Health
WHO Warns of Growing Reliance on Foreign Health Workers in Europe Amid Looming Shortages
Europe’s dependence on foreign-trained doctors and nurses is deepening, raising concerns about the sustainability of its health systems, the World Health Organization (WHO) said in a new report released this week.
The WHO’s European region, which spans 53 countries across Europe and Central Asia, is projected to face a deficit of 950,000 health workers by 2030. To fill the gap, countries have increasingly turned to foreign recruitment, a trend that has accelerated sharply over the past decade.
According to the report, between 2014 and 2023 the number of new doctors entering Europe’s workforce nearly tripled, while the number of nurses rose fivefold. Much of this increase has been driven by foreign-trained professionals: the number of overseas-trained doctors rose 58 per cent during that period, while foreign-trained nurses surged 67 per cent. By 2023, six in ten new doctors and nearly three-quarters of new nurses in the region were trained abroad.
Germany and the United Kingdom accounted for the bulk of this growth, drawing medical staff from both within Europe and farther afield, including Asia, Africa, and the Americas. But the shift has created sharp regional imbalances. Eastern and southern European countries are losing doctors and nurses to wealthier nations in the north and west, leaving their own health systems under strain.
“This is not just about numbers,” said Dr. Natasha Azzopardi-Muscat, head of WHO Europe’s country health policies and systems team. “Behind every migrating doctor or nurse is a story of ambition and opportunity, but also, often, of strain on families and on the national health systems they left behind.”
The challenges are expected to intensify in the years ahead as Europe’s population ages and demand for care rises. Retirement is also looming large in the sector: in some countries, more than 40 per cent of doctors are already aged 55 or older, raising the risk of a wave of exits from the workforce that will be hard to replace domestically.
According to the report, this demographic pressure will “inevitably ramp up the pressure for active international recruitment,” deepening Europe’s reliance on foreign-trained workers.
The WHO urged governments to adopt stronger strategies to retain domestic health staff and better plan for future workforce needs. Officials recommended policies that take into account the different forms of migration, including permanent relocation, temporary contracts, and cross-border commuting, while addressing the impact on both sending and receiving countries.
“Health worker migration is a reality in Europe’s interconnected labour market, and it must be managed more fairly and sustainably,” Dr. Azzopardi-Muscat said.
The report underscores a critical dilemma: while migration helps fill immediate gaps in countries facing shortages, it risks hollowing out health systems in others, leaving the region struggling to balance urgent needs with long-term sustainability.
Health
Study Finds Men Far More Likely Than Women to ‘Hit the Wall’ in Marathons
Health
Study Links Higher Coffee Consumption to Lower Risk of Liver Disease
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.
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.
Health
Lancet Review Finds mRNA Vaccines Safe and Highly Effective, Calls for Wider Global Access
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.
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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