ɪt mˈeɪ ˈɔːlsoʊ ɹᵻflˈɛkt ˈæɾɪtˌuːd tʃˈeɪndʒᵻz ænd ɪŋkɹˈiːsɪŋ ɐwˈɛɹnəs ʌv ɪfˈɛktɪv pɹɪvˈɛntɪv mˈɛʒɚz ɪn ɹᵻlˈeɪʃən tə pˈʌblɪk hˈɛlθ.
It may also reflect attitude changes and increasing awareness of effective preventive measures in relation to public health.