May 18, 2025

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Better health begins with ideas

 

Editors’ Note

On Tuesday, a U.S. District Court judge said the dismantling of the U.S. Agency for International Development (USAID) likely violated the Constitution. Although the order blocks Senior Advisor Elon Musk and the Department of Government Efficiency from making more cuts, it does not reinstate the agency or its staff.  

 

Continuing our coverage of life after USAID, TGH’s Allison Krugman speaks with aid workers in eastern Democratic Republic of Congo about how the resurgent conflict over mining, combined with the loss of U.S. aid, has disrupted health-care services, deepened food insecurity, and fueled disease outbreaks. Some say the U.S. retreat from the global stage likely motivated the rebels’ decision to advance on Goma, underscoring policymakers’ influential role in advocating for the region’s peace.   

 

A group of authors led by Harvard University medical student Faraan Rahim continues the USAID discussion, penning a guide for how the region can sustain progress on infectious-disease response, economic and developmental stability, and institutional growth without U.S. assistance.  

 

The edition then turns to the air people breathe. NASA FINESST Fellow Fiona Bennitt and the University of Washington’s Institute for Health Metrics and Evaluation’s Michael Brauer discuss global findings from their new Lancet study on household air pollution (HAP), a leading cause for noncommunicable diseases and early death. Although the global population exposed to HAP has fallen since 1990, several intense hot spots remain in sub-Saharan Africa and parts of South Asia—and could be remedied with gas stoves. 

 

To wrap up this edition, Every Breath Counts Coalition’s Leith Greenslade describes how low- or middle-income country (LMIC) governments can reduce worldwide inequities in accessing medical oxygen. Greenslade opines that by using the lapse in U.S. support to reprioritize their health spending, LMICs can take back control of their health systems and usher in a new global health era. 

 

If you want to stay on top of the latest trends in global health, Think Global Health is now on BlueSky @thinkglobalhealth.org!  

   

Until next week!—Nsikan Akpan, Managing Editor, and Caroline Kantis, Associate Editor 

 

This Week’s Highlights

 

POVERTY

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Life After USAID: Africa's Development, Education, and Health Care

by Faraan Rahim, Sofia DiFulvio, Julian T. Hertz, Banda Khalifa, and Ntuli A. Kapologwe 

Africa can use alternative strategies to sustain progress on economic development, education investment, and disease responses 

      

Read this story

 

Figures of the Week

 

A line chart showing large life expectancy disparities between different groups in the U.S. with steep declines during the pandemic.
 
A world map showing household air pollution hotspots. Most polluted areas span across sub-Saharan Africa and parts of South Asia
 

Recommended Feature

 

GOVERNANCE

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Expanding Medical Oxygen Access Without U.S. Foreign Aid 

by Leith Greenslade 

Oxygen can be a pathfinder for a new global health era when national governments sit in the driver’s seat 

 

Read this story

 

What We’re Reading

How Big Alcohol Is Hijacking the Road Safety Agenda in Colombia (Movendi)

 

Trump Aides Circulate Plan for Complete Revamp of Foreign Aid Programs (Politico)

 

Indonesia’s Energy Transition in Doubt as U.S. Pulls Out of $20 Billion Coal Phase-Out Plan (South China Morning Post)

 

As Bird Flu Continues to Spread, Trump Administration Sidelines Key Pandemic Preparedness Office (CNN)

 

Texas Midwife Arrested and Charged With Performing Illegal Abortions (NBC News)

 

Rethinking Nutrition Financing for Greater Impact and Sustainability (Center for Global Development)

 

I’m Head of an NGO in Kenya. The Shutoff of USAID Support Has Been Devastating (STAT)

 

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