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Severe inequalities in children’s development between local authorities are revealed by data published by Sir Michael Marmot, professor of epidemiology (流行病学) and public health at UniversityCollege London, who last year produced a landmark government review into how wealth affects health. The key determinants of health, he argues, relate to a host of issues including employment, the welfare state and child development. His new report shows that 44% of all five-year-olds inEngland are considered by their teachers to be falling behind in their development. However in richer commuter towns, such as Solihull and Richmond upon Thames, state schools report this figure to be about 30%. In Haringey, a deprived part of north London, it is almost double.

Only two dozen authorities of the 150 surveyed could claim to have more than half their five-year-olds passing the educational standard set by the government. Marmot said he was concerned that the government was just focusing on the "poorest" in society-the middle class of society needed help too. "I have tried to have this conversation with government without much success," he saiD、
There was also an alarming health gap opening up within areas. Marmot pointed out that in Westminster the average life expectancy of male residents was 83, five years longer than theEnglish norm, but this masked wide disparities (差距). The poorest in the London area could expect to live 17 years less than the richest.
The data is meant to inform ministers as the government has proposed taking public health out of the NHS (英国国民健康保险制度) and put under the control of local authorities. However, it is likely to come under pressure as budgets are squeezeD、Others warned the government’s plan would turn the clock back. Martin McKee, professor ofEuropean public health at the London School of Hygiene and Tropical Medicine, said: "It’s important to learn the lessons of history. Public health was taken out of local authority control in 1974 and it was the best thing that ever happened to it. Why put it back The new plans provide no clue as to whether there will be enough public health funds available and will see councilors who were elected on a platform of schools and the environment suddenly responsible for health.\
It can be inferred from paragraph three that
A、health does not always go with wealth
B、health is slightly influenced by wealth
C、wealthier people tend to live a healthier life
D、no relation exists between wealth and health
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6%的考友选择了A选项

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