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The LeadMadagascar has long been celebrated for its remarkable wildlife, with the vast majority of its species found nowhere else on the planet. But when discussing the island nation's endemic treasures, fungi are often left out of the conversation, despite their critical importance to life on Earth.The Fungal Frontier"Fungi are some of the most important things in the world," says Anna Ralaiveloarisoa, a Malagasy scientist and the first homegrown mycologist in Madagascar. "They feed 90% of terrestrial plants. Without them, there is no life on the Earth." Ralaiveloarisoa is working to classify each of the 200 new species she has identified so far, though she faces significant challenges: trying to preserve mushrooms without proper infrastructure; journeying to remote spots in the jungle without reliable roads or electricity; and having no other experts to collaborate with in the country.Less than 1% of the estimated 100,000 species of fungi in Madagascar have been scientifically described, highlighting the vast unknown territory that remains to be explored.The Conservation MovementAcross the globe, protecting fungi has lagged significantly behind the conservation of plants and animals. While the first organisations dedicated to protecting birds were established in the 19th century, fungi had to wait until the 21st century. The International Society for Fungal Conservation (ISFC) was established in 2010, and the first conservation nonprofit organisation, the Fungi Foundation, was created in 2012.Since those groups were established, a global movement has emerged. The first conservation legislation to include fungi was passed in Chile in 2013. The Fungi Foundation began to champion the phrase "fauna, flora, funga" to encourage fungi's inclusion in more conservation frameworks.The African ConnectionThough the obstacles are significant, they are ones Ralaiveloarisoa shares with many mycologists in nearby nations. She is part of an emerging cohort of scientists across Africa who are pioneering the study and conservation of fungi in their home countries.Last November, many met for the first time at the International Congress on Fungal Conservation, held in Cotonou, Benin. The conference drew mycologists from 27 countries across Africa, Europe, the Americas and Asia, with several hailing from African countries where they serve as the only – or one of very few – mycologists in the nation."What an exciting time: from almost nothing 20 years ago, fungal conservation has evolved from a little-known field into a dynamic global movement," said Nourou Yorou, a mycologist who was recently named general director of the Benin Agency for Science and Innovation. "The challenge is now to plan a future where fungi are firmly placed in the conservation mainstream."The Future OutlookThe momentum behind fungal conservation continues to grow. Other organisations have formed: in 2017, North America's first fungal conservation nonprofit group, Fundis, was created; in 2021, the research organisation SPUN (Society for the Protection of Underground Networks) was cofounded by the evolutionary biologist Toby Kiers.Later this year, the "fungal conservation pledge" first proposed at the UN biodiversity meeting of Cop16 in Colombia in 2024 will be discussed again at the forthcoming biodiversity conference in Armenia. As David Minter, president of the ISFC, notes: "In 2010, it was normal not to mention fungi at all in conservation ... In the future it will look strange if fungi don't get a mention."

The Lead: A Victory for Sustainable Agriculture In Bolivia's biodiverse north-west, cacao farmers have achieved a significant victory against the encroaching gold-mining industry. Through collective action and local legislation, farmers in Palos Blancos and Alto Beni have successfully banned mining activities, protecting their organic cacao farms and preserving the region's unique ecosystem. The Agroforestry Model: A Natural Defense Mahogany trees tower above Herminio Mamani as he tends his cacao farm in Bolivia's north-west. As former president of El Ceibo, the country's largest organic cacao co-operative with 1,300 members, Mamani emphasizes that their agroforestry model is vital not only for maintaining cacao quality but also for keeping gold mining at bay. "We cacao producers would never kill an animal here," he explains. "The parcels [of land] can never be monocultures – all the crops grow together." This diverse ecosystem creates a natural barrier against mining operations that require clear-cutting and land disturbance. The Economic Battle: Gold Prices vs. Organic Certification As gold prices surged by more than 64% in 2025, from about $2,000 an ounce in 2020 to record highs above $5,100 an ounce in January, the economic incentive for mining intensified. However, El Ceibo and other co-operatives recognized that mining would threaten their international organic certifications. "Even if small-scale mining were permitted, it's a slippery slope," Mamani warns. "Contamination would be unavoidable, and if we lost our certifications, the price of our cacao would plummet." In 2025, El Ceibo exported 2,000 tonnes of cacao, mostly to Europe and the US, demonstrating the economic viability of their organic approach. The Grassroots Movement: From Protest to Legislation The initiative began in 2017 when a mining dredge appeared on the nearby Boopi River. Communities reacted swiftly with mass protests. "People gathered in mass protest and issued a warning: 'Leave, or we burn your machinery,'" recalls Nancy Chambi, a farmer and Alto Beni councillor. After four years of grassroots pressure, Palos Blancos and Alto Beni passed mining bans in 2021. A 2024 departmental law further legitimized their stance against the national government's support for mining. The Environmental Impact: Preserving Biodiversity About 20 miles from Mamani's protected farm, dredging boats and excavators operate relentlessly along the Kaka River, part of a gold rush that has rerouted waterways and encroached on forests in some of the world's most biodiverse national parks. "I've known Mayaya since I was young, and the river used to be deep and full of fish," says Roberto Gutierrez, a farmer in Alto Beni. "Now the water levels have dropped, pollution has seeped in, and the fish are disappearing." The local mining bans have prevented this environmental devastation in Palos Blancos and Alto Beni. The Future Outlook: A Model for Sustainable Development "We showed people that mining does more harm than good," says Ulises Ariñez, former environment secretary for Palos Blancos. "People have realised that gold is temporary, but agriculture and conservation are for life." As other Bolivian cities face similar mining pressures, these towns are emerging as models for protecting land through local governance. The success of this movement demonstrates how sustainable agriculture can provide both economic resilience and environmental protection in the face of extractive industries.

Escalation of Violence in Southern Lebanon: Four Civilians Killed and Journalists InjuredOn April 22, 2026, Israeli strikes in the villages of at‑Tiri and Yahmar al‑Shaqif killed four civilians and left multiple injuries, among them two journalists from Al Akhbar. The incidents come as the 10‑day US‑brokered ceasefire approaches its expiration, intensifying diplomatic pressure on both sides.Israeli Airstrikes Target at‑Tiri and Yahmar al‑ShaqifAccording to Lebanon’s National News Agency (NNA), an Israeli drone hit a car in at‑Tiri, killing two occupants. A second strike in the same village wounded several people, including journalists Amal Khalil and Zeinab Faraj. A separate attack on Yahmar al‑Shaqif resulted in two additional deaths.Location: at‑Tiri and Yahmar al‑Shaqif, southern LebanonTargets: civilian vehicle, road infrastructure, and alleged Hezbollah‑linked convoyReported by: NNA, Al Jazeera, Lebanese Information Minister Paul MorcosHuman Cost and Media Suppression: Casualties and InjuriesThe strikes produced the following tally:4 civilians killedSeveral wounded, including 2 journalists (one in serious condition, requiring surgery)Additional civilian casualties in Yahmar al‑ShaqifBoth the Israeli military and the Lebanese government claim differing motives: Israel says it targeted vehicles linked to Hezbollah, while Lebanon accuses Israel of “besieging” journalists and blocking Red Cross access.Implications for the Fragile Ceasefire and Regional DiplomacyThe attacks jeopardize the US‑mediated ceasefire that is set to expire on Sunday, April 26. Lebanese President Joseph Aoun is seeking an extension, while Washington prepares talks between Lebanese and Israeli ambassadors. The incident also follows a recent Hezbollah drone strike on an Israeli artillery position, indicating a tit‑for‑tat escalation.Potential breach of the November 2024 ceasefire termsIncreased pressure on UNIFIL and the Red Cross to secure humanitarian accessHeightened risk of broader confrontation involving Iran‑backed HezbollahOutlook: Risks of Wider Conflict and International MediationIf the ceasefire lapses without renewal, the region could see a rapid escalation, drawing in external actors such as Iran and the United States. Continued attacks on journalists may further erode media freedom and limit independent reporting from the front lines, complicating diplomatic efforts.International stakeholders are likely to push for an immediate extension of the ceasefire and a de‑escalation mechanism to prevent a full‑scale renewal of hostilities.

The EU's Stalled Response to Israeli ActionsSpain, Ireland and Slovenia have mounted a renewed push to suspend the European Union's trade and cooperation pact with Israel at a meeting of EU foreign ministers before being shot down by Germany and Italy, which vetoed the move. Despite growing calls to hold the Israeli government accountable for its actions in Gaza and the occupied West Bank, Europe is deeply divided over its approach to Israel."Today, Europe's credibility is at stake," Spanish Foreign Minister Jose Manuel Albares told reporters before Tuesday's meeting in Luxembourg. "I expect every European country to uphold what the International Court of Justice and the UN say on human rights and the defence of international law. Anything different would be a defeat for the European Union."But German Foreign Minister Johann Wadephul called Spain's request "inappropriate", saying any issues should instead be discussed in a "critical, constructive dialogue with Israel".The Genocide War and International Law ConcernsThe main factor behind the current disquiet over Israel within Europe is the genocidal war on Gaza, in which more than 72,000 Palestinians have been killed since October 2023 while thousands more are missing and feared dead under the rubble. Israel has destroyed most of Gaza's infrastructure, and a genocide case has been brought against it before the International Court of Justice in The Hague. Meanwhile, there has been an unprecedented expansion of Israeli settlements in the occupied West Bank, which are built on Palestinian land and violate international law.More recently, Prime Minister Benjamin Netanyahu's far-right coalition government has succeeded in passing a death penalty law that in practice applies only to Palestinians and is engaged in a legal and political campaign to restrict European funding for Israeli and Palestinian nongovernmental organisations that document human rights abuses.The 42.6 Billion Euro Trade AgreementOne obvious target for those opposed to Israel's actions is the EU-Israel Association Agreement, which came into force in 2000. This is the legal framework for political, economic and cultural relations between the EU and Israel. It grants Israel highly lucrative privileges, including preferential access to the vast European market with low tariffs on industrial and other goods.The pact contains a strict human rights clause, however. Article 2 states that relations must be based on respect for human rights and democratic principles – and this is what has attracted the attention of activists.Hosni Abidi, a professor of international relations at the University of Geneva, noted that civil society is already mobilising around this clause. "More than 1 million signatures from European citizens have reached the European Commission demanding the suspension of the agreement," Abidi told Al Jazeera, adding that Israel is in clear breach of the pact's foundational text.According to EU data, trade in goods between the bloc and Israel amounted to 42.6 billion euros ($45.3bn) in 2024. A partial suspension of the EU-Israel agreement could directly impact about 5.8 billion euros ($6.1bn) worth of Israeli exports.Beyond trade, the pact is also vital to sustaining Israel's technological edge. Mohanad Mustafa, an academic and expert on Israeli affairs, pointed out that Israeli scientific research relies almost entirely on EU funding. "Without European support, scientific research and development in Israel would collapse completely," he told Al Jazeera.Historical Divisions and Political CalculationsThe primary obstacle to suspending this agreement lies in the EU's complex voting mechanisms and the deep internal divisions over Israel that are rooted in different national histories.A full suspension would require a unanimous decision from all 27 member states, which is currently impossible. Suspending only the lucrative commercial arrangements requires a "qualified majority" of at least 15 EU countries, representing 65 percent of the EU population. This gives heavily populated nations like Germany what amounts to a veto.Scott Lucas, a professor of international relations at the University of Birmingham, explained that Europe does not have a single political culture. "Germany, for example, cannot turn its back on Israel because of the history of the Second World War and the Holocaust. That culture is deeply embedded in the German mindset," Lucas said. Conversely, he noted, nations like Ireland view the Palestinian struggle through the lens of their own history with British colonialism, fostering deep sympathy for Palestinians.Israel has also systematically cultivated relationships with Europe's far-right, populist governments, such as in Hungary, to ensure protection from any sort of EU sanctions. "Israel's strategic allies in Europe are the extreme right-wing populists who are fundamentally anti-Muslim and, in their roots, even anti-Semitic," Mustafa explained. "Yet Israel connects with them simply because they support the colonial project in the West Bank."Netanyahu's government has adopted an aggressive posture towards those European nations demanding accountability for Israel, routinely levelling accusations of anti-Semitism against their leaders, analysts said. However, Mustafa noted that while Israel feels secure that governments like Germany will block immediate top-down sanctions, it is deeply unsettled by the shifting tide. "What disturbs Israel is the destruction of its 'victim narrative' within European societies," he said.The Rise of Bottom-Up Accountability MeasuresWhile a formal suspension of the association agreement by the entire bloc appears out of reach for now, the push towards accountability for Israel signifies a historic shift within Europe, observers said. Indeed, alternative, targeted measures are already taking shape.These include states taking action unilaterally when they do not need EU consensus. Italy, for instance, has already suspended its joint defence pact with Israel. Meanwhile, Sweden and France are leading a push to raise tariffs on goods produced in Israeli settlements. European universities, businesses and cultural institutions are increasingly severing ties with their Israeli counterparts independently as well.Ultimately, frustration over the EU's bureaucratic paralysis in relation to Israel "will fuel a bottom-up approach", Lucas said. As the death toll in Gaza continues to mount despite a more than six-month "ceasefire", pressure on Brussels to take some sort of action is unlikely to let up, leaving the bloc to grapple with a stark contradiction between its stated human rights values and its deeply entrenched trade interests, observers said.

The Lead: Channel Seven's Renewable Energy InvestigationChannel Seven's Spotlight program aired a controversial investigation into renewable energy that critics say misrepresented cobalt mining practices and lacked journalistic balance. The report focused on artisanal mining in the Democratic Republic of Congo while ignoring that most cobalt comes from industrial sources and that battery technology is rapidly moving away from cobalt.The Event Details: Cobalt Mining MisrepresentationThe program featured dramatic scenes from artisanal mines in the DRC, where workers manually extract cobalt "for our renewable green dream." Reporter Liam Bartlett claimed that "almost 80% of the world's cobalt is mined in places like this" and that cobalt is in "every battery" from electric vehicles to home storage systems.However, these claims are misleading. According to research from the US Geological Survey, in 2020 about 90% of the cobalt produced in Congo came from industrialized mining, not artisanal operations. Additionally, industry groups report that about 99% of cobalt is gathered as a by-product of mining other minerals, chiefly nickel and copper.Furthermore, battery technology expert Prof Neeraj Sharma from the University of New South Wales states that Bartlett's claim that cobalt is in every battery is "not true." Many manufacturers are moving away from cobalt due to its toxicity, expense, and ethical concerns. Last year, about half of EV batteries and 90% of home and grid-scale batteries used cobalt-free lithium iron phosphate (LFP) technology.The Data Analysis: Mining Statistics and Battery TechnologyThe investigation presented a skewed picture of cobalt production:Artisanal mining represents only about 10% of cobalt production in the DRC, not the 80% claimed by BartlettAbout 30% of all cobalt is used in laptops and smartphones, not just batteriesCobalt-free lithium iron phosphate (LFP) technology was used in 50% of EV batteries and 90% of home and grid-scale batteries in the previous year99% of cobalt is gathered as a by-product of mining other minerals, chiefly nickel and copperThe Impact Analysis: Media Influence on Public PerceptionThe program's lack of balance and omission of key facts have significant implications for public perception of renewable energy. By focusing exclusively on negative aspects and presenting misleading information, the investigation may have influenced viewers to question the ethics of transitioning to renewable energy.The program failed to include perspectives from renewable energy advocates, industry representatives, or experts who could provide context about evolving battery technologies and supply chain improvements. The Clean Energy Council, which represents Australia's renewables industry, was not approached for comment.Additionally, the program made specific claims about the Hornsdale battery in South Australia containing "blood cobalt," but Amnesty International denied making this specific connection. The program also criticized a mining operation in Tasmania's Tarkine rainforest without mentioning that the company had proposed an alternative location for a dam.The Prediction: Future of Renewable Energy ReportingThis controversy highlights the need for more balanced and accurate reporting on renewable energy and its supply chains. As the world transitions to cleaner energy sources, media coverage should reflect the complexities of these technologies while acknowledging both challenges and progress.Moving forward, we can expect increased scrutiny of media coverage on environmental topics, particularly as renewable energy becomes more central to global climate strategies. Journalists and media organizations will need to ensure they present balanced perspectives and verify claims, especially when dealing with complex technical and ethical issues.The renewable energy industry may also need to improve transparency in its supply chains to address legitimate concerns while continuing to innovate away from problematic materials like cobalt.

The geopolitical standoff between the United States and Iran has entered a volatile new phase following President Donald Trump's unilateral decision to extend a two-week ceasefire. With diplomatic negotiations in Pakistan collapsing, Tehran has shifted from diplomatic engagement to a calculated show of military force, signaling a potential return to open conflict unless the US lifts its naval blockade. The Show of Force: Tehran’s Mobilization In a display of defiance timed to coincide with the ceasefire deadline, Iranian authorities organized massive military parades in Tehran. The spectacle was designed to project unity and strength, showcasing the Islamic Revolutionary Guard Corps' (IRGC) most advanced weaponry. Missile Displays: The Khorramshahr-4 ballistic missile and the Ghadr missile were paraded through Enghelab (Revolution) Square, accompanied by crowds chanting "Death to America" and demanding strikes against Israel. Women in Combat: State media highlighted women fighters, including those in pink missiles and assault rifles, to project a diverse, unified front despite the strict Islamic dress codes usually enforced by the establishment. AI Propaganda: The IRGC released an AI-generated video mocking Trump and his team, depicting their humiliation as they waited for Iranian negotiators who never arrived. State television amplified this narrative by claiming that 87 percent of Iranians prefer war to major concessions, framing the conflict as a popular mandate rather than a government imposition. Economic Warfare and the Threat to Energy The core of the current crisis lies in the economic pressure exerted by the US naval blockade of the Strait of Hormuz. This blockade is not merely a shipping restriction; it is a strategic lever designed to cripple Iran's economy. Seizure of Vessels: The IRGC has seized two vessels attempting to pass through the strategic waterway without permits, directly challenging international shipping lanes. Oil Production Threats: IRGC aerospace chief Majid Mousavi warned neighboring countries that if their territories are used for attacks against Iran, "they must say goodbye to oil production in the Middle East region." Infrastructure Collapse: US officials claim Iran is financially collapsing and unable to pay military and police personnel, a claim Tehran denies but cannot easily disprove given the economic isolation. Furthermore, Iran has entered its 54th day of a near-total internet shutdown, and the IRGC has threatened to target seabed high-speed internet cables, potentially causing a "digital catastrophe" for the region. Internal Fractures: Hardliners vs. Moderates Beneath the facade of military unity, Iran’s leadership is deeply divided on how to handle the standoff. The country is caught between two competing visions for its future. The Hardline Stance: Figures like Judiciary Chief Gholam-Hossein Mohseni-Ejei and Parliament Speaker Mohammad Bagher Ghalibaf (in his more militant moments) argue that the "enemy is not in a position to set a time for us." They view the naval blockade as an act of war that requires a military response. The Moderate Stance: President Masoud Pezeshkian, a relative moderate, has ruled out capitulation but advocates for dialogue. He argues that the war benefits no one and that "reason, dialogue and avoidance of more destruction" are the only paths forward. This internal tension creates a dangerous environment where hardliners may feel compelled to act aggressively to prove their loyalty to the establishment and the street protesters. The Path to Escalation: From "Stone Age" to Cyber The immediate future hinges on whether the US will lift the blockade to allow for new talks in Islamabad. If not, the risk of escalation is high. Civilian Infrastructure: President Trump has threatened to hit critical civilian infrastructure, vowing to send Iran "back to the Stone Ages" if a deal isn't reached. Regional Spillover: The conflict risks drawing in the "Axis of Resistance," potentially involving Hezbollah in Lebanon and other proxies, turning a bilateral dispute into a regional war. Cyber Warfare: The threat to seabed cables suggests that the next phase of the conflict could move from kinetic strikes to cyber warfare, targeting the digital backbone of the region. As the ceasefire limps on, the world watches to see if Tehran’s hardliners will allow a diplomatic resolution or if the pressure of the blockade will force a catastrophic return to full-scale war.

Manchester United have yet to decide whether to offer Michael Carrick the permanent manager’s job, even as his interim tenure has revived the club’s title hopes and Champions League prospects.Interim Success Under Michael Carrick Sparks Managerial DebateSince taking over from Ruben Amorim in early January, Carrick has guided United from seventh to third in the Premier League. The club’s executive team, headed by director of football Jason Wilcox, says a final verdict will come after the season concludes, allowing time to assess long‑term stability and transfer strategy.Carrick remains publicly non‑committal but is reportedly interested in a full‑time role.He is already involved in discussions about summer transfer targets and pre‑season planning.The board previously approached Thomas Tuchel and is monitoring Julian Nagelsmann as alternative options.Performance Metrics: 26 Points from 36 and a Rise to Third PlaceUnited’s interim record under Carrick is statistically compelling:8 wins, 2 draws, 2 losses in 12 league matches.26 points earned from a possible 36 – the highest points‑per‑game rate in the league over that span.Climbed from seventh to third, positioning the club as near‑automatic Champions League qualifiers.Strategic Implications for United’s Transfer Plans and Champions League AmbitionsThe on‑field turnaround influences United’s off‑field agenda. A top‑four finish would boost revenue streams and make marquee signings more feasible. Identified targets include:Aurelian Tchouameni (Real Madrid) – estimated £70 million fee, contract until 2028.Elliot Anderson (Nottingham Forest)Carlos Baleba (Brighton)Adam Wharton (Crystal Palace)Securing a Champions League spot would also enhance United’s bargaining power in negotiations with these players.Potential Paths: From Waiting Until Season’s End to Targeting Top European CoachesLooking ahead, United face three plausible scenarios:Promote Carrick – offering a full‑time contract after the season, capitalising on continuity.Extend the interim – retain Carrick while scouting external candidates, preserving flexibility.Hire an external star – re‑engage Thomas Tuchel if his England role ends, or approach Julian Nagelsmann, both tied to contracts until 2028.Each route carries distinct risks and rewards, from maintaining squad cohesion to injecting fresh tactical ideas. The board’s final decision will shape United’s trajectory for the 2026‑27 campaign and beyond.

The Historic Victory Aden Durde, the first British coach to win a Super Bowl, remains relatively unrecognized in his home country of England. Just two months after achieving this historic milestone, he walks through Leicester Square without being noticed by thousands of tourists. Despite his monumental achievement in American football, Durde has yet to become a household name in Britain. Reflecting on Championship Success When asked about the experience after winning the Super Bowl, Durde describes a complex emotional journey. "I wouldn't say it's a comedown, but there were moments after you win it, like at the parade, I felt numb," he shares. The realization that this special achievement with this particular group of people is unique and irreplaceable hit him on the bus ride back to the hotel after the game. His measured celebration style—soaking in the moment rather than wild exuberance—reflects his philosophy: "If you don't [take in the moment], they just pass you by." The NFL Coaching Cycle Durde explains the rigorous off-season schedule for NFL coaches, which involves extensive self-scouting, player evaluation, and strategic planning. "A lot of self-scouting, looking at yourself as a group. How can you improve? What do you need to take out? What do you need to add?" he describes. The off-season includes analyzing free agency prospects, the upcoming draft, and focusing on leadership and culture development. The NFL operates on a structured timeline with specific phases for player development, from classroom work to on-field practice. From Practice Squad to Championship Durde's career path has been anything but linear. From being a star domestic player in Britain to navigating NFL Europe, practice squads, and eventually becoming an elite coach, he has experienced the full spectrum of professional football. When asked if he tells players "I've been where you are," he offers nuanced advice: "It's hard to tell them that you've been there and done it because their experience might not be like yours." Instead, he focuses on sharing observations and using his experiences to identify patterns that can help players improve. Bridging the Coaching Divide Durde discusses his journey of proving himself in an American-dominated sport. When did he realize he could compete with American coaches? "When I first went to Dallas [as a coaching intern in 2014]. I thought it, but you don't know until you've been there," he admits. Despite struggling with impostor syndrome earlier in his career, he developed his own coaching philosophy centered on teaching, accountability, and putting players in positions to succeed. His background includes coaching at London Warriors and working with at-risk youth, experiences that shaped his approach to leadership and development. The Future of British Football Talent Durde's success represents a significant milestone for international coaches in the NFL. His journey from London to the Super Bowl demonstrates that talent can emerge from unexpected places. As the NFL continues to expand its global reach, Durde's achievement may inspire more British and European coaches to pursue opportunities in American football. His story also highlights the importance of diverse perspectives in coaching, as he brings a unique international viewpoint to a traditionally American sport.

Lead: A hidden humanitarian tragedy unfolds in Gaza’s neonatal wardsIn the overcrowded neonatal unit of Nasser Hospital in southern Gaza, newborns are battling life‑threatening congenital anomalies that health officials say are unprecedented. The surge reflects the broader devastation of Israel’s ongoing war, which has crippled food, water, and medical supplies for pregnant women and infants.Escalating congenital anomalies in Gaza’s neonatal wardsStories like that of Osama, a two‑month‑old born with a heart defect and enlarged brain ventricles, illustrate the grim reality. His mother Najia Zurub endured a pregnancy marked by severe food scarcity and lack of safe drinking water, delivering early under dire conditions. Other infants—Ahmed (hydrocephalus), Suheir (multiple facial deformities), and the recently deceased Iyal—share the same ward, underscoring a pattern of non‑genetic, war‑induced health issues.Staggering rise in stillbirths and neonatal deathsCongenital anomaly cases doubled in 2025 compared with 2022.Stillbirths surged by 140% over the same period.Neonatal deaths reached 457 last year, a 50% increase from pre‑war levels.Since the conflict began, at least 20,000 children have been killed.These figures were presented by the Gaza Ministry of Health and attributed by Zaher al‑Wahidi, director of the Health Information Unit, to five interlinked factors:Widespread hungerSevere decline in healthcare servicesOvercrowding in shelters and hospitalsExposure to contaminated drinking waterOngoing effects of Israeli air attacksHumanitarian and health system collapse under war conditionsPaediatrician Asaad al‑Nawajha explains that many of these anomalies develop when a fetus is exposed to adverse environmental stressors during the first trimester, a critical window for organ formation. With medical resources depleted, doctors warn that many affected infants cannot receive adequate treatment, compounding the mortality crisis.Live births in Gaza fell by more than 30% at the height of the bombardment and have only partially recovered, leaving a generation of children born into a fragile, under‑resourced system.Outlook for Gaza’s newborn health amid ongoing conflictIf the ceasefire remains fragile and daily attacks continue, the health system’s capacity to address these congenital conditions will further deteriorate. International humanitarian aid focused on nutrition, clean water, and medical supplies is essential to curb the rising tide of stillbirths and birth defects. Without a sustained reduction in hostilities, Gaza’s newborns face a prolonged battle for survival that extends far beyond the immediate dangers of war.