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Consistent with this prevention first appeal (182, 184), EU policymakers have already identified and emphasized (i) the urgent need for greater and more pressing efforts toward a shift to the prevention of ill-health and disease with health promotion as a key pillar in ensuring future public health (114, 118), and (ii) the cross-European need to focus on changes in future medical and health pedagogy to address the current public health gaps (262, 290)