Health education is subject to evolutionary waves of change. The paper describes three past waves (program development, evaluation, and maintenance) and discusses a fourth, program ownership, which has yet to become a significant force. Implications for future waves are highlighted. (SM)

Migration has been an essential part of American life and a contributing factor to the urbanization of its cities. The pages of history are filled with the record of the movement of people away from a lesser toward a greater opportunity and the search for security and happiness in some more favorable environment. There are two large groups of…