La emergencia sanitaria empezó a causa de un restaurante sucio.

Questions & Answers about La emergencia sanitaria empezó a causa de un restaurante sucio.

Why use a causa de here instead of just porque?
The connector a causa de translates to 'because of' or 'due to' and is followed by a noun or noun phrase, like un restaurante sucio. If you wanted to use porque (because), you would need to follow it with a full clause containing a conjugated verb, such as porque un restaurante estaba sucio (because a restaurant was dirty).
Do I need to add que and say a causa de que in this sentence?
Not in this sentence. You only use a causa de que when the cause includes a conjugated verb (a full clause). Because un restaurante sucio is just a noun phrase without a verb, you drop the que and just use a causa de.
Could I use por culpa de or gracias a instead of a causa de here?
You could definitely use por culpa de (through the fault of), since a dirty restaurant causing an emergency is a negative thing and someone is to blame. However, you cannot use gracias a (thanks to). Gracias a is strictly used for positive outcomes. A causa de works perfectly here as a slightly more formal, objective way to state the cause.
Why is 'health emergency' translated as emergencia sanitaria instead of emergencia de salud?
In Spanish, the adjective sanitario (and its feminine form sanitaria) is the standard way to refer to things related to public health, sanitation, or the healthcare system. While emergencia de salud would be understood, emergencia sanitaria is the much more natural and common way to say 'health'.

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