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      The Commission on Social Determinants of Health: Tackling the Social Roots of Health Inequities

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          Abstract

          The goal of the commission, launched in March 2005, is to strengthen health equity by catalysing policy and institutional change to address the social determinants of health.

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          Most cited references 28

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          Preventing chronic diseases: how many lives can we save?

          35 million people will die in 2005 from heart disease, stroke, cancer, and other chronic diseases. Only 20% of these deaths will be in high-income countries--while 80% will occur in low-income and middle-income countries. The death rates from these potentially preventable diseases are higher in low-income and middle-income countries than in high-income countries, especially among adults aged 30-69 years. The impact on men and women is similar. We propose a new goal for reducing deaths from chronic disease to focus prevention and control efforts among those concerned about international health. This goal-to reduce chronic disease death rates by an additional 2% annually--would avert 36 million deaths by 2015. An additional benefit will be a gain of about 500 million years of life over the 10 years from 2006 to 2015. Most of these averted deaths and life-years gained will be in low-income and middle-income countries, and just under half will be in people younger than 70 years. We base the global goal on worldwide projections of deaths by cause for 2005 and 2015. The data are presented for the world, selected countries, and World Bank income groups.
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            Preventing Chronic Diseases: A Vital Investment.

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              Globalization and its discontents

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                Author and article information

                Journal
                PLoS Med
                pmed
                PLoS Medicine
                Public Library of Science (San Francisco, USA )
                1549-1277
                1549-1676
                June 2006
                23 May 2006
                : 3
                : 6
                Author notes

                Competing Interests: The authors are members of the Secretariat of the Commission on Social Determinants of Health.

                Jeanette Vega is Director of the Department of Equity, Poverty, and Social Determinants of Health, and Alec Irwin, Orielle Solar, Nicole Valentine, and Hilary Brown are members of the department, World Health Organization, Geneva, Switzerland. Chris Brown and Theadora Koller work at the European Office for Investment for Health and Development, World Health Organization, Venice, Italy. Rene Loewenson founded the Training and Research Support Centre (TARSC), Harare, Zimbabwe, and works with the Secretariat of the Commission on Social Determinants of Health, World Health Organization, Geneva, Switzerland.

                * To whom correspondence should be addressed. E-mail: irwina@ 123456who.int
                Article
                10.1371/journal.pmed.0030106
                1459479
                16681414
                76eaa3ec-469d-4938-92ef-d40c58b9714e
                Copyright: © 2006 Irwin et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                Categories
                Health in Action
                Epidemiology/Public Health
                Health Economics
                Health Policy
                Socioeconomic Determinants of Health
                Health Policy
                Public Health
                Sociology
                Human Rights

                Medicine

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