Health
Health Experts Warn of Winter Dehydration Risks
Health experts are cautioning that dehydration is often overlooked during winter, putting people at risk of fatigue, brain fog, and even serious kidney problems. While most associate dehydration with hot summer months, specialists say maintaining proper fluid intake is equally important when temperatures drop.
Yadira Santiago Banuelos, a clinical assistant professor and practising family nurse practitioner at Purdue University’s School of Nursing, emphasised that hydration affects a wide range of bodily functions, from skin health to immunity. “When we’re well hydrated on the inside, we’re also better hydrated on the outside, helping with dry skin,” Banuelos said. “It also helps lubricate between our joints, which we definitely want when we’re out shovelling snow.”
Hydration also plays a critical role in supporting the immune system during peak cold and flu season. Banuelos explained, “It helps provide that moist mucous membrane layer that helps prevent viruses, bacteria, things like that throughout the winter.”
Despite these benefits, winter dehydration often goes unnoticed. People tend to underestimate their risk because they are less likely to feel thirsty. Banuelos noted that the body’s thirst response decreases by about 40 per cent in colder months, meaning individuals may already be dehydrated before recognising their need for fluids.
Cold weather also contributes in subtle ways. Dry air pulls moisture from the skin, urination frequency tends to increase, and sweat continues to occur even if it evaporates quickly. “We still sweat, but oftentimes we don’t notice it as much because it tends to evaporate a lot quicker with the cold,” Banuelos said.
Dehydration can lead to a range of symptoms depending on severity. Early signs include dizziness, dry skin, chapped lips, fatigue, and a foggy feeling. If prolonged, it can result in more serious complications, including kidney problems such as kidney stones or even kidney failure.
Experts advise that the widely cited “eight cups a day” guideline may not be sufficient for everyone. Banuelos explained that men typically need about 13 cups (approximately three litres) of water daily, while women require around nine cups (two litres). Fluid needs can increase during pregnancy or breastfeeding, with women sometimes needing intake levels similar to men.
Maintaining adequate hydration in winter may require more conscious effort. Experts suggest drinking water regularly throughout the day, incorporating hydrating foods such as fruits and vegetables, and paying attention to signs of dryness or fatigue. Simple habits such as carrying a reusable water bottle, choosing warm fluids like herbal teas, and monitoring urine color can help ensure proper hydration.
With cold temperatures and dry indoor air contributing to moisture loss, health professionals emphasise that staying hydrated is vital not only for comfort but also for overall health. Winter should not be a season of neglect when it comes to water intake, and proactive hydration can help protect joints, skin, kidneys, and immunity during the colder months.
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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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