This month is set to be a busy one for both European sports and politics.

Euro 2016 is due to begin tomorrow, and the tournament which now includes teams from 24 nations is set to the largest ever.

And obviously, the news item which has been dominating the headlines over the past two months is the EU referendum, taking place in two week’s time.

Don’t worry: the debate as to whether our health system would benefit or be harmed by an exit is already a complex and crowded one, and it’s not one we intend to get involved in here.

However, with the subject of Europe taking over just about every mainstream headline there is, we thought it might be interesting to enter into the spirit of things with a little competition of our own.

So over the past week, the Treated.com team have been busy putting together the following: the European Championship of Health.

What did we look at?

We assessed a range of measures for each nation in continental Europe, gathering data from a range of sources including WHO, the OECD, the IHME and Indexmundi. These measures included:

  • Health expenditure per person
  • Hospital beds per capita
  • Number of physicians per capita
  • Life expectancy at birth
  • Obesity prevalence as a percentage
  • Overweight prevalence as a percentage
  • Percentage of daily smokers
  • Alcohol consumption in litres of pure alcohol per person per year (this figure is provided as an estimate by WHO on 2015 consumption, based on previous trends)
  • And urban area concentration of PM 2.5 as our air pollution measure. (This indicates the presence of air pollution particles in urban atmospheres, which may potentially be able to enter the respiratory tract and induce infections and inflammatory diseases.)

Here’s what we found:

TREATED - Euro 16 Health Winners And Losers Jun 16 Proof2 (1)

The Winners

  • Luxembourg and Monaco topped the tables on healthcare availability. Health expenditure in Luxembourg averages at $6518 per person, while Monaco has the highest number of hospital beds and physicians per person in continental Europe.
  • Monaco also topped the list for life expectancy at birth, with an impressive 89.57 average. We would speculate that the strong link between health care availability and affluence has contributed towards Monaco’s high figure.
  • Andorra had both the lowest obesity and overweight rates, which could at least be partly due to their access to rural natural produce, lifestyle and, again, relatively high affluence.
  • Sweden had the lowest score (5.9) in our air pollution measure (concentration of PM2.5 in urban areas).
  • Iceland has the lowest percentage of daily smokers at 16.1%; this is an example of an enforced indoor smoking ban being successful. Before the ban came into effect in 2007, the number of Icelandic smokers was much higher according to the OECD, at around 19-20%.
  • Turkey, a predominantly Islamic culture, had the lowest level of alcohol consumption, with 2.4 litres per year per person.

We also developed a points system taking each measure into account, awarding one point to a nation where it performed best in a single measure, two points for second place and so on.

  • The nation with the lowest points across all measures, and thereby our overall health champion, was Norway.
  • Switzerland came in at a close second, and Sweden third.

Full results are presented at the end of this article, along with a full list of data sources.

The Losers

  • Albania, one of the poorest nations on the continent, fared worst in terms of healthcare resources, with the lowest average health expenditure and physicians per capita.
  • Andorra had the fewest number of hospital beds per capita. However, in the case of Andorra, this may simply be because they don’t need them. Their very low obesity and overweight prevalence may partly be the reason behind this.
  • Ukraine had the lowest life expectancy at 69.14, a whole 20 years lower than first placed Monaco. Shorter life expectancy is a problem which has been endemic in many former Soviet countries, including Moldova, Belarus and Russia, many of which typically have high levels of alcohol consumption. However other factors, such as a high infant mortality rate, low investment in public health systems, and a high rate of infectious diseases, have been cited as contributing factors too.
  • Moldova had the highest level of alcohol consumption, around seven times higher than that of Turkey.
  • Greece was where smoking was most prolific. A whopping 42.4% of Greeks over the age of 15 smoke daily.
  • Malta was the most obese country with a 28.3% prevalence, but Iceland was the most overweight country; 67.1% of the population had a BMI of 25 or above.
  • Bosnia had the highest level of PM2.5 concentration, with a score of 56.

And overall:

  • Turkey had the lowest overall score when all measures were considered.
  • Montenegro and Russia were second and third lowest respectively.

What do the results tell us?

The link between low life expectancy and high alcohol consumption was probably the most significant we found. And this should come as no surprise. As we know, excessive alcohol use can lead to a plethora of physical (heart disease, cancer, liver disease) and mental (depression) health issues.

The link between life expectancy and level of affluence is also an obvious one. In typically richer countries, such as Monaco, Andorra and Switzerland, life expectancy was significantly higher.

In Andorra and Switzerland too, obesity and overweight prevalence was also low (BMI data for Monaco was unfortunately not available, but it would have been interesting to analyse), to an extent suggesting a link between high affluence and lower average BMI.

How did the UK do?

TREATED - Euro 16 Health Winners And Losers Jun 16 UK (4)

  • Overall, the UK came in at 26th.
  • The UK had the fourth fewest hospital beds in our study per capita, and the tenth fewest physicians.
  • The UK also had the fourth highest obesity and overweight prevalence.
  • But the UK had the third lowest daily smoking rate, which has to be considered another success for indoor smoking bans and cigarette advertising restrictions.

In summary then, while the UK has succeeded in lowering smoking prevalence, it still has ground to make up in other areas, before it can be considered the healthiest player in Europe.

In fairness, the UK does have one of the highest population densities in Europe, which is undoubtedly a factor in its comparatively sparse hospital bed and physician count.

But what the figures seemingly affirm is that tackling obesity is perhaps one of the biggest challenges our health system faces in improving the nation’s health as a whole.

Below are the full results. All figures used are from the most recent available data. Highest and lowest performers highlighted in bold. Monaco, whose obesity and overweight data figures were not available, have been excluded from the full results.

Country Health expenditure ($ per capita) Hospital beds per 100,000 Physicians per 100,000 Life expectancy at birth Obesity prevalence % Overweight prevalence % Annual urban area concentration of PM2.5 Daily smokers (%) Alcohol consumption (WHO estimated litres per person per year) Overall position
Norway 6308 386 431 81.6 18.6 52.9 9.1 22.2 7 1
Switzerland 6187 468 404 82.39 17.7 48.2 12.6 23.2 10.4 2
Sweden 4244 259 401 81.89 19.3 52.1 5.9 20.6 8.7 3
Austria 4885 765 499 80.17 18 51.2 17.2 35.1 8.5 4
Netherlands 5601 466 329 81.12 14.3 49 14.9 24.8 9.6 5
Italy 3126 342 390 82.03 18.2 49.8 18.6 23.8 6.1 6
France 4334 648 322 81.66 19.5 49.2 12.7 27.6 11.6 7
Denmark 4552 307 362 79.09 19.8 51.9 10.5 17 10.2 8
Andorra 3338 254 316 82.65 8.9 35.7 10.5 32.5 9.1 9
Germany 4812 828 405 80.44 22.2 56.7 14.5 30.3 10.6 10
Belgium 4526 623 295 79.92 20.9 52.6 16 23.1 10.8 11
Spain 2846 297 381 81.47 20.7 54.4 10 29.1 10.6 12
Iceland 3646 317 361 81.22 27.9 67.1 7.7 16.1 6.9 13
Finland 3604 486 302 79.69 21.7 56.4 7.1 20.8 11.9 14
Luxembourg 6518 493 286 80.01 24.9 51.3 16.6 23.6 11.2 15
Belarus 1081 1105 394 72.15 11.8 44.7 18.1 26.8 17.1 16
Greece 2513 476 623 80.3 19.4 61.3 12.7 42.4 9.3 17
Ireland 3867 276 278 80.56 22.7 58.4 10 22.1 10.9 18
Malta 2652 467 366 80.11 28.3 66 14.5 25 7.2 19
Portugal 2508 340 426 79.01 22.3 59.2 9.6 22.2 12.5 19
Albania 539 289 128 77.96 10.2 51 17.1 29.1 6.6 21
Bulgaria 1213 682 398 74.33 18.6 54.3 30.5 35 11.3 22
Estonia 1453 501 328 74.07 22.8 57 8.5 32.3 9.4 23
Slovenia 2595 455 263 77.83 21 58.8 19.4 20.2 10.9 24
Czech Republic 1982 646 369 78.31 19.4 57.9 20.9 33.1 14.1 24
United Kingdom 3311 276 281 80.42 25 61.8 12.5 19.2 12 26
Cyprus 2197 342 322 80.5 24.1 59.6 17.2 33.2 9.1 27
Lithuania 1579 728 428 75.98 21.8 60.2 19.5 29.4 16.2 28
Poland 1551 650 221 76.65 19.8 56.8 25.8 27.9 11.5 29
Ukraine 687 880 350 69.14 20.5 58.3 17 30 11.8 30
Slovakia 2147 580 300 76.69 20 58.1 20.3 28.2 12.5 30
Moldova 553 620 298 70.12 21.6 52.6 17.1 24.2 17.4 32
Latvia 1310 580 319 73.44 22.1 56.4 20.2 35.3 10.6 33
Romania 988 627 248 74.69 19.4 55.4 20.4 29.5 12.9 34
Serbia 987 565 310 75.02 18 53.1 21.5 41.6 12.9 35
Croatia 1517 586 303 76.41 19.9 58.3 20.5 36.4 11.7 36
Hungary 1839 704 321 75.46 23.4 60.2 22.9 28.2 12.4 37
Bosnia and Herzegovina 928 350 188 76.33 18.1 54.6 56 38.3 7.5 38
Russia 1587 818 239 70.16 22.8 57.1 17.1 39.1 14.5 39
Montenegro 926 396 215 74.76 21.9 58.6 24.3 31 11.5 40
Turkey 1053 266 176 73.29 27.6 65 35.7 25.5 2.4 41

Sources:

http://www.euro.who.int/en/countries
http://www.indexmundi.com/g/g.aspx?c=al&v=26
http://www.numbeo.com/pollution/rankings_by_country.jsp
http://www.theguardian.com/news/datablog/2014/may/29/how-obese-is-the-uk-obesity-rates-compare-other-countries
http://apps.who.int/gho/data/node.main.152?lang=en
http://apps.who.int/gho/data/node.sdg.3-a-viz?lang=en
http://apps.who.int/gho/data/view.main.1805?lang=en
http://www.who.int/tobacco/surveillance/policy/country_profile/mco.pdf
http://www.who.int/tobacco/surveillance/policy/country_profile/mne.pdf
http://www.who.int/tobacco/surveillance/policy/country_profile/tkm.pdf
http://www.tobaccoatlas.org/country-data/cyprus/
http://apps.who.int/gho/data/node.sdg.3-5-viz?lang=en
http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT#
http://www.indexmundi.com/blog/wp-content/uploads/2013/04/weight-of-the-world.jpg
http://apps.who.int/gho/data/node.main.A904?lang=en
http://data.worldbank.org/indicator/SH.MED.PHYS.ZS
https://www.cia.gov/library/publications/the-world-factbook/fields/2226.html