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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.

A Widow's Journey Through Grief I am alive. My husband, Paul Auster, is dead. He died on 30 April 2024, at 6.58pm here in the Brooklyn house where I am now writing these words. He was diagnosed with non-small cell lung cancer in January 2023. But before that, in early November 2022, Paul had a CT scan in the emergency room at Mount Sinai West hospital. The radiologist spotted a mass in his right lung and noted it might be cancer. We all die, but only some of us know our lives could end soon. Although I had often thought about what it would mean to live without Paul, I began to imagine it more often. I imagined walking around the house alone. I imagined grieving. If your father dies, I said to our daughter, Sophie, I will lose my every day. The Final Days with Paul Auster What I didn't imagine is that after Paul's death, time would be deranged beyond recognition. I remember and then forget what day it is. I remember it's the month of May and then forget. The hours skip ahead but minutes often move slowly. I want to root my body in calendar and clock, those reliable, if ultimately fictional, markers of time, but I'm not making sense of their regular beats. I'm afraid if I don't keep checking date, day and hour, I will lose my orientation, stumble on the stairs, and fall or float away ungrounded. In the days that immediately followed Paul's small graveside funeral, on 3 May at Green-Wood Cemetery, a compulsion to sort, throw and scrub came over me. When I'm distressed or anxious, I often clean. I get my own little world into shiny order. I exercise some control by getting rid of dust and fluff and blur. I was not going to be one of those widows who leaves her husband's clothes in the closet for months or even years. A dead man doesn't need shirts, keys, shaving cream. A dead man can't be sick. He doesn't take pills. The Physical Toll of Loss I have trouble breathing. My heart beats too fast, not all the time, in bursts. I have pains between my ribs, sometimes intense. My neck and head ache. My nerves buzz and hum, and electricity shoots up and down my limbs. I sleep by pill. I pick up a paper or an object that needs attention and then see another that calls to me. I put down the first thing only to spot it hours later, an inanimate victim of the unfinished gesture. A pile of unopened condolence letters and cards lie on the red table in the dining room. I cannot bear to open them. Not today. I will wait. Tomorrow. The Empty Spaces of a Shared Life The four-storey house in Brooklyn where Paul and I lived for 30 years and where our daughter, Sophie, grew up, and where Daniel, my stepson, lived when he wasn't at his mother's, became vast overnight. The two of us occupied this space for a long time without children, and the house felt roomy but not huge. I'm amazed by the determination with which I attacked Paul's study. He spent most of his days from morning into the afternoon writing in a small room at the back of our house near the garden. My guess is that there were at least 150 pens on the surface of Paul's desk. He had a supply of typewriter ribbons for his manual Olympia to last him several additional long lifetimes. He had a number of well-used erasers and 35 Clairefontaine notebooks, the kind with graph paper inside them. Paul's courage as he looked into the abyss astounded me. The man couldn't stand up from his bed alone. Finding Meaning in the Aftermath I have been sleeping on my side of the bed. So far, I haven't found myself taking up more room than I used to. When I wake, I do not expect him to be beside me. I do not expect him to walk into the room. I know I cannot conjure him, as much as I would like to. I dreaded his imminent death for far too long. I occupy the same space in the bed where we coupled and slept, year after year. We slept together in that bed for the last time on 28 April, two nights before he died. Spencer wheeled Paul into the room and helped me lift him on to the bed. He, Sophie and Miles had come to stay with us. After I crawled in with Paul, he stroked my hand and arm for what seemed like a long time. We talked. He wanted me to live on, live long, to write more. I woke up several times that night and reached out for him to make sure he was breathing. Paul loved the library on the third floor of the house. "I want to die in the library. I imagine putting a hospital bed in here," he said to me long before the hospital bed arrived and well before we knew the cancer had returned. He knew he wanted to die in that room filled with light. Light became more and more important to him as he neared death.

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.

A Machine-Tooled Debut: The Martian’s-Eye View of Athletic ViolenceGiulio Bertelli’s experimental debut feature AGON presents a stark, detached examination of the military roots embedded in Olympic sports like judo, fencing, and shooting. Inspired by the 1982 death of Soviet fencer Vladimir Smirnov, the film adopts a 'Martian’s-eye-view' perspective, creating an ice-cold, almost industrial atmosphere that strips away conventional dramatic dialogue. It is a cinematic study of violence that still exists within these structured activities, accumulating a desolate force that challenges the viewer's perception of athletic discipline.Deconstructing the Elite Athlete: From Laboratory to BattlefieldThe narrative focuses on three fictional competitors in a competition called Ludoj 2024, played by real-life athletes Alice Bellandi, Sofija Zobina, and Yile Yara Vianello. The film juxtaposes the athletes' rigorous training with the manufacturing of fencers' metal grille masks, highlighting a process that resembles industrial production. We see their bodies measured, enhanced, and stress-tested by a white-collar scientific labor force, suggesting that modern sports have become a high-stakes laboratory for human performance.The Human Cost of Perfection: Injury, Scandal, and TragedyBeyond the technical analysis, the film exposes the fragility of the human body under extreme discipline. Alice suffers a devastating knee injury that puts her career irreversibly out of action, her scream of pain mixing with rage and despair. Alex, despite her glamour and sponsorship, faces a viral scandal involving illegal wolf hunting. Most grimly, Gio is implicated in a tragic fencing mishap that results in the death of her Singaporean opponent, raising questions about the sports authorities' willingness to blame the athlete rather than safety procedures.Why This Matters: A Subversive Critique of the Olympic IdealBy focusing on the 'unspeakable ordeal' of self-denial, AGON serves as a subversive critique of the Olympic ideal. It questions the value of a lifetime of pain and sacrifice for a sport that often prioritizes spectacle over athlete welfare. The film resonates with other sports documentaries like Julie Keeps Quiet, offering a raw look at the psychological and physical toll of elite competition.Future Outlook: A Critical Success on MUBISet to premiere on MUBI on April 24, AGON is poised to be a significant entry in the genre of sports documentaries. Its unique, detached style and focus on the dark underbelly of athletic perfection suggest it will spark critical debate regarding the ethics of modern sports.

The Strategic Dismantling of Lebanon’s Water SystemsIsrael is employing a calculated strategy to reshape the geopolitical landscape of southern Lebanon, using the destruction of water infrastructure as a primary tool for displacement. By mirroring tactics observed in Gaza, Israeli forces are targeting critical pumping stations, reservoirs, and repair crews to render vast swathes of territory uninhabitable.Displacement and the Creation of a Buffer ZoneThe military campaign has resulted in the displacement of over 1.2 million people in a matter of days. Prime Minister Benjamin Netanyahu has confirmed the occupation of a 10-kilometre deep security strip, a zone designed to be "much stronger" than previous iterations. By targeting water sources in areas like the Bekaa Valley and Marjayoun, Israel aims to force civilians out of their homes to secure this strategic buffer.Quantifying the Humanitarian CrisisThe destruction is occurring against a backdrop of severe pre-existing vulnerability. A 2025 study by the ICRC revealed that 91% of households in southern Lebanon were already experiencing moderate-to-high water insecurity. The recent attacks have compounded this, with Oxfam reporting damage to at least seven critical water sources in the first four days of the renewed conflict alone, cutting off water to nearly 7,000 people in the Bekaa area.Water as a Weapon of Mass DestructionExperts argue that targeting water is not merely collateral damage but a deliberate act of war. By cutting off water supply, Israel is inducing waterborne diseases, which are a leading cause of infant mortality in developing nations. Legal experts point out that while the Geneva Convention mandates the protection of water infrastructure, Israel has repeatedly ignored these obligations, framing the attacks as necessary for national security while effectively weaponizing a basic human right.The Future Outlook: Accountability and EscalationAs the conflict enters a new phase, the international community faces a critical test in enforcing international humanitarian law. The pattern of impunity established in Gaza risks repeating itself in Lebanon, potentially leading to a protracted humanitarian disaster. Without immediate intervention to protect civilian infrastructure, the displacement crisis will likely deepen, turning southern Lebanon into a permanent zone of instability.

The 'Characterization Bottleneck' in Biotech While AI models like Google DeepMind's AlphaFold have revolutionized the field by predicting protein structures with unprecedented accuracy, they have inadvertently created a new problem: an overwhelming flood of potential drug candidates. The industry is now facing a critical bottleneck where the supply of AI-generated hypotheses far outstrips the capacity to physically characterize and test them. 10x Science was founded specifically to address this gap, aiming to streamline the transition from digital prediction to physical validation. 10x Science Raises $4.8M to Automate Mass Spectrometry The startup announced a $4.8 million seed round today, led by Initialized Capital and backed by Y Combinator, Civilization Ventures, and Founder Factor. The three founders—David Roberts and Andrew Reiter, experienced biochemists, and Vishnu Tejas, a serial founder in computer science—previously worked together in the Stanford lab of Nobel laureate Dr. Carolyn Bertozzi. Frustrated by the inability to understand molecular interactions precisely, they built a platform that combines deterministic chemistry algorithms with AI agents capable of interpreting complex data. Founding Team: David Roberts, Andrew Reiter, and Vishnu Tejas. Seed Round: $4.8 million led by Initialized Capital. Key Differentiator: Traceable analysis to meet regulatory compliance standards. Accelerating Molecular Analysis with AI Agents The core value proposition of 10x Science lies in its ability to democratize mass spectrometry, a technique traditionally requiring expensive equipment and deep expertise. By training models on vast amounts of spectrometry data, the platform allows researchers to bypass the 'can of worms' of manual data interpretation. Matthew Crawford, a scientist at Rilas Technologies, notes that the AI not only speeds up analysis but also adapts to different molecules and can infer protein identities from file names, significantly reducing manual programming effort. Democratizing High-End Chemical Analysis for Biopharma 10x Science is positioning itself as a SaaS platform that pharma companies must subscribe to for ongoing compliance and efficiency. Unlike traditional biotech investments that rely on a single drug succeeding, 10x offers a recurring revenue model based on the utility of the tool itself. The platform helps researchers who lack the resources to deploy expensive spectrometry equipment, allowing them to focus on the next steps in research rather than getting bogged down in complex data analysis. The Future of 'Molecular Intelligence' in Drug Development Looking ahead, 10x Science aims to expand beyond simple characterization to offer a new definition of 'molecular intelligence.' By combining protein structure data with other cellular metrics, the company hopes to provide a holistic view of biology. Investors like Zoe Perret at Initialized Capital believe the deep domain expertise of the founders will protect the company from competitors, as the intersection of chemistry, biology, and AI remains a highly specialized niche.

The UK's Historic Tobacco Ban: Creating a Smoke-Free Generation The United Kingdom has approved a landmark bill that will prevent anyone born on or after January 1, 2009 from purchasing tobacco during their entire lives. This unprecedented legislation represents a major step in the government's "smoke-free generation" initiative, aiming to protect public health and reduce the devastating impact of smoking-related diseases. The Tobacco and Vapes Bill: Key Provisions and Implementation Introduced by Secretary of State for Health and Social Care Wes Streeting in the House of Commons, the Tobacco and Vapes Bill will become law upon receiving royal assent next week. The legislation not only prohibits tobacco sales to those born after 2008 but also grants ministers new powers to regulate tobacco, vaping, and nicotine products. These include regulating flavors, packaging, and banning branding and advertising aimed at children. Additionally, the bill expands smoke-free zones across the UK by prohibiting vaping in playgrounds, cars with children present, outside schools and hospitals. Health officials emphasize that this represents the most significant public health intervention in a generation. The Economic and Health Burden of Smoking in the UK Smoking imposes a substantial financial and health burden on the UK. According to official statistics, tobacco use leads to 400,000 hospital admissions and 64,000 deaths annually in England alone. The National Health Service (NHS) spends approximately £3 billion (about $4 billion) each year treating tobacco-related illnesses, including cancer and heart disease. This legislation aims to significantly reduce these costs over time. A Shift in UK Public Health Policy: From Incremental to Generational Approach The smoking ban follows an evolution in UK public health policy. Originally introduced in 2023 under Prime Minister Rishi Sunak's Conservative government, the plan was to raise the legal purchasing age by one year annually. This approach was temporarily shelved before the 2024 general election before being revived and expanded by the current Labour government. The generational approach represents a significant shift from previous incremental strategies. While the bill has faced criticism from opposition figures like Nigel Farage of Reform UK, who has promised to repeal it, it has received strong support from health charities and campaign groups across the UK. The Future of Tobacco Control and Public Health in the UK As the UK moves toward implementation, public health experts anticipate that this legislation could serve as a model for other nations seeking to reduce smoking prevalence. The "smoke-free generation" approach may inspire similar policies in countries with comparable healthcare systems and public health challenges. Health officials will now focus on enforcement mechanisms and public education campaigns to ensure compliance and maximize the health benefits of this unprecedented legislation. The success of this policy will likely be measured by reductions in smoking prevalence rates, healthcare costs, and smoking-related illnesses over the coming decades.

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.