October 9, 2026

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Better health begins with ideas

 

Editors’ Note

According to Uppsala University, humanity experienced a record-breaking number of conflicts in 2025, documenting the highest number researchers have seen—sixty-five—since they began tracking 80 years ago. 

 

This week’s stories examine war’s insidious health-related consequences, including the destruction of clean water supplies, interruption of vaccination, and exodus of physicians. First, Saheer Gharbia, director at the National Institute of Agricultural Botany in the United Kingdom; Wilmot James, senior advisor at Brown University’s Pandemic Center; and colleagues argue that disease detection should be built into recovery efforts in conflict zones, such as Gaza and Sudan.  

 

Moving to Myanmar, where the Trump administration recently began direct talks, Council on Foreign Relations Senior Fellow Joshua Kurlantzick describes how the health system’s collapse—amid civil war and aid cuts—has contributed to drug-resistant malaria spreading to nearby countries.

 

Next, Judy Twigg, a professor of political science at Virginia Commonwealth University specializing in Ukraine, recounts how health officials in the country have persisted in fighting HIV/AIDS despite Russian attacks.

 

In a piece focused on identifying infectious diseases before they cross borders, Robert Agyarko, senior advisor for health at the African Union Commission, and coauthors propose creating an international fund that rewards countries financially for reporting outbreaks as soon as they detect them. 

 

Think Global Health is tracking the evolving situation in Russia, where a 28-year-old employee of an anti-plague laboratory died. The cause of death had yet to be identified at the time this newsletter was written, and the World Health Organization is working to learn more.  

 

Until next week!—Allison Krugman, Interim Managing Editor, Katherine Leach-Kemon, Senior Contributing Editor, and Alejandra Martinez, Research Associate

 

This Week’s Highlights

GOVERNANCE

A patient rests in her bedroom in National League for Democracy's AIDS center, in Yangon, Myanmar, on November 27, 2019.

Myanmar’s Health System Is Under Siege, Endangering the Region

by Joshua Kurlantzick

Myanmar’s war has displaced health-care workers and destroyed its infrastructure, enabling disease spread to nearby Bangladesh, India, and Thailand
  

Read this story

POVERTY

A displaced Palestinian mother, Wafaa Abdelhadi, walks past the rubble of a house destroyed in an Israeli strike as she returns to her shelter with her daughters Lynn and Roueida, after they got vaccinated against polio, in Deir Al-Balah, in the Gaza Strip, on September 1, 2024.

Gaza, Sudan, Ukraine: Tracking Outbreaks Amid Conflict

by Saheer Gharbia, Wilmot James, Lalitha S. Sundaram, Workaebeba Abebe, Hanene Boussi, Evan Davison Kotler, Oleksandr Neduzhko, Shufang Sun, David Saah

War recovery plans should include detailed monitoring to prevent diseases such as polio and cholera from spreading

 

Read this story

GOVERNANCE

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Could Economic Incentives Encourage Faster Outbreak Reporting?

by Robert Agyarko, Montserrat Arroyo Kuribreña, David Blazes, Mukesh Chawla, Roojin Habibi, Katharina Hauck, Tom V. Inglesby, Christopher Murray, Andrea Stürmer, David Bowen

A new funding mechanism could speed up early disease reporting, which could prevent outbreaks like Ebola from outpacing the response

      

Read this story

 

Stat of the Week

1,078

Pennsylvania has recorded 1,078 measles cases as of October 7, making it the largest U.S. state outbreak in more than 3 decades.

 

Read this story

 

Recommended Features

 

GOVERNANCE

A view shows a torn flag of Ukraine hung on a wire in front an apartment building destroyed during Ukraine-Russia conflict, in Mariupol, Ukraine, on April 14, 2022.

Ukraine Keeps HIV Response Steady Under Fire

by Judy Twigg

War has strained Ukraine’s HIV programs, but capacity built years earlier has kept most prevention and treatment in place

 

Read this story

 

What We’re Reading

Ten People Linked to Kenya’s First-Ever Ebola Case Quarantined as Screening Concerns Grow (BBC)  
 

Trump Is Conditioning Foreign Aid on Deals (Politico) 

 

Ethiopia and Eritrea Are on the Brink of Another Conflict (The Economist)


What Life in Gaza Is Like Now (New York Times)

 

The Siberian Plague Scare Reveals That America Is Unprepared (New York Times)

 

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