Health
Europe Sees Surge in Mosquito-Borne Viruses Amid Hot Summer
Hundreds of mosquito-borne infections have been reported across Europe this summer, with health authorities warning that warmer temperatures and global travel are accelerating the spread of diseases once considered rare in the region.
According to the European Centre for Disease Prevention and Control (ECDC), nearly 470 cases of West Nile virus, chikungunya, and dengue have been confirmed or suspected so far this year in EU member states and neighbouring countries. The figure highlights growing concerns that climate change is creating conditions for mosquito populations to expand further north, making seasonal outbreaks increasingly common.
West Nile Virus Leads Case Numbers
The majority of infections this year have been linked to West Nile virus, which has been detected in eight European countries. Italy remains the hardest hit, with 274 reported cases and at least 10 deaths, mostly among men aged 65 and older. Other countries reporting infections include Greece (35 cases), Serbia (nine), Romania (six), France (four), Hungary (two), Spain (one) and Bulgaria (one).
The World Health Organization (WHO) notes that while most West Nile virus infections are mild, about one in 150 cases can result in severe neurological complications such as encephalitis or meningitis, which can prove fatal. Hospitalisations have been common among this year’s patients.
Chikungunya Clusters in France
France has seen a spike in chikungunya cases, with 111 infections recorded this summer, including 22 distinct clusters of transmission—16 of which remain active. Italy has also reported seven cases.
Chikungunya, which is not endemic to mainland Europe, typically spreads more easily during the hot summer months. The illness, marked by fever, rash, muscle pain, and debilitating joint pain, is rarely fatal but can cause prolonged discomfort. Two vaccines are approved in the EU, though no specific treatments exist.
Dengue Reports in Several Countries
Authorities are also tracking dengue cases, with 11 reported in France, four in Italy, and two in Portugal. The Portuguese infections, identified in Madeira in January, are believed to have been contracted in 2024.
The ECDC has warned that Aedes mosquitoes—responsible for spreading dengue—are now established across much of Europe, with particular concentrations in Madeira, Cyprus, and the Black Sea region. Globally, dengue infects between 100 million and 400 million people annually, according to WHO estimates.
Public Health Warning
Health experts stress that while the risk to the general population remains low, outbreaks are expected to become more frequent. Preventive measures such as avoiding standing water, using insect repellent, and wearing protective clothing remain the best defence against infection.
With record-high summer temperatures sweeping across southern Europe, authorities are urging vigilance, noting that mosquito-borne diseases are no longer confined to tropical regions but are increasingly a seasonal public health challenge in Europe.
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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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