Global Health NOW: Trump Orders U.S. Withdrawal from WHO; Global Repercussions of Burma's Crisis; Debate Over Assisted Death for Mental Illness Grows
Hours into his second term as U.S. president, Donald Trump signed an executive order withdrawing the U.S. from the WHO—restarting a one-year process he’d initiated in 2020 (reversed in 2021 by then-President Biden), NPR Goats and Soda reports.
High stakes:
- The U.S. is the WHO’s biggest donor, giving $1.28 billion during 2022 and 2023—hundreds of millions of dollars more than the second-highest donor country, Germany.
- For the U.S., it means no more easy access to critical outbreak data, and no more “seat at the table,” says Global Health Council chief Elisha Dunn-Georgiou, ceding power to other countries like China and Russia.
Trump’s argument: Trump accused the WHO of “ripping off” the U.S., botching the COVID-19 response, and being beholden to other countries, per The Telegraph.
Chances for a U-Turn?
- Germany announced plans today to lobby Trump against withdrawal, Reuters reports.
- Congress could possibly block the move, per Science.
- Trump appeared to leave the door ajar for a deal, saying, “They wanted us back so badly so we’ll see what happens,” according to the BBC.
President Trump signed a round of executive orders and policies last night to roll back environmental protections and environmental justice initiatives, withdraw from the Paris climate accord, and boost oil and gas production—promising to “drill, baby, drill.” Grist
Anthony Fauci was among several people to receive a preemptive presidential pardon yesterday from outgoing President Biden; Republicans have promised to investigate Fauci for perjury and misconduct regarding the government’s COVID response. STAT
GLP-1s bring a mix of benefits—including lowered risk of heart disease, stroke, kidney disease, Alzheimer’s disease, and addiction disorders—and increased risks for arthritis, pancreatitis, and other conditions, according to a study published yesterday that analyzed U.S. Department of Veterans Affairs data. Nature CONFLICT The Global Repercussions of Burma’s Crisis
Four years of conflict and instability have devastated Burma’s (Myanmar’s) disease prevention efforts—and consequences of the mounting health crisis could transcend borders.
- 3.5 million people have been displaced since the military coup in 2021.
- Meanwhile, medical resources have been depleted, monitoring programs have been dismantled, and health workers have been attacked.
International impact: If drug-resistant malaria spreads from Burma, it could reverse global malaria progress, affecting regions like Africa and potentially setting back efforts by 10–15 years.
The New Humanitarian GLOBAL HEALTH VOICES MENTAL HEALTH Assisted Death for Mental Illness: A Growing Debate
The Netherlands has long permitted medically assisted euthanasia for extreme mental suffering.
But as requests rise—and as requesters’ ages skew younger—debate has intensified around the practice.
The spike: Requests for euthanasia on psychiatric grounds rose ~30 each year from 2012 to 2018.
- In 2023 there were 138 cases of euthanasia on psychiatric grounds, up from 68 in 2019.
- 52 such cases between 2020 and 2023 involved patients under 30.
Elsewhere: Last year, Canada delayed legalizing euthanasia for mental illness for three years. Belgium is seeing legal challenges to the practice.
Undark OPPORTUNITY Call for Proposals: Gender Equity + Public Health
The Bloomberg Philanthropies Data for Health Initiative’s Global Grants Program has launched a new round of support for projects that strengthen civil registration and vital statistics systems and promote the analysis and use of high-quality data for public health policymaking.
- Proposals in the outlined areas that focus on digital strategies for CRVS systems strengthening and data use are encouraged.
- Government partners are especially encouraged to apply.
- Grants of up to $100,000 are available for projects up to 15 months.
1) Project ideas must be submitted between January 27 and February 17, 2025, for screening.
2) Selected ideas will be invited to submit a full proposal, due by March 10, 2025. Only invited proposals will be considered for support.
- The application is available here.
Martin Luther King Jr’s Legacy on Health Equity Through the Eyes of a Black African Doctor – IPS (commentary)
CDC urges doctors to speed subtyping of patients hospitalized with the flu to better track H5N1 infections – CNN
U.S. pays $590 million to Moderna to speed up development of bird flu vaccine – NPR
In a ‘shocker’ decision, Japan approves mpox drug that failed in two efficacy trials – Science
A bipartisan perspective on public health’s uncertain future – Harvard Public Health Magazine
Kennedy Sought to Stop Covid Vaccinations 6 Months After Rollout – The New York Times (gift article)
Cecile Richards, former Planned Parenthood president and feminist activist, has died – The 19th
Unhappy About ‘Woke Agenda’ of PEPFAR, US Conservatives Finally Have Pretext to Cut HIV Funds – Health Policy Watch
A Secret Way to Fight Off Stomach Bugs – The Atlantic
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on X @GHN_News.
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You can update your preferences or unsubscribe from this list. Issue No. 1864
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on Instagram @globalhealth.now and X @GHN_News.
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Global Health NOW: Climate Change’s Connection to Rising Obesity; Bye Bye Red Dye; and Laziness for Achievers
MUMBAI, India — 12-year-old Sandesh Gholap weighs 50 kilograms (110 pounds) and stands 1.2 meters (4 feet). As recent summer temperatures in the city topped 39°C (102°F), the nearby playground was often empty.
Gholap tended to stay indoors. He gained 10 kilograms (22 pounds) in the past year, has experienced bullying, and stopped participating in social activities.
Data point: A 1°C rise in temperature in developing countries has been associated with a 4% rise in the BMI of children and a 2% increase in the BMI of women, according to a 2021 Global Food Security analysis.
- In addition to driving declines in physical activity, rising temperatures can lead to changes in diet, reduced nutritional value in plants, and other impacts that influence people’s weight.
“Now that the climate has changed, we need to find a solution quickly because obesity not just impacts physical health, [it] can ruin someone’s life,” Terdale says.
Read the full story for other impacts of climate change—and possible solutions.
Sanket Jain for Global Health NOW
Ed. Note: This article is part of Global Health NOW’s Local Reporting Initiative, made possible through the generous support of loyal GHN readers. EDITORSʼ NOTE No GHN Monday
In observance of Martin Luther King Jr. Day in the U.S., GHN will not be publishing this coming Monday, January 20. Weʼll be back Tuesday with more news! – Annalies GLOBAL HEALTH VOICES The Latest One-Liners
COVID-19 derailed efforts to fight antimicrobial resistance at U.S. hospitals, a new HHS report finds—with “large-scale disruptions” including larger caseloads, increased mechanical ventilation, and an overburdened workforce. CIDRAP
Hundreds of miners remain trapped in an illegal mine in South Africa, and 60 bodies have been recovered from the site since the effort to remove the miners began; the remaining miners are in “incredibly poor health,” after officials cut off access to food, water, and medicine. The Washington Post (gift link)
The U.S. bird flu response and ongoing surveillance has become a part of transition briefings between Biden and Trump administrations—the first indication of cooperation between the two teams around the H5N1 crisis. NBC News POLICY Bye Bye Red Dye
The U.S. FDA has banned Red 3—the synthetic dye erythrosine—from food, beverages, and ingested medicines like cough syrup, citing cancer risks, reports the AP.
- The ban follows a 2022 petition by two dozen food safety and health advocates.
- The FDA continued to allow its use in food, arguing that the cancer-causing mechanism didn’t affect humans. But advocates disagreed, citing concerns over its impact on children’s health.
- A 2021 study found red dye No. 3 can make children vulnerable to behavioral issues, and noted that safety levels for dyes hadn’t been updated to consider new research.
The Quote: “This is a welcome, but long overdue, action from the FDA: removing the unsustainable double standard in which Red 3 was banned from lipstick but permitted in candy,” said Peter Lurie, director of Center for Science in the Public Interest.
Related: FDA proposes cap on nicotine levels in cigarettes — Healio
GLOBAL HEALTH VOICES GLOBAL HEALTH SECURITY Biden's Pandemic PlaybookAs the Biden administration closes up shop, officials have released a roadmap of its pandemic defenses.
Passing the torch…: The 16-page report—a distillation of a 300-page report provided to the new administration—recaps the efforts over the last four years to combat COVID-19, mpox, and bird flu, and details the measures needed to monitor and defend against future infectious threats like wastewater monitoring and vaccine stockpiles.
…Only for it to be snuffed?: Incoming president Donald Trump has promised to cut government spending and dismantle pandemic preparedness measures, including pulling the U.S. out of the WHO.
AP ALMOST FRIDAY DIVERSION Laziness for Achievers
With the breakneck speed of modern life, it can be hard to do nothing.
Turns out, thereʼs a way to achieve while getting a reprieve. Make it competitive.
For the past decade, the Seoul-born Space-out Competition has brought contestants together to do … zilch, The Independent reports.
The focus is on celebrating unproductive time but with prizes and glory on the line, it seems quite cutthroat, with contestants vying for votes by staging elaborate props for their space-outs (itʼs the noodles for us).
While the contest celebrates doing the least (no sleeping, fidgeting, talking…), the contest organizers seem to be doing the most, with space-out duels spreading to several cities across the globe.
The contest happened back in the fall but uhh, we spaced out and missed it. And thatʼs a shame because, as one friend texted to a certain GHN staffer, ‘You could 100% win this.ʼ See you in Seoul next year! QUICK HITS UN says it’s ready to ramp up delivery of desperately needed aid to Gaza — AP
Mild H5N1 cases have been perplexing scientists – now they might have an answer — The Telegraph
Wireless radiation from baby monitors significantly disrupts sleep, study finds – Environmental Health News
Longer antibiotic course not associated with increased benefit or harm – Healio
Botswana records grim gender-based violence statistics – VOA
Animal rights advocates are ready for Trump’s war on science — Vox
7 global buzzwords for 2025: From 'techquity' to 'climate displacement' to 'belonging' – NPR Goats and Soda Issue No. 2841
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on Instagram @globalhealth.now and X @GHN_News.
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Global Health NOW: Syrians Struggle for Footing in Transition; 8 Deaths in Suspected Marburg Outbreak in Tanzania; and a Push to Prevent CP in Nigeria
After 14+ years of conflict, Syrians have celebrated new freedoms and relative peace in the month after the fall of the Assad regime. But the transition continues to be filled with challenges and uncertainty.
Food crisis: The price of basic food, like bread, has skyrocketed, with costs increasing 10X, reports NPR Goats and Soda.
- And the UN’s food agency says some governments and donors are hesitant to fund Syrian aid under the new government, reports the AP.
- Plus: ~300,000 explosive mines remain across Syria, with nearly four children per day killed or injured by the devices, reports UN News.
Related: Syria is still not safe: Refugees need protection – The New Humanitarian (commentary) GLOBAL HEALTH VOICES The Latest One-Liners Haiti’s gang violence has left 1 million+ people displaced from their homes—a 3X increase over this past year, per new data from the UN’s migration agency. UN News
Another federal report on alcohol’s health effects finds that even one drink a day carries health risks including cancer, liver disease, and injuries, per the new findings. STAT
Obesity diagnoses should consider measurements such as waist circumference and weight-related health problems, not just BMI, per new recommendations from a global commission published in The Lancet Diabetes & Endocrinology. AP
Drone attacks are responsible for an increasing number of humanitarian worker deaths, with 53 health care workers and 16 aid workers killed in drone strikes in 2024 alone, per a new report by Insecurity Insight—a 70% increase over the previous year. The Telegraph OUTBREAK 8 Deaths from Suspected Marburg Outbreak in Tanzania
A suspected outbreak of Marburg virus has infected nine people—killing eight—as of January 11 in northwest Tanzania’s Kagera region.
- The case count is expected to rise alongside stepped-up surveillance.
- Rwanda’s recent brush with the virus, declared over just weeks ago, infected at least 66 people and killed 15.
Al Jazeera GLOBAL HEALTH VOICES CHILDREN’S HEALTH Caught in Conflict
Armed conflict, climate change, and inequality have created a “new era of crisis for children”—disrupting their lives and futures, UNICEF warns in its new report, “Prospects for Children in 2025.”
More warfare: 473 million+ children—1 in 6 globally—now live in conflict zones, with the number of conflicts at a historic high.
- The proportion of children in conflict zones has doubled since the 1990s and is now nearly 19%.
- Attacks on schools and hospitals are becoming more common, violating international laws.
UN News NEUROLOGICAL DISEASES Pushing for Cerebral Palsy Prevention in Nigeria
Cerebral palsy is thought to be one of the most common neurological diseases in Nigeria, with an estimated 700,000 Nigerians living with the condition.
Many Nigerian cases are traced to untreated neonatal jaundice.
- ~60% of babies develop jaundice, which can be cured easily by early treatment with exposure to ultraviolet light.
- But in Nigeria, this treatment is often not immediately available.
BBC QUICK HITS Bird Flu Is Raising Red Flags Among Health Officials – Johns Hopkins Bloomberg School of Public Health
The FDA calls for at-a-glance nutrition labels on the front of packaged foods – NPR Shots
This Blood Type Is More Likely To Get The Norovirus, Studies Say – Women’s Health
CWD prions found in moose, deer, reindeer muscles in Norway, highlighting potential risk to people – CIDRAP
Vaccine Hesitancy Among Pet Owners Is Growing: Public Health Expert On Why That Matters – Texas A&M Today
A Blueprint for Better Bike Lanes – Bloomberg CityLab
Departing NIH Director Monica Bertagnolli looks back at a whirlwind tenure – Science
Are ultra-processed foods changing the shape of our jaws? – The Guardian Issue No. 2840
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on Instagram @globalhealth.now and X @GHN_News.
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Dementia Cases Destined to Double in U.S.; HIV’s Threat to Indigenous Panamanians; and a Ban on Illness = A ‘Cry for Help’
The risk of developing dementia may be much higher than previously thought—more than 2X the estimates from older studies, with new research published in Nature Medicine showing an average risk of 42% for Americans after age 55, the AP reports.
- ~One million Americans a year are expected to develop Alzheimer’s or other forms of dementia by 2060—up from half a million this year, per NYU Langone Health, one of several collaborating institutions on the study of 15,043 people from 1987 to 2020.
- Those 75 and older, because risk rises with age.
- Women, who tend to live longer.
- Black people—whose rates are expected to triple.
Risk-reducing route:
- Address racial inequities in health care.
- On an individual level, exercise, avoiding obesity, and controlling blood pressure, diabetes, and cholesterol are all key. It’s also important to stay socially and cognitively active and use hearing aids if needed, the AP reports.
Related: 15 science-based ways to reduce your risk of dementia – The Washington Post (gift article) GLOBAL HEALTH VOICES The Latest One-Liners Chinese scientists identified a potentially novel tickborne virus, which they named Xue-Cheng virus (XCV), in patients with fevers and recent tick bites at a northeastern China hospital; a New England Journal of Medicine letter details the researchers’ use of high-throughput sequencing technology to detect the virus. CIDRAP
A Kenya court ruled that criminalizing attempted suicide is unconstitutional—a decision hailed by human rights and mental health groups as an important move to shift perceptions and reduce stigma against people with mental health issues. The Guardian
More patients seeking abortions in the U.K. reported relying on fertility awareness-based methods over hormonal contraception methods in a cross-sectional study covering a five-year period between 2018 and 2023. MedPage Today
Graduate students with anxiety and depression say that overly harsh criticism and unreasonable expectations fueled their thoughts of quitting, per a survey designed to uncover which aspects of research and teaching exacerbated mental health symptoms. Nature DATA POINT HIV/AIDS Indigenous Panamanians Face an ‘Uncontrolled Epidemic’
In Panama’s Ngäbe-Buglé Indigenous territory, an “uncontrolled epidemic” of untreated HIV is threatening the region’s young people, the nation’s epidemiologists say.
By the numbers: ~2,500 people of the ~225,000 in the region live with HIV. It was the leading cause of death in the region in 2022.
- In 2023 the territory accounted for 30% of Panama’s AIDS-related deaths among people 29 or younger.
- In 2024, the area reported new infections at nearly 4X the national rate.
NPR Goats and Soda HARM REDUCTION HIV Prevention Efforts Hindered in Appalachia
In 2021, a CDC team visited Charleston, West Virginia, to assess an increasing number of HIV infections.
- What they found was “the most concerning HIV outbreak in the U.S.,” driven mainly by opioid and methamphetamine injection.
- But local and state policies, such as limiting the number of syringes exchanged, have hindered such programs.
KFF Health News GLOBAL HEALTH VOICES ITALY A Ban on Illness = A ‘Cry for Help’
Residents of the small Italian town of Belcastro have been “ordered to avoid contracting any illness that requires medical assistance, especially an emergency,” per a new municipal statute.
Not serious—but serious: There are no plans to enforce the decree, said the town’s mayor, Antonio Torchia. But it is intended to protest the dearth of health care access in the region—where the health center is often closed, and where on-call doctors are unavailable outside of office hours.
- “This is not just a provocation, the ordinance is a cry for help, a way to shine a spotlight on an unacceptable situation,” Torchia told local news outlet Corriere della Calabria.
CNN QUICK HITS The psychological toll of California's catastrophic fires – Axios
‘I was crying, there was no anaesthesia’: the fight for legal and safe abortion in Nigeria – The Guardian
Why the ‘Ferrari of viruses’ is surging through the Northern Hemisphere – Science
WHO Africa to Decide on New Regional Director Process Following Shock Death of Candidate – Health Policy Watch
The cost of being a family caregiver: Burnout, debt, stress – The Cut
Will MAHA add alcohol to its list of health foes? – STAT
How soda is changing the world – NPR Goats and Soda Issue No. 2839
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on Instagram @globalhealth.now and X @GHN_News.
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Global Health NOW: LA’s Health Systems Facing Trial by Fire; AMR: Overlooked Agony; and Coping with a Slow-Motion Crisis
As wildfires continue to ravage Los Angeles, the city’s vast health system faces growing demand—and increasing strain, reports the Los Angeles Times.
The latest: ~24 people are dead and 12+ others remain unaccounted for, reports ABC. ~105,000 people remain under mandatory evacuation, and another ~87,000 are under evacuation warnings as high winds intensify again today.
The fires have created “significant operational hurdles” for health systems, per a statement from the Hospital Association of Southern California—including high call volumes and disrupted patient and supply transport.
- Emergency departments are treating patients for burns, smoke inhalation, and eye irritation.
- Some facilities are facing power outages and staff shortages.
- 700+ people have been evacuated from care facilities—and hospitals in proximity to the fires remain on “high alert” to potentially evacuate.
- HHS declared a public health emergency for California Friday to activate additional support, per Ars Technica.
A new antiparasitic pill combining two drugs has shown promising results in treating intestinal worms, a parasitic malady that affects about 1.5 billion people globally, per a new study published in The Lancet. BBC
The death toll in Gaza was ~40% higher than numbers recorded by the Palestinian territory’s health ministry during the first nine months of the Israel-Hamas war, per a statistical analysis published in The Lancet, which calculated 64,260 deaths. The Guardian
Watching short video reels before bed was “significantly” linked with hypertension in young and middle-aged people, per a new analysis of 4,318 people published in the journal BMC Public Health. The Economic Times Avian Flu News Cambodian man dies from H5N1 avian flu, possibly after eating sick chickens – CIDRAP
D.C. area on alert after bird flu detected in poultry in Maryland, Delaware – The Washington Post (gift article)
Bird Flu Is a National Embarrassment – The Atlantic
How the US is preparing for a potential bird flu pandemic – MIT Technology Review
Study reveals why H5N1 flu cases today are less severe than historic outbreaks – News Medical ANTIMICROBIAL RESISTANCE Overlooked Agony
Over 400 million people—primarily women—suffer from UTIs annually, with up to half likely to experience a recurrence within a year.
- Recurrent UTIs and the acute pain they cause remain a largely neglected problem with scant research into why they occur, and no targeted treatments beyond antibiotics.
The Quote: “It’s a public health problem and it takes people away from their lives and nobody cares,” said Elizabeth Kavaler, a urologist based in New York.
The Bureau of Investigative Journalism GLOBAL HEALTH VOICES MENTAL HEALTH Coping with a Slow-Motion Crisis
The collective trauma faced by survivors of Hurricane Helene will persist for years, and North Carolina officials must bolster resources to prepare for it, mental health experts warn.
While recovery efforts are underway, many people are still without safe housing or work—prolonging and worsening mental health impacts.
- Trauma from disasters can cause 20%–40% of survivors to experience PTSD, often peaking months or years later, per one 2017 study.
- The state has pledged $25 million for mental health services and is bolstering its mental health workforce.
- Schools are investing millions in crisis support services and mental health staff.
Related:
NC addiction treatment programs partner to reduce maternal deaths from substance use – North Carolina Health News
Climate Change’s Psychological Impact | Hopkins Bloomberg Public Health Magazine – Hopkins Bloomberg Public Health Magazine
More than 15,000 doctors sign letter urging Senate to reject RFK Jr. as health secretary – NBC
‘I can’t go toe to toe with social media.’ Top U.S. health official reflects, regrets. – The Washington Post (gift article)
The rate of HMPV infections in northern China is declining, health official says – AP
Cameroon Suspends NGOs, Harming Gender-Based Violence Survivors – Human Rights Watch
What to know about a controversial new study on fluoride and IQ – STAT
Dementia is a neglected noncommunicable disease and leading cause of death – Nature (commentary)
Climate Change Threatens the Mental Well-Being of Youths. Here's How To Help them Cope – KFF Health News
Yogan Pillay, SA’s healthcare’s insider outsider – Bhekisisa Issue No. 2838
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.
Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on Facebook and follow us on Instagram @globalhealth.now and X @GHN_News.
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