Translation of "déterminant clé de la santé " (French → English) :

the Rio Political Declaration on Social Determinants of Health adopted on 21 October 2011 at the World Conference on Social Determinants of Health held in Rio de Janeiro,

Provide further support to existing mechanisms for policy coordination and exchange of good practice on health inequities between Member States, such as the Council Working Party on Public Health at Senior level, EU Expert Group on Social Determinants of Health and Health Inequalities and Social Protection Committee, as set out in the Commission communication on solidarity in health: reducing health inequalities in the EU to ensure optimal deployment and synergy.

In that context, ‘public health’ should be interpreted as defined in Regulation (EC) No 1338/2008 of the European Parliament and of the Council of 16 December 2008 on Community statistics on public health and health and safety at work, meaning all elements related to health, namely health status, including morbidity and disability, the determinants having an effect on that health status, health care needs, resources allocated to health care, the provision of, and universal access to, health care as well as health care expenditure and financing, and the causes of mortality.

Stresses that, although the main objective of the 2008-2013 public health programme is to act on the factors which traditionally determine health (diet, smoking, alcohol consumption and the use of drugs), it should also focus on certain new challenges to health and address the determining environmental factors resulting from climate change;

NOTES WITH CONCERN that the financial crisis and budgetary constraints have major impact on principal economic indicators such as income and unemployment, which are social determinants of health; and that extensive cuts in the supply of healthcare can affect access to care and may have long-term health and economic consequences, particularly for the most vulnerable groups in the society.

Implemented actions: Health promotion on the basis of major health determinants has been a longstanding priority for the European Commission, and has included strategies for nutrition, overweight and obesity-related health issues[15], and alcohol-related harm[16].