The health promotion movement has gained ever more momentum in the 1990s, at international, national, and local levels. his updated and revised edition of a successful textbook reflects developments in philosophy, policy, planning, and practice since the turn of the decade. It contains new material, such as an account of who is involved in health promotion, more attention to the role of the mass media, and an expansion of the account of the role of the WHO. A new health promotion framework is built up on to the original one and there is a new chapter considering objections to health promotion.