Every year, there are 2 million bone breaks
that are no accident, but signs of osteoporosis
If you’re outraged that millions of people have to face vastly different lives because they’ve broken a
bone due to osteoporosis, take a stand. Help us get the word out and add your name to the rallying
cry that 2 Million is 2 Many.
Every year, 2 million bone breaks occur due to osteoporosis. Most people who break a bone are treated
in the emergency room or at an urgent care facility. And life goes on. But the fact is, men and women as
young as 50 may have osteoporosis and not even know it. Yet only 2 in 10 older women who break a
bone due to osteoporosis are treated or receive a simple test for osteoporosis.
If we let osteoporosis keep hiding, we’re giving it a chance to break us bone by bone.
NBHA’s awareness campaign, 2Million2Many (2M2M), highlights the connection between fractures and
osteoporosis and the two million bone breaks each year that are no accident but signs of osteoporosis in
support of NBHA’s “20/20” vision to reduce fractures 20% by the year 2020. The call to action is simple:
If you or someone you care about breaks a bone after age 50, ask your healthcare professional
for an osteoporosis test.

NBHA has built a “Cast Mountain” to
illustrate the magnitude of the problem
and serve as the symbolic centerpiece
of the 2Million2Many campaign.
The 12-foot tall by 12-foot wide
installation represents the 5,500 bone
breaks due to osteoporosis that occur in
the US every day.
o More than 40 million people either live with or are at
risk for developing osteoporosis. Two million bone
breaks occur annually due to osteoporosis.
o 1/2 of women and up to 1/4 of men over age 50 will
break a bone due to osteoporosis.
o 4 out of 5 women over 67 are not tested or treated for
osteoporosis after they break a bone.
o Every year, nearly 300,000 people break their hip: 1/4
end up in nursing homes, 1/2 never regain previous
function and 1/4 die within the first year after breaking
their hip.
o 50% of osteoporosis-related repeat bone breaks in
older adults can be prevented with appropriate
o 1/3 of people who break their hip had a previous bone
o Bone breaks due to osteoporosis will cost an
estimated $25 billion per year by 2025
Osteoporosis is a disease characterized by weakened
and fragile bone tissue, leading to an increased chance
of breaking a bone. The weakened tissue is due to
changes in the amount and structure of bone. While
people with osteoporosis are most likely to break bones
in the spine, hip or wrist, almost any bone can be
affected. These bone breaks often occur with minor
accidents such as falls, or banging into objects, but can
even occur without any injury.
Building strong bones during childhood and adolescence
can help to prevent osteoporosis later in life. Women
can lose up to 20 percent of their bone mass in the five
to seven years after menopause, making them more
susceptible to osteoporosis.
While osteoporosis is not curable, it is treatable. There
are many steps you can take to manage the disease
and reduce your chance of breaking a bone. It is
important to work with your healthcare provider to learn about your risk for osteoporosis and broken
A bone density test is the only test that can diagnose osteoporosis before a broken bone occurs. This
test helps to estimate the density of your bones and your chance of breaking a bone. The National
Osteoporosis Foundation (NOF) recommends a bone density test of the hip and spine by a central dual
energy x-ray absorptiometry (DXA) machine to diagnose osteoporosis.
1. Get the calcium and vitamin D
you need every day (from food
sources first).
2. Do regular weight-bearing and
muscle-strengthening exercise.
3. Don’t smoke and don’t drink too
much alcohol.
4. Talk to your healthcare provider
about your chance of getting
osteoporosis, and ask when you
should have a bone mineral
density test.
5. Take an osteoporosis medication
when it’s right for you.
• Being female
• Older age
• Personal or family history of osteoporosis or broken bones
• Being small and thin, Missing menstrual periods
• Low estrogen levels in women, including menopause and low levels of testosterone and estrogen
in men
• Diet, particularly low calcium and vitamin D intake, or an excessive intake of protein, sodium and
• Inactive lifestyle
• Smoking and excessive alcohol intake (three or more drinks a day)
• Certain medications including steroid medications and anticonvulsants
• Certain diseases and conditions including anorexia nervosa, rheumatoid arthritis, gastrointestinal
By joining the 2Million2Many campaign, you’ll help send a
strong message to policy makers, healthcare professionals,
and the public that the 2 million bone breaks that occur
each year are too many.
Promote the Campaign with Patients and Caregivers
If you’re a health professional, display a campaign poster in
your office or medical center and share the campaign
postcards with patients, their caregivers and those at risk.
If you are a patient or caregiver, ask your doctor’s office or
medical center to display a campaign poster and help
promote the campaign with patients and other healthcare
professionals using the campaign fact sheet.
Download and print campaign posters, postcards and fact
sheets at www.2Million2Many.org or contact NBHA to
request campaign materials.
Promote the Campaign through your Organization’s
Newsletters and Publications
NBHA has prepared a sample newsletter article and sample
email to your members and constituents promoting the
campaign and asking them to sign the pledge. View the
samples at www.2Million2Many.org/samples.
If your organization is interested in running an ad promoting the
campaign in your newsletter, journal or magazine, or displaying
a banner ad on your organization’s website contact NBHA.
Share Your Story with Local Media to and Community Leaders to Promote the Campaign
Local newspapers as well as local editions of major newspapers are a great place to start. These
publications are often read by community members and leaders because they report on local news and
activities and local journalists are predisposed to running stories of local residents and activities.
Bring Cast Mountain to Your Event or Facility
Professional conferences, health and wellness expos, medical facilities and even the mall! All these are
great places for displaying Cast Mountain and raising awareness with health professionals and the public
about the 2Million2Many campaign. Check out Cast Mountain’s travel schedule at

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