“…This is not the place to review ancient texts of Babylonia and Greece, rather to consider that even within the sphere of public health this is an old story. 1 The idea that the health of populations is affected by and is a product of the social determinants in the population is not only an old belief, even perhaps an accepted truth, dates certainly from the work of the haberdasher John Graunt 4 Throughout the 20 th Century thoughtful work in the area of sociocultural factors in health illness continued, particularly in the fields of medical sociology and social medicine; the bulk of this large literature simply reinforced the "accepted truth" that linked social context to health-related outcomes. 5 More recently we have the extensive work of the WHO Commission on Social Determinants.…”