- Global Health Care Issues
- Healthcare Policy and Management
- Global Cancer Incidence and Screening
- Health disparities and outcomes
- Healthcare Systems and Practices
- Colorectal Cancer Screening and Detection
- Skin Protection and Aging
- COVID-19 Clinical Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- COVID-19 and healthcare impacts
- Estrogen and related hormone effects
- Employment and Welfare Studies
- Cutaneous Melanoma Detection and Management
- Endometrial and Cervical Cancer Treatments
- Clinical practice guidelines implementation
- Cancer Risks and Factors
- Breast Cancer Treatment Studies
- Global Public Health Policies and Epidemiology
- Pharmaceutical Practices and Patient Outcomes
- School Health and Nursing Education
- Nonmelanoma Skin Cancer Studies
- Insurance, Mortality, Demography, Risk Management
- COVID-19 epidemiological studies
- Global Maternal and Child Health
Sciensano (Belgium)
2018-2022
Hôpital Manchester
2014-2022
Institut Scientifique de Santé Publique
2012-2020
Vrije Universiteit Brussel
2018
Hanover College
2015
John Wiley & Sons (United States)
2015
Solvay (Belgium)
2014
National Cancer Registry
2010
Université Libre de Bruxelles
1993-2007
Institut Jules Bordet
1998-2006
Residents in long-term care facilities (LTCF) are a vulnerable population group. Coronavirus disease (COVID-19)-related deaths LTCF residents represent 30-60% of all COVID-19 many European countries. This situation demands that countries implement local and national testing, infection prevention control, monitoring programmes for order to identify clusters early, decrease the spread within between reduce size severity outbreaks.
Background: Previous epidemiologic studies have suggested that sunscreen use is associated with an increased risk of melanoma skin cancer. Because high nevi (mole) count in adults a strong predictor melanoma, we conducted study examining the number 6- to 7-year-old European children, according their use. Methods: Whole-body and site-specific counts 2 mm or larger were performed 631 children first year primary school four cities. Independently, parents interviewed regarding sun exposure, use,...
BackgroundCOVID-19 mortality, excess deaths per million population (DPM), infection fatality ratio (IFR) and case (CFR) are reported compared for many countries globally. These measures may appear objective, however, they should be interpreted with caution.AimWe examined COVID-19-related mortality in Belgium from 9 March 2020 to 28 June 2020, placing it against the background of DPM IFR between within subgroups.MethodsThe relation was evaluated by comparing COVID-19 difference observed...
Abstract Background The COVID-19 mortality rate in Belgium has been ranked among the highest world. To assess appropriateness of country’s surveillance, that includes long-term care facilities deaths and possible cases, number was compared with from all-cause mortality. Mortality during pandemic also historical rates last century including those Spanish influenza pandemic. Methods Excess predictions data were analysed for period March 10th to June 21st 2020. per million calculated hospitals,...
Abstract Objective Scrutiny of COVID-19 mortality in Belgium over the period 8 March – 9 May 2020 (Weeks 11-19), using number deaths per million, infection fatality rates, and relation between excess death rates. Data Publicly available (2020); overall (2009 2020) data demographic on Belgian population; nursing home results repeated sero-prevalence surveys March-April 2020. Statistical methods Reweighing, missing-data handling, rate estimation, visualization. Results has virtually no...
The slope (SII) and relative (RII) indices of inequality are commonly recommended to monitor health policies. As an upwards shift the educational level distribution (ELD) can be part those policies, we examine how such a affects SII, RII population attributable fraction (PAF). We simulated 632 distributions 4 levels (ELs) by varying share (p1 p4) each EL, with constant mortality rates (MR) calculated corresponding RII, SII PAF. Second, decomposed effect on three change affecting both ELD...
Reducing premature mortality is a crucial public health objective. After long gap in the publication of Belgian statistics, this paper presents leading causes and regional disparities 2008–2009 changes since 1993. All deaths occurring periods 1993–1999 2003–2009, people aged 1–74 residing Belgium were included. The cause death population data for provided by Statistics , while international comparisons extracted from WHO database. Age-adjusted rates Person Year Life Lost (PYLL) calculated....
<h3>Background</h3> Reducing socioeconomic inequalities in mortality, a key public health objective may be supported by careful monitoring and assessment of the contributions specific causes death to global inequality. <h3>Methods</h3> The 1991 2001 Belgian censuses were linked with cause-of-death data, each yielding study population over 5 million individuals aged 25–64, followed up for years. Age-standardised mortality rates (ASMR) computed educational level (EL) cause. Inequalities...
The number and size of melanocytic naevi are the main predictors cutaneous melanoma. Naevus development per unit skin surface is greatest during childhood. We assessed body distribution 2–4.9 mm ≥ 5 in 649 European children aged 6–7 years old from Brussels (Belgium), Bochum (Germany), Lyon (France) Rome (Italy). numbers were strongly correlated, especially on trunk. For mm, highest relative densities found face, back, shoulders external arms. lowest hands, legs, feet abdomen. density was...
In Belgium, breast cancer mortality has been monitored since 1954, whereas incidence data have only made available for a few years. this article we update historical trends of and describe the recent incidence. Incidence were extracted from Belgium Cancer Registry 2004 to 2006 Walloon Brussels Regions 1999 Flemish Region. The Directorate-general Statistics Economic information provided years 1954-1999 2004. regional authorities 2000-2003 2005-2006. 2004, World age-standardised whole was 110...
Reducing premature mortality is a crucial public health objective. The goal of this paper, beside updating previous atlases with recent data, to explore the relative between-districts disparity using relative-scale map design. Causes deaths and population data were provided by Statistics Belgium. All occurring in periods 1993–1999 2003–2009, people aged 1–74 residing Belgium included. Age-adjusted rates cause death computed for both periods; 2003-2009 classified scale 10% change between each...
We aimed to investigate the contribution of chronic conditions gender differences in disability-free life expectancy (DFLE) and with disability (LED) Belgium 2001, 2004 2008. Data on from participants 2008 Health Interview Surveys were used estimate prevalence by cause using attribution method. Disability was applied tables DFLE LED Sullivan Decomposition techniques assess mortality further causes death disparities LED. Higher LE, observed for women compared men all years studied. A decrease...
Reducing socio-economic health inequalities is a public priority, necessitating careful monitoring that should take into account changes in the population composition. We analyzed evolution of educational life expectancy and disability-free at age 25 (LE25 DFLE25) Belgium between 2001 2011. The 2011 census data were linked with national register for five-year mortality follow up. Disability prevalence estimates from interview surveys (2001 to 2013) used compute DFLE according Sullivan's...
In Belgium, socio-economic inequalities in mortality have long been described at country-level. As Belgium is a federal state with many responsibilities health policies being transferred to the regional levels, breakdown of indicators becoming increasingly relevant for policy-makers, as tool planning and evaluation. We analyzed educational disparities by region all-cause cause-specific premature Belgian population. Residents nationality birth registered census 2001 aged 25–64 were included,...
Following the commitments of Tallinn Charter, Belgium publishes second report on performance its health system. A set 74 measurable indicators is analysed, and results are interpreted following five dimensions conceptual framework: accessibility, quality care, efficiency, sustainability equity. All domains care covered (preventive, curative, long-term end-of-life care), as well status promotion. For all indicators, national/regional values presented with their evolution over time....
Various methods exist to estimate disease prevalences. The aim of this study was determine whether dispensed, self-reported and prescribed medication data could be used the prevalence diabetes mellitus thyroid disorders. Second, these pharmaco-epidemiological estimates were compared with prevalences based on diagnoses doctor-registered diagnoses.Data for disorders obtained from three different sources in Flanders (Belgium) 2008: a purely administrative database containing dispensed...
Background COVID-19-related mortality in Belgium has drawn attention for two reasons: its high level, and a good completeness reporting of deaths. An ad hoc surveillance was established to register COVID-19 death numbers hospitals, long-term care facilities (LTCF) the community. adopted broad inclusion criteria notifications, also including possible cases, resulting robust correlation between all-cause mortality. Aim To document assess Belgium. Methods We described content data flows...
Objectives: To identify changes in social inequalities for mammograms uptake Belgium over the period 1997–2008 using multiple indices, and to assess contribution of national breast cancer screening programme these changes. Methods: Data were obtained from four waves Belgian Health Interview Survey. The socio-economic position was defined by educational level. Inequalities measured both with pairwise measures comparing extreme groups (prevalence difference prevalence ratio), indices measuring...
To explore differences in the prevalence and determinants of polypharmacy older general population Belgium between self-reported prescription based estimates assess relative merits each data source.Data were used from participants aged ≥65 years Belgian national health survey 2013 (n = 1950). Detailed information was asked on use medicines past 24 h linked with compulsory insurance (BCHI). Agreement (use or ≥5 medicines) excessive (≥10 both sources assessed kappa statistics. Multinomial...
In Burkina Faso, an initial experiment in training 280 traditional birth attendants (TBAs) was monitored and assessed before extending this to the whole country. The activities of trained TBAs 142 villages were continuously recorded. File cards filled out for 6129 women registered by course prepartum, delivery postpartum. risk factors decisions associated with these procedures standardized all involved study. addition evaluation work TBAs, registering enabled us assess obstetrical pathology...