News Flash 650: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Vulcano island (crater rim), Italy

News Flash 650

Weekly Snapshot of Public Health Challenges

 

Reflections on the World Economic Forum: AI, Geopolitics, and Biothreats

Aid off course – How ODA reform has left the Global South behind

Webinar registration: When Women Lead: Eliminating Female Genital Mutilation Feb 6, 2026

Seminar registration: Ethics of Research in Emergencies, Friday, January 30, 2026

Webinar registration: Patterns of financialisation and impacts of corporatisation of healthcare – An Indian case study with global dimensions Jan 30, 2026

Webinar registration: PABS Negotiations at a Crossroads: Equity Promises, Emerging Loopholes, and Global Biosecurity Risks Jan 29, 2026

WHO statement on notification of withdrawal of the United States

US loses Gavi board seat after withholding funding

One year after US aid freeze, HIV care in Africa is in retreat

US to expand anti-abortion aid rule to cover ‘gender ideology,’ diversity

The Fall of Public Trust and Public Health in the U.S.  by Laura H. Kahn 

Immigration Enforcement in Minnesota: Not Just a Political, also a Public Health Crisis

WE HAVE A DREAM  by Juan Garay 

DNDi and APHRC sign MoU to forge strategic alliance to bridge research and capacity enhancement gaps

‘Suspended or Cancelled’: Guinea-Bissau Health Minister Halts Controversial Hepatitis B Trial

UK loses its measles elimination status

Ethiopia Declares End to First-Ever Marburg Outbreak

World NTD Day 2026

Time to put Scrub Typhus higher on the public health agenda

MPP welcomes Coefficient Giving as a new partner to expand access to non-communicable disease medicines

Celebrating Recent Advances in Cervical Cancer Prevention

Is Lead Poisoning a Missing Link in the Fight Against Malnutrition?

WHO: Healthy diet

HRR802. FIVE YEARS TO THE COUNTDOWN AND WE ARE NOT GOING TO GET THERE. WE THUS NEED TO REWRITE THE MANY CONGRATULATORY SPEECHES AND ARTICLES ABOUT THE SDGs

From Hamburg to Uganda: how an NGO learned to reinvent itself

Resisting the Rule of the Rich: Defending Freedom Against Billionaire Power

In Gaza today, death does not need a missile. Rain alone is enough

Fighting Traffickers with Conservation Justice: Tiffany Gobert

Half of Fossil Fuel Carbon Emissions in 2024 Came From 32 Companies

How climate change is burning Kenya’s outdoor workers

 

 

 

 

 

 

The Fall of Public Trust and Public Health in the U.S.

IN A NUTSHELL
Author's Note 
Public health is a public good and requires public trust to succeed.

Public health is inherently political because the focus is on population health rather than on individual health.

In this article, I will briefly write about the history of public health and will try to explain why the U.S.’s public health policies, particularly its vaccination policies, are deteriorating

By Laura H. Kahn, MD, MPH, MPP

Co-Founder, One Health Initiative

By the same Author on PEAH: see HERE

The Fall of Public Trust and Public Health in the U.S.

 

Public health is a public good and requires public trust to succeed. Clean air, clean water, and sanitation are nonexcludable meaning that everyone can benefit from them. While public health’s advantages such as sanitation are obvious, their successful implementation in Western Europe and Northern America took over a century to achieve. Public health laws were passed, not because they benefited people’s lives, but because industries needed a healthy workforce to make money. To the detriment of many developing nations, basic public health services remain unavailable because government and industry leaders are not willing to invest in them.

Vaccines are another essential public good because of the herd immunity they provide against communicable diseases. Their success also requires public trust. I’ve written about the importance of vaccines. Unfortunately, opposition to vaccines has existed since the days of Dr. Edward Jenner. The British medical profession at that time supported the practice of variolation and was resistant to switching to vaccination. Anti-vaccinationists opposed vaccination for religious reasons believing that substances from God’s lower creatures were harmful. (They ignored the fact that they ingested food from God’s lower creatures every day).

Public health is inherently political because the focus is on population health rather than on individual health. For herd immunity (or Community Immunity Threshold) to be effective, particularly for highly communicable diseases such as measles, at least 92 to 94 percent of the population must be immune. Essentially, virtually all the population must be vaccinated against the disease. Vaccine mandates are required to achieve this level of coverage. For a variety of reasons, including misinformation about vaccines and misunderstanding of how immunity works, some people oppose getting vaccinated or getting their children or pets vaccinated. This lack of public trust jeopardizes public health’s goal of preventing disease. Prevention is preferable to treatment, which in some cases, is virtually impossible.

In this article, I will briefly write about the history of public health and will try to explain why the U.S.’s public health policies, particularly its vaccination policies, are deteriorating.

Public Health Beginnings

During the Middle Ages, epidemics were believed to be spread by miasmas, bad air, and caused by divine retribution for sinful behavior. This belief led to untold suffering and death.

Partly inspired by the American Revolution on the premise that “all men were created equal” the French Revolution caused tremendous social upheaval, creating fertile ground for improving public health. French scientists such as Drs. Louis-Rene Villerme (1782-1863) and Alexandre Parent Duchatelet (1790-1835) dedicated their careers to studying how society could improve people’s lives.

Impressed by the French efforts of social reform, Jeremy Bentham (1748-1832), an English utilitarian philosopher proposed Poor Laws to improve the lives of the poor, working class because he believed that everyone deserved a happy life without pain, not just the wealthy.

A devastating cholera outbreak that hit England from 1832 to 1848 led to the Public Health Act of 1848 that aimed to build sewers, remove waste, and provide fresh water. This act was largely ignored. Almost thirty years passed before the Public Health Act of 1875 resulted in the enforcement of the laws initially passed in 1848.

In the late 19th century, Louis Pasteur developed the rabies vaccine, the second vaccine to be developed after the smallpox vaccine. Pasteur realized that attenuated microbes could provide immunity against deadly diseases. His discovery paved the way for the field of immunology and for the development of other vaccines to prevent disease.

Public Health in the U.S.

The U.S. Constitution was written when medical practice was based on the Four Humors using lancets and leeches. At the time, physicians were more likely to kill their patients than to cure them. The germ theory of disease would not be discovered for another century. Not surprisingly, the right to a doctor was not included in the document.

In addition, disease outbreaks became primarily a state and local concern. This created a patchwork network across the country because each state and local government had its own rules and regulations. Public health funding was dependent upon state and local taxes and was chronically underfunded. (Americans don’t like paying taxes, so public health remains severely underfunded. Indeed, the country was founded largely in part because the colonialists refused to pay British taxes. “Taxation without representation is tyranny,” was a popular slogan.) The role of the federal government was to keep scourges outside the country and to provide support to state and local governments.

Each state developed its own vaccination policies. Traditionally, these policies have been developed using non-partisan, evidence-based federal recommendations. However, the Trump Administration appointed vaccine skeptic Robert F. Kennedy Jr. (RFK Jr.) as Secretary of Health and Human Services who fired the entire Advisory Committee on Immunization Practices (ACIP). Replacing them, he appointed vocal opponents to vaccine use in pregnancy.

They revised the ACIP recommendations which led the Centers for Disease Control and Prevention (CDC) to change their childhood vaccination schedule from 17 to 11 vaccines. In response, at least 20 states have announced that they will not adhere to these new guidelines.

Meanwhile, herd immunity has dropped low enough to result in vaccine-preventable disease outbreaks not seen in decades. Measles has become resurgent in many states.

Covid-19’s Impact on Public Trust in the U.S.

The U.S. had the 15th highest mortality rate and the highest total number of deaths (over 1 million) during the Covid-19 pandemic.  President Trump oversaw the federal response to the rapidly spreading, deadly pandemic. His actions and inactions have been attributed to the excess deaths of hundreds of thousands of Americans.

A Cornell University study found that Trump was the largest source of misinformation such as recommending the use of hydroxychloroquine, bleach, and other “miracle cures” against the virus. He refused to wear a face mask in public and downplayed the severity of the disease. He scapegoated Asian-Americans by calling the coronavirus “kung flu” leading to a rise in hate crimes. The Covid origins controversy further fueled public distrust in science and the government.

The CDC issued contaminated testing kits which led to a loss in credibility and public confidence in the agency. Severe shortages in personal protective equipment including face masks jeopardized the lives of healthcare workers. Hospital budgeting to maximize profits did not factor in supply redundancies needed to respond to a pandemic. The spike in demand for supplies led to a system shock.

The rugged individualism of American culture made it deeply unsuitable for the collective action needed to respond to the pandemic. Many refused to wear face masks, citing infringement on personal liberties. Ethnic strife and entrenched racism contributed to further social discord. Lockdown rules seemed arbitrary and were deleterious for schools and businesses. Public health workers received hate mail and death threats because people didn’t like their policy recommendations. Up to 30 percent of the healthcare workforce retired, resigned, or left the field resulting in worsening shortages.

When the Covid-19 vaccine became available, many refused to get vaccinated. Watching Fox News contributed to a decline in willingness for vaccination.

The Second Trump Administration

For reasons outside the scope of this article, the US is now confronting a collapse in its federal leadership and government. Public trust is at an all-time low. Public health is deteriorating. The U.S. has withdrawn from the World Health Organization.

People are dying.

Unfamiliar with the perils of fascism, authoritarianism, and loss of human rights, the American public is slowly waking up as to why generations before them fought and died for justice, freedom, and liberty. Checks and balances, rights and laws are only adhered to if they are respected and enforced. The American experience should serve as a cautionary tale for democracies that elect individuals, such as convicted felons, who are unqualified to hold power. Collective insanity committing atrocities can happen anywhere given the right conditions.

 

(Author’s note: My book “Who’s in Charge? Leadership During Epidemics, Bioterror Attacks, and Other Public Health Crises,” published in 2020 (2nd edition) partly informed this article.

 

 

 

 

 

 

 

 

 

 

WE HAVE A DREAM

IN A NUTSHELL
Author's Note 
I’m sharing a short manifesto titled “We Have a Dream,” written in a collective voice and inspired, among other sources, by reflections and data presented in the SHEM webinars. It is a humble attempt to connect structural violence, health equity, and the need for life-centered alternatives.

I offer it simply as a contribution for reflection

By Juan Garay

Co-Chair of the Sustainable Health Equity Movement (SHEM)

Professor/Researcher of Health Equity, Ethics and Metrics (Spain, Mexico, Cuba, Brazil)

Founder of Valyter Ecovillage (valyter.es)

By the same Author on PEAH: see HERE

WE HAVE A DREAM

 

We come together at a turning point in human history.

We speak not from comfort, but from urgency.

Not from hatred, but from responsibility.

Not as leaders or experts, but as people—

people who refuse to normalize suffering.

We live in a world governed by a global political system that too often bows to force instead of justice. A world where bullying threats replace dialogue, where international law bends before military and economic power, and where the United Nations Security Council—entrusted with peace—has repeatedly enabled wars, occupations, and genocides through action, inaction, and veto.

This is not a failure of ideals.

It is a failure of structures.

Alongside this political order stands an economic system that has escaped all democratic control. A system where gigantic asset managers concentrate wealth and power at an exponential pace, turning governments into administrators of market interests and reducing human beings to costs, risks, or data points.

This system rewards extraction over care, accumulation over life, and profit over truth. It is a global dictatorship of money, exercised by a few and endured by billions.

To sustain it, another form of domination expands quietly: the domination of attention. Through screens that occupy an ever-growing share of human time, media power increasingly shapes thoughts, fears, and desires. It trains passivity, accelerates individualism, and transforms citizens into isolated consumers—disconnected from land, community, and one another.

At the same time, unnatural borders fragment humanity and ecosystems alike, dividing what life itself has never divided. These borders justify exclusion, war, and exploitation, while masking the fact that the Earth is one, and our fate is shared.

From the highest global institutions to national governments; from academia to corporations; from economic bodies to religious hierarchies, a subtle but constant violence flows downward. The violence of command without listening. The violence of hierarchy without accountability. The violence of authority that normalizes obedience and silences dissent.

This structural violence is not abstract.

According to analyses presented in the SHEM webinars on sustainable health equity, the current global system causes the premature loss of approximately 16 million human lives every year, and the destruction of hundreds of millions of life-years—not through unavoidable fate, but through preventable inequality, deprivation, environmental degradation, and organized neglect.

At the same time, this system is destroying the living foundations of human existence—soil, water, climate, biodiversity—undermining the very possibility of human survival beyond this century.

Faced with this reality, despair would be understandable.

But despair would also be a surrender.

So we stand here to say: we have a dream.

We have a dream that humanity will remember that all life is sacred, and that humans are part of the web of life—not its owners, not its masters.

We have a dream of communities that regenerate ecosystems instead of exhausting them; that heal land and water instead of sacrificing them; that choose care for biodiversity as a condition for their own future.

We have a dream of ways of living rooted in compassion, where nourishment does not depend on systematic suffering, and where health is understood as relational—between bodies, communities, and ecosystems.

We have a dream of solidary self-sufficiency: communities that reclaim the essentials of life through simplicity, cooperation, and mutual support, reducing dependence on an alienating and destructive global market.

We have a dream of decision-making without domination—where power is shared, consent matters, and freedom is inseparable from responsibility. A world where hierarchies give way to participation, and wisdom emerges from collective intelligence.

We have a dream of coexistence grounded in empathy, where work, care, rest, affection, and healing are valued equally; where loneliness is not ignored; where violence is not normalized; where dignity is protected in everyday life.

And we have a dream of a global network of sovereign, interrelated communities—rooted in their territories, open to one another, sharing knowledge, seeds, and solidarity for the common good. A network that transcends borders without erasing diversity, and cooperation without domination.

This dream is not a fantasy postponed to tomorrow.

It is a direction already visible wherever people choose life over profit, cooperation over competition, and care over control.

With this dream, we refuse the idea that there is no alternative.

With this dream, we reject the lie that violence is inevitable.

With this dream, we commit ourselves—not to perfection, but to coherence.

Let this be the generation that chose life.

Let this be the moment when humanity changed course.

Let this be the time when people everywhere stood up and said: enough.

Enough of an economy that kills.

Enough of a politics that excludes.

Enough of a culture that numbs.

We have a dream—and we will live it into being.

People of the world standing against the violence of capitalism

News Flash 649: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Seagulls at rest, Cyprus

News Flash 649

Weekly Snapshot of Public Health Challenges

 

Registration: Fifth meeting of the Intergovernmental Working Group on the WHO Pandemic Agreement (IGWG5) 9 February 2026 – 14 February 2026

One Year Later: The Effect of US ‘Chainsaw’ on Global Health

US Congress Says Yes to Foreign Aid—Now Comes the Hard Part

[PODCAST] One year after Trump: The day HIV funding changed forever — and what came next

Health Policy At A Crossroads: What To Watch In 2026

America First in global health: a lesson in the consequences of ‘might is right’?

Africa pushes back on US health deals over data, power

Hundreds of Medical Groups Challenge Childhood Immunization Schedule Changes—Here’s What to Know

EU Parliament Backs Critical Medicines Act, Sparking Supply Concerns in Africa

Webinar registration: Rethinking Corporate Accountability in Global Health: Beyond Rankings & Voluntary Measures January 21st, 2026

Webinar registration: Blended Financing for Healthcare in Palestine Jan 23, 2026

Webinar registration: PABS Negotiations in the Final Stretch Towards a fair pandemic system or cementing voluntary mechanisms? Jan 23, 2026

2026: Striving for justice in an age of self-interest

Global Health Advances in 2025 Despite Historic Challenges

Here’s what’s on South Africa’s 2026 public health agenda

People’s Health Dispatch Bulletin #112: The struggle for health is a struggle against imperialism

Solidarity in a world that won’t sit still

Nonviolent Struggles for Peoples’ Rights: Lessons from History and Today

Surging billionaire wealth leads to ‘dangerous’ political risks, Oxfam warns as Davos forum opens

Podcast Trailblazers with Garry: a conversation with John Gyapong

Lenacapavir: The HIV Prevention Breakthrough Indians Can’t Access

Reducing antibiotic exposure to combat antimicrobial resistance: rethinking use, packaging, and dispensing practices

The Bacterial Detective Trying to Stop Superbugs in Nigeria

Battery Recycling Is a Far Bigger Source of Lead Exposure Than We Thought

The shared challenges of giving birth

HRR 801. WHEN PEOPLE DECIDE THAT FOOD IS NOT A COMMODITY BUT IS LIFE ITSELF, CORPORATE BLACKMAIL WILL LOSE ITS POWER. (Mauricio Herrera Kahn.

Global Social movements rally around ICARRD+20 as struggles over land, natural commons, and territories intensify

World Enters “Era of Global Water Bankruptcy”

After Court Rebuke, Government Releases Unified Report Identifying Sources of Delhi Pollution

Bill Gates charity trust’s holdings in fossil fuel firms rise despite divestment claims

 

 

 

 

News Flash 648: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Panarea island, Italy

News Flash 648

Weekly Snapshot of Public Health Challenges

 

Webinar registration: Taking stock of the Draft Global Plan of Action for Indigenous Peoples’ Health Jan 19, 2026

Webinar Registration: Defunding Communicable Diseases: New Forms of Colonialism Jan 21, 2026

Webinar Registration: Moving Beyond Addiction: A Health-Centered Approach to Substance UseJan 21, 2026

Webinar Registration: Serious Food Safety Failings expose global health risks of unregulated online cross-border promotion Jan 21, 2026

Webinar Registration: Unpacking the landscape and power dynamics of public-private partnerships in global health governance Jan 20, 2026

Meeting registration: European Youth in Action against Greenwashing Feb 6, 2026

Walking with communities: why local facilitators matter?

What Do We Want Out of Poverty Measures?

Stop Pretending Pharmacists Can’t Meet Primary Care Needs

Can a weakened US CDC continue its global health work?

The US Just Changed Vaccine Guidance. Can AI Help Families Decide?

Vaccines to prevent bacterial sexually transmitted infections: Promise, progress, and public health potential

Bacterial sexually transmitted infections in incarcerated populations: a systematic review and meta-analysis

An early present for 2026: Innovative near-poc pulslife TB test available in GDF Catalogue for $3.60

A rapid review of the causes of diagnostic and treatment delays for tuberculosis in low-burden countries

Cocaine use in Europe: the need for cross-sectoral collaboration between security, justice, health, and social systems

The role of health literacy in boosting citizen engagement in appropriate use of antibiotics

Trend analysis and modelling of universal health coverage, Ethiopia

The Lancet podcast: Hongqiao Fu and Tiange Chen on health taxes in China

Country Taxes on Alcohol and Sugary Drinks are ‘Too Low to be Effective’, WHO Finds

HRR800. HUMAN RIGHTS READERS: 3000+ PAGES AND COUNTING

Millions Of Women Don’t Have Access To Maternity Care – And The Number Is Growing

Sudan: 1000 days of war deepen the world’s worst health and humanitarian crisis

Gaza to Sudan: Moral consistency as a colonial alibi

Gaza: Storms worsen already dire humanitarian situation, UN warns

Quarter of developing countries poorer than in 2019, World Bank finds

Caesarean deliveries and double burden of malnutrition: a multicountry analysis in South and Southeast Asia

These 5 questions will define the future of aid in 2026

World’s richest 1% have already used fair share of emissions for 2026, says Oxfam

Burning plastic waste ‘widespread’ in poor communities

Global temperatures dipped in 2025 but more heat records on way, scientists warn

Tracking the Invisible: Monitoring Air Pollution from Space

 

 

 

 

 

 

 

 

News Flash 647: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Sunset at Salina island, Italy

News Flash 647

Weekly Snapshot of Public Health Challenges

 

Emerging Problems, Emerging Solutions, Emerging Voices

Podcast: What does 2026 hold for global development?

Health, Hope, and Resistance in an Age of War, Inequity, and Ecological Breakdown   by Juan Garay

United States Withdrawal From Organizations Triggers Global Alarm

US Retreat from Multilateral Institutions Undermines Rule Of Law 

Webinar registration: GPSS Network webinar: Substandard & Falsified Medicines 15 Jan 2026

Webinar registration: Taking stock of the Draft Global Plan of Action for Indigenous Peoples’ Health Jan 19, 2026

Webinar registration: Serious Food Safety Failings expose global health risks of unregulated online cross-border promotion Jan 19, 2026

Shadows and Light: Navigating the Radiology Frontier in Ethiopia  by Melaku Kebede 

Trend analysis and modelling of universal health coverage, Ethiopia

The Stories That Touched Me Deeply  by Innocent Musore

Why Does Africa’s R&D Debate Feel Stuck?

What Happens When R&D Depends on Outsiders?

Why Trump’s Compact for Academic Excellence Matters for Global Health

HHS Changes Its Pediatric Vaccine Recommendations: What’s Different, What Remains, and What It Means for American Health

CGD Podcast: Vaccines in a Changing Global Health Landscape with Seth Berkley

EXCLUSIVE: Germany to Halve Funding for Pandemic Hub Amid Global Health Pull-back

WHO definitions for reserve antibiotics

New research shows how to tackle literacy crisis in developing nations

Effective care for mothers and their babies during humanitarian crises

Attempt to overturn the Gambia’s ban on FGM heard by supreme court

Violence against women: preventing the preventable

HRR799. CONTINUED INACTION DESPITE G20 REPORT ON WORSENING INEQUALITY

Excluding Food Systems From Climate Deal Is a Recipe for Disaster

UN report chronicles intensification of decades of severe racial discrimination by Israel in occupied West Bank

Beyond Belém: What COP30 Means for Africa

Côte d’Ivoire’s bid to take a leading role in African climate investment

Key Moments for Climate and Health Diplomacy in 2026

Climate, pests and pollution fuel crop losses across India

‘We need to rethink how we approach biodiversity’: an interview with IPCC ecologist and ‘refugee scientist’ Camille Parmesan

 

 

 

 

 

Health, Hope, and Resistance in an Age of War, Inequity, and Ecological Breakdown

IN A NUTSHELL
Author's Note 
The recent U.S. military invasion of Venezuela is not an isolated episode, but a stark expression of a broader global dynamic in which geopolitical power, fossil fuels, militarism, and speculative finance converge. As with Ukraine and the Middle East, the language of “security” masks interventions that protect strategic resources and economic interests while eroding international law, peace, and human dignity. Beyond immediate destruction, these dynamics carry a deeper and less visible cost: the progressive erosion of healthy life expectancy for present and future generations

By Juan Garay

Co-Chair of the Sustainable Health Equity Movement (SHEM)

Professor/Researcher of Health Equity, Ethics and Metrics (Spain, Mexico, Cuba, Brazil)

Founder of Valyter Ecovillage (valyter.es)

 

By the same Author on PEAH: see HERE

Health, Hope, and Resistance in an Age of War, Inequity, and Ecological Breakdown

 

Climate change, driven largely by fossil fuel dependency and reinforced by militarised economies, is not only an environmental crisis but a massive health crisis. Analyses published in PEAH (war with no guns 2018) estimate that the cumulative impact of climate change could result in over 200 million excess deaths during the 21st century, with mortality accelerating in the second half of the century due to heat stress, food insecurity, infectious diseases, displacement, and ecosystem collapse. Crucially, this excess mortality will disproportionately affect populations living in low-emission countries, which have contributed least to global warming yet bear its most severe health consequences. Wars over oil and geopolitical dominance directly intensify this injustice by increasing emissions, destroying ecosystems, and diverting resources away from adaptation and public health.

At the same time, a parallel and equally lethal process is unfolding. The progressive hoarding of income and assets by a shrinking fraction of the world’s population is driving extreme economic inequity. Today, around half of humanity lives below a dignity threshold, effectively dispossessed of their right to health, adequate nutrition, housing, and social protection. This structural injustice results in more than 16 million excess deaths every year, not from unavoidable causes, but from poverty, exclusion, and preventable conditions, as documented in PEAH (WISE paradigm 2023). If current trends continue, this share could rise to two-thirds of the global population over the course of the century, further shortening lives and deepening despair.

For younger generations, these realities are profoundly corrosive. They face a future shaped by climate instability, permanent conflict, precarious livelihoods, and political systems increasingly captured by financial interests. Trust in institutions erodes not out of apathy, but from the perception — often justified — that democratic processes are distorted by media manipulation, speculative capital, and geopolitical coercion. Hope itself becomes a casualty when people feel stripped of both agency and voice.

It is in this context that the Sustainable Health Equity Movement (SHEM) situates its work — not as a grand solution or centralized authority, but in deliberately humble terms. SHEM seeks to gather concerned citizens, activists, scientists, and health and social workers who are willing to analyse these harmful dynamics honestly and to act upon them. The movement recognises that many of today’s dominant economic and political structures are not merely inefficient, but actively destructive to health, equity, peace, and the living world.

SHEM therefore calls for conscious disobedience to these “evil dynamics” — not through violence, but through ethical refusal and constructive alternatives. This includes resisting over-consumption, rejecting complicity in extractive production and trade, and withdrawing — as far as possible — from speculative financial systems that profit from instability, war, and inequality. Central to this vision is the gradual emergence of networks of local, sovereign communities, grounded in low-consumption lifestyles, shared knowledge, economic justice, and harmony with nature.

A key enabling tool for this transition is the development and use of open-source software and digital commons. Open software allows global collaborative networks to emerge outside corporate control, supporting shared knowledge, transparent metrics, participatory governance, and the co-creation of global public goods in health, education, ecology, and social organisation. When aligned with ethical values, such tools can counteract the manipulative effects of proprietary platforms on media, politics, and consumption, while strengthening horizontal cooperation across cultures and regions.

Such communities are not escapist enclaves. They are living laboratories of resilience, restoring food sovereignty, mutual care, participatory decision-making, and ecological regeneration. They also offer young people something increasingly rare: a tangible sense that their actions matter, that health and dignity can be defended collectively, and that another way of living is possible.

These ideas will be articulated and debated at the upcoming SHEM Assembly, where participants will present a strategy rooted in health equity, grassroots autonomy, open knowledge, and global solidarity without domination. The aim is not to replace existing institutions overnight, but to rebuild hope and health from the ground up, patiently and courageously, as the foundations of a more just and livable future.

In an age where war, inequity, and ecological collapse are treated as normal, choosing care, restraint, and community is no longer optional. It is an ethical imperative — and perhaps the most realistic path left to preserve life, health, and meaning in the century ahead.

The Stories That Touched Me Deeply

IN A NUTSHELL
Author's Note


…These stories strengthen my commitment to creating spaces for deep dialogue—dialogues that transform grief into strength. My hope is to bring communities together, to heal historical wounds, to encourage reconciliation, and to rebuild trust in Eastern Kivu…

…In countries where refugees from the region have fled, these same ethnic groups coexist peacefully because governance systems promote unity. This proves that leadership—not ethnicity—is the root of the problem…

By Mr. Innocent Musore
Peacebuilder, Rwanda and the Great Lakes Region

By the same Author on PEAH: click HERE

 image credit: WikipediA

The Stories That Touched Me Deeply

 

I visited our elders who had fled to Uganda because of the war in eastern Congo. They were staying in Mbarara at the time. During our conversations, we spoke at length about the history of the suffering they endured. Even now, in their old age, they still carry the emotional and physical scars of those experiences.
They asked profound questions:
How can lasting peace be achieved? How can good governance be built so that peace becomes a reality?

A Story of Pain That Never Healed

One story touched me deeply. It was told by an elder who is now more than eighty years old. He said his father had been killed in 1964 by people from Kilumbi—members of his own Babembe (Ababembe) community—simply because he had a disability.
At the time, they were fleeing toward Baraka, where the United Nations had set up a presence. But before they could reach safety, neighbors from the Babembe ethnic group killed his father. This painful testimony was shared by Muzehe Pastor Semigomero Gratian.
As he recounted the story, tears filled his eyes. Decades have passed, yet the wounds remain open. His grief has only deepened, from 1964 when he first fled, until today in 2025—after a lifetime marked by displacement and suffer.

A Story from My Own Father

Another story that moved me even more is that of my own biological father, Reverend Pastor Philip Ruhimbya.
We were in a church service at the Free Methodist Church in Mbarara, a community with many Banyamulenge refugees. He asked for an opportunity to speak, and when he was given the chance, he began by saying:

“I thank God for keeping me alive. My brother came to visit me during my sickness, even after I suffered two strokes. I have seen God’s miracles in my life. These experiences are what move me and inspire my child to write.”
He then shared a story I had rarely heard in full.

Captured, Beaten, and Left for Dead in 1998
“God protected me in 1998 during what people call the RCD war,” he said. “I was captured in Likasi, in Katanga. They were hunting anyone who spoke Kinyarwanda or who was Tutsi. We tried to hide, but they caught us.”
Two soldiers arrested him and beat him severely. One wanted to kill him immediately; the other insisted they should take him alive to prison.
“One soldier fired his rifle at me and missed. He fired again three times. Then he stopped and beat me until I lost consciousness.”
When he woke up, they were dragging him toward the prison.
Inside, he met a man named Rucaca Felicien, a Kinyarwanda-speaking leader in the GECAMINI company, who had also been captured. Rucaca bribed the soldiers to take my father to the hospital.

A Narrow Escape from Execution
At the hospital, my father spent two days recovering from his injuries. But soon, soldiers began executing Kinyarwanda-speaking prisoners right inside the hospital.
“A doctor told me I could be executed if I returned to prison. He asked if I could go back. I told him, ‘No, I cannot. I am injured and weak.’ He said, ‘If they kill you, your blood will not be on my hands.’ Then he secretly arranged my escape”.
The doctor hid him in a van with covered windows and helped him flee.
My father survived, but many others did not, including the children of the cousin he had visited.

A Family History Marked by Massacre

My father also reminded us of what had happened earlier, in 1996, when five of his siblings were killed in Mboko. Some were burned alive. Others were thrown into the Rusizi River—never to be found, never to be buried.
This massacre has never been properly addressed, and the grief remains heavy.

My Vision Moving Forward

These stories strengthen my commitment to creating spaces for deep dialogue—dialogues that transform grief into strength. My hope is to bring communities together, to heal historical wounds, to encourage reconciliation, and to rebuild trust in Eastern Kivu.
We need systems that promote accountability, forgiveness, and policies that support the people of Kivu and the entire Great Lakes region. We must confront the long-term effects of colonialism, including the divisions created by the Berlin Conference of 1884.
I am not calling for the removal of borders. Rather, I believe borders should connect people instead of dividing them—because division harms all communities.

Learning from the Past
If people in the Great Lakes region—and the world—fail to learn from the Genocide against the Tutsi and the reconciliation process that followed in Rwanda, then history risks repeating itself.
“What will make Kivu better is recognizing our diversity of ethnic groups as an opportunity and a strength. These communities will never disappear. They will always live side by side. And even those who come later will one day need to live among others.”
In countries where refugees from the region have fled, these same ethnic groups coexist peacefully because governance systems promote unity. This proves that leadership—not ethnicity—is the root of the problem.
There will never be a world made up of only one ethnic group, one culture, only herders, or only farmers. Our future depends on learning to live together

Shadows and Light: Navigating the Radiology Frontier in Ethiopia

IN A NUTSHELL
Author's Note


In the quiet, dimly lit reading rooms of our hospitals, we often say that radiologists are the "doctors' doctors." We are the eyes of medicine, peering through the veil of the human body to find the answers that physical exams alone cannot reveal. As a clinical radiology resident here in Ethiopia, my daily life is a constant dance between cutting-edge technology and the stark realities of a developing healthcare system

By Dr. Melaku Kebede

Clinical Radiology Resident

Ethiopia

 By the same Author on PEAH:see HERE

 Shadows and Light

Navigating the Radiology Frontier in Ethiopia

 

The story of radiology in Ethiopia is one of incredible resilience and rapid evolution. Not long ago, the landscape was dominated by conventional film-screen X-rays and basic ultrasound. Today, we are witnessing a digital revolution.

The Changing Landscape: From Films to Pixels

For decades, Ethiopia faced a profound shortage of imaging specialists and advanced hardware. However, the last decade has seen a paradigm shift. With the expansion of residency programs across institutions like Addis Ababa University (Tikur Anbessa), St. Paul’s Hospital Millennium Medical College, and the universities of Gondar and Jimma, the number of practicing radiologists is finally on the rise.
We have moved beyond the “darkroom” era. Digital Radiography (DR) and Computed Tomography (CT) are becoming more accessible, even in regional centers. The introduction of 1.5T MRI and the burgeoning field of Interventional Radiology (IR) are now allowing us to not only diagnose but also treat conditions like hepatocellular carcinoma and vascular malformations through minimally invasive, image-guided procedures.

Yet, the “landscape” is still uneven. While private diagnostic centers in Addis Ababa boast state-of-the-art 128-slice CTs and 3T MRIs, our public sectors where the majority of the population seeks care often struggle with equipment downtime, a lack of spare parts, and the high cost of contrast media.

The Resident’s Perspective: A Day in the Life

Being a resident in this environment requires a unique brand of “clinical intuition.” Because we often work with limited resources, every scan counts.
My day usually begins with a stack of ultrasound requests—the workhorse of Ethiopian imaging. From detecting “millet-seed” patterns of miliary tuberculosis to diagnosing complex tropical diseases that are rare in the West, ultrasound is where we truly hone our skills. Unlike our colleagues in high-income countries who might rely heavily on CT for every abdominal pain, we must be masters of the transducer.
The workload is intense. It is not uncommon for a resident to report dozens of cross-sectional studies and perform thirty ultrasounds in a single shift, all while teaching medical students and consulting with surgeons on the next “emergency” case. But in this intensity lies an unparalleled learning opportunity. We see pathology in its most advanced stages—massive tumors, late-stage infections, and complex congenital anomalies—cases that would be “once-in-a-career” sightings elsewhere.

Looking Forward: AI and Sub-specialization

What excites me most about the future of Ethiopian radiology is the potential for sub-specialization. We are no longer content with being generalists. The need for dedicated neuroradiologists, pediatric radiologists, and musculoskeletal experts is clear.
Furthermore, the integration of Artificial Intelligence (AI) offers a beacon of hope. In a country where the radiologist-to-patient ratio remains low, AI-driven triage for chest X-rays (to detect TB or pneumonia) or head CTs (to identify intracranial bleeds) could be a game-changer, acting as a “force multiplier” for our overworked staff.

Final Thoughts

To be a radiologist in Ethiopia today is to be a pioneer. We are the generation that will bridge the gap between “basic” imaging and “precision” medicine. Despite the power outages, the equipment breakdowns, and the long nights, there is a profound sense of purpose when you spot that subtle sign on a scan that changes a patient’s life.
In the shadows of the gray-scale, we find the light that leads to healing.

 

2025: A Year in Review Through PEAH Contributors’ Takes

Contributors’ takes all over the 2025 meant a lot to PEAH scope and aims. Find out here the relevant links whereby health access gaps and challenges worldwide are tackled from an equity based multidisciplinary One Health perspective

By Daniele Dionisio

PEAH – Policies for Equitable Access to Health

 2025: A Year in Review Through PEAH Contributors’ Takes

PEAH engages, under One Health perspective, with the best options for use of trade and government rules related to public health first and foremost in the resource-limited settings. In so doing, while aligning with World Health Organization’s definition of Health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, PEAH is aware that the health of people is closely connected to the health of animals and our shared environment 

Link HERE

Just at the beginning of a new year, I wish to pay homage to the many top thinkers, either stakeholders or academics, who contributed articles all over the 2025. My deepest gratitude goes to each of them as boosting voices in the One Health arena towards climate, ecosystems safeguarding and more inclusive, equitable directions for care, treatments, health technologies access for all. As invaluable food for thought, their insightful reflections meant a lot to PEAH scope and aims, while adding to debate worldwide how to equitably address health priority challenges from a One Health view encompassing the policies, strategies and practices of all involved actors.

Find out below the relevant links:

Conflict, Decolonization, and the Collapse of Health Systems: Reflections from Sudan  by Khlood Fathi 

Beyond Obesity Pills: Ethical Imperatives for a World of Excess, Hunger, and Ecological Breakdown  by Juan Garay 

The Global Polycrisis: Reframing Learning through One Health & Wellbeing for a Sustainable Earth  by George R. Lueddeke 

Toward a Healthier Planet and Humanity: Industrial Animal Agriculture, Glyphosate Risk, Slaughter Suffering, and the Case for a Global Plant-Based Dietary Transition  by Juan Garay 

COP30 Confirms the Near‑Irreversible Path to Human Self‑Destruction and Ecocide  by Juan Garay 

Legal Literacy: The Missing Pillar In Universal Health Coverage  by Sylvia Penelao Hamata 

Allostatic Load in the age of AI   by Brian Johnston 

Inequity in Antenatal Care Quality in Low- and Middle-Income Countries  by Hadiza Magaji Mahmoud 

The Role of Traditional Birth Attendants in Improving Maternal Health Outcomes in LMICs  by Yvonne Akukwe 

Knowledge and Utilisation of Malaria Prevention Strategy among Pregnant Women in Some Selected Primary Health Centres in Maiduguri, Borno State, Nigeria  by Samuel, Gabriel; Abdullahi, Mohammed Ibn; Danladi, Samuel Sam; Jonah, Japhet Haruna; Tweneboah, Emmanuel; Musa, Ahmed

Knowledge, Attitudes, and Practices of AI-Assisted Diagnostics Among Students of Master of Public Health in Ahmadu Bello University, Zaria, Nigeria  by Samuel, D., Jonah, J., Samuel, G., Amos, I., Eche, R.., Makinta, A., & Musa, H

Rethinking Global Health Metrics Beyond the Frontier: A Response to the GBD 2023 Mortality Report  by Juan Garay 

Beyond Green Complacency: WISE, SHEM and the Case for Radical Sharing  by Juan Garay 

Pitch for a UN General Assembly Special Session on Climate Change  by David Patterson 

India’s Demographic Wake-Up Call  by Veena S Rao 

Eliminating Dog Mediated Human Rabies from India by 2030: a Pipe Dream  by M K Sudarshan and Tanushree Mondal 

Storytelling to Combat Vaccine Hesitancy in Africa: Building Trust Through Narrative  by Kirubel Workiye Gebretsadik 

The Inequity Risks of AI When the Global Good Is Not the Goal  by Juan Garay 

Keeping Up the Quest for Sustainable Health Equity: Fifth Anniversary of SHEM  by Juan Garay 

Way Forward: Building a Resilient Healthcare System in Nepal  by Damodar Adhikari 

Toward Global Instability and Autocracy? A Critical Examination of the Trump Regime’s Global Impact  by George Lueddeke 

Breaking the Silence: Confronting Postpartum Depression and the Urgent Need for Mental Health Checks in Maternal Care  by Youmna Abdelnabi 

Climate Change and Health Disasters/Risks in Nepal  by Damodar Adhikari 

Valuing Medicines in Different Health Systems  by Andy Gray and Christiane Fischer 

Seville 2025: 5% for War, 0.25% for Life?  by Juan Garay 

Stethoscopes on Hold: Exploring the Employment Crisis Among New Doctors in the Kurdistan Region of Iraq  by Goran Abdulla Sabir Zangana 

Polio Eradication in Pakistan by 2050: Innovations, Gaps, and the Forgotten Human Factor  by Muhammad Noman

Stick by Stick, Big Tobacco Is Killing Africa’s Future: A Continental Call to Conscience  by Peter Unekwu-Ojo F.

Mental Health in Crisis Zones: A Personal Look at Hidden Wounds  by Rasha Almashhra 

The Pandemic Treaty’s Failure to Confront Profit-Driven Injustice in Global Health  by Juan Garay

Advancing Societal Understanding and Care for Our Worl: Regional Project Proposals  by George Lueddeke 

White Coats, Empty Pockets: The Silent Exploitation of Ethiopian Doctors  by Melaku Kebede 

Cultural Influences on Health of Migrant Women  by Sevil Hakimi 

Refugee Women’s Healthcare Accessibility: What We Should Know  by Sevil Hakimi 

BOOK REVIEW: MY JOURNEY WITH COMMUNITY MEDICINE – A MEMOIR  by Tanushree Mondal 

The Dilemmas of Localization for Climate Action: The Struggles of Local NGOs in Accessing Global Platforms in Countries Like South Sudan  by David Odukanga 

The Nexus Between Climate Change, Security Impact on Public Health, and WASH in South Sudan  by David Odukanga 

Tools for Healing: A Journey Through the Centuries from the Etruscan-Roman Era to the Robot. Testimonies from Tuscan Museums  by Esther Diana 

Rabies in India: Current Scenario and Prospects of Elimination  by Tanushree Mondal and M.K. Sudarshan 

Universities in the Early Decades of the Third Millennium: Saving the World from Itself? – and 1 HOPE-TDR Regional Project Proposals  by George Lueddeke 

Examining the U.N. Sustainable Development Goals (SDGs) Using a One Health Approach: Profiling Cambodia, Laos, Thailand, and Viet Nam  by Laura H. Kahn 

Framing Health and Well-Being: a Positive Confrontation Between Life and Social Sciences as a Trigger/Engine for Public Health Challenges  by Tomas Mainil 

Navigating a New Era: Africa’s Health Systems after USAID Funding and the Road Ahead  by Kirubel Workiye Gebretsadik 

”Cultivating an Active Care for the World and With Those With Whom We Share It”  by George Lueddeke 

Food Security – Back to Basics  by Philip J Gover 

The Sustainable Wellbeing Equity Index: An Ethical Reference to Wellbeing while Respecting Other Lives  by Juan Garay

 

The contributions highlighted above add to PEAH internal posts published in the year. Find the links below:

Interview: Clare Hanbury, CEO and Founder CHILDREN FOR HEALTH  by Daniele Dionisio

INTERVIEW: Sebastian Kevany  by Daniele Dionisio

2024: A Year in Review Through PEAH Contributors’ Takes  by Daniele Dionisio 

 

In the meantime, our weekly column PEAH News Flash has been serving as a one year-long point of reference for PEAH contents, while turning the spotlight on the latest challenges by trade and governments rules to the equitable access to health in resource-limited settings.