Health
Europe’s Health Progress Stalls as WHO Report Highlights Key Challenges
Europe’s progress on health is slowing down, with setbacks in vaccination coverage and persistent chronic diseases posing significant challenges, according to the latest European Health Report from the World Health Organization (WHO). The report, released every three years, examines health trends across Europe and parts of Central Asia.
The 2024 report found that vaccination coverage has declined in several countries, contributing to outbreaks of diseases such as measles and pertussis (whooping cough). In 2023 alone, more than 58,000 measles cases were reported across 41 countries, while pertussis cases surged to 87,000—the highest number in a decade. Only seven countries—Hungary, Kazakhstan, Malta, Portugal, Slovakia, Turkmenistan, and Uzbekistan—achieved the WHO target of over 95% coverage for key vaccines, including those for diphtheria, tetanus, pertussis, measles, and pneumococcal infections.
“Whilst progress was happening, it has stagnated, and of course, we know that the COVID pandemic has had an impact, but we can’t just sit back and be complacent,” said Dr. Natasha Azzopardi-Muscat, WHO Europe’s Director of Country Health Policies and Systems, during a press conference.
Despite challenges, the report noted positive trends in reducing mortality from chronic diseases such as cardiovascular disease, cancer, diabetes, and respiratory illnesses. Ten countries—Belgium, Denmark, Estonia, Israel, Kazakhstan, Luxembourg, the Netherlands, Norway, Sweden, and Switzerland—have achieved a 25% reduction in premature deaths from these illnesses. However, chronic diseases still account for one in six deaths among individuals under the age of 70 in the region, with cardiovascular disease remaining the leading cause of premature death, particularly in Eastern Europe and Central Asia.
WHO Regional Director for Europe, Dr. Hans Kluge, emphasized the need to address the root causes of chronic diseases, including tobacco and alcohol use, poor nutrition, air pollution, and physical inactivity. Europe leads the world in alcohol consumption, with adults averaging 8.8 liters annually—equivalent to approximately 733 to 880 standard drinks. Alcohol is responsible for one in every 11 deaths in the region. Additionally, tobacco smoking rates remain high at 25%, and the region is unlikely to meet its goal of reducing smoking by 30% this year. Obesity is also on the rise, with nearly one-quarter of adults affected.
The report highlighted mental health challenges among adolescents, with one in five experiencing issues and suicide ranking as a leading cause of death among 15 to 29-year-olds. Kluge noted that the rise of digital communication has paradoxically led to increased feelings of loneliness and low self-confidence among young people, which can negatively impact their long-term health.
Environmental factors, including climate change, also pose significant health risks. Europe is the fastest-warming region globally, with an estimated 175,000 heat-related deaths annually. Meanwhile, maternal mortality rates have plateaued since 2015, and there are notable disparities in preventable child deaths across countries.
Looking ahead, Kluge stressed that while people are living longer, they are not necessarily living healthier lives. He warned that Europe’s health systems are no better prepared for emergencies than they were before the COVID-19 pandemic, underscoring the importance of international cooperation to address global health threats such as avian influenza, mpox, and Marburg virus. “Keeping health high on the agenda means working together to build a safer and more resilient world,” Kluge concluded.
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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Health
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