The fifty-three  Member States of the Region have a large and diverse population. This diversity also exists in terms of health inequalities. To achieve health equity, WHO/Europe works with countries in key areas such as the social determinants of health: the conditions in which people are born, grow up, live, work and age. Action across all government sectors is needed to address factors affecting health and well-being on a daily basis. In July 2014  WHO/Europe had the first meeting for smaller countries to help them achieve health equity. Representatives from eight  small countries in the Region came to San Marino to discuss implementation of the Health 2020 vision. Representatives from Andorra, Cyprus, Iceland, Luxembourg, Malta, Monaco, Montenegro and San Marino attended. WHO Regional Director for Europe, said that small countries, with populations of less than 1 million, adapt quickly, and implement policies effectively. Choosing the right policies has a great potential to achieve social and political cohesion. See also: www.euro.who.int/en/countries/san-marino/news/news/news?root_node_selection=75602