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The release of the Ottawa Charter for Health Promotion (WHO 1986) and Achieving Health for All: A Framework for Health Promotion (Epp, 1986) further developed some of the basic principles articulated in the White Paper.

The Charter defined peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice, and equity as pre-requisites to health. Both documents emphasized strategies such as mutual aid and healthy public policy to promote health and underscored the importance of community development principles in promoting health.

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