Until several months ago, demographers regarded a youthful age structure as an unequivocally detrimental demographic characteristic. Where more than half of the population is younger than age 25, countries are unable to attain high levels of economic and human capital development and face an increased risk of some forms of civil conflict. Yet, so far, during the ongoing pre-vaccine stage of the COVID-19 pandemic, the most age-structurally mature countries have been hardest hit by the disease. These countries are generally urbanized, wealthy, well-educated, and include a large proportion of seniors. And, somewhat surprisingly—despite being equipped with advanced medical technologies—these countries are experiencing the highest rates of mortality from complications related to COVID-19.

Rohingya refugees fleeing anti-Muslim persecution in Myanmar are exploited by the Arakan Army to smuggle synthetic drugs into Bangladesh. The army, which demands greater autonomy for Myanmar’s Rakhine State, uses the drug sales to purchase arms and ammunition. It moves the drugs from production centers in Myanmar’s interior to Rakhine State, where Rohingya make the arduous trek along refugee migration routes into neighboring Bangladesh. Lacking other sources of income, the Rohingya are vulnerable to recruitment by the army’s drug smugglers.

Our collective development objectives will not be achieved if they come at the expense of biodiversity and natural resource management, said Jeff Haeni, Acting Deputy Assistant Administrator in the Bureau for Economic Growth, Education, and Environment at USAID. He spoke at a recent Wilson Center virtual event, co-hosted with USAID, that explored the links between conservation and public health with examples from USAID’s BRIDGE project, which aims to build the evidence base for integrating biodiversity conservation considerations into policy discussions and decision-making across sectors. “The ability of societies around the world to develop and thrive is dependent on the health of the forests, fisheries, and natural systems around them,” he said.

Late last year, what is thought to be a bat-associated coronavirus infected humans in Wuhan, a city of 11 million in China, possibly after a stopover in illegally traded pangolins—setting off a global pandemic. This kind of thing has happened before—with AIDS, SARS, and MERS, for example. Much remains unknown about the biology of COVID-19, which is alarmingly communicable by people with few or no symptoms. But an epidemic is only part biology. It is also driven by cultural factors, and urbanization is a crucial aspect. As sites of large gatherings and dense living conditions, cities offer the perfect settings for the spread of infection, yet their role seems to have often gone unremarked in discussions of the pandemic.

On May 6, Médecins Sans Frontières (MSF) announced it had started to treat COVID-19 patients in Tijuana, in northwestern Mexico. Tijuana, which is on the border with San Diego, has the greatest number of cases in Mexico and one of the highest death rates.

“We will be providing support to health institutions [by] relieving the hospital burden in Tijuana,” said Maria Rodríguez Rado, MSF’s COVID-19 Emergency Response Coordinator in Mexico, according to the group’s website. “Through this support, we want to relieve the enormous workload of health workers who are responding to this pandemic and help alleviate the suffering of patients.”

The move is welcome. Across Central America, megacities such as Guatemala City, Tegucigalpa in Honduras, and Managua in Nicaragua are vulnerable to the rapid spread of COVID-19.

Weeks before most of the world began to take the spread of COVID-19 seriously, Africa was already threatened by another plague, the biggest locust outbreak in the last 70 years. Locusts swarmed into Ethiopia, Kenya, Somalia, Uganda, and South Sudan in January and February this year. Those hordes of voracious locusts laid eggs, and now the second wave, 20 times the size of the first group, is arriving. According to Locust Watch, “The current situation in East Africa remains extremely alarming as more swarms form and mature in northern and central Kenya, southern Ethiopia, and probably in Somalia.”

As the COVID-19 pandemic continues to spread and transform everyday lives, Rose Nzyoka and Vikas Dwivedi argue that using digital tools to improve systems to manage real-time data and decision-support systems could help the response to COVID-19. In our most read post this month, they propose five initiatives that ministries of health in low-and-middle-income countries need to focus on to limit the spread of COVID-19.