public health goals and allowed the system to fall into disarray. Remington says that "we have come