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on June 25, 2004

A more recent version of this article appeared on August 1, 2004

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Preventing Cancer, Cardiovascular Disease, and Diabetes. A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association

Harmon Eyre MD; Richard Kahn PhD; Rose Marie Robertson MD, FAHA; ACS/ADA/AHA Collaborative Writing Committee Members; Nathaniel G. Clark MD, MS, RD; Colleen Doyle MS, RD; Yuling Hong MD, PhD, FAHA; Ted Gansler MD; Thomas Glynn PhD; Robert A. Smith PhD; Kathryn Taubert PhD; and Michael J. Thun MD

Chief Medical Officer, American Cancer Society
Chief Scientific and Medical Officer, American Diabetes Association
Chief Science Officer, American Heart Association and the ACS/ADA/AHA Collaborative Writing Committee
National Vice President for Clinical Affairs, American Diabetes Association
Director, Nutrition and Physical Activity, American Cancer Society
Director of Biostatistics and Epidemiology, American Heart Association
Director of Medical Content, American Cancer Society
Senior Director, International Tobacco Control, American Cancer Society
Director of Cancer Screening, American Cancer Society
FAHA, Vice President of Science and Medicine, American Heart Association
Vice President, Epidemiology and Surveillance, American Cancer Society

Abstract--Collectively, cardiovascular disease (including stroke), cancer, and diabetes account for approximately two thirds of all deaths in the United States and about $700 billion in direct and indirect economic costs each year. Current approaches to health promotion and prevention of cardiovascular disease, cancer, and diabetes do not approach the potential of the existing state of knowledge. A concerted effort to increase application of public health and clinical interventions of known efficacy to reduce prevalence of tobacco use, poor diet, and insufficient physical activity--the major risk factors for these diseases--and to increase utilization of screening tests for their early detection could substantially reduce the human and economic cost of these diseases. In this article, the ACS, ADA, and AHA review strategies for the prevention and early detection of cancer, cardiovascular disease, and diabetes, as the beginning of a new collaboration among the three organizations. The goal of this joint venture is to stimulate substantial improvements in primary prevention and early detection through collaboration between key organizations, greater public awareness about healthy lifestyles, legislative action that results in more funding for and access to primary prevention programs and research, and reconsideration of the concept of the periodic medical checkup as an effective platform for prevention, early detection, and treatment.

Key words: AHA Scientific Statements • cardiovascular diseases • diabetes • cancer

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