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AJPH First Look, published online ahead of print Apr 1, 2008
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AJPH.2007.120329v1
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American Journal of Public Health, 10.2105/AJPH.2007.120329

Commentaries

Intervening to Reduce Inequalities in Infections in Europe

Jan C. Semenza 1* Johan Giesecke 1

1 European Centre for Disease Prevention and Control (ECDC)

* To whom correspondence should be addressed. E-mail: jan.semenza{at}ecdc.eu.int.


  Abstract

The European Centre for Disease Prevention and Control was founded in response to newly emerging infections such as severe acute respiratory syndrome and avian influenza. However, Europe faces other communicable disease challenges that have proven to be remarkably resilient to public health interventions.

We present examples of communicable diseases with inequitable distribution among those with poor educational attainment, low income, or other socioeconomic factors in every European country. Because these findings are incompatible with social justice and fairness, we examine strategic interventions targeting upstream causes of communicable disease transmission keeping in mind 10 indispensable public health functions essential to reach marginalized groups.

These interventions have to be tailored to the sociopolitical context and rely on community-based decisionmaking and intersectorial collaboration.

Key Words: Epidemiology, Global Health, Health Policy, Infections, Public Health Practice, Socioeconomic Factors




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 Am. J. Public HealthHome page
J. C. Semenza, J. Suk, and D. Manissero
INTERVENING ON HIGH-RISK OR VULNERABLE POPULATIONS?
Am J Public Health, August 1, 2008; 98(8): 1351 - 1352.
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