Specifications include, but are not limited to: Chronic Disease Prevention Chronic diseases, such as heart disease, stroke, diabetes and cancer, are the major causes of death and disability in the US and leading drivers of healthcare costs. Sixty percent of US adults have at least one chronic disease and 40% have two or more (Centers for Disease Control and Prevention). Many chronic conditions are linked to lifestyle, environment, access to equitable care, and genetic factors. Lifestyle choices and social determinants of health, such as poor diet/access to healthy food, physical inactivity, and tobacco use, place people at higher risk of developing these diseases or one of their precursor conditions (e.g., prediabetes, hypertension, or high cholesterol) and experiencing poor health outcomes. • Arthritis • Asthma • Brain Health • Colorectal Cancer • Comprehensive Cancer • Diabetes • Cardiovascular Disease • Chronic obstructive pulmonary disease (COPD) • Oral Health • Physical Activity and Nutrition • Worksite Wellness • Tobacco Control • You First (breast cancer, cervical cancer & heart health) Laboratory Sciences and Infectious Disease The State also engages in efforts to track, prevent and control the spread of infectious diseases in Vermont, and provide laboratory services to test and monitor Vermont’s population(s) and environment for public health threats. • Chemistry (including inorganic/radiochemistry and organic chemistry) • HIV, STIs and Hepatitis • Health care-associated infections • Immunizations • Infectious disease epidemiology • Microbiology • Vector-borne diseases (diseases transmitted by ticks or mosquitoes) • Zoonotic diseases (diseases that spread between animals and people)