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East Darfur, Sudan — Hawa Adam did not expect a childhood illness to kill her son. Ali was two years old when he fell sick on February 25 in Labado, in Sudan’s East Darfur state. He died two days later.“I thought it was one of the ordinary childhood diseases,” the 37-year-old told Al Jazeera. “I never imagined I would lose my child to this epidemic.”Hawa attributes his death to the absence of basic medical care – no vaccination, no qualified doctors. “Most doctors”, she says, “left the area after the war broke out, forcing those with means to seek treatment abroad, in South Sudan or Uganda.”The Collapse of Routine Immunization in East DarfurA measles outbreak has struck several Labado districts since March, killing approximately 70 people and infecting about 1,000 others across 12 residential neighbourhoods, in a population of roughly 12,000, which includes displaced people who arrived during the war, according to Mohamed Abdel Aziz, 32, coordinator of the Labado crisis unit.Those numbers were disputed by East Darfur’s health director, Dr Jabir al-Nadeef, who confirmed to Al Jazeera that measles has struck four districts of the state, but only reported 300 cases and 26 deaths, figures that diverge substantially from those documented by the Labado emergency room.“Vaccines only arrived on April 11 from Chad via UNICEF [United Nations Children’s Fund ], after a prolonged period with no supply, and a vaccination campaign is scheduled to run from April 18 to 24 across the state,” he said.Measles is one of the world’s most contagious diseases, spread by contact with infected nasal or throat secretions or breathing in air that was breathed out by someone with measles, according to the World Health Organization (WHO). Outbreaks can result in severe complications and deaths, especially among young, malnourished children.Transmission: Contact with infected secretions or airborne particles.Current Coverage: Measles vaccination has fallen to 46 percent.Routine Immunization: First dose of diphtheria, tetanus, and pertussis dropped to 48 percent in 2024.Quantifying the Human Cost: Disputed Death Toll and Economic BarriersThe first measles cases in Darfur in the current outbreak were recorded in January, according to UNICEF. It is unfolding against the backdrop of a near-total collapse of public health infrastructure across Darfur, where war has gutted facilities, halted routine vaccination and driven out medical personnel.“We discovered the outbreak by accident,” Abdel Aziz, the coordinator, told Al Jazeera. The teams had been conducting home visits for a fire-prevention workshop when they saw the scale of the outbreak, with almost half of the homes visited having measles cases.In the al-Nil neighbourhood, Ismail Issa, 38, lost his two-year-old daughter Makarem on March 11. His brother Ahmed lost an 18-month-old son, Issa, on March 25. Then Hasan, the three-year-old son of Ismail’s sister Medeeha, died on March 23. All three families live in adjoining homes, and the infection passed between them.Abdel Aziz traced much of the death toll directly to a supply failure. Medicines ran out at the government health centre on February 23. Drugs remain available at private pharmacies, but most residents cannot afford them.Intravenous fluids: 8,000 Sudanese pounds ($20.50).Antibiotics: 10,000 to 15,000 pounds ($25.60 to 38.40).A Public Health Catastrophe UnfoldingAsmaa Jalaluddin, 28, lives in the Dar al-Naim West neighbourhood of Labado with her three children. Her three-year-old daughter, Mashaer Rajab al-Sheikh, fell ill on April 5 with fever, diarrhoea and persistent vomiting. She stopped eating and kept her eyes shut for four days.On April 8, Asmaa took her to the Labado health centre, where she was told her daughter had measles. With no medicines available, she was directed to travel to Shuairiya, 40 kilometres north. There, on April 10, Mashaer received fever reducers and vitamins and slowly began to open her eyes again. She was discharged two days later.Local doctors are now calling for intervention from international health organisations, noting that diseases that had been eliminated are returning.UNICEF spokesperson for Sudan, Eva Hinds, told Al Jazeera that “measles cases continue to be reported across Darfur, with insecurity, displacement, damaged health facilities, and prolonged disruption to routine immunisation all constraining the response.”UNICEF says that a measles-rubella vaccine catch-up campaign has been completed across all localities in Central Darfur and West Darfur, as well as parts of North and South Darfur, reaching approximately 2.1 million children aged nine to 14. Vaccination in remaining areas, including East Darfur, is scheduled for mid to end of April, aiming to reach close to 750,000 children across all nine of the state’s localities.The Long Road to RecoveryFor the families of Labado, the calendar offers little comfort. In the al-Nil neighbourhood, three siblings buried their children within days of one another over the Eid holiday. In Dar al-Naim West, a mother counts the days until her daughter’s 14-day isolation ends. In the Safaa neighbourhood, Hawa Adam has already buried hers.“They could have still been alive,” Hawa Adam said. “Those without money die in Darfur.”

The Global Medicine Crisis UnfoldsThe United States and Israel's war on Iran has pushed up the price of nearly everything, with recent days seeing pharmacists note a spike in the price of medicines and contraceptives. In the United Kingdom, pharmacies are charging 20 to 30 percent more for over-the-counter medicines, while the common painkiller paracetamol has more than quadrupled in price. In India, chemists are reporting price rises of common painkillers of as much as 96 percent.Supply Chain Disruption Behind Medicine Price HikeSince the early days of the war, Iran has blocked the Strait of Hormuz, through which 20 percent of the world's oil and liquefied natural gas (LNG) supplies are shipped in peacetime. This has disrupted pharmaceutical supply chains, which are reliant on oil supplies. Pharmaceuticals are tied to petrochemical feedstocks, with many logistics routes between East Asia and Europe having important sea and air transhipment stops in the Gulf, particularly in Dubai.Furthermore, 35 percent of pharmaceuticals move by air, and about 90 percent of critical or life-saving pharmaceuticals and vaccines do so too. With the US-Israel war on Iran causing severe disruption for airlines, featuring widespread cancellations, airspace closures and a looming jet fuel crisis, approximately 22 percent of global air cargo flows are exposed to Middle East disruptions.Soaring Prices for Essential MedicationsPharmacies in the UK and India have noted significant increases in the price of paracetamol, a drug commonly used to treat headaches and the flu. In India, a former board member of the Visakha Chemists Association reported that paracetamol is rising by approximately 96 percent, with potential further increases of 30 to 40 percent due to spikes in raw material costs.In the UK, the price of paracetamol has also increased substantially. Olivier Picard, chair of the National Pharmacy Association, noted that the price he pays wholesalers for a pack of 100 500mg paracetamol tablets had jumped 41 pence to 1.99 pounds by the end of March, though it has since eased back to 1.09 pounds.Unequal Impact Across NationsThe impact of this pharmaceutical crisis varies significantly across different countries. The United States has domestic hydrocarbon and petrochemical supply, while China can source most of its demand from elsewhere. India, however, is a major producer of pharmaceuticals and depends on supplies from the Gulf, making it particularly vulnerable.The European Union has a 'solidarity mechanism' with stockpiling strategies including pharmaceuticals, with country-specific stockpiling requirements of two-10 months' worth of medicines. However, the problem is more acute for Global South countries, especially in sub-Saharan Africa, that have fewer or no stockpiles and limited financial resources to afford the price increases.Future Outlook for Global Medicine SupplyWhile the situation remains challenging, there are signs that some pharmaceutical supply chains may be stabilizing. The countries most likely to continue suffering are those directly touched by the conflict and regional disruption, including Lebanon, Palestine, and Iran. Fragile, aid-dependent countries that were already under severe pressure before this war also face significant risks.Import-dependent Gulf markets represent another conditional risk group, particularly for cold-chain and cancer medicines. However, in the Middle East region (excluding conflict zones), the situation remains more manageable than feared, with risks and delays rather than a generalized collapse. Pharmaceutical shipments continue to receive priority in air cargo due to their critical nature.

The United States military has officially ended mandatory flu vaccinations for its service members, marking a significant shift in public health policy under the Trump administration. Defense Secretary Pete Hegseth announced the decision Tuesday, citing principles of 'medical autonomy' and religious freedom, while individual military branches are given a 15-day window to request maintaining the mandate. Key Developments Hegseth announced the end of mandatory flu vaccines for military personnel in a video shared on social media The decision allows military services to request keeping the mandate in place within 15 days This follows a particularly severe flu season in the US when infections surged The Trump administration has framed vaccine refusal as a matter of personal moral and religious principle Over 8,400 military members were previously ejected for not taking the COVID-19 vaccine mandate in 2021 The administration has also rolled back vaccine recommendations for children Data & Market Impact While there isn't specific financial data in the article, this policy shift could impact: Pharmaceutical companies producing flu vaccines for military contracts Public health outcomes in military communities Military readiness and deployment capabilities during flu season The broader landscape of vaccine mandates in federal institutions Why This Matters This decision carries significant implications for multiple stakeholders: For military personnel: It grants greater autonomy over personal health decisions but may increase vulnerability to preventable diseases For military readiness: The removal of mandates could potentially impact troop readiness during flu season, though the allowance for branch-specific requests mitigates this somewhat For public health: This continues the Trump administration's rollback of public health measures implemented during COVID-19 For civil liberties: It represents a victory for those advocating for medical freedom and bodily autonomy For national security: The balance between individual freedoms and collective protection in military settings is being redefined Expert Insight The decision reflects a broader ideological shift in how the federal government approaches public health mandates. By framing the issue around medical autonomy rather than scientific efficacy, the administration is prioritizing individual choice over collective protection—a significant departure from public health principles that have guided military health requirements for decades. The allowance for military branches to potentially maintain mandates suggests recognition of operational needs while still adhering to the administration's anti-mandate stance. This creates a patchwork approach that could lead to inconsistent health protections across different branches of the military. What Happens Next Individual military branches will decide within 15 days whether to maintain flu vaccine mandates Legal challenges are likely, similar to those faced when the administration rolled back vaccine recommendations for children Other federal agencies may follow suit in ending vaccine mandates Public health officials may need to develop alternative strategies to encourage voluntary vaccination The military may see increased recruitment among those opposed to vaccine mandates This could set a precedent for ending other public health requirements in federal institutions

The Guardian’s latest science podcast examines the worldwide campaign to wipe out Guinea worm disease, a parasitic infection that could become the second human disease ever eradicated after smallpox. Hosted in 2026, the episode highlights why the disease remains a focal point for public‑health leaders and what its elimination would mean for global health security.Guinea worm, transmitted through contaminated water, has been the target of an intensive eradication effort led by the World Health Organization and partners in endemic regions. The podcast underscores the progress made: cases have plummeted from millions in the 1980s to just a handful today, illustrating the power of coordinated surveillance, safe‑water interventions, and community education.Despite the gains, experts caution that complete eradication is not guaranteed. Residual hotspots in remote villages, logistical challenges in delivering clean water, and the need for sustained funding pose ongoing risks. The discussion stresses that a lapse in commitment could allow the parasite to rebound, undoing decades of progress.Historically, smallpox remains the only disease humanity has fully eradicated, a milestone achieved in 1980 after a global vaccination campaign. The potential success of the Guinea worm program would mark a watershed moment, demonstrating that eradication is feasible beyond vaccine‑preventable illnesses and could inspire similar initiatives for other neglected tropical diseases.Listeners are encouraged to support the effort through the Guardian’s science podcast platform, where additional resources and ways to contribute are provided. As the episode concludes, the hosts reiterate that the fight against Guinea worm is both a test of global solidarity and a template for future disease‑elimination campaigns.

In a fresh University of Massachusetts and YouGov poll of 1,000 U.S. adults conducted in early April, country‑music legend Dolly Parton emerged as the most favorably viewed global figure, securing a 70% favorable rating and only 5% unfavorable, translating to a net favorability of +65%. Former President Barack Obama ranked second with a net favorability of +14% (50% favorable, 36% unfavorable). Ukrainian President Volodymyr Zelenskyy followed closely, posting a net favorability of +12% after 35% of respondents expressed a favorable view and 22% an unfavorable one. Other political figures fared poorly: former President George W. Bush earned a modest +5% net score, while Donald Trump and Joe Biden registered negative net favorabilities of ‑18% and ‑19% respectively. Pop star Taylor Swift managed a modest +3% net rating, and Russian President Vladimir Putin landed at the opposite extreme with a stark ‑65% net favorability. Parton’s dominance is notable not only for the size of the margin—over 50 percentage points ahead of her nearest rivals—but also because she is the only figure, aside from Obama, for whom a majority of respondents expressed a favorable opinion. Analysts attribute Parton’s success to her deliberately apolitical public persona and extensive charitable work. In a 2017 interview, she emphasized, “Everybody knows I don’t play politics,” a stance that has helped her maintain a broad bipartisan fan base. Her philanthropic impact is substantial. The Dollywood Foundation’s Imagination Library has donated more than 270 million books to children under five across the United States, Canada, the United Kingdom, Ireland, and Australia. Additional contributions include a $1 million gift to Vanderbilt University Medical Center that supported the development of the Moderna COVID‑19 vaccine, over $12 million to families displaced by the 2016 Tennessee wildfires, and ongoing funding for pediatric infectious‑disease research. Parton’s charitable achievements were recognized with the Carnegie Medal of Philanthropy in 2022**, and she was highlighted by Time as one of the most influential philanthropists of 2025. The poll’s findings suggest a public appetite for figures who embody generosity and cultural resonance without entanglement in partisan politics, underscoring a broader trend of voters gravitating toward non‑political icons in an era of heightened polarization.

Tucker Carlson, the former Fox News host, is set to launch his own publishing imprint, Tucker Carlson Books, in partnership with US-based publisher Skyhorse. The imprint aims to provide a platform for books that might otherwise be censored or shut down.Among the initial titles to be published are Russell Brand's How to Become a Christian in Seven Days, described as a "testimony and guide to a timeless, yet zeitgeist-capturing, grounded, yet psychedelic encounter with Christ." Brand is currently facing charges of rape, sexual assault, and indecent assault in the UK, to which he has pleaded not guilty.Another title set to be published is Milo Yiannopoulos's Ex Gay. Yiannopoulos, a controversial "alt-right" commentator, has previously been shunned by publishers due to his contentious views. His 2017 memoir, Dangerous, was canceled by Simon & Schuster after footage surfaced in which he made comments that appeared to condone sex between adult men and underage boys.Carlson, a former Trump supporter and promoter of right-wing conspiracy theories, was reportedly fired from Fox News in 2023. He soon launched his own media company, Tucker Carlson Network, and the imprint is being launched in partnership with this network.Skyhorse publisher Tony Lyons stated that the imprint will give "a platform to things that would, in many cases, be shut down, be censored, and be covered over by propaganda." Carlson emphasized that Lyons is "just looking for books that nobody else will publish."Skyhorse, which was launched in 2006, claims to be one of the fastest-growing independent book publishers in the US. Its previous publications include Woody Allen's memoir Apropos of Nothing and US Secretary of Health and anti-vaccine activist Robert F Kennedy Jr's The Real Anthony Fauci.

On 23 June 2016, the United Kingdom’s electorate shifted from party‑centric voting to a binary choice between staying in or leaving the European Union. A decade later, about 60 % of the population still define themselves by the side they chose in that single referendum, turning a one‑off political decision into a lasting personal identity.While analysts often focus on the policy fallout—economic turbulence, party infighting, and shifting trade relations—the real impact runs deeper. The referendum ignited a civil‑war‑like split that continues to shape elections, media narratives, and everyday conversations across the country.Before the global upheavals of the George Floyd protests and the Covid‑19 vaccine rollout, Brexit was Britain’s most potent form of identity politics. It spawned new media outlets, such as GB News, and programmes like The Rest Is Politics, while also marginalising older cultural tropes like the “centrist dad” or “gammon” heckler on Question Time. Figures such as Nigel Farage and Zack Polanski now occupy the political fringe rather than the mainstream.The analysis draws on the new book Tribal Politics: How Brexit Divided Britain by political scientists Sara Hobolt and James Tilley. Their longitudinal surveys reveal a simple yet striking pattern: the referendum transformed a previously lukewarm public attitude toward the EU into a powerful, identity‑based habit.Prior to 2016, most Britons held only a mild Euroscepticism and gave the EU little thought. Even former Prime Minister David Cameron tried to silence the issue in 2006, believing it failed to engage voters. The sudden elevation of a niche concern to a national obsession forced ordinary citizens to pick a side, discuss it in pubs, and embed it into their self‑image—a process James Clear describes as building “identity‑based habits”.Data from Hobolt and Tilley show that emotional attachment to the Brexit identity was modest before the vote, rose sharply as the referendum approached, and surged dramatically after the result was announced. The post‑vote period saw a flood of EU‑themed merchandise, street rallies, and even flag‑clashes at cultural events such as the 2017 Last Night of the Proms.Crucially, the tribal divide has not faded. By 2025, only around 40 % of “Leavers” feel comfortable discussing politics with “Remainers”, and the sentiment is reciprocated. This goes beyond mere disagreement; it reflects a level of social discrimination where individuals on opposite sides would hesitate to share a home or marry into each other’s families.The authors note that the split now extends to perceptions of reality itself. Even in 2024, Remainers and Leavers disagreed on basic economic indicators, illustrating how the referendum reshaped not just policy preferences but fundamental worldviews.Class‑based voting, which dominated the 20th‑century British political landscape, has been largely supplanted by this new cultural cleavage. A previous study co‑authored by Tilley showed that the Labour Party’s turn toward the political centre in the 1990s eroded traditional working‑class loyalty. Today, leader Keir Starmer’s working‑class credentials appear largely symbolic, offering little substantive change.With class politics receded, culture wars have taken centre stage. The Brexit campaign’s vague promises about trade left the nation with a protracted, messy adjustment period. Immigration, famously dubbed the “baseball bat” issue by Dominic Cummings, remains the most polarising policy divide, followed by foreign aid and even the death penalty.Hobolt and Tilley’s most striking chart shows that while Remainers and Leavers clash over immigration, they share little disagreement on economic equality, workers’ rights, or public ownership—issues that directly affect household incomes. This suggests that the political battle is driven more by symbolic identity than by material concerns, benefitting those already financially secure.In sum, the United Kingdom’s post‑Brexit reality is one of entrenched tribalism, where a single referendum has reshaped social bonds, political discourse, and perceptions of truth itself. The nation continues to grapple with the legacy of a vote that turned a policy decision into a lasting cultural fault line.

Bangladesh’s Ministry of Health and Family Welfare disclosed that a suspected measles outbreak has killed at least 98 children in the past three weeks, prompting an urgent escalation of vaccination efforts in Dhaka’s hardest‑hit districts.Prime Minister Tarique Rahman ordered two senior ministers to tour the nation’s 170 million residents, assess the crisis’s scale, and coordinate a rapid response.Official data released on Sunday show that 6,476 children aged six months to five years exhibited measles‑like symptoms, while 826 cases have been laboratory‑confirmed with 16 confirmed deaths. Health officials note that many cases go untested, meaning the true toll could be higher.According to Halimur Rashid, director of Communicable Disease Control, “Compared with past years, the number of affected children is higher, and the death toll is higher too.” He attributes the surge to multifactorial causes, including a shortage of vaccines.World Health Organization (WHO) records indicate the highest number of suspected measles cases in Bangladesh was 25,934 in 2005. After a long decline, this year’s figures represent a stark reversal.Measles remains one of the world’s most contagious diseases, spreading through coughs and sneezes. While it can affect any age group, children under five are most vulnerable to severe complications such as brain swelling and respiratory failure. WHO estimates up to 95,000 measles deaths globally each year, primarily among unvaccinated or under‑vaccinated children.Bangladesh has previously achieved notable progress in immunisation, yet a scheduled measles‑vaccination drive for June 2024 was postponed after a violent uprising that ousted Prime Minister Sheikh Hasina. Consequently, many children—some as young as six months—missed the routine nine‑month vaccine dose.Mahmudur Rahman, chief of the National Verification Committee of Measles and Rubella, acknowledged the missed target of eliminating measles deaths by December 2025, citing “poor vaccination programmes.”In response, Dhaka has identified 30 districts with the highest case numbers and launched an emergency vaccination campaign. Health Minister Sardar Shakhawat Hossain Bakul pledged that the drive will first cover the “worst affected areas” before expanding nationwide.Public‑health expert Tajul Islam A Bari, a former official of the Expanded Programme on Immunisation, warned that although funds were allocated for vaccine procurement, the government failed to secure the doses, leading to the current “scary” situation.With no specific treatment for measles once contracted, the focus remains on accelerating vaccine delivery, improving surveillance, and preventing further loss of young lives.

The conflict between Iran, the US, and Israel has taken a severe turn with a series of coordinated attacks on Iranian universities and infrastructure. A research center at Shahid Beheshti University in Tehran was recently bombed, leaving it in ruins. This attack is part of a larger pattern of civilian sites being targeted by the US and Israel. Over 30 universities have been impacted since the start of the war on February 28, according to Hossein Simaei Saraf, the Iranian minister of science, research, and technology. The attacks have not only damaged educational facilities but also research centers, including those working on domestically made satellites and infectious diseases. The Pasteur Institute in Tehran, a renowned center for vaccine development and biological products, was also attacked, sustaining significant damage and disrupting health services. The World Health Organization (WHO) confirmed the damage and noted that no casualties were reported. In addition to educational and healthcare facilities, over 20 healthcare facilities have been targeted since March 1, according to WHO Director-General Tedros Adhanom Ghebreyesus. The attacks have also affected schools, houses, and businesses, resulting in over 2,000 deaths and widespread destruction. The economic sector has not been spared, with petrochemical and steel factories being destroyed in recent bombardments. The US and Israel have also targeted critical infrastructure, including power plants and water desalination plants, which are civilian targets protected under international law. The Iranian government and the Islamic Revolutionary Guard Corps (IRGC) have vowed to retaliate and escalate attacks across the region. The situation has drawn international condemnation, with over 100 US legal experts expressing concerns about potential war crimes and violations of international humanitarian law.