Cities@Heart – Tackling heart health and inequality in European cities

A new public-private collaboration aims to improve urban health and equality by implementing and evaluating evidence-based strategies that improve awareness, prevention, detection and management of cardiovascular disease.

Cardiovascular disease is the leading cause of death globally, accounting for over 20 million deaths per year. The cost of cardiovascular disease for the European Union is greater than its annual budget.

Around three quarters of the European population now live in urban areas, where the risks of developing cardiovascular disease are heightened by factors such as poverty, lack of access to healthcare and lifestyle issues.  While there are many interventions for cardiovascular disease, a lack of effective implementation means these often fail to reach individuals who would benefit the most. This is particularly evident in underserved city populations, such as those experiencing poverty, and in certain ethnic groups, the disabled and women.

The Cities@Heart project was designed to address these complex issues through an integrated whole-city approach, changing health policy through co-production of interventions with communities and community leaders. A pan-European consortium of 34 international partners, this public-private partnership is led by the University Medical Center Utrecht (Netherlands), the University of Birmingham (UK) and Novartis (Switzerland).

Starting in January 2026, and funded by the European Union Innovative Health Initiative, the Cities@Heart consortium will design, pilot and evaluate a series of city-level strategies to improve cardiovascular health for all. This ambitious project aims to help reduce the burden that cardiovascular disease places on urban environments, as well as reducing the health inequality gap.

The initiative – led by Professor Dipak Kotecha – will leverage existing infrastructure from seven city councils across Europe, embedding new health technologies and innovations from industry partners to tackle the huge scale of the challenge of urban cardiovascular disease.

The strategies will target obesity, high blood pressure, elevated cholesterol and diabetes which are key drivers of common cardiovascular diseases, such as heart attacks, stroke, heart failure, atrial fibrillation and vascular dementia. These disproportionately impact underserved and disadvantaged communities in urban areas, leading to avoidable deaths.

Professor Dipak Kotecha, Global Director of Cities@Heart, Professor of Cardiology in Birmingham (UK) and Honorary Professor in Utrecht (Netherlands) comments:

Huge strides have been made to better manage disease of the heart and circulation, but they still remain the world’s biggest killers. Cities@Heart aims to address the major driver of poor outcomes – inequalities in health and access to healthcare that affect many communities within our cities. We will jointly develop approaches with affected citizens, community leaders, city councils, clinicians, health policy leaders and industry partners to achieve long-term change.

The project consortium involves a broad range of public and private partners, as well as the World Health Organization (WHO) European Healthy Cities Network, World Heart Federation, European Heart Network, European Society of Cardiology and European Public Health Association. City-wide strategies will be tested and implemented in Belfast (Northern Ireland), Birmingham (England), Cork (Republic of Ireland), Izmir (Turkey), Łódź (Poland), Udine (Italy) and Utrecht (Netherlands). Succcesful strategies can then be scaled across the WHO’s network of Eurpean cities and beyond.

Charlotte Marchandise, Executive Director at EUPHA, comments:

Cardiovascular disease remains a major cause of illness and early death across Europe, with the greatest impact felt in disadvantaged urban communities. Through Cities@Heart, EUPHA supports cities and partners in sharing knowledge and good practice to improve prevention, reduce inequalities, and protect heart health.

The consortium’s vision is that awareness, evidence-based prevention, early detection, and management of cardiovascular disease are universally accessible in urban areas, supported by new developments in health technology. Cities@Heart aims to reduce the economic burden of cardiovascular disease on society and improve quality-of-life and life expectancy for millions.

For more information, please visit the Cities@Heart project website: www.citiesatheart.eu or write to office@citiesatheart.eu.

Funding acknowledgment

Cities@Heart is supported by the Innovative Health Initiative Joint Undertaking (IHI JU) under grant agreement No 101219389. The JU receives support from the European Union’s Horizon Europe research and innovation programme and COCIR, EFPIA, Europa Bío, MedTech Europe and Vaccines Europe. ​

Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the aforementioned parties. Neither of the aforementioned parties can be held responsible for them.

Participating cities and institutions

Municipalities:

• Municipality Utrecht, Netherlands
• Municipality Łodz, Poland
• Municipality Izmir, Turkey
• Municipality Udine, Italy
• Municipality Birmingham, UK
• Municipality Belfast, UK
• Municipality Cork, Ireland

Academic partners:

• University Medical Center Utrecht
• University of Birmingham
• University of Antwerp
• London School of Economics
• University College Cork
• University of Crete
• University of Udine
• Ege University
• Queen’s University Belfast
• Polish Memorial Hospital Research Institute (Instytut Centrum Zdrowia Matki Polki w Łodzi)

Professional health organisations:

• World Heart Federation
• World Health Organization
• European Heart Network
• European Public Health Association
• European Society of Cardiology
• HL7 Europe

Private organisations

• Novartis
• NovoNordisk
• Wavy Assistant B.V.
• Collaborate Project Management
• Health Service Executive
• Huawei
• Servier
• Menarini
• Daichii Sankyo