December 19, 2025

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Better health begins with ideas

 

Editors’ Note

As we near the six-month mark of the official shutdown of the U.S. Agency for International Development (USAID), extensive grant cancellations have halted access to lifesaving medications, treatments, and food assistance for millions of people.

 

Many cuts have targeted aid programs throughout Africa, where nearly 58% of deaths under the age of 5 and 50% of newborn fatalities take place. The root of this tragedy is chronic underfinancing of health, write Rajat Khosla, executive director of the Partnership for Maternal, Newborn and Child Health, and Patrick Ndzana Olomo, head of economic policy and sustainable development at the African Union Commission. They offer key takeaways from this fall’s Ordinary Session of the African Union Specialized Technical Committee on Finance, Monetary Affairs, Economic Planning and Integration, where delegates met to elevate health financing as a core element of fiscal and economic policy and to align health and finance institutions. 

 

Next, the holidays can be a season of joy—but also of headaches, as travelers wait in long airport lines or nod along during lengthy conversations with family. Yvonne Yiru Xu, a research scientist at the University of Washington’s Institute for Health Metrics and Evaluation, and Andreas Kattem Husøy, a neurologist resident at St. Olav’s University Hospital, describe how the overuse of common pain medications could feed the global burden of headaches and migraines, which they estimate via a new study in the Lancet Neurology.  

 

The TGH newsletter concludes with a visit to Mumbai, India—where journalist Puja Changoiwala provides a field report about overcrowded railway trains that claim 10 lives a day on average. She speaks with victims’ family members and analyzes how administrative delays are stalling efforts to improve safety.  

 

Until next week!—Nsikan Akpan, Managing Editor, and Caroline Kantis, Associate Editor 

 

This Week’s Highlights

 

GOVERNANCE

Jocelyne Mitoba, who was detained for eight days with her baby for lack of money at Bethesda Medical Center, holds her newborn at her home, in Ngaba, a neighborhood of Kinshasa, Democratic Republic of Congo, on February 18, 2023.

Africa’s Push for Health Sovereignty 

by Rajat Khosla and Patrick Ndzana Olomo

Africa’s leaders are explicitly reframing health financing as an economic and fiscal priority, not as a social afterthought

 

Read this story

 

Figure of the Week

 

A series of bar charts show the headache burden for men and women for all types of headaches, migraines, and tension-type-headaches

Read this story

 

Recommended Feature

 

URBANIZATION

Teresa, 75, an Alzheimer's patient and former businesswoman, poses for a photograph inside the Alzheimer Foundation, in Mexico City, Mexico, on April 19, 2012.

Why Mumbai’s Overcrowded Trains Prove Fatal 

by Puja Changoiwala

The city’s suburban railway claims 10 lives a day on average, but authorities continue to delay safety reforms 

      

Read this story

 

What We’re Reading

Why the Animal Sedative Behind a Baltimore Mass Overdose Is So Hard to Quit (Baltimore Banner)

To “Graduate” From Poverty, They Can Borrow to Build a Business. So Why Aren’t They? (NPR’s Goats and Soda)

 

From Illness to Wellness: The Inspiring Journey to Deliver Comprehensive Primary Health Care in Assam, India (World Health Organization)

 

Distributing Winning Lottery Tickets: Why Circular Migration Programs Should Target the Climate Vulnerable (Center for Global Development)

 

Inside the Trump Administration’s Man-Made Hunger Crisis (ProPublica)

 

Nigeria Closes Factories Linked to U.S. Auto Industry Amid Lead Poisoning Inquiry (The Examination)

 

Top 10 Migration Issues of 2025 (Migration Policy Institute)

 

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