Health
Romania Faces Surging Measles Outbreak Amid Vaccine Hesitancy and Healthcare Challenges
Romania is grappling with a severe measles outbreak, fueled by low vaccination rates, a struggling medical system, and widespread misinformation. While the country faces the largest measles crisis in Europe, experts warn that other nations may soon follow.
The outbreak, which has persisted for nearly three years, has intensified, with over 31,000 reported cases and 22 deaths in 2023 alone. Nearly half of the infections occurred in unvaccinated children under the age of five, highlighting the impact of Romania’s declining immunization rates. As of 2023, only 62% of the population was fully vaccinated against measles—well below the 95% threshold needed for herd immunity.
A Widening European Concern
While Romania remains the epicenter, measles is resurging across Europe. Countries such as Italy, Germany, Belgium, Austria, and France have each reported hundreds of cases in the past year, with numbers expected to rise.
“The challenge is all over the region,” said Dr. Dragan Jankovic, who oversees measles elimination at the World Health Organization (WHO) Europe office. “2024 was the worst possible year for measles in Europe since the 1990s. That’s why countries need to act now and start immunizing those who are unprotected.”
According to WHO data, only four EU countries—Hungary, Malta, Portugal, and Slovakia—currently meet the 95% vaccination target. The ongoing decline in routine childhood immunization since the COVID-19 pandemic has raised concerns that measles could become endemic in parts of Europe.
Why Vaccination Rates Are Declining
Romania’s vaccination rate was once on par with other EU countries, but the past decade has seen a sharp decline. A combination of factors—including vaccine hesitancy, supply shortages, healthcare system inefficiencies, and a mass exodus of medical professionals—has contributed to the crisis.
“It’s like the perfect storm ahead of an epidemic,” said Dr. Stefan Dascalu, an immunologist at Oxford University. “If you leave one of these problems untreated, it metastasizes.”
Public mistrust in vaccines deepened during the COVID-19 pandemic, when misinformation and conspiracy theories flourished. Anti-science rhetoric has also gained traction in Romania’s political landscape, with far-right parties leveraging vaccine skepticism to gain influence in parliament.
Romania’s healthcare system remains underfunded, with spending at just 5.8% of GDP—half the EU average. Many Romanians still perceive doctors as corrupt, making them more susceptible to vaccine misinformation. Additionally, while measles vaccines are free and recommended for children, they are not mandatory, and medical professionals are not always adequately trained to administer them or provide clear guidance.
Fighting Misinformation and Encouraging Immunization
Dr. Claudia Cojocaru, a neonatologist in Romania, has become an outspoken advocate for vaccinations after personally battling measles in 2019. She now works to counter vaccine misinformation among skeptical parents.
“I try not to push or mock them,” Cojocaru explained. “I tell them my messenger is always open. If they have concerns, they can ask me.”
Public health experts stress that reversing vaccine hesitancy and rebuilding trust in immunization programs will require long-term efforts, including stronger public health messaging, more investment in healthcare, and improved coordination across European nations.
“No single country is safe from the importation of the virus,” Jankovic warned. “If measles reaches unvaccinated populations, we will see more cases—and unfortunately, more outbreaks.”
Health
Novo Nordisk Teams Up With OpenAI to Accelerate Drug Discovery Using AI
Danish pharmaceutical giant Novo Nordisk has announced a new partnership with OpenAI aimed at integrating artificial intelligence across its drug development and business operations.
The collaboration, revealed on Tuesday, is expected to help the company identify new treatments more quickly and improve how medicines are developed, produced and delivered to patients. Novo Nordisk said the use of advanced AI tools will allow it to analyse vast and complex datasets, uncover patterns that were previously difficult to detect, and shorten the timeline from research to patient access.
Chief executive Mike Doustdar said the agreement marks an important step in positioning the company for the future of healthcare. He noted that millions of people living with chronic conditions such as obesity and diabetes still require better treatment options, adding that new therapies remain to be discovered.
Novo Nordisk is widely known for its leading treatments in these areas, including Ozempic and Wegovy, which have seen strong global demand in recent years. The company said integrating AI into daily workflows will allow its teams to test ideas more rapidly and bring innovations to market at a faster pace.
The partnership will not be limited to research and development. Both companies plan to apply AI tools to manufacturing processes, supply chains and commercial operations, with pilot programmes already set to begin. Full integration is expected by the end of the year.
Sam Altman said artificial intelligence is transforming industries and has the potential to significantly improve outcomes in life sciences. He added that the collaboration would support faster scientific discovery and more efficient global operations, helping to shape the future of patient care.
The move comes as pharmaceutical companies increasingly turn to AI to gain an edge in drug discovery. Novo Nordisk has already invested in innovation through initiatives such as the Danish Centre for AI Innovation, developed in partnership with Nvidia and Denmark’s export and investment fund.
Competition in the sector is intensifying. US-based Eli Lilly, a key rival in the weight-loss drug market, recently announced its own AI-focused collaboration with Insilico Medicine to develop new treatments. The agreement, valued at up to $2.75 billion, highlights the growing role of AI in reshaping pharmaceutical research.
Industry analysts say such partnerships reflect a broader shift toward data-driven innovation in healthcare, where the ability to process and interpret large volumes of information is becoming increasingly important.
For Novo Nordisk, the partnership with OpenAI signals a commitment to staying at the forefront of this transformation, as companies race to harness technology in the search for new and more effective treatments.
Health
Study Finds AI Models Fall Short in Early Medical Diagnosis
A new study has found that artificial intelligence language models still struggle with one of the most critical aspects of medical care, raising concerns about their use without human oversight.
Researchers from Mass General Brigham reported that AI systems failed to produce an appropriate early diagnosis more than 80 per cent of the time. The findings, published in JAMA Network Open, highlight ongoing limitations in how these systems reason through complex clinical scenarios.
The study examined 21 large language models, including systems developed by OpenAI, Google and xAI. Among those tested were versions of GPT, Gemini, Claude, Grok and DeepSeek.
Researchers used a structured evaluation tool known as PrIME-LLM to assess how well the models handled different stages of clinical reasoning. These stages included forming an initial diagnosis, ordering tests, reaching a final diagnosis and planning treatment. The models were tested using 29 standardised clinical scenarios, with information introduced gradually to mirror real-life patient cases.
While the systems showed relatively strong performance when identifying a final diagnosis, their ability to generate a differential diagnosis — a key step in distinguishing between conditions with similar symptoms — remained limited. This early-stage reasoning is widely regarded as essential in medical decision-making.
Marc Succi, a co-author of the study, said current models are not ready for independent clinical use. He noted that differential diagnosis represents a core part of medical practice that AI has yet to replicate effectively.
Another researcher, Arya Rao, said the findings show that AI performs best when given complete information but struggles when cases are still developing. She explained that the models are less reliable in situations where doctors must make judgments based on limited or uncertain data.
Despite these shortcomings, the study identified a group of higher-performing systems, including advanced versions of GPT, Gemini, Claude and Grok. These models achieved final diagnosis success rates ranging from around 60 per cent to over 90 per cent when provided with detailed clinical data such as lab results and imaging.
Experts not involved in the research also stressed the importance of caution. Susana Manso García said the findings reinforce that AI should not replace professional medical judgement. She advised that patients continue to seek guidance from qualified healthcare providers when dealing with health concerns.
The study concludes that while AI has made progress, it still requires close human supervision in clinical settings. Researchers say the technology shows promise as a support tool, but its current limitations mean it cannot yet be trusted to make independent medical decisions.
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