令人不安的实情是，影响健康结果的许多因素不在我们的控制之下。
It is an uncomfortable truth that many of the factors that are influencing health outcomes are not under our control.
然而企业及其董事会却经常利用这个不在他们控制之下的指标，作为管理企业绩效的主要导向。
Yet boards and companies use this equation, one that is not under their control, all too often as a primary guiding force in managing the performance of their business.
预防是迄今为止最好的选择，但存在这些疾病的共同危险因素的部门却不在公共卫生当局的直接控制之下。
Prevention is by far the better option, yet the Shared risk factors for these diseases reside in sectors beyond the direct control of public health.
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