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The number of deaths caused by cholera is on the rise, according to global cholera statistics for 2023 published by the World Health Organization (WHO) on Wednesday. 

In Gaza, despite the success of the mass polio vaccination campaign so far, UN humanitarians warned on Wednesday that the very children they are trying to protect have been blighted by disease and heavily traumatized by ongoing fighting.

96 Global Health NOW: Polio Vaccination Reaching Young Gazans; Safety Violations at Plant Linked to Listeria Outbreak; and Your August Recap September 3, 2024 Health workers carry containers filled with polio vaccines in Deir Al-Balah, in the central Gaza Strip, on September 1. Majdi Fathi/NurPhoto via Getty Polio Vaccination Reaching Young Gazans
The urgent polio vaccination campaign in Gaza has jabbed 161,000+ children under 10 in its first two days, surpassing its goal of 150,000, .

• That number represents a quarter of the targeted population in the campaign. The effort to stem disease ramped up after the first case was documented in a Gazan child late last month.


• The campaign鈥檚 success depends upon eight-hour pauses in fighting between Israel and Hamas in designated areas. The vaccination drive will take another 10 days, per Rik Peeperkorn, WHO鈥檚 representative for the Occupied Palestinian territories.


• Negotiations are continuing about vaccinations reaching children in southern Gaza who appear to be outside areas already agreed upon.

The challenge: To succeed, the oral polio vaccine needs to reach at least 90% of Gaza鈥檚 640,000 children under 10 in two rounds separated by four weeks, .

In lieu of cold chain facilities (which have been destroyed), generators are needed to keep vaccine doses cool, but ongoing fuel shortages make that difficult.

The Quote: 鈥淧olio is just one of the many problems the children of Gaza are facing,鈥� said Jose Lainez Kafati, a Unicef Palestine social and behavior change specialist.
 
Related:
 
Children in Gaza who need medical care are not being allowed to evacuate, say aid groups 鈥� EDITOR'S NOTE Pro Tip for Professors

Is GHN on your syllabus? 

Faculty often let us know they rely on GHN to help spark classroom discussion and get students thinking about critical global health issues.

• Introduce your students to key global health issues鈥攁nd leading voices鈥攊n our free, easy-to-scan newsletter.


• See what other universities are doing in the global health space.


• Learn about opportunities to get involved鈥攆rom courses, conferences, and webinars to fellowships and networking events. 

Just forward this email or share our with your students and colleagues. And please let us know when you do! 鈥�Dayna

GLOBAL HEALTH VOICES The Latest One-Liners  

DRC hospital workers are overstretched trying to care for mpox patients without enough beds, medicine, and food in the outbreak鈥檚 epicentre; vaccines are expected to arrive within days to fight the new strain of the virus.
 
Mpox cases detected in an Iowa prison are clade 2鈥攁 more common, less serious form of the virus than clade 1, the virulent strain fueling the outbreak in DRC and other countries that led the WHO to declare a global health emergency; the number of people infected in the prison has not been confirmed.
 
Avian flu was confirmed in three central California dairies last Friday; no human cases have been confirmed in the state.

A UK survey reveals that many young adults struggle to access ADHD treatment once they turn 18 and transition from pediatric to adult services.

AUGUST MUST-READS A Scourge of Counterfeit Medicines 
A fifth of medicines on the market in Africa could be substandard or fake, by Ethiopia鈥檚 Bahir Dar University researchers鈥攑otentially contributing to ~500,000 deaths a year in sub-Saharan Africa, .

Why? Inefficient, fragmented pharma supply chains that undermine quality and fuel exploitative practices, per Claudia Mart铆nez, the head of research at the Access to Medicine Foundation.



Related: - Hopkins Bloomberg Public Health 

Chinese Women Rejecting 鈥楶ro-Birth Culture鈥�
China鈥檚 efforts to address its looming population crisis have resulted in stunning policy reversals over just a few years鈥攔eplacing penalties for having more than one child with a host of 鈥減ro-birth culture鈥� incentives like cash handouts and real estate subsidies. 
 
But these efforts are failing to gain traction with a generation of women deeply scarred by coercive family planning鈥攚omen who grew up watching their parents sacrifice and struggle under the one-child policy, and who remain staunchly reluctant to pursue parenthood. 


 
The 鈥楢merican Arms Race鈥� 
At the height of the pandemic, millions more Americans acquired guns as 鈥渁 grim kind of logic鈥� drove them into a self-protective 鈥渁rms race,鈥� writes Marin Cogan in a must-read report about the long-term ramifications of that shift. 

Deeper implications: The spike in gun-owning households will change 鈥渁ll kinds of policy and political calculations鈥� for generations, said John Roman, author of a survey鈥攃iting lasting impacts on crime, medical care, and public health. 


 
Why U.S. Therapists Leave Insurance Networks
In the U.S., finding a mental health therapist who takes insurance can seem impossible. 

Insurers say it鈥檚 because there aren鈥檛 enough therapists鈥攂ut a growing number of mental health providers say they鈥檝e opted out of insurance networks altogether, pushed by 鈥渁 system set up to squeeze them out鈥� by interfering with patient care; delaying, diminishing, or denying payments; and requiring byzantine claims processes.

Thanks for the tip, Cecilia Meisner! GLOBAL HEALTH VOICES AUGUST'S BEST NEWS Drastically Reducing Dementia Risk  
Almost half of dementia cases worldwide could be delayed or prevented by addressing 14 modifiable risk factors, . 

Risk factors: The report adds two new dementia-linked risk factors to dementia cases: high cholesterol in midlife, and untreated vision loss in later life, 鈥攋oining 12 other modifiable risk factors identified in a 2020 Lancet report.

• Addressing these risk factors throughout life could prevent or delay 45% of dementia cases, the study found.

FOOD SAFETY Dozens of Violations at Plant Linked to Listeria Outbreak
  A Boar鈥檚 Head deli meat plant in Jarratt, Virginia鈥攚hich has been linked to a that has killed and hospitalized about 50 others鈥攔epeatedly violated federal regulations. Violations included instances of mold, insects, liquid dripping from ceilings, and meat and fat residue on walls, floors, and equipment.

• Government inspectors logged 69 instances of 鈥渘oncompliance鈥� with federal rules in the past year,


• Boar鈥檚 Head officials halted production at the plant in late July, and the company recalled more than of meat last month after tests confirmed the products were contaminated. 

The plant will remain closed 鈥渦ntil the establishment is able to demonstrate it can produce safe products,鈥� USDA officials said in a statement Thursday. 

QUICK HITS Measles cases are up and childhood vaccinations are down 鈥�

The Covid Vaccine Just Got a Lot More Expensive鈥擨f You鈥檙e Uninsured 鈥�

Doctors use problematic race-based algorithms to guide care every day. Why are they so hard to change? 鈥�

China's economic malaise may accelerate obesity rates 鈥�

Long COVID is a "public health crisis for kids," experts say 鈥�

HIV: how close are we to a vaccine 鈥� or a cure? 鈥� Issue No. 2774
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Bloomberg School.


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More than 800,000 children and 120,000 pregnant women will be vaccinated in a nationwide campaign launched on Monday by the Government of the Democratic People's Republic of Korea (DPRK) with the support of the UN Children鈥檚 Fund (UNICEF).

The World Health Organization (WHO) on Tuesday issued its first-ever guidance aimed at curbing antibiotic pollution from manufacturing. 

The UN World Health Organization (WHO) said on Tuesday that 161,030 children under 10 have been vaccinated in central Gaza during the first two days of the UN-led mass vaccination campaign, surpassing the initial target of 156,000. The figure amounts to around a quarter of the total population they aim to reach - some 640,000 children.

If the UN-led polio vaccination campaign currently underway in Gaza is to be successful in halting the spread of a virus that has resurfaced in the Strip after 25 years, 90 per cent of children under the age of 10 need to be inoculated. UN News correspondent Ziad Taleb has been speaking to some of the concerned parents.

The first phase of a UN-led polio vaccination campaign has begun in the middle areas of Gaza. The operation aims to inoculate 600,000 children in the coming days.

UN aid teams have reached a tentative agreement with parties involved in the war in Gaza for humanitarian pauses to allow 640,000 children to be vaccinated amid an outbreak of the virus, the UN World Health Organization (WHO) said on Friday.

96 Global Health NOW: Rising Vax Misinformation; Mosquitoes Don鈥檛 Care About Political Boundaries; and The Real HouseWolves of Beverly Hills August 29, 2024 A person looks at anti-vaccine "pure blood" movement websites and Facebook groups in Los Angeles, on January 20, 2023. Chris Delmas/AFP via Getty Rising Vax Misinformation
Even as COVID-19 cases in the U.S. are increasing, vaccine misinformation is duping a growing number of Americans, .

• Just 66% of those surveyed in mid-July think COVID-19 vaccines鈥� benefits outweigh the risks.


• 27% of participants say they are 鈥渘ot at all likely鈥� to get a trivalent mRNA vaccine against flu, COVID-19, and RSV, but almost half say they are likely to get one.


• While 55%-65% of those surveyed mostly held science-consistent positions, science-inconsistent responses are increasing. Example: Those who believe the COVID-19 vaccine changes people鈥檚 DNA increased to 15% in July, up from 8% 2021.

Eroding vax confidence: 28% of respondents said incorrectly that COVID-19 vaccines have caused thousands of deaths, , increasing from 22% in June 2021.
 
Changing views: Public perceptions of COVID-19 have shifted to normalizing the disease as it edges into endemic status, .

• Fewer people are testing, isolating after exposure, and wearing masks.

The Quote: 鈥淲e鈥檝e decided, 鈥榃ell, the risk is OK.鈥� But nobody has defined 鈥榬isk,鈥� and nobody has defined 鈥極K,鈥欌�� said Michael Osterholm, director of the University of Minnesota鈥檚 Center for Infectious Disease Research and Policy.

Related:
 
More Studies Won鈥檛 Solve the Masking Debate 鈥�
 
Experts say COVID-19 is endemic. What does that mean? 鈥�
  
A New York county banned face masks in public. Disabled people are suing. 鈥� GLOBAL HEALTH VOICES EDITOR'S NOTE No GHN Monday, September 2   We鈥檒l be taking a break from GHN Monday, to observe the Labor Day holiday in the U.S. But we鈥檒l be back Tuesday with more news and your monthly recap! 鈥�Dayna The Latest One-Liners   The World Food Programme halted operations in Gaza yesterday after a 鈥渃learly marked UN humanitarian vehicle ... was struck 10 times by IDF gunfire, including shots that targeted front windows.鈥�
 
Tanzania鈥檚 Faustine Ndugulile has been nominated to succeed Botswana鈥檚 Matshidiso Moeti as the next regional director for the WHO African Region; the former deputy health minister and ICT minister is expected to take office in February 2025.

9 people have died in connection with a listeria outbreak among Boar's Head deli products in the U.S., ; there are now 57 cases total across 18 states, and all of those infected have been hospitalized.
 
Sleep-deprived people who catch up on sleep over weekends may reduce their heart disease risk by a fifth, according to a British study of 90,000 people . MALARIA Mosquitoes Don鈥檛 Care About Political Boundaries
Malaria cases rose dramatically in South Korea last year, despite the country鈥檚 decades-long efforts to reach 鈥渕alaria-free鈥� status.

South Korea鈥檚 health care systems are equipped to diagnose and treat cases, but some factors that exacerbate disease spread are beyond the country鈥檚 control鈥攁nd its borders.

In North Korea, malnourishment, poverty, and poor sanitation make people more vulnerable to diseases like malaria, and outdated medical equipment delays diagnoses. And in the demilitarized zone, standing water grows mosquito populations, which feed on the blood of an abundance of wild animals living in the forested DMZ. 

The Quote: 鈥淭he DMZ is not an area where pest control can be carried out,鈥� says Kim Dong-gun, an environmental biology professor at Sahmyook University.



Related: Malaria mountain: the pathogen鈥檚 last stronghold in the Philippines 鈥� and the fight to wipe it out 鈥� GLOBAL HEALTH VOICES ETHICS Compensation for Kidneys? 
  In the U.S. alone, 90,000+ people are waiting for a kidney donation鈥攂ut the shortage is a solvable problem, according to Waitlist Zero, a coalition seeking to increase living kidney donations.
 
Legislation proposed by the group, the End Kidney Deaths Act, would offer a $50,000 refundable tax credit, split across five years, to people who volunteer to donate a kidney to a stranger.

• Out of 6,000 living donors a year, only 300 to 400 are 鈥渁ltruistic donors鈥� who give a kidney to someone they do not know. 

Ethics debate: Incentivization opponents argue that compensating donors could impair efforts to end illegal organ trade globally. 
 


Related: Donating a kidney is even safer now than long thought, US study shows 鈥� THURSDAY DIVERSION The Real HouseWolves of Beverly Hills
The most addictive reality TV show could just be the real drama unfolding in your backyard.

That鈥檚 the discovery made by a growing cohort of 鈥渃ritter cam鈥� devotees, who use trail cameras to capture the secret lives of skunks, rabbits, coyotes, wolves, and foxes鈥攖hen share those sagas with other wildlife watchers via social media and YouTube. 

Zooming in: The backyard wildlife footage isn鈥檛 just for fun: It鈥檚 giving scientists new insights into urban wildlife behavior, and even bolstering conservation efforts. 

But it is fun, too: A found that watching a nature video can be just as beneficial for reducing stress and elevating mood as a walk outside.

Home sweet habitat: Some cinematographers dial up the production value鈥攍ike one LA couple that installed a teensy hot tub and a petite picnic table around their bird feeders. Cue the Godzilla-like incursions from coyotes and possums! 

QUICK HITS Mpox is spreading rapidly. Here are the questions researchers are racing to answer 鈥�

Wasn鈥檛 polio wiped out? Why it is still a problem in some countries 鈥�

"On the Move": How Climate Migration Will Remake America 鈥�

Cutting pollution worldwide could add two years to average person鈥檚 life, says study 鈥�

The WHO regional director elections must be reformed 鈥�

New NSF rule requires tribal approval for research affecting their interests 鈥�

This ancient disease still kills 1 million people every year 鈥� Issue No. 2773
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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

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

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Bloomberg School.


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Condom use among sexually active adolescents has declined significantly since 2014, with rates of unprotected sex worryingly high, according to a new report from the World Health Organization鈥檚 Regional Office for Europe. 

96 Global Health NOW: Mpox Response Mired in Bureaucracy; Start with the Parents; and Public Housing鈥檚 Systemic Sickness August 28, 2024 A man shows a health worker the mpox lesions on a child at the Munigi mpox treatment center in Nyiragongo territory, North Kivu, DRC, on August 20. Arlette Bashizi/Bloomberg via Getty Mpox Response Mired in Bureaucracy 
While the DRC desperately awaits its first shipment of vaccines to combat mpox, scientists across Africa say they are 鈥渨orking blindly鈥� without critical testing resources, research materials, or therapeutics as the virus continues to mutate and spread, .

Latest updates:

• Yesterday, the U.S. donated 10,000 doses of mpox vaccines to Nigeria鈥攖he first vaccines to arrive in Africa since the global emergency was declared, . 


• DRC had expected its first mpox vaccines this week, but officials say they now face regulatory delays, per a separate . 


• Spain announced yesterday it would donate ~500,000 doses鈥攎ore than the E.U. and the U.S. have pledged. 

Why the vaccine delay? The vaccines, while readily available, are 鈥渢rapped in a byzantine drug regulatory process鈥� at the WHO, .

Historic negligence: The growing outbreak stems from 鈥渄ecades of neglect鈥� when it comes to mpox, leading African scientists said Tuesday, . 

Rising toll: 4,000 new mpox cases were reported in Africa this past week, along with 81 new deaths, . GLOBAL HEALTH VOICES The Latest One-Liners   Attacks on health workers during the first three years of the COVID-19 pandemic included violence against 255 health care workers鈥攊ncluding 147 who were injured and 18 who were killed, per a published last week in Health Security.

A New Hampshire resident has died after contracting the mosquito-borne eastern equine encephalitis virus, health officials confirmed yesterday.

The CDC has pledged $118.5 million to investigate and prevent maternal deaths, the HHS announced yesterday鈥攁long with a $440 million investment to expand voluntary maternal, infant, and early childhood home visiting services.

Vapes in the U.K. should be sold 鈥渂ehind the counter鈥� as cigarettes are, the British Medical Association advised in a new , as the doctors鈥� union called on the government to do more to address the country鈥檚 鈥済rowing epidemic鈥� of vaping. MENTAL HEALTH Start with the Parents
  U.S. Surgeon General Vivek Murthy today about the impact of stress on parents鈥� mental health, calling for governments, businesses, and communities to boost support services.

• Nearly half of the nation鈥檚 ~63 million parents and caregivers report feeling completely overwhelmed.

The advisory includes recommendations for:

• Governments: Expand funding supporting parents, establish national paid family and medical leave, ensure paid sick time, and improve mental health care options.


• Employers: Provide training programs for managers on stress management and work-life balance.


• Health professionals: Screen parents for mental health conditions.

The Quote: 鈥淚f you really want to help kids, one of the things you鈥檝e got to do is actually help parents,鈥� Murthy says.
 

Related:

A new poll reveals the worries of Gen Z kids 鈥� and how parents can support them 鈥�

Paid family leave tied to fewer acute-care respiratory tract infections in infants 鈥�

GLOBAL HEALTH VOICES HOUSING Public Housing鈥檚 Systemic Sickness
Desaray Gilliard was a high school freshman when she was shot and killed in May 2022. She lived in one of the nation鈥檚 oldest public housing projects, Yamacraw Village, in Savannah, Georgia.

Chronic gun violence, which has taken a heavy toll on Black neighborhoods and kids like Desaray, has been linked to . 

But federal lawmakers have failed to fund repairs to , leaving tenants鈥攎ostly people of color and low-income families鈥攍iving with mold, gun violence, and severe health consequences鈥攕ome of the 鈥渓ife-threatening鈥� deficiencies documented in a federal inspection of Yamacraw last April.

OPPORTUNITY QUICK HITS With Only Gloves To Protect Them, Farmworkers Say They Tend Sick Cows Amid Bird Flu 鈥�

Vaccine hesitancy eats into back-to-school shots 鈥�

鈥業 wasn鈥檛 sure I鈥檇 make it鈥�: how a new mother鈥檚 brush with TB could mean better treatment for pregnant women 鈥�

As Rural Hospitals Shutter Maternity Wards, Urban Ones Follow 鈥�

Obesity raises risk of COVID infection by 34%, study estimates 鈥�

Nudge Theory Is Making Inroads in Health Care, With Mixed Results 鈥�

For men only? Lack of women winners for million-euro science prize draws protests 鈥�

Living in tree-filled neighborhoods may reduce risk of heart disease, study shows 鈥� Issue No. 2772
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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

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

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Bloomberg School.


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You can or .

Nigeria received 10,000 doses of mpox vaccines on Tuesday, becoming the first African country to obtain vaccines aimed at combating the spread of the new strain of mpox virus.

Alan Evans, PhD, was among the 85 new Fellows of the听, the United Kingdom鈥檚 national academy of sciences, announced May 14, 2024. Candidates were nominated for their substantial contribution to the improvement of natural knowledge.

Read the full story from Naghmeh Shafiei and the Ludmer Centre.听

听

96 Global Health NOW: Gaza鈥檚 Deepening Crisis; Why U.S. Therapists Leave Insurance Networks; and To Make Childbirth Safer in the U.S., Look to Europe August 27, 2024 Abdel Rahman Abu al-Jedian, who contracted polio a month ago, sleeps surrounded by family members in a tent in Deir al-Balah, in the Gaza Strip, on August 27. Eyad Baba/AFP via Getty A 鈥楧esperate鈥� and Deepening Crisis  
Attacks on water and health care infrastructure in Gaza by the Israeli military are elevating the spread of infectious disease鈥攁nd potentially leading to a major polio outbreak in the Middle East.

• The UN halted aid deliveries to Gaza yesterday because of safety concerns, .


• The decision complicates plans for a campaign to vaccinate 640,000 children following last week鈥檚 first reported case of polio in 25 years in Gaza.

Absent rapid progress in truce talks and the vaccination campaign, the poliovirus could spread into Israel, Lebanon, Syria, Egypt, and Jordan, said Hamid Jafari, WHO鈥檚 polio eradication director in the eastern Mediterranean, .
 
Perilous water situation:

• ~ 70% of all water and sanitation facilities in Gaza have been destroyed or damaged, the UN-led WASH Cluster reported in July. 


• Just ~4.74 liters/1 gallon of water per person, per day is available to Gazans, in July.
   
• Meanwhile, 1.7+ million cases of infectious diseases have been recorded in Gaza, sewage spills into streets, and children resort to drinking from puddles,

And: Extreme summer heat is worsening the crisis, with this June marking the hottest on record in Israel. 
 
Related: One of Gaza鈥檚 last functioning hospitals is emptying out as Israeli forces draw near 鈥� GLOBAL HEALTH VOICES The Latest One-Liners   500+ children a day in England鈥攐ne every three minutes鈥攁re being referred to NHS mental health services for anxiety; there were 204,526 new referrals of patients aged 17 or younger in 2023-2024, compared with 98,953 in 2019-2020.

India is grappling with its largest Chandipura virus outbreak in two decades, with 245 acute encephalitis syndrome cases reported since July, including 82 fatalities; so far, 鈥攖ransmitted by vectors that include sandflies, mosquitoes, and ticks鈥攊n 64 of the cases.   

An oral cholera vaccine developed by India's Bharat Biotech cleared a late-stage trial; the company announced plans to produce up to 200 million doses a year and apply for WHO prequalification to supply UNICEF and other major buyers to help ease a global shortage of the doses.

People in France who were hospitalized with vaccine-related myocarditis were half as likely to be readmitted for myocarditis or heart-related events than those with myocarditis related to COVID-19 infection or other causes, per a study from Dec. 2020 to June 2022 . MENTAL HEALTH Why U.S. Therapists Leave Insurance Networks
In the U.S., finding a mental health therapist who takes insurance can seem impossible.

• Although almost all Americans are insured, about with mental illness are unable to access treatment.

While insurers say it鈥檚 because there aren鈥檛 enough therapists, a growing number of mental health providers say they鈥檝e opted out of insurance networks altogether, after the companies made it impossible for them to do their work. 

In a must-read analysis by ProPublica, 500+ psychologists, psychiatrists, and therapists describe 鈥渁 system set up to squeeze them out鈥� by:

• Interfering with patient care. 


• Delaying, diminishing, or denying payments.


• Requiring byzantine claims processes.

Thanks for the tip, Cecilia Meisner!

Related: Insurers can restrict mental health care. What laws protect patients in your state? 鈥� GLOBAL HEALTH VOICES MATERNAL MORTALITY To Make Childbirth Safer in the U.S., Look to Europe
The U.S. has one of the highest maternal death rates of any wealthy nation: around 20 per 100,000 live births overall鈥攁nd 50 for Black moms.

Several European countries, meanwhile, have rates in the single digits鈥攚hich is why increasingly, American doctors and researchers are looking abroad for solutions. 

Key takeaways:

• Access to regular prenatal checkups is critical: meaning the U.S. needs to boost its numbers of both OB-GYNs and midwives.


• Reducing cesarean sections can help to prevent complications.


• Improving paid leave has been linked to better postpartum health.

The Quote: 鈥淢aternal mortality is an entirely preventable event providing you have access to basic health care. Not high-tech health care but basic health care,鈥� said Roosa Sofia Tikkanen at the Center for Global Health Inequalities Research in Norway.



Related: Second global call for data on postpartum haemorrhage 鈥� OPPORTUNITY QUICK HITS Inside the camp on the frontline of the DRC鈥檚 mpox epidemic 鈥� in pictures 鈥�

Could Vaccine Misinformation Lead to a Worldwide Health Crisis? 鈥�

New Covid Shots Were Approved. But Who Will Get Them? 鈥�

The rape and murder of a female doctor in India sets off an outcry over women's safety 鈥�

Malaria mountain: the pathogen鈥檚 last stronghold in the Philippines 鈥� and the fight to wipe it out 鈥�

Diabetes took over her life, until a stem cell therapy freed her 鈥�

Survey finds more than 3 in 4 Americans don't feel they could help someone suffering an opioid overdose 鈥�

Brazilian moms are leading the charge to secure medical marijuana for sick kids 鈥� Issue No. 2771
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

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

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

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



 
  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Bloomberg School.


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The United Nations has upheld the safety of the polio vaccine that will be administered to more than half a million Palestinian children during an inoculation campaign in Gaza.  

The UN refugee agency (UNHCR) warned on Tuesday that the mpox outbreak could have devastating effects on refugees and displaced families in the Democratic Republic of the Congo (DRC) and other affected African countries if urgent support is not forthcoming.

96 Global Health NOW: The Rush to Suppress EEE; Wild Fisheries vs. Hidden Hunger; and Miscarriage Information Gap 10 Massachusetts counties are on alert for Eastern equine encephalitis. August 26, 2024 The Rush to Suppress EEE
The spread of a rare but devastating mosquito-borne virus has placed 10 Massachusetts counties at 鈥渉igh or critical risk鈥濃�攑rompting officials to consider curfews and discourage evening activities, .

Eastern equine encephalitis has been detected in mosquitoes throughout the region, and this year's first human case, a man in his 80s, was announced earlier this month.

A closer look: Only a few cases of EEE are reported in the U.S. each year, and there are no vaccines or medicines available against the disease鈥攚hich has a 30% fatality rate, .

• In 2019, there were 12 human cases of EEE in Massachusetts, and six people died, .  


• Symptoms include fever, headache, vomiting, diarrhea, drowsiness, and seizures. 


• EEE has also been detected in horses in New York state, . 

Rigorous response: Regional officials have discouraged dusk-to-dawn activity鈥斺�漰eak biting times鈥濃�攁nd have closed city parks and canceled public events. State officials have started an aerial spraying campaign. 

Bigger picture: The U.S. has seen a sharp increase of 鈥渕osquito days鈥濃�攄ays with warmer temperatures amenable to mosquito activity.

•  Massachusetts alone has 14 more mosquito days now compared with 2009.

GLOBAL HEALTH VOICES The Latest One-Liners   Open sewage has contaminated Gaza鈥檚 coastline as overcrowded camps for displaced people have begun routing sewage into the Mediterranean.

Mpox vaccines will finally arrive in Africa this week鈥攚ith 10,000 shots donated by the U.S. arriving weeks after they have been made available in other parts of the world.

Chikungunya cases in Brazil are on the rise, with 375,000 confirmed cases so far this year; the state of S茫o Paulo has emerged as a new hot spot.

HPV vaccination has stalled among U.S. teens in the years since the COVID-19 pandemic, 鈥攁 trend that could hamper cancer prevention efforts. GHN EXCLUSIVE COMMENTARY Small fish like these sardines are a nutritional powerhouse full of essential nutrients. Sept. 11, 2023. Damir Sagolj/Getty How Wild Fisheries Can Reduce Hidden Hunger  
To address hidden hunger afflicting , we need to introduce more fish into the diets of the world鈥檚 poorest populations, .
 
The challenge: Doing that will require confronting the many causes of the depletion of the Earth鈥檚 wild fish stocks.

• About 35% of marine fish stocks are overfished, up from 10% in the 1970s, .


• Almost a third of freshwater fish species face extinction, a .

Solutions include:

• Expanding marine-protected areas by 5% to increase the future fish catch by at least 20%, .


• Improving how fish harvests are used to increase the amount of seafood available, . Example: ~11% of all seafood caught is discarded because of small size and other undesirable features. 

Get involved: Interested in integrating wild fisheries into strategies to improve nutrition? See for more info. GLOBAL HEALTH VOICES MATERNAL HEALTH The Miscarriage Information Gap
A lack of standardized systems, underfunding, and limited research in the U.S. has led to insufficient data about miscarriage鈥攅specially when compared to other industrialized countries.

• 10% to 25% of U.S. pregnancies result in miscarriage. 


• Unlike in Europe, there are no national statistics on the economic or emotional impact of fetal loss. 


• The CDC does not publish miscarriage data.

A data chasm: State laws vary on what gestational age to report miscarriages and reporting is often inconsistent. 

Solutions: New reporting requirements, standardized definitions of pregnancy loss, and national clinical trials could help, but substantial increases in funding are needed.  

OPPORTUNITY QUICK HITS Five children a week killed or injured in Haiti鈥檚 gang warfare 鈥�

What to Know About the Updated COVID Vaccine for Fall, Winter 2024鈥�25 鈥�

Coronavirus FAQ: I'm a NOVID and don't want to catch COVID. Can you guide me? 鈥�

Maybe She鈥檚 Just Tired, Maybe It鈥檚 Undiagnosed Iron Deficiency 鈥�

Fauci recovering at home after being hospitalized with West Nile virus, spokesperson says 鈥�

How to harness AI's potential in research 鈥� responsibly and ethically 鈥�

A harm-reduction approach to eating out 鈥�

Mini-Dune! Soil viruses hitchhike on tiny worms to infect new victims 鈥� Issue No. 2770
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The rights of women in Poland are currently being violated due to restrictive abortion laws that have contributed to 鈥渟everal preventable deaths,鈥� according to independent rights experts on Monday.

The UN Children鈥檚 Fund (UNICEF) announced on Monday the arrival of 1.2 million doses of vital polio vaccines in Gaza, amid urgent calls for humanitarian pauses to reach hundreds of thousands of at-risk children.