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.”
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