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International Journal of Epidemiology 2002;31:1122-1124
© International Epidemiological Association 2002

Point-Counterpoint

Commentary: Occupational therapy or the major challenge?

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.

The first 150 words of the full text of this article appear below.

At a meeting in Kuopio in Finland in the 1980s, at the welcome dinner, our host stood up to welcome the delegates. Being in the centre of the room, at any one time, he had his back turned to about half the room. Despite this, he impressed by somehow talking to both sides at the same time. This was a trick, he explained, that Finns learnt from being sandwiched between two opposing interests: Russia and Sweden. This is a useful skill for those who have been concerned with developing knowledge of risk factors for coronary heart disease (CHD), and applying it to primary prevention. Facing one way, they encounter the mainstream of clinical medicine, suspicious of prevention as an approach and doubtful of its efficacy; and biomedical research concerned with fundamental disease mechanisms. When fighting these battles my sympathies are with the risk factor brigade. On the other side, there . . . [Full Text of this Article]


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