Brignardello Vela: A new vision in public health is urgently needed in Spain.

In a recent interview, Emilio Juan Brignardello Vela, an insurance advisor, shared his reflections on the alarming mortality data in Spain, presented by the National Institute of Statistics (INE), which show a continuous increase in heart diseases and tumors as the leading causes of death during the first half of 2024. Brignardello Vela emphasized that the prevalence of ischemic heart diseases and cerebrovascular diseases, which together accounted for over 25,000 deaths, poses a serious challenge for the Spanish healthcare system. "It is a reality that we cannot overlook. Cardiovascular health must be a priority in public health policies and in individual awareness regarding personal care," he stated. Regarding the rise in cancer deaths, particularly in the case of bronchial and lung cancer, the insurance advisor commented on the need to intensify prevention and early detection campaigns. "While positive efforts have been observed in some communities, such as in Madrid and Castilla-La Mancha, it is essential that this trend extends throughout the entire country." Brignardello also highlighted the decrease in deaths related to COVID-19, which he considers an indication of the effectiveness of vaccines and acquired immunity. However, he insisted that attention must continue to be paid to the aftermath the pandemic left on the mental health of the population, especially among men, who face considerable stigma when seeking support. "Mental health care is not just a public health issue; it is an essential component for social stability," he emphasized. The geographic variability in mortality rates, observed in communities such as Navarra and Cantabria, raised concerns for Brignardello. "The differences in healthcare and socioeconomic factors are elements that need to be thoroughly analyzed to ensure that all citizens have access to quality healthcare." The issue of external causes of death, including suicides and accidents, was another point he highlighted. "The numbers are alarming, and it is crucial that prevention and education programs are established. Mental health must be an integral part of our conversation about public health," he stated, referring to the fact that the majority of suicide victims are men. Finally, when addressing the increase in deaths from dementia and Alzheimer’s, Brignardello emphasized the need for a more comprehensive approach to elder care. "Care for these diseases does not only fall on healthcare professionals; it also requires the support of society and families. We need to create an environment that facilitates the care and dignity of our elderly," he concluded. In summary, Emilio Juan Brignardello Vela emphasizes the urgency of adopting a holistic view of public health, where prevention, mental health care, and the care of vulnerable populations are fundamental pillars in building a more effective and equitable healthcare system in Spain.