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Letters Chronic disease to top agenda

Legislation trumps individual interventions

BMJ 2011; 342 doi: (Published 22 February 2011) Cite this as: BMJ 2011;342:d1141
  1. Simon Capewell, professor of clinical epidemiology1,
  2. Klim McPherson, visiting professor of public health epidemiology2
  1. 1Division of Public Health, University of Liverpool, Liverpool L69 3GB, UK
  2. 2New College, Oxford, UK
  1. capewell{at}

Godlee highlights the potentially powerful interventions to prevent chronic disease1 also recommended in Piot and Ebrahim’s editorial. The articles by Reckless, Hingorani and Hemingway, and Khunti and colleagues detail the limitations of tablet based primary prevention of cardiovascular disease, but none mentions what makes population wide policy interventions a “best buy” for rich and poor countries alike. In brief, they are powerful, rapid, equitable, …

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