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Article

Europe’s War against COVID-19: A Map of Countries’ Disease Vulnerability Using Mortality Indicators

1
Department of International Business and Economics, The Bucharest University of Economic Studies, 010374 Bucharest, Romania
2
Carol Davila University of Medicine and Pharmacy, Department of Obstetrics and Gynecology, Filantropia Hospital, 020021 Bucharest, Romania
3
Department of Management, Marketing and Business Administration, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(18), 6565; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186565
Received: 8 August 2020 / Revised: 5 September 2020 / Accepted: 7 September 2020 / Published: 9 September 2020
(This article belongs to the Special Issue The World in Crisis: Current Health Issues)
Specific and older age-associated comorbidities increase mortality risk in severe forms of coronavirus disease (COVID-19). We matched COVID-19 comorbidities with causes of death in 28 EU countries for the total population and for the population above 65 years and applied a machine-learning-based tree clustering algorithm on shares of death for COVID-19 comorbidities and for influenza and on their growth rates between 2011 and 2016. We distributed EU countries in clusters and drew a map of the EU populations’ vulnerabilities to COVID-19 comorbidities and to influenza. Noncommunicable diseases had impressive shares of death in the EU but with substantial differences between eastern and western countries. The tree clustering algorithm accurately indicated the presence of western and eastern country clusters, with significantly different patterns of disease shares of death and growth rates. Western populations displayed higher vulnerability to malignancy, blood-related diseases, and diabetes mellitus and lower respiratory diseases, while eastern countries’ populations suffered more from ischaemic heart, cerebrovascular, and circulatory diseases. Dissimilarities between EU countries were also present when influenza was considered. The heat maps of EU populations’ vulnerability to diseases based on mortality indicators constitute the basis for more targeted health policy strategies in a collaborative effort at the EU level. View Full-Text
Keywords: COVID-19; comorbidities; mortality; Europe; eastern countries; western countries COVID-19; comorbidities; mortality; Europe; eastern countries; western countries
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MDPI and ACS Style

Horobet, A.; Simionescu, A.A.; Dumitrescu, D.G.; Belascu, L. Europe’s War against COVID-19: A Map of Countries’ Disease Vulnerability Using Mortality Indicators. Int. J. Environ. Res. Public Health 2020, 17, 6565. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186565

AMA Style

Horobet A, Simionescu AA, Dumitrescu DG, Belascu L. Europe’s War against COVID-19: A Map of Countries’ Disease Vulnerability Using Mortality Indicators. International Journal of Environmental Research and Public Health. 2020; 17(18):6565. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186565

Chicago/Turabian Style

Horobet, Alexandra, Anca A. Simionescu, Dan G. Dumitrescu, and Lucian Belascu. 2020. "Europe’s War against COVID-19: A Map of Countries’ Disease Vulnerability Using Mortality Indicators" International Journal of Environmental Research and Public Health 17, no. 18: 6565. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186565

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