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World Bank: Men in Eastern Europe and Central Asia are more likely to die prematurely than women

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PeopleMen in Eastern Europe and Central Asia are more likely to die prematurely than women, a trend driven by rising levels of chronic diseases connected to alcohol use, poor diets, and smoking.

In the region, the number of years of healthy life lost because of ischemic heart disease, or coronary artery disease, increased 18% between 1990 and 2010, cirrhosis 82%, and diabetes 11%. Alcohol use disorders also increased by 11% and cause more early deaths and disability than two decades ago.

While women saw their mortality rates decline over four decades, men in some age groups have experienced increases in mortality and others have seen little or no progress. For men aged 25 to 29, mortality rates were nearly the same in 2010 as they were in 1970, despite improvements for men globally in this age group. For men aged 45 to 59, mortality rose between 1970 and 2010, and researchers attribute this in large part to rising levels of alcohol use.

These are some of the findings published September 4 by the World Bank and the Institute for Health Metrics and Evaluation (IHME) in a report titled The Global Burden of Disease: Generating Evidence, Guiding Policy – Europe and Central Asia Regional Edition, which covers the countries in Central and Southeastern Europe, the Western Balkans, the Commonwealth of Independent States (CIS), as well as Georgia, Russia, and Turkey. The report is based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2010(GBD 2010), a collaborative effort of researchers from 50 countries around the world led by IHME at the University of Washington.

Although communicable, newborn, nutritional, and maternal causes have decreased in number, health loss from these diseases still persists in certain countries across the region, such as in Azerbaijan, Kazakhstan, and Kyrgyzstan.

“The rapid shifts in disease burden place poor people in low- and middle-income countries at high risk of not having access to appropriate services and incurring payments for health care that push them deeper into poverty,” said Timothy Evans, Director of Health, Nutrition and Population at the World Bank Group. “The data in these new reports are critical inputs to the efforts of policymakers in countries towards universal health coverage that aim to improve the health of their people, communities, and economies.”

The World Bank commissioned the first GBD analysis as part of its World Development Report 1993. Earlier this year, IHME presented GBD 2010 findings in meetings hosted by the World Bank. Bank officials saw how the GBD analysis could be applied to the Bank’s work in specific countries and began working with IHME on six regional reports.

The report also identifies the leading causes of disability in the region. Mental disorders such as depression and anxiety as well as low back pain, neck pain, and other musculoskeletal disorders contributed most to increasing levels of disability throughout Eastern Europe and Central Asia.

Fewer people in Europe and Central Asia are dying prematurely, but preventable risk factors such as poor diets, high blood pressure, and alcohol use are fueling increases in health loss from non-communicable diseases,” said Dr. Christopher Murray, IHME Director and one of the lead authors of the GBD study. “As people age and experience a range of health conditions, setting priorities to address these changing health trends becomes increasingly important.”

Murray and his co-authors also call on countries to address the leading risk factors that cause the most disability and premature death. Dietary risks, high blood pressure, alcohol use, smoking, high BMI, and physical inactivity were all leading risk factors that contributed to increasing levels of mortality between 1990 and 2010. Household air pollution, iron deficiency, and suboptimal breast feeding caused the most illness in children.

Each country in Eastern Europe and Central Asia faces unique challenges brought on by changing risk factors,” said Heidi Larson, IHME’s Director of European Initiatives. “For policymakers, it will be critical to use these local data to develop solutions that work for each country while improving health in the region as a whole.”

In Eastern Europe and Central Asia, the top 10 causes of premature death and disability and percent change between 1990 and 2010 were:

  • Ischemic heart disease: 18% increase
  • Stroke: 7% decrease
  • Low back pain: 1% increase
  • Major depressive disorder: 2% decrease
  • Lower respiratory infections: 55% decrease
  • Road injury: 28% decrease
  • HIV/AIDS: 7,399% increase
  • Chronic obstructive pulmonary disease: 22% decrease
  • Self-harm: 9% decrease
  • Lung cancer: 25% decrease

In Eastern Europe and Central Asia, the top 10 risk factors for premature death and disability and percent change between 1990 and 2010 were:

  • Dietary risks: 14% increase
  • High blood pressure: 11% increase
  • Alcohol use: 38% increase
  • Smoking: 1% decrease
  • High BMI: 39% increase
  • Physical inactivity: percentage change unavailable due to lack of data
  • High total cholesterol: 9% decrease
  • High fasting plasma glucose: 20% increase
  • Ambient particulate matter pollution: 36% decrease
  • Occupational risks: 8% decrease

Detailed findings for the World Bank’s Europe and Central Asia region and each country in the region are available online in a series of country profiles and data visualization tools. IHME also is making available for the first time GBD data for every country in the world for download. Anyone can search by condition or country on the IHME website atwww.healthmetricsandevaluation.org/search-gbd-data.

Building on the success of GBD 2010, IHME is expanding its network of researchers from around the world with expertise in specific diseases, injuries, and risk factors. Through this broader network, IHME hopes to strengthen the country-level assessments that are produced and make GBD updates more frequent. Application information is available here.

The World Bank Group and Health, Nutrition, and Population

The World Bank Group is a vital source of financial and technical assistance to developing countries around the world, with the goals of ending extreme poverty and boosting shared prosperity. Improving health is integral to achieving these goals. The Bank Group provides financing, state-of-the-art analysis, and policy advice to help countries expand access to quality, affordable health care; protect people from falling into poverty or worsening poverty due to illness; and promote investments in all sectors that form the foundation of healthy societies.

The Institute for Health Metrics and Evaluation

The Institute for Health Metrics and Evaluation (IHME) is a global health research organization at the University of Washington that provides rigorous and comparable measurement of the world’s most important health problems and evaluates the strategies used to address them. IHME makes this information widely available so that policymakers have the evidence they need to make informed decisions about how to allocate resources to best improve population health.

Source: World Bank

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Romanian Space Agency and University Politehnica of Bucharest, joint workshop dedicated to identifying innovative solutions and facilitating partnerships between public and private actors in the fields of cybersecurity and space

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© ROSA

The Romanian Space Agency (ROSA) and the National University for Science and Technology Politehnica Bucharest, with the support of the EU Cybersecurity Competence Centre (ECCC), organised on Wednesday, 20 March, a workshop on “Cybersecurity and Advanced Space Technologies”, to explore innovative solutions and to stimulate strategic actions, as well as to facilitate the forging of partnerships between public and private actors in the fields of cybersecurity and space.

The workshop hosted by the National University for Science and Technology Politehnica Bucharest was held in a hybrid format, with the participation of representatives from academia, ROSA and ECCC, the Ministry of Internal Affairs, the Ministry of National Defence, the National Cyber Security Directorate, but also from the private sector, with companies such as certSIGN, Thales, CS Group Romania, Eviden or AROBS, which are active in the digital transformation, big data, encryption, software solutions development, electronics and cybersecurity markets.

The discussions, open to stakeholders from the industry, research sphere, academia and students of the National University for Science and Technology Politehnica Bucharest, focused on current trends in advanced space technologies, in particular on redefining and strategically strengthening the cyber resilience of critical infrastructures and services in space taking into account lessons learned from large-scale incidents on Earth; the role of technological innovation in preventing and countering cyber risks and threats, as well as managing future challenges and exploiting opportunities to create robust defence mechanisms.

Also, Romanian companies with a tradition in the IT&C field highlighted tangible results achieved for the development and innovation of the field and for the extension of technological solutions to the space domain, as well as the partnerships established with public and private stakeholders, both at national and European level, aimed at researching and developing innovative technological solutions for civil and military applications.

Finally, discussions also focused on the collaboration between the cybersecurity and space domains, with an emphasis on identifying the most appropriate pathways for cooperation between the two industries to address common cyber risks and challenges, e.g. based on a risk assessment model or through a cyber security operations centre serving entities in a common administrative area.

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Csaba Borboly, President of Harghita County Council and CoR rapporteur, supports the introduction of an infringement procedure against EU countries that do not seriously consider compensation for damage caused by large carnivores to livestock or crops

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© European Union / Fred Guerdin

Csaba Borboly, president of Harghita County Council and rapporteur of the European Committee of the Regions (CoR) for the draft opinion on ”Biodiversity protection and coexistence with large carnivores in Europe – challenges and opportunities for local and regional authorities”, supports, among other things, the introduction of an infringement procedure in European legislation against countries that do not take seriously the compensation of damage caused by large carnivores to livestock or crops.

At a local dialogue organised by Harghita County Council and the CoR on 8 March in Miercurea-Ciuc, Csaba Borboly discussed the need to strengthen EU action for a European policy on large carnivores, underlining the transnational nature of the issue of harmonious coexistence with these animals and calling for sustained efforts at European, national, regional and local level to find new ways for the sustainable and safe coexistence of farm animals, humans and large terrestrial, marine and flying carnivores.

Borboly stressed that dialogue with the European institutions is essential to promote these concerns at the European decision-making level. In addition to ongoing negotiations with the European Commission and the European Parliament, he said, regional and local authorities must be actively involved in the process of developing specific solutions. He also stressed the importance of supporting politicians who back these initiatives and underlined the desire to create a platform at the regional level in Harghita County to develop specific solutions.

“With the report, we are in permanent negotiations with the representatives of the European Commission, here I am referring first of all to the Directorate General for Environment where there is a department for biodiversity, and, besides, to the European Parliament where we try to support with arguments the work of the MEPs who support us, and at home we would like to achieve the creation of a regional platform for large carnivores in Harghita County in the framework of the new European platform for large carnivores, where we can elaborate specific solutions. We also hope that the Government and Parliament will consider these things, and in parallel, there are several analyses and studies on what is not working and how we could improve things, and we are trying to formulate amendments to the legislation. Then we go further to the European Union level, where we have the opportunity to present the report when there are preparatory discussions for the decision-making act, then we can regularly present it at the European big platform meetings and at several public policy debates. Now we have Hungary coming up for the EU Presidency in the summer and if the Hungarian Presidency finds the issue important enough to put it on the agenda, then we will most likely have better results. These are the directions we can take”, said the President of Harghita County Council, CoR rapporteur.

He also highlighted the need for a more coherent and coercive approach at the European level in terms of compliance with biodiversity conservation and habitat protection legislation. He stressed that the lack of enforcement levers in international legislation makes it difficult to implement and comply with these rules, insisting on the need to find effective ways to monitor and sanction Member States that do not fulfill their obligations.

“As I said, on many levels we are moving forward and so far we have been able to solve many things at home, for some we have also had political decisions and regulations, for others we have not. I don’t follow that path – what would happen if we didn’t do anything? – we are moving forward. What has changed from the previous report is that we have included a provision saying that it is not okay if a Member State does not take citizens’ problems seriously. There is a new element in this report, to see if we get support from Brussels to launch an infringement procedure against those states that are not serious about providing compensation and solving the whole problem. Because I have worked with many ministers here, all of whom were well-meaning, but somehow in Parliament, here and there, on the stairs of the Academy, some things got bogged down, not all of them, but some of them, and we see that if there is infringement for waste management and everyone takes the position of the righteous, the mayors are fined for things they did not do, or for waste dumps that were there for who knows when; if there is infringement for air, for water, then we need this infringement procedure on this subject too. I believe that the international legislative framework is not complete here, and there is no coercive leverage. We have levers, what species are protected, and how to protect them, but for Articles 14 and 16, for habitats, for ensuring they are respected, for ensuring that human life and health come first, we do not have any levers. This is why I am saying this, when we also have elections for the European Parliament and this is why I wanted to have this debate and I hope that the two representatives of the RMDSZ in the European Parliament will take up this issue”, explained Csaba Borboly.

Finally, Borboly expressed the hope that through sustained efforts at European level and the active involvement of local and regional stakeholders, it will be possible to find appropriate solutions to a complex problem such as the harmonious coexistence of humans, domestic animals, and large carnivores, thus contributing to the conservation of biodiversity and the protection of the interests of local communities.

“The mills are working slowly to solve this problem. Let’s hope that the Environment Ministry and Brussels will be more courageous on this issue. At the moment I don’t see a better solution for this, than just to work together, to collect data, because I see that things are getting simpler ‘to shoot or not to shoot’; if we stick to this it all gets bogged down. If we simplify things to protected-unprotected status again, things get stuck again. There are many facts that people don’t know because we don’t have data. We know how many birds there are at European level, but we don’t know how many bears, and we could list the rest of the things, the compensation, etc. In 2028 the new funding period starts at the EU level, there will be a lot of opportunities, but there is no point in going for separate money for large carnivores then because it is late. Now a solution is being prepared and at these events we attend I see that many geese beat a pig and somehow we have to put our opinion forward in the European Union”, concluded the President of the CJ Harghita and CoR rapporteur.

The event “Biodiversity protection and coexistence with large carnivores in Europe – Challenges and opportunities for local and regional authorities”, held in Miercurea-Ciuc, brought together numerous speakers and addressed various topics related to biodiversity conservation and the relationship with large carnivores.

During the first part of the dialogue, European perspectives were discussed, with presentations and debates given by key figures such as Csaba Borboly, President of Harghita County Council, László Csák, expert, and Robert Zeman from the European Committee of the Regions. Other notable participants were MEP Herbert Dorfmann and Dr Miklós Heltai, Director of the MATE Wildlife Management Institute.

The second part of the dialogue focused on the situation in Romania and Harghita County, with presentations by officials such as Gabriel Oltean, Ministerial Advisor, and specialists such as Dr. Róbert Szép from the Research and Development Institute for Wildlife Management and Mountain Resources. Also included were perspectives from civil society, represented by Levente Miklós and Hadnagy Lehel.

The dialogue also included video messages from Professor Dr. Ovidiu Ionescu and Dr. Valeria Salvatore, who made important contributions related to the presentation of the Harghita County Regional Platform.

Moderated by journalist Dan Cărbunaru, the event focused on bringing together local and regional authorities, scientific experts and other stakeholders to share experiences and ideas on biodiversity conservation and coexistence with large carnivores, taking into account the Romanian legislative context. Professional presentations and networking sessions resulted in a better understanding of current challenges and possible solutions, as well as the creation of new connections and exchange of ideas among participants.

 

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Harghita County Council and the European Committee of the Regions organise a local dialogue on biodiversity protection and coexistence with large carnivores in Europe (LIVE, 8 March, 09.00)

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© Consiliul Județean Harghita

Harghita County Council, together with the European Committee of the Regions (CoR), is organising a local dialogue in Miercurea-Ciuc on Friday, 8 March 2024 on the protection of biodiversity and the coexistence of large carnivores in Europe, based on the draft opinion of CoR on this issue, coordinated by the President of Harghita County Council, Csaba Borboly (EPP-RO), as rapporteur.

Entitled “Biodiversity protection and coexistence with large carnivores in Europe – Challenges and opportunities for local and regional authorities –“, the event will start at 09.00 and will be broadcast LIVE on CaleaEuropeană.ro and on the Calea Europeană Facebook page.

 

The event will address both the European, national, and local dimensions of the topic. The full agenda is available here.

The first part of the dialogue will address the European perspective and will start with a presentation by the rapporteur, President of CJ Harghita Csaba Borboly, followed by a debate with László Csák, who will present the expert’s point of view, and Robert Zeman (CZ/ECR), shadow rapporteur at the European Committee of the Regions.

The panel will also include MEP Herbert Dorfmann and Dr Miklós Heltai, Director of the MATE Wildlife Management Institute.

The second part of the dialogue will address “Protection of biological diversity and coexistence with large carnivores in Romania and Harghita County”. This panel will include:

– Gabriel Oltean, Ministerial Advisor, Ministry of Environment, Water and Forests;

– Levente Miklós, Rural Development Association of Harghita County Council, on “Wildlife damage caused by brown bears in Harghita County. Aggregated data of the last ten years”;

– Director Dr. Róbert Szép, Research and Development Institute for Wildlife and Mountain Resources Management, on “Practical research results of the Institute for Research and Development of Wildlife and Mountain Resources”;

– Hadnagy Lehel, Engineer, Silos Hunting Association, on “To shoot or not to shoot – the situation of bears through the eyes of a game manager in Harghita”;

During this panel, Professor Dr. Ovidiu Ionescu, ICAS, and Dr. Valeria Salvatore, ecologist, Institute of Applied Ecology, Italy, will deliver video messages on “Regional platform support in meeting the challenges posed by coexistence with large carnivores in 2024”.

The local dialogue is moderated by journalist Dan Cărbunaru, director of CaleaEuropeană.ro.

The aim of the event is to bring together local and regional authorities, scientific experts, and stakeholders, providing an opportunity to share experiences and ideas on biodiversity conservation and coexistence with large carnivores, considering Romanian legislation.

Professional presentations in various fields will contribute to a deeper understanding of current challenges and possible solutions, while networking sessions will provide an opportunity to make new connections and exchange ideas.

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