April 3, 2026

Image

Better health begins with ideas

 

Editors’ Note

As war in the Middle East continues to disrupt supply chains, damage essential infrastructure, and drive migration, the World Food Program states an additional 45 million people could be pushed into acute hunger this year if the conflict continues. But that suffering could be averted by learning from the recent past.  

 

To lead this week’s edition, CFR International Affairs Fellow Sam Vigersky and Program Coordinator Anya Hirschfeld explain how the spiraling crisis has a modern precedent: the crop and fertilizer shortages caused by Russia’s full-scale invasion of Ukraine. They outline what the United Nations and other players could do immediately to replicate the successful interventions that helped food-insecure countries in 2022. 

 

To illustrate how the current disruptions are unfolding, TGH Data Visuals Editor Allison Krugman offers three charts depicting how the conflict is delaying shipments of essential medications and food, spiking fuel prices, and aggravating already dire humanitarian crises.  

 

Switching gears to tech, a cadre of authors, led by Ilona Kickbusch of the Geneva Graduate Institute’s Global Health Centre, unpacks India’s new strategy for artificial intelligence (AI) in health care.  

 

In January, the Trump administration expanded the Global Gag Rule—now called the Promoting Human Flourishing in Foreign Assistance policy—to prohibit funding for organizations that provide gender-affirming care. As 160 countries adapt to the new restrictions, Jessica Oga and Moses Mulumba from Afya na Haki write that under the expanded policy, African institutions must choose between governing health through a normative legal order, anchored in ubuntu and regional human rights duties—or reorganizing themselves to pass foreign ideological tests.  

 

To wrap up, researchers Ashley N. Gearhardt, Kelly D. Brownell, and Allan M. Brandt draw on their recent study in Milbank Quarterly about how food corporations use Big Tobacco’s playbook to engineer ultra-processed foods for dependency rather than nourishment.  

 

Until next week!—Nsikan Akpan, Managing Editor, and Caroline Kantis, Associate Editor  

 

This Week’s Highlights

 

FOOD

A person who contracted HIV after losing access to PrEP, washes his face, in Asaba, Delta State, Nigeria, on May 31, 2025.

How the Iran War Could Drive a Historic Hunger Crisis

by Sam Vigersky and Anya Hirschfeld

Acute hunger threatens 45 million if the conflict extends into June. A roadmap from the Russia-Ukraine war could contain the humanitarian fallout  

      

Read this story

GOVERNANCE

A model of a robotic surgical system by Wipro Intelligence is exhibited at Bharat Mandapam, at the AI Impact Summit, in New Delhi, India, on February 16, 2026.

Why India’s Digital Governance Model Matters for Global Health

by Ilona Kickbusch, Anurag Agrawal, Catharina Boehme, and Karthik Adapa

India’s distinct approach to digital and AI governance focuses on shared public infrastructure

      

Read this story

GOVERNANCE

A woman gazes out of a window while attending a talk on sexual health and HIV prevention, in the Tanghin neighborhood of Ouagadougou, Burkina Faso, on April 13, 2013.

The Expanded Global Gag Rule and the Case for Regional Solidarity 

by Jessica Oga and Moses Mulumba

The anti-abortion policy undermines organizing principles, rooted in ubuntu, that keep African health systems coherent under stress 

 

Read this story

 

Figure of the Week

 

A map showing alternate shipping routes around the Cape of Good Hope in Africa

Read this story

 

Recommended Feature

 

FOOD

Breakfast cereals are displayed for sale at a grocery store, in Medford, Massachusetts, on April 22, 2025.

Ultra-Processed Foods Take Pointers From Big Tobacco

by Ashley N. Gearhardt, Kelly D. Brownell, and Allan M. Brandt

Like commercial tobacco, ultra-processed foods are engineered to drive consumption and should be regulated accordingly 

 

Read this story

 

What We’re Reading

U.S. Scientists Sequence 1,000 Genomes From Measles, a Disease Long Eliminated With Vaccines (KFF Health News)

 

A Mobile Clinic Delivers Critical Care for Texas Shrimpers (Civil Eats)

 

Gilead Accused of Blocking Global Access to HIV Drug (Politico)

 

WHO Member States Agree to Extend Negotiations on Key Annex to the Pandemic Agreement (WHO)

 

Cuban Doctors Endure Burnout, Blackouts as Once-Vaunted Health Care Declines (Reuters)

 

There’s a Massive Measles Vaccine Campaign in Mexico. Is the Public on Board? (NPR)

 

EPA to Stop UK’s Food Inflation Could Triple by Year End Due to Middle East War, Trade Group Says (Wall Street Journal)

 

Interested in submitting?

Review our Submission Guidelines

Image
Twitter Bluesky

An initiative from the Council on Foreign Relations

58 East 68th Street — New York, NY 10065

Unsubscribe

View in Browser

Manage Your CFR Email Preferences