First Person Outside Cruise Ship is Suspected of Hantavirus Infection 07/05/2026 Kerry Cullinan Dr Abdi Mahamud, WHO’s director for Health Emergency Alert and Response Operations. The first person suspected of contracting hantavirus outside of passengers on the Hondius cruise ship is currently in a Dutch hospital. She is a flight attendant who came into contact with a former passenger who briefly boarded a KLM flight in Johannesburg, South Africa, but was prevented by airline staff from flying to Amsterdam as she was too sick. The woman died shortly afterwards in a Johannesburg hospital. Her husband had died on board the ship on 11 April, the first casualty in the ship’s hantavirus outbreak. She had left the ship at St Helena Island on 24 April to accompany his body home. Cabo Verde permitted the medical evacuation of three patients, but denied permission for passengers to disembark. The ship has since sailed for Tenerife in the Canary Islands. It is expected to arrive by 11 May, where it is hoped that Spanish authorities will assist passengers to return home. However, the President of the Canary Islands, an autonomous community of Spain, has said he will not allow the ship to dock – although the Spanish President has assured the World Health Organization (WHO) that passengers will be able to leave the ship. Cruise operator Oceanwide Expeditions said that two Dutch infectious disease doctors had joined the cruise to “ensure that optimal medical care can be provided if necessary, during the next stage of this evolving situation”. The WHO has advised that “all passengers stay in their cabins. The cabins are being disinfected, and anyone who shows symptoms will be isolated immediately”, WHO Director General Dr Tedros Adhanom Ghebreyesus told a media briefing on Thursday. A WHO expert and an expert from the European Centre for Disease Prevention and Control (ECDC) have also joined the ship. Together with the two Dutch doctors, they are “conducting a medical assessment of everyone on board and gathering information to assess their risk of infection”, said Tedros. “WHO is developing a step-by-step, operational guidance for the safe and respectful disembarkation and onward travel journey for all passengers when they arrive in the Canary Islands,” he added. Tedros thanked Spanish President Pedro Sanchez for his “generosity and solidarity” for agreeing to accept the ship in the Canary Islands, describing the risk to the islands as low. Dr Tedros thanked Spanish President Pedro Sanchez for agreeing to accept the cruise ship in the Canary Islands. Eighth patient in Switzerland Oceanwide Expeditions confirmed that all 30 passengers who disembarked at St Helena on 24 April have been contacted. One, a Swiss national with mild symptoms, is currently in a Zurich hospital. “The Swiss Federal Office of Public Health (FOPH) has confirmed that a passenger who travelled on the first leg of the voyage has tested positive for hantavirus and is currently being treated at the University Hospital Zurich. His wife, who accompanied him, has not shown symptoms but is self-isolating as a precaution,” the company said in a statement So far, eight passengers are suspected of hantavirus infection. Three have died, one is in hospital in Johannesburg, three were evacuated from Cabo Verde to undisclosed European hospitals – and the eighth is the Swiss man. “Five of the eight cases have been confirmed as hantavirus, and the other three are suspected,” said Tedros. “Hantaviruses are a group of viruses carried by rodents that can cause severe disease in humans. People are usually infected through contact with infected rodents or their urine, droppings or saliva. The species of antivirus involved in this case is the Andes Virus, which is found in Latin America and is the only species known to be capable of limited transmission between humans,” he added. Collaboration with US Dr Abdi Mahamud, WHO’s director for Health Emergency Alert and Response Operations, said that each country is responsible for repatriating citizens from the ship and tracing any citizens who may have had contact with those exposed to the virus. Although the US decided to leave the WHO, it has citizens on board the ship and Mahamud said that collaboration with the US CDC is “going very well on a technical level”. US CDC officials have joined meetings of the Global Outbreak Alert and Response Network (GOARN) “so the information flow is there, transparent and frank, and information sharing”, he added. The US remains party to the International Health Regulations (IHR), which stipulates the conduct of countries in the event of disease outbreaks, and was receiving formal communication on the outbreak through that. “This outbreak shows why the world needs a global entity that coordinates,” added Mahamud, also commending Argentina – which also quit the WHO – for coming forward with information, as the cruise started in that country. Dr Anais Legand, WHO technical lead on viral haemorrhagic fevers, described “excellent collaboration” with her counterpart at US CDC, including sharing of technical assessments almost every day. Dr Anais Legand, WHO technical lead on viral haemorrhagic fevers. Long incubation Mahamud confirmed that the incubation period for the virus is up to six weeks, but that only confirmed cases needed to isolate. Contacts of cases need “active monitoring”, which was up to host countries to define, he added. At this stage, PCR testing by South African and Senegalese scientists had confirmed the Andes virus, a species of hantavirus found mostly in Argentina – which is where the cruise started. Scientists are currently engaged in genome sequencing of the virus to see whether it was the same as that from an Argentinian outbreak in 2018, which affected 34 people, said Mahamud. This is the only other known instance of human-to-human transmission. That outbreak evolved from an infected person who attended a concert. Dr Maria Van Kerkhove, WHO’s Director of Epidemic and Pandemic Management. stressed the importance of “global solidarity”, adding that the WHO has “pulled together all of the global experts related to hantaviruses, in particular the Andes Virus”, to assist in managing the outbreak. ‘We Are Going to Die’: The Frontline Costs of Uganda’s New US Health Agreement 07/05/2026 Soita Khatondi Wepukhulu A woman prepares for an HIV test in Uganda prior to the Trump-era aid cuts. This story was originally published by The New Humanitarian. On an early morning in February, 23-year-old Suzan Akello was found lying dead on a veranda outside a house she had visited in Namataala, Mbale town, in eastern Uganda. Friends said she could not afford a clinic and had taken herbal medicine to terminate a pregnancy. By the time Akello needed urgent care, it was too late. Post-abortion care services (PAC) are legal in Uganda, secured through years of advocacy and government-NGO collaboration, some under US-supported programmes. But health workers, activists, and patients say that in recent months, post-abortion care and critical HIV/AIDS services are increasingly caught in the fallout of a new $2.3 billion health agreement between Uganda and the United States, one that is integrating donor-funded programmes into Uganda’s public health system while reducing reliance on NGOs. A US State Department spokesperson said the deal is a joint commitment to sustain lifesaving programmes while building national capacity. Under the agreement, Uganda has pledged to increase domestic health funding by about $50 million annually, more than $500 million over five years, while the US foots the rest of the bill through a phased transition. Framed as a step towards “health sovereignty” and national ownership, the deal is one of more than 20 similar agreements signed across Africa, now expanding into Latin America. It follows President Donald Trump’s revision of USAID programmes worldwide, which triggered “stop work” orders early last year and withdrew billions in health funding globally, including in Uganda. Funding for frontline health workers and medical commodities will be maintained in full in the first year, the State Department said, with responsibility shifting gradually based on readiness assessments. Transitions will be “case-by-case, multi-year, jointly planned” to ensure continuity of care. But for many working within Uganda’s health system, that continuity is already fraying. Undoing years of local progress By mid-2025, months before the memorandum was signed, the shift was already underway. Hundreds of support staff working under US-funded programmes were called into meetings across Uganda and – in documents seen by this reporter – asked to sign compliance agreements aligning with US abortion restrictions. Contract addendums barred them from “performing, promoting, or referrals” for abortion-related services “even where legal” and discouraged public discussion of the policy. While abortion is generally criminalised in Uganda, post-abortion care remains legal. Months after those meetings, only a fraction of those support health workers still hold active contracts. Cuts to USAID funding have sharply reduced staff deployment, particularly those working alongside NGOs at government health facilities. On paper, the memorandum contains elements that public health experts broadly support. Nakibuuka Noor, deputy head of the Coalition to Stop Maternal Mortality Due to Unsafe Abortion (CSMMUA), points to its provisions on joint reviews and commitments to increasing health funding within Uganda’s national budget. “These are things we have always asked for,” she said. “A government that takes responsibility for its health system.” Ugandan NGOs, alongside the health ministry, negotiated a national PAC package in 2025 intended to standardise and expand lifesaving care for women suffering complications from unsafe abortions. But according to Noor, the memorandum sidelines this progress. A 2010 report by the health ministry said 8% of all maternal deaths were due to unsafe abortions, but safe abortion advocates say the health system is poorly equipped to even measure its impact. Noor notes that maternal death notification forms do not include a specific category for deaths resulting from unsafe abortion complications, making data incomplete and unreliable. Richard Mugahi, the Ministry of Health commissioner for reproductive health, insisted that Uganda has the capacity to finance its share of the health budget and that the memorandum does not violate national health policy. “We are not even allowed to probe to find out details about such cases. We are expected to stay silent.” On post-abortion care, he maintained there is “no violation” of Uganda’s guidelines, even as he has acknowledged constraints, stating at one point that PAC “has no budget”. That tension between policy assurances and the realities on the front line is increasingly visible. Coupled with reinforced US restrictions, health workers report being under growing pressure to turn away women showing signs of a terminated pregnancy. “We are not even allowed to probe to find out details about such cases,” said one in Mbale, who asked not to be named. “We are expected to stay silent.” Two other support staff in eastern and western Uganda said they have been forced to either risk their jobs to help patients or turn away dozens in need of critical post-abortion care. A system losing its intermediaries The memorandum’s emphasis on “mainstreaming” donor-funded programmes is also reshaping how care is delivered. Thousands of peer educators, outreach workers, and specialised staff are being absorbed, reassigned, or lost altogether. The remaining health workers said they have received communication from the Ministry of Health since January, stating that their positions will be advertised and that their qualifications are currently being “validated” as part of a process to “mainstream” them into the national system. Many of them say they do not meet the academic qualifications the government has set for them to retain their jobs, even though they’ve worked effectively with marginalised communities for years. Peer educators and outreach workers form an integral part of Uganda’s HIV/AIDS focused care. Winnie Byanyima, the executive director of UNAIDS, cautioned that communities can not be ignored in HIV/AIDS care. “Communities must remain at the heart of the response and all people living with or at risk of HIV need access to lifesaving medicines and services,” she told The New Humanitarian. “Recognising that is not a political statement; it’s an epidemiological fact.“ However, funding shifts also appear to be undoing years of progress on attitudes towards most at-risk populations secured by delicate community organising under NGOs. According to Betty Balisalamu, executive director of Women with a Mission in eastern Mbale, the effects of a health model cutting out civil society are already visible in how local officials engage with marginalised communities. “It sends a message,” she said. “The officials say if even our funders are stepping back, then the government should too.” At Rukoki General Hospital in Kasese, in western Uganda, a laboratory technician described what that looks like in practice. Key population focal persons, like staff trained to support groups such as sex workers and LGBTIQ individuals, are no longer present. “There is more stigma now,” the technician said. “People are afraid to come.” Without those intermediaries, patients reported being shamed or turned away, widening gaps in HIV prevention. In the fishing community of Kahendero near Lake Albert in western Uganda, outreach workers reported shortages of prevention tools so severe that some people are using polythene bags as condoms. Hilda Kamuhangire, a former sex worker now working as a peer educator in Kahendero, said the disruption has been abrupt. “We used to go to the bars, talk to women, give them condoms, PrEP [pre-exposure prophylaxis] information,” she said. “Now many of those services are not there.” “They tell you, ‘haven’t you heard about the Trump things?’” At health facilities, she added, some workers now ask for payment or turn patients away, citing funding changes. “They tell you, ‘haven’t you heard about the Trump things?’” The political framing of the agreement has further complicated its impact. US officials have linked funding restrictions to concerns about “gender ideology” – a narrative that has gained traction in Uganda. Activists say this framing misrepresents their work and undermines service delivery. “We are fighting political and cultural wars,” Noor said. “Wars that are not ours.” An LGBTIQ+ organiser said that the US government’s narrative that NGOs spread “gender ideology” is reminiscent of the feverish anti-gay rhetoric that drummed up support for the 2023 Anti Homosexuality law, partly on the false belief that Ugandan NGOs “promote” homosexuality. Steps back on HIV/AIDS Uganda’s HIV response has long depended on US support, particularly through the US President’s Emergency Plan for AIDS Relief (PEPFAR), which helped place over a million Ugandans on treatment and financed prevention programmes targeting high-risk populations. About 1.4 million people are living with HIV, with tens of thousands of new infections each year. LGBTIQ+ people and sex workers in Uganda face disproportionately high HIV risks compared to the general population, as stigma, criminalisation, and shrinking access to community-based services limit their ability to seek prevention and treatment. For decades, much of US government response has been delivered through community-based networks that bridge the gap between formal health systems and marginalised populations. In a response to queries, the State Department pointed to new data, which it said showed that the number of people receiving antiretroviral treatment in Uganda increased in late 2025 compared to the previous year. They said that this points to “the long-term resilience and adaptability” of Uganda’s HIV response. However, health workers described how, since last year, they have sometimes been instructed by US government implementing partners, formally or informally, to prioritise certain groups – such as pregnant and breastfeeding women – for post-exposure prophylaxis (PEP), even as other high-risk populations struggle to access it. “We cannot end AIDS by picking and choosing who can access medicines,” Byanyima said. The UNAIDS head also warned that the full impact of these disruptions may not yet be visible. But for a health worker who has worked on HIV/AIDS prevention and treatment of LGBTIQ+ people for over 15 years, she had one urgent message for US policymakers; “We are going to die. Please have mercy.” The New Humanitarian puts quality, independent journalism at the service of the millions of people affected by humanitarian crises around the world. Find out more at www.thenewhumanitarian.org. Image Credits: 2011, Sokomoto Photography for International AIDS Vaccine Initiative (IAVI). US Food and Drug Administration Blocked Publication of Agency Studies Confirming Shingles and COVID-19 Vaccine Safety 06/05/2026 Editorial team Vials of Pfizer´s COVID-19 vaccine. Recent studies showing vaccine’s safety and effectiveness blocked by US FDA. Officials at the Food and Drug Administration have blocked publication of two studies supporting the safety of widely used vaccines against Covid-19 and other safety studies on shingles in recent months, a spokesperson at the US Department of Health and Human Services confirmed. In October, 2025 FDA scientists were directed to withdraw two Covid-19 vaccine studies that had been accepted for publication in medical journals, the New York Times reported on Tuesday. Then in February, top F.D.A. officials refused to sign off on the submission of abstracts of studies of Shingrix, a shingles vaccine, to a major drug safety conference, The withdrawn FDA studies on COVID vaccines involved the use of massive 2023 and 2024 vaccine data sets by agency scientists, compiled and analyzed with outside data firms. Pre-prints and abstracts of the studies that have been made public have largely confirmed the vaccines’ safety. One study, which examined the Covid vaccine in people older than 65, was posted on the prestigious preprint server Medrxiv.org. The study reviewed the records of about 7.5 million Medicare beneficiaries who got the vaccine, in the first six weeks after their jab. Among 14 health outcomes potentially caused by the vaccine, including heart attacks, strokes and Guillain-Barré syndrome (an auto-immune disorder), researchers found only outcome of concern, anaphylaxis, a severe allergic reaction affecting about 1 in a million people to get the Pfizer COVID vaccine. “No other statistically significant elevations in risk were observed,” the researchers reported. The study was withdrawn under pressure from FDA officials after it had been accepted by the peer reviewed journal Drug Safety, according to the New York Times report. An abstract of a second COVID safety study was published at the August 2025 conference of the International Society of Pharmacoepidemiology (ISPE), where it remains online. The study monitored the safety of three leading COVID-19 vaccines, produced by Pfizer-BioNTech, Moderna, and Novavax, among individuals aged 6 months–64 years who received the shots in 2023-24. The researchers found evidence of rare, adverse events, previously reported, primarily fever-related seizures and myocarditis (inflammation of the heart muscle). But no new elevated risks were identified among the 4.2 million vaccine recipients analyzed. “Given the available evidence, F.D.A. continues to conclude the benefits of vaccination outweigh the risks,” the study’s abstract concludes. Withdrawal of that FDA study from submission to the peer-reviewed journal, Vaccine, was first reported by STAT News. Shingrix vaccine study also blocked by FDA – outside of agency’s purview In the case of the Shingrix vaccine against shingles, FDA officials in February failed to sign off for scientific staff to submit abstracts on two studies to a drug safety conference. One study found the vaccine’s efficacy to be in line with findings from the clinical trials done before agency approval. A second safety study also aligned with what was known, finding an elevated but low risk for Guillain-Barré syndrome, an autoimmune disease already noted in the vaccine’s label, the New York Times reported. Asked about the withdrawal of the Covid vaccine safety studies, Andrew Nixon, a spokesman for the Department of Health and Human Services, was quoted saying: “The studies were withdrawn because the authors drew broad conclusions that were not supported by the underlying data. The F.D.A. acted to protect the integrity of its scientific process and ensure that any work associated with the agency meets its high standards.” Regarding the blocked shingles vaccine research, he said, “The design of that study fell outside the agency’s purview.” A senior administration official told the New York Times that the decisions about the research had not reached Dr. Marty Makary, the F.D.A. commissioner, or Health Secretary Robert F. Kennedy Jr. Dr. Vinay Prasad, head of the FDA. vaccine office at the time, did not respond to requests for comment. In recent weeks, Dr. Jay Bhattacharya, who was serving as interim leader of the US Centers for Disease Control and Prevention (CDC) also canceled the publication of a report concluding that the COVID vaccine sharply cut the odds of hospitalizations and emergency room visits last winter, claiming that the study had limitations. The current US Administration, under the leadership of HHS Secretary Robert F Kennedy Jr, has dramatically cut research funding for vaccine development and cast doubt on multiple aspects of vaccine effectiveness and safety. It has also frozen vaccine funding to Gavi, the Vaccine Alliance, over alleged safety issues related to the use of thimerosal, as a preservative in some vaccines most often used in low- and middle-income countries where cold chain remains a problem. Those are concerns that WHO, backed by leading vaccine experts, has said are long resolved. See related story: https://healthpolicy-watch.news/us-freezes-all-funds-to-gavi-over-vaccine-preservative-thimerosal/ Image Credits: Mat Napo/Unsplash. World Health Organization Gives Stamp of Approval to First Malaria Treatment for Young Infants 06/05/2026 Elaine Ruth Fletcher Wonder, a healthy 8-month-old with his mother, Naomi. He was one of the first infants to receive Coartem® Baby when he was hospitalised at 3-months in The Methodist Hospital, Muwasi, Ghana. The World Health Organization has ‘pre-qualified’ Coartem® Baby, the first-ever malaria treatment for young infants of 4.5 kilograms or less. The combination treatment, now being rolled out in Ghana, aims to fill a longstanding gap in treatments available for children under the age of 5, who constitute three quarters of the estimated 610,000 malaria deaths worldwide. Until now, infants with malaria have been treated with formulations intended for older children, which increase the risk of dosing errors, side effects and toxicity.” said WHO Director General Dr Tedros Adhanom Ghebreyesus speaking to reporters last week. “This new formulation of artemether-lumefantrine helps to close a long-standing treatment gap for some 30 million babies born each year in malaria-endemic areas of Africa.” The artemisinin-based combination treatment, developed by Novartis together with Medicines for Malaria Venture (MMV), can be used on newborns and infants as small as 2kg. It was approved by the Swiss drug regulatory agency, Swissmedic in July 2025. Since being introduced in Ghana through a combination of pubic and private sector procurement, thousands of infants have been treated with the formula in a response exceeding expectations. WHO Pre-qualification paves way for mass procurement But WHO’s ‘prequalification’, announced last week, is a critical step in paving the way for bulk procurement of the treatment by international agencies such as the Global Fund to Fight AIDS, Tuberculosis and Malaria for distribution in low-income countries at concessionary prices, said Pierre Hugo, MMV Vice President of Access and Product Management. Prequalification is WHO’s ‘stamp of approval’ assuring the quality, safety and efficacy of vaccines and medicines for major diseases like malaria, HIV/AIDS and tuberculosis. WHO’s list of prequalified products is used by UNICEF, the Global Fund, and other agencies procuring products in bulk, to inform their choices about drug and vaccine purchases. “WHO prequalification is a critical milestone because it enables procurement by major global health funders… While specific procurement volumes have not yet been announced, this step paves the way for large-scale access in malaria-endemic countries,” said Hugo. “This [prequalification] decision takes us one step closer to ensuring that the tiniest babies have access to the first antimalarial designed specifically for them,” said Novartis’ Lutz Hegemann, President of Global Health. Eight other African countries joined in the Swissmedic “Marketing Authorisation for Global Health Products” (MAGHP) process for approving the new malaria formulation, including Burkina Faso, Côte d’Ivoire, Kenya, Malawi, Mozambique, Nigeria, Uganda and Tanzania. The process aims to support the national regulatory agencies of low-income countries in the Swissmedic assessment, building trust and confidence that can help fast-track national marketing authorisations following Swissmedic’s approval. Incorporating into WHO treatment guidelines next step for mass rollout The next important milestone will be for the medicine to be added to the WHO treatment guidelines, Hugo said, expected in mid-2026. This is another requirement for Global Fund bulk procurement of new medicines and vaccines, along with registration of the treatment in national regulatory systems. “Coartem® Baby represents a breakthrough not just in science, but in equity, closing a long-standing treatment gap for the smallest and most vulnerable malaria patients. With WHO prequalification now secured, the focus shifts from innovation to access, ensuring that this life-saving treatment can reach newborns across malaria-endemic regions.” Earlier this month, WHO also prequalified three new rapid diagnostic tests that can detect strains of malaria that older tests miss. Said Tedros, “Together with vaccines, new diagnostics and next-generation mosquito nets, it’s another step towards a malaria-free world”. Image Credits: Novartis. Two More Reported Cases of Hantavirus Linked to Cruise Ship Hit by ‘Uncommon’ Human-to-Human Transmission 05/05/2026 Kerry Cullinan The cruise ship Hondius, affected by a hantavirus outbreak after setting sail from Argentina on 1 April, to Antartica and across the South Atlantic. The ship is now moored off the West African Archipelego of Cabo Verde. Two more people linked to the cruise ship Hondius were reported to have fallen ill in Switzerland and France, according to Swiss and European media reports Wednesday. In the Swiss case, the infection and its links to the cruise ship were confirmed by the Swiss Federal Office of Public Health. On the reported French case, a WHO spokesperson said that the agency had “reached out to French authorities to verify”. Meanwhile, one passenger and two crew members with suspected hantavirus cases were evacuated from the ship Hondius and flown to the Netherlands to receive medical care, the World Health Organization also confirmed. The ship at the centre of the hantavirus outbreak is currently moored off the coast of the West African Archipelago of Cabo Verde. It was supposed to sail to the Canary Islands and dock there on Saturday, where Spanish authorities will assess the remaining passengers, disinfect the ship and conduct a full epidemiological investigation, according to Maria van Kerkhove, director of the World Health Organization’s (WHO) Department of Epidemic and Pandemic Preparedness and Prevention, who spoke at a media briefing in Geneva on Tuesday. Canary Island authorities, however, have balked at receiving the vessel, while Spanish government officials have said that the plan is in line with a WHO request and “international humanitarian principles.” Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands in coordination with @WHO, the ship’s operator and national authorities from Cabo Verde, the United Kingdom, Spain and the Netherlands.… pic.twitter.com/olQBk6tdGk — Tedros Adhanom Ghebreyesus (@DrTedros) May 6, 2026 Wednesday’s evacuated crew members both were suffering from “acute respiratory symptoms, one mild and one severe”. The other evacuee was German passenger who had been in close company with a passenger who died on the ship on 2 May, according to cruise operator Oceanwide Expeditions. All of those remaining on board the ship, which was carrying almost 150 passengers when it first set sail from Argentina on 1 April, have been asked to remain in the cabins as a precaution until the ship reaches a port of call. With the report of the Swiss case, eight cruise passengers or former passengers are suspected of having contracted the virus. But laboratory tests have only confirmed it in two of the cases, and one case appears asymptomatic, said Van Kerkhove at Tuesday’s briefing. Three passengers have died, two while on board, including a 69-year-old Dutch man on 11 April and a German citizen on 2 May. The Dutch man’s wife, also died shortly after being medically evacuated to South Africa. Another passenger who was medically evacuated to South Africa remains in intensive care. “Illness onset occurred between 6 and 28 April 2026 and was characterised by fever, gastrointestinal symptoms, rapid progression to pneumonia, acute respiratory distress syndrome and shock.,” according to the WHO. There is no specific treatment, and a high case fatality rate of up to 50% for the hantavirus found in the Americas, but “early supportive medical care is key to improving survival”, according to WHO. A Swiss and French national each become ill in two more cases linked to the cruise WHO’s Maria Van Kerkhove at a Geneva press briefing Tuesday on the hantavirus emergency. The WHO has deemed the global threat posed by the outbreak to be “low”, based on the historically low incidence of human-to-human infection from the virus. However, on Wednesday a French national was reportedly hospitalized in Europe with a suspected case of the virus after taking a flight with the Dutch woman evacuated from the ship to South Africa, and who later died. The French woman had not been aboard the Hondius cruise ship at all. In Switzerland, another former Hondius cruise passenger was being treated for the hantavirus at Zurich University Hospital after having spent some time on the cruise ship in April, according to the Swiss Federal Office of Public Health, which stated on Wednesday, “one person with a hantavirus infection is currently being treated at the University Hospital Zurich (USZ). The patient is male and returned to Switzerland after travelling on the cruise ship on which there were a number of hantavirus cases.” The man’s wife has not shown symptoms, but is self-isolating, while Swiss authorities are tracing the couple’s contacts, the FOPH stated. People usually contract hantaviruses from exposure to the urine, droppings or saliva of infected rats. Human-to-human transmission is “uncommon”. Such transmission has, however, been documented in Argentina and Chile involving the Andes virus, a species of the hantavirus. The “working assumption” is that the Andes virus was responsible for the outbreak aboard the ship, Van Kerhkove said. But health authorities will only know for sure after the virus is sequenced from the British patient being treated in South Africa. T Even the Andes virus variant, however, will typically only spread between humans in “very close physical contact”, Van Kerhkove said. “When you have an enclosed settings, you have people that are spending a lot of time together. These types of things can happen.” Andes virus, with some human-to-human transmission endemic to Argentina Route of the infected cruise ship Hondius from Ushuaia, Argentina to Antartica and across the Atlantic. The Andes virus is endemic to Argentina, where the cruise ship began its voyage across the South Atlantic on 1 April. It is thus possible that the index passenger was infected before he embarked in Ushuaia, Argentina, rather than on the ship, officials say. The ship traveled to Antartica and then onto a number of islands and archipelegos off the coast of Africa, along a well-trod Southern Atlantic cruise route featuring spectacular landscapes of both glacial mountains and tropics. The first person to die was the Dutch 69-year-old male passenger “who suddenly became ill in the ship en route from Ushuaia to St Helena Island, and presented with fever, headache, abdominal pain, and diarrhoea”, according to the South African Department of Health. He died on arrival at St Helena. His wife then flew to South Africa from St Helena Island, but collapsed at Johannesburg airport and later died at a nearby health facility. “The initial case and his wife joined the boat in Argentina, and with the timing of the incubation period of hantavirus, which can be anywhere from one to six weeks, our assumption is that they were infected off the ship,” said Van Kerkhove. A third patient, a British national, became acutely ill while the ship was travelling from St Helena to Ascension Island, and was flown to a private health facility in South Africa. He has been confirmed with hantavirus and is in a “critical condition in isolation”. Hantavirus infection was confirmed in two of the patients by South Africa’s National Institute for Communicable Diseases (NiCD). Further tests, including sequencing of the virus, is being conducted by NiCD, as well as well as testing the two symptomatic patients on board with the support from Institut Pasteur of Dakar in Senegal. President of Canary Islands opposes Spanish Government order to dock the ship President of the Canary Islands Fernando Clavijo is speaking after opposing the Spanish government’s plan to let the ship dock there. The president of the Canary Islands, Fernando Clavijo, told reporters in Tenerife that he opposed the Spanish government’s plan to let the ship dock there, Sky News reported. Clavijo, who belongs to the main opposition party in Spain, said the cruise ship has requested to dock at Tenerife on Saturday. “The World Health Organisation has explained that Cape Verde is unable to carry out this operation,” the Spanish Health Ministry said in response. “The Canary Islands are the closest location with the necessary capabilities. Spain has a moral and legal obligation to assist these people, among whom are also several Spanish citizens.” Van Kerkhove described the collaboration with member states on the emergency as “excellent”. The WHO was informed of “a cluster of severe acute respiratory illness” aboard the ship by the UK on 2 May, in terms of the International Health Regulations, she added. The timeline issued by Oceanwide Expeditions is as follows: On 11 April, the 69-year old Dutch passenger died on board. The cause of death could not be determined at the time. On 24 April, his body was disembarked on St Helena, with his wife accompanying the repatriation. On 27 April, Oceanwide Expeditions was informed that the wife, also a Dutch national, had become unwell during the flight to Johannesburg, South Africa, and had died shortly afterwards in a South African hospital. On 4 May, a variant of hantavirus was confirmed in the woman. On 27 April, another British passenger became seriously ill and was medically evacuated to South Africa. This person is currently being treated in the intensive care unit in Johannesburg and is in a critical but stable condition. A variant of hantavirus has also been identified in this patient. On 2 May, another passenger, of German nationality, also died on board the ship. The cause has not yet been definitively established. –Updated on 6 May with new developments, reported by Elaine Ruth Fletcher. Image Credits: Franklin Braeckman/Oceanwide Expeditions , El Pais/OpenStreetMap, Sky News . Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
‘We Are Going to Die’: The Frontline Costs of Uganda’s New US Health Agreement 07/05/2026 Soita Khatondi Wepukhulu A woman prepares for an HIV test in Uganda prior to the Trump-era aid cuts. This story was originally published by The New Humanitarian. On an early morning in February, 23-year-old Suzan Akello was found lying dead on a veranda outside a house she had visited in Namataala, Mbale town, in eastern Uganda. Friends said she could not afford a clinic and had taken herbal medicine to terminate a pregnancy. By the time Akello needed urgent care, it was too late. Post-abortion care services (PAC) are legal in Uganda, secured through years of advocacy and government-NGO collaboration, some under US-supported programmes. But health workers, activists, and patients say that in recent months, post-abortion care and critical HIV/AIDS services are increasingly caught in the fallout of a new $2.3 billion health agreement between Uganda and the United States, one that is integrating donor-funded programmes into Uganda’s public health system while reducing reliance on NGOs. A US State Department spokesperson said the deal is a joint commitment to sustain lifesaving programmes while building national capacity. Under the agreement, Uganda has pledged to increase domestic health funding by about $50 million annually, more than $500 million over five years, while the US foots the rest of the bill through a phased transition. Framed as a step towards “health sovereignty” and national ownership, the deal is one of more than 20 similar agreements signed across Africa, now expanding into Latin America. It follows President Donald Trump’s revision of USAID programmes worldwide, which triggered “stop work” orders early last year and withdrew billions in health funding globally, including in Uganda. Funding for frontline health workers and medical commodities will be maintained in full in the first year, the State Department said, with responsibility shifting gradually based on readiness assessments. Transitions will be “case-by-case, multi-year, jointly planned” to ensure continuity of care. But for many working within Uganda’s health system, that continuity is already fraying. Undoing years of local progress By mid-2025, months before the memorandum was signed, the shift was already underway. Hundreds of support staff working under US-funded programmes were called into meetings across Uganda and – in documents seen by this reporter – asked to sign compliance agreements aligning with US abortion restrictions. Contract addendums barred them from “performing, promoting, or referrals” for abortion-related services “even where legal” and discouraged public discussion of the policy. While abortion is generally criminalised in Uganda, post-abortion care remains legal. Months after those meetings, only a fraction of those support health workers still hold active contracts. Cuts to USAID funding have sharply reduced staff deployment, particularly those working alongside NGOs at government health facilities. On paper, the memorandum contains elements that public health experts broadly support. Nakibuuka Noor, deputy head of the Coalition to Stop Maternal Mortality Due to Unsafe Abortion (CSMMUA), points to its provisions on joint reviews and commitments to increasing health funding within Uganda’s national budget. “These are things we have always asked for,” she said. “A government that takes responsibility for its health system.” Ugandan NGOs, alongside the health ministry, negotiated a national PAC package in 2025 intended to standardise and expand lifesaving care for women suffering complications from unsafe abortions. But according to Noor, the memorandum sidelines this progress. A 2010 report by the health ministry said 8% of all maternal deaths were due to unsafe abortions, but safe abortion advocates say the health system is poorly equipped to even measure its impact. Noor notes that maternal death notification forms do not include a specific category for deaths resulting from unsafe abortion complications, making data incomplete and unreliable. Richard Mugahi, the Ministry of Health commissioner for reproductive health, insisted that Uganda has the capacity to finance its share of the health budget and that the memorandum does not violate national health policy. “We are not even allowed to probe to find out details about such cases. We are expected to stay silent.” On post-abortion care, he maintained there is “no violation” of Uganda’s guidelines, even as he has acknowledged constraints, stating at one point that PAC “has no budget”. That tension between policy assurances and the realities on the front line is increasingly visible. Coupled with reinforced US restrictions, health workers report being under growing pressure to turn away women showing signs of a terminated pregnancy. “We are not even allowed to probe to find out details about such cases,” said one in Mbale, who asked not to be named. “We are expected to stay silent.” Two other support staff in eastern and western Uganda said they have been forced to either risk their jobs to help patients or turn away dozens in need of critical post-abortion care. A system losing its intermediaries The memorandum’s emphasis on “mainstreaming” donor-funded programmes is also reshaping how care is delivered. Thousands of peer educators, outreach workers, and specialised staff are being absorbed, reassigned, or lost altogether. The remaining health workers said they have received communication from the Ministry of Health since January, stating that their positions will be advertised and that their qualifications are currently being “validated” as part of a process to “mainstream” them into the national system. Many of them say they do not meet the academic qualifications the government has set for them to retain their jobs, even though they’ve worked effectively with marginalised communities for years. Peer educators and outreach workers form an integral part of Uganda’s HIV/AIDS focused care. Winnie Byanyima, the executive director of UNAIDS, cautioned that communities can not be ignored in HIV/AIDS care. “Communities must remain at the heart of the response and all people living with or at risk of HIV need access to lifesaving medicines and services,” she told The New Humanitarian. “Recognising that is not a political statement; it’s an epidemiological fact.“ However, funding shifts also appear to be undoing years of progress on attitudes towards most at-risk populations secured by delicate community organising under NGOs. According to Betty Balisalamu, executive director of Women with a Mission in eastern Mbale, the effects of a health model cutting out civil society are already visible in how local officials engage with marginalised communities. “It sends a message,” she said. “The officials say if even our funders are stepping back, then the government should too.” At Rukoki General Hospital in Kasese, in western Uganda, a laboratory technician described what that looks like in practice. Key population focal persons, like staff trained to support groups such as sex workers and LGBTIQ individuals, are no longer present. “There is more stigma now,” the technician said. “People are afraid to come.” Without those intermediaries, patients reported being shamed or turned away, widening gaps in HIV prevention. In the fishing community of Kahendero near Lake Albert in western Uganda, outreach workers reported shortages of prevention tools so severe that some people are using polythene bags as condoms. Hilda Kamuhangire, a former sex worker now working as a peer educator in Kahendero, said the disruption has been abrupt. “We used to go to the bars, talk to women, give them condoms, PrEP [pre-exposure prophylaxis] information,” she said. “Now many of those services are not there.” “They tell you, ‘haven’t you heard about the Trump things?’” At health facilities, she added, some workers now ask for payment or turn patients away, citing funding changes. “They tell you, ‘haven’t you heard about the Trump things?’” The political framing of the agreement has further complicated its impact. US officials have linked funding restrictions to concerns about “gender ideology” – a narrative that has gained traction in Uganda. Activists say this framing misrepresents their work and undermines service delivery. “We are fighting political and cultural wars,” Noor said. “Wars that are not ours.” An LGBTIQ+ organiser said that the US government’s narrative that NGOs spread “gender ideology” is reminiscent of the feverish anti-gay rhetoric that drummed up support for the 2023 Anti Homosexuality law, partly on the false belief that Ugandan NGOs “promote” homosexuality. Steps back on HIV/AIDS Uganda’s HIV response has long depended on US support, particularly through the US President’s Emergency Plan for AIDS Relief (PEPFAR), which helped place over a million Ugandans on treatment and financed prevention programmes targeting high-risk populations. About 1.4 million people are living with HIV, with tens of thousands of new infections each year. LGBTIQ+ people and sex workers in Uganda face disproportionately high HIV risks compared to the general population, as stigma, criminalisation, and shrinking access to community-based services limit their ability to seek prevention and treatment. For decades, much of US government response has been delivered through community-based networks that bridge the gap between formal health systems and marginalised populations. In a response to queries, the State Department pointed to new data, which it said showed that the number of people receiving antiretroviral treatment in Uganda increased in late 2025 compared to the previous year. They said that this points to “the long-term resilience and adaptability” of Uganda’s HIV response. However, health workers described how, since last year, they have sometimes been instructed by US government implementing partners, formally or informally, to prioritise certain groups – such as pregnant and breastfeeding women – for post-exposure prophylaxis (PEP), even as other high-risk populations struggle to access it. “We cannot end AIDS by picking and choosing who can access medicines,” Byanyima said. The UNAIDS head also warned that the full impact of these disruptions may not yet be visible. But for a health worker who has worked on HIV/AIDS prevention and treatment of LGBTIQ+ people for over 15 years, she had one urgent message for US policymakers; “We are going to die. Please have mercy.” The New Humanitarian puts quality, independent journalism at the service of the millions of people affected by humanitarian crises around the world. Find out more at www.thenewhumanitarian.org. Image Credits: 2011, Sokomoto Photography for International AIDS Vaccine Initiative (IAVI). US Food and Drug Administration Blocked Publication of Agency Studies Confirming Shingles and COVID-19 Vaccine Safety 06/05/2026 Editorial team Vials of Pfizer´s COVID-19 vaccine. Recent studies showing vaccine’s safety and effectiveness blocked by US FDA. Officials at the Food and Drug Administration have blocked publication of two studies supporting the safety of widely used vaccines against Covid-19 and other safety studies on shingles in recent months, a spokesperson at the US Department of Health and Human Services confirmed. In October, 2025 FDA scientists were directed to withdraw two Covid-19 vaccine studies that had been accepted for publication in medical journals, the New York Times reported on Tuesday. Then in February, top F.D.A. officials refused to sign off on the submission of abstracts of studies of Shingrix, a shingles vaccine, to a major drug safety conference, The withdrawn FDA studies on COVID vaccines involved the use of massive 2023 and 2024 vaccine data sets by agency scientists, compiled and analyzed with outside data firms. Pre-prints and abstracts of the studies that have been made public have largely confirmed the vaccines’ safety. One study, which examined the Covid vaccine in people older than 65, was posted on the prestigious preprint server Medrxiv.org. The study reviewed the records of about 7.5 million Medicare beneficiaries who got the vaccine, in the first six weeks after their jab. Among 14 health outcomes potentially caused by the vaccine, including heart attacks, strokes and Guillain-Barré syndrome (an auto-immune disorder), researchers found only outcome of concern, anaphylaxis, a severe allergic reaction affecting about 1 in a million people to get the Pfizer COVID vaccine. “No other statistically significant elevations in risk were observed,” the researchers reported. The study was withdrawn under pressure from FDA officials after it had been accepted by the peer reviewed journal Drug Safety, according to the New York Times report. An abstract of a second COVID safety study was published at the August 2025 conference of the International Society of Pharmacoepidemiology (ISPE), where it remains online. The study monitored the safety of three leading COVID-19 vaccines, produced by Pfizer-BioNTech, Moderna, and Novavax, among individuals aged 6 months–64 years who received the shots in 2023-24. The researchers found evidence of rare, adverse events, previously reported, primarily fever-related seizures and myocarditis (inflammation of the heart muscle). But no new elevated risks were identified among the 4.2 million vaccine recipients analyzed. “Given the available evidence, F.D.A. continues to conclude the benefits of vaccination outweigh the risks,” the study’s abstract concludes. Withdrawal of that FDA study from submission to the peer-reviewed journal, Vaccine, was first reported by STAT News. Shingrix vaccine study also blocked by FDA – outside of agency’s purview In the case of the Shingrix vaccine against shingles, FDA officials in February failed to sign off for scientific staff to submit abstracts on two studies to a drug safety conference. One study found the vaccine’s efficacy to be in line with findings from the clinical trials done before agency approval. A second safety study also aligned with what was known, finding an elevated but low risk for Guillain-Barré syndrome, an autoimmune disease already noted in the vaccine’s label, the New York Times reported. Asked about the withdrawal of the Covid vaccine safety studies, Andrew Nixon, a spokesman for the Department of Health and Human Services, was quoted saying: “The studies were withdrawn because the authors drew broad conclusions that were not supported by the underlying data. The F.D.A. acted to protect the integrity of its scientific process and ensure that any work associated with the agency meets its high standards.” Regarding the blocked shingles vaccine research, he said, “The design of that study fell outside the agency’s purview.” A senior administration official told the New York Times that the decisions about the research had not reached Dr. Marty Makary, the F.D.A. commissioner, or Health Secretary Robert F. Kennedy Jr. Dr. Vinay Prasad, head of the FDA. vaccine office at the time, did not respond to requests for comment. In recent weeks, Dr. Jay Bhattacharya, who was serving as interim leader of the US Centers for Disease Control and Prevention (CDC) also canceled the publication of a report concluding that the COVID vaccine sharply cut the odds of hospitalizations and emergency room visits last winter, claiming that the study had limitations. The current US Administration, under the leadership of HHS Secretary Robert F Kennedy Jr, has dramatically cut research funding for vaccine development and cast doubt on multiple aspects of vaccine effectiveness and safety. It has also frozen vaccine funding to Gavi, the Vaccine Alliance, over alleged safety issues related to the use of thimerosal, as a preservative in some vaccines most often used in low- and middle-income countries where cold chain remains a problem. Those are concerns that WHO, backed by leading vaccine experts, has said are long resolved. See related story: https://healthpolicy-watch.news/us-freezes-all-funds-to-gavi-over-vaccine-preservative-thimerosal/ Image Credits: Mat Napo/Unsplash. World Health Organization Gives Stamp of Approval to First Malaria Treatment for Young Infants 06/05/2026 Elaine Ruth Fletcher Wonder, a healthy 8-month-old with his mother, Naomi. He was one of the first infants to receive Coartem® Baby when he was hospitalised at 3-months in The Methodist Hospital, Muwasi, Ghana. The World Health Organization has ‘pre-qualified’ Coartem® Baby, the first-ever malaria treatment for young infants of 4.5 kilograms or less. The combination treatment, now being rolled out in Ghana, aims to fill a longstanding gap in treatments available for children under the age of 5, who constitute three quarters of the estimated 610,000 malaria deaths worldwide. Until now, infants with malaria have been treated with formulations intended for older children, which increase the risk of dosing errors, side effects and toxicity.” said WHO Director General Dr Tedros Adhanom Ghebreyesus speaking to reporters last week. “This new formulation of artemether-lumefantrine helps to close a long-standing treatment gap for some 30 million babies born each year in malaria-endemic areas of Africa.” The artemisinin-based combination treatment, developed by Novartis together with Medicines for Malaria Venture (MMV), can be used on newborns and infants as small as 2kg. It was approved by the Swiss drug regulatory agency, Swissmedic in July 2025. Since being introduced in Ghana through a combination of pubic and private sector procurement, thousands of infants have been treated with the formula in a response exceeding expectations. WHO Pre-qualification paves way for mass procurement But WHO’s ‘prequalification’, announced last week, is a critical step in paving the way for bulk procurement of the treatment by international agencies such as the Global Fund to Fight AIDS, Tuberculosis and Malaria for distribution in low-income countries at concessionary prices, said Pierre Hugo, MMV Vice President of Access and Product Management. Prequalification is WHO’s ‘stamp of approval’ assuring the quality, safety and efficacy of vaccines and medicines for major diseases like malaria, HIV/AIDS and tuberculosis. WHO’s list of prequalified products is used by UNICEF, the Global Fund, and other agencies procuring products in bulk, to inform their choices about drug and vaccine purchases. “WHO prequalification is a critical milestone because it enables procurement by major global health funders… While specific procurement volumes have not yet been announced, this step paves the way for large-scale access in malaria-endemic countries,” said Hugo. “This [prequalification] decision takes us one step closer to ensuring that the tiniest babies have access to the first antimalarial designed specifically for them,” said Novartis’ Lutz Hegemann, President of Global Health. Eight other African countries joined in the Swissmedic “Marketing Authorisation for Global Health Products” (MAGHP) process for approving the new malaria formulation, including Burkina Faso, Côte d’Ivoire, Kenya, Malawi, Mozambique, Nigeria, Uganda and Tanzania. The process aims to support the national regulatory agencies of low-income countries in the Swissmedic assessment, building trust and confidence that can help fast-track national marketing authorisations following Swissmedic’s approval. Incorporating into WHO treatment guidelines next step for mass rollout The next important milestone will be for the medicine to be added to the WHO treatment guidelines, Hugo said, expected in mid-2026. This is another requirement for Global Fund bulk procurement of new medicines and vaccines, along with registration of the treatment in national regulatory systems. “Coartem® Baby represents a breakthrough not just in science, but in equity, closing a long-standing treatment gap for the smallest and most vulnerable malaria patients. With WHO prequalification now secured, the focus shifts from innovation to access, ensuring that this life-saving treatment can reach newborns across malaria-endemic regions.” Earlier this month, WHO also prequalified three new rapid diagnostic tests that can detect strains of malaria that older tests miss. Said Tedros, “Together with vaccines, new diagnostics and next-generation mosquito nets, it’s another step towards a malaria-free world”. Image Credits: Novartis. Two More Reported Cases of Hantavirus Linked to Cruise Ship Hit by ‘Uncommon’ Human-to-Human Transmission 05/05/2026 Kerry Cullinan The cruise ship Hondius, affected by a hantavirus outbreak after setting sail from Argentina on 1 April, to Antartica and across the South Atlantic. The ship is now moored off the West African Archipelego of Cabo Verde. Two more people linked to the cruise ship Hondius were reported to have fallen ill in Switzerland and France, according to Swiss and European media reports Wednesday. In the Swiss case, the infection and its links to the cruise ship were confirmed by the Swiss Federal Office of Public Health. On the reported French case, a WHO spokesperson said that the agency had “reached out to French authorities to verify”. Meanwhile, one passenger and two crew members with suspected hantavirus cases were evacuated from the ship Hondius and flown to the Netherlands to receive medical care, the World Health Organization also confirmed. The ship at the centre of the hantavirus outbreak is currently moored off the coast of the West African Archipelago of Cabo Verde. It was supposed to sail to the Canary Islands and dock there on Saturday, where Spanish authorities will assess the remaining passengers, disinfect the ship and conduct a full epidemiological investigation, according to Maria van Kerkhove, director of the World Health Organization’s (WHO) Department of Epidemic and Pandemic Preparedness and Prevention, who spoke at a media briefing in Geneva on Tuesday. Canary Island authorities, however, have balked at receiving the vessel, while Spanish government officials have said that the plan is in line with a WHO request and “international humanitarian principles.” Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands in coordination with @WHO, the ship’s operator and national authorities from Cabo Verde, the United Kingdom, Spain and the Netherlands.… pic.twitter.com/olQBk6tdGk — Tedros Adhanom Ghebreyesus (@DrTedros) May 6, 2026 Wednesday’s evacuated crew members both were suffering from “acute respiratory symptoms, one mild and one severe”. The other evacuee was German passenger who had been in close company with a passenger who died on the ship on 2 May, according to cruise operator Oceanwide Expeditions. All of those remaining on board the ship, which was carrying almost 150 passengers when it first set sail from Argentina on 1 April, have been asked to remain in the cabins as a precaution until the ship reaches a port of call. With the report of the Swiss case, eight cruise passengers or former passengers are suspected of having contracted the virus. But laboratory tests have only confirmed it in two of the cases, and one case appears asymptomatic, said Van Kerkhove at Tuesday’s briefing. Three passengers have died, two while on board, including a 69-year-old Dutch man on 11 April and a German citizen on 2 May. The Dutch man’s wife, also died shortly after being medically evacuated to South Africa. Another passenger who was medically evacuated to South Africa remains in intensive care. “Illness onset occurred between 6 and 28 April 2026 and was characterised by fever, gastrointestinal symptoms, rapid progression to pneumonia, acute respiratory distress syndrome and shock.,” according to the WHO. There is no specific treatment, and a high case fatality rate of up to 50% for the hantavirus found in the Americas, but “early supportive medical care is key to improving survival”, according to WHO. A Swiss and French national each become ill in two more cases linked to the cruise WHO’s Maria Van Kerkhove at a Geneva press briefing Tuesday on the hantavirus emergency. The WHO has deemed the global threat posed by the outbreak to be “low”, based on the historically low incidence of human-to-human infection from the virus. However, on Wednesday a French national was reportedly hospitalized in Europe with a suspected case of the virus after taking a flight with the Dutch woman evacuated from the ship to South Africa, and who later died. The French woman had not been aboard the Hondius cruise ship at all. In Switzerland, another former Hondius cruise passenger was being treated for the hantavirus at Zurich University Hospital after having spent some time on the cruise ship in April, according to the Swiss Federal Office of Public Health, which stated on Wednesday, “one person with a hantavirus infection is currently being treated at the University Hospital Zurich (USZ). The patient is male and returned to Switzerland after travelling on the cruise ship on which there were a number of hantavirus cases.” The man’s wife has not shown symptoms, but is self-isolating, while Swiss authorities are tracing the couple’s contacts, the FOPH stated. People usually contract hantaviruses from exposure to the urine, droppings or saliva of infected rats. Human-to-human transmission is “uncommon”. Such transmission has, however, been documented in Argentina and Chile involving the Andes virus, a species of the hantavirus. The “working assumption” is that the Andes virus was responsible for the outbreak aboard the ship, Van Kerhkove said. But health authorities will only know for sure after the virus is sequenced from the British patient being treated in South Africa. T Even the Andes virus variant, however, will typically only spread between humans in “very close physical contact”, Van Kerhkove said. “When you have an enclosed settings, you have people that are spending a lot of time together. These types of things can happen.” Andes virus, with some human-to-human transmission endemic to Argentina Route of the infected cruise ship Hondius from Ushuaia, Argentina to Antartica and across the Atlantic. The Andes virus is endemic to Argentina, where the cruise ship began its voyage across the South Atlantic on 1 April. It is thus possible that the index passenger was infected before he embarked in Ushuaia, Argentina, rather than on the ship, officials say. The ship traveled to Antartica and then onto a number of islands and archipelegos off the coast of Africa, along a well-trod Southern Atlantic cruise route featuring spectacular landscapes of both glacial mountains and tropics. The first person to die was the Dutch 69-year-old male passenger “who suddenly became ill in the ship en route from Ushuaia to St Helena Island, and presented with fever, headache, abdominal pain, and diarrhoea”, according to the South African Department of Health. He died on arrival at St Helena. His wife then flew to South Africa from St Helena Island, but collapsed at Johannesburg airport and later died at a nearby health facility. “The initial case and his wife joined the boat in Argentina, and with the timing of the incubation period of hantavirus, which can be anywhere from one to six weeks, our assumption is that they were infected off the ship,” said Van Kerkhove. A third patient, a British national, became acutely ill while the ship was travelling from St Helena to Ascension Island, and was flown to a private health facility in South Africa. He has been confirmed with hantavirus and is in a “critical condition in isolation”. Hantavirus infection was confirmed in two of the patients by South Africa’s National Institute for Communicable Diseases (NiCD). Further tests, including sequencing of the virus, is being conducted by NiCD, as well as well as testing the two symptomatic patients on board with the support from Institut Pasteur of Dakar in Senegal. President of Canary Islands opposes Spanish Government order to dock the ship President of the Canary Islands Fernando Clavijo is speaking after opposing the Spanish government’s plan to let the ship dock there. The president of the Canary Islands, Fernando Clavijo, told reporters in Tenerife that he opposed the Spanish government’s plan to let the ship dock there, Sky News reported. Clavijo, who belongs to the main opposition party in Spain, said the cruise ship has requested to dock at Tenerife on Saturday. “The World Health Organisation has explained that Cape Verde is unable to carry out this operation,” the Spanish Health Ministry said in response. “The Canary Islands are the closest location with the necessary capabilities. Spain has a moral and legal obligation to assist these people, among whom are also several Spanish citizens.” Van Kerkhove described the collaboration with member states on the emergency as “excellent”. The WHO was informed of “a cluster of severe acute respiratory illness” aboard the ship by the UK on 2 May, in terms of the International Health Regulations, she added. The timeline issued by Oceanwide Expeditions is as follows: On 11 April, the 69-year old Dutch passenger died on board. The cause of death could not be determined at the time. On 24 April, his body was disembarked on St Helena, with his wife accompanying the repatriation. On 27 April, Oceanwide Expeditions was informed that the wife, also a Dutch national, had become unwell during the flight to Johannesburg, South Africa, and had died shortly afterwards in a South African hospital. On 4 May, a variant of hantavirus was confirmed in the woman. On 27 April, another British passenger became seriously ill and was medically evacuated to South Africa. This person is currently being treated in the intensive care unit in Johannesburg and is in a critical but stable condition. A variant of hantavirus has also been identified in this patient. On 2 May, another passenger, of German nationality, also died on board the ship. The cause has not yet been definitively established. –Updated on 6 May with new developments, reported by Elaine Ruth Fletcher. Image Credits: Franklin Braeckman/Oceanwide Expeditions , El Pais/OpenStreetMap, Sky News . Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
A woman prepares for an HIV test in Uganda prior to the Trump-era aid cuts. This story was originally published by The New Humanitarian. On an early morning in February, 23-year-old Suzan Akello was found lying dead on a veranda outside a house she had visited in Namataala, Mbale town, in eastern Uganda. Friends said she could not afford a clinic and had taken herbal medicine to terminate a pregnancy. By the time Akello needed urgent care, it was too late. Post-abortion care services (PAC) are legal in Uganda, secured through years of advocacy and government-NGO collaboration, some under US-supported programmes. But health workers, activists, and patients say that in recent months, post-abortion care and critical HIV/AIDS services are increasingly caught in the fallout of a new $2.3 billion health agreement between Uganda and the United States, one that is integrating donor-funded programmes into Uganda’s public health system while reducing reliance on NGOs. A US State Department spokesperson said the deal is a joint commitment to sustain lifesaving programmes while building national capacity. Under the agreement, Uganda has pledged to increase domestic health funding by about $50 million annually, more than $500 million over five years, while the US foots the rest of the bill through a phased transition. Framed as a step towards “health sovereignty” and national ownership, the deal is one of more than 20 similar agreements signed across Africa, now expanding into Latin America. It follows President Donald Trump’s revision of USAID programmes worldwide, which triggered “stop work” orders early last year and withdrew billions in health funding globally, including in Uganda. Funding for frontline health workers and medical commodities will be maintained in full in the first year, the State Department said, with responsibility shifting gradually based on readiness assessments. Transitions will be “case-by-case, multi-year, jointly planned” to ensure continuity of care. But for many working within Uganda’s health system, that continuity is already fraying. Undoing years of local progress By mid-2025, months before the memorandum was signed, the shift was already underway. Hundreds of support staff working under US-funded programmes were called into meetings across Uganda and – in documents seen by this reporter – asked to sign compliance agreements aligning with US abortion restrictions. Contract addendums barred them from “performing, promoting, or referrals” for abortion-related services “even where legal” and discouraged public discussion of the policy. While abortion is generally criminalised in Uganda, post-abortion care remains legal. Months after those meetings, only a fraction of those support health workers still hold active contracts. Cuts to USAID funding have sharply reduced staff deployment, particularly those working alongside NGOs at government health facilities. On paper, the memorandum contains elements that public health experts broadly support. Nakibuuka Noor, deputy head of the Coalition to Stop Maternal Mortality Due to Unsafe Abortion (CSMMUA), points to its provisions on joint reviews and commitments to increasing health funding within Uganda’s national budget. “These are things we have always asked for,” she said. “A government that takes responsibility for its health system.” Ugandan NGOs, alongside the health ministry, negotiated a national PAC package in 2025 intended to standardise and expand lifesaving care for women suffering complications from unsafe abortions. But according to Noor, the memorandum sidelines this progress. A 2010 report by the health ministry said 8% of all maternal deaths were due to unsafe abortions, but safe abortion advocates say the health system is poorly equipped to even measure its impact. Noor notes that maternal death notification forms do not include a specific category for deaths resulting from unsafe abortion complications, making data incomplete and unreliable. Richard Mugahi, the Ministry of Health commissioner for reproductive health, insisted that Uganda has the capacity to finance its share of the health budget and that the memorandum does not violate national health policy. “We are not even allowed to probe to find out details about such cases. We are expected to stay silent.” On post-abortion care, he maintained there is “no violation” of Uganda’s guidelines, even as he has acknowledged constraints, stating at one point that PAC “has no budget”. That tension between policy assurances and the realities on the front line is increasingly visible. Coupled with reinforced US restrictions, health workers report being under growing pressure to turn away women showing signs of a terminated pregnancy. “We are not even allowed to probe to find out details about such cases,” said one in Mbale, who asked not to be named. “We are expected to stay silent.” Two other support staff in eastern and western Uganda said they have been forced to either risk their jobs to help patients or turn away dozens in need of critical post-abortion care. A system losing its intermediaries The memorandum’s emphasis on “mainstreaming” donor-funded programmes is also reshaping how care is delivered. Thousands of peer educators, outreach workers, and specialised staff are being absorbed, reassigned, or lost altogether. The remaining health workers said they have received communication from the Ministry of Health since January, stating that their positions will be advertised and that their qualifications are currently being “validated” as part of a process to “mainstream” them into the national system. Many of them say they do not meet the academic qualifications the government has set for them to retain their jobs, even though they’ve worked effectively with marginalised communities for years. Peer educators and outreach workers form an integral part of Uganda’s HIV/AIDS focused care. Winnie Byanyima, the executive director of UNAIDS, cautioned that communities can not be ignored in HIV/AIDS care. “Communities must remain at the heart of the response and all people living with or at risk of HIV need access to lifesaving medicines and services,” she told The New Humanitarian. “Recognising that is not a political statement; it’s an epidemiological fact.“ However, funding shifts also appear to be undoing years of progress on attitudes towards most at-risk populations secured by delicate community organising under NGOs. According to Betty Balisalamu, executive director of Women with a Mission in eastern Mbale, the effects of a health model cutting out civil society are already visible in how local officials engage with marginalised communities. “It sends a message,” she said. “The officials say if even our funders are stepping back, then the government should too.” At Rukoki General Hospital in Kasese, in western Uganda, a laboratory technician described what that looks like in practice. Key population focal persons, like staff trained to support groups such as sex workers and LGBTIQ individuals, are no longer present. “There is more stigma now,” the technician said. “People are afraid to come.” Without those intermediaries, patients reported being shamed or turned away, widening gaps in HIV prevention. In the fishing community of Kahendero near Lake Albert in western Uganda, outreach workers reported shortages of prevention tools so severe that some people are using polythene bags as condoms. Hilda Kamuhangire, a former sex worker now working as a peer educator in Kahendero, said the disruption has been abrupt. “We used to go to the bars, talk to women, give them condoms, PrEP [pre-exposure prophylaxis] information,” she said. “Now many of those services are not there.” “They tell you, ‘haven’t you heard about the Trump things?’” At health facilities, she added, some workers now ask for payment or turn patients away, citing funding changes. “They tell you, ‘haven’t you heard about the Trump things?’” The political framing of the agreement has further complicated its impact. US officials have linked funding restrictions to concerns about “gender ideology” – a narrative that has gained traction in Uganda. Activists say this framing misrepresents their work and undermines service delivery. “We are fighting political and cultural wars,” Noor said. “Wars that are not ours.” An LGBTIQ+ organiser said that the US government’s narrative that NGOs spread “gender ideology” is reminiscent of the feverish anti-gay rhetoric that drummed up support for the 2023 Anti Homosexuality law, partly on the false belief that Ugandan NGOs “promote” homosexuality. Steps back on HIV/AIDS Uganda’s HIV response has long depended on US support, particularly through the US President’s Emergency Plan for AIDS Relief (PEPFAR), which helped place over a million Ugandans on treatment and financed prevention programmes targeting high-risk populations. About 1.4 million people are living with HIV, with tens of thousands of new infections each year. LGBTIQ+ people and sex workers in Uganda face disproportionately high HIV risks compared to the general population, as stigma, criminalisation, and shrinking access to community-based services limit their ability to seek prevention and treatment. For decades, much of US government response has been delivered through community-based networks that bridge the gap between formal health systems and marginalised populations. In a response to queries, the State Department pointed to new data, which it said showed that the number of people receiving antiretroviral treatment in Uganda increased in late 2025 compared to the previous year. They said that this points to “the long-term resilience and adaptability” of Uganda’s HIV response. However, health workers described how, since last year, they have sometimes been instructed by US government implementing partners, formally or informally, to prioritise certain groups – such as pregnant and breastfeeding women – for post-exposure prophylaxis (PEP), even as other high-risk populations struggle to access it. “We cannot end AIDS by picking and choosing who can access medicines,” Byanyima said. The UNAIDS head also warned that the full impact of these disruptions may not yet be visible. But for a health worker who has worked on HIV/AIDS prevention and treatment of LGBTIQ+ people for over 15 years, she had one urgent message for US policymakers; “We are going to die. Please have mercy.” The New Humanitarian puts quality, independent journalism at the service of the millions of people affected by humanitarian crises around the world. Find out more at www.thenewhumanitarian.org.
US Food and Drug Administration Blocked Publication of Agency Studies Confirming Shingles and COVID-19 Vaccine Safety 06/05/2026 Editorial team Vials of Pfizer´s COVID-19 vaccine. Recent studies showing vaccine’s safety and effectiveness blocked by US FDA. Officials at the Food and Drug Administration have blocked publication of two studies supporting the safety of widely used vaccines against Covid-19 and other safety studies on shingles in recent months, a spokesperson at the US Department of Health and Human Services confirmed. In October, 2025 FDA scientists were directed to withdraw two Covid-19 vaccine studies that had been accepted for publication in medical journals, the New York Times reported on Tuesday. Then in February, top F.D.A. officials refused to sign off on the submission of abstracts of studies of Shingrix, a shingles vaccine, to a major drug safety conference, The withdrawn FDA studies on COVID vaccines involved the use of massive 2023 and 2024 vaccine data sets by agency scientists, compiled and analyzed with outside data firms. Pre-prints and abstracts of the studies that have been made public have largely confirmed the vaccines’ safety. One study, which examined the Covid vaccine in people older than 65, was posted on the prestigious preprint server Medrxiv.org. The study reviewed the records of about 7.5 million Medicare beneficiaries who got the vaccine, in the first six weeks after their jab. Among 14 health outcomes potentially caused by the vaccine, including heart attacks, strokes and Guillain-Barré syndrome (an auto-immune disorder), researchers found only outcome of concern, anaphylaxis, a severe allergic reaction affecting about 1 in a million people to get the Pfizer COVID vaccine. “No other statistically significant elevations in risk were observed,” the researchers reported. The study was withdrawn under pressure from FDA officials after it had been accepted by the peer reviewed journal Drug Safety, according to the New York Times report. An abstract of a second COVID safety study was published at the August 2025 conference of the International Society of Pharmacoepidemiology (ISPE), where it remains online. The study monitored the safety of three leading COVID-19 vaccines, produced by Pfizer-BioNTech, Moderna, and Novavax, among individuals aged 6 months–64 years who received the shots in 2023-24. The researchers found evidence of rare, adverse events, previously reported, primarily fever-related seizures and myocarditis (inflammation of the heart muscle). But no new elevated risks were identified among the 4.2 million vaccine recipients analyzed. “Given the available evidence, F.D.A. continues to conclude the benefits of vaccination outweigh the risks,” the study’s abstract concludes. Withdrawal of that FDA study from submission to the peer-reviewed journal, Vaccine, was first reported by STAT News. Shingrix vaccine study also blocked by FDA – outside of agency’s purview In the case of the Shingrix vaccine against shingles, FDA officials in February failed to sign off for scientific staff to submit abstracts on two studies to a drug safety conference. One study found the vaccine’s efficacy to be in line with findings from the clinical trials done before agency approval. A second safety study also aligned with what was known, finding an elevated but low risk for Guillain-Barré syndrome, an autoimmune disease already noted in the vaccine’s label, the New York Times reported. Asked about the withdrawal of the Covid vaccine safety studies, Andrew Nixon, a spokesman for the Department of Health and Human Services, was quoted saying: “The studies were withdrawn because the authors drew broad conclusions that were not supported by the underlying data. The F.D.A. acted to protect the integrity of its scientific process and ensure that any work associated with the agency meets its high standards.” Regarding the blocked shingles vaccine research, he said, “The design of that study fell outside the agency’s purview.” A senior administration official told the New York Times that the decisions about the research had not reached Dr. Marty Makary, the F.D.A. commissioner, or Health Secretary Robert F. Kennedy Jr. Dr. Vinay Prasad, head of the FDA. vaccine office at the time, did not respond to requests for comment. In recent weeks, Dr. Jay Bhattacharya, who was serving as interim leader of the US Centers for Disease Control and Prevention (CDC) also canceled the publication of a report concluding that the COVID vaccine sharply cut the odds of hospitalizations and emergency room visits last winter, claiming that the study had limitations. The current US Administration, under the leadership of HHS Secretary Robert F Kennedy Jr, has dramatically cut research funding for vaccine development and cast doubt on multiple aspects of vaccine effectiveness and safety. It has also frozen vaccine funding to Gavi, the Vaccine Alliance, over alleged safety issues related to the use of thimerosal, as a preservative in some vaccines most often used in low- and middle-income countries where cold chain remains a problem. Those are concerns that WHO, backed by leading vaccine experts, has said are long resolved. See related story: https://healthpolicy-watch.news/us-freezes-all-funds-to-gavi-over-vaccine-preservative-thimerosal/ Image Credits: Mat Napo/Unsplash. World Health Organization Gives Stamp of Approval to First Malaria Treatment for Young Infants 06/05/2026 Elaine Ruth Fletcher Wonder, a healthy 8-month-old with his mother, Naomi. He was one of the first infants to receive Coartem® Baby when he was hospitalised at 3-months in The Methodist Hospital, Muwasi, Ghana. The World Health Organization has ‘pre-qualified’ Coartem® Baby, the first-ever malaria treatment for young infants of 4.5 kilograms or less. The combination treatment, now being rolled out in Ghana, aims to fill a longstanding gap in treatments available for children under the age of 5, who constitute three quarters of the estimated 610,000 malaria deaths worldwide. Until now, infants with malaria have been treated with formulations intended for older children, which increase the risk of dosing errors, side effects and toxicity.” said WHO Director General Dr Tedros Adhanom Ghebreyesus speaking to reporters last week. “This new formulation of artemether-lumefantrine helps to close a long-standing treatment gap for some 30 million babies born each year in malaria-endemic areas of Africa.” The artemisinin-based combination treatment, developed by Novartis together with Medicines for Malaria Venture (MMV), can be used on newborns and infants as small as 2kg. It was approved by the Swiss drug regulatory agency, Swissmedic in July 2025. Since being introduced in Ghana through a combination of pubic and private sector procurement, thousands of infants have been treated with the formula in a response exceeding expectations. WHO Pre-qualification paves way for mass procurement But WHO’s ‘prequalification’, announced last week, is a critical step in paving the way for bulk procurement of the treatment by international agencies such as the Global Fund to Fight AIDS, Tuberculosis and Malaria for distribution in low-income countries at concessionary prices, said Pierre Hugo, MMV Vice President of Access and Product Management. Prequalification is WHO’s ‘stamp of approval’ assuring the quality, safety and efficacy of vaccines and medicines for major diseases like malaria, HIV/AIDS and tuberculosis. WHO’s list of prequalified products is used by UNICEF, the Global Fund, and other agencies procuring products in bulk, to inform their choices about drug and vaccine purchases. “WHO prequalification is a critical milestone because it enables procurement by major global health funders… While specific procurement volumes have not yet been announced, this step paves the way for large-scale access in malaria-endemic countries,” said Hugo. “This [prequalification] decision takes us one step closer to ensuring that the tiniest babies have access to the first antimalarial designed specifically for them,” said Novartis’ Lutz Hegemann, President of Global Health. Eight other African countries joined in the Swissmedic “Marketing Authorisation for Global Health Products” (MAGHP) process for approving the new malaria formulation, including Burkina Faso, Côte d’Ivoire, Kenya, Malawi, Mozambique, Nigeria, Uganda and Tanzania. The process aims to support the national regulatory agencies of low-income countries in the Swissmedic assessment, building trust and confidence that can help fast-track national marketing authorisations following Swissmedic’s approval. Incorporating into WHO treatment guidelines next step for mass rollout The next important milestone will be for the medicine to be added to the WHO treatment guidelines, Hugo said, expected in mid-2026. This is another requirement for Global Fund bulk procurement of new medicines and vaccines, along with registration of the treatment in national regulatory systems. “Coartem® Baby represents a breakthrough not just in science, but in equity, closing a long-standing treatment gap for the smallest and most vulnerable malaria patients. With WHO prequalification now secured, the focus shifts from innovation to access, ensuring that this life-saving treatment can reach newborns across malaria-endemic regions.” Earlier this month, WHO also prequalified three new rapid diagnostic tests that can detect strains of malaria that older tests miss. Said Tedros, “Together with vaccines, new diagnostics and next-generation mosquito nets, it’s another step towards a malaria-free world”. Image Credits: Novartis. Two More Reported Cases of Hantavirus Linked to Cruise Ship Hit by ‘Uncommon’ Human-to-Human Transmission 05/05/2026 Kerry Cullinan The cruise ship Hondius, affected by a hantavirus outbreak after setting sail from Argentina on 1 April, to Antartica and across the South Atlantic. The ship is now moored off the West African Archipelego of Cabo Verde. Two more people linked to the cruise ship Hondius were reported to have fallen ill in Switzerland and France, according to Swiss and European media reports Wednesday. In the Swiss case, the infection and its links to the cruise ship were confirmed by the Swiss Federal Office of Public Health. On the reported French case, a WHO spokesperson said that the agency had “reached out to French authorities to verify”. Meanwhile, one passenger and two crew members with suspected hantavirus cases were evacuated from the ship Hondius and flown to the Netherlands to receive medical care, the World Health Organization also confirmed. The ship at the centre of the hantavirus outbreak is currently moored off the coast of the West African Archipelago of Cabo Verde. It was supposed to sail to the Canary Islands and dock there on Saturday, where Spanish authorities will assess the remaining passengers, disinfect the ship and conduct a full epidemiological investigation, according to Maria van Kerkhove, director of the World Health Organization’s (WHO) Department of Epidemic and Pandemic Preparedness and Prevention, who spoke at a media briefing in Geneva on Tuesday. Canary Island authorities, however, have balked at receiving the vessel, while Spanish government officials have said that the plan is in line with a WHO request and “international humanitarian principles.” Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands in coordination with @WHO, the ship’s operator and national authorities from Cabo Verde, the United Kingdom, Spain and the Netherlands.… pic.twitter.com/olQBk6tdGk — Tedros Adhanom Ghebreyesus (@DrTedros) May 6, 2026 Wednesday’s evacuated crew members both were suffering from “acute respiratory symptoms, one mild and one severe”. The other evacuee was German passenger who had been in close company with a passenger who died on the ship on 2 May, according to cruise operator Oceanwide Expeditions. All of those remaining on board the ship, which was carrying almost 150 passengers when it first set sail from Argentina on 1 April, have been asked to remain in the cabins as a precaution until the ship reaches a port of call. With the report of the Swiss case, eight cruise passengers or former passengers are suspected of having contracted the virus. But laboratory tests have only confirmed it in two of the cases, and one case appears asymptomatic, said Van Kerkhove at Tuesday’s briefing. Three passengers have died, two while on board, including a 69-year-old Dutch man on 11 April and a German citizen on 2 May. The Dutch man’s wife, also died shortly after being medically evacuated to South Africa. Another passenger who was medically evacuated to South Africa remains in intensive care. “Illness onset occurred between 6 and 28 April 2026 and was characterised by fever, gastrointestinal symptoms, rapid progression to pneumonia, acute respiratory distress syndrome and shock.,” according to the WHO. There is no specific treatment, and a high case fatality rate of up to 50% for the hantavirus found in the Americas, but “early supportive medical care is key to improving survival”, according to WHO. A Swiss and French national each become ill in two more cases linked to the cruise WHO’s Maria Van Kerkhove at a Geneva press briefing Tuesday on the hantavirus emergency. The WHO has deemed the global threat posed by the outbreak to be “low”, based on the historically low incidence of human-to-human infection from the virus. However, on Wednesday a French national was reportedly hospitalized in Europe with a suspected case of the virus after taking a flight with the Dutch woman evacuated from the ship to South Africa, and who later died. The French woman had not been aboard the Hondius cruise ship at all. In Switzerland, another former Hondius cruise passenger was being treated for the hantavirus at Zurich University Hospital after having spent some time on the cruise ship in April, according to the Swiss Federal Office of Public Health, which stated on Wednesday, “one person with a hantavirus infection is currently being treated at the University Hospital Zurich (USZ). The patient is male and returned to Switzerland after travelling on the cruise ship on which there were a number of hantavirus cases.” The man’s wife has not shown symptoms, but is self-isolating, while Swiss authorities are tracing the couple’s contacts, the FOPH stated. People usually contract hantaviruses from exposure to the urine, droppings or saliva of infected rats. Human-to-human transmission is “uncommon”. Such transmission has, however, been documented in Argentina and Chile involving the Andes virus, a species of the hantavirus. The “working assumption” is that the Andes virus was responsible for the outbreak aboard the ship, Van Kerhkove said. But health authorities will only know for sure after the virus is sequenced from the British patient being treated in South Africa. T Even the Andes virus variant, however, will typically only spread between humans in “very close physical contact”, Van Kerhkove said. “When you have an enclosed settings, you have people that are spending a lot of time together. These types of things can happen.” Andes virus, with some human-to-human transmission endemic to Argentina Route of the infected cruise ship Hondius from Ushuaia, Argentina to Antartica and across the Atlantic. The Andes virus is endemic to Argentina, where the cruise ship began its voyage across the South Atlantic on 1 April. It is thus possible that the index passenger was infected before he embarked in Ushuaia, Argentina, rather than on the ship, officials say. The ship traveled to Antartica and then onto a number of islands and archipelegos off the coast of Africa, along a well-trod Southern Atlantic cruise route featuring spectacular landscapes of both glacial mountains and tropics. The first person to die was the Dutch 69-year-old male passenger “who suddenly became ill in the ship en route from Ushuaia to St Helena Island, and presented with fever, headache, abdominal pain, and diarrhoea”, according to the South African Department of Health. He died on arrival at St Helena. His wife then flew to South Africa from St Helena Island, but collapsed at Johannesburg airport and later died at a nearby health facility. “The initial case and his wife joined the boat in Argentina, and with the timing of the incubation period of hantavirus, which can be anywhere from one to six weeks, our assumption is that they were infected off the ship,” said Van Kerkhove. A third patient, a British national, became acutely ill while the ship was travelling from St Helena to Ascension Island, and was flown to a private health facility in South Africa. He has been confirmed with hantavirus and is in a “critical condition in isolation”. Hantavirus infection was confirmed in two of the patients by South Africa’s National Institute for Communicable Diseases (NiCD). Further tests, including sequencing of the virus, is being conducted by NiCD, as well as well as testing the two symptomatic patients on board with the support from Institut Pasteur of Dakar in Senegal. President of Canary Islands opposes Spanish Government order to dock the ship President of the Canary Islands Fernando Clavijo is speaking after opposing the Spanish government’s plan to let the ship dock there. The president of the Canary Islands, Fernando Clavijo, told reporters in Tenerife that he opposed the Spanish government’s plan to let the ship dock there, Sky News reported. Clavijo, who belongs to the main opposition party in Spain, said the cruise ship has requested to dock at Tenerife on Saturday. “The World Health Organisation has explained that Cape Verde is unable to carry out this operation,” the Spanish Health Ministry said in response. “The Canary Islands are the closest location with the necessary capabilities. Spain has a moral and legal obligation to assist these people, among whom are also several Spanish citizens.” Van Kerkhove described the collaboration with member states on the emergency as “excellent”. The WHO was informed of “a cluster of severe acute respiratory illness” aboard the ship by the UK on 2 May, in terms of the International Health Regulations, she added. The timeline issued by Oceanwide Expeditions is as follows: On 11 April, the 69-year old Dutch passenger died on board. The cause of death could not be determined at the time. On 24 April, his body was disembarked on St Helena, with his wife accompanying the repatriation. On 27 April, Oceanwide Expeditions was informed that the wife, also a Dutch national, had become unwell during the flight to Johannesburg, South Africa, and had died shortly afterwards in a South African hospital. On 4 May, a variant of hantavirus was confirmed in the woman. On 27 April, another British passenger became seriously ill and was medically evacuated to South Africa. This person is currently being treated in the intensive care unit in Johannesburg and is in a critical but stable condition. A variant of hantavirus has also been identified in this patient. On 2 May, another passenger, of German nationality, also died on board the ship. The cause has not yet been definitively established. –Updated on 6 May with new developments, reported by Elaine Ruth Fletcher. Image Credits: Franklin Braeckman/Oceanwide Expeditions , El Pais/OpenStreetMap, Sky News . Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
World Health Organization Gives Stamp of Approval to First Malaria Treatment for Young Infants 06/05/2026 Elaine Ruth Fletcher Wonder, a healthy 8-month-old with his mother, Naomi. He was one of the first infants to receive Coartem® Baby when he was hospitalised at 3-months in The Methodist Hospital, Muwasi, Ghana. The World Health Organization has ‘pre-qualified’ Coartem® Baby, the first-ever malaria treatment for young infants of 4.5 kilograms or less. The combination treatment, now being rolled out in Ghana, aims to fill a longstanding gap in treatments available for children under the age of 5, who constitute three quarters of the estimated 610,000 malaria deaths worldwide. Until now, infants with malaria have been treated with formulations intended for older children, which increase the risk of dosing errors, side effects and toxicity.” said WHO Director General Dr Tedros Adhanom Ghebreyesus speaking to reporters last week. “This new formulation of artemether-lumefantrine helps to close a long-standing treatment gap for some 30 million babies born each year in malaria-endemic areas of Africa.” The artemisinin-based combination treatment, developed by Novartis together with Medicines for Malaria Venture (MMV), can be used on newborns and infants as small as 2kg. It was approved by the Swiss drug regulatory agency, Swissmedic in July 2025. Since being introduced in Ghana through a combination of pubic and private sector procurement, thousands of infants have been treated with the formula in a response exceeding expectations. WHO Pre-qualification paves way for mass procurement But WHO’s ‘prequalification’, announced last week, is a critical step in paving the way for bulk procurement of the treatment by international agencies such as the Global Fund to Fight AIDS, Tuberculosis and Malaria for distribution in low-income countries at concessionary prices, said Pierre Hugo, MMV Vice President of Access and Product Management. Prequalification is WHO’s ‘stamp of approval’ assuring the quality, safety and efficacy of vaccines and medicines for major diseases like malaria, HIV/AIDS and tuberculosis. WHO’s list of prequalified products is used by UNICEF, the Global Fund, and other agencies procuring products in bulk, to inform their choices about drug and vaccine purchases. “WHO prequalification is a critical milestone because it enables procurement by major global health funders… While specific procurement volumes have not yet been announced, this step paves the way for large-scale access in malaria-endemic countries,” said Hugo. “This [prequalification] decision takes us one step closer to ensuring that the tiniest babies have access to the first antimalarial designed specifically for them,” said Novartis’ Lutz Hegemann, President of Global Health. Eight other African countries joined in the Swissmedic “Marketing Authorisation for Global Health Products” (MAGHP) process for approving the new malaria formulation, including Burkina Faso, Côte d’Ivoire, Kenya, Malawi, Mozambique, Nigeria, Uganda and Tanzania. The process aims to support the national regulatory agencies of low-income countries in the Swissmedic assessment, building trust and confidence that can help fast-track national marketing authorisations following Swissmedic’s approval. Incorporating into WHO treatment guidelines next step for mass rollout The next important milestone will be for the medicine to be added to the WHO treatment guidelines, Hugo said, expected in mid-2026. This is another requirement for Global Fund bulk procurement of new medicines and vaccines, along with registration of the treatment in national regulatory systems. “Coartem® Baby represents a breakthrough not just in science, but in equity, closing a long-standing treatment gap for the smallest and most vulnerable malaria patients. With WHO prequalification now secured, the focus shifts from innovation to access, ensuring that this life-saving treatment can reach newborns across malaria-endemic regions.” Earlier this month, WHO also prequalified three new rapid diagnostic tests that can detect strains of malaria that older tests miss. Said Tedros, “Together with vaccines, new diagnostics and next-generation mosquito nets, it’s another step towards a malaria-free world”. Image Credits: Novartis. Two More Reported Cases of Hantavirus Linked to Cruise Ship Hit by ‘Uncommon’ Human-to-Human Transmission 05/05/2026 Kerry Cullinan The cruise ship Hondius, affected by a hantavirus outbreak after setting sail from Argentina on 1 April, to Antartica and across the South Atlantic. The ship is now moored off the West African Archipelego of Cabo Verde. Two more people linked to the cruise ship Hondius were reported to have fallen ill in Switzerland and France, according to Swiss and European media reports Wednesday. In the Swiss case, the infection and its links to the cruise ship were confirmed by the Swiss Federal Office of Public Health. On the reported French case, a WHO spokesperson said that the agency had “reached out to French authorities to verify”. Meanwhile, one passenger and two crew members with suspected hantavirus cases were evacuated from the ship Hondius and flown to the Netherlands to receive medical care, the World Health Organization also confirmed. The ship at the centre of the hantavirus outbreak is currently moored off the coast of the West African Archipelago of Cabo Verde. It was supposed to sail to the Canary Islands and dock there on Saturday, where Spanish authorities will assess the remaining passengers, disinfect the ship and conduct a full epidemiological investigation, according to Maria van Kerkhove, director of the World Health Organization’s (WHO) Department of Epidemic and Pandemic Preparedness and Prevention, who spoke at a media briefing in Geneva on Tuesday. Canary Island authorities, however, have balked at receiving the vessel, while Spanish government officials have said that the plan is in line with a WHO request and “international humanitarian principles.” Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands in coordination with @WHO, the ship’s operator and national authorities from Cabo Verde, the United Kingdom, Spain and the Netherlands.… pic.twitter.com/olQBk6tdGk — Tedros Adhanom Ghebreyesus (@DrTedros) May 6, 2026 Wednesday’s evacuated crew members both were suffering from “acute respiratory symptoms, one mild and one severe”. The other evacuee was German passenger who had been in close company with a passenger who died on the ship on 2 May, according to cruise operator Oceanwide Expeditions. All of those remaining on board the ship, which was carrying almost 150 passengers when it first set sail from Argentina on 1 April, have been asked to remain in the cabins as a precaution until the ship reaches a port of call. With the report of the Swiss case, eight cruise passengers or former passengers are suspected of having contracted the virus. But laboratory tests have only confirmed it in two of the cases, and one case appears asymptomatic, said Van Kerkhove at Tuesday’s briefing. Three passengers have died, two while on board, including a 69-year-old Dutch man on 11 April and a German citizen on 2 May. The Dutch man’s wife, also died shortly after being medically evacuated to South Africa. Another passenger who was medically evacuated to South Africa remains in intensive care. “Illness onset occurred between 6 and 28 April 2026 and was characterised by fever, gastrointestinal symptoms, rapid progression to pneumonia, acute respiratory distress syndrome and shock.,” according to the WHO. There is no specific treatment, and a high case fatality rate of up to 50% for the hantavirus found in the Americas, but “early supportive medical care is key to improving survival”, according to WHO. A Swiss and French national each become ill in two more cases linked to the cruise WHO’s Maria Van Kerkhove at a Geneva press briefing Tuesday on the hantavirus emergency. The WHO has deemed the global threat posed by the outbreak to be “low”, based on the historically low incidence of human-to-human infection from the virus. However, on Wednesday a French national was reportedly hospitalized in Europe with a suspected case of the virus after taking a flight with the Dutch woman evacuated from the ship to South Africa, and who later died. The French woman had not been aboard the Hondius cruise ship at all. In Switzerland, another former Hondius cruise passenger was being treated for the hantavirus at Zurich University Hospital after having spent some time on the cruise ship in April, according to the Swiss Federal Office of Public Health, which stated on Wednesday, “one person with a hantavirus infection is currently being treated at the University Hospital Zurich (USZ). The patient is male and returned to Switzerland after travelling on the cruise ship on which there were a number of hantavirus cases.” The man’s wife has not shown symptoms, but is self-isolating, while Swiss authorities are tracing the couple’s contacts, the FOPH stated. People usually contract hantaviruses from exposure to the urine, droppings or saliva of infected rats. Human-to-human transmission is “uncommon”. Such transmission has, however, been documented in Argentina and Chile involving the Andes virus, a species of the hantavirus. The “working assumption” is that the Andes virus was responsible for the outbreak aboard the ship, Van Kerhkove said. But health authorities will only know for sure after the virus is sequenced from the British patient being treated in South Africa. T Even the Andes virus variant, however, will typically only spread between humans in “very close physical contact”, Van Kerhkove said. “When you have an enclosed settings, you have people that are spending a lot of time together. These types of things can happen.” Andes virus, with some human-to-human transmission endemic to Argentina Route of the infected cruise ship Hondius from Ushuaia, Argentina to Antartica and across the Atlantic. The Andes virus is endemic to Argentina, where the cruise ship began its voyage across the South Atlantic on 1 April. It is thus possible that the index passenger was infected before he embarked in Ushuaia, Argentina, rather than on the ship, officials say. The ship traveled to Antartica and then onto a number of islands and archipelegos off the coast of Africa, along a well-trod Southern Atlantic cruise route featuring spectacular landscapes of both glacial mountains and tropics. The first person to die was the Dutch 69-year-old male passenger “who suddenly became ill in the ship en route from Ushuaia to St Helena Island, and presented with fever, headache, abdominal pain, and diarrhoea”, according to the South African Department of Health. He died on arrival at St Helena. His wife then flew to South Africa from St Helena Island, but collapsed at Johannesburg airport and later died at a nearby health facility. “The initial case and his wife joined the boat in Argentina, and with the timing of the incubation period of hantavirus, which can be anywhere from one to six weeks, our assumption is that they were infected off the ship,” said Van Kerkhove. A third patient, a British national, became acutely ill while the ship was travelling from St Helena to Ascension Island, and was flown to a private health facility in South Africa. He has been confirmed with hantavirus and is in a “critical condition in isolation”. Hantavirus infection was confirmed in two of the patients by South Africa’s National Institute for Communicable Diseases (NiCD). Further tests, including sequencing of the virus, is being conducted by NiCD, as well as well as testing the two symptomatic patients on board with the support from Institut Pasteur of Dakar in Senegal. President of Canary Islands opposes Spanish Government order to dock the ship President of the Canary Islands Fernando Clavijo is speaking after opposing the Spanish government’s plan to let the ship dock there. The president of the Canary Islands, Fernando Clavijo, told reporters in Tenerife that he opposed the Spanish government’s plan to let the ship dock there, Sky News reported. Clavijo, who belongs to the main opposition party in Spain, said the cruise ship has requested to dock at Tenerife on Saturday. “The World Health Organisation has explained that Cape Verde is unable to carry out this operation,” the Spanish Health Ministry said in response. “The Canary Islands are the closest location with the necessary capabilities. Spain has a moral and legal obligation to assist these people, among whom are also several Spanish citizens.” Van Kerkhove described the collaboration with member states on the emergency as “excellent”. The WHO was informed of “a cluster of severe acute respiratory illness” aboard the ship by the UK on 2 May, in terms of the International Health Regulations, she added. The timeline issued by Oceanwide Expeditions is as follows: On 11 April, the 69-year old Dutch passenger died on board. The cause of death could not be determined at the time. On 24 April, his body was disembarked on St Helena, with his wife accompanying the repatriation. On 27 April, Oceanwide Expeditions was informed that the wife, also a Dutch national, had become unwell during the flight to Johannesburg, South Africa, and had died shortly afterwards in a South African hospital. On 4 May, a variant of hantavirus was confirmed in the woman. On 27 April, another British passenger became seriously ill and was medically evacuated to South Africa. This person is currently being treated in the intensive care unit in Johannesburg and is in a critical but stable condition. A variant of hantavirus has also been identified in this patient. On 2 May, another passenger, of German nationality, also died on board the ship. The cause has not yet been definitively established. –Updated on 6 May with new developments, reported by Elaine Ruth Fletcher. Image Credits: Franklin Braeckman/Oceanwide Expeditions , El Pais/OpenStreetMap, Sky News . Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Two More Reported Cases of Hantavirus Linked to Cruise Ship Hit by ‘Uncommon’ Human-to-Human Transmission 05/05/2026 Kerry Cullinan The cruise ship Hondius, affected by a hantavirus outbreak after setting sail from Argentina on 1 April, to Antartica and across the South Atlantic. The ship is now moored off the West African Archipelego of Cabo Verde. Two more people linked to the cruise ship Hondius were reported to have fallen ill in Switzerland and France, according to Swiss and European media reports Wednesday. In the Swiss case, the infection and its links to the cruise ship were confirmed by the Swiss Federal Office of Public Health. On the reported French case, a WHO spokesperson said that the agency had “reached out to French authorities to verify”. Meanwhile, one passenger and two crew members with suspected hantavirus cases were evacuated from the ship Hondius and flown to the Netherlands to receive medical care, the World Health Organization also confirmed. The ship at the centre of the hantavirus outbreak is currently moored off the coast of the West African Archipelago of Cabo Verde. It was supposed to sail to the Canary Islands and dock there on Saturday, where Spanish authorities will assess the remaining passengers, disinfect the ship and conduct a full epidemiological investigation, according to Maria van Kerkhove, director of the World Health Organization’s (WHO) Department of Epidemic and Pandemic Preparedness and Prevention, who spoke at a media briefing in Geneva on Tuesday. Canary Island authorities, however, have balked at receiving the vessel, while Spanish government officials have said that the plan is in line with a WHO request and “international humanitarian principles.” Three suspected #hantavirus case patients have just been evacuated from the ship and are on their way to receive medical care in the Netherlands in coordination with @WHO, the ship’s operator and national authorities from Cabo Verde, the United Kingdom, Spain and the Netherlands.… pic.twitter.com/olQBk6tdGk — Tedros Adhanom Ghebreyesus (@DrTedros) May 6, 2026 Wednesday’s evacuated crew members both were suffering from “acute respiratory symptoms, one mild and one severe”. The other evacuee was German passenger who had been in close company with a passenger who died on the ship on 2 May, according to cruise operator Oceanwide Expeditions. All of those remaining on board the ship, which was carrying almost 150 passengers when it first set sail from Argentina on 1 April, have been asked to remain in the cabins as a precaution until the ship reaches a port of call. With the report of the Swiss case, eight cruise passengers or former passengers are suspected of having contracted the virus. But laboratory tests have only confirmed it in two of the cases, and one case appears asymptomatic, said Van Kerkhove at Tuesday’s briefing. Three passengers have died, two while on board, including a 69-year-old Dutch man on 11 April and a German citizen on 2 May. The Dutch man’s wife, also died shortly after being medically evacuated to South Africa. Another passenger who was medically evacuated to South Africa remains in intensive care. “Illness onset occurred between 6 and 28 April 2026 and was characterised by fever, gastrointestinal symptoms, rapid progression to pneumonia, acute respiratory distress syndrome and shock.,” according to the WHO. There is no specific treatment, and a high case fatality rate of up to 50% for the hantavirus found in the Americas, but “early supportive medical care is key to improving survival”, according to WHO. A Swiss and French national each become ill in two more cases linked to the cruise WHO’s Maria Van Kerkhove at a Geneva press briefing Tuesday on the hantavirus emergency. The WHO has deemed the global threat posed by the outbreak to be “low”, based on the historically low incidence of human-to-human infection from the virus. However, on Wednesday a French national was reportedly hospitalized in Europe with a suspected case of the virus after taking a flight with the Dutch woman evacuated from the ship to South Africa, and who later died. The French woman had not been aboard the Hondius cruise ship at all. In Switzerland, another former Hondius cruise passenger was being treated for the hantavirus at Zurich University Hospital after having spent some time on the cruise ship in April, according to the Swiss Federal Office of Public Health, which stated on Wednesday, “one person with a hantavirus infection is currently being treated at the University Hospital Zurich (USZ). The patient is male and returned to Switzerland after travelling on the cruise ship on which there were a number of hantavirus cases.” The man’s wife has not shown symptoms, but is self-isolating, while Swiss authorities are tracing the couple’s contacts, the FOPH stated. People usually contract hantaviruses from exposure to the urine, droppings or saliva of infected rats. Human-to-human transmission is “uncommon”. Such transmission has, however, been documented in Argentina and Chile involving the Andes virus, a species of the hantavirus. The “working assumption” is that the Andes virus was responsible for the outbreak aboard the ship, Van Kerhkove said. But health authorities will only know for sure after the virus is sequenced from the British patient being treated in South Africa. T Even the Andes virus variant, however, will typically only spread between humans in “very close physical contact”, Van Kerhkove said. “When you have an enclosed settings, you have people that are spending a lot of time together. These types of things can happen.” Andes virus, with some human-to-human transmission endemic to Argentina Route of the infected cruise ship Hondius from Ushuaia, Argentina to Antartica and across the Atlantic. The Andes virus is endemic to Argentina, where the cruise ship began its voyage across the South Atlantic on 1 April. It is thus possible that the index passenger was infected before he embarked in Ushuaia, Argentina, rather than on the ship, officials say. The ship traveled to Antartica and then onto a number of islands and archipelegos off the coast of Africa, along a well-trod Southern Atlantic cruise route featuring spectacular landscapes of both glacial mountains and tropics. The first person to die was the Dutch 69-year-old male passenger “who suddenly became ill in the ship en route from Ushuaia to St Helena Island, and presented with fever, headache, abdominal pain, and diarrhoea”, according to the South African Department of Health. He died on arrival at St Helena. His wife then flew to South Africa from St Helena Island, but collapsed at Johannesburg airport and later died at a nearby health facility. “The initial case and his wife joined the boat in Argentina, and with the timing of the incubation period of hantavirus, which can be anywhere from one to six weeks, our assumption is that they were infected off the ship,” said Van Kerkhove. A third patient, a British national, became acutely ill while the ship was travelling from St Helena to Ascension Island, and was flown to a private health facility in South Africa. He has been confirmed with hantavirus and is in a “critical condition in isolation”. Hantavirus infection was confirmed in two of the patients by South Africa’s National Institute for Communicable Diseases (NiCD). Further tests, including sequencing of the virus, is being conducted by NiCD, as well as well as testing the two symptomatic patients on board with the support from Institut Pasteur of Dakar in Senegal. President of Canary Islands opposes Spanish Government order to dock the ship President of the Canary Islands Fernando Clavijo is speaking after opposing the Spanish government’s plan to let the ship dock there. The president of the Canary Islands, Fernando Clavijo, told reporters in Tenerife that he opposed the Spanish government’s plan to let the ship dock there, Sky News reported. Clavijo, who belongs to the main opposition party in Spain, said the cruise ship has requested to dock at Tenerife on Saturday. “The World Health Organisation has explained that Cape Verde is unable to carry out this operation,” the Spanish Health Ministry said in response. “The Canary Islands are the closest location with the necessary capabilities. Spain has a moral and legal obligation to assist these people, among whom are also several Spanish citizens.” Van Kerkhove described the collaboration with member states on the emergency as “excellent”. The WHO was informed of “a cluster of severe acute respiratory illness” aboard the ship by the UK on 2 May, in terms of the International Health Regulations, she added. The timeline issued by Oceanwide Expeditions is as follows: On 11 April, the 69-year old Dutch passenger died on board. The cause of death could not be determined at the time. On 24 April, his body was disembarked on St Helena, with his wife accompanying the repatriation. On 27 April, Oceanwide Expeditions was informed that the wife, also a Dutch national, had become unwell during the flight to Johannesburg, South Africa, and had died shortly afterwards in a South African hospital. On 4 May, a variant of hantavirus was confirmed in the woman. On 27 April, another British passenger became seriously ill and was medically evacuated to South Africa. This person is currently being treated in the intensive care unit in Johannesburg and is in a critical but stable condition. A variant of hantavirus has also been identified in this patient. On 2 May, another passenger, of German nationality, also died on board the ship. The cause has not yet been definitively established. –Updated on 6 May with new developments, reported by Elaine Ruth Fletcher. Image Credits: Franklin Braeckman/Oceanwide Expeditions , El Pais/OpenStreetMap, Sky News . Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Investing in Midwives is Essential to Improve Sexual and Reproductive Health 05/05/2026 Teguest Guerma A midwife examines a pregnant woman. The International Day of the Midwife (May 5) reminds us that safe birth is not a stand-alone event, but part of the broader continuum of sexual and reproductive health and rights Most maternal deaths occur during labour, birth, or shortly after birth. Nearly 290,000 women died during and following pregnancy and childbirth in 2020, with 95% of these deaths occurring in low- and lower-middle-income countries. The major causes included severe bleeding, hypertensive disorders, infections, complications from unsafe abortion, and obstructed labour. Yet these events are largely preventable or treatable when skilled care, referral, medicines, blood, and emergency obstetric services are available. Midwives are often the first – and sometimes only – skilled provider able to detect and respond to such complications in a timely manner. But the world currently faces a shortage of up to a million midwives – part of a larger global health workforce crisis – that is concentrated in the countries and communities where maternal and newborn mortality is highest. Although skilled birth attendance globally is around 80%, this figure hides severe inequities within and between countries. Women in rural areas, poor households, conflict settings, humanitarian crises, and marginalized communities are least likely to have access to a skilled midwife or other qualified birth attendant. Access is not only about whether a health care facility exists, but also depends on distance, transport, user fees, staffing, respectful care, medicines, referral systems, and whether women trust the system enough to use it. Safe birth and post-natal care are not standalone events. They are part of the broader continuum of sexual and reproductive health and rights that includes health education, contraception, antenatal care, screening of sexually transmitted infections, safe birth, emergency response, postnatal and newborn care, breastfeeding support, and referral, as well as safe abortion and post-abortion care. High maternal mortality ratio The current global maternal mortality ratio of 223 deaths per 100,000 live births is well above the Sustainable Development Goal target of achieving less than 70 deaths per 100,000 live births by 2030. Midwives can provide around 90% of essential SRHR care when they are educated, licensed, regulated, and supported to international standards. But in many low-resource settings, midwives are too few, poorly distributed, underpaid, ill-equipped, or not fully authorized to practice to their competencies. Scale-up to achieve universal coverage of midwife-delivered interventions is one of the clearest and most practical routes to faster progress and to averting a larger share of maternal and neonatal deaths and stillbirths. Investment in the workforce must include education, fair pay, regulation, safe working conditions and career pathways, supplies, data systems, and integration into primary health care. Policy settings need to remove financial barriers to care and treat SRHR as a complete package, rather than as a range of isolated services. Countries are demonstrating increasing innovation in the midwifery field. In Sierra Leone, for example, structured preceptorship (mentorship) programmes are strengthening hands-on clinical skills and confidence among midwives, helping translate training into safer care at the bedside. In Ethiopia, a center of excellence in midwifery trains disadvantaged rural girls to become ethical and compassionate midwives in their own communities. Efforts such as these are key to empowering midwives and the women and children they serve before, during and beyond childbirth. Midwives already save lives every day. The task now is to ensure that they can do so for women everywhere. Dr Teguest Guerma is the founder and CEO of LeDeG Midwifery College, established in 2015 to address critical gaps in maternal health across Ethiopia and beyond. Image Credits: Elizabeth Poll/MMV, Twitter: @WHOAFRO. Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Pandemic Talks Extended – But Colombia Appeals for New ‘Method’ to Settle Differences 04/05/2026 Kerry Cullinan South Africa, speaking for the Africa Group and Group for Equity. Colombia has appealed for a new “method” to settle the outstanding annex of the Pandemic Agreement, after World Health Organization (WHO) member states failed to reach agreement last week after almost a year of talks. Talks on a Pathogen Access and Benefit Sharing (PABS) system were due to wrap up last Friday night, but have since been extended to July, with a resolution in that regard being prepared for the World Health Assembly, which starts on 18 May. “There is one fundamental point that we request be included in the resolution: extending the negotiating period makes no sense unless the negotiating method is changed,” Colombian Ambassador Germán Velásquez told the Intergovernmental Working Group (IGWG) shortly before the meeting closed last Friday evening. “It is not possible to continue seeking consensus in the same way. Why not introduce the concept of ‘progressive consensus’? Once a majority has been reached on specific points, a vote should be held if necessary, and negotiations should continue.” Colombia is part of the Group for Equity, a large cross-regional alliance of countries that has been pushing for a PABS annex that ensures the inequity of the COVID-19 pandemic, where wealthy countries commandeered all the scarce vaccines, is not repeated. The proposal for voting also has the support of some civil society groups, notably Pedro Villardi, from Public Services International, a trade union federation with over 30 million members. “If we need [to reach an agreement], why don’t we vote? We have a majority of countries pushing for equitable provisions… and we have a few countries that are opposing these measures and defending the position of the pharmaceutical industry and other big corporations,” Villardi told a recent briefing on the negotiations. Increasingly frustrated The Group for Equity and the Africa Group – which represent the vast majority of member states – have become increasingly frustrated by what they see as developed countries protecting the interests of their pharmaceutical companies instead of levelling the playing field ahead of future pandemics. The PABS system is due to govern how dangerous pathogens are shared during public health emergencies and how any medical products (benefits) that accrue from this information are shared. The dispute, mainly between developed and developing countries, hinges on how countries that share pathogen information can benefit from any vaccines, therapeutics or diagnostics (VTD) developed as a result. The Group for Equity and Africa want mandatory benefit-sharing, with the terms set out in standard contracts between the WHO and pharmaceutical companies. Several European countries – notably those with powerful pharmaceutical industries – argue that compulsory benefit-sharing will stifle research and development. According to the current draft, the WHO will receive a donation of 10% of vaccines or medicines produced by pharmaceutical companies that sign up to PABS – but only during a pandemic, not a public health emergency of international concern (PHEIC). ‘Deep regret’ At the close of last week’s talks, South Africa – unusually speaking both for Africa and the Group for Equity – expressed “deep regret” that IGWG is “still far from reaching consensus on the text of the Pandemic Agreement annex”. “We have engaged constructively and in good faith, including by putting forward concrete proposals. We also considered other approaches, but found, ultimately, that these fall short of the IGWG mandate to deliver a PABS annex that preserves the principle of an equal footing between access and benefit sharing,” said South Africa. “Approaches that risk decoupling these elements, or introducing fragmentation from the outset, are not sustainable foundations for the system we are tasked to build, and may only legitimise the unfair status quo regarding access to essential health products,” added South Africa, referring to a “hybrid” proposal put forward by some European countries during informal negotiations. The two groups are “strongly united” on a PABS system that is “fair, equitable and capable of correcting long-standing imbalances, including inequitable access to VTDs and unjust extraction of our genetic resources”, said South Africa. “A credible landing zone requires legal certainty at a point of access on how benefit-sharing obligations will be operationalised and enforced. This is neither excessive nor unreasonable. It is fundamental to trust in the system.” Convergence Nepal, speaking for Southeast Asia, warns against weakening the link between access and benefit-sharing. Nepal, speaking for WHO’s South East Asia region, stressed “the importance of ensuring that the PABS system preserves the intrinsic linkage between access and benefit-sharing. “Approaches that risk weakening this relationship or introducing fragmentation from the outset would not provide a sustainable or equitable foundation for the system we are mandated to establish,” Nepal cautioned, apparently also in reference to the “hybrid” option. Meanwhile, another diverse group represented by the Dominican Republic, but including Australia, the Bahamas, Barbados, Malaysia, Mexico, Norway and Singapore, offered to be a bridge to find “convergence” for a “sufficiently clear, credible and operationally effective” PABS system. Meanwhile, the EU also expressed regret at the failure to reach agreement, expressing its full commitment to “finalise and agree on a PABS system that will make a real difference and truly change things on the ground”. The European Union regrets that IGWG was unable to reach agreement on PABS. ‘Disservice to humanity’ The next IGWG will be from 6 to 17 July, and the new aim is for a PABS annex to be ready for next year’s World Health Assembly. Closing Friday evening’s session WHO Director General Dr Tedros Adhanom Ghebreyesus acknowledged that the talks have been “a roller coaster”. “Real progress was made on the PABS annex, but important differences remain. Please stay engaged. We need everyone. My one piece of advice is this: please approach the outstanding issues with a sense of urgency, because the next pandemic is a matter of when, not if,” said Tedros. Echoing this warning, Helen Clark and Ellen Johnson Sirleaf, co-chairs of The Independent Panel for Pandemic Preparedness and Response, said that “a lack of action to prevent and prepare for the next pandemic threat is a disservice to humanity”. They called on governments to do more on pandemic prevention, preparedness, and response (PPPR): “All countries must be able to detect and rapidly report outbreaks which may pose an international threat.” However, they also acknowledged that many low- and middle-income countries are impacted by high debt levels, and a sharp decline in development assistance. “Leaders have an opportunity to demonstrate their commitment to protect humanity at the upcoming UN High-Level Meeting on PPPR in New York in September. “There, they must make progress to fill enduring gaps in PPPR including on co-ordination, financing, equity, and accountability. They should also make it clear that the PABS Annex must be finalised to enable the WHO Pandemic Agreement to proceed.” Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Methane Emissions From Fossil Fuels Near Record Highs 04/05/2026 Stefan Anderson An infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. Methane emissions from fossil fuels stayed near record highs in 2025, with no sign of decline despite proven, low-cost ways to reduce them, the International Energy Agency (IEA) said on Monday. “Methane emissions from the energy sector plateaued near record highs,” the IEA found in its annual Global Methane Tracker. “There is still no sign that methane emissions from fossil fuel operations are falling, despite well-known and proven mitigation pathways.” The findings land halfway towards the 2030 deadline for cutting global methane emissions by 30%, a target that 159 countries and the European Union (EU) set under the Global Methane Pledge. A UN assessment released at COP30 found nations were on course to deliver less than a third of that. Methane is responsible for nearly 30% of the rise in global average temperatures since the Industrial Revolution. With an atmospheric lifespan of around 12 years, against centuries for carbon dioxide, cutting it is one of the fastest available levers on near-term warming, often described as the climate “hand brake”. More than half of global oil and gas output is now covered by company pledges to near-zero methane emissions, up from less than 20% in 2021. But the report found a “large implementation gap” between commitments and outcomes. “Countries and companies have raised their ambitions on methane, moving the issue higher up the policy agenda,” said Tim Gould, the IEA’s chief energy economist, who presented the findings at a high-level event in Paris convened by France’s G7 presidency. “However, setting reduction targets is only a first step, and it is important to ensure they are backed up by policies, implementation plans and real actions.” Fossil fuel production drives methane Oil, gas and coal production reached record levels in 2025, the IEA found. While the report found the global average upstream methane intensity of oil and gas production has fallen by around 10% since 2019, the IEA estimates total methane emissions from fossil fuel activities remain at 124 million tonnes a year, equivalent to the annual emissions of around three billion cars. Methane is the main component of natural gas and is emitted across the fossil fuel supply chain: vented from equipment by design, flared incompletely, leaked from valves, pipelines and storage tanks, or released from coal mine ventilation shafts, inextricably tying methane emissions levels to oil, gas and coal production. Oil is its largest source, releasing the equivalent of around two-thirds of the EU’s annual gas imports. Coal follows closely, then natural gas, the report found. A further 20 million tonnes comes from the incomplete burning of wood, charcoal and other traditional fuels in developing economies, principally used for cooking. Around 70% of methane emissions from fossil fuel operations could be cut using existing technology, the IEA said, with more than 35 million tonnes avoidable at no net cost as the price of gas offsets the investment needed to capture it. “This is not only a climate issue,” Gould said. “There are also major energy security benefits that can come from tackling methane and flaring, especially at a time when the world is urgently looking for additional supply amid the current crisis.” European Union energy chief Dan Jorgensen, speaking at the G7, added that capturing the gas being lost would significantly ease pressure on global markets. “We could have three times more gas on the market if we eliminated this waste,” Jorgensen said. “This shows that methane abatement and energy security are not competing priorities.” “Methane is the single fastest lever we have to limit near-term warming. We can no longer wait to pull this lever.” Pledges expand, emissions don’t The push for methane action accelerated at COP26 in Glasgow in 2021, where the United States, the EU and more than 100 other countries launched the Global Methane Pledge. The pact now covers 159 countries and nearly three-quarters of global oil and gas production. Five years on, COP26 president Alok Sharma, who guided the methane pledge across the line, said action is not living up to the scale required to abate the climate crisis. “Things are looking much bleaker than they were,” Sharma told a high-level meeting at IEA headquarters on Friday. “We breached 1.5°C last year and the year before, temporarily, and frankly, the prognosis is not good.” With no decline in fossil fuel emissions globally in 2025, atmospheric methane concentrations continued to rise. The IEA estimates that more than 85 million tonnes of fossil-fuel methane in 2025 came from the 10 biggest emitters: China, US, Russia, Iran, Turkmenistan, India, Venezuela, Indonesia, Kazakhstan and Iraq. Together, they account for around 70% of global fossil fuel methane emissions. The methane intensity of oil and gas production, or emissions per unit of energy delivered, varies widely, with the best performers scoring more than 100 times better than the worst, according to IEA data. Norway has the lowest upstream intensity in the world, the IEA found, achieved through a national ban on non-emergency flaring and a tax on venting and flaring introduced in 2015. Producers in the Middle East, including Saudi Arabia and the United Arab Emirates, also perform relatively well, according to the report. Turkmenistan and Venezuela have by far the highest intensities, the result of ageing Soviet-era and decrepit state-run infrastructure operating with little regulatory oversight. Independent analysis from the Stop Methane Project at UCLA found Turkmenistan dominated the list of the 25 worst-emitting facilities globally in 2025, emitting a “mind-boggling” amount of methane experts say could be easily contained. If every country matched Norway’s methane emissions intensity, global oil and gas methane emissions would fall by more than 90%, the IEA found. “Action on methane is not a fight of any single actor and nobody can win it alone,” French environment minister Monique Barbut said at the Paris event. “We must be clear: the energy sector offers today the fastest and often the most cost-effective reductions.” COP presidents press for action The IEA report was previewed at a high-level event at the agency’s Paris headquarters last week, where the COP31 presidency, made up of Turkey and Australia, set out priorities for the November summit in Antalya. Laurent Fabius, the former French prime minister who shepherded the Paris Agreement at COP21, said methane should be a central focus in Turkey, where the UN Environment Programme is expected to release its annual Eye on Methane report. Last year’s edition, launched at COP30 in Belém, found current national commitments would cut global methane emissions by just 8% below 2020 levels by 2030, under a quarter of the pledge target. “Methane is the faster way of trying to diminish global warming,” Fabius said. “Progress has been made. Pledges do exist, efficient techniques too, but we know that it is not enough. Methane should be one of the stars of COP31.” Sharma also pressed the point on finance, which he said was still falling far short of what was needed. Global clean energy investment reached a record €2.3 trillion last year, but a third of what was needed by 2030. Only 10% had gone to hard-to-abate sectors, and more than 80% to East Asia, Europe and the United States. Excluding China, developing countries representing 30 to 35% of global emissions were not getting the finance they need, he said. “We’re still nowhere near the scale that we should be … If you want to transition away from fossil fuels, you need to provide the finance for people to do that,” Sharma said. “We need to make sure there’s grant support to help developing nations look at their regulatory regimes.” “There will be some people who will say, and they’ve said it in the past, that the COPs are not the place this nitty gritty discussion on finance. That’s wrong. That is totally wrong,” Sharma said. “It is absolutely the place where we ought to be having discussion about these details on finance.” Simon Stiell, the UN Climate Change Executive Secretary, framed the energy crisis triggered by the war in the Middle East as an argument for accelerating the transition itself, which would in turn cut methane at source by reducing demand for the fossil fuels that produce it. “Those who’ve fought to keep the world hooked on fossil fuels are inadvertently supercharging the global renewables boom,” Stiell said. “This latest fossil fuel cost crisis has made the economic logic of renewables impossible to ignore.” “Renewables offer safer, cheaper, cleaner energy that can’t be held captive by narrow shipping straits, or global conflicts,” Stiell said, adding that “slashing methane” should be one of the most urgent priorities of COP31 for its potential to deliver “fast climate benefits while saving money.” Clean cooking and the bioenergy gap Around 18 million tonnes of methane emissions in 2025 came from the roughly 2 billion people worldwide who cook on open fires or simple stoves burning wood, charcoal and agricultural residues, with serious consequences for human health and the environment. Nearly half of them live in sub-Saharan Africa, where four in five households have no access to clean cooking technology, according to data released at the IMF Spring Meetings. The smoke produced exposes mostly women and children to particulate matter and carbon monoxide, driving severe respiratory and cardiovascular disease. Cooking with solid fuels is linked to 815,000 premature deaths a year globally, and household air pollution from these fuels remains one of the leading environmental health risks worldwide. “Expanding access to clean cooking solutions, including liquefied petroleum gas, electricity, improved biomass stoves and clean biofuels, offers further scope to cut methane emissions while delivering substantial health, gender and economic benefits in communities most affected by traditional biomass use,” the report said. Clean cooking is one of the COP31 presidency’s stated priorities, alongside electrification, zero waste and finance, representatives of the presidency from Turkey and Australia said. “Electrification, clean cooking, zero waste and finance, these are things that we can all gather around,” said Australia’s ambassador Stephen Jones, deputising for the country’s COP31 negotiations president. Jones said the climate transition and the response to the energy crisis were the same fight. “The clean energy solution is the solution to the energy crisis that we are now engaged in,” he said. “Paris is working. But we have to work faster and put more effort in.” Image Credits: Clean Air Task Force , IEA, IEA . Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Big Tobacco is No Longer Selling Cigarettes – It Is Engineering Addiction 04/05/2026 Hans Henri P. Kluge The tobacco industry is using sophisticated marketing aimed at young people. Europe needs a more precise focus to address the tobacco industry’s “engineered architecture of addiction”, featuring flavoured tobacco and nicotine products with ever more sleek designs. As an early champion of global tobacco legislation, the region can reposition itself to lead again – including through updated European Union directives on tobacco product regulation, advertising and taxation. Twenty-one years ago, the WHO Framework Convention on Tobacco Control (FCTC), the world’s first global health treaty and one of the EU’s earliest major public-health commitments, entered into force. It has helped to drive a reduction in tobacco use, with over 120 million fewer people using tobacco worldwide and best-practice protections expanded to more than six billion people. As a new WHO/ Europe report, published last year to mark the treaty’s 20th anniversary, shows, its core principles remain relevant – perhaps even more so today, as new products and tobacco industry tactics disrupt public health progress in unprecedented ways. Tobacco remains one of the world’s most lethal health hazards, killing more than seven million people globally each year, including an estimated 1.6 million non-smokers who are exposed to second-hand smoke. The WHO’s European Region, with 53 member states, has the dubious distinction of being the world’s leader in tobacco use, as well as the global leader in growing e-cigarette use among youth. Tobacco use trends (2000-2030) The scale is stark: in 2024 alone, 173 million adults and four million adolescents aged 13-15 were tobacco users, alongside 31.4 million adults and 4.2 million adolescents using e-cigarettes. What is increasingly evident today is that the danger is no longer confined to tobacco itself. It has shifted toward the engineered architecture of addiction – products designed to attract new consumers, sustain dependence and undermine public health. Flavours, filters, and sleek designs for Gen Z and younger The tobacco industry is much more than harvesting, curing, or rolling leaves. It now has sophisticated products and advertising machinery built to capture attention, personalise user experience, stay one step ahead of regulation and hook consumers long before they ever touch a cigarette. The tobacco and nicotine industry now markets an expanding universe of products – from heated tobacco and e-cigarettes to “aromatic nose inhalers” and nicotine pouches. Most of these products contain nicotine in different forms and concentrations, flavours and all of them exploit desire, reward pathways and the psychological hooks of habit and dependence. If, in the last century, cigarettes were marketed by images of rugged masculinity and reassuring doctors, today’s new generation of tobacco and nicotine products is packaged in joyful, playful social media posts attuned to millennials, Gen Z and younger audiences. There is bright packaging, unboxing videos, or lifestyle clips that blur the line between advertising and entertainment. Many play along, click, like and share. New products are being designed to attract children and young adolescents, mimicking candies and toys. The strategy remains the same: to make nicotine and tobacco products look modern, harmless, and desirable. Much of this content is not presented as advertising at all. The addictive architecture of social media does the heavy lifting. Influencers trusted by millions of young followers may feature these products under the guise of authentic personal recommendations, while in reality contributing to the industry’s transnational marketing reach. Viral ads multiplied by trust is a very powerful combination that does much harm in the wrong hands. This concerns me personally. As a father of two daughters, I can see how important social media is for them. It gives the feeling of emotional connection, belonging, and significance. And this is true for me as well – I can feel social media influencing my worldview and my work at WHO/ Europe every day. Full implementation of Framework Convention on Tobacco Control One of the most striking findings in the WHO/ Europe report is that the most powerful tobacco-control measures are already known and proven to work, but their adoption and proper implementation at country-level is lacking. Since 2019, rates of adolescent e-cigarette use have increased in 22 of 25 EU countries reviewed, and in all of them, girls report higher use than boys. Tobacco use among women in the EU remains high and sharply contrasts with the global downward trend. This is in line with the findings of the European Commission’s latest evaluation of the EU tobacco control framework, which highlights the rapid rise of novel tobacco and nicotine products — especially among young people — as a key and growing challenge. All of this points to one conclusion: full implementation of the WHO FCTC is overdue. The EU’s existing directives – the Tobacco Products Directive, the Tobacco Advertising Directive, and the Tobacco Taxation Directive – must be updated and strengthened to deliver on the treaty’s commitments . Today’s major problems include uneven implementation, regulatory loopholes, and slow adaptation to new products and new realities of digital marketing –all influenced by the tobacco industry. A strong political commitment is necessary to overcome these challenges and change the trajectory of nicotine and tobacco use. Europe can lead once again By accelerating implementation, closing regulatory loopholes, modernizing legislative frameworks to address digital marketing, and applying effective price and tax measures, the EU can set a powerful global example and advance the vision of a Tobacco-Free Generation by 2040, an ambition set out in Europe’s Beating Cancer Plan, and later re-iterated in the EU Safe Hearts Plan. Twenty years on, the FCTC continues to provide a strong foundation, but today’s market realities call for its full implementation that is complemented by forward-looking measures. As an early architect and champion of the FCTC, the EU is uniquely positioned to lead once again – and this leadership will be most effective if exercised without delay, ensuring that policy not only keeps pace with, but anticipates, emerging products and industry tactics. Hans Henri Kluge is the regional director of the WHO/European Region. Image Credits: Filter, WHO, WHO. Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy
Landmark EU Vote Demands ‘Only Yes Means Yes’ Rape Law, Targeting Gaps in Survivor Care 01/05/2026 Felix Sassmannshausen Legislators Joanna Scheuring-Wielgus and Evin Incir present the parliament’s demand for a rape law based on an ‘only yes means yes’ principle. STRASBOURG – Amid a global backlash against sexual and reproductive rights, the European Parliament has taken a decisive stand by voting for a unified, human rights-based standard for sexual offences. This Europe-wide legislative push aims to overhaul the fragmented national laws that currently leave many survivors without access to justice or essential health support. The resolution formally urges the European Commission to draft binding laws that recognise rape is fundamentally defined by a lack of consent. This represents a stark departure from outdated national models that require victims to physically fight back or explicitly say no. Swedish lawmaker Evin Incir addresses the European Parliament. “It is both morally and legally unacceptable that women are not protected by ‘only yes means yes’ legislation across the EU,” leading lawmaker Evin Incir from the centre-left social democrats (S&D) declared following the plenary vote on Tuesday. Just hours earlier, the European Parliament had adopted a landmark report with 447 votes in favour, 160 votes against, and 43 abstentions, demanding a unified standard for sexual offences. The push for reform is driven by a societal reckoning, spurred by cases that have sparked international outrage, such as that of Gisèle Pelicot in France. During a high-profile 2024 trial, the public learned that Pelicot’s husband had covertly drugged and raped her over a decade, also inviting dozens of men to rape her while she was unconscious. Human rights baseline: only yes means yes Comparison between outdated force-based legal requirements and the Parliament’s proposed standard of affirmative, voluntary consent. At the core of the European debate is the push for an ‘only yes means yes’ principle to ensure that any sexual act without freely given consent is legally classified as a crime. While a clear verbal “yes” is the most direct method, legal experts emphasise that consent can be expressed in any voluntary and unambiguous way, meaning affirmative gestures or reciprocal actions, depending on the specific context of the relationship. Establishing legislation focused on the lack of consent is widely viewed as the necessary next step to implement the Istanbul Convention. Opened for signature in 2011 and ratified or acceded to by 39 parties, Article 36 of this comprehensive international treaty explicitly requires member states to criminalise all non-consensual sexual acts, setting a clear human rights baseline. A unified legal definition is essential for health policy, as it directly impacts how survivors access emergency contraception, trauma counselling, and forensic medical care. Recognising the health sector’s critical role in this recovery process, the WHO Regional Office for Europe provides health system baseline assessments to help stakeholders monitor member states’ compliance with the Istanbul Convention. The latest comprehensive EU gender-based violence survey reveals that a staggering 30.7% of women across the bloc have experienced physical or sexual violence, which aligns with global data. Crucially, 8.4% of women report being raped while under coercion or being unable to refuse, nearly double the 4.8% who experienced overt physical force. Despite this high prevalence, systemic barriers continue to suppress official reporting and hinder access to post-rape care. Only 13.9% of victims ever contact the police, frequently citing embarrassment, fear of retaliation, or a belief that law enforcement cannot help them as their primary reasons for silence. Acknowledging trauma and fear responses Neurobiological evidence from the Karolinska Institute shows 70% of survivors experience paralysis, supporting calls for an ‘only yes means yes’ approach. A critical aspect of focusing on the lack of consent involves officially recognising the physiological realities of trauma. Medical experts and victim advocates continuously stress that a lack of physical resistance does not equate to a voluntary agreement. Co-rapporteur Joanna Scheuring-Wielgus during the plenary debate. Legislators underscored the neurobiological “freeze” response, where a victim perceives overwhelming danger, and the body is rendered completely paralysed. “It’s important to understand that a victim may not always have the strength to fight, to say no,” Polish co-rapporteur Joanna Scheuring-Wielgus explained at the press conference. While some victims might actively fight back, others can also freeze or faint. A 2017 Swedish study from the Karolinska Institute found that 70% of sexual assault survivors experience significant “tonic immobility,” an involuntary, temporary state of motor inhibition triggered by intense fear. Current legal systems in several member states routinely dismiss cases where victims experienced this involuntary physiological paralysis, which the European Parliament notes causes severe secondary victimisation. Furthermore, victim support networks like Women Against Violence in Europe (WAVE) warn that failing to provide trauma-informed, gender-specific responses deters survivors from seeking essential medical and psychological support. Implementing laws based on an ‘only yes means yes’ principle would mandate that judges and law enforcement officials understand these complex trauma responses. Policy analysts argue this shift is vital for building trust in public institutions and ensuring that victims feel safe enough to access specialised healthcare services. Fractured legal landscape leaves survivors vulnerable German legal barriers create a stark gap between rising rape reports and actual criminal convictions. The contrast between different national models highlights why European lawmakers are demanding unified rules. In Germany, the current framework dictates that a victim must signal refusal, meaning perpetrators often escape conviction if the victim remains passive due to fear. According to recently published data from the Federal Criminal Police, 14,454 rapes were reported in Germany in 2025, an 8.5% increase that officials attribute primarily to a growing willingness among victims to come forward. However, the consequences of the current legal framework are still reflected in extremely low conviction rates, with the women’s rights organisation Terre des Femmes estimating that only one in one hundred rapes ultimately results in a conviction. Legal practitioners, including the German Women Lawyers Association, argue that this standard protects perpetrators rather than victims by shifting the responsibility of communication onto the assaulted person. They maintain that establishing the lack of consent as the legal threshold is the necessary next step to enable more victims to seek justice. Conversely, countries such as Sweden and Spain have recently reformed their penal codes to ensure that sexual relations must be affirmatively agreed upon. While Sweden has already recorded a subsequent rise in convictions due to broadened evidence admissibility, monitors note that Spain’s groundbreaking 2022 law has yet to translate into similar statistical increases. Political tide is changing in Europe After tough negotiations, the European Parliament voted for a unified legal standard based on an ‘only yes means yes’ principle on Tuesday. The road to a unified standard has been fraught with conflict. During the 2024 negotiations for the EU’s first Directive on violence against women, a blocking minority led by France, Germany, and Hungary successfully stripped rape from the final text. Rapporteur Evin Incir reminded the public of the “unholy alliance” of leaders – including Viktor Orbán and Emmanuel Macron – who formed this blocking minority. These national leaders had argued that the European Union lacked the legal competence to harmonise criminal laws on sexual violence. Only US Votes Against Women’s Rights Document at UN Commission However, the political winds are shifting. Mounting public pressure has forced national governments to reconsider, with countries like France now actively revising their own criminal codes to align with an ‘only yes means yes’-based model. Despite the momentum, the proposal faces fierce opposition from far-right factions who frame the initiative as an ideological overreach. During the Strasbourg debate, an MEP from the Patriots for Europe group argued that “human relationships do not unfold through formalized steps or legal checklists,” claiming the law would amount to morally policing intimate desire. Other right-wing voices attempted to pivot the debate toward anti-immigrant narratives, suggesting lawmakers should “protect the streets, not the bedrooms”. Progressive lawmakers swiftly rejected this framing, citing data that proves the vast majority of sexual assaults are committed by perpetrators known to the victim, underscoring the systemic, domestic nature of the crisis. More than judicial reform needed The proposed European standard combines legal reform with mandatory education and trauma-informed training for law enforcement. Establishing the ‘only yes means yes’ principle as the legal threshold for rape demands a fundamental re-evaluation of how European societies view sexual availability and interpersonal power dynamics. The core premise is that sexual partners must actively communicate their desires and mutually negotiate the boundaries of their intimacy. However, reforming the penal code to reflect the lack of consent is only one part of the broader societal transformation envisioned by the European Parliament. Lawmakers are heavily emphasising the need for mandatory, comprehensive sexuality and relationship education across all member states. To ensure these legal reforms are effectively applied, parliamentarians are also demanding mandatory, trauma-sensitive education for law enforcement officers to prevent secondary victimisation during police investigations. “Why in 2026 should it be controversial that we demand that it should be mandatory for those who are working to support these women and girls who are victims?” rapporteur Incir asked, pointing to the tough negotiations with conservative co-legislators. The European Commission has signalled its readiness to support this cultural shift by mapping the current legal landscape across the Union to identify further legislative action. However, it could take years before an EU-wide law takes effect: after the Commission proposes a legal framework, the parliament and EU member states have to negotiate their positions and find a compromise. Image Credits: Felix Sassmannshausen/HPW. Posts navigation Older posts