Public health has been undermined by the UK government and we must respond by strengthening policy and leadership, say David J Hunter and colleagues Since 2010 a combination of austerity, Brexit, and the impact of covid-19 has considerably worsened the public’s health in England.123 Obesity levels have risen, fuelled by the consumption of unregulated ultra-processed foods, a chronic problem which successive governments have failed to tackle.4 Gains in life expectancy have stalled.5 Health inequalities, both between and within regions, are widening.6 Growing numbers of people are unable to work because of illness.7 The UK now has one of the worst health profiles of any high income country, especially among children,8 and its deteriorating health status is adding to pressures on the NHS. To secure social conditions that support healthy populations, we need the political commitment of governments to act for the common good and their investment in institutions that protect public health. We know that ill health is tied to social determinants, and while governments alone do not shape those determinants, it is their …

中文翻译：

---

公共卫生面临危机，但可以解决

David J Hunter 及其同事表示，英国政府损害了公共卫生，我们必须通过加强政策和领导力来应对。自 2010 年以来，紧缩政策、英国脱欧和 covid-19 的影响相结合，使英国公众的健康状况大大恶化。 123 由于消费不受监管的超加工食品，肥胖水平有所上升，这是历届政府未能解决的长期问题。4 预期寿命的增长已陷入停滞。5 地区之间和地区内部的健康不平等正在扩大。6越来越多的人因疾病而无法工作。7 英国现在是所有高收入国家中健康状况最差的国家之一，尤其是儿童，8 而且其不断恶化的健康状况增加了 NHS 的压力。为了确保支持健康人口的社会条件，我们需要政府做出政治承诺，为共同利益采取行动，并投资于保护公众健康的机构。我们知道，健康状况不佳与社会决定因素有关，虽然政府本身并不能决定这些决定因素，但这是他们的……