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Doctors Without Borders (MSF) has condemned a drone strike that hit Al Jabalain Hospital in Sudan’s White Nile State, killing 10 people, among them seven medical staff members. The attack, which struck an operating theatre and a maternity ward, occurred during a children’s immunisation campaign, heightening the humanitarian outcry.MSF’s Sudan emergencies chief, Esperanza Santos, said the assault was “unacceptable” and noted that several of the deceased had previously worked with the organisation. She added that the strike represents a grave violation of medical neutrality.While the perpetrators have not been officially confirmed, MSF’s statement attributes the strike to the paramilitary Rapid Support Forces (RSF), a claim echoed by Sudanese officials. On Friday, Khalid Aleisir, Sudan’s minister of culture, information, antiquities and tourism, called for the RSF to be designated a terrorist organisation and for its members to face prosecution.The incident follows a series of attacks on Sudan’s health infrastructure since the war erupted in April 2023. In a separate incident the same day, a medical supply depot in Rabak, the capital of White Nile State, was also hit. According to the World Health Organization, more than 200 attacks have targeted health facilities since the conflict began, underscoring a systematic pattern of violence against civilians.Local rights group Emergency Lawyers highlighted that recurring drone strikes across South Kordofan, Blue Nile, and the Darfur regions have displaced thousands, further straining an already fragile health system. The Sudan Doctors Network described the Al Jabalain strike as a “deliberate assault on health facilities and unarmed civilians,” warning that such actions exacerbate the nation’s deteriorating medical capacity.International observers note that the targeting of hospitals not only violates international humanitarian law but also hampers efforts to control disease outbreaks and provide essential care to vulnerable populations. The growing body of evidence may prompt renewed calls for accountability and stronger protective measures for health workers in conflict zones.

The UK is on the brink of a medicine shortage crisis, with experts warning that the country is just weeks away from feeling the effects of the ongoing conflict in Iran. The war has already disrupted the supply of essential raw materials, including oil, gas, crop fertiliser, and helium.The pharmaceutical industry, which relies heavily on imports, is particularly vulnerable to these disruptions. India, known as the 'pharmacy of the world', produces a significant proportion of generic drugs and active pharmaceutical ingredients (APIs) used globally. However, with the Strait of Hormuz largely closed due to the conflict, the transportation of these vital supplies is becoming increasingly difficult.Medicine prices are also expected to rise as a result of the conflict. The US-Israel war on Iran has doubled air freight costs, which could make some medicines loss-making to supply to the NHS. While suppliers have long-term pricing agreements with NHS hospitals, they have more flexibility to increase prices for drugs supplied to GP practices and pharmacies.The UK's reliance on imported medicines is significant, with about half of its medicines produced domestically, a third coming from India, and another chunk from the EU. During the Covid pandemic, paracetamol and other painkillers were in short supply in Britain and elsewhere, as drugmakers in India struggled to keep up with demand.Medical distributors typically stock six to eight weeks of supplies to avoid shortfalls, but if the conflict drags on, drug shortages could emerge in only a few weeks' time. Experts warn that the overall ripple effect on the industry is significant, with the patient ultimately picking up the tab, either directly or via public health systems like the NHS.

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.

The recent meningitis outbreak in Kent has tragically claimed the lives of two young people, with 18 confirmed cases and 11 others being investigated. The outbreak, which has affected four schools and two universities in the Canterbury area, has disrupted thousands of lives and understandably instilled fear among many.The public health response, including contact-tracing, treatment with preventive antibiotics, and localized vaccinations, appears to have been effective in limiting the spread of the disease. The NHS has administered about 2,500 vaccines and issued almost 10,000 precautionary doses of antibiotics.The meningitis B (MenB) strain of bacteria behind this outbreak has caused septicaemia and infection of the membranes surrounding the brain and spinal cord. Despite scientists not fully understanding what causes meningococcal bacteria to become invasive, the public health system has been able to manage the situation.The incident serves as a reminder of the importance of maintaining effective public health systems and the need for evidence-driven decision-making in responding to outbreaks. The UK's success in tackling infectious diseases, including a dramatic reduction in meningococcal disease deaths, is a testament to the effectiveness of prevention, vaccination, and improved treatment.As the risk of future pandemics remains, it is crucial that politicians and the public are reminded of the vital role of public health systems in preventing and managing outbreaks. The abolition of NHS England and its impact on the existing structure overseeing infection prevention and control will require careful consideration.

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.