Health
Alcohol Consumption Drops Across Europe, But Some Nations Buck the Trend
Alcohol consumption in the European Union has seen a gradual decline over the past decade, dropping by 0.5 litres per person between 2010 and 2020, according to new data released by the World Health Organization (WHO). Despite the overall downward trend, several countries have recorded rising alcohol intake, highlighting differing national habits and health strategies across the continent.
The data reveals that Europeans have been steadily reducing their alcohol consumption over the last four decades. In the EU, the average annual consumption per person aged 15 and over fell from 12.7 litres in 1980 to 9.8 litres in 2020 — a 23% decline. However, the pace of reduction has slowed, with only a 0.5-litre decrease recorded between 2010 and 2020.
The WHO’s broader European Region, which includes 53 countries such as Russia and other non-EU nations, reported a drop from 12 litres in 2000 to 9.5 litres in 2020. Nevertheless, this region continues to top global charts for alcohol consumption, with average intake equivalent to 190 litres of beer, 80 litres of wine, or 24 litres of spirits per person annually.
National data shows stark differences. In 2020, alcohol consumption ranged from as low as 1.2 litres in Turkey to 12.1 litres in Latvia among 36 countries, including EU members, the UK, and EU candidate states. Latvia saw the highest increase in consumption over the decade, rising by 2.3 litres. Other countries with notable increases included Bulgaria (+1.4L), Malta (+1.1L), Romania, and Poland (both +1L).
Conversely, 25 countries reported declines, with Ireland and Lithuania recording the largest drop of 2.1 litres each. Spain and Greece followed closely with 2-litre decreases. Other nations such as the Netherlands, France, and Finland also posted reductions of more than 1.5 litres.
Percentage-wise, Greece led with a 24.1% drop in alcohol consumption, followed by the Netherlands, Spain, and Turkey. Latvia, on the other hand, saw a 23.5% increase, the largest among all countries analyzed.
Heavy drinking remains a concern, especially among men. In 2019, 19% of adults in EU countries reported binge drinking (consuming over 60 grams of pure alcohol in one sitting) at least once a month. Men were more than twice as likely as women to engage in such behavior, with the highest rates reported in Romania, Denmark, and Germany.
Education and income also play a role. Surprisingly, higher education levels are linked to more frequent binge drinking, though individuals with lower socioeconomic status face a heavier burden of alcohol-related harm.
Despite declining trends, health officials stress that no amount of alcohol is safe. “The risk to health starts from the first drop,” warned Dr. Carina Ferreira-Borges of the WHO, reiterating that reducing consumption is the safest path forward.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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