Health
Japanese Scientists Uncover Biological Evidence Behind Long COVID Brain Fog
In a groundbreaking discovery, scientists in Japan have identified what they describe as the first biological evidence explaining the cause of “brain fog” associated with Long COVID, shedding light on one of the most persistent and disabling aftereffects of the virus.
A research team from Yokohama City University, led by Professor Takuya Takahashi, found that people suffering from Long COVID show abnormally high activity of AMPA receptors — molecules in the brain essential for learning and memory. The findings, researchers say, indicate that Long COVID brain fog is not just a lingering symptom but a measurable molecular disorder.
“By applying our newly developed AMPA receptor PET imaging technology, we aim to provide a novel perspective and innovative solutions to the pressing medical challenge that is Long COVID,” said Professor Takahashi in a statement.
Brain fog — a broad term encompassing poor memory, slow thinking, and difficulty concentrating — is one of the most common symptoms reported by Long COVID patients. Studies estimate that more than 80 percent of people with the condition experience cognitive difficulties, often impairing their ability to work, study, or perform everyday tasks.
Until now, scientists have struggled to pinpoint a biological mechanism for the problem. While previous studies detected subtle structural changes in the brain, none had clearly linked them to specific molecular disruptions.
The Yokohama team focused on AMPA receptors (AMPARs), which act as key communication hubs between neurons. These receptors have been previously linked to mental health and neurological disorders such as depression, schizophrenia, and dementia. Using a newly developed technique known as K-2 AMPAR PET imaging, the researchers scanned the brains of 30 Long COVID patients and compared them with 80 healthy individuals.
The scans revealed that AMPAR density was significantly higher among those with Long COVID, and the greater the receptor activity, the more severe the cognitive symptoms reported by patients. The team also observed elevated levels of inflammation in affected individuals, suggesting that immune system overactivation in the brain may be driving the changes in receptor activity.
“Our findings clearly demonstrate that Long COVID brain fog should be recognized as a legitimate clinical condition,” said Takahashi. “This could encourage the healthcare industry to accelerate the development of diagnostic and therapeutic approaches for this disorder.”
According to the World Health Organization, around six in every 100 people who contract COVID-19 go on to develop post-COVID conditions. While the research remains in its early stages, experts say it opens the door to potential treatments aimed at reducing excessive AMPAR activity — a step that could one day help ease cognitive symptoms in millions of patients worldwide.
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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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