The National Institute of Public Health and the Environment RIVM

Bilthoven, Netherlands

The National Institute of Public Health and the Environment RIVM

Bilthoven, Netherlands
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Hargreaves D.S.,University College London | Struijs J.N.,The National Institute of Public Health and the Environment RIVM | Schuster M.A.,Harvard University
Health Affairs | Year: 2015

Children and adolescents in the United States have been found to be less healthy than their counterparts in other high-income countries. The contribution of pediatric health care use to health outcomes-either as an independent determinant or as a mediator of wider social factors- is not well understood. We found that, compared to their peers in the Netherlands, US children and adolescents had fewer annual doctor and dental contacts in 2012. In both countries, poorer health status was reported among low-income compared to high-income children; however, this status was accompanied by greater or equal number of doctor and dental contacts among low-income Dutch children compared to their higher-income Dutch peers. By contrast, low-income US children had 28- 65 percent fewer care episodes than high-income US children. Further research is needed to investigate the potential impact of greater equity and use of pediatric services on US health outcomes. Possible policy responses might include a focus on improving the quality, coverage, and benefits of health insurance, as well as on the workforce implications of providing high-quality pediatric care to all. © 2015 Project HOPE-The People-to-People Health Foundation, Inc.


PubMed | The National Institute of Public Health and the Environment RIVM
Type: | Journal: Parasites & vectors | Year: 2014

Ixodes ricinus transmits bacterial, protozoal and viral pathogens, causing disease and forming an increasing health concern in Europe. ANTIDotE is an European Commission funded consortium of seven institutes, which aims to identify and characterize tick proteins involved in feeding and pathogen transmission. The knowledge gained will be used to develop and evaluate anti-tick vaccines that may prevent multiple human tick-borne diseases. Strategies encompassing anti-tick vaccines to prevent transmission of pathogens to humans, animals or wildlife will be developed with relevant stakeholders with the ultimate aim of reducing the incidence of tick-borne diseases in humans.

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