The state of health in the European Union (EU-28) in 2017: an analysis of the burden of diseases and injuries

Author:

Santos João Vasco123,Souza Júlio12,Valente José12,Alonso Vera2,Ramalho André12,Viana João12,Ricciardi Walter4,Freitas Alberto12

Affiliation:

1. MEDCIDS—Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal

2. CINTESIS—Centre for Health Technology and Services Research, Porto, Portugal

3. Public Health Unit, ACES Grande Porto VIII (ARS Norte), Espinho/Gaia, Portugal

4. Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli” IRCCS, Rome, Italy

Abstract

Abstract Background The Global Burden of Disease study has generated a wealth of data on death and disability in Europe. At a time of change for the European Union and European Region of WHO, with a new Health Commissioner and Regional Director, respectively, a review of health trends can contribute to identify outstanding needs and gaps. This paper reports a summary of the burden of disease in the European Union (EU) in 2017 (compared with 2007). Methods For the whole EU and each country, mortality by causes of death, disability-adjusted life years (DALYs) and life expectancies are reported. Results In 2017, the age-standardized mortality and DALY rates were of 452.6 and 19 663.3 per 100 000 inhabitants, respectively. The diseases contributing most to mortality were ischaemic heart disease (IHD), dementias and stroke, while low back pain and IHD accounted for the highest burden of DALYs. Conclusions Overall, there was an improvement in the state of health in the EU but substantial differences between countries remain. Cardiovascular diseases still represent the major burden, although there have been substantial improvements. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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