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The growing pains of the 2024/2025 Portugal’s NHS telephone triage system natio...
Goiana-da-Silva, Francisco; Amorim-Lopes, Mário; Correia, Fernando; Pereira, João; Ribeiro, Afonso; Tude-Graça, Duarte; Pessoa-e-Costa, TomásIn 2024, the Portuguese NHS introduced “Ligue Antes, Salve Vidas” (“Call Before You Go, Save Lives”), making phone triage through the national SNS 24 line compulsory prior to an Emergency Department (ED) visit in most NHS Local Health Units. While the policy was rightfully concerned with improving timely access to urgent care, it was quickly rolled out without a corresponding investment in infrastructure. The p...
When the lights went out
Goiana-da-Silva, Francisco; Madureira-Fonseca, Daniel; Tude Graça, Duarte; Moitinho De Almeida, Maria; Cabral Pinho, Miguel; Sá, Juliana; Moreira, RuiFunding Information: The author(s) declare that financial support was received for the research and/or publication of this article. The authors acknowledge Imperial College London for funding the open access fees of this paper. Publisher Copyright: Copyright © 2025 Goiana-da-Silva, Madureira-Fonseca, Tude Graça, Moitinho De Almeida, Cabral Pinho, Sá, Moreira, Cabral, Pereira, Nunes, Lourenço, Branco, Ashrafian,...
Correction
Goiana-da-Silva, Francisco; Costa, Soraia; Malcata, Filipa; Sá, Juliana; Vasconcelos, Rafael; Cabral, Miguel; Guedes, Raisa; Morais-Vilaça, InêsPublisher Copyright: Copyright © 2025 Goiana-da-Silva, Costa, Malcata, Sá, Vasconcelos, Cabral, Guedes, Morais-Vilaça, Pinheiro-Guedes, Ferreira, Pereira, Gaspar-Pais, Neves, Monteiro, Pires, Paiva, Guimarães, Ashrafian, Moreira, Fonseca, Cardoso, Alves, Darzi and Araújo.; In the published article, author Juliana Sá was erroneously assigned as corresponding author. The correct corresponding author is Soraia Cos...
Modeling the health impact of legislation to limit the salt content of bread in...
Goiana-da-Silva, Francisco; Cruz-e-Silva, David; Rito, Ana; Lopes, Carla; Muc, Magdalena; Darzi, Ara; Araújo, Fernando; Miraldo, MarisaBackground: Excessive salt consumption—associated with a range of adverse health outcomes—is very high in Portugal, and bread is the second largest source. Current Portuguese legislation sets a maximum limit of 1.4 g salt per 100 g bread, but imported and traditional breads are exempted. In 2017 the Ministry of Health proposed reducing the salt threshold to 1.0/100 g by 2022, however the legislation was vetoed ...
Modeling the health impact of legislation to limit the salt content of bread in...
Goiana-da-Silva, Francisco; Cruz-e-Silva, David; Rito, Ana; C, Lopes; Muc, Magdalena; Darzi, Ara; Araujo, Fernando; Miraldo, Marisa; Nunes, A.Background: Excessive salt consumption—associated with a range of adverse health outcomes—is very high in Portugal, and bread is the second largest source. Current Portuguese legislation sets a maximum limit of 1.4 g salt per 100 g bread, but imported and traditional breads are exempted. In 2017 the Ministry of Health proposed reducing the salt threshold to 1.0/100 g by 2022, however the legislation was vetoed ...
Nutri-Score: The Most Efficient Front-of-Pack Nutrition Label to Inform Portugu...
Goiana-da-Silva, Francisco; Cruz-e-Silva, David; Nobre Da Costa, Catarina; Nunes, Alexandre Morais; Fialon, Morgane; Egnell, Manon; Galan, PilarSeveral studies have identified Front-of-Pack Nutrition Labels (FoPLs) as a promising strategy to improve the nutritional quality of consumers’ food choices and encourage manufacturers to offer healthier products. This study aims to fill the evidence gap regarding the most effective FoPL among the Portuguese population. In total, 1059 Portuguese participants were recruited through a web panel provider and asked...
Salt Reduction Strategies in Portuguese School Meals, from Pre-School to Second...
Rito, Ana Isabel; Mendes, Sofia; Santos, Mariana; Goiana-da-Silva, Francisco; Cappuccio, Francesco Paolo; Whiting, Stephen; Dinis, Ana; Rascôa, CarlaHigh sodium (salt) consumption is associated with an increased risk of developing non-communicable diseases. However, in most European countries, Portugal included, sodium intake is still high. This study aimed to assess the sodium content of school meals before and after the Eat Mediterranean (EM) intervention-a community-based program to identify and correct nutritional deviations through the implementation o...
Projected impact of the Portuguese sugar-sweetened beverage tax on obesity inci...
Goiana-da-Silva, Francisco; Severo, Milton; Cruz e Silva, David; Gregório, Maria João; Allen, Luke N.; Muc, Magdalena; Morais Nunes, AlexandreBackground: Excessive consumption of sugar has a well-established link with obesity. Preliminary results show that a tax levied on sugar-sweetened beverages (SSBs) by the Portuguese government in 2017 led to a drop in sales and reformulation of these products. This study models the impact the market changes triggered by the tax levied on SSBs had on obesity incidence across various age groups in Portugal. Metho...
The Ethics of Taxing Sugar-Sweetened Beverages to Improve Public Health
Goiana-da-Silva, Francisco; Cruz-e-Silva, David; Bartlett, Oliver; Vasconcelos, Joana; Morais Nunes, Alexandre; Ashrafian, Hutan; Miraldo, MarisaThe World Health Organization highlights fiscal policies as priority interventions for the promotion of healthy eating in its Action Plan for the Prevention and Control of Non-communicable Diseases. The taxation of sugar sweetened beverages (SSBs) in particular is noted to be an effective measure, and SSBs taxes have already been implemented in several countries worldwide. However, although the evidence base su...
Front-of-pack labelling policies and the need for guidance
Goiana-da-Silva, Francisco; Cruz-e-Silva, David; Miraldo, Marisa; Calhau, Conceição; Bento, Alexandra; Cruz, Diogo; Almeida, Fernando; Darzi, AraFood labels are a challenge for most consumers, and the development of easily understandable labelling is essential when it comes to empowering consumers in making healthier food choices. (...)