Health
Chikungunya Outbreak Spreads Rapidly in Southern China, Thousands Infected
China is grappling with a significant outbreak of chikungunya, a mosquito-borne viral disease, with over 7,000 cases reported in the southern province of Guangdong so far this year. The city of Foshan has emerged as the epicentre, prompting an urgent response from health authorities to curb the virus’s spread.
According to China’s state broadcaster CCTV, patients in Foshan have been hospitalised and are sleeping under mosquito nets as authorities step up containment efforts. More than 2,800 new cases were reported in just the last week, fuelling concern over the rapid transmission of a virus rarely seen in China.
Local health officials say the outbreak was triggered by an “imported case” in July, though they have not disclosed its origin. Since then, at least 12 other cities in Guangdong have confirmed infections. On Sunday, Hong Kong reported its first chikungunya case — a 12-year-old boy who had recently travelled to Foshan and later developed fever, rash, and joint pain.
Authorities insist that all reported cases in China so far have been mild, with most patients recovering without complications. However, the pace of the outbreak has heightened public health alertness.
Understanding Chikungunya
Chikungunya was first identified in Tanzania in 1952 and has since spread to over 110 countries, with outbreaks most common in Africa, Southeast Asia, and the Pacific Islands. The virus is transmitted through the bite of infected Aedes mosquitoes.
Symptoms typically develop within a week of exposure and include high fever, rash, muscle aches, joint pain, and nausea. While fatalities are rare, joint pain can linger for months in some cases. There is no specific treatment or widely available vaccine.
Containment Measures Underway
In response to the escalating outbreak, authorities in Guangdong have pledged “decisive and forceful measures” to contain the virus. The provincial government has launched large-scale mosquito control initiatives, including clearing stagnant water from public and residential areas — known breeding grounds for mosquitoes.
Residents have been urged to eliminate standing water from items such as flower pots, bottles, and household containers. Those failing to comply face fines of up to 10,000 yuan (€1,208). In Foshan, officials have released mosquito-eating fish into lakes and deployed drones to detect hidden water sources on rooftops and other inaccessible areas.
The Chinese Center for Disease Control and Prevention has also issued advisories on both chikungunya and dengue fever, recommending the use of mosquito nets, screen doors, and repellents.
Mosquito-Borne Illnesses in Europe
While chikungunya remains rare in Europe, France and Italy have reported a combined 51 cases this year. Meanwhile, Italy is battling its own mosquito-borne crisis — West Nile virus. The Lazio region reported the death of a 93-year-old woman last week, bringing the country’s death toll to 10 in 2025.
The European Centre for Disease Prevention and Control (ECDC) has confirmed West Nile infections in five countries: Italy, Greece, Romania, Bulgaria, and France. In Italy, the lethality rate for the neuro-invasive form of the virus has climbed to 20%, up from 14% last year.
As the global climate warms and mosquito habitats expand, public health experts warn that outbreaks of mosquito-borne illnesses may become increasingly frequent — even in regions previously considered low-risk.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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