With the half-way point in the implementation period of Health 2020 having been crossed this report reflects on the effect that the policy has had on the Region. Like its predecessors in 2012 and 2015 the 2018 report is an essential resource for the 53 Member States of the WHO European Region to report on progress towards the Health 2020 targets outlining areas that may be unfinished by 2020 and beyond. Lessons learned from across the Region on action taken by the WHO Regional Office for Europe and Member States to improve the health and well-being of their populations are presented. The report also addresses the new public health challenges that have emerged in recent years. To respond effectively to these challenges new forms of evidence are essential to measure health and well-being in different cultural and subjective contexts. This is particularly important in the context of the 2030 Agenda for Sustainable Development and the Sustainable Development Goals whose health indicators overlap significantly with those for Health 2020. The report will be a useful source of information for policy-makers throughout the Region helping them identify areas that need further assessment and policy action at the national level. It should inspire Member States and other stakeholders to contribute to the work under the umbrella of the WHO European Health Information Initiative: a collaboration between the Regional Office European institutions and Member States aimed at improving the information that underpins policy. Only through broad international cooperation and bold strides in the way evidence is used in the 21st century will evidence fully inform health policy-making for the benefit of all.

The publication of the European Health Report every three years gives readers (including policy-makers, politicians, public health specialists and journalists) a vital snapshot of health in the WHO European Region and progress towards health and well-being for all. The report also shows trends in and progress towards the goals of Health 2020, the European health policy, and reveals some gaps in progress, inequalities and areas of concern and uncertainty, where action must be taken.

This open access book addresses the current debate on extended working life policy by considering the influence of gender and health on the experiences of older workers. Bringing together an international team of scholars, it tackles issues as gender, health status and job/ occupational characteristics that structure the capacity and outcomes associated with working longer. The volume starts with an overview of the empirical and policy literature; continues with a discussion of the relevant theoretical perspectives; includes a section on available data and indicators; followed by 25 very concise and unique country reports that highlight the main extended working life (EWL) research findings and policy trajectories at the national level. It identifies future directions for research and addresses issues associated with effective policy-making. This volume fills an important gap in the knowledge of the consequences of EWL and it will be an invaluable source for both researchers and policy makers.

This open access book applies insights from the network perspective in health research to explain the reproduction of health inequalities. It discusses the extant literature in this field that strongly correlates differences in social status with health behaviours and outcomes, and add to this literature by providing a coherent theoretical explanation for the causes of these health inequalities. It also shows that much research is needed on the precise factors and the social and socio-psychological mechanisms that are at play in creating and cementing social inequalities in health behaviours. While social support and social relations have received considerable attention within social and behavioural science research on health inequalities, this book considers the whole network of interpersonal relations, structures and influence mechanisms. This is the perspective of the social network analytical approach which has recently gained much attention in health research. The chapters of this book cover state-of-the-art research, open research questions, and perspectives for future research. The book provides network analyses on health inequalities from the perspective of sociology, psychology, and public health and is of interest to a wide range of scholars, students and practitioners trying to understand how health inequalities are reproduced across generations.

This report presents the latest updates related to food security and nutrition in Europe and Central Asia, including estimates on the cost and affordability of healthy diets. It also explores how governments are supporting the food and agriculture sector and how to repurpose policies and incentives to make healthy diets more affordable and agrifood systems more environmentally sustainable. The new estimates confirm that the prevalence of hunger at chronic or severe levels is relatively low in the ECA region, through the prevalence of food insecurity at moderate or severe levels can be quite high. The region is seeing alarmingly high – and rising – rates of overweight and obesity. The COVID-19 pandemic has added 25.5 million people in the region to the ranks of the moderately or severely food insecure, leaving them without access to safe, nutritious and adequate food. The war in Ukraine has made the situation worse. Almost all ECA subregions are experiencing increased costs and reduced affordability of healthy diets because of higher food prices and lower incomes. This report contains an in-depth analysis of the repurposing of food and agricultural policies to ensure the food systems transformation is better suited to addressing the “triple challenge” of achieving food security and good nutrition for better health, providing livelihoods to farmers and others connected to the sector, and reducing the nature and climate footprint of the sector. This report also reviews complementing policies within and outside of agrifood systems to assess whether repurposing efforts are impactful in the ECA region.

Presenting cutting-edge insights into the current state of EU legislation, this book addresses the profound changes that the EU’s legislature has undergone in recent years and how these shape the development of EU law. At the heart of this inquiry is how the strive for uniform EU legislation is balanced with the necessity to leave a certain degree of autonomy to Member States.

This book discusses the factors behind the inequalities embedded within our social, economic and political systems. Social inequalities are especially seen in the service sectors – in the differences of access to healthcare, education, social protection, housing systems, childcare, elderly care etc. Cultural inequality, which segregates people from the mainstream based on recognition problems with a specific groups’ social status, language, religion, customs and norms, is another widespread issue. This book tries to present an accurate picture of these issues with cases studies from various countries. Mostly, when we talk about inequality, the focus is on economic inequality; however, much inequality persists, especially discrimination due to gender, age, origin, ethnicity, disability, sexual orientation, class, and religion. To end this situation there is a need for social, economic, and political reform. Until or unless the marginalized groups are empowered, the inequality issue cannot be solved or even minimized. On the basis of various case studies, this book encourages us to rethink societal development through the lens of growing inequalities and disparities. The book presents new insights for evaluating the progress on social development. The book highlights the current challenges of social inequality. In combination this collection of edited papers gives an integrated understanding of the question of “why is society unequal”? This book is aimed at those stakeholders, who want to make or contribute to change and build an undivided, socially inclusive society, and to those who want to contribute to empowering society in the Twenty-First century.

World Health Statistics 2019 summarizes recent trends and levels in life expectancy and causes of death, and reports on the health and health-related Sustainable Development Goals (SDGs) and associated targets. Where possible, the 2019 report disaggregates data by WHO region, World Bank income group, and sex; it also discusses differences in health status and access to preventive and curative services, particularly in relation to differences between men and women.