Health
Measles Surges Across Europe as Health Authorities Sound the Alarm
Measles, one of the world’s most contagious diseases, is spreading rapidly across Europe, with health officials warning of continued outbreaks in the coming months. According to the European Centre for Disease Prevention and Control (ECDC), over 4,500 cases have been reported across the European Union so far this year, with Romania experiencing the most severe impact.
Romania has recorded 3,203 measles cases through the end of March, making it the epicentre of the EU’s measles crisis. Four people have died, the only reported measles-related fatalities in the bloc this year. Experts attribute the surge in Romania to persistent vaccine hesitancy, misinformation, and a strained healthcare system. The country’s measles vaccination rate stood at just 62% in 2023—well below the 95% threshold needed to achieve herd immunity and prevent outbreaks.
France has reported 345 measles cases this year, with authorities noting a significant number of infections linked to international travel, particularly from Morocco. At least 41 cases were directly tied to imported infections. Although France had a relatively high vaccination rate of 93% in 2023, unvaccinated clusters remain vulnerable to outbreaks.
Italy, with 227 cases so far in 2025, ranks just behind France in the number of infections reported outside Romania. The country’s vaccination coverage—85% in 2023—also falls short of the level needed to prevent the disease from spreading.
In the Netherlands, 204 cases have been recorded in the first quarter of the year, many stemming from travelers arriving from Morocco and Romania. Dutch health authorities reported localized clusters, particularly in primary schools and childcare facilities. Despite no national outbreak being declared, the country’s vaccination rate of 81% remains one of the lowest in the EU.
Spain has reported 202 measles infections in 2025, with several localized outbreaks and a number of imported cases. The country’s 92% vaccination coverage places it near herd immunity, but health officials caution that gaps in immunization still leave room for outbreaks, especially when cases are introduced from abroad.
Health experts across Europe are urging parents to ensure their children are fully vaccinated, emphasizing that the measles vaccine is both safe and effective. The ECDC continues to monitor the situation and warns that without improved vaccination coverage, the risk of further outbreaks remains high.
Last year was the worst for measles in Europe and Central Asia since 1997, with over 120,000 cases. Authorities fear 2025 could follow a similar trajectory if vaccination rates do not improve.
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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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