Abstract
Twenty-one years ago the first edition of Health Promotion International was published. In the opening editorial Dr Halfdan Mahler the then Director-General of the World Health Organization said, ‘Public health is in a process of change. Our understanding of what constitutes health is broadening, as is our concept of health itself’. In introducing the journal and the new concept of health promotion he emphasized that public health needed to move into positive and active advocacy for health. One of the significant obstacles to progress he considered was that ‘The political will and the intersectoral action necessary to create the healthy environments are sadly lacking in many countries’ (Mahler, 1986).

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