Questões comentadas ANTAQ de Inglês | 36266

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1               The difficulty for health policy makers the world overis 

          this: it is simply not possible to promote healthier lifestyles
         through presidential decree or through being overprotective
4       towards people and the way they choose to live. Recent history
         has proved that one-size-fits-all solutions are no good when
         public health challenges vary from one area of the country to
7       the next. But we cannot sit back while, in spite of all this, so
        many people are suffering such severe lifestyle-driven ill health
       and such acute health inequalities.
    
        Internet: <www.gov.uk> (adapted).

In the text above, 

the expression “in spite of all this” (l.7) could be replaced correctly by despite of all this