Zsigmond Kósa is the county chief medical officer of Szabolcs-Szatmár-Bereg County, Hungary. György Széles, László Kardos, Karolina Kósa, Gabriella Fésüs, Róza Ádány, and Zoltán Vokó are with the School of Public Health, Medical and Health Science Centre, University of Debrecen, Hungary. Renáta Németh and Sándor Országh are with the Johan Béla National Center for Epidemiology, Budapest, Hungary. Martin McKee is with the London School of Hygiene and Tropical Medicine, London, England.