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The responsibility for primordial prevention is shared by the following parties:

Government - to legislate (e.g. anti-tobacco advertising), develop and fund intervention programmes. A high level of government commitment is required for effective primordial prevention.

Professional and non-governmental organisations - to develop targets in conjunction with government, advise and provide educational resources to government and the community, educate health-care providers.

Industry - to support recommendations from government and professional bodies (e.g. food processing, tobacco advertising), health promotion, funding.

Hospitals, health clinics, health practitioners and health-care workers - for health promotion, risk assessment.