In 2010, coronary artery disease, lung cancer, stroke, chronic obstructive pulmonary diseases, and traffic accidents caused the most years of life lost in the U.S. Low back pain, depression, musculoskeletal disorders, neck pain, and anxiety caused the most years lost to disability. The most harmful risk factors were poor diet, tobacco smoking, obesity, high blood pressure, high blood sugar, physical inactivity, and alcohol use. Alzheimer's disease, drug abuse, kidney disease, cancer, and falls caused the most additional years of life lost over their age-adjusted 1990 per-capita rates. U.S. teenage pregnancy and abortion rates are substantially higher than in other Western nations, especially among blacks and Hispanics.
Following the decisive Franco-American victory at Yorktown in 1781, Britain signed the peace treaty of 1783, and American sovereignty was internationally recognized and the country was granted all lands east of the Mississippi River. Nationalists led the Philadelphia Convention of 1787 in writing the United States Constitution, ratified in state conventions in 1788. The federal government was reorganized into three branches, on the principle of creating salutary checks and balances, in 1789. George Washington, who had led the Continental Army to victory, was the first president elected under the new constitution. The Bill of Rights, forbidding federal restriction of personal freedoms and guaranteeing a range of legal protections, was adopted in 1791.
More InfoThe United States fought Indian Wars west of the Mississippi River from 1810 to at least 1890. Most of these conflicts ended with the cession of Native American territory and their confinement to Indian reservations. This further expanded acreage under mechanical cultivation, increasing surpluses for international markets. Mainland expansion also included the purchase of Alaska from Russia in 1867. In 1893, pro-American elements in Hawaii overthrew the monarchy and formed the Republic of Hawaii, which the U.S. annexed in 1898. Puerto Rico, Guam, and the Philippines were ceded by Spain in the same year, following the Spanish–American War. American Samoa was acquired by the United States in 1900 after the end of the Second Samoan Civil War. The U.S. Virgin Islands were purchased from Denmark in 1917.
More InfoWith the advancement of European colonization in North America, the Native Americans were often conquered and displaced. The first Europeans to arrive in the contiguous United States were Spanish conquistadors such as Juan Ponce de León, who made his first visit to Florida in 1513. Even earlier, Christopher Columbus landed in Puerto Rico on his 1493 voyage. The Spanish set up the first settlements in Florida and New Mexico such as Saint Augustine and Santa Fe. The French established their own as well along the Mississippi River. Successful English settlement on the eastern coast of North America began with the Virginia Colony in 1607 at Jamestown and with the Pilgrims' Plymouth Colony in 1620. Many settlers were dissenting Christian groups who came seeking religious freedom. The continent's first elected legislative assembly, Virginia's House of Burgesses, was created in 1619. The Mayflower Compact, signed by the Pilgrims before disembarking, and the Fundamental Orders of Connecticut, established precedents for the pattern of representative self-government and constitutionalism that would develop throughout the American colonies.
More InfoIn 1920, the women's rights movement won passage of a constitutional amendment granting women's suffrage. The 1920s and 1930s saw the rise of radio for mass communication and the invention of early television. The prosperity of the Roaring Twenties ended with the Wall Street Crash of 1929 and the onset of the Great Depression. After his election as president in 1932, Franklin D. Roosevelt responded with the New Deal. The Great Migration of millions of African Americans out of the American South began before World War I and extended through the 1960s; whereas the Dust Bowl of the mid-1930s impoverished many farming communities and spurred a new wave of western migration.
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