Dementia Prevention report cover

International Health Insights: Dementia Prevention

This International Health Insights report explores global evidence on dementia prevention and the importance of supporting brain health across the life course.

The report reviews international best practice and highlights successful approaches from countries including Finland, Japan, South Korea, Uruguay, and the United Kingdom.

Key messages:

Dementia is not an inevitable part of ageing. Addressing modifiable risk factors across the life course could prevent up to 45% of cases. Effective prevention requires integrated action at three levels:

1. Single component behavioural change interventions remain essential foundations, targeting individual risk factors such as physical inactivity, smoking, social isolation, alcohol misuse, and untreated hearing or vision loss. component behavioural change interventions

2. Multi component interventions that target multiple, clustered risk factors represent the most promising strategy.

3. Structural population-level measures such as fiscal policies, legislation, marketing restrictions, environmental adaptations are critical to complement lifestyle-based approaches.

Authors: Keira Charteris, Daniela Stewart+ 2 more
, Zuwaira Hashim, Mariana Dyakova

Urgent care components and their effectiveness: A rapid review of evidence and international insights

This report explores how different components of urgent care services can help reduce pressure on emergency departments and support patient independence. Drawing on the latest research through a systematic rapid review and international insights, it highlights best practices from across the UK and globally to inform urgent care service design in Wales. The review covers a range of urgent care service components, including:
• Task shifting strategies to optimise workforce capacity and efficiency
• Improved access to diagnostic services, such as radiology
• Smart tools like digital triage and decision-support systems for staff
• Expansion of urgent care/treatment centres for timely, appropriate care
• Virtual urgent care, including phone and video consultations for urgent advice
The findings suggest that well-designed urgent care services can deliver safer, faster, and more effective care. While further research is needed, the evidence highlights a promising opportunity to ease pressure on hospitals and ensure patients receive the right care, in the right place, at the right time.

About the review:
This work is a collaboration between the Evidence Service (Research, Data and Digital Directorate) and the International Health Insights team (Policy and International Health Directorate, WHO Collaborating Centre on Investment for Health and Wellbeing) within Public Health Wales.

Authors: Anamica Patel, Keira Charteris+ 8 more
, Kate Shiells, Laura Johnson, Helen Morgan, Hannah Shaw, Daniela Stewart, Zuwaira Hashim, Kirsty Little, Mariana Dyakova

International Health Newsletter Issue 7: July 2025

The International Health Coordination Centre’s (IHCC) International Health Newsletter promotes and shares international news, events and initiatives with partners across Wales and beyond.

The newsletter was piloted in May 2023, thereon issued quarterly.

View the latest issue here.

Authors: Laura Holt, Jo Harrington+ 4 more
, Daniela Stewart, Zuwaira Hashim, Dr Stanley Upkai, Malek Mhd Al Dali
International Horizon Scanning and Learning Report: The Commercial Determinants of Health: Children and Young People Report 49

International Horizon Scanning and Learning Report: The Commercial Determinants of Health: Children and Young People Report 49

The International Horizon Scanning and Learning reports were initiated as part of the COVID-19 public health response, to support dynamic response and recovery measures and planning in Wales. In spring 2022, the scope of the reports was expanded to cover priority public health topics, including in the areas of health improvement and promotion, health protection, and health care public health.
In focus: The Commercial Determinants of Health: Children and Young People

Authors: Leah Wargent, Daniela Stewart+ 5 more
, Zuwaira Hashim, Bastien Soto, Aleksandra (Ola) Kreczkiewicz, Abigail Malcolm (née Instone), Mariana Dyakova

International Horizon Scanning and Learning Reports Summary Calendar April 2023 to March 2024

This summary calendar, the fourth to be published, presents a short and interactive overview of the five International Horizon Scanning Reports from 2023-2024, with themes including:

• Universal primary free school meals
• Mental health and well-being of refugees and asylum-seekers
• Five essential conditions for health equity
• Embedding prevention in primary and community care
• Impact of poverty on babies, children and young people

Authors: Leah Wargent, Daniela Stewart+ 9 more
, Zuwaira Hashim, Lauren Couzens (née Ellis), Rachel Bennett, Georgia Saye, Sara Cooklin-Urbano, Rhiannon Griffiths, Abigail Malcolm (née Instone), Emily Clark, Jo Peden
International Horizon Scanning and Learning Report: Impact of Poverty on Babies Children and Young People Report 48

International Horizon Scanning and Learning Report: Impact of Poverty on Babies Children and Young People Report 48

The International Horizon Scanning and Learning reports were initiated as part of the COVID-19 public health response, to support dynamic response and recovery measures and planning in Wales. In spring 2022, the scope of the reports was expanded to cover priority public health topics, including in the areas of health improvement and promotion, health protection, and health care public health.
In focus: Impact of Poverty on Babies, Children and Young People

Authors: Leah Wargent, Lauren Couzens (née Ellis)+ 6 more
, Daniela Stewart, Rachel Bennett, Zuwaira Hashim, Rhiannon Griffiths, Jo Peden, Mariana Dyakova
International Horizon Scanning and Learning Report: Embedding Prevention in Primary and Community Care Report 47

International Horizon Scanning and Learning Report: Embedding Prevention in Primary and Community Care Report 47

The International Horizon Scanning and Learning reports were initiated as part of the COVID-19 public health response, to support dynamic response and recovery measures and planning in Wales. In spring 2022, the scope of the reports was expanded to cover priority public health topics, including in the areas of health improvement and promotion, health protection, and health care public health.
In focus: Embedding Prevention in Primary and Community Care

Authors: Leah Wargent, Daniela Stewart+ 5 more
, Rachel Bennett, Zuwaira Hashim, Sara Cooklin-Urbano, Lauren Couzens (née Ellis), Mariana Dyakova
Front cover of PHW International Health strategy for 2023-2035

Public Health Wales: Our International Health Strategy 2023-2035

Public Health Wales has updated its 2017 International Health Strategy to better reflect the significant changes in the global landscape and to enable Public Health Wales’ new Long-Term Strategy.

Authors: Liz Green, Emily Clark+ 5 more
, Laura Holt, Abigail Malcolm (née Instone), Golibe Ezenwugo, Daniela Stewart, Mariana Dyakova

International Horizon Scanning and Learning Report: Five Essential Conditions for Health Equity Report 46

The International Horizon Scanning and Learning reports were initiated as part of the COVID-19 public health response, to support dynamic response and recovery measures and planning in Wales. In spring 2022, the scope of the reports was expanded to cover priority public health topics, including in the areas of health improvement and promotion, health protection, and health care public health.
In focus: Five Essential Conditions for Health Equity

Authors: Leah Wargent, Daniela Stewart+ 4 more
, Lauren Couzens (née Ellis), Sara Cooklin-Urbano, Mariana Dyakova, Jo Peden

International Horizon Scanning and Learning Report: Mental Health and Well-being of Refugees and Asylum-Seekers Report 45

The International Horizon Scanning and Learning reports were initiated as part of the COVID-19 public health response, to support dynamic response and recovery measures and planning in Wales. In spring 2022, the scope of the reports was expanded to cover priority public health topics, including in the areas of health improvement and promotion, health protection, and health care public health.

In focus: Mental Health and Well-being of Refugees and Asylum-Seekers

Authors: Leah Wargent, Daniela Stewart+ 3 more
, Lauren Couzens (née Ellis), Sara Cooklin-Urbano, Mariana Dyakova
Welsh Health Equity Solutions Platform - acronym WHESP

Welsh Health Equity Solutions Platform (WHESP)

The Welsh Health Equity Solutions Platform will act as a repository of information, case studies, and previous interventions used to help combat inequity and share good practice in Wales.
The platform features searchable data tools and a report-generating function which allows users to input their search terms and produce outputs related to those terms. The platform also offers a spotlight feature that can be used to highlight particular solutions or themes.
The team will develop the platform over time to add additional content and features.

Authors: Rebecca Hill, Jo Peden+ 12 more
, Lauren Couzens (née Ellis), Mariana Dyakova, Daniela Stewart, James Allen, Liz Green, Rebecca Masters, Leah Wargent, Sara Cooklin-Urbano, Golibe Ezenwugo, Abigail Malcolm (née Instone), Jason Roberts, Rajendra Kadel

Welsh Health Equity Status Report – WHESRi

This report aims to help inform and support a sustainable response and recovery from Coronavirus (COVID-19) in Wales, placing health equity at its heart.
It reinforces our understanding of how interdependent individual and societal well-being, and the wider economy are, towards achieving prosperity for all. The report also contributes to strengthening the leading role of Wales at the forefront of the health equity and sustainable development agenda in Europe and globally.

Authors: Mariana Dyakova, Lauren Couzens (née Ellis)+ 10 more
, James Allen, Mischa Van Eimeren, Anna Stielke, Andrew Cotter-Roberts, Rajendra Kadel, Benjamin Bainham, Kathryn Ashton, Daniela Stewart, Karen Hughes, Mark Bellis