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The world is living dangerously - either because it has little choice or because it is making the wrong choices -- Dr Gro Harlem Brundtland WHO Director-General
The European health report responds to the statutory requirements to provide the member states with essential public health information. The report analyses a decade of evidence on health in the Region, which embraces 51 WHO Member States with some 870 million people. While overall levels of health in the Region are among the highest in the world, the report describes widening gaps between and within countries. It confirms the strong links between socioeconomic development, health and equity in the WHO European Region. The report builds on the view that health policies cannot be isolated from other policy sectors: One central task in improving health is to reduce socioeconomic inequalities, thus placing health in the context of human development. The link between health and employment, income maintenance, social welfare, housing and education is crucial in all European Member States. The report focuses on concrete evidence useful for decision-makers in public health. Its role is to summarize and feed back to Member States the information created, deposited and accredited during the Regional Office's work with Member States on key topics and issues in public health in Europe, in the context of the values and principles of WHO as one Organization.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
"We have a real opportunity now to make progress that will mean longer healthier lives for millions of people.
This report sets out a current review of the health situation in the 52 countries in the WHO Europe region, focusing particularly on child and adolescent health and development issues. It examines the major causes of the burden of disease and key preventable risk factors, as well as considering effective policy responses. The report also includes statistical tables used as the basis of its conclusions, as well as definitions of terms used.
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.
The European Nutrition and Health Report is the first comprehensive assessment of the present status of nutrition and health in Europe, and of the available resources and requirements for compatible and representative data from different countries. 13 EU member states and Norway have participated in this project, pursuing three main goals: Compilation of available nutrient intake and health data Identification of major nutrition and health problems Identification of problems concerning the methods and compatibility of data collection The main topics include food supply and availability, energy and nutrient intake in different age groups, health indicators and status, obesity, physical activity and smoking. The Appendix offers a detailed publication of national reports and single projects. This book provides a solid basis for the planning of future projects in nutrition and health and should be of great interest to all professionals in the fields of nutrition, preventive medicine and public health as well as to health policy makers.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
How are public health services in Europe organized and financed? With European health systems facing a plethora of challenges that can be addressed through public health interventions there is renewed interest in strengthening public health services. Yet there are enormous gaps in our knowledge. How many people work in public health? How much money is spent on public health? What does it actually achieve? None of these questions can be answered easily. This volume brings together current knowledge on the organization and financing of public health services in Europe. It is based on country reports on the organization and financing of public health services in nine European countries and an in-depth analysis of the involvement of public health services in addressing three contemporary public health challenges (alcohol obesity and antimicrobial resistance). The focus is on four core dimensions of public health services: organization financing the public health workforce and quality assurance. The questions the volume seeks to answer are: o How are public health services in Europe organized? Are there good practices that can be emulated? What policy options are available? o How much is spent on public health services? Where do resources come from? And what was the impact of the economic crisis? o What do we know about the public health workforce? How can it be strengthened? o How is the quality of public health services being assured? What should quality assurance systems for public health services look like? This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications: Organization and financing of public health services in Europe: country reports and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance.