Health
Health Services Scramble During Widespread Blackout in Spain and Portugal
A sudden and unexplained blackout brought large parts of Spain and Portugal to a standstill on Monday, severely disrupting public services, transport, and healthcare systems across the Iberian Peninsula. With no electricity, internet, or mobile service for hours, doctors and pharmacists were forced to revert to manual methods to treat patients and protect vital medicines.
Hospitals relied on emergency generators to continue delivering essential care, including emergency surgeries and time-critical treatments. But for many family doctors, the outage meant suspending most services. At a clinic in Lisbon, Dr. Tiago Villanueva described scenes reminiscent of the early days of the COVID-19 pandemic.
“Everything stopped. We tried doing things manually, writing prescriptions by hand like it was 30 years ago,” said Villanueva, who also heads the European Union of General Practitioners. With visibility dropping as the sun set and no clear instructions from health authorities, staff eventually had no choice but to send patients home.
A major concern during the outage was the safety of vaccines and temperature-sensitive medicines. Power failures threatened cold-chain storage systems, putting vaccine stocks such as those for measles, tuberculosis, and other childhood diseases at risk.
Dr. João Paulo Magalhães, vice president of Portugal’s Public Health Doctors Association, warned that many vaccines may have become unusable. “Thousands of refrigerators need continuous power. Probably, there are some vaccines that are no longer viable,” he said.
In Terrassa, near Barcelona, hospital pharmacist Jordi Nicolás said his team managed to safeguard their drug inventory using hospital backup power. However, he noted that many Spanish pharmacies now rely heavily on automation. “There are a lot of robots,” said Nicolás, who is also vice president of the Spanish Society of Hospital Pharmacists. “We had to find manual workarounds to access critical medicines.”
The blackout also exposed vulnerabilities in the digital infrastructure of healthcare. Without power, pharmacists and clinics lost access to electronic medical records, making it nearly impossible to confirm prescriptions or track patient histories.
“This situation highlights the urgent need for contingency planning,” Nicolás said. Magalhães echoed the sentiment, adding that the disruption was significant and could have had serious consequences if the blackout had continued for more than a day.
While power was largely restored by late Monday evening, healthcare professionals across both countries are calling for more robust emergency systems to safeguard patient care in future crises.
“We need better ways to communicate with health authorities during events like this,” Villanueva said. “I’m even considering buying a radio — it was the only thing that worked.”
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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