Mozambique after 50 years of independence: what’s there to celebrate?

Source: – By Luca Bussotti, Professor at the PhD Course in Peace, Democracy, Social Movements and Human Development, Universidade Técnica de Moçambique (UDM)

Mozambique’s government, led by the Frelimo party, has long been planning celebrations for 2025. It is 50 years since independence, won after an anti-colonial war against Portugal led by the same party.

Something has gone wrong, however, especially in the past two years.

Since the country’s popular rapper Azagaia died in March 2023 and peaceful processions in his memory escalated into violent clashes with the police, space has opened up for the establishment of a social movement of young people. This has since turned into a political movement, taking on the name “Povo no Poder” (“People in Power”). At its head is a brilliant politician, Venâncio Mondlane.

Povo no Poder was also the name of Azagaia’s hit song, which had been the soundtrack to 2008 protests against rising energy costs.

Azagaia’s POVO NO PODER.

The demonstrations in March 2023 marked a turning point for Mozambique. It was as if all the energy and indignation about a highly corrupt and increasingly authoritarian country that Azagaia had expressed through his songs had been passed on to previously fearful young people. Now they dared to challenge the police and army in the open and without any weapons.

In late 2024 Mozambicans took to the streets to protest against elections they claimed were rigged. Over 300 people were killed in demonstrations.

Efforts have been made to redress this serious wound. In preparation for the 50 years of independence Frelimo has been recalling key places and symbols in the liberation war, harking back to a time when they represented justice.

But attempts to evoke past glory and ideals are not resonating with ordinary Mozambicans. The mood in the country is subdued.

As a specialist in the politics of lusophone Africa, in particular Mozambique, based on years of research, I find it difficult to envision a future of peace and prosperity for the next 50 years. There are divisive elements at play across the country. The post-election crisis has its roots in widespread discontent. Mozambicans are also rising against the cost of living crisis.

Attempts to rekindle the flame

The newly elected president, Daniel Chapo, opened the 50th anniversary celebrations on 7 April in Nangade, in Cabo Delgado province. This is one of the places where the armed struggle against the Portuguese began.

National symbolism has focused on the torch of national unity, travelling the length and breadth of Mozambique to arrive in Maputo at the historic Machava Stadium on 25 June, Independence Day, for a concluding public ceremony.

Not everyone has shared this attempt to patch up a country torn both politically and socio-economically.

Too much has been lost in the intervening decades.

In the initial period of independence Frelimo adopted socialist policies and attempted to promote free and universal social services, primarily healthcare and education. Back then, the ruling class, starting with the country’s first president, Samora Machel, didn’t enjoy any particular economic privileges.

The reality today is quite different.

Journalist and social activist Tomás Vieira Mário, one of the main critics of the current regime, has traced the stages of independent Mozambique’s history. He’s pointed out the contradiction between the initial thrust by many Mozambican common people towards the liberation movement and subsequent, authoritarian developments.

He concluded in an article that all that remained to unite Mozambicans was the

mere sharing of the same territorial space. And a lot of blood.

He was referring to the long war against Renamo from 1976 to 1992 and again from 2013 to 2019, ethnic questions that have never been resolved, and finally the armed attacks in Cabo Delgado of jihadist and ethnic nature.

For his part, renowned philosopher Severino Ngoenha has also underscored the importance of a justice system that is fair and inclusive, and not at the service of one political party.

The new opposition is coming not from Renamo or Frelimo but from the streets. Popular protests have taken place this year even in areas once considered Frelimo strongholds. In Gaza province, southern Mozambique, for example, there have been outbreaks of violence, demonstrating that the bipolar system that emerged from the 1992 peace accord now seems incapable of responding to the new demands of Mozambican society.

On the political level, efforts are being made to overcome the post-electoral crisis and its wounds through the establishment of an Inclusive Dialogue Commission. This is being chaired by jurist Edson Macuacua, who is a vice-minister in the Frelimo government.

The commission is made up of representatives from all major parties as well as three members of civil society. The eventual aim is radical reform of the state.

But there are serious doubts about the success of this ambitious project which I believe are legitimate. The big question, beyond any institutional and electoral reforms, is whether the Frelimo party-state will be able to change its political culture in the next elections, accepting any negative results and, therefore, the loss of power.

Efforts are being made on all fronts to obstruct Mondlane from gaining a political foothold. Mondlane wants to start a new party called the Anamalala (meaning “It will end”, or “Stop!”).

The name has been rejected by the Ministry of Justice because a Mozambican party cannot be named using a local language – in this case Emakhuwa.

On the judicial level, several trials are underway against Mondlane and his closest associates, which could result in convictions for inciting protesters to destroy public infrastructure during the post-election demonstrations. If convicted, he would be declared ineligible to run in elections scheduled for 2029.

Inequality and disparities

Mozambique is among the six most unequal countries in the world and one of the poorest. According to World Bank data, 500,000 young people enter the labour market each year, with an average absorption capacity of about 25,000 in the formal sector, and 36% of young people unemployed in Maputo.

Meanwhile, the number of very rich is growing. Mozambique ranks 16th among African countries in terms of the number of millionaires, with 18% growth over the past 10 years.

This inequality puts national unity at risk.

The economic disparities between the capital, Maputo, and the rest of the country are increasingly evident.

Entire ethnic groups and territories are marginalised. Socio-economic and cultural divisions have been replicated in the case of discoveries of large natural resources in the north of the country. Large investments have been made in gas (Total and ENI-Exxon) and rubies in Cabo Delgado.

A new threat has arisen too: extremism. Islamist-motivated attacks have been occurring in Cabo Delgado since 2017. There was an attack recently on a military base in Macomia.

Efforts to encourage unity are coming from many quarters: from the promotion of inclusive dialogue; from a civic consciousness that has grown since 2023-2024; and from the country’s economic potential.

But social inequality remains. So do doubts about Frelimo’s willingness to make Mozambique a country where the winner governs without manipulating election results.

The Conversation

Luca Bussotti does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Mozambique after 50 years of independence: what’s there to celebrate? – https://theconversation.com/mozambique-after-50-years-of-independence-whats-there-to-celebrate-259528

Sexism in science: 7 women whose trailblazing work shattered stereotypes

Source: – By Christa Kuljian, Research Associate, WiSER, University of the Witwatersrand

Seven women were part of a trailblazing network of feminist scientists in the 1970s, 1980s, and 1990s in the Boston area in the US. Christa Kuljian is a science writer and historian of science who focuses much of her research on issues of science and society, gender and race. She is the author of two previous books of narrative nonfiction – Sanctuary and Darwin’s Hunch. In her new book Our Science, Ourselves she focuses on the life stories of the seven women. We asked her about her book.

How did you choose the scientists you focused on in the book?

I grew up in the Boston area in the 1970s, and in high school, my parents gave me a copy of the revolutionary guide to women’s health, Our Bodies, Ourselves, which was published by the Boston Women’s Health Book Collective. In the early 1980s, I studied the history of science at Harvard and took a course with Ruth Hubbard called Bio 109: Biology and Women’s Issues.

Hubbard, in 1974, was the first woman to achieve tenure in biology at Harvard, and she features in the book. Her course taught about how scientists, including Charles Darwin, promoted stereotypes and myths about women’s biology. The idea for Our Science, Ourselves grew from that formative experience in Hubbard’s course.

But it also had roots in another, more recent experience. In 2016, I published Darwin’s Hunch: Science, Race and the Search for Human Origins, about the history of palaeoanthropology in South Africa. The book explores questions that some of my history of science professors might have asked. What influence did the social and political context of colonialism and apartheid have on the search for human origins?

After it was published, I was struck by several stories that brought science and sexism into the popular media. In July 2017, James Damore at Google wrote that “the gender gap in tech” likely existed because of biological differences between men and women, and he received support from popular psychologist Jordan Peterson.

In September 2018, an Italian physicist, Alessandro Strumia, said that the low number of women in physics was proof that women were innately less capable than men. He suggested that male scientists were being discriminated against to give opportunities to women.

These statements reminded me of what former Harvard president Larry Summers had said back in 2005. Drawing on the work of psychologist and popular writer Steven Pinker, Summers spoke of women having a “different availability of aptitude” in science and math.

Why were these myths about women’s biology still having an impact in the 21st century? I decided to go back to my class notes and look more closely at Hubbard’s research. Who had she worked with at the time? What were other scientists with a feminist awareness saying in the 1970s and 1980s?

As a result of many interviews, and research in the archives, I discovered a fascinating network of women, all of whom contributed to feminist critiques of science, and ultimately to the field of feminist science studies.

Our Science, Ourselves follows the lives of Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, Banu Subramaniam and Nancy Hopkins.

None of these women scientists were born in Boston, but they all moved there to study, take a job, conduct research, or network with other scientists. Part of what made Boston interesting to me was the critical mass of colleges, universities and scientists, but also the presence of social movements that influenced these women, including Science for the People, the Combahee River Collective and others.

Could you tell us about one or two of these women’s stories?

One of them is Rita Arditti. An Argentinian geneticist at Harvard Medical School, she led a protest in December 1969 at the annual conference of the American Association for the Advancement of Science in Boston. Along with 12 colleagues carrying posters and pamphlets, she arrived unannounced at a special luncheon for women scientists, calling for an end to discrimination against women in science. Most of the women ignored Arditti, but Hubbard was in the audience and paid attention. The protest did have a ripple effect on the association.

Over time, Arditti and Hubbard became friends, became active in a new organisation called Science for the People, and began to write not only about discrimination against women scientists, but also about how science portrayed women’s biology in stereotypical ways.

Another is Evelynn Hammonds, who studied physics at Spelman College, a historically Black women’s college in Atlanta. In 1976, she read an important report, The Double Bind: The Price of Being a Minority Woman in Science, co-authored by Shirley Malcom and published by the American Association for the Advancement of Science.

With Malcom’s encouragement, Hammonds applied to and was accepted at MIT in the Boston area. Over time, she joined a growing network of women who were critiquing their science. She became a teaching assistant for Hubbard and rented an apartment from Arditti, and became a foundational influence in gender, race and the history of science.

Hammonds emphasised that when speaking out against scientific sexism it was important to speak out against scientific racism as well, and that it was critical to address both.

How do the current US administration policies on science and diversity relate to your book?

Sudip Parikh, the CEO of the American Association for the Advancement of Science, said in testimony before the US Senate appropriations committee on 30 April 2025:

The scientific community is in paralysis right now.

The current attack on science has had a major impact, ending funding for important scientific research. Young scientists and science students are concerned for their future. The US administration’s policy of cutting funds to any programmes related to diversity or equity is an onslaught on decades of progress in this area, and will have a grave impact on the scientific research agenda.

There is a growing list of words that have been scrubbed from US government websites and documents, including “women”, “race”, “racism”, “feminism”, “activist” and “bias”. The use of any of these words in scientific research proposals can result in federal funding being cut. For example, the US Food and Drug Administration published an announcement in mid-2024 that discussed the importance of diversity in clinical trials. That document is no longer available on the website.

The women in Our Science, Ourselves made important contributions by highlighting how scientific institutions historically have been exclusionary. They also shone a light on how scientific research questions and analysis can be biased (rather than always neutral or objective), thereby affecting the knowledge they produce.

The tools that feminist science studies has developed are critical to the sciences because they ask new questions, and develop new methodologies that help science account for gender and racial bias. Who is doing science? Who decides on the research questions? Who offers analysis and who benefits?

The US administration’s actions are a major setback for science and scientific research, as well as gender, race and sexuality studies, which have made vital contributions to science, medicine and technology. The history of these fields and the life stories of some of the dynamic women in them, can offer readers inspiration for the present moment.

Our Science, Ourselves is available from University of Massachusetts Press and Amazon in the US, on Kindle, and from Love Books in Johannesburg, South Africa.

The Conversation

Christa Kuljian received research funding from Harvard University’s Schlesinger Library on the History of Women in America and from the Consortium for History of Science, Technology and Medicine (CHSTM) in Philadelphia. She is a member of the History of Science Society.

ref. Sexism in science: 7 women whose trailblazing work shattered stereotypes – https://theconversation.com/sexism-in-science-7-women-whose-trailblazing-work-shattered-stereotypes-257265

Preventing the next pandemic: One Health researcher calls for urgent action

Source: – By Hung Nguyen-Viet, Program Leader (ai), HEALTH at ILRI / CGIAR, International Livestock Research Institute

The world is facing daunting health challenges with the rise of zoonotic diseases – infections that are transmissible from animals to humans. These diseases – which include Ebola, avian flu, COVID-19 and HIV – show how the health and wellbeing of humans, animals and ecosystems are closely connected.

Zoonotic diseases have become more and more common due to factors such as urbanisation, deforestation, climate change and wildlife exploitation. These dangers are not limited by borders: they are global and demand a coordinated response.

By looking at health holistically, countries can address the full spectrum of disease control – from prevention to detection, preparedness, response and management – and contribute to global health security.

The World Health Organization has a basis for such an approach: One Health. This recognises the interdependence of the health of people, animals and the environment and integrates these fields, rather than keeping them separate.

I lead the health programme at the International Livestock Research Institute, where we are looking for ways to effectively manage or eliminate livestock-related diseases, zoonotic infections and foodborne illnesses that disproportionately affect impoverished communities.

My work focuses on the link between health and agriculture, food safety, and infectious and zoonotic diseases.

For example in Kenya we are part of an initiative of the One Health Centre in Africa to roll out canine vaccination and have so far vaccinated 146,000 animals in Machakos county.

In Ethiopia and Vietnam we worked in a programme to improve the hygiene practices of butchers in traditional markets.

In another project we work in 11 countries to strengthen One Health curricula in universities.

The lessons from the One Health projects implemented with partners across Asia and Africa are that there’s an urgent need for action on three fronts. These are: stronger cross-sectoral collaboration; greater engagement with policymakers to translate research findings into actionable strategies; and the development of adaptable and context-specific interventions.

But, having been active in this area for the last decade, I am impatient with the slow pace of investment. We know that prevention is better than cure. The cost of prevention is significantly lower than that of managing pandemics once they occur. Urgent steps, including much higher levels of investment, need to be taken.

What’s in place

In 2022 the World Health Organization, the Food and Agriculture Organisation, the United Nations Environment Programme and the World Organisation for Animal Health developed a joint One Health plan of action. They identified key areas to respond more efficiently to health threats. These included:

  • Reducing risks from emerging and re-emerging zoonotic epidemics. Actions include, for example, tightening regulations around farming and trade in wildlife and wild animal products.

  • Controlling and eliminating endemic, zoonotic, neglected tropical and vector-borne diseases by understanding the attitudes and knowledge of communities bearing the greatest burdens of these diseases. And boosting their capacity to fight them.

  • Strengthening action against food safety risks by monitoring new and emerging foodborne infections.

  • Curbing the silent pandemic of antimicrobial resistance, one of the top 10 global public health threats facing humanity.

Other collaborations include the Prezode (Preventing Zoonotic Disease Emergence) initiative to research all aspects of diseases of animal origin. This was launched in 2021 by French president Emmanuel Macron.

The Africa One Health University Network operates in ten African countries to address One Health workforce strengthening in Africa.

One Health has gained traction globally. But there’s still a great deal to be done.

The cost of inaction

According to a 2022 World Bank estimate, preventing a pandemic would cost approximately US$11 billion per year, while managing a pandemic can run up to US$31 billion annually. So the investment return of 3:1 is an important reason to call for investment in One Health.

The Pandemic Fund was launched in November 2022 by leaders of the Group of 20 nations and hosted by the World Bank Group to help low- and middle-income countries prepare better for emerging pandemic threats. US$885 million has been awarded to 47 projects to date through the two rounds in the last three years.

However, relative to the US$11 billion per year required for prevention, this investment is modest. Urgent investment in One Health needs to be made by countries themselves, in particular low- and middle-income countries.

The last two World One Health congresses (in Singapore in 2022, and in Cape Town in 2024) called for investment in One Health. There were also calls for investment in One Health at regional level to prevent zoonotic diseases and the next pandemic.

At the 78th World Health Assembly in Geneva, member states of the World Health Organization (WHO) formally adopted by consensus the world’s first Pandemic Agreement. The landmark decision culminates more than three years of intensive negotiations launched by governments in response to the devastating impacts of the COVID-19 pandemic.

This is major global progress in One Health and disease prevention.

But the lessons of COVID-19 have shown us that the cost of inaction is incalculable in terms of lives lost, economic turmoil and societal disruption. To date, there have been over 777 million cases of COVID-19, including more than 7 million deaths worldwide.

According to estimates by the International Monetary Fund, COVID will have caused a cumulative production loss of US$13.8 trillion by 2024.

The choice is clear: invest today to prevent tomorrow’s pandemics, or pay a heavy price in the future.

The Conversation

Hung Nguyen-Viet does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Preventing the next pandemic: One Health researcher calls for urgent action – https://theconversation.com/preventing-the-next-pandemic-one-health-researcher-calls-for-urgent-action-255229

Eating wild meat carries serious health risks – why it still happens along the Kenya-Tanzania border

Source: – By Ekta Patel, Scientist, International Livestock Research Institute

Pastoralist communities, their livestock and diverse wildlife species coexist within a biodiversity-rich landscape stretching along the Kenya–Tanzania border.

However, at this wildlife-livestock interface, local communities face mounting challenges. Shifts in land use, prolonged droughts, erratic rainfall patterns and increasing land degradation are placing growing pressure on the landscape. In addition, conflict between people and wildlife is on the rise, and many households rely on wild animals for food.

Communities in the region eat a wide range of wild animals, from rodents, elephant shrews and birds to small antelopes and larger ungulates like bushbuck. This meat (“bush meat” as it is also popularly known in Africa) provides a valuable source of animal protein and minerals, especially where alternative domestic protein sources are scarce.

Although hunting and consuming wild animals is illegal in Kenya, this is not the case in Tanzania, where certain forms of hunting for wild animals are permitted. Yet in both countries, many people eat wild meat regularly, often without awareness of the risks. These risks include zoonotic disease transmission and potential impacts on wildlife populations.

Wild meat is a known source of zoonotic infections and disease spillover to humans. In fact, as many as three-quarters of emerging infectious diseases originate from wildlife. Illnesses such as anthrax, mpox, Ebola, and HIV have all been linked to close interactions between humans and wild animals.

Despite these risks, wild meat consumption remains widespread, with some households eating it daily or weekly. Preventing future disease outbreaks requires a clear understanding of these health risks, as well as the underlying social, cultural and economic reasons that drive people to rely on wild meat.

We set out to understand why people were eating wild meat along the Kenya-Tanzania border and whether they understood the risks of zoonotic diseases. Cases of anthrax have already been reported in this area.

Our study involved interviews in border communities during the COVID pandemic – the most famous case of zoonotic disease transmission in recent times. We wanted to know whether communities understood the pandemic’s link to wild meat and if this affected their consumption of it.

What stood out was that people at the border settlements kept eating wild meat or even ate more of it. This shows that economic necessity, cultural preferences and limited alternatives remain key drivers even when the world is in crisis.

Though this research was done during COVID-19, it gives us insights into how people react when things get tough, especially when it comes to food and health.

What’s driving wild meat consumption

We found that several factors drove wild meat consumption, despite growing awareness of the health risks.

Poverty

Economic factors, particularly household income and limited financial means, strongly influenced wild meat consumption, particularly in communities with limited alternative protein sources. For instance, the COVID-19 pandemic had a severe impact on local economies. Tourism, a key source of income for border communities, experienced sharp declines. As household revenues fell, reliance on wild meat as an affordable protein source increased.

Economic stability plays a crucial role in shaping consumption behaviours: 81% of those surveyed at the border settlements indicated they would stop eating wild meat if cheaper alternatives were available.

The type of animal

Perceptions of disease risks varied depending on the species consumed.

Approximately 79% of respondents believed that certain animals posed a higher risks of zoonotic disease transmission. Hyenas were perceived as the most dangerous, followed by primates and snakes. These findings suggest that while economic necessity influences wild meat consumption, risk perception also shapes dietary choices.

Gender plays a role

Men expressed more concern over conservation and health risks than women. Men were also more likely to advocate against selling wild meat. Women exhibited lower concern regarding zoonotic disease risks, including COVID-19. These insights highlight the need for gender-sensitive interventions to address wild meat consumption.

Education levels

Education levels also influenced risk perception. Respondents with formal education displayed a stronger awareness of zoonotic transmission pathways. They were also more receptive to conservation and public health messaging. This highlights the importance of education in promoting safer and more sustainable practices within communities.

National policies

Despite sharing ecosystems and wildlife populations, Kenya and Tanzania have adopted fundamentally different governance approaches to wild meat. This in turn shapes outcomes for conservation, biodiversity and public health.

Kenya follows a centralised and protectionist model. Hunting and consumption of wild animals are prohibited under the Wildlife Conservation and Management Act. This zero-tolerance policy is rooted in strong conservation principles aimed at protecting biodiversity.

However, in practice, it has driven the activity underground, creating a thriving black market. This undermines conservation and enforcement efforts. It also increases the risk of zoonotic disease transmission due to unregulated handling and consumption of wild animals.

Tanzania, by contrast, uses a decentralised, regulated slaughterhouse model. Licensed wild meat hunting and consumption is legal under regulation, particularly through game-controlled areas and permits introduced in 2020. This approach is meant to enable communities to benefit economically from wildlife and reduce incentives for illegal hunting.

The existence of two divergent systems across a porous border creates challenges. These include illegal cross-border trade, conflicting conservation objectives, and uneven protection of biodiversity. There are also difficulties in implementing coordinated surveillance or public health interventions.

The contrasting regulations in Kenya and Tanzania significantly influence wild meat consumption choices.

In Kenya, where wild meat is strictly prohibited, consumption appears to be through informal and unregulated channels. This increases health risks and limits consumer awareness. In contrast, Tanzania’s regulated licensing system provides a legal pathway for access. This makes wild meat consumption more visible and, in some cases, perceived as safer. These differing policies shape how communities access, justify and engage with wild meat, often driving cross-border trade and complicating enforcement and risk communication efforts.

What’s next?

Addressing the risks associated with wild meat trade requires a multifaceted strategy that balances health, equity and sustainability.

We suggest an intervention that prioritises economic stability and ensuring affordable alternative protein sources are accessible, especially in food-insecure settings.

Public health education is also essential. An increasing awareness of zoonotic disease risks can help shift consumption behaviour.

Because men and women perceived the dangers of wild meat consumption differently, gender-sensitive approaches should be integrated. It should also be noted that, although women are rarely the primary hunters, they are often prosecuted for possession or sale of wild meat. Gender disparities on how laws are applied must be addressed.

Legal frameworks and enforcement mechanisms must be strengthened to address cross-border wildlife trade, particularly in regions with differing policies like Kenya and Tanzania. They should also reduce the risks faced by individuals who may unknowingly engage in illegal practices due to a lack of clarity.

We continue to work with national and regional stakeholders. This includes government bodies and technical partners who are actively engaging with us to co-develop One Health solutions. These solutions integrate public health, environmental sustainability and community well-being.

Finally, community engagement and participation should be at the core of any intervention. This will ensure that policies are locally relevant, culturally sensitive and supported by those directly affected to reduce the risks of zoonotic disease spillover.

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. Eating wild meat carries serious health risks – why it still happens along the Kenya-Tanzania border – https://theconversation.com/eating-wild-meat-carries-serious-health-risks-why-it-still-happens-along-the-kenya-tanzania-border-252947

A quarter of the world’s population are adolescents: major report sets out health and wellbeing trends

Source: – By Alex Ezeh, Dornsife Endowed Professor of Global Health, Drexel University

The Lancet has released its second global commission report on Adolescent Health and Wellbeing. Adolescents are defined as 10- to 24-year-olds. The report builds on the first one, done in 2016. The latest report presents substantial original research that supports actions it recommends to be taken across sectors as well as at global, regional, country and local level. The co-chairs of the commission, Sarah Baird, Alex Ezeh and Russell Viner, together with the youth commissioners lead, Shakira Choonara, give a guide to the report’s findings.

What were the key findings?

The report noted significant improvements in some aspects of adolescent health and wellbeing since the 2016 report. These include reductions in:

  • communicable, maternal and nutritional diseases, particularly among female adolescents

  • the burden of disease from injuries

  • substance use, specifically tobacco and alcohol

  • teenage pregnancy.

It also found that there had been an increase in age at first marriage and in education, especially for young women.

Despite this progress, adolescent health and wellbeing is said to be at a tipping point. Continued progress is being undermined by rapidly escalating rates of
non-communicable diseases and mental disorders, accompanied by threats from compounding and intersecting megatrends. These include climate change and environmental degradation, the growing power of commercial influences on health, rising conflict and displacement, rapid urbanisation, and the aftermath of the COVID-19 pandemic.

These megatrends are outpacing responses from national governments and the international community.

What’s unique about today’s cohort of adolescents?

Born between 2000 and 2014, this is the first cohort of humans who will live their entire life in a time when the average annual global temperature has consistently been 0.5°C or higher above pre-industrial levels.

At roughly 2 billion adolescents, they are the largest cohort of adolescents in the history of humanity. And this number will not be surpassed as populations age and fertility rates fall in even the poorest countries.

They are the first generation of global digital natives. They live in a world of immense resources and opportunities, with unprecedented connectedness made possible by the rapid expansion of digital technologies. This is true even in the hardest-to-reach places.

Growing participation in secondary and tertiary education is equipping adolescents of all genders with new economic opportunities and providing pathways out of poverty.

These opportunities, however, are not being realised for most adolescents. Increasing numbers continue to grow up in settings with limited opportunities. In addition, investments in adolescent health and wellbeing continue to lag relative to their population share or their share of the global burden of disease.

Investments in adolescents accounted for only 2.4% of the total development assistance for health in 2016-2021. This was despite the fact that adolescents accounted for 25.2% of the global population in that period and 9.1% of the total burden of disease. We use development assistance as a measure because, while governments also invest in adolescents, it’s difficult to account for how much this is. For example, when a government supports a health facility, it serves the entire population.

Yet, the report provides evidence to show that the return on investments in adolescent health and wellbeing is highly cost-effective and at par with investments in children.

What’s the news for adolescents in Africa?

The report recognises the special place of Africa in the global future of adolescents. It notes that, by the end of this century, nearly half of all adolescents will live in Africa.

Currently, adolescents in Africa experience higher burdens of communicable, maternal and nutritional diseases, at more than double the global average for both male and female adolescents. They also have a higher prevalence of anaemia, adolescent childbearing, early marriage and HIV infection. They are much less likely to complete 12 years of schooling and more likely to not be in education, employment, or training.

Female adolescents in sub-Saharan Africa have the highest adolescent fertility rate at 99.4 births per 1,000 female adolescents aged 15-19 (the global average is 41.8). They have also experienced the slowest decline between 2016 and 2022.

Globally, there was progress in reducing child marriage between 2016 and 2022. But in eight countries in 2022, at least one in three female adolescents aged 15–19 years was married. All but one of these eight countries were in sub-Saharan Africa. Niger (50.2%) and Mali (40.6%) had the highest proportion of married female adolescents.

The practice of child marriage is declining in south Asia and becoming more concentrated in sub-Saharan Africa. As the report notes:

it continues because of cultural norms, fuelled by economic hardships, insurgency, conflict, ambiguous legal provisions, and lack of political will to enforce legal provisions.

What should be Africa’s focus areas?

Beyond adolescent sexual and reproductive health concerns in sub-Saharan Africa, obesity is increasing fastest in the region. This illustrates the vulnerability of adolescents to the power of commercial interests.

Since 1990, obesity and overweight has increased by 89% in prevalence among adolescents aged 15–19 years in sub-Saharan Africa. This is the largest regional increase.

The absence of data on adolescents is a problem. Adolescents in sub-Saharan Africa are absent in many data systems. For example, data on adolescent mental health in sub-Saharan Africa is virtually absent.

Stronger data systems are needed to understand and track progress on the complex set of determinants of adolescent health and wellbeing.

Another area of concern is the massive inequities within countries, often gendered or by geography. While female adolescents in Kenya are experiencing substantial declines in the burden of HIV and sexually transmitted infections, adolescent males are experiencing increasing burdens. In South Africa, years of healthy life lost to maternal disorders show more than 10-fold differences between the Western Cape and North West provinces.

Where there’s been strong political leadership, remarkable changes have been seen. Take the case of Benin Republic. The adolescent fertility rate in the country declined from 26% in 1996 to 20% in 2018 and child marriage from 39% to 31% over the same period. Strong political leadership has also led to substantial reductions in female genital mutilation or cutting. This fell from 12% of girls in Benin in 2001 to 2% in 2011–12 among 15–19-year-old girls in Benin Republic. Political leadership also facilitated the expansion, by the national parliament in 2021, of the grounds under which women, girls, and their families could access safe and legal abortion.

But for every country that takes positive steps to protect the health and wellbeing of adolescents, several others regress.

The last decade has witnessed regression in several countries. In 2024, The Gambia attempted to repeal a 2015 law criminalising all acts of female genital mutilation or cutting. In 2022, Nigeria’s federal government ordered the removal of sex education from the basic education curriculum.

What are the recommended courses of action?

The report calls for a multisectoral approach across multiple national ministries and agencies, including the office of the head of state, and within the UN system.

Coordination and accountability mechanisms for adolescent health and wellbeing also need to be strengthened.

Laws and policies are needed to protect the health and rights of adolescents, reduce the impact of the commercial determinants of health, and promote healthy use of digital and social media spaces and platforms.

Strong political leadership at local, national, and global levels is essential.

The report also calls for prioritised investments, the creation of enabling environments to transform adolescent health and wellbeing, and the development of innovative approaches to address complex and emerging health threats.

It calls for meaningful engagement of adolescents in policy, research, interventions and accountability mechanisms that affect them.

Without these concerted actions, we risk failing our young people and losing out on the investments being made in childhood at this second critical period in their development.

The current adverse international aid climate is particularly affecting adolescents as much development assistance relates to gender and sexual and reproductive health. Concerted action in addressing adolescent health and wellbeing is an urgent imperative for sub-Saharan Africa.

The Conversation

Alex Ezeh is a fellow at the Stellenbosch Institute for Advanced Study (Stias).

Russell Viner and Sarah Baird do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. A quarter of the world’s population are adolescents: major report sets out health and wellbeing trends – https://theconversation.com/a-quarter-of-the-worlds-population-are-adolescents-major-report-sets-out-health-and-wellbeing-trends-257282

How does Marburg virus spread between species? Young Ugandan scientist’s photos give important clues

Source: – By Alexander Richard Braczkowski, Research Fellow at the Centre for Planetary Health and Resilient Conservation Group, Griffith University

In the shadows of Python Cave, Uganda, a leopard leaps from a guano mound – formed by bat excrement – and sinks its teeth into a bat. But this is no ordinary bat colony. The thousands of Egyptian fruit bats (Rousettus aegyptiacus) found in this cave are known carriers of one of the world’s deadliest viruses: Marburg, a close cousin of Ebola.

Over just four months, our cameras recorded 261 predator encounters: crowned eagles, Nile monitors, leopards, pythons and blue monkeys all caught feeding on, or scavenging from this virus-harbouring colony.

And yet, this wasn’t the work of a global health agency or virology lab. The discovery came from a 25-year-old Ugandan undergraduate, Bosco Atukwatse, working with our small Volcanoes Safaris Partnership Trust Kyambura Lion Project team in Queen Elizabeth National Park. His only tools: a trail camera, curiosity and ecological instinct.

I am a conservation scientist with over 17 years of experience in wildlife ecology, monitoring and human-wildlife conflict. I’m the co-founder of the Kyambura Lion Project, which made this discovery.

For years, scientists studying how diseases spread from animals to humans have hypothesised that zoonotic diseases jump from a wildlife reservoir (like a bat) to an intermediate host (monkey) and potentially to us, humans.

For past Marburg outbreaks in Uganda, two spillover pathways have been identified: the first, involves humans coming into contact with a fruit bat habitat (namely caves filled with bat guano). Indeed, fruit bats are thought to have infected two tourists at Python Cave in 2007 and 2008.

The second pathway involves humans and animals eating the same fruit that bats have fed upon or made contact with. This second spillover pathway was identified by Centers for Disease Control and Prevention scientists in 2023. They tracked bats from the cave entering cultivated gardens to feed.

But Atukwatse and the team of young Ugandan scientists (Yahaya Ssemakula, Johnson Muhereza, Orin Cornille and Winfred Nsabimana) have potentially found another pathway: predation by at least 14 species.

Such rich visual evidence of a viral interface – bats, predators and people – is virtually non-existent in the literature. Many theoretical depictions of this process exist, and there are isolated incidents of a monkey predating on a bat or wildlife feeding on bat guano, but Atukwatse’s discovery of this many different predators repeatedly feeding on a known Marburg virus reservoir is a first.

His discovery highlights two uncomfortable truths:

  • many potential zoonotic interfaces remain undocumented – often right under our noses

  • the people most likely to detect them first are those living closest to wild frontiers.

But the bigger message is this: global health institutions need to stop overlooking local scientists and start funding field-based detection systems across Africa and Asia.

If we want to detect the next outbreak early, we should be empowering more Atukwatses, not waiting for the next lab test.

A hunch pays off

In early February 2025, Atukwatse and our small team of local scientists was expanding our long-term African leopard and spotted hyena monitoring grid into a new part of Queen Elizabeth National Park – the Kyambura Wildlife Reserve and Maramagambo forest.

Atukwatse had heard from nearby guides that a large bat cave lay close to the survey grid. That kind of site, he reasoned, could be perfect leopard territory: a place to hunt, rest or avoid the heat.

This is ecological attentiveness at its best – the field biology equivalent of a commodities trader spotting volatility in a geopolitical flashpoint.

Atukwatse had his radar on and acted on instinct, setting five camera traps at the cave’s entrance and along the surrounding animal trails. Just one week later, he got what he hoped for: three separate clips of a leopard hunting bats in broad daylight. He left the cameras in place in protective casing. He checked them every 7–10 days.

But that was just the beginning.

The scale of the discovery

When I first looked at Atukwatse’s videos, our joint excitement was around the leopard footage. We knew they were adaptable and could even eat small rodents , but no one had ever recorded them eating bats in Africa.

As more clips came in, we realised something bigger was unfolding. Blue monkeys were seen grabbing bats mid-roost. A crowned eagle and a Nile monitor fought over two bat carcasses. A fish eagle – typically a piscivore, which is a carnivorous species that primarily eats fish – was filmed clutching bats in its talons.




Read more:
African wild dogs: DNA tests of their faeces reveal surprises about what they eat


Over 304 trap-nights, Atukwatse’s traps recorded 261 independent predator events from at least 14 different species.

Then came the second shock: over 400 human visitors – many of them tourists – were filmed approaching the cave mouth without any protective gear. Some stood just metres from a known Marburg virus reservoir. Importantly, the Uganda Wildlife Authority has built a sanctioned viewing platform about 35 metres from the cave. However, tourists broke park rules and walked within two metres of the cave mouth.

It was only after I visited the cave myself to take stills of the team that we put this all together. Atukwatse had just found the first visual evidence, at a large scale in nature, of at least 14 predators feeding on a known wildlife virus reservoir harbouring one of Earth’s deadliest viruses.

This wasn’t the result of million-dollar pathogen surveillance. It wasn’t even the core aim of our leopard survey. This happened because a young Ugandan field scientist followed his ecological gut.

Why does the discovery matter?

For decades, disease ecologists have known that major outbreaks often originate in wildlife – swine flu, avian flu and even SARS-CoV-2 all trace back to animal hosts. But what’s often missing is direct observation of spillover interfaces – the exact moments when a virus jumps from a bat, goose, or other animal into new species like humans, livestock or other wildlife.

Atukwatse’s discovery may be the first large-scale visual record of such an interface in nature: a roost of Egyptian fruit bats known to harbour a deadly virus, actively predated upon by at least 14 species, with hundreds of humans visiting the same cave mouth unprotected.

This may be a Rosetta Stone moment for spillover ecology – shifting our understanding from hypothetical models to a real, observable interface.

These kinds of spillover sites exist in other places in nature: in a Chinese wet market where a civet meets a meat processor, or in a Gabonese village where a bat is butchered for bushmeat. The difference? Most of them go undocumented. Atukwatse just filmed one.

The Conversation

Alexander Richard Braczkowski is the scientific director of the Volcanoes Safaris Partnership Trust Kyambura Lion Project.

ref. How does Marburg virus spread between species? Young Ugandan scientist’s photos give important clues – https://theconversation.com/how-does-marburg-virus-spread-between-species-young-ugandan-scientists-photos-give-important-clues-259806

Pets get hay fever too – how to spot it and manage it

Source: The Conversation – in French – By Jacqueline Boyd, Senior Lecturer in Animal Science, Nottingham Trent University

alexei tm/Shutterstock.com

Summer often brings with it the unmistakable sniffles and sneezes of hay fever. As plants and trees release pollen into the air, many of us start to feel the effects – itchy eyes, runny noses and general discomfort. But hay fever doesn’t just affect people – our pets can suffer too.

Like us, dogs, cats, horses and even small animals like rabbits and guinea pigs can struggle during pollen season. So how can you spot the signs – and more importantly, how can you help?


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What is hay fever?

Hay fever is an allergic reaction to airborne pollen. Grass pollen is considered the most common trigger, though pollen from trees and weeds can also play a part. Normally, the immune system protects us from harmful invaders like bacteria and viruses. But sometimes, it becomes oversensitive and reacts to things that aren’t dangerous.

Allergies like hay fever happen when the immune system mistakenly treats harmless substances – such as dust or pollen – as threats. When exposed again, the body tries to defend itself, triggering a cascade of reactions including itching, sneezing, congestion, watery eyes and coughing. These symptoms, although frustrating, are the body’s attempt to shield itself – just against the wrong enemy.

What are the signs of hay fever in pets?

Humans with hay fever usually experience an itchy throat, sneezing, watery eyes and a runny nose. Pets show many of the same symptoms: sneezing, nasal discharge and eye irritation are all common.

Dogs and cats often show signs through their skin, rubbing or scratching at itchy areas and sometimes chewing their paws or belly. These parts of the body are more likely to come into contact with pollen when outdoors. In more severe cases, pets can develop dermatitis – an intensely itchy and inflamed skin condition that may require veterinary care.

If you think your pet might be suffering, it’s important to speak with your vet. Many people with hay fever learn to tell the difference between colds, flu and pollen allergies. But our pets can also catch colds and other infections, which may look similar. To treat the problem properly, it’s best to get a clear diagnosis.

How to help your pet with hay fever

If you or your pet are dealing with hay fever, there are steps you can take to make things more manageable.

Start by keeping a diary of symptoms – it might help you connect flare-ups with particular plants or trees. In the UK, tree pollen tends to peak in April and May, while grass pollen is highest in June and July. If grass seems to be the culprit, keeping lawns short can help. You might also need to remove problem plants from your garden or restrict access to them.

Regular grooming and washing your pet – along with cleaning their bedding – can reduce the amount of pollen they’re exposed to. Less pollen means fewer symptoms.

Pollen forecasts are also a helpful tool. On days when pollen levels are particularly high – usually during warm, dry spells – you can take extra precautions.

Pollen tends to be most concentrated during the day, especially when it’s hot and humid. Try walking your dog early in the morning or later in the evening when levels are lower, which also helps protect them from dangerously high temperatures.

Keeping cats indoors and ensuring horses have appropriate shelter and rugging can also reduce exposure.

While antihistamines are a common remedy for people, don’t be tempted to use them on pets unless prescribed by your veterinary surgeon. Many over-the-counter options are not safe for animals and could cause harm. Your vet can recommend safe alternatives and help create a management plan tailored to your pet.

A vet holding a cat.
Don’t use over-the-counter antihistamines to treat your pet. Speak to your vet about the correct treatment.
Juice Flair/Shutterstock.com

Pollen allergies are expected to become more common, with climate change and pollution both playing a role. Higher temperatures prompt plants to release more pollen, and pollution can make our immune systems more reactive to it. Even thunderstorms can worsen hay fever by breaking pollen into smaller particles that are more easily inhaled.

Spotting the signs early and taking steps to limit your pet’s exposure can make a big difference, helping them stay comfortable, healthy and happy during the pollen-heavy months.

The Conversation

In addition to her academic affiliation at Nottingham Trent University (NTU) and support from the Institute for Knowledge Exchange Practice (IKEP) at NTU, Jacqueline Boyd is affiliated with The Kennel Club (UK) through membership and as advisor to the Health Advisory Group. Jacqueline is a full member of the Association of Pet Dog Trainers (APDT #01583). She also writes, consults and coaches on canine matters on an independent basis.

ref. Pets get hay fever too – how to spot it and manage it – https://theconversation.com/pets-get-hay-fever-too-how-to-spot-it-and-manage-it-259155

Can the NHS shift from treatment to prevention? What healthcare bosses think

Source: The Conversation – in French – By Lisa Knight, Head of External Engagement & Professional Programmes, Liverpool John Moores University

PongMoji/Shutterstock

Imagine a healthcare system where preventing illness is just as important as treating it. This is the vision for the English NHS – but right now, it’s still far from reality. To become more sustainable and better serve patients in the long run, the NHS needs to shift its focus from reactive care to proactive, preventative support.

On July 3 2025, the UK government published its Fit for the Future: Ten-Year Health Plan for England, laying out a blueprint to rebalance the health service toward prevention, digital transformation and localised care. The plan includes:

  • expanding up to 300 neighbourhood health centres to bring preventative services closer to communities

  • digitising services with 24/7 access through the NHS app, AI triage – the use of artificial intelligence to help prioritise and assess patients more efficiently, particularly in high-demand areas like emergency departments, GP surgeries and outpatient care – and robot-assisted surgery

  • tackling chronic illness earlier, including more support for obesity, smoking cessation and mental health

  • integrating prevention into everyday care, with a shift in national performance targets to better reflect long-term health outcomes.

Prime minister Keir Starmer described it as a shift “from a sickness service to a health service,” marking a deliberate move away from crisis response toward early intervention and community-based support.

But making this vision real won’t be easy.

System still isn’t built for prevention

In my research, I’ve looked at what good leadership should look like in the NHS – especially within England’s new integrated care systems (ICSs). A key part of these systems is place-based partnerships.

These are local collaborations between NHS services, councils, charities and community groups, all working together to improve people’s health. The idea is to better join up care in each area and tackle the broader issues that affect health, such as housing, education and access to support.

I spoke to NHS leaders, including chief executives of major health organisations, on the basis of anonymity, who agree that the system needs to change. But many of them say it will face major obstacles – especially financial constraints and fragmented funding models that continue to reward reactive care, such as A&E. As one NHS leader put it:

All the things that come down from NHS England and the Department of Health and Social Care respond to the now, rather than where we are going.

While the ten-year plan lays out ambitions for rebalanced funding, existing financial mechanisms won’t support this shift. The NHS can overspend during emergencies, but local authorities – who fund most social care and public health – must stay within strict budgets.

This undermines integration and creates unequal footing between services. One senior leader noted”

Local authorities will never consider us as a partner until we get our act together on finance… you’ve got to sit back and look at what impression that gives them – that we’re not equals.

The ten-year plan acknowledges these disparities but offers limited detail on how to resolve them. Without concrete reform of funding flows and accountability structures, prevention may remain a priority in name only.

In 2024, the health and social care secretary, Wes Streeting, described the NHS as “broken” and called for a review to expose the “hard truths” needed to fix it. He has been outspoken in championing both prevention and better integration with social care, viewing these as key to reforming a system overwhelmed by rising demand and worsening outcomes.

Improving housing, social care, education, and jobs can reduce reliance on costly hospital treatments and significantly enhance overall health. In 2022, the NHS took a structural step toward this by merging health and social care services into “integrated care systems”, aiming to better coordinate services across sectors.

However, it has now been more than a decade since key targets for emergency care, hospital waiting times, or cancer services were met – raising questions about whether structural changes alone are enough.

The COVID pandemic deepened these pressures. Waiting lists for treatment surged, while NHS staff faced soaring stress levels. Many healthcare leaders describe the current moment as a perfect storm, in which long-term planning is increasingly difficult while trying to meet immediate needs.

Why risk and measurement matter

Preventative services, new technologies and integrated care models carry uncertainty. Leaders are understandably hesitant to shift resources away from acute services when “hospitals get the headlines.” One told me:

We’re shuffling public service delivery cash around and not thinking through how we develop something fundamentally different.

National performance frameworks also reinforce this inertia. Most targets still focus on wait times, emergency response, and treatment outcomes. As one executive put it:

We manage what’s measured… If we were made to look at deprivation figures and elective recovery figures based on postcode and ethnicity, that might change the conversation.“

The ten-year plan promises new indicators and better data sharing, but it remains to be seen whether these tools will actually shift behaviour at scale.

Listening to communities?

An effective shift to prevention requires more than structural reform – it needs genuine community engagement. One of the aims of integrated care systems was to involve local people in decisions about their health. Most leaders I have interviewed support this principle, but many admit that public involvement remains limited: “We’re not doing enough to listen… We’re not giving people opportunities.”

The ten-year plan reiterates the importance of local voices and promises a stronger focus on “co-produced care,” but delivery will depend on time, trust and cultural change within the system.

My research suggests that the NHS won’t be fixed by continuing to treat illness after it happens. It must evolve into a service that prevents poor health at its root – in homes, schools, workplaces and local communities.

The government’s ten-year plan offers a renewed opportunity to make this shift. But if the plan is to succeed, it will require more than bold promises. It demands redesigned funding, rebalanced risk, shared power with communities – and, above all, the political will to change the system before it collapses under its own weight.

The Conversation

Lisa Knight is affiliated with Mersey and West Lancashire NHS Trust as a Non-Executive Director

ref. Can the NHS shift from treatment to prevention? What healthcare bosses think – https://theconversation.com/can-the-nhs-shift-from-treatment-to-prevention-what-healthcare-bosses-think-234601

Hope for a ceasefire in Gaza (but not much)

Source: The Conversation – in French – By Jonathan Este, Senior International Affairs Editor, Associate Editor

This article was first published in The Conversation UK’s World Affairs Briefing email newsletter. Sign up to receive weekly analysis of the latest developments in international relations, direct to your inbox.


Each day that has passed recently has brought another report of mass killings in Gaza. Today’s headline was as grim as any: according to reports from Gaza’s Hamas-run health ministry, another 118 people were killed in the past 24 hours, including 12 people trying to get aid supplies. This is a particularly unpalatable feature of a wretched conflict: the number of people being killed as they queue for food.

A bulletin carried on the United Nations website bore the headline: “GAZA: Starvation or Gunfire – This is Not a Humanitarian Response.” It said that more than 500 Palestinians have been killed and almost 4,000 injured just trying to access or distribute food.

There are, however, hopes of a hiatus in the violence. Donald Trump announced on July 2 that Israel had accepted terms for a 60-day ceasefire and Hamas is reportedly reviewing the conditions. Donald Trump on his TruthSocial platform wrote: “I hope… that Hamas takes this Deal, because it will not get better – IT WILL ONLY GET WORSE.”


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For his part, the Israeli prime minister, Benjamin Netanyahu, said: “There will be no Hamas [in postwar Gaza]”. This doesn’t bode well for the longevity of any deal, writes Julie M. Norman.

Norman, an expert in international security at UCL who specialises in the Middle East, says we’ve been here before. The ceasefire deal negotiated with great fanfare as the Biden presidency passed over to Trump’s second term in January, fell to bits after phase one of a mooted three-phase deal, with accusations of bad faith on both sides.

Further talk of a new deal in May never got any further than the drawing board. And the two sides’ positions seem to remain utterly irreconcilable. Hamas wants the ceasefire to end in a permanent peace deal and the withdrawal of Israeli forces from Gaza. Israel wants Hamas dismantled, out of Gaza and out of the picture, full stop.

Netanyahu is due to visit Washington next week, for the third time in less than six months. Whether the US president can bring pressure to bear on Netanyahu to compromise remains to be seen.

As Norman points out after the 12-day war against Iran, which both Trump and Netanyahu have been trumpeting as a huge success, the Israeli prime minister may have the political clout to defy his more hardline colleagues in pursuit of a deal. Trump, meanwhile, having done everything he can to help Netanyahu, can call in some big favours in his quest to play dealmaker. Hamas is seriously weakened and its main ally in the region, Iran, seems unlikely to intervene after its recent conflict with Israel and the US.

So while recent history makes a cessation of violence in Gaza seem as far off as ever, there is at least some reason for hope.




Read more:
A new Gaza ceasefire deal is on the table – will this time be different?


As noted higher up, one of the more terrible features of this wretched conflict of late has been the number of people being killed as they queue to get food. The death toll at aid distribution centres has mounted steadily since Israel, with US backing, introduced a new system run by an American company: Gaza Humanitarian Foundation (GHF). This organisation replaced more than 400 aid points (previously run by a UN agency) with just four, mainly in the south of the Gaza Strip.

This was always going to cause problems, writes Leonie Fleischmann of City St George’s, University of London, who specialises in the conflict between Israel and Palestine. While Israel says the new system is designed to prevent Hamas taking control of aid supplies, all reports are that the scenes around the four distribution centres are descending into anarchy. According to a UN report, “Thousands [of people] released into chaotic enclosures to fight for limited food supplies … These areas have become sites of repeated massacres in blatant disregard for international humanitarian law.”

“Arguably, this chaos and violence is inbuilt in the new aid delivery system,” writes Fleischmann, who concludes that the new system should be seen as a “a mechanism of forced displacement” which is part of a plan by the Netanyahu government “relocate Palestinians to a ‘sterile zone’ in Gaza’s far south” as it continues to clear the north of the Gaza strip.




Read more:
Chaotic new aid system means getting food in Gaza has become a matter of life – and often death


The 12-day war

But if Trump and Netanyahu think the recent short war will lead to a complete reset in the region, leaving a crippled Iran licking its wounds, they way well have miscalculated. That’s the assessment of the situation by Bamo Nouri, a Middle East specialist at City St George’s, University of London. He believes that the 12-day war may prove to have been a strategic blunder by Israel and the US.

For a start, he writes, one outcome of the conflict is that Iran suspended cooperation with the International Atomic Energy Agency (IAEA), ending inspections and giving Tehran the freedom to expand its nuclear programme with no oversight. And its response to Israel’s airstrikes, involving more than 1,000 missiles and drones, breached the country’s “iron dome” defensive system, causing considerable damage and inflicting a serious psychological blow against Israel.

Tehran has also deepened its relationships with both Moscow and Beijing. And far from prompting regime change, the war appears to have prompted an upsurge in nationalist sentiment in Iran.

Nouri concludes: “Israel emerges militarily capable but politically shaken and economically strained. Iran, though damaged, stands more unified, with fewer international constraints on its nuclear ambitions.”




Read more:
The US and Israel’s attack may have left Iran stronger


It’s hard to get a clear picture of what was achieved, which isn’t surprising when you consider that there remains considerable doubt, even in this information age, what was achieved by the US bombing raid against Iran’s heavily fortified nuclear installations.

First they were “completely obliterated”. Or at least that was what Donald Trump posted on the night of the raid. Then it seemed that they may not have been as obliterated as first thought. In fact an initial assessment prepared by the US Office of Defense Intelligence thought that the damage may only have hindered Iran’s nuclear programme by a few months.

Cue outrage from the US president and his senior colleagues, amplified by their friends in the US media. There followed some new intelligence which seemed to favour Trump’s position. Then the head of the IAEA, Rafael Grossi, weighed in, saying Iran could be enriching uranium again in a “matter of months”. The latest contribution was from the Pentagon which is saying that timescale is actually closer to “one to two years”. Clear as mud then.

But as Rob Dover reminds us, former US defense secretary Donald Rumsfeld once pronounced: “If it was a fact it wouldn’t be called intelligence.” Dover, who is an intelligence specialist at the University of Hull, explains that intelligence almost always has a political dimension and should be viewed through that prism.

“The assessment given to the public may well be different from the one held within the administration,” writes Dover. This is not necessarily a bad thing, he concludes as “security diplomacy is best done behind closed doors”. Or at least it used to be. Now the US president seems happy to discuss sensitive information in public.




Read more:
Row over damage to Iran’s nuclear programme raises questions about intelligence


The medium is the message

But then, as Sara Polak observes, Donald Trump’s use of social media is changing the way government is conducted in the US. Polak is a specialist in US politics at Leiden University with a particular interest in the way politics and media intersect.

As she writes, for more than a century since Teddy Roosevelt cultivated print journalists, through FDR’s adept use of radio and JFK’s mastery of television, each new media platform has its master. For Trump it is social media. And he is using it to remake politics.




Read more:
How Trump plays with new media says a lot about him – as it did with FDR, Kennedy and Obama


Nowhere has Trump’s mastery of art of issuing simple messages which make for effective soundbites been displayed so clearly than in the name of his landmark tax-cutting legislation still being wrangled over in the US Congress at the time of writing: the One Big Beautiful Bill Act.

While undoubtedly big – it runs to 940 pages – its beauty is what the US House of Representatives has been debating fiercely for 24 hours or more, after it passed the Senate with the help of a casting vote from US president J.D. Vance when three Republican senators voted against it.

Dafydd Townley from the University of Portsmouth, who writes regularly for The Conversation about US politics, has written this incisive analysis of the politics around the legislation which appears set to continue for some time to come.




Read more:
Trump wins again as ‘big beautiful bill’ passes the Senate. What are the lessons for the Democrats?


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The Conversation

ref. Hope for a ceasefire in Gaza (but not much) – https://theconversation.com/hope-for-a-ceasefire-in-gaza-but-not-much-260460

NHS ten-year plan for England: what’s in it and what’s needed to make it work

Source: The Conversation – in French – By Judith Smith, Professor of Health Policy and Management, University of Birmingham

The UK government has published its eagerly awaited ten-year health plan for England, setting out how billions of pounds in NHS funding will be used to transform healthcare delivery across the country.

As anticipated, the plan is framed around the government’s three missions for the NHS: shifting care from hospital into the community, moving from analogue to digital communication, and focusing on preventing ill health rather than treating illness.

The 168-page document responds to a stark warning that the NHS is “in serious trouble”. It is remarkable for the sheer number of ideas and proposals. As well as describing major new developments to improve people’s access to local in-person and virtual NHS care and disease prevention, it sets out a blizzard of other proposals.

These include abolishing Healthwatch (a national watchdog that listens to people’s views on health and social care services to improve them), and bringing back some of the reforms of the Tony Blair era such as “new foundation trusts” and using private funding for new buildings.

From hospital to community

The big idea in the ten-year plan is a neighbourhood health service: large local health centres where people can access GP, nursing, dental, pharmacy, diagnostic and other services six days a week, 12 hours a day. These are intended to relieve pressure on hospitals and emergency departments, eventually replacing many outpatient clinics.

The idea of shifting care into the community is not new. It has been advocated for over 30 years, including in the NHS white paper of 1997, the 2006 policy paper Our health, our care, our say, the NHS five-year forward view of 2014, and the NHS long-term plan of 2019.

Some progress has been made in this direction. For example, much of the care for people living with asthma and diabetes is now provided in local general practices. Many general practices already have large teams of doctors, nurses, pharmacists, physiotherapists and other staff who offer aspects of the wider “neighbourhood care” described in the new plan.

But what has not been achieved is having larger-scale primary care teams consistently available across the NHS. The new plan proposes new contracts and shifts of funding to enable wider change, and while welcome, these will be challenging to put into practice against a backdrop of major service pressures.

From analogue to digital

The plan emphasises strongly the need to extend the role of the NHS app, with it becoming the “doctor in your pocket” and the main route into NHS services. It proposes that the app holds your full patient record, enables you to book GP and hospital appointments and becomes a key source of healthcare advice.

This sounds very attractive. However, the devil will be in the detail. There are so many NHS IT systems to harmonise, and major data security and privacy issues to overcome.

Most critically, much attention must be given to sorting out basic NHS admin systems that are too often confusing and paper-based. This will entail lots of work with NHS clinical and administrative staff, changing long-standing ways of working, introducing new technology and adapting “the way we do things round here”.

Using AI to record doctor visits, understand test results and give health advice could really change how healthcare works. But this will take lots of time and money to train staff, try out new systems and put them in place. Also, people will need clear information about what to expect from their local health services in the future.

From sickness to prevention

England is getting sicker, and there are stark inequalities between the richest and the poorest.

To achieve the plan’s goal of empowering people to make healthier choices, robust cross-government action is essential across sectors, including housing, education and welfare. While some important measures such as the tobacco and vapes bill, plans to measure supermarkets’ sales of healthy foods, and the expansion of free school meals are included in the plan, others such as minimum alcohol pricing have been notably excluded.

Integrated care boards (ICBs), the regional bodies who plan and fund NHS services in England, and local councils will be vital in enabling these public health measures to be implemented. However, this will be difficult in the short to medium term as ICBs are being forced to merge, cut headcount and reorganise their work.

Making it work

For the ten-year plan to succeed, three key elements are essential.

First, there is an urgent need to set priorities. The public expects much swifter access to on-the-day GP appointments, an end to excessive waits in accident and emergency departments, and reductions in waiting lists for operations.

The Department of Health and Social Care must guide the NHS in which aspects of the plan are to be addressed first. If everything is a priority, nothing is a priority.

Second, implementation really matters. There is only so much management capacity, staff time, funding and goodwill to introduce new technologies and services. This government has already embarked on another “redisorganisation” of the oversight agency NHS England, and now plans to axe or merge a number of other national and local NHS bodies. NHS managers are vital to implementing the plan, but need to feel valued and supported, not denigrated as superfluous.

Finally, the plan is almost silent on the two most pressing needs for government health reform. Without a properly funded system of adult social care to support older people and those living with enduring mental health needs, it is hard to see how hospital care can be transformed.

And without an urgent and significant shift of resources to general practice and community services, neighbourhood health services will remain more of a dream than reality.




Read more:
NHS unveils ten-year plan to shift from treatment to prevention – here’s what needs to change to make that happen


The Conversation

Judith Smith receives funding from the National Institute for Health and Care Research for research and evaluation. Judith is Senior Visiting Fellow at the Health Foundation.

ref. NHS ten-year plan for England: what’s in it and what’s needed to make it work – https://theconversation.com/nhs-ten-year-plan-for-england-whats-in-it-and-whats-needed-to-make-it-work-260077