Amid a “bleak” national picture, more than 40 local authorities across England and Wales have committed to making a long term difference to the health of their communities, writes Erin Dean Yorkshire GP Hasantha Jayasinghe knows exactly what health inequality looks like. He sees it in many forms, but what springs to mind most are the children with chronic, difficult-to-treat asthma he sees in his practice in a deprived, inner city area of Leeds. “These children live in houses that are dreadful; there is damp, decay, mould, parts falling down,” he says. “Housing is a big problem we have around here.” He is not alone in worrying about the effects of health inequalities in Leeds: last June (2023) the city became a Marmot Place. This means following the eight principles (box 1) set out by the influential Michael Marmot, professor of epidemiology at University College London, whose work has focused on the effects of inequality on health for more than 40 years. Jayasinghe’s work looking at how GPs might be able to help their patients struggling with the effects of health inequalities has now become part of the work across the city to tackle these deep rooted problems. Box 1 ### The Marmot principles Marmot Places develop and deliver interventions and policies to improve health equity based on eight principles:RETURN TO TEXT The Marmot review in 2010— Fair Society, Healthy Lives —emphasised that health inequalities result …

中文翻译：

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Marmot Places：采取积极主动的当地方法解决健康不平等问题的地区

艾琳·迪恩（Erin Dean）约克郡全科医生哈桑莎·贾亚辛赫（Hasantha Jayasinghe）写道，在全国形势“黯淡”的情况下，英格兰和威尔士的 40 多个地方当局已承诺长期改善其社区的健康状况。他看到了多种形式的哮喘，但最让他想到的是他在利兹贫困内城区的实践中看到的患有慢性、难以治疗的哮喘的儿童。 “这些孩子住在可怕的房子里；潮湿、腐烂、发霉、零件掉落，”他说。 “住房是我们这里面临的一个大问题。”他并不是唯一一个担心利兹健康不平等影响的人：去年 6 月（2023 年），这座城市变成了“土拨鼠广场”。这意味着要遵循伦敦大学学院流行病学教授、颇具影响力的迈克尔·马莫特 (Michael Marmot) 提出的八项原则（方框 1），40 多年来，他的工作重点是不平等对健康的影响。贾亚辛格致力于研究全科医生如何帮助患者应对健康不平等的影响，现已成为全市解决这些根深蒂固问题的工作的一部分。框 1 ### Marmot 原则 Marmot Places 根据八项原则制定和提供干预措施和政策，以改善健康公平：返回文本 2010 年 Marmot 审查——公平社会、健康生活——强调健康不平等导致……