Health
Third Measles Death Reported in Texas Amid Worsening U.S. Outbreak
An unvaccinated 8-year-old child has died from measles complications in Texas, marking the third confirmed measles-related death in the United States this year as the country battles a growing outbreak. The child was from a community experiencing a significant surge in cases and passed away on Thursday, according to a hospital spokesperson.
This latest fatality comes amid a troubling resurgence of the highly contagious disease, which is preventable through vaccination. Health officials say that the outbreak in Texas began in late January and has since escalated, with the state reporting another sharp increase in cases and hospitalizations on Friday. Nationwide, the U.S. has already seen more than twice the number of measles cases reported in all of 2024.
Texas has become the epicenter of the outbreak, though several other states are also seeing active transmission, particularly in communities with low vaccination coverage. The majority of cases have occurred in children, many of whom are unvaccinated.
Measles, a virus that spreads through the air via coughing, sneezing, or even breathing, can be especially dangerous for children. While most recover, complications such as pneumonia, brain inflammation, blindness, and even death can occur. The U.S. had previously reported two measles-related deaths this year: a 6-year-old child in Texas in February and an adult in New Mexico in early March.
Measles was declared eliminated in the United States in 2000, thanks to widespread vaccination efforts. However, recent years have seen vaccination rates decline in some areas, leading to renewed outbreaks. Public health officials stress that at least 95% of a community must be vaccinated to maintain herd immunity and prevent the virus from spreading.
So far in 2025, there have been 607 confirmed cases of measles across 21 states, according to U.S. health data. The Centers for Disease Control and Prevention (CDC) warns that if the trend continues, the outbreak could extend into next year.
Global health officials are also expressing concern over rising measles cases worldwide. In 2023, an estimated 10.3 million people were infected, and 107,500 died from the disease. Europe is experiencing its worst measles outbreak in 25 years, with over 120,000 cases reported across the continent and Central Asia last year. Romania currently leads with the highest number of infections. In the European Union, Iceland, Liechtenstein, and Norway, more than 32,000 cases have been documented from early 2024 to early 2025.
The World Health Organization (WHO) has urged countries to ramp up vaccination efforts, particularly for children, who account for most of the recent cases. In the U.S., health officials are encouraging parents to ensure their children receive the measles, mumps, and rubella (MMR) vaccine, which is over 97% effective after two doses.
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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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