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The European Journal of Public Health Advance Access originally published online on March 11, 2009
The European Journal of Public Health 2009 19(2):133-135; doi:10.1093/eurpub/ckp025
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© The Author 2009. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Viewpoints

Report of the WHO commission on social determinants of health: a French perspective

Thierry Lang1, Monique Kaminski2 and Annette Leclerc3

1INSERM U558, F-31000 Toulouse, France
2INSERM U953, F-94000 Villejuif, France
3INSERM U687, F-94000 Villejuif, France

Correspondence: Thierry Lang, INSERM U558, Faculté de Médecine, 37 Allées Jules Guesde, 31073 Toulouse, France, tel: +33 5 61 14 59 35, fax: +33 5 62 46 42 40, e-mail: lang@cict.fr

The first 150 words of the full text of this article appear below.

Seen from France, this report underlines how far we still have to go in our country to reduce social inequalities in health. France is not one of the partner countries of the Commission1 and the conceptions of health determinants which are developed in the report appear far removed from the paradigm which predominates in our country. We can no longer say that France is at the ‘pre-contemplative’ stage:2 data exist, the phenomenon of social inequalities in health is known and well documented for numerous states of health. But these efforts, which issue largely from the world of research, have not resulted in a system of routine statistical surveillance. Furthermore, at this ‘contemplative’ stage, there is no explicit public policy and no objective written down in law. In the law on public health policy of 2004, objective 34 touches on this question, but restricts it to the state of health of . . . [Full Text of this Article]


    Mobilizing opinion
 

    WHO reports 2000 and 2008: very different perspectives
 

    Towards fundamental policy choices
 

    From research to surveillance
 

    What about the health care system?
 

    Towards new research methods
 

    The challenge of dealing with fundamental causes
 

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