Health In The 20th Century

‘Health’ is a very broad notion, affected by a wide range of individual characteristics, behaviours and contextual factors.

In 1946 the World Health Organisation (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. This definition integrates the main concepts of health and identifies that health can be viewed differently by individuals and groups (Bowden, 2006). Health and well-being are the result of a combination of physical, social, intellectual and emotional factors (Dunkley, 2000a).

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Health is not limited to a physical illness that can be cured or alleviated but must encompass the entire individual. It includes spiritual, emotional, social, mental and physical aspects of the individual. All of these areas must be assessed and evaluated when caring or a patient and their families (Chitty, 2007, p. 303).

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

But over the past few decades, the definititon and concept of health has evolved to encompass more elements than just the physical well-being of a person. This is partly attributed to various researches and studies that have taken place around the world in the last 60 years. Already in 1948, the World Health Organization declared that health is “a state of complete physical, mental and social well being and not

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organisation, 2011)

The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult

By looking at what different people say about health, it is clear that each one look at it differently. Therefore, there are many ways to define health. When we look at health, all physical, intellectual, emotional and social aspects should be considered because they all affect our health equally. Health can be defined in many ways, positively, negatively and holistically. It depends on how the individuals look at their health and how concerned they are about it. Our state of healthiness will depend on many things such as where do we live, what job do we do, what do we eat, who are our friends and everything else related to our lifestyle. Our choice about our lifestyle can make a difference to our health. If we are interested enough in ourselves, we can improve our own health. Some people think, that it depends only on the health care we obtain; however, it doesn't only depend on this. It is connected to our lifestyle as well.

“Don’t treat the disease, treat the patient” [9]. The concept of health has seemed to become complex in definition over the centuries as science improves. “Health is a complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”-World Health Definition of Health (1948) [9]

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948.)

According to Floyd, Mimms and Yelding (2008) Webster’s Dictionary defines health as “the condition of being sound in body, mind and spirit… freedom from physical disease or pain.” This definition has very much taken the holistic view. Wellbeing is a term in which reflects on the positive emphasis on health and can be broken down into six aspects know as environmental, physical, social, emotional, mental and spiritual. To achieve a high balance of wellbeing it is vital that a person is able to balance and take care of each aspect effectively. Underdown (2007) implies that in 1948 the World Health Organization (WHO) defines health as ‘a state of complete physical, mental and social well-being and not just the absence of disease or infirmity.’ This definition took a holistic view as it mentions mental and social wellbeing and it was supported as it focused on a person being healthy rather than not being ill. However, this definition has been widely criticized. Seedhouse (1986) believed that for someone to be in perfect state of health is unachievable and unrealistic.

As humans remain different in nature, so are their perceptions and response towards certain issues of their lives and well being. The concept of health assumes to be a typical example of this and hence, poses debate about what it is. “Health” is a word which means different things to different people (Ewles & Simnett, 2003). This essay intends to critically discuss the meaning of health by exploring different definitions and their contraindications.