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Gac Sanit. 2016 Mar-Apr;30(2):154-7. doi: 10.1016/j.gaceta.2015.12.008. Epub 2016 Jan 29.

[Chronic diseases as a priority for the public health surveillance system in Spain].

[Article in Spanish]

Author information

Consejería de Salud de Andalucía, Sevilla, España. Electronic address:
Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España.
Agencia de Salut Pública de Catalunya, Lleida, España.
Ministerio de Sanidad, Servicios Sociales e Igualdad, Madrid, España.
Conselleria de Sanitat, Valencia, España.
Consellería de Sanidade de Galicia, Santiago de Compostela, A Coruña, España.


At present, epidemiological surveillance in Spain remains focused on the communicable diseases included in the list of notifiable diseases. However, there has been a change in epidemiological pattern that predominated until the last few decades of the twentieth century. Infectious diseases, which used to be the leading causes of morbidity and mortality, have given way to a predominance of chronic diseases. In this regard, progress has been made in the drafting and adoption of specific legal regulations on public health monitoring. However, Spain has yet to develop this legislation which, among other elements, includes the mandate to organize the surveillance of non-communicable diseases in Spain. This article aims to describe some points that should be considered in the development of a national surveillance system linked to existing strategies for the prevention and control of chronic diseases.


Chronic diseases; Enfermedades crónicas; Public health surveillance; Vigilancia de la salud pública

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