Health
Spain’s Basque Country Investigates Administration of Expired Vaccines
Health authorities in Spain’s Basque Country have launched an investigation after expired vaccines were administered to 253 people, including dozens of infants, over a two-month period within the region’s public health system. Officials confirmed that none of the affected individuals have reported adverse side effects.
The case came to light following a complaint filed by the EH Bildu parliamentary group to the Basque Parliament. Authorities have contacted all affected individuals, assuring families that the expired vaccines pose no health risks, and are arranging replacement doses to maintain full immunization coverage.
The vaccines involved were hexavalent doses, a key childhood immunization protecting against six diseases: diphtheria, tetanus, whooping cough, haemophilus influenzae type B, polio, and hepatitis B. These vaccines are routinely administered to infants under standard immunization schedules. According to the Basque health system, Osakidetza, the expired doses “do not entail any type of health impact or adverse effect.”
Systemic Oversight Failures
EH Bildu has criticized Osakidetza, claiming that some individuals received two expired doses and that the health system failed to monitor expiration dates or follow established protocols. In a legislative initiative in Álava, the party stated that “Osakidetza has not monitored the traceability of the expiry date and has not complied with the established procedures and protocols,” as reported by Basque public broadcaster EITB.
The expired vaccines were administered across 12 of the 13 integrated health organizations in the Basque Country, a region in northern Spain with its own autonomous health system.
Families Contacted for Revaccination
Alberto Martínez, the Basque Minister of Health from the Basque Nationalist Party (PNV), said in a statement that all cases have been identified and families are being directly informed. He added that health centers began contacting affected families on Wednesday to schedule replacement doses. Both Osakidetza and Spain’s national medicines agency, along with the Basque Vaccine Advisory Council and the vaccine manufacturer, recommend that all affected individuals receive revaccination to ensure full protection.
Second Vaccine Controversy in Recent Months
This incident follows a separate vaccine-related scandal in the region just four months ago. In September 2025, a trial began against a pediatric nurse in Santurtzi, Biscay province, accused of pretending to vaccinate children while discarding the vials. Prosecutors estimate that more than 400 children were left unvaccinated in 2021 and 2022 as a result.
Together, the two incidents have raised concerns about vaccine administration and oversight in the Basque health system. Authorities stress that while procedural failures are under investigation, the expired vaccines administered in the recent case pose no health risk to recipients.
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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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