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Women are disproportionately affected by autoimmune diseases — conditions in which the immune system mistakenly attacks the body’s healthy cells and tissues. Yet a new study has found they are significantly more likely than men to face prolonged diagnostic journeys, with nearly a third of surveyed women waiting four years or longer for a diagnosis.

Uruguay has taken the top spot in a new global retirement ranking, overtaking last year’s leader, Portugal. But Europe remains the most represented region, with six countries in the top ten. The Americas hold three places, while Mauritius ranks second.