Health
Fake Records, Vaccine Gaps and Mismanagement Hamper Global Polio Eradication Push
Despite decades of effort and billions in funding, polio continues to defy eradication in parts of Afghanistan and Pakistan — the last two countries where the disease remains endemic. A recent investigation has revealed that deep-seated issues, including falsified immunisation data, reliance on an imperfect oral vaccine, and strategic missteps, have allowed the virus to persist.
The findings, published by the Associated Press, draw on internal documents and interviews with health workers and former World Health Organization (WHO) staff. They paint a troubling picture of systemic flaws within the Global Polio Eradication Initiative, one of the most ambitious public health campaigns in history.
While the campaign has vaccinated more than 3 billion children and prevented an estimated 20 million paralysis cases worldwide, its failures in South Asia raise concerns. In both Afghanistan and Pakistan, internal WHO reports dating back to 2017 document repeated warnings about vaccine mishandling, falsified records, and untrained staff. One report from Kandahar, for example, described vaccinators working “in a hurried manner” with “no plan for monitoring” and entire villages being skipped for years.
In Pakistan, front-line workers like Sughra Ayaz say logistical challenges and community resistance are rampant. “In many places, our work is not done with honesty,” Ayaz told AP, noting that some supervisors instruct workers to falsely mark children as vaccinated to meet targets. Families in poor regions often demand basic necessities over immunisations, while others cling to conspiracy theories about vaccine-induced sterilisation.
At the heart of the controversy is the oral polio vaccine (OPV), a cornerstone of the global campaign. While inexpensive and easy to administer, the OPV contains live, weakened virus strains. In rare cases, these can mutate and cause vaccine-derived outbreaks, particularly in communities with low vaccination coverage. Since 2021, several hundred such cases have been recorded annually, with 98 already reported this year.
Public health experts widely agree that a switch to the injectable inactivated polio vaccine (IPV) is essential. Unlike the oral version, IPV carries no risk of mutation. However, it is more expensive and requires trained healthcare workers — a major hurdle in remote and unstable areas.
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
White House Rejects Report It Blocked Return of Ebola-Infected US Doctor
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