Expert advice on flu prevention, vitamins, and Luxembourg's healthcare system

Two seasoned doctors practicing in Luxembourg, with a combined experience of over 40 years, share their insights on flu prevention, the role of vitamins, daily health routines, and emerging health concerns. Dr Romain Stein and Dr Anne Weber share insights on common misconceptions and practical steps for maintaining good health and family care in Luxembourg.

Emerging health concerns in Luxembourg

Luxembourg's growing expat population has led to noticeable changes in health trends. One major recent concern is childhood obesity and lack of physical activity. "Many children are not getting enough exercise and are spending too much time in front of screens. This not only affects their physical health but also their cognitive development and attention span", explains Dr Stein.

Recent discussions in Luxembourg have highlighted the need for stricter screen time guidelines for children. "There is a growing body of research indicating that excessive screen time is linked to reduced concentration and cognitive abilities, we need to educate parents about setting healthy limits on screen use and encouraging outdoor activities", as Dr Stein explains.

Despite advancements in medical treatments, both doctors highlight the need for a stronger emphasis on preventative medicine. "What we need is a coherent preventive healthcare system. Right now, the focus remains largely on treating diseases rather than preventing them", points out Dr Weber. In general practice, encouraging patients to take proactive measures rather than waiting for illness to strike remains a core challenge.

The Luxembourg healthcare system: strengths and challenges

Luxembourg's healthcare system is widely regarded as one of the best in the world. "Its biggest advantage is the principle of solidarity. Everyone contributes, and everyone has equal access to care", said Dr Stein. Significant advancements have been made in cardiology and oncology, yet some areas still face challenges. "There are issues with radiology infrastructure and staffing shortages, but overall, the system remains strong", as he points out.

One pressing concern is the lack of general practitioners (GPs). "Many people in Luxembourg, particularly expats, do not have a primary doctor, which leads to unnecessary visits to emergency services. There should be more awareness and guidance for new residents on how to find a GP, and this should be encompassed in the immigration system of information", said Dr Stein.

The truth about vitamins and immunity 

During the winter months, flu cases surge, with doctors reporting a significant increase in patients exhibiting severe respiratory symptoms. The annual flu vaccine remains a crucial tool in reducing severe cases. "Vaccination is particularly important for vulnerable groups such as pregnant women, those with chronic conditions, and healthcare workers", proclaimed Dr Stein.

While the vaccine does not eliminate the risk of flu entirely, it helps in reducing the severity of symptoms, advising families to get vaccinated. The debate surrounding vitamin supplements and immunity persists, but according to doctors, the evidence remains inconclusive. "Vitamin C has been widely promoted, but research suggests it doesn't significantly prevent illness. It may offer a slight immune boost during the acute phase of infection, but its overall impact is minimal", explains Dr Weber.

Vitamin D, on the other hand, has been widely discussed, particularly in winter months when natural sunlight exposure is low. However, for most people, a well-balanced diet rich in fruits and vegetables is sufficient. "Taking multivitamins unnecessarily can sometimes do more harm than good. A study found that people who relied on supplements actually had a slightly lower life expectancy, possibly because they used them to compensate for unhealthy habits like smoking or poor diet", said Dr Stein. His advice? "Eat a varied diet, rich in fresh produce, and avoid excessive reliance on supplements."

Common mistakes in managing illness 

One of the most common mistakes families make is rushing to the emergency room for non-urgent flu symptoms. "If there is no respiratory distress and the fever is manageable, there is no need to visit the ER," Dr Stein points out. However, parents should be vigilant for warning signs in children, such as persistent high fever (above 39°C), difficulty breathing, or changes in consciousness. "If fever does not subside with medication, or breathing becomes laboured, it is time to seek medical attention."

One of the most frequent errors families make is sending sick children to school too soon. "If a child has a viral infection, they should stay home for two to three days to recover and prevent spreading the virus to others", said Dr Weber.

Additionally, basic hygiene practices, such as covering coughs and washing hands frequently, are essential yet often neglected. "COVID taught us the importance of these habits, but unfortunately, many people have returned to old ways", points out Dr Stein.

Prescription: 'common sense' 

When it comes to promoting a healthy lifestyle, the doctors stress the importance of balance. According to Dr Stein, "a balanced diet and regular physical activity are key. Families should engage in outdoor activities together, whether it's cycling, hiking, or swimming." During winter, cravings for carbohydrates and comfort foods often increase.

So, what do doctors recommend for maintaining a strong immune system? "Nothing special, just common sense. Eat a variety of foods, including plenty of fruits and vegetables. Avoid extreme diets or eliminating entire food groups unless medically necessary", said Dr Weber.

Both doctors offer some final advice for families: "Parents often panic when their children are sick, but if it's not an emergency, keep calm and consult your GP first. Ultimately, the importance of self-awareness in health should be a priority. If something affects your quality of life and doesn't improve, seek medical advice. We are here to help at every stage of care."