Life expectancy is up and tobacco use is down, but there are still several concerning health indicators in the CDC’s 40th annual report on long-term trends in health and health care delivery of the nation between 1975 and 2015 which was delivered from the Secretary of HHS to President Donald Trump and Congress.

The report, Health, United States, 2016, describes birth rates and infant mortality, life expectancy and leading causes of death, health risk behaviors, health care utilization and insurance coverage and health expenditures. Highlights from the report include declines in cigarette smoking, increases in prescription drug use and changes in expenditures for hospitals and home health care. The CDC also investigated population changes that have affected patterns of disease and health care access and utilization since 1975.