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Sociology and Social Determinants

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Sociology and Social Determinants
Health Policy

Building of the global movement for health equity: from Santiago to Rio and beyond
Michael Marmot, Jessica Allen, Ruth Bell, Peter Goldblatt

Health inequalities are present throughout the world, both within and between countries. The Commission on Social Determinants of Health drew attention to dramatic social gradients in health within most countries and made proposals for action. These inequalities are not inevitable. The purpose of this article is to report on activity that has taken place worldwide after the report by the Commission on Social Determinants of Health. First, we summarise the global situation. Second, we summarise an interim report of the emerging findings from an independent review of social determinants and the health divide, which was commissioned by the WHO European region. The world conference on social determinants of health will be held in Rio de Janeiro, Brazil, in October, 2011. This summit provides an opportunity to galvanise support, prioritise action, and respond to the call by the Commission on Social Determinants of Health for social justice as a route to a fair distribution of health.

Lancet 2012; 379: 181–88 Published Online October 19, 2011 DOI:10.1016/S01406736(11)61506-7 See Comment page 103 Department of Epidemiology and Public Health, University College London, London, UK (Prof M Marmot FRCP, J Allen PhD, R Bell PhD, Prof P Goldblatt PhD) Correspondence to: Dr Jessica Allen, Department of Epidemiology and Public Health, University College London, 1–19 Torrington Place, London WC1E 6BT, UK jessica.allen@ucl.ac.uk

Introduction
“Social Injustice is killing on a grand scale” “A toxic combination...of poor social policies and programmes, unfair economic arrangements, and bad politics...is responsible for the fact that a majority of people in the world do not enjoy the good health that is biologically possible.” Commission on Social Determinants of Health1

In Afghanistan, the lifetime risk of a maternal



References: 188 www.thelancet.com Vol 379 January 14, 2012

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