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06.11.04 Jenny Söderlind, Wadham How does health promotion differ from disease prevention in theory and practice? The past century and a half has seen a series of shifts in our definitions of health and disease and, as a result, also in the approaches taken by governments and health professionals. After an initial focus on sanitation and public health in the late nineteenth century, health policy moved towards formal health care after the 1930s. With escalating costs of welfare, the 1970s saw a greater emphasis on individual responsibility for health and behaviour change and since then the concept of health promotion has come increasingly to the fore. I will examine the reasons for this change and its implications in theory and practice, as well as considering some of the criticisms that have been voiced against the health promotion approach. Finally I will turn to disease prevention, looking at its implementation and how it...

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