Health
Europe Braces for Potentially Severe Flu Season Amid Low Vaccination Rates
Public health experts across Europe are warning that this year’s influenza season could be more severe than usual, as vaccination rates remain low and early signs from Asia and the southern hemisphere suggest a stronger wave of infections.
According to the European Centre for Disease Prevention and Control (ECDC), flu activity across the EU and surrounding countries remains “low but increasing,” as expected for mid-October. However, officials fear that a harsh winter and sluggish immunisation rates could create the conditions for widespread outbreaks in the months ahead.
“Europe’s flu season usually runs from November to May, but patterns have become less predictable since the COVID-19 pandemic,” said Colin Russell, professor at Amsterdam University Medical Center and chair of the European Scientific Working Group on Influenza (ESWI). He noted that last year’s flu season was unusually large following a shorter, milder one in 2023-24.
ECDC data shows that 11 European countries are already reporting sporadic flu activity, with the United Kingdom seeing early rises in infections, particularly among children. “It’s the time of year when everything starts,” said Dr Anna Odone, director of the School of Public Health at the University of Pavia in Italy.
Experts say the severity of this year’s flu season will depend on three key factors: how many vulnerable people there are, which flu strains dominate, and the environment. A long, cold winter could encourage indoor gatherings, making it easier for the virus to spread.
Health authorities are closely watching for outbreaks in schools, elderly care facilities, and prisons — areas where people are in close contact — to gauge when the season officially begins. Last year, influenza A (H1 and H3) and influenza B/Victoria were the dominant strains across Europe.
Clues from abroad suggest potential trouble. Australia and New Zealand recently saw a surge in the H3N2 strain toward the end of winter, while Japan declared a nationwide flu epidemic more than a month earlier than usual. Still, experts caution it’s too soon to know which strains will prevail in Europe. “We’re in wait-and-see mode right now,” Russell said.
While influenza rarely causes serious illness in healthy adults, it remains a significant public health concern, causing an estimated 27,600 deaths across the EU annually. Vaccination remains the most effective protection, but uptake has fallen sharply in many countries.
The EU target for flu vaccination coverage is 75%, yet most countries remain below 50%. Only Denmark (76%), Ireland (75%), Portugal (71%), and Sweden (68%) met or approached the target last season.
“Immunisation has social and political connotations,” Odone said. “It’s not easy to reach the high coverage levels needed to control influenza.”
The ECDC urged national governments to rebuild public trust in vaccines, improve access, and emphasise timely vaccination — especially for high-risk groups such as the elderly, pregnant women, children under five, and healthcare workers.
Russell advised people not to wait until flu cases surge: “If you’re not vaccinated yet, now is the time to do it.”
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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