Next to the processes causing the unequal distribution of environmental risks and outcomes, the framework model identifies the institutional landscape and the respective services and actions to tackle inequalities. A variety of actors is called upon to reduce and mitigate the occurrence of environmental inequalities, be they socially determined or not. In first place, responsibility is with the environmental actors and stakeholders shaping the environmental conditions, such as actors on environment, transport, housing, occupational settings etc. However, the health sector has also a key role to play which is not reduced to the provision of care services, but also includes preventive action and environmental health services which in.