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Health inequalities and inequities amid the ongoing civil war Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Healthcare challenges during civil war in Sudan Last updated: 19/06/25, 10:09 Published: 17/04/25, 07:00 Health inequalities and inequities amid the ongoing civil war This is article no. 2 in a series about global health injustices. Next article: Yemen: a neglected humanitarian crisis . Previous article: Life under occupation in Palestine Introduction Welcome to the second article of the Global Health Injustices Series. My previous article focused on the Palestinians and the injustices they face, notably the blockade of food, water and medical supplies in Gaza. This one will focus on Sudan by examining the health inequalities and inequities the wider Sudanese population faces, mainly due to the ongoing civil war between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF). This carries direct and indirect consequences ( Figure 1 ); some of these will be discussed in this article, along with ways forward to advocate and support the Sudanese people after an overview of Sudan’s history and current state. Sudan: a rich history to modern challenges Sudan is a country in North Africa bordered by South Sudan, Egypt, the Central African Republic, Libya, Chad to the northwest, Eritrea and Ethiopia. Sudan has had shifts in political power over centuries, notably the joint Egyptian-Ottoman rule beginning over 200 years ago before the British government took control of Sudan during the first half of the 20th century. After that, Sudan became independent, and South Sudan gained independence in the 21st century. Through these different shifts, there has been a struggle for representation and power in Sudan, leading to various crises, including the current civil war ( Figure 2 ). Despite this, Sudan maintains its multiple languages and cultural traditions through its resilient population. Aside from the SAF and RSF, the civil war in Sudan has arms trade and exports from external governments, particularly the United Arab Emirates (UAE), Russia, and China, have accelerated the civil war. This expansion is crucial because it illustrates how much geopolitics has severe consequences on the health and wellbeing of the Sudanese people. Health in Sudan: the consequences of civil war and geopolitics In a public health situation analysis (PHSA) by the World Health Organisation (WHO) published in 2024, they highlighted four major emergencies in Sudan: food insecurity, displacement, epidemics and conflicts, which are intrinsically linked to detrimental health outcomes like non-communicable diseases (NCDs), trauma and injury, measles and malaria. Moreover, several mortality indicators were noted in the PHSA. For example, the mortality rate among infants is 39 per 1000 people and for children, it is 54 per 1000, both originating from the United Nations Children's Fund (UNICEF). These outcomes among infants and children are attributed to health conditions, such as those occurring neonatally and lower respiratory infections. Nonetheless, there has been increased vaccine coverage in Sudan to fight the spread of infectious diseases. For example, COVID-19 vaccination reached approximately 12.6 million people (28% of the population) in March 2023, along with improved polio and rotavirus vaccination. However, all of these outcomes highlight the magnitude of the civil war in Sudan, with the impact of the arms trade adding fuel to it. Looking at Sudan’s healthcare system, there are several pressures to highlight. One commentary article noted that in conflict areas, less than one third of hospitals are operational, while 70% of them are not. Additionally, the operating hospitals stopped for various reasons, mainly shortages in electricity, medical equipment and healthcare workers. With the aforementioned geopolitical context, these gaps in the healthcare system are amplified and lead to the worsening health outcomes outlined in the PHSA, such as the rise in NCDs. Not only are NCDs rising in Sudan, but infectious diseases are exacerbated in Sudan with the civil war. One of them is drug-resistant tuberculosis (DR-TB), caused by bacteria. One systematic review found that the prevalence of TB with resistance to drugs was 47%; the ones that are not working on TB with the highest resistance include isoniazid at 32.3%, streptomycin at 31.7% and rifampicin at 29.2% resistance. These values are likely to be higher nowadays, given that arms trade exports into Sudan are increasing and leading to more patients not getting sufficient care to manage or treat DR-TB. Another infectious disease that is a significant health problem in Sudan is schistosomiasis, which is caused by parasites. One systematic review included two categories of the disease: Schistosoma haematobium (S. haematobium) and Schistosoma mansoni (S. mansoni) . S. haematobium prevalence was 24.83%, and for S. mansoni , it was 19.13%. These signify that although devising preventative strategies against these infections is crucial, it is paramount to consider the broader picture in Sudan: tackling schistosomiasis and other infections begins with understanding the geopolitical context. Looking at undernutrition among children in Sudan it is another significant health problem. For instance, a meta-analysis found that Sudan had the highest prevalence of stunting among North African countries at 36%; this was also true for wasting, where Sudan had a prevalence of wasting at 14.1% and a prevalence of underweight at 24.6%. Therefore, in a similar sentiment to tackling infectious diseases, understanding the geopolitical context in Sudan is vital to minimising the prevalence of undernutrition among children. Reflecting on all the data and sources I used above, gaps and perspectives still need to be addressed and highlighted, specifically in places within Sudan where the ongoing civil war severely impacts research. This signifies the importance of obtaining reliable information to support communities in Sudan facing numerous injustices. In turn, filling these information and perspective gaps may apply to other crises similar to Sudan. Protecting health in Sudan: crucial ways forward from NGOs To move forward, several NGOs, particularly Amnesty International, have made recommendations to protect the Sudanese people: As a part of their obligation to respect and ensure respect for international humanitarian law (IHL), all states are prohibited from transferring or permitting private actors to transfer weapons to a party to an armed conflict In light of the substantial risk that all arms and ammunition being transferred to Sudan….. will be used by parties to the conflict to commit grave human rights abuses, companies must immediately cease their involvement in this supply of arms to avoid causing or contributing to these abuses. If a company identifies that the products they sold have contributed to such abuses, they should provide for or cooperate in the remediation process to any persons harmed as a result. Therefore, taking these steps on board is essential to upholding human rights and ensuring that the health and wellbeing of the Sudanese people are sustained, particularly during the ongoing civil war. If not, these health inequities and inequalities will only be exacerbated. Moreover, the health outcomes from infectious and chronic diseases outlined are likely worse now, given how much weapons trading has occurred. Conclusion: call to action for the international community Overall, the civil war in Sudan has had devastating impacts on the health and wellbeing of the whole population, particularly the infants and children, among the other injustices. Unfortunately, this crisis has not received a lot of mainstream attention compared to others currently, such as Palestine, which is also a significant injustice. Therefore, Sudan must be addressed just as openly through discussions of justice and advocacy through the voices of the Sudanese people. Moreover, my statement in the previous article on Palestine rings true: It is crucial always to nudge those in positions of power worldwide to fulfil their responsibilities as civil servants and defend human rights for everyone. This is essential to maintain the health and wellbeing of the Sudanese people, particularly to facilitate the recommendations from NGOs such as Amnesty International. In my next article, I will discuss Yemen because this population is also encountering civil war as one of the many injustices which have been occurring for more than a decade, and Yemen is considered to be going through one of the worst humanitarian crises of our time. Similarly, these impacts on the health and wellbeing of the Yemeni people still need awareness and discussion. Written by Sam Jarada Related articles: A perspective on well-being / Understanding health through different stances / Impacts of global warming on dengue fever REFERENCES Crisis in Sudan: What is happening and how to help. The IRC. 2025. Available from: https://www.rescue.org/article/crisis-sudan-what-happening-and-how-help Khogali A, Homeida A. Impact of the 2023 armed conflict on Sudan’s healthcare system. Public Health Challenges. 2023 Oct 28;2(4). Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/puh2.134 Elamin A, Abdullah S, ElAbbadi A, Abdellah A, Hakim A, Wagiallah N, et al. Sudan: from a forgotten war to an abandoned healthcare system. BMJ Global Health. 2024 Oct;9(10):e016406. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11529772/ New weapons fuelling the Sudan conflict. Amnesty International. 2024. Available from: https://www.amnesty.org/en/latest/research/2024/07/new-weapons-fuelling-the-sudan-conflict/#:~:text=Shipment%2Dlevel%20trade%20data%20indicates,into%20lethal%20weapons%20in%20Sudan . PHSA -Sudan Complex Emergency 030424 SUDAN CONFLICT. World Health Organisation (WHO); 2024. Available from: https://cdn.who.int/media/docs/default-source/documents/emergencies/phsa--sudan-complex-emergency-030424.pdf?sfvrsn=81039842_1&download=true Alaa Dafallah, Osman, Ibrahim ME, Elsheikh RE, Blanchet K. Destruction, disruption and disaster: Sudan’s health system amidst armed conflict. Conflict and Health. 2023 Sep 27;17(1). Available from: https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-023-00542-9 Hajissa, K., Marzan, M., Idriss, M.I. and Islam, M.A. (2021). Prevalence of Drug-Resistant Tuberculosis in Sudan: A Systematic Review and Meta-Analysis. Antibiotics, 10(8), p.932. doi: https://doi.org/10.3390/antibiotics10080932 . Yousef Alsaafin, Omer, A., Osama Felemban, Sarra Modawi, Ibrahim, M., Mohammed, A., Ammar Elfaki, Abushara, A. and SalahEldin, M.A. (2024). Prevalence and Risk Factors of Schistosomiasis in Sudan: A Systematic Review and Meta-Analysis. Cureus. doi: https://doi.org/10.7759/cureus.73966 . Nagwa Farag Elmighrabi, Catharine, Dhami, M.V., Elmabsout, A.A. and Agho, K.E. (2023). A systematic review and meta-analysis of the prevalence of childhood undernutrition in North Africa. PLoS ONE, 18(4), pp.e0283685–e0283685. doi: https://doi.org/10.1371/journal.pone.0283685 . Project Gallery

About phosphate-solubilising micro-organisms and their role in the phosphorus cycle Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Meet the microbes that feed phosphorus to plants Last updated: 15/01/26, 19:00 Published: 27/11/25, 08:00 About phosphate-solubilising micro-organisms and their role in the phosphorus cycle Plants need phosphorus to make biological molecules like DNA, ATP, and the phospholipid bilayers that form cell membranes. Most phosphorus on Earth is found in its most oxidised form, phosphate (PO 4 3- ). Plant roots can only absorb soluble phosphate ions, but 80% of the phosphate in soil is insoluble and therefore unavailable for plant growth. Enter phosphate-solubilising micro-organisms. What are phosphate-solubilising micro-organisms? Phosphate solubilisation is the process by which micro-organisms convert insoluble phosphorus sources, like rocks or the biomass of dead organisms, into bioavailable phosphate ions (Figure 1). Examples of phosphate-solubilising bacteria come from the genera Bacillus , Pseudomonas , Rhizobium, Escherichia , Streptomyces , and Micromonospora , as well as some cyanobacteria. Phosphate-solubilising fungi include Aspergillus , Penicillium , Mucor , Rhizopus , Rhizophagus, and Glomus . The latter two fungal genera are arbuscular mycorrhizal (AM) fungi - more on them later. The chemistry underpinning phosphate solubilisation is complex but can broadly be split into inorganic and organic processes ( Figure 1 ). Some of these inorganic and organic processes are described in the rest of this article. Solubilising inorganic phosphate Inorganic insoluble phosphate is solubilised by microbial acids. When phosphate-containing rocks like apatite are broken down by weathering, the resulting smaller rock particles enter the soil. Micro-organisms secrete organic acids – usually gluconic acid but occasionally lactic, citric, oxalic, or other acids – to solubilise these rock particles. Acids work on inorganic phosphate in two ways. Firstly, they dissolve weathered rock pieces due to their low pH. Secondly, negatively charged acid anions (lactate, citrate, etc) displace the phosphate captured by aluminium, iron, magnesium, and calcium minerals in the rock. Organic acids are just some of the chemicals secreted by microbes to solubilise inorganic phosphate. Solubilising organic phosphorus On the other hand, microbial enzymes solubilise organic phosphorus during the decomposition of organic matter. The two types of phosphate-solubilising enzymes are phosphatases, which solubilise 90% of organic phosphorus, and phytases, which solubilise the remaining 10%. Both types of enzyme break the ester bonds linking a PO 4 3- group to the rest of a biological molecule. By expressing genes encoding phytases and phosphatases, soil micro-organisms make phosphorus available for plants. Arbuscular mycorrhizae (AM) AM fungi provide plants with phosphorus in a symbiotic relationship. These fungi consist of hyphae, which are long, thin strands of cells that extend a plant’s root network and access phosphorus where roots cannot (Figure 2). AM fungi have a three-pronged approach to improving a plant’s phosphorus uptake: firstly, they absorb phosphate from the soil and give it to the plant in exchange for carbon. Secondly, they solubilise phosphate by secreting acids and phosphatases. Finally, AM fungi recruit phosphate-solubilising bacteria to the root system by feeding them sugars and amino acids. Conclusion Phosphate-solubilising bacteria and fungi provide plants with phosphorus, an essential element for making nucleic acids and ATP. Most phosphate is inaccessible to plants, locked up in rocks and biomass. By secreting organic acids and enzymes, soil micro-organisms convert this inaccessible phosphate into a form that plant roots can absorb and incorporate into their own biomass. When that plant dies, the organic phosphorus is solubilised again for another plant to use, so phosphorus never runs out. Therefore, phosphate-solubilising microbes are a small part of the invisible world that keeps our planet green. Written by Simran Patel Related article: Human activity and the phosphorus cycle REFERENCES Silva LI da, Pereira MC, Carvalho AMX de, et al. Phosphorus-Solubilizing Microorganisms: A Key to Sustainable Agriculture. Agriculture 2023; 13: 462. Pang F, Li Q, Solanki MK, et al. Soil Phosphorus Transformation and Plant Uptake Driven by Phosphate-solubilizing Microorganisms. Front Microbiol ; 15. Epub ahead of print 27 March 2024. DOI: 10.3389/fmicb.2024.1383813 . Schipanski ME, Bennett EM. Chapter 9 - The Phosphorus Cycle. In: Weathers KC, Strayer DL, Likens GE (eds) Fundamentals of Ecosystem Science (Second Edition) . Academic Press, pp. 189–213. Tian J, Ge F, Zhang D, et al. Roles of Phosphate Solubilizing Microorganisms from Managing Soil Phosphorus Deficiency to Mediating Biogeochemical P Cycle. Biology 2021; 10: 158. Project Gallery

Behaviours in birds, mammals, and invertebrates Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Same-sex attraction in non-human animals Last updated: 17/06/25, 11:20 Published: 11/09/25, 07:00 Behaviours in birds, mammals, and invertebrates Biased science communication can have detrimental consequences. For example, facts about animal reproduction have been twisted to justify discrimination against the LGBTQIA+ community. Some people call homosexuality a “Darwinian paradox”, because it does not fit their preconceived belief that an animal’s job is to stay alive and make babies. This belief ignores how some animals, like humans, have complex social structures and do things just for fun. Same-sex sexual behaviours (SSSB) have been observed in 1500 animal species, none of whom do it to make babies. This article describes some of these behaviours in birds, mammals, and invertebrates. Same-sex sexual behaviour (SSSB) in birds The first recorded example of SSSB in non-human animals comes from Aristotle about 2300 years ago. He wrote about male pigeons, partridges, and quails mating with other male conspecifics. Since then, same-sex relationships have been recorded in other bird species. Greylag geese form “gander pairs” of two males, whose behaviours resemble pairs of opposite-sex mates. In Oahu, Hawaii, female-female Laysan albatross pairs looked after 31% of nests between 2004 and 2007. These pairs, one of which is pictured in Figure 1 , were equally good at raising chicks as male-female pairs. SSSB was also observed in unbonded king penguins, meaning penguins which had not committed to a mate for that breeding season. Using DNA to assess individual sex, 26.4% of courtship displays between unbonded king penguin couples were same-sex. There was also one male-male and one female-female pair of bonded king penguins, but both couples broke up and re-bonded with opposite-sex mates in the same season. The most famous same-sex bird couple is Roy and Silo from Central Park Zoo. They were a pair of chinstrap penguins who raised a chick named Tango when given a fertile egg. This family was the subject of a children’s book ( Figure 2 ) and an American culture war. Thus, many bird species pair with individuals of the same sex in captivity and more importantly, in the wild. SSSB in mammals Humans are not the only mammals to mate with individuals of the same sex. Male bats from the Myotis genus have been observed getting intimate with each other, and Mytois lucifugus releases sperm during this activity. In another bat species called the Bonin flying fox, males groomed each other in a way scientists perceived as sexual. Japanese macaques have monogamous female-female pairs called consortships, in which females carry out the same mating behaviours seen with male-female pairs. SSSB in insects In addition to birds and mammals, some insects conduct sexual activities to others of the same sex. In a 2012 study, 16% of male field crickets did courtship displays to and/or tried to mate with another male. The authors conducted experiments to rule out some leading Darwinian causes of SSSB, such as establishing dominance relationships (similar to an ‘alpha male’) or defusing hostile encounters. SSSB is well studied in flour beetles, where the males mount other males and release capsules of sperm like they would to females. In these beetles, the sexes are sexually dimorphic - distinguishable by appearance, smell, and/or sound - so a male beetle is intentionally choosing to mate with another male. When 59 male damselflies were offered a male and female in the same cage, 10 approached and began mating with the male. More damselflies chose the male over the female after spending a few days in a male-only population, perhaps because they were used to only having males to choose from. Therefore, analogies to both homoromantic and homosexual partnerships in humans exist in insects. Conclusion Since mammals, birds, insects, and molluscs all have evidence of SSSB in the wild, it is normal and certainly not unnatural for humans to do the same. These behaviours range from preferentially approaching the same sex to intentional, intimate actions. All the papers I used in this article are over a decade old, with the earliest evidence of non-human same-sex behaviour being 2300 years old. This means using biology to justify homophobia is very outdated, and factually incorrect. Written by Simran Patel REFERENCES Young LC, Zaun BJ, VanderWerf EA. Successful same-sex pairing in Laysan albatross. Biol Lett [Internet]. 2008 Aug 23 [cited 2025 Feb 1];4(4):323–5. Available from: https://royalsocietypublishing.org/doi/10.1098/rsbl.2008.0191 Richardson J, Parnell P, Cole H. And Tango makes three. First Little Simon board book edition. New York: Little Simon; 2015. 1 p. Sugita N. Homosexual Fellatio: Erect Penis Licking between Male Bonin Flying Foxes Pteropus pselaphon . Pellis S, editor. PLoS ONE [Internet]. 2016 Nov 8 [cited 2025 Feb 1];11(11):e0166024. Available from: https://dx.plos.org/10.1371/journal.pone.0166024 Bailey NW, French N. Same-sex sexual behaviour and mistaken identity in male field crickets, Teleogryllus oceanicus . Animal Behaviour [Internet]. 2012 Oct [cited 2025 Feb 1];84(4):1031–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0003347212003508 Huber R, Martys M. Male-male pairs in Greylag Geese ( Anser anser ). J Ornithol [Internet]. 1993 Apr [cited 2025 Feb 1];134(2):155–64. Available from: https://link.springer.com/10.1007/BF01640084 Levan KE, Fedina TY, Lewis SM. Testing multiple hypotheses for the maintenance of male homosexual copulatory behaviour in flour beetles. J of Evolutionary Biology [Internet]. 2009 Jan [cited 2025 Feb 1];22(1):60–70. Available from: https://academic.oup.com/jeb/article/22/1/60-70/7324140 Pincemy G, Dobson FS, Jouventin P. Homosexual Mating Displays in Penguins. Ethology [Internet]. 2010 Dec [cited 2025 Feb 1];116(12):1210–6. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1439-0310.2010.01835.x Riccucci M. Same-sex sexual behaviour in bats. Hystrix, the Italian Journal of Mammalogy [Internet]. 2010 Sep 24 [cited 2025 Feb 1];22(1). Available from: https://doi.org/10.4404/hystrix-22.1-4478 Van Gossum H, De Bruyn L, Stoks R. Reversible switches between male–male and male–female mating behaviour by male damselflies. Biol Lett [Internet]. 2005 Sep 22 [cited 2025 Feb 1];1(3):268–70. Available from: https://royalsocietypublishing.org/doi/10.1098/rsbl.2005.0315 Vasey PL, Jiskoot H. The Biogeography and Evolution of Female Homosexual Behavior in Japanese Macaques. Arch Sex Behav [Internet]. 2010 Dec [cited 2025 Feb 1];39(6):1439–41. Available from: http://link.springer.com/10.1007/s10508-009-9518-2 Project Gallery

Broadening access for (black) women in STEM Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Power of sisterhood in STEM Last updated: 28/03/25, 11:10 Published: 28/03/25, 08:00 Broadening access for (black) women in STEM In collaboration with SiSTEM for International Women's Month Entering a fluid dynamics lecture. Looking under a microscope confined to the four walls of a lab. Walking onto a construction site or a board meeting. As a woman in these spaces, particularly as a woman of colour it is easy to believe you are the ONLY one. That’s what we thought, two sisters of black heritage starting out in the biomedical and the engineering field respectively. The higher we went in education the less people that looked like us. Being 1 of 10 women in a cohort of 200 was a familiar sight. Being less than 2% of the engineering workforce as a woman, you can start to feel like science, technology, engineering and maths (STEM) is not for you. But the reality is there are women in STEM doing incredible work. STEM is not a man’s industry. As women, we deserve our space on the STEM table. Through our struggles and isolating experiences, we decided to create SiSTEM, a community for all these wonderful women. Real life sisterhood We are often asked how we find working with your sister. Truth is, we wouldn’t be each other’s first choice for a business partner! We never thought we would start an organisation together, growing up as most siblings we have always wanted to do our own thing. Science and engineering was always seen as us doing separate things. Moreover we have completely different personalities. But we are two sisters with one dream; we don’t want another girl to leave the STEM field because she doesn’t believe she belongs there. We don’t want another girl to disqualify herself from her STEM career or degree because she has been told she doesn’t have the look for STEM or grades to do well. We have one passion and that’s to change the narrative of women in STEM, particularly black women and those from lower socioeconomic backgrounds. There is power in numbers Community and having a support system are important. We wouldn’t have completed our STEM degrees or broken into our careers without our personal sisterly support. We were always a phone call away for each other, ready to be a listening ear and a cheerleader. That same sisterly support is what we offer to other women and girls through our initiative. There’s power in sisterhood, standing on the shoulders of great women. Women face unique challenges particularly in the STEM industry, discrimination, feeling less valued, difficulty with pay and promotion but by building a culture of support we empower women to thrive despite the barriers. It’s beautiful to belong to a circle of women as we are stronger together. By belonging to a community it cultivates a feeling of belonging. You also learn from one another, sparking interesting conversations, building important connections. We learn from our community everyday: the conversations we are able to have inspire us and broaden our knowledge. Throwing the rope to the next generation From its inception, SiSTEM’s goal was to support women and girls throughout their STEM journey. The gender gap issue in STEM starts very early on, very often not when we choose our degree courses but as early as primary school. That’s why we empower young girls as young as five years old. Every girl, every woman deserves to be part of a community. Every stage of the journey has its unique challenges which belonging to community can help navigate. I’m sure you’ve heard the saying ‘empowered women empower women’ - now we feel empowered to empower other girls and women. We originally felt like we were not the people to create this community. Imposter syndrome told us we weren’t qualified enough, that we didn’t have a story to tell worth listening to. Reflecting on our own journeys, it’s women like our teachers, our mother, our friends who have been key in our success. Our mum telling us to ‘aim high and be the best’, a female science teacher telling us ‘you can be whatever you want to be’, a friend's comment on our graduation post saying how proud they are. And now a community of women who we can lean on for support, receive advice and inspire us every day. Today, we meet women at schools, events, universities and workplaces. A common theme in some of these women and girls we meet is a lack of confidence. Our biggest joy is when we are able to put a smile on a young girl’s face who feels giving up.Women need reminding how amazing they are so we continue to do amazing things, find a cure for cancer, make an innovative product to solve the world’s biggest problems or to design a beautiful building which would will be seen by generations to come. We shouldn’t be afraid to share our personal stories of how we got to where we are. when others hear they are empowered. This is what we use our platform to do. We are able to pass on the mic to other woman to share their untold stories. By putting a light on various women particularly black women in STEM we are giving others positive roles models to look to where they able to believe they do can do it. An empowered woman is a force of nature. She shines. She encourages. She breaks barriers and has the confidence to speak up in a place where she was told to be silent. By forming our community even though we may still find that we are the only women in the room, we have many women standing behind us and many more coming. Conclusion Retention of women in STEM is as equally as important as getting women into STEM. There is a leaky pipeline particularly between university level and STEM leadership positions and also many young girls already have a negative perception about certain STEM careers. That’s why we created an initiative to encourage more girls to get into STEM through innovative workshops and outreach programs and to create a community for women currently in the field. By doing so we aim to open the bottle top at one end and close any holes at the other end. Women supporting women in a powerful thing and there is space for all women in stem, no matter your background, academic records or skin colour. Together we make STEM colourful…preferably pink! -- Scientia News wholeheartedly thanks SiSTEM for this important piece on female representation in STEM. We hope you enjoyed reading this International Women's Month Special piece! For more information, check them out on Instagram and LinkedIn . -- Related articles: Representation in STEM / Women leading in biomedical engineering / African-American women in cancer research Project Gallery

Global warming can lead to higher transmission rates of dengue fever Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The impacts of global warming on dengue fever Last updated: 08/10/25, 16:42 Published: 19/06/25, 07:00 Global warming can lead to higher transmission rates of dengue fever Introduction Dengue fever is a viral disease transmitted by two mosquitoes: Aedes aegypti and Aedes albopictus . These mosquitoes are called ‘vectors’. Symptoms of dengue fever include a sudden high fever and severe headaches, making it hard to diagnose. Transmission suitability is endemic, meaning the virus spreads where the conditions are suitable for the vectors to survive and reproduce for 10-12 months. This disease is endemic in the tropics, including much of Sub-Saharan Africa and Central Africa, Northern South America, Brazil, South and Southeast Asia, and parts of Northern Australia. The World Health Organisation (WHO) has stated that it is “the most important mosquito-borne viral disease in the world”. Dengue fever does not currently have a vaccine. There are many areas of transmission, and dengue fever impacts communities worse if they have weaker health systems. Severe dengue can be fatal, especially in children, who have a weaker immune system. Due to climate change and increasing temperatures, more areas will be habitable for the vectors in the future. This could lead to higher transmission rates of dengue fever. Researchers used a modelling approach using different datasets to make projections of the impact of changing temperatures and predict the future spread of dengue fever. They specifically looked at locations and months suitable for dengue transmission if conditions were suitable for both vectors. Method The researchers used temperature data from the Berkeley Earth Surface Temperatures dataset for the present day (2001-2020). They also used projected temperature data for 2050 based on the Coupled Model Intercomparison Project Phase 6 (CMIP6) projections for the socio-economic pathway (SSP) 1-2.6 scenario and SSP5-8.5 scenario, as used in the Intergovernmental Panel on Climate Change Sixth Assessment Report. The SSP1-2.6 scenario is the best-case scenario and assumes international policy agreements and emissions reductions will be followed, limiting the average global temperature to 1.5 °C above pre-industrial levels. The SSP5-8.5 scenario is the “business as usual” scenario and assumes that continued fossil fuel use and development will occur. Researchers used the most recent climate projections from the CMIP6, which gave an up-to-date, holistic view of the impact of potential differences between climate change trajectories on vulnerable populations. This information can be used to support climate change mitigation strategies and disease prevention and control. Thermal limits for the mosquito vectors used in this study were 19.9 - 29.4 °C for Aedes aegypti and 21.3 - 34 °C for Aedes albopictus , since the vectors can only survive and reproduce within these temperatures. Modelling the thermal limits of both vectors, instead of just one, made the analysis more comprehensive. The researchers also applied an aridity mask using the Normalised Difference Vegetation Index (NDVI), which excluded areas too dry for mosquito survival and reproduction. They then applied the thermal limits and aridity mask to the climate data to predict areas with suitable conditions for the vectors and estimate the number of months suitable for transmission. Using aridity masks (previously only done with malaria) enhanced the model's accuracy because moisture is an important factor for mosquito breeding. Results Figure 1 shows that under the SSP1-2.6 (best-case) scenario, there will be new suitability for dengue transmission in temperate regions by 2050, lasting about 1 to 2 months. In addition, northwestern South America could see increases of up to 5 months of new suitability, and Eastern Africa up to 6 months of new suitability. In addition, eastern and southern Central America, central and northwestern South America, northern Australia, and parts of Southeast Asia are also becoming suitable for year-round transmission. Figure 2 shows that under the SSP5-8.5 (“business as usual”) scenario, areas will become suitable for year-round transmission in similar locations as under the SSP1-2.6 scenario by 2050. Dengue transmission suitability could increase by up to 6 months in Eastern Africa, and up to 10 months in parts of northwestern South America. Areas as far north as the Arctic Circle also have new suitability under this scenario. This demonstrates that climate change could result in the expansion of areas and the length of time during which dengue fever transmission is possible. Evaluation It’s essential to also acknowledge the study's limitations. For example, the model did not account for other variables impacting disease transmission, such as mosquito adaptation and extreme weather. The potential adaptation of mosquitoes and parasites to changing environmental conditions could alter transmission dynamics. In addition, extreme weather events, such as heavy rain, could eliminate breeding sites. Furthermore, the method of using modelling and projections is unreliable, because many things could change between now and 2050. For example, there could be temperature fluctuations, or temperatures could fall between SSP1-2.6 and SSP5-8.5, rather than being fixed in either scenario. This could affect the reliability of predicting future dengue fever transmission suitability. The study also did not include aridity projections under climate change scenarios. As future projections of NDVI are not currently available, NDVI values for 2020 were held constant for the 2050 projections. There will likely be changes in aridity by 2050, which will affect mosquito reproduction and dengue transmission. Nevertheless, this study's results are still important because they suggest that with increasing climate change, dengue fever transmission could increase, which would be a public health issue. Further listening and reading If you would like to know more about dengue fever, consider listening to this short 5-minute podcast from the World Health Organisation. If you would like to know more about the impacts of climate change on health, consider listening to this podcast , also from the World Health Organisation. If you would like to know more about the impacts of climate change on neglected tropical diseases (NTDs), consider reading the full open-access paper mentioned in this article . Written by Naoshin Haque Related articles: Potential vaccine for malaria / Correlation between HDI and mortality rate / Healthcare challenges during civil war in Sudan / Rising temperatures impacts Project Gallery

Bilingual individuals must regularly manage interference, focus their attention, and switch between linguistic rules Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Does being bilingual make you smarter? Last updated: 06/12/25, 20:07 Published: 11/12/25, 08:00 Bilingual individuals must regularly manage interference, focus their attention, and switch between linguistic rules The question of whether bilingualism makes a person smarter has fascinated researchers for years, and modern neuroscience provides strong evidence that speaking multiple languages gives the brain a significant cognitive workout. Because both language systems are constantly active, bilingual individuals must regularly manage interference, focus their attention, and switch between linguistic rules. This continuous practice strengthens executive functions, the mental skills responsible for problem solving, inhibition, and flexible thinking, resulting in sharper overall cognitive control. Brain imaging research highlights these effects clearly. When bilinguals switch between languages, areas such as the dorsolateral prefrontal cortex and the anterior cingulate cortex show increased activation, the same regions involved in handling complex decisions and monitoring conflicting information ( Figure 1 ). The left inferior frontal gyrus, a core language production area, also contributes to nonverbal cognitive control. This overlap suggests that the very skills required to manage multiple languages spill over into broader mental abilities, making the bilingual brain more efficient at processing information far beyond the realm of language. Together, these neural advantages align with emerging evidence that the sustained cognitive engagement required to manage multiple languages may offer long-term neuroprotective effects, including a meaningful delay in the onset of dementia. The cognitive boost extends into sensory processing as well. Studies show that bilingual adolescents encode speech sounds more robustly, especially in noisy environments. Their stronger brainstem responses reveal enhanced auditory attention and sharper sound discrimination ( Figure 2 ). This means that the mental discipline of navigating multiple languages does not only affect high level reasoning but also improves the brain’s ability to detect, filter, and interpret sound, giving bilingual individuals an advantage in environments where listening is challenging. These advantages are reinforced by physical changes within the brain itself. Learning and using multiple languages increases grey matter density and strengthens white matter pathways involved in communication between brain regions. Even a few months of second language learning can produce measurable structural changes. Taken together, these neurological, cognitive, and sensory benefits demonstrate that knowing multiple languages profoundly shapes the brain. While bilingualism may not raise IQ scores in the strictest sense, it enhances mental flexibility, attention, memory, and auditory precision, suggesting that in many practical ways, being bilingual truly does make you smarter. Written by Maria Z Kahloon Related articles: The mutualism theory of general intelligence / Childhood intelligence Project Gallery

Looking at modern society in terms of the food being consumed and the amount of exercise undertaken collectively, it is entirely inevitable that diabetes will become an epidemic. Now before delving into the above statement further, diabetes mellitus (from Greek ‘siphon’ and Latin ‘sweet’) is a non-communicable disease that occurs when blood sugar levels in the body are so high, that the pancreas is unable to produce adequate insulin in order to manage this problem. Go back Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Will diabetes mellitus become an epidemic? Last updated: 07/11/24 Published: 18/05/23 Defining diabetes and its causes Looking at modern society in terms of the food being consumed and the amount of exercise undertaken collectively, it is entirely inevitable that diabetes will become an epidemic. Now before delving into the above statement further, diabetes mellitus (from Greek ‘siphon’ and Latin ‘sweet’) is a non-communicable disease that occurs when blood sugar levels in the body are so high, that the pancreas is unable to produce adequate insulin in order to manage this problem. Also, diabetes can be categorised into various types, but the most common are types 1 and 2 as well as gestational (which happens during pregnancy). There is also diabetes insipidus (from Latin ‘lacking taste’), and this is where the kidneys are unable to conserve water. The causes of diabetes mellitus can be divided based on the type. Since type 1 can be caused by the body’s immune system attacking the pancreas, this means that the beta cells are unable to make enough insulin because they are damaged. Not only can type 1 diabetes arise this way, it is possible that environmental factors such as diet and viral infections lead to the disease. As for type 2, it primarily comes from insulin resistance, meaning that the body does not respond to the hormone effectively compared to a person without diabetes. This in turn impacts insulin mediated glycogen synthesis and glycolysis leading to hyperglycemia as seen in figure 1. There are many reasons why diabetes is likely to become an epidemic. Firstly, there is a clear connection between obesity and type 2 diabetes which cannot be ignored; this is because an article found that people with both conditions are exacerbated perhaps due to increased non esterified fatty acids (NEFAs) and glycerol among other linked biochemicals. On the other hand, this same article stated that people with type 1 diabetes are not usually obese. Nevertheless, it is vital that in order to prevent the incidence of type 2 diabetes in later life, it is important to implement strategies such as regular exercise and lowering carbohydrate intake in the diet. Alluding to the previous paragraph, one of the major factors to the increase in obesity and type 2 diabetes diagnoses is the sedentary lifestyle or decreased mobility through sitting. A meta-analysis evaluated 10 studies with over 500,000 volunteers and concluded that there was a 112% cumulative increase in type 2 diabetes risk linked to watching TV. Additionally, a study showed that more sedentary time had raised body and trunk fat percentage while there was reduced appendicular skeletal muscle mass. Taking into account these findings among others, it is evident that exercise does play a role in reducing the risk of type 2 diabetes. Counteracting the previous paragraphs, it is equally plausible that diabetes will not be epidemic because there are current pharmaceutical drugs taken orally like sulfonylureas and meglitinides that cause the pancreas to release insulin aside from injection based ones such as amylin mimetics, which maintains blood glucose concentration, which are used for type 2 diabetes. As for those afflicted with type 1 diabetes, they mainly take insulin because they are in deficit of the hormone or they can have a pancreatic transplant, which has more than 96% and 83% survival rates after 1 and 5 years of the operations respectively, although it does have a major complication of rejection like any other type of operation. With regards to future treatments, a review discussed how newer drugs for decreasing blood glucose such as dipeptidyl peptidase-4 (DPP-4) inhibitors have been re-evaluated for cardiovascular outcome trials by showing patients experiencing a decrease in other non-communicable diseases like myocardial infarction and albuminuria, indicating that they can be useful for heart and kidney diseases associated with type 2 diabetes. Furthermore, there are other potential therapies such as probiotics and prebiotics that can be used along with faecal transplants to change the gut microbiome for type 2 diabetes patients. It is uncertain that diabetes will/won’t become an epidemic From a more neutral perspective, there is not enough certainty that diabetes will or will not become an epidemic simply because accurately predicting the future 100% of the time is impossible. As such, the future interventions for treating diabetes may not actually get to exist, perhaps due to prospective factors like politics and societal values with respect to science as well as taking into account the difficulty for a therapeutic method to be put onto the market for the patients to consider. Another point to address is the fact that the human body is so incredibly complex that it took humans thousands of years to truly discover all of the current facts known in relation to its anatomy and physiology along with having some level of understanding of them. Not only that, there are still observations about the human body that are still unclear to scientists today and so the drugs for treating diabetes may or may not be effective depending on who is receiving the therapy because each person is genetically unique. Conclusion Referring to all of the arguments made, it is evident that diabetes is a huge burden for modern and future societies because of its links to obesity or sedentary lifestyle and consuming foods high in carbohydrates. Yet, this issue may be prevented by exploring future therapies, exploiting current ones and implementing non-clinical interventions such as increased regular exercise and reducing carbohydrate intake. Therefore, it is the responsibility of each patient and health organisation to manage diabetes before it becomes even worse. Written by Sam Jarada Related articles: Pre-diabetes / Diabetes drug to treat Parkinson's / The world vs the next pandemic REFERENCES Diabetes UK. Types of diabetes. Diabetes UK. 2022. Paschou SA, Papadopoulou-Marketou N, Chrousos GP, Kanaka-Gantenbein C. On type 1 diabetes mellitus pathogenesis. Endocrine Connections. 2018 Jan;7(1):R38–46. Cersosimo E, Triplitt C, Solis-Herrera C, Mandarino LJ, DeFronzo RA. Pathogenesis of Type 2 Diabetes Mellitus. Nih.gov. MDText.com, Inc.; 2018. Algoblan A, Alalfi M, Khan M. Mechanism linking diabetes mellitus and obesity. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2014 Dec;7(587–591):587. Barnes AS. The epidemic of obesity and diabetes: trends and treatments. Texas Heart Institute journal. 2011;38(2):142–4. Hamilton MT, Hamilton DG, Zderic TW. Sedentary Behavior as a Mediator of Type 2 Diabetes. Medicine and Sport Science. 2014;60:11–26. Li D, Yang Y, Gao Z, Zhao L, Yang X, Xu F, et al. Sedentary lifestyle and body composition in type 2 diabetes. Diabetology & Metabolic Syndrome. 2022 Jan 15;14(1). Mayo Clinic. Diabetes treatment: Medications for type 2 diabetes. Mayo Clinic. 2018. Bahar SG, Devulapally P. Pancreas Transplantation. PubMed. Treasure Island (FL): StatPearls Publishing; 2022. Bailey CJ, Day C. The future of new drugs for diabetes management. Diabetes Research and Clinical Practice. 2019 Sep;155:107785. Bailey CJ, Day C. Treatment of type 2 diabetes: future approaches. British Medical Bulletin. 2018 Jun 1;126(1):123–37.

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Due to systemic barriers like a lack of interpreting services, and discriminatory treatment, among other factors Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Ethnic Health Inequalities Last updated: 11/01/26, 18:46 Published: 11/01/26, 18:31 Due to systemic barriers like a lack of interpreting services, and discriminatory treatment, among other factors This is Article 2 in a series on health inequalities. Next article: Addressing health equalities (coming soon). Previous article: S ocioeconomic health equalities. Welcome to the third article in a series of articles about health inequalities. This article will look more in detail at what ethnic health inequalities are. Introduction Ethnic health inequalities are persistent disparities in health outcomes, experiences of healthcare, and even employment within the healthcare sector itself, for ethnic minority groups. Individuals from minority ethnicities frequently face an increased risk of poor health compared to their White counterparts. These inequalities are often rooted in structural racism and the racialisation of socioeconomic factors, rather than biological or cultural differences, suggesting that racism itself is a primary determinant of health. These inequalities manifest in different ways for different minority groups, and can be measured by specific health outcomes in different conditions. How ethnic health inequalities manifest A joint report by the Health Foundation and Runnymede Trust explained that Bangladeshi and Pakistani individuals have higher mortality rates for circulatory diseases. They also have significantly higher rates of metabolic conditions compared to their White counterparts. This predominantly includes diabetes, which is three to five times more common in Bangladeshi and Pakistani individuals. In addition, research collated by the King’s Fund shows that Black Caribbean and Black African individuals experience higher rates of hypertension and stroke, and have higher rates of admission to psychiatric hospitals with psychotic illness diagnoses. Furthermore, Office for National Statistics data from 2022 shows that infant mortality is tragically twice as high for Black infants and nearly twice as high for Asian infants compared with White infants, as seen in Figure 1 . Maternal mortality for Black women is almost three times higher than for White women. Experiences of ethnic health inequalities and the role of structural and institutional racism Even though the NHS generally provides free universal access to primary care, access to and experience of healthcare services for ethnic minority groups often differ compared to their White counterparts. The NHS Race and Health Observatory has conducted research on racism and has found that there are disparities in areas like hospital and dental services: for example, there aren’t enough interpreting services for those whose first language is not English, which limits effective communication between patients and healthcare professionals. This also makes it harder for patients to stick to their treatments. Repeated negative experiences have led to a lack of trust in the health system among some ethnic minority communities. Patients from these groups consistently report less favourable experiences across various services, as seen in Figure 2 . A review by the UCL Institute of Health Equity reported that some indicators of this are longer waits for GP appointments, needing multiple visits before cancer referral, and overall lower satisfaction with hospital and mental health care. This poor experience is often characterised by stereotyping, disrespect, cultural insensitivity, and discriminatory treatment from healthcare staff, leading to delayed diagnoses, inappropriate interventions, and poorer health outcomes. The review also explained that these systemic issues can manifest in the NHS workforce, where ethnic minority staff face discrimination and harassment, impacting morale, retention, and ultimately the quality of care provided to patients. Conclusion Ethnic health inequalities, like all other types of health inequalities, are avoidable, unfair, and systematic failures. They have persistent impacts across different ethnic groups, leading to poorer health outcomes. Beyond clinical outcomes, ethnic minority patients also encounter systemic barriers such as a lack of interpreting services and discriminatory treatment, including stereotyping and cultural insensitivity, leading to a breakdown of trust in the healthcare system. These issues impact everything from GP wait times to the morale of the NHS workforce, where ethnic minority staff face discrimination that can ultimately impact the quality of care provided. Therefore, a comprehensive strategy is needed to remove these barriers and provide equitable care for everyone. The next article will be the final article in the series, and will look more in detail at how to address health inequalities, so watch out for that! Written by Naoshin Haque Related articles: Eelam Tamil health impacts / Rohingya community / Syria and Lebanon health injustices Project Gallery

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