Pablo Quirno, Argentina’s Minister of Foreign Affairs, International Trade and Worship and US official Bethany Kozma, at Argentina’s signing of the Geneva Consensus Declaration last week.

The United States has assumed the secretariat of the Geneva Consensus Declaration (GCD), a global anti-abortion initiative launched by Donald Trump’s administration weeks before he was voted out of office in 2020.

Hungary took over the secretariat after Trump was voted out, but the US rejoined the initiative in January 2025, a week after Trump was sworn in for the second time.

Late last week, the US announced that it had taken over the secretariat again, and this is being housed in the US Department of Health and Human Services’ Office of Global Affairs (OGA).

OGA director Bethany Kozma has been driving GCD since its formation and is a longstanding anti-abortion campaigner.

Argentina joins despite allowing abortion

Last week, she travelled to Argentina to welcome it as the latest signatory of the GCD, which is now supported by 42 countries.Argentina’s President Javier Milei is a key Trump ally.

Ironically, in 2020 abortion in Argentina was legalised on request up to 14 weeks, and later in cases of rape or risk to the woman’s physical or mental health.

In February 2024, Milei’s party, Liberty Advances, introduced a Bill to repeal the 2020 abortion law. It re-criminalised abortion for both the practitioner and the pregnant woman, with no exception for rape.

But the Bill was quickly withdrawn in the face of public outrage. However, Milei has been stealthily undermining access to abortion by simply failing to fund the necessary drugs and equipment.

In July, a conservative think tank, Political Network for Values (PNfV), held a series of events in Buenos Aires attended by Foreign Minister Quirno and Valerie Huber, a US pro-life activist known as the ‘architect’ of the Geneva Consensus, according to the Buenos Aires Times.

Several of the GCD signatories are ranked among the worst countries for women’s rights, according to Georgetown University‘s Women, Peace and Security Index

Kozma has contributed to Project 2025, the Heritage Foundation’s right-wing blueprint for a second Trump term, which advocates for extreme abortion restrictions.

She has also run Project 2025 training videos in which she has called for the Trump administration to remove any mention of gender and to “eradicate climate change references from absolutely everywhere,” describing it as “population control”, according to video footage obtained by ProPublica.

Removing ‘modern contraception’ mention

While working in the first Trump administration, Kozma was part of a negotiation on women’s rights at the United Nations, where she and her delegation wanted any mention of “modern contraceptives” removed and replaced with “family planning” to enable abstinence-only programmes, according to Independent.

She has also been instrumental in the Trump administration’s drive to remove any mention of “sexual and reproductive health” from UN documents.

Valerie Huber, who heads the Institute for Women’s Health (IWH), is the key negotiator for the GCD, particularly in Africa where she targets conservative African states and the First Ladies. Huber once ran a national organisation dedicated to promoting abstinence.

Next month, the IWH will host the sixth annual GCD commemoration on Capitol Hill, bringing together Members of Congress and more than 40 nations who have signed it.

The GCD, which was not signed in Geneva despite its name, states that “there is no international right to abortion, nor any international obligation on the part of states to finance or facilitate abortion” 

A joint statement issued last week by US Secretary of State Marco Rubio and Health Secretary Robert F Kennedy Jr, stated that the GCD has “four main objectives: to secure meaningful health and development gains for women; to protect life at all stages; to defend the family as the fundamental unit of society; and to work together across the UN system to realize these values”.

However, the value of family has been mainstreamed in the UN from its inception, with the 1948 Declaration of Human Rights asserting that “the family is the natural and fundamental group unit of society and is entitled to protection by society and the State”.

Huge allocation for faith-based groups

Meanwhile, the US State Department announced in early August that it would allocate “nearly $2 billion in partnerships with faith-based and community organizations that provide global health and humanitarian assistance around the world.”

The allocation “underscores the Trump Administration’s commitment to partnering with organizations that demonstrate faith in action and have proven their ability to deliver health and humanitarian assistance in the world’s most difficult environments, “according to the statement.

The media release mentions World Vision, Compassion International, and Samaritan’s Purse.

Image Credits: US HHS.

French Constitutional Council blocks youth social media ban for under-15s, citing infringements on fundamental rights.
French Constitutional Council blocks social media ban for under-15s, citing infringements on fundamental rights.

France’s planned youth social media ban for minors under the age of 15 violates fundamental rights, the country’s Constitutional Council ruled on Friday. Critics had warned of a predictable legal defeat following a rushed legislative process. French President Emmanuel Macron announced a revision of the flagship legislation by spring 2027. The European Commission is also set to propose European regulations in autumn.

France’s flagship plan to block children under 15 from social media has collapsed in court, delivering a heavy blow to President Emmanuel Macron’s digital agenda.

Fearing a clash with the European Union’s (EU) Digital Services Act (DSA), lawmakers had stripped all direct sanctions against tech platforms from the Bill. To bypass Brussels, the final text targeted minors directly with a blanket usage ban rather than holding the companies accountable.

But the proposed ban violated young people’s freedom of expression, stripped parents of their educational authority, and lacked basic privacy safeguards for mandatory age-verification checks, the Council ruled on Friday.

Furthermore, the judges rejected the legislation because it failed to distinguish between hazardous social networks and harmless digital tools. The law would have equally targeted collaborative educational and leisure apps.

Opposition parties hail setback for youth social media ban

The centre-left Socialist Party and the left-wing populist party La France Insoumise, which spearheaded the successful constitutional challenge, hailed the ruling as a major setback for President Emmanuel Macron’s ruling centrist coalition Ensemble pour la République.

“We had warned them that this measure, as well as being unenforceable, missed the real issue,” declared the Socialist Party on Facebook on Saturday, reacting to the court’s ruling.

The opposition parties pointed to the ineffectiveness of outright bans and instead called for phased access from the age of 13 and targeted regulation of harmful content on the platforms themselves. For this, they argue, responsibility must lie with the social media companies themselves, not with children and parents.

“What is needed is not to say ‘we’re banning TikTok’, but rather ‘we’re banning what is dangerous on the apps’; therefore, apps containing dangerous elements must be banned if they do not reform,” demanded Socialist Deputy Arthur Delaporte.

Centrist allies lash out at Macron’s haste

Centrist Senator Morin-Desailly criticized Macron's hasty regulation.
Centrist Senator Morin-Desailly criticised Macron’s hasty regulation.

Centrist Senator Catherine Morin-Desailly (Union Centriste), who served as Rapporteur for the Bill in the Senate, had voiced strong criticism of the bill. “Right up to the end, I warned of the constitutional risk,” she explained in an interview with Franceinfo on Saturday.

Her parliamentary group is a key ally in the legislative chamber, where the president’s camp does not hold a majority of its own.

Morin-Desailly criticised the French government for acting too hastily. Her criticism came despite her recommendation in July to pass the Bill as a symbolic spur for European regulation.

Forcing through the regulation ahead of the start of the school year in September was not sensible, the Senator pointed out. Looking back on the Senate’s constitutional warnings the government had ignored, she said, “We have wasted a lot of time.”

Macron vows to fight for renewed regulation

The French government’s defeat leaves a regulatory vacuum in digital child protection. Increasingly, scientific evidence links addictive social media platform designs to severe harm in children’s mental health and brain development.

Macron announced that he would examine the constitutional concerns and initiate a new version of the bill. “I take note of the Constitutional Council’s decision on the ban on social media for under-15s, but I am not giving up,” Macron stated.

To this end, he instructed his Prime Minister, Sébastien Lecornu, to present a legally sound revised version by spring 2027.

Brussels to propose regulation for digital sphere

The failed manoeuvre highlights the current regulatory uncertainty in Europe. Alongside France, Spain has also adopted stricter regulations. In Germany, the governing coalition is discussing a similar approach.

Effective child protection on digital platforms must go through Brussels, according to European legal experts.

The European Commission will propose a draft regulation on social media for young people this autumn to end the patchwork of national initiatives.

See related story:

France Passes Strict Youth Social Media Ban But New Law Lacks Strong Enforcement Mechanism

Image Credits: There on Saturn via Pexels, Felix Sassmannshausen.

President Donald Trump listens as Dr Anthony Fauci, then Director of the National Institute of Allergy and Infectious Diseases, and a member of the White House Coronavirus Task Force, speaks to the press in April 2020.

Twenty-five democracies managed to examine their COVID pandemics without smashing their national crockery. The United States produced a partisan committee and a pre-emptive pardon that silenced the one man who could explain to millions of angry, confused Americans why they suffered so badly. But in his final martyrdom, Anthony Fauci may have done the rest of us an unintended service.

How do you extract vital signs from an inert subject? A challenge made more worrying when the afflicted person is a previously articulate personality who is, by self-admission, “the most famous and talked about person in the country and one of the most recognizable….in the world”. 

Film stars fawn over him and documentaries hail him as a revered scientist and chief medical advisor to the world’s most powerful leader. 

I refer, of course, to Dr Anthony Fauci playing dumb on 29 July at a US Senate Committee. Over three tedious hours, he repeatedly refused to answer multiple questions, including on the colour of his tie and, more seriously, about his role in shaping national and international responses to the Covid pandemic.

Blessings lacked by non-Americans 

Fauci’s defiant stonewalling of democratic oversight of public policymaking is hugely significant for accountability in global health. To understand why requires some background explanation for the 96 per cent of the world that does not enjoy the blessings of the American Constitution.

Its Fifth Amendment provides that no one can be compelled in criminal cases to bear witness against themselves. This fair practice has a long tradition. The International Covenant on Civil and Political Rights guarantees similar protection as does the European Court of Human Rights

But Americans do it differently. Their Fifth Amendment rights have long since crept out of courtrooms into civil, administrative, and legislative proceedings. Fauci availed this right in the Senate committee on the advice of his attorneys, arguing that its majority Republican chair and members were biased and hostile towards him.

Out of the fire, into the frying pan

There is a further twist. In American criminal trials, prosecutors may not impute guilt from silence, but in non-criminal proceedings, courts may draw adverse inferences when a person declines to answer. As a congressional hearing is neither a criminal trial nor a civil suit, observers can infer what they wish from Fauci’s non-answers, according to their own personal and political prejudices.

So, by “pleading the Fifth”, Fauci escaped from the fire of a hostile committee into the frying pan of public opinion. Whether Fauci made the right call is debatable.

 Legislators who were only partisan earlier (normal in competitive democracies) got enraged by the disrespect shown to the representatives of the people by an apparently arrogant Fauci. They promptly voted along party lines to hold him in contempt and took a legally contested shortcut to refer him to the Justice Department. That is a serious charge that a hostile US administration will use to redirect Fauci’s feet to the fire. 

Purgatory, in percentages

Trump Health Secretary Robert F Kennedy Jr, has a 40% approval rating, while Fauci’s has dropped to 54%.

Meanwhile, the good doctor has already fallen into a form of purgatory as his distinguished reputation is thrashed. He once enjoyed public trust levels exceeding 70%, but that has now fallen to 54%, heading towards the 40% rating for President Trump’s Health Secretary, Robert F Kennedy Jr, who has made several policy decisions strongly criticised by health scientists.

How a once mighty oracle crashed will no doubt feature in elite business school courses. Future biographers will also debate whether Fauci was unfairly treated or whether he brought trouble upon himself by lacking transparency over possible acts of commission and omission around the contested origins of COVID-19, and his unpopular protection policies. 

 Meanwhile, the US Senate inquiry into COVID turned into a farce. Ordinary Americans are no further along the road to receiving an authoritative answer about why their mighty nation suffered over 60% higher mortality than comparable high-income countries. Unfortunately, they do not have a health equivalent of the Federal Bureau of Investigation. In the absence of an independent, impartial investigation process, scapegoating is the easy path to follow.

Sparing the turkey

Fauci was perfect for that. His case was not helped by having personally benefitted from another great American tradition. Their all-powerful presidents can not only spare turkeys destined for iconic Thanksgiving dinners but also forgive anyone for any offence, or indeed even before an offence has been determined to have occurred. 

So Fauci got pardoned by President Joe Biden in January 2025, not because of wrongdoing, but as protection against future prosecutions. That begs the obvious question, crystallised by Trump’s tweet in 2018: “I have the absolute right to PARDON myself, but why would I do that when I have done nothing wrong?”

In a symbolic sense, Fauci may be seen as the national turkey not-quite-spared in Thanksgiving for a confused nation coming through the pandemic.

Saving the national crockery

The WHO team investigating the origins of the COVID-19 pandemic arriving at the Wuhan Tianhe International Airport on in 2021.

At this point, it is worth digressing to consider the rest of the world. Forget about China, which quashed investigations and still has not shared the genome sequence, market and laboratory data that WHO requested. 

But most democracies make provision for independent statutory enquiries for lesson learning and public accountability over egregious policy failures. Thus, if Fauci was examined in Australia, he would not have been allowed to remain silent. But would Fauci have told them the truth? 

To encourage him to do so, statutory enquiries have strong provisions to protect witnesses (without requiring head-of-state pardons) by making their testimony inadmissible against them in subsequent court cases. Britain’s statutory inquiries also compel the release of documents on pain of criminal penalty.

Therefore, if Fauci had appeared before a British inquiry, he would still be obliged to surrender his famous diary and text messages for professional judicial assessment. 

Instead, under the American system, he suffered the embarrassment of his deeply personal thoughts and feelings providing worldwide entertainment and being judged out of context, after Senator Rand Paul released his diaries even before Fauci had appeared before the Senate committee.

Senator Rand Paul and his political allies continued to push inaccurate claims about Fauci and vaccines following the hearing, including a claim debunked in 2021 that COVID vaccines caused an 82% miscarriage rate in first-trimester pregnancies.

But Fauci’s diaries show a considerable gap between his private concerns and his public reassurances on how the coronavirus that caused COVID arose and proliferated. His explanation that the mismatch simply reflected the evolving scientific understanding of a new condition may not pass muster with jurisdictions seeking to emulate further UK parliamentary reforms to strengthen public accountability.

These seek to impose a general legal duty on officials to be candid rather than economise on truth. That means full disclosure under all circumstances and not elite health officials deciding on the analysis that can be shared with a worried public because they are considered too ill-educated to assess the nuances. No wonder they turn to unreliable information sources if their own authorities hide or shade the full truth. If mutual trust is to be regained, it will have to run in both directions.

Meanwhile, neither of the two COVID-era American presidents appeared in front of the Senate enquiry while Britain’s COVID-19 Inquiry took evidence on oath from two former prime ministers, several senior ministers and medical advisers. They could have lawfully declined to incriminate themselves, but none did. When the government tried to withhold ministers’ unredacted messages, the UK High Court dismissed its case.

Overall, 25 democracies have held 32 national COVID inquiries, among them Sweden’s much-debated different approach to pandemic management, several EU states, Japan and Peru. 

Most managed without smashing their national crockery. Perhaps it was the fear of that which stopped public health giants India and Canada from conducting their own investigations. In any case, all enquiries were important processes for community grieving and healing, state lesson learning, and building the movement for international co-operation in pandemic management. 

The clemency business

Coming next to the industry in ‘pardons’. Biden’s protection of Fauci was unconditional, granted in advance, and asked nothing in return. The effect was to silence Fauci, which hardly served the public interest.

The contrast with other nations could not be greater. Most sovereign states have executive clemency provisions used sparingly in the national interest, and not by personal whim. Notable examples are the correction of historical wrongs through pardoning supposed witches, de-criminalising gay people, and reversing the court-martialling of shell-shocked soldiers.

Deployment of the mercy prerogative is also strictly limited. India’s Constitution confines the offering to persons already convicted of an offence i.e. after justice has been seen to be done. Similarly, the French president’s pardon merely excuses the convicted from serving the sentence. The British Royal prerogative of mercy includes a tough test of moral and technical innocence.

However, one celebrated case of immunity granted in advance bears comparison with the American practice. Post-apartheid South Africa’s Truth and Reconciliation Commission granted amnesty to persons who made full disclosure of all relevant facts. 

Therefore, in contrast with the Fauci case, protection was the reward for speaking up, not for keeping quiet. The reasoning was that the truth victims desperately sought was far more likely to emerge if those responsible were incentivised to open up. Americans in the Covid era have been badly served in this regard.

The booster shot

What implications does this drama have on global public health? Fauci’s numerous fans have already concluded that his vilification causes grave disservice to science- based healthcare that is already under so much attack.

This columnist is not so pessimistic. On the contrary, in his involuntary martyrdom, Fauci may have performed his greatest final service.

His travails are the outcome of a peculiarly American dysfunction that is a warning to others. This acts like a booster shot for a world well on the way to immunising itself against damaging American approaches. 

Such as waging physical or economic wars and retarding progress on development and climate change. We are already seeing countries adapting to reduced American foreign aid for global health and questioning the terms on which they accept it. Fauci’s drama adds welcome momentum towards a self-reliant healthy world.

The wisdom of pressing pause

Lowering the Stars and Stripes from WHO headquarters in Geneva, Thursday 22 January 2026.

The Fauci affair also provides fitting closure to an overly prolonged mourning phase for US departure from the World Health Organization (WHO). We must respect the sovereign right of Americans to tread their own path to whatever glorious uplands or wretched swamps it leads them into. 

Meanwhile, this is a golden opportunity for the rest of the world to develop a new varied form of multilateralism that is neither hostage to domination by the powerful nor victim to the lowest level of capacity among the weak.  

In the spirit of scientific enquiry that is so precious to the health mission and vital for regaining public trust, the political experiment underway should be allowed sufficient time to run its course. 

It is only then – perhaps after a decade or so – that we will get a proper assessment of whether or not the America First Global Health Strategy was the much-needed correction that our lax multilateral healthism needed. 

Accordingly, WHO’s next Director General, who takes office in August 2027, should resist the temptation to rush to Washington to beg them to return. After all, considering what our American friends have endured, they deserve our sincere prayers for their well-being alongside enough time to savour the particular moment they have arrived at.

But when they decide to return to the international health fold, the world could learn from the tradition of American presidential pardons and extend our own grand clemency towards them. 

By forgiving all their offences – some real but mostly accidental or imagined. Perhaps also a pardon for those at the origins of the COVID pandemic – whoever and wherever they are, and whatever they did or did not do?

Fauci would then truly find peace, and the rest of us can move on.

 

Mukesh Kapila is professor emeritus of global health and humanitarian affairs at the University of Manchester, and a board member of Health Policy Watch. Vital Signs in Global Health is a regular column, and the opinions expressed are solely those of the author. 

Image Credits: flickr/The White House. Official White House Photo by Andrea Hanks, CGTN, Anonymous/HPW.

A new draft text released this week is largely unchanged from the one rejected in Geneva last year. It contains no limits on plastic production, no controls on toxic chemicals and no dedicated health article.

When 175 countries unanimously voted in Nairobi in March 2022 to negotiate a legally binding treaty to end plastic pollution, the move was hailed as the most significant step in global environmental negotiations since the Paris climate accord.

Now, a year to the day after two weeks of talks and a 24-hour final negotiating marathon to get a deal over the line collapsed in the halls of the United Nations complex in Geneva, the process is paralysed with no clear way forward.

A new draft text setting the stage for the next phase of negotiations was shared this week by Ambassador Julio Cordano of Chile, appointed to break the deadlock after his predecessor resigned in the wake of the failure of the Geneva talks. Billed as an “Aid to Negotiations” — an informal reference document rather than a negotiated text — it is intended as the basis for closed-door discussions between countries in Bangkok next month.

A Health Policy Watch analysis of the new draft found roughly half of its 31 articles are substantively unchanged from the text rejected in Geneva. Where it does differ, the changes largely move in the wrong direction, civil society advocates say.

“This is as bad as the one that was rejected on the last day of the Geneva negotiations,” Dharmesh Shah, a senior campaigner at the Centre for International Environmental Law (CIEL), told Health Policy Watch. “If this is the basis of the negotiation, then we have a huge problem.”

Scientists and civil society groups have broadly condemned the draft as a step backwards, with environmental law groups warning it reflects the interests of major polluters rather than the mandate to end plastic pollution.

The text contains no limits on plastic production, the core driver of the crisis, which, left unchecked, is set to at least triple by 2060. It sets no controls on the toxic chemicals used in plastic manufacturing, no financing provisions, and nothing actionable regarding health.

Provisions that were previously accepted have been reopened. A standalone health article, pushed by dozens of countries in Geneva as central to the treaty’s purpose, has been dropped. Chemicals of concern — including phthalates and BPA, endocrine disruptors linked to infertility, hormone disorders, neurodevelopmental harm and hundreds of thousands of cardiovascular deaths — have been reduced to a single bracket noting the “risks” they pose.

If the Chair’s text were adopted as a legally binding treaty, nations’ legal obligations would be thin, and self-policed. Countries would be required to manage plastic waste in an “environmentally sound manner” and report on their efforts. They would be encouraged — not required — to develop national plans, improve product design and address problematic plastic products “as appropriate” and “in accordance with national circumstances.”

Cordano calls it a “no surprises” text. David Azoulay, director of environmental health at CIEL, said that is precisely the problem.

“It is indeed no surprise that a text developed behind closed doors, following a meeting where production, chemicals, and decision-making were kept off the formal agenda, and observers were kept out of the room, fails to reflect the science on what it will take to address the plastics crisis,” he said in a statement.

“This text seems designed with one objective in mind: to stay sufficiently empty to ensure the biggest polluters won’t reject it. This is what happens when the countries most invested in delay get to help set the agenda.”

UN Plastics Treaty Talks Fail Again After Overnight Deadlock

Waste management solutions for a production crisis

In the four and a half years since countries agreed to negotiate, approximately 1.9 billion tonnes of new plastic have been produced. Less than a tenth will ever be recycled. Production — 98% derived from fossil fuels — is on track to triple by 2060.

The text as it stands would amount to a voluntary, nationally determined waste management agreement: countries writing their own plans on their own terms, with no mechanism to reduce the volume of plastic entering the system. The countries blocking upstream measures — Saudi Arabia, Russia and the United States — recycle just 3–4%, 5–12% and 5–6% of their own plastic waste respectively.

“If nothing is done to regulate production volumes, in 2060 we will have four times as much plastic on the planet as we had when negotiations started,” Theresa Karlsson, a science advisor at the International Pollutants Elimination Network (IPEN), told Health Policy Watch. “That will mean four times as much waste, four times as many chemicals and four times as many health impacts.”

“The plastics treaty is a crucial moment to ensure global, health-protective measures,” Karlsson added. “We really can’t afford not to.”

Plastics
Top 20 global producers of single-use plastics for the year 2021. The list remains effectively unchanged since 2019.

Where the text does gesture at health, it says countries should take “appropriate measures” to address “hazardous chemicals” posing “unacceptable risks” to human health. None of those terms are defined in the draft. 

“The Chair’s text in its present form is very weak and potentially counterproductive. It risks prolonging the harm caused by plastics rather than providing a meaningful basis for addressing it,” Rico Euripidou, a campaigner at Groundwork, a South African environmental justice organisation, told Health Policy Watch.

“But what are ‘appropriate measures’, ‘hazardous chemicals’ and ‘unacceptable risks?'” Euripidou said. “If these terms are not defined, their interpretation will ultimately be left to individual countries. Circular economy is also mentioned without the qualification ‘non-toxic’. This opens the door to a ‘toxic’ circular economy.”

All intersessional meetings have all been closed to civil society, with Cordano declining to admit observers to any substantive session, despite civil society groups offering to self-organise and send limited delegations.

“There is no transparency,” Shah said. “He wants no observers at all.”

The Health Crisis That Could Make or Break the UN Plastics Treaty

A planetary health experiment

Plastic particles have now been found from the deepest ocean trenches to the summit of Everest, in Arctic ice cores and in remote mountain rainwater. Of the more than eight billion tonnes of plastic ever produced, over six billion have been discarded into the environment.

Researchers have identified over 16,000 chemicals used in plastic production, at least 4,200 of them classified as highly hazardous. Around 5,000 are complete unknowns, never sufficiently studied to assess their toxicity. Just 6% are regulated by any international treaty.

A single plasticiser chemical — DEHP, a phthalate found in food containers and medical equipment — was linked to over 356,000 cardiovascular deaths globally in 2018, accounting for 13.5% of all heart disease deaths among people aged 55 to 64.

A separate Lancet study found that BPA, another common plastic chemical, contributed to 5.4 million cases of heart disease and 346,000 strokes in 2015. The estimated health costs of plastic chemicals run to $250 billion annually in the United States alone.

Plastics
Unrecycled plastics have knock-on effects on the environment, emissions, biodiversity, and human health.

Microplastics have been detected in human blood, lungs, breast milk, placentas and brains. By some estimates, humans ingest as much as five grams of plastic per week. Scientists have identified a new condition — “plasticosis” — in which particles alter cellular behaviour in internal organs.

The full consequences for human bodies, for ecosystems, for the climate remain largely unknown, not because the research has not begun, but because scientists still do not know what the particles entering our bodies are made of.

“The health gap is fundamental,” Shah said. “The treaty’s purpose cannot be to manage plastic waste more efficiently, which is where this is going. Prevention [of] exposure to hazardous chemicals and production reduction at source — those are ultimately the key to having a health-protective treaty. In the absence of those two fundamental things, any mention of health is only superficial.”

Who’s blocking the treaty? 

At 7am Friday morning, the plastics negotiations are called off in Geneva after countries fail to reach agreement on basics.

The geopolitical dynamics that torpedoed the Geneva talks remain largely intact. The United States and the Gulf petrochemical bloc continue to push for a treaty focused exclusively on waste management, flanked by nations like Egypt, Brazil, South Africa, India and Iran.

The nations fighting hardest for an ambitious treaty — Fiji, Palau and the other Pacific Island states of the Alliance of Small Island States — collectively have fewer people than France, less than 1% of global emissions, and a combined economy smaller than a single oil major’s annual revenue. Under the consensus rules governing the process, any one petrochemical superpower can veto what all of them want.

Meanwhile, Norway and Japan each hosted informal meetings of high-ambition countries over the past year to develop bridging proposals on the treaty’s most contested issues, which delegations brought to a heads-of-delegation meeting in Nairobi in early July under a roadmap Cordano set out in March. The next meeting of high-ambition nations is set for early September, in a bid to coordinate negotiating positions and strategy ahead of the heads of delegation meeting in Bangkok. 

What’s next? 

Support for strengthening the plastic treaty has grown steadily. Char shows number of nations backing WWF “must haves,” which include global chemical bans, circular economy design requirements, financing, and guarantees to strengthen the treaty over time.

Though the process appears paralysed, the journey from Nairobi to Paris, Ottawa, Busan and Geneva has moved the needle. What began as a coalition founded by Rwanda and Norway in 2022 has grown to over 100 countries backing a high-ambition treaty, with ministerial-level support for a legally binding instrument.

Capping global plastic production — once dismissed as a moonshot proposition of environmental campaigners — now has the support of more than 100 nations.

The negotiations have also exposed, in full public view, exactly who is blocking action on the plastics crisis and why, as the fossil fuel industry pivots to plastics as a hedge against falling demand for oil and gas in an accelerating green energy transition.

Saudi Aramco plans to channel a third of its oil output into petrochemical-based products, including  plastics, by 2030. The global petrochemical industry, valued at $638 billion in 2023, is heading toward $1 trillion by the end of the decade. At the Geneva talks, 234 fossil fuel and petrochemical lobbyists attended — outnumbering expert scientists three to one.

Whether the plastics treaty process will join the ranks of permanently deadlocked UN negotiations remains to be seen. Closed-door talks resume in Bangkok in the last week of September, where countries will try to forge a path to the next summit. Formal negotiations are set to resume at INC-5.4 in March 2027, with the venue yet to be confirmed.

“We should remember that the ultimate goal of this process is not to deliver any treaty just for the sake of an agreement,” Azoulay said. “It’s to deliver a treaty that ends plastic pollution.”

 

Image Credits: Stefan Anderson.

Women and children line up for nutritional support at South Sudan’s Wedweil Refugee Settlement, Northern Bahr el Ghazal, 6 August 2026.

More than 650,000 refugees and asylum seekers in South Sudan risk losing access to lifesaving food, nutrition and other assistance due to critical funding shortfalls, leaving families who fled war and hunger with nowhere else to turn, UNHCR, the UN Refugee Agency, and the United Nations World Food Programme (WFP) warned on Friday.

Without a breakthrough, food and nutrition assistance for the most vulnerable 240,000 refugees across the country will end in September, cutting off a lifeline for hundreds of thousands of people already living on the edge. These are the last remaining refugee families of the 650,000 who had been receiving food support across the country.

The consequences of an interruption in critical aid would be “immediate and long-lasting”, the agencies warned, including heightened risks of malnutrition, and exploitation and abuse of women and children.

The warning comes as conflict across the region continues to force people to flee across borders into neighbouring countries in search of food, shelter and safety. In South Sudan, up to 3,000 refugees and returnees continue to arrive from Sudan each week, placing further pressure on already overstretched humanitarian resources.

“We are seeing the devastating impact of conflicts that force people from their homes collide with a severe shortage of resources that is now making the crisis worse,” said Adham Effendi, Deputy Country Director for WFP in South Sudan in a press statement. Effendi also spoke Friday from Juba at a UN press briefing in Geneva.

“We are already hearing from refugees who are reducing meals, selling their belongings, withdrawing children from school, and taking on debt to survive. These are coping mechanisms that can quickly evolve into serious, long-term protection concerns,” said Mesfin Degefu, UNHCR Deputy Representative in South Sudan, at the Geneva briefing.

Immediate $37 million funding gap

Esraa, a refugee in South Sudan, prepares lunch for her family in a refugee camp in Northern Bahr el Ghazal State. With the cash assistance she receives from the World Food Programme, she is able to buy food for her family while also using part of the money to generate some income by buying and selling small items within the community.

WFP faces an immediate $37 million funding gap for its South Sudan refugee response and an overall funding shortfall of $158 million for the remainder of 2026 – threatening lifesaving support for 4.2 million food-insecure people across the country. Meanwhile, UNHCR has secured only 28% of the $286 million needed this year to sustain core protection and assistance for nearly four million refugees, internally displaced persons, returnees, and vulnerable host communities, the agencies said at the Friday briefing.

This funding crisis is unfolding against the backdrop of one of the world’s deepest hunger emergencies. Over 7.8 million people across South Sudan – more than half the population – are facing high levels of acute food insecurity, while 2.2 million children are acutely malnourished. Despite the needs, donor cutbacks meant that WFP has been forced to limit  assistance to only the most vulnerable refugee families, who are receiving just 50% of a full food ration.

The anticipated cut in critical support comes at the height of the rainy season when food becomes scarcer, market prices rise and flooded or degraded roads make humanitarian access increasingly difficult. Many refugee families are already eating fewer and smaller meals, borrowing money to buy food, selling what little they own, and cutting spending on health, education and shelter.

“Every week, thousands more refugees and returnees continue to arrive from Sudan with almost nothing, many exhausted, hungry and in urgent need of protection and assistance,” said Degefu. “At the same time, we see refugees who have been in South Sudan for many years, working to rebuild their lives and move towards greater self-reliance. Cutting assistance now undermines hard-won progress in education, livelihoods and resilience and may force refugee families to make desperate choices, including moving onward along dangerous routes to survive.”

More than 1.4 million refugees and returnees have crossed into South Sudan since war erupted in Sudan in 2023. Despite its own deep humanitarian and development challenges, South Sudan has continued to uphold its open-door policy for refugees.

Image Credits: © WFP/Gabriela Vivacqua.

Ngouri Hospital in Chad has made itself more climate-resilient.

Situated on the edge of the advancing Sahara Desert, Ngouri in western Chad is one of the most vulnerable places in the world to climate change.

Heat is already rising in the region as the El Niño advances globally, with hotter sea surface temperatures in the tropical Pacific Ocean driving up land temperatures and triggering severe weather events.

The World Meteorological Organization (WMO) predicts that this year’s El Niño will be “strong” – meaning sea surface temperatures at least 2ºC hotter than usual – and it will “intensify steadily and dominate global climate patterns” from now until October, bringing  heatwaves, drought, and extreme weather

Ngouri Hospital has around 100 beds and serves a population of some 200,000 people. But patients often move out of the hospital buildings to the trees during the day because of the intense heat indoors.

Three years ago, the Climate Action Accelerator (CAA), the Alliance for International Medical Action (ALIMA), medical humanitarian NGO Alerte Sante, and Chad’s health ministry launched a project to make the hospital more resilient to climate shocks.

Temperatures sometimes reach as high as 47ºC, and El Niño is expected to bring even hotter, drier conditions, CAA’s Alexandre Robert told a World Health Organization (WHO) webinar this week.

“The main health risks here are related to heat and malnutrition,” said Robert, adding that malaria cases have also increased, particularly in children.

The temperature in the intensive care unit can reach as high as 42ºC, said Robert. Meanwhile, the hospital’s electricity supply was unpredictable.

Solutions included painting the hospital roof with a reflective white paint, which has lowered indoor temperatures by around 5ºC, and introducing reliable solar energy – crucial to power the hospital’s blood bank, oxygen concentrators, fridges that store vaccines, and to ensure light during night-time births.

Three years on, reliable solar-driven electricity at Ngouri Hospital has improved paediatric, emergency, and laboratory services – and the facility is more resilient to climate change. 

“The key message is that working on the infrastructure can give very good results in the [improved] quality of care, ” said Robert, stressing the importance of “integrated and participatory approaches” at health facility level.

Key aspects of the climate resilience approach at Ngouri Hospital.

El Niño affects ‘everyone’

“Everyone will be impacted by El Niño,” said Tereza Zakaria, WHO’s unit head of risk reduction, humanitarian operations and climate change.

“We’re feeling the heat, we’re feeling the excess rain, and we’re feeling the drought,” she told the webinar, convened by WHO’s epidemic information network, EPI-WIN, to discuss how to prepare health facilities for El Niño.

As the effects will differ from region to region, Zakaria urged all involved parties to integrate meteorological and climate data into health surveillance to ensure a speedy response to the effects of El Niño. 

Alex Camacho, the Pan American Health Organization’s (PAHO) regional adviser on emergency preparedness and disaster relief, said that El Niño is already affecting his region.

On the dry, hot side of the region, Honduras has already assisted more than 50,000 families affected by food insecurity, Bolivia has a nationwide drought and is struggling with fires, and Panama, El Salvador, Guatemala and Nicaragua are also experiencing drought. Meanwhile, Colombia faces up to three million additional food-insecure people.

Some of the PAHO region is experiencing wetter conditions, with floods in parts of Brazil and severe storms in other countries.

‘No one can do it alone’

ltaf Musani, WHO director of humanitarian and disaster management, warned that 239 million people “are already struggling to remain alive in humanitarian settings, resulting from conflict, climate shocks, and disease outbreaks”.

“Severe funding constraints across the humanitarian system have already disrupted more than 8,000 health facilities, affecting access to care for at least 53 million people,” said Musani. 

“We are concerned about the potential strength and the magnitude of the current El Niño and what it can mean for global health,” he added.

The WMO indicates that “widespread, above-normal temperatures will likely impact us globally”, and “extreme heat can have immediate and serious health consequences”, he added.

However, Musani warned that El Niño is not a health sector issue alone. 

“Protecting people from extreme heat, as well as other El Niño effects, requires coordinated action across health and beyond health

“Early action and collaboration are so important. Not a single institution or sector can manage these risks. We need strong collaboration between governments, public health agencies, meteorological and climate services, humanitarian and development partners, researchers, private sector communities, and donors.”

CAA has developed a free Climate Action toolbox to guide hospital and health management teams to transition to climate-resilientsustainable and low-carbon models. It is part of the resources offered by the WHO-hosted Alliance for Transformative Action on Climate and Health (ATACH) to support health facilities.

Image Credits: ALIMA.

WHO Director-General Dr Tedros Adhanom Ghebreyesus.

Top World Health Organization (WHO) officials are concerned that the United States President Donald Trump’s move to alter his country’s childhood vaccinations via an executive order will endanger children.

“WHO is concerned that the changes to immunisation policy in the US are not aligned with the best science,” Director-General Dr Tedros Adhanom Ghebreyesus told a media briefing on Wednesday.

The order recommends fewer vaccinations, separate vaccinations per clinic visit and – most controversially – that the combined measles, mumps, rubella (MMR) vaccine be “administered in three separate single-disease shots”,

“Delaying vaccines or separating doses unnecessarily does not make vaccination safer and can leave children unprotected,” said Tedros.

WHO Assistant Director-General Dr Jeremy Farrar pointed out that the measles vaccine alone had saved 59 million lives.

“In many countries, including the United States, there are extensive measles outbreaks, which are causing huge concern,” said Farrar.

Measles cases in the US (August 2026).

Measles, mumps and rubella are not mild diseases, Farrar said, adding that they can have severe complications: “If anybody has seen a child with post-measles encephalitis, you will remember it for the rest of your life.” 

Encephalitis is the inflammation of the brain and can cause brain damage.

Measles is one of the most infectious diseases, transmitted via infected droplets in the air. Unvaccinated individuals or those with unknown vaccination status represent almost all reported measles cases in the US.

US measles cases per vaccination status (August 2026).

Making it harder for parents

Dr Kate O’Brien, WHO’s director of Immunisation, Vaccines and Biologicals, warned that Trump’s decree is “going in exactly the wrong direction, and there is no evidence that would drive this decision”.

“Anything that is done that makes it harder for a parent to get the vaccines their kids need to protect them from what are serious diseases – anything that’s done to make that harder – is not in service of the child,” said O’Brien.

“From decades of experience, we know that the more you can enable families to be able to do what they want to do, the higher the coverage and the protection of children is.”

Dr Birgitte Giersing, WHO unit head of vaccine research, development and policy, said that 179 of the world’s 194 countries use the MMR vaccination.

“Our concern about the breakup of combination vaccines is that these would then actually be far more difficult to deliver. 

“At the moment, the MMR schedule is a two-dose schedule with those three vaccines,” she said.  Breaking it up into three separate vaccinations would potentially mean children need six vaccinations instead of two.

Safe and effective

“We have extensive scientific evidence that combination vaccines are safe and effective. They enable us to reach [large] populations because there are multiple vaccines within a single shot. They are more acceptable generally to communities, and they really simplify the delivery of vaccines,” said Giersing.

“We are very concerned,” concluded Farrar. “WHO provides the global evidence for these vaccines through the Strategic Advisory Group of Experts on Immunisation.

“Individual countries, of course, make their own decisions about which policies to implement. But we call on all countries to use the evidence base, use WHO’s advice and guidance, and make the best policy decisions based on the scientific evidence, not on political interference.”

Image Credits: Johns Hopkins University.

An educational poster about Ebola in the DRC.

Over 2000 people have died so far in the Ebola Bundibugyo outbreak in the Democratic Republic of Congo (DRC), and the only way to break the chains of transmission is via scaled-up local surveillance, according to the World Health Organization (WHO).

“Most concerningly, we see a high proportion of deaths in communities instead of treatment units, outside of known contact lists,” WHO Director-General Dr Tedros Adhanom Ghebreyesus told a media briefing on Wednesday.

“That tells us there are chains of transmission we don’t know about, and until we know about and break every chain of transmission, we will not stop the outbreak,” he said.

“Surveillance is our priority operational challenge. With partners, we’re mapping and pooling resources to strengthen community-based surveillance to bring every suspected case into care and reach the 95% contact tracing target needed to interrupt transmission.”

About 90% of the 4,449 official cases and 80% of deaths are in the province of Ituri, with sustained transmission in the towns of Bunia, Rwampara, Nizi and Litha, said Tedros.

Most infections happen when people have late-stage disease and are not in treatment, or when their bodies are handled after they have died.

“Early clinical care and safe and dignified burials are therefore critical for interrupting transmission, and both depend on the trust of affected communities, which means community engagement and community ownership are essential,” Tedros stressed.

‘Hope is not a strategy’

Dr Abdi Rahman Mahamud, WHO director for Health Emergency Alert and Response Operations, speaking from the DRC.

Partners have set the ambitious goal of ensuring 3,000 beds are available for Ebola patients as soon as possible – but it has taken three months to set up 1,500 beds.

Dr Abdi Rahman Mahamud, WHO director for Health Emergency Alert and Response Operations, said that the moderate scenario for the outbreak was for it to peak within six months.

“But this is a highly dynamic outbreak, and unless, as the DG said, we have the community on our side, we’ll be struggling. The last previous outbreak, which happened in a security-compromised situation, lasted about two years=,” said Mahamud.

“We don’t want to repeat that. Under the leadership of the government, we are doing everything possible to reduce that, and hopefully in the next six months.”

He added: “But hope is not a strategy. We have to have the community on our side, increase the surveillance, and increase our safe and scalable care.”

Under-funded

Yet the response is only around 50% funded, with $264 million of the $518 million pledged having been disbursed, 

WHO DRC representative Dr Anne Ancia said that the DRC Government’s latest estimate to address the outbreak was $940 million.

She added that most of the money raised so far had gone to partners rather than the DRC government. The DRC government, which has invested $50 million, aims to cover health workers’ salaries with domestic funds eventually, but it was not yet possible given the massive need for additional posts.

Tedros said that 21,000 health workers have been tained so far but that the response needs three health workers per patient.

Earlier this week, Wellcome Trust gave a $3 million grant to the WHO to expand community intelligence about the outbreak. This will provide authorities with more insight into how people perceive risk, seek care, respond to public health measures and experience the broader social and economic impacts of the outbreak.

“Every outbreak is shaped not only by the pathogen, but also by how people understand risk, access care and respond to public health measures,” said Dr Chikwe Ihekweazu, executive director of WHO’s Health Emergencies Programme. 

“This investment is about making social analytics part of how outbreak intelligence works in practice. By integrating community-generated evidence throughout the response, we can build a more complete picture of the outbreak and make faster, more effective decisions that ultimately save lives.”

Meanwhile, the speed of the outbreak was more likely the result of the difficult conditions, including armed conflict, rather than viral mutation, WHO Chief Scientist Dr Sylvie Briand told the briefing.

“Currently, we have not seen any mutation in this virus, and probably the course of the outbreak is currently much more explained by the context in which the virus is circulating, which is an area of conflict with a lot of population mobility,” said Briand.

On Monday, researchers reported in Nature that the current outbreak was likely to stem from a new zoonotic spillover from animals to humans, as it was different from the 2007 and 2012 Bundibugyo outbreaks. They deduced this by examining samples from 22 infected people.

Dr Anthony Fauci invoked his Fifth Amendment rights more than 100 times during a Senate hearing, the first time in over 250 congressional appearances across his 54-year career that he declined to answer questions.

For nearly three hours on 29 July, the US Senate Homeland Security and Governmental Affairs Committee heard one sentence repeated over a hundred times.

“On the advice of counsel, I respectfully decline to answer based upon my rights under the Fifth Amendment of the Constitution.”

Dr Anthony Fauci, the 85-year-old retired director of the National Institute of Allergy and Infectious Diseases who guided the American COVID-19 pandemic response across two administrations, sat before the committee and, beyond a brief opening statement, said nothing else.

In more than 250 appearances before Congress across his 54-year career, including 14 hours of transcribed interviews with the House Select Subcommittee on the Coronavirus Pandemic in January 2024, Fauci had never before declined to answer a question.

But the man who subpoenaed him, Committee chair Senator Rand Paul, had already told the world what he wanted out of the exercise.

“The power of some of us must be used for good, like putting Fauci in jail,” Paul tweeted in December 2024. “I want to give him a subpoena and a jail cell.”

Fauci’s lawyers argued the hearing amounted to a trap. Any answer, however truthful, could be mined for inconsistencies and forwarded to a Department of Justice that has systematically displayed a disregard for independence from the administration by prosecuting political opponents.

Top administration officials indicated as much in the weeks before the hearing. Health Secretary Robert F. Kennedy Jr told Fox News that Fauci “could be subject to perjury prosecution” if any inconsistencies were unearthed during testimony.

“Any reasonable person who has followed his unhinged obsession with me would readily come to the same conclusion,” Fauci said. Paul’s crusade dates back to 2021, when he told Fox & Friends the 38-year leader of the National Institutes of Health “could be culpable for the entire pandemic.”

A week later, the committee voted along party lines to hold Fauci in contempt and refer the matter for prosecution, the first such action against a former federal health official in modern US history.

“Framing public health decisions as matters of criminal intent rather than complex crisis management undermines public faith in medical recommendations, vaccines, and scientific consensus,” said Lawrence Gostin, professor of global health law at Georgetown University. “It is an abuse of power, legally baseless, and sets a dangerous precedent that threatens the future of public health.”

‘Who the f*** did you think you were?’

The stated purpose of the hearing was to uncover the origins of COVID-19, a question of global importance that, six years after the pandemic killed an estimated 25 million people worldwide, remains unresolved.

Leading scientific consensus remains that SARS-CoV-2 jumped from bats to humans through contact with infected wildlife at Wuhan’s Huanan wet market. No intermediate animal host has been confirmed, however, and the hypothesis that the virus escaped from the Wuhan Institute of Virology, which studied bat coronaviruses, has never been ruled out.

The hearing made no progress on this question. Instead, it bundled political battles over lockdown policy, vaccine safety and the pandemic’s origins into a single prosecutorial narrative aimed at assigning blame for a global catastrophe on a scientist who does not hold the answers to where COVID-19 began, and has no power to compel the Chinese government to release them.

“Who the fuck did you think you were?” Senator Bernie Moreno said, accusing Fauci of being a “megalomaniac who was more interested in having met a Kardashian than the suffering of the American people.”

His outrage centred on the 2020 arrest of Alecia Kitts, an Ohio mother tased and handcuffed at her son’s middle school football game for refusing to wear a mask, an enforcement action carried out under a statewide order issued by Republican Governor Mike DeWine.

Republicans cast Fauci as a shadowy autocrat who unilaterally caused the pandemic, imposed lockdowns and pushed dangerous vaccines on the world, ascribing to a scientific advisor a degree of unchecked power more accurately associated with the leader of their own party.

Fauci issued recommendations that were adopted, adapted or rejected by thousands of officials at every level of state and federal government. Governments and health authorities around the world, from the World Health Organization (WHO) to the European Centre for Disease Prevention and Control, reached similar conclusions and imposed similar or stricter measures.

The United States was, by most comparative measures, more lax, and also had a higher per-capita COVID death toll than peer nations.

Trump’s ‘greatest achievement’?

US President Donald Trump claims Operation Warp Speed, the programme responsible for fast-tracking the development of COVID-19 vaccines that have saved millions of lives, as one of his greatest achievements. Many of his most ardent supporters, including his HHS chief, continue to claim they kill people and cause autism.

Vaccine misinformation, a defining characteristic of the Kennedy health department, surfaced as well. Senator Ron Johnson referred to COVID-19 vaccines as “experimental gene therapy” and cited misleading adverse event reports as evidence of mass harm.

The vaccines were produced under Operation Warp Speed, which President Trump still calls “one of the greatest achievements ever.” Modelling estimates the programme prevented over 3.2 million additional deaths through November 2022.

Johnson also claimed Fauci had “sabotaged” ivermectin, an antiparasitic drug instrumental in controlling river blindness in West Africa, which gained a second life during the pandemic as an unproven COVID-19 treatment promoted by anti-vaccine influencers and widely purchased in its veterinary formulation as a horse dewormer. The most comprehensive meta-analysis to date, covering 33 randomised controlled trials, found ivermectin had no effect on COVID-19 mortality.

Paul and his political allies also circulated the debunked claim of an 82% vaccine-linked miscarriage rate, a figure derived from a statistical error in a 2021 CDC study that has been refuted repeatedly and repackaged as new evidence, shared as breaking news on Paul’s Twitter on Tuesday.

Fauci’s diary

Senator Rand Paul and his political allies continued to push inaccurate claims about Fauci and vaccines following the hearing, including the debunked claim that COVID vaccines caused an 82% miscarriage rate in first-trimester pregnancies.

Paul released over 1,100 pages of Fauci’s personal diary ahead of the hearing, whose entries became the evidentiary centrepiece of the case against him.

The most cited entries date from late January 2020, when Fauci convened urgent calls with virologists. On 31 January, he recorded scientists warning that mutations around the furin cleavage site — a feature found in no other known closely related coronavirus, which enhanced the virus’s ability to infect human cells and contributed to the pandemic’s severity — “could not have occurred naturally.”

The next day, Fauci wrote that participants raised the possibility of “deliberate insertion” of the cleavage site through genetic engineering, naming the Wuhan Institute of Virology’s lead researcher, Shi Zhengli, and her gain-of-function work. On 2 February, he told NIH Director Francis Collins: “Please delete this email after you read it.”

Paul framed the entries as a cover-up, but they are also consistent with a scientist entertaining all possibilities in the face of genuine uncertainty and crisis. Fauci’s own notes record that “there was not total agreement” on the call. A later entry shows him writing that he is “almost certain that the virus evolved naturally from a species jump, even though I keep an open mind about the possibility of a lab leak.”

What followed from those early calls was the Proximal Origin paper published in Nature Medicine in March 2020. The same scientists who privately entertained the possibility of engineering concluded, after further analysis, that the virus was “not a laboratory construct.”

The paper became one of the most cited and contested publications of the pandemic. It has been challenged but never retracted, and its core finding — that SARS-CoV-2’s genomic features have natural explanations — has been supported by an array of subsequent research, and natural origin remains the leading hypothesis on the virus’s emergence.

Yet the exact mechanism through which it acquired the furin cleavage site remains without a definitive explanation, making it a focal point for proponents of the lab-leak hypothesis and a vital unanswered question about COVID-19’s origins.

The $600,000 question

The Wuhan Institute of Virology received roughly $600,000 over six years through a US-funded subgrant for bat coronavirus surveillance. Whether that work constituted gain-of-function research remains contested among scientists.

The hearing’s central allegation, that Fauci funded gain-of-function research that created SARS-CoV-2, rests on a sub-grant of roughly $600,000 distributed over six years through EcoHealth Alliance to the Wuhan Institute of Virology.

The concern over research enhancing the arsenal of viruses is real. In 2014, the US government imposed a moratorium on funding for gain-of-function research. More than 300 scientists signed a statement calling for a pause on experiments creating “potential pandemic pathogens.” The moratorium was lifted in 2017 under a review framework that multiple investigations have found inadequate.

Whether the EcoHealth-funded work met the regulatory threshold is genuinely disputed. Richard H. Ebright, a Rutgers University molecular biologist who is a founding member of the Cambridge Working Group on biosafety that pushed for the 2014 US moratorium on gain-of-function research, and a longstanding of biosafety practices at the Wuhan lab, says the EcoHealth-funded work “unequivocally” qualified.

Yet Alina Chan, a molecular biologist at MIT and Harvard’s Broad Institute who is herself sympathetic to the lab-leak hypothesis, has disputed the gain-of-function label, saying the work involved “testing naturally occurring SARS viruses, without a reasonable expectation that the tests would increase transmissibility.”

Definitional questions aside, the causal chain linking a $100,000-a-year sub-grant, a rounding error within NIH’s roughly $47 billion annual budget, to a global pandemic that killed millions requires assumptions no investigation has substantiated.

Fauci did not personally authorise the grant, and has called the leap from EcoHealth funding to pandemic creation “the most ridiculous, majestic leap I’ve ever heard of.”

What science says about the origins

The earliest known COVID-19 cases in Wuhan cluster in a bullseye pattern around the Huanan seafood market (pink square), including cases with no known link to the market. The Wuhan Institute of Virology (blue dot) sits roughly 10 km southeast across the Yangtze. Source: Worobey et al., Science, 2022.

A four-year investigation by the WHO’s Scientific Advisory Group for the Origins of Novel Pathogens (SAGO) concluded in June 2025 that “the weight of available evidence suggests zoonotic spillover, either directly from bats or through an intermediate host.”

But it left the lab-leak hypothesis explicitly on the table, with chair Dr Marietjie Venter noting: “Until more scientific data becomes available, the origins of SARS-CoV-2, and how it entered the human population, will remain inconclusive.”

WHO Director-General Tedros Adhanom Ghebreyesus echoed that position: “All hypotheses must remain on the table. We continue to appeal to China and any other country that has information to share that information openly, in the interests of protecting the world from future pandemics.”

On the zoonotic side, geospatial analysis published in Science showed the earliest cases forming a bullseye centred on the Huanan seafood market, not the Wuhan lab ten miles across the Yangtze. The researchers concluded that “SARS-CoV-2-positive environmental samples were associated with activities concentrated in the southwest corner of the market,” the same section “where vendors were selling live mammals, including raccoon dogs, hog badgers, and red foxes.”

Stall-level map of the Huanan seafood market showing SARS-CoV-2-positive environmental samples (red) clustering around wildlife stalls (brown outlines) in the market’s southwest corner, where live mammals including raccoon dogs and civets were sold. The market’s east side, which did not trade live wildlife, shows almost no positive samples. Source: Crits-Christoph et al., Cell, 2024.

A study published in Cell found genetic material from “multiple plausible intermediate hosts” in that same corner, concluding that raccoon dogs, masked palm civets, hoary bamboo rats and Malayan porcupines had all “previously been implicated in bat coronavirus cross-species transmission through the animal trade.” Separate phylogenetic analysis identified two viral lineages that diverged before human transmission, consistent with two independent spillovers.

“It’s absurd how strong the geographical association is,” evolutionary biologist Michael Worobey, who led the geospatial research, told NPR, estimating the probability of the clustering being coincidental at “one in 10,000.”

Angela Rasmussen, a virologist at the University of Saskatchewan’s Vaccine and Infectious Disease Organization who co-authored both the Science and Cell studies, has argued the evidence is “consistent with spillover from animals to humans at the Huanan market, under extremely similar circumstances as SARS-CoV-1,” and “incompatible with all lab leak hypotheses proposed.”

She has noted that a lab-leak scenario consistent with two lineages would require two independently infected workers both reaching the same market, ten miles from the lab, without infecting anyone en route.

No evidence has been produced that the Wuhan lab possessed a close ancestor of SARS-CoV-2. The nearest known relative, a bat virus called BANAL-52, was found by a separate research team in caves in Laos.

And while the lab’s presence in Wuhan is frequently cited as a decisive coincidence, China operates 40 to 60 Biosafety Level 3 (BSL-3) labs and over 1,000 BSL-2 facilities nationwide. The EcoHealth-funded work was conducted at a BSL-2 facility, a level that critics and some collaborators later said was inadequate for the coronavirus research underway.

The lab-leak case gains ground

Animal Source Most Likely Origin of SARS-CoV2 but Missing Chinese Data Leave Findings Inconclusive: WHO Expert Group

The lab-leak hypothesis was not always taken seriously. In the pandemic’s first year, prominent scientists and major news organisations dismissed it as a conspiracy theory, and platforms including Facebook and YouTube removed content promoting it. The subsequent accumulation of circumstantial evidence, combined with China’s refusal to share data, has left the door open.

Alina Chan of MIT and Harvard’s Broad Institute has made the most scientifically grounded case for a lab origin. She points to the furin cleavage site’s resemblance to the unfunded 2018 DEFUSE proposal, a grant application submitted to the Pentagon’s research agency DARPA by EcoHealth Alliance, the Wuhan Institute and University of North Carolina researchers, which described inserting exactly that type of feature into a SARS-like coronavirus. DARPA rejected it as too risky.

Chan also notes that WIV researchers reportedly fell ill with COVID-like symptoms in autumn 2019, and that key evidence found rapidly in the SARS and MERS outbreaks has never surfaced for COVID-19. Chan also maintains “several natural spillover scenarios remain plausible,” and calls for subpoenas of research exchanges rather than prosecution.

The Trump administration treats the lab leak as a closed case. In 2025, it took down government websites providing COVID-19 health information and replaced them with a White House page titled “Lab Leak: The True Origins of Covid-19”. The page squarely blames the pandemic on its political opponents – specifically Fauci – based on unfounded claims.

The CIA and FBI have assessed a research-related origin as more likely, at low and moderate confidence respectively, but the WHO SAGO panel described these intelligence assessments as “very speculative, based on political opinions and not backed up by science.”

The Trump administration has gone further, treating the lab leak not as a hypothesis but as a closed case. In 2025, it took down government websites providing COVID-19 health information and replaced them with a White House page titled “Lab Leak: The True Origins of Covid-19.”

Former Biden White House COVID coordinator Ashish Jha recently told CNN he had changed his mind: “Based on information I learned and based on information I have seen, I have come to conclude that it is more likely to have been a lab leak. No one in the United States knows for sure. The only people who know for sure are officials in China.”

China withholds answers

Shoppers in Wuhan, China, post-COVID-19 lockdown.

Both sides of the debate agree on one thing: the reason the question remains open is China.

On 3 January 2020, two days after the world learned of the outbreak, China’s National Health Commission ordered laboratories to hand over or destroy early coronavirus samples. Beijing has confirmed the order. At least 100 individuals with December 2019 symptom onset were sampled; only about 20 sequences have reached international researchers.

The Huanan market was shut on 31 December 2019, its animals removed untested, and the site decontaminated. The WIV’s database of 22,000 wildlife samples went offline in autumn 2019 and was never shared.

Dr Li Wenliang, the 34-year-old Wuhan ophthalmologist who warned colleagues about a SARS-like illness on 30 December 2019, was detained by police and forced to sign a confession. He contracted COVID-19 and died on 7 February 2020, at age 34.

China blocked WHO investigators from entering the country in January 2021, then denied them the requested data. An AP investigation found Beijing “froze meaningful domestic and international efforts to trace the virus from the first weeks of the outbreak.”

When WHO proposed a second-phase investigation in 2021 that included audits of Wuhan laboratories, China’s Vice Health Minister rejected the plan outright, calling it “impossible” and saying Beijing would “not accept such an origin-tracing plan as it, in some aspects, disregards common sense and defies science.”

China Rejects WHO Plan for Next Phase of COVID Origins Investigation

“Persecuting Fauci for trying to answer questions about the virus source in 2020 when we were all misled by the Chinese government is a sideshow,” David Hunter, professor of epidemiology at the University of Oxford, wrote in STAT News.

“To blame Fauci for not solving the origin of COVID-19 makes as much sense as blaming a detective in Washington, DC, for not solving a murder in Wuhan.”

Meanwhile, the administration accusing Fauci of leaving America vulnerable to COVID-19 is dismantling the infrastructure that would defend it against the next pandemic.

Trump’s FY2026 budget proposes cutting NIH by $18 billion, a 44% reduction, and slashing the CDC by roughly half. Georges Benjamin, executive director of the American Public Health Association, has said the cuts will “totally destroy the nation’s public health infrastructure.”

The origins of COVID-19 may never be definitively settled. But the hearing made one thing clear: the political apparatus pursuing Fauci is not interested in preventing the next pandemic. It is interested in assigning blame for the last one, while the country that holds the evidence refuses to share it, and the country demanding answers burns down its own capacity to find them.

Image Credits: The White House, Worobey et al., Science, 2022., Crits-Christoph et al., Cell, 2024., José Mauquer .

‘MAHA Mom’ Jayme Franklin, US President Donald Trump and US Health Secretary Robert F Kennedy Jr.

Health experts have condemned United States President Donald Trump’s latest move to direct childhood vaccinations via a decree rather than a scientific process.

Trump signed an executive order on childhood vaccinations on Monday, which he claims will align the US with the “best practices from peer, developed countries”.

The order recommends fewer vaccinations, one vaccination per clinic visit for kids and – most controversially – that the combined measles, mumps, rubella (MMR) vaccine be “administered in three separate single-disease shots”, describing this as the “gold standard”.

Virtually the entire world, bar 15 countries, administers single MMR vaccinations, which is easier for parents, children and health facilities.

Making the announcement, Trump and Health Secretary Robert F Kennedy Jr repeated the debunked notion that vaccines may be linked to autism.

Trump also claimed that the combined MMR vaccine was “quite lethal” and said that, “by the age of one year, children should have five separate visits for vaccinations, not all their vaccinations in one day”.

Three categories of vaccinations

The order divides immunisations into three categories. The first recommends 11 immunisations for all children, instead of the current 17. These are for measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type B, pneumococcal disease, human papillomavirus, and varicella (chicken pox).

The second category recommends a further six immunisations, including for hepatitis A and B, for “certain high-risk groups”.

Finally, Trump said that six vaccinations – for hepatitis A and B, rotavirus, meningococcal disease, influenza, and COVID-19 – are “no longer recommended for all children”.

Instead, they should be given based on “shared clinical decision-making”,  meaning decisions taken by both parents and healthcare providers.

The order aims to encourage “maximal parental choice over childhood vaccines” and also directs the US Attorney General to take appropriate legal action to enable “religious and medical exemptions from childhood and adolescent immunization requirements”.

‘Disheartening’, ‘dangerous’ and ‘troubling’

A doctor examines a child with measles. Cases of measles are at a 35-year high in the US, mainly thanks to waning confidence in vaccines.

Dr Andrew Racine, president of the American Academy of Pediatrics (AAP), described the order as “not only disheartening but dangerous” – particularly as “measles cases reach a 35-year high in the US and with cold and flu season [is] quickly approaching”.

“Today’s executive order is not based on ‘gold-standard science’,” Racine added. “There is no new evidence to justify significant changes to childhood immunization guidance. Dozens of studies involving millions of people show there is no link between vaccines and autism, and yet federal leaders continue to promote this outdated, disproven idea to scare families.”

Although the order does not refer to autism, both Trump and his vaccine-sceptical Health Secretary Robert F Kennedy Jr, alluded to possible links between vaccines and autism during the signing ceremony.

Dr Jan Carney, president of the American College of Physicians (ACP), described the order as “part of a troubling pattern by the administration to attempt to unilaterally change vaccine guidance, particularly for children, rather than relying on the transparent, scientific review that has guided the US childhood vaccine schedule for decades”.

“ACP asserts that these changes cannot be allowed to move forward,” he added, alluding to more legal action for the Trump administration, which is already facing legal action from the AAP over its “unilateral changes” to vaccinations for children and pregnant women.

Trump ‘doesn’t have the expertise’

Republican Senator Bill Cassidy, who chairs the Senate Health Committee, said on X that Trump “does not have the expertise to make these changes”, urging parents to “listen to their child’s pediatrician about vaccines rather than listening to an inaccurate executive order”.

“Vaccines are overwhelmingly safe. Vaccines are effective. Vaccines do not cause autism,” said Cassidy, adding “this is so wrong”.

“Breaking up vaccines will mean children have to get more shots to get the same protection, not fewer shots. It will increase hesitancy and make children less safe.”

Deadly mistake’

Dr Tom Frieden, CEO of Resolve to Save Lives, said that the new order “will result in more illness, hospitalizations, and deaths of American children”.

“There is no evidence that subjecting children to three shots instead of one with the measles, mumps, and rubella vaccine would do anything to protect children, and it would result in more stressful and painful vaccinations.” added Frieden, former head of the US Centers for Disease Control and Prevention (CDC).

Frieden also blasted the introduction of “shared clinical decision-making” for certain vaccines.

“It would be a deadly mistake,” said Frieden. “Shared decision-making is appropriate when the risks and benefits of an intervention are equally balanced. In the case of these and other vaccines, the risks are vastly lower than the benefits of vaccination. 

“Doctors don’t engage in shared clinical decision-making about whether to suture a bleeding wound. Parents are always free to accept physician recommendations or not, but failing to recommend something that is proven to be beneficial is an abdication of federal responsibility.”

“Parents deserve clear, evidence-based guidance about how to protect their children, not competing recommendations issued through political processes,” said Dr Michael Osterholm, head of the Vaccine Integrity Project and director of the University of Minnesota’s Center for Infectious Disease Research and Policy (CIDRAP).

Circumventing the courts

Trump states in the executive order that his administration’s previous directives on childhood vaccines have “been delayed due to litigation over the composition of the Advisory Committee on Immunization Practices (ACIP) and separate updates to the Federal vaccine schedule”.  

Kennedy has waged a relentless campaign to reduce US childhood vaccines, including by unilaterally changing the composition and terms of ACIP.

However, in March, US District Judge Brian Murphy ruled that the January changes to the vaccination schedule and Kennedy’s firing of all 17 ACIP members are likely to have violated the Administrative Procedure Act. 

Murphy also issued three temporary stays: on Kennedy’s appointment of 13 new ACIP members, mostly vaccine sceptics; changes to the vaccination schedule, and all decisions of the Kennedy-appointed ACIP. 

These stays will be in place until Murphy can rule on a lawsuit brought by the American Academy of Pediatrics (AAP) and other medical organisations against Kennedy’s “unilateral changes” to vaccinations for children and pregnant women.

However, after Murphy’s ruling, a new charter for ACIP members was published on the CDC website in June. Instead of requiring vaccine-related expertise, the new terms simply require that “members shall collectively represent a balanced range of scientific, clinical, and public health expertise relevant to the committee’s mission”. 

Also in June, US Senator Bernie Sanders released 253 pages of emails showing how Kennedy’s Health and Human Services (HHS) staff pressured CDC officials to influence the country’s vaccine policies. 

This executive order is almost certain to face legal action by health groups.