RESUMO
BACKGROUND: The E.U.'s lack of racially disaggregated data impedes the formulation of effective interventions, and crises such as Covid-19 may continue to impact minorities more severely. Our predictive model offers insight into the disparate ways in which Covid-19 has likely impacted E.U. minorities and allows for the inference of differences in Covid-19 infection and death rates between E.U. minority and non-minority populations. METHODS: Data covering Covid-19, social determinants of health and minority status were included from 1 March 2020 to 28 February 2021. A systematic comparison of US and E.U. states enabled the projection of Covid-19 infection and death rates for minorities and non-minorities in E.U. states. RESULTS: The model predicted Covid-19 infection rates with 95-100% accuracy for 23 out of 28 E.U. states. Projections for Covid-19 infection and mortality rates among E.U. minority groups illustrate parallel trends to US rates. CONCLUSIONS: Disparities in Covid-19 infection and death rates by minority status likely exist in patterns similar to those observed in US data. Policy Implications: Collecting data by race/ethnicity in the E.U. would help document health disparities and craft more targeted health interventions and mitigation strategies.
Assuntos
COVID-19 , Etnicidade , União Europeia , Humanos , Negro ou Afro-Americano , COVID-19/epidemiologia , COVID-19/etnologia , COVID-19/mortalidade , Etnicidade/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Grupos Minoritários/estatística & dados numéricos , Estados Unidos/epidemiologia , União Europeia/estatística & dados numéricosRESUMO
The Public Health Bill of August 9 2004 established that regions are the optimal level for governing interventions. The new law resulted in the creation of the National Health Conference and the new Regional Health Conferences. The Permanent Assembly of the Regional Health Conferences was created in 2006 with a view to fostering closer relations between representatives of the 26 Regional Health Conferences. Three specific missions were officially devolved to the Regional Health Conferences. The object of this article is to provide an overview of these duties and to highlight the difficulties raised by their implementation, as well as their strengths. To conclude, the new Regional Health Conferences are discussed in the light of their recent work.