The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019
Santos JV., Padron-Monedero A., Bikbov B., Grad DA., Plass D., Mechili EA., Gazzelloni F., Fischer F., Sulo G., Ngwa CH., Noguer-Zambrano I., Peñalvo JL., Haagsma JA., Kissimova-Skarbek K., Monasta L., Ghith N., Sarmiento-Suarez R., Hrzic R., Haneef R., O’Caoimh R., Cuschieri S., Mondello S., Kabir Z., Abbafati C., Abolhassani H., Adekanmbi V., Ahmadi K., Ahmadi S., Al-Jumaily A., Alla F., Alonso J., Ancuceanu R., Andrei CL., Andrei T., Androudi S., Antó JM., Appiah SCY., Aremu O., Armocida B., Ärnlöv J., Arumugam A., Attia S., Aujayeb A., Ausloos M., Ayuso-Mateos JL., Banach M., Bärnighausen TW., Barone-Adesi F., Barteit S., Basu S., Baune BT., Beghi M., Belo L., Bennett DA., Biondi A., Bohluli M., do Nascimento IJB., Bragazzi NL., Braithwaite T., Brenner H., Buonsenso D., Busse R., Calina D., Carreras G., Carvalho M., Castelpietra G., Catapano AL., Cattaruzza MS., Chandan JS., Charalampous P., Chattu VK., Chen S., Chowdhury R., Christensen H., Chung S-C., Conde J., Corso B., Cruz-Martins N., Damiani G., de la Torre-Luque A., Demetriades AK., Dervenis N., Dianatinasab M., da Silva DD., Douiri A., Edvardsson D., Bain LE., Esposito F., Fagbamigbe AF., Farinha CSE., Fereshtehnejad S-M., Fernandes JC., Ferrara P., Gaal PA., Gallus S., Galluzzo L., Fonseca MG., Gazzard G., Gialluisi A., Giampaoli S., Gill PS., Glasbey JC., Gorini G., Grivna M., Hafiz A., Haro JM., Hartvigsen J., Hay SI., Heibati B., Hillus D., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hussain S., Isola G., Johnson O., Jonas JB., Joo T., Jozwiak JJ., Jürisson M., Karanikolos M., Kauppila JH., Khan MAB., Khatab K., Klugar M., Koyanagi A., Kurmi OP., Kusuma D., La Vecchia C., Lacey B., Lamnisos D., Larson HJ., Larsson AO., Lasrado S., Lauriola P., Lazarus JV., Ledda C., Lee PH., Leinsalu M., Leonardi M., Levi M., Li A., Linehan C., Logroscino G., Lorkowski S., Loureiro JA., Lyons RA., Madureira-Carvalho ÁM., Majeed A., Mathioudakis AG., McAlinden C., McGrath JJ., Menezes RG., Mentis A-FA., Meretoja A., Meretoja TJ., Mestrovic T., Jonasson JM., Miazgowski B., Miazgowski T., Mirica A., Mohammed S., Mokdad AH., Mons U., Morgado-da-Costa J., Mulita F., Murray CJL., Negoi I., Negoi RI., Negru SM., Nena E., Noor NM., Ntaios G., Oancea B., Osei FB., Otoiu A., Palladino R., Panda-Jonas S., Pardhan S., Patel J., Paun M., Pedersini P., Pensato U., Pereira RB., Pérez-Gómez J., Perico N., Petcu I-R., Peterson CB., Pinheiro M., Postma MJ., Raggi A., Rahmani AM., Rao CR., Rawaf S., Rawassizadeh R., Remuzzi G., Riad A., Sacco S., Saeb MR., Sathian B., Sattin D., Scarmeas N., Schwendicke F., Shiri R., Shivarov V., Sibhatu KT., Simonetti B., Skou ST., Soriano JB., Soyiri IN., Steel N., Stefan SC., Steinbeis F., Steiropoulos P., Stockfelt L., Stranges S., Sundström J., Tabarés-Seisdedos R., Thiyagarajan A., Topor-Madry R., Tovani-Palone MR., Tsilimparis N., Unim B., Vacante M., Van den Eynde J., Vasankari TJ., Veroux M., Villafañe JH., Violante FS., Wang Y., Westerman R., Wolfe CDA., Wyper GMA., Yaya S., Zadnik V., Zeitoun J-D., Zumla A., Freitas A., Devleesschauwer B.
Abstract Background The European Union (EU) faces many health-related challenges. Burden of diseases information and the resulting trends over time are essential for health planning. This paper reports estimates of disease burden in the EU and individual 27 EU countries in 2019, and compares them with those in 2010. Methods We used the Global Burden of Disease 2019 study estimates and 95% uncertainty intervals for the whole EU and each country to evaluate age-standardised death, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) rates for Level 2 causes, as well as life expectancy and healthy life expectancy (HALE). Results In 2019, the age-standardised death and DALY rates in the EU were 465.8 deaths and 20,251.0 DALYs per 100,000 inhabitants, respectively. Between 2010 and 2019, there were significant decreases in age-standardised death and YLL rates across EU countries. However, YLD rates remained mainly unchanged. The largest decreases in age-standardised DALY rates were observed for “HIV/AIDS and sexually transmitted diseases” and “transport injuries” (each -19%). “Diabetes and kidney diseases” showed a significant increase for age-standardised DALY rates across the EU (3.5%). In addition, “mental disorders” showed an increasing age-standardised YLL rate (14.5%). Conclusions There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.