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Emerging health issues: the widening challenge for population health promotion.

Emerging health issues: the widening challenge for population health promotion. Research Abstract Details 

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  • Emerging health issues: the widening challenge for population health promotion. Abstract Text:

    anthony j mcmichaelAnthony J McMichael,colin d butlerColin D Butler,anthony j mcmichaelAnthony J McMichael,colin d butlerColin D Butler,

    The spectrum of tasks for health promotion has widened since the Ottawa Charter was signed. In 1986, infectious diseases still seemed in retreat, the potential extent of HIV/AIDS was unrecognized, the Green Revolution was at its height and global poverty appeared less intractable. Global climate change had not yet emerged as a major threat to development and health. Most economists forecast continuous improvement, and chronic diseases were broadly anticipated as the next major health issue. Today, although many broadly averaged measures of population health have improved, many of the determinants of global health have faltered. Many infectious diseases have emerged; others have unexpectedly reappeared. Reasons include urban crowding, environmental changes, altered sexual relations, intensified food production and increased mobility and trade. Foremost, however, is the persistence of poverty and the exacerbation of regional and global inequality. Life expectancy has unexpectedly declined in several countries. Rather than being a faint echo from an earlier time of hardship, these declines could signify the future. Relatedly, the demographic and epidemiological transitions have faltered. In some regions, declining fertility has overshot that needed for optimal age structure, whereas elsewhere mortality increases have reduced population growth rates, despite continuing high fertility. Few, if any, Millennium Development Goals (MDG), including those for health and sustainability, seem achievable. Policy-makers generally misunderstand the link between environmental sustainability (MDG #7) and health. Many health workers also fail to realize that social cohesion and sustainability-maintenance of the Earth's ecological and geophysical systems-is a necessary basis for health. In sum, these issues present an enormous challenge to health. Health promotion must address population health influences that transcend national boundaries and generations and engage with the development, human rights and environmental movements. The big task is to promote sustainable environmental and social conditions that bring enduring and equitable health gains.

    Emerging health issues: the widening challenge for population health promotion. Publishing Authors By Initials

    aj mcmichaelAJ McMichael,cd butlerCD Butler,aj mcmichaelAJ McMichael,cd butlerCD Butler,

    For similar abstracts research abstracts see: abstracts research

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    Emerging health issues: the widening challenge for population health promotion. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Health promotion international

    VOLUME: 21 Suppl 1

    Page Numbers: 15-24

    Journal Abbreviation:

    ISSN: 0957-4824

    DAY: 19

    MONTH: Dec

    YEAR: 2006

    Emerging health issues: the widening challenge for population health promotion. Information

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    LANGUAGE: eng

    NlmUniqueID: 9008939

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    Grant and Affiliation Information for Emerging health issues: the widening challenge for population health promotion.

    AFFILIATION: Senior Research Fellow in Global Health, School of Health and Social Development, Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, 221 Burwood Hwy, Burwood 3125 Victoria, Australia. E-mail: colin.butler@deakin.edu.au.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Health Promot Int

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