Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health

Michael Marmot, Frances Baum, Monique Begin, Giovanni Berlinguer, Mirai Chatterjee, William H. Foege, Yan Guo, Kiyoshi Kurokawa, Ricardo Lagos Escobar, Alireza Marandi, Pascoal Mocumbi, Ndioro Ndiaye, Charity Kaluki Ngilu, Hoda Rashad, Amartya Sen, David Satcher, Anna Tibaijuka, Denny Vågerö, Gail Wilensky

    Research output: Book/ReportCommissioned reportpeer-review


    Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others. A girl born today can expect to live for more than 80 years if she is born in some countries – but less than 45 years if she is born in others. Within countries there are dramatic differences in health that are closely linked with degrees of social disadvantage. Differences of this magnitude, within and between countries, simply should never happen.
    These inequities in health, avoidable health inequalities, arise because of the circumstances in which people grow, live, work, and age, and the systems put in place to deal with illness. The conditions in which people live and die are, in turn, shaped by political, social, and economic forces.
    Original languageEnglish
    Place of PublicationGeneva
    PublisherWorld Health Organisation Press
    Number of pages247
    EditionFinal Report
    ISBN (Print)978 92 4 156370 3
    Publication statusPublished - 2008


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