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PUBLIC HEALTH THEN AND NOW |
Simon Szreter is with St Johns College, University of Cambridge, England. He is also co-editor of www.historyandpolicy.org.
Correspondence: Requests for reprints should be sent to Simon Szreter, PhD, St Johns College, Cambridge CB2 1TP, United Kingdom (e-mail: srss{at}cam.ac.uk).
The origin of the population health approach is an historic debate over the relationship between economic growth and human health.
In Britain and France, the Industrial Revolution disrupted population health and stimulated pioneering epidemiological studies, informing the early preventive public health movement. A century-long process of political adjustment between the forces of liberal democracy and propertied interests ensued.
The 20th-century welfare states resulted as complex political mechanisms for converting economic growth into enhanced population health. However, the rise of a "neoliberal" agenda, denigrating the role of government, has once again brought to the fore the importance of prevention and a population health approach to map and publicize the health impacts of this new phase of "global" economic growth.
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