Sweden 103.18 In 2003, the Swedish Parliament passed the Government's Public HealthObjectives Bill <strong>and</strong> launched a Nati<strong>on</strong>al Public Health Policy. The overallaim of Swedish public health policy is to create social c<strong>on</strong>diti<strong>on</strong>s whichensure good health for the whole populati<strong>on</strong> in order to achieve thefollowing objectives:• Participati<strong>on</strong> <strong>and</strong> influence in society• Ec<strong>on</strong>omic <strong>and</strong> social security• Secure <strong>and</strong> favourable c<strong>on</strong>diti<strong>on</strong>s during childhood <strong>and</strong> adolescence• Healthier working life• Healthy <strong>and</strong> safe envir<strong>on</strong>ment <strong>and</strong> products• Health <strong>and</strong> medical care that more actively promotes good health• Effective protecti<strong>on</strong> against <strong>communicable</strong> diseases• Safe sexuality <strong>and</strong> good reproductive health• Increased physical activity• Good eating habits <strong>and</strong> safe food• Reduced use of tobacco, alcohol <strong>and</strong> illicit drugs <strong>and</strong> a reducti<strong>on</strong> in theharmful effects of excessive gambling3.19 While the first six objectives relate to structural factors (i.e. envir<strong>on</strong>ment)that can be changed by public efforts <strong>and</strong> policies, the last five objectivesc<strong>on</strong>cern lifestyles which require individual commitment to improve ormaintain <strong>on</strong>e's own health. Measures to improve public health areplanned in the areas of social policy, gender equality policy, child policy,elderly policy, healthcare policy, disability policy, educati<strong>on</strong> policy,labour market policy, envir<strong>on</strong>ment policy <strong>and</strong> culture policy. In all, thepublic health bill specified 31 policy areas in which measures are to beimplemented.34
3. <str<strong>on</strong>g>Global</str<strong>on</strong>g> <str<strong>on</strong>g>Perspective</str<strong>on</strong>g> <strong>on</strong> N<strong>on</strong>-<strong>communicable</strong> <strong>Disease</strong> Preventi<strong>on</strong> <strong>and</strong> C<strong>on</strong>trol11, 12Australia3.20 Over the last decade, strategies have been initiated in Australia to addressthe rising prevalence of chr<strong>on</strong>ic diseases. In 2001, the Nati<strong>on</strong>al PublicHealth Partnership Group <strong>and</strong> Nati<strong>on</strong>al Strategies Coordinati<strong>on</strong> WorkingGroup, in c<strong>on</strong>juncti<strong>on</strong> with the Nati<strong>on</strong>al Health Priority Acti<strong>on</strong> Council<strong>and</strong> with the support of the Australian Health Ministers' Advisory Council,put forward a strategic framework for preventing chr<strong>on</strong>ic diseases.The framework is intended to provide the basis for a comprehensive,evidence-based, public health resp<strong>on</strong>se to the priority diseases <strong>and</strong>health issues. To help organise the nati<strong>on</strong>al populati<strong>on</strong> health effortmore effectively <strong>and</strong> efficiently, the framework focuses <strong>on</strong> a number ofpreventable c<strong>on</strong>diti<strong>on</strong>s which share comm<strong>on</strong>alities in their aetiology <strong>and</strong>the major modifiable risk factors, <strong>and</strong> determinants of these c<strong>on</strong>diti<strong>on</strong>s.Based <strong>on</strong> a list of selecti<strong>on</strong> criteria, the primary c<strong>on</strong>diti<strong>on</strong>s targeted areheart diseases, stroke, type 2 diabetes mellitus, hypertensi<strong>on</strong>, abnormalblood lipid profiles <strong>and</strong> obesity. Other c<strong>on</strong>diti<strong>on</strong>s proposed under theframework include renal disease, certain cancers <strong>and</strong> chr<strong>on</strong>ic lung disease,whereas the primary behavioural risk factors targeted include smoking,unhealthy diet, physical inactivity <strong>and</strong> alcohol misuse.3.21 For the chr<strong>on</strong>ic disease preventi<strong>on</strong> strategy, the goals are to:• improve the health of all Australians by reducing the health, social <strong>and</strong>ec<strong>on</strong>omic impacts of chr<strong>on</strong>ic diseases;• reduce health disparities am<strong>on</strong>g different segments of the populati<strong>on</strong>;• establish a nati<strong>on</strong>al system of health promoti<strong>on</strong> <strong>and</strong> chr<strong>on</strong>ic diseasepreventi<strong>on</strong> strategies that meet the needs of the populati<strong>on</strong> at eachstage of the life course;• incorporate chr<strong>on</strong>ic disease preventi<strong>on</strong> objectives into policies; <strong>and</strong>• create <strong>and</strong> sustain the partnerships, systems <strong>and</strong> leadership needed toachieve these goals.35