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US health objectives, as presented in Healthy People 2010, have placed a national emphasis on the prevention of CVD and its risk factors.⁷ The Secretary of Health and Human Services recently released the Public Health Action Plan to Prevent Heart Disease and Stroke (Action Plan) to further the “Healthy People 2010 goal of improving cardiovascular health through the prevention, detection, and treatment of risk factors; early identification and treatment of heart attacks and strokes; and prevention of recurrent cardiovascular events.”⁸ A recent American Heart Association publication focused on the optimal community approach to the prevention of CVD and its complications.⁹ This report, from the AHA Expert Panel on Population and Prevention Science, is entitled The American Heart Association Guide for Improving Cardiovascular Health at the Community Level: A Statement for Public Health Practitioners, Healthcare Providers, and Health Policy Makers (AHA Guide). On the basis of a review of the literature and the work of other national committees, the expert panel made 59 recommendations for community-based efforts to promote cardiovascular health. The Action Plan complements the local community focus of the AHA Guide by providing a national action framework and infrastructure recommendations needed to prevent heart disease and stroke more effectively.

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