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Critical health crisis: Zadran admitted to ICU for rare HLHFormer Afghanistan left‑arm fast bowler Shapoor Zadran was readmitted to a New Delhi hospital in January 2026 after his condition deteriorated. Doctors diagnosed an advanced form of hemophagocytic lymphohistiocytosis (HLH), a life‑threatening immune disorder that forced him onto intensive‑care support.Key statistics that illustrate the severityAge: 38 yearsInternational career: 43 ODIs and 37 T20Is (2009‑2020)World Cup 2015 performance: 10 wickets in six matchesHLH mortality: high, especially when diagnosis is delayedWhy Zadran's case matters for Afghan cricketThe former spearhead of Afghanistan’s rise from associate status to Test nation is a beloved figure. His illness has prompted an outpouring of support from teammates like Rashid Khan and former rivals such as Shahid Afridi, underscoring the tight‑knit community that has grown around the sport in a war‑torn nation.Potential ripple effects: health awareness and player welfareHLH is typically associated with infants, yet Zadran’s case highlights that adults—especially athletes under intense physical stress—are also vulnerable. Increased media attention could spur better screening protocols for cricketers traveling abroad for treatment and raise funding for rare‑disease research in South Asia.Looking ahead: prognosis and broader implicationsWhile doctors report a brief period of improvement, Zadran was readmitted after symptoms resurfaced, leaving his long‑term outlook uncertain. Continued international support may accelerate access to experimental therapies, and his battle could become a catalyst for broader medical collaboration between Afghanistan, India, and global health institutions.

The Guardian’s latest science podcast examines the worldwide campaign to wipe out Guinea worm disease, a parasitic infection that could become the second human disease ever eradicated after smallpox. Hosted in 2026, the episode highlights why the disease remains a focal point for public‑health leaders and what its elimination would mean for global health security.Guinea worm, transmitted through contaminated water, has been the target of an intensive eradication effort led by the World Health Organization and partners in endemic regions. The podcast underscores the progress made: cases have plummeted from millions in the 1980s to just a handful today, illustrating the power of coordinated surveillance, safe‑water interventions, and community education.Despite the gains, experts caution that complete eradication is not guaranteed. Residual hotspots in remote villages, logistical challenges in delivering clean water, and the need for sustained funding pose ongoing risks. The discussion stresses that a lapse in commitment could allow the parasite to rebound, undoing decades of progress.Historically, smallpox remains the only disease humanity has fully eradicated, a milestone achieved in 1980 after a global vaccination campaign. The potential success of the Guinea worm program would mark a watershed moment, demonstrating that eradication is feasible beyond vaccine‑preventable illnesses and could inspire similar initiatives for other neglected tropical diseases.Listeners are encouraged to support the effort through the Guardian’s science podcast platform, where additional resources and ways to contribute are provided. As the episode concludes, the hosts reiterate that the fight against Guinea worm is both a test of global solidarity and a template for future disease‑elimination campaigns.

The United States has been proposing unusual bilateral health agreements to developing countries, mostly in Africa, in exchange for access to sensitive health data and critical minerals. These deals have sparked concerns of exploitation and have been met with resistance from several countries.In November, the US approached Zimbabwean authorities with a proposal that would have provided over $300m in funding in return for sensitive health data. However, Harare felt that the negotiations were 'lopsided' and promptly pulled out.Zambia also pushed back against a similar proposal, citing 'problematic' clauses that sought access to the country's minerals, including copper, cobalt, and lithium. The US had offered $1bn in funding over five years, but Lusaka requested a review of the proposal.Several African countries, including Nigeria and Kenya, have signed the health pacts, but the terms agreed remain unclear.Data or mineral demands in return for health aid are unprecedented in the history of US-Africa relations. Policy experts argue that tying crucial funding to sensitive national assets could have negative consequences for African nations and the US itself.'Supporting global health has clear benefits to the United States in terms of prevention of pandemics that can affect Americans too,' said Sarang Shidore, Africa director at the Quincy Institute for Responsible Statecraft. 'Linking such aid to payoffs in the extraction of critical minerals smacks of exploitative practices.'African nations have long relied on US funding to foot many of their health bills. In 2024, African countries received $5.4bn in US assistance, largely spent on humanitarian, health, and disaster needs.However, the US has argued that aid cuts suit its America First agenda, which prioritizes national interests. The stance has been met with criticism, with some economists arguing that aid is often ineffective and causes overreliance.Washington is now focused on government-to-government deals, which have typically required governments to take on an increasing share of their own health budgets in the next four to five years.Some analysts see this as a positive move to reduce overdependence on foreign funding and force governments to prioritize health spending in their budgets. However, the clauses that Washington is demanding to leverage its aid for data, rare earth elements, and other minerals have caused widespread outrage in some countries.In the case of Zambia, the US reportedly asked for access to the country's critical minerals in return for $1bn over five years. The US also asked for a one-way data-sharing agreement for 10 years.If Lusaka fails to ink a deal, US aid funding to the country will be discontinued, which could mean losing the remnants of funding Zambia still receives from the PEPFAR programme.

When Hurricane Beryl devastated Union Island in St Vincent and the Grenadines in July 2024, 61-year-old Tedica Alexander found refuge at the Ashton community center, which her grandchildren called 'Final Destination.' As the storm intensified, the shelter quickly filled to capacity with 47 children and 147 adults, including three people using wheelchairs, while windows shattered and floodwaters rose above ankle height. Alexander's experience mirrors a broader pattern revealed across the Caribbean: women often take on caretaker roles during natural disasters, yet studies show this responsibility can make their experiences more difficult. UN Women reported in 2022 that pre-existing social and cultural demands on women as primary caregivers increase their vulnerability during disasters, with gendered roles making women and girls more likely to be killed in such events. While emergency shelters provide critical protection from storms, they often fail to address gender-based violence risks. A 2021 systematic review published in BMJ Global Health found that post-disaster environments frequently heighten risks for women and girls, with inadequate shelter infrastructure—such as lack of doors, walls, and locks—contributing to increased violence in Haiti, Japan, and Nepal. The International Federation of Red Cross and Red Crescent Societies has been working to address these challenges, according to Loyce Pace, the organization's Americas regional director. The federation publishes manuals providing guidance to agencies working during natural disasters, focusing on ensuring governments understand their roles in emergencies and have access to necessary resources. Despite these efforts, significant challenges remain. In the Bahamas, emergency shelter capacity accommodates only 3% of the population, according to Aarone Sargent, managing director of the Disaster Risk Management Authority. During Hurricane Melissa in 2025, approximately 1,800 people from the southern islands were evacuated to New Providence and accommodated in six or seven shelters. The recovery phase presents particular difficulties for women. As Pace notes, while immediate response has improved attention to vulnerable populations, the recovery period often proves more challenging, especially for single women seeking loans or rebuilding businesses. Alexander, whose home and livelihood were destroyed in Hurricane Beryl, continues to live without electricity or water, struggling to regain stability months after the disaster. As the Caribbean region faces increasingly frequent and intense storms, experts emphasize the need for gender-responsive disaster planning and adequate shelter infrastructure that addresses the specific vulnerabilities women and girls face before, during, and after natural disasters.

The UK government's recent announcement to make significant cuts to direct aid to Africa and the Middle East has been met with deep disappointment. This move is seen as a moral dereliction of duty, betraying the world's most marginalised, and a false economy that will bring greater instability to the world and make people less safe. The cut in aid to 0.3% of gross national income (GNI) from 2027 breaks Labour's 2024 manifesto pledge to restore development spending at the level of 0.7% of GNI “as soon as fiscal circumstances allow”. The UK is making the steepest proportion of aid cuts among G7 nations. As James Mattis, Donald Trump's defence secretary, once said: “If you don’t fund the state department fully, then I need to buy more ammunition ultimately.” This highlights the shortsightedness of cutting aid, which could lead to more conflict, famine, and persecution. The UK itself benefits materially from these investments. The recent inquiry by the all-party parliamentary group on global health and security on international health worker recruitment highlights the extent to which the NHS and wider economy rely on the skills, expertise, and partnerships rooted in the global south. The UK has saved £14bn in training costs through international recruitment and continues to depend on globally trained health professionals. Investment in global vaccination, disease surveillance, and research helps stop outbreaks before they spread internationally and place pressure on health systems. Preventing disease at source is one of the smartest investments we can make to protect patients in Britain. The situation in Somalia, on the edge of famine, underscores the importance of sustained investment in global development. Two consecutive failed rainy seasons have left 6.5 million people in crisis, more than double the number a year ago. The UK's humanitarian relief in Somalia is welcome, but the scrapping of nature funding and cuts to climate aid risk compromising its own strategy of preventing crisis before it takes hold.

A staggering 4.9 million children died in 2024, with the majority of these deaths being preventable, according to a new UN report. The report warns that aid cuts could hinder the global goal of ending preventable child deaths. Progress towards ending preventable deaths of children under five by 2030 has slowed by 60% since 2015. UN experts are calling for sustained investment in health systems to reach this target. “No child should die from diseases that we know how to prevent,” said Unicef executive director Catherine Russell. “But we see worrying signs that progress in child survival is slowing – and at a time where we’re seeing further global budget cuts.” The report highlights that Sub-Saharan Africa and South Asia have persistently had the worst rates of child death, largely due to newborn deaths. The most common causes of death were premature birth, pneumonia, and trauma during birth. Infectious diseases, including malaria, were also a major cause. 100,000 children died directly from severe acute malnutrition – with the highest numbers in Pakistan, Somalia, and Sudan. Aid cuts are threatening to close lifesaving facilities, humanitarian workers warn. “We are not moving far enough or fast enough and leaving 5 million [children] under the age of five vulnerable,” said Abdurahman Sharif, senior humanitarian affairs director at Save the Children. Aid cuts have affected 6,600 health facilities, with a third forced to close. Experts warn that without sustained investment, progress in reducing child deaths will slow further, and gains could begin to reverse.