Over the last hundred years, the reasons behind health inequalities have changed. In the past, issues like infectious diseases and poor living conditions were the primary culprits. Today, chronic diseases and lifestyle choices play a significant role. While we see progress in life expectancy and medical advancements, many vulnerable groups still struggle with health challenges.

The COVID-19 pandemic highlighted these inequalities on a global scale. Certain communities were hit much harder, reminding us that health access isn’t equal. This crisis emphasized the need for policies that tackle systemic health issues so everyone can get the care they need.
Yet, two major questions hang in the air. First, health improvements haven’t benefited everyone equally. For example, Europe still faces big differences in health outcomes based on social and regional factors. The European Commission has identified health inequalities as one of the biggest challenges today. Still, there’s not enough understanding of where these modern disparities come from.
Second, we lack clarity on the social, economic, and environmental factors that influenced health and life expectancy in Europe during the 19th and 20th centuries.
Understanding these challenges requires digging into their origins. Most historical studies rely on national mortality data that often lack detail about what caused deaths. This leads to vague classifications and limited understanding. Research often gets stuck in different academic silos. Historians, economists, and epidemiologists might share interests but tend to focus only on their own disciplines. This approach overlooks the impact of changing disease environments, which could lead to misconceptions about the influence of socioeconomic conditions on health.
A new initiative, the GREATLEAP COST Action, launched in 2023, aims to tackle these gaps. This network includes 258 members from 35 countries, uniting experts to explore the historical context of health inequalities. By creating a comprehensive dataset on historical causes of death, they hope to provide fresh insights. Dr. Tim Riswick, chair of the initiative, noted that understanding the past is crucial for developing policies that promote health equity today.
The GREATLEAP COST Action is not just about looking back; it’s about using those insights to inform future healthcare strategies. By uncovering the historical roots of health disparities, the project aims to shape effective public health policies for all, regardless of socioeconomic status.
As we strive for health equity, initiatives like GREATLEAP demonstrate the importance of collaboration across disciplines. They remind us that a comprehensive approach is essential for addressing the deep-seated issues in our health systems today.
For more insights into health inequalities and ongoing research initiatives, check out the European Cooperation in Science and Technology (COST) website here.
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Chronic, covid-19, Education, Health Disparities, Healthcare, Infectious Diseases, Life Expectancy, Pandemic, Poverty, Research, Technology