The concept of health promotion was further refined by Harry Sigerist, a British Medical Historian, who noted that:

" health is promoted by providing a decent standard of living, good labour conditions, education, physical culture, and means of rest and recreation” (Sigerist, 1946, pp. 127-128).

Sigerist called for the coordinated efforts of politicians, labour, industry, education and the health care sector to ensure that these prerequisites for good health were within reach of everyone. Many of Sigerist’s ideas, such as his holistic concept of health and his call for action addressing the determinants of health, re-emerged thirty years later with the publication of Ottawa Charter.