Health
Climate Change Poses Growing Threat to Blood Supply and Demand, Australian Study Warns
Climate change is poised to significantly disrupt both the supply and demand of blood for transfusions, according to a new study conducted by researchers from Red Cross Lifeblood and the University of the Sunshine Coast (UniSC). Published in The Lancet Planetary Health, the study outlines how increasing temperatures, extreme weather events, and the spread of infectious diseases could upend the current blood donation system.
The research highlights a dual threat: a shrinking pool of eligible blood donors due to health impacts and climate-induced disruptions, coupled with a rising demand for blood in disaster and disease-stricken areas.
“Climate change may impact some infectious diseases that can be transmitted via blood and can prevent people from donating,” said Dr. Elvina Viennet, one of the study’s co-authors. She emphasized that blood-borne illnesses such as Dengue Fever, West Nile Virus, and Malaria—driven by rising temperatures and increased rainfall—are becoming more prevalent in regions like Europe, affecting donor eligibility.
Currently, an estimated 25 million blood units are transfused each year across Europe. Blood is essential for a wide range of medical treatments, including surgeries, trauma care, managing chronic conditions, and supporting premature infants. However, disruptions in donor availability or blood storage due to climate extremes could pose serious risks.
“Extreme weather events can limit the mobility of people, disrupt transportation networks, and compromise blood storage conditions,” Viennet added. “This is particularly concerning because blood has a short shelf life and requires carefully regulated conditions.”
Helen Faddy, associate professor at UniSC and the study’s lead author, noted that climate-related health issues may further limit the pool of potential donors. “We could see new diseases emerge, and other health challenges such as blood pressure changes, dehydration from heatwaves, and psychological distress linked to climate anxiety that may affect individuals’ ability to donate,” she said.
Moreover, the study warns that the need for blood transfusions could also increase. Factors such as pregnancy complications, cardiovascular disease, and the rising incidence of sickle cell disease—conditions potentially exacerbated by climate change—may drive higher demand.
To mitigate these risks, the researchers propose several strategies, including the development of flexible and mobile blood collection centers, the use of cell salvage or autotransfusion techniques, and enhanced international collaboration to ensure a resilient and diverse blood supply.
“With rising sea levels and climate-related displacement likely to increase global migration, it’s vital to boost blood donation from a wider range of ethnic backgrounds,” Faddy stressed. “Encouraging more people to donate blood is a public health priority as climate impacts grow.”
The study serves as a call to action for health authorities worldwide to adapt blood donation systems in the face of escalating environmental challenges.
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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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