Rupture, and limb loss. it also needs to be cost effective. the current screening recommendation for vascular disease is restricted to aaa in men older than 65 years with a history of smoking. the data show that screening for asymptomatic carotid disease and pad does not impact on decreasing the incidence of stroke death or of loss of limb, but it does correlate with fi nding a population with high cardiac mortality in which intervention would have an impact. in our study population, we provided ultrasound of the carotid arteries, abdominal aorta, and segmental doppler of the lower extremities. after screening 758 people aged 40 years or older, we found 61.7% with atherosclerotic plaques without stenosis, 12.7% with mild disease, 2.5% with intermediate disease, and 1.3% with severe disease. the defi nition of mild, intermediate, and severe disease is given in table 1. this service was modeled after the dare to care program in annapolis, md