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What evidence is there for the prevention and screening of osteoporosis?

Osteoporosis – an excessive decrease in bone mass – is more common in women than in men. It is a particularly common condition among elderly women in affluent countries. Osteoporosis is a risk factor for fractures, which occur most commonly at the wrist, spine and hip. Other important risk factors fo...

What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting schools approach?

School health promotion, based on a wide range of research and practice, has evolved over the course of the last 50 years, alongside health promotion in other settings. During the 1990s, WHO, working jointly with the European Commission and the Council of Europe, developed the health promoting schools in...

What is the evidence on effectiveness of empowerment to improve health?

Within the last decades, social exclusion, disparities, and absolute poverty – almost 3 billion people living on less than US $2.00 per day – have grown despite globalization and rising per-capita income in many developing nations. Income ratios of the richest 20% of the population to the poorest 20%...

How effective would antiviral vaccination and antiviral drug prevention and treatment strategies be for reducing the impact of the next influenza pandemic?

An influenza pandemic seems inevitable. The H5N1 influenza virus, known as the avian influenza, is currently circulating in Asia and has appeared in other regions. Avian influenza (flu), which has been transmitted from birds to humans on a limited basis, can be rapidly fatal, with a reported death rate o...

Health technology assessment: An introduction to objectives, role of evidence, and structure in Europe

Health systems have developed at different speeds, and with differing degrees of complexity throughout the twentieth century, reflecting the diverse political and social conditions in each country. Notwithstanding their diversity, all systems, however, share a common reason for their existence, namely th...

Cross border health care in Europe

This policy brief provides a review of current information and issues relating to cross-border health care in Europe. Following an overview of current patterns of patient mobility, the policy brief looks in turn at the legal framework for mobility, the financial implications, approaches to quality monito...

Mental health I: key issues in the development of policy and practice across Europe

Mental health problems account for approximately 20% of the total burden of ill health in Europe (WHO, 2004a). This estimate of burden is just the tip of the iceberg; what makes mental health almost unique is the broad impact it can have on all aspects of life, including physical health, family relations...

What is the impact of HIV on families?

In Europe, the number of people infected with human immunodeficiency virus (HIV) is increasing. More infections of heterosexuals are appearing, and young people and women are becoming more vulnerable. For these people, the introduction of highly active antiretroviral therapy (HAART) now allows them to li...

What is the effectiveness of antenatal care? Supplement

This is a Health Evidence Network (HEN) evidence report on antenatal care (ANC). This report is a supplement to the 2003 HEN report on the same subject (http://www.euro.who.int/Document/e82996.pdf). It is a review of the best available evidence in the scientific literature regarding ANC interventions. It...

Should patient decision aids (PtDAs) be introduced in the health care system?

“Grey zone” treatments are those that rely upon the patient’s judgement of associated benefits versus harms. When clinicians judge patients are eligible for “grey zone” treatments, their acceptance should be consistent with informed patients’ values. The question is how can one obtain informe...