Your doctor would not base decisions for your health care today on one physical examination when you were age three! You would reasonably expect decisions to be based on records from over your lifetime. Likewise, those responsible for monitoring the health of the Upper Mississippi River System want a more comprehensive way to diagnose problems and find treatment options. To begin developing a comprehensive view of the river, the five neighboring states of the Upper Mississippi River System and several Federal agencies formed a partnership in 1986 to monitor river conditions and long-term trends in the Upper Mississippi and Illinois Rivers.