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The health status of Europe

The health status of Europe. Aisling Kennedy. “Thousand upon thousands of persons have studied disease. Almost no one has studied health.”. Adele Davis. Increase in life expectancy, Great Britain, 1841 - 1998. Increase in life expectancy EU, 1970 - 1998. At birth: 6.4 years

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The health status of Europe

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  1. The health status of Europe Aisling Kennedy

  2. “Thousand upon thousands of persons have studied disease. Almost no one has studied health.” Adele Davis

  3. Increase in life expectancy,Great Britain, 1841 - 1998

  4. Increase in life expectancy EU, 1970 - 1998 • At birth: 6.4 years • At age 15: 4.9 years • At age 65: 3.4 years • Total gain during the 20th century: 33 years Source: WHO, The European Health Report, 2002

  5. “The ageing of mortality improvement” Source: Willetts R., “Mortality in the next millenium”

  6. Life expectancy at birth, 2000 Source: WHO, 2002, “The European health report Men 71.9 – 77.0 Women 79.1 – 82.7

  7. Healthy life expectancy, 2000 Source: WHO, 2002, “The European health report Men 63.9 – 70.1 Women 68.6 - 72.9

  8. Disabled life expectancy • Men: 5.3 – 8.0 years • Women: 8.3 – 10.5 years

  9. Premature mortality in the EU(per 100,000 people) Source: European Commission, 2003, “The health status of the European Union”

  10. Burden of disease, measured in DALYS • DALYS = “disability-adjusted life years” i.e. lost years of “healthy” life • DALYS = the sum of: • the years of life lost to premature mortality plus • the years lost to disability • Total DALYS per person in Europe, 2000*: 0.13 *Source: WHO World Health Report, 2001, statistics for Europe, “very low mortality” stratum

  11. Burden of disease, measured in DALYS, 2000* *Source: WHO World Health Report, 2001, statistics for Europe, “very low mortality” stratum

  12. Genes Lifestyle Environment Social circumstances Chance! Factors influencing health andlife expectancy Diet Physical activity Alcohol/tobacco consumption

  13. Increasing obesity rates in adult population

  14. % of people who take insufficient exercise (less than 3.5 hours per week) Source: WHO, The European Health Report, 2002

  15. % reporting mental health problems Source: Eurobarometer Survey, April 2003

  16. Health inequalities • Education • Income • Socio-economic class

  17. Life expectancy by social classUK, 1997-1999

  18. Chronic illness / disability • Prevalence rate of activity restriction is c. 12%* • 6% of Europeans spend a large part of their time providing informal long-term care *Source: European Commission, 2003, “The health status of the European Union”

  19. Prevalence of chronic illness/disability by age group Source: Eurostat, 2001

  20. Prevalence of severe disability by age group Source: Eurostat, 2001

  21. Now a b c Good Poor Compromised Future expectations of health

  22. Counting the cost of ill-health

  23. Health care expenditure Source: WHO, 2003, Atlas of health in Europe

  24. Public health expenditure by age group

  25. Economic burden of ill health • Economic cost includes: • Direct health care costs • Cost of “informal care” • Productivity costs due to incapacity for work/ premature death • Total costs are substantially higher than direct costs For example, a 2002 study carried out for the British Heart Foundation found that the total cost of coronary heart disease in the UK was 4.1 times the direct health care cost

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