News Flash 635: 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

Salema (Sarpa salpa)

News Flash 635

Weekly Snapshot of Public Health Challenges

 

Defending the Right to Health // 14.10.2025 in Berlin. Panel Discussion at the Sidelines of the World Health Summit 2025

Registration: MMS Symposium 2025 – Who really decides about our health? – 5 November

UNPO: A look Back and The Road Ahead

Civil society highlights the real impacts of the Global Gateway ahead of EU Forum

25 years after landmark UN resolution, UN chief says women are too often absent from peace talk

CSOs call on the World Bank to address patient abuse and systemic harms caused by its private healthcare investments

HRR787. THE IDEA OF CITIZEN PARTICIPATION IS A LITTLE LIKE EATING SPINACH: NO ONE IS AGAINST IT …IN PRINCIPLE, ‘BECAUSE IT IS GOOD FOR YOU’.

Ecuador revokes environmental license for Canada’s DPM to develop gold project

Global health: Crisis of legitimacy

The sub-Saharan Africa Health Research and Innovation Fellowship Program (SAHRI Fellowship): How to apply

The New Vaccine Federalism In The US

‘They’re not just sharing needles, they’re sharing blood’: How HIV cases soared in Fiji

Broader access urged for affordable HIV drug

Aid Cuts Hit Yemen Amid Measles Crisis

The Human Cost of Cholera

Cholera in Africa: Rising Deaths, Shrinking US Aid

Superbug infections outpace the development of new antibiotics, WHO report warns

The AMR Panel Playbook: Eight Lessons for Building an Independent Panel on Antimicrobial Resistance

Home-Based Care for Hypertension in Rural South Africa

WHO tobacco trends report: 1 in 5 adults still addicted to tobacco

Parkinson disease treatments on national essential medicines lists, African Region

Water quality and child undernutrition: evidence from 29 low- and middle-income countries and territories

Planet at risk: New EAT-Lancet report warns food system overhaul is vital

Urban Food Insecurity Is Surging – Here’s How Cities Can Respond

No profit without accountability: recognising the right to a healthy environment

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

Hybrid Meeting registration: Building a Climate Coalition: Carbon Pricing, Trade, and What’s at Stake for LMICs Oct 16 2025

Climate change and increased risk of respiratory infections in humans

EU to push development banks’ climate focus despite US opposition, draft shows

Jane Goodall, ambassador for wildlife, dies at 91

 

 

Pitch for a UN General Assembly Special Session on Climate Change

IN A NUTSHELL
Author's note
This post argues that only a United Nations (UN) General Assembly Special Session on climate change offers the best hope of clearing the international logjam of States’ climate inaction and avoiding the worst impacts of climate change

 By David Patterson LLM, MSc, HonMFPH, PhD Candidate

Department of Transboundary Legal Studies

Faculty of Law, University of Groningen, Netherlands

Member, Steering Committee, Human rights and the climate crisis working group

Member, Steering Committee, EUPHA law and public health section 

 

 Pitch for a UN General Assembly Special Session on Climate Change

 

At the 2024 climate change summit in Baku, Azerbaijan, WHO launched a report titled ‘Health is the argument for climate action.’ ‘Fossil fuels are making us sick,’ the report stated, ‘and their time is up.’ WHO continued:

Urgent climate action is a matter of life or death. Despite this, we continue to increase [greenhouse gas – GHG] emissions and overlook the human impact of inaction even as we pass critical tipping points.  The climate crisis is a health crisis, and climate [change] drives disease burdens of all types – communicable and vector borne diseases, noncommunicable disease, maternal and child health, mental health, and trauma.

We could not agree more. The impact of climate change on human health has been documented for decades by the IPCC, WHO and health and medical journals, including by the medical journal The Lancet in its Lancet Countdown series.

In 1992 the UN Framework Convention on Climate Change (UNFCCC) was opened for signature at the UN Conference on Environment and Development, in Rio de Janeiro. Two more treaties followed: the Kyoto Protocol (1999) and the Paris Agreement (2015). These three ‘climate treaties’ together aim to ensure we avoid the worst impacts of climate change, particularly on developing countries and vulnerable communities, everywhere. Yet in 2025, ten years after the Paris Agreement, we are surging past our commitment to keep average global warming below 1.5 °C above pre-industrial levels, and are well on track for 2.7°C or higher. Most countries are already experiencing some form of climate chaos. Yet States are backing away from their Paris Agreement obligations: even the tepid commitment at the 28th UNFCCC Conference of the Parties (CoP28) to ‘transition away from fossil fuels’ was not echoed in the CoP29 communique, with discussions postponed.

Why have States not responded with urgent action commensurate with the threat of climate change?  Decades-long disinformation and obfuscation by the fossil fuel industry is certainly a factor, aided by compliant global media corporations, where climate change is either diminished or is portrayed as natural, distant, and perhaps inevitable, perhaps even positive for some. Notably, however, the intended voting procedure in the draft UNFCCC Rules of Procedure (rule 42), which provides for two-thirds majority voting, has never been agreed. Voting remains by (undefined) ‘consensus.’ Motions can be blocked by a single country, depending on the interpretation of consensus by the chairperson at the time.

This limitation has long stalled substantive progress on phasing out fossil fuels and progress towards a just transition. Further, the entire UN human rights machinery (which today includes the human rights treaties, their monitoring bodies, Special Rapporteur, secretariat OHCHR, Universal Periodic Review, and UN Human Rights Council) was sidestepped in the drafting of the climate treaties. The only reference to human rights in the climate treaties is in the Preamble to the Paris Agreement.

Fossil fuel exporting States have seized upon this failure to anchor global climate action more deeply in international human rights and environmental law. At the International Court of Justice (ICJ) hearings on climate change in 2024, these States argued that they had no obligations under international law beyond what was expressly stated in the climate treaties. Thankfully, the ICJ flatly disagreed. We now have strong, far-reaching legal advice from the ICJ on States’ obligations to respond to climate change that includes obligations under the climate treaties, UN human rights and environmental treaties, and customary international law. But the ICJ advice is just that – advice – and in itself it won’t break up the logjam of State inaction under the climate treaties, which is grounded in part in the CoPs’ fatal requirement for consensus.

There is a way forward. The General Assembly is the UN’s main deliberative, policy-making and representative body. Voting is by simple majority (not consensus) on most matters. The General Assembly may convene in a so-called Special Session (UNGASS) to address urgent, wide-ranging concerns, as seen in previous UNGASS on corruption, COVID-19, the world drug problem, and the welfare of children. Civil society participation is an important component of these events. In a symposium in Opinio Juris, Benjamin Mason Meier and I recall how in 2001 the UNGASS on HIV/AIDS marked a turning point in the global response to the HIV pandemic. The resulting Declaration of Commitment on HIV/AIDS anchored the response to HIV with time-bound commitments to concreted action; called for a global health fund (which led to the Global Fund to Fight AIDS, Tuberculosis and Malaria), and requested the UN Secretary-General to initiate a periodic monitoring process to track States’ progress on implementing their commitments. UNGASS resolutions are not binding, however with UNAIDS’ support States’ periodic reporting has continued to this day.

An UNGASS on climate change has the potential to break the logjam by reaffirming States’ legal obligations under both the climate treaties and human rights and environmental law, as identified by the ICJ. The resulting UNGASS resolution, perhaps titled ‘Declaration of Commitment to Climate Action and Just Transition’, should welcome the ICJ advisory opinion and include commitments both to accelerate action under the climate treaties and to implement the additional legal obligations identified by the ICJ. The resolution could include commitments to monitoring and reporting on human rights-based processes in developing and implementing Nationally Determined Commitments and National Action Plans, including through the meaningful participation of affected communities, workers, Indigenous Peoples, women, youth and marginalized groups. Most importantly, the resolution should call for the UN Secretary-General to report periodically to the General Assembly on progress achieved in realising States’ commitments in the Declaration.

Some States and their fossil fuel industry backers will probably argue that an UNGASS on climate change is unnecessary. A few States, including major GHG emitters and fossil fuel exporters, may shun the General Assembly whatever the outcome. Yet an UNGASS Declaration of Commitment to Climate Action and Just Transition may well nudge the UNFCCC Conference of Parties to finalise the Paris Rule Book and begin to reclaim climate justice. If we and future generations are to avoid the worst impacts of climate change, the status quo cannot continue.

 

By the same Author on PEAH 

WHO, the Right to Health and the Climate Crisis – What Advice for the ICJ? 

Strategic Litigation and Social Mobilisation: Part of Public Health’s Advocacy Toolbox to Address the Climate Crisis 

Public Health, Climate Change and Strategic Litigation: Building a Powerful Alliance between Public Health Practitioners, Communities, and Legal Advocates 

Why Some Global Health Experts Didn’t Sign the Call on the United Nations for Human Rights Guidelines on Healthy Diets and Sustainable Food Systems 

Pick the Odd One Out: Sugar, Salt, Animal Fat, Climate Change: What Are We Teaching? 

Falsified and Substandard Medicines: Threat to the SDGs – but Who’s Watching, Caring or Acting?


News Flash 634: 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

Stony sponge (Petrosia ficiformis)

 News Flash 634

Weekly Snapshot of Public Health Challenges

 

Join in person: Monday, October 13 Meeting in Berlin, Germany: The negotiations on the Pathogen Access Benefits Sharing System

Webinar registration: UNGA 2025: Unpacking the political economy of NCDs Oct 9, 2025

Turning evidence into action: new TDR course on communicating research findings

A path to better include patients’ perspectives in the regulation of medicines

European citizen’s initiative news

Meeting registration: HEAR CSO Consortium Launch and Information Session Oct 8, 2025

Webinar registration: “Examining Wealth, Power, and Accountability in Philanthropy” Oct 3, 2025

What is a Wellbeing Economy, and what might its impact be on population health?

Editorial: Global health and warfare: assessing the broad impacts of conflict on public health

Medics on the move for what matters: life and health for all

Investing in health is investing in climate resilience, says WHO envoy

UNGA80 reporters’ notebook: Day 3

UNGA80 reporters’ notebook: Day 4

‘Risks and opportunities’ in US global health strategy

Availability of essential medicines in 14 remaining health facilities in Gaza

Nigeria Deal With China Will Enable it to Make Insulin Alongside Egypt and South Afric

MSF Supports $40 PrEP Access by 2027, Demands Broader Reach and more Ambition to End HIV Epidemic

Africa Welcomes Reduced Cost for New HIV Prevention Drug

Health: Perilous Delay in Lenacapavir Registration Compromises Access in Developing Countries

Two drugmakers will sell the 6-monthly anti-HIV jab for the price of the daily HIV prevention pill

Risk and Benefit

Vaccinations Averted 17 Million Deaths in Past Five Years – But Global Challenges Persist

Member States advance vital work in support of WHO Pandemic Agreement

Tanzania keeps rabies end goal in sight

HRR786: PROPAGANDA DOES NOT DECEIVE PEOPLE, IT MERELY HELPS THEM TO DECEIVE THEMSELVES. (Eric Hoffer) SO, WHAT IS LEFT FOR US TO BELIEVE-IN?

Seize this ‘crucial moment’ for animal-free chemical testing reform, say experts

United Nations Experts Raise Concerns Over Indigenous Rights Violations in Chittagong Hill Tracts

Health Beat #34 | South Africa’s big fat health crisis

Food industry must be held accountable for driving rising obesity and ill health

UNICEF Climate Advocate Urges World Leaders To ‘Include Children’ in Climate Discussions

Putting a Just Transition at the Heart of the Climate Bank Roadmap 2.0

World’s major cities hit by 25% leap in extremely hot days since the 1990s

 

 

 

 

 

 

 

 

News Flash 633: 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

Bluestripe lizardfish (Synodus saurus)

News Flash 633

Weekly Snapshot of Public Health Challenges

 

UNGA80 reporters’ notebook: Day 1

UNGA80 reporters’ notebook: Day 2

WHO statement on autism-related issues

IFIC Ireland Webinar registration: Integrated Care and the Circular Economy: Rethinking Systems for Sustainability and Wellbeing Sep 25, 2025

EU climate, trade and industrial policy: building resilient and mutually beneficial critical raw materials supply chains

People’s Health Dispatch Bulletin #107: Health workers board Global Sumud Flotilla

HRR785. THE POLITICS TO COUNTER THE COMMERCIAL DETERMINANTS OF HEALTH

Housing: a determinant of health and equity

Panama: Fishers highlight rights violations at UN

Children for Health: Free Health Storybooks

Beijing + 30: Looking Back on Women’s Rights, Progress and Backlash

Amended International Health Regulations enter into force

Imagine if all Europeans had faster access to treatments: How do we turn imagination into action?

The fight against misinformation goes to the heart of trust in public health

The Threat To Vaccine Uptake From Kennedy’s Policies: Taking Stock Under A New ACIP

Hepatitis B Vaccination is an Essential Safety Net for Newborns

Price must decrease for ALL, activists react to $40 generic lenacapavir

Support for Indian Manufacturers to Produce Cheap Generics of HIV ‘Miracle’ Drug, Lenacapavir

Defending the Right to Health // 14.10.2025 in Berlin: Panel Discussion at the Sidelines of the World Health Summit 2025

Patients in El Salvador, Indonesia, and the Philippines among the first to receive nilotinib via ATOM partnerships

What it means to lose access to diabetes care: stories from people living with diabetes around the world

The ripple effect: how global health R&D delivers for everyone

Inadequate last-mile pharmaceutical waste management is a neglected threat to environmental and public health: a call to action

Yemen witnesses worrying spike in acute watery diarrhoea cases

Treating tungiasis: PAHO issues first scientific guide

Food Insecurity Rising in Africa, Falling in Latin America and Caribbean

All eyes on missing NDCs as Climate Week and UNGA converge

Australia announces higher emissions cuts by 2035

The falling down place

Only a third of world’s river basins experienced normal conditions in 2024

Underwater Survey off Isles of Scilly Reveals Marine Recovery and Sparks Calls for Wider Protection

 

 

 

 

 

 

 

News Flash 632: 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

Mediterranean moray (Muraena helena)

News Flash 632

Weekly Snapshot of Public Health Challenges

 

UN commission of inquiry accuses Israel of genocide in Gaza and urges global action

September 2025.CSO-Joint-Statement.UN-HighLevel-Meeting-NCDs

Launch of the ‘Social inequalities in health in Europe’ report 25 September, 2025 – 26 September, 2025

DNDi: A Revolution in Medicine Starts Here

KEI calls for more transparency in the WHO pathogen access and benefit sharing system (PABS) negotiations

Ebola vaccination begins in the Democratic Republic of the Congo

Motorbikes, canoes, and vaccines: vaccinating in hard-to-reach places in Batangafo, Central African Republic

Children in conflict-affected contexts have been left behind: Insights from the WUENIC vaccine coverage estimates and polio cases in 2024

South Africa’s HIV Fight Faces a Make-or-Break Moment

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

Secretary Kennedy’s Vaccine Skepticism Is Misplaced: Try Cancer Drugs Instead

Diabetes (r)evolution(s)

The UN had a plan to fight deadly lifestyle diseases. Industry pressure killed most of it

The FDA’s Overdue Crackdown on Misleading Pharmaceutical Advertisements

Estimating Health Tax Capacity, Effort, and Potential: Evidence from a Global Panel

Our study analysed pesticide use and residues across Europe. Here’s what we found

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

Analysis of the Nexus between Democratic Governance and Economic Justice in Africa 

Tackling health inequalities in Indigenous Peoples

How one hungry family gets through one day in Gaza

AfDB Commits 11 Billion Dollars To Support Early Warning Systems, Food Security in Rural Africa

Malnutrition crisis in Nigeria: “This is an emergency”

Global School Meals at the Next Frontier: Why Economic Evidence Matters

The health and nutritional costs of supermarkets

Impacts of food delivery on the environment: Can the industry overcome plastic waste, carbon emissions and health challenges to build a sustainable future?

The UN climate process remains indispensable

The World Bank and Climate Projects: A Matter of Definition

Climate, health equity, and the built environment: A video on heatwaves in schools, Spain

Carbon emissions from oil giants directly linked to dozens of deadly heatwaves for first time

Ban Fossil Fuel Advertisements Recommends Study on ‘Cradle to Grave’ Climate & Health Impacts

Why deforestation is causing heat deaths to soar

 

 

 

 

 

India’s Demographic Wake-Up Call

IN A NUTSHELL
Authors’ note
 This paper provides details regarding the health, nutritional and other human development indicators of the two poorest quintiles of one of Yadgir District, which is the most backward district of Karnataka, India. This is the district where we are attempting to strengthen the process of human development

By  Ms. Veena S Rao, IAS (Retd), Director

 Ms. Harshita Chinnaswamy, Research and Project Assistant

Auro Centre for Public Nutrition, Public Health and Public Policy (ACPN)

Bangalore, India 

 

 By Veena S Rao on PEAH: see HERE

 India’s Demographic Wake-Up Call

 

India’s population has reached its demographic prime. While large parts of the world are aging, around 67.3% of our population is between 15-59 years of age, and this demographic advantage of a young working population will persist for at least another three decades.

Approximately 26% of the population is below 14 years, and just 7% is above the age of 65, as against ~17% in the US and ~21% in Europe. By 2030, India’s working age population is projected to reach its highest level at 68.9%.  The median age of the population will be 28.4 years, with a dependency ratio of only 31.2%. In absolute numbers, India will have 1.04 billion working age persons, constituting the largest work force in the world.

Our demographic harvest certainly has large numbers, but demographic strength does not lie in numbers alone. Large numbers can only translate into dividends through high productivity that drives wealth creation, not just by construction, but by high-tech production and manufacture, innovative information technology, new-age services with high value addition, R&D driven innovation, healthcare and life sciences, to name a few.

Does our demographic dividend have the capacity to enable its own transformational economic advancement on these lines and accelerate the nation’s GDP to reach the $7 trillion mark by 2030?

Clearly, this capacity can only develop with right education and skills, which require cognitive power (brain cells) and good physical health. Both start developing at foetal stage and continue developing through childhood and adolescence into adulthood, with proper health, nutritional and educational care. Only then can the demographic dividend have the capacity for higher learning, superior skills and qualifications to fit contemporary or futuristic job requirements. We may recall that other Asian nations invested heavily in health, education and skills during their growth periods and reaped full demographic harvests.

Let us take a look at our present demographic dividend, whose foundational stage has is mostly over. NFHS (National Family Health Survey) 5 (2019-2021) informs that among our present demographic dividend, (15-49 years), only 41 % women and 50.2% men have 10 years or more of schooling; 57% women and 25% men are anaemic; and 18.7% women and 16.2% men have Body Mass Index (BMI) below normal. It is not surprising therefore, that despite several skilling programmes being implemented in India, prospective employers are not able to find the right skilled workers, and unemployment rates of ‘educated’ youth remain high.

We had conducted a Baseline and Social Survey of two poorest quintiles in Yadgir District, Karnataka while implementing a project “Establishing SHG/FPO enterprises to address malnutrition and provide rural livelihoods in Yadgir, Karnataka.” Yadgir is what is now classified as an Aspirational District, as per Niti Aayog, India’s national think tank. (See Note)

The findings below show the human development status of our present demographic dividend within this group

  • 60% SHG women and 91% of their spouses are unskilled workers, with mean annual income of women being Rs 17000 and their spouses being Rs 18000.
  • All the respondents live in their own houses, 56% of their houses are pucca (concrete). 57% of these households have two-wheeler. Average family size of these households is 6.4 [1]
  • Mean weight of SHG women was 54.5 Kg and mean height was 151.2 Cm. For spouses, respective figures were 60.0 Kg and 162.0 Cm.
  • Using BMI-cut-offs, 12% SHG women and 12% of their spouses are categorized as underweight.
  • Around 28% women below 30 years are underweight and this percentage decreases with age. 12.25% of spouses are underweight, the percentage increasing from 0% underweight below 30 years of age to 21.79% for the age group 50 years and above
  • 5% mothers of children aged 3-5 years are illiterate and 57% mothers of children below 3 years are illiterate

Now let us turn to our immediate demographic dividend – today’s adolescent girls and boys, 15-19 years of age – who will form a substantial part of India’s work force for the next three decades.

From the little data available about them, NFHS 5 informs us that only 34% girls and 35.9% boys of age 15-24 have completed 12 years or more education; 59% girls and 31% boys of this age group are anaemic, and only 54.9% girls and 52.6% boys have normal Body Mass Index (BMI).

Below are the findings on Adolescent Girls and Boys (11-18 years) from our Baseline Survey of the two poorest quintiles

  • 83% girls and 93% boys are attending school, with 75% attending government schools.
  • With negligible gender-wise and age-wise variations, 12-13% and 23-24% adolescents were severely and moderately stunted respectively.
  • 1% of adolescent girls between 15-18 years are severely stunted, as against 11.9% girls in the age group 11-14 years.
  • 1% adolescent boys between 15-18 years are severely stunted as against 9.4% boys in the 11-14 years age group.
  • Underweight as per BMI-cut-offs was slightly higher in boys (83%) as compared to girls (75%).
  • Overall, about 47.39% adolescent girls and 52.49% adolescent boys are severely underweight, and 27.96% girls and 30.77% boys are moderately underweight.
  • Among both girls and boys, underweight was highest among 11-14 age group as compared to 15-18 age group.
  • 24% adolescent girls between 15-18 years are severely underweight, as against 60.32% severely underweight girls in the age group 11-14 years.
  • 88% adolescent boys between 15-18 years are severely underweight as against 71.09% severely underweight boys in the 11-14 years age group

These statistics reflect reduced biological development, which could translate to poor learning. The Annual Status of Education Report (ASER) (Rural) 2023 national findings certainly corroborate this. Only 77% in the 17-18 years category could read Class 2 textbooks, and 35% could do division. National findings also revealed that the learning trajectory over Grades 5,6,7 and 8 was relatively flat, meaning thereby that the difference in learning levels between all the grades was not very much. It is these age groups that will feed our demographic dividend for the next 3 decades.

                                         

Anthropometric measurements of adolescent girl and boy being taken by project staff

Let us take a look at our future demographic dividend, which will enter the work force within the next one or two decades – our children.

Not a very bright picture either. According to NFHS 5, 35.5% of children below 5 years are stunted, 19.3% are wasted and 32.1% are underweight; and 67.1% children between 6-59 months are anaemic. (Figures for the 2 poorest quintiles are almost 50% higher) NFHS does not give us figures of the percentage of children who are neither stunted, nor wasted, nor underweight. But most shockingly, only 11.3% children aged 6-23 months are receiving minimal adequate diet, an improvement from 9.6% as in NFHS 4 (2015-16). The foundation of our demographic dividend and human capital for the next 3 decades lies here.

This is what the Baseline Survey had to show about children of the two poorest quintiles 

  • Mean duration of breastfeeding among 6-35 months male children was 15.6 months and 17.4 months among female children.
  • 20% of children did not receive any complementary feeding until 23 months
  • Of the remaining 80%, only 34% children aged 6-35 months old children received complementary feeding before 8 months. 56% children received complementary feeding at 8-11 months and 10% received complementary feeding after one year.
  • Around 50% mothers do not cook the supplementary food they receive from Integrated Child Development Scheme (ICDS) due to lack of time as they have to go to work.

Anthropometric measurements of 6–35-month children

  • Stunting:1% and 27.5% children were severely and moderately stunted respectively. Stunting was highest (54%) among 24-35 months children and lowest (20%) among 6–11-month-old-children.
  • Data indicated that as the age of the child increased the extent of moderate and severe stunting among children also increased. While 6.4% of children less than a year are severely stunted, a proportion of 20.1% among children aged 1 to 2 years and 22% among children aged 2 to 3 years are severely stunted
  • Wasting: Around 14% children were severely wasted and 14% were moderately wasted. Children below 1 year had 9% moderate wasting and 12% severe wasting. Children aged 1-2 years had 13% children with moderate wasting, and 20% with severe wasting. Among children aged 2-3 years, 16% children were moderately wasted and 8% severely wasted. Proportion of children with moderate and severe wasting is higher among children aged 1 to 2 years (33%) compared to those aged 2 to 3 years (24%) and under one year (21%).
  • Underweight: 6% and 26.6% children were severely and moderately underweight respectively. Underweight was highest among children aged 24-35 months (56%), lower (44%) among children aged 12-23 months and lowest (33%) among 6–11 months old children.
  • Percentage of children who are not underweight decreases as the age of the child increases, from 66.67% for children below 1 year to 56.29% among aged 1 to 2 years and 43.20% among children aged 2 to 3 years
  • 60% female and 70% male children were either stunted or wasted or underweight.
  • The number of children who are not stunted, not wasted and not underweight is 55.13% below 1 years, 34.2 % among 1 to 2 years, 27.65% among 2 to 3 years
  • The average MUAC (Mid-Upper Arm Circumference) is 13.7 cm. 82.87% children have normal MUAC; 15% children have MUAC between -3SD to -2SD; and 2% children have MUAC < -3SD.
  • MUAC decreased with increase in age of child.

             

 Anthropometric measurements of children being taken by field staff

Anthropometric measurements of 3-5 years children

Stunting:

  • With minimal taluka-wise and age-wise variations, 26.5% and 23.5% children were severely and moderately stunted respectively. With increase in age there was decrease in percent stunted children.
  • Among the children aged 3 years, 34% are moderately stunted and 22% are severely stunted. Among the 3-4 year old children, 29% are moderately and 20% are severely stunted. Among the 4-5 year old children, 25% are moderately stunted and 22% are severely stunted.
  • The proportion of moderate and severe stunting is higher among 3 year olds (56%) when compared to four year old children (49%) and 5 year old children (47%).

Wasting:

  • Around 12% children were severely and 28% were moderately wasted.
  • The proportion of severely wasted children is 24% among children aged 5 years, 10.20% among children aged 4 years and 11.39% among children aged 3 years
  • Moderate wasting rises from 3 to 4 year children, then drops for 4 to 5 year children, Severe wasting doubles from 3 to 5 years

Underweight:

  • 5% and 29.4% children were severely and moderately underweight respectively.
  • Severe underweight is highest at 5 years and moderate underweight is highest at 3 to 4 years
  • 2 % children have normal MUAC and 2.7% children have MUAC between -3SD to -2SD
  • Percentage of not wasted, not stunted and not underweight children marginally improves, and decreases from 74.68 at 3 years to 70.75 at 4 years.
  • Based on combined analysis, 74% female and 72% male children were either stunted or wasted or underweight among 3–5-year-old children

Medical science confirms that brains develop fastest before the age of 5 than during any other time in our life, and lay the foundation for the physical, mental, and emotional development in life. According to Centre on the Developing Child of Harvard University, 90% of a child brain’s development happens during the first years.

Studies have recorded through Magnetic Resonance Imaging the deficient brain development of malnourished children as compared with non-malnourished children. Therefore, the first casualty of the 88.7% children under 2 years not receiving minimal, adequate diet will be their brain development. India’s routine dietary deficit, both macro and micro, among at least 40% of our population among all age groups is well documented in our own national surveys. It is not therefore surprising that the resultant under-nutrition, poor health and morbidity, prevents children and adolescents (our demographic dividend) from achieving their complete cognitive and physical potential, (refer ASER Report) and thereafter prevents them from accessing the best opportunities for education and skills for emerging high value employment. Hence the mismatch between available skills or the capacity to acquire the required skills, and today’s job market.

Undoubtedly, our demographic dividend is deeply divided. At the top are a section of our professionals with the highest qualifications and leadership qualities, who head some of the mightiest corporations and businesses in India and abroad. But here in our own backyards, we have the 2 poorest quintiles of our immediate and future human capital who are not able to achieve their complete cognitive and physical potential and will not rise above subsistence level.

India will start aging with each passing year after 2030. The work force population will start declining and the ageing population will start increasing. A growing skill-less, asset-less, ageing population in poor health can become India’s greatest future burden.

Let us not be complacent that a large population, with or without skills, will strengthen our economy through high volume consumption. It is more probable that a large population with low skills and education will only increase unemployment and have little disposable income for high consumption. And let us not bank on the fact that there will be a flight of human capital from weaker sections to foreign lands where secondary labour is becoming scarce, or that they would be contracted as mercenaries in foreign armies.

The time to act is now. We must do a real-time situation analysis of our immediate and future demographic dividend and redesign our policy framework to strengthen our human capital through the life cycle. We must promote higher participation of women in the work force and enable our demographic dividend to capitalize the opportunities that lie ahead, through ensuring a sound foundation of better nutrition, health and education. After all, today’s child and adolescent is tomorrow’s professional, and GDP derived from the demographic dividend is completely commensurate with its health, education, skills and productivity. I am confident that some of the many think tanks of our country will think about this too.

Note: The Government of India in 2018 initiated the Aspirational Districts Programme with the aim to transform 112 most under-developed districts of the country, quickly and effectively. Aspiration Districts are the most under-developed districts across the country, with the highest levels of poverty, poorest health, nutrition and education status and deficient infrastructure. The broad contours of the programme are convergence of State and Central programmes, collaboration of Central, State and District administrators, and competition among the districts through monthly delta ranking, all driven by a mass movement. The ranking is based on the incremental progress made across 49 Key Performance Indicators (KPIs) under 5 broad socio-economic themes— Health & Nutrition, Education, Agriculture & Water Resources, Financial Inclusion & Skill Development and Infrastructure.

Link: https://www.niti.gov.in/index.php/aspirational-districts-programme

 

References

  1. Reaping the demographic Dividend EY India https://www.ey.com/en_in/insights/india-at-100/reaping-the-demographic-dividend
  2. NFHS 5- https://www.nfhsiips.in/nfhsuser/nfhs5.php
  3. NFHS 4- https://www.nfhsiips.in/nfhsuser/nfhs4.php
  4. https://documama.org/2013/06/07/food-for-thought-the-save-the-children-report/
  5. Baseline and Social Survey- https://publicnutrition.aurosociety.org/wp-content/uploads/2022/02/Baseline-and-Social-Survey-Yadgir.pdf
  6. ASER- https://asercentre.org/
  7. The Annual Status of Education Report (ASER) (Rural) 2023- https://asercentre.org/wp-content/uploads/2022/12/ASER-2023-Report-1.pdf
  8. Centre on the Developing Child of Harvard University- https://developingchild.harvard.edu/key-concept/brain-architecture/ https://files.firstthingsfirst.org/why-early-childhood-matters/the-first-five-years

 

—–

[1] This would normally include two elders, husband and wife and 2-3 children

Eliminating Dog Mediated Human Rabies from India by 2030: a Pipe Dream

IN A NUTSHELL
Editor's Note
This article turns the spotlight on what rabies scourge means for India, whereby past and present efforts to eliminate dog mediated human rabies by 2030 are reviewed under critical lens. 

As the Authors maintain ‘...What the country needs immediately is a dog population policy Vis –a–Vis human safety, dog welfare and rabies elimination. The magnitude of the problem is huge, demanding high fund allocation, serious political and bureaucratic commitments; and finally legal approval is crucial to its success. Till this is achieved, the goal of zero by 30 will remain a pipe dream...’

By Prof (Retd) Dr. M K Sudarshan

Founder President and Mentor, Association for Prevention and Control of Rabies in India (APCRI)

Bengaluru, India Email: mksudarshan@gmail.com

 

Prof Dr. Tanushree Mondal

Editor Association for Prevention and Control of Rabies in India (APCRI)

Kolkata, India Email: profcmrgkmc24@gmail.com

Eliminating Dog Mediated Human Rabies from India by 2030: a Pipe Dream

 

The World Health Organization (WHO) along with World Organization for Animal Health (WOAH), Food and Agriculture Organization (FAO) and Global Alliance for Rabies Control (GARC) in 2015 launched the goal of eliminating dog mediated human rabies by 2030 or zero by 30 in short (1). Globally every year about 59,000 human rabies deaths are being estimated to occur of which 20,000 (34%) is from India alone (2). But a recent national multicentric rabies survey done in 2024 by National Institute of Epidemiology, Chennai, Indian Council of Medical Research, have revealed a figure of 5,726 human rabies deaths annually (3), a reduction by about one–fourth as the earlier figure is 20 years old. Hopefully, this figure of 5,726 soon becomes the official figure of India. Still achieving the goal of zero by 30 in the coming five years is extremely challenging, utopian and nearly impossible.

However, in the last two decades good improvements have happened like discontinuation of Semple vaccine (outdated sheep brain vaccine,2005); introduction of intradermal rabies vaccination (IDRV,2006), improved usage of rabies immunoglobulins (RIGs), recent introduction of rabies monoclonal antibodies (RmAbs,2017&2021) and overall socio-economic improvements in the country that have enabled people to access these rabies biologicals available in the hospitals, that are now more closer to the populations and with better travel facilitates.

Rabies and the dogs

The current estimate of human population of India is 1,450 million, thus becoming the most populous country in the world, over taking China with a population of 1,400 million in 2024. In India, 97% of human rabies deaths are after exposures to dogs, and up to 60% of these are due to free roaming dogs or stray, or street dogs as commonly referred to by the common man. There are an estimated 95 million dogs in India of which 62 (65%) million or nearly two-third are street dogs and 33 (35%) million or about one-third are pet dogs. It means the dog – human population ratio is 1: 15; 1: 22 for stray dog and 1:43 for pet dog. Thus, the potential reservoir of infection of rabies, the dogs live close to humans and exposures via lick, scratch and bite are responsible for the transmission of rabies infection to humans. A recent national multicentric rabies survey done by Indian council of Medical Research revealed about 7.0 million dog bites annually (3). This huge burden of dog bites in the country calls for urgent attention to ensure lifesaving rabies post exposure (or bite) prophylaxis to all bite victims.

Figure 1: A pack of street dogs, often seen in many cities of India

It is important to note that rabies is practically 100% fatal once the symptoms appear in the exposed individual and as the death is quick & soon in a week’s time in the vast majority and often painful, it is a terrifying condition. 

Stray dogs in India

The story of Yudhishtir and the dog is a famous episode from the Hindu Mythology, Mahabharata that highlights Yudhisthir’s unwavering commitment to dharma (righteousness). During their journey to heaven, Yudhisthir’s brothers and wife die, leaving him with a faithful dog. At the doorstep of heaven when Indra, God of heaven, offers Yudhishtir a place in heaven but insists the dog cannot enter, Yudhishtir refuses to enter, demonstrating his dedication to the faithful dog. The dog is then revealed to be Dharma (or Yama) in disguise, testing Yudhisthir’s virtue. Subsequently Yudhishtir enters heaven. Besides in certain parts and communities of the vast and plural India, dog is considered a companion, divine form and even worshipped. The dog is also known for its unflinching loyalty and faithfulness to its masters and hence, the most popular pet in the country, of course even globally.

The estimated population of 62 million street dogs in India is colossal and these are presently beyond the ambit of effective management by the city municipal corporations that are starved of resources, leaving aside the vast rural areas that constitute about two-thirds of the country. A beginning was made in 2001 by introducing the animal birth control (ABC) rules (supersession in 2023) under the prevention of cruelty to animals (PCA) act, 1960 (4), that was simply the catch – neuter- vaccinate – release (CNVR) guidelines of WOAH. But with meagre budgets, poor veterinary infrastructures and facilities, grossly inadequate veterinary manpower and above all with no political and bureaucratic commitments, it hardly made any impact. Also, it was opposed and resisted by the communities as evidenced by their opposition to release of the neutered dogs back in their areas under the ABC or CNVR programme. There was poor monitoring of the ABC/CNVR programme and the outcome was poor coverage, lack of accountability and resulting in wasteful expenditure of public funds.

Figure 2: Street dog caught with a butterfly net for CNVR (or ABC) Programme

Besides the stray dogs often when aggressive attack the children maiming and even killing them; severely injuring the elderly, weak and disabled, their sudden attacks on drivers of motor vehicles, particularly those of two wheelers who meet with even fatal accidents. These instances often divided the populations into two groups, one group of people supporting stray dogs or known as “dog lovers” and the other opposing and vociferously demanding their removal from the streets known as”human rights activists”. Even the media both print and electronic took sides based on the circumstances and other considerations. These led to heated debates in the states legislatures, national parliament and also resulting in innumerable litigations in various courts of the country including high courts in the states and Supreme Court at the national level. The animal welfare organizations (AWOs) and activists who took up the cause of saving the street dogs are being mostly rich, influential like cine and sports stars and from higher echelons of the society often leading to huge media coverage, thus obscuring the suffering of the victims of the stray dogs who are largely the poor and voiceless.

Initiatives by the Government

Despite the ongoing Covid -19 pandemic though delayed, taking cue from the 2015 global goal of zero by 30, Government of India launched the national action plan for rabies elimination (NAPRE) on 28th September, 2021 (5). This has broadly a three-pronged approach, improving the coverage of lifesaving rabies post-exposure prophylaxis (PEP) for the animal bite victims, mass dog vaccination (MDV) and public awareness campaigns. For ensuring elimination of rabies from a given area it is essential to have 70% annual vaccination coverage of dogs for three consecutive years. This is a herculean task in the given circumstances. Besides, under the Indian constitution health is the subject of the state government (or provincial government) and also urban civic bodies or municipal corporations or local self-governments governing the cities. Sometimes, the union or central government, state governments and city municipal corporations or local self-governments might be under different political parties that not only complicate but also delay the decisions and actions that follow. Consequently, under the NAPRE, the states that were to develop state action plans and act are slow and poorly responsive. Hence, in 2024 another program of Rabies Free Cities (RFC) initiative has been started to focus and accelerate rabies elimination activities in the cities, that is considered possible and hence, doable. But in a huge and diverse country like India, unless the program is 100 % centrally sponsored (completely financed by Government of India) and implemented under a “mission mode” like the smallpox eradication programme and polio elimination programme, human rabies elimination will not be possible, more so as it is a zoonotic disease unlike the other two were anthroponoses (humans to humans transmission only) and were much easier than rabies.

The Supreme Court of India

A recent twist in the ongoing processes, on 11h August, 2025 a two judges bench of the Supreme court of India based on the newspaper report of children being victims of stray dogs in Delhi   took up this cause very seriously and issued an order that all stray dogs from certain parts of New Delhi be removed from the streets and sheltered outside of Delhi and managed. This led to public unrest and intervention by the chief justice of India who constituted a new three judge bench to address the issue. This bench met on 14th August, 2025 and after due deliberations issued an order on 22nd August, 2025 (6) with some modifications of the previous order and recommended continuation of the CNVR or ABC programme with certain conditions. Besides this new order is now applicable not only to New Delhi but to the entire country ensuring more accountability and transparency. Even the much controversial feeding of stray dogs is to be disciplined with some guidelines to follow soon.

What next

The approach to rabies control is multi-sectoral and very challenging. Presently, there is poor coordination not only between the different sectors like health, animal husbandry and environment, but also within the sectors. Also, the issues of governments of central, state and local municipal corporations that are often run by different political parties have further divided and complicated, and delaying achieving the goal of zero by 30.

What the country needs immediately is a dog population policy Vis –a–Vis human safety, dog welfare and rabies elimination. The magnitude of the problem is huge, demanding high fund allocation, serious political and bureaucratic commitments; and finally legal approval is crucial to its success. Till this is achieved, the goal of zero by 30 will remain a pipe dream.

 

References

  1. World Health Organization. Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030. [accessed on August 15, 2025]. Available from: https://www.who.int/publications/i/item/9789241513838
  2. World Health WHO Expert Consultation on Rabies: Third report. World Health Organization Technical Report Series 1012, WHO: Geneva, 2018.
  3. Thangaraj JWV, Krishna NS, Devika S, Egambaram S, Dhanapal SR, et al: Estimates of the burden of human rabies deaths and animal bites in India, 2022-23: a community- based cross-sectional survey and probability decision-tree modelling study. Lancet Infect Dis. 2025 Jan;25(1):126-134. doi: 10.1016/S1473-3099(24)00490-0. Epub 2024 Sep 30. PMID: 39362224.
  4. Government of India. Ministry Of Fisheries, Animal Husbandry and Dairying, Department of Animal Husbandry and Dairying, Animal Birth Control Rules, New Delhi https://cdnbbsr.s3waas.gov.in/s369dafe8b58066478aea48f3d0f384820/uploads/2025/0 8/202508071431358536.pdf
  5. National Action Plan for Eliminating Dog Mediated Rabies from National Rabies Control Program. New Delhi: National Centre for Disease Control; 2021. Available from: https://ncdc.gov.in/WriteReadData/linkimages/NationalActiopPlan.pdf
  6. The Supreme Court of India. Suo Moto Writ Petition (Civil) No(S) .5of 2025 City hounded by            strays,           kids           pay                                     Order https://api.sci.gov.in/supremecourt/2025/41706/41706_2025_3_1501_63567_Judgeme nt_22-Aug-2025.pdf

 

 

News Flash 631: 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

Mediterranean moray (Muraena helena)

News Flash 631

Weekly Snapshot of Public Health Challenges

 

How to Submit an Abstract to ICIC26 23-24 September 2025

Register to attend this year’s International Health Lecture 2025 on lessons from Africa: health diplomacy in HIV prevention, taking place Nov 4, 2025, in London and online.

A Lean World Health Organization for the Global Good: Four Responses to Our Proposal

WHO updates list of essential medicines to include key cancer, diabetes treatments

MSF responds to inclusion of rapid-acting insulin analogues and GLP-1s to WHO Essential Medicines List

Introducing WHO e-Learning course on pharmaceutical pricing policies

Medicine quality assessment in Nepal using semi randomised sampling and evaluation of a small scale dissolution test and portable Raman spectrometers

Fears of Sub-Standard Medicine and Rising Prices Amid Growing Cancer Burden in Pakistan

Rabies elimination in the WHO African Region

DR Congo Declares New Ebola Outbreak

New Proposal to Empower Developing Country Manufacturers During Pandemics

Could One Health Prevent the Next Pandemic?

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

Eliminating Uncorrected Refractive Error by 2030: LMICs Need Policies and a Roadmap, Not Just Intentions

Questions to guide the ethics analysis of research involving humans

Addressing public health and health system challenges in Greece: reform priorities in a changing landscape

How Tanzania’s Mass Drug Campaign is Transforming Child Health

HRR783. AS THE NEW TESTAMENT HAS IT: “FOR WHAT SHALL IT PROFIT A MAN, IF HE SHOULD GAIN THE WHOLE WORLD, AND LOSE HIS OWN SOUL?”

The resolution of the International Association of Genocide Scholars on Gaza

When Should Federal Health Professionals Disobey Orders?

A human rights approach to preventing racial discrimination in health care

WHO asks Taliban to lift female aid worker restrictions following earthquakes

Burkina Faso’s parliament votes to outlaw homosexual acts

Philanthropic initiative launches long-term fund to replace USAID stopgap

Policy implications of Codex Alimentarius guidelines on nutrition labelling

More children are obese than underweight, says Unicef

ICRISAT Launches Bold 2025–2030 Strategy to Shape the Future of Agriculture

We Can’t Meet Our Climate Goals Without Financing Agrifood Systems

Paving the way for climate action: How a new digital system is transforming rice farming in Viet Nam

Wildfires Were A Major Contributor to Air Pollution in 2024 – Highlighting “Vicious Cycle” of Warming

Finance for transition mineral mining is driving destruction and abuse, says report

EU states still fighting over crucial targets in run-up to Cop30, leaked draft shows

Wild Card: Revitalising Britain’s Ghost Woods. Rosie Smart-Knight

 

 

 

 

 

 

 

Storytelling to Combat Vaccine Hesitancy in Africa: Building Trust Through Narrative

IN A NUTSHELL
Author's note
 

Storytelling is a vital tool for overcoming vaccine hesitancy in Africa. It builds trust, helps people understand, and connects through shared culture. This approach creates messages that resonate deeply.

This article will show how smart storytelling can fight vaccine hesitancy across Africa. It helps build more faith in vaccines and makes communities healthier.

By Kirubel Workiye Gebretsadik

Medical Doctor, Ras Desta Damtew Memorial Hospital

Addis Ababa, Ethiopia

By the same Author on PEAH: see HERE

Storytelling to Combat Vaccine Hesitancy in Africa

Building Trust Through Narrative

 

Vaccine hesitancy remains a big problem around the world. In Africa, this challenge gets even trickier. Old hurts, limited health systems, and many different cultures make things complex. People often have good reasons for their doubts, rooted in their history and daily lives.

This is where storytelling comes in. It’s a strong tool that fits well with African cultures. Stories can reach emotions, help people understand each other, and share important facts in a way folks remember. They build bridges where plain facts might not.

Understanding the Roots of Vaccine Hesitancy in Africa

Many factors cause people to hesitate about vaccines. Looking at these reasons helps us create better ways to talk about health.

Historical Context and Mistrust

For years, people in many African countries have been wary of outside medical help. This is often due to past events.

Legacy of Colonialism and Exploitation

Some medical tests or treatments were done in Africa long ago without real permission. They felt like tools of control, not help. This history leaves a long shadow, making people question new health programs today. They remember times when trust was broken.

Perceptions of Western Medicine vs. Traditional Healing

Many people in Africa trust their traditional healers and old ways of medicine. These practices are part of their culture and beliefs. Sometimes, western medicine, like vaccines, seems to go against these trusted methods. This can make people choose traditional healing over new medical advice.

Socio-Cultural and Economic Factors

Beyond history, daily life and community ties also shape how people feel about vaccines. Money, social circles, and false information play a big role.

Community Beliefs and Social Networks

Your friends, family, and church leaders can really sway your health choices. If people you respect doubt vaccines, you might too. Religious leaders or village elders’ opinions hold a lot of weight. Peer pressure, good or bad, is a powerful force in communities.

Impact of Misinformation and Disinformation

False news spreads fast today. Bad info, made-up stories, and crazy ideas about vaccines fly around online and by word-of-mouth. In places where internet access is new or reading skills are lower, these untrue tales get believed more easily. They can really scare people away from vaccinations.

Economic and Access Barriers

Sometimes, people want vaccines but can’t get them. The trip to a clinic might cost too much money. Taking time off work to get a shot means losing wages. Some clinics are just too far away. These real-life problems can stop people from getting vaccinated, even if they aren’t against it.

The Power of Narrative: Why Storytelling Works

Stories do more than just entertain. They touch our hearts and minds in special ways, making them perfect for health talks.

Emotional Resonance and Empathy

Stories pull at our feelings. They turn big, complex ideas like public health into something personal. When you hear a story, you can imagine yourself in someone else’s shoes.

Connecting with Personal Experiences

Stories from people who got very sick from preventable diseases hit hard. So do tales from families whose kids stayed healthy because of a vaccine. These real-life experiences make the benefits of vaccines clear and easy to grasp. They show the human side of health.

Building Trust Through Authenticity

Facts and official statements are good, but they don’t always build trust. Real stories, shared by real people, feel honest. They show what happened, not just what someone says should happen. This kind of honesty can build faith in vaccines more strongly than a stack of papers.

Cultural Relevance and Accessibility

For a long time, stories have been a key part of African cultures. This makes them a natural way to share health messages.

Leveraging Traditional Storytelling Formats

Many African cultures have rich oral traditions. They use proverbs, folktales, music, and plays to teach and share news. Using these familiar ways to talk about vaccines makes the message feel local and right. It makes health information feel like it belongs.

Translating Complex Science into Understandable Narratives

Science talk about vaccines can be hard to follow. Stories can break down these tough ideas. They turn safety facts and how vaccines work into simple tales. This helps everyone, no matter their schooling, understand why vaccines are important.

Effective Storytelling Strategies for Vaccine Confidence

Knowing stories work is one thing. Using them well is another. Here’s how to make stories truly effective.

Showcasing Personal Testimonials and Success Stories

Hearing from people who lived through it can change minds. Real-life examples are powerful.

Narratives of Recovered Patients

Imagine hearing from someone who almost died from polio, now walks with a limp, and wishes they had been vaccinated. Or someone who survived measles because they got their shots. These stories, like those from polio survivors, highlight what vaccines prevent. They show the terrible pain and lasting harm of these illnesses.

Testimonials from Healthcare Workers

Nurses and doctors see sick people every day. They know what vaccine-preventable diseases look like. When frontline health workers share their experiences, it carries a lot of weight. Their personal reasons for urging vaccination come from seeing real suffering.

Community Champions and Influencers

Local heroes matter. Stories from respected leaders, elders, religious figures, or local stars can sway whole communities. If someone people look up to champions vaccines, others are more likely to listen. They become the trusted voices for health.

Creative and Culturally Sensitive Content Creation

How stories are told makes a big difference. It’s about making them fit the local setting.

Utilizing Diverse Media Channels

Stories can come alive through radio plays, short movies, and community theater. Animated videos, podcasts, and social media posts can also spread messages far. The best way uses local languages, customs, and art styles. Local creators know best how to speak to their own people.

Storytelling with Data: Weaving Facts into Narratives

Don’t just list numbers. Put facts into stories to make them stronger. Instead of saying “vaccines prevented 70% of severe cases,” tell about Amina. Say, “Amina’s child was one of the many who avoided severe illness because of the vaccine.” This makes data feel real and personal.

Engaging Local Storytellers and Artists

The most real stories come from local talent. Partner with filmmakers, writers, musicians, and oral historians from the community. They ensure the stories feel true and speak directly to local hearts. This builds deep connections and lasting impact.

Addressing Specific Concerns Through Narrative

Stories can directly tackle common fears and wrong information. They can offer answers in a gentle, clear way.

Demystifying Vaccine Safety and Side Effects

Use stories to explain how vaccines are tested carefully. Share accounts of parents whose child had a mild fever after a shot, then was fine. Contrast this with a neighbor’s child who suffered greatly from a preventable illness. This helps people understand small, short-term side effects are normal and nothing like the real disease.

Countering Conspiracy Theories with Truthful Narratives

False stories about vaccines can be scary. Use true narratives to show how vaccines were made and helped many people. Share stories of communities thriving because of vaccines. This gentle truth can slowly chip away at the power of conspiracy theories.

Case Studies and Impactful Initiatives in Africa

Many places in Africa have already shown how powerful stories can be. We can learn from their success.

Successful Storytelling Campaigns

Real examples prove storytelling works.

Example 1: Polio Eradication Narratives in Nigeria/Northern Africa

In some parts of Nigeria, stories were key to fighting polio. Religious leaders and people who survived polio shared their tales. These stories helped calm fears and build trust, helping more children get the vaccine. They made a real difference in the fight against this terrible disease.

Example 2: COVID-19 Vaccine Confidence Campaigns Across Sub-Saharan Africa

During the COVID-19 pandemic, many African countries used stories to boost vaccine trust. Radio programs, community talks, and social media featured real people sharing why they got vaccinated. Campaigns like “Voices for Vaccines” highlighted personal reasons, helping others feel more confident about getting their shots.

Measuring the Effectiveness of Storytelling

How do we know if these stories are working? We need to look at the results.

Pre- and Post-Intervention Surveys

Before sharing stories, ask people about their vaccine knowledge and feelings. After the stories spread, ask them again. Seeing changes in their answers helps us understand if the stories made a difference. Did people learn more? Do they feel better about vaccines?

Tracking Vaccine Uptake Data

Look at how many people actually get vaccinated in areas where stories were shared. If vaccination rates go up after a campaign, it shows the stories probably helped. Connecting when stories are told to when more shots are given is important.

Qualitative Feedback and Community Engagement

Listen to what community members say. Ask them how the stories made them feel or what they learned. Their personal feedback and comments give us a clear picture of how stories changed their thoughts and actions about vaccines.

Conclusion

Storytelling is a vital tool for overcoming vaccine hesitancy in Africa. It builds trust, helps people understand, and connects through shared culture. This approach creates messages that resonate deeply.

Remember these key points: Stories are not just nice tales; they are strong tools for our minds. For stories to work, they must feel real and fit the local culture. The best results come from mixing personal accounts, expert views, and creative media. And always, investing in local storytellers makes a bigger, lasting impact.

We must keep finding new, story-based ways to build faith in vaccines. This will help every person in Africa achieve better health.

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

IN A NUTSHELL
  Author's Note  
 ...AI is already embedded in military targeting, financial speculation, energy grids, and global communications, amplifying vulnerabilities rather than solving them. This trajectory is likely to further concentrate power into the hands of a microscopic elite... 

...Without guardrails, we face a world where inequality could deepen from the current “one-per-thousand” plutocracy toward a “one-per-million” technocracy of ruling trillionaires, with the rest of humanity reduced to precarious dependence...

 By Juan Garay

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

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

 

On the road to so-called “superintelligence”, the worst of human instincts are paving a perverse way forward. Instead of prioritizing renewal, sustainability, and collaboration, the race for Artificial Intelligence is accelerating the already suicidal ambition of burning through finite resources. Current estimates suggest that AI training and operation may already add 10 gigatons of CO₂ annually by 2030 if current energy trajectories persist, rivaling the total emissions of the United States today (International Energy Agency). Most large language models require enormous data centers, with a single training run consuming as much electricity as several thousand households use in a year (Patterson et al.). And yet the narrative driving this frenzy is not planetary wellbeing, but geopolitics and profit—epitomized in claims that it is “crucial that America get there first.”

Greed and competition are thus fueling the way toward a system we are profoundly unprepared for. AI is already embedded in military targeting, financial speculation, energy grids, and global communications, amplifying vulnerabilities rather than solving them. This trajectory is likely to further concentrate power into the hands of a microscopic elite, much as quantum computing and high-frequency trading have already done—except now at exponential scale. Without guardrails, we face a world where inequality could deepen from the current “one-per-thousand” plutocracy toward a “one-per-million” technocracy of ruling trillionaires, with the rest of humanity reduced to precarious dependence.

The risks are not abstract. Already, AI systems have been used to manipulate democratic processes, spread disinformation, and distort public debate. The expansion of biometric surveillance, predictive policing, and behavioral nudging shows how AI can control human lives in ways once thought dystopian. If paired with direct neural interfaces or microchip implants linked to AI-driven data centers—technologies already in development—the autonomy of individuals could be eroded in every dimension: thought, consumption, movement, and even health choices. Humanity risks becoming blind consumers of manipulated information, destructive energy, and toxic food and goods, in service to markets that optimize profit, not wellbeing.

The obsession with speed—faster models, faster deployment, faster dominance—is irrelevant if we are racing down the wrong path. Without a fundamental shift of purpose, AI will only magnify our ecological overshoot, social fragmentation, and spiritual emptiness.

Redirecting AI Towards the WiSE Paradigm

The real alternative is not “superintelligence” that mimics or surpasses the human brain, but simple, collaborative lives in harmony with nature, supported by technologies aligned with human dignity, planetary regeneration, and equitable prosperity. A constructive vision is articulated in the paradigm of WiSE: Wellbeing in Sustainable Equity (Juan Garay).

Across cultures and times, the most cherished human aspiration is long and healthy lives, not domination or accumulation. This is recognized in Article 25 of the Universal Declaration of Human Rights, which affirms the right to a standard of living adequate for health and wellbeing, and in the WHO Constitution, which defines the only common global health objective: the best feasible level of health for all people. The WiSE paradigm operationalizes this aspiration by defining the “best feasible” level of wellbeing—measured by life expectancy at birth—within the dual constraints of ecological planetary boundaries and equitable economic thresholds.

WiSE research shows that below a dignity threshold of about $10 per person per day, no country has ever achieved the best feasible levels of health. Conversely, beyond an excess threshold of around $50 per person per day, no country has ever respected planetary boundaries, and gains in wellbeing plateau. Today, some 16 million avoidable deaths each year stem from health inequities linked to this dignity gap—about 30% of all mortality. Redistribution of just 7% of global GDP—comparable to annual fossil fuel subsidies—would be sufficient to close this gap and enable universal access to the best feasible levels of wellbeing.

AI, if reoriented away from fueling inequality and ecological destruction, could be harnessed to advance WiSE objectives: ensuring fair distribution of resources, monitoring ecological thresholds, and supporting collaborative research into global public goods. Instead of creating a technocratic elite, AI could help humanity live within sustainable limits while maximizing health and wellbeing for present and future generations.

In short, the real challenge is not to build machines “smarter” than humans, but to align intelligence—human and artificial—with the WiSE paradigm of wellbeing in sustainable equity, the only path toward a just and livable future.

 

Works Cited

International Energy Agency. Data Centres and Data Transmission Networks. IEA, 2023.

Juan Garay. “Wellbeing in Sustainable Equity (WiSE): Towards a Paradigm Shift for Global Collaboration.” PEAH – Policies for Equitable Access to Health, Dec. 2023, www.peah.it/2023/12/12800.

Patterson, David, et al. “Carbon Emissions and Large Neural Network Training.” Proceedings of the 38th International Conference on Machine Learning, 2021.

United Nations. Universal Declaration of Human Rights. UN, 1948.

World Health Organization. Constitution of the World Health Organization. WHO, 1946.