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WHO’s flagship publication, the European health report 2018, welcomes an increase in life expectancy and reductions in premature mortality, but warns that smoking, alcohol, overweight and obesity and under-vaccination are hindering progress in some countries. The European health report, reveals that life expectancy in the WHO European Region continues to rise, and that some European countries enjoy the highest sense of “life satisfaction” recorded anywhere in the world. However, significant discrepancies between countries across numerous key indicators, and the failure to halt or substantially reverse the negative effects of tobacco smoking, alcohol consumption, overweight and obesity, and under-vaccination remain causes for real concern.