韩国裸舞

Reports of Israeli troops storming one of the last functioning hospitals in northern Gaza are deeply concerning, while ongoing hostilities are hampering polio vaccination in the area, the World Health Organization (WHO) said on Friday. 

Children and disabled people are facing ever more horrific conditions in war-torn Gaza, with some dying as they wait for medical evacuations, as the year-long war grinds on, UN officials and rights experts said on Friday.

96 Global Health NOW: A Widening E. coli Investigation; The Silence of the Feds; and Hospital Gown 鈥� But Don鈥檛 Make it Fashion October 24, 2024 A Widening E. coli Investigation
A multistate outbreak of E. coli infections has prompted an expansive, by the CDC and U.S. agencies that have linked the infections to McDonald鈥檚 restaurants. 

Outbreak details, : The food poisoning has sickened at least 49 people in 10 states, including 10 who were hospitalized and one person who .

• But the number of people affected by the outbreak is likely much higher, . 

Zeroing in on a source: Of 18 sickened people interviewed, all reported eating at McDonald鈥檚.

• A specific ingredient has not been confirmed as the source of the outbreak, but the that the onions or beef patties used for Quarter Pounders are the likely source of contamination, . 


• McDonald鈥檚 has taken Quarter Pounders in about a fifth of its stores, and the onion supplier, Taylor Farms Colorado, issued a broader recall of yellow onions鈥攖hough the company said that it has found no traces of E. coli in tests. 

Bigger picture: The outbreak, which comes on the heels of the Boar鈥檚 Head listeria contamination linked to 10 deaths, has prompted larger questions about U.S. food safety, .

Related: Why food recalls are everywhere right now 鈥� GLOBAL HEALTH VOICES The Latest One-Liners   Rifaximin, a common antibiotic used to treat liver disease, is fueling bacterial resistance to daptomycin鈥攐ne of the few treatments effective against the superbug vancomycin-resistant enterococcus faecium (VRE), .

People 50 and older should get pneumococcal vaccines to protect against pneumonia and other dangerous illnesses, a CDC advisory panel recommended yesterday, replacing earlier guidance aimed at people ages 65+.  

A second dose of the 2024鈥�25 COVID-19 vaccine is now for people ages 65+ and for people with moderate or severe immunocompromising conditions, per a CDC vaccine advisory group.

Single-use vapes will be banned in England starting next June, as the British government tries to curb rising vape usage among children and teens. VIOLENCE 鈥楽hocking, Staggering鈥� Sexual Violence in DRC
The Democratic Republic of the Congo has seen an 鈥渁cute escalation鈥� of sexual violence in recent years, per a from Physicians for Human Rights.

• ~90,000 documented sexual assaults were reported in 2023 in DRC鈥攗p from 40,000 in 2021. The group believes it is a 鈥渟evere undercount.鈥�

鈥淭he level of sexual violence is shocking. It's staggering,鈥� said PHR director Saman Zia-Zarifi.

Other organizations echo the findings:

• A recent described an 鈥渆xplosion of sexual violence,鈥� with MSF teams treating 25,000+ sexual assault survivors in 2023 compared to a previous average of 10,000 victims per year. 

• UNICEF鈥檚 chief of child protection in the DRC, Ramatou Toure, described a 鈥漵kyrocketing鈥� crisis in camps鈥攚here 鈥渁lmost every girl or every woman has experienced sexual violence.鈥� 

Driving the surge: Armed rebel and militia groups have gained strength, and the UN鈥檚 2023 withdrawal of its peacekeeping forces at the request of DRC鈥檚 government has led to a 鈥渧acuum鈥� of protection. 



Related: Four in 10 deaths in war zones last year were women, UN report finds 鈥� GLOBAL HEALTH VOICES SUBSTANCE USE What Makes 鈥楶ink Cocaine鈥� So Dangerous
A designer drug called tusi has been in the news lately due to its connections with Sean 鈥淒iddy鈥� Combs and the recent death of Liam Payne.

• It鈥檚 a bright pink powder combining any number of substances. Common ingredients include ketamine and ecstasy, but usually not cocaine.

Users are led to believe that tusi is safer than street drugs, but without knowing the exact ingredients of a given batch鈥攚hich could even include fentanyl or xylazine鈥攖he effects can be unpredictable and even fatal.

• The drug has been linked to at least nine deaths so far, including four suicides and four accidental overdoses.

AVIAN FLU The Silence of the Feds
When U.S. farm veterinarians began to sound the alarm about avian influenza detected in cows, they were expecting a full-blown response from the U.S. Department of Agriculture, including widespread testing and surveillance. 

Instead, they got silence: 鈥淣obody came. When the diagnosis came in, the government stood still,鈥� said one veterinarian. 

Conflict of interest: The USDA鈥檚 sometimes conflicting mandates to oversee the safety of the nation鈥檚 food animals while also protecting the nation鈥檚 agriculture trade has resulted in a 鈥溾�榙on鈥檛 test, don鈥檛 tell鈥� policy among dairy farmers.鈥�

The result? There is no nationwide surveillance or accurate sense of H5N1鈥檚 scope as the virus continues to spread.

• 鈥淲e are repeating every single mistake鈥� of the COVID-19 pandemic, said Keith Poulsen, director of the Wisconsin Veterinary Diagnostic Laboratory. 

ALMOST FRIDAY DIVERSION Hospital Gown 鈥� But Don鈥檛 Make it Fashion
Iconic is usually a compliment in the fashion world. Not this time.
 
The hospital 鈥済own鈥� is an affront to formalwear everywhere. An insult to our tastes and our figures. And really more of a glorified sheet than a garment.
 
Why the sartorial shame? The New York Times鈥� fashion critic

• This wretched wearable was designed to accommodate IVs and provide easy access to the body, resulting in the 鈥渄ehumanizing鈥� fronts-in, butts-out design behind (ahem!) countless hospital humiliations.


• Even Diane von Furstenberg couldn鈥檛 make it chic. The designer reimagined her iconic wrap dress as a patient gown for the Cleveland Clinic. And it鈥檚 .

Another idea: 鈥淵ou might as well just walk around naked,鈥� Timothy Andrews, a health industry analyst and frequent hospital outpatient, said to . 鈥淚t鈥檚 probably easier鈥攋ust give us a belt and a loincloth.鈥� QUICK HITS Tens of thousands of UK dementia patients to be enrolled in clinical trials 鈥�

U.S. Study on Puberty Blockers Goes Unpublished Because of Politics, Doctor Says 鈥�

Crackdown on Homeless Encampments Raises Public Health Questions 鈥�

World鈥檚 first vaccine for norovirus the 鈥榳inter vomiting bug鈥� begins final stage trial 鈥�

Perspectives on Medical School Admission for Black Students Among Premedical Advisers at Historically Black Colleges and Universities 鈥�

Youth cheerleading is getting more athletic 鈥� and riskier 鈥�

Surgical Centers Urged to Nix Mandatory Pre-Op Pregnancy Tests 鈥� Thanks for the tip, Chiara Jaffe!

Drinking is cheaper than it鈥檚 been in decades. Lobbyists are fighting to keep it that way 鈥�

How breast milk can help fight climate change 鈥� Issue No. 2803
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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$1.14 million from CIHR will resolve treatment roadblocks for rare brain disorders

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Gene therapy for rare neurological disorders will move one step forward thanks to a $1.14 million grant from the Canadian Institutes of Health Research (CIHR).

$1.14 million from CIHR will resolve treatment roadblocks for rare brain disorders

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Gene therapy for rare neurological disorders will move one step forward thanks to a $1.14 million grant from the Canadian Institutes of Health Research (CIHR).

96 Global Health NOW: Lebanese Hospitals on Alert; Malaria Becomes 鈥楢ncient History鈥� in Egypt; and Switching Sides on the Tobacco Fight October 23, 2024 Lebanese forces take security measures around Rafik Hariri University Hospital in Beirut on October 22, after an Israeli attack near the area. Houssam Shbaro/Anadolu via Getty Lebanese Hospitals on Alert as Strikes Intensify 
  UN officials are urging protections for health care facilities in Lebanon after an Israeli airstrike Tuesday near the Rafik Hariri University Hospital鈥攖he largest public hospital in Lebanon鈥攍ed to 鈥渟ignificant damage,鈥� .

Another hospital, the Al-Sahel Hospital in Dahiyeh, was evacuated amid 鈥渉orror and tears鈥� after Israel claimed that Hezbollah is stockpiling cash and gold in a bunker under the hospital, increasing fears that Lebanon鈥檚 health sector could face the same destruction as Gaza鈥檚, .

Other mounting health risks: 400,000+ displaced Lebanese children face growing risk of cholera, scabies, and waterborne diseases due to unsanitary conditions in shelters, .

• Last week, health authorities Northern Lebanon鈥檚 first case of cholera. 

Meanwhile in Gaza: Escalating violence across northern Gaza has forced the postponement of the polio vaccination campaign鈥檚 final phase, .

• And the WHO led a 鈥渉igh risk鈥� in northern Gaza to transfer patients to Gaza City this week amid intense hostilities and the denial of deliveries of critical medical supplies, blood, and fuel.

GLOBAL HEALTH VOICES The Latest One-Liners   New stroke prevention guidelines from the American Stroke Association for the first time call out specific risks faced by women and gender-diverse individuals taking the hormone estrogen; also call for screening for and addressing social determinants of health.

Girls and young women may be more susceptible to the clade Ib mpox subvariant, that found a higher percentage of cases and a much earlier average age of infection鈥�6 years鈥攁mong girls, compared with 17.5 years for boys.
 
An E. coli outbreak linked to McDonald鈥檚 Quarter Pounder hamburgers has sickened at least 49 people in 10 U.S. states, leading to one death and 10 hospitalizations, the yesterday; investigators are focused on onions and beef as potential sources of contamination.

The U.S. Department of Agriculture weakened its bird flu emergency order last spring in response to pushback from state and industry officials鈥攑otentially contributing to disease transmission across state lines, records show. GOOD NEWS Malaria Becomes 鈥楢ncient History鈥� in Egypt   
After three years of interruption to the transmission chain in Egypt, the country malaria-free.

• The country had a prevalence of ~40% in 1930鈥攂ut public health officials made strides over the last century, . 

How they did it, :

• Free diagnosis and treatment, regardless of legal status. 


• Malaria detection training for health professionals.


• Malaria screenings provided at the country鈥檚 borders. 

Vigilance to continue: The health ministry pledges to guard its malaria-free status through surveillance, integrated vector management, and rapid response to imported cases.
 
The Quote: "Malaria is as old as Egyptian civilization itself, but the disease that plagued pharaohs now belongs to its history,鈥� said WHO chief Tedros Adhanom Ghebreyesus. GLOBAL HEALTH VOICES BIG TOBACCO Switching Sides on the Tobacco Fight 
As the FDA fights an 鈥渆pic struggle鈥� against the tobacco industry over next-generation nicotine products, the agency is contending with a particularly galling dynamic: lawyers who have shifted alliances. 

Nearly two dozen FDA lawyers have left the FDA鈥檚 tobacco regulation arm to advise, litigate for, or work with the tobacco and vaping industry over the last 15 years, according to a review by The Examination.

Insider advantage: The lawyers often helped craft and defend the same regulations the industry is fighting鈥攇iving them a powerful upper hand in litigation.

• 鈥淚t seems like every time we get sued in the tobacco industry, a former FDA lawyer is leading the lawsuit,鈥� FDA Commissioner Robert Califf told an oversight organization last year. 

CLIMATE CRISIS Climate Change鈥檚 Psychological Toll
Climate-related changes threaten more than people鈥檚 physical safety and livelihoods. These changes also act as a 鈥渢hreat multiplier,鈥� increasing risks for mental health problems. 

• Survivors of California鈥檚 2018 Camp wildfire were diagnosed with PTSD at a rate comparable to war veterans.


• Slower-onset changes like drought, land cover change, rising sea levels, etc., can cause stress over time that erupts into violence like 2019鈥檚 Ogossagou massacre in Mali.

A hefty price tag: Mental disorders due to climate, pollution, and environment-related causes could cost the global economy $47 billion annually by 2030. 

To address these issues, researchers are pushing for mental health to be a focus in climate policy and interventions, such as in countries鈥� Paris Accord climate action plans.

OPPORTUNITY QUICK HITS Polio Anywhere is a Threat Everywhere: Why the UK Must Act 鈥�

Dengue fever: with a record 12.4m cases in 2024 so far, what is driving the world鈥檚 largest outbreak? 鈥�

Ukraine: Population drops by 10 million since Russia invaded in 2014, UNFPA reports 鈥�

Elderly Americans with dementia have become some of the GOP鈥檚 top donors without even realizing it 鈥�

Beyond Longevity: The Critical Role of Mental Health in Japan鈥檚 Well-Being 鈥�

How one woman set up a mental health helpline for the whole of South Africa 鈥�

How does the brain react to birth control? A researcher scanned herself 75 times to find out 鈥�

Coke, Twinkies, Skittles, and 鈥� Whole-Grain Bread? 鈥� Issue No. 2802
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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Countries facing conflict, natural disasters and humanitarian crises are struggling to provide routine childhood immunisations leaving many children vulnerable to the resurgence of polio, the UN Children鈥檚 Fund (UNICEF) warned in new report. 

Intense bombardments, mass displacements and lack of access in northern Gaza have forced the postponement of a polio vaccination campaign, the World Health Organization (WHO) warned on Wednesday.

96 Global Health NOW: The Push to Prevent Drownings in Uganda; Switching Sides on the Tobacco Fight; and Heeding Africa鈥檚 Hearing Loss October 22, 2024 GHN EXCLUSIVE Bystanders watch rescuers search the site of a capsized cruise boat on Lake Victoria near Mutima village, south of Kampala, Uganda. November 25, 2018. Isaac Kasamani/AFP/Getty The Push to Prevent Drownings in Uganda
KAMPALA, Uganda鈥擡very year, 鈥攑eople like Owen Ntanda, an 18-year-old boat operator who drowned in the lake last summer, despite being a good swimmer鈥攇iving the lake a reputation as one of the 鈥溾�� in the world.

• by researchers at Makerere University and the CDC estimated Uganda鈥檚 drowning death rate to be 8.5 per 100,000 population per year鈥攡2,942 drowning deaths a year. 


• Worldwide, . But in Uganda, young adults aged 20鈥�39 years are most affected, 鈥攁nd men in Uganda are 3X more likely to drown than women. 

Behind Uganda鈥檚 high drowning rate:

• A lack of safety gear like life jackets鈥攎ost of which are substandard.


• Overloaded cargo boats鈥攚hich are not well-policed.


• Supercharged floods fueled by climate change.

Steps toward change:

• Uganda will become one of the first countries to implement a national drowning intervention strategy鈥攅xpected to launch this fall鈥攇iving each stakeholder ministry a mandate and drowning prevention activities.

• The Ministry of Health has established emergency response services focused on water emergencies, boosting first aid training, and procuring water boat ambulances.

Ed. Note: This article is part of , made possible through the generous support of loyal GHN readers. Kyra Guy of USC鈥檚 Keck School of Medicine won an honorable mention for entering the idea for this story in the 2024 Untold Global Health Stories contest, co-sponsored by GHN and CUGH, which is now accepting nominations for the 2025 round. ! GLOBAL HEALTH VOICES The Latest One-Liners   A large proportion of sub-Saharan African teens with severe asthma are missing out on diagnosis and treatment, of 27,000 students from urban areas in Malawi, South Africa, Zimbabwe, Uganda, Ghana, and Nigeria; of ~3,000+ reporting symptoms, just ~600 had a formal diagnosis.

School administrators in Mexico have six months to implement a government-sponsored ban on junk foods like sugary fruit drinks and chips or face heavy fines between $545 and $5,450, which could double for a second offense.

Washington state its first suspected avian flu infections in people鈥攆our agricultural workers who tested positive after working with infected poultry at a facility that culled ~800,000 birds that tested positive for avian flu last week.

U.S. infant mortality was higher than expected in the months following the Supreme Court decision that eliminated federal abortion protections, , corresponding with a 7% absolute increase in infant mortality overall, representing 247 excess deaths. DATA POINT VIOLENCE A Public Health Approach to Political Violence 
As political rhetoric grows more incendiary leading up to the first U.S. presidential election since the January 6, 2021 insurrection, the at the University of California at Davis has begun to study the threat of political violence in earnest. 

A key goal of their research: Identify risk factors and interventions that could deescalate potential unrest before it arises. 

鈥淥penness to change鈥�: According to a from the program released last month, just 3.7% respondents said it was 鈥渧ery likely鈥� that they would participate as a combatant in a large-scale civil conflict鈥攂ut ~44% said they would be 鈥渘ot likely鈥� to join if they were dissuaded by family members, and ~30% said they could be deterred from participating if a respected religious leader urged them not to.

Such findings can 鈥済uide prevention efforts,鈥� the survey concluded.

HEALTH DISPARITIES Heeding Africa鈥檚 Hearing Loss
54 million people in Africa are facing hearing loss by 2030, due to factors including a shortage of hearing specialists and a limited budget for ear and hearing care (EHC).

• Up to 75% of child hearing loss in LMICs is preventable.

• Only 10% of the 33 million people who need hearing aids have access and can afford them. 

• Hearing loss costs Africa an estimated $27 billion per year, in terms of the impact on human lives and economies. 

Solutions: pushes for EHC policies and implementation鈥攗rging more dedicated funding, better-equipped facilities, and exploration of public-private partnerships. 
 
OPPORTUNITY QUICK HITS Committee reviewing euthanasia in Canada finds some deaths driven by homelessness fears, isolation 鈥�

A Maine Law Could Have Forced the Lewiston Mass Shooter Into Mental Health Treatment. Why Wasn鈥檛 It Used? 鈥�  

China unveils first diagnosis guidelines to battle escalating obesity crisis 鈥�

Medicaid will cover traditional healing practices for Native Americans in 4 states 鈥�

Ending 鈥渄omestic helicopter research鈥� 鈥�

As Ukraine's birth rate plunges, here's what one doctor is doing to reverse the trend 鈥�

The Perverse Consequences of Tuition-Free Medical School 鈥� Issue No. 2801
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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96 Global Health NOW: Barriers to Polio Vaccination; The Overdose Vaccine 鈥楳oon Shot鈥� and Where Early Education is Enshrined October 21, 2024 A child looks on before receiving a vaccination for polio in Khan Yunis, in the southern Gaza Strip, on September 5. Bashar Taleb/AFP via Getty Barriers to Polio Vaccination 鈥楲eaving Children Vulnerable鈥�
While health workers in Pakistan battle a growing polio outbreak, polio vaccination teams in Gaza are also contending with widening obstacles.

In Pakistan: Health officials have confirmed six more cases of wild poliovirus type 1, bringing the total number of infected children this year to 39鈥攁fter just six cases last year, .  

• Vaccine hesitancy and attacks against vaccination teams have increased as hardline clerics and militants spread misinformation about the vaccine鈥檚 safety, 鈥渓eading to missed opportunities for immunization and leaving children vulnerable,鈥� said Melissa Corkum, chief of UNICEF鈥檚 polio team in Pakistan. 


• Pakistan will launch a nationwide vaccination campaign next week to vaccinate 45 million+ children. 

In Gaza: Today the UN and WHO launched the second round of a widespread polio vaccination campaign in Gaza, targeting 590,000 children with booster doses, .

• But conditions have deteriorated in the enclave since the first round of vaccinations鈥攎aking it more difficult for families to travel to vaccination sites amid destroyed infrastructure and increased safety concerns. 


• And health workers are concerned polio vaccines won鈥檛 reach Gaza鈥檚 northern communities because of ongoing fighting and fears for health workers鈥� safety, .

GLOBAL HEALTH VOICES The Latest One-Liners   The global oral cholera vaccine stockpile has been depleted, the WHO said Friday, jeopardizing outbreak response amid a 126% rise in cholera mortality from January 1 to September 29 across five WHO regions.

Whooping cough cases in the U.S. have hit their highest number鈥�18,506鈥攕ince 2014; outbreaks of the disease, which can be prevented by vaccination, are hitting mostly older kids and teens.

Women seeking pain relief at emergency departments can wait 30 minutes longer than men, per a published in PNAS that assessed 22,000 discharge notes from emergency departments in the U.S. and Israel.

Over-the-counter contraceptives could be required to be covered by U.S. health insurers without cost-sharing, according to a new proposal the Biden administration unveiled today. OPIOID CRISIS The Overdose Vaccine 鈥楳oon Shot鈥� 
Efforts to prevent opioid overdose with a vaccine have largely been fruitless鈥攗ntil now. A number of opioid overdose vaccines are currently being tested, all relying on the same basic strategy:

• Stimulate the immune system to protect against an opioid鈥檚 ability to overwhelm the brain and shut down the breathing process.

How it works: Portions of the fentanyl molecule are linked to proteins the body recognizes in order to trigger an immune response.

Also underway: The first fentanyl monoclonal antibody is undergoing human trials, with initial published in Nature Communications showing that monkeys treated with the antibody survived a lethal dose of fentanyl.

The Quote: 鈥淚t鈥檚 a moon shot, but a moon shot is what the country needs right now,鈥� said JR Rhan, co-founder of startup Ovax, which is developing an opioid overdose vaccine.

GLOBAL HEALTH VOICES WEST NILE VIRUS Ukraine鈥檚 Viral Threat
West Nile virus has killed 11 people and sickened 88 in Ukraine over the last three months鈥攎arking a 鈥渟erious鈥� new threat to the country that will likely become more common with climate change, said Ukraine's Deputy Health Minister.

• 鈥淲e probably have to get used to the fact that this fever will be in even greater numbers in Ukraine,鈥� Ihor Kuzin said.

Growing hotspot: Outbreaks are typically found on bird migratory routes, and Ukraine is a stop along several such flight paths, explained Kuzin.

CHILD & ADOLESCENT HEALTH Where Early Education is Enshrined 
In Norway, the 鈥渋ntrinsic value鈥� of childhood is upheld in the 63-page Kindergarten Act of 2006, a law guaranteeing every child鈥檚 right to attend kindergarten.

These schools, serving children 5 and under, are seen 鈥渁s an investment for society and the child,鈥� said Kristin Aasta Morken, a program leader in Oslo.

As such, Norwegian kindergartens are:

• Publicly funded: National funds cover 85% of operating costs.


• Inclusive: Children with disabilities are not segregated, and non-Norwegian speakers are given communication aids.


• Embracing nature: Children spend 70% of their kindergarten time outside, in all weather鈥攊n keeping with the Norwegian saying: 鈥淭here is no bad weather, just bad clothes.鈥�

RESOURCE QUICK HITS 鈥極ne-man anti-abortion army鈥�: shadow of US global gag rule looms over Nepal鈥檚 family planning services 鈥�

China ends international adoption. Reactions range from shock to relief 鈥�

Under a L.A. Freeway, a Psychiatric Rescue Mission 鈥�

Tobacco Sponsorship of F1 Could Put Children on a Fast Track to Addiction 鈥�

Nut bans little help to allergic air passengers 鈥�

Life-saving spongelike 'bandage' rapidly stops hemorrhaging and mitigates risk of infection 鈥� Issue No. 2800
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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The World Health Organization (WHO) has officially certified Egypt as malaria-free. The achievement marks the culmination of a century-long effort to eradicate a disease that has plagued the nation since ancient times.