The escalating impact of cancer and chronic disease on morbidity and mortality affect quality of life, and their impact on health care expenditures highlight the need for long-term and sustainable solutions. In ''Community-based Prevention: Reducing the Risk of Cancer and Chronic Disease,'' the authors explore health promotion-based programs as a solution for individual- and population-level improvements in health. Using as a template the community-based prevention educator ( CPE )-led program delivered by the British Columbia Cancer Agency ( BCCA ), the authors analyze and compare six programs identified as having community engagement, professional leadership, regional deployment and a generalist prevention agenda at their foundation.