I HAVE no wish to perpetuate my differences with Dr J Duncan (March

7). He has, however, accused me of making a political statement aimed at

discrediting the Government.

I was careful to avoid making any such statements. If he will read my

article again he will note that my statements were based on scientific

fact and on more than one occasion I indicated the need for all parties

to reconsider their policies in the light of research evidence linking

poverty with ill health.

I have no sense that politicians in general have a good grasp of the

issues involved in this debate. There is no reason why they should. Up

until now it has been seen by the public health community as a subject

for academic study rather than political pragmatism.

I believe it is time to stop describing the relationship between

poverty and ill health and start formulating plans to tackle it.

There is every reason for the present Government to see this issue as

an opportunity rather than a threat. Improving opportunities for

education, increasing self-reliance, and allowing communities to take

control of their own development are consistent with the principle of

subsidiarity to which the Government has subscribed as part of its

membership of the European Union.

There is good reason to believe that genuine investment in such

principles would bring health benefit. Equally there is evidence to

suggest that redistribution of wealth to the poor will also have health

benefits.

It is not for me to advocate either policy. I must, however, ensure

that the issue is on the political agenda. The electorate must then

decide if the response of political parties has been adequate.

Natural justice suggests we should be concerned for those who, by

force of circumstances, are in difficulty and unable to help themselves.

We must also be determined in ensuring that all members of our community

have the opportunity to live fulfilling, productive lives. I think,

however, they remain important to the people of Glasgow.

H Burns,

Director of Public Health,

Greater Glasgow Health Board,

112 Ingram Street,

Glasgow.