Table 3: Possible decisions or actions according to the local data of incidence rates of these 15 health problems.

Diseases	Incidence rates	Decisions or actions by health problem
Diseases whose etiology is understood sufficiently for prevention	Health problems with lower incidence rates relative to other places	Coronary heart disease and stroke: specific studies on this problem (diet, habits, stress, etc.) Adverse drug reactions: screening (opportunistic, systematic ...)
	Health problems with high incidence rates or with figures higher than those reported elsewhere	Traffic accidents: health education in the consultation, local media, school, workplace, etc. Pulmonary tuberculosis: specific training of professionals to handle this problem; specific studies
Diseases whose etiology is only partially known but for which there are proposed screening or prevention approaches	Health problems with lower incidence rates relative to other areas places	Hypertension: measures that include screening (opportunistic and systematic)
	Health problems with high incidence rates or with figures higher than those reported elsewhere	Breast cancer, Bladder cancer: specific training of professionals to handle this problem; specific studies Genetic diseases: collecting family history, genogram
Diseases whose etiology is not well known and where it is not possible to implement prevention or screening	Health problems with lower incidence rates relative to other places	Senile dementia: measures that include screening (opportunistic and systematic) in the medical consultation and the nursing visit at home, and family and caregiver interview Ovarian cancer: clinical interview and careful exploration; abdominal ultrasound in borderline cases Paget's disease: study measures include screening (serum calcium) both opportunistically and systematic, and careful clinical history collection
	Health problems with high incidence rates or with figures higher than those reported elsewhere	Hyperparathyroidism: possibly to include screening (serum calcium)