Public health in the 1990s: time for a change of approach

Examines the current status & future directions for public health in the UK. Public health emerged following the industrial revolution of the eighteenth & nineteenth century & has evolved into a complex system culminating in the formation of the National Health Service after WWII. The current public health system has changed little since WWII & takes an attitude of "we know best," but it is argued that its piecemeal attempts at public health have failed to protect the nation. It is contended that a holistic view of public health & development of a national strategy with specific targets & adequate financing are essential. Emphasis should be given to accountability, evaluation, & monitoring, use of full epidemiological information, & public empowerment. 24 References. D. Generoli