Canada is facing an epidemic. Chronic disease is a significant economic and social burden on our country. The World Health Organization (WHO) reported that chronic disease is responsible for 60% of the global disease burden. In Canada the financial burden of chronic illness, disability and death is over $80 billion. Governments at every level are engaging health organizations to develop programs and initiatives aimed at managing chronic disease. Branham delves into the issues relating to chronic disease in this first installment of eHealth NOW Spotlight. The report includes a primer, a review of management programs and ICT solutions including registries, EMR’s, and CDMS, as well as providing an overview of CDM vendors in Canada.