Maria de la Salut, Spain
Maria de la Salut, Spain

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Grant
Agency: Cordis | Branch: FP7 | Program: CP | Phase: ICT-2013.5.1 | Award Amount: 11.64M | Year: 2013

Obesity and other lifestyle-related illness are among the top healthcare challenges in Europe. Obesity alone accounts for up to 7% of healthcare costs in the EU, as well as wider economy costs associated with lower productivity, lost output and premature death. Obesity in younger age is an alarming predictor for obesity in adulthood, but also entails short term health complications in juvenile age along with greater risk of social and psychological problems.\nKnowing how to stay healthy is not enough to motivate individuals to adopt healthy lifestyles, but relevant progress can be achieved through the use of incentives delivered through a combination of processes and mobile technologies.\nRecognizing the effectiveness of this approach, the PEGASO project will develop a multi-dimensional cross-disciplinary ICT system that will exploit sophisticated game mechanics to motivate behavioral changes towards healthier lifestyles and prevent overweight and obesity in the younger population.\nThe project relies on ICT technologies to implement a framework for the promotion of an health service based on three main features: individual&environmental monitoring, including wearable sensors, mobile phone and multimedia diaries for the acquisition of physical, physiological and behavioural attributes of participants; feedback to the user, presenting personalised healthy options for alternative lifestyles; social connectivity, encouraging involvement in social network experience sharing and social engagement. For the system development, a user centered approach, social and networked games and online education will be used. PEGASO will be tested with over 300 adolescents in three EU member states (Spain, Italy, UK).\nThe development of PEGASO project will mobilize a wide stakeholders ecosystem contributed by National Health Authorities and Research Institutions, Industries and Academia from the ICT and healthcare sectors, as well as food companies and SMEs


Castell G.S.,Agencia de Salut Publica de Catalonia | Serra-Majem L.,University of Las Palmas de Gran Canaria | Serra-Majem L.,CIBER ISCIII | Ribas-Barba L.,CIBER ISCIII
Nutricion Hospitalaria | Year: 2015

Diet, along with lifestyle factors, is an important determinant of the health status of an individual and of a community. Dietary assessment at the population level provides us with key information on the frequency and distribution of possible inadequate diets and/or nutritional status. It is also useful as input into the elaboration of food and nutrition policies aiming to improve dietary habits and the health status of a community. This article reviews the characteristics, advantages and limitations of the 24-hour dietary recall method (24hDR), which is one of the most widely used tools in nutrition epidemiology to identify food, energy and nutrient intake in national nutrition surveys, cross-sectional studies, clinical trials and cohort studies as well as in the evaluation of individual dietary intake and Total Diet assessment. To reduce the key factors associated with bias, the importance of previously trained interviewers is highlighted, as well as the role of support materials and the contribution of novel technologies. © 2015, Grupo Aula Medica S.A. All rights reserved.


Picazo J.J.,Complutense University of Madrid | Gonzalez Romo F.,Complutense University of Madrid | Salleras Sanmarti L.,Agencia de Salut Publica de Catalonia | Bayas Rodriguez J.M.,University of Barcelona | Alvarez Pasquin M.J.,Autonomous University of Madrid
Vacunas | Year: 2012

Influenza vaccination coverage in groups in whom it is indicated is a pending assignment in most European countries and the role of health care workers in raising it is fundamental. We made a descriptive cross-sectional study by means of 336 interviews with health care workers throughout Spain and 80 interviews with patients between January and March 2012. The main objectives were to determine the reasons for vaccination or not in health care workers and the general population, to identify the perceived benefits of influenza and pneumococcal vaccination and to determine the type of patients in whom vaccination was recommended. Most health care workers agreed it was necessary to raise vaccination coverage in the population. The main reasons why health care workers decided to receive influenza and pneumococcal vaccination were belonging to a risk group (59% and 65%, respectively) and self-protection (53% and 29%, respectively). Reasons for not vaccinating included not considering themselves as a person of risk/lack of concern about infection (37% and 92%). Reasons for not vaccinating against influenza also included laziness (13%) and lack of time (10%). Most patients were vaccinated and their main concern was possible adverse effects, which were expressed more in the nurses' visit than in the medical visit. Patient's reasons for not vaccinating were related to the perceived lack of risk of infection. Health care workers reported an increase in patients and colleagues worried about arguments against vaccination. Scientific documents supported by the health authorities and scientific bodies were considered as highly valuable instruments that favoured an increase in vaccination coverage. © 2012 Elsevier España, S.L. Todos los derechos reservados.


PubMed | Conselleria de Sanitat, Agencia de Salut Publica de Catalonia, Institute Salud Carlos III, Conselleria de Sanidade de Galicia and 2 more.
Type: Journal Article | Journal: Gaceta sanitaria | Year: 2016

At present, epidemiological surveillance in Spain remains focused on the communicable diseases included in the list of notifiable diseases. However, there has been a change in epidemiological pattern that predominated until the last few decades of the twentieth century. Infectious diseases, which used to be the leading causes of morbidity and mortality, have given way to a predominance of chronic diseases. In this regard, progress has been made in the drafting and adoption of specific legal regulations on public health monitoring. However, Spain has yet to develop this legislation which, among other elements, includes the mandate to organize the surveillance of non-communicable diseases in Spain. This article aims to describe some points that should be considered in the development of a national surveillance system linked to existing strategies for the prevention and control of chronic diseases.


PubMed | Agencia de Salut Publica de Catalonia, Members of the group are listed at the end of the article and CIBER ISCIII
Type: Journal Article | Journal: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin | Year: 2016

We aimed to investigate transmission rates of pertussis in household contacts of cases and factors associated with transmission. A prospective epidemiological study was conducted in 2012 and 2013 to determine the incidence of pertussis among household contacts of reported cases in Catalonia and Navarre, Spain. An epidemiological survey was completed for each case and contact, who were followed for 28 days to determine the source of infection (primary case) and detect the occurrence of secondary cases. Odds ratios (ORs) were used to estimate the effectiveness of vaccination and chemoprophylaxis in preventing new cases, using the formula (1 - OR) 100. For the 688 primary cases, a total of 2,852 contacts were recorded. The household transmission rate was 16.1% (459/2,852) and rose according to the age (>18 years) and lack of immunisation of the primary cases, and also the age (0-18 years), family relationship (siblings and children), lack of vaccination and chemoprophylaxis of contacts. Pertussis vaccine effectiveness in preventing new cases was 65.0% (95% confidence interval (CI):11.6 to86.2) for full vaccination (4 doses) and 59.7% (95% CI: -6.8 to 84.8) for incomplete vaccination (<4 doses). The effectiveness of chemoprophylaxis was 62.1% (95% CI:40.3 to 75.9). To reduce household transmission, contacts should be investigated to detect further cases and to administer chemoprophylaxis. The current vaccination status of cases and contacts can reduce household transmission.


Garcia-Altes A.,Catalan Agency for Health Information | Suelves J.M.,Agencia de Salut Publica de Catalonia | Barberia E.,Institute Of Medicina Legal Of Catalonia
Bulletin of the World Health Organization | Year: 2013

Objective To determine whether the road safety policies introduced between 2000 and 2010 in Catalonia, Spain, which aimed primarily to reduce deaths from road traffic collisions by 50% by 2010, were associated with economic benefits to society. Methods A cost analysis was performed from a societal perspective with a 10-year time horizon. It considered the costs of: hospital admissions; ambulance transport; autopsies; specialized health care; police, firefighter and roadside assistance; adapting to disability; and productivity lost due to institutionalization, death or sick leave of the injured or their caregivers; as well as material and administrative costs. Data were obtained from a Catalan hospital registry, the Catalan Traffic Service information system, insurance companies and other sources. All costs were calculated in euros (€) at 2011 values. Findings A substantial reduction in deaths from road traffic collisions was observed between 2000 and 2010. Between 2001 and 2010, with the implementation of new road safety policies, there were 26 063 fewer road traffic collisions with victims than expected, 2909 fewer deaths (57%) and 25 444 fewer hospitalizations. The estimated total cost savings were around €18 000 million. Of these, around 97% resulted from reductions in lost productivity. Of the remaining cost savings, 63% were associated with specialized health care, 15% with adapting to disability and 8.1% with hospital care. Conclusion The road safety policies implemented in Catalonia in recent years were associated with a reduction in the number of deaths and injuries from traffic collisions and with substantial economic benefits to society.


Barberia E.,Institute Medicina Legal Of Catalonia | Barberia E.,Rovira i Virgili University | Xifro A.,University of Barcelona | Suelves J.M.,Agencia de Salut Publica de Catalonia | Arimany-Manso J.,University of Barcelona
Medicina Clinica | Year: 2014

The main mission of Spanish Institutes of Legal Medicine (ILMs) is to serve the justice system. We review the potential broader role of the work done by ILMs, with an emphasis on forensic pathology. The relevance of forensic information to increase the quality of mortality statistics is highlighted, taking into account the persistence of the low validity of the external causes of death in the Mortality Register that was already detected more than a decade ago. The new statistical form and reporting system for the deaths under ILMs jurisdiction, as introduced by the Spanish Instituto Nacional de Estadística in 2009, are also described. The IMLs role in the investigation of the following mortality causes and of their determinants is reviewed in detail: traffic accidents, suicide, drugs of abuse, child deaths and sudden deaths. We conclude that an important public role of IMLs is emerging beyond their valuable service to the justice system, mainly through the gathering of data critical to assess and prevent several medical and public health and safety issues of great social impact and through their participation in epidemiologic research and surveillance. © 2014 Elsevier España, S.L. All rights reserved.


Suelves J.M.,Agencia de Salut Publica de Catalonia | Suelves J.M.,University of Barcelona | Robert A.,Unitat de Crisi dAdolescents
Revista Espanola de Medicina Legal | Year: 2012

Suicidal behaviors are responsible for 15% of the 15,000 deaths from injuries that occur daily in the world. Spain, with a total of 3,158 suicide deaths reported in 2010 (6.9 deaths per 100,000 population) is among the European countries with a lower mortality rate from this cause, although these figures may be underestimated. Fatal suicidal behavior primarily affects men, and increases rapidly with age from adolescence. Suicidal behaviors are subject to partially known determinants, and can be prevented with strategies that include both early detection and treatment of people with increased risk of suicidal behavior, and population measures such as restricting access to the means of suicide, developing policies to reduce alcohol use, and adopting responsible practices in information on suicide from the media. © 2012 Asociacion Nacional de Medicos Forenses. Publicado por Elsevier Espana, S.L. Todos los derechos reservados.


Valdivieso-Lopez E.,Institute Catala Of La Salut | Valdivieso-Lopez E.,Institute Universitari dInvestigacio en Atencio Primaria Jordi Gol | Flores-Mateo G.,Institute Universitari dInvestigacio en Atencio Primaria Jordi Gol | Molina-Gomez J.-D.,Institute Universitari dInvestigacio en Atencio Primaria Jordi Gol | And 7 more authors.
BMC Public Health | Year: 2013

Background: Tobacco consumption is the most preventable cause of morbidity-mortality in the world. One aspect of smoking cessation that merits in-depth study is the use of an application designed for smartphones (app), as a supportive element that could assist younger smokers in their efforts to quit. To assess the efficacy of an intervention that includes the assistance of a smoking cessation smartphone application targeted to young people aged 18 to 30 years who are motivated to stop smoking. Methods/design. Cluster randomised clinical trial. Setting: Primary Health Care centres (PHCCs) in Catalonia. Analyses based on intention to treat. Participants: motivated smokers of 10 or more cigarettes per day, aged 18 to 30 years, consulting PHCCs for any reason and who provide written informed consent to participate in the trial. Intervention group will receive a 6-month smoking cessation programme that implements recommendations of a Clinical Practice Guideline, complemented with a smartphone app designed specifically for this programme. Control group will receive the usual care. The outcome measure will be abstinence at 12 months confirmed by exhaled-air carbon monoxide concentration of at least 10 parts per million at each control test. Discussion. To our knowledge this is the first randomised controlled trial of a programme comparing the efficacy of usual care with a smoking cessation intervention involving a mobile app. If effective, the modality could offer a universal public health management approach to this common health concern. Trial registration. NCT01734421. © 2013 Valdivieso-López et al.; licensee BioMed Central Ltd.


Valero F.P.,Agencia de Salut Publica de Catalonia | Rafart J.V.,Autonomous University of Barcelona
Gaceta Sanitaria | Year: 2014

We performed a descriptive retrospective study of cases of listeriosis occurring in Spain from 2001 to 2007 to determine the burden and trend of this disease in our setting. Several sources of information were used. Epidemiological information was collected from 1.242 cases of listeriosis, representing a mean incidence rate of 0,56 cases per 100.000 inhabitants per year, which was extrapolated as an overall estimate for Spain. The annual incidence showed a statistically significant increasing trend (p <0,001) over the study period. This figure was higher than that reported in Spain (0,16) by the Microbiological Information System, which is voluntary, showing that underreporting exists. The inclusion of listeriosis in the Mandatory Notification System would allow determination of the distribution and characteristics of this infection in humans, as well as promotion of effective prevention and control. © 2013 SESPAS.

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