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
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
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