麻豆色情片

Modern medicine is largely reactive鈥攖reating illness only after symptoms emerge. But a new study from the Research Institute of the 麻豆色情片 Health Centre (The Institute) and 麻豆色情片 points to a more proactive future: one where silent signs of infection are detected before we even feel sick.

96 Global Health NOW: Migration Response Done Right: Brazil鈥檚 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: Brazil鈥檚 Model for a World in Crisis
PACARAIMA, Brazil鈥擬aria* 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 Venezuela鈥檚 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莽茫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莽茫o Acolhida鈥嬧��, but on this day, Maria鈥檚 new life begins. 

*Maria鈥檚 name was changed to protect her privacy.

Editor鈥檚 note: Julianna Deutscher, MD, MPH, reported this article鈥攖he first in a series marking today鈥檚 World Day Against Trafficking in Persons鈥攚ith support from the . GLOBAL HEALTH VOICES The Latest One-Liners   Cholera is a 鈥渇ull-blown public health emergency鈥� in DRC six months into renewed fighting that has obliterated sanitation and water supply systems, per Oxfam鈥檚 DRC director, Manenji Mangundu鈥攚ith ~35,000 suspected cases and at least 852 related deaths since January, a 62% increase compared to 2024.

Liver cancer cases are projected to double鈥攆rom ~870,000 cases in 2022 to 1.52 million cases by 2050鈥攂ut 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 pandemic鈥攚ith Latino essential workers in particular showing a staggering 91% increase in deaths compared with 8% for the white U.S.-born subgroup鈥�. 

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 鈥渃haos.鈥� U.S. and Global Health Policy News Budget cuts knock down a 鈥榩illar of public health,鈥� ending nutrition education 鈥�

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

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

Susan Monarez confirmed as Trump鈥檚 CDC director 鈥�

Dozens of state laws take aim at food dyes, amid a wave support for MAHA 鈥� 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 welfare鈥攁 move that could dismantle the legal basis for much of the country鈥檚 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 鈥溾�� 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 country鈥檚 withdrawal from the Paris Agreement, . 


• One ecologist likened a repeal to 鈥渁 driver who is speeding towards a cliff taking his foot off the brake and instead pressing the accelerator.鈥�

What鈥檚 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铆lia鈥攁s the 鈥渓ived reality鈥� of climate change 鈥渢hreatens to undo decades of global health progress.鈥� GLOBAL HEALTH VOICES HUMAN RIGHTS Sierra Leone鈥檚 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 鈥渙ne of the worst forms of violence against women.鈥� 

• A 2019 survey found that 83% of women in Sierra Leone had undergone FGM鈥�71% 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 children鈥攂ut 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 court鈥檚 ruling.

QUICK HITS People are dying of malnutrition in Gaza. How does starvation kill you? 鈥�

Colombia Opens South America's First Safe Injection Sites 鈥�

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

AMR surveillance project in Nigeria delivers life-saving impacts 鈥�

In Uganda a new epidemic alert system is helping fight mpox 鈥�

The Dutch Intersection Is Coming to Save Your Life 鈥� 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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96 Global Health NOW: A Temporary Dip in Global Hunger?; Why European Vaccine Policies Don鈥檛 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: 鈥淭hese figures 鈥� are alarming enough, but the worst may be yet to come,鈥� Kate Munro, of Action Against Hunger UK, told The Telegraph. 鈥淐uts in international aid will hit the most vulnerable populations hardest.鈥� 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 country鈥檚 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 鈥�

Group criticizes NIH over suspended funding for TB research 鈥�

Judge blocks Trump administration鈥檚 efforts to defund Planned Parenthood 鈥�

Senate to vote on Trump鈥檚 pick to lead the CDC 鈥� THE QUOTE
  "Venoms are evolutionary masterpieces, yet their antimicrobial potential has barely been explored. " 鈥斺赌斺赌斺赌斺赌� C茅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蝉.&苍产蝉辫;鈥� VACCINES Why European Immunization Policies Don鈥檛 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: 鈥淕iven our specific disease burden and public-health goals, are we effectively protecting the most vulnerable people? Based on overwhelming evidence? The answer is yes,鈥� said Jake Scott, an infectious disease physician at Stanford University. 

OBIT Remembering David Nabarro, 鈥楢 Great Champion of Global Health鈥�
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.

• 鈥淒avid was a great champion of global health and health equity,鈥� 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 WHO鈥檚 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 WHO鈥檚 messaging during COVID-19鈥攁 role that earned him a knighthood. 

鈥淭he Gandalf of the UN鈥�: Colleagues praised Nabarro鈥檚 humility and his way of 鈥渜uietly bringing people to the table who otherwise would not speak to each other.鈥� 

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

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

WHO urges action on hepatitis, announcing hepatitis D as carcinogenic 鈥�

Preventing Firearm Suicide In Wyoming 鈥�

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

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

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

Looking at a sick person in VR can rev up our bodies鈥� immune systems 鈥� 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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96 Global Health NOW: Instability in Syria; Ivermectin for Added Protection?; and Nigeria鈥檚 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 Syria鈥檚 southern Sweida province have led to mass displacement, hundreds of deaths, and a paralyzed health system鈥攖hreatening the country鈥檚 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 鈥榰nder immense strain鈥�: 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 鈥渋mmense strain,鈥� said WHO representative Christina Bethke鈥攆acing 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 violence鈥攍eading to 鈥渟evere humanitarian consequences for civilians,鈥� . 

Related Webinar Tomorrow: Stabilizing Syria: Rehabilitating Syria鈥檚 Public Health System in a Fragile Transition, hosted by the Center for Strategic & International Studies Middle East Program, featuring keynote remarks by Syria鈥檚 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.鈥�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 鈥渟trong political will, smart interventions, sustained domestic and external investment and dedicated health workers鈥� in its efforts; the designation marks the malaria-free, and the third to be certified in the WHO鈥檚 South-East Asia region.

At least 300 people鈥攎ainly children in Africa and Asia鈥攈ave died since 2022 from cough and paracetamol syrups containing toxic industrial chemicals, that says 鈥渃riminal networks鈥� 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 鈥�

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

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

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

Congressional panels resist White House proposals for sharp cuts in indirect cost rates 鈥� 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 mosquitoes鈥攁llowing 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 use鈥攎eaning it shows potential as a complementary tool, . 

Mixed reception: While some researchers praised the findings and described the drug as an 鈥渁ddition to the malaria control arsenal,鈥� others questioned the modest impact and 鈥渜uestionable public health benefits,鈥� including ivermectin鈥檚 unsuitability for pregnant women and very young children.

What鈥檚 next: The WHO has said more evidence will be needed before it can endorse the approach. GLOBAL HEALTH VOICES NEGLECTED DISEASES Nigeria鈥檚 Human Flycatchers 
In the battle against onchocerciasis, the parasitic disease that causes river blindness, researchers in Nigeria are relying on 鈥渉uman landing catches鈥� 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 parasite鈥檚 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 鈥�

鈥楥hanged my life鈥�: hepatitis treatment offers hope but not enough receiving care, report finds 鈥�

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

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

Coercive Care: Southern Europe鈥檚 Reliance on Elder Restraints 鈥�

Other nations had a pandemic reckoning. Why hasn鈥檛 the US? 鈥�

America is in denial about its flood risks 鈥�

WHO unveils health and environment scorecards for 194 countries 鈥�

The Ghost in the Therapy Room 鈥� 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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Les nouvelles g茅n茅rations ne devraient pas attendre les adultes pour changer le cours de l鈥檋istoire.

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 鈥渕an-made starvation,鈥� the WHO鈥檚 chief said yesterday鈥攋oining that Israel鈥檚 blockade of food and aid supplies has led to 鈥渃haos, starvation, and death,鈥� . 

• 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 鈥渨itnessing their own colleagues and partners waste away before their eyes,鈥� . 

• Medical staff are becoming too weak to treat patients鈥攅ven 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. Here鈥檚 why they haven鈥檛 declared one. 鈥�   GLOBAL HEALTH VOICES The Latest One-Liners   Editing mosquitoes' genome can make them highly resistant to spreading malaria by changing just one amino acid, 鈥攁n adjustment that could be engineered to spread through an entire mosquito population.

Diet is the key driver of obesity, not lack of exercise, 鈥攚hich 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 鈧�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 鈥�
UK government shutters aid program to fight antimicrobial resistance 鈥�

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

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

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

New EPA proposal aims to strike down landmark climate "endangerment finding" 鈥� 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 鈥渢oo wide a net鈥� for trial participants: The trial used a blood test to select participants鈥攂ut 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 鈥�

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

82%
鈥斺赌斺赌�
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 鈥渕ost climate-threatened corners of the planet.鈥� 鈥�
  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 14鈥攁n 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 group鈥檚 key bit of leverage鈥攚arning persistent knuckle-crackers that they are destined to have arthritis鈥攈as 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 鈥渃ommon question I get asked over the dinner table.鈥�

• Arthritis can be affected by genetics and joint trauma, but not popping. 

Single-handed study: One doctor鈥檚 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鈥�, and the ultimate 鈥渢oldja so.鈥�

QUICK HITS In Syria, Landmines and Unexploded Ordnance Haunt the Return Home 鈥�

Is Bird Flu Gone for Good? 鈥�

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

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

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

Researchers move closer to a universal cancer vaccine 鈥�

In Darfur鈥檚 displacement epicentre, community kitchens shoulder the load 鈥�

Talc Is Suddenly in the Spotlight. Is it Bad for You? 鈥� 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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96 Global Health NOW Malaria鈥檚 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 Malaria鈥檚 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 nets鈥斺�渓eaving communities exposed and placing further strain on already stretched health systems,鈥� .

鈥楤ack with a vengeance鈥� 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, . 


• 鈥淲hen the supply of test kits and first-line treatments is disrupted, malaria cases and deaths will spiral,鈥� said Itai Rusike, director of Zimbabwe鈥檚 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 鈥榠nterconnectedness鈥�: 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 efforts鈥攑ointing to significant progress in countries like Cabo Verde and Egypt.

• 鈥淲e have just been disturbed, but our vision is to eliminate malaria by 2030,鈥� said Zimbabwe鈥檚 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.

People鈥檚 brains aged faster than expected during the pandemic鈥攅ven those of people who weren鈥檛 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 .

Australia鈥檚 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 SA鈥檚 HIV projects won鈥檛 get reopened
&苍产蝉辫;鈥�

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

WHO鈥檚 Tedros: US Rejection of International Rules on Health Threats is Based on 鈥業naccuracies鈥� 鈥�

Kentucky鈥檚 campaign to improve rural cancer care is a national model. Federal cuts threaten its progress 鈥�

Disabled Americans fear what Medicaid cuts could do to them 鈥�

FDA taps biotech industry veteran as RFK Jr.鈥檚 top drug regulator 鈥� 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 鈥渢ime-honored and very stable鈥� 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 Parkinson鈥檚 disease does to a person鈥檚 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 Parkinson鈥檚 improve and maintain movement through capoeira鈥攁 blend of martial arts and a dance practiced for centuries by Afro-Brazilians that combines exercise, ritual, and music.

• The initiative, 鈥淧arkinson na ginga鈥� (鈥淧arkinson鈥檚 in the swing鈥�), started in 2018, and helps participants build strength and balance in a fun and social environment.

The Quote: 鈥淐apoeira gives me freedom to work on my body,鈥� said participant Teles de Freitas. 

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

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

A gut-wrenching problem we can solve 鈥�

Indonesian military鈥檚 new pharma role sparks fears of expanded powers 鈥�

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

Austin Public Health finds measles in the water 鈥�  

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

The new strategy to restrict abortion nationwide 鈥� without saying 鈥榖an鈥� 鈥�

The optimistic brain: scans reveal thought patterns shared by positive thinkers 鈥�   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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Drawing on a landmark 25-year study that followed Quebec children into adulthood, 麻豆色情片 researchers have identified two distinct patterns in how suicidal thoughts emerge and the early signs that are often missed.

Suicidal thoughts are increasingly common among youth, but how they begin and what mental health symptoms often precede them are poorly understood, the researchers said.

When Denis Jobin, a senior evaluation specialist at the United Nations Children's Fund (UNICEF), visited a slum in Kenya in March as part of an ongoing evaluation, the smell was overwhelming.  

96 Global Health NOW: Asia鈥檚 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 Asia鈥檚 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 today鈥檚 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, Pakistan鈥檚 most populous province, have died in 鈥渆xceptional high鈥� 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 鈥� 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 鈥攊ndicating 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 obesity鈥攚hich leaned toward the use of obesity medications鈥攈ad undisclosed financial ties to obesity drugmakers, . 

A million+ people in France have signed a petition against the so-called 鈥淒uplomb law鈥� 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 workers鈥攔educing 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 鈥�

FDA Panel Takes Aim at SSRI Use During Pregnancy 鈥�

Advocates Fear US Agents Are Using 鈥榃ellness Checks鈥� on Children as a Prelude to Arrests 鈥�

States sue over citizenship curbs on Head Start, clinics 鈥�

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

The quick return of medical debt to credit reports is another blow to cancer patients 鈥� 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 鈥渕echanically鈥� acquire and move the virus. 

鈥淢颈濒办-蝉苍补迟肠丑颈苍驳鈥�: found that H5N1 may infect mammary glands via mouth-to-teat transmission through nursing, and via cows that 鈥渟teal milk鈥� 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 disease鈥�the first eliminated neglected tropical disease in Burundi鈥攃an 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 鈥�

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

High prevalence of colistin-resistant Klebsiella found in Africa 鈥�

Battling Lassa Fever: Liberia鈥檚 Strides in Preparedness and Response 鈥�

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

Air Pollution in Baltimore鈥檚 Curtis Bay Community Linked to Nearby Coal Terminal Activities and Wind 鈥�  

The potential gains of replenishing the Global Fund 鈥�

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

The New Sun Worship 鈥�

Engineers transform dental floss into needle-free vaccine 鈥� 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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The chief economist of the Food and Agriculture Organization (FAO), M谩ximo Torero Cullen, previewed its annual State of Food Security and Nutrition in the World (SOFI) report in a briefing on Tuesday to journalists at UN Headquarters in New York.

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 time鈥攎oving 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 Ontario鈥檚 Mennonite community, health workers are seeking to address language barriers, build trust, and 鈥渃hange how Low German鈥搒peaking families and the medical system interact with each other,鈥� 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 鈥�

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

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

A cholera case in Poland is the country鈥檚 first in six years; the country鈥檚 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 鈥渕ajor gap in indoor air safety policy.鈥�  U.S. and Global Health Policy News US rejects amendments to WHO international health regulations 鈥� 

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

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

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

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

$1.7 trillion
鈥斺赌斺赌斺赌斺赌斺�斺��
Potential annual reduction in global economic output by 2050 if countries fail to contain drug resistance, per an AMR 鈥渇allout forecast鈥� modeling study that showed China and the U.S. would lose the most, at $722 billion and $296 billion, respectively. 鈥� 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 abstinence鈥攖ypically 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.

Growth鈥攂ut for how long? CM programs have expanded to 600+ sites nationwide, aided by federal support and private insurers. 

• But the Trump administration鈥檚 health overhauls may impact such programs鈥� 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 鈥減arametric,鈥� 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 Women鈥檚 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 鈥�

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

FDA reverses ban on sale of Juul e-cigarettes 鈥�

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

A Push for More Organ Transplants Is Putting Donors at Risk 鈥�

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

Do Indoor Pools Really Need to Close for Lightning? 鈥� 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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鈥淭here will be another pandemic, and it will not be 100 years from now.鈥�

96 Global Health NOW: Accelerating Alzheimer鈥檚 Research; Replacing Aid With 鈥楽in Taxes鈥�; 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 Alzheimer鈥檚 Research: A Gold Mine of Global Collaboration
Key insights in Alzheimer鈥檚 research are being fueled by a 鈥渕assive鈥� new trove of globally shared data鈥攚ith 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 鈥渦nprecedented鈥� research鈥攑otentially 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 Alzheimer鈥檚, 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: 鈥淪ome of the biggest medical discoveries of the past half-century were made possible through global partnerships,鈥� warning that 鈥渢he rising tides of nationalism and isolationism threaten to stop scientific progress in its tracks.鈥� 

Other breakthroughs: Meanwhile, new research shows that Alzheimer鈥檚-related biomarkers can be detected in the blood of adults as young as 41, 鈥攕uggesting 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 biscuits鈥攅mergency food intended for 27,000 starving children in Afghanistan and Pakistan鈥攅xpired in a warehouse in Dubai this month and will be incinerated; a U.S. official said it was 鈥渁 casualty of the shutdown of USAID.鈥� 

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 Parkinson鈥檚 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 鈥榙angerous鈥� research, overriding NIH career scientists 鈥�

RFK Jr. shakes up top staff at health department 鈥�

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

World鈥檚 Premier Cancer Institute Faces Crippling Cuts and Chaos 鈥�

Rio Grande Valley鈥檚 biggest free health clinic event of the year is canceled due to federal cuts 鈥� GLOBAL HEALTH VOICES NONCOMMUNICABLE DISEASES Replacing Aid With 鈥楽in Taxes鈥�
The WHO has launched a major push to introduce 鈥榮in taxes鈥� 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 鈥�3 by 35鈥�, 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 address鈥攏ot necessarily expecting a response. 

But for two decades they鈥檝e gotten one.

Filling in the gaps: A Seattle dentist, Purva Merchant, has been voluntarily moonlighting as the tooth fairy ever since the email address鈥攃reated to organize her dental school applications鈥攔eceived a desperate message entitled 鈥淐alum鈥檚 tooth.鈥� 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: Children鈥檚 emails range from fan mail (鈥淚鈥檓 so sorry I swallowed my tooth. And I love you.鈥�) to directional (鈥淒on鈥檛 bump into the heater.鈥�) Merchant always drafts a diplomatic response before reminding her gaptoothed correspondents to brush, floss, and be 鈥渉appy growing up!鈥� 

QUICK HITS An overlooked demographic has the highest suicide risk 鈥� and it鈥檚 been rising 鈥�

Can US Measles Outbreaks Be Stopped? 鈥�

LGBTQ+ youth lose specialized 988 suicide line support 鈥�

High prices, blackouts and half the money: Inside Puerto Rico鈥檚 stagnant food aid system 鈥�

鈥楲andmark鈥� study: three-person IVF leads to eight healthy children 鈥�

A Venerable AIDS Activist Returns to Battle 鈥�

Review shows ethical considerations in infectious disease guidelines lacking 鈥�

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

Meet the diabetes researcher behind Barbie鈥檚 new pink (insulin) pumps 鈥� 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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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么te d鈥橧voire, 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 bill鈥攚hich still includes $8.3 billion in cuts to USAID, . 

• Several key GOP senators had vocally opposed the cuts to PEPFAR, citing the historically bipartisan program鈥檚 success in saving 25 million+ lives since 2003.


• Other revisions to the bill reportedly include language to 鈥減rotect鈥� 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 programs鈥攎ost notably USAID, which was PEPFAR鈥檚 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 Russia鈥攚here PEPFAR has not operated since 2012, .  

What鈥檚 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.

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

Related: On the Cusp of Eliminating HIV 鈥�  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 鈥渆xponential鈥� 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 Bangladesh鈥攚ith 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 鈥�

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

Trump team withholds $140 million budgeted for fentanyl fight 鈥�

These States Now Allow OTC Ivermectin, and More May Follow 鈥�

Medical students could feel burn from Trump's new law 鈥� THE QUOTE
  鈥淭he islands鈥� health security is being undermined, not by disease or poverty, but by bullets.鈥� 鈥斺赌斺赌斺赌斺赌斺�斺赌斺赌斺赌斺赌斺�� 鈥擳he 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 鈥渢o comprehensively quantify the benefit, in human and economic terms鈥� 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 鈥渜uietest but most pervasive health crises鈥� 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 women鈥檚 education and economic potential. It disproportionately affects the region鈥檚 poorest women and girls.

• 鈥淲hen half of all adolescent girls and women in South Asia are anemic, it is not only a health issue鈥攊t is a signal that systems are failing them,鈥� said Sanjay Wijesekera, UNICEF鈥橲 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 鈥�

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

This fuel is 50% plastic 鈥� and it鈥檚 slipping through a loophole in international waste law 鈥�

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

Even grave errors at rehab hospitals go unpenalized and undisclosed 鈥�

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

Amniotic stem cells can be collected from vaginal fluid rather than more invasive techniques 鈥�
  FDA approves new blue food dye derived from gardenia fruit&苍产蝉辫;鈥� 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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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眉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: 鈥淲e should not be concerned about aluminum used as an adjuvant in childhood vaccines,鈥� Anders Hviid, the study鈥檚 senior author and head of epidemiology at Denmark鈥檚 Statens Serum Institut, told STAT. 鈥淚 think that鈥檚 the core message.鈥�
 
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 UN鈥檚 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 鈥渋mmediately鈥� at pharmacies, clinics, and via online consultations. 

Karolinska Institutet researchers identified 250+ blood proteins altered by malaria, 鈥攁 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.鈥攅ven 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  鈥�

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

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

A clinic blames its closing on Trump鈥檚 Medicaid cuts. Patients don鈥檛 buy it. 鈥�   REPRODUCTIVE HEALTH RIGHTS Reframing Abortion Access in Sicily
Abortion has been legal in Italy since 1978鈥攂ut 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, Sicily鈥檚 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 scenarios鈥攚hile extreme鈥攚ere forecasted; and accurate weather alerts were issued hours in advance. Some local officials acted, but others did not, leading to preventable tragedies.

Where鈥檚 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 鈥� OPPORTUNITY QUICK HITS SA gets R520-million to buy the twice-a-year anti-HIV jab 鈥� but there鈥檚 a snag 鈥�

CDC Says COVID-19 Cases Rise in 25 States 鈥�

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

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

Smart brain-zapping implants could revolutionize Parkinson鈥檚 treatment 鈥�

WHO regional head placed on leave amid corruption allegations 鈥�

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

AI is about to solve loneliness. That's a problem 鈥� Issue No. 2757
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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  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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Global demand for meat, dairy and fish is projected to climb steadily over the next decade, driven by rising incomes and urbanisation in middle-income countries.

96 Global Health NOW: 鈥業nescapable Pattern鈥� of Atrocities in Sudan; A Libyan Family鈥檚 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 鈥業nescapable Pattern鈥� of Atrocities in Sudan
Both sides in Sudan鈥檚 civil war are committing war crimes and crimes against humanity against civilians in Darfur, the International Criminal Court has told the UN Security Council鈥攚ith atrocities including systemic rapes and sexual violence, kidnappings, attacks on aid convoys and medical facilities, and weaponized starvation, .

• Survivors are reporting an 鈥渋nescapable pattern鈥� of targeted sexual violence against women from specific ethnic communities, said ICC deputy prosecutor Nazhat Shameem Khan, . 

鈥楾o hell and back鈥�: Meanwhile, hundreds of children reported stories of 鈥渢error and loss鈥� after ~500,000 people鈥攐ver half of them children鈥攚ere displaced from Zamzam camp this spring, , which collected children鈥檚 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. funding鈥攚hich provided 44% of the world鈥檚 humanitarian funding for Sudan last year鈥攃annot be filled, . 

• And malnutrition and food insecurity are expected to escalate as the rainy season progresses, 鈥攍eaving a 鈥渂rief, urgent window鈥� to deliver critical aid. 

GLOBAL HEALTH VOICES The Latest One-Liners
A child in Liverpool died from measles at Alder Hey Children鈥檚 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 11鈥攏oting 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 Trump鈥檚 proposed massive science cuts 鈥�

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

Making diphtheria great again? Why SA鈥檚 public health experts are worried about RFK Jr. 鈥�

Trump administration鈥檚 NIH funding cuts threaten research on sickle cell disease 鈥�

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

NIH suspends dozens of pathogen studies over 鈥榞ain-of-function鈥� concerns 鈥� HEALTH SYSTEMS One Libyan Family鈥檚 Desperate Quest for Care
Libya鈥檚 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.

Sohan鈥檚 story: Sohan Aboulsoud has been unable to access medical care there, despite her family鈥檚 exhaustive efforts. Finally, the family decided to take the dangerous journey by a smuggler鈥檚 boat to Italy. 

• 鈥淲e didn鈥檛 leave because we wanted to migrate, it was because illness doesn鈥檛 wait,鈥� said Sohan鈥檚 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 movement鈥檚 quest to overhaul the U.S. food industry, leading voices regularly point to Europe as the model, citing European countries鈥� restrictions on food dyes, additives, and pesticides.

But that focus overlooks systemic reasons for Europeans鈥� 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) Fellowship鈥攁 12-month, NIH-supported, mentored training in global health research designed to address health inequities and improve population health鈥攊s now accepting applications for the 2026鈥�27 fellowship year.
 
The fellowship, hosted by a consortium of Yale University, Stanford University, University of Arizona, and UC Berkeley, typically runs July鈥揓une 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 鈥�

Increased vaccine uptake in US kids linked to reduced antibiotic prescriptions 鈥�  

Men Might Be the Key to an American Baby Boom 鈥�

High rates hurt public healthcare 鈥�

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

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

How one elite rehab center is 鈥榦bliterating鈥� all kinds of cravings with GLP-1s 鈥�

Scientists hide messages in papers to game AI peer review 鈥� 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 .

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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A breakthrough HIV drug that only needs to be injected twice a year to offer near-total protection from the virus and developing AIDS should be made available 鈥渋mmediately鈥� at pharmacies, clinics and via online consultations, the UN health agency said on Monday.

Face aux fascismes apocalyptiques, r茅sistons collectivement pour cr茅er de nouveaux mondes.