By international comparison, Swedish public health public sector and a restructuring of Swedish welfare policy. The labour market underwent transformations work has been successful. The age-standardized mortality ® gures are low in most age groups. Although and there was a signi® cant decrease in the total employment rate. Furthermore there was an increase in job inequity in health is considerable in relative terms, the number of excess deaths in lower social classes is strain, especially in the care sector. These changes took place without any governmental agency taking responssmaller than in most other countries. In spite of this rather positive picture, Sweden has ibility for an analysis of the health consequences. In 1994 the new social democratic government no comprehensive public health policy. It has been recognized that politics is a health determinant in declared that public health was a central political issue. In 1997 a public health committee with a broad parliadiVerent sectors of society but there has not been any eVort to coordinate diVerent governmental oYces in mentary base was formed. The major objective was to propose a national strategy and speci® c goals for public order to promote public health. The problem of how to implement a public health health that would guide governmental oYces, regional and local public authorities, and NGOs. The committee policy has been discussed for more than a decade. In 1987 the Swedish government appointed a task group at comprised members from all major political parties and a number of experts, representing governmental high administrative level with the participation of oYcials and scientists in the ® eld of public health. The aim authorities, scienti® c institutions, labour-market organizations, and representatives for immigrants and was to outline a national public health strategy. An allembracing objective was to promote increased equity in retired persons. The committee worked openly and in dialogue health. Another important issue was how to integrate public health with the general welfare policy system. with public health activists. Two preliminary reports were published and distributed to several hundred The task group proposed a new governmental authority, the National Institute of Public Health. The authorities and voluntary organizations. In the end of 2000 a green paper was published with purpose of the institute was to direct health promotion and disease prevention activities at a national level and proposals for 18 national public health goals. All goals were formulated in terms of health determinants and to cooperate with other national authorities and NGOs in health matters. fundamental infrastructure for preventive work. The goals related to structural and environmental determinThe National Institute of Public Health was established in 1992. At that time there had been a change ants of health as well as lifestyles. All goals are broken down into a number of sub-goals and quantitative of government, which may have contributed to the fact that the institute did not take on its intended strategic indicators have been constructed. It is presumed that the targets will be achieved in 2010. It is also proposed role in the Swedish public health work. Instead its activities focused on programmes directed towards that each respective public sector will be accountable for contributing to the achievement of the goals. speci® c health problems such as alcohol, illicit drugs, HIV/AIDS, injuries, allergic disorders and tobacco use. At present the government is revising the goals and a governmental bill will be put forward to the Swedish There was a quite strong emphasis on information directly to the public. parliament in the end of 2001. There are a number of advantages in expressing the In the 1990s there were considerable cutbacks in the