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By Linda J. Jones (auth.)

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He population and give special attention to high· risk, vulnerable and underserved individuals and groups. h care personnel, individuals, families and communiry groups. h polides and strategies are in line with health for all prindples and that their legislation and regulations make their implementation effective in all sectors of society. h and, accordingly, ensuring preferential allocation of resources to health development priorities. {omulllon system Before 1990, Member States should have health information systems cap-o~bleof supporting their national straregies for health for all.

In addition there was some evidence that black and minority ethnic groups suffered differentially high rates of heart disease, evidence of regional variations, evidence of sex differences and evidence linking disease risks to household type, with houseowners having the lowest risk of premature death. Occupational class represented the major, though not the only, means by which health inequalities were measured in the Black Report. As the report commented, 'undoubtedly the clearest and most unequivocal - if only because there is more evidence to go on - is the Health in a social context 21 I !

If her baby is a boy and survives birth, he is still four times more likely to die before his first birthday than Mrs Smythe's new born son. Like his brother John, the new-born Jones boy is ten times more likely to die, before he is 14, through an accident involving fire, a fall or drowning, than his counterpart Rodney Smythe. John is seven times more likely to be knocked down and killed in a road accident. Trades Union Congress (1981) You may have pointed out that there were some risks for the Smythe family too, such as asthma, of which there is a rising incidence in middle class children (Read, 1991).

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