Category: Health

MIL-OSI Analysis: UK may be on verge of triggering a ‘positive tipping point’ for tackling climate change

Source: The Conversation – UK – By Kai Greenlees, PhD Candidate, Sustainable Futures, University of Exeter

Nrqemi/Shutterstock

The UK is now more than halfway (50.4%) to achieving a net zero carbon economy, which means it has reduced its national emissions significantly compared to 1990.

We should even celebrate that 0.4%. Why? Because every tonne of carbon saved from the atmosphere and every fraction of a degree celsius of warming avoided saves lives and leaves more life-sustaining ecosystems intact for our children and grandchildren.

It also reduces the risk of triggering irreversible, devastating tipping points in the Earth system. We absolutely do not want to go there. Though, it may already be too late to save 90% of warm-water coral reefs, on which hundreds of millions of people depend for food and protection from storms.

Luckily, tipping points can also work in our favour. Researchers like us call them positive tipping points, which kickstart irreversible, self-propelling change towards a more sustainable future.

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Solar energy has already crossed a tipping point, having become the cheapest source of power in most of the world. Because it is quick to deploy widely and in a variety of formats and settings, solar is expanding exponentially, including to the roughly 700 million people who don’t have electricity.

Electric vehicle sales have also crossed tipping points in China and several European markets, as evidenced by the abrupt acceleration of their shares in national vehicle fleets. The more people buy them, the cheaper and better they get, which makes even more people buy them – a self-propelling change towards a low-carbon road transport system.

Recent findings from the Climate Change Committee, independent advisers to the UK government on climate policy, show that the UK too may be on the cusp of a positive tipping point for electric vehicles (EVs), but that further work is needed to reach a tipping point for heat pumps.

EV sales are racing ahead

According to the CCC, more than half of the UK’s success in decarbonising its economy since 2008 can be attributed to the energy sector. Here, the transition from electricity generated by coal to gas and, increasingly, renewable sources like solar and wind, has occurred “behind the scenes”, without much disruption to daily life.

However, over 80% of the greenhouse gas emission cuts needed between now and 2030 (the UK aims to reduce emissions by 68% by 2030) need to come from other sectors that require the involvement and support of the public and businesses.

The adoption of low-carbon technologies by households, including the buying of EVs and installing of heat pumps, is a critical next step to determining the success or failure of the UK’s ability to achieve net zero. Cars account for about 15% of the UK’s emissions and home heating a further 18%.

Encouragingly, and despite concerted misinformation campaigns to discredit EVs, sales in the UK accounted for 19.6% of all new cars in 2024, which puts this sector close to the critical 20-25% range for triggering the phase of self-propelling adoption, according to positive tipping points theory.

This rise in EV sales is happening for two main reasons. First, the UK has a rule that bans the sale of new petrol and diesel cars from 2035, which gives carmakers and buyers a clear deadline to switch.

Second, they are becoming a better choice all round. They’re getting cheaper (some are expected to cost the same as petrol cars between 2026 and 2028), more appealing (with longer ranges and faster charging), and easier to use (thanks to more charging points and better infrastructure).

If this positive trend continues, emissions saved by EV adoption will be sufficient to achieve the UK road transport sector’s 2030 emissions target.

Where is the heat pump tipping point?

Heat pumps have been slower on the uptake in the UK, leading the CCC to identify their deployment as one of the biggest risks to achieving the 2030 emissions target.

Heat pumps use electricity to pump warmth from outside into a home (like a reverse refrigerator) and can be between three and five times more efficient than gas boilers, with approximate emissions savings of 70%.

The UK government has set a target of installing 600,000 heat pumps a year by 2028. But despite 90% of British homes being suitable for a heat pump, only 1% have one.

There are signs that installations are picking up pace, however. In 2024, 98,000 heat pumps were installed – an increase of 56% from 2023. Deployment will need to be increased more than six times its current rate over the next three years to reach the installation target. In other words, we urgently need to trigger a positive tipping point in this sector.

The triggering of self-propelling change depends on the relative strength of feedbacks that either resist change (damping or negative feedback) or drive it forward (positive feedback).

One important negative feedback highlighted by the CCC is the UK’s high electricity-to-gas price ratio, which increases the running costs of a heat pump on top of the high upfront cost of buying and installing one. Addressing this issue has been at the top of the CCC’s policy recommendations for the last two years.

One positive feedback that needs to be strengthened is the perception among installers of household demand for heat pumps. When installers perceive demand, they are more likely to invest in the training and certifications needed to meet it.

Two ways the CCC suggests the government could encourage installer confidence are to extend the boiler upgrade scheme (which provides grants to households to install heat pumps) and clean heat mechanism (which obliges manufacturers and installers to prioritise heat pumps) and to reinstate the 2035 phase-out rule for new fossil fuel boilers.

An understanding of positive tipping points helps us identify key leverage points where intervention can be most effective in tackling the remaining half of the UK’s emissions. When implemented as part of a coherent national strategy, positive change can be accomplished at the pace and scale required. There is no time to lose.

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Kai Greenlees receives funding from the Economic Social Research Council, through the South West Doctoral Training Partnership.

Steven R. Smith does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. UK may be on verge of triggering a ‘positive tipping point’ for tackling climate change – https://theconversation.com/uk-may-be-on-verge-of-triggering-a-positive-tipping-point-for-tackling-climate-change-260212

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: ‘Gas station heroin’: the drug sold as a dietary supplement that’s linked to overdoses and deaths

Source: The Conversation – UK – By Michelle Sahai, Computational Biochemist, Brunel University of London

US Food and Drug Administration, Office of Regulatory Affairs, Health Fraud Branch

The US Food and Drug Administration (FDA) has issued an urgent warning about tianeptine – a substance marketed as a dietary supplement but known on the street as “gas station heroin”.

Linked to overdoses and deaths, it is being sold in petrol stations, smoke shops and online retailers, despite never being approved for medical use in the US.

But what exactly is tianeptine, and why is it causing alarm?

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Tianeptine was developed in France in the 1960s and approved for medical use in the late 1980s as a treatment for depression.

Structurally, it resembles tricyclic antidepressants – an older class of antidepressant – but pharmacologically it behaves very differently. Unlike conventional antidepressants, which typically increase serotonin levels, tianeptine appears to act on the brain’s glutamate system, which is involved in learning and memory.

It is used as a prescription drug in some European, Asian and Latin American countries under brand names like Stablon or Coaxil. But researchers later discovered something unusual, tianeptine also activates the brain’s mu-opioid receptors, the same receptors targeted by morphine and heroin – hence it’s nickname “gas station heroin”.

As a prescription drug, tianeptine is sold under various brand names, including Stablon.
Wikimedia Commons

At prescribed doses, the effect is subtle, but in large amounts, tianeptine can trigger euphoria, sedation and eventually dependence. People chasing a high might take doses far beyond anything recommended in medical settings.

Despite never being approved by the FDA, the drug is sold in the US as a “wellness” product or nootropic – a substance supposedly used to enhance mood or mental clarity. It’s packaged as capsules, powders or liquids, often misleadingly labelled as dietary supplements.

This loophole has enabled companies to circumvent regulation. Products like Neptune’s Fix have been promoted as safe and legal alternatives to traditional medications, despite lacking any clinical oversight and often containing unlisted or dangerous ingredients.

Some samples have even been found to contain synthetic cannabinoids and other drugs. According to US poison control data, calls related to tianeptine exposure rose by over 500% between 2018 and 2023. In 2024 alone, the drug was involved in more than 300 poisoning cases. The FDA’s latest advisory included product recalls and import warnings.

Users have taken to the social media site Reddit, including a dedicated channel, and other forums to describe their experiences, both the highs and the grim withdrawals. Some report taking hundreds of pills a day. Others struggle to quit, describing cravings and relapses that mirror those seen with classic opioid addiction.

Since tianeptine doesn’t show up in standard toxicology screenings, health professionals may not recognise it. According to doctors in North America, it could be present in hospital patients without being detected, particularly in cases involving seizures or unusual heart symptoms.

People report experiencing withdrawal symptoms that resemble those of opioids, like fentanyl, including anxiety, tremors, insomnia, diarrhoea and muscle pain. Some have been hospitalised due to seizures, loss of consciousness and respiratory depression.

UK legality

In the UK, tianeptine is not licensed for medical use by the Medicines and Healthcare products Regulatory Agency and it is not classified as a controlled substance under the Misuse of Drugs Act 1971. That puts it in a legal grey area, not formally approved, but not illegal to possess either.

It can be bought online from overseas vendors, and a quick search reveals dozens of sellers offering “research-grade” powder and capsules.

There is little evidence that tianeptine is circulating widely in the UK; to date, just one confirmed sample has been publicly recorded in a national drug testing database. It’s not mentioned in recent Home Office or Advisory Council on the Misuse of Drugs briefings, and it does not appear in official crime or hospital statistics.

But that may simply reflect the fact that no one is looking for it. Without testing protocols in place, it could be present, just unrecorded.

Because of its chemical structure and unusual effects, if tianeptine did show up in a UK emergency department, it could easily be mistaken for a tricyclic antidepressant overdose, or even dismissed as recreational drug use. This makes it harder to diagnose and treat appropriately.

It’s possible, particularly among people seeking alternatives to harder-to-access opioids, or those looking for a legal high. With its low visibility, online availability and potential for addiction, tianeptine ticks many of the same boxes that once made drugs like mephedrone or spice popular before they were banned.

The UK has seen waves of novel psychoactive substances emerge through similar routes, first appearing online or in head shops, then spreading quietly until authorities responded. If tianeptine follows the same path, by the time it appears on the radar, harm may already be underway.

Michelle Sahai does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. ‘Gas station heroin’: the drug sold as a dietary supplement that’s linked to overdoses and deaths – https://theconversation.com/gas-station-heroin-the-drug-sold-as-a-dietary-supplement-thats-linked-to-overdoses-and-deaths-259194

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Can the NHS shift from treatment to prevention? What healthcare bosses think
Source: The Conversation – UK – By Lisa Knight, Head of External Engagement & Professional Programmes, Liverpool John Moores University

PongMoji/Shutterstock

Imagine a healthcare system where preventing illness is just as important as treating it. This is the vision for the English NHS – but right now, it’s still far from reality. To become more sustainable and better serve patients in the long run, the NHS needs to shift its focus from reactive care to proactive, preventative support.

On July 3 2025, the UK government published its Fit for the Future: Ten-Year Health Plan for England, laying out a blueprint to rebalance the health service toward prevention, digital transformation and localised care. The plan includes:
- expanding up to 300 neighbourhood health centres to bring preventative services closer to communities
- digitising services with 24/7 access through the NHS app, AI triage – the use of artificial intelligence to help prioritise and assess patients more efficiently, particularly in high-demand areas like emergency departments, GP surgeries and outpatient care – and robot-assisted surgery
- tackling chronic illness earlier, including more support for obesity, smoking cessation and mental health
- integrating prevention into everyday care, with a shift in national performance targets to better reflect long-term health outcomes.
Prime minister Keir Starmer described it as a shift “from a sickness service to a health service,” marking a deliberate move away from crisis response toward early intervention and community-based support.

But making this vision real won’t be easy.

System still isn’t built for prevention

In my research, I’ve looked at what good leadership should look like in the NHS – especially within England’s new integrated care systems (ICSs). A key part of these systems is place-based partnerships.

These are local collaborations between NHS services, councils, charities and community groups, all working together to improve people’s health. The idea is to better join up care in each area and tackle the broader issues that affect health, such as housing, education and access to support.

I spoke to NHS leaders, including chief executives of major health organisations, on the basis of anonymity, who agree that the system needs to change. But many of them say it will face major obstacles – especially financial constraints and fragmented funding models that continue to reward reactive care, such as A&E. As one NHS leader put it:

All the things that come down from NHS England and the Department of Health and Social Care respond to the now, rather than where we are going.

While the ten-year plan lays out ambitions for rebalanced funding, existing financial mechanisms won’t support this shift. The NHS can overspend during emergencies, but local authorities – who fund most social care and public health – must stay within strict budgets.

This undermines integration and creates unequal footing between services. One senior leader noted”

Local authorities will never consider us as a partner until we get our act together on finance… you’ve got to sit back and look at what impression that gives them – that we’re not equals.

The ten-year plan acknowledges these disparities but offers limited detail on how to resolve them. Without concrete reform of funding flows and accountability structures, prevention may remain a priority in name only.

In 2024, the health and social care secretary, Wes Streeting, described the NHS as “broken” and called for a review to expose the “hard truths” needed to fix it. He has been outspoken in championing both prevention and better integration with social care, viewing these as key to reforming a system overwhelmed by rising demand and worsening outcomes.

Improving housing, social care, education, and jobs can reduce reliance on costly hospital treatments and significantly enhance overall health. In 2022, the NHS took a structural step toward this by merging health and social care services into “integrated care systems”, aiming to better coordinate services across sectors.

However, it has now been more than a decade since key targets for emergency care, hospital waiting times, or cancer services were met – raising questions about whether structural changes alone are enough.

The COVID pandemic deepened these pressures. Waiting lists for treatment surged, while NHS staff faced soaring stress levels. Many healthcare leaders describe the current moment as a perfect storm, in which long-term planning is increasingly difficult while trying to meet immediate needs.

Why risk and measurement matter

Preventative services, new technologies and integrated care models carry uncertainty. Leaders are understandably hesitant to shift resources away from acute services when “hospitals get the headlines.” One told me:

We’re shuffling public service delivery cash around and not thinking through how we develop something fundamentally different.

National performance frameworks also reinforce this inertia. Most targets still focus on wait times, emergency response, and treatment outcomes. As one executive put it:

We manage what’s measured… If we were made to look at deprivation figures and elective recovery figures based on postcode and ethnicity, that might change the conversation.“

The ten-year plan promises new indicators and better data sharing, but it remains to be seen whether these tools will actually shift behaviour at scale.

Listening to communities?

An effective shift to prevention requires more than structural reform – it needs genuine community engagement. One of the aims of integrated care systems was to involve local people in decisions about their health. Most leaders I have interviewed support this principle, but many admit that public involvement remains limited: “We’re not doing enough to listen… We’re not giving people opportunities.”

The ten-year plan reiterates the importance of local voices and promises a stronger focus on “co-produced care,” but delivery will depend on time, trust and cultural change within the system.

My research suggests that the NHS won’t be fixed by continuing to treat illness after it happens. It must evolve into a service that prevents poor health at its root – in homes, schools, workplaces and local communities.

The government’s ten-year plan offers a renewed opportunity to make this shift. But if the plan is to succeed, it will require more than bold promises. It demands redesigned funding, rebalanced risk, shared power with communities – and, above all, the political will to change the system before it collapses under its own weight.

Lisa Knight is affiliated with Mersey and West Lancashire NHS Trust as a Non-Executive Director

– ref. Can the NHS shift from treatment to prevention? What healthcare bosses think – https://theconversation.com/can-the-nhs-shift-from-treatment-to-prevention-what-healthcare-bosses-think-234601
MIL OSI Analysis –
July 5, 2025
MIL-OSI Analysis: What Elio can help teach us about eye patching, stigma and the developing brain

Source: The Conversation – UK – By Rebecca Willis, Doctoral Researcher in Clinical Neurosciences, University of Oxford

Disney Pixar’s latest film, Elio, follows a familiar-sounding character, a lovable and imaginative young hero who dreams of finding a place where he truly belongs. But amid the colour and chaos of the film’s outer space setting, one subtle detail stands out: Elio wears an eye patch.

In the real world, eye patches are commonly used to treat amblyopia, or “lazy eye”, a neurodevelopmental visual condition projected to affect 175.2 million people globally by 2030. In amblyopia, the brain favours one eye over the other, leading to reduced vision in the weaker eye.

Treatment often involves covering the stronger eye with a patch, encouraging the brain to rely on the weaker eye and improve its function. This therapy is most effective during early childhood and can take months of daily commitment.

Yet, despite how common visual conditions are, positive representation of patch-wearing is rare in popular media.

Animated films have long shaped childhood imaginations, but historically, characters with eye patches or other visual markers often fall into negative stereotypes.

Think Mr Potato Head’s alter ego One-Eyed Bart in Toy Story, or Madagascar’s Dr. Blowhole: characters where an eye patch signals villainy. Glasses, meanwhile, are more often seen on older characters like Carl Fredrickson from Up or Roz from Monsters Inc.

Characters with strabismus (misaligned eyes), like Ed from The Lion King, are often portrayed as unintelligent or clumsy. One recent study found that strabismus in children’s animated films is consistently associated with negative character traits – something that can reinforce harmful stigma.

These portrayals matter. Film plays a powerful role in shaping beliefs, especially for young children who are developing a sense of identity, belonging and how to relate to others. When visual conditions are stereotyped, it can reinforce feelings of embarrassment and difference.

For children wearing a patch, these feelings can lead to skipping treatment days and poorer outcomes. In contrast, authentic, positive representation can build self-esteem, promote acceptance, and provide relatable role models.

A subtle but powerful shift

Happily, things are starting to change. In recent Disney/Pixar films, we’ve seen characters with glasses portrayed as dynamic, central figures: Encanto’s Mirabel, Turning Red’s Priya and Mei, and Big Hero 6’s scientist-superhero Honey Lemon, for example. These characters challenge old stereotypes and broaden the narrative around vision.

Elio continues that progress. The young protagonist’s eye patch is not a plot point, nor is it used to symbolise frailty, villainy or wisdom. It simply exists – a quiet part of his identity, not something to overcome.

That subtlety is powerful. For children who wear patches, seeing someone like Elio leading a space mission, not sidelined by his visual condition, can be deeply affirming.

Beyond the screen, Elio has sparked conversation and awareness. Prevent Blindness launched a campaign around the film to raise public understanding of amblyopia and the importance of early detection. Eye care organisations have also used the film as an educational tool, while individuals have shared their stories of patching and treatment across social media.

When amblyopia is recognised and treated early, patching can be remarkably effective. But awareness is key, and so is reducing stigma that might discourage children from wearing their patch.

Childhood amblyopia research

Although patching often restores vision, it doesn’t work for every child – and we still don’t fully understand why. There is limited research into how patching affects the developing brain, and this lack of insight hinders improvements in treatment.

Our research with Holly Bridge, Vision Group leader at Oxford University, aims to change that. We’re studying how patching changes brain chemistry in young children.

Adult studies suggest that chemical shifts in visual parts of the brain may be linked to patching outcomes. To explore this in children, we’re running a study of five to eight-year-olds with amblyopia or healthy vision.

In our study, children with amblyopia receive a safe, non-invasive brain scan before and after patching treatment. We also measure their vision using child-friendly tests. We then compare these results to children with healthy vision who don’t wear a patch, helping us to understand both visual changes and brain development.

We hope Elio marks the beginning of more inclusive storytelling, where difference isn’t erased or exaggerated, but simply woven into the fabric of character and adventure. Like Elio’s journey through space, the path to better understanding and representation of childhood visual conditions has faced challenges.

But perhaps this is the launch we needed: towards better awareness, better research, and a future where every child feels seen – on screen and beyond.

Rebecca Willis receives funding from a Royal Society Studentship.

Betina Ip is funded by The Royal Society (Dorothy Hodgkin Research Fellowship, DHFR1201141) and the UKRI-MRC (MR/V034723/1).

Megan Groombridge receives funding from the MRC (MR/V034723/1).

– ref. What Elio can help teach us about eye patching, stigma and the developing brain – https://theconversation.com/what-elio-can-help-teach-us-about-eye-patching-stigma-and-the-developing-brain-259946

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Too much vitamin B6 can be toxic. 3 symptoms to watch out for
Source: The Conversation – Global Perspectives – By Nial Wheate, Professor, School of Natural Sciences, Macquarie University

Selena3726/Shutterstock

Side effects from taking too much vitamin B6 – including nerve damage – may be more widespread than we think, Australia’s medicines regulator says.

In an ABC report earlier this week, a spokesperson for the Therapeutic Goods Administration (TGA) says it may have underestimated the extent of the side effects from vitamin B6 supplements.

However, there are proposals to limit sales of high-dose versions due to safety concerns.

A pathologist who runs a clinic that tests vitamin B6 in blood samples from across Australia also appeared on the program. He told the ABC that data from May suggests 4.5% of samples tested had returned results “very likely” indicating nerve damage.

So what are vitamin B6 supplements? How can they be toxic? And which symptoms do you need to watch out for?

What is vitamin B6?

Vitamin B6, also known as pyridoxine, plays an important role in keeping the body healthy. It is involved in the metabolism of proteins, carbohydrates and fats in food. It is also important for the production of neurotransmitters – chemical messengers in the brain that maintain its function and regulate your mood.

Vitamin B6 also supports the immune system by helping to make antibodies, which fight off infections. And it is needed to produce haemoglobin, the protein in red blood cells that carries oxygen around the body.

Some women take a vitamin B6 supplement when pregnant. It is thought this helps reduce the nausea associated with the early stages of pregnancy. Some women also take it to help with premenstrual syndrome.

However, most people don’t need, and won’t benefit from, a vitamin B6 supplement. That’s because you get enough vitamin B6 from your diet through meat, breakfast cereal, fruit and vegetables.

You don’t need much. A dose of 1.3–1.7 milligrams a day is enough for most adults.

Currently, vitamin B6 supplements with a daily dose of 5–200mg can be sold over the counter at health food stores, supermarkets and pharmacies.

Because of safety concerns, the TGA is proposing limiting their sale to pharmacies, and only after consultation with a pharmacist.

Daily doses higher than 200mg already need a doctor’s prescription. So under the proposal that would stay the same.

What happens if you take too much?

If you take too much vitamin B6, in most cases the excess will be excreted in your urine and most people won’t experience side effects. But there is a growing concern about long-time, high-dose use.

A side effect the medical community is worried about is peripheral neuropathy – where there is damage to the nerves outside the brain and spinal cord. This results in pain, numbness or weakness, usually in your hands and feet. We don’t yet know exactly how this happens.

In most reported cases, these symptoms disappear once you stop taking the supplement. But for some people it may take three months to two years before they feel completely better.

There is growing, but sometimes contradictory, evidence that high doses (more than 50mg a day) for extended periods can result in serious side effects.

A study from the 1990s followed 70 patients for five years who took a dose of 100 to 150mg a day. There were no reported cases of neuropathy.

But more recent studies show high rates of side effects.

A 2023 case report provides details of a man who was taking multiple supplements. This resulted in a daily combined 95mg dose of vitamin B6, and he experienced neuropathy.

Another report describes seven cases of neuropathy linked to drinking energy drinks containing vitamin B6.

Reports to the TGA’s database of adverse events notifications (a record of reported side effects) shows 174 cases of neuropathy linked with vitamin B6 use since 2023.

What should I do if I take vitamin B6?

The current advice is that someone who takes a dose of 50mg a day or more, for more than six months, should be monitored by a health-care professional. So if you regularly take vitamin B6 supplements you should discuss continued use with your doctor or pharmacist.

There are three side effects to watch out for, the first two related to neuropathy:
1. numbness or pain in the feet and hands
2. difficulty with balance and coordination as a result of muscle weakness
3. heartburn and nausea.
If you have worrying side effects after taking vitamin B6 supplements, contact your state’s poison information centre on 13 11 26 for advice.

Nial Wheate in the past has received funding from the ACT Cancer Council, Tenovus Scotland, Medical Research Scotland, Scottish Crucible, and the Scottish Universities Life Sciences Alliance. He is a fellow of the Royal Australian Chemical Institute. Nial is the chief scientific officer of Vaihea Skincare LLC, a director of SetDose Pty Ltd (a medical device company) and was previously a Standards Australia panel member for sunscreen agents. He is a member of the Haleon Australia Pty Ltd Pain Advisory Board. Nial regularly consults to industry on issues to do with medicine risk assessments, manufacturing, design and testing.

Slade Matthews provides scientific evaluations to the Therapeutic Goods Administration as a member of the Therapeutic Goods Assessment and Advisory Panel. Slade serves on the NSW Poisons Advisory Committee for NSW Health as the minister-nominated pharmacologist appointed by the Governor of NSW.

– ref. Too much vitamin B6 can be toxic. 3 symptoms to watch out for – https://theconversation.com/too-much-vitamin-b6-can-be-toxic-3-symptoms-to-watch-out-for-260400
MIL OSI Analysis –
July 5, 2025
MIL-OSI Analysis: How Europe dropped the ball on its own defence and was left fawning over Donald Trump – podcast

Source: The Conversation – Global Perspectives – By Gemma Ware, Host, The Conversation Weekly Podcast, The Conversation

The language from European leaders was fawning and obsequious. At one point, the head of Nato, Mark Rutte, even called Donald Trump “daddy”. But when the US president left the Nato summit in late June, there was a sigh of relief that he had not made any more angry criticism of the alliance.

After months of American pressure, Nato members – with the exception of Spain – agreed to increase their spending on defence to 5% of GDP by 2035. Trump called it “very big news”, and even reconfirmed his commitment to Nato’s article 5, which means an attack on one Nato country is an attack on them all.

How did Europe become so unable to defend itself that it was forced to resort to outright flattery of an American president?

In this episode of The Conversation Weekly podcast, we report from the recent Siena Conference on the Europe of the Future in Italy about how the EU dropped the ball on its own defence and what its options are now.

The European Commission, the executive branch of EU government, only appointed its first commissioner for defence in December 2024. There is no EU army, and no consensus as to whether democratic nations could ever allow one to be built.

But in the period after the second world war, ambitions for a united European defence policy were much grander, as Ana Juncos Garcia, professor of European politics at the University of Bristol in the UK, explains:

There was this idea to establish a European Defence Community which would pool competencies at the national level in defence to the European level, creating a supranational organisation with its own minister of defence, its own military committee.

That failed in 1954 when the French national assembly rejected ratification of the treaty and progress on a pan-European defence strategy stalled. Nato, founded in 1949, became the core military alliance organising Europe’s defence, with the US as its main guarantor.

Ever since, the EU has tried to balance the need for maintaining that transatlantic relationship, and figuring out a way to organise, and procure, its own defence capabilities in a joined up way.

Listen to The Conversation Weekly podcast, which includes interviews with Francesco Grillo, academic fellow in political science at Bocconi University in Italy, and François Lafond, former assistant professor at Sciences Po University in Paris and former advisor to the Western Balkans on European integration.

This episode of The Conversation Weekly was written and produced by Gemma Ware with assistance from Katie Flood and Mend Mariwany. Mixing and sound design by Eloise Stevens and theme music by Neeta Sarl.

Newsclips in this episode from National Defence, NBC News, CNBCtelevision, Forbes Breaking News, CBS News and Critical Past.

Listen to The Conversation Weekly via any of the apps listed above, download it directly via our RSS feed or find out how else to listen here. A transcript of this episode is available on Apple Podcasts or Spotify.

Ana Juncos Garcia has received UKRI funding for a MSCA Doctoral Network and funding from Horizon Europe, ESRC IAA and WUN. She is also a visiting professor at the College of Europe.

Francesco Grillo is associated to VISION think tank.

– ref. How Europe dropped the ball on its own defence and was left fawning over Donald Trump – podcast – https://theconversation.com/how-europe-dropped-the-ball-on-its-own-defence-and-was-left-fawning-over-donald-trump-podcast-260152

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: The NHS ten-year health plan is missing a crucial ingredient: nature

Source: The Conversation – UK – By Andrea Mechelli, Professor of Early Intervention in Mental Health, King’s College London

mimagephotography/Shutterstock

The UK government has finally unveiled its much anticipated ten-year Plan for improving England’s health. It contains a long overdue focus on prevention, after years of sidestepping by previous administrations.

The plan rightly recognises that preventing illness before it begins is the most effective way to improve people’s wellbeing. It should have the added benefit of reducing strain on the NHS and easing the nation’s financial burden.

Mental health, too, is given the attention it deserves. Recognised as integral to our overall health, its inclusion couldn’t be more timely. A 2023 international study found that one in two people will experience a mental health condition in their lifetime — a much higher figure than previously estimated.

But one striking omission threatens to undermine the plan’s success: nature. Evidence tells us that it’s one of the most powerful means of supporting physical and mental health. And yet is not mentioned once in the plan’s 168 pages.

If this plan is about prevention, then nature should be central to it. The science is unequivocal: contact with the natural world supports human health in wide ranging and profound ways. It lowers stress, improves mood, and alleviates symptoms of anxiety.

For children, time in nature can even aid brain development. Nature helps reduce exposure to air pollution, moderates urban heat, and fosters physical activity and social connection.

It can also reduce feelings of loneliness, improve the diversity of our gut microbiota – by exposing us to a wider range of environmental microbes that help train and balance the immune system – and support the immune system by reducing inflammation. All of these play a vital role in protecting against chronic disease.

Read more:
People feel lonelier in crowded cities – but green spaces can help

Then there are the intangible yet no less important benefits. Nature provides a sense of awe and wonder – feelings that help us gain perspective, boost emotional resilience and find deeper meaning in everyday life.

Our own research shows that even small, everyday moments in nature, watching birds from your window, for example, or pausing under a blooming tree on your way to the shop, can significantly boost mental wellbeing.

Consider this: a Danish study found that growing up near green spaces during the first ten years of life reduces the risk of developing mental health problems in adulthood by a staggering 55%. A UK study similarly showed that people living in greener neighbourhoods were 16% less likely to experience depression and 14% less likely to develop anxiety.

And as heatwaves become more frequent and intense – with soaring illness and mortality rates – the cooling effects of trees and parks will become more vital than ever for protecting our health.

Not all green space is equal

But it’s not just access to green space that matters – it’s also the quality of that space.

Green areas rich in biodiversity, with a wide variety of plant life, birds, insects and fungi, provide much greater health benefits than sparse or manicured lawns. Biodiversity builds resilience not just in ecosystems, but in our bodies and minds.

A recent study in The Lancet Planetary Health found that people living in areas with greater bird diversity were significantly less likely to experience depression and anxiety, even after accounting for socioeconomic and demographic factors.

This research underlines a simple but urgent truth: we cannot talk about human health without talking about biodiversity.

Read more:
Why diversity in nature could be the key to mental wellbeing

To deliver true prevention and resilience, we need a joined-up approach across government: one that aligns health policy with environmental protection, housing, urban design, education and transport. This means rethinking how we plan and build our communities: what kind of housing we develop, how we move around, what we grow and eat and how we live in relationship with the ecosystems that support us.

There are many ways this vision can be put into action. The Neighbourhood Health Service outlined in the ten-year plan could be tied directly to local, community-led efforts such as Southwark’s Right to Grow campaign, which gives residents the right to cultivate unused land. This kind of initiative improves access to fresh food, promotes physical activity, strengthens community bonds and increases green cover – all of which support long-term health.

School curricula could be revised to give children the opportunity to learn not just about nature, but also in nature – developing ecological literacy, emotional resilience and healthier habits for life. Health professionals could be trained to understand and promote the value of time outdoors for managing chronic conditions and supporting recovery. Green social prescribing – already gaining ground across the UK – should be fully integrated into standard care, with robust resourcing and cross-sector support.

Learning from success

Scotland’s Green Health Partnerships show what’s possible. These initiatives bring together sectors including health, environment, education, sport and transport to promote nature-based health solutions – from outdoor learning and physical activity in parks, to conservation volunteering and nature therapy.

They don’t just improve health; they strengthen communities, build climate resilience and create cost-effective, scaleable solutions for prevention.

The ten-year plan is a once-in-a-generation opportunity. It could help remove departmental silos and unify national goals across health, climate, inequality and economic recovery, while saving billions in the process. But in its current form, it misses a crucial ingredient.

By failing to recognise the centrality of nature in our health, the government overlooks one of the simplest and most effective ways to build resilience – both human and ecological. Surely it is not beyond a nation of nature lovers to put nature at the heart of our future health?

Andrea Mechelli receives funding from Wellcome Trust.

Giulia Vivaldi, Michael Smythe, and Nick Bridge do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. The NHS ten-year health plan is missing a crucial ingredient: nature – https://theconversation.com/the-nhs-ten-year-health-plan-is-missing-a-crucial-ingredient-nature-260508

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: The ‘Mind’ diet is good for cognitive health – here’s what foods you should put on your plate
Source: The Conversation – UK – By Aisling Pigott, Lecturer, Dietetics, Cardiff Metropolitan University

The ‘Mind’ diet is very similar to the Mediterranean diet, but emphasises consuming nutrients that benefit the brain. Svetlana Khutornaia/ Shutterstock

There’s long been evidence that what we eat can affect our risk of dementia, Alzheimer’s disease and cognitive decline as we age. But can any one diet actually keep the brain strong and lower dementia risk? Evidence suggests the so-called “Mind diet” might.

The Mind diet (which stands for the Mediterranean-Dash intervention for neurocognitive delay) combines the well-established Mediterranean diet with the “Dash” diet (dietary approaches to stop hypertension). However, it also includes some specific dietary modifications based on their benefits to cognitive health.

Both the Mediterranean diet and Dash diet are based on traditional eating patterns from countries which border the Mediterranean sea.

Both emphasise eating plenty of plant-based foods (such as fruits, vegetables, nuts and seeds), low-fat dairy products (such as milk and yoghurts) and lean proteins including fish and chicken. Both diets include very little red and processed meats. The Dash diet, however, places greater emphasis on consuming low-sodium foods, less added sugar and fewer saturated and trans-fats to reduce blood pressure.

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

Both diets are well-researched and shown to be effective in preventing lifestyle-related diseases – including cardiovascular disease and hypertension. They’re also shown to help protect the brain’s neurons from damage and benefit cognitive health.

The Mind diet follows many of the core tenets of both diets but places greater emphasis on consuming more foods that contain nutrients which promote brain health and prevent cognitive decline, including:
- flavonoids and polyphenols found in fruit, vegetables, tea and dark chocolate
- folate found in leafy greens and legumes
- N-3 polyunsaturated fatty acids found in oily fish, nuts and seeds.
Numerous studies have been conducted on the Mind diet, and the evidence for this dietary approach’s brain health benefit is pretty convincing.

For instance, one study asked 906 older adults about their usual diet — giving them a “Mind score” based on the number of foods and nutrients they regularly consumed that are linked with lower dementia risk. The researchers found a link between people who had a higher Mind diet score and slower cognitive decline when followed up almost five years later.

Another study of 581 participants found that people who had closely followed either the Mind diet or the Mediterranean diet for at least a decade had fewer signs of amyloid plaques in their brain when examined post-mortem. Amyloid plaques are a key hallmark of Alzheimer’s disease. Higher intake of leafy greens appeared to the most important dietary component.

A systematic review of 13 studies on the Mind diet has also found a positive association between adherence to the Mind diet and cognitive performance and function in older people. One paper included in the review even demonstrated a 53% reduction in Alzheimer’s disease risk in those that adhered to the diet.

The Mind diet encourages eating berries, which contain a plant compound thought to be beneficial for the brain.
etorres/ Shutterstock

It’s important to note that most of this research is based on observational studies and food frequency questionnaires, which have their limitations in research due to reliabiltiy and participant bias. Only one randomised control trial was included in the review. It found that women who were randomly assigned to follow the Mind diet over a control diet for a short period of time showed a slight improvement in memory and attention.

Research in this field is ongoing, so hopefully we’ll soon have a better understanding of the diet’s benefits – and know exactly why it’s so beneficial.

Mind your diet

UK public health guidance recommends people follow a balanced diet to maintain good overall health. But the Mind diet offers a more targeted approach for those hoping to look after their cognitive health.

While public health guidance encourages people to eat at least five portions of fruit and vegetables daily, the Mind diet would recommend choosing leafy green vegetables (such as spinach and kale) and berries for their cognitive benefits.

Similarly, while UK guidance says to choose unsaturated fats over saturated ones, the Mind diet explicitly recommends that these fats come from olive oil. This is due to the potential neuroprotective effects of the fats found in olive oil.

If you want to protect your cognitive function as you age, here are some other small, simple swaps you can make each day to more closely follow the Mind diet:
- upgrade your meals by sprinkling nuts and seeds on cereals, salads or yoghurts to increase fibre and healthy fats
- eat the rainbow of fruit and vegetables, aiming to fill half your plate with these foods
- canned and frozen foods are just as nutrient-rich as fresh fruits and vegetables
- bake or airfry vegetables and meats instead of frying to reduce fat intake
- opt for poly-unsaturated fats and oils in salads and dressings – such as olive oil
- bulk out meat or meat alternatives with pulses, legumes chickpeas or beans. These can easily be added into dishes such as spaghetti bolognese, chilli, shepherd’s pie or curry
- use tinned salmon, mackerel or sardines in salads or as protein sources for meal planning.
These small changes can have a meaningful impact on your overall health – including your brain’s health. With growing evidence linking diet to cognitive function, even little changes to your eating habits may help protect your mind as you age.

Aisling Pigott receives funding from Health and Care Research Wales

Sophie Davies does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. The ‘Mind’ diet is good for cognitive health – here’s what foods you should put on your plate – https://theconversation.com/the-mind-diet-is-good-for-cognitive-health-heres-what-foods-you-should-put-on-your-plate-259106
MIL OSI Analysis –
July 5, 2025
MIL-OSI Submissions: What Elio can help teach us about eye patching, stigma and the developing brain

Source: The Conversation – UK – By Rebecca Willis, Doctoral Researcher in Clinical Neurosciences, University of Oxford

Disney Pixar’s latest film, Elio, follows a familiar-sounding character, a lovable and imaginative young hero who dreams of finding a place where he truly belongs. But amid the colour and chaos of the film’s outer space setting, one subtle detail stands out: Elio wears an eye patch.

In the real world, eye patches are commonly used to treat amblyopia, or “lazy eye”, a neurodevelopmental visual condition projected to affect 175.2 million people globally by 2030. In amblyopia, the brain favours one eye over the other, leading to reduced vision in the weaker eye.

Treatment often involves covering the stronger eye with a patch, encouraging the brain to rely on the weaker eye and improve its function. This therapy is most effective during early childhood and can take months of daily commitment.

Yet, despite how common visual conditions are, positive representation of patch-wearing is rare in popular media.

Animated films have long shaped childhood imaginations, but historically, characters with eye patches or other visual markers often fall into negative stereotypes.

Think Mr Potato Head’s alter ego One-Eyed Bart in Toy Story, or Madagascar’s Dr. Blowhole: characters where an eye patch signals villainy. Glasses, meanwhile, are more often seen on older characters like Carl Fredrickson from Up or Roz from Monsters Inc.

Characters with strabismus (misaligned eyes), like Ed from The Lion King, are often portrayed as unintelligent or clumsy. One recent study found that strabismus in children’s animated films is consistently associated with negative character traits – something that can reinforce harmful stigma.

These portrayals matter. Film plays a powerful role in shaping beliefs, especially for young children who are developing a sense of identity, belonging and how to relate to others. When visual conditions are stereotyped, it can reinforce feelings of embarrassment and difference.

For children wearing a patch, these feelings can lead to skipping treatment days and poorer outcomes. In contrast, authentic, positive representation can build self-esteem, promote acceptance, and provide relatable role models.

A subtle but powerful shift

Happily, things are starting to change. In recent Disney/Pixar films, we’ve seen characters with glasses portrayed as dynamic, central figures: Encanto’s Mirabel, Turning Red’s Priya and Mei, and Big Hero 6’s scientist-superhero Honey Lemon, for example. These characters challenge old stereotypes and broaden the narrative around vision.

Elio continues that progress. The young protagonist’s eye patch is not a plot point, nor is it used to symbolise frailty, villainy or wisdom. It simply exists – a quiet part of his identity, not something to overcome.

That subtlety is powerful. For children who wear patches, seeing someone like Elio leading a space mission, not sidelined by his visual condition, can be deeply affirming.

Beyond the screen, Elio has sparked conversation and awareness. Prevent Blindness launched a campaign around the film to raise public understanding of amblyopia and the importance of early detection. Eye care organisations have also used the film as an educational tool, while individuals have shared their stories of patching and treatment across social media.

When amblyopia is recognised and treated early, patching can be remarkably effective. But awareness is key, and so is reducing stigma that might discourage children from wearing their patch.

Childhood amblyopia research

Although patching often restores vision, it doesn’t work for every child – and we still don’t fully understand why. There is limited research into how patching affects the developing brain, and this lack of insight hinders improvements in treatment.

Our research with Holly Bridge, Vision Group leader at Oxford University, aims to change that. We’re studying how patching changes brain chemistry in young children.

Adult studies suggest that chemical shifts in visual parts of the brain may be linked to patching outcomes. To explore this in children, we’re running a study of five to eight-year-olds with amblyopia or healthy vision.

In our study, children with amblyopia receive a safe, non-invasive brain scan before and after patching treatment. We also measure their vision using child-friendly tests. We then compare these results to children with healthy vision who don’t wear a patch, helping us to understand both visual changes and brain development.

We hope Elio marks the beginning of more inclusive storytelling, where difference isn’t erased or exaggerated, but simply woven into the fabric of character and adventure. Like Elio’s journey through space, the path to better understanding and representation of childhood visual conditions has faced challenges.

But perhaps this is the launch we needed: towards better awareness, better research, and a future where every child feels seen – on screen and beyond.

Rebecca Willis receives funding from a Royal Society Studentship.

Betina Ip is funded by The Royal Society (Dorothy Hodgkin Research Fellowship, DHFR1201141) and the UKRI-MRC (MR/V034723/1).

Megan Groombridge receives funding from the MRC (MR/V034723/1).

– ref. What Elio can help teach us about eye patching, stigma and the developing brain – https://theconversation.com/what-elio-can-help-teach-us-about-eye-patching-stigma-and-the-developing-brain-259946

MIL OSI –

July 5, 2025
MIL-OSI Submissions: Why the l-carnitine sport supplement is controversial

Source: The Conversation – UK – By Julia Haarhuis, PhD student – Food, Microbiomes and Health, Quadram Institute

Miljan Zivkovic/Shutterstock

Sport supplements are hard to get away from if you like to exercise regularly. Even if you’re not interested in them, there’s a good chance your gym will have posters extolling their virtues or your sporty friends will want to talk to you about them.

It can be hard to know what supplements to take as there is a lot of mixed information out there. L-carnitine is among the more controversial supplements. While there is evidence it supports muscle recovery and enhances exercise performance, research has also shown it can contribute to cardiovascular disease.

In a new study, my colleagues and I found it may be possible to counter the negative effects of l-cartinine by eating pomegranate with it.

First, it’s important to understand what l-carnitine is. Your body produces a small amount of l-carnitine naturally. This happens in the kidneys, liver and brain.

When l-carnitine was first identified in humans in 1952, it was thought to be a vitamin and it was referred to as vitamin BT. After years of research on this compound, l-carnitine is now considered a quasi-vitamin because for most people the human body can produce enough l-carnitine itself.

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

L-carnitine can be bought as a dietary supplement, but the nutrient is also added to energy drinks and some protein powders by manufacturers to try and enhance the value of their products. Manufacturers normally clearly state it on the product if it contains l-carnitine – it’s not something a company will try to hide.

Some foods naturally contain l-carnitine, such as meat and in tiny amounts in dairy products. L-carnitine is not fed to livestock but it is present in muscle tissue. L-carnitine was first found in meat in 1905. It is for this reason that the name carnitine is derived from the Latin word carnis, meaning “of the flesh”.

L-carnitine is sold in sport supplements.
9dream studio/Shutterstock

The harmful effects of l-carnitine supplements

It is not thought to be intrinsically harmful. Your gut microbes are to blame for the risks associated with l-carnitine.

Less than 20% of l-carnitine supplements can be taken in by the human body. The unabsorbed l-carnitine travels down the gastrointestinal tract and reaches the colon. The colon is home to trillions of microbes, including bacteria, viruses and fungi.

When the remaining 80% of the l-carnitine supplement arrives in the colon, the microbes start absorbing the nutrient and they use it to produce something else: trimethylamine (TMA). TMA is a compound the human body can efficiently absorb, and that is where the potentially harmful effects of l-carnitine supplements arise.

Once the body absorbs TMA, it goes to the liver via the blood stream. The liver converts TMA to trimethylamine N-oxide (TMAO). Research has shown that high levels of TMAO in the blood can contribute to cardiovascular disease.

For example, a research group at the Cleveland Clinic in the US gave human participants a nutrient similar to l-carnitine that is also converted into TMA by gut microbes. The researchers found that the nutrient caused an increased risk of thrombosis (blood clots) in their participants.

L-carnitine itself is a beneficial nutrient. When it is produced by our bodies, which happens in the kidneys, brain and liver, it’s not metabolised by the gut microbiota and isn’t converted to TMAO. Your body can absorb more l-carnitine from meat than from supplements, which makes it less harmful as that means less of it ends up in the colon.

Dietary intervention can reduce harmful effects

In my team’s lab at the Quadram Institute in Norwich, England, we simulated what happens when the l-carnitine supplement reaches the microbes in the colon. We fed a culture of gut microbes with l-carnitine and measured the TMA that the microbes produced.

Then, we fed a culture of gut microbes with l-carnitine together with a pomegranate extract, which is rich in polyphenols. Polyphenols are plant compounds with antioxidant, antimicrobial, and anti-inflammatory properties that may help keep you healthy and protect you against diseases.

The main polyphenols in pomegranate belong to a group called ellagitannins, a type of polyphenol that can reach the colon almost entirely intact, where they can interact with the gut microbiota. When we measured the TMA that the gut microbes produced in the second experiment, we saw much less TMA.

Our experiments in the lab show that a polyphenol-rich pomegranate extract can reduce microbial TMA production and eliminate the potentially harmful effects of l-carnitine supplements.

Our laboratory experiments showed that the pomegranate extract can reduce the production of TMA. Ellagitannins are also abundant in other fruits and nuts, such as raspberries and walnuts. So, if you take l-carnitine supplements, our research suggests that it may be a good idea to include ellagitannin-rich foods in your diet. Eating more fruits and nuts can be good for your health, so including these in your diet will probably be beneficial anyway.

Our group is now moving the science outside of the lab. We are testing in human participants how effective the pomegranate extract is at reducing TMAO production from l-carnitine supplements. This study will tell us whether taking an l-carnitine supplement along with a pomegranate extract may be better than taking the supplement on its own.

Julia Haarhuis works at the Quadram Institute and receives funding from the Wellcome Trust.

– ref. Why the l-carnitine sport supplement is controversial – https://theconversation.com/why-the-l-carnitine-sport-supplement-is-controversial-219520

MIL OSI –

July 5, 2025
MIL-OSI Analysis: NHS ten-year plan for England: what’s in it and what’s needed to make it work

Source: The Conversation – UK – By Judith Smith, Professor of Health Policy and Management, University of Birmingham

The UK government has published its eagerly awaited ten-year health plan for England, setting out how billions of pounds in NHS funding will be used to transform healthcare delivery across the country.

As anticipated, the plan is framed around the government’s three missions for the NHS: shifting care from hospital into the community, moving from analogue to digital communication, and focusing on preventing ill health rather than treating illness.

The 168-page document responds to a stark warning that the NHS is “in serious trouble”. It is remarkable for the sheer number of ideas and proposals. As well as describing major new developments to improve people’s access to local in-person and virtual NHS care and disease prevention, it sets out a blizzard of other proposals.

These include abolishing Healthwatch (a national watchdog that listens to people’s views on health and social care services to improve them), and bringing back some of the reforms of the Tony Blair era such as “new foundation trusts” and using private funding for new buildings.

From hospital to community

The big idea in the ten-year plan is a neighbourhood health service: large local health centres where people can access GP, nursing, dental, pharmacy, diagnostic and other services six days a week, 12 hours a day. These are intended to relieve pressure on hospitals and emergency departments, eventually replacing many outpatient clinics.

The idea of shifting care into the community is not new. It has been advocated for over 30 years, including in the NHS white paper of 1997, the 2006 policy paper Our health, our care, our say, the NHS five-year forward view of 2014, and the NHS long-term plan of 2019.

Some progress has been made in this direction. For example, much of the care for people living with asthma and diabetes is now provided in local general practices. Many general practices already have large teams of doctors, nurses, pharmacists, physiotherapists and other staff who offer aspects of the wider “neighbourhood care” described in the new plan.

But what has not been achieved is having larger-scale primary care teams consistently available across the NHS. The new plan proposes new contracts and shifts of funding to enable wider change, and while welcome, these will be challenging to put into practice against a backdrop of major service pressures.

From analogue to digital

The plan emphasises strongly the need to extend the role of the NHS app, with it becoming the “doctor in your pocket” and the main route into NHS services. It proposes that the app holds your full patient record, enables you to book GP and hospital appointments and becomes a key source of healthcare advice.

This sounds very attractive. However, the devil will be in the detail. There are so many NHS IT systems to harmonise, and major data security and privacy issues to overcome.

Most critically, much attention must be given to sorting out basic NHS admin systems that are too often confusing and paper-based. This will entail lots of work with NHS clinical and administrative staff, changing long-standing ways of working, introducing new technology and adapting “the way we do things round here”.

Using AI to record doctor visits, understand test results and give health advice could really change how healthcare works. But this will take lots of time and money to train staff, try out new systems and put them in place. Also, people will need clear information about what to expect from their local health services in the future.

From sickness to prevention

England is getting sicker, and there are stark inequalities between the richest and the poorest.

To achieve the plan’s goal of empowering people to make healthier choices, robust cross-government action is essential across sectors, including housing, education and welfare. While some important measures such as the tobacco and vapes bill, plans to measure supermarkets’ sales of healthy foods, and the expansion of free school meals are included in the plan, others such as minimum alcohol pricing have been notably excluded.

Integrated care boards (ICBs), the regional bodies who plan and fund NHS services in England, and local councils will be vital in enabling these public health measures to be implemented. However, this will be difficult in the short to medium term as ICBs are being forced to merge, cut headcount and reorganise their work.

Making it work

For the ten-year plan to succeed, three key elements are essential.

First, there is an urgent need to set priorities. The public expects much swifter access to on-the-day GP appointments, an end to excessive waits in accident and emergency departments, and reductions in waiting lists for operations.

The Department of Health and Social Care must guide the NHS in which aspects of the plan are to be addressed first. If everything is a priority, nothing is a priority.

Second, implementation really matters. There is only so much management capacity, staff time, funding and goodwill to introduce new technologies and services. This government has already embarked on another “redisorganisation” of the oversight agency NHS England, and now plans to axe or merge a number of other national and local NHS bodies. NHS managers are vital to implementing the plan, but need to feel valued and supported, not denigrated as superfluous.

Finally, the plan is almost silent on the two most pressing needs for government health reform. Without a properly funded system of adult social care to support older people and those living with enduring mental health needs, it is hard to see how hospital care can be transformed.

And without an urgent and significant shift of resources to general practice and community services, neighbourhood health services will remain more of a dream than reality.

Read more:
NHS unveils ten-year plan to shift from treatment to prevention – here’s what needs to change to make that happen

Judith Smith receives funding from the National Institute for Health and Care Research for research and evaluation. Judith is Senior Visiting Fellow at the Health Foundation.

– ref. NHS ten-year plan for England: what’s in it and what’s needed to make it work – https://theconversation.com/nhs-ten-year-plan-for-england-whats-in-it-and-whats-needed-to-make-it-work-260077

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: NHS ten-year plan for England: what’s in it and what’s needed to make it work

Source: The Conversation – UK – By Judith Smith, Professor of Health Policy and Management, University of Birmingham

The UK government has published its eagerly awaited ten-year health plan for England, setting out how billions of pounds in NHS funding will be used to transform healthcare delivery across the country.

As anticipated, the plan is framed around the government’s three missions for the NHS: shifting care from hospital into the community, moving from analogue to digital communication, and focusing on preventing ill health rather than treating illness.

The 168-page document responds to a stark warning that the NHS is “in serious trouble”. It is remarkable for the sheer number of ideas and proposals. As well as describing major new developments to improve people’s access to local in-person and virtual NHS care and disease prevention, it sets out a blizzard of other proposals.

These include abolishing Healthwatch (a national watchdog that listens to people’s views on health and social care services to improve them), and bringing back some of the reforms of the Tony Blair era such as “new foundation trusts” and using private funding for new buildings.

From hospital to community

The big idea in the ten-year plan is a neighbourhood health service: large local health centres where people can access GP, nursing, dental, pharmacy, diagnostic and other services six days a week, 12 hours a day. These are intended to relieve pressure on hospitals and emergency departments, eventually replacing many outpatient clinics.

The idea of shifting care into the community is not new. It has been advocated for over 30 years, including in the NHS white paper of 1997, the 2006 policy paper Our health, our care, our say, the NHS five-year forward view of 2014, and the NHS long-term plan of 2019.

Some progress has been made in this direction. For example, much of the care for people living with asthma and diabetes is now provided in local general practices. Many general practices already have large teams of doctors, nurses, pharmacists, physiotherapists and other staff who offer aspects of the wider “neighbourhood care” described in the new plan.

But what has not been achieved is having larger-scale primary care teams consistently available across the NHS. The new plan proposes new contracts and shifts of funding to enable wider change, and while welcome, these will be challenging to put into practice against a backdrop of major service pressures.

From analogue to digital

The plan emphasises strongly the need to extend the role of the NHS app, with it becoming the “doctor in your pocket” and the main route into NHS services. It proposes that the app holds your full patient record, enables you to book GP and hospital appointments and becomes a key source of healthcare advice.

This sounds very attractive. However, the devil will be in the detail. There are so many NHS IT systems to harmonise, and major data security and privacy issues to overcome.

Most critically, much attention must be given to sorting out basic NHS admin systems that are too often confusing and paper-based. This will entail lots of work with NHS clinical and administrative staff, changing long-standing ways of working, introducing new technology and adapting “the way we do things round here”.

Using AI to record doctor visits, understand test results and give health advice could really change how healthcare works. But this will take lots of time and money to train staff, try out new systems and put them in place. Also, people will need clear information about what to expect from their local health services in the future.

From sickness to prevention

England is getting sicker, and there are stark inequalities between the richest and the poorest.

To achieve the plan’s goal of empowering people to make healthier choices, robust cross-government action is essential across sectors, including housing, education and welfare. While some important measures such as the tobacco and vapes bill, plans to measure supermarkets’ sales of healthy foods, and the expansion of free school meals are included in the plan, others such as minimum alcohol pricing have been notably excluded.

Integrated care boards (ICBs), the regional bodies who plan and fund NHS services in England, and local councils will be vital in enabling these public health measures to be implemented. However, this will be difficult in the short to medium term as ICBs are being forced to merge, cut headcount and reorganise their work.

Making it work

For the ten-year plan to succeed, three key elements are essential.

First, there is an urgent need to set priorities. The public expects much swifter access to on-the-day GP appointments, an end to excessive waits in accident and emergency departments, and reductions in waiting lists for operations.

The Department of Health and Social Care must guide the NHS in which aspects of the plan are to be addressed first. If everything is a priority, nothing is a priority.

Second, implementation really matters. There is only so much management capacity, staff time, funding and goodwill to introduce new technologies and services. This government has already embarked on another “redisorganisation” of the oversight agency NHS England, and now plans to axe or merge a number of other national and local NHS bodies. NHS managers are vital to implementing the plan, but need to feel valued and supported, not denigrated as superfluous.

Finally, the plan is almost silent on the two most pressing needs for government health reform. Without a properly funded system of adult social care to support older people and those living with enduring mental health needs, it is hard to see how hospital care can be transformed.

And without an urgent and significant shift of resources to general practice and community services, neighbourhood health services will remain more of a dream than reality.

Read more:
NHS unveils ten-year plan to shift from treatment to prevention – here’s what needs to change to make that happen

Judith Smith receives funding from the National Institute for Health and Care Research for research and evaluation. Judith is Senior Visiting Fellow at the Health Foundation.

– ref. NHS ten-year plan for England: what’s in it and what’s needed to make it work – https://theconversation.com/nhs-ten-year-plan-for-england-whats-in-it-and-whats-needed-to-make-it-work-260077

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: NHS ten-year plan for England: what’s in it and what’s needed to make it work

Source: The Conversation – UK – By Judith Smith, Professor of Health Policy and Management, University of Birmingham

The UK government has published its eagerly awaited ten-year health plan for England, setting out how billions of pounds in NHS funding will be used to transform healthcare delivery across the country.

As anticipated, the plan is framed around the government’s three missions for the NHS: shifting care from hospital into the community, moving from analogue to digital communication, and focusing on preventing ill health rather than treating illness.

The 168-page document responds to a stark warning that the NHS is “in serious trouble”. It is remarkable for the sheer number of ideas and proposals. As well as describing major new developments to improve people’s access to local in-person and virtual NHS care and disease prevention, it sets out a blizzard of other proposals.

These include abolishing Healthwatch (a national watchdog that listens to people’s views on health and social care services to improve them), and bringing back some of the reforms of the Tony Blair era such as “new foundation trusts” and using private funding for new buildings.

From hospital to community

The big idea in the ten-year plan is a neighbourhood health service: large local health centres where people can access GP, nursing, dental, pharmacy, diagnostic and other services six days a week, 12 hours a day. These are intended to relieve pressure on hospitals and emergency departments, eventually replacing many outpatient clinics.

The idea of shifting care into the community is not new. It has been advocated for over 30 years, including in the NHS white paper of 1997, the 2006 policy paper Our health, our care, our say, the NHS five-year forward view of 2014, and the NHS long-term plan of 2019.

Some progress has been made in this direction. For example, much of the care for people living with asthma and diabetes is now provided in local general practices. Many general practices already have large teams of doctors, nurses, pharmacists, physiotherapists and other staff who offer aspects of the wider “neighbourhood care” described in the new plan.

But what has not been achieved is having larger-scale primary care teams consistently available across the NHS. The new plan proposes new contracts and shifts of funding to enable wider change, and while welcome, these will be challenging to put into practice against a backdrop of major service pressures.

From analogue to digital

The plan emphasises strongly the need to extend the role of the NHS app, with it becoming the “doctor in your pocket” and the main route into NHS services. It proposes that the app holds your full patient record, enables you to book GP and hospital appointments and becomes a key source of healthcare advice.

This sounds very attractive. However, the devil will be in the detail. There are so many NHS IT systems to harmonise, and major data security and privacy issues to overcome.

Most critically, much attention must be given to sorting out basic NHS admin systems that are too often confusing and paper-based. This will entail lots of work with NHS clinical and administrative staff, changing long-standing ways of working, introducing new technology and adapting “the way we do things round here”.

Using AI to record doctor visits, understand test results and give health advice could really change how healthcare works. But this will take lots of time and money to train staff, try out new systems and put them in place. Also, people will need clear information about what to expect from their local health services in the future.

From sickness to prevention

England is getting sicker, and there are stark inequalities between the richest and the poorest.

To achieve the plan’s goal of empowering people to make healthier choices, robust cross-government action is essential across sectors, including housing, education and welfare. While some important measures such as the tobacco and vapes bill, plans to measure supermarkets’ sales of healthy foods, and the expansion of free school meals are included in the plan, others such as minimum alcohol pricing have been notably excluded.

Integrated care boards (ICBs), the regional bodies who plan and fund NHS services in England, and local councils will be vital in enabling these public health measures to be implemented. However, this will be difficult in the short to medium term as ICBs are being forced to merge, cut headcount and reorganise their work.

Making it work

For the ten-year plan to succeed, three key elements are essential.

First, there is an urgent need to set priorities. The public expects much swifter access to on-the-day GP appointments, an end to excessive waits in accident and emergency departments, and reductions in waiting lists for operations.

The Department of Health and Social Care must guide the NHS in which aspects of the plan are to be addressed first. If everything is a priority, nothing is a priority.

Second, implementation really matters. There is only so much management capacity, staff time, funding and goodwill to introduce new technologies and services. This government has already embarked on another “redisorganisation” of the oversight agency NHS England, and now plans to axe or merge a number of other national and local NHS bodies. NHS managers are vital to implementing the plan, but need to feel valued and supported, not denigrated as superfluous.

Finally, the plan is almost silent on the two most pressing needs for government health reform. Without a properly funded system of adult social care to support older people and those living with enduring mental health needs, it is hard to see how hospital care can be transformed.

And without an urgent and significant shift of resources to general practice and community services, neighbourhood health services will remain more of a dream than reality.

Read more:
NHS unveils ten-year plan to shift from treatment to prevention – here’s what needs to change to make that happen

Judith Smith receives funding from the National Institute for Health and Care Research for research and evaluation. Judith is Senior Visiting Fellow at the Health Foundation.

– ref. NHS ten-year plan for England: what’s in it and what’s needed to make it work – https://theconversation.com/nhs-ten-year-plan-for-england-whats-in-it-and-whats-needed-to-make-it-work-260077

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe

Source: The Conversation – UK – By Rob Kingsley, Professor, Microbiology, Quadram Institute

_Salmonella_ causes salmonellosis — an infection that typically results in vomiting and diarrhoea. Lightspring/ Shutterstock

Salmonella cases in England are the highest they’ve been in a decade, according to recent UK Health Security Agency (UKHSA) data. There was a 17% increase in cases observed from 2023 to 2024 – culminating in 10,388 detected infections last year. Children and older adults accounted for around a fifth of cases.

Although the number of infections caused by foodborne diseases such as Salmonella had broadly decreased over the last 25 years, this recent spike suggests a broader issue is at play. A concurrent increase in Campylobacter cases points to a possible common cause that would affect risk of both foodborne pathogens – such as changes in consumer behaviour or food supply chains.

While the UK maintains a high standard of food safety, any increase in the incidence of pathogens such as Salmonella warrants serious attention.

Salmonella is a species of bacteria that is one of the most common causes of foodborne illnesses globally. The bacteria causes salmonellosis – an infection that typically causes vomiting and diarrhoea.

Most cases of salmonellosis don’t require medical intervention. But approximately one in 50 cases results in more serious blood infections. Fortunately, fatalities from Salmonella infections in the UK are extremely rare – occurring in approximately 0.2% of all reported infections.

Salmonella infections are typically contracted from contaminated foods. But a key challenge in controlling Salmonella in the food supply chain lies in the diverse range of foods it can contaminate.

Salmonella is zoonotic, meaning it’s present in animals, including livestock. This allows it to enter the food chain and subsequently cause human disease. This occurs despite substantial efforts within the livestock industry to prevent it from happening – including through regular testing and high welfare practices.

Salmonella can be present on many retail food products – including raw meat, eggs, unpasteurised milk, vegetables and dried foods (such as nuts and spices). When present, it’s typically at very low contamination levels. This means it doesn’t pose a threat to you if the product is stored and cooked properly.

Vegetables and leafy greens can also become contaminated with Salmonella through cross-contamination, which may occur from contaminated irrigation water on farms, during processing or during storage at home. As vegetables are often consumed raw, preventing cross-contamination is particularly critical.

Spike in cases

It’s premature to draw definitive conclusions regarding the causes of this recent increase in Salmonella cases. But the recent UKHSA report suggests the increase is probably due to many factors.

Never prepare raw meat next to vegetables you intend to eat without cooking, as cross-contamination can lead to Salmonella.
kathrinerajalingam/ Shutterstock

One contributing factor is that diagnostic testing has increased. This means we’re better at detecting cases. This can be viewed as a positive, as robust surveillance is integral to maintaining a safe food supply.

The UKHSA also suggests that changes in the food supply chain and the way people are cooking and storing their food due to the cost of living crisis could also be influential factors.

To better understand why Salmonella cases have spiked, it will be important for researchers to conduct more detailed examinations of the specific Salmonella strains responsible for the infections. While Salmonella is commonly perceived as a singular bacterial pathogen, there are actually numerous strains (serotypes).

DNA sequencing can tell us which of the hundreds of Salmonella serotypes are responsible for human infections. Two serotypes, Salmonella enteritidis and Salmonella Typhimurium, account for most infections in England.

Although the UKHSA reported an increase in both serotypes in 2024, the data suggests that Salmonella enteritidis has played a more significant role in the observed increase. This particular serotype is predominantly associated with egg contamination.

Salmonella enteritidis is now relatively rare in UK poultry flocks thanks to vaccination and surveillance programmes that were introduced in the 1980s and 1990s. So the important question here is where these additional S enteritidis infections are originating.

Although the numbers may seem alarming, what the UKHSA has reported is actually a relatively moderate increase in Salmonella cases. There’s no reason for UK consumers to be alarmed. Still, this data underscores the importance of thoroughly investigating the underlying causes to prevent this short-term increase from evolving into a longer-term trend.

Staying safe

The most effective way of lowering your risk of Salmonella involves adherence to the “4 Cs” of food hygiene:

1. Cleaning

Thoroughly wash hands before and after handling any foods – especially raw meat. It’s also essential to keep workspaces, knives and utensils clean before, during and after preparing your meal.

2. Cooking

The bacteria that causes Salmonella infections can be inactivated when cooked at the right temperature. In general, foods should be cooked to an internal temperature above 65°C – which should be maintained for at least ten minutes. When re-heating food, it should reach 70°C or above for two minutes to kill any bacteria that have grown since it was first cooked.

3. Chilling

Raw foods – especially meat and dairy – should always be stored below 5°C as this inhibits Salmonella growth. Leftovers should be cooled quickly and also stored at 5°C or lower.

4. Cross-contamination

To prevent Salmonella passing from raw foods to those that are already prepared or can be eaten raw (such as vegetables and fruit), it’s important to wash hands and clean surfaces after handling raw meat, and to use different chopping boards for ready-to-eat foods and raw meat.

Most Salmonella infections are mild and will go away in a few days on their own. But taking the right steps when storing and preparing your meals can significantly lower your risk of contracting it.

Rob Kingsley receives funding from the Biotechnology and Biological Sciences Research Council (BBSRC), Bill and Melinda Gates Foundation

– ref. Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe – https://theconversation.com/salmonella-cases-are-at-ten-year-high-in-england-heres-what-you-can-do-to-keep-yourself-safe-260032

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe

Source: The Conversation – UK – By Rob Kingsley, Professor, Microbiology, Quadram Institute

_Salmonella_ causes salmonellosis — an infection that typically results in vomiting and diarrhoea. Lightspring/ Shutterstock

Salmonella cases in England are the highest they’ve been in a decade, according to recent UK Health Security Agency (UKHSA) data. There was a 17% increase in cases observed from 2023 to 2024 – culminating in 10,388 detected infections last year. Children and older adults accounted for around a fifth of cases.

Although the number of infections caused by foodborne diseases such as Salmonella had broadly decreased over the last 25 years, this recent spike suggests a broader issue is at play. A concurrent increase in Campylobacter cases points to a possible common cause that would affect risk of both foodborne pathogens – such as changes in consumer behaviour or food supply chains.

While the UK maintains a high standard of food safety, any increase in the incidence of pathogens such as Salmonella warrants serious attention.

Salmonella is a species of bacteria that is one of the most common causes of foodborne illnesses globally. The bacteria causes salmonellosis – an infection that typically causes vomiting and diarrhoea.

Most cases of salmonellosis don’t require medical intervention. But approximately one in 50 cases results in more serious blood infections. Fortunately, fatalities from Salmonella infections in the UK are extremely rare – occurring in approximately 0.2% of all reported infections.

Salmonella infections are typically contracted from contaminated foods. But a key challenge in controlling Salmonella in the food supply chain lies in the diverse range of foods it can contaminate.

Salmonella is zoonotic, meaning it’s present in animals, including livestock. This allows it to enter the food chain and subsequently cause human disease. This occurs despite substantial efforts within the livestock industry to prevent it from happening – including through regular testing and high welfare practices.

Salmonella can be present on many retail food products – including raw meat, eggs, unpasteurised milk, vegetables and dried foods (such as nuts and spices). When present, it’s typically at very low contamination levels. This means it doesn’t pose a threat to you if the product is stored and cooked properly.

Vegetables and leafy greens can also become contaminated with Salmonella through cross-contamination, which may occur from contaminated irrigation water on farms, during processing or during storage at home. As vegetables are often consumed raw, preventing cross-contamination is particularly critical.

Spike in cases

It’s premature to draw definitive conclusions regarding the causes of this recent increase in Salmonella cases. But the recent UKHSA report suggests the increase is probably due to many factors.

Never prepare raw meat next to vegetables you intend to eat without cooking, as cross-contamination can lead to Salmonella.
kathrinerajalingam/ Shutterstock

One contributing factor is that diagnostic testing has increased. This means we’re better at detecting cases. This can be viewed as a positive, as robust surveillance is integral to maintaining a safe food supply.

The UKHSA also suggests that changes in the food supply chain and the way people are cooking and storing their food due to the cost of living crisis could also be influential factors.

To better understand why Salmonella cases have spiked, it will be important for researchers to conduct more detailed examinations of the specific Salmonella strains responsible for the infections. While Salmonella is commonly perceived as a singular bacterial pathogen, there are actually numerous strains (serotypes).

DNA sequencing can tell us which of the hundreds of Salmonella serotypes are responsible for human infections. Two serotypes, Salmonella enteritidis and Salmonella Typhimurium, account for most infections in England.

Although the UKHSA reported an increase in both serotypes in 2024, the data suggests that Salmonella enteritidis has played a more significant role in the observed increase. This particular serotype is predominantly associated with egg contamination.

Salmonella enteritidis is now relatively rare in UK poultry flocks thanks to vaccination and surveillance programmes that were introduced in the 1980s and 1990s. So the important question here is where these additional S enteritidis infections are originating.

Although the numbers may seem alarming, what the UKHSA has reported is actually a relatively moderate increase in Salmonella cases. There’s no reason for UK consumers to be alarmed. Still, this data underscores the importance of thoroughly investigating the underlying causes to prevent this short-term increase from evolving into a longer-term trend.

Staying safe

The most effective way of lowering your risk of Salmonella involves adherence to the “4 Cs” of food hygiene:

1. Cleaning

Thoroughly wash hands before and after handling any foods – especially raw meat. It’s also essential to keep workspaces, knives and utensils clean before, during and after preparing your meal.

2. Cooking

The bacteria that causes Salmonella infections can be inactivated when cooked at the right temperature. In general, foods should be cooked to an internal temperature above 65°C – which should be maintained for at least ten minutes. When re-heating food, it should reach 70°C or above for two minutes to kill any bacteria that have grown since it was first cooked.

3. Chilling

Raw foods – especially meat and dairy – should always be stored below 5°C as this inhibits Salmonella growth. Leftovers should be cooled quickly and also stored at 5°C or lower.

4. Cross-contamination

To prevent Salmonella passing from raw foods to those that are already prepared or can be eaten raw (such as vegetables and fruit), it’s important to wash hands and clean surfaces after handling raw meat, and to use different chopping boards for ready-to-eat foods and raw meat.

Most Salmonella infections are mild and will go away in a few days on their own. But taking the right steps when storing and preparing your meals can significantly lower your risk of contracting it.

Rob Kingsley receives funding from the Biotechnology and Biological Sciences Research Council (BBSRC), Bill and Melinda Gates Foundation

– ref. Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe – https://theconversation.com/salmonella-cases-are-at-ten-year-high-in-england-heres-what-you-can-do-to-keep-yourself-safe-260032

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Parents who oppose sex education in schools often don’t discuss it at home

Source: The Conversation – USA – By Robin Pickering, Professor and Chair, Public Health, Gonzaga University

Lawmakers and school boards across the country have established policies that limit what schools can teach about gender, sexuality and reproductive health. Alexmia/iStock via Getty Images

Public battles over what schools can teach about sex, identity and relationships, often framed around “parental rights,” have become more intense in recent years.

Behind the loud debate lies a quiet contradiction. Many parents who say sex education should be taught only at home don’t actually provide it there, either.

As a scholar of sex education, I found that parents strongly opposed to comprehensive sex education in schools were the least likely to discuss health-promoting concepts such as consent, contraception, gender identity and healthy relationships. I discuss similar themes in my book, “A Modern Approach to the Birds and the Bees.”

Comprehensive sex education delays sexual activity, increases contraceptive use and reduces teen pregnancy and sexually transmitted infection rates. It has a complex history, but has long received bipartisan support.

In recent years, however, old debates over sex education and funding have taken a sharper turn.

In June 2025, the Trump administration ordered California to remove gender-identity materials from sex education lessons or risk losing over US$12 million in federal funding.

This directive is part of a broader shift. Since the early 1980s, abstinence-focused policy has existed at the federal level under Reagan with the Adolescent Family Life Act. In recent years, however, a wave of state-level legislation, often driven by conservative advocacy groups, has tried to limit what schools can teach about sexuality.

The parents’ rights movement

In 2023, Florida expanded its Parental Rights in Education, also known as the “Don’t Say Gay” law, to extend limits on discussing sexual orientation and gender identity to all K–12 grades. The law states that sex can be defined only as strictly binary, limits discussions of gender and sexuality, imposes rules on pronoun use and increases school board authority over curricula.

Other states, including Texas, Oklahoma, Louisiana and Kentucky, have imposed similar restrictions.

Federal, state and local efforts have sought to control or limit sex education in schools.
tupungato/iStock via Getty Images

Local school boards in states such as Florida, Idaho, Tennessee and Utah have removed textbooks, cut health courses and banned books with LGBTQ+ themes. Conservative, local school boards are reshaping sex education nationwide even though the vast majority of Americans oppose efforts to restrict books in public schools and are confident in public schools’ selection of books.

Who’s having the talk?

A national survey on parental attitudes and beliefs about school-based sex education revealed that some families do not practice what they preach.
diane39/iStock via Getty Images

As laws limit teaching about sex, gender and identity, I wanted to explore whether parents are stepping in to fill the gaps.

About 10% of the surveyed parents said sex education should happen only at home. Those parents were also most likely to say they “almost never” or “never” discussed sex, sexuality and romance with their children.

By contrast, parents who supported comprehensive, school-based sex ed were significantly more likely to discuss subjects including consent, contraception, identity and healthy relationships at home.

The survey also found that parents who opposed comprehensive sex education were more likely to believe commonly circulated misinformation, such as the idea that talking about sex encourages early sexual activity and that condoms are not effective.

These preliminary findings align with a robust body of peer-reviewed literature suggesting that parents who are more resistant to school-based sex ed are also less likely and less equipped to have open, informed conversations at home.

These findings point to a gap between expert recommendations and what parents do.

At the federal level, the Trump administration slashed funding for comprehensive sex education. The administration also expanded funding for abstinence-only programs, despite evidence of their ineffectiveness.

Risks rise without education

Teenagers learn about sex online, and pornography is among the top sources of information.
redhumv?E+ via Getty Images

A 2022 report from Common Sense Media found that nearly half of teens report learning about sex online, with pornography among the top sources.

Research indicates that even when schools and families avoid topics related to sexuality, young people still encounter sexual content. Yet, advocacy groups such as Moms for Liberty support the removal of what it considers “age-inappropriate” or “sexually explicit” materials from classrooms and school libraries.

The absence of structured, accurate education likely has implications for public health. According to the CDC, individuals ages 15 to 24 account for nearly half of all new sexually transmitted infections in the U.S.

Mississippi, Alabama and Arkansas have some of the highest teen birth and sexually transmitted infection rates. Yet, these states are also among those with the most restrictive sex education policies and poorest sex ed ratings.

These communities also face higher poverty, limited health care access and lower educational attainment. The combination deepens health disparities.

LGBTQ+ youth are especially vulnerable to sexually transmitted infections and related health challenges. This vulnerability is compounded in regions with limited access to inclusive education.

A 2023 CDC report found that students who receive inclusive sex education feel more connected to school and experience lower rates of depression and bullying. These benefits are especially critical for LGBTQ+ youth.

As debates over sex education continue, I believe it’s important for policymakers, school boards and communities to weigh parental input and public health data.

I am the author of the book, “A Modern Approach to the Birds and the Bees” which I mentioned in the article and do benefit from its sale.

– ref. Parents who oppose sex education in schools often don’t discuss it at home – https://theconversation.com/parents-who-oppose-sex-education-in-schools-often-dont-discuss-it-at-home-258892

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment

Source: The Conversation – USA – By Andrew Yockey, Assistant Professor of Public Health, University of Mississippi

Speedballing kills nearly 35,000 people in the U.S. every year. Cappi Thompson/Moment via Getty Images

Speedballing – the practice of combining a stimulant like cocaine or methamphetamine with an opioid such as heroin or fentanyl – has evolved from a niche subculture to a widespread public health crisis. The practice stems from the early 1900s when World War I soldiers were often treated with a combination of cocaine and morphine.

Once associated with high-profile figures like John Belushi, River Phoenix and Chris Farley , this dangerous polysubstance use has become a leading cause of overdose deaths across the United States since the early- to mid-2010s.

I am an assistant professor of public health who has written extensively on methamphetamine and opioid use and the dangerous combination of the two in the United States.

As these dangerous combinations of drugs increasingly flood the market, I see an urgent need and opportunity for a new approach to prevention and treatment.

Why speedballing?

Dating back to the 1970s, the term speedballing originally referred to the combination of heroin and cocaine. Combining stimulants and opioids – the former’s “rush” with the latter’s calming effect – creates a dangerous physiological conflict.

According to the National Institute on Drug Abuse, stimulant-involved overdose fatalities increased markedly from more than 12,000 annually in 2015 to greater than 57,000 in 2022, a 375% increase. Notably, approximately 70% of stimulant-related overdose deaths in 2022 also involved fentanyl or other synthetic opioids, reflecting the rising prevalence of polysubstance involvement in overdose mortality.

Users sought to experience the euphoric “rush” from the stimulant and the calming effects of the opioid. However, with the proliferation of fentanyl – which is far more potent than heroin – this combination has become increasingly lethal. Fentanyl is often mixed with cocaine or methamphetamine, sometimes without the user’s knowledge, leading to unintentional overdoses.

The rise in speedballing is part of a broader trend of polysubstance use in the U.S. Since 2010, overdoses involving both stimulants and fentanyl have increased 50-fold, now accounting for approximately 35,000 deaths annually.

This has been called the fourth wave of the opioid epidemic. The toxic and contaminated drug supply has exacerbated this crisis.

The comedian John Belushi died in 1982 from an overdose of cocaine and heroin.
Larry Hulst/Michael Ochs Archives via Getty Images

A dangerous combination of physiological effects

Stimulants like cocaine increase heart rate and blood pressure, while opioids suppress respiratory function. This combination can lead to respiratory failure, cardiovascular collapse and death. People who use both substances are more than twice as likely to experience a fatal overdose compared with those using opioids alone.

The conflicting effects of stimulants and opioids can also exacerbate mental health issues. Users may experience heightened anxiety, depression and paranoia. The combination can also impair cognitive functions, leading to confusion and poor decision-making.

Speedballing can also lead to severe cardiovascular problems, including hypertension, heart attack and stroke. The strain on the heart and blood vessels from the stimulant, combined with the depressant effects of the opioid, increases the risk of these life-threatening conditions.

Addressing the crisis

Increasing awareness about the dangers of speedballing is crucial. I believe that educational campaigns can inform the public about the risks of combining stimulants and opioids and the potential for unintentional fentanyl exposure.

There is a great need for better access to treatment for people with stimulant use disorder – a condition defined as the continued use of amphetamine-type substances, cocaine or other stimulants leading to clinically significant impairment or distress, from mild to severe. Treatments for this and other substance use disorders are underfunded and less accessible than those for opioid use disorder. Addressing this gap can help reduce the prevalence of speedballing.

Implementing harm reduction strategies by public health officials, community organizations and health care providers, such as providing fentanyl test strips and naloxone – a medication that reverses opioid overdoses – can save lives.

These measures allow individuals to test their drugs for the presence of fentanyl and have immediate access to overdose-reversing medication. Implementing these strategies widely is crucial to reducing overdose deaths and improving community health outcomes.

Andrew Yockey does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment – https://theconversation.com/speedballing-the-deadly-mix-of-stimulants-and-opioids-requires-a-new-approach-to-prevention-and-treatment-257425

MIL OSI Analysis –

July 5, 2025
MIL-OSI Analysis: Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable

Source: The Conversation – USA – By Sumit Agarwal, Assistant Professor of Internal Medicine, University of Michigan

The Congressional Budget Office estimates that 7.8 million Americans across the U.S. would lose their coverage through Medicaid – the public program that provides health insurance to low-income families and individuals – under the One Big Beautiful Bill Act making its way through Congress.

That includes 248,000 to 414,000 of my fellow residents of Michigan based on the House Reconciliation Bill in early June 2025. There are similarly deep projected cuts within the Senate version of the legislation.

Many of these people are working Americans who would lose Medicaid because of the onerous paperwork involved with the proposed work requirements.

They wouldn’t be able to get coverage in the Affordable Care Act Marketplaces after losing Medicaid. Premiums and out-of-pocket costs are likely to be too high for those making less than 100% to 138% of the federal poverty level who do not qualify for health insurance marketplace subsidies. Funding for this program is also under threat.

And despite being employed, they also wouldn’t be able to get health insurance through their employers because it is either too expensive or not offered to them. Researchers estimate that coverage losses would lead to thousands of medically preventable deaths across the country because people would be unable to access health care without insurance.

I am a physician, health economist and policy researcher who has cared for patients on Medicaid and written about health care in the U.S. for over eight years. I think it’s important to understand the role of Medicaid within the broader insurance landscape. Medicaid has become a crucial source of health coverage for low-wage workers.

A brief history of Medicaid expansion.

Michigan removed work requirements from Medicaid

A few years ago, Michigan was slated to institute Medicaid work requirements, but the courts blocked the implementation of that policy in 2020. It would have cost upward of US$70 million due to software upgrades, staff training, and outreach to Michigan residents enrolled in the Medicaid program, according to the Michigan Department of Health and Human Services.

Had it gone into effect, 100,000 state residents were expected to lose coverage within the first year.

The state took the formal step of eliminating work requirements from its statutes earlier this year in recognition of implementation costs being too high and mounting evidence against the policy’s effectiveness.

When Arkansas instituted Medicaid work requirements in 2018, there was no increase in employment, but within months, thousands of people enrolled in the program lost their coverage. The reason? Many people were subjected to paperwork and red tape, but there weren’t actually that many people who would fail to meet the criteria of the work requirements. It is a recipe for widespread coverage losses without meeting any of the policy’s purported goals.

Work requirements, far from incentivizing work, paradoxically remove working people from Medicaid with nowhere else to go for insurance.

Shortcomings of employer-sponsored insurance

Nearly half of Americans get their health insurance through their employers.

In contrast to a universal system that covers everyone from cradle to grave, an employer-first system leaves huge swaths of the population uninsured. This includes tens of millions of working Americans who are unable to get health insurance through their employers, especially low-income workers who are less likely to even get the choice of coverage from their employers.

Over 80% of managers and professionals have employer-sponsored health coverage, but only 50% to 70% of blue-collar workers in service jobs, farming, construction, manufacturing and transportation can say the same.

There are some legal requirements mandating employers to provide health insurance to their employees, but the reality of low-wage work means many do not fall under these legal protections.

For example, employers are allowed to incorporate a waiting period of up to 90 days before health coverage begins. The legal requirement also applies only to full-time workers. Health coverage can thus remain out of reach for seasonal and temporary workers, part-time employees and gig workers.

Even if an employer offers health insurance to their low-wage employees, those workers may forego it because the premiums and deductibles are too high to make it worth earning less take-home pay.

To make matters worse, layoffs are more common for low-wage workers, leaving them with limited options for health insurance during job transitions. And many employers have increasingly shed low-wage staff, such as drivers and cleaning staff, from their employment rolls and contracted that work out. Known as the fissuring of the workplace, it allows employers of predominately high-income employees to continue offering generous benefits while leaving no such commitment to low-wage workers employed as contractors.

Medicaid fills in gaps

Low-income workers without access to employer-sponsored insurance had virtually no options for health insurance in the years before key parts of the Affordable Care Act went into effect in 2014.

Research my co-authors and I conducted showed that blue-collar workers have since gained health insurance coverage, cutting the uninsured rate by a third thanks to the expansion of Medicaid eligibility and subsidies in the health insurance marketplaces. This means low-income workers can more consistently see doctors, get preventive care and fill prescriptions.

Further evidence from Michigan’s experience has shown that Medicaid can help the people it covers do a better job at work by addressing health impairments. It can also improve their financial well-being, including fewer problems with debt, fewer bankruptcies, higher credit scores and fewer evictions.

Premiums and cost sharing in Medicaid are minimal compared with employer-sponsored insurance, making it a more realistic and accessible option for low-income workers. And because Medicaid is not tied directly to employment, it can promote job mobility, allowing workers to maintain coverage within or between jobs without having to go through the bureaucratic complexity of certifying work.

Of course, Medicaid has its own shortcomings. Payment rates to providers are low relative to other insurers, access to doctors can be limited, and the program varies significantly by state. But these weaknesses stem largely from underfunding and political hostility – not from any intrinsic flaw in the model. If anything, Medicaid’s success in covering low-income workers and containing per-enrollee costs points to its potential as a broader foundation for health coverage.

The current employer-based system, which is propped up by an enormous and regressive tax break for employer-sponsored insurance premiums, favors high-income earners and contributes to wage stagnation. In my view, which is shared by other health economists, a more public, universal model could better cover Americans regardless of how someone earns a living.

Over the past six decades, Medicaid has quietly stepped into the breach left by employer-sponsored insurance. Medicaid started as a welfare program for the needy in the 1960s, but it has evolved and adapted to fill the needs of a country whose health care system leaves far too many uninsured.

Sumit Agarwal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable – https://theconversation.com/employers-are-failing-to-insure-the-working-class-medicaid-cuts-would-leave-them-even-more-vulnerable-259256

MIL OSI Analysis –

July 5, 2025
MIL-OSI United Kingdom: Minister Smith Keynote Speech at SKOPE Skills Summit, Oxford
Source: United Kingdom – Executive Government & Departments

Speech

Minister Smith Keynote Speech at SKOPE Skills Summit, Oxford

Speech delivered by Skills Minister Jacqui Smith at the University of Oxford on higher education reform, access and participation and working with the FE sector
Introduction

Good morning.

Thank you for inviting me today.

I am delighted to see the exciting work on skills education being led by SKOPE’s research on joined-up tertiary education systems. It is being discussed across the sector.

And I include government in that, as part of our commitment to evidence-based policymaking.

It’s a pleasure to be back in Oxford, where I studied all those years ago.

I was at Hertford, 5 minutes down the road, a college with a proud tradition of inclusion. I was a beneficiary of the Hertford Scheme to encourage state school pupils to apply.

I hardly dared hope on a snowy December day in 1980 that I could be the first person from my Worcestershire comprehensive to study here.

It was Hertford, with its pioneering approach to outreach, that gave me the confidence to apply.

Starting in 1965, it dramatically raised the college’s academic standards and performance.

In fact, at one point, the university threatened to disassociate Hertford for unfairly ‘poaching’ the best students!

But many colleges set up similar schemes to emulate its success, before admissions were finally standardised in 1984.

Why am I telling you this?

Because it shows that breaking down barriers to opportunity is the key to success.

For Oxford to succeed, it must welcome-in the best talent, from across the whole population.

Challenging Oxford

Oxford recently released their state school admissions data for 2024.

And the results were poor.

66.2% – the lowest entry rate since 2019.

I want to be clear, speaking at an Oxford college today, that this is unacceptable.

The university must do better.

The independent sector educates around 6% of school children in the UK.

But they make-up 33.8% of Oxford entrants.

Do you really think you’re finding the cream of the crop, if a third of your students come from 6% of the population?

It’s absurd.

Arcane, even.

And it can’t continue.

It’s because I care about Oxford and I understand the difference that it can make to people’s lives that I’m challenging you to do better. But it certainly isn’t only Oxford that has much further to go in ensuring access.

For example, it is shocking how few care leavers attend university, let alone this one!

Just 14% enter higher education, and they are more than twice as likely to drop-out.

University entry is supposed to be a meritocracy.

But there’s still an awful lot of untapped talent out there.

People with the potential to soar in higher education.

Universities have got to go further.

Play a stronger role in expanding access, and improve outcomes for disadvantaged students.

And this must include more support for care leavers, some of the most vulnerable people in our society.

I welcome Oxford’s recent commitment, along with other Russell Group universities, to do more for students who grew-up in care.

And to increase your admissions transparency, and use of contextual admissions.

I look forward to seeing some tangible outcomes from this pledge.

I’m not looking for tinkering at the edges. A leg-up here, a bursary there.

As a Labour government, we want Big Picture change.

This is about individual opportunity, but it matters across government,

from education, to health, to the economy. Just yesterday, Wes and Bridget have set out how we’re asking universities to do more to support our mission to break down the barriers to opportunity. We’re looking at better transparency over university admissions, starting with publishing data on medical schools’ admission of those from lower socio-economic backgrounds.

We must strive to ensure, from early years all the way through to higher education, that background never equals destiny.

And that’s where our Post-16 Education and Skills Strategy comes in.

The Post-16 Education and Skills Strategy

We will publish the strategy soon.

It will include our vision for a world-leading skills system.

One that takes a whole-system, mission-driven approach to breaking down barriers to opportunity to unleash growth.

This means:

A more focused skills system, underpinned by Skills England’s national view of skills needs.

Clear, high-quality qualifications that ensure every learner has a clear route to further study or work.

Firm foundations, putting the system on a financially stable footing that supports strategic specialisation.

And finally,

A new culture of ‘skills first’ where it is everyone’s responsibility – individuals, employers, and the state – to ensure workers reskill and upskill throughout their lives.

This will boost personal and national prosperity, and reduce reliance on migration to fill skills gaps.

What do we need to do to achieve this?

First, there needs to be a renewed partnership between government and business.

This means both local and central government working with business to identify skills gaps and develop solutions.

We’ve heard the calls for more flexibility in the skills offer by introducing foundation and short apprenticeships.

Now we’re going further with new short courses from April 2026, funded through the Growth and Skills Levy, in areas such as digital, artificial intelligence and engineering.

These support priority sectors named in our Industrial Strategy, like the Creative Industries and Advanced Manufacturing.

Because we recognise the importance of key sectors to delivering our Industrial Strategy and our Plan for Change.

That’s why we’ve adopted a sector-based approach to address key skills needs.

We started with our construction skills package, worth £625 million.

To train up to 60,000 extra construction workers – crucial for delivering on our pledge to build 1.5 million new homes.

We announced a further three further packages in the Industrial Strategy:

An Engineering package worth over £100 million, to support the pipeline of engineers into priority sectors like Advanced Manufacturing,

Clean Energy Industries, and Digital Technology.

A Defence package that is foundational for national security and economic growth,
including establishing Defence Technical Excellence Colleges.

And a Digital package, including £187 million investment for digital and AI skills,
and a commitment to train 7.5 million UK workers in essential AI skills
by 2030, through a new industry partnership with major tech players.

Raising the prestige of Further Education

We understand that the economy needs both technical skills and academic disciplines in order to grow.

It’s not a zero sum game – because both have so much to offer our people and our economy.

And, dare I say it, much to learn from each other!

Further education needs to emerge from the shadow of Higher Education as an equal partner.

That means positive prominence in careers advice.

And public recognition that’s long overdue.

Technical education needs to be a respected alternative to academic pathways.

And Technical Excellence Colleges will be at the heart of this.

Only when there is parity, will we secure high-quality post-16 routes for all learners, rather than the lucky few.

For learners from 16-19, we will be guided by the independent Curriculum and Assessment Review, set to publish this autumn.

High esteem follows high-quality teaching and student outcomes.

We will provide funding to recruit and retain high-quality Further Education teachers, especially for courses delivering scarce skills to priority sectors.

And this is backed by funding secured at the recent Spending Review.

We are investing £1.2 billion a year more in skills by 2028-29, alongside over £2 billion of capital investment in skills to support the condition and capacity of the estate.

Strengthening Higher Education’s role within the skills system I said earlier that Further Education needs to be an equal partner of Higher Education. Since we came into Government in July, we’ve ended the culture of talking down universities, and dismissing the opportunities higher education provides.

We’re doing quite the opposite, working with you to:

drive up standards;

maintain our position as a world-class beacon of excellence;

build on a proud history of innovation and brilliance in higher education.

But as the world changes, so must our higher education system.

We cannot allow the town and gown divide to widen, and for universities and their communities to drift.

We need collaboration, partnership, and mutual respect.

Higher Education needs to reach out and play a bigger role in the skills system.

Because ‘high-quality post-16 routes for all learners’ doesn’t necessarily mean they must choose between HE and FE.

Our analysis shows the majority of the future skills we’ll need will be at higher levels.

This means technical students will need access to cutting-edge facilities and courses, as they build their qualifications.

So the artificial barriers between Further and Higher Education must come down – in a coordinated, effective way.

And this will be facilitated by the Lifelong Learning Entitlement.

The Lifelong Learning Entitlement

The ability to learn across our working lives is no longer just admirable, or valuable. It’s essential.

People aren’t just working for longer.

They are changing roles and careers more frequently.

And the skills needed for those roles are also evolving rapidly.

Yet despite all this change, the student finance system still largely operates on the assumption that learning only happens early in life.

To break down the barriers to opportunity, we must support learning at every stage of life.

This is exactly what the Lifelong Learning Entitlement – or LLE – will do, offering choice, flexibility and opportunity to adults across their working lives.

From January 2027, the LLE will replace the student finance system.

It will continue to fund students entering higher education to take traditional degrees.

But it will also fund new, flexible modular pathways, widening student finance to a broader range of courses and learners.

That includes those returning to education later in life, who may be working whilst studying. Providing flexibility around personal commitments like caring responsibilities.

What does means in practice?

I want you to imagine Sarah, a full-time receptionist and mother who decides she wants a career change. However, Sarah is concerned about committing to studying full-time, as her family is still growing, and she is struggling to take out time to pursue retraining in computer science.

Through the LLE and the funding of individual modules, Sarah will be able to study one module at a time, to build up her credits over time, alongside her work and family commitments.

The LLE will not just change the type of provision on offer.

It also has the potential to transform how employers work with providers to train and recruit staff, allowing modular top-up to build or update their skills.

We’re already seeing this play out through our modular acceleration programme.

We want education providers to innovate in how they respond to the new model, so that lifelong upskilling becomes accessible and unremarkable.

At the same time, employers must be active partners in LLE provision, co-designing flexible courses that create accessible pathways into the workforce.

We will shortly set-out the final policy design of the LLE, so FE and HE providers can plan for this transformational change.

Improving local join-up

The final thing we must do to widen opportunity and build growth is better local join-up. This means strategic collaboration between local education providers, employers, research hubs and health services.

We set the scene at the end of last year with our ‘Get Britain Working’ and ‘English Devolution’ White Papers.

These described how mayors and Local Growth Plans will play a key role in shaping their regional skills systems. Local Get Britain Working plans will drive joined-up action to reduce economic inactivity, and take forward our Youth Guarantee.

This is key for ensuring young people in difficult circumstances are supported to achieve good qualifications and good employment.

The skills system is at its most effective when detailed local understanding is matched with insight from local employers and training providers.

Many young adults face complex barriers to engaging with skills courses; an estimated 1 in 8 young people are NEET – not in education, employment or training.

Improving the accessibility of training will be crucial to reducing the number of NEETs,.

But to bring them into the fold, you have to understand local barriers as well as national, systemic issues.

Further Education colleges often do this well by working with many local partners. They are big participants in Local Skills Improvement Plans (or LSIPs).

These collaborations identify and respond to gaps in skills provision, giving employers a more strategic role in the system.

I believe in LSIPs because they facilitate partnership

Early evidence shows Plans are already having an impact, raising the number of learners training in priority sectors – with more employers telling us that local skills provision meets their needs.

But we must go further to join-up local systems to drive opportunity and growth.

Which bring me back to universities.

Discussions on LSIPs should involve all local providers, and all levels of education – including up to Doctorate level!

If your university offers a course that relates to your local skills offer, or local employers, you have something to contribute to these discussions.

And to the outcomes of local students studying beyond your campus, in neighbouring colleges.

And let’s not forget the role of research and innovation.

Universities are renowned for delivering solutions to global challenges.

But this also happens at a local level, as seen with the Oxford Local Policy Lab.

HE also brings new ideas to market, through start-ups and partnerships with industry.

Whichever way you look at it, Higher Education has a huge role in driving local growth and opportunity.

You need to be part of this conversation.

Universities involved in local growth

And this is not just some government aspiration!

There are plenty of examples of institutions stepping-up to play their part.

The London South Bank University group acts as an anchor institution within the local education community. It brings together FE colleges, sixth form colleges and employers – particularly the NHS – to ensure a truly collaborative approach to education, training and skills provision.

You’ll hear later from Professor Kathryn Mitchell, Vice Chancellor of Derby University.

They work closely with FE colleges and local employers, particularly Rolls Royce to ensure clear links between education and the labour market.

And in the North East, organisations like Sunderland Software City are leading the tech industry to match local education and training provision with regional requirements.

It’s great to see – and shows just what university participation in inclusive growth can do for the local economy and community.

Conclusion

I know I’m not alone here in admiring this, and wanting change.

Many people in this room who are working to make Further and Higher Education better – to better serve our people and our nation.

I’d like to thank you for your innovation and dedication to this – which can sometimes be uphill work!

I’m grateful to SKOPE, who’ve worked with my officials to share their expertise in developing our Post-16 Education and Skills Strategy.

And to the Nuffield Foundation for helping to fund SKOPE’s research.

The strategy is just the beginning, by the way!

The different parts of the system will need to work together to meet its vision.

To bring about a fairer society, where everyone has the chance to gain good qualifications, get a good job, support their family, and contribute to their community and our economy.

Let’s make it happen!

Thank you.

Updates to this page

Published 5 July 2025
MIL OSI United Kingdom –
July 5, 2025
MIL-OSI Analysis: Family doctor crisis: 7 options to find the physicians Canada needs

Source: The Conversation – Canada – By Anthony Sanfilippo, Professor of Medicine (Cardiology), Queen’s University, Ontario

Canada faces a massive shortage of physicians. According to recent reports, Canadians require about 23,000 family doctors to meet current and emerging needs.

In the absence of effective solutions, mayors and municipal councils across the country are competing with each other to entice doctors to their communities.

It seems insurmountable, but options do exist and, no doubt, multiple approaches will be needed. What’s possible?

My clinical, administrative and educational roles over the years have provided an opportunity to work within and examine the doctor “pipeline” from multiple perspectives. There’s a disconnect between that pipeline and the urgent and growing need for doctors, which was a major motivation for my book The Doctors We Need: Imagining a New Path for Physician Recruitment, Training, and Support. Based on all this, at least seven approaches seem possible. All have their pros and cons.

Option 1: Recruit foreign-born, foreign-trained physicians

Medical education and training is available in most countries. The number of doctors available varies widely. In fact, some countries appear to have a surplus of medical school graduates who are unable to find employment.

In Canada, doctors are in demand and enjoy an excellent standard of living. Immigration to Canada, if offered, would likely be seen as a very attractive option.

However, medical training globally is highly variable and assessing qualifications relative to Canadian standards is challenging. There would also be no assurance that such doctors would be interested in taking on needed roles or remaining in those practices once settled. Finally, there is an ethical concern — we may be robbing other countries of their needed physicians.

Option 2: Short-track qualification of foreign-trained physicians already in Canada

Many foreign-trained doctors have already immigrated to Canada and are working at non-medical jobs, hoping to gain residency status that would allow them to undertake examinations or complete their training.

This approach would have many of the same disadvantages as above, but at least ensures these individuals already have some familiarity with Canadian work environment and a better awareness of the expectations facing physicians.

Option 3: Repatriate Canadians who have trained (or are training) abroad

It’s generally acknowledged that there are at least as many Canadians studying medicine outside Canada as within. These are people who were unsuccessful or chose not to engage in our highly competitive admission processes that annually turn away thousands of highly qualified students. They tend to enrol in well-established medical schools in countries such as Australia, Ireland and England.

Although no rigorous analysis or statistics are available, it’s increasingly recognized that the majority remain and practise in the countries where they trained, having established relationships and support structures. In fact, many are actively recruited to take up much needed primary care positions in those countries.

Attracting them back to Canada will require a targeted recruitment strategy and expansion of available post-graduate training positions. All that being said, this is potentially a workforce already prepared and willing to address Canadian health-care needs.

Option 4: Increase the efficiency and capacity of our current physicians

All doctors, particularly family physicians, face a burden of paperwork and administrative tasks that drastically reduces their capacity to assess and treat patients. Developing innovative processes and collaborations that allow them to focus their time on direct patient care will expand their impact and reduce the number of physicians required.

Read more:
The doctor won’t see you now: Why access to care is in critical condition

Option 5: Supplement doctor roles with non-physicians

We’re already seeing this strategy play out with nurses and pharmacists providing some primary care that was previously provided only by physicians.

This approach has many merits and can allow physicians to concentrate on key essential roles, as for Option 4, above. The keys will be to ensure that the health-care teams co-ordinate and integrate their work effectively, and that all essential services are provided.

Read more:
Access to care: 5 principles for action on primary health-care teams

Option 6: Collaborate with high-quality medical schools outside Canada to facilitate entry and training of willing and qualified Canadian students

If we’re not able to train sufficient physicians through our own medical school structure, we could partner with foreign, well-functioning medical schools to promote access for Canadians who wish to return to Canada and engage the types of practices that are in such demand.

This would require identifying appropriate schools and developing partnerships ensuring that the admission standards, curriculum and clinical training meet Canadian standards.

Option 7: Increase medical school admissions and training in Canada

The most obvious and intuitively appealing approach would be to simply ramp up the training pipeline within Canada’s medical schools. After all, we have excellent schools and certainly no shortage of very willing and capable applicants.

There are currently 18 medical schools in Canada. Plans are in place to expand to 20 schools over the next few years, but this will not be effective unless we change the current processes of training.

The supply of family doctors provided by our current admission and training processes falls far short of our needs. Recent studies also demonstrate that graduates from our current training programs are increasingly turning away from the comprehensive and community-based practices so much in need.

Consequently, even a dramatic expansion within the current training paradigm will fall far short of addressing our needs. To be effective, expansion must occur in conjunction with new approaches to admissions and training.

The new program developed by Queen’s at Lakeridge in Oshawa, which is dedicated to admitting and training family doctors, is an example of such innovative programming.

The major drawback of this approach, of course, is that it will take time to even begin to address the shortfall. However, it addresses the fundamental problem most directly and establishes a framework for ongoing sustainability.

While there is no single perfect solution, there are a number of approaches, all of which have potential to relieve Canada’s medical workforce crisis. It’s time to explore and pursue them all. It’s time to develop and empower a multi-disciplinary, pan-Canadian panel to decide which mix of the options will build the reliable, sustainable physician workforce that Canada needs and deserves.

Anthony Sanfilippo does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Family doctor crisis: 7 options to find the physicians Canada needs – https://theconversation.com/family-doctor-crisis-7-options-to-find-the-physicians-canada-needs-259601

MIL OSI Analysis –

July 5, 2025
MIL-OSI Submissions: Family doctor crisis: 7 options to find the physicians Canada needs

Source: The Conversation – Canada – By Anthony Sanfilippo, Professor of Medicine (Cardiology), Queen’s University, Ontario

Canada faces a massive shortage of physicians. According to recent reports, Canadians require about 23,000 family doctors to meet current and emerging needs.

In the absence of effective solutions, mayors and municipal councils across the country are competing with each other to entice doctors to their communities.

It seems insurmountable, but options do exist and, no doubt, multiple approaches will be needed. What’s possible?

My clinical, administrative and educational roles over the years have provided an opportunity to work within and examine the doctor “pipeline” from multiple perspectives. There’s a disconnect between that pipeline and the urgent and growing need for doctors, which was a major motivation for my book The Doctors We Need: Imagining a New Path for Physician Recruitment, Training, and Support. Based on all this, at least seven approaches seem possible. All have their pros and cons.

Option 1: Recruit foreign-born, foreign-trained physicians

Medical education and training is available in most countries. The number of doctors available varies widely. In fact, some countries appear to have a surplus of medical school graduates who are unable to find employment.

In Canada, doctors are in demand and enjoy an excellent standard of living. Immigration to Canada, if offered, would likely be seen as a very attractive option.

However, medical training globally is highly variable and assessing qualifications relative to Canadian standards is challenging. There would also be no assurance that such doctors would be interested in taking on needed roles or remaining in those practices once settled. Finally, there is an ethical concern — we may be robbing other countries of their needed physicians.

Option 2: Short-track qualification of foreign-trained physicians already in Canada

Many foreign-trained doctors have already immigrated to Canada and are working at non-medical jobs, hoping to gain residency status that would allow them to undertake examinations or complete their training.

This approach would have many of the same disadvantages as above, but at least ensures these individuals already have some familiarity with Canadian work environment and a better awareness of the expectations facing physicians.

Option 3: Repatriate Canadians who have trained (or are training) abroad

It’s generally acknowledged that there are at least as many Canadians studying medicine outside Canada as within. These are people who were unsuccessful or chose not to engage in our highly competitive admission processes that annually turn away thousands of highly qualified students. They tend to enrol in well-established medical schools in countries such as Australia, Ireland and England.

Although no rigorous analysis or statistics are available, it’s increasingly recognized that the majority remain and practise in the countries where they trained, having established relationships and support structures. In fact, many are actively recruited to take up much needed primary care positions in those countries.

Attracting them back to Canada will require a targeted recruitment strategy and expansion of available post-graduate training positions. All that being said, this is potentially a workforce already prepared and willing to address Canadian health-care needs.

Option 4: Increase the efficiency and capacity of our current physicians

All doctors, particularly family physicians, face a burden of paperwork and administrative tasks that drastically reduces their capacity to assess and treat patients. Developing innovative processes and collaborations that allow them to focus their time on direct patient care will expand their impact and reduce the number of physicians required.

Read more:
The doctor won’t see you now: Why access to care is in critical condition

Option 5: Supplement doctor roles with non-physicians

We’re already seeing this strategy play out with nurses and pharmacists providing some primary care that was previously provided only by physicians.

This approach has many merits and can allow physicians to concentrate on key essential roles, as for Option 4, above. The keys will be to ensure that the health-care teams co-ordinate and integrate their work effectively, and that all essential services are provided.

Read more:
Access to care: 5 principles for action on primary health-care teams

Option 6: Collaborate with high-quality medical schools outside Canada to facilitate entry and training of willing and qualified Canadian students

If we’re not able to train sufficient physicians through our own medical school structure, we could partner with foreign, well-functioning medical schools to promote access for Canadians who wish to return to Canada and engage the types of practices that are in such demand.

This would require identifying appropriate schools and developing partnerships ensuring that the admission standards, curriculum and clinical training meet Canadian standards.

Option 7: Increase medical school admissions and training in Canada

The most obvious and intuitively appealing approach would be to simply ramp up the training pipeline within Canada’s medical schools. After all, we have excellent schools and certainly no shortage of very willing and capable applicants.

There are currently 18 medical schools in Canada. Plans are in place to expand to 20 schools over the next few years, but this will not be effective unless we change the current processes of training.

The supply of family doctors provided by our current admission and training processes falls far short of our needs. Recent studies also demonstrate that graduates from our current training programs are increasingly turning away from the comprehensive and community-based practices so much in need.

Consequently, even a dramatic expansion within the current training paradigm will fall far short of addressing our needs. To be effective, expansion must occur in conjunction with new approaches to admissions and training.

The new program developed by Queen’s at Lakeridge in Oshawa, which is dedicated to admitting and training family doctors, is an example of such innovative programming.

The major drawback of this approach, of course, is that it will take time to even begin to address the shortfall. However, it addresses the fundamental problem most directly and establishes a framework for ongoing sustainability.

While there is no single perfect solution, there are a number of approaches, all of which have potential to relieve Canada’s medical workforce crisis. It’s time to explore and pursue them all. It’s time to develop and empower a multi-disciplinary, pan-Canadian panel to decide which mix of the options will build the reliable, sustainable physician workforce that Canada needs and deserves.

Anthony Sanfilippo does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Family doctor crisis: 7 options to find the physicians Canada needs – https://theconversation.com/family-doctor-crisis-7-options-to-find-the-physicians-canada-needs-259601

MIL OSI –

July 5, 2025
MIL-OSI Submissions: Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment

Source: The Conversation – USA (3) – By Andrew Yockey, Assistant Professor of Public Health, University of Mississippi

Speedballing kills nearly 35,000 people in the U.S. every year. Cappi Thompson/Moment via Getty Images

Speedballing – the practice of combining a stimulant like cocaine or methamphetamine with an opioid such as heroin or fentanyl – has evolved from a niche subculture to a widespread public health crisis. The practice stems from the early 1900s when World War I soldiers were often treated with a combination of cocaine and morphine.

Once associated with high-profile figures like John Belushi, River Phoenix and Chris Farley , this dangerous polysubstance use has become a leading cause of overdose deaths across the United States since the early- to mid-2010s.

I am an assistant professor of public health who has written extensively on methamphetamine and opioid use and the dangerous combination of the two in the United States.

As these dangerous combinations of drugs increasingly flood the market, I see an urgent need and opportunity for a new approach to prevention and treatment.

Why speedballing?

Dating back to the 1970s, the term speedballing originally referred to the combination of heroin and cocaine. Combining stimulants and opioids – the former’s “rush” with the latter’s calming effect – creates a dangerous physiological conflict.

According to the National Institute on Drug Abuse, stimulant-involved overdose fatalities increased markedly from more than 12,000 annually in 2015 to greater than 57,000 in 2022, a 375% increase. Notably, approximately 70% of stimulant-related overdose deaths in 2022 also involved fentanyl or other synthetic opioids, reflecting the rising prevalence of polysubstance involvement in overdose mortality.

Users sought to experience the euphoric “rush” from the stimulant and the calming effects of the opioid. However, with the proliferation of fentanyl – which is far more potent than heroin – this combination has become increasingly lethal. Fentanyl is often mixed with cocaine or methamphetamine, sometimes without the user’s knowledge, leading to unintentional overdoses.

The rise in speedballing is part of a broader trend of polysubstance use in the U.S. Since 2010, overdoses involving both stimulants and fentanyl have increased 50-fold, now accounting for approximately 35,000 deaths annually.

This has been called the fourth wave of the opioid epidemic. The toxic and contaminated drug supply has exacerbated this crisis.

The comedian John Belushi died in 1982 from an overdose of cocaine and heroin.
Larry Hulst/Michael Ochs Archives via Getty Images

A dangerous combination of physiological effects

Stimulants like cocaine increase heart rate and blood pressure, while opioids suppress respiratory function. This combination can lead to respiratory failure, cardiovascular collapse and death. People who use both substances are more than twice as likely to experience a fatal overdose compared with those using opioids alone.

The conflicting effects of stimulants and opioids can also exacerbate mental health issues. Users may experience heightened anxiety, depression and paranoia. The combination can also impair cognitive functions, leading to confusion and poor decision-making.

Speedballing can also lead to severe cardiovascular problems, including hypertension, heart attack and stroke. The strain on the heart and blood vessels from the stimulant, combined with the depressant effects of the opioid, increases the risk of these life-threatening conditions.

Addressing the crisis

Increasing awareness about the dangers of speedballing is crucial. I believe that educational campaigns can inform the public about the risks of combining stimulants and opioids and the potential for unintentional fentanyl exposure.

There is a great need for better access to treatment for people with stimulant use disorder – a condition defined as the continued use of amphetamine-type substances, cocaine or other stimulants leading to clinically significant impairment or distress, from mild to severe. Treatments for this and other substance use disorders are underfunded and less accessible than those for opioid use disorder. Addressing this gap can help reduce the prevalence of speedballing.

Implementing harm reduction strategies by public health officials, community organizations and health care providers, such as providing fentanyl test strips and naloxone – a medication that reverses opioid overdoses – can save lives.

These measures allow individuals to test their drugs for the presence of fentanyl and have immediate access to overdose-reversing medication. Implementing these strategies widely is crucial to reducing overdose deaths and improving community health outcomes.

Andrew Yockey does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Speedballing – the deadly mix of stimulants and opioids – requires a new approach to prevention and treatment – https://theconversation.com/speedballing-the-deadly-mix-of-stimulants-and-opioids-requires-a-new-approach-to-prevention-and-treatment-257425

MIL OSI –

July 5, 2025
MIL-OSI Submissions: Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable

Source: The Conversation – USA (3) – By Sumit Agarwal, Assistant Professor of Internal Medicine, University of Michigan

The Congressional Budget Office estimates that 7.8 million Americans across the U.S. would lose their coverage through Medicaid – the public program that provides health insurance to low-income families and individuals – under the One Big Beautiful Bill Act making its way through Congress.

That includes 248,000 to 414,000 of my fellow residents of Michigan based on the House Reconciliation Bill in early June 2025. There are similarly deep projected cuts within the Senate version of the legislation.

Many of these people are working Americans who would lose Medicaid because of the onerous paperwork involved with the proposed work requirements.

They wouldn’t be able to get coverage in the Affordable Care Act Marketplaces after losing Medicaid. Premiums and out-of-pocket costs are likely to be too high for those making less than 100% to 138% of the federal poverty level who do not qualify for health insurance marketplace subsidies. Funding for this program is also under threat.

And despite being employed, they also wouldn’t be able to get health insurance through their employers because it is either too expensive or not offered to them. Researchers estimate that coverage losses would lead to thousands of medically preventable deaths across the country because people would be unable to access health care without insurance.

I am a physician, health economist and policy researcher who has cared for patients on Medicaid and written about health care in the U.S. for over eight years. I think it’s important to understand the role of Medicaid within the broader insurance landscape. Medicaid has become a crucial source of health coverage for low-wage workers.

A brief history of Medicaid expansion.

Michigan removed work requirements from Medicaid

A few years ago, Michigan was slated to institute Medicaid work requirements, but the courts blocked the implementation of that policy in 2020. It would have cost upward of US$70 million due to software upgrades, staff training, and outreach to Michigan residents enrolled in the Medicaid program, according to the Michigan Department of Health and Human Services.

Had it gone into effect, 100,000 state residents were expected to lose coverage within the first year.

The state took the formal step of eliminating work requirements from its statutes earlier this year in recognition of implementation costs being too high and mounting evidence against the policy’s effectiveness.

When Arkansas instituted Medicaid work requirements in 2018, there was no increase in employment, but within months, thousands of people enrolled in the program lost their coverage. The reason? Many people were subjected to paperwork and red tape, but there weren’t actually that many people who would fail to meet the criteria of the work requirements. It is a recipe for widespread coverage losses without meeting any of the policy’s purported goals.

Work requirements, far from incentivizing work, paradoxically remove working people from Medicaid with nowhere else to go for insurance.

Shortcomings of employer-sponsored insurance

Nearly half of Americans get their health insurance through their employers.

In contrast to a universal system that covers everyone from cradle to grave, an employer-first system leaves huge swaths of the population uninsured. This includes tens of millions of working Americans who are unable to get health insurance through their employers, especially low-income workers who are less likely to even get the choice of coverage from their employers.

Over 80% of managers and professionals have employer-sponsored health coverage, but only 50% to 70% of blue-collar workers in service jobs, farming, construction, manufacturing and transportation can say the same.

There are some legal requirements mandating employers to provide health insurance to their employees, but the reality of low-wage work means many do not fall under these legal protections.

For example, employers are allowed to incorporate a waiting period of up to 90 days before health coverage begins. The legal requirement also applies only to full-time workers. Health coverage can thus remain out of reach for seasonal and temporary workers, part-time employees and gig workers.

Even if an employer offers health insurance to their low-wage employees, those workers may forego it because the premiums and deductibles are too high to make it worth earning less take-home pay.

To make matters worse, layoffs are more common for low-wage workers, leaving them with limited options for health insurance during job transitions. And many employers have increasingly shed low-wage staff, such as drivers and cleaning staff, from their employment rolls and contracted that work out. Known as the fissuring of the workplace, it allows employers of predominately high-income employees to continue offering generous benefits while leaving no such commitment to low-wage workers employed as contractors.

Medicaid fills in gaps

Low-income workers without access to employer-sponsored insurance had virtually no options for health insurance in the years before key parts of the Affordable Care Act went into effect in 2014.

Research my co-authors and I conducted showed that blue-collar workers have since gained health insurance coverage, cutting the uninsured rate by a third thanks to the expansion of Medicaid eligibility and subsidies in the health insurance marketplaces. This means low-income workers can more consistently see doctors, get preventive care and fill prescriptions.

Further evidence from Michigan’s experience has shown that Medicaid can help the people it covers do a better job at work by addressing health impairments. It can also improve their financial well-being, including fewer problems with debt, fewer bankruptcies, higher credit scores and fewer evictions.

Premiums and cost sharing in Medicaid are minimal compared with employer-sponsored insurance, making it a more realistic and accessible option for low-income workers. And because Medicaid is not tied directly to employment, it can promote job mobility, allowing workers to maintain coverage within or between jobs without having to go through the bureaucratic complexity of certifying work.

Of course, Medicaid has its own shortcomings. Payment rates to providers are low relative to other insurers, access to doctors can be limited, and the program varies significantly by state. But these weaknesses stem largely from underfunding and political hostility – not from any intrinsic flaw in the model. If anything, Medicaid’s success in covering low-income workers and containing per-enrollee costs points to its potential as a broader foundation for health coverage.

The current employer-based system, which is propped up by an enormous and regressive tax break for employer-sponsored insurance premiums, favors high-income earners and contributes to wage stagnation. In my view, which is shared by other health economists, a more public, universal model could better cover Americans regardless of how someone earns a living.

Over the past six decades, Medicaid has quietly stepped into the breach left by employer-sponsored insurance. Medicaid started as a welfare program for the needy in the 1960s, but it has evolved and adapted to fill the needs of a country whose health care system leaves far too many uninsured.

Sumit Agarwal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Employers are failing to insure the working class – Medicaid cuts would leave them even more vulnerable – https://theconversation.com/employers-are-failing-to-insure-the-working-class-medicaid-cuts-would-leave-them-even-more-vulnerable-259256

MIL OSI –

July 5, 2025
MIL-OSI Submissions: Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe

Source: The Conversation – UK – By Rob Kingsley, Professor, Microbiology, Quadram Institute

_Salmonella_ causes salmonellosis — an infection that typically results in vomiting and diarrhoea. Lightspring/ Shutterstock

Salmonella cases in England are the highest they’ve been in a decade, according to recent UK Health Security Agency (UKHSA) data. There was a 17% increase in cases observed from 2023 to 2024 – culminating in 10,388 detected infections last year. Children and older adults accounted for around a fifth of cases.

Although the number of infections caused by foodborne diseases such as Salmonella had broadly decreased over the last 25 years, this recent spike suggests a broader issue is at play. A concurrent increase in Campylobacter cases points to a possible common cause that would affect risk of both foodborne pathogens – such as changes in consumer behaviour or food supply chains.

While the UK maintains a high standard of food safety, any increase in the incidence of pathogens such as Salmonella warrants serious attention.

Salmonella is a species of bacteria that is one of the most common causes of foodborne illnesses globally. The bacteria causes salmonellosis – an infection that typically causes vomiting and diarrhoea.

Most cases of salmonellosis don’t require medical intervention. But approximately one in 50 cases results in more serious blood infections. Fortunately, fatalities from Salmonella infections in the UK are extremely rare – occurring in approximately 0.2% of all reported infections.

Salmonella infections are typically contracted from contaminated foods. But a key challenge in controlling Salmonella in the food supply chain lies in the diverse range of foods it can contaminate.

Salmonella is zoonotic, meaning it’s present in animals, including livestock. This allows it to enter the food chain and subsequently cause human disease. This occurs despite substantial efforts within the livestock industry to prevent it from happening – including through regular testing and high welfare practices.

Salmonella can be present on many retail food products – including raw meat, eggs, unpasteurised milk, vegetables and dried foods (such as nuts and spices). When present, it’s typically at very low contamination levels. This means it doesn’t pose a threat to you if the product is stored and cooked properly.

Vegetables and leafy greens can also become contaminated with Salmonella through cross-contamination, which may occur from contaminated irrigation water on farms, during processing or during storage at home. As vegetables are often consumed raw, preventing cross-contamination is particularly critical.

Spike in cases

It’s premature to draw definitive conclusions regarding the causes of this recent increase in Salmonella cases. But the recent UKHSA report suggests the increase is probably due to many factors.

Never prepare raw meat next to vegetables you intend to eat without cooking, as cross-contamination can lead to Salmonella.
kathrinerajalingam/ Shutterstock

One contributing factor is that diagnostic testing has increased. This means we’re better at detecting cases. This can be viewed as a positive, as robust surveillance is integral to maintaining a safe food supply.

The UKHSA also suggests that changes in the food supply chain and the way people are cooking and storing their food due to the cost of living crisis could also be influential factors.

To better understand why Salmonella cases have spiked, it will be important for researchers to conduct more detailed examinations of the specific Salmonella strains responsible for the infections. While Salmonella is commonly perceived as a singular bacterial pathogen, there are actually numerous strains (serotypes).

DNA sequencing can tell us which of the hundreds of Salmonella serotypes are responsible for human infections. Two serotypes, Salmonella enteritidis and Salmonella Typhimurium, account for most infections in England.

Although the UKHSA reported an increase in both serotypes in 2024, the data suggests that Salmonella enteritidis has played a more significant role in the observed increase. This particular serotype is predominantly associated with egg contamination.

Salmonella enteritidis is now relatively rare in UK poultry flocks thanks to vaccination and surveillance programmes that were introduced in the 1980s and 1990s. So the important question here is where these additional S enteritidis infections are originating.

Although the numbers may seem alarming, what the UKHSA has reported is actually a relatively moderate increase in Salmonella cases. There’s no reason for UK consumers to be alarmed. Still, this data underscores the importance of thoroughly investigating the underlying causes to prevent this short-term increase from evolving into a longer-term trend.

Staying safe

The most effective way of lowering your risk of Salmonella involves adherence to the “4 Cs” of food hygiene:

1. Cleaning

Thoroughly wash hands before and after handling any foods – especially raw meat. It’s also essential to keep workspaces, knives and utensils clean before, during and after preparing your meal.

2. Cooking

The bacteria that causes Salmonella infections can be inactivated when cooked at the right temperature. In general, foods should be cooked to an internal temperature above 65°C – which should be maintained for at least ten minutes. When re-heating food, it should reach 70°C or above for two minutes to kill any bacteria that have grown since it was first cooked.

3. Chilling

Raw foods – especially meat and dairy – should always be stored below 5°C as this inhibits Salmonella growth. Leftovers should be cooled quickly and also stored at 5°C or lower.

4. Cross-contamination

To prevent Salmonella passing from raw foods to those that are already prepared or can be eaten raw (such as vegetables and fruit), it’s important to wash hands and clean surfaces after handling raw meat, and to use different chopping boards for ready-to-eat foods and raw meat.

Most Salmonella infections are mild and will go away in a few days on their own. But taking the right steps when storing and preparing your meals can significantly lower your risk of contracting it.

Rob Kingsley receives funding from the Biotechnology and Biological Sciences Research Council (BBSRC), Bill and Melinda Gates Foundation

– ref. Salmonella cases are at ten-year high in England – here’s what you can do to keep yourself safe – https://theconversation.com/salmonella-cases-are-at-ten-year-high-in-england-heres-what-you-can-do-to-keep-yourself-safe-260032

MIL OSI –

July 5, 2025
MIL-OSI Submissions: The NHS ten-year health plan is missing a crucial ingredient: nature

Source: The Conversation – UK – By Andrea Mechelli, Professor of Early Intervention in Mental Health, King’s College London

mimagephotography/Shutterstock

The UK government has finally unveiled its much anticipated ten-year Plan for improving England’s health. It contains a long overdue focus on prevention, after years of sidestepping by previous administrations.

The plan rightly recognises that preventing illness before it begins is the most effective way to improve people’s wellbeing. It should have the added benefit of reducing strain on the NHS and easing the nation’s financial burden.

Mental health, too, is given the attention it deserves. Recognised as integral to our overall health, its inclusion couldn’t be more timely. A 2023 international study found that one in two people will experience a mental health condition in their lifetime — a much higher figure than previously estimated.

But one striking omission threatens to undermine the plan’s success: nature. Evidence tells us that it’s one of the most powerful means of supporting physical and mental health. And yet is not mentioned once in the plan’s 168 pages.

If this plan is about prevention, then nature should be central to it. The science is unequivocal: contact with the natural world supports human health in wide ranging and profound ways. It lowers stress, improves mood, and alleviates symptoms of anxiety.

For children, time in nature can even aid brain development. Nature helps reduce exposure to air pollution, moderates urban heat, and fosters physical activity and social connection.

It can also reduce feelings of loneliness, improve the diversity of our gut microbiota – by exposing us to a wider range of environmental microbes that help train and balance the immune system – and support the immune system by reducing inflammation. All of these play a vital role in protecting against chronic disease.

Read more:
People feel lonelier in crowded cities – but green spaces can help

Then there are the intangible yet no less important benefits. Nature provides a sense of awe and wonder – feelings that help us gain perspective, boost emotional resilience and find deeper meaning in everyday life.

Our own research shows that even small, everyday moments in nature, watching birds from your window, for example, or pausing under a blooming tree on your way to the shop, can significantly boost mental wellbeing.

Consider this: a Danish study found that growing up near green spaces during the first ten years of life reduces the risk of developing mental health problems in adulthood by a staggering 55%. A UK study similarly showed that people living in greener neighbourhoods were 16% less likely to experience depression and 14% less likely to develop anxiety.

And as heatwaves become more frequent and intense – with soaring illness and mortality rates – the cooling effects of trees and parks will become more vital than ever for protecting our health.

Not all green space is equal

But it’s not just access to green space that matters – it’s also the quality of that space.

Green areas rich in biodiversity, with a wide variety of plant life, birds, insects and fungi, provide much greater health benefits than sparse or manicured lawns. Biodiversity builds resilience not just in ecosystems, but in our bodies and minds.

A recent study in The Lancet Planetary Health found that people living in areas with greater bird diversity were significantly less likely to experience depression and anxiety, even after accounting for socioeconomic and demographic factors.

This research underlines a simple but urgent truth: we cannot talk about human health without talking about biodiversity.

Read more:
Why diversity in nature could be the key to mental wellbeing

To deliver true prevention and resilience, we need a joined-up approach across government: one that aligns health policy with environmental protection, housing, urban design, education and transport. This means rethinking how we plan and build our communities: what kind of housing we develop, how we move around, what we grow and eat and how we live in relationship with the ecosystems that support us.

There are many ways this vision can be put into action. The Neighbourhood Health Service outlined in the ten-year plan could be tied directly to local, community-led efforts such as Southwark’s Right to Grow campaign, which gives residents the right to cultivate unused land. This kind of initiative improves access to fresh food, promotes physical activity, strengthens community bonds and increases green cover – all of which support long-term health.

School curricula could be revised to give children the opportunity to learn not just about nature, but also in nature – developing ecological literacy, emotional resilience and healthier habits for life. Health professionals could be trained to understand and promote the value of time outdoors for managing chronic conditions and supporting recovery. Green social prescribing – already gaining ground across the UK – should be fully integrated into standard care, with robust resourcing and cross-sector support.

Learning from success

Scotland’s Green Health Partnerships show what’s possible. These initiatives bring together sectors including health, environment, education, sport and transport to promote nature-based health solutions – from outdoor learning and physical activity in parks, to conservation volunteering and nature therapy.

They don’t just improve health; they strengthen communities, build climate resilience and create cost-effective, scaleable solutions for prevention.

The ten-year plan is a once-in-a-generation opportunity. It could help remove departmental silos and unify national goals across health, climate, inequality and economic recovery, while saving billions in the process. But in its current form, it misses a crucial ingredient.

By failing to recognise the centrality of nature in our health, the government overlooks one of the simplest and most effective ways to build resilience – both human and ecological. Surely it is not beyond a nation of nature lovers to put nature at the heart of our future health?

Andrea Mechelli receives funding from Wellcome Trust.

Giulia Vivaldi, Michael Smythe, and Nick Bridge do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. The NHS ten-year health plan is missing a crucial ingredient: nature – https://theconversation.com/the-nhs-ten-year-health-plan-is-missing-a-crucial-ingredient-nature-260508

MIL OSI –

July 5, 2025
MIL-OSI Submissions: The ‘Mind’ diet is good for cognitive health – here’s what foods you should put on your plate
Source: The Conversation – UK – By Aisling Pigott, Lecturer, Dietetics, Cardiff Metropolitan University

The ‘Mind’ diet is very similar to the Mediterranean diet, but emphasises consuming nutrients that benefit the brain. Svetlana Khutornaia/ Shutterstock

There’s long been evidence that what we eat can affect our risk of dementia, Alzheimer’s disease and cognitive decline as we age. But can any one diet actually keep the brain strong and lower dementia risk? Evidence suggests the so-called “Mind diet” might.

The Mind diet (which stands for the Mediterranean-Dash intervention for neurocognitive delay) combines the well-established Mediterranean diet with the “Dash” diet (dietary approaches to stop hypertension). However, it also includes some specific dietary modifications based on their benefits to cognitive health.

Both the Mediterranean diet and Dash diet are based on traditional eating patterns from countries which border the Mediterranean sea.

Both emphasise eating plenty of plant-based foods (such as fruits, vegetables, nuts and seeds), low-fat dairy products (such as milk and yoghurts) and lean proteins including fish and chicken. Both diets include very little red and processed meats. The Dash diet, however, places greater emphasis on consuming low-sodium foods, less added sugar and fewer saturated and trans-fats to reduce blood pressure.

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Both diets are well-researched and shown to be effective in preventing lifestyle-related diseases – including cardiovascular disease and hypertension. They’re also shown to help protect the brain’s neurons from damage and benefit cognitive health.

The Mind diet follows many of the core tenets of both diets but places greater emphasis on consuming more foods that contain nutrients which promote brain health and prevent cognitive decline, including:
- flavonoids and polyphenols found in fruit, vegetables, tea and dark chocolate
- folate found in leafy greens and legumes
- N-3 polyunsaturated fatty acids found in oily fish, nuts and seeds.
Numerous studies have been conducted on the Mind diet, and the evidence for this dietary approach’s brain health benefit is pretty convincing.

For instance, one study asked 906 older adults about their usual diet — giving them a “Mind score” based on the number of foods and nutrients they regularly consumed that are linked with lower dementia risk. The researchers found a link between people who had a higher Mind diet score and slower cognitive decline when followed up almost five years later.

Another study of 581 participants found that people who had closely followed either the Mind diet or the Mediterranean diet for at least a decade had fewer signs of amyloid plaques in their brain when examined post-mortem. Amyloid plaques are a key hallmark of Alzheimer’s disease. Higher intake of leafy greens appeared to the most important dietary component.

A systematic review of 13 studies on the Mind diet has also found a positive association between adherence to the Mind diet and cognitive performance and function in older people. One paper included in the review even demonstrated a 53% reduction in Alzheimer’s disease risk in those that adhered to the diet.

The Mind diet encourages eating berries, which contain a plant compound thought to be beneficial for the brain.
etorres/ Shutterstock

It’s important to note that most of this research is based on observational studies and food frequency questionnaires, which have their limitations in research due to reliabiltiy and participant bias. Only one randomised control trial was included in the review. It found that women who were randomly assigned to follow the Mind diet over a control diet for a short period of time showed a slight improvement in memory and attention.

Research in this field is ongoing, so hopefully we’ll soon have a better understanding of the diet’s benefits – and know exactly why it’s so beneficial.

Mind your diet

UK public health guidance recommends people follow a balanced diet to maintain good overall health. But the Mind diet offers a more targeted approach for those hoping to look after their cognitive health.

While public health guidance encourages people to eat at least five portions of fruit and vegetables daily, the Mind diet would recommend choosing leafy green vegetables (such as spinach and kale) and berries for their cognitive benefits.

Similarly, while UK guidance says to choose unsaturated fats over saturated ones, the Mind diet explicitly recommends that these fats come from olive oil. This is due to the potential neuroprotective effects of the fats found in olive oil.

If you want to protect your cognitive function as you age, here are some other small, simple swaps you can make each day to more closely follow the Mind diet:
- upgrade your meals by sprinkling nuts and seeds on cereals, salads or yoghurts to increase fibre and healthy fats
- eat the rainbow of fruit and vegetables, aiming to fill half your plate with these foods
- canned and frozen foods are just as nutrient-rich as fresh fruits and vegetables
- bake or airfry vegetables and meats instead of frying to reduce fat intake
- opt for poly-unsaturated fats and oils in salads and dressings – such as olive oil
- bulk out meat or meat alternatives with pulses, legumes chickpeas or beans. These can easily be added into dishes such as spaghetti bolognese, chilli, shepherd’s pie or curry
- use tinned salmon, mackerel or sardines in salads or as protein sources for meal planning.
These small changes can have a meaningful impact on your overall health – including your brain’s health. With growing evidence linking diet to cognitive function, even little changes to your eating habits may help protect your mind as you age.

Aisling Pigott receives funding from Health and Care Research Wales

Sophie Davies does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. The ‘Mind’ diet is good for cognitive health – here’s what foods you should put on your plate – https://theconversation.com/the-mind-diet-is-good-for-cognitive-health-heres-what-foods-you-should-put-on-your-plate-259106
MIL OSI –
July 5, 2025
MIL-OSI United Nations: 4 July 2025 Departmental update WHO welcomes IMF support to Jordan for pandemic preparedness and response

Source: World Health Organisation

WHO welcomes the approval by the Executive Board of the International Monetary Fund (IMF) of the first ever Resilience and Sustainability Facility (RSF) agreement focused on Pandemic Preparedness and Response.

On 25 June 2025, the Executive Board approved a new 30-month RSF arrangement to support Jordan’s efforts to address long-term vulnerabilities including strengthening capacity to respond to health emergencies and future pandemics. This support—amounting to up to US$ 700 million—will help enhance financial and policy capacity to mitigate those risks. In the context of declining external aid and a worldwide health financing crisis, this support represents a significant opportunity to boost domestic funding and invest in building resilient, sustainable health systems.

“The COVID-19 pandemic highlighted the need for new sources of financing to bolster health systems to make them more able to prevent and detect epidemics and pandemics, and to respond and withstand them when they strike,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “WHO is proud to be working with the IMF and the World Bank to unlock financing from the Resilience and Sustainability Trust, and support countries to put it to work for a safer world.”

In the aftermath of the COVID-19 crisis, the Resilience and Sustainability Trust (RST) was established by the IMF in 2022 as a new loan-based funding mechanism. It aims to provide affordable, long-term financing to low- and lower-middle-income countries to address climate change and challenges preparing and responding to pandemics. The RST leverages Special Drawing Rights (SDRs) contributed by higher-income countries and offers financing with a 20-year maturity and a 10½-year grace period. While several RSF agreements have already been approved for climate-related purposes, this marks the first RSF arrangement approved by the IMF Executive Board specifically for pandemic preparedness and response and health-related objectives.

In 2024 WHO signed an agreement with the IMF and the World Bank Group to provide technical support for the definition and implementation of country-level RSF arrangements. In Jordan, WHO collaborated closely with the Ministry of Health to identify relevant policy measures aimed at strengthening the financing and operational preparedness system. This includes efforts to consolidate the budgetary and overall governance framework that will serve as the foundation for future health emergency response. Moving forward, WHO teams across the Organization are committed to supporting the implementation of these reform measures in collaboration with the IMF, national authorities, and local partners as part of the RSF arrangement.

MIL OSI United Nations News –

July 5, 2025
MIL-OSI United Nations: 4 July 2025 GOARN impact in the field: Brazil implements Go.Data for enhanced contact tracing

Source: World Health Organisation

Training sessions on Go.Data for health professionals from various states of Brazil to support the response to outbreaks and health emergencies [2022]. © Pan American Health Organization, Brazil.

Brazil, a vast country covering approximately 8.5 million km², is divided into 27 states and 5570 municipalities across five regions: North, Northeast, Central-West, Southeast, and South. These regions are home to about 212 million people. Given this extensive territory, implementing new technologies and innovations to ensure quality healthcare access throughout the country is a significant challenge.

The COVID-19 pandemic exposed several gaps in the public health system, particularly the need for an effective contact tracing strategy. In Brazil, there were no specific tools available for this purpose, prompting many localities to rely on monitoring spreadsheets or develop their own strategies.

In response, the first implementations of the Go.Data tool began in August 2021. Developed by the World Health Organization (WHO) in collaboration with partners at the Global Alert and Response Network (GOARN), Go.Data is a software designed to support outbreak response, particularly contact tracing efforts. It enables users to identify exposed individuals, monitor their health status, and visualize transmission chains. Two municipalities stood out in their use of the tool, applying it to investigate contacts in various situations, including within educational institutions. In these instances, more than 30 000 contacts were recorded. The implementation of the tool facilitated standardized contact tracing, allowing multiple professionals to collaborate concurrently. Furthermore, it supported the real-time creation of transmission chains, thereby offering crucial support in informed decision-making.

Following the success of various initiatives and the emergence of mpox in Brazil in 2022, efforts were made to implement state-level servers with support from the National Council of Health Secretaries. As a result, approximately 15 states installed the tool within their infrastructures, expanding its use across different contexts. Subsequently, the Ministry of Health also adopted the tool, integrating it into its infrastructure while complying with all necessary security protocols and requirements. This marked a significant milestone for Brazil, enabling all states to access the tool.

In 2023, once the server was established at the Ministry of Health, Go.Data was utilized to monitor individuals exposed to animals with avian influenza. During this process, a centralized server was recommended to consolidate information, allowing 15 states to access the same server. This model represented progress in hierarchical access management and the geographic distribution of information, thereby strengthening epidemiological surveillance in the country.

Building on this experience, since 2024, the Ministry of Health, in partnership with the states, has been working to structure the national adoption of the tool in the context of measles and other diseases. To support this effort, two focal points have been trained in each state to ensure a timely response to epidemiological investigations in November 2023 by Pan American Health Organization (WHO Regional Office for the Americas or PAHO) and the Ministry of Health.

Epidemiology team from the state of Rio de Janeiro using Go.Data in response to an outbreak [2025]. © Pan American Health Organization, Brazil.

The implementation of Go.Data has streamlined contact investigations by providing a single online platform with regional access permissions, which enhances tracking and monitoring efforts. Brazil has successfully integrated this tool into its official case notification system, ensuring alignment with national guidelines. Furthermore, Go.Data is equipped with integrations for Power BI and Shiny, which improve data analysis and visualization capabilities. The development of guides and training courses focused on operational procedures has standardized processes and strengthened user competencies.

Felipe Lopes Vasconcelos, a national consultant for PAHO, reflects on the tool’s progress in the country. “We had the opportunity to understand the various realities at the state level in Brazil. Before introducing Go.Data, contact tracing was slow and lacked standardization. Today, we have already seen significant advances at different levels, and I believe we are moving toward a more timely response to outbreaks,” Felipe says.

The technical support provided by the WHO has been crucial in this process. Since 2020, the WHO team has offered continuous assistance, addressing all questions, needs, and suggestions from Brazil, which has contributed to the tool’s development over the years.

MIL OSI United Nations News –

July 5, 2025
MIL-OSI United Nations: In Dialogue with Haiti, Experts of the Human Rights Committee Welcome Efforts to Establish a New Constitution, Raise Questions on Measures to Combat Gang-Related Gender-Based Violence and Lynchings

Source: United Nations – Geneva

The Human Rights Committee today concluded its consideration of the second periodic report of Haiti on how it implements the provisions of the International Covenant on Civil and Political Rights . Committee Experts appreciated the referendum to establish a new national Constitution, while raising questions as to how the State was tackling the high level of violence against women and girls perpetuated by gang members and lynchings carried out by citizens, against a backdrop of distrust in the police.

One Committee Expert said they saw the referendum to establish a new Constitution in a positive light, as an attempt to reestablish the institutionality of the country.

Another Expert said that the scale of violence against women and girls was reportedly considerable, with sexual violence, including rape of children as young as five years old, gang rape, and forced prostitution, used as a weapon of control by gangs. According to reports, the judiciary were not sensitive to cases of gender-based violence and victims were hesitant to report cases. What measures were taken to encourage women to file complaints? Was there a fund to help survivors of violence? How were they supported by State services?

Lynchings continued to be regular and numerous, another Expert said, citing reports of more than 500 cases in 2023. These were often the work of self-defence groups in or around Port-au-Prince, who did not trust the police, mainly due to corruption. Was this violence investigated, including when the police were accused of supporting or encouraging it? Had the perpetrators of lynchings, stonings and mutilations been prosecuted and punished proportionately? How could trust be restored between the police and the civilian population?

Pedrica Saint Jean, Minister for the Status of Women and Women’s Rights and head of the delegation, introducing the report, said from 2020 to 2025, Haiti was confronted with repeated political crises, marked by lockdown operations and successive protests. The COVID-19 pandemic, frequent floods and the earthquake of 14 August 2021, which devastated part of the Great South region, were additional challenges faced by the country. This complex situation was further aggravated by the assassination of the Haitian President on 6 July 2021.

Ms. Saint Jean said an agreement for a peaceful transition was reached on 3 April 2024, establishing a transition period with a nine-member Transitional Presidential Council and a Prime Minister, with the aim of restoring security, continuing constitutional reform, and organising democratic elections.

The delegation said several strategies had been undertaken to combat gender-based violence, including a national strategy that spanned from 2017 to 2024. An assessment of the strategy was almost completed. A gender-based violence cell had been established to train police officers to take the needs of female victims of violence into account. The Office to Combat Gender-Based Violence streamlined services for victims, enabling them to receive legal, psychosocial and medical assistance in one place. In areas with armed gangs, women were typically the primary victims. Violence was used as a weapon of repression.

The delegation also said the Government had always condemned lynchings, which were not part of the country’s culture. Incidents needed to be reported at a police station so perpetrators could be incarcerated and tried for their crimes. The community police were carrying out an awareness raising campaign to progressively build trust with the general population. Training sessions were being organised for police officers, with a view to protecting the population. When complaints were made against the police force, the national inspector for the police carried out investigations and measures were taken as necessary.

In concluding remarks, Ms. Saint Jean thanked the Committee for the kindness it had shown to the Haitian delegation, and the Experts for their insights. Haiti had taken due note of all recommendations and was determined to take further steps to develop effective, concrete responses to the Committee’s concerns relating to the implementation of the Covenant. Everybody was working to see the day when Haiti could leave the crisis behind.

Changrok Soh, Committee Chairperson, in concluding remarks, said the Committee acknowledged the profound political, economic and humanitarian challenges facing Haiti, which had hampered efforts to protect human rights. Haiti was encouraged to take this opportunity to advance necessary reforms to ensure that the rights enshrined in the Covenant were fully recognised for all Haitians.

The delegation of Haiti was made up of representatives of the Ministry for the Status of Women and Women’s Rights; the Ministry of Justice and Public Security; the Ministry of Foreign Affairs; the Ministry of Social Affairs and Work; the Cabinet; the Government of Port-au-Prince; the Prime Minister’s Office; the Haitian National Police; the Anti-Violence Unit; and the Permanent Mission of Haiti to the United Nations Office at Geneva. Some members of the delegation were unable to attend the meeting in person due to travel restrictions.

The Human Rights Committee’s one hundred and forty-fourth session is being held from 23 June to 17 July 2025. All the documents relating to the Committee’s work, including reports submitted by States parties, can be found on the session’s webpage . Meeting summary releases can be found here . The webcast of the Committee’s public meetings can be accessed via the UN Web TV webpage .

The Committee will next meet in public at 3 p.m., Monday 7 July to begin its consideration of the fourth periodic report of Viet Nam (CCPR/C/VNM/4).

Report

The Committee has before it the second periodic report of Haiti (CCPR/C/HTI/2).

Presentation of Report

PEDRICA SAINT JEAN, Minister for the Status of Women and Women’s Rights and head of the delegation , said between 2020 to 2025, Haiti had experienced both positive and negative developments. From a positive perspective, the Government had multiplied efforts in many areas to improve the rule of law and respect for human rights. However, the country had been plagued by unprecedent insecurity that required the intervention of a foreign force, through the deployment of the Multinational Security Support Mission on October 2, 2024. This force intervened in the context of an agreement signed between Haiti and Kenya on police and security cooperation in March 2024, following the adoption of the United Nations Security Council Resolution 2699.

From 2020 to 2025, Haiti was confronted with repeated political crises, marked by lockdown operations and successive protests which accompanied them. The COVID-19 pandemic, frequent floods and the earthquake of 14 August 2021, which devastated part of the Great South region, were additional challenges faced by the country. This complex situation was further aggravated by the assassination of the Haitian President on 6 July 2021.

An agreement for a peaceful transition was reached on 3 April 2024, establishing a transition period with a nine-member Transitional Presidential Council and a Prime Minister, with the aim of restoring security, continuing constitutional reform, and organising democratic presidential elections. The Council was also tasked with economic and judicial reforms and combating corruption. The agreement provided for the establishment of three key bodies, including the Body for the Control of Government Action, in charge of controlling the acts of the Executive, since Parliament was currently non-existent; the National Security Council, to respond to the various aspects of the country’s security crisis; and the National Conference, accompanied by a steering committee. The Government had already established the National Security Council and the National Conference and its steering committee. The referendum decree, resulting from the work of the National Conference and the steering committee, would allow Haiti to have a new Constitution. Currently, efforts were underway to strengthen the capacities of the Haitian National Police and the Armed Forces of Haiti, which had a budget increase of 11 per cent in 2024-2025. An agreement was concluded with Colombia to monitor the Haitian coast, to curb the illicit trafficking of firearms.

The Government had attached great importance to the judicial reform already initiated by its predecessors. Six new Courts of First Instance and the corresponding Public Prosecutor’s Offices were created between September 2024 and April 2025. The law of 10 September 2018 created the National Council for Legal Assistance and established legal aid offices in 18 jurisdictions in Haiti, aiming to provide free legal assistance to those who were financially struggling. The Penal Code and the Code of Criminal Procedure had previously been criticised by civil society in 2020. Following the revision of the two texts by a special commission, they were adopted on 24 June 2025. This marked an important step in the fight against insecurity, corruption and impunity.

Two other important decrees had been adopted in the context of judicial reform. The first, adopted on 16 April 2025, which created two specialised judicial poles: one for the repression of complex financial crimes and offences and the other for the repression of mass crimes and sexual violence. The second decree of 4 May 2023 sanctioned money laundering, terrorist financing and the financing of the proliferation of weapons of mass destruction in Haiti.

Despite Government efforts, due to the deteriorating security situation, the majority of prisons in Port-au-Prince had been vandalised, leading to the uncontrolled release of a number of detainees. The Government had been forced to relocate several jurisdictions to allow the resumption of judicial activities in minimum security conditions and the normal application of appropriate sentences and sanctions.

The Haitian State aimed to follow up on complaints against police officers for excessive use of force, and it organised human rights training sessions for police personnel. However, it was regrettable that, despite the Government’s efforts, some citizens, driven by anger at the atrocities committed by criminal groups, resorted to extreme methods, including the lynching of captured gang members, instead of handing them over to the authorities. The Government recognised the severity of these acts and strongly condemned all forms of mob justice.

The crisis in the country led to an increase in gender-based violence, particularly for displaced persons in camps. The Haitian State was working to protect and facilitate access to justice for survivors of violence, including through the creation of the Office for Combatting Gender-Based Violence as well as the organization of training adapted to the needs of survivors for police officers and judges. Medical, legal and psychosocial assistance were also offered to women and girls at internal displacement camps.

Article 262 of the Penal Code, adopted by decree on 23 June 2025, punished the perpetrators of acts of torture and barbarism, with sentences ranging from 15 to 20 years in prison. Prison overcrowding remained a major problem, especially with the destruction of the main prisons in March 2024. Instructions had been issued to the Public Prosecutor’s Offices and Courts of First Instance to carry out regular criminal hearings, with the aim of relieving overcrowding in the prisons in provincial cities.

The Transitional Presidential Council was making every effort to organise general elections in 2025 and to install a President elected on 7 February 2026. Despite its efforts, the Haitian State was aware that the implementation of the provisions of the Covenant had not yet reached a satisfactory level. However, Haiti pledged to do everything in its power to implement the provisions on the Covenant.

Questions by Committee Experts

A Committee Expert acknowledged how difficult it was for the State party to participate in person in the dialogue and expressed gratitude to the delegation in Geneva. The Committee was aware of the grave humanitarian crisis suffered by Haiti for decades, compounded with the assassination of the President in 2021. In that context, the Committee noted an increase in widespread human rights violations and growing control of armed gangs in significant parts of Port-au-Prince, leaving the population more vulnerable to violence and human rights abuses, and leading to the displacement of more than one million people.

Were courts in Haiti directly applying the Covenant? Could examples be provided? Were courses on international human rights law and the Covenant provided in training to judges? The Committee had been informed of situations where civil servants had opposed the execution of orders handed down by judges to free individuals. Could this be explained? What role did these civil servants play in the judicial system? Had steps been taken to ratify the Optional Protocol of the Covenant on individual communications? In May 2025, a bill of law was presented on the development of a new constitution, with a decree adopted to hold a referendum on the issue. Was this bill in line with the rights enshrined in the Covenant? Was it realistic to carry out a referendum in the context of violence? When was the state of emergency ordered? Was it still in force? Which articles of the Covenant were suspended?

Did the current budget of the Office for Citizen Protection allow it to carry out its functions and extend its activities to the most remote parts of the country? Were there plans to expand the powers of the Office to allow it to consider human rights violations that had their origin in the acts of private entities?

What steps had been taken to end discrimination against lesbian, gay, bisexual and transgender persons? Were there laws in place to punish acts of discrimination against these groups? Had the State taken actions been to allow these people to carry out public demonstrations and to protect them? Had it adopted measures to change discriminatory cultural attitudes in Haitian society, to end stigmatisation of lesbian, gay, bisexual and transgender persons?

Another Expert said despite the crisis in the country, Haiti remained bound by its international obligations. The dialogue would address problems such as insecurity, the deep humanitarian crisis that the population was experiencing, the endemic violence of gangs, the forced displacement of the population, the dysfunction of the justice system, chronic impunity and serious challenges to the rule of law. All these problems were linked to corruption. The report published in 2023 by the United Nations Expert on Human Rights in Haiti stated that corruption in Haiti was “public enemy number one” and found that more than 90 per cent of Haitian civil servants did not comply with the national anti-corruption law. The Anti-Corruption Unit and the Central Financial Intelligence Unit, which were suspected of lacking independence, had brought nearly 100 major cases of corruption to justice, but these had not led to any convictions.

Did the State plan to set up a financial prosecutor’s office or judges specialised in the fight against corruption? Could more information be provided on the decree adopted on the creation of financial judicial units? What measures were being taken to support the work of the Anti-Corruption Unit and the Central Financial Intelligence Unit and to ensure that the cases referred were followed up independently?

Haiti had expressed its commitment to ensuring accountability for the serious violations committed during Jean-Claude Duvalier’s presidency. However, a case assessing these violations had been in the courts of cassation since 2014, and there had not been any progress. What explained the delay? Could the delegation enlighten the Committee on the situation of Jean Gabriel Robert, who was convicted in absentia in the case of the “Raboteau massacre”?

Information showed that the scale of violence against women and girls was considerable, with sexual violence, including rape, which was sometimes perpetrated against children as young as five years old; gang rape; and forced prostitution, used as a weapon of control by gangs. According to reports, the judiciary were not sensitive to cases of gender-based violence and victims were hesitant to report cases. What measures were taken to encourage women to file complaints? Was there a fund to help survivors of violence? How were they supported by State services?

According to information received by the Committee, lynchings continued to be regular and numerous, with more than 500 in 2023. These were often the work of self-defence groups in or around Port-au-Prince, who did not trust the police, mainly due to corruption. In addition, the 2024 report of the United Nations Expert on Human Rights in Haiti noted that police were passive, and it appeared that some murders were encouraged, supported or facilitated by the police forces. Was this violence investigated, including when the police were accused of supporting or encouraging it? Had the perpetrators of lynchings, stonings and mutilations been prosecuted and punished proportionately? How could trust be restored between the police and the civilian population?

Another Expert said specific steps had not been taken to combat impunity. What hope existed, looking forward to the immediate and long-term future, regarding a reversal of the situation? There were several cases in which there had been impunity for human rights violations. Attacks against the population in the La Saline suburb in 2018 had not been condemned by the Government and no steps had been taken to provide support to victims. What measures had been taken against the involvement of political agents in these cases? Why was the La Saline case withdrawn from the original judge?

Data showed that 28 percent of civil servants in Haiti were women. In 2019 a strategy was presented to ensure equality for women by 2030. What progress had been made? How would the State party solve the problem of the low rate of political representation of women in Haiti?

What actions were being taken to guaranteed women’s access to health care, in situations where criminal groups took control of health centres? How was access to medicines ensured?

Another Expert asked what Haiti’s prospects were looking forward? What urgent measures were envisaged to protect women and girls in areas under gang control? What mechanisms had been established to guarantee security and safety for survivors of sexual violence, and to encourage the reporting of cases? Could Haiti provide updated information on the draft law preventing violence against women and girls? Was there a timeline for its adoption? What had been done to bolster the amount of medical, legal and psychosocial services for survivors, particularly in areas under gang control? What measures were envisaged to protect the right to life of those in extreme poverty? Was there an intersectional strategy to prevent avoidable deaths linked to poverty?

What measures were taken to protect civilians living in areas under the control of armed gangs? What had been the result of the assistance from Kenya? Was it meeting the challenges? What guarantees existed when it came to the investigation of its own officers by the Haitian police? How was it ensured that the police did not carry out disproportionate use of force during protests? How was action being bolstered in areas under gang control?

Was there a road map regarding ratification of the Covenant’s Second Optional Protocol concerning the death penalty? How did the State party intend to ensure that those who had served their sentence were properly released? Had the system for monitoring judicial cases been reactivated? What efforts were underway to improve detention conditions? Were construction projects for new prisons still planned? How many women had access to shelters in the last three years? What measures were envisaged to guarantee all police stations should have trained personnel, particularly in areas most affected by police insecurity?

Responses by the Delegation

PEDRICA SAINT JEAN, Minister for the Status of Women and Women’s Rights and head of the delegation , said the Government had priorities outlined in the April 2024 agreement on the peaceful transition, including combatting insecurity, conducting the referendum and bringing the country to elections to appoint a robust Government. To combat insecurity, the budget allocated to the police and armed forces had been increased, allowing them to better contain the problems they were confronting. The police, the Haitian armed forces, and the security mission needed to work together to combat insecurity to allow for the milestone referendum to be held. Nine electoral commissioners were currently out in the field assessing the requirements. Haiti was not waiting for the security issues to subside before moving to the referendum.

Haiti was doing its utmost to implement its commitments under the Covenant through a raft of measures. Six new courtrooms had been established in the country, allowing proximity between those needing to access the justice system and the infrastructure in place. Bureaus had been established to work on specific criminal areas, including mass crimes which had remained unpunished. For some time, courts had not been operational because they were in the hands of gangs. Two bureaus would be responsible for crimes of sexual violence, and another was responsible for financial crimes. Some 34 new judges and prosecutors had been appointed to support the justice system.

The method of choosing judges for the Anti-Corruption Unit had not hindered its independence. Cases were currently going ahead at the Court of First Instance. Three prisons had been built to international standards, with one dedicated to female inmates. Institutional measures had been put in place to freeze the funds of certain agencies which were found to be corrupt but had impunity from the Anti-Corruption Unit, and those responsible were being brought before the court.

The Government of Haiti had always condemned lynchings, which were not part of the country’s culture. Incidents needed to be reported at a police station so perpetrators could be incarcerated and tried for their crimes.

The delegation said several assessment missions had been established to gain an understanding of the situation of detention centres and propose tangible solutions. One of the main challenges was the provision of food, due to lack of access to main roads. To address this situation, the Justice Ministry sought to ensure that providers of food should be placed directly in situ. In the last few months, prisons had greater autonomy and managed their needs themselves, providing a better and tailored approach to local realities.

Haiti had done a lot to combat gender-based violence. This phenomenon was topical in Haiti, particularly when it came to displaced women. Several strategies had been undertaken to combat gender-based violence, including a national strategy that spanned from 2017 to 2024. An assessment of the strategy was almost completed. A gender-based violence cell had been established within the police, to train police officers to take the needs of female victims of violence into account. The Office to Combat Gender-Based Violence streamlined services for victims, enabling them to receive legal, psychosocial and medical assistance in one place. Psychosocial support services had been set up for women victims in internal displacement camps. Several initiatives had been adopted to bolster protections for minors, including host families and prevention and readaptation programmes for children recruited by armed games. Training and awareness raising sessions were organised for judges.

In areas with armed gangs, women were typically the primary victims. The number of victims was increasing, particularly against younger women, but violence by armed gangs was also affecting children and the elderly. Violence was used as a weapon of repression. There were still people in Haiti who did not want to report. During times of political turbulence, the phenomenon of violence against women was heightened. There was a need for awareness raising to eradicate the phenomenon. Women should not be used as an instrument to place pressure on the Government.

Incest had never been part of Haitian culture, but it did not mean this phenomenon did not exist. When incest occurred, people usually preferred to solve the issue in the family. Attention needed to be paid to the phenomenon of incest involving displaced people. The State sanctioned based on the relevant 2006 decree and used case law when dealing with these offences. It was important to continue legislating to bring tangible solutions to this phenomenon.

For 15 years, judges had been receiving training on the Covenant from the Government and the Haitian police.

Lesbian, gay, bisexual, transgender and intersex persons had been looked down on in Haiti; they were formerly not given the right to complain. While progress was not significant, these people were now considered to be fully fledged citizens who needed to be protected by the State and to enjoy their full human rights.

Quotas had been implemented calling for at least 30 per cent of decision-making posts to be held by women. This issue had been poorly addressed. In the new Constitution, the State was advocating for parity. Until there was a critical mass of women in decision-making posts, the problems they faced would persist. A series of consultations had been launched with officials to create incentive measures to promote equality regarding candidate lists.

The law on the organization of the Ministry on the Status of Women had not properly been reformed, which was why the Ministry had difficulties in playing its primary role. The Ministry submitted a law on its reorganization to ensure it could achieve its goals. By the start of next year, the State would launch its first national action plan covering the participation of women in restoring peace and security in Haiti. Work was being done with survivors in internal displacement camps to transform them into fully-fledged actors. Women, including young girls and survivors of violence in these camps, had been appointed as peace ambassadors, to sensitise the message of peace throughout Haiti.

Haiti was relying on the work of the Multinational Security Support Mission and the international community to help the police and armed forces overcome the corruption and security issues in the country.

Follow-up Questions by Committee Experts

A Committee Expert asked follow-up questions, including on the functions to be undertaken by the bureaus on mass crimes, sexual crimes and financial crimes. This was a fantastic idea, but the bureaus needed to have the resources to operate properly. Other questions were asked on measures planned to restore the trust between the police and the justice system; lynchings committed by the police force; steps to tackle the circulation of weapons; and the mandate of the Office for Citizens’ Protection.

An Expert said they saw the referendum to establish a new Constitution in a positive light, as an attempt to reestablish the institutionality of the country. Who drafted this bill? Did it go through various sectors, with participation from civil society? What did the “green and red zones” mean? Were green zones under Government control? Did red zones mean there was no State control? What happened if there was a referendum in the red zones?

More questions were asked on how the long tradition of impunity could be alleviated; alternative measures to detention; detention beyond the lengths of sentences; efforts to prevent discrimination against women; and access to voluntary interruption of pregnancy. What was the Government’s perception of the processes involving the participation of the international community that aimed to improve the situation for the population of Haiti?

According to information received by the Committee, around 40 per cent of births enjoyed the proper medical support. How did midwives treat risky pregnancies? Did the State intend to include the ratification of the Second Optional Protocol in the planned reform of the draft Constitution?

Responses by the Delegation

The delegation said the death penalty was abolished in Haiti through a decree adopted in 1987.

Regarding the red and green zones, there were currently zones under gang control, where the State was doing everything possible to convert them to green zones. Green zones were placed where the State could provide appropriate services to the population. The police were trying to gain access to the red zones to bring about peace and security. Progress had been made in penetrating many of the red zones; it was expected that there would be further progress in this area.

The referendum was a compulsory, milestone measure to lay the groundwork for national elections and allow the population to get their new Constitution. All different sectors of society had been consulted in the drafting of the new Constitution.

Haiti had implemented measures that aimed to provide a structure to prevent the free circulation of weapons, including weapons of mass destruction.

The delegation said there was a legal bureau on mass crimes and sexual violence in Port-au-Prince and another on financial crimes. The bureaus were comprised of 10 judges who worked with the police and financial oversight and regulatory bodies. Their operations were ensured by donors from the international community and the State.

The community police were carrying out an awareness raising campaign to progressively build trust with the general population. Training sessions were being organised for police officers, with a view to protecting the population. When complaints were made against the police force, the national inspector for the police carried out investigations and measures were taken as necessary.

Haiti had a plan to set up scanners at customs to prevent the flow of illegal weapons into the country. Controls at the border with the Dominican Republic and checks of containers coming from the United Staes had been strengthened, and strict checks were being conducted on private vehicles, including motorbikes. Authorities had also suspended land imports from the Dominican Republic, ensuring seizures of illegal imports. Despite this, Haiti was facing increased criminal activity and corruption, with the need for increased international support to reduce the weapons flow into Haiti.

Green zones were safe zones while red zones were ones where there was a heightened risk.

A draft of the new Constitution had been shared across different sectors to receive their inputs, which had been sent to the Committee responsible for the drafting of the new Constitution.

Haitian midwives played a key role in early detection of illnesses and in responding to complications during birth. They carried out post monitoring operatives in rural areas, while caesarean procedures were performed by obstetric doctors.

Questions by Committee Experts

A Committee Expert asked if there were obstacles preventing Haiti from ratifying the Covenant’s Second Optional Protocol? Murderous attacks by gangs against ambulances had been reported, and health staff had fled the country. Did the Government have any plans to confront these problems? Haiti had an astonishing overcrowding rate in its prisons, at allegedly over 300 per cent. There was a lack of access to the appellate procedure for all inmates and for persons with disabilities. How did Haiti plan to resolve this problem?

Another Expert appreciated Haiti’s delegation comprised of high-level women. It was reported that police agents or persons acting with their complicity tortured inmates on a daily basis in prisons and police custody facilities. Why had the perpetrators of cases of torture not been prosecuted and brought to justice? Had there been capacity building of law enforcement in the area of torture? Why had the State not ratified the Convention against Torture?

Reports received by the Committee stated that forced evictions had become widespread since the earthquake in 2010, but this was denied by the State. It was alleged that these evictions affected a wide number of families and were not addressed by the State. What information was available about three resident families who had not taken up possession of reconstructed homes? Which Government civil servants were responsible for these families’ forced evictions? How had the Government taken steps to prosecute those involved?

Hurricane Matthew had affected more than 2.6 million people, including 600,000 children; what measures had been taken to protect them? Could information be provided on the distribution of financial aid and the resources used to reconstruct infrastructure following this natural disaster? During the imposed state of emergency, was it only economic rights which were affected? What solutions were available for those still awaiting assistance from the damage 10 years ago? What resources had been allocated to address housing issues?

A Committee Expert asked about the implementation of the National Plan to Combat Child Labour, adopted in 2019; what was the duration of the plan? Was it still in force or had a new plan been adopted? Could data on the number of children exploited and those in situations of begging be provided? What work had been done specifically on the exploitation of children by the Committee to Combat Human Trafficking?

Various reports had documented violence against children, who were recruited and used by the gangs and injured or killed as a result. An even more severe impact was felt by children with disabilities. The Secretary-General’s report had outlined 383 grave violations against children in 2024. In December 2024, the gangs had committed a high number of abductions, including of 17 girls and 10 boys. What measures had been taken by the State to combat these grave violations? To help minors, child soldiers and victims of armed groups, a Commission had been created to support the creation of a national network of shelters and rehabilitation centres. How did the State ensure that the Commission had the human and financial resources necessary to support its functions? What did its work consist of? Was the National Committee for Combatting Human Trafficking able to carry out its functions? What measures had been adopted along the Dominican-Haitian border to prevent trafficking of children who were then sold in the Dominican Republic?

It was understood that a commission to implement criminal reform was created in July 2024. What were the main reforms being carried out? What measures had been adopted to deal with the firebomb attacks on judges? How was the safety and security of judges being ensured? What was the current situation of the National Council for Legal Assistance? Regarding the appointment of judges in the Cassation Council, how was it ensured that the involvement of the Senate did not affect the Council’s independence? What role did the Council play in combatting corruption in the judicial sphere?

Another Committee Expert said people who were displaced often lost their identification documents. What was the State party doing to resolve this issue? Two journalists reporting on insecurity in Haiti had been executed in 2022. The Committee had also received information that five journalists were murdered in 2024, with no investigations carried out. Gang violence had also led to the closure and restriction of media, including the suspension of popular programmes on suspicion of serving as platforms for gangs. Journalists had also been threatened by gangs. How could elections take place if the State could not facilitate the free circulation of ideas? How did Haiti intend to combat impunity surrounding executions or ill-treatment of journalists? What was done to protect human rights defenders? How was it ensured that social media platforms were regulated?

In March 2025, anti-Government protests were held to decry the security context and inaction by the State. What measures had been taken to establish the responsibility of police directly involved in the use of force in suppressing peaceful demonstrations? What had been done to guarantee the work of non-governmental organizations in full security and free from harassment?

Responses by the Delegation

The delegation said overcrowding in prisons remained a major issue for the Government which it was working to address. Instructions had been issued to the prosecution offices and tribunals of the Courts of First Instance to encourage the holding of more criminal sessions, including sessions in which a jury was not present, with a view to relieving overcrowding in provincial prisons. In 2023 and2024, this occurred in 14 jurisdictions, leading to 159 convictions. In 2024, the total number of people detained in the country was around 12,000. The State had managed to capture around 12 prisoners who had escaped. The drop in the number of detainees in 2025 was explained primarily due to the escapes that followed the armed attacks carried out against certain penitentiary infrastructure. Courts had been actively engaged to implement non-custodial measures when appropriate, as a means of alleviating prison overcrowding. The Government recognised the need to prevent arbitrary arrests. Men, women and children were placed in different prisons. Despite the State’s efforts, there was only one police officer per every 14 detainees.

The Government remained committed to improving prison conditions, despite security constraints. The mortality rate had dropped between 2024 and 2025 thanks to coordinated action to provide medical care and humanitarian aid. Healthcare services had been established in several penitentiaries. In 2017, a Presidential Commission was established to shed light on deaths in the Port-au-Prince prison. It highlighted aggravating factors including severe overcrowding, insufficient hygiene and a lack of medical support, among others. Measures were implemented to improve nutrition, detention conditions and investigate causes of deaths.

The internal regulations of the penitentiary administration outlawed all forms of torture and inhumane treatment. Finances had been provided to the National Anti-Trafficking Committee to support the implementation of its national action plan. A protocol had been signed to guarantee legal aid to victims of trafficking. Some 100 students from the University of Haiti had received training on the issue of human trafficking. Several human traffickers had been prosecuted, however following the mass escapes in March 2024, a number of these traffickers were unfortunately able to escape.

The Constitution guaranteed that judges could not be dismissed. In the judicial hierarchy in Haiti, the Constitution had the highest ranking, followed by international conventions. In Haiti, the Constitution outlawed the death penalty in all areas, meaning there was no need to fear its reinstation. The ratification of the Second Optional Protocol could be discussed when the legislature was functional.

Families who were forcibly evicted due to the development of road infrastructure or for airport security purposes had a right to fixed compensation, as well as the right to appeal decisions blocking their access to redress.

A State project had been launched to combat domestic labour by children, in line with the Convention on the Rights of the Child. The project had been launched in 16 regions in the country and included a concrete list of jobs banned for children. Twenty-three surveys of young people had been conducted, allowing them to express themselves on themes including domestic labour, birth registration, violence against children, and education. A social protection project ensured monetary transfers for children under the age of five, pregnant women and persons with disabilities. The project was financed by the World Bank and allowed vulnerable families to provide care to their children. Around 25,000 homes received regular monetary transfers to the value of 40 United States dollars per month.

A professional training programme had been launched in conjunction with the International Labour Organization, allowing for the training of more than 800 vulnerable teenagers in various technical and farming activities. Some 9,200 children had received support for school re-enrolment. Four thousand vulnerable homes at risk of family separation received monetary transfers to support income-generating activities, as well as financial education. A pilot programme had been launched in targeted communes with the United Nations Children’s Fund, which had developed a foster programme for children taken out of situations of domesticity to support their reintegration.

Legal assistance officers had been established in 12 jurisdictions and the rollout was ongoing. A decision would be made on the draft Constitution based on a participatory process. A Commission had been established to follow up on gender-based violence cases in the country.

Steps had been taken to prevent the phenomenon of forced evictions, but results were still limited. The Government had not been encouraging forced evictions and had taken new steps to support victims. Demolished homes had been rebuilt and several previous owners had already taken ownership of their new homes. Authorities ensured that no one living in camps or informal housing was evicted without a humane alternative provided.

The Haitian State reiterated its commitment to freedom of the press and its respect for the work of human rights defenders. Efforts were made to ensure journalists could freely conduct their work, including by strengthening protection mechanisms. Haitian authorities reaffirmed their desire to shed light on the murders of several journalists, which were currently at being investigated by the Public Prosecutor.

The courts did not all apply the Covenant in the same way, but it was often evoked in individual cases. Alternative measures to prison were allowed for in the new Criminal Code, which had been adopted in June 2025. Judges were equipped with armed vehicles and would have security details at their disposal for their personal safety. The police force was taking steps to bolster security in zones with a heightened level of insecurity and ensure that the referendum could take place. The Government was engaged in an intense campaign to fight the armed violence being perpetrated by gangs.

Follow-up Questions by Committee Experts

Committee Experts asked follow-up questions regarding identification papers, which more than 70 per cent of the population did not have, as well as the role of the Government Commissioners within the courts of justice.

A Committee Expert expressed hope that the programme being laid out by the State for elections would bring about the enjoyment of rights by the population. It seemed impossible to bring this about given the current insecurity in Haiti. Was the State in a position to achieve peace given the current context? The context in Haiti required international, shared responsibility, with involvement from all States parties.

Closing Statements

PEDRICA SAINT JEAN, Minister for the Status of Women and Women’s Rights and head of the delegation , thanked the Committee for the kindness it had shown to the Haitian delegation, and the Experts for their insights. Haiti had taken due note of all recommendations and was determined to take further steps to develop effective, concrete responses to the Committee’s concerns relating to the implementation of the Covenant. One day, in the not-too-distant future, the country would exit the crisis. Everybody was working to see the day when Haiti could leave the crisis behind. Despite the efforts it had made, the Haitian State was aware that the implementation of the Covenant and progress in bolstering of the rule of law had not yet reached a satisfactory level. Haiti had a massive raft of problems to resolve, including travel restrictions, which had prevented some members of the delegation from traveling to Geneva. The State of Haiti was committed to doing its utmost to implement the provisions of the Covenant.

CHANGROK SOH, Committee Chairperson, expressed sincere gratitude to all who had contributed to the dialogue. The Committee acknowledged the profound political, economic and humanitarian challenges facing Haiti, which had hampered efforts to protect human rights. The Committee underscored the importance of continued diligence and commitment to the rights enshrined in the Covenant, especially in times of crisis. During the dialogue, the Committee had raised serious issues regarding the right to life, gang violence, lynchings, protection of vulnerable populations, corruption, protection of journalists and the need to combat impunity, among other concerns. Despite these challenges, the Committee appreciated the State party’s willingness to engage in dialogue. Haiti was encouraged to take this opportunity to advance necessary reforms to ensure that the rights enshrined in the Covenant were fully recognised for all Haitians.

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Produced by the United Nations Information Service in Geneva for use of the media;
not an official record. English and French versions of our releases are different as they are the product of two separate coverage teams that work independently.

CCPR25.015E

MIL OSI United Nations News –

July 5, 2025
MIL-OSI Russia: Dmitry Chernyshenko congratulated the participants of the youth forum “Biryusa” on the completion of the first shift “FinZHOZH”

Translation. Region: Russian Federal

Source: Government of the Russian Federation – An important disclaimer is at the bottom of this article.

Dmitry Chernyshenko greeted the participants of the forum “Territory of Initiative Youth “Biryusa”” and congratulated them on the completion of the “FinZHOZH” shift, dedicated to financial literacy issues

July 4, 2025

Dmitry Chernyshenko with Krasnoyarsk Krai Governor Mikhail Kotyukov and Rosfinmonitoring Director Yuri Chikhanchin (right) at the closing ceremony of the “FinZHOZH” shift at the Biryusa youth forum

July 4, 2025

Dmitry Chernyshenko and Governor of Krasnoyarsk Krai Mikhail Kotyukov with participants of the first shift of “FinZoZh” at the youth forum “Biryusa”

July 4, 2025

The closing ceremony of the first shift of “FinZOZH” at the youth forum “Biryusa”

July 4, 2025

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Dmitry Chernyshenko greeted the participants of the forum “Territory of Initiative Youth “Biryusa”” and congratulated them on the completion of the “FinZHOZH” shift, dedicated to financial literacy issues

Deputy Prime Minister Dmitry Chernyshenko greeted the participants of the forum “Territory of Initiative Youth “Biryusa”” and congratulated them on the completion of the “FinZHOZH” shift, dedicated to financial literacy issues.

At the closing ceremony of the shift, Dmitry Chernyshenko noted: “The Biryusa forum is being held for the 19th time, and for the first time, the FinZHOZH shift, which brought together financial security specialists and experts. Just as Artek began a hundred years ago, here you are forging the history of the Biryusa camp. I am sure that the FinZHOZH shifts will become annual. Thank you to our President for giving you the opportunity to realize your talents – all the conditions have been created for this in the country. There is nothing like this anywhere in the world. We will be proud (of our country), love and protect it, as you do, sharing knowledge in financial and cybersecurity.”

Dmitry Chernyshenko, together with the Director of Rosfinmonitoring Yuri Chikhanchin and the Governor of Krasnoyarsk Krai Mikhail Kotyukov, also took part in the defense of the projects presented by the shift participants and gave an expert assessment of their initiatives.

On the final day of the shift, six project teams presented their ideas on financial security, youth budgeting, developing a financial culture and managing a family budget.

“The participants of the Biryusa forum formulated many valuable ideas in the field of financial culture. These are our common projects that we will discuss, refine and implement together. I am sure that in a year, at the next forum, we will see the first practical results of this work,” said Mikhail Kotyukov, Governor of Krasnoyarsk Krai.

The shift, which took place from July 1 to 4, brought together 350 young professionals from 65 regions of the country, including students, employees of financial institutions and government agencies, volunteers and entrepreneurs.

The All-Russian educational forum “TIM Biryusa” is the key event of the year-round youth educational center of the Federal Agency for Youth Affairs in the direction of “Sports and Healthy Lifestyle”, opened on behalf of the President of Russia.

The forum has been held in Krasnoyarsk Krai since 2007 in the middle of Siberian forests on the shore of the Krasnoyarsk Reservoir. This year the venue turned 19 years old. During this time, the forum has been visited by 58 thousand participants.

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July 5, 2025