Problems areas to date
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Epidemiology is generally accepted as a primary feeder discipline for health promotion. In fact it is viewed by many as the primary discipline. This is manifest in a widespread tendency to have epidemiology ‘drive the system’. That is to say, not only does epidemiology set the health promotion agenda – through identifying and quantifying causes of morbidity and mortality and elucidating foci for prevention – but the resultant catalogue of categories of ill health and risk factors is directly translated into ‘health promotion’ programmes (figure 4.1).