Manuscript Topics

In developing countries, increasing wealth is associated with better health; however, in developed countries, the health of both rich and poor is associated with the distribution of wealth within society. This will be explored in depth, as will other related associations between wealth distribution and some other social variables; measures which successfully reduce inequality seem likely to offer the possibility of many positive dividends.

Throughout Europe, and in many other countries besides, coronary heart disease remains the primary cause of death, and half of all the known risk factors are associated with nutrition, which also contributes key risk factors for some cancers as well as for other cardiovascular diseases. Food production needs to be influenced by several other policy issues, in addition to the search for provision of healthier food to improve such risk factors: two such are provided by climate change challenges, and the need to feed a world in which the population is still growing rapidly. However, are food producers so powerful that public health messages are “drowned out” by their lobbying?

Rigorous public health research is an essential prerequisite for effective policy development in these (and other) areas, but is it really carried out in a “clean”, neutral, and unbiased environment, or does it too often follow agendas dictated by powerful commercial interests?  How can health impact assessment help us to select the public policies most likely to maximise health gain, on the basis of best public health science?

These are some of the main issues to be explored in this Special Issue.

Keywords: Health; wealth; inequality; coronary heart disease; nutrition; climate change; lobbying; public health research; health impact assessment; health gain.

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