Ahmad, 15, and his younger brother Sahil, 12, at the Torkham border between Pakistan and Afghanistan with their family, after returning from Pakistan.

Afghanistan’s fragile healthcare system is at breaking point under the strain of hundreds of thousands of Afghans deported from Iran and Pakistan over the past few months, many in urgent need of medical care.

This follows the decision by both Pakistan and Iran to repatriate Afghans, even those with refugee status in the case of Pakistan. Earlier this year, the UN High Commission for Refugees estimated that there were over 3,5 million Afghan refugees in Iran and 1,7 million in Pakistan.

Between January and 13 August, some 1.86 million Afghans have been returned from Iran and over 314,000 from Pakistan, bringing the total returns to over two million people over the past eight months alone.

Over eight million Afghans have fled their country over decades of war, but those in Iran and Pakistan are being deported to an uncertain future.

At Afghanistan’s Islam Qala border crossing with Iran, the human cost is stark: toddlers with sunken cheeks and dehydrated skin, elders bent over in coughing fits, heavily pregnant women staggering through the dusty camps, some giving birth amid chaos.

For the past many months, overwhelmed border Afghan health teams have confronted the same cycle of illnesses almost daily. Health workers say the illnesses surging through the camps are a predictable fallout of forced displacement colliding with an already overwhelmed healthcare system.

“Commonly reported health issues among returnees include trauma, malnutrition, infectious diseases such as acute watery diarrhoea and acute respiratory infections, and mental health problems,” according to the World Health Organization (WHO).

The sweltering camp for deportees reeks of over-flowing latrines and antiseptic, a grim reminder that these makeshift checkpoints have become the country’s first, and often only, line of defense against disease outbreaks.

In a torn tarpaulin’s thin shade, Zaher Qayumi, a father of five from Badghis Province, shields his children from the relentless sun. Just 10 days earlier, after five years in Iran, his nine-member family was abruptly expelled from Tehran. His children suffer from diarrhea and dizziness, their faces flushed with heatstroke.

“The situation here is terrible. Medicines, even for simple pain or diarrhea, are almost impossible to find,” Qayumi told Health Policy Watch

“Iranian authorities are expelling everyone. The elderly and children suffer the most. People have no means and resources. Everyone is sick.”

It is extremely difficult and complicated to navigate for returnees to access what little public health services there are, and Qayumi’s words reveal the human face of the slow-motion public health emergency playing out across the desert border.

A WHO-supported disease surveillance support team conducts a health education session for returnees at Islam Qala border crossing.

Plea for immediate assistance

Stephanie Loose, UN Habitat head for Afghanistan, told a recent press briefing in Geneva that families are arriving after days of travel in blistering heat, enduring overcrowded tents and nights without enough food, water, or shelter. 

“The real challenge is still ahead of us… people need access to basic services, to water, to sanitation, and overall, they do need livelihood opportunities for having a long term perspective and for also allowing them to, you know, lead their lives in dignity and to support their families,” said Loose.

Afghanistan’s humanitarian system is in free-fall. The country’s 2025 aid plan, valued at around $2.4 billion, is only 12% funded, according to the UN.

Aid agencies warn they are already cutting food, health, and shelter support, leaving millions at risk. UN officials are urging donors to act immediately, stressing that without swift contributions, lifesaving operations could collapse, plunging vulnerable communities into further desperation.

“At [Islam Qala’s] zero-point clinic, returning families arrive dehydrated, malnourished, and sick with respiratory and diarrheal diseases,” said Dr Noor Ahmad Mohammadi, head of the WHO-supported clinic. “We treat hundreds of children daily, most never vaccinated. Immediate action is critical to prevent rapid outbreaks.”

The clinic provides outpatient care and polio vaccinations, seeing roughly 200 patients and vaccinating 100 children under 10 each day. But with thousands crossing daily, their modest resources are overwhelmed.

UNHCR has expressed concern that many Afghans, regardless of status, “face serious protection risks in Afghanistan due to the current human rights situation, especially women and girls”.

Forgotten crisis

Afghanistan’s health system, hollowed out by decades of conflict, chronic underfunding, and the exodus of medical professionals following the Taliban’s rise to power in 2021, was already on the brink of collapse before the deportations began.

“Afghanistan is facing a deepening humanitarian crisis fuelled by a deteriorating human rights situation, prolonged economic hardship, recurring natural disasters and limited access to critical services. The large-scale returns of over 2.1 million Afghans from Iran and Pakistan in 2025 have further exacerbated the situation,” said UNHCR in a statement.

Aid agencies warn that as many as three million Afghans could be pushed back by the year’s end, raising the risk of a preventable public health disaster without urgent scale-up of clean water, vaccinations, and emergency care.

“The crisis is forgotten by much of the world,” said Nicole van Batenburg of the International Federation of Red Cross and Red Crescent Societies in a statement. “Local health systems are simply not equipped to cope.”

Many families were given mere hours to leave homes in Iran or Pakistan, abandoning belongings, medication, and any sense of security. Children arrive with fevers, diarrhea, scabies, and trauma; parents carry the weight of uprooted lives.

By spring 2025, more than 200 health facilities across Afghanistan had closed or suspended services due to lack of funds, the WHO reports

Dr Edwin Ceniza Salvador, WHO’s Afghanistan representative, warns that 80% of supported health services could shut down without fresh funding.

“Mothers are unable to give birth safely, children missing lifesaving vaccines, and more preventable deaths every day,” he said.

In a corner of the border camp, Zohra*, a 28‑year‑old pregnant woman, lay on a thin mat, clutching her stomach. She was seven months pregnant when her six-member family was forcibly expelled from Mashhad in Iran.

“We were told to leave within hours. I couldn’t procure the medicines I needed even before this ultimatum as I feared arrest going to the hospitals,” she said in a faint voice. “The journey was long and hot. I thought I would lose my baby on the road.”

By the time she reached the Afghan border, Zohra was severely dehydrated and showing signs of early labour. Border clinic staff managed to stabilise her, but they warned that complications could turn deadly if she cannot access a proper hospital in time.

“I wish my daughter comes to this world alive and healthy, but I worry what kind of place my children would live and grow in Afghanistan”, Zohra said.

An earlier wave of deportations from Pakistan has already strained the Afghan healthcare system. Since late 2023, tens of thousands of Afghans, many of whom had lived in Pakistan for decades, have been forced to cross back to Afghanistan with little more than what they could carry.

The UN estimates that in this year alone, at least 314,000 Afghans had been returned from Pakistan by the end of July, often arriving with untreated chronic conditions, respiratory infections, and severe malnutrition, while vaccination records are frequently missing.

No medicine or food

Halima Bibi, an elderly diabetic woman, had lived as a refugee in Pakistan for years before she was expelled from the outskirts of Islamabad with her son’s 10-member family. Her health situation embodies the health crisis in Afghanistan.

“My feet are swollen, and I can barely stand,” she said. “I haven’t had my medicine or proper food for days. We had to wait anxiously for days to get an extension for our stay in Pakistan, but they forced us to leave without any consideration or time to prepare.” 

Across Afghanistan’s border, in provinces like Nangarhar where Bibi lives, clinics and hospitals are swamped, lacking the resources to meet the urgent needs as well as management of chronic diseases like diabetes. 

Halima is fearful that insulin medicine would not be easily available for her in Afghanistan and this will cause her serious health complications. 

The Taliban’s deputy minister for refugees and repatriation, Abdul Rahman Rashid, has publicly rebuked host countries for the mass expulsions, describing the removal of Afghans as a “serious violation of international norms, humanitarian principles, and Islamic values.”

“The scale and manner in which Afghan refugees have been forced to return to their homeland is something Afghanistan has never before experienced in its history,” Rashid told a press conference in Kabul last month.

Back at Islam Qala border crossing, the transit clinic operates 24/7 where the returnees arrive with health conditions that are manageable in a well-resourced hospital, but often life-threatening here. Women and girls face particular concerns over movement restrictions and access to healthcare.

As summer heat intensifies and thousands continue to arrive daily, aid workers warn the window to prevent a full-blown humanitarian and public health catastrophe is closing fast.

Image Credits: UNHCR/ Oxygen Empire Media Production, UNHCR, WHO Afghanistan.

At 7am Friday morning, the plastics negotiations were called off in Geneva after countries fail to reach agreement on the basics. No advances in the text were made over the 12-day talks.

GENEVA — Negotiations over a United Nations (UN) treaty to combat the plastic pollution crisis ended in failure early Friday morning, as 183 nations were unable to bridge vast divides over production limits, toxic chemicals and financing after three years of diplomacy.

Norway officially announced the failure at 7am Geneva time after a final overtime negotiation session lasting over 24 hours.

Denmark, co-chair of the High Ambition Coalition supported by around 100 countries, said it was “truly sad to see that we will not have a treaty to end plastic pollution here in Geneva”, adding that the coalition has “clearly and repeatedly stated that we need an international, legally binding instrument that effectively protects human health and the environment from plastic pollution.”

A treaty that is able to fulfil this mandate must “at a minimum address the full life cycle of plastics, the “unsustainable consumption and production of plastics” and include “global measures and criteria on plastic products and chemicals in products,” added Denmark, which also raised the possibility of voting.

The talks were themselves an extension following December’s failed summit in Busan, South Korea. Rules requiring unanimous agreement kept the process in stalemate throughout the 12-day session.

Both draft texts presented by negotiation chair Luis Vayas Valdivieso of Ecuador were rejected by all parties. The chair’s approach, predicated on placating the lowest-ambition nations, proved insufficient even for those countries.

The petrochemical producing bloc (which calls itself the “like-minded countries”) led by Saudi Arabia and flanked by the United States (US), Russia, India, Malaysia and others, rejected even hollowed-out texts that had angered high-ambition countries by removing all mentions of chemicals, production limits, health, climate emissions, and mandatory finance. 

Further negotiations will reconvene at an undetermined date and location, based on the draft text from Busan, leaving the agreement no closer to completion than six months ago. 

Many delegates questioned the purpose of the Geneva talks, as the outcome appeared predetermined with no apparent strategy to break the deadlock. If the rules of engagement requiring unanimous agreement remain unchanged, it is uncertain whether high-ambition nations or civil society will attend future talks.

Defeat for multilateralism

UNEP executive director Inger Anders, speaking after the collapse of the talks in Geneva.

Speaking outside the assembly hall after the collapse, Inger Andersen, executive director of United Nations Environment Programme (UNEP) said: “Tell me of a treaty that has been done, in a shorter time, and then we can discuss. Would I have liked this in two years? Absolutely. 
At this point, it is critical that we take some time first to sleep and then to reflect and then to regroup. In the end, this is a member state’s lead process, and we from the United Nations are here to support it.

“I believe that everybody is very disappointed. However, multilateralism is not easy. What I can say about the future, I can’t say, we literally just walked off the floor.”

The breakdown represents a significant defeat for multilateralism at a time when its capital, Geneva, is facing mounting challenges to its value as a global diplomatic capital. 

It is also a blow for UNEP, which spent millions organising the talks but serves only as a mediator without the ability to sway outcomes, which are decided by nation-states.

“We cannot hide that the European Union and its member states had higher expectations,” EU Environment Commissioner Jessika Roswall said in a statement. 

“We came to conclude a global plastics treaty here in Geneva. We have confidence in the science that impels us, confidence in the people that pushed us, confidence in a majority of countries of both developing and developed that are aligned.

“That is what we fought for. We have not managed to get there.” 

The failure exposes a fundamental rift in visions for global plastics governance between more than 130 countries seeking legally binding measures to curb plastic production and the powerful bloc of oil-producing states intent on protecting the financial benefits of the plastics boom.

With plastic production expected to triple by 2060, according to OECD projections, and 99% of plastics made from fossil fuels, the sector represents a crucial revenue stream for petrostates as traditional energy demand shifts toward renewables.

“I am disappointed, and I am angry,” said French Environment Minister Agnès Pannier-Runacher following the collapse. “A handful of countries, guided by short-term financial interests rather than the health of their populations and the sustainability of their economies, blocked the adoption of an ambitious treaty against plastic pollution.”

Plastic
Most plastics that are produced end up in landfills in poorer countries.

“This was never going to be easy – but the outcome we have today falls short of what our people, and the planet, need,” said Surangel Whipps Jr, President of Palau and chair of the Alliance of Small Island States (AOSIS), many of whom are overwhelmed by plastic pollution and stand to lose much of their territories to climate-related rising sea level.

“Still, even after six rounds of negotiations, we will not walk away. The resilience of islanders has carried us through many storms, and we will persevere – because we need real solutions, and we will carve pathways to deliver them for our people and our planet.”

The global petrochemical industry, valued at $638 billion in 2023, is expected to be worth $838 billion by 2030. Saudi Aramco, the state-owned oil company, plans to channel about one-third of its oil production to plastics and petrochemicals by 2030. Petrochemicals make up 82% of Saudi foreign exports critical to its government budget. 

“The scientific and medical evidence is overwhelming: plastic kills. It poisons our oceans, our soils, and ultimately, it contaminates our bodies.”

Production off the table 

The central battle throughout negotiations centered on whether the treaty would address plastic production or focus solely on waste management and recycling, as advocated by the petrochemical bloc and its allies.

These nations insist that the plastics crisis can be solved through better waste management, despite technological limitations that have kept global recycling rates below 10% after decades of research and billions spent to improve recycling technologies. 

The nations pushing recycling as the solution have failed at it themselves. Saudi Arabia recycles just 3-4% of its plastic waste, Russia between 5-12%, and the US only 5-6%, according to OECD data.

The like-minded nations successfully blocked any mention of plastic production limits in the draft texts. They also removed references to climate change, emissions, fossil fuels, and petrochemicals, despite plastic production releasing more than two gigatons of CO2 annually.

If the plastics industry were a country, it would be the world’s fifth-largest greenhouse gas emitter. At projected growth rates, plastics alone could consume a quarter of the remaining carbon budget to meet the Paris Agreement’s 1.5°C target.

Health impacts sidelined, science ignored 

The infiltration of plastics and microplastics into air, rain, oceans, ecosystems and human organs has been linked to cancer, infertility, cardiovascular disease and hundreds of thousands of premature deaths annually.

A Lancet study released during the talks estimated the cost of just three plastic chemicals at $1.5 trillion per year across 38 countries. One chemical of the 16,000 used in plastics, BPA, was associated with 5.4 million cases of heart disease and 346,000 strokes in 2015. 

“Toxics and microplastics are poisoning our bodies, causing cancer, infertility, and death, while corporations keep profiting from unchecked production,” said Giulia Carlini, senior attorney at the Center for International Environmental Law (CIEL). “The science is undeniable. Yet here, it has been denied and downplayed.”

Complete safety information is missing for more than two-thirds of the chemicals used in plastics. Three-quarters have never been properly assessed for human health impacts. Just six per cent of all plastic chemicals are regulated under multilateral environmental agreements.

Yet despite the science, petrochemical states continued to argue that health impacts fall beyond the treaty’s mandate, insisting that regulation should be governed by the WHO.

Many of the same countries arguing health is outside the scope of the plastics treaty, including Russia and Iran, held the opposite position at the latest World Health Assembly, contending chemicals should not be regulated by World Health Organization (WHO) due to UNEP’s mandate. 

“The inability to reach an agreement in Geneva must be a wakeup call for the world: ending plastic pollution means confronting fossil fuel interests head on,” said Graham Forbes, head of the Greenpeace delegation to the treaty negotiations.

“The vast majority of governments want a strong agreement, yet a handful of bad actors were allowed to use process to drive such ambition into the ground,” Forbes added. “The plastics crisis is accelerating, and the petrochemical industry is determined to bury us for short-term profits.”

Petrochemical industry influence

At least 234 fossil fuel and petrochemical lobbyists attended the Geneva talks, exceeding the combined delegations of the EU and its 27 member states. They outnumbered expert scientists by three to one.

The process itself faced criticism for its opacity, with many meetings closed even to national delegations. Chair Valdivieso, Ecuador’s ambassador to the UK, was roundly criticised for his handling of negotiations, the vast majority of which occurred behind closed doors.

Civil society groups, including indigenous peoples, waste pickers and frontline communities who travelled from around the world, found themselves actively sidelined

In the closing plenary, only the Youth Plastic Coalition was allowed to speak before the US and Kuwait cut proceedings short, silencing the rest of civil society.

“This is the real health crisis,” Kuwait’s delegation said, alluding to the long night faced by negotiators as the clock struck 9am. 

Less developed nations stood up to industry and rich country pressure that had cornered them behind the scenes with economic threats, yet even this resistance could not break the deadlock.

The consensus requirement allowed low-ambition countries to “hold the entire process hostage,” as Ethiopia’s delegation put it.

“This INC was doomed from the start,” said Andrés Del Castillo, senior attorney at CIEL. “Poor time management, unrealistic expectations, lack of transparency, and a ministerial segment with no clear purpose.”

Image Credits: Stefan Anderson, Photo by Hermes Rivera on Unsplash, UNEP.

Africa CDC Director General Dr Jean Kaseya (centre) visiting DRC to assist with its mpox outbreak

African countries worst affected by mpox have rapidly expanded their diagnostic capacity, with more laboratories and better-trained health workers, said Dr Jean Kaseya, head of the Africa Centres for Disease Control and Prevention (Africa CDC).

The Democratic Republic of Congo (DRC), the epicentre of the mpox outbreak, has increased its laboratories from two in January 2024 to 69, Kaseya told a media briefing on the first anniversary of the declaration of mpox as a Public Health Emergency of Continental Security (PHECS).

 

Mpox has compelled the DRC to rapidly expand its health capacity.

Despite mpox vaccine shortages, some 886,000 people have also been vaccinated in 12 countries, he added.

Mpox has affected 24 African countries, with over 97,000 suspected cases and almost 600 deaths. But weak diagnostics mean fewer than a third of cases( 29,849) and deaths (197) were confirmed.

Conflict and poor infrastructure are affecting the DRC’s ability to identify and treat cases, which accounts for most of the untested cases. 

Other high-burden countries – Sierra Leone, Burundi and Uganda – have been able to test almost all their suspected cases.

Africa CDC and the World Health Organization (WHO) have coordinated countries’ responses via an incident management support team (IMST), which has trained 3,000 health workers on case management.

The IMST has developed continental Mpox Preparedness and Response Plans and co-led the implementation.

“Our collective efforts have been crucial in strengthening measures for an effective response,” said Dr Otim Patrick Ramadan, WHO Africa’s programme area manager for emergency response. “It is critical to sustain what works, which includes rapid case detection, timely targeted vaccination, strong laboratory systems, and active community engagement.”

Professor Yap Boum, deputy incident manager for Africa CDC, said: “With limited resources, there is a critical need to be more efficient which means working as one team, with one plan budget and monitoring framework,” said

Mpox is declining on the continental and Africa CDC’s independent expert panel will soon decide whether to suspend the PHECS, said Kaseya.

However, challenges persist including imited access to vaccines, competing emergencies, funding gaps, inadequate access to care, and stigma and the conflict in eastern DRC, according to WHO Africa in a media release on Thursday.

“Our priorities for the next six months are to  expand community-based surveillance in high-risk areas, continue to procure and distribute essential supplies to hotspots, support the integration of mpox response into other health programs for sustainability, support targeted vaccination and advocate for more funding for vaccine deployment,” said Otim.

However, the infrastructure that has been set up to address mpox is also being used to address another health emergency: cholera. 

Twenty-three countries are facing cholera outbreaks, usually caused by a lack of clean water,  which are being fanned by “humanitarian crises and natural disasters”.

So far, over 220,000 cholera cases have been recorded this year – already close to the case load of 254,000 for the whole of 2024.

By month-end, Zambia will host a meeting on cholera to develop a common continental approach, said Kaseya.

Africa CDC is also encouraging countries to integrate their HIV and mpox responses, testing people for both diseases. People with HIV are more susceptible to mpox, which can also be sexually transmitted.

Health financing

When asked whether any African group was taking forward the proposal that tourists to the continent should be charged a tax levied via airlines to help cover the cost of healthcare, as suggested by last week’s summit on African health sovereignty, Kaseya simply deferred to Rwandan President Paul Kagame.

“The meeting in Ghana … is just a continuity of what is already done, because there is, there is nothing new that will come there if it was not discussed in AU,” said Kaseya. “Our champion for health financing is President Kagame. And in Africa, we like to respect to that. For the next steps, if there is a leader who must talk about health financing and bring other leaders together, it is  President Kagame.”

However, Kaseya reiterated that the solutions to the funding crisis lie in countries allocating more domestic resources to health; innovative solutions including the airline tax and taxes on unhealthy products ,and blended finance. The DRC is taxing all imported goods and allocating some of that revenue to health, he added.

There has been a 40% reduction in development aid to the continent in the past two years – the steepest cuts taking place over the past eight months since US President Donald Trump assumed office.

“We have a number of areas of engagement with the US , and we hope that that we can get a positive outcome from this engagement,” said Kaseya.

 

Image Credits: Africa CDC.

Robert F Kennedy Jr (right) after being sworn in as President Donald Trump’s (left) health secretary

The Trump administration’s approach to pesticides could determine whether it continues to enjoy the support of Robert F Kennedy Jr’s Make America Healthy Again (MAHA) movement.

Key MAHA leaders, including the leaders of Moms Across America and Children’s Health Defense, wrote a letter to President Donald Trump on Monday urging him not to support “broad liability shields for pesticides and forever chemicals” – or face a backlash in the mid-term elections.

According to the letter, provisions in the House Interior and Environment Appropriations Bill for 2026 “create broad product liability protections for domestic and foreign pesticide and chemical manufacturers by refusing to fund the critical and necessary scientific safety assessments for product label updates of more than 57,000 synthetic chemicals that are required by law, as a favor to the pesticide lobby”.

The letter urges Trump to ensure “any protections for pesticides are stricken from this Appropriations bill”, warning that “creating broad liability protections for pesticides is a losing issue for your party and your coalition, and may well cost you the House majority in the midterms.”

Kennedy’s HHS doesn’t oversee the regulation of pesticides, which falls to the Environmental Protection Agency (EPA). The EPA has been systematically removing environmental regulation over industries – from pollution controls to pesticide restrictions – since Trump assumed office.

Report delay over pesticides?

Tension over the control of pesticides may well be behind the delay of the MAHA Commission report expected Tuesday from US Health and Human Services Secretary  Robert F Kennedy Jr.

Kennedy had been expected to release part two of his MAHA Commission’s “Make Our Children Healthy Again” report, focusing on the research and strategies needed to address the causes of ill-health in America’s children.

It is the follow-up to part one, released in May, which laid out the commission’s assessment of the drivers of the ill-health of America’s children. 

One of these is children’s exposure to chemicals – including “heavy metals, PFAS [“forever chemicals”], pesticides, and phthalates”, according to the report.

It also highlighted that studies of the pesticide, glyphosate, “have noted a range of possible health effects, ranging from reproductive and developmental disorders as well as cancers, liver inflammation and metabolic disturbances”, while experimental animal studies have shown that exposure to another pesticide, atrazine, “can cause endocrine disruption and birth defects”.

The US uses more than one billion pounds of pesticide annually and these linger in the soil and groundwater. A 2021 study  reported that pesticides had been found in 90% of the 442 US streams sampled by federal scientists.

Glyphosate, known by its brandname Roundup, is the most widely used pesticide in the US. After Monsanto genetically modified corn, soy and cotton to tolerate glyphosate in the 1990s, its use increased exponentially as a weeds killer alongside these crops.

Atrazine is the second most common pesticide in the US. Both bind to the soil and have been found in groundwater.

In 2021, the EPA (under the Biden administration) determined that atrazine and glyphosate are each likely to harm more than 1,000 of the nation’s most endangered plants and animals.

The European Union (EU) banned atrazine two decades ago, while the use of glyphosate is restricted in the EU.

HHS said this week that while Kennedy had submitted the MAHA part two report to the White House on Tuesday, its public release will happen “shortly” as it “coordinates the schedules of the President and the various cabinet members who are a part of the Commission,” The Hill reported.

Commission members include EPA director Lee Zeldin and Russell Vought, head of the President’s Office of Management and Budget and the architect of Project2025, the rightwing blueprint for the Trump takeover.

Farmers lobby government

Alarmed by the first MAHA Commission report, farmers’ bodies have asserted that restricting or banning pesticides such as atrazine and glyphosate will push up their costs and reduce yields, Progressive Farmer reports.

Among them are the Food and Agriculture Climate Alliance (FACA), a coalition of interest groups including farmers, ranchers, forest owners and agribusinesses, and the National Corn Growers Association (NCGA).

The White House has held meetings with farmer groups in recent weeks to address their concerns about potential restrictions on pesticides. 

Last month, Nancy Beck, EPA deputy administrator in the Office of Chemical Safety and Pollution Protection, assured a meeting of the American Sugar Alliance that glyphosate would not be restricted.

On Tuesday, the Heritage Foundation – the rightwing think-tank that produced Project2025 – hosted a meeting on the “future of farming” that appeared to be aimed at finding common ground between farmers and MAHA supporters.

Trump adviser and wellness influencer ​​Calley Means urged MAHA supporters to attack “the deep state” rather than Trump and Kennedy.

He also told the meeting that “this is a long-term fight”, which “won’t be won if the soybean farmers and the corn growers are our enemy”, reports Progressive Farmer

Trump advisor and wellness influencer Calley Means addresses the Heritage Foundation event.

Environmental rollbacks undermine health

Kennedy built MAHA on support from anti-vaxxers and “wellness” advocates with deep suspicions about traditional medicine, which coalesced over suspicions about the mRNA vaccines used against COVID-19. During the COVID-19 pandemic, this group formed an unlikely alliance with Trump-aligned libertarians opposed to vaccine mandates and lockdowns.

So far, he is delivering in spades to the anti-vaxxers – by firing all members of the Centers for Disease Control and Prevention’s (CDC) vaccine advisory group and replacing them with a group dominated by COVID vaccine sceptics, and cancelling $500 million investments in mRNA vaccine development.

But he is unable to deliver to the wellness groups on pesticides as he isn’t in charge of environmental health, which lies with the EPA.

However, the EPA’s actions are premised on removing restrictions on American businesses rather than keeping Americans healthy.

As previously reported by Health Policy Watch, the EPA is considering lifting restrictions on “white asbestos,” the last type of deadly carcinogen still in use in the US. Asbestos exposure causes mesothelioma, lung cancer, and other fatal diseases that kill 40,000 Americans annually.

In April, Trump issued an executive order exempting 68 coal-fired electricity generating units from complying with curbs on mercury, arsenic and lead emissions for two years.

The EPA has already eliminated requirements for most power plants and heavy industry to monitor greenhouse gas emissions, and pushed back a tax on methane emissions.

In January, the Trump administration dismantled the Clean Air Scientific Advisory Committee (CASAC), which protects the American public health from toxic pollutants, while the Chemical Safety Board (CSB), an independent committee that analyzes industrial chemical accidents and develops safety recommendations, is to receive zero budget this year. 

The Trump administration’s cuts to food and medical support for low-income families will also negatively affect Americans’ health.

It has cut part of the food aid for low-income families, the Supplemental Nutrition Assistance Program (SNAP), and slashed $1 trillion from the medical insurance safety net, Medicaid, over the next decade, which is predicted to cause at least 12 million Americans to lose their health insurance.

‘Policing popsicles’

In a bid to win favour with the wellness industry, Kennedy has pursued the elimination of coloured dyes in food. However, immunologist and microbiologist Dr Andrea Love says that Kennedy’s crusade against the dyes is simply because they are synthetic, not because there is evidence that they are unhealthy.

“MAHA is policing popsicles to distract from their erasure of real public health,” writes Love

“Convincing one company to swap the coloring used in their ice cream for another more expensive and less-tested one is going to have zero impact on the health of our country,” adds Love, who is also executive director of the American Lyme Disease Foundation. 

“You can’t ‘pull yourself up by your bootstraps’ when you have no healthcare, no living wage, no support systems, and you’re handed a $6 box of beet-colored cereal in place of public health.”

 

Image Credits: Facebook.

(L-R) Mothers of four Israeli hostages still held by Hamas in Geneva, Left to right Galia David, Viki Cohen, Silvia Cunio, Meirav Gilboa Dalal. Far left, Daniel Meron, Israeli Ambassador in Geneva.

Despite an uptick in food supplies reaching Gaza this month, critical medical equipment remains barred from entry while deaths from malnutrition continue to mount to 147 casualties as of August 5, said Rick Peeperkorn, the World Health Organization’s representative in the Occupied Palestinian Territories Tuesday at a UN press briefing in Geneva.

On the same day, the mothers of four of the estimated 20 living Israeli hostages still held by Hamas, met with the President of the International Committee of the Red Cross (ICRC) in Geneva, appealing that more be done to secure their sons’ release – after a recently released Hamas video depicted one of starving captives, Evyatar David, digging his own grave in a tunnel. 

Galia David, mother of Evyatar, shows her son before captivity, and from a video released by Hamas in late July.

Speaking at the second UN press briefing, hosted by Israel’s Mission to the UN in Geneva, the hostage mothers also expressed fears that the new large-scale Israeli invasion into Gaza city and other areas still controlled by Hamas could lead to their children’s deaths, diverging from the official government line etched recently by Prime Minister Benjamin Netanyahu. 

“I ask the people in the free world to do everything they can to pressure both sides, Hamas and our government, to sign a deal to release them,” declared Viki Cohen, mother of another 21-year-old hostage Nimrod Cohen, 21, who has been in Hamas captivity since 7 October 2023.  

“When I heard that our government is intent on expanding the war in Gaza, I was, as a mother, afraid because we know that Hamas will command its terrorists to kill the hostages whenever the IDF is getting close to them. So I’m afraid for their lives,” Cohen said.

 “Every day for them, it’s a risk, and also for the soldiers who are there. So the only solution, from my point of view, is to finish this nightmare for both sides. We want this war to end.” 

Malnutrition deaths confirmed by WHO

Six-month-old Salam is screened for malnutrition at an UNRWA clinic in Gaza City. (July 2025)

The 147 Gaza malnutrition deaths, confirmed by the WHO, include 98 adults and 49 children, 39 of which were under 5 years old, Peeperkorn said, speaking by video from Jerusalem.  The WHO confirmed count, which the agency said is confirmed directly from Gaza hospital records, is somewhat lower than the count reported by the Hamas controlled- Gaza Health Ministry, which stood at 212 deaths, as of 9 August

Israel has accused Hamas of exaggerating those numbers, saying that most such cases involved children or adults with pre-existing conditions. However, nutrition experts explain that in any hunger crisis or famine, most of those who die typically succumb to pre-existing conditions or infections that a well-fed person can fend off, rather than undernourishment, per se.     

Right now, some 2,500 Gaza children were suffering severe acute malnutrition, requiring specialised treatment, Peeperkorn said.  Meanwhile, cases of meningitis and the infection-linked autoimmune disorder Guillain-Barré Syndrome (GBS), which were identified in July, continue to mount with a total of 452 meningitis cases and 76 suspected GBS cases, identified by WHO and its partners.  The outbreaks have been linked to the collapse of water, sanitation and hygiene (WASH) infrastructure; overcrowding in shelters, malnutrition and compromised immunity.

Complex Israeli entry requirements continue to delay medical supply deliveries 

Thousands of pallets of aid waited just inside Gaza border at end of July; Israel blamed UN, while UN says Israeli obstacle course for permissions to collect the aid hinders delayed deliveries.

Two first line treatments, intravenous immune globulin (IVIG) and plasma exchange (PLEX), are currently out of stock, Peeperkorn said, noting that their delivery “needs to be urgently expedited.”

Complex Israeli entry requirements for medical supplies as well as the “arbitrary” denial of entry for international medical teams is leading to more deaths from preventable causes, Peeperkorn stressed. 

Since 18 March 2025, after the collapse of an eight-week ceasefire, Israeli denial rates for medical supply entries had risen by nearly 50 per cent, with 102 “critical international health professionals”, including surgeons and other specialised medical staff, barred from entry, he said.

WHO medicines and equipement supply warehouse in Deir al Balah was destroyed by Israeli forces in late July. There are now fears that the other main warehouse in Gaza city, could meet a similar fate.

Since June, WHO has been allowed to bring in 80 trucks with medical supplies as the blockade eased somewhat. However, entry processes remained “difficult and ever changing,” he added with the entry of many items, including assistive devices, intensive care unit beds, freezers, cold chain medicines, and anaesthesia machines, denied. 

Recently, some 282 pallets of medical supplies entered Israel via Ben Gurion Airport, but the clearance process so far has been too slow. Multiple crossings needed to be opened to allow the delivery of humanitarian supplies, Peeperkorn concluded.

In preparation for the recently announced Israeli plan to expand military operations in northern and central Gaza, taking over Gaza City, WHO has sought to stock up hospitals and build reserves but has so far been unable to do so, Peeperkorn added. 

Peeperkorn also expressed concerns that WHO’s second main warehouse, in Gaza City, is only 500 meters from a new Israeli army evacuation zone, and could be at risk in fighting now, following the destruction of WHO’s warehouse in Deir al Balah in late July.  

Israel has denied hindering aid deliveries.

Flour spilled by trucks en route from the Kerem Shalom crossing to destinations in Gaza  visible in satellite images.

But on Thursday over 100 international NGOs issued a protest letter, saying that along with obstacles faced by the UN, Israeli authorities are obstructing deliveries by dozens of NGOs that previously provided aid to Gaza – denying over 60 such requests in July alone.

Israeli media, as well, has described in detail the gauntlet of barriers aid organizations face — from a new, and more complicated, NGO registration requirements to the army’s designation of very limited, unstable and unsafe delivery routes from Israel’s Zikim and Kerem Shalom crossing points into Gaza, which facilitates looting along the way.

Hostage mothers express fears of broader Israeli incursion into Gaza 

Meirav Gilboa Dallal, mother of Guy, speaking in Geneva after a meeting of hostage mothers and the ICRC President. (Left) Silvia Cuenio, mother of David and Ariel, also still held by Hamas.

At the Israeli press briefing, the hostage mothers said that they had a “frank” conversation with  ICRC President Mirjana Spoljaric, who listened to their concerns over their sons’ wellbeing, and their appeals to the ICRC to intensify its pressure on Hamas to allow access to the hostages. 

In a statement after the meeting to Health Policy Watch, an ICRC spokesman said: “The suffering of the families of hostages is intolerable. It cannot continue. All remaining hostages must be released immediately and unconditionally. A ceasefire agreement is needed now to save lives and bring an end to this nightmare.”

But the mothers also expressed disbelief over reports that Gazans were dying from malnutrition, following Israel’s two month aid blockade on the enclave from early March to mid-May –  -blaming Hamas for hoarding food from their own population, as well as depriving the hostages. 

That, despite the fact that reports by COGAT, the aid coordination arm of the military, shows that aid covering only about 30% of Gaza caloric needs finally entered the enclave in late May, followed by 60% in June and July each. 

The mothers also said maintained that they wanted Palestinians as well as Israelis to thrive, side by side – but that can’t happen if Hamas re-establishes its control over the 365 square meter enclave.   

“I’m not a politician. I want Gazans to live well, and for us to live well. I want peace and love, in this place, where I want my grandchildren to grow up,” said Meirav Gilboa Dallal, mother of Guy, who was kidnapped together with Evyatar David from the Nova Music festival on 7 October 2023. “But both Hamas and the Palestinian Authority are terrorist organizations, and we can’t let them run Gaza. We need something better – maybe something that other countries, perhaps, can bring to Gaza, to rehabilitate it.” 

No clear end game for Gaza in sight 

Gaza in ruins with a widening circle of displacement and malnutrition, and no end in sight.

Speaking at the briefing, Israel’s Ambassador in Geneva, Daniel Meron, denied that Israel wanted to expel Palestinians from Gaza or resettle the enclave with Israeli Jews once the war is over – despite repeated statements by hard right ministers in Israel’s government expressing exactly that ambition. 

But Meron struggled to offer a post-war vision of how Gaza could be rebuilt on terms acceptable to Palestinians and the international community – even if the hostages were released and Hamas was disarmed – ruling out a role for the internationally-recognized Palestinian Authority. 

“Gaza needs to be demilitarized,” said Meron, “Israel needs to continue to have an overriding security control and a non-Israeli peaceful civil administration should exist inside of Gaza. 

“There is no long term plan for Israel to stay a long time in Gaza,” he maintained. “If there was a magic solution, we would have had that a long time ago, but the situation is very complex. …We can think of different ideas of who’s going to govern Gaza…. There could be international forces with some Arab government countries and some others in Western countries getting together to see what could be the right civil administration. 

“But it’s not going to be Hamas. And he said it’s not going to be the Palestinian Authority.”

Updated Thursday 14.08.2025 with details of a protest letter on humanitarian aid barriers sent by over 100 NGOs to Israeli authorities.

Image Credits: UNRWA, COGAT , Ha'aretz/Planet Labs PBC, E. Fletcher/Health Policy Watch , OCHA.

Alzheimer's dementia tanzania
Hadija Kisanji, 78, who suffers from dementia sits with her daughter Mariam and grandchildren.

Africa’s population over the age of 60 will triple by 2050, bringing “a sharp rise in neurodegenerative diseases, including Alzheimer’s, with profound health and economic costs”, according to a paper published in Nature last week.

The paper highlights a five-year strategy, headed by a pan-African task force, to address this demographic shift on the continent, focusing on “early detection, timely care, data-driven systems, and equitable innovation”.

Some three-quarters of people living with Alzheimer’s globally are undiagnosed, denying them access to appropriate treatment and care. 

Given widespread systemic weaknesses in the health systems of several African countries, this may well be the fate of many of the estimated 226 million Africans over 60 projected to be living on the continent by 2050 (up from 69 million in 2017). 

Currently, only 12 African countries submit data to the Global Dementia Observatory.

Tunisia, Algeria and Egypt already have some of the highest dementia-related disease burdens in the world, and by 2050, 14 million Africans are expected to develop Alzheimer’s and related disorders. 

Health system transformation

The “6×5” plan developed by the Davos Alzheimer’s Collaborative (DAC) aims to assist African countries to address this growing problem using low-cost innovations.

It comprises six interventions over the next five years: strengthening advocacy and health literacy; positioning brain health as a socioeconomic driver; breaking down silos of people and data; repurposing local resources; investing in artificial intelligence and digital health, and boosting research funding. 

Advocacy and health literacy

“In many African cultural settings, dementia is often linked to madness, witchcraft and demonic possession, or it is dismissed as a natural part of ageing,” the report notes.

To address this stigmatising approach, it proposes health literacy campaigns aimed at establishing dementia as “a biological issue that requires immediate attention”. 

Brain health as a socio-economic driver

“Positioning brain health as a cornerstone of Africa’s societal well-being, economic growth and sustainable development is imperative,” according to the plan.

It calls for health policy makers to recognise brain health as a critical economic priority, and address individual and societal determinants of brain health across people’s entire lifespans.

This would start with the first 1,000 days of life, a critical phase for brain development, and include childhood education to build cognitive skills and lifelong learning opportunities.

It would also encompass women’s health initiatives to address gender disparities, initiatives to promote emotional resilience, and healthy ageing strategies that incorporate physical activity, nutrition and social engagement.

“The continent has a deeply rooted heritage of social connectedness, collective identity and intergenerational support – factors shown to promote cognitive well-being and mitigate cognitive decline,” the report notes.

Worldwide projections of Alzheimer's prevalence
Alzheimer’s disease is projected to affect over 106 million people by 2050

Repurposing local resources

“The continent needs a comprehensive Pan-African Resource Repurposing Strategy for Brain Health – one that identifies underutilised resources and fosters sustainable, affordable and locally driven solutions,” the report notes.

Expertise in managing infectious diseases such as HIV can be harnessed to help with the early detection of dementia, for example.

Community health workers can be trained to identify early signs of the disease, primary healthcare facilities can serve as hubs for cognitive screening, education and management, and dementia care can be included in non-communicable disease (NCD) services.

Breaking down silos

“A well-integrated research and data ecosystem is essential for identifying high-risk populations and implementing targeted dementia prevention and early intervention strategies,” the report notes.

However, Africa’s research and information systems are fragmented, with “weak data-sharing platforms, limited connectivity between research hubs, and a lack of standardised mechanisms for harmonisation and reporting”. 

It proposes establishing “a Pan-African network of research centres” to drive a harmonised, transdisciplinary approach to data generation and utilisation. 

It also advocates for “strengthening cross-sector collaboration through partnerships between health systems, governments, researchers and nongovernmental organisations” and global partnerships.

Tech-enabled systems

“Digital health solutions offer accessible, scalable and cost-effective alternatives to traditional healthcare approaches,” and Africa’s mobile technology “revolution” means it is well placed to adopt these, the report notes.

New digital biomarkers enable early and accurate detection, monitoring and treatment of brain disorders – including data from speech patterns and typing.

This “allows for passive and remote monitoring of cognitive changes”, which facilitates the use of AI.

Digital technologies can also play a critical role in “identifying and mitigating modifiable risk factors associated with cognitive decline”, including “sleep patterns, physical activity, social engagement and mental health indicators (such as depression)”.

But AI-driven solutions are often developed on and for high-income populations, which means Africa needs “a pan-African strategy for AI and machine learning solutions in brain health”.

Strengthening research funding

“To attract investment from both public and private sectors, brain health leaders must present a compelling economic and social case,” the report notes. 

It proposes that brain health is integrated into existing healthcare priorities such as maternal and child health, NCDs and social determinants of health. 

Way forward

As Africa transitions to a society with smaller families, there is the prospect of greater economic wealth as the working-age population becomes proportionally larger than the non-working-age population – and this offers a chance to implement measures to prepare for an older population, the paper argues.

To effectively implement the priority areas outlined in the 6 × 5 Plan, DAC launched a pan-African task force on brain health in March 2025. 

The task force’s organising committee, which provides strategic oversight, is composed of DAC, the World Health Organization (WHO), the World Economic Forum (WEF), the World Bank, Alzheimer’s Disease International (ADI) and the African Union. 

DAC leads the secretariat, which coordinates operational support and communication. Six thematic chairs – covering research, nonprofit, industry, policy, economics and systems thinking – shape strategy and liaise with working group leads. 

Six working groups, led by operational leads from the five geopolitical zones, focus on executing the priorities of the 6 × 5 plan, ensuring regionally relevant and inclusive solutions across Africa.

“Unlike research efforts that focus on therapeutic interventions, DAC’s model emphasises health system transformation, from earlier detection and evidence-based care pathways to strengthening workforce training and improving global data sharing,” according to a media release from the Geneva-based collaboration.

Image Credits: Kizito Makoye Shigela/HPW, UCLA .

European Union Environment Commissioner Jessika Roswall and Danish Environment Minister Magnus Heunicke address reporters at the United Nations in Geneva as time runs out to strike a global plastics treaty.

GENEVA – The European Union said Tuesday it is ready to make a deal on a global plastics treaty but will not accept an agreement “at any cost,” leaving the door open to rejecting a weak outcome as negotiators enter the final 72 hours of talks with core provisions still deadlocked.

“The EU is here to deal, but not at any cost,” Environment Commissioner Jessika Roswall told journalists when asked about reports the bloc was prepared to walk away if production limits were excluded from the final agreement. “If there is no agreement that is good enough, these are negotiations. That’s always an opportunity for everyone in negotiations.”

The commissioner’s carefully worded intervention came as high-level delegations arrived at the United Nations hoping to break a week-long impasse over production caps, health provisions, toxic chemical restrictions, financing, and definitions of key terms, including “plastic pollution” itself.

Countries also remain divided on the treaty’s fundamental scope: whether the agreement should address the full lifecycle of plastics — from feedstock extraction to disposal — or focus only on waste management and recycling.

The EU and an alliance of over 100 states are pushing for hard caps on plastic production, but face stiff opposition from plastic-producing nations. The “like-minded nations” group led by Saudi Arabia, Russia, Iran and their allies—flanked by the United States and India—have shown no signs of softening their total opposition to production limits in the treaty.

“Everyone will need to compromise,” Roswall said, calling on all 184 nations present to speed up progress towards a deal. “We have a global responsibility to fix this. No country can do this on its own.”

Danish Environment Minister Magnus Heunicke, speaking alongside Roswall, characterised the negotiations as “very difficult,” warning that tensions and “drama” would escalate in the coming days as Thursday’s deadline looms over the talks.

“There’s going to be a whole lot more drama in the days to come,” Heunicke said. “If you are looking for drama, I’d say stay here, because more drama is going to happen. But our goal is that this drama should end up in a deal.”

Both officials declined to specify the EU’s red lines, citing the sensitivity of ongoing negotiations. However, Heunicke emphasised production as a key concern, calling plastic pollution “one of the greatest environmental challenges” globally.

“We know it harms our health, it harms our oceans, it harms our future,” Heunicke said. “At the same time, we also know that plastic production is increasing at an exponential rate. That’s why the EU is here … to secure a legally binding international agreement on how plastic is produced, consumed and disposed of.”

The consensus-based format of the negotiations, which requires unanimous agreement for the treaty to be accepted, has been roundly criticised by nations and observer delegations for allowing nations seeking to weaken or remove articles on health, toxic chemicals and production limits to maintain their positions with little incentive to compromise.

Juan Carlos Monterrey, Panama’s negotiator, told a panel on Monday that the like-minded nations had “not moved an inch” since talks began last week.

Ninety-nine per cent of plastics are made from oil, gas and coal, generating a market projected to reach $1 trillion annually in the next decade. Major petrochemical states see booming plastic production as a hedge against declining demand for fossil fuels in traditional energy markets.

Behind closed doors

Press conference held on Tuesday by the Scientists’ Coalition for an Effective Plastics Treaty.

Progress in the negotiations has been difficult to gauge for civil society observers and media alike. Crucial debates over the treaty’s scope, definitions of key terms like “plastics” and “plastic pollution,” limits on toxic chemicals used in plastics and production caps have all occurred behind closed doors.

Neither INC representatives nor the UN Environment Programme, which oversees the negotiations, have held a press conference since Saturday. That briefing offered few details, with INC chair Luis Vayas Valdivieso deflecting questions about specific treaty articles and which issues were proving the most difficult to bridge between nations.

Negotiators are working from a text with nearly 1,500 items of disagreement on which no progress has been made since Saturday, leaving nations 13 pages further from agreement than after the last round of talks in Busan, South Korea, in December.

Melissa Blue Sky, a senior attorney at the Centre for International Environmental Law, noted that the brackets don’t indicate the weight of support: while some clauses have backing from 100 countries, others may have only one supporter, yet all appear equal.

“The draft text is misleading because it presents all options as having the same weight, when in fact, some text additions have the support of over a hundred countries and some with only one,” Blue Sky said. “The INC cannot continue with the status quo and expect the negotiations to result in a final treaty.”

As nations race to find a compromise, experts from the Scientists’ Coalition for an Effective Plastics Treaty — after a brief venue shuffle due to meeting room overbooking — held a press conference stressing the health and environmental consequences if negotiations fall short.

“The science is really undeniable that we need plastic production reduction and we need [it] on global levels and at national levels to be really, really ambitious if we’re going to see any benefits,” said Natalia Grilli, an environmental scientist from the University of Tasmania. “For us, the science is clear. We’re not negotiators … so it’s not that we have red lines. We’re responding to the science.”

It remains unclear when the next treaty text will be released. The clearest picture of progress from recent negotiating flurries will likely emerge at Wednesday’s expected plenary session, though none has been formally scheduled.

Sources close to national delegations told Health Policy Watch they expect negotiations to extend deep into Thursday night and likely into Friday morning, an all-too-typical endgame for UN environmental negotiations.

“If it was only up to the EU, then we all know how high ambitions would be,” Heunicke said. “It is not, however, up to the EU.”

“If we all stick to our red lines, that deal is impossible,” the Danish environment chief added. “We will be worse off if we don’t succeed in making a deal. That’s not me saying a deal at any price, but a deal that is legally binding and has strong text and lays the ground for our work in the years ahead.”

GENEVA Fossil fuel and petrochemical lobbyists have descended on UN plastics treaty negotiations in record numbers, as delegates from over 180 countries attempt to forge a global agreement to stem the tsunami of plastic pollution drowning the planet.

According to a new analysis by the Centre for International Environmental Law (CIEL), at least 234 lobbyists representing fossil fuel and chemical interests are attending the talks in Geneva, exceeding the combined delegations of the European Union and its 27 member states. 

Industry representation, which has steadily increased since talks began in 2022, now outnumbers expert scientists by three to one and Indigenous representatives by four to one. Nineteen of the lobbyists are registered as members of national delegations, including those of Egypt, Kazakhstan, China, Iran, Chile and the Dominican Republic.

“We have decades of evidence showing the fossil fuel and chemical industries’ playbook: deny, distract, derail,” said Ximena Banegas, CIEL’s lead campaigner on plastics and petrochemicals. “After obstructing climate negotiations for years, why would anyone expect them to act in good faith at the plastics treaty talks?”

CIEL cautioned that its estimate likely underrepresents the scale of lobbying, as some participants may not openly declare industry affiliations. The figure also omits representatives from adjacent sectors such as consumer goods and waste management, as well as informal advisers and lobbyists active in the inter-sessional rounds held since the collapse of talks in Busan, South Korea, last December.

“Involving the very corporations that profit from harm in shaping the path forward guarantees one thing: a treaty that protects their bottom line—not the public or the planet,” Bengas added.

UN Environment Programme Executive Director Inger Andersen addresses the opening plenary of negotiations in Geneva, Switzerland.

Over 99 per cent of plastics are derived from oil, gas or coal, creating a near-total overlap between fossil fuel and petrochemical interests. Many of the same companies have also sought to influence international climate negotiations, with fossil fuel lobbyists numbering 1,773 at COP29 in Dubai. 

“The treaty meant to stop plastic pollution is being shaped by those who profit from it,” said Dylan Kava, communications lead for the Pacific Islands Climate Action Network. “You cannot solve a crisis by putting its primary cause at the decision-making table. And you cannot speak of justice while sidelining the very communities fighting for survival.”

Industry-aligned countries, including China, Russia, Iran and the US are pushing for a treaty centred on downstream measures such as recycling, circular economy principles and waste management. Yet less than 10 per cent of plastic waste is recycled globally, despite decades of investment and research.

“It is now clear that the world cannot recycle its way out of the plastic pollution crisis,” a landmark study in The Lancet, published on the opening day of talks, concluded.

More than 100 countries, including EU member states and the Alliance of Small Island States, support a legally binding cap on plastic production, reiterated at the UN Oceans Conference in Nice, France, in June. Many others have backed proposals to phase out harmful polymers and chemicals of concern.

“We need to get a solution to this problem. Everybody wants it. I’ve yet to meet somebody who is in favour of plastic pollution,” Inger Andersen, executive director of the UN Environment Programme, told delegates. “Plastic pollution is already in nature, in our oceans and even in our bodies. If we continue on this trajectory, the world will drown in plastic, with grave consequences for planetary, economic and human health.”

“But this does not have to be our future,” Andersen said. “It is in your hands to ensure it does not happen. It is in your hands to protect us all, the environment and future generations.”

Intimidation by design

Talks continue at the Palais des Nations in Geneva as delegates from over 180 countries attempt to finalise a binding global agreement to curb plastic pollution.

The petrochemical industry’s tactics extend beyond influencing treaty language or embedding lobbyists within national delegations.

Ahead of the Geneva talks, The Guardian reported on a coordinated campaign of intimidation, surveillance and obstruction by fossil fuel and petrochemical representatives targeting scientists and negotiators.

Bethanie Carney Almroth, a professor of ecotoxicology at the University of Gothenburg and member of the Scientists’ Coalition, described repeated instances of harassment, verbal abuse and invasive monitoring by industry figures at negotiations, unofficial side events, academic conferences and emails.

“I have a privacy screen protector on my phone because they walk behind us and try to film what’s on our screens—what notes we’re taking or who we’re messaging,” Almroth told The Guardian. “I would never open my laptop in a public space without knowing who is behind me. It’s a high-vigilance, high-stress environment.”

The UN Environment Programme, which oversees the treaty process, has faced repeated criticism since negotiations began in 2022 over a perceived lack of safeguards against conflicts of interest. Similar allegations have dogged the United Nations Framework Convention on Climate Change (UNFCCC) in its handling of industry access to climate COPs, including last year’s COP30 in Baku. 

Support for strengthening the plastics treaty has grown steadily. Chart showsthe  number of nations backing WWF “must-haves,” which include global chemical bans, circular economy design requirements, financing, and guarantees to strengthen the treaty over time.

Greenpeace wrote to UNEP Executive Director Inger Andersen on Tuesday, warning that the “once in a lifetime” opportunity to address the plastics crisis risks being “fatally undermined” by unchecked industry interference.

“There is clear precedent for action to prevent conflict of interest,” the letter stated, citing the World Health Organization’s Framework Convention on Tobacco Control, which explicitly excludes tobacco industry representatives. “The companies profiting from plastic pollution must not be allowed to shape the treaty meant to stop it.”

Ahead of the talks, a University of Cambridge study coined the opposition to the treaty the “petrochemical historical bloc,” finding the bloc is “driving up plastics production, externalizing the costs of pollution, distorting scientific knowledge and lobbying to derail negotiations.”

“There’s a fundamental, irreconcilable conflict of interest between the companies producing plastics and all of us who want to end plastic pollution,” said Rachel Radvany, head environmental health campaigner for CIEL.

“We have been calling on Member States since the beginning, and even more as we’ve seen the negotiations progress, to put strong conflict of interest policies in the treaty text and in the future COPs,” Radvany added. “This is not normal, and this should not be the way it works.” 

Organised resistance

President Donald Trump’s return to office has been hailed as “an answered prayer” by the US plastics industry.

Organised resistance to a global plastics treaty centred on production caps has been led by Saudi Arabia, supported by Russia, Iran and China since talks began in 2022. Under President Donald Trump, the United States has now joined their ranks.

This week, Reuters reported that the US delegation circulated letters urging countries to oppose treaty provisions targeting plastic production limits and chemical restrictions. These were described as “red lines” for the administration.

“We will not support impractical global approaches such as plastic production targets or bans and restrictions on plastic additives or plastic products – that will increase the costs of all plastic products that are used throughout our daily lives,” the memo, seen by Reuters, reads.

Limiting hazardous chemicals is a core demand from public health advocates. More than 16,000 chemicals are used in plastics, over 4,200 of which are considered “highly hazardous” to human health. An additional 5,000 compounds are classified as “unknowns,” with no public data on their safety or long-term impacts.

The Health Crisis That Could Make or Break the UN Plastics Treaty

While the previous US administration opposed production limits throughout much of the negotiation process, President Joe Biden made a notable policy reversal ahead of the last round of talks, dropping objections to caps on plastic production. 

However, following Trump’s victory ahead of the December negotiations in South Korea, the Biden administration largely abstained from participation in that final round in Busan. Industry representatives hailed Trump’s return to office as “an answered prayer” for US plastic producers.

The new administration first signalled its opposition at an informal meeting in Nairobi, where it stated: “We support an agreement that focuses on efforts that will lead to reducing plastic pollution, not on stopping the use of plastics.”

Speaking to E&E News as talks resumed in Geneva, a spokesperson said the US approach would reflect “the Trump administration’s America First foreign policy,” adding: “The United States supports an agreement that respects national sovereignty and focuses on reducing plastic pollution without imposing onerous restrictions on producers that would hinder US companies.”

With consensus required for the treaty to advance, the firm alignment of the US with the petrochemical bloc has dealt a heavy blow to hopes of a strong agreement.

“They’re basically going full MAGA,” a source close to the talks told The Guardian. “They’re clearly coordinating with Saudi Arabia, Russia and others, because they’re using the same language.”

Production surge as industry seeks a lifeline

Expanded government investment in petrochemical sector production capacity, particularly in the Middle East, China and the United States, has “flown under the radar of the public,” a 2023 study by the University of Lund concluded.

The diplomatic resistance of petrostates to a strong treaty has unfolded in parallel with a rapid expansion of their global petrochemical infrastructure.

The global petrochemical industry was valued at $638 billion in 2023 and is expected to reach $838bn by 2030. The broader oil and gas sector, responsible for supplying the fossil fuel feedstocks for plastic production, is valued at $6.9 trillion, making it one of the largest industries in the world.

Global plastic output has grown more than 250-fold since 1950, from less than two million tonnes to 475 million tonnes in 2022. At current rates, plastic production is projected to triple by 2060, according to the OECD. 

Today, plastics production already releases more than 2 gigatons of CO and other greenhouse gases annually. If the plastics industry were a country, it would be the world’s fifth-largest greenhouse gas emitter, behind only China, the US, India and Russia.

If plastics production triples as expected, it would account for roughly a quarter of the remaining carbon budget that scientists say must not be exceeded to avoid breaking the Paris Agreement target of 1.5C. 

Despite engaging with the UN Plastics treaty process, major producers plan continued expansion of petrochemical and plastics production, according to University of Lund Research.

“We know for sure that all main producers are increasing capacity: US, China, South Africa, Brazil, Iran, Saudi Arabia,” Joan Marc Simon said, founder of Zero Waste Europe, told DW. “The only place where capacity is going down slightly is in the European Union. The rest of the world is increasing.”

This shift is not incidental, but central to the industry’s long-term survival. As demand for fossil fuels in the energy sector declines amid a shift to renewables, oil and gas companies have increasingly turned to plastics as a lifeline. Industry projections suggest that plastic production could double in the next 10 to 15 years, and triple by mid-century. 

Since the treaty process began in 2022, major producers—including Dow, ExxonMobil, BASF, Chevron Phillips, Shell, SABIC and Ineos—have added 1.4 million tonnes of new plastic production capacity. Saudi Aramco, the state-owned oil company, plans to channel about one-third of its oil production to plastics and petrochemicals by 2030. 

“The petrochemical industry needs plastic as a safe haven from carbon liabilities,” a 2021 report from the International Pollutants Elimination Network (IPEN) found. “Increasing plastic production offsets falling demand for its fossil fuels. Plastic waste generation is expected to rise sharply as a result.”

Follow our UN Plastics Treaty coverage: 

https://healthpolicy-watch.news/plastics-crisis-costs-trillions-kills-hundreds-of-thousands-each-year-lancet-finds/

Image Credits: UNEP, UNEP, White House , UNEP.

A trial participant is prepared for a blood test during a trial of new medicines for drug-resistant TB.

Close collaboration between researchers and community groups has been key to South Africa more than halving the incidence of tuberculosis (TB) in the past decade, according to researchers and community activists.

Women researchers and advocates have been at the heart of the country’s fight against TB, and several South African scientists have also led global TB research breakthroughs, according to presenters at a webinar on Thursday, co-hosted by Global Health Strategies, Bhekisisa and Health Policy Watch.

But the sudden and substantial loss of donor funding this year may translate into 580,000 fewer people being tested for TB and 35,000 fewer getting TB treatment this year, according to researchers writing in the International Journal of TB and Lung Disease (ITLD).

The country lost $34 million overnight from the US Agency for International Development (USAID) and US President’s Emergency Plan for AIDS Relief (PEPFAR) – $12 million for TB prevention, $5 million for screening, $10 for testing and $7 million for treatment.

This cut could have a dire impact on the figt against tuberculosis, which kills over 56,000 South Africans daily.

Interdisciplinary collaboration

 

 

Top: (L-R) Valeria Mizrahi, Thuli Khanyile (moderator), Anura David. (2nd row) Monica Longwe, Sibongile Tshabalala, Mia Malan (moderator), Lee Fairlie and Nandipha Titana.

Watch the full webinar >>

Professor Valerie Mizrahi, a leading TB researcher for over three decades, says that South Africans have made “massive contributions” to the global TB fight because of “a high degree of integration, collaboration and coordination”.

“We are a community of people who work together to tackle the disease in an interdisciplinary way,” Mizrahi told the webinar.

Basic scientists, clinical researchers and public health specialists collaborate with civil society advocates, community engagement experts, and government “with a unified vision of what we’re trying to achieve,” said Mizhari, who recently retired as director of the Institute of Infectious Disease and Molecular Medicine at the University of Cape Town. 

“At the core of this integrated enterprise are women.”

“South Africa has a fantastic TB programme,”  Prof Lee Fairlie told the webinar, detailing how advances in TB diagnosis and treatment, including new and shorter regimens for multi-drug resistant TB, had been pioneered in the country.

New TB vaccines are in late-phase trials, while researcher Anura David, from Wits University’s Diagnostic Innovation Hub, is currently working on a TB self-test based on an oral swab to deliver faster, easier results.

But the funding cuts have “severely affected” TB research, said Fairlie, who needs to “work hand-in-glove with communities” when recruiting people for these TB studies.

Resources for data collection and monitoring and evaluation have been hard hit.

A pharmacist holds two sets of pills in her hand, showing the difference between those taken under the newer regiment for drug-resistant TB versus the old treatment at the Sizwe Tropical Diseases Hospital in Johannesburg, South Africa.

Certain programmes – such as those aimed at men who have sex with men and transgender people – have disappeared completely, said Fairlie, director at maternal and child health at the Reproductive Health Institute (RHI) at Wits University in Johannesburg.

Some 15,000 frontline staff and 9,000 technical staff have lost their jobs, according to the TB Accountability Consortium in a recent presentation to the South African Parliament.

“Many people have lost funding. Many people have had to be retrenched. And of course, this takes us a steps back from potential breakthroughs around optimal treatment for both HIV and TB,” said Fairlie.

She added that there is a real risk that “people are falling out of care, not having access to treatment, which if you’re living with HIV, obviously increases your risks of becoming diseased with TB”. 

Sibongile Tshabalala, chairperson of the Treatment Action Campaign (TAC), said a recent survey of around 8,000 patients at 300 clinics found TB testing has dropped and that waiting times have increased since posts for health workers and testing facilities have been eliminated. Only half of those surveyed 

The TAC’s education campaigns on TB and HIV have also been affected.

Appeal to the government

A little TB patient at Brooklyn Chest Hospital in Cape Town, South Africa.

Before the funding cuts, the South African government launched its “End TB” campaign, which aims to test five million people for the bacteria by the end of next year. 

But the TB Accountability Consortium points out that there is only funding for three million TB tests, and describes the health budget as “chronically underfunded”.

Half the world’s funding for TB research and development comes from only two sources: the Gates Foundation and the US National Institutes for Health (NIH), which has changed its funding priorities since the Trump administration assumed power, said Mizhari.

“This is forcing us to look inward as African countries and to actually take our seat at the table of responsibility for looking after this field,” said Mizhari.

She warned that the South African TB sector is going to be “severely tested in the near term”, and the only way in it can unlock the necessary funds from donors and funders is to “make a very, very powerful case for the value proposition for tuberculosis, and I think that we’ve all got to think very deeply about what that is going to entail in a resource limited setting where there are so many other competing priorities.”

Time to prioritise

“We cannot sit back and just accept that this is the way things are going to be,” Mizhari urged. “We need to look at what our priorities are. We need to find much better ways to share information, to avoid duplication, and to double down on what it is that we need to do. There is no public health problem that is more severe and serious than TB.”

Tshabalala urged the private sector to invest in TB, particularly urging large employers to step in.

Meanwhile, Fairlie pointed out that researchers are “entirely dependent on donor funding”, and called for “increased collaboration across the spectrum” to ensure that “important work remains funded”.

This article is based on a webinar co-sponsored by Health Policy Watch, Global Health Strategies and Bhekisisa. Watch the full webinar.

Image Credits: TB Alliance, USAID, Southern Africa/Flickr.

WHO Director General Dr Tedros Adhanom Ghebreyesus at Thursday’s press briefing in Geneva.

WHO has confirmed reports of 99 people who died of malnutrition-related deaths in 2025, up until the end of July, including 64 adults and 35 children, most of the latter  under the age of five, said WHO Director General Dr Tedros Adhanom Ghebreyesus on Thursday. 

According to the Hamas-controlled Gaza Health Ministry, the number of malnutrition deaths this year has twice as high, exceeding 200 deaths as of the first week of August.  

Speaking at a press briefing for the Geneva UN Press Corps, Tedros added that while more supplies are now flowing into Gaza, the food as well as medical aid now entering, “is only a fraction of what is needed.”

Tedros also called for the release of the 50 Israeli hostages held by Hamas in Gaza, 22 of which are believed to be alive – “and for their humane treatment and access to medical care and food.”

In a special UN Security Council session on Wednesday, Israel, the United States and hostage family members denounced the Hamas starvation of their loved ones. The session followed last week’s release by Hamas of video footage of two gaunt hostages, Rom Braslavsky and Evyatar David – with David tallying the meager rations he had eaten over the past week.

Hamas released a video Aug. 1 showing 24-year-old Israeli hostage Evyatar David, visibly emaciated, tallying his food rations, and digging what he called his own grave inside a tunnel in Gaza.

“In July, nearly 12 000 children under five years were identified as suffering from acute malnutrition, the highest monthly figure ever recorded,” Tedros said at the briefing.

“Diseases continue to spread, fuelled by overcrowding and deteriorating water, sanitation and hygiene conditions, severely affecting the youngest,” he added, noting the growing concerns with two outbreaks in particular, of meningitis and Guillain-Barré syndrome, the latter a condition in which the immune system attacks the nerves, and which may be triggered by an acute bacterial or viral infection.

“As of the 31st of July, a total of 418 suspected cases of meningitis and 64 cases of Guillain-Barré syndrome have been reported, with a noticeable increase in July,” he noted.

Iman, six months old, is screened for malnutrition at an UNRWA medical point in Gaza city in July 2025.

Dying of hunger and in the search for food

WHO officials said that the data on malnutrition deaths, last updated on 29 July, was compiled from direct reports by Gaza hospitals, and then evaluated by WHO on the basis of factors such as body mass index, before being added to the count.  

“Meanwhile, people are dying not only from hunger and disease, but also in the desperate search for food,” Tedros said. Since 27 May, more than 1600 people have been killed and nearly 12,000 injured while trying to collect food from distribution sites, he said. 

The large number of deaths have been blamed not only on Israeli army open-fire orders, but also on the paucity of food distribution points – including four points controlled by the controversial Humanitarian Foundation – following a prolonged food blockade in March and April.  

Gaza Palestinians tote away food from a UN distribution site in late June – desperate crowds have had to run a gauntlet of Israeli army fire in their quests to reach only a few food distribution points.

The flow of supplies began to increase in May-July, and even more over the past week, with more UN as well as commercial trucks permitted to enter, along with airdrops of food packages into Gaza by Jordan, the United Arab Emirates and others. But as of July, the total volume of supplies entering the enclave only amounted to about  60% of the caloric needs of Gaza’s population of two million, according to data compiled by The Guardian from Israeli military reports of food truck deliveries

Meanwhile, more and more supplies are being looted en route to distribution points by desperate mobs of hungry people. Social media footage has also shown both armed gangs and Hamas gunmen, riding atop convoys of the flatbed trucks laden with sacks of flour and other essentials.

With increased desperation, has come  “a breakdown of law and order, creating dangerous conditions under which humanitarian operations are forced to be conducted,” said Tedros.

“The overall volume of nutrition supplies entering Gaza remains completely insufficient to prevent a further deterioration in the nutritional situation,” said Rick Peeperkorn, head of WHO’s office in the Occupied Palestinian Territories, speaking by video relay from Jerusalem. “The market needs to be flooded. There should also be a little to the diet, dietary diversity,” he added, noting a “complete breakdown in access to any diverse, nutritious foods.”

WHO is also supporting Gaza’s sole malnutrition treatment center in Gaza, and there too, “supplies are very low.”

Fears of repeat attack by Israeli military on WHO warehouse 

Despite the Israeli military attack on WHO’s main medical supply warehouse and staff residence in late July, WHO has als0 continued shipments and deliveries of medical supplies to Gaza’s hospitals, Tedros said.  The WHO warehouse and nearby staff residence were attacked by Israeli military drones and artillery shells on 21 July. Four male staff members were also detained in the incident, with one still in Israeli custody. See related story. 

WHO Denounces Israeli Attacks on its Gaza Warehouse and Staff Residence in Latest Military Offensive

Despite the damage, WHO has delivered a total of 68 trucks of essential medicines, blood, trauma and surgery supplies since late June, Tedros said.

But the WHO Director General expressed concerns about the risks posed by ongoing Israeli military operations in the vicinity of the warehouse, located in the coastal area of Deir Al Balah, which has only recently begun to see widespread military operations.

“Our premises need ongoing protection,” Tedros said. “Displacement orders issued….yesterday are risking the safety of our warehouse, which is 500 metres from the evacuation zone,” he noted. 

Medical evacuations – more host countries needed 

Sick and injured Palestinians leave Gaza for an airlift to the UAE via Israel’s Ramon airfield in July 2024 – so far 7,522 patients have been moved, but twice that number remain trapped in Gaza in urgent need of specialized medical care abroad.

More than 14,800 patients in Gaza are also in urgent need of medical evacuation for specialised medical care,  Tedros stressed, appealing to host countries to accept more evacuees. 

Since the conflict began in October 2023, WHO has helped to evacuate 7522 patients from Gaza, Tedros added, including 15 critically ill children moved to Jordan on Wednesday. 

“We urge more countries to step forward to accept patients and for medical evacuations to be expedited through all possible routes,” Tedros said.

“The ongoing blockages must be stopped and greater volumes of aid need to come in to rebuild critical reserves,” he added, calling for a “scaled-up, sustained and unimpeded flow of humanitarian aid, including food and health aid, in line with international humanitarian law, via all possible routes.

“We also call for humanitarian corridors to evacuate those in need of urgent medical care outside Gaza.  We call for the protection of health workers, patients and all civilians. 

“We call for the release of all remaining hostages, and for their humane treatment and access to medical care and food.

“We call for the immediate and unconditional release of our [WHO] colleague who has been detained since the 21st of July. And most of all, we call for a ceasefire, and a lasting peace.”

Correction – A statement that data on Hamas reported malnutrition deaths in Gaza was more than five times higher than WHO figures was based on incorrect interpretation of the data.  Hamas reported an excess of 200 deaths by the first week of August, roughly twice that of WHO figures. 

Image Credits: UNRWA, E. Fletcher/Health Policy Watch, Hostages and Missing Families Forum , X/Channel 4 News , WHO.