Health
Salmonella Outbreak in Germany and Austria Linked to Cashew Butter Sickens Dozens of Children
Health authorities in Germany and Austria have reported a salmonella outbreak linked to raspberry-flavoured cashew butter that has sickened dozens of young children and led to at least 24 hospitalisations.
The European Centre for Disease Prevention and Control (ECDC) confirmed that the outbreak, traced to Salmonella Infantis, has affected primarily children under the age of five. Germany has recorded 52 confirmed cases since late May, while Austria has reported 13 additional cases, most involving young children.
The source of the outbreak was identified through parental interviews conducted by health officials. Investigators traced the contamination to a ready-to-eat cashew butter mousse sold in supermarkets throughout Germany. The implicated product, described as raspberry-flavoured, has since been recalled from store shelves.
According to a safety notice from German food regulators, symptoms of salmonella poisoning can include diarrhoea, vomiting, abdominal pain, fever, and general malaise. Vulnerable populations—especially infants, young children, the elderly, and those with compromised immune systems—are at greater risk of developing severe illness from the infection.
The contaminated cashew butter product was also distributed across several other European countries, including Bosnia and Herzegovina, Croatia, Czechia, Hungary, Italy, Slovakia, and Slovenia. As of June 4, no confirmed cases have been reported in those countries. However, the ECDC has warned that further infections may still occur due to the product’s long shelf life and potential presence in consumers’ homes.
“Given the mousse’s extended shelf-life, there might still be a possibility for the food products to be present in consumers’ homes,” the ECDC said in its latest update, urging consumers to check for the recalled product and discard it immediately.
The agency is continuing to monitor the situation and has requested data sharing from EU member states to track the spread and assist in genomic analysis of the salmonella strain involved.
This is not the only recent salmonella scare in the European Union. In March, the ECDC issued a separate warning over “widespread” salmonella outbreaks linked to alfalfa seeds imported from Italy.
The current incident underscores the ongoing challenges of foodborne illness surveillance and the importance of timely recalls and cross-border cooperation within the EU’s food safety network.
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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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