Services in 2000, outlines a prioritized set of health objectives representing the most critical public health issues currently facing the United States. Its two main goals are to increase quality and years of health life and to eliminate health disparities. Libraries serve an important role in the dissemination of health information and the promotion of healthy lifestyles which assists in reaching these goals. Following is a summary of the trends and issues reported in the literature in two special issues of Library Trends (2004 and 2005) and a supplement in the Journal of the Medical Library Association (2005), addressing ways in which libraries are serving or may strive to serve the health needs of the community better. Reaching Vulnerable or At-Risk Populations Reducing health disparities suggests that emphasis be placed on vulnerable, at-risk, or underserved populations such as the elderly (Detlefsen, 2004), African-Americans (Detlefsen, 2004), immigrants and refugees (Allen, Matthew, & Boland, 2004), Native Americans (Siegel, et al., 2005; Wood, et al., 2005), and racial and ethnic minorities (Dervin, 2005). Some important concepts for successful outreach with these populations include: • Developing partnerships beyond traditional constituents as key to outreach success (Allen, Matthews, & Boland, 2004; Siegel, et al., 2005) • Sharing perspectives to ensure that all perspectives are considered and respected (Siegel, et al., 2005) • Understanding the information behavior and use of the population (Detlefsen,