Health is a result of our personal behaviors, our individual genetic predisposition to disease, the environment and the community in which we live, the clinical care we receive and the policies and practices of our health care and prevention systems. Each of us, individually, as a community, and as a society, strives to optimize these health determinants, so that all of us can have a long, diseasefree and robust life regardless of race, gender or socio-economic status. This report looks at the four groups of health determinants that can be affected: