Health
New Study Finds Progress Against Chronic Diseases Stalling in Wealthy Nations
A new global analysis has found that progress in reducing deaths from chronic diseases has slowed in recent years, with wealthy Western nations showing some of the starkest contrasts.
The study, conducted by researchers from the World Health Organization (WHO), Imperial College London, and other institutions, examined mortality from chronic conditions such as cancer, heart disease, and neurological illnesses across 185 countries and territories. The findings, published in The Lancet, show that while mortality from these diseases fell in about 80 percent of countries during the 2010s, the pace of improvement was far slower than in the previous decade.
Globally, chronic illnesses remain a major health burden. “The burden of chronic diseases remains unacceptably high,” said Leanne Riley, one of the study’s authors and head of the WHO’s surveillance, monitoring, and reporting unit.
Among wealthy nations, European neighbours emerged at opposite ends of the spectrum. Germany recorded some of the weakest improvements, faring only slightly better than the United States. Though overall mortality from chronic diseases declined, German women in their 30s and those aged 65 to 75 actually saw increases in deaths linked to lung cancer and dementia.
By contrast, Denmark, Norway, and Sweden ranked among the strongest performers, with significant reductions in chronic disease deaths and little sign of slowdown in the 2010s. Researchers attributed these gains to falling mortality rates among working-age adults, with Denmark hailed as the “regional benchmark” for Western nations.
Elsewhere in Europe, Central and Eastern countries generally recorded encouraging progress. Moldova achieved the steepest decline in chronic disease risk, while Russia and several of its neighbours benefited from tighter alcohol control policies.
The report arrives ahead of a high-level meeting at the United Nations General Assembly later this month, where countries are expected to sign a political declaration on tackling chronic diseases and strengthening mental health services. However, experts caution that such commitments often fail to materialize into concrete policies or additional funding at the national level.
Majid Ezzati, a co-author of the study and professor at Imperial College London, stressed the need for targeted investment and better access to proven health measures. “In many countries, effective healthcare programmes may not be reaching the people who need them, and they are being left out of the health system,” he said.
Ezzati highlighted tobacco and alcohol regulation, diabetes medication, cancer screenings, and treatments for heart attacks as critical priorities. The researchers argue that greater attention to equity in healthcare delivery will be vital if countries are to sustain progress and meet global targets for reducing premature deaths from chronic diseases.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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