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Thu, 08/07/2025 - 09:19
96 Global Health NOW: HIV Patients in Darkness as Aid Cuts Take Hold; Schools as Abortion Rights Battlegrounds; and The Brawl of the Wild August 7, 2025 Mosele Mothibi, 40, an unemployed textile factory worker, sits on her bed inside her one-room flat on July 4. Maseru, Lesotho. Per-Anders Pettersson/Getty HIV Patients in Darkness as Aid Cuts Take Hold 
In the nearly eight months since the U.S. abruptly cut global aid funding, the fallout for HIV patients throughout Africa is widening as more people drop out of treatment and go without critical testingand lose hope that such programs will be restored. 

In South Africa, thousands of vulnerable HIV patients are falling out of antiretroviral therapy after U.S.-funded clinics shuttered, a potential harbinger of rising infections and deaths to come, advocates fear. 
  • Clinics serving especially high-risk groups including sex workers, people who use drugs, and trans people closed suddenly, forcing patients to shift to public clinics.

  • But a Cape Town audit found only 10 of 400 tracked patients made the switch.
In Lesotho, the sudden shutdown of the countrys Prevention of Mother-to-Child Transmission program left at-risk pregnant women without testing or counseling, .
  • Many women say they do not know their or their childrens HIV statusmeaning that even if lifesaving preventative medications are available, they cannot access them.  

  • We are in darkness, said Matebello Khoahli, an HIV-positive mother who fears for the life of her 23-month-old. 
Related: 

Elton John AIDS Foundation plugging gaps in HIV funding

The triple whammy: HIV, migration and climate change

ICYMI: U.S. Funding Cuts Stop Crucial HIV Research Work in Its Tracks GLOBAL HEALTH VOICES The Latest One-Liners
1,500+ Sudanese civilians may have been massacred in Sudans Zamzam refugee camp during the RSFs attack in April, per an investigation by The Guardian that found repeated testimony of mass executions and large-scale abductions.

Replenishing lithium in the brain may protect against and even reverse Alzheimers disease, that found a specific type of lithium supplement reversed neurological changes and memory loss in mice.

Indonesia will treat wounded Gazans at a medical facility on Galang Island in an initiative to provide medical care to 2,000 people from the enclave, who are expected to return to Gaza after treatment.

The Maui and LA fires have taken an ongoing toll on residents health, per a series of studies published yesterday showing effects including lung damage, depression, suicide, overdose, and interruptions of care. DATA POINT

1.4 million
漍漍漍漍漍 
  African women and girls denied essential care by the U.S.s destruction of $9.7 million in contraceptives earmarked for DRC, Kenya, Mali, Tanzania, and Zambia; the supplies could have prevented ~174,000 unintended pregnancies and ~56,000 unsafe abortions, according to the International Planned Parenthood Federation. REPRODUCTIVE HEALTH Schools as Abortion Rights Battlegrounds
A growing number of American students taking sex education classes this fall will be required to watch videos of fetuses growing in the womba result of new fetal development laws passed in state legislatures nationwide. 
  • Six states now require such videos to be shown in sex ed; nearly 4 million students will see them this fall. 

  • 20+ states have proposed similar bills since 2023.
Background: Showing such videos in schools is a key part of anti-abortion group Live Actions strategy to influence young people. 
  • Its main tool: Meet Baby Olivia, a 3-minute video depicting the development of a fetus in utero, which has been frequently recommended in state legislation.

  • But medical experts say the video is misleading about development and is emotionally manipulative rather than educational. 


ICYMI: What Do American Kids Learn About Sex? It Depends Who You Ask. GLOBAL HEALTH VOICES CORRECTION We Botched a Link
In our U.S. and Global Health Policy news section yesterday, we linked a KFF Health News article to the wrong story. Heres the correct link: . Thanks to multiple GHN readers who alerted us to the error!  ALMOST FRIDAY DIVERSION The Brawl of the Wild
Home, home on the range
Where the deer and the antelope play
Where seldom is heard
A discouraging word

unless it is one of the bone-rattling insults hurled by Adam Drivers and Scarlett Johanssons characters during their in the divorce drama Marriage Story.
  • The Oscar-nominated actors emotionally devastating (and spat is now a tool in USDA-supervised wolf hazinga tactic deployed in Oregon to protect livestock without culling the endangered canines. 
Drive-ing wolves away: Drone cowhands detect wolves with thermal technologythen terrify them with Driver hollering, How dare you compare me to my father! at full blast via speakers. Its unnervingly effective. 
  • I need the wolves to respond and know that, hey, humans are bad, explained an Oregon-based USDA district supervisor.
Other (less therapy-inducing) options on the playlist: The sound of fireworks and AC/DCs Thunderstruck.

QUICK HITS STDs are rampant in Mississippi. This one is now considered an epidemic.  

With $1K in cash aid, he built a life-changing barbershop. Now cash aid is under fire

Chemical pollution a threat comparable to climate change, scientists warn

Anah穩 Ruderman: Feeding Community When Government Aid Runs Dry

Americans get more than half their calories from ultra-processed foods, CDC report says

Medical students must be able to voice ethical concerns during clinical rotations

Giant virus with record-long tail discovered in Pacific Ocean Issue No. 2771
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

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  Copyright 2025 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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Categories: Global Health Feed

Wed, 08/06/2025 - 09:45
96 Global Health NOW: Chinas Patriotic Public Health War on Chikungunya; HHS Halts mRNA Development; and Rural Romania Battles Vaccine Mistrust August 6, 2025 A worker sprays insecticide at a residential community on July 29, in Foshan, Guangdong Province, China. VCG via Getty China Fights Chikungunya with Patriotic Public Health
To fight a chikungunya outbreak that has sickened thousands, Chinese authorities have launched an all-out assault on mosquitoesdeploying soldiers spraying clouds of disinfectant and drones to track down their breeding grounds, and threatening fines for people who fail to disperse standing water, .
  • The virus, transmitted by the bites of infected mosquitoes, has infected ~8,000 people in China in four weeks, mostly around Foshanmarking the countrys largest outbreak since 2008, .

  • While rarely fatal, the disease can cause fevers and excruciating pain.
The authorities have also launched a patriotic public health campaign that is unhappily reminiscent, for some, of the countrys strict measures against COVID-19.
 
The Quote: Its fundamentally no different from the Maoist-style public health campaigns. It involves the mass mobilization of the people. Its targeting a particular threat to public health and potentially could lead to unintentional consequences, says Yanzhong Huang, a Council on Foreign Relations senior global health fellow.

Related: What to know about chikungunya virus, as U.S. travel alerts issued   GLOBAL HEALTH VOICES The Latest One-Liners   A gonorrhoea vaccination program has been launched in England as the country tries to reduce its soaring infection rates and curb the growing threat of antibiotic-resistant strains; gonorrhoea infections in the country reached a record ~85,000 cases in 2023.

Legionnaires' disease has killed three people in a New York cluster that has sickened ~70 people after it emerged in Harlem last week.  

Raw milk consumption has been linked to 21 people in Florida being sickened by E. coli and campylobacter bacteria, including six children under the age of 10 and seven people who were hospitalized, of the risks of drinking unpasteurized milk.

E. coli can evolve antibiotic-resistance during treatment, , which tracked in real time how the bacteria quickly developed a mechanism to escape a drugs effects by amplifying a resistance gene it already carried. U.S. and Global Health Policy News Deep Staff Cuts at a Little-Known Federal Agency Pose Trouble for Droves of Local Health Programs Thanks for the tip, Chiara Jaffe! 

Has NSF defied a court order by suspending 300 UCLA grants?

Trump administration violated impoundment law by canceling NIH grants, slowing new awards, GAO finds

Does SA need a COVID-like ministerial advisory committee to deal with HIV funding cuts?

CDC to disburse delayed funds for fighting fentanyl and more, staffers say

Why Trump is targeting these programs that help keep drug users alive

The GOP is choosing pesticides over the MAHA moms RESEARCH HHS Pulls the Plug on mRNA Development
U.S. Health Secretary Robert F. Kennedy Jr. announced yesterday that HHS will cancel 22 federally funded mRNA vaccine development projects worth $500 milliona move infectious disease specialists and biosecurity experts warned was dangerous and short-sighted, .

Details: The contracts were between the federal emergency preparedness agency, Biomedical Advanced Research and Development Authority (BARDA) and leading pharmaceutical companies like Pfizer and Moderna to develop vaccines for respiratory viruses like COVID-19 and the flubuilding off the breakthroughs credited with slowing the 2020 coronavirus pandemic and saving millions of lives, . 
  • , Kennedy claimed the mRNA vaccines fail to protect effectively against upper respiratory infections, and that funding will shift to safer, broader platforms like whole-virus vaccines.

  • Some late-stage contracts will continue, but no new federal funding will support mRNA vaccine development. 

  • The HHS said other uses of mRNA technology within the department are not impacted by this announcement.
Public health alarm: Infectious disease researchers said mRNA technology has proven to be safe and effectiveand that abandoning the contracts weakens critical biodefense capabilities for public health emergencies. 
  • Were weakening critical countermeasures at the very moment that global health risks are intensifying, . 
Avian flu airborne? The decision is especially worrisome as concerns over avian flu persist: In , scientists found live virus in the air of milking facilities, . GLOBAL HEALTH VOICES MEASLES Battling Vaccine Mistrust in Rural Romania
Amid Europes worst measles outbreak in 25砰ears, Romania is the region's most affected country, with around 13,000 of the ~18,000 cases in the European Economic Area registered between June 2024 and May 2025.
  • Romania has the EUs lowest vaccination rate (62%), falling short of the 95% the WHO says is needed for effective disease control. 
Doctors are battling deep vaccine mistrust in rural Romanian communities, where misconceptions linking vaccines to autism persist, access to health care is limited, and educational outreach is weak.
 
Factors behind the crisis: poverty, an underfunded medical system, brain drain of health workers, and anti-vaccine rhetoric amplified by farright politicians and misinformation during the COVID19 pandemic. 

OPPORTUNITY QUICK HITS Flesh-Eating Bacteria Cases Are on the Rise Along the Gulf Coast

Pregnant people in rural parts of the country are running out of places to give birth

Respiratory viral infections awaken metastatic breast cancer cells in lungs

As influencers spread toxic claims, what is the truth about sunscreen?

Many studies of air-cleaning tech say they curb viral spread, but new review raises questions

Scientific fraud has become an industry, alarming analysis finds

Kids in Pennsylvania Are Breathing (Much) Easier After a Coal Plant Shuttered Issue No. 2770
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

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  Copyright 2025 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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Categories: Global Health Feed

Tue, 08/05/2025 - 09:31
96 Global Health NOW: The Troubled Fight Against Polio; Plastics: A Grave, Growing Danger; and Wartime Russia is Losing the Battle Against HIV August 5, 2025 A health worker administers polio drops to schoolchildren for vaccination during a door-to-door poliovirus eradication campaign. Lahore, Pakistan, April 21. Arif Ali/AFP via Getty The Troubled Fight Against Polio
The WHO and its partners were close in 2021 to scoring a huge win against polio. They recorded just five cases of the natural virus that year. But the poliovirus eluded vaccination efforts and caused 99 cases last year.
 
In a deeply reported investigation, the AP blames misinformation, mismanagement, a flawed strategy, and the oral vaccine.
 
Challenges: Vaccinating children in Afghanistan and Pakistan (the only countries with uninterrupted polio transmission) is a difficult proposition.
  • Some religious leaders tell people to avoid vaccinations, health systems are weak, and hundreds of vaccinators and security officers have been targeted and killed.
Wins: Global Polio Eradication Initiative officials note 3 billion children have been vaccinated and ~20 million people have avoided paralysis since the initiative was founded in 1988.
 
WHOs response: Theres so many children being protected today because of the work that was done over the past 40 years, said Jamal Ahmed, WHOs polio director. Lets not overdramatize the challenges, because that leads to children getting paralyzed.
 
Polios end? Transmission is estimated to end within 18 months, and eradication reached by 2029, Ahmed said.
  • 45 million children in Pakistan and 11 million in Afghanistan need to be vaccinated this year. 

  • Full immunization requires four doses of two drops each.

 
Related: Takeaways from APs report on problems in the worldwide campaign to eradicate polio GLOBAL HEALTH VOICES The Latest One-Liners   Misuse of tourniquets is causing thousands of unnecessary amputations and deaths in Ukraine, surgeons say; one estimates that up to three quarters of the ~100,000 amputations performed on Ukrainian soldiers since 2022 were caused by improper use of tourniquets. 

Adolescents in Rwanda aged 15 or older will be able to access family planning services without parental consent under a new law passed by the countrys parliament aimed at reducing teenage pregnancies. 

An oral anti-COVID-19 treatment passed a clinical trial efficacy test, ; the drug, called CP-COV03 or Xafty, is based on niclosamide, a medication previously used to treat tapeworm infections. 

About two-thirds (59%) of American adults polled will likely skip fall COVID-19 boosters heading into the cold and flu season; about six in ten Republicans say they will definitely not get the vaccine.  ENVIRONMENTAL HEALTH Plastics: A Grave, Growing Danger
The planet is awash in a plastics crisis that poses a threat to human and planetary health, . 

Surge in production: Plastic output has grown 200X since 1950driven largely by single-use items.

Toll on health: Plastics are linked to disease and death across all ages, costing ~$1.5 trillion annually in health-related damages.
  • Infants and children are highly susceptible to toxins.
Soaring pollution: 8 billion metric tons of plastic now pollute the globe.
  • <10% of plastic is recycled. 
And humans may be inhaling 100X more microplastics than previously assumed, finds , .   



Related: UN races to close global deal that would curb virgin plastic and toxic additives   GLOBAL HEALTH VOICES HIV/AIDS Wartime Russia is Losing the Battle Against HIV
War has significantly disrupted HIV prevention and care in Russiadevelopments that could have long-lasting impacts.

By the numbers: In the first year of the war alone, the recorded incidence of HIV among military personnel soared by 40X+.
  • And the proportion of Russian HIV patients receiving antiretroviral therapy has now fallen below 50% for the first time in many years.
Barriers to care: War has amplified anti-LGBTQ+ sentiment in the country, and also contributed to the removal of NGOs assisting in HIV care.

But war itself is a key factor in transmission, as blood transfusions and the reuse of syringes in field hospitals have increased risks.

HEAT As Temperatures Climb, So Do ER Visits
Emergency room visits increase with higher temperatures, especially among young children, and the maladies may be unexpected. 
  • While the links between mortality rates and heatwaves have been long studied, heats impact on morbidityillness and poor healthhas been less understood. 
Findings: As temperatures increased, more people visited ERs for a range of illnesses, including some unexpected ones like poisoning, respiratory symptoms, and nervous system problemsthough researchers say the connections to heat are not yet clear. 
  • Data also showed that children under 5 visited ERs at higher rates than any other age group.
Public health implications: Researchers say that the study shows the need for broader protections for a wider span of the population. 



Related: 

American Summers Are Starting to Feel Like Winter

Why certain medications can increase your risk in the heat TONIGHT: WEBINAR ON HEATWAVES QUICK HITS Gates Foundation promises $2.5B for sidelined womens health

Louisianas Cancer Alley Is More Deadly Than Previously Imagined

Chicago was supposed to warn residents about toxic lead pipes last year. Most still have no idea

Caffeine pouch craze: A teenage trend troubling some experts

Trump officials look to block abortion services at veterans affairs hospitals  

White House has no plan to mandate IVF care, despite campaign pledge

Eating ultra-processed foods could make it harder to lose weight

More elderly Americans are choking to death. Are these devices the answer?

Unwanted pregnancies surge with alcohol, but not with cannabis, study finds Issue No. 2769
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

Want to change how you receive these emails? You can or . -->



  Copyright 2025 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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You can or .
Categories: Global Health Feed

Mon, 08/04/2025 - 11:54
96 Global Health NOW: A Deadly Intersection of Crises in Sudan; The Women Protecting Migrants in Brazils North; and July Recap August 4, 2025 People gather by the makeshift graves of those buried in Khartoum's southern suburb of al-Azhari, on August 2. Ebrahim Hamid/AFP via Getty A Deadly Intersection of Crises in Sudan
Cemeteries in North Darfur in Sudan are expanding as hundreds of thousands of people trapped in conflict across the country face compounding humanitarian crises: relentless artillery attacks, deadly hunger, a growing cholera outbreak, destructive flooding, and perilous heat, .

Widespread hunger: Famine conditions across the region are intensifying as food supplies are blocked and aid convoys are attackeda part of the ongoing siege of El Fasher by the paramilitary Rapid Support Forces, which seeks to cement its hold on the region in its conflict with the Sudanese military, now in its third year.
  • Bakeries have shut down and prices for any available food have skyrocketedleading many to rely on animal feed for sustenance, .

  • Severe food shortages led to the deaths of 13 children last month at Lagawa displacement camp in East Darfur state, . 
Cholera outbreak: Cholera is also ripping through the region, with ~ 2,140 cases and at least 80 fatalities recorded, that described families forced to navigate the deadly intersection of conflict, hunger, disease and environmental collapse. 
  • Children are especially at risk as medical supplies run low and basic infrastructure deteriorates. 
Flooding and heat: Meanwhile, torrential rains have displaced thousands of people across the country and heightened disease risk, , and overwhelmed hospitals are calling for urgent support amid extreme heat.  GLOBAL HEALTH VOICES The Latest One-Liners   Mass rape, forced pregnancy, and sexual torture of women and children by Ethiopian and Eritrean soldiers in Tigray amount to crimes against humanity, from Physicians for Human Rights and the Organization for Justice and Accountability in the Horn of Africa; the authors call on international bodies to investigate.

U.S. childhood vaccination rates continue to decline , which show that vaccination coverage for all children entering kindergarten in the 202425 school year declined for all reported vaccines from the year before, and the vaccine exemption rate rose to 3.6%.

Two mRNA vaccines against HIV induced a potent immune response to the virus, ; the trialonly the third to test mRNA vaccines against HIVshowed 80% of participants who received either of the vaccines produced antibodies against viral proteins.

Teen suicidal behavior and thoughts declined between 2021 and 2024 in the U.S., , which found the prevalence of serious suicidal thoughts in teens fell from nearly 13% to 10%, and the prevalence of suicide attempts declined from 3.6% to 2.7%. GHN EXCLUSIVE Alba Marina Gonzalez Andrade stands outside an informal migrant settlement in Boa Vista, Brazil. Julianna Deutscher The Women Protecting Migrants in Brazils North  
BOA VISTA, BrazilFrom Pacaraima on the border with Venezuela, to the state capital of Boa Vista, and all the way to Bonfim on Brazils frontier with Guyana, traffickers prey on vulnerable migrants.
 
They promise good jobs but ensnare them in sex work or forced labor with meager or even no pay. 
 
:
  • Mayra Figueiras started a nonprofit, Humanidade Mais que Fronteiras, and prevents human trafficking with vocational training, language classes, andwhen possiblefood baskets.

  • Marcia Maria de Oliveira, a professor and sociologist at the Universidade Federal de Roraima, has led human trafficking investigations for more than two decades. 

  • Sister Ana Maria da Silva prevented machine gun-toting police from deporting dozens of women and children she was protecting from sexual exploitation. For her brave defiance, shes known as La Monja Loca (The Crazy Nun).
Short profiles of these women and others reveal their deep commitment to breaking the cycle of exploitation.

Editors note: Julianna Deutscher, MD, MPH, reported this articlethe third in a serieswith support from the . Read the and articles here. JULY MUST-READS How Do the Amish Avoid Allergies?
As rates of allergic diseases increase worldwide, one group remains far less affected: the Amish.
  • Why? Childhood exposure to microbes such as those found in farm dust and farm animal exposure can contribute to the development of a healthy immune system. But researchers are still trying to pinpoint environmental factors unique to the Amish, who have fewer allergies than other traditional farming families worldwide.

Hanois Concrete-Driven Air Quality Crisis 
Over the last year, Hanoi repeatedly topped global air pollution charts as smog draped the city. 
  • Whats fueling the pollution? Urbanization in Vietnam has led to a rapid increase in development, which includes widespread use of concrete for highways, metro lines, and buildings; Vietnam uses more cement per capita than any country except China, and almost 2X than the U.S.

Americas Insomnia Epidemic
Insomnia can cause a cascade of health problems, including heart disease, diabetes, depression, and injuriesyet it remains underdiagnosed, undertreated, and poorly understood.
  • The public and private sectors alike are barely doing a thing to address what is essentially a national health emergency, writes Jennifer Senior, who chronicles her own struggle and exhaustive efforts to find solutions and calls for broader cultural and structural changes to address the sleep crisis.
JULY RECAP: GHN EXCLUSIVE A mother holds up the cash incentive she received at the Farfaru clinic upon vaccinating her child. Sokoto, Nigeria. February 2025. Abiodun Jamiu Fighting Infant Mortality With Vaccines and Cash in Northern Nigeria
SOKOTO, NigeriaIn the region surrounding Farfarus primary health care center, health workers often had to persuade women to vaccinate their children.
  • That began to change with the 2014 introduction of the New Incentives cash rewards program, which spurred a surge in mothers bringing their children in for childhood immunizations to protect against diseases such as diphtheria, pertussis, hepatitis B, and polio.

  • The clinic now sees ~3040 babies a day across 11 northern stateswhere vaccine hesitancy and misinformation run rampant and missed vaccinations contribute to rising infant mortality rates.
JULY'S GOOD NEWS Two Countries Validated as Trachoma-Free
Trachoma has officially been eliminated in Burundi and Senegal, making them the eighth and ninth countries in the African region to reach that public health milestone. 
  • The diseasethe first eliminated neglected tropical disease in Burundi, and the second in Senegalcan lead to scarring, in-turned eyelids, and blindness, and primarily affects regions where clean water and sanitation are scarce, . 90% of the global trachoma burden is in Africa. 
How they did it: Both countries implemented WHO-recommended SAFE strategy elimination interventions for trachoma, which include surgery for the late blinding stage, mass administration of azithromycin, public awareness campaigns, and improved water and sanitation access.
More Solutions News:
Tasteful solutions: A key drug to treat multidrug-resistant tuberculosis is moxifloxacin, an extremely bitter medication that young children often refuse to take due to the taste. In trials, children reported that sweeter or flavored drugs were easier to take than the original. 

Coverage when temperatures climb: As more regions face record heat waves, a heat insurance program in India is offering new financial relief for daily wage workers who lose income or are forced to stop working during extreme heatwith parametric payouts triggered by a measurable event, like temperature exceeding a set threshold.

Swinging toward mobility: A physical therapist in Rio de Janeiro has helped dozens of people with Parkinsons improve and maintain movement through capoeiraa blend of martial arts and a dance practiced for centuries by Afro-Brazilians that combines exercise, ritual, and music.  OPPORTUNITY QUICK HITS Mpox testing initiative launched in Africa as outbreaks continue

AMA and other medical associations are kicked out of CDC vaccine workgroups

Data vs. Doubt: Danish Scientist Responds to U.S. HHS Secretary Critique of Aluminum Vaccine Study

What will rescission do to foreign aid? Details are murky. Here's what we found out

Their children can't eat, speak or walk - so forgotten Zika mothers raise them together

More than a dozen states sue to protect gender-affirming care from federal investigations

Well, no, you dont have to have children: what African women over the age of 60 have learned about life

What makes Finland the worlds happiest nation? In a word, simplicity. Issue No. 7-2025-July Monthly
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

Want to change how you receive these emails? You can or . -->



  Copyright 2025 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


Want to change how you receive these emails?
You can or .
Categories: Global Health Feed

Mon, 08/04/2025 - 09:41
96 Global Health NOW: A Deadly Intersection of Crises in Sudan; The Women Protecting Migrants in Brazils North; and July Recap August 4, 2025 People gather by the makeshift graves of those buried in Khartoum's southern suburb of al-Azhari, on August 2. Ebrahim Hamid/AFP via Getty A Deadly Intersection of Crises in Sudan
Cemeteries in North Darfur in Sudan are expanding as hundreds of thousands of people trapped in conflict across the country face compounding humanitarian crises: relentless artillery attacks, deadly hunger, a growing cholera outbreak, destructive flooding, and perilous heat, .

Widespread hunger: Famine conditions across the region are intensifying as food supplies are blocked and aid convoys are attackeda part of the ongoing siege of El Fasher by the paramilitary Rapid Support Forces, which seeks to cement its hold on the region in its conflict with the Sudanese military, now in its third year.
  • Bakeries have shut down and prices for any available food have skyrocketedleading many to rely on animal feed for sustenance, .

  • Severe food shortages led to the deaths of 13 children last month at Lagawa displacement camp in East Darfur state, . 
Cholera outbreak: Cholera is also ripping through the region, with ~ 2,140 cases and at least 80 fatalities recorded, that described families forced to navigate the deadly intersection of conflict, hunger, disease and environmental collapse. 
  • Children are especially at risk as medical supplies run low and basic infrastructure deteriorates. 
Flooding and heat: Meanwhile, torrential rains have displaced thousands of people across the country and heightened disease risk, , and overwhelmed hospitals are calling for urgent support amid extreme heat.  GLOBAL HEALTH VOICES The Latest One-Liners   Mass rape, forced pregnancy, and sexual torture of women and children by Ethiopian and Eritrean soldiers in Tigray amount to crimes against humanity, from Physicians for Human Rights and the Organization for Justice and Accountability in the Horn of Africa; the authors call on international bodies to investigate.

U.S. childhood vaccination rates continue to decline , which show that vaccination coverage for all children entering kindergarten in the 202425 school year declined for all reported vaccines from the year before, and the vaccine exemption rate rose to 3.6%.

Two mRNA vaccines against HIV induced a potent immune response to the virus, ; the trialonly the third to test mRNA vaccines against HIVshowed 80% of participants who received either of the vaccines produced antibodies against viral proteins.

Teen suicidal behavior and thoughts declined between 2021 and 2024 in the U.S., , which found the prevalence of serious suicidal thoughts in teens fell from nearly 13% to 10%, and the prevalence of suicide attempts declined from 3.6% to 2.7%. GHN EXCLUSIVE Alba Marina Gonzalez Andrade stands outside an informal migrant settlement in Boa Vista, Brazil. Julianna Deutscher The Women Protecting Migrants in Brazils North  
BOA VISTA, BrazilFrom Pacaraima on the border with Venezuela, to the state capital of Boa Vista, and all the way to Bonfim on Brazils frontier with Guyana, traffickers prey on vulnerable migrants.
 
They promise good jobs but ensnare them in sex work or forced labor with meager or even no pay. 
 
:
  • Mayra Figueiras started a nonprofit, Humanidade Mais que Fronteiras, and prevents human trafficking with vocational training, language classes, andwhen possiblefood baskets.

  • Marcia Maria de Oliveira, a professor and sociologist at the Universidade Federal de Roraima, has led human trafficking investigations for more than two decades. 

  • Sister Ana Maria da Silva prevented machine gun-toting police from deporting dozens of women and children she was protecting from sexual exploitation. For her brave defiance, shes known as La Monja Loca (The Crazy Nun).
Short profiles of these women and others reveal their deep commitment to breaking the cycle of exploitation.

Editors note: Julianna Deutscher, MD, MPH, reported this articlethe third in a serieswith support from the . Read the and articles here. JULY MUST-READS How Do the Amish Avoid Allergies?
As rates of allergic diseases increase worldwide, one group remains far less affected: the Amish.
  • Why? Childhood exposure to microbes such as those found in farm dust and farm animal exposure can contribute to the development of a healthy immune system. But researchers are still trying to pinpoint environmental factors unique to the Amish, who have fewer allergies than other traditional farming families worldwide.

Hanois Concrete-Driven Air Quality Crisis 
Over the last year, Hanoi repeatedly topped global air pollution charts as smog draped the city. 
  • Whats fueling the pollution? Urbanization in Vietnam has led to a rapid increase in development, which includes widespread use of concrete for highways, metro lines, and buildings; Vietnam uses more cement per capita than any country except China, and almost 2X than the U.S.

Americas Insomnia Epidemic
Insomnia can cause a cascade of health problems, including heart disease, diabetes, depression, and injuriesyet it remains underdiagnosed, undertreated, and poorly understood.
  • The public and private sectors alike are barely doing a thing to address what is essentially a national health emergency, writes Jennifer Senior, who chronicles her own struggle and exhaustive efforts to find solutions and calls for broader cultural and structural changes to address the sleep crisis.
JULY RECAP: GHN EXCLUSIVE A mother holds up the cash incentive she received at the Farfaru clinic upon vaccinating her child. Sokoto, Nigeria. February 2025. Abiodun Jamiu Fighting Infant Mortality With Vaccines and Cash in Northern Nigeria
SOKOTO, NigeriaIn the region surrounding Farfarus primary health care center, health workers often had to persuade women to vaccinate their children.
  • That began to change with the 2014 introduction of the New Incentives cash rewards program, which spurred a surge in mothers bringing their children in for childhood immunizations to protect against diseases such as diphtheria, pertussis, hepatitis B, and polio.

  • The clinic now sees ~3040 babies a day across 11 northern stateswhere vaccine hesitancy and misinformation run rampant and missed vaccinations contribute to rising infant mortality rates.
JULY'S GOOD NEWS Two Countries Validated as Trachoma-Free
Trachoma has officially been eliminated in Burundi and Senegal, making them the eighth and ninth countries in the African region to reach that public health milestone. 
  • The diseasethe first eliminated neglected tropical disease in Burundi, and the second in Senegalcan lead to scarring, in-turned eyelids, and blindness, and primarily affects regions where clean water and sanitation are scarce, . 90% of the global trachoma burden is in Africa. 
How they did it: Both countries implemented WHO-recommended SAFE strategy elimination interventions for trachoma, which include surgery for the late blinding stage, mass administration of azithromycin, public awareness campaigns, and improved water and sanitation access.
More Solutions News:
Tasteful solutions: A key drug to treat multidrug-resistant tuberculosis is moxifloxacin, an extremely bitter medication that young children often refuse to take due to the taste. In trials, children reported that sweeter or flavored drugs were easier to take than the original. 

Coverage when temperatures climb: As more regions face record heat waves, a heat insurance program in India is offering new financial relief for daily wage workers who lose income or are forced to stop working during extreme heatwith parametric payouts triggered by a measurable event, like temperature exceeding a set threshold.

Swinging toward mobility: A physical therapist in Rio de Janeiro has helped dozens of people with Parkinsons improve and maintain movement through capoeiraa blend of martial arts and a dance practiced for centuries by Afro-Brazilians that combines exercise, ritual, and music.  OPPORTUNITY QUICK HITS Mpox testing initiative launched in Africa as outbreaks continue

AMA and other medical associations are kicked out of CDC vaccine workgroups

Data vs. Doubt: Danish Scientist Responds to U.S. HHS Secretary Critique of Aluminum Vaccine Study

What will rescission do to foreign aid? Details are murky. Here's what we found out

Their children can't eat, speak or walk - so forgotten Zika mothers raise them together

More than a dozen states sue to protect gender-affirming care from federal investigations

Well, no, you dont have to have children: what African women over the age of 60 have learned about life

What makes Finland the worlds happiest nation? In a word, simplicity. Issue No. 2768
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Thu, 07/31/2025 - 09:50
96 Global Health NOW: CTE in the Spotlight; Inside Brazils Human-Trafficking Crisis; and Mercurys Toll on Mental Health July 31, 2025 Flowers and a balloon reading "love one another" that were left outside the 345 Park Avenue building, the scene of a July 28 deadly shooting in Midtown Manhattan, New York. Timothy A. Clary/AFP via Getty CTE in the Spotlight 
  The gunman who killed four people in a Manhattan office shooting this week said in a note that he believed he had chronic traumatic encephalopathy (CTE), the degenerative disease that stems from repeated hits to the head. 

It is unclear whether he had the condition, as it can only be diagnosed posthumously in an autopsy. But the violence has brought renewed attention to CTEalong with scrutiny about how the shooter was able to access a gun despite documented mental health hospitalizations, and deploy it in a city with some of the strictest gun laws in the nation, . 

Concerns about CTE and full-contact sports have been building for two decades, as more studies have shown how repeated blows to the head lead to the buildup of brain-damaging proteins, . 
  • A number of former football players who turned to violenceparticularly suicidewere found posthumously to have CTE, . 

  • But self-diagnosis comes with its own dangers, especially as links between CTE and high school football, which the gunman played, remain understudied. 

  • And the majority of people with CTE never engage in violence, Daniel H. Daneshvar, chief of brain injury rehabilitation at Harvard Medical School : I would never draw a direct line between someones brain pathology and any specific violent act. 
Loopholes in gun laws: The perpetrator had twice been hospitalized for mental health reasons, but was still able to have a concealed carry license and access a gun in his home state of Nevada, which does not automatically disqualify someone from possessing or buying guns, despite having had emergency hospitalizations, .
  • And such laws may not have mattered: The NYPD has said the shooters AR-style rifle was likely assembled using parts.
GLOBAL HEALTH VOICES The Latest One-Liners   Cholera threatens ~80,000 children across West and Central Africa, with active outbreaks in DRC and Nigeria posing a high risk of cross-border transmission; hardest-hit DRC reports 38,000+ cases, 951 deaths, and an alarming 8% case fatality rate in July.
 
As deadly heat waves sweep East Asia, South Korea has recorded 13 heat-related deaths so far this year3X the same period last yearand Japan recorded its highest-ever temperature of 41.2 degrees Celsius in Tamba.

A large fungal meningitis outbreak in the U.S. that sickened 24 patients and killed 12 occurred among people who received epidural anesthesia for cosmetic surgeries in Matamoros, Mexico, in 2023, , which highlights the need for more rigorous diagnostic measures.

Dormant breast cancer cells in the lungs can be awakened by respiratory infections like COVID-19 or the flu, has found; the data could have implications for human cases, as SARS-CoV-2 coronavirus infection has been linked with a nearly 2X increase in cancer-related death. U.S. and Global Health Policy News The Role of International Aid in Supporting Ukraines Recovery Efforts

Abortion shield laws are under fire

Trump Prepares to Revoke Lifesaving Abortion Care for Veterans

Ousted vaccine panel members say rigorous science is being abandoned

Top FDA vaccine regulator under Trump ousted amid conservative criticism GHN EXCLUSIVE A sunset in January over the Branco River in Roraima, Brazil's capital city, Boa Vista (Good View). Julianna Deutscher From Displacement to Exploitation: Inside Brazils Human-Trafficking Crisis
BOA VISTA, BrazilThe capital of northern Brazils Roraima state is known for the placid Branco River, gorgeous sunsets, and beautiful landscapes.

Yet behind the attractive fa癟ade, desperate  in drugs, weapons, gold, people, and organs.

Persistent risks: Many fall prey to Brazilian and Venezuelan criminal groups that lure migrants to the garimpos (illegal gold mines) with false promises but then trap them in modern slavery. Women are forced into sex work, often at the mines, posadas (motels), and restaurants.

Migrants are often bound not by physical captivity but by invisible chainsfear for a loved ones safety, dependence on shelter, language barriers, or the urgent need to feed their children.

Back story: A year after the contentious reelection of President Nicol獺s Maduro, hundreds of Venezuelans still arrive daily through a small Brazilian border town north of Boa Vista.

In this second part of a series on Venezuelan migrants experiences in Brazil, Julianna Deutscher describes the migrants plight and the policy and funding barriers to their protection.

Editors note: Julianna Deutscher, MD, MPH, reported this articlethe second in a serieswith support from the . Read the first article . GLOBAL HEALTH VOICES ENVIRONMENTAL HEALTH Mercurys Toll on Mental Health 
Widespread mercury poisoning has been linked to high attempted suicide rates among youth in the Indigenous Grassy Narrows First Nation in Ontario, . 

Background: Mercury contamination in the region began in the 1960s70s, when a paper mill dumped ~10 tons of mercury into local rivers used for fishing.  
  • Over the years, the Grassy Narrows First Nation community has seen suicide attempts increase dramatically3X higher than in other First Nation communities in Canada.
Findings: Researchers analyzed mercury levels in 162 children and 80 mothers, finding three generations of mercury exposure linked to emotional and behavioral problemsparticularly among women who ate fish during pregnancy. 

The Quote: Our way of life has been totally destroyed, said Grassy Narrows First Nation Chief Rudy Turtle

  ALMOST FRIDAY DIVERSION Literary Tails 
Bookshop pets have a pretty tough gig, considering their full-time job is to literally curl up with a good book.

And these days, they have even more responsibility thanks to social mediawhich has conferred main-character status upon the cockatiels, cats, and King Charles Spaniels inhabiting the stacks.
  • We get a whole bunch of readers, but people really come to see the animals, said Anna Hersh, a co-owner and animal care coordinator of Wild Rumpus in Minneapolisa mythic menagerie of birds, cats, fish, and a pair of chinchillas named Newbery and Caldecott. 
Where the Wild Things Are:
  • Bear Pond Books in Vermont is under the supervision of Veruca Salt, , who hosts an annual birthday party with cake and storiesnotably The Tortoise and the Hare.

  • The Literary Cat Co. in Kansas partners with a local animal rescue to fostered at the shop. 

  • Scattered Books in New York hires booksellers based on their bunny expertiseand not just knowledge of the plotlines of Peter Rabbit or Watership Down: 

    • People come in and theyre like, I love to read. Im like, How are you with rabbits? said owner Laura Schaefer, whose have top shelf status (despite being confined to empty bottom shelves). 

QUICK HITS Canadas Measles Outbreak Exceeds Cases in the U.S.

Safety of JN.1-Updated mRNA COVID-19 Vaccines

The status of ownership and utilization of long-lasting insecticidal treated nets in war-torn Tigray, Ethiopia

U.S. Visa Bureaucracy and Its Burdens Among Early Career Scholars

Scientists just invented a safer non-stick coatingand its inspired by arrows

She ended up with a bat in her mouth and $21,000 in medical bills   Issue No. 2767
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Wed, 07/30/2025 - 09:37
96 Global Health NOW: Migration Response Done Right: Brazils Model; EPA Aims to Gut Key Climate Ruling; and Sierra Leone Ordered to Criminalize FGM July 30, 2025 GHN EXCLUSIVE Venezuelan refugees walk after crossing the border between Venezuela and Brazil in the city of Pacaraima, Roraima State, Brazil, on September 13, 2024. Alan Chaves/AFP via Getty Migration Response Done Right: Brazils Model for a World in Crisis
PACARAIMA, BrazilMaria* steps out of a white truck on January 10 and walks toward a crowd of newly arrived Venezuelans.
  • Alone and far from home, women and girls like Maria have faced gender-based violence and human trafficking as they fled Venezuelas political and economic collapse, in Brazil, Ecuador, and Peru.
A warm welcome: Migrants in Brazil had much more positive experiences than those in the other countries. The difference, says study author Susan Bartels, is the work of Opera癟瓊o Acolhida (Operation Welcome).
  • The Brazilian government launched the program in 2018, as a unique collaboration with UN agencies and NGOs. The partnership blends military logistical support with respect for humanitarian autonomy, a rare balance in crisis response. 
A streamlined process: Maria is connected to free essential services, applies for asylum or permanent residency, and receives information about universal health care.
  • She can also get free transportation to be reunited with family or friends across Brazil and is connected with employment services.
Challenges remain: U.S. government cuts to foreign aid are forcing some organizations to scale back their support of Opera癟瓊o Acolhida, but on this day, Marias new life begins. 

*Marias name was changed to protect her privacy.

Editors note: Julianna Deutscher, MD, MPH, reported this articlethe first in a series marking todays World Day Against Trafficking in Personswith support from the . GLOBAL HEALTH VOICES The Latest One-Liners   Cholera is a full-blown public health emergency in DRC six months into renewed fighting that has obliterated sanitation and water supply systems, per Oxfams DRC director, Manenji Mangunduwith ~35,000 suspected cases and at least 852 related deaths since January, a 62% increase compared to 2024.

Liver cancer cases are projected to doublefrom ~870,000 cases in 2022 to 1.52 million cases by 2050but at least 60% of those cancers could be preventable,  published Monday. 

Undocumented immigrants faced a much higher risk of death at the height of the COVID-19 pandemicwith Latino essential workers in particular showing a staggering 91% increase in deaths compared with 8% for the white U.S.-born subgroup. 

All NIH research funding was temporarily halted Tuesday because of a footnote from an Office of Management and Budget document that limited NIH funding to staff salaries and expenses, not to research grants; the billions of funds were restored hours later in a turnabout NIH officials described as chaos. U.S. and Global Health Policy News Budget cuts knock down a pillar of public health, ending nutrition education

US placed on rights watchlist over health of its civil society under Trump

There's a major publishing slowdown at CDC's flagship journal

Susan Monarez confirmed as Trumps CDC director

Dozens of state laws take aim at food dyes, amid a wave support for MAHA CLIMATE CHANGE EPA Aims to Gut Key Climate Ruling 
The U.S. EPA will seek to rescind a key scientific finding that greenhouse gases endanger public health and welfarea move that could dismantle the legal basis for much of the countrys climate policy, . 

Background: In 2009, the EPA determined that CO2 and other greenhouse gases can be regulated under the Clean Air Act because they harm human health. That has since underpinned regulations on emissions standards for everything from factories to cars, . 

Repeal: Yesterday while at a car dealership, EPA head Lee Zeldin announced to eliminate the standards, .
  • The move is the latest Trump administration effort to roll back climate initiatives, including the countrys withdrawal from the Paris Agreement, . 

  • One ecologist likened a repeal to a driver who is speeding towards a cliff taking his foot off the brake and instead pressing the accelerator.
Whats next: The proposal must undergo public comment and is likely to face legal challenges from environmental groups and states.

Meanwhile, the WHO is at a global climate and health conference in Bras穩liaas the lived reality of climate change threatens to undo decades of global health progress. GLOBAL HEALTH VOICES HUMAN RIGHTS Sierra Leones President Ordered to Ban FGM
The Economic Community of West African States (ECOWAS) court of justice has ordered Sierra Leone to criminalize female genital mutilation (FGM), calling it one of the worst forms of violence against women. 
  • A 2019 survey found that 83% of women in Sierra Leone had undergone FGM71% of them before age 15. 
In early July, Sierra Leone passed the Child Rights Act 2025, which prohibits all forms of mental and physical violence against childrenbut as it does not specifically address FGM, human rights advocates are encouraging President Julius Maada Bio to send the act back to parliament for revision. 
  • Despite recently becoming chair of ECOWAS, Bio has yet to publicly acknowledge the courts ruling.
QUICK HITS People are dying of malnutrition in Gaza. How does starvation kill you?

Colombia Opens South America's First Safe Injection Sites

Kratom and 7-OH: What to know about the "legal morphine" compound

AMR surveillance project in Nigeria delivers life-saving impacts

In Uganda a new epidemic alert system is helping fight mpox

The Dutch Intersection Is Coming to Save Your Life Issue No. 2766
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Tue, 07/29/2025 - 09:49
96 Global Health NOW: A Temporary Dip in Global Hunger?; Why European Vaccine Policies Dont Fit the U.S.; and Remembering David Nabarro July 29, 2025 A South Sudanese refugee carrying her child on her back works at her vegetable crops. Turkana County, Kenya, October 2, 2019. Luis Tato/AFP via Getty A Temporary Dip in Global Hunger? 
Global hunger decreased slightly last year, but rising food prices and falling aid contributions mean that momentum will be unlikely to continue in the coming years, according to the  published yesterday.

Takeaways:
  • 8.2% of people worldwide, or 673 million people, were estimated to have experienced hunger last year, a drop from 8.5% in 2023 and 8.7% in 2022.

  • 22 million fewer people experienced hunger last year compared to 2022.

  • 2.3 billion people were considered moderately or severely food insecure last year, according to the report from five UN agencies.

  • Advances in Southeastern Asia, Southern Asia, and South America were largely responsible for the lower global hunger numbers.
Threats:
  • Hunger in much of Africa and Western Asia continues to rise.

  • Global food inflation, driven by the pandemic, climate change, and the war in Ukraine, rocketed to almost 17% in early 2023 from 2% in late 2020, .
Food violence: At least two people were shot and killed yesterday by police battling desperate refugees in a northern Kenya refugee camp experiencing a food crisis, .

The Quote: These figures are alarming enough, but the worst may be yet to come, Kate Munro, of Action Against Hunger UK, told The Telegraph. Cuts in international aid will hit the most vulnerable populations hardest. GLOBAL HEALTH VOICES The Latest One-Liners   Danish researchers combed the records of 1.2 million+ children over a 24-year period and found no evidence that the use of aluminum salts in vaccines increased the risk of asthma, autism, and a wide range of conditions diagnosed in childhood, per . 

Common pollutants like PM2.5, nitrogen dioxide, and soot are all linked to a significantly higher risk of dementia, per a sweeping review of studies  that drew on data from nearly 30 million people. 

Nearly a quarter of African American adults had eye disease that went  undetected,  ages 40 and older with eye conditions in a Los Angeles suburb; diabetic retinopathy and age-related macular degeneration were especially common.  Thanks for the tip, Chiara Jaffe!

The Chinese government will offer parents a $500 subsidy per year for each child under the age of three, aimed at boosting the countrys slumping birth rate, but some economic analysts say the sums are too small to make an impact. U.S. and Global Health Policy News Odds of winning NIH grants plummet as new funding policy and spending delays bite

Group criticizes NIH over suspended funding for TB research

Judge blocks Trump administrations efforts to defund Planned Parenthood

Senate to vote on Trumps pick to lead the CDC THE QUOTE
  "Venoms are evolutionary masterpieces, yet their antimicrobial potential has barely been explored. " 漍漍漍漍 C矇sar de la Fuente of the University of Pennsylvania, senior author of a research project that used AI to sift through global venom libraries and uncovered dozens of promising drug candidate莽.&紳莉莽梯; VACCINES Why European Immunization Policies Dont Fit the U.S.
As Trump administration health officials question the U.S. childhood vaccine schedule, they are pointing to European countries as a model for a more minimalist approach that requires fewer immunizations than U.S. guidelines call for.

Apples and oranges: But global health experts argue that differences in vaccine schedules are not due to disagreements about safety, but instead are shaped by local disease risks, demographics, and health systems. 
  • In the U.S., a more fractured and inaccessible health system means a broader vaccine schedule allows for continuity and protection that might otherwise be lost. 
The key question: Given our specific disease burden and public-health goals, are we effectively protecting the most vulnerable people? Based on overwhelming evidence? The answer is yes, said Jake Scott, an infectious disease physician at Stanford University. 

OBIT Remembering David Nabarro, A Great Champion of Global Health
David Nabarro, a key figure in global health who helped lead the international response to health threats ranging from Ebola to the COVID-19 pandemic, died Friday at age 75.
  • David was a great champion of global health and health equity, WHO chief Tedros Ghebreyesus wrote.
Legacy of service: Nabarro was a physician whose early career focused on nutrition and child health throughout Iraq, South Asia, and East Africa. 
  • He also helped coordinate the WHOs response to the 2004 Indian earthquake, and took part in efforts to contain AIDS, malaria, bird flu, and the 2014 Ebola outbreak. He led the WHOs messaging during COVID-19a role that earned him a knighthood. 
The Gandalf of the UN: Colleagues praised Nabarros humility and his way of quietly bringing people to the table who otherwise would not speak to each other. 

RESOURCES QUICK HITS Cholera rampant among displaced and refugees in Darfur and eastern Chad  

Measles Elimination Status: What It Is and How the U.S. Could Lose It

WHO urges action on hepatitis, announcing hepatitis D as carcinogenic

Preventing Firearm Suicide In Wyoming

PAHO/WHO convenes journalists to reshape how road safety is covered in Latin America  

845,000 dead on U.S. highways. Why not address the main cause?

Michigan led on safe water after Flint, but mobile home parks are stubborn rough spot

Looking at a sick person in VR can rev up our bodies immune systems Issue No. 2765
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Mon, 07/28/2025 - 09:42
96 Global Health NOW: Instability in Syria; Ivermectin for Added Protection?; and Nigerias Human Flycatchers July 28, 2025 Medical workers disinfect a hospital bed outside Sweida National Hospital, in southern Syria's predominantly Druze city of Sweida, on July 20. Shadi Al-Dubaisi/AFP via Getty Instability in Syria 
Deadly sectarian clashes in Syrias southern Sweida province have led to mass displacement, hundreds of deaths, and a paralyzed health systemthreatening the countrys tenuous postwar stability, . 

Background: The violence was sparked earlier this month by kidnappings between Bedouin tribal fighters and armed factions of the Druze minority group, . 
  • 800+ people have been killed, , and so far ~176,000 people have been displaced, . 

  • Syrian government forces have intervened and established a ceasefire, but they are accused of siding with the clans and targeting civilians. 
Health system under immense strain: The , including the killing of two doctors and obstruction of ambulances. 
  • Hospital workers and patients described violence within wards and bodies piling up inside as the city morgue reached capacity. 

  • Hospitals are now under immense strain, said WHO representative Christina Bethkefacing severe shortages of personnel, water, electricity, and essential supplies.
Aid access blocked: Poor security conditions are limiting the ability of the UN and partners to deliver medical supplies and other aid to those affected by the violenceleading to severe humanitarian consequences for civilians, . 

Related Webinar Tomorrow: Stabilizing Syria: Rehabilitating Syrias Public Health System in a Fragile Transition, hosted by the Center for Strategic & International Studies Middle East Program, featuring keynote remarks by Syrias Transitional Minister of Health Musaab Nazzal Al-Ali and a panel discussion with Syria experts Bachir Tajaldin, Lolwa Al-Abdulmalek, and Diana Rayes, moderated by Mona Yacoubian.
  • Tuesday, July 29, 11 a.m.12:15 p.m. EDT
GLOBAL HEALTH VOICES Today Is World Hepatitis Day The Latest One-Liners   Timor-Leste has been certified malaria-free by the WHO, which praised the country for strong political will, smart interventions, sustained domestic and external investment and dedicated health workers in its efforts; the designation marks the malaria-free, and the third to be certified in the WHOs South-East Asia region.

At least 300 peoplemainly children in Africa and Asiahave died since 2022 from cough and paracetamol syrups containing toxic industrial chemicals, that says criminal networks exploit weak regulations to use the chemicals as cheap substitutes for medicinal glycol.

A dengue outbreak in Samoa has led to a government-ordered closure of all schools in the country for a week, as children are most affected; 900+ cases were reported last week alone, , with 2,254 cases reported since January.

A Salmonella outbreak tied to raw milk from a California dairy farm sickened 171 people, including 120 children and adolescents, between October 2023 and March 2024, published last week. U.S. and Global Health Policy News Lesotho mothers fear passing HIV to their babies as US aid cuts halt testing

Rural Oklahoma kids were getting more counselors then federal cuts pulled funding

Trump targets supervised consumption of drugs and harm reduction in executive order

As the ADA turns 35, groups fighting for disability rights could see their federal dollars slashed

Congressional panels resist White House proposals for sharp cuts in indirect cost rates MALARIA Ivermectin for Added Protection?
A new malaria control strategy involving mass administration of the antiparasitic drug ivermectin is showing promise, per results from a large trial in Kenya . 

Background: Ivermectin makes human blood toxic to mosquitoesallowing humans to target mosquitoes via their food source, . 

Trial details: The trial, which targeted school-age children, involved 20,000+ participants across 84 communities who received ivermectin or a control drug during the rainy season. 
  • The communities that administered ivermectin saw a 26% reduction in new malaria infections. 

  • The intervention showed added protection beyond existing bed net usemeaning it shows potential as a complementary tool, . 
Mixed reception: While some researchers praised the findings and described the drug as an addition to the malaria control arsenal, others questioned the modest impact and questionable public health benefits, including ivermectins unsuitability for pregnant women and very young children.

Whats next: The WHO has said more evidence will be needed before it can endorse the approach. GLOBAL HEALTH VOICES NEGLECTED DISEASES Nigerias Human Flycatchers 
In the battle against onchocerciasis, the parasitic disease that causes river blindness, researchers in Nigeria are relying on human landing catches to help them mark progress.
  • 40 million people are at risk of onchocerciasis in Nigeria, where there are 120,000 cases of related blindness.
How it works: Volunteers expose their skin to lure and trap the black flies that transmit the disease.

Why? The main strategy to curb transmission is mass drug administration to prevent the parasites spread. But researchers can only know how the effort is working by testing flies. 

A push for alternatives? Using humans as bait has long raised ethical concerns. Researchers are currently testing other trap models to potentially use instead.

QUICK HITS Israel pauses attacks in some of Gaza to allow limited aid, as global criticism grows

Changed my life: hepatitis treatment offers hope but not enough receiving care, report finds

Native leaders push back on gender-affirming care restrictions for tribal citizens

E.U. regulator approves injectable HIV drug that experts say could help stop transmission

Coercive Care: Southern Europes Reliance on Elder Restraints

Other nations had a pandemic reckoning. Why hasnt the US?

America is in denial about its flood risks

WHO unveils health and environment scorecards for 194 countries

The Ghost in the Therapy Room Issue No. 2764
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Thu, 07/24/2025 - 09:45
96 Global Health NOW: Hunger Grips Gaza; The Complex Quest for a Long-COVID Drug; and Cracking On July 24, 2025 Yasmine, a 22-year-old Palestinian mother, holds her malnourished 2-month-old daughter Teen as they await treatment at the Nasser hospital, in Khan Yunis. Gaza Strip, July 24. AFP via Getty Hunger Grips Gaza
Gazans are trapped in a deepening crisis of man-made starvation, the WHOs chief said yesterdayjoining that Israels blockade of food and aid supplies has led to chaos, starvation, and death, . 
  • 111 people have now died from hunger, including 80 children, even as supplies remain stuck at borders. 

  • The WHO estimates ~100,000 women and children are suffering from severe acute malnutrition, while doctors have reported seeing record numbers of malnourished children and older people, . 
Doctors and aid workers are also starving, as hospitals and humanitarian organizations report witnessing their own colleagues and partners waste away before their eyes, . 
  • Medical staff are becoming too weak to treat patientseven as hospitals fill with people who are malnourished and injured, . 
Meanwhile, 1,000+ Palestinians have been killed trying to access food since the Israeli- and U.S.- backed Gaza Humanitarian Foundation took over aid distribution in May,

And a WHO staff member remains in Israeli detention following an attack on a WHO warehouse and facilities, . 

Related: Gaza has been at risk of famine for months, experts say. Heres why they havent declared one.   GLOBAL HEALTH VOICES The Latest One-Liners   Editing mosquitoes' genome can make them highly resistant to spreading malaria by changing just one amino acid, an adjustment that could be engineered to spread through an entire mosquito population.

Diet is the key driver of obesity, not lack of exercise, which compared the daily total calorie burn for people from 34 different countries and cultures around the world.

Immunity to seasonal flu is protective against severe illness from avian flu in ferrets, finds a study in that looked at how the H1N1 virus that began circulating in 2009 lowered susceptibility to currently circulating H5N1.

A 10 million stockpile of USAID-funded condoms, pills, and other contraceptives will be incinerated in France; the U.S. rejected NGO offers to buy up the supplies, warehoused in Belgium since the U.S. froze foreign aid programs in January.  U.S. and Global Health Policy News Michael R. Bloomberg: RFK Jr. Is Making America Sick Again. Republicans Need a Cure
UK government shutters aid program to fight antimicrobial resistance

U.S. Quietly Drafts Plan to End Program That Saved Millions From AIDS

Trump's plan to slash global health spending rejected by key spending panel

RFK Jr.'s Vaccine-Safety Analyst Has Already Disqualified Himself

New EPA proposal aims to strike down landmark climate "endangerment finding" COVID-19 The Complex Quest for a Long-COVID Drug
The failure of a once-promising long-COVID drug trial highlights the challenges of trying to treat the complex condition, and is prompting a reevaluation of how study design should work. 

Background: Long-COVID patients and practitioners had been closely watching developments from German start-up Berlin Cures on its novel drug, called BC 007 (rovunaptabin). But phase II trials ended unsuccessfully last November.

Defects in design: While some participants did see improvement in their symptoms following BC 007 infusions, critics say failures in study design meant that such changes could not be adequately measured. 

Participant problem: The trial also demonstrates the challenge of casting too wide a net for trial participants: The trial used a blood test to select participantsbut long COVID includes a wide range of diseases and conditions, which may respond differently to treatments. 



Related:

From Long Flu to Long COVID: A Brief History of Postviral Illness

COVID-19 cases are rising in these states amid summer wave, CDC data shows
DATA POINT

82%
漍漍
The percentage of the population of Tuvalu seeking a landmark climate visa to live in Australia; the low-lying Pacific nation is one of the most climate-threatened corners of the planet.
  INFECTIOUS DISEASES A Sweet Success for Tuberculosis Medication 
Multidrug-resistant tuberculosis (MDR TB) has risen among children globally from 1990 to 2019. 

A key drug to treat MDR TB is moxifloxacin, an extremely bitter medication that young children often refuse to take due to the taste. 
  • Annually, there are 32,000 new cases of RR/MDR TB, a strain resistant to two first-line treatments in children under 14an age range especially sensitive to taste.
Tasteful solutions: Sweeter, bitter-masked versions of drugs may help with medication adherence. In trials, children reported that sweeter or flavored drugs were easier to take than the original. 

ALMOST FRIDAY DIVERSION Cracking On
Between a quarter to half of all people pop their knuckles, which means there is a very large population who just really wants them to stop. 

But the latter groups key bit of leveragewarning persistent knuckle-crackers that they are destined to have arthritishas been snapped: 
  • Studies have repeatedly found that knuckle-cracking has no bearing on arthritis.
Knuckling down on research: When people crack their knuckles, they temporarily open up the tight space of the knuckle joint, leading to a drop in pressure and the formation of bubbles that then burst, causing the popping sound, explains a rheumatologist who called the arthritis query a common question I get asked over the dinner table.
  • Arthritis can be affected by genetics and joint trauma, but not popping. 
Single-handed study: One doctors pursuit to prove his mother wrong on the matter led him to crack the knuckles on just one hand every day for 60+ years. 
  • When he finally had both hands assessed, there were no signs of arthritis in either, and the ultimate toldja so.
QUICK HITS In Syria, Landmines and Unexploded Ordnance Haunt the Return Home

Is Bird Flu Gone for Good?

CDC says COVID-related emergency room visits climbing especially among young children

Doctors are biased against higher-weight patients. Can nutrition education help them change?

Smoking avatars and online games: how big tobacco targets young people in the metaverse

Researchers move closer to a universal cancer vaccine

In Darfurs displacement epicentre, community kitchens shoulder the load

Talc Is Suddenly in the Spotlight. Is it Bad for You? Issue No. 2763
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Wed, 07/23/2025 - 09:29
96 Global Health NOW Malarias Rebound; How Do the Amish Avoid Allergies?; and Swinging Toward Mobility July 23, 2025 A malaria warning sign. Mbire, Zimbabwe. May 15, 2021. Cynthia R Matonhodze/Bloomberg via Getty Malarias Rebound
Malaria is surging in southern Africa, as heavy rains drive mosquito activity and as USAID funding cuts disrupt access to critical tools like insecticide-treated bed netsleaving communities exposed and placing further strain on already stretched health systems, .

Back with a vengeance in Zimbabwe: Zimbabwe has reported 111,998 cases and 310 deaths compared to 29,031 cases with 49 deaths in the same period last year.
  • USAID cuts this year crippled the Zimbabwe Entomological Support Programme in Malaria and led to a shortfall of 600,000 insecticide-treated nets, . 

  • When the supply of test kits and first-line treatments is disrupted, malaria cases and deaths will spiral, said Itai Rusike, director of Zimbabwes Community Working Group on Health. 
Botswana, Eswatini, and Namibia are also reporting significant outbreaks, as climate change expands the range of malaria-carrying mosquitoes and impacts people in high-risk livelihoods like mining and agriculture. 

The issue of interconnectedness: Cross-border transmission occurs easily in southern Africa, highlighting the need for cooperation in surveillance and other efforts. 

Pushing forward: Despite heavy setbacks, African health officials say they are still investing in elimination effortspointing to significant progress in countries like Cabo Verde and Egypt.
  • We have just been disturbed, but our vision is to eliminate malaria by 2030, said Zimbabwes deputy health minister, Sleiman Kwidini.
GLOBAL HEALTH VOICES The Latest One-Liners   A large chikungunya outbreak is spreading rapidly from three Indian Ocean islands to Africa, and parts of South East Asia are also experiencing outbreaks; prevention efforts center on avoiding mosquito bites, though the WHO said it will review trial data on two chikungunya vaccines not yet recommended for global use.

Peoples brains aged faster than expected during the pandemiceven those of people who werent infected, per a of nearly 1,000 people published yesterday; researchers found that the brains of people who had lived through the pandemic had aged 5.5 months faster than those of people in a control group.

How to reduce the frequent E. coli outbreaks linked to romaine lettuce? Stop spraying leaves with untreated surface water and improve cold storage from field to produce delivery, write Cornell University researchers and colleagues in a recent .

Australias winter flu surge has led to a 50% increase in hospital admissions over two weeks, per new data that also show the national rate of influenza vaccine coverage to be below 30%. U.S. and Global Health Policy News Small win for activists, but SAs HIV projects wont get reopened
&紳莉莽梯;

Viewpoints: Cuts To NIH And Global Health Research Are Dangerous And May Accelerate The Next Pandemic

WHOs Tedros: US Rejection of International Rules on Health Threats is Based on Inaccuracies

Kentuckys campaign to improve rural cancer care is a national model. Federal cuts threaten its progress

Disabled Americans fear what Medicaid cuts could do to them

FDA taps biotech industry veteran as RFK Jr.s top drug regulator IMMUNOLOGY How Do the Amish Avoid Allergies? 


As rates of allergic diseases increase worldwide, one group remains largely immune: the Amish. 

  • Just 7% of Amish children had a positive response to one or more common allergens, compared with more than half of the general U.S. population, .

  • They also have fewer allergies than other traditional farming families worldwide.
Why? Researchers have found that childhood exposure to microbes such as those found in farm dust and farm animal exposure can contribute to the development of a healthy immune system. 
  • But they are still trying to pinpoint time-honored and very stable environmental factors unique to the Amish, in hopes of developing more protective therapies and interventions.

GLOBAL HEALTH VOICES PARKINSON'S Swinging Toward Mobility 
The damage Parkinsons disease does to a persons sense of balance and stability can often lead them to feel physically and mentally stuck. 

But a physical therapist in Rio de Janeiro has helped dozens of people with Parkinsons improve and maintain movement through capoeiraa blend of martial arts and a dance practiced for centuries by Afro-Brazilians that combines exercise, ritual, and music.
  • The initiative, Parkinson na ginga (Parkinsons in the swing), started in 2018, and helps participants build strength and balance in a fun and social environment.
The Quote: Capoeira gives me freedom to work on my body, said participant Teles de Freitas. 

NEW RESOURCE QUICK HITS A lifeline lies in ruins: Iranian missile destroys a rehab center for disabled kids  Thanks for the tip, Chiara Jaffe! 

Russia Accused Of 'Stealing' Ukraine's Future With Forced Deportation Of Children

A gut-wrenching problem we can solve

Indonesian militarys new pharma role sparks fears of expanded powers

Louisiana Upholds Its HIV Exposure Law as Other States Change or Repeal Theirs

Austin Public Health finds measles in the water  

Flu vaccine averted up to 42% of US flu cases in 2022-23, despite lower uptake

The new strategy to restrict abortion nationwide without saying ban

The optimistic brain: scans reveal thought patterns shared by positive thinkers   Issue No. 2762
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Tue, 07/22/2025 - 09:50
96 Global Health NOW: Asias Floods Highlight Need for Faster Warnings; Tracing New H5N1 Transmission Routes; and Two More Countries Now Trachoma-Free July 22, 2025 A young boy pushes a tuk-tuk through a flooded street in Manila on July 22, after heavy rains caused flooding worsened by a monsoon. Ted Aljibe/AFP via Getty Asias Floods Highlight Need for Faster Warnings
As typhoons lash parts of Asia and cause flooding, evacuations, and hundreds of deaths, a UN agency says that current warning systems are inadequate against todays more frequent, more intense storms.
  • Typhoon Wipha struck the Philippines on Monday and early today with torrential rains that left parts of the country with knee- to waist-deep flooding, .

  • Nearly 50,000 people living near the Marikina River in the Manila region and in the Quezon and Caloocan cities have been evacuated, . At least five people are dead and seven missing.

  • Vietnam is bracing for 500mm (~20 inches) of rain as well as flooding and landslides caused by Wipha, now downgraded to a tropical storm.

  • More than 120 people in Punjab, Pakistans most populous province, have died in exceptional high floods since monsoon rains started June 26, .
A better warning system: World Meteorological Organization officials said yesterday that they are seeking to expand the  flood forecasting system worldwide by 2027, . The system, currently used in 70+ countries, draws on satellite data, radar, and weather modeling to provide hours of advance warning.

Related: Texas Lawmakers Largely Ignored Recommendations Aimed at Helping Rural Areas Like Kerr County Prepare for Flooding GLOBAL HEALTH VOICES The Latest One-Liners
War-wounded Ukrainian patients treated at Helsinki University Hospital in Finland showed a high rate of multidrug-resistant bacterial infection indicating that war-related hospitalizations represent a distinct and urgent risk of antimicrobial-resistance, the researchers say. 

Over one-third of contributors to the development of 2023 American Academy of Pediatrics guidelines on evaluating and treating children and adolescents with obesitywhich leaned toward the use of obesity medicationshad undisclosed financial ties to obesity drugmakers, . 

A million+ people in France have signed a petition against the so-called Duplomb law adopted on July 8 permitting a return of a pesticide, acetamiprid, known to be toxic to pollinators such as bees and ecosystems. 

Switching to a four-day work week created happier, healthier, more productive workersreducing burnout and increasing job satisfaction,  of such an intervention that encompassed six countries: Australia, New Zealand, the U.S., Canada, the U.K., and Ireland.  U.S. and Global Health Policy News ________________________________________________________________ Planned Parenthood wins partial victory in legal fight with Trump administration over funding cuts

FDA Panel Takes Aim at SSRI Use During Pregnancy

Advocates Fear US Agents Are Using Wellness Checks on Children as a Prelude to Arrests

States sue over citizenship curbs on Head Start, clinics

GOP megabills final score: $3.4T in red ink and 10 million kicked off health insurance, CBO says

The quick return of medical debt to credit reports is another blow to cancer patients AVIAN FLU Tracing New Routes of H5N1 Transmission
Scientists are gaining new insights into how H5N1 could spread among dairy cattle, particularly two potential routes: contamination from house flies, and from cows and calves nursing.

Background: When H5N1 first emerged in dairy cattle, researchers believed contaminated equipment and movement of infected cattle were key factors in virus spread. 
  • But when outbreaks continued after addressing those issues, scientists expanded their investigation and found new insights:
Flies: Avian influenza detected in house flies leads scientists to believe that the insects can mechanically acquire and move the virus. 

M勳梭域-莽紳硃喧釵堯勳紳眶: found that H5N1 may infect mammary glands via mouth-to-teat transmission through nursing, and via cows that steal milk through mutual nursing. 

GLOBAL HEALTH VOICES NEGLECTED DISEASES Two Countries Validated as Trachoma-Free
Trachoma has officially been eliminated in Burundi and Senegal, making them the eighth and ninth countries in the African region to reach that public health milestone.
  • The diseasethe first eliminated neglected tropical disease in Burundican lead to scarring, in-turned eyelids, and blindness, and primarily affects regions where clean water and sanitation are scarce, .

  • In Senegal, trachoma is the second neglected tropical disease to be eliminated after being declared free of dracunculiasis (Guinea-worm disease) transmission in 2004, .

  • 90% of the global trachoma burden is in Africa. 

  • 93 million people live in at-risk areas as of April 2024. 
Success in action: Both countries implemented WHO-recommended SAFE strategy elimination interventions for trachoma, which include surgery to treat the late-blinding stage of the disease, antibiotic mass drug administration of azithromycin, public awareness campaigns, and improved water supply and sanitation access.

Related:

WHO plans trachoma elimination intervention in Nigeria, 19 others

Breaking the cycle of neglected diseases OPPORTUNITY QUICK HITS Why England can learn from Scotland after first measles death in a decade

High prevalence of colistin-resistant Klebsiella found in Africa

Battling Lassa Fever: Liberias Strides in Preparedness and Response

A creek with atomic waste from WWII is linked to increased cancer risk

Air Pollution in Baltimores Curtis Bay Community Linked to Nearby Coal Terminal Activities and Wind  

The potential gains of replenishing the Global Fund

Birth control access: Scorecard evaluates family planning policies across the U.S. Thanks for the tip, Chiara Jaffe! 

The New Sun Worship

Engineers transform dental floss into needle-free vaccine Issue No. 2761
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Mon, 07/21/2025 - 09:47
96 Global Health NOW: As Measles Spreads, Strategies Shift; The Role of Reward in Quitting Meth; and Coverage When Temperatures Climb July 21, 2025 A Southwestern Public Health sign advises patients who suspect they have measles to call ahead before seeking medical attention. St. Thomas, Ontario, July 9. Geoff Robins/AFP via Getty As Measles Spreads, Strategies Shift 
As countries continue to reckon with the worst measles outbreaks in years, many health practitioners say they are shifting mitigation tactics in real timemoving from a vaccine-centric approach to improved overall messaging and health care access. 

In Canada: 3,800 cases have been reported, nearly 3X the number of U.S. cases, . 
  • Vaccine uptake has dropped significantly since the pandemic, researchers say. Vaccine opposition is a key contributor to that, but so are pandemic-related disruptions. 

  • As clinics respond to an outbreak among Ontarios Mennonite community, health workers are seeking to address language barriers, build trust, and change how Low Germanspeaking families and the medical system interact with each other, writes a . 
In England: 500+ cases have been reported this year, with 68% among children under 10, . 
  • While vaccine hesitancy has driven lower MMR vaccine uptake, poverty-driven inequality is also contributing to missed appointments, say researchers calling for improved access, . 
In the U.S.: Infections have surpassed 1,300, with Texas alone logging 760+, . 
  • Health workers in the state say that going forward, they may pivot from a vaccine-focused approach and emphasize better testing and offering additional treatments to build trust, .
Related: 

Measles Can Erase Your Immune System's Memory, Expert Says

Bolivia stepping up efforts to tackle measles GLOBAL HEALTH VOICES The Latest One-Liners   49% of Black women in the UK who expressed concerns during labor didnt receive adequate support, , which also found that 23% did not receive requested pain support.

~1,200 chikungunya cases have been reported in south Chinas Guangdong province, prompting widespread mosquito control efforts and health alerts in nearby Hong Kong.

A cholera case in Poland is the countrys first in six years; the countrys chief sanitary inspector said the disease was confirmed in an elderly woman in Stargard who had not left the country, and that 20 of her contacts were now in quarantine.

Exposure limits to toxic airborne fungi indoors have been proposed for the first time via , which provides species-specific health risk estimates in an effort to address a major gap in indoor air safety policy.  U.S. and Global Health Policy News US rejects amendments to WHO international health regulations  

Clawing back foreign aid is tied to 'waste, fraud and abuse.' What's the evidence?
U.S. research community says new indirect cost model is still too complicated

GOP tax law will increase overdose deaths by 1,000 each year, analysis finds

Trump administration pulls back on work combating human trafficking, long a top GOP priority

ACA health insurance will cost the average person 75% more next year, research shows
A disaster for all of us: US scientists describe impact of Trump cuts DATA POINT

$1.7 trillion
漍漍漍漍漍
Potential annual reduction in global economic output by 2050 if countries fail to contain drug resistance, per an AMR fallout forecast modeling study that showed China and the U.S. would lose the most, at $722 billion and $296 billion, respectively.  SUBSTANCE USE The Role of Reward in Quitting Meth 
Treating meth addiction remains a critical challenge for many U.S. communities, as no effective medication is available to help manage dependence. 
  • With few options, an innovative strategy is gaining traction: contingency management (CM), which rewards patients for abstaining from meth.
How it works: Patients who test negative for meth at a clinic receive vouchers or cash rewards that increase with continued abstinencetypically totaling ~$600 over three to six months. 

Outcomes: Research has shown that CM outperforms counseling or therapy for stimulant addiction; about half of patients who complete CM remain drug-free after one year.

Growthbut for how long? CM programs have expanded to 600+ sites nationwide, aided by federal support and private insurers. 
  • But the Trump administrations health overhauls may impact such programs future. 
GLOBAL HEALTH VOICES HEAT Coverage When Temperatures Climb
A heat insurance program in India is offering new financial relief for daily wage workers who lose income or are forced to stop working during extreme heat.
  • The coverage is parametric, which means payouts are triggered by a measurable event, like temperature exceeding a set threshold, and no claims are required. 
Background: Such plans are seen as critical as more regions face record heat waves. One in the city of Ahmedabad that now covers ~50,000 members was set up through collaboration of the Indian trade union Employed Womens Association and the nonprofit Climate Resilience for All. 

Impact: The payouts not only help people avoid exploitative loans to pay bills; they also give workers a chance to rest or fund alternative business opportunities until they can resume work. 

OPPORTUNITY QUICK HITS Nearly 100 people killed seeking aid in Gaza on Sunday, Palestinian officials say

South Korea flood death toll rises to 18 as southern regions battered by record rain

FDA reverses ban on sale of Juul e-cigarettes

Most Americans Support Limits on Guns in Bars, Stadiums, and Protests, New Study Finds

A Push for More Organ Transplants Is Putting Donors at Risk

Fitness classes help elderly Ugandan women fight rising rates of obesity and diabetes

Do Indoor Pools Really Need to Close for Lightning? Issue No. 2760
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Thu, 07/17/2025 - 09:44
96 Global Health NOW: Accelerating Alzheimers Research; Replacing Aid With Sin Taxes; and Molar Express July 17, 2025 A nurse examines a patient living with Alzheimer's and dementia in Kathmandu, Nepal. October 5, 2023. Skanda Gautam/SOPA Images/LightRocket via Getty Accelerating Alzheimers Research: A Gold Mine of Global Collaboration
Key insights in Alzheimers research are being fueled by a massive new trove of globally shared datawith breakthroughs showing the power and potential of multinational collaboration, . 

Background: , launched in 2023, is now the largest neurodegenerative disease data-sharing effort, including 40,000+ clinical samples and 250 million protein measurements that allow for unprecedented researchpotentially speeding up the development of diagnostics and therapies by decades.

Discoveries include: 
  • New insights about APOE4, a gene variant that most strongly increases risk for developing Alzheimers, and new proteins associated with the gene. 

  • New evidence linking different neurodegenerative diseases with aging in other organs, including the liver, intestines, and muscles. 

  • Identification of protein pathways shared across several neurodegenerative diseases.
Call to collaboration: Some of the biggest medical discoveries of the past half-century were made possible through global partnerships, warning that the rising tides of nationalism and isolationism threaten to stop scientific progress in its tracks. 

Other breakthroughs: Meanwhile, new research shows that Alzheimers-related biomarkers can be detected in the blood of adults as young as 41, suggesting the disease could be identified decades before symptoms appear, . GLOBAL HEALTH VOICES The Latest One-Liners   The U.S. Senate approved the claw back of $9 billion in funding for foreign aid and other areas in an early morning vote today; to win necessary votes, Republican leaders agreed to preserve $400 million in funding for PEPFAR. 

Nearly 500 tons of high-energy biscuitsemergency food intended for 27,000 starving children in Afghanistan and Pakistanexpired in a warehouse in Dubai this month and will be incinerated; a U.S. official said it was a casualty of the shutdown of USAID. 

COVID-19 hospitalization rates were highest among Black and Hispanic children during the pandemic, according to  published in JAMA Network Open; from October 2021 to September 2022, cumulative hospitalization rates per 100,000 population were 113.2 for Black, 113.0 for Hispanic, 77.6 for white, and 64.8 for Asian or Pacific Islander children. 

A Golden Retriever named Bumper and a Black Labrador called Peanut reliably identified Parkinsons disease in patients based on their odor, per  in The Journal of Parkinson's Disease.  U.S. and Global Health Policy News Trump officials halt dangerous research, overriding NIH career scientists

RFK Jr. shakes up top staff at health department

Do Doctors Profit Off Vaccines? Fact-Checking RFK Jr.'s Claims

Worlds Premier Cancer Institute Faces Crippling Cuts and Chaos

Rio Grande Valleys biggest free health clinic event of the year is canceled due to federal cuts GLOBAL HEALTH VOICES NONCOMMUNICABLE DISEASES Replacing Aid With Sin Taxes
The WHO has launched a major push to introduce sin taxes in developing countries, with the aim of easing the burden of noncommunicable disease and filling the gap from slashed global aid spending.

The plan, called 3 by 35, aims to raise the price of tobacco, alcohol, and sugary drinks in developing countries by at least 50% by 2035.

The move comes as NCDs surge in the developing world, driven by rising incomes, booming populations, and skyrocketing rates of smoking, drinking, and the consumption of processed foods.

The concept: Higher prices mean people buy less of what makes them unhealthy. When people do buy alcohol, cigarettes, or junk food, the money goes to vital services related to HIV, nutrition, and maternal and child health that were once funded by foreign aid.

The WHO estimates that the price hike could prevent ~50 million premature deaths over the next 50 years across the developing world.

ALMOST FRIDAY DIVERSION Molar Express
Some mornings, the tooth fairy has some explaining to do: A pillow is lifted, and a baby cuspid sits where a coin should be. Some panicked parents and crestfallen kids have gone straight to the source, dashing off queries to an official-sounding tooth fairy email addressnot necessarily expecting a response. 

But for two decades theyve gotten one.

Filling in the gaps: A Seattle dentist, Purva Merchant, has been voluntarily moonlighting as the tooth fairy ever since the email addresscreated to organize her dental school applicationsreceived a desperate message entitled Calums tooth. It was a letter from a parent seeking to appease a forlorn child. Merchant wrote back that she was indeed on the case.
 
Crowning achievement: That was the first of ~6,000 missives Merchant has now written from the address, fielding questions that range from the fate of teeth that have slipped down drains (she can find them); about international exchange rates (she can do the math); and explaining what exactly she does with the teeth (building a castle). 

Drilling for the truth: Childrens emails range from fan mail (Im so sorry I swallowed my tooth. And I love you.) to directional (Dont bump into the heater.) Merchant always drafts a diplomatic response before reminding her gaptoothed correspondents to brush, floss, and be happy growing up! 

QUICK HITS An overlooked demographic has the highest suicide risk and its been rising

Can US Measles Outbreaks Be Stopped?

LGBTQ+ youth lose specialized 988 suicide line support

High prices, blackouts and half the money: Inside Puerto Ricos stagnant food aid system

Landmark study: three-person IVF leads to eight healthy children

A Venerable AIDS Activist Returns to Battle

Review shows ethical considerations in infectious disease guidelines lacking

Health trajectory of mothers of children with developmental disabilities shows a wear-and-tear effect starting around age 65 Thanks for the tip, Chiara Jaffe! 

Meet the diabetes researcher behind Barbies new pink (insulin) pumps Issue No. 2759
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Wed, 07/16/2025 - 09:30
96 Global Health NOW: PEPFAR Preserved?; The Dramatic Impact of Emergency Immunizations; and A Hidden Health Crisis in South Asia July 16, 2025 A cyclist rides past a PEPFAR sign. Abidjan, C繫te dIvoire, July 12. Issouf Sanogo/AFP via Getty PEPFAR Preserved? 
U.S. Senate Republicans and the White House have agreed to drop a proposed $400 million cut to PEPFAR, the U.S. global HIV/AIDS program, in an effort to push forward a $9 billion rescissions billwhich still includes $8.3 billion in cuts to USAID, . 
  • Several key GOP senators had vocally opposed the cuts to PEPFAR, citing the historically bipartisan programs success in saving 25 million+ lives since 2003.

  • Other revisions to the bill reportedly include language to protect programs related to malaria, tuberculosis, maternal health, and food aid, . 
Ongoing disruption: While the program may be spared, it will still be impacted by deep cuts to foreign aid programsmost notably USAID, which was PEPFARs main implementing agency. 

Impact of misinformation: White House officials had previously justified PEPFAR cuts by claiming it was supporting abortion services, with budget director Russell Vought falsely saying the program funded abortions in Russiawhere PEPFAR has not operated since 2012, .  

Whats next: The full Senate is expected to vote on the modified bill by Thursday, and it will need to be reapproved by the House, where it passed by a narrow margin last month.

A new era of austerity: Meanwhile, warns that global health aid, largely driven by U.S. funding, has plunged to a 15-year lowthreatening disease prevention efforts in vulnerable nations, . 

Related: On the Cusp of Eliminating HIV   GLOBAL HEALTH VOICES The Latest One-Liners   U.K. aid cuts have forced the closure of a major program to address antimicrobial resistance; the Fleming Fund has worked to combat AMR in the developing world for a decade.

Canadian hospitals are reporting an exponential increase in incidence of the drug-resistant carbapenemase-producing Enterobacterales (CPE) infection, ; the rate is still low, with transmission primarily occurring in hospitals.

Two Nipah virus vaccines are poised to enter human clinical trials in Bangladeshwith one showing potential for emergency use authorization; meanwhile, new monoclonal antibody drugs are showing promise for treating and preventing infection.

The abortion access battle between U.S. states could be headed for a U.S. Supreme Court showdown after a New York county clerk rejected an effort by Texas to fine a New York-based doctor accused of shipping abortion pills across state lines. U.S. and Global Health Policy News In Kenya, humanitarian workers ponder life after USAID

HHS efficiency review blamed for delaying patient care at Indian Health Service

Trump team withholds $140 million budgeted for fentanyl fight

These States Now Allow OTC Ivermectin, and More May Follow

Medical students could feel burn from Trump's new law THE QUOTE
  The islands health security is being undermined, not by disease or poverty, but by bullets. 漍漍漍漍漍漍漍漍漍 The Telegraph (, about Trinidad & Tobago.)  VACCINES The Dramatic Impact of Emergency Immunizations
Emergency vaccination campaigns conducted amid disease outbreaks have reduced deaths and infections by nearly 60% since 2000, .
  • The efforts generated $32 billion in economic benefits from deaths and disabilities prevented.
The study, which was backed by the Gavi vaccine alliance, studied emergency immunization during 210 outbreaks in 49 low-income countries, and is the first of its kind to comprehensively quantify the benefit, in human and economic terms of such campaigns, said Gavi chief Sania Nishtar.

Major impacts: Yellow fever deaths dropped by 99%, and Ebola deaths by 76% because of emergency vaccination campaigns.

GLOBAL HEALTH VOICES ANEMIA A Hidden Health Crisis in South Asia
Anemia is one the quietest but most pervasive health crises in South Asia, affecting 259 million women and girls, and 18 million more cases are projected by 2030, warns the UN. 

The toll: Anemia contributes to 40% of global low birth weight cases, and costs South Asia ~$32.5 billion annually, limiting womens education and economic potential. It disproportionately affects the regions poorest women and girls.
  • When half of all adolescent girls and women in South Asia are anemic, it is not only a health issueit is a signal that systems are failing them, said Sanjay Wijesekera, UNICEFS regional director.
Integrated efforts: Nepal, Sri Lanka, India, Pakistan, Bangladesh, the Maldives, and Bhutan are making strides through targeted, community-based nutrition and maternal care programs.

OPPORTUNITY QUICK HITS A Crisis of Contagion and Collapse: Why Cholera Continues To Be a Problem in the DRC

A Revolutionary Drug For Extreme Hunger Transforms Life For Those With Prader-Willi Thanks for the tip, Chiara Jaffe! 

This fuel is 50% plastic and its slipping through a loophole in international waste law

With fewer protections and more paperwork, LGBTQ+ Americans face a Medicaid coverage cliff

Even grave errors at rehab hospitals go unpenalized and undisclosed

Medical charlatans have existed through history. But AI has turbocharged them

Amniotic stem cells can be collected from vaginal fluid rather than more invasive techniques
  FDA approves new blue food dye derived from gardenia fruit&紳莉莽梯; Issue No. 2758
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Tue, 07/15/2025 - 09:43
96 Global Health NOW: Danish Study Finds Aluminum in Vaccines Safe; Abortion Access in Sicily; and Missed Flood Warnings in Texas and North Carolina July 15, 2025 Eleven-year-old Sarah B羹low Carlsen receives a vaccination against the novel coronavirus in Amagar, Denmark. November 28, 2021. Olafur Steinar Gestsson/Ritzau Scanpix/AFP via Getty Large Danish Study Finds Aluminum in Vaccines Safe  
A new Danish study of vaccination and medical records from 1.2 million children over a 24-year period effectively quashes theories about the dangers of the use of aluminum salts in vaccines, .
  • The salts, which are added to vaccines to create a stronger immune response, do not lead to statistically significant increased risks of developing autism, asthma, or 48 other conditions, .
The takeaway: We should not be concerned about aluminum used as an adjuvant in childhood vaccines, Anders Hviid, the studys senior author and head of epidemiology at Denmarks Statens Serum Institut, told STAT. I think thats the core message.
 
More vaccine news: Almost 20 million infants missed at least one dose of diphtheria, tetanus, and pertussis (DTP)-containing vaccine last year,  today. 
  • In 2024, 89% of infants worldwide (about 115 million infants) got at least one DTP vaccine dose. And 85% received all three doses. Those percentages reflect an increase over 2023 of 171,000 infants receiving at least one DTP dose and one million getting all three doses.

  • About 14.3 million children never received a single dose of any vaccine.
GLOBAL HEALTH VOICES The Latest One-Liners   One in ten children screened at UN-run health clinics in Gaza suffers from malnutrition, and malnutrition rates have been increasing since the intensifying of the siege in March, per the UNs refugee agency for Palestinians (UNRWA). 

The WHO released new guidelines recommending use of the twice-yearly injectable lenacapavir as an additional option for HIV prevention, adding that it should be made available immediately at pharmacies, clinics, and via online consultations. 

Karolinska Institutet researchers identified 250+ blood proteins altered by malaria, a discovery that the authors say could predict which patients are most at risk and supports earlier, more targeted malaria treatment. 
 
Candy-like nicotine pouches caused a 763% spike in child poisonings between 2020 and 2023 in the U.S.even as ingestion rates for other nicotine products fell,  that underscores the need for stronger regulations, a ban on flavored nicotine products, and secure storage practices.  U.S. and Global Health Policy News _______________________________________________ Countries to budget more for HIV/AIDS measures as U.S. withdraws aid 

NIH to dismiss dozens of grant reviewers to align with Trump priorities

A million veterans gave DNA for medical research. Now the data is in limbo

A clinic blames its closing on Trumps Medicaid cuts. Patients dont buy it.    REPRODUCTIVE HEALTH RIGHTS Reframing Abortion Access in Sicily
Abortion has been legal in Italy since 1978but 80%+ of gynecologists in Sicily refuse to perform the procedure for moral or religious reasons. 
  • As of 2022, abortions were available in only about half of Sicily's hospitals, compared to 70% in central and northern Italy.
A new law seeks to open up more access to Sicilian women: 
  • In May, Sicilys regional council passed a law requiring all public hospitals to establish dedicated abortion wards and hire staff willing to perform the procedure.
But staffing the wards may be difficult: Some doctors argue Sicily's hospital staff shortages and poor working conditions make it harder for gynecologists to provide abortions on top of other duties.

GLOBAL HEALTH VOICES DISASTERS Missed Flood Warnings in Texas and North Carolina
In the reckoning after the flash floods in central Texas, reactions from public officials echo those from western North Carolina in the days after Hurricane Helene: There was not enough warning for evacuations.

But both weather scenarioswhile extremewere forecasted; and accurate weather alerts were issued hours in advance. Some local officials acted, but others did not, leading to preventable tragedies.

Wheres the breakdown? Both disasters have exposed gaps in emergency communication, especially in rural areas where people may not receive alerts due to poor cell service and where flood warning systems are not in place.

Calls for accountability: While public outcry in Texas has led to a special legislative session on disaster readiness, North Carolina legislators have yet to deliberate on the matter. 



Related: Why older rural Americans can be hit hardest after floods and other disasters OPPORTUNITY QUICK HITS SA gets R520-million to buy the twice-a-year anti-HIV jab but theres a snag

CDC Says COVID-19 Cases Rise in 25 States

Leana S. Wen: Why it matters if the U.S. loses its measles elimination status

Study: Climate change helps diversify, increase transmissibility of West Nile virus

Smart brain-zapping implants could revolutionize Parkinsons treatment

WHO regional head placed on leave amid corruption allegations

Tedros Adhanom Ghebreyesus: Loneliness and isolation: The hidden threat to global health we can no longer ignore

AI is about to solve loneliness. That's a problem Issue No. 2757
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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Mon, 07/14/2025 - 09:29
96 Global Health NOW: Inescapable Pattern of Atrocities in Sudan; A Libyan Familys Desperate Quest for Care; and U.S. vs. European Food Policies July 14, 2025 Najat Sharafadin Arbab Saboun, 5, from Darfur, West Sudan, who was shot in the leg by RSF soldiers, sits in an Ambelia camp shelter near Adre, Chad. April 23, 2024. Dan Kitwood/Getty An Inescapable Pattern of Atrocities in Sudan
Both sides in Sudans civil war are committing war crimes and crimes against humanity against civilians in Darfur, the International Criminal Court has told the UN Security Councilwith atrocities including systemic rapes and sexual violence, kidnappings, attacks on aid convoys and medical facilities, and weaponized starvation, .
  • Survivors are reporting an inescapable pattern of targeted sexual violence against women from specific ethnic communities, said ICC deputy prosecutor Nazhat Shameem Khan, . 
To hell and back: Meanwhile, hundreds of children reported stories of terror and loss after ~500,000 peopleover half of them childrenwere displaced from Zamzam camp this spring, , which collected childrens accounts of family separation, sexual violence, and detentions in the new report, .  

Aid shortfalls: 30 million+ people need humanitarian assistance as famine conditions deepen and disease spreads. But aid groups warn that the void left by cuts to U.S. fundingwhich provided 44% of the worlds humanitarian funding for Sudan last yearcannot be filled, . 
  • And malnutrition and food insecurity are expected to escalate as the rainy season progresses, leaving a brief, urgent window to deliver critical aid. 
GLOBAL HEALTH VOICES The Latest One-Liners
A child in Liverpool died from measles at Alder Hey Childrens Hospital, where 16 other children have been hospitalized with measles in recent weeks; the MMR uptake rate in Liverpool is just 73% by age 5, well below the 95% needed for herd immunity.

A northern Arizona resident died of pneumonic plague, health officials confirmed July 11noting that while plague is being investigated as the possible cause of a recent die-off of prairie dogs in the area, the case is unrelated; human deaths are rare from the illness, which is highly treatable with antibiotics when caught early enough.

~1 in 3 U.S. youths have prediabetes, ; but scientists questioned the release of the 600-word online summary, which did not include raw data or peer-reviewed research.

U.S. counties that endure severe climate-related disasters often experience reduced access to critical health care infrastructure in the years that follow, .

The U.S. dropped charges against Michael Kirk Moore, the Utah doctor accused of destroying $28,000+ worth of government-provided COVID-19 vaccines and administering saline to children instead of the vaccine. U.S. and Global Health Policy News US senators poised to reject Trumps proposed massive science cuts

The potential impact of reductions in international donor funding on tuberculosis in low-income and middle-income countries: a modelling study

Making diphtheria great again? Why SAs public health experts are worried about RFK Jr.

Trump administrations NIH funding cuts threaten research on sickle cell disease

Inside the Collapse of the F.D.A. Thanks for the tip, Dave Cundiff! 

NIH suspends dozens of pathogen studies over gain-of-function concerns HEALTH SYSTEMS One Libyan Familys Desperate Quest for Care
Libyas failing health care system is in the spotlight after the perilous journey of a 7-year-old with cystic fibrosis and her family seeking care in Italy gained international attention. 

Background: Due to ongoing political instability in Libya, many critical care facilities there are not functional, and essential medicines are scarce.

Sohans story: Sohan Aboulsoud has been unable to access medical care there, despite her familys exhaustive efforts. Finally, the family decided to take the dangerous journey by a smugglers boat to Italy. 
  • We didnt leave because we wanted to migrate, it was because illness doesnt wait, said Sohans mother, who took a photo of her weary daughter that soon went viral and sparked protests in Tripoli demanding access to care for Sohan. 
GLOBAL HEALTH VOICES CHRONIC DISEASES U.S. vs. European Health: More Than the Dye
In the MAHA movements quest to overhaul the U.S. food industry, leading voices regularly point to Europe as the model, citing European countries restrictions on food dyes, additives, and pesticides.

But that focus overlooks systemic reasons for Europeans lower chronic disease rates and longer life expectancy, scientists say. 

Rigorous regulation: To emulate European food policies, the U.S. would have to invest in a raft of regulation, including more review processes, warning labels, and taxes on products like soda. 
  • Instead, the U.S. is cutting funding to regulatory agencies like the FDA. 
Broader factors: The movement also overlooks other key differences, such as the role of universal health care, walkable city design, pollution exposure, and poverty rates. 

OPPORTUNITY Apply for Global Health Emerging Scholars Fellowship
The Global Health Emerging Scholars (GHES) Fellowshipa 12-month, NIH-supported, mentored training in global health research designed to address health inequities and improve population healthis now accepting applications for the 202627 fellowship year.
 
The fellowship, hosted by a consortium of Yale University, Stanford University, University of Arizona, and UC Berkeley, typically runs JulyJune and offers training opportunities in 16 countries.
  • Deadline:  by October 1, 2025, 5 p.m. Eastern Time
QUICK HITS Nipah death in Palakkad leads to alert in six Kerala districts

Increased vaccine uptake in US kids linked to reduced antibiotic prescriptions  

Men Might Be the Key to an American Baby Boom

High rates hurt public healthcare

PrEParing for HIV prevention among men who have sex with men in China: challenges and solutions

Why a new opioid alternative is out of reach for some pain patients

How one elite rehab center is obliterating all kinds of cravings with GLP-1s

Scientists hide messages in papers to game AI peer review Issue No. 2756
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Thu, 07/10/2025 - 10:03
96 Global Health NOW: Northern Nigeria's Cash Incentives for Vaccines; The Ticking Time Bomb of AIDS Shortfalls; and Up a Pole Without a Paddle July 10, 2025 GHN EXCLUSIVE REPORT A mother holds up the cash incentive she received at the Farfaru clinic upon vaccinating her child. Sokoto, Nigeria. April 2025. Abiodun Jamiu Fighting Infant Mortality With Vaccines and Cash in Northern Nigeria
SOKOTO, NigeriaIn the region surrounding Farfarus primary health care center, health workers often had to persuade women to vaccinate their children.
 
That began to change with the 2014 introduction of the New Incentives cash rewards program, which spurred a surge in mothers bringing their children in for childhood immunizations to protect against diseases such as diphtheria, pertussis, hepatitis B, and polio. The clinic now sees ~30 to 40 babies a day.
  • The initiative operates in government-run health facilities across 11 northern stateswhere vaccine hesitancy and misinformation run rampant, and missed vaccinations contribute to rising infant mortality rates.

  • At least 41% of Nigerias deaths among children under 5 may have been prevented with vaccines, .
More than just the cash: New Incentives also conducts a rapid assessment to survey the level of vaccine hesitancy, then reaches out to village leaders and locals to share information about immunizations and demystify deep-rooted misconceptions.
  Is it sustainable? The initiative is commendable, but only feasible as a short-term measure, says , a University of Ilorin professor, citing the risk of caregivers growing dependent on the incentiveswhich are donor-dependent, with no guarantees in the current funding climate. GLOBAL HEALTH VOICES The Latest One-Liners
Lassa fever has killed 148 people and sickened 790 in Nigeria over the last 6 months by the Nigeria Centre for Disease Control and Prevention; the virus, which causes hemorrhagic fever, has spread to 20 states.

U.S. measles cases have hit their highest level in 33 years; 1,288 cases have been reported this yearthe highest total since the U.S. eliminated the disease in 2000.

Fungal infections are getting harder to treat as they become more drug-resistant, , which focused on infections caused by Aspergillus fumigatusone of the WHOs top concerns on its .

An initiative to boost taxes on tobacco, sugary drinks, and alcohol has been introduced by the WHO; the effort urges international governments to implement such taxes by at least 50% by 2035 in an effort to reduce noncommunicable disease. HIV/AIDS The Ticking Time Bomb of AIDS Shortfalls
Last year, the annual UNAIDS global update reported major progress: The number of people who died of AIDS represented the lowest levels seen in 30+ years, and more people than ever were getting access to lifesaving medications.

is far more sobering: The sudden U.S. decision to withdraw funding for AIDS programs worldwide has led to a systemic shock to supply chains, clinics, health care staffing, testing, and medication access that, if not addressed, could lead to 4 million+ AIDS-related deaths and 6 million more HIV infections by 2029, . 
  • This is not just a funding gapits a ticking time bomb, said UNAIDS executive director Winnie Byanyima.
Meanwhile, countries criminalizing same-sex sexual activity are increasingwith key populations such as gay men and people who inject drugs especially vulnerable, . Countries cracking down on rights include Mali, Trinidad and Tobago, Ghana, and notably, Uganda: 
  Queer Ugandans Face More Tribulations
After Uganda passed the Anti-Homosexuality Act in 2023which includes the death penalty for aggravated homosexualitymany queer Ugandans sought safety in nearby Kenya. 

But soon after the Ugandan acts passage, Kenya introduced its Family Protection Bill, which not only prohibits same-sex relationshipsif made law, it would ban pronouns, gender reassignment, and sex education.
  • Kenya hosts ~1,000 LGBTQ+ refugees and asylum seekersprimarily from Uganda, per a 2021 UNHCR estimate.

  • Most LGBTQ+ asylum seekers from Uganda are sent to Kakuma refugee camp, which is marked by hate crimes, discrimination and other human rights violations.
  ALMOST FRIDAY DIVERSION Up a Pole Without a Paddle
Its summertime in the Netherlands, which means long days, coastal picnics, and athletes using 4-stories-tall poles to fling themselves across canals. 

Tis the season of fierljeppen: a sport that is equal parts pole vault, long jump, and cannon-balling into canals that is really a typically Dutch sport," . 

Vaulting ambitions: Competitors sprint toward a 12-meter pole, launching themselves in a graceful arc over the canal, . They then hastily scale the pole in an effort to jump to a sandbank on the other side. 
  • Thats the goal, anyway: All participants must be good swimmers. 
One-upmanship: The gravity-defying sports origins date back centuries, when farmers used poles to cross canals and ditches that separated fields. Legend has it that a series of bar bets led to an informal competition in 1767and eventually a formal sport that now involves ~600 athletes in organized leagues, . 
  • But fierljeppen hasnt caught on in other countries, observes De Groot: "I think because in the rest of the world there are not so many canals and also maybe the people are not so crazy. 
OPPORTUNITY QUICK HITS USAID Lost: Stories from Colombia, Kenya, and Nepal

Very limited time to react: Texas flash floods expose challenges in early warning

Burkina Fasos only eye doctor for children sees the trauma of both play and conflict

Symbolic science fair showcases research cut by Trump team

Texas Overhauls Anti-Abortion Program That Spent Tens of Millions of Taxpayer Dollars With Little Oversight

Do we think enough about parents who care for sick or disabled children and how not to make things harder?

The Indonesian doctor tackling tuberculosis via treatment, tweets and TikTok

How German Cities Are Rethinking Womens Safety With Taxis Issue No. 2755
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Wed, 07/09/2025 - 09:46
96 Global Health NOW: Judgment Day Scenes in Gaza; Kabuls Looming Water Crisis; and Americas Insomnia Epidemic July 9, 2025 Palestinians gather to receive food aid distributed by a charity organization as the Israeli attacks continue in Deir al Balah, Gaza, on July 9. Hassan Jedi/Anadolu via Getty Judgment Day Scenes as Gaza Crisis Deepens
As violence grows at food distribution sites in Gaza and the enclaves medical system collapses, an Israeli defense ministers plan to move all Palestinians in Gaza into a camp in Rafah is sparking legal and humanitarian concerns, . 

Details of plan: Israel's defense minister has instructed the military to establish a humanitarian city to initially house ~600,000 Palestinians, and eventually the whole 2.1 million population, . 
  • Israeli human rights lawyer Michael Sfard described the relocation plan as an operational plan for a crime against humanity. 
Violence at new aid distribution sites is overwhelming doctors and humanitarian workers, who describe daily mass casualty incidents since the Israeli- and U.S.-backed Gaza Humanitarian Foundation began distributing food in May, . 
  • The majority of incidents involve military gunfire, in scenes that resemble the horrors of judgment day, per one Palestinian nursing director.

  • A journalist in Gaza seeking food described facing Israeli military fire, private U.S. contractors pointing laser beams at my forehead, crowds with knives fighting for rations, and masked thieves, . 
A doctors death leaves a void: Marwan al-Sultanone of Gazas two cardiologists and a hospital directorwas killed in an Israeli airstrike, prompting widespread grief and outrage, . 
  • By losing Dr. Marwan, thousands of people will lose and suffer, said another hospital director. 

  • 1,500+ health care workers have died in the conflict, . 
Related: USAID review raised critical concerns over Gaza aid group days before $30 million US grant GLOBAL HEALTH VOICES The Latest One-Liners   The International Criminal Court has issued arrest warrants for the Talibans supreme leader, Haibatullah Akhundzada, and Afghanistans chief justice, Abdul Hakim Haqqani, accusing them of crimes against humanity for the persecution of women and girls.

Climate change tripled the death toll of the latest European heatwave, , which attributed ~1,500 of the ~2,300 heat-related deaths over 10 days in 12 cities to climate change.

New vaccines for Marburg virus and Sudan ebolavirus have been announced for development by U.S. health officials; the vaccines aim to address material threats to national health security.

Breathing polluted air, even at low levels, may cause scarring in heart muscles, leading to heart failure over time, ; the damage occurred in both healthy individuals and people with heart conditions. WATER Kabuls Looming Crisis 
Kabuls groundwater could be depleted by 2030a mounting crisis as the city of ~6 million contends with population growth, climate change, and poor water management. 

By the numbers: 
  • Groundwater levels have dropped by 30 meters in a decade, and half the citys boreholes have dried up, . 

  • Already, ~80% of Afghans lack access to safe drinking water, and many rely on tanker trucks and arduous journeys to wells. 
Short- and long-term solutions needed: Several remediation projects were planned pre-Taliban takeover, including the construction of the Shahtoot dam and a Panjshir River pipeline. 
  • They could still be effective, but their status is unclearand aid organizations say water solutions are needed now.
GLOBAL HEALTH VOICES SLEEP Americas Insomnia Epidemic
Insomnia can cause a cascade of health problems, including heart disease, diabetes, depression, and injury from accidents. Yet it remains underdiagnosed, undertreated, and poorly understood.

In a must-read narrative, Jennifer Senior chronicles her own struggle and her exhaustive efforts to find solutions: from medication to new forms of therapy to attending the annual conference for sleep study.

An alarming problem: ~12% of Americans ; 30%35% suffer from insomnia symptoms at least temporarily. 
  • The public and private sectors alike are barely doing a thing to address what is essentially a national health emergency, writes Senior, who calls for broader cultural and structural changes to address the sleep crisis.


Related: RFK Jr. Is Noticeably Quiet About a MAHA Obsession OPPORTUNITY QUICK HITS South Sudans longest cholera outbreak enters critical stage

The Texas Flash Flood Is a Preview of the Chaos to Come

Dinesh Raj Neupane: When Youth Costs More: The Financial, Physical, and Emotional Toxicity of Being Young with Cancer

Chagas in Bolivia: The Story of Luis and His 'Double Engine' That Inspires Hope in the Chaco

Chagas disease transmission: Kissing bugs readily invade human dwellings to feed on humans and companion animals

Just How Harmful Is Vaping? More Evidence Is Emerging.

Blood Tests Predict Dementia in Down Syndrome Thanks for the tip, Chiara Jaffe! 

Stress is wrecking your health: how can science help? Issue No. 2754
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Categories: Global Health Feed

Tue, 07/08/2025 - 09:16
96 Global Health NOW: U.S. Children: Canaries in the Coal Mine for Health; DRCs Scattershot Vaccine Efforts; and Child Safety in Pakistan July 8, 2025 A child plays in a splash pad on a hot day at the Earvin "Magic" Johnson Recreation Area. Los Angeles, May 20. Allen J. Schaben/Los Angeles Times via Getty Childrens Health Declines in the U.S.: Canaries in the Coal Mine
U.S. children's physical and mental health has deteriorated across a range of key indicators over 17 years, findings that one researcher described as canaries in the coal mine reflecting wider problems with Americans health, . 

Worsening health trends between 20072023, : 

Chronic conditions: U.S. children ages 317 are now 1520% more likely to have chronic conditions than in 2011, including obesity, anxiety, sleep apnea, autism, and ADHD.
  • Early menstruation, poor sleep, and loneliness have also increased.

  • Depressive symptoms among high schoolers rose from 26% in 2009 to ~40% in 2023.
Mortality: U.S. children were about 80% more likely to die than peers in 18 other high-income countries, with leading causes of death including firearms, car crashes, and substance abuse.
  • Lack of health coverage also plays into the disparity, . 
The Quote: It's a huge wake-up call that we really are failing kids right now," lead study author Christopher Forrest , adding that the whole ecosystem that kids are growing up in" needs examination.

Call to action: In an , pediatric experts affirmed Health Secretary Robert F. Kennedy Jr.s emphasis on childrens health, but they said administration actions like questioning vaccine safety and cuts to health agencies are further endangering kids.  GLOBAL HEALTH VOICES The Latest One-Liners   Malaria medicine for babies made by Novartis AG has secured Swiss regulatory approval; the drug, Coartem, is the first of its kind and can be used to treat infants weighing 25 kilograms (411 pounds).

741 patients died during clinical trials for stem cell therapy from 1999 to 2017 at Indias Institute of Kidney Diseases and Research Center, per a report by the countrys Comptroller and Auditor General; the report also found that the therapy failed in 91% of cases.  

200+ kindergarteners in China were found to have elevated lead levels in their blood tied to food tainted with lead-containing decorative paint; canteen staff at the kindergarten have been detained on suspicion of producing toxic and harmful food.

The CDC has ended its H5N1 avian flu emergency response, citing declining animal infections and no human cases reported since February; it will combine future updates with seasonal influenza reports.  U.S. and Global Health Policy News 11,000 more TB patients died after Trump's USAID cuts. That number will rise.

Its a nightmare. U.S. funding cuts threaten academic science jobs at all levels

US adults want the government to focus on child care costs, not birth rates, AP-NORC poll finds

Defenders of Medicaid cuts are misunderstanding a study I worked on

The CDC Got Caught Citing a Fake Study. Again.

FDA Layoffs Could Compromise Safety of Medications Made at Foreign Factories, Inspectors Say MPOX DRCs Scattershot Vaccination Efforts
The Democratic Republic of the Congothe country hardest hit by the mpox surgehas vaccinated 700,000+ people since October 2024. 

But a new WHO analysis suggests it has made little difference, due to a lack of targeted distribution.

Obstacles: The country has received a small vaccine supplybut it lacks the surveillance capabilities needed to more effectively prioritize at-risk groups. 

The result: A confetti strategy, said Ana Maria Henao-Restrepo, a WHO vaccine specialist who led the analysis. You distribute a little bit everywhere. The possibility of having an impact is diminished substantially.

Key insights: African scientists welcomed the analysis, saying it was the first rigorous evaluation of the vaccination programs impact in the continent. 



Related: 

Health officials encouraged by recent trends in Africas mpox outbreaks

Mpox Surge in Sierra Leone: A Stress Test for National Readiness GLOBAL HEALTH VOICES CHILD AND ADOLESCENT HEALTH Promoting Child Safety in Pakistan
Children in Pakistan are highly vulnerable, with ~3% involved in forced labor and 3,600+ abuse cases reported in 2024. 

But prevention efforts are difficult in many conservative communities, as abuseparticularly sexual abuseis a taboo subject, meaning parents are reluctant to report incidents. 

Rozans role: Rozan, a nonprofit founded in 1998 to prevent domestic violence, has sought to overcome such stigmatraining 1,000+ volunteers to raise awareness among both parents and children in communities across Pakistan.

  • The group also seeks to teach men to break the cycle of domestic violence. 

OPPORTUNITY QUICK HITS Ordeal of Inuit girls from Greenland given birth control without consent

Nipah virus infects 2 more in India, 1 fatally  

Tiny nanobody shows big promise in fighting Nipah and Hendra viruses  

The Neglected Crisis in Safe Blood Access

If your cigarette box isnt disgusting, its not doing its job

The fight for a tobacco-free society is in peril

Liverpool mobile greengrocer to reach food deserts with aid of mapping tool

454 Hints That a Chatbot Wrote Part of a Biomedical Researchers Paper

New research shows Monday stress is etched into your biology Issue No. 2753
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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泭泭泭 51勛圖厙GHP Logo (51勛圖厙crest separated by a vertical bar from a purple globe and a partial arc with "51勛圖厙Global health Programs" in English &amp; French)

51勛圖厙 is located on land which has long served as a site of meeting and exchange amongst Indigenous Peoples, including the Haudenosaunee and Anishinabeg Nations. 51勛圖厙honours, recognizes, and respects these nations as the traditional stewards of the lands and waters on which peoples of the world now gather. Today, this meeting place is still the home to many Indigenous Peoples from across Turtle Island. We are grateful to have the opportunity to work on this land.

Learn more about Indigenous Initiatives at McGill.

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