Health
Report Highlights Stark Health System Divide Between Eastern and Western Europe
A new report from the Bratislava-based think tank GLOBSEC highlights a stark contrast in health system resilience between Western and Eastern Europe, underscoring disparities in readiness to handle future health crises. The study reveals that while some countries are fortifying their healthcare sectors to prepare for aging populations and potential health emergencies, others, especially in Eastern Europe, face significant challenges that could hinder their responses to future threats.
The researchers analyzed 36 metrics, including healthcare workforce availability, medical technology access, disease burden, and strategic health sector planning, to evaluate preparedness across Europe. Norway led the ranking, followed closely by the Netherlands, Sweden, Germany, and Denmark—countries with both strong current health infrastructure and proactive measures for future readiness. Conversely, Bulgaria, Poland, Latvia, Romania, and Slovakia were at the bottom of the list, with eight of the ten lowest-ranked countries located in Central or Eastern Europe.
The findings suggest that wealthier countries, which generally invest more in healthcare, tend to have better outcomes and are better equipped to face crises. However, even high-income countries face inequalities, particularly in urban versus rural healthcare access and other socioeconomic factors. “The COVID-19 pandemic has amplified these issues, straining healthcare budgets in many countries already grappling with funding challenges,” the report noted.
An uneven healthcare landscape could have significant implications for future health security. “The pandemic underscored the saying ‘a chain is as strong as its weakest link’ in the healthcare sector,” GLOBSEC researchers noted. They warned that if health systems in some countries lag behind, they may compromise Europe’s collective resilience against emerging health threats.
Countries at the lower end of the ranking often struggle with underfunded healthcare infrastructures, leading to shortages in medical supplies, outdated equipment, and overcrowded facilities. Lower-ranked nations also typically experience longer wait times for new medicines and report higher levels of perceived corruption within their healthcare sectors.
A significant concern highlighted in the report is the higher rate of excess deaths in Eastern Europe since the COVID-19 pandemic, with Bulgaria and Lithuania among those most affected. While some Central and Eastern European countries increased healthcare budgets during the pandemic, their spending levels still fall between 50% and 60% of what top-ranking countries invest in healthcare.
Nevertheless, there are some positive developments within Eastern Europe. For instance, the Czech Republic has increased its access to new medications, making 62% of EU-approved medicines available to citizens, compared with a regional average of 28%. This progress suggests that targeted improvements are possible, even within constrained budgets.
The report underscores the need for comprehensive healthcare investment across the EU to address these regional disparities. With mounting health risks, Europe’s healthcare resilience will rely not only on individual national systems but also on collective measures to ensure equitable access to quality healthcare across the continent.
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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