Abstract
We are at the crossroads of a millennium, a time for reflection and a time for change. It is not only the speed of change which has an impact on health, it is also the diversity and the complex interdependence of the many global trends now influencing the health status of the world. Although the 21st century brings new threats, it also brings new approaches and opportunities to overcome them. Change provides opportunity. It is an opportunity for health promotion to be pro-active and to meet the challenges.
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