Health
Winter Viruses Surge Across Europe, Prompting Health Concerns
European nations are grappling with the resurgence of multiple winter viruses, raising concerns about the strain on healthcare systems. Experts warn of a potential “triple threat” involving influenza, respiratory syncytial virus (RSV), and COVID-19 as these illnesses circulate simultaneously.
Antoine Flahault, director of the Institute of Global Health at the University of Geneva, highlighted the significant impact of winter viruses. “The serious forms of these infections, though infrequent, contribute to hospital saturation during epidemic peaks,” he told Euronews Health.
The European Respiratory Virus Surveillance Summary (ERVISS) reports that consultations for respiratory illnesses remain within expected levels in the European Union (EU) and European Economic Area (EEA), though some countries are experiencing increases in viral activity.
Winter Viruses in Circulation
Flu, a major seasonal illness, continues to cause concern. The World Health Organization (WHO) notes that while influenza levels were low in the EU and EEA in late November, they have been increasing in some areas. Severe cases of flu can lead to hospitalizations and, in rare instances, fatalities.
RSV, another prevalent virus, is spreading across Europe, particularly affecting young children and older adults. The European Centre for Disease Prevention and Control (ECDC) warned of a potential rise in RSV activity, urging countries to prepare.
COVID-19 cases in Europe, on the other hand, have decreased following a peak in July. However, experts caution that COVID-19 can overlap with seasonal flu and RSV outbreaks, given its year-round presence.
Other viruses, including norovirus (linked to vomiting and diarrhea), parainfluenza, metapneumovirus, and adenoviruses, also circulate during the winter but typically draw less attention due to their comparatively milder impact.
Why Are Winter Viruses More Prevalent?
Flahault attributes the seasonal spike to factors such as closer indoor interactions, reduced ventilation, and lower levels of UV light during winter. Central heating and increased air pollution may also contribute to virus transmission.
To reduce the spread, better indoor air quality and mask-wearing in poorly ventilated areas are recommended. “FFP2 masks can help curb the circulation of respiratory microbial agents,” Flahault said.
Preventive Measures and Vaccination
Vaccination remains a critical tool in mitigating severe cases. Piotr Kramarz, chief scientist at the ECDC, emphasized the importance of improving vaccination rates for flu and COVID-19, especially among vulnerable populations.
Other recommended measures include staying home when symptomatic, frequent handwashing, and ventilating indoor spaces. The WHO advises wearing masks in crowded or poorly ventilated settings, particularly for those at higher risk of severe illness.
Experts underscore the importance of these preventive steps, noting that they are simple yet effective ways to protect public health during the winter season.
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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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