This document discusses healthcare associated infections (HAIs) in the United States, specifically ventilator-associated pneumonia (VAP). It notes that over 157,000 people contract VAP yearly, and over 4,000 die from it. VAP often occurs in intensive care unit patients using ventilators. The document then explores preventive measures that can be taken to address high rates of VAP, such as keeping patients' heads adjusted to facilitate breathing, regularly sanitizing surroundings, and using a ventilation bundle approach developed at the Mayo Clinic. It stresses the importance of prevention efforts, accurate diagnosis, and treatment adherence in addressing VAP.