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Ukraine’s Healthcare Reforms Align with EU Standards Amid Ongoing War, Says WHO Official

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Kyiv, Ukraine – Ukraine’s healthcare system, under immense strain from the ongoing war with Russia, is simultaneously undergoing critical reforms aimed at aligning with European Union (EU) standards. According to a senior official from the World Health Organization (WHO), these efforts are positioning Ukraine to meet key EU regulations, even as the country grapples with daily attacks on its health facilities.

Jarno Habicht, head of the WHO office in Ukraine, highlighted the country’s dual challenge of addressing immediate healthcare needs while preparing for future EU membership talks. “Ukraine is responding every day,” Habicht said in an interview with Euronews. “Ambulances are supporting civilians, but there is also the challenge of rebuilding destroyed infrastructure.”

Since Russia’s full-scale invasion, attacks on healthcare facilities have increased sharply, with nearly daily incidents reported since December 2023. Despite these challenges, Ukraine is continuing to push forward with health sector reforms initiated before the conflict. Habicht noted that these reforms are critical as Ukraine harmonizes its public health legislative framework with EU standards, a key step in the country’s eventual accession process.

Aligning Healthcare with EU Regulations

While healthcare policy largely remains under the control of individual EU member states, certain areas—such as cross-border patient movement—require greater alignment. Habicht emphasized the importance of harmonizing regulations to ensure consistency in healthcare for Ukrainians, both within the country and in neighboring EU states where many have sought care due to the war.

Several national health frameworks will need to be adjusted to EU law, including regulations on water quality, cosmetics, chemicals, and rules governing tobacco and alcohol. One critical area of focus is the pharmaceutical sector. Ukraine, once home to one of the largest drug manufacturing industries in Central and Eastern Europe, has seen a significant portion of its industry devastated by the conflict. Harmonizing drug manufacturing standards, regulatory practices, and marketing authorizations with EU guidelines will be essential as the country rebuilds.

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In July 2022, Kyiv adopted a new law regulating pharmaceutical products, which aims to prepare the sector for alignment with EU standards. This, according to Habicht, is a key step in Ukraine’s path to EU membership. “Ukraine’s reform efforts and the required harmonization with EU legislation basically go in the same direction,” he said.

Health System Under Siege

Since the war began, the WHO has recorded 1,940 attacks on healthcare facilities in Ukraine, the highest number in any humanitarian crisis to date. In addition to direct strikes on hospitals and clinics, critical infrastructure such as energy systems has been severely impacted. Russia’s large-scale attacks on Ukraine’s power grid have left millions without reliable access to electricity, heating, and water—further complicating the delivery of essential healthcare services.

Habicht warned that as winter approaches, the situation could worsen. “The latest estimate shows the average Ukrainian household is without electricity for six hours a day,” he said. This lack of power is not only affecting healthcare facilities but also schools, businesses, and homes across 20 of Ukraine’s 24 regions.

The war has also exacerbated poverty, with the national poverty rate rising from 7% to 25%. Many Ukrainians are now struggling to afford basic necessities, including medicine. Humanitarian organizations, supported by the WHO, are working to provide free medicines to approximately 12% of unemployed individuals in frontline areas.

Despite the dire circumstances, Ukraine continues its efforts to reform and rebuild, with its sights set on future integration with the EU.

Health

Study Finds Men Far More Likely Than Women to ‘Hit the Wall’ in Marathons

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Men are significantly more likely than women to experience the dreaded marathon phenomenon known as “hitting the wall,” according to a large international study that analysed the performances of more than 870,000 runners over a 26-year period.

The research, published in the journal Scientific Reports, examined the results of 873,334 finishers in the Berlin Marathon between 1999 and 2025. Researchers found that although men generally complete marathons faster than women, they are much more likely to suffer a dramatic slowdown during the later stages of the race because of less consistent pacing.

According to the study, men are almost twice as likely overall to experience a sudden decline in speed during a marathon. In some performance categories, they were found to be up to six times more likely than women to “hit the wall,” a term commonly used to describe severe physical exhaustion caused by depleted energy stores.

Researchers said the findings point to differences in race strategy rather than physical ability alone. Men were more likely to begin races at an aggressive pace, increasing the risk of fatigue before reaching the finish line.

The study concluded that “men, regardless of performance level, are more prone to aggressive pacing and catastrophic deceleration.” The authors suggested that greater willingness to take risks and higher levels of confidence may encourage many male runners to start faster than they can realistically sustain over the full 42.195-kilometre distance.

Women, on the other hand, displayed more controlled pacing throughout the race. Researchers found they were better at regulating their effort from start to finish, reducing the likelihood of a significant loss of speed during the closing kilometres.

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The report described women as showing “superior self-pacing abilities and greater resistance to decision-making fatigue,” characteristics that can be particularly valuable during endurance events.

Maintaining a steady pace is widely regarded as one of the most important factors in marathon performance. Running too quickly during the opening stages can rapidly consume the body’s glycogen reserves, leaving athletes without enough energy to sustain their speed in the final part of the race.

The researchers noted that pacing is “the most critical tactical determinant of performance” in marathon running, making strategic decision-making just as important as physical fitness.

The findings could influence how coaches and runners prepare for long-distance races. Rather than focusing solely on speed, the study suggests that adopting a realistic race plan and maintaining a consistent pace throughout the event may improve overall performance and reduce the chances of a late-race collapse.

With marathon participation continuing to grow worldwide, the researchers believe a better understanding of pacing strategies could help runners of all abilities achieve stronger and more consistent results.

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Study Links Higher Coffee Consumption to Lower Risk of Liver Disease

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Regular coffee consumption may help reduce the risk of serious liver diseases, including cirrhosis, liver cancer and liver-related deaths, according to a new study published in the journal Clinical Gastroenterology and Hepatology.

The research found that people who consumed higher amounts of coffee, including decaffeinated varieties, were less likely to develop chronic liver conditions than those who drank little or no coffee. The findings add to growing evidence that coffee may play a role in supporting long-term liver health, although researchers stressed that the results do not prove a direct cause-and-effect relationship.

The study examined data from more than 350,000 participants enrolled in the UK Biobank, one of the world’s largest long-term health research projects. None of the participants had cirrhosis or liver cancer at the beginning of the study. Researchers monitored their health over a period of 13 years to assess how coffee consumption affected liver-related outcomes.

According to the findings, participants who drank five or more cups of coffee each day had a 32 percent lower risk of developing cirrhosis than those who consumed little or no coffee. They also recorded a 47 percent lower risk of liver cancer and a 42 percent reduction in deaths linked to liver disease.

Researchers found additional indicators of improved liver health among regular coffee drinkers. Participants with higher coffee intake showed lower levels of liver fat, liver iron, fibrosis and inflammation. Blood tests also revealed increased levels of proteins associated with healthy liver function, while markers linked to liver scarring and inflammation were generally lower.

The findings come as liver disease continues to pose a major global health challenge. A separate study published in 2023 estimated that liver disease causes around two million deaths each year, accounting for about four percent of all deaths worldwide. Men account for nearly two-thirds of those fatalities.

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Despite the encouraging results, the researchers urged caution in interpreting the findings. Senior study author Ju Dong Yang said moderate coffee consumption appears to be beneficial for people who already enjoy drinking coffee and tolerate it well.

“Our findings support moderate coffee consumption for people who already enjoy and tolerate it well,” Yang said.

He added that the study does not provide sufficient evidence to recommend that people who do not currently drink coffee should begin doing so solely to reduce their risk of liver disease.

Health experts continue to advise that maintaining a healthy weight, limiting alcohol consumption, eating a balanced diet and managing conditions such as obesity and diabetes remain the most effective ways to reduce the risk of chronic liver disease. Researchers said additional studies are needed to better understand which compounds in coffee may contribute to its potential protective effects.

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Lancet Review Finds mRNA Vaccines Safe and Highly Effective, Calls for Wider Global Access

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A comprehensive review of data covering billions of administered doses of mRNA vaccines has concluded that the technology remains both safe and highly effective in preventing infectious diseases, with researchers urging governments and health organisations to focus on expanding global access.

The review, published in The Lancet, examined evidence gathered since mRNA vaccines were first deployed on a large scale during the COVID-19 pandemic. Researchers found that the vaccines continue to provide strong protection against severe illness while serious side effects remain uncommon.

Unlike conventional vaccines, mRNA vaccines work by delivering genetic instructions that enable the body’s cells to produce a harmless viral protein. This process trains the immune system to recognise and respond to future infections without altering a person’s DNA.

According to the review, mRNA vaccines were 87% effective in preventing confirmed SARS-CoV-2 infections within 14 to 42 days after vaccination. The vaccines also demonstrated 93% effectiveness in preventing hospital admissions and 94% effectiveness in preventing deaths related to COVID-19 during the same period.

Researchers noted that immunity declines over time, but booster doses restore a significant portion of the lost protection.

The review also assessed vaccine safety across billions of administered doses. It found that serious adverse events, including myocarditis, pericarditis and anaphylaxis, occurred very rarely. Most reported reactions, such as pain at the injection site, fatigue and fever, were mild to moderate and typically resolved within a few days.

“Across billions of administered doses, serious adverse events have been rare, well characterised, and consistently outweighed by the substantial protection conferred against severe disease, hospitalisation, and death,” the researchers wrote.

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The review concluded that the vaccines have proven effective across a broad range of populations, including children, older adults, pregnant women and people with weakened immune systems.

Researchers also highlighted the growing potential of mRNA technology beyond infectious diseases. They said ongoing research could lead to personalised cancer vaccines designed to match an individual patient’s tumour characteristics, opening new possibilities for targeted treatment.

Co-author Manish Sadarangani of the University of British Columbia and BC Children’s Hospital Research Institute said mRNA vaccines have already changed how the world responds to emerging infectious diseases and could continue to play an important role in preventive medicine and cancer care.

The review also noted that improvements in vaccine storage, including higher-temperature storage methods and freeze-drying technologies, could simplify transportation, reduce waste and improve access in remote regions.

Despite these advances, the researchers stressed that manufacturing capacity and equitable distribution remain major challenges. They called for greater investment in local production, technology transfer and stronger regulatory systems, particularly in low- and middle-income countries.

Co-author Robin Shattock of Imperial College London said expanding manufacturing networks and strengthening regional production capabilities would shorten supply chains, lower costs and help ensure countries have faster access to vaccines during future global health emergencies.

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