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The Global Obesity Landscape: Not a Uniform EpidemicA continuing rise in obesity around the world is not inevitable, research suggests, with rates in some countries levelling off or potentially in decline. Researchers say focusing on what has been described as a global epidemic of obesity hides large variations in trends across different countries, sexes and age groups.Majid Ezzati, a professor of global environmental health at Imperial College London and author of the study, said: "I think the thing that's really important is this diversity exists even across countries that have really similar economic, environmental, technological features. So countries may look the same on the surface of it but obesity looks different."Comprehensive Analysis Reveals Complex PatternsWriting in the journal Nature, the international team, which involved a network of almost 2,000 researchers, described how for each country they calculated the change in the prevalence of obesity each year between 1980 and 2024. They drew on data from 4,050 population-based studies involving 232 million participants aged five years and above.They found that the prevalence of obesity increased in almost all countries over the 45-year period. However, in most high-income countries, a rapid rise in the prevalence of obesity has been replaced by a slower increase, a plateau, or a potential decline.Regional Variations in Obesity PrevalenceThe rate of growth in obesity is slowing in adults in the US and UK, reaching a prevalence of 40-43% and 27-30% respectively in 2024. Obesity is increasing steadily in Finland, has plateaued in Germany and may have started to decline in France, where 24-25%, 20-23% and 11-12% of adults respectively were thought to have the condition in 2024.Slowdowns were often seen in children and adolescents before adults. For the former group, the slowdown started as early as 1990 in Denmark and rates stabilised in most high-income countries by the mid-2000s. Obesity has plateaued in boys and girls in the UK, US, Germany and Japan at prevalences of 10-12%, 20-23%, 7-12% and 3-7% respectively.Meanwhile, obesity among young people and adults in many low-income and middle-income countries continues to rise and in some cases this is accelerating.Understanding the Drivers Behind Divergent TrendsThe team say it is important now to unpick what is behind the trends in different countries. The situation is complex: while there may be shared reasons for obesity, such easy access to unhealthy foods or a decrease in physical activity, the team say country-specific factors rooted in social, economic and policy considerations could also be important, from perceptions around body image to the presence or absence of interventions such as healthy school meals.Naveed Sattar, a professor of metabolic medicine at the University of Glasgow, who was not involved in the work, said the study highlighted how obesity trends were diverging sharply across countries. "English-speaking nations are doing particularly poorly, with the UK now among the countries with the highest obesity levels worldwide," he said.Sattar said it was encouraging that some countries appeared to have reached a plateau in obesity rates. "Understanding what has worked in those settings is crucial as it could help shape more effective public health strategies for the UK," he said, although he noted there could be country-specific aspects or customs at play.Future Outlook and Potential InterventionsHe said the rapid rise in obesity across many developing countries was especially concerning, not least as it could result in increases in diabetes and cardiovascular conditions.He added: "Looking ahead, it will be important to see how wider use of effective weight-loss medicines affects obesity trends, particularly in the UK and the United States. Recent signs of stabilisation in the USA suggest there may be room for cautious optimism. Combining evidence-based medicines with strong public health measures could begin to shift obesity rates in the right direction."

The Regulatory Response to Deadly Online ContentA nihilistic internet suicide forum implicated in over 160 UK deaths has been fined £950,000 by the online regulator in its latest attempt to shut it down. Ofcom said the US-based website remains accessible in the UK despite over a year of warnings. Online safety campaigners have accused the regulator of taking an "interminable" amount of time to act.The Samaritans, mental health campaigners and the Molly Rose Foundation, have repeatedly raised concerns about the site – which promoted a particular poison – which has remained accessible despite it being cited in multiple coroners' reports regarding the deaths of UK citizens.Molly Rose was set up in the memory of Molly Russell, a 14-year-old who took her own life after descending into a vortex of negative online content, including about suicide. Its chief executive, Andy Burrows, welcomed the fine and a separate move that could block UK internet access to the site, but said it was "appalling that it has been left to bereaved families and campaign groups to press Ofcom into action".Legal Action Under the Online Safety ActOfcom has been trying to get the site to obey British laws criminalising intentionally encouraging or assisting suicide since last spring. It had some success with the site being blocked last July and then a mirror site being taken down in November. But it is now taking action because the site can be "used by people in the UK, including without a VPN, and presents a material risk of significant harm".The fine is being levied under the Online Safety Act which also allows Ofcom to seek a court for an order requiring internet service providers to block UK access to the site. It is preparing an application to have its connections effectively cut "if our concerns are not fully addressed and there continues to be an ongoing breach".It accused the provider of "serious and deliberate contraventions" and said the fine reflected the "the risk of fatal harm to people in the UK posed by the content present on the service".Human Cost and Family AdvocacyOn Wednesday, the forum was unavailable but its operator posted a page that said it was advocating for "the right to access lawful information without government overreach" and quoted Mark Twain: "Censorship is telling a man he can't have a steak just because a baby can't chew it."The Molly Rose Foundation and Together with Families and Survivors to Prevent Online Suicide Harms said coroners had warned the UK government 65 times about risks of further deaths from the forum "and a substance it promotes, glorifies and instructs for use as a suicide method". Adele Zeynap Walton, the sister of Aimee Walton who took her life after accessing suicide forums, said the wait for action had been agonising."While we've waited further lives have been lost and we've had to fight every step," she said, speaking on behalf of Families and Survivors to Prevent Online Suicide Harms. "We feel let down by the process and Ofcom's slow response to this threat to life."Regulatory Challenges and Future ActionsBurrows said: "Molly Rose Foundation submitted detailed evidence which showed scores of vulnerable young people remained at risk while Ofcom's investigation dragged on … There are real questions about why it has taken so long for the regulator to act against a forum linked to at least 164 UK deaths."Ofcom said it has "engaged extensively" with the forum provider and that last summer the forum geoblocked mirror sites in the UK and later removed information on a landing page promoting ways to circumvent the block."We share the urgency about the extreme harms that sites such as this can cause, and understand the anger felt towards them by those who have been so personally affected," a spokesperson said. "It is vital that we ensure our enforcement action is thorough, and this can take time, as is the case for any enforcement agency."Preventive Measures and Support Resources"Lucas was 16. Vlad 17. Aimee 21. Grace, Hannah and Tom 22. Immy 25. Adam 28 and Claire 41," the campaign groups said in a report last year. "They were drawn into a dark world that was allowed to exist online and continues to exist through the use of a VPN. We believe our loved ones suffered coercion, grooming, instruction on how to end their lives. Most accessed a poison that was allowed to cross borders or was readily available domestically."Suzanne Cater, director of enforcement at Ofcom, said the forum had "caused unimaginable pain and suffering … and no punishment can undo that harm"."The provider of this forum knows it's used to share illegal content encouraging and assisting suicide on their site," she said. "While they've responded to our enforcement action by making some changes to the accessibility of their service in the UK, this is not good enough and the changes they've made were not consistently applied or effective to reduce the risk of harm. Given the ongoing risk of harm, we are using all powers available to us to protect the public."

The Quest for a "Disruptive" Cure in Silicon ValleyReturning to San Francisco in 2016, the author sought a solution to treatment-resistant depression within the city's petri dish of wellness innovation. Amidst a culture obsessed with disrupting every industry, the author attempted a series of cutting-edge interventions, believing the technological hub would offer a scalable solution to mental illness. However, the pursuit of high-tech fixes proved to be a cycle of disappointment, leading to a realization that human nature cannot be "hacked".The High-Tech Pipeline of Despair: Ketamine, TMS, and FMTThe author underwent a rigorous regimen of experimental therapies, ranging from clinical to underground:IV Ketamine Infusions: Receiving treatments at a Marin County clinic five times, despite the effects being minimal.Transcranial Magnetic Stimulation (TMS): Undergoing daily sessions for eight months in a sterile Union Square office, which ultimately failed to alter the author's mood.Fecal Microbiota Analysis: Participating in an elimination diet and stool analysis recommended by a WeWork nutritionist, which yielded no results.Underground Shamanic Ketamine: A final, ill-advised attempt involving a shaman that left the author feeling worse than before.The Promise vs. The Reality of Remission RatesWhile the author's personal journey yielded no relief, the broader data on these treatments presents a mixed picture. Research indicates that 52% of participants in ketamine studies achieved complete remission, and TMS has shown significant promise in clinical settings. However, the author highlights that 30% of people with major depressive disorder are treatment-resistant, meaning standard and experimental interventions alike may fail for a significant portion of the population.The Failure of "Disruption" in Mental HealthThe article critiques the Silicon Valley tendency to turn human suffering into a product. The sterile, high-tech environments of clinics and the commodification of wellness (biohacking, AI therapists) failed to address the root causes of the author's depression. The author contrasts this with the effectiveness of 12-step meetings and community support—frameworks developed nearly a century ago—suggesting that deep, unoptimized human connection is more effective than algorithmic or biochemical solutions.From Biohacking to Human ConnectionThe author's eventual recovery came not from a new technology, but from a return to fundamental human structures: sobriety, church basements, and communal living. The prediction for the future of mental health is a shift away from the "optimization" of the individual and toward the restoration of community and belonging.

Martin Short's Heartfelt Revelation Martin Short has spoken for the first time about the death of his daughter, Katherine Short, saying her death has been “a nightmare for the family”. Katherine died in February aged 42, at her home in the Hollywood Hills. The County of Los Angeles Medical Examiner’s office confirmed she died by suicide. The Pain of Loss Speaking on CBS News Sunday Morning, the 76-year-old comedian and actor compared his daughter’s death with that of his wife, Nancy Dolman, who died of ovarian cancer in 2010 aged 58. “The understanding [is] that mental health and cancer, like my wife’s, are both diseases, and sometimes with diseases they are terminal,” Short said. A Desire to Raise Awareness Short said he had a “deep desire” to take “mental health out of the shadows” so people wouldn’t be “ashamed” of talking about it. “Not hiding from the word suicide, but accepting that this can be the last stage of an illness,” he said. A Year of Loss Short also spoke of losing several close friends and family in the past year, including his sister-in-law, his daughter and his friends Diane Keaton, Rob and Michele Reiner and Catherine O’Hara. “It’s staggering,” he said, adding: “You just have to breathe in, breathe out.” Katherine's Legacy Katherine was the eldest of three children adopted by Short and Dolman. She largely kept out of the spotlight, though she sometimes attended events and walked red carpets with her father. She received a bachelor’s degree in psychology and gender sexuality studies from New York University in 2006, as well as a master’s in social work from the University of Southern California in 2010, and went on to work in private practice as a licensed clinical social worker. A New Documentary Short spoke to CBS ahead of a new Netflix documentary film about his life titled Marty, Life Is Short, which premieres 12 May. The documentary touches on Short’s many experiences with loss early in life: his older brother David was killed in a car accident when Short was 12, and both of his parents died when he was still a teenager. Resources In the US, you can call or text the 988 Suicide & Crisis Lifeline at 988 or chat at 988lifeline.org. In the UK and Ireland, Samaritans can be contacted on freephone 116 123, or email [email protected] or [email protected]. In Australia, the crisis support service Lifeline is 13 11 14. Other international helplines can be found at befrienders.org

The Lead Janine Roebuck, a 72-year-old opera singer from London, has shared her remarkable experience of receiving double cochlear implants, which have transformed her life after hiding her deafness for over 30 years. The Event Details Roebuck, who has sensorineural hearing loss, underwent cochlear implant surgery on the NHS for one ear in 2019 and paid for the other ear to be done at the same time. She described the experience as 'the best thing I've ever done in my life', highlighting the significant improvement in sound quality and her ability to engage in conversations. The Data Analysis The National Institute for Health and Care Research (NIHR) is backing a study into two implants for adults, led by Addenbrooke's hospital and the University of Cambridge. The trial, which includes over 250 adults, aims to compare the results of unilateral and bilateral implants. The Impact Analysis The surgery has not only improved Roebuck's hearing but also her mental health and overall quality of life. She emphasized that the implants have 'broken a generational curse' and allowed her to reconnect with the world around her. The Prediction The study's findings will be submitted to the National Institute for Health and Care Excellence (Nice) for review, potentially paving the way for more adults to receive bilateral cochlear implants on the NHS. This could lead to a significant improvement in the lives of thousands of people with hearing loss.

The Rediscovery of a Harlem Renaissance OutsiderEric Walrond was a defining yet vanishing figure of the Harlem Renaissance, a Guyana-born writer who navigated the complexities of migratory identity and racial politics in the early 20th century. His death in 1966 went largely unremarked, and for decades, he slipped into obscurity. However, the centenary of his magnum opus, Tropic Death, has reignited interest in a body of work that challenged the literary establishment of his time.The Gothic Counter-Pastoral of 'Tropic Death'Published in 1924, Tropic Death is a trailblazing collection of 10 stories set in the Panama Canal Zone and the Caribbean. Walrond rejected the pastoral tradition, instead employing a gothic lens to expose the brutality of colonialism and the caste systems that governed the region. The stories are visceral and macabre, featuring a laborer shot by a drunken marine, a boy devoured by a shark, and a plantation owner killed by a vampire bat.Key Themes: The inversion of the 'tropical paradise' fantasy.Style: Use of phonetic vernacular and regional dialects.Reception: Initially controversial among contemporaries like Marcus Garvey and Claude McKay.Deconstructing the 'Tropical Paradise' MythWalrond’s work is significant because it directly countered the sanitised narratives of tourist literature commissioned by corporate interests. By foregrounding the violence and supernatural decay inherent in the landscape, he revealed the 'nightmare buried beneath the surface' of the colonial idyll. His characters—farmers, sex workers, and sailors—were not primitives, but complex individuals caught in a web of racial and extractive capitalism.The Cost of Exile and ObscurityDespite critical acclaim and a Guggenheim award, Walrond struggled with a sense of rootlessness that stifled his creativity. His migration from New York to Paris, then London, and finally to the isolated town of Bradford-on-Avon, marked the end of his literary output. Struggling with mental health and the color bar, he spent his final years in anonymity, dying in an unmarked grave. His story serves as a poignant reminder of the erasure of non-white voices in literary history.

The LeadJoseph Fiennes, known for his roles in Shakespeare in Love and The Handmaid's Tale, sat down with The Guardian to discuss his thoughts on parenting, politics, and the impact of social media on children. Parenting and PoliticsFiennes emphasized the importance of parents taking a stand on issues affecting their children's generation. He expressed his concerns about the influence of social media on young minds and encouraged leaders to take action. The Impact of Social MediaFiennes highlighted the need for a more responsible approach to social media, particularly when it comes to children. He believes that parents and leaders must work together to create a safer and healthier online environment. A Call to ActionFiennes' comments come at a time when there is growing concern about the impact of social media on children's mental health and well-being. His call to action encourages parents and leaders to take a more proactive role in shaping the online world. The Future of Parenting and PoliticsAs Fiennes continues to navigate his career and personal life, he remains committed to using his platform to raise awareness about important issues. His thoughts on parenting, politics, and social media serve as a reminder of the need for ongoing conversation and action.

The Lead Emmy van Deurzen, a Dutch existential therapist, has dedicated her life to helping people navigate mental health crises. Inspired by RD Laing, she moved to the UK in 1977 and began working with the Arbours Association, a therapeutic community based on Laing's ideas. The Event Details Van Deurzen's journey into existential therapy began when she realized that anti-psychiatry had 'lost courage' and wasn't providing adequate support to people in crisis. She established an existential therapy centre at Arbours, the first of its kind in the UK, and went on to popularize this form of psychotherapy. The Data Analysis With over 350 existential therapists accredited by the UK Council for Psychotherapy having trained at one of her schools, Van Deurzen's impact on the field is significant. Her approach focuses on helping people find meaning, courage, and freedom despite life's struggles. The Impact Analysis Van Deurzen's work is changing the way people approach mental health. She believes that depression is a form of oppression and that therapy can help people rediscover their existential courage. Her book, 'Beginning to Live', offers practical advice on cultivating a better life. The Prediction As existential therapy continues to grow, Van Deurzen's influence is likely to expand. Her approach, which emphasizes philosophical exploration and personal growth, may become a more prominent part of mental health care. With her guidance, people may find new ways to navigate life's challenges and cultivate a deeper sense of purpose.

The Incident A 33-year-old Cuban man has died in Immigration and Customs Enforcement (ICE) custody, believed to be by suicide, the agency has said. A monitoring group on Friday said Denny Adan Gonzalez was the 18th person to die in US immigration custody this year amid the administration of US President Donald Trump’s mass deportation drive. He is also the fifth death believed to be by suicide, according to Physicians for Human Rights, which warned of a pattern of “increasing suicides”. Background and Details In its statement, ICE said Gonzalez had been arrested on December 12, 2025, in Charlotte, North Carolina for “assault on a female and domestic violence”. He was transferred to ICE custody at Stewart Detention Center in Georgia in January. It added that he had previously been expelled from the US but re-entered without documentation in 2022. On Tuesday, Gonzalez was found unresponsive in his cell and was pronounced dead at a nearby hospital, according to ICE. He was discovered by staff from CoreCivic, a private prison company that partners with ICE. Concerns Over Detention Conditions Monitors have said 2026 is on track to have the highest death toll in ICE custody in the agency’s 22-year history. Last year already saw a record number of deaths in immigration custody, with 33 confirmed. The uptick comes amid a surge in immigration detentions under Trump, which reached a high of more than 70,000 people in detention in January of this year. That was up from just less than 40,000 people in immigration detention when Trump took office in January 2025, according to the Transactional Records Access Clearinghouse (TRAC) tracker. Response from Advocacy Groups Responding to Gonzalez’s death, Physicians for Human Rights said it “reflects a pattern of increasing suicides in a system where solitary confinement remains widespread, despite well-documented evidence of its severe psychological harms”. Andrew Free, a lawyer who tracks immigration detention, has said Gonzalez had been held in solitary confinement. ICE did not say in its statement whether Gonzalez was being held in isolation when he was found dead. Al Jazeera has reached out to the agency for comment. In a statement, Katherine Peeler, a medical doctor and professor at Harvard Medical School, said she was “not surprised by this death – and that is precisely what makes it so devastating”. “When someone in immigration detention is placed in isolation, already separated from family, community, social and legal support, the risk compounds. ICE has received this evidence repeatedly, through our reports, through congressional testimony, through research by their own oversight bodies.” ICE's Response For its part, ICE said in its statement it is “committed to ensuring that all those in custody reside in safe, secure, and humane environments”. “All people in ICE custody receive medical, dental, and mental health intake screenings within 12 hours of arriving at each detention facility; a full health assessment within 14 days of entering ICE custody or arriving at a facility; access to medical appointments; and 24-hour emergency care,” it said. “At no time during detention is a detained noncitizen denied emergency care,” it added.