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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.055970v1 96/1/17    most recent Submit a response View responses View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (8) Citing Articles via Google Scholar Google Scholar Articles by Breslow, L. Search for Related Content PubMed PubMed Citation Articles by Breslow, L. Related Collections Epidemiology Health Policy Health Promotion History Surveillance

Lester Breslow, MD, MPH

Lester Breslow is with the School of Public Health, University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Lester Breslow, MD, MPH, UCLA, School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 (e-mail: breslow{at}ph.ucla.edu).

When writing about "the second epidemiologic revolution," Terris discussed 2 eras in health. The first era—the communicable disease era—began during ancient times and continues today; the second era—the chronic disease era—began during the 20th century, particularly among the industrialized nations.

Although neither revolution against these types of diseases is complete, we have made such considerable progress that substantial and growing segments of the population no longer regard disease as the only, or even the primary, health problem. Increasingly, the goal is a long and fruitful life, not simply the absence of disease. That potential and the effort to achieve it compose the third era of health, and a proposed new measure of health is outlined in this article.

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