Accidental Death and Disability: The Neglected Disease of Modern Society is an influential report that was published in 1966 by the National Academy of Sciences and is considered a landmark in the development of the emergency medical services system in the United States. The report led to the design and implementation of the first federally qualified ambulance services and personnel. The reforms inaugurated by the publication of "The White Paper" led to higher quality care provided on-scene and in-transit by trained paramedics and EMTs.