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The public health system in England$
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David J. Hunter

Print publication date: 2010

Print ISBN-13: 9781847424631

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781847424631.001.0001

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The evolution of the public health function in England (I): 1974–97

The evolution of the public health function in England (I): 1974–97

(p.49) THREE The evolution of the public health function in England (I): 1974–97
The public health system in England

David J Hunter

Linda Marks

Katherine E Smith

Policy Press

This chapter charts in some detail the evolution of the public health system in England from 1974 to 1997, noting key features and policy developments. It presents an analysis of key shifts in the way that public health was understood, including the emergence of the ‘new’ public health in the 1970s and 1980s, following a series of international initiatives emanating from the World Health Organization (WHO), notably the Alma Ata Declaration, Ottawa Charter and Health for all strategy. The chapter assesses the dominance of public health medicine for much of this period and the challenges it faced from those who subscribed to political and ecological models of public health. These various perspectives underlay moves within this period to establish a multidisciplinary workforce embracing the breadth and range of public health concerns.

Keywords:   public health system, WHO, England, Alma Ata Declaration, public health medicine

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