| Interactions between the state and its citizens are a basis for major public health actions… |
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| State-civil interactions have a long history in public health. They have occurred particularly when the health sector expands beyond health services to the wider dimensions of healthy environments and lifestyles. Early public health actions to clean up American cities in the 1800s, for example, were led by well known public figures supported by women's groups. The latter were responsible for stimulating the public interest in improved waste management that supported the mobilization of resources for public health and the enactment of public health standards (MacFarlane et al., 1998). |
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