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International Journal of Epidemiology 2001;30:1165-1171
© International Epidemiological Association 2001


Celebration

From Black to Acheson: two decades of concern with inequalities in health. A celebration of the 90th birthday of Professor Jerry Morris

Michael Marmot

International Centre for Health and Society, Department of Epidemiology and Public Health, University College London, 1–19 Torrington Place, London WC1E 6BT, UK.

Accepted 19 February 2001

Jerry Morris's Medical Research Council unit was known as the Social Medicine Unit. A central area of his concern was inequalities in health. His interest, involvement, knowledge, experience, and social commitment made him a key member of the Black Committee. It is on this aspect of Jerry's work that I wish to focus.

Social inequalities in health have been recognized for centuries. Jerry Morris used the term ‘Victorian thunder’ to describe the concern of the social reformers of the 19th century in Britain with the social conditions responsible for the link between deprivation and healthp.1,p.142 He suggests that Chadwick's epidemiological researches on the Sanitary Condition of the Labouring Population ‘were a landmark in social history’.2

I would suggest that the Black Report was a similar landmark. The background to it is well known, and is set out in the 1992 edition.3 The Secretary of State for Health in Britain was . . . [Full Text of this Article]

Trends in inequalities and health inequalities

Social inequalities not individual differences

Inequality and poverty

Material and psychosocial explanations

Behaviour

Relative and absolute differences

Policy implications

Acknowledgments

References


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