Health in All Policies plus Laws & Economics for global health

Health in All Policies plus Laws & Economics for global health | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 12 February 2026 V1 Latest version Share on Health in All Policies plus Laws & Economics for global health Author : Chunsong Hu [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.177090154.41748032/v1 142 views 34 downloads Contents Abstract Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract As a new model, Health in All Policies plus Laws & Economics (Hi-APPLE) plays a crucial role in the prevention and control of human diseases and improvement of global health. In this article, the author briefly introduces that Health in All Policies has gradually become the governance strategy in China. Together with Health in All Laws and Health in All Economics, these critical concepts and strategies are beneficial to population health and high-quality economic and social development in the globe. Herein, the Hi-APPLE model should be a novel consensus, and will be a fresh paradigm for global health. Collectively, the Hi-APPLE model plays a vital role in the prevention and control of human diseases and improvement of global health. This article highlights the history, goals, and future perspectives of the Hi-APPLE model. It’s about time to conduct the novel model of Hi-APPLE for global health . Mini Review Health in All Policies plus Laws & Economics for global health Running title: Hi-APPLE for global health Author : Chunsong Hu, M.D., Ph.D. Affiliation : From the Department of Cardiovascular Medicine, Nanchang University, Hospital of Nanchang University, Jiangxi Academy of Medical Sciences, No. 461 Bayi Ave, Nanchang 330006, Jiangxi, China. Tel: (+86) 189 70816800; Fax: N/A; Email: [email protected] or [email protected] ; https://orcid.org/0000-0002-0590-3909 Word count: 1,357 (Main text) + 145 (Abstract) References: 21 Table: 1 Figure: 1 Total pages: 10 Corresponding author: Dr Chunsong Hu, MD, PhD, Associate Professor of Medicine, Department of Cardiovascular Medicine, Nanchang University, Hospital of Nanchang University, Jiangxi Academy of Medical Sciences, No. 461 Bayi Ave, Nanchang 330006, Jiangxi, China. Tel: (+86) 189 70816800. e-mail: [email protected] or [email protected] ABSTRACT As a new model, Health in All Policies plus Laws & Economics (Hi-APPLE) plays a crucial role in the prevention and control of human diseases and improvement of global health. In this article, the author briefly introduces that Health in All Policies has gradually become the governance strategy in China. Together with Health in All Laws and Health in All Economics, these critical concepts and strategies are beneficial to population health and high-quality economic and social development in the globe . Herein, the Hi-APPLE model s hould be a novel consensus , and will be a fresh paradigm for global health . Collectively, the Hi-APPLE model plays a vital role in the prevention and control of human diseases and improvement of global health. T his article highlights the history, goals, and future perspectives of the Hi-APPLE model . It’s about time to conduct the novel model of Hi-APPLE for global health . Keywords: COVID-19; economics; global health; Health in All Policies; law Highlights • Health in All Policies has gradually become the governance strategy in China. • There are also novel strategies Health in All Laws & Health in All Economics . • T hese crucial concepts and strategies are beneficial to population health and high-quality economic and social development in the globe . • Health in All Policies plus Laws & Economics (Hi-APPLE) s hould be a novel consensus , and will be a fresh paradigm for global health . • T his article highlights the history, goals and future perspectives of the Hi-APPLE model. It’s time to conduct the novel model of Hi-APPLE for global health . 1 | INTRODUCTION Recently, the People’s Government of Jiangxi Province, China issued an important statement on Health in All Policies (HiAP) [1]. It is evident that, under the guidance of President Xi Jinping’s significant discourse on health, the party and government at all levels have placed great emphasis on this crucial concept. Health is now recognized as a key factor in productivity and improving the overall happiness index of individuals. Therefore, it is imperative that people pay more attention to HiAP for better universal health coverage (UHC). 2 | HISTORY Since the concept of HiAP was developed by the Adelaide Statement at the International Meeting of the World Health Organization (WHO) in Adelaide, Australia, on April 15, 2010, it plays a more and more role in the global public health. In fact, during my doctoral studies, I actively advocated for this health concept [2-5] (Table 1). As a preventive strategy that yields twice the results with half the effort, policy prevention can significantly improve global health and promote the effective implementation of the “Healthy China 2030 Plan” and the Chinese Dream, both in the present and in the future. This aligns with the core concept of “A Community With A Shared Future for Mankind” proposed by President XI Jinping, which encompasses the World Dream. At the same time, there is a comprehensive preventive strategy known as “210 level prevention” that combines primary and secondary prevention, as well as policy prevention (Zero-level prevention). This strategy is crucial as it covers the entire life cycle of an individual and has been proven effective during past outbreaks such as SARS and the COVID-19 pandemic. In fact, there is also an updated special report on the preventive effects of policies on alcohol-related harm [6]. Table 1 The history of Health in All Policies and more Authors/Sponsors Topics Time Publications Chunsong Hu Health in All Policies Plus Laws & Economics (Hi-APPLE) April - May, 2025 In Submission Chunsong Hu [5] Health in All Economics (HiAE) February 27, 2025 Authorea (preprint) https://doi.org/10.22541/au.174064702.28694036/v1 Chunsong Hu & Tengiz Tkebuchava [4] Health in All Laws (HiAL) April 13, 2022 Journal of Evidence-Based Medicine 2022;15(1):10-14 Chun-Song Hu [3] From Health in All Policies to Health in All Laws (HiAP2HiAL) February 28, 2019 Croatian Medical J ournal 2019;60(1):55-57 Chunsong Hu & Qinghua Wu [2] Health in All Policies (HiAP) & “210 level prevention” March 6, 2016 Frontiers of Medicine 2016;10(2):233-235 The Adelaide Statement Health in All Policies (HiAP) April 15, 2010 The International Meeting in Adelaide, Australia (April, 2010) sponsored by the Government of South Australia & the World Health Organization (WHO) After I graduated with my PhD, I further proposed the important concepts of Health in All Laws [3, 4] and Health in All Economics [5], as well as Health is the First Capital [7], which emphasizes the significance of health as the foundation for all other aspects of life. These innovative ideas and concepts (Table 1) will undoubtedly contribute to high-quality economic and social development globally, making Health in All Policies plus Laws & Economics (Hi-APPLE) (Fig. 1) a novel model and consensus in the new era. Fig. 1 Health in All Policies plus Laws & Economics (Hi-APPLE) : A novel model and consensus in the new era. It’s believed that the Hi-APPLE model will help us to construct a fresh global health blueprint. 3 | GOALS Currently, there is a concerning trend of talented middle-aged and young people dying prematurely from cardiovascular diseases (CVD) or cancer. This not only has a devastating impact on individuals and their families, but also on the country and society as a whole. Therefore, promoting health education, specifically the adoption of the healthy E(e)SEEDi lifestyle [8-10], is crucial to the prevention of major noncommunicable diseases including CVD, diabetes, and cancer. As the saying goes, Health Is 1, Everything Else Is 0 , emphasizing the importance of prioritizing health above all else. Together with Talents are GDP and Health is the First Capital , these ideas and concepts should be widely promoted and adopted for the betterment of global health. For example, there are policy regulations that require vaccination with relevant preventive vaccines after birth in China, smoking bans in public places, and the installation of “life-saving” automated external defibrillator ( AED ) devices on university campuses, as well as legislation on air pollution and infectious disease prevention and control. These measures not only protect the health of the public and talents, but also have great economic and social benefits. On the one hand, as we know, local policies on COVID-19 prevention and control (e.g., the dynamic Zero-COVID strategy) [11] may ensure public health and societal stability. Childhood vaccination laws are helpful in increasing routine childhood vaccination rates for control of vaccine-preventable diseases by legally-enforceable childhood vaccination policies [12]. On the other hand, for example, hearts transplantation involve in legal, ethical, and policy issues. New legislation on improvement of the safety and efficacy of cardiovascular devices [13] needs both medical experts and the policy-makers to take part in this important process. At the same time, establishing an optimal and unique genetic nondiscrimination polic [14] needs efforts by governments worldwide to address this phenomenon. In fact, many other goals for global health need this critical concept and model of Hi-APPLE. 4 | PERSPECTIVES Currently, the full implementation of both the US Food and Drug Administration added sugar labeling policy and the US calorie menu labeling law have had significant health benefits and healthcare and societal cost savings for the public [15, 16]. The Hi-APPLE model is indeed powerful, cost-effective, and encouraging. For example, fertility rates in states of the US with abortion bans were higher [17], moreover, there are better maternal and child health and well-being outcomes. However, there are higher infant mortality after the abortion bans took effect in some states in the US [18], it’s probably a transient or a short-term phenomenon. In fact, evidence-based interventions and prevention and treatment policies will greatly improve the overall health and economic conditions of societies globally and reduce the global burden of diseases [19]. Moreover, successful public health interventions may improve global life expectancy in long COVID and the post-COVID-19 era [20]. In fact, it’s easy to understand that maintaining both human internal environment, and good natural and social environment through health policy, is not only beneficial to high-quality global economic development but also cardiovascular health [21]. Obviously, the Hi-APPLE model is a more comprehensive strategy and a better model. Moreover, the Hi-APPLE model could get more rapid changes and bigger opportunities for population-based health, particularly cardiovascular health. And this featured model of Hi-APPLE including public health law may improve the population-based prevention and services of the public health system, and better embody the government’s responsibility and the mission for better and wide UHC. 5 | CONCLUSIONS All in all, Health in All Policies has gradually become the governance strategy in China. Together with Health in All Laws and Health in All Economics, these vital concepts and strategies, as a novel comprehensive model, Hi-APPLE, are very beneficial to population health and high-quality economic and social development in the globe . Moreover, p eople can expect that the Hi-APPLE model could affect and actually is definitely beneficial to almost every aspect of global health and health care. Herein, the Hi-APPLE model will gradually become a pivotal governance approach worldwide and s hould be a novel consensus in the new era, and a fresh paradigm for global health, and is particularly beneficial to better UHC. And in China, it is especially timely. Collectively, this article highlights the history, goals and future perspectives of the Hi-APPLE model . It’s about time to conduct the novel model of Hi-APPLE for global health . ETHICS APPROVAL Not applicable DATA AVAILABILITY All data used for this study are available from the Author. ACKNOWLEDGMENTS The reviewers and editors are gratefully acknowledged for critical review. FUNDING No specific funding for this study was received. AUTHOR CONTRIBUTIONS C. Hu contributed to the study conception and design, data collection and analysis, and wrote the first draft of the manuscript. The author read and approved the final manuscript. CONFLICT OF INTEREST STATEMENT The author has no actual or perceived conflict of interest with the contents of this article. REFERENCES 1. https://mp.weixin.qq.com/s/B_9vsD3u2jkfZOhdsLbGfA 2. Hu C, Wu Q. Health: a dream from reality to the future. Front Med . 2016;10(2):233-5. 3. Hu CS. Intervention of RT-ABCDEF for cancer. Croat MedJ . 2019;60(1):55-7. 4. Hu C, Tkebuchava T. Health in All Laws: a better strategy for global health. J Evidence-Based Med . 2022;15(1):10-4. 5. Hu C. Is it about time to establish economics of hypertension? Authorea (preprint). 2025; February 27. https://doi.org/10.22541/au.174064702.28694036/v1 6. Gapstur SM, Mariosa D, Neamtiu L, et al. The IARC Perspective on the Effects of Policies on Reducing Alcohol Consumption. N Engl J Med 2025; 392: 1752-1759. 7. Hu C. Health is the first capital– A new concept from CHINA. Authorea (preprint). 2025; March 24. https://doi.org/10.22541/au.174282872.22931065/v1 8. Hu C. Grants supporting research in China. 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Eur Heart J 2011;32:1673-86. 14. Uberoi D, Dalpé G, Cheung K, et al. The Key Features of a Genetic Nondiscrimination Policy: A Delphi Consensus Statement. JAMA Netw Open 2024;7:e2435355. 15. Huang Y, Kypridemos C, Liu J, et al. Food-PRICE (Policy Review and Intervention Cost-Effectiveness) Project. Cost-Effectiveness of the US Food and Drug Administration Added Sugar Labeling Policy for Improving Diet and Health. Circulation 2019;139:2613-2624. 16. Liu J, Mozaffarian D, Sy S, et al. FOOD-PRICE (Policy Review and Intervention Cost-Effectiveness) Project. Health and Economic Impacts of the National Menu Calorie Labeling Law in the United States: A Microsimulation Study. Circ Cardiovasc Qual Outcomes 2020;13:e006313. 17. Bell SO, Franks AM, Arbour D, et al. US Abortion Bans and Fertility. JAMA 2025;333:1324-1332. 18. Gemmill A, Franks AM, Anjur-Dietrich S, Ozinsky A, Arbour D, Stuart EA, Ben-Michael E, Feller A, Bell SO. US Abortion Bans and Infant Mortality . JAMA 2025;333:1315-1323. 19. GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2024;403:2133-2161. 20. GBD 2021 Causes of Death Collaborators. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2024;403:2100-2132. 21. Lear SA, McKee M, Hystad P, Byron Walker B, Murphy A, Brauer M, Walli-Attaei M, Rosengren A, Rangarajan S, Chow CK, Yusuf S. Social factors, health policy, and environment: implications for cardiovascular disease across the globe. Eur Heart J 2025;ehaf212. Information & Authors Information Version history V1 Version 1 12 February 2026 Copyright This work is licensed under a Non Exclusive No Reuse License. Authors Affiliations Chunsong Hu [email protected] Nanchang University View all articles by this author Metrics & Citations Metrics Article Usage 142 views 34 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Chunsong Hu. Health in All Policies plus Laws & Economics for global health. Authorea . 12 February 2026. DOI: https://doi.org/10.22541/au.177090154.41748032/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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