Every year, 5 percent of healthy employees become sick as a result of risk factors that include unhealthy lifestyle choices, according to health insurance provider CIGNA. To meet rising health costs, some municipalities have begun promoting new health-driven programs that empower employees to make better choices and improve behaviors that affect personal health. A new guide from the International City/County Management Association seeks to help managers transform their cultures to focus on health. "Creating a Culture of Health: A Manager's Guide to Improving Employee Health and Reducing Health Care Costs" shows managers how to evaluate their government's current health-care situation and decide if changes are needed. If so, it guides them through developing a plan, designing a health program and then evaluating it. The electronic document is available on ICMA's Web site for $24.95 ($19.95 for ICMA members); an excerpt is available for free.