1 More than 133 million Americans live with a chronic disease or disability. The 2006 Institute of Medicine (IOM) report, Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem, found the cumulative effects of sleep loss and sleep disorders represent an under-recognized public health problem and have been associated with a wide range of negative health consequences, including hypertension, diabetes, depression, heart attack, stroke, and at-risk behaviors such as alcohol and drug abuse – all of which represent long-term targets of the United State’s Department of Health and Human Services and other public health agencies. Moreover, the personal and national economic impact is staggering. The IOM estimates that the direct and indirect costs associated with sleep disorders and sleep deprivation total hundreds of billions of dollars annually.2 Sleep science and federal reports have clearly detailed the importance of sleep to health, safety, productivity and well-being, yet studies continue to show that millions of Americans remain at risk for serious health and safety consequences of untreated sleep disorders and inadequate sleep, due to a lack of awareness, community interventions, and inadequate screening. Unfortunately, despite recommendations in numerous federal reports, there is a lack of epidemiological data, large clinical trials and no on-going national educational programs regarding sleep issues aimed at the general public, health care professionals, underserved communities or major at-risk groups. SleeptemberMembers believe that every person needs to understand that good health includes healthy sleep, just as it includes regular exercise and balanced nutrition. Sleep must be elevated to the top of the national health agenda in order to adequately address other national public health problems mentioned above. We need your help to make this happen. Sleep health is a particular concern for individuals with chronic conditions such as: Alzheimer’s Anxiety Arthritis Attention deficit/hyperactivity disorder Autism Asthma Cancer (breast, pancreatic, colorectal) Chronic obstructive pulmonary disease Chronic pain Dementia Down syndrome Epilepsy Fibromyalgia Gastric ulcer Gastroesophageal reflux disease (GERD) Human immunodeficiency virus (HIV) Irritable bowel Kidney disease Multiple sclerosis Neuromuscular disorders Parkinson’s disease Depression Renal disease Spinal cord injury Substance abuse Tinnitus Tourette syndrome Additionally, there are a number of significant pain conditions that affect the sleep quality of individuals; these include: restless legs syndrome, irritable bowel, gastric ulcer, cancer, musculoskeletal disorders, dental and orofacial pain, spinal cord damage, burns, and other trauma.3 Good sleep helps prevent the development of certain conditions and can help better manage and improve existing conditions. All patients are connected in these concerns.