Public Health
Volume 123, Issue 9 , Pages 587-591, September 2009

Conventional and ecological public health

  • G. Rayner

      Affiliations

    • Brunel University, London, UK
    • City University, London, UK
    • Corresponding Author InformationAddress: GRAssociates Consultancy, 9 Dalebury Road, London SW17 7HQ, UK.

Received 7 May 2009; accepted 24 June 2009. published online 14 September 2009.

Summary 

This paper suggests that current models of public health are no longer sufficient as a means for understanding the health challenges of the anthropogenic age, and argues for an alternative based upon an ecological model. The roots of this perspective originated within the Victorian era, although it found only limited expression at that time. Ecological thinking in public health has only been revived relatively recently. Derived from an analysis of obesity, this paper proposes the development of an approach to ecological public health based on four dimensions of existence: the material, the physiological, the social and the cultural-cognitive. The implications for public policy are considered.

Keywords: Ecological public health, Environment, Biomedical model, Natural ecology, Social ecology, Social determinants of health

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PII: S0033-3506(09)00203-0

doi:10.1016/j.puhe.2009.07.012

Public Health
Volume 123, Issue 9 , Pages 587-591, September 2009