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. 2022 May 6;37(4):309–320. doi: 10.1007/s10654-022-00867-4

Table 3.

Estimates of prevented years of life lost in the European population and in the population of the European Union aged 50 years and older in 2017 using different assumptions regarding vitamin D fortification effects

Country Fortification policyc Annual cancer deaths baselined Probably currently prevented cancer deaths Further potentially preventable cancer deaths Preventable YLL
European Union
Austria 19,663 0 2,163 20,579
Belgium  −  25,641 523 2,355 21,259
Bulgaria 16,216 0 1,784 12,750
Croatia  −  13,231 270 1,215 9,853
Cyprus 1,345 0 148 1,557
Czech Republic 26,290 0 2,892 24,980
Denmark  −  15,139 309 1,390 11,884
Estonia  −  3,686 75 338 2,411
Finland  ++  12,205 1,207 268 2,409
France  −  156,972 3,204 14,416 141,958
Germany 220,462 0 24,251 208,692
Greece 28,664 0 3,153 27,468
Hungary 31,206 0 3,433 28,145
Ireland o 8,642 360 630 6,048
Italy 164,340 0 18,077 164,262
Latvia —? 5,695 0 626 3,016
Lithuania 7,542 0 830 4,245
Luxembourg 1,047 0 115 1,150
Malta 912 0 100 1,004
The Netherlands  −  43,323 884 3,979 37,933
Poland 95,266 0 10,479 91,314
Portugal  −  26,039 531 2,391 22,367
Romania 47,787 0 5,257 41,440
Slovakia 13,067 0 1,437 11,821
Slovenia 6,148 0 676 6,279
Spain  −  104,179 2,126 9,567 98,019
Sweden  +  22,211 1,293 1,293 10,670
Non-EU countries
Iceland  +  572 33 33 307
Norway  +  10,516 612 612 5,604
Serbia 20,387 0 2,243 17,828
Switzerland 16,915 0 1,861 18,533
Turkey 71,658 0 7,882 80,866
United Kingdom  +  +  161,025 15,926 3,539 29,652
Europea, Main NA 1,397,898 27,353 129,433 (39,440–209,176) 1,166,303 (359,494–1,907,845)
Weaker effect (-10%)  −  Preventable: 116,490 (35,496–188,258) 1,049,673 (323,545–1,717,061)
EUb, Main NA 1,116,916 10,782 113,263 (34,365–182,370) 1,013,513 (312,446–1,655,159)
Weaker effect (-10%)  −  Preventable: 101,937 (30,929–164,133) 912,162 (281,201–1,489,643)

aCountries considered: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, United Kingdom. Data taken from Eurostat, which does not comprise data of several non-EU countries such as Ukraine (population: approximately 41.6 million), Bosnia and Herzegovina (population: approx. 3.3 million), and Moldova (population: approx. 2.6 million)

bExcluding UK

c ++ : mandatory fortification with adequate amounts covering adequate range of products; + : wide-spread voluntary fortification but with insufficient amounts or adequate mandatory fortification but with too few products; o: insufficient mandatory fortification plus some voluntary fortification, − : no mandatory fortification but commonly some voluntary fortification of foods; —: no mandatory fortification and in practice also almost no voluntary fortification of foods.; —?: unknown, supposedly no fortification

dAccording to Globocan data from 2020

NA not applicable; UK United Kingdom; EU European Union; YLL years of life lost