The document summarizes mortality data from the Central Shenandoah Health District. It finds that cancer, heart disease, unintentional injury, and Alzheimer's disease are the top causes of death in the region. For each cause of death, it examines trends over time, the most prevalent types, and the localities most affected. It encourages community efforts to promote healthy lifestyles and prevent disease through education, outreach, and making communities more walkable and safe.