San Francisco Department of Public Health (101 Grove Street) as it looked on July 29, 1935

In 1935, tuberculosis was a leading cause of death in San Francisco. Health conditions change over time, and they are still changing.

Heart disease, an emerging problem in 1935, is now the leading cause of years lost life in almost every neighborhood and among every ethnic group in San Francisco. Tobacco use, physical inactivity, poor diet, and related exposures are important determinants of the burden of heart disease in San Francisco. These determinants are heavily influenced by broad social determinants that impact many health outcomes in the City.

The burden of disease caused by these and other determinants can be lessened, and the health of all San Franciscans can be improved.

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