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
Welsh Health Equity Solutions Platform - acronym WHESP

The New Health Impact Assessment (Wales) Regulations: A Framework for Advancing Health Equity in Wales 

The Welsh Health Equity Solutions Platform (WHESP) has published a new Spotlight Feature Blog exploring how the Health Impact Assessment (Wales) Regulations is set to transform strategic decision-making and strengthen health equity across Wales. 

Authors: Zuwaira Hashim, Lauren Couzens (née Ellis)+ 2 more
, Liz Green, Cheryl Williams

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

Strengthening Health with Equitable International Partnerships: Key Learning and Best Practices

Wales has an enabling legislative and policy context for international health partnerships, illustrated by the Well-being of Future Generations Act goal of creating a ‘globally responsible Wales’.

This discussion paper explored how Welsh and international communities’ benefit from collaborative partnerships through a scoping review. The objectives were to identify current knowledge, evaluate advantages, and determine best practice.

Authors: James Rees, Joshua Yawo Malcolm+ 2 more
, Jo Peden, Zuwaira Hashim

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: Fiscal Levers to Address Obesity Report 51

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: Fiscal Levers to Address Obesity.

Authors: Keira Charteris, Ilona Johnson+ 8 more
, Mariana Dyakova, Zuwaira Hashim, Morgan Savoury, Anna Howells, Josh Levett, Leonor Gonzalez de Mendoza Cremades, Sumina Azam, Emily Finney
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

Social and Economic determinants of gender equity: Strategies for a prosperous future for women in Wales

The Welsh Health Equity Status Report initiative (WHESRi) has published a spotlight feature blog to commemorate International Women’s Day. This spotlight feature focuses on gender equity in Wales, emphasizing the social and economic determinants impacting women’s well-being. It highlights persistent gender inequalities across various spheres, including health, employment, and violence, exacerbated by factors like race, disability, and economic status. To address Addressing these challenges requires gender-responsive policies, gender-inclusive budgeting, and an Economy of Well-being framework to promote positive outcomes and empower women towards a healthier and more prosperous future in Wales.

Authors: Zuwaira Hashim, 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