Two years ago, the World Health Organization (WHO) declared a public health emergency after a multi-country outbreak of mpox (formerly known as monkeypox). Now, in the summer of 2024, mpox is on the rise again. On August 14, The WHO declared a new public health emergency due to a recent outbreak in the Democratic Republic of the Congo (DRC) and other African countries.

Ongoing fighting in Sudan has led to a devastating humanitarian crisis that United Nations Humanitarian and Emergency Relief Chief Martin Griffiths calls “one of the worst humanitarian nightmares in recent history.”  

Among the millions of people harmed by the fighting are countless pregnant people and new mothers, who face direct and indirect threats to their health and lives in the country’s renewed conflict. Sudan was already suffering from a maternal mortality crisis prior to the onset of its latest civil war. Before the most recent round of bloodshed, Sudan’s maternal mortality rate stood at 270 deaths per 100,000 live births in 2020 – higher than the global average of 223 deaths. And as this crisis worsens, it is imperative to call attention to what is occurring there.  

Last month, the biopharmaceutical company Gilead shared groundbreaking results from a recent clinical trial (PURPOSE1) for long-acting injectable HIV prevention. The twice-yearly injectable drug, lenacapavir, provided total protection from HIV for a test group of 2,134 women in Uganda and South Africa. While lenacapavir has been used to treat multi-drug resistant HIV since 2022, this trial marks the first usage as pre-exposure prophylaxis (PrEP). PrEP is one tool to prevent the virus, and refers to anti-retroviral medication taken by people who do not have HIV to reduce the risk of contracting it through sexual transmission or injection drug use. These new findings offer immense promise for the future of PrEP as a global tactic to protect young women from contracting HIV. 

UN World Wildlife Crime Report Reveals Harm of Wildlife Trafficking (UN Office on Drugs and Crime)

In the third World Wildlife Crime Report, the UN Office on Drugs and Crime (UNODC) discussed trends in illicit trafficking of protected species, analyzed wildlife crime harms and impacts, and took stock of all current knowledge on intervention effectiveness. This report is more comprehensive than its predecessors in 2016 and 2020 due to increased reporting. Despite 20 years of effort, wildlife trafficking persists and is connected with powerful organized crime groups operating in fragile ecosystems. This has implications not only for the spread of organized crime, but also for biodiversity loss and subsequent impacts on climatic fragility.

A new report by the US Intelligence Community highlights what the world stands to lose if it fails to cooperate on global health. The National Intelligence Estimate (NIE) “Dynamics Shaping Global Health Security In the Next Decade” outlines the dire effects of climate change, changing demographics, and the erosion of trust in institutions on global health security. The NIE on Global Health Security was made publicly available in April 2024, on the heels of the Biden-Harris Administration’s launch of a new Global Health Security Strategy.

A window into what we are reading at the Wilson Center’s Environmental Change and Security Program

2024 World Migration Report Highlights Climate-Food-Mobility Nexus (International Organization for Migration)

The International Organization for Migration’s flagship World Migration Report 2024 highlights a wide variety of factors contributing to global migration, including conflict, economic or political insecurity, and climate change. Between 2020 and 2022 the number of asylum seekers increased more than 30% to 5.4 million people. The report centers climate change’s impact on food security as a core driver of migration. In 2022, 275 million people faced acute food insecurity, which represents a 146% increase since 2016.

News about global climate impacts that elevate mortality, wreak weather havoc, and create massive displacement is inescapable. And those are just the stories that make the headlines. Droughts in Africa are estimated to impact 250 million people and displace 700 million more by 2030. Climate impacts brought on by El Niño are devastating the food supply chain, exacerbating Guatemala’s struggle to reduce childhood malnutrition.

In 1976, a Belgian Catholic mission and hospital in what is now the Democratic Republic of the Congo (DRC) was stricken with a mysterious illness that caused fever-like symptoms. Most of the patients who contracted the illness died. A young microbiologist named Jean-Jacques Muyembe Tamfum was called to the mission, where he extracted blood samples from those who had fallen ill. The DRC did not have a functional research laboratory at the time, so Muyembe had to send his samples to Belgium for analysis. The results that came back revealed that they contained a new deadly virus: what the world came to know as Ebola, named after a river near the mission.