Exploring neuroplasticity after brain injury Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Can we really ‘rewire’ our brain? Last updated: 06/05/26, 21:11 Published: 07/05/26, 08:00 Exploring neuroplasticity after brain injury Can the brain really rebuild what has been lost after a brain injury? This idea derives from neuroplasticity – the nervous system’s capacity to change and adapt, reorganising its connections and overall structure as a result of an experience. In other words, the brain strengthens, weakens, and forms new neural connections over time. In psychology, neuroplasticity is crucial for understanding learning, as repeated behaviours and thoughts can strengthen neural pathways, resulting in increased automatic responses. Neuroplasticity plays a large role in recovery following a brain injury. Joy & Carmichael (2020) found that after a stroke, the brain becomes temporarily plastic, during which new axons and synapses may form, functions can be reassigned to undamaged brain regions, and the brain becomes flexible to training, allowing for recovery. A key takeaway is that after a stroke, the brain not only repairs itself but also enters a temporary state of reorganisation and recovery. Repeated practice during rehabilitation supports the formation of new pathways, helping lost skills to be regained. This is a core psychological principle: learning requires repetition, and without it, new neural pathways will not be produced or maintained. This reorganisation is driven by cellular processes that modify neural connections. Specialised immune cells, known as microglia, reshape connections between neurons and assist in incorporating new cells into preexisting networks, as demonstrated by Sandvig et al. (2018). This emphasises that recovery is not solely biological but also behavioural, as the way one interacts with their environment influences the way the brain reorganises itself. For example, when an individual performs a behaviour, such as moving their leg in rehab, neural pathways for that certain behaviour are activated frequently. Here, microglia respond to this activity by strengthening frequently used connections and removing unused ones, a process known as “use it or lose it”, in relation to neural pathways. So, can we really ‘rewire’ our brains? Yes, but to an extent! Neuroplasticity illustrates that the brain is capable of change, through reinforced behaviour and experience, though it should be noted that this process rarely results in complete normalcy. From a psychological perspective, neuroplasticity highlights that recovery is about how behaviour, experience, and learning intertwine to allow the brain’s ability to adapt. Written by Shreya Dhaliwal Related articles: Brain injury / Synaptic plasticity REFERENCES Cleveland Clinic. (2023, December 13). Brainwork: The Power of Neuroplasticity . https://health.clevelandclinic.org/neuroplasticity . Joy , M. T., & Carmichael, S. T. (2020). Encouraging an excitable brain state: mechanisms of brain repair in stroke. Nature Reviews Neuroscience, 22 (1), 38–53. https://doi.org/10.1038/s41583-020-00396-7 . Kreber, L. (2025). Neuroplasticity . Centre for Neuro Skills. https://www.neuroskills.com/neuroplasticity/ . Mateos-Aparicio, P., & Rodríguez-Moreno, A. (2019). The impact of studying brain plasticity. Frontiers in Cellular Neuroscience, 13 . https://doi.org/10.3389/fncel.2019.00066 . Sandvig, I., Augestad, I. L., Håberg, A. K., & Sandvig, A. (2018). Neuroplasticity in stroke recovery. The role of microglia in engaging and modifying synapses and networks. European Journal of Neuroscience, 47 (12), 1414–1428. https://doi.org/10.1111/ejn.13959 Project Gallery

Examining disconnection strategies and Functional Group Interconversion (FGI) Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Molecular blueprints: the art of synthetic planning Last updated: 05/03/26, 14:47 Published: 19/02/26, 08:00 Examining disconnection strategies and Functional Group Interconversion (FGI) This is article no. 1 in a two-part series on retrosynthesis. Next article: Synthesis of ibuprofen . Introduction Science is often seen as rigid, driven solely by facts and logic. Yet, in the world of chemical synthesis, molecular design and retrosynthetic analysis can be considered an art form. Synthetic creativity can be measured by the number of steps, environmental considerations, or the clever assembly of chemical building blocks. Widely used in the pharmaceutical industry and responsible for many Nobel Prize‑winning discoveries, retrosynthetic planning is central to modern synthetic chemistry. 1. Disconnection Strategy Retrosynthesis begins with deconstructing a target molecule into simpler starting materials known as synthons. A synthon is hypothetical but represents a fragment that could react to form a target molecule. Chemists then match synthons to real‑life equivalents (R.L.E.) which can be used in the lab. For example, if a target molecule contains an ester group, cleaving the oxygen–carbonyl bond produces four possible synthons ( Figure 1 ). Of these synthons, the positively charged oxygen has no R.L.E., so pairing the negatively charged oxygen with a carbonyl‑containing R.L.E., such as a carboxylic acid or acid chloride, and an alcohol will effectively synthesise the desired ester. 2. Functional Group Interconversion (FGI) FGIs are exploited by chemists when a functional group is difficult to manipulate directly. In these cases, the target functional group is converted to another functional group which is easier to work with. For instance, this strategy is commonly used to synthesise alkene and carboxylic acid fragments. As alkenes mainly participate in addition reactions, forming C–C bonds can prove difficult; therefore, converting the alkene to an alkyne can make this simpler. As an alkyne‑to‑alkene transformation is relatively simple, using either Lindlar’s catalyst (Z‑alkene) or Na/NH₃ (E‑alkene), alkynes can be used to build up the carbon chain before a final reduction. This is done by simple nucleophilic substitutions promoted by base deprotonation (NaNH₂) of the alkyne. The same idea is used for installing carboxylic acids, as a common FGI is to use a nitrile group (CN). These can be easily transformed back to the target carboxylic acid using acid in aqueous conditions. 3. Synthesis of Aspirin Retrosynthetic analysis can be used to design synthetic routes to common pharmaceuticals. For aspirin, a good disconnection strategy would be to break the ester bond and derive R.L.E. as shown above. To install the carboxylic acid, an FGI can be used. In Figure 3, two possible syntheses are highlighted utilising these strategies. While the synthetic methods presented previously will produce aspirin in high yields, they often create large amounts of waste and use harsh acidic conditions. Bhuyan et al. have proposed a more sustainable synthesis using blue LED light to catalyse the reaction under an O₂ atmosphere ( Figure 4) . Conclusion In conclusion, retrosynthesis and synthetic planning are essential tools for designing complex molecules. While the disconnection strategy and FGIs are relatively simple concepts, their application is used routinely in both industry and academia, regardless of the complexity of the target molecule. While one strategy may be used routinely, there are often many more ways to synthesise a particular compound more efficiently or with more flair. Stay tuned for Part 2, where the techniques discussed here are applied to the synthesis of ibuprofen. Written by Antony Lee 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

The emperor penguin's life cycle is intertwined with sea ice freezing and melting over the year Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Emperor penguins, the kings of the ice Last updated: 29/03/26, 16:57 Published: 24/04/25, 08:00 The emperor penguin's life cycle is intertwined with sea ice freezing and melting over the year This is article no. 6 in a series on animal conservation. Next article: Protecting rock-wallabies in Australia . Previous article: Gorongosa National Park . In November 2024, a malnourished emperor penguin was spotted in Australia, over 2000 miles from its home in Antarctica. It is said to be the furthest north a wild emperor has ever been seen. While scientists do not know why or how the penguin ended up there, it sparked conversations about climate change and the survival of this fascinating species. This article will describe the characteristics of the emperor penguin, and how climate change could affect it. Introduction to emperor penguins Emperor penguins ( Aptenodytes forsteri ) are the largest living penguin species, weighing 20-40 kilograms and standing about 1 metre tall. It is estimated that there are around 260,000 breeding pairs of emperor penguins across 61 colonies, which are spread out along the entire coast of Antarctica. Their diet consists of krill, fish, and squid - and they can dive over 500m deep to find food. Emperor penguins are the only warm-blooded animal to breed during the Antarctic winter, one of the world's coldest and darkest times of the year. Therefore, they are adapted to the cold days, harsh winds, and high water pressure in which they live. For example, they have over 20 kinds of feathers - some of which help with waterproofing while swimming, and others help with thermal insulation. Many penguin species huddle together as juveniles to conserve body heat, but emperors are the only species to do so as adults. Thus, emperor penguins are a unique and ecologically fascinating species. Life cycle and fast ice The emperor penguin's life cycle is intertwined with sea ice freezing and melting over the year ( Figure 1 ). For most of the year, emperors live on fast ice, which are ice sheets floating on the sea but attached to the coast. The first reason they need fast ice is moulting, when emperor penguins replace all their feathers in late summer. They moult on ice because they cannot swim until their new layer of waterproof feathers has grown. Emperor penguins return to fast ice at the onset of winter to mate, lay eggs, and raise chicks. While one parent stays on the fast ice to look after the chick, the other parent goes to sea to find food for the family. The chick grows waterproof adult feathers for fast ice to break up in summer. At this point, the penguins live at sea until moulting time. This way, emperor penguin survival is linked to fast ice availability. Threat from climate change Because emperor penguins are so heavily dependent on fast ice, scientists are concerned about the potential impacts of global warming. Rising sea surface temperatures mean fast ice may not form long enough in the year for emperor penguins to complete their life cycle. In late 2022, sea ice was dramatically reduced in the Bellingshausen Sea in Antarctica, and 4 of the 5 nearby emperor penguin colonies had a failed breeding season. These failed seasons may become more common in the future with climate change. A 2020 study predicted that in the worst case climate scenario, 80% of penguin colonies will see population declines of over 90% by 2100. If international climate targets are met, only 19% of colonies are expected to decline that badly ( Figure 2 ). Because the International Union for Conservation of Nature classified emperors as Near Threatened, they do not meet Antarctica's criteria for being a protected species. Scientists have requested this conservation status be upgraded to better reflect the inability of emperor penguins to adapt or disperse away from the effects of climate change. Emperor penguins face no threats from humans other than global warming, so reducing greenhouse gas emissions is crucial to protect them. Conclusion Emperor penguins are charismatic creatures with unique adaptations to live during the cold Antarctic winter. Their survival is strongly linked to the availability of sea ice because they moult, breed, and care for their offspring on ice sheets. Global warming is making these ice sheets disappear, so emperor penguins must be monitored and protected to ensure survival through a changing climate. Written by Simran Patel Related articles: The Arctic Springtail / California Condors / Brain-climate connection REFERENCES CBS News. (2024) Malnourished emperor penguin that swam ashore in Australia 2,000 miles from home a quandary for rescuers. CBS News . Available from: https://www.cbsnews.com/news/emperor-penguin-australia-2000-miles-from-antarctic-ice-melting-climate-change/ (Accessed 11th November 2024). Fretwell, P.T., Boutet, A. & Ratcliffe, N. (2023) Record low 2022 Antarctic sea ice led to catastrophic breeding failure of emperor penguins. Communications Earth & Environment . 4 (1): 1–6. Garnier, J., Clucas, G., Younger, J., Sen, B., Barbraud, C., Larue, M., Fraser, A.D., Labrousse, S. & Jenouvrier, S. (2023) Massive and infrequent informed emigration events in a species threatened by climate change: the emperor penguins . Available from: https://hal.science/hal-03822288 (Accessed 10th November 2024). Hooper, S. (11th November 2024) Experts baffled after penguin shows up on beach 2,200 miles away from home Metro . Available from: https://metro.co.uk/2024/11/11/experts-baffled-penguin-shows-beach-2-200-miles-away-home-21970144/ (Accessed 11th November 2024). Fretwell, P. (2024) Four unreported emperor penguin colonies discovered by satellite. Antarctic Science , 36(4), 277–279. Jenouvrier, S. et al. (2020) The Paris Agreement objectives will likely halt future declines of emperor penguins. Global Change Biology . 26 (3): 1170–1184. Labrousse, S., Nerini, D., Fraser, A.D., Salas, L., Sumner, M., Le Manach, F., Jenouvrier, S., Iles, D. & LaRue, M. (2023) Where to live? Landfast sea ice shapes emperor penguin habitat around Antarctica. Science Advances . 9 (39): eadg8340. LaRue, M. et al. (2024) Advances in remote sensing of emperor penguins: first multi-year time series documenting trends in the global population. Proceedings of the Royal Society B: Biological Sciences . 291 (2018): 20232067. Le Maho, Y. (1977) The Emperor Penguin: A Strategy to Live and Breed in the Cold: Morphology, physiology, ecology, and behavior distinguish the polar emperor penguin from other penguin species, particularly from its close relative, the king penguin. American Scientist . 65 (6): 680–693. Trathan, P.N. et al. (2020) The emperor penguin - Vulnerable to projected rates of warming and sea ice loss. Biological Conservation . 241: 108216. Williams, C.L., Hagelin, J.C. & Kooyman, G.L. (2015) Hidden keys to survival: the type, density, pattern and functional role of emperor penguin body feathers. Proceedings of the Royal Society B: Biological Sciences . 282 (1817): 20152033. Project Gallery

Cultural beliefs, stigma, family values and more, inhibit open discussion of mental health Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Addressing mental health within the South Asian community Last updated: 05/03/26, 14:56 Published: 22/05/25, 08:00 Cultural beliefs, stigma, family values and more, inhibit open discussion of mental health Mental health is a critical aspect of human life, yet it remains a deeply taboo subject within the South Asian community. Despite the growing awareness in mainstream discourse, many South Asians—especially those living in diasporic communities such as the UK, the US, and Canada—continue to face significant barriers when it comes to recognising, understanding, and seeking help for mental health concerns. But why does this silence continue? The answer lies in a combination of cultural beliefs, stigma, family values, societal expectations, and a general lack of education, especially among the older generations. Unlike Western cultures, which tend to emphasise individualism, South Asian societies often focus on collectivism, where the success and well-being of the family take precedence over the individual. This cultural foundation has both strengths and challenges. While it preaches community and support, it also discourages expressions of emotional vulnerability, especially when that vulnerability may be perceived as bringing shame or dishonour to the family. Mental health is often viewed as a personal weakness, a spiritual failing, or something that reflects poorly on one’s upbringing or family reputation. A survey conducted by the NHS in the UK revealed that 35% of South Asian youth aged 18–24 reported experiencing some form of mental health issue, compared to 30% of White British youth. While these figures suggest a slightly higher incidence, what is more alarming is the disparity in access to care and treatment. Many South Asians are less likely to seek help due to fears of being perceived as 'crazy' or weak. In some cases, mental health symptoms are dismissed as temporary mood swings, spiritual crises, or simply a lack of willpower. A study published by the Mental Health Foundation (2020) found that only 32% of South Asians surveyed had a functional understanding of mental health, compared to 60% of the general UK population. This suggests that stigma is caused by a lack of knowledge, which prevents early intervention and exacerbates untreated conditions. Among those who recognise they have a problem, there is often a reluctance to seek professional help, particularly from psychologists or psychiatrists. Instead, some may turn to spiritual leaders or rely solely on familial support, both of which, while culturally significant, may not always offer the necessary therapeutic intervention. One of the major mental health concerns within the South Asian community is depression and anxiety, and these conditions often go undiagnosed. Research from the Centre for Mental Health has indicated that South Asian individuals are more likely to report symptoms of depression and anxiety than their White counterparts, but are less likely to receive treatment. According to a 2022 study by Public Health England, South Asian women are 1.5 times more likely to suffer from common mental health disorders, such as anxiety and depression, but only 13% accessed mental health services compared to 25% of White British women. Many culturally specific factors contribute to higher rates of anxiety and depression in South Asian communities. These include intergenerational trauma, immigration stress, identity conflict, and pressures related to marriage, family reputation, and academic or career success. Young South Asians often find themselves navigating between traditional family expectations and Western societal norms, leading to identity struggles that can trigger chronic stress and anxiety. Additionally, gender roles in South Asian cultures often impose strict expectations on behaviour. Women may be discouraged from voicing emotional distress, as they are expected to be nurturing and self-sacrificing. Men, on the other hand, are often pressured to appear strong and unemotional, which leads to a culture where expressing vulnerability is equated with failure. These rigid expectations prevent both genders from openly discussing their struggles or seeking help. Barriers to accessing mental health services are not only cultural but also structural. Many South Asians, particularly first-generation immigrants, may face language barriers when communicating with healthcare providers. There is also a lack of culturally competent therapists who understand the nuances of South Asian traditions, values, and family structures. Without representation or relatability, individuals may feel misunderstood or alienated by the mental healthcare system. Despite these challenges, there is hope. The rise of South Asian mental health advocates, community-based initiatives, and culturally tailored therapy programs is slowly helping to dismantle stigma. Social media has also played a vital role in bringing these conversations to the forefront, especially among Gen Z and Millennials. Many people are now speaking out and sharing their stories and experiences, which helps shift the narrative within the South Asian Community. We can help break the stigma surrounding mental health in the South Asian community by raising awareness, educating others, and normalising conversations around emotional wellbeing. It starts at the grassroots level: in homes, schools, religious institutions, and workplaces. Encouraging open dialogue and fostering environments where individuals feel safe to share their experiences without judgment is key. More importantly, we must validate the struggles of those suffering from mental health issues—telling them that it is okay to not be okay, and that seeking help is a sign of strength, not weakness. Furthermore, the government and health services can do more! They should invest in culturally sensitive mental health resources, including multilingual therapy options and outreach programs tailored specifically for South Asian populations. In conclusion, addressing mental health within the South Asian community requires a collective effort to challenge outdated norms, educate people across all age groups, and improve access to inclusive and empathetic mental healthcare. Depression, anxiety, and other mental illnesses are not signs of weakness; they are real, treatable conditions that deserve compassion and support. Only by acknowledging this and working together can we begin to transform the narrative and create a healthier, more open future for the South Asian community, letting the future generation have a safe and open space to talk and get help for their mental health! Written by Rajeevan Sinnathurai ------- Scientia News thanks Rajeevan of Open Talk, for this enlightening piece on mental health in the South Asian Community. Connect with Open Talk on Instagram and TikTok . ------- Related articles: Mental health awareness / Imposter syndrome / Anxiety / South Asian epigenetics / Global health injustices- Kashmir , Bangladesh , Sri Lankan Tamils / Ethnic health inequalities REFERENCES NHS Digital. (2021). Mental Health of Children and Young People in England . Mental Health Foundation. (2020). Mental Health in the South Asian Community . Centre for Mental Health. (2022). Race and Mental Health Inequalities . Public Health England. (2022). Mental Health Services Use by Ethnic Groups in the UK . Project Gallery

Using toxins for pain management Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Anthrax Toxin Last updated: 18/09/25, 09:45 Published: 03/04/25, 08:00 Using toxins for pain management Introduction Pain is a response and signal to organisms that there is damage to the body. This could be due to an infection, tissue damage or organ damage. Different types of pain medication have been manufactured in the last decade. This includes the artificial manufacture of opioids, non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, using pathogens like bacteria and other substances. Bacteria have been investigated for managing and treating pain, with varying levels of effectiveness. Research by Yang et al. (2021) has shown that bacteria can interact with organisms and communicate with the nervous system, leading to analgesia (pain relief). Bacteria can also activate nociceptors, receptors that respond to pain, to alert the organism of damage. These nociceptors can also detect bacterial processes that release pain-producing toxins. Yang et al.’s research specifically looked at the bacterial toxin Bacillus anthracis ( Figure 1 ). It is a significant factor in the spread of anthrax, an infectious disease, and their experiments showed that it can lead to analgesia, as Bacillus anthracis and nociceptors can work together to suppress pain. The experiment The experiment by Yang et al. looked at different methods to target and suppress specific nociceptive neurons to decrease pain in mammals using bacteria. The study focused on the interactions between nociceptors and Bacillus anthracis . The researchers found that Bacillus anthracis toxin was made up of three substances: protective antigen (PA), lethal factor (LF), and edema factor (EF), as shown in Figure 2 . They created edema toxin (ET) using PA and EF, and administered the ET to mice via the intrathecal route (through the spinal canal, also shown in Figure 2 ). The scientists used different doses of PA, LF and EF. The intrathecal route was used to limit the diffusion of ET to the spinal cord and sensory neurons, preventing ET from moving into other organs. The researchers then analysed the mouse neurons to compare the sequences before and after the experiments and determine the effectiveness of the treatments. The results indicated high levels of ANTXR2 receptors (high-affinity receptors for anthrax toxins), meaning the response to pain was faster. The results The researchers examined the mechanical sensitivity and thermal latency. Mechanical sensitivity is the ability to differentiate between and respond to mechanical stimuli, and thermal latency is the ability to differentiate between and respond to heat stimuli. In mammals, signs of pain can be quantified using these indicators. The higher the threshold, the lower the pain. The threshold levels of these factors were compared up to 24 hours after the injections of the PA, PA + LF and PA + EF, as shown in Figure 3. Figure 3 : Line graphs showing the results of the intrathecal injections. (A) Line graph of mechanical sensitivity thresholds after intrathecal administration. (B) Line graph of thermal sensitivity thresholds after intrathecal administration. (C) Line graph of mechanical sensitivity thresholds on the day and 24 hours after the second injection. After administration of the injections via the intrathecal route, thresholds of mechanical sensitivity, Figure 3A , were increased significantly for several hours. The injection of PA + EF resulted in the highest threshold, remaining at 1.0 g 6 hours post-injection, compared to the injections of PA and PA + LF, which both had a threshold of below 0.5 g 6 hours post-injection. The thresholds of thermal latency, shown in Figure 3B , also increased significantly for several hours. Again, the injection of PA + EF resulted in the highest latency, remaining for more than 20 seconds 6 hours post-injection, compared to the injections of PA and PA + LF, which both had a latency of below 20 seconds 6 hours post-injection. The results from Figures 3A and 3B suggest that the injections of PA + EF were the most effective in increasing the thresholds of both mechanical sensitivity and thermal latency. A second injection of ET was administered, and thresholds of mechanical sensitivity were again elevated, as shown in Figure 3C . After the second injection, the effects of pain relief were more potent. In the graph, at D2, the threshold of mechanical sensitivity 6 hours after the second injection was above 1.5 g for mice given ET, compared to below 1.0 g 6 hours after the first injection for mice given ET. This could be due to the upregulation of the ANTXR2 receptors induced by ET. Upregulation is when hormone secretion is suppressed, and the number of receptors (in this case, ANTXR2) increases, causing a faster response to the stimulus (in this case, pain). This suggests that ET can result in pain receptors being affected, leading to a faster analgesic response. The researchers concluded that this experiment did result in analgesia in mice as ET targeted specific nociceptors. The results from this experiment are significant because they indicate that pain behaviour can be blocked by intrathecal administration of a harmful bacterial toxin such as Bacillus anthracis . Conclusion Yang et al. (2021) found that the injection of the ET via the intrathecal route results in blocked pain behaviour in mice. The experiment is significant as it has shown that a harmful toxin can have positive effects. However, it is difficult to know if the effects will be replicated in humans as human trials have not yet been carried out. In addition, the sample size was very small, with a maximum of eight mice observed after each injection. This could result in high variability (the data points would be more spread out from the mean and, therefore, less consistent) and inconclusive results. Nevertheless, with further study, experimentation, and refinement of the ET via the intrathecal method, new therapies for people with pain, especially chronic pain, could be created in the future. Different dosages of the ET could be experimented upon to see whether a higher dosage has better results, with a bigger sample size, and human trials. The results from Yang et al. (2021) showed that intrathecal ET injections are promising, and if successful in humans, this method would ease the burden on healthcare systems worldwide. Written by Naoshin Haque Related articles: Ibuprofen / The Pain Gate Theory Project Gallery

How physical appearance shapes judgement Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The Psychology of the Halo Effect Last updated: 29/06/26, 12:09 Published: 29/06/26, 11:51 How physical appearance shapes judgement Physical attractiveness often shapes how we perceive traits like intelligence, success, and kindness. This common tendency is explained by a psychological bias known as the halo effect. The halo effect is a type of cognitive bias where a single positive trait, such as attractiveness, influences how we judge an individual’s other characteristics. This occurs unconsciously, serving as an automatic mental shortcut. Our brains process large amounts of information daily, hence they rely on shortcuts to make quick judgements, with physical attractiveness serving as one such shortcut, leading to the generalisation from one positive trait to form a broader judgement. Gulati et al. (2024) investigated the halo effect using artificial intelligence-based beauty filters. In this online study, participants rated facial images in two conditions: original and attractive after applying a filter. A 7-point Likert scale was provided for seven attributes: attractiveness, intelligence, trustworthiness, sociability, happiness, femininity and unusualness. Findings illustrated that the same individuals receive significantly higher ratings of attractiveness and other traits, like intelligence, in the attractive condition. This illustrates that people perceive attractive individuals as more sociable and trustworthy, even when there is no evidence of such traits, illustrating the halo effect in place. Similarly, findings from Lenoir & Stocks (2020) illustrated that attractive individuals are judged to behave more positively and to exhibit fewer negative behaviours. Together, these studies highlight how one characteristic can form general perceptions of personality. However, Gulati et al. (2024) also concluded that although faces with the filter received higher ratings, the strength of the link between attractiveness and trait judgements became weaker in the filter condition – attractiveness still influenced trait judgements, but had a weaker influence on participants’ judgments of personality traits. This may be because when people use beauty filters, attractiveness becomes artificial, and therefore, people place less weight on physical attractiveness when forming trait judgments. All in all, ratings increased in the filter condition, but the predictive power of attractiveness on trait judgments slightly weakened. In social settings, this becomes evident, as attractive individuals may be treated more favourably or receive greater opportunities and trust from others. As a result, this reinforces the bias over time, as others respond more positively to them, supporting the idea that they possess desirable traits. The halo effect not only shapes opinions but also influences outcomes too, as attractive people may receive more job opportunities or less harsh punishments in court, as outlined by Yang et al. (2019). The researchers concluded that attractive and trustworthy-looking defendants were judged more favourably, while unattractive or untrustworthy defendants received harsher punishments, such as longer prison sentences and greater fines. In contrast, what is less discussed is the opposite of the halo effect: the horn effect. The horn effect occurs when a single negative trait leads us to form a general negative impression of an individual. Research by Nisbett & Wilson (1977) suggests that negative first impressions can form evaluations, as global judgements influence how certain traits are perceived. This cognitive bias means that a negative trait, such as untidiness, can lead individuals to judge a person as less trustworthy or capable. All in all, both the halo and horn effects illustrate how first impressions can influence our thinking and, through a psychological lens, highlight how our judgements are not solely rational but are influenced by mental shortcuts that simplify social information. Delving into these cognitive biases can help us become aware of how we evaluate and perceive others, consider our assumptions carefully, and thus make more accurate and fair judgements. Written by Shreya Dhaliwal Related articles: The endowment and nudge effects REFERENCES Gulati, A., Martínez-Garcia, M., Fernández, D., Lozano, M. A., Lepri, B., & Oliver, N. (2024). What is beautiful is still good: The attractiveness halo effect in the era of beauty filters. Royal Society Open Science, 11 (11). https://doi.org/10.1098/rsos.240882 . Gupta, P. (2020, September 21). Falling in love at first sight easily? The halo and horn effect. Medium. https://parulgupta-40907.medium.com/falling-in-love-at-first-sight-easily-heres-what-you-should-know-about-halo-and-horn-effect-16c7236aeaf6 . Lasky, J. (2024). Halo Effect . EBSCO. https://www.ebsco.com/research-starters/psychology/halo-effect . Lenoir, K., & Stocks, E. (2019). Attractiveness norm violations and the halo effect. Undergraduate Journal of Psychology, 31 (1). Nisbett, R. E., & Wilson, T. D. (1977). The halo effect: Evidence for unconscious alteration of judgments. Journal of Personality and Social Psychology, 35 (4), 250–256. https://doi.org/10.1037/0022-3514.35.4.250 . Yang, Q., Zhu, B., Zhang, Q., Wang, Y., Hu, R., Liu, S., & Sun, D. (2019). Effects of male defendants’ attractiveness and trustworthiness on simulated judicial decisions in two different swindles. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.02160 . Project Gallery

The main difference between children and adults lies in what needs to be rebuilt Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Why brain injuries affect children and adults differently Last updated: 13/06/26, 16:54 Published: 13/11/25, 08:00 The main difference between children and adults lies in what needs to be rebuilt When we think about a brain injury, it is easy to assume that the same thing happens in everyone; a bump to the head, swelling, and hopefully a recovery. In reality, things aren’t quite that simple. A child’s brain is not a smaller version of an adult’s, it is still developing, which makes it both incredibly adaptable and, at the same time, especially vulnerable. Smaller bodies, bigger risks Although the brain’s basic reaction to injury is similar in children and adults, injuries in younger people tend to cause more widespread and severe damage. This is due to the differences in anatomical development. Children’s heads are proportionally larger compared to the rest of their bodies, and their neck muscles are much weaker than those of adults. This means that when a child falls or is knocked, their head can move suddenly and forcefully, placing extra strain on the brain. On top of that, children’s brains have a higher water content and are softer in texture, which makes them more vulnerable to rotational forces and acceleration-deceleration injuries. These types of movements can lead to diffuse axonal injury, where nerve fibres are torn across large areas, and cerebral swelling, both of which are less common in adults experiencing similar trauma. Additionally, a November 2024 study from the University of Glasgow found that while adults often have damaged medium/ large blood vessels, children suffer damage to the smallest vessels (capillaries) and more severe brain swelling. A clear example of this vulnerability is seen in abusive head trauma. When an infant is shaken, their softer skull and brain structure can lead to a combination of skull fractures, internal bleeding, and swelling. Sadly, these injuries are often linked to very poor outcomes. The double-edged sword of brain plasticity One of the most remarkable things about the young brain is its plasticity, which is its ability to reorganise itself and form new connections after injury. This flexibility often means that children recover some functions, such as movement or daily activities, more quickly than adults do in the early months after a brain injury. However, this adaptability has limits. During childhood, the brain is constantly developing new skills and abilities. If an injury occurs during one of these critical periods, it can interrupt processes essential for normal development. This means that difficulties might not appear straight away. A child could seem to recover well at first but then struggle later when their brain is expected to handle more complex tasks, such as problem-solving or emotional regulation. Over time, recovery often plateaus, and children may continue to face long-term challenges with learning, behaviour, and social interaction. Research also shows that injury severity is a major factor in long-term outcomes. Children who suffer severe traumatic brain injuries are more likely to experience lower academic performance and, later in life, face higher rates of unemployment or lower paid work compared with their peers. Behaviour, learning and life after injury Brain injuries in childhood can also affect behaviour and mental health. Conditions such as ADHD are especially common following injury, affecting between 20-50% of children. These difficulties can make returning to school and social life far more challenging. Children from lower socioeconomic backgrounds often experience extra barriers, including limited access to rehabilitation and educational support. This can increase the risk of social isolation and mental health difficulties. Children are also more likely than adults to develop secondary brain conditions, such as epilepsy, after an injury which adds further complexity to their recovery. Why recovery is not the same The main difference between children and adults lies in what needs to be rebuilt. Adults are generally trying to re-learn skills they already had, while children are still learning those skills for the first time. That makes recovery a much more delicate and unpredictable process. Moreover, most rehabilitation is concentrated in the first few months after the injury, but children’s challenges often become clearer years later, when their brains, and the demands placed on them, have developed further. In summary The developing brain is both fragile and flexible . While its biological features make it more prone to injury, its capacity for plasticity allows for impressive short-term recovery. Yet the same developmental processes that support growth also make it more vulnerable to long-term disruption. Injuries sustained during childhood can alter the course of brain development, leading to lasting effects on thinking, learning, and behaviour. These consequences can shape a person’s future long after the initial recovery period has ended. Understanding these differences is crucial, not just for doctors, but also for teachers, parents, and anyone supporting a young person recovering from a brain injury. Written by Alice Greenan Related articles: Synaptic plasticity / Brain plasticity / Traumatic Brain Injury (TBI) / Childhood intelligence REFERENCES Anderson, V. (2005). Functional Plasticity or Vulnerability After Early Brain Injury? PEDIATRICS , 116 (6), 1374–1382. https://doi.org/10.1542/peds.2004-1728 Anderson, V., Brown, S., Newitt, H., & Hoile, H. (2011). Long-term outcome from childhood traumatic brain injury: Intellectual ability, personality, and quality of life. Neuropsychology , 25 (2), 176–184. https://doi.org/10.1037/a0021217 Anderson, V., & Yeates, K. O. (2010). Pediatric Traumatic Brain Injury. In Cambridge University Press eBooks . Cambridge University Press. https://doi.org/10.1017/cbo9780511676383 ARAKI, T., YOKOTA, H., & MORITA, A. (2017). Pediatric Traumatic Brain Injury: Characteristic Features, Diagnosis, and Management. Neurologia Medico-Chirurgica , 57 (2), 82–93. https://doi.org/10.2176/nmc.ra.2016-0191 Blackwell, L. S., & Grell, R. M. (2023). Pediatric Traumatic Brain Injury: Impact on the Developing Brain. Pediatric Neurology . https://doi.org/10.1016/j.pediatrneurol.2023.06.019 Figaji, A. A. (2017). Anatomical and Physiological Differences between Children and Adults Relevant to Traumatic Brain Injury and the Implications for Clinical Assessment and Care. Frontiers in Neurology , 8 (685). https://doi.org/10.3389/fneur.2017.00685 Manfield, J., Oakley, K., Macey, J.-A., & Waugh, M.-C. (2021). Understanding the Five-Year Outcomes of Abusive Head Trauma in Children: A Retrospective Cohort Study. Developmental Neurorehabilitation , 24 (6), 1–7. https://doi.org/10.1080/17518423.2020.1869340 Narad, M. E., Kaizar, E. E., Zhang, N., Taylor, H. G., Yeates, K. O., Kurowski, B. G., & Wade, S. L. (2022). The Impact of Preinjury and Secondary Attention-Deficit/Hyperactivity Disorder on Outcomes After Pediatric Traumatic Brain Injury. Journal of Developmental & Behavioral Pediatrics , 43 (6), e361–e369. https://doi.org/10.1097/dbp.0000000000001067 Neumane, S., Câmara-Costa, H., Francillette, L., Araujo, M., Toure, H., Brugel, D., Laurent-Vannier, A., Ewing-Cobbs, L., Meyer, P., Dellatolas, G., Watier, L., & Chevignard, M. (2021). Functional outcome after severe childhood traumatic brain injury: Results of the TGE prospective longitudinal study. Annals of Physical and Rehabilitation Medicine , 64 (1), 101375. https://doi.org/10.1016/j.rehab.2020.01.008 Parker, K. N., Donovan, M. H., Smith, K., & Noble-Haeusslein, L. J. (2021). Traumatic Injury to the Developing Brain: Emerging Relationship to Early Life Stress. Frontiers in Neurology , 12 . https://doi.org/10.3389/fneur.2021.708800 Project Gallery

What they are, which groups are affected, and pandemic and economic impacts Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link What are health inequalities? Last updated: 05/02/26, 10:08 Published: 08/01/26, 08:00 What they are, which groups are affected, and pandemic and economic impacts This is Article 1 in a series on health inequalities. Next article: Socioeconomic health equalities . Welcome to the first article in a series of articles about health inequalities. This first article will look more in detail at exactly what health inequalities are. Introduction Imagine that you lived in Blackpool, and that your friends or family lived in Kensington. Your life expectancy would be 76 years, while theirs would be 86 years, a full decade of difference! Or consider the fact that even though men have shorter life-spans compared to women, women spend longer living with ill health or major illnesses. These are some examples of health inequalities, which are health differences between different groups of people. They aren’t just random variations in health outcomes between different groups or people: instead, they’re systematic and avoidable. What groups are affected by health inequalities? Health inequalities can be seen across various populations. A person’s health can be impacted by socioeconomic factors, like income or wealth, and geographic factors, like where they live. Other characteristics affecting health include ethnicity or gender. These factors don’t act in isolation. For individuals who experience multiple levels of disadvantage, the effects of inequalities are worsened. For example, ethnic minority groups who live in deprived areas, or socioeconomically disadvantaged women, experience even worse health outcomes. This interconnectedness means that understanding health inequalities and addressing them requires a holistic approach. Health status and health inequalities Differences in health outcomes can manifest in different ways. One indicator is health status, which includes overall life expectancy and healthy life expectancy, which is the time people live in good health. In England, there’s an almost 10-year gap in life expectancy between the most and least deprived areas, shown by the example above, where the life expectancy is 76 years in Blackpool and 86 years in Kensington. Differences in healthy life expectancy between the most and least deprived areas are even more pronounced. Healthy life expectancy is more than 18 years lower for the most deprived areas compared to the least deprived areas, as shown in Figure 1 . Males living in the most deprived areas can expect to live 52.3 years in good health, while for males living in the least deprived areas, this number increases to 70.5 years. For females, it’s 51.9 years in the most deprived areas, compared to 70.7 years in the least deprived. The impact of the COVID-19 pandemic on health inequalities The COVID-19 pandemic has exacerbated health inequalities, with those living in the most deprived areas and people from ethnic minority backgrounds being the worst impacted. For example, as the pandemic strained healthcare services, more deprived areas had longer waiting lists, highlighting issues of unequal access and quality of care. In addition, death rates in the most deprived areas were higher compared to the least deprived areas: at a deprivation level of 1 (most deprived), deaths from COVID-19 were 566.2 per 100,000, with this number decreasing to 228.7 deaths per 100,000 at a deprivation level of 10 (least deprived), as seen in Figure 2 . The economic impact of health inequalities Health inequalities can have economic impacts as a result of the added costs needed to address them. The persistence of health inequalities, particularly among the working-age population, is a challenge to economic growth, as increasing levels of ill health can lead to economic inactivity. For example, data from before COVID-19 suggests that health inequalities cost the UK £31bn to £33bn per year in lost productivity, £20bn to £32bn per year in lost tax revenue and higher benefits payments and £4.8bn of the NHS budget. This is equivalent to almost a fifth of the NHS budget. As the pandemic exacerbated inequalities, these numbers have only increased: for example, the long-term impacts of COVID-19 have varied between demographics. Given that at least 2.5 million working-age adults are unable to work due to long-term sickness, as per the Office for National Statistics estimates, this is a significant economic challenge for the country, as well as a health issue. Conclusion Health inequalities have been shown to affect different groups disproportionately, with deprivation, ethnicity, socioeconomic status and other social factors having compounding effects, resulting in poorer health and shorter healthy lives. The COVID-19 pandemic further exacerbated these inequalities, with the most marginalised communities being the most affected. Failure to address these differences has resulted in not only human costs but also billions in lost productivity and increased burdens on health services. Socioeconomic status is one specific factor that influences health outcomes: as mentioned above, people in the most deprived areas face a gap of approximately ten years in life expectancy compared to the least deprived, seen when comparing life expectancy in Blackpool and Kensington. The next article in this series will look more in detail at socioeconomic inequalities, so watch out for that! Written by Naoshin Haque Related article: Global Health Injustices (series) Project Gallery

The web of geopolitics surrounding the Rohingyas, and how this impacts their health Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Addressing the health landscape of Bangladesh’s Rohingya community Last updated: 05/03/26, 15:04 Published: 18/09/25, 08:00 The web of geopolitics surrounding the Rohingyas, and how this impacts their health This is article no. 6 in a series about global health injustices. Previous article: Health gaps in conflict-affected Kashmir. Next article: A deep, critical reflection . Introduction Welcome to the sixth article of the Global Health Injustices Series, a collaboration with Nasif Mahmood . This article focuses on the ongoing injustices and health issues affecting the Rohingya refugees in Bangladesh. This community leads a vulnerable life and suffering that it is becoming one of the most significant South Asian crises in the 21st century. Due to Bangladesh's inadequate resources and geopolitical situation, the overall health and well-being of the country and the migratory population are severely hampered. A brief history of Bangladesh and the Rohingya population Bangladesh's history is intricate and has been influenced by many cultures. After India was divided in 1947, the area, previously part of ancient Bengal, was ruled by the British and became East Pakistan. Demands for autonomy resulted from tensions between West and East Pakistan. The Bangladesh Liberation War in 1971, culminating in these tensions, led to the country's independence. Bangladesh has made great strides in education, health, and economic growth since gaining its autonomy, despite facing economic hardship, political turmoil, and natural disasters. Rohingya, the Muslim ethnic minority from the state of Rakhine, were denied citizenship by the Myanmar Government, leaving them homeless. They endured years of persecution, discrimination, and violence. In 2017, an inhuman, violent crackdown by the military of the Myanmar government forced over 70,000 Rohingya to flee to Bangladesh. Over 1 million refugees live in Bangladesh, primarily in the Cox Bazar area. A lot of refugees cause overcrowding situations, and limited resources lead to a high rate of nutritional problems and spread of disease, specifically infectious diseases and mental health disorders in the refugee camp. Connecting geopolitics and health: impacts on the Rohingya population The Rohingya crisis is more than just a humanitarian issue; it is a tangled web of geopolitical challenges. The Myanmar government’s ongoing refusal to grant citizenship and fundamental rights to the Rohingya people not only deepens their suffering but also fuels instability in the region. They have not taken the necessary steps to ensure their safety, leaving the crisis unresolved. As refugees continue to pour into neighbouring countries, tensions have escalated, placing a heavy burden on host nations like Bangladesh. This crisis worsens existing socio-economic problems and stretches resources thin in areas struggling to care for their citizens. The international community has responded in various ways; some countries are pushing for tougher sanctions against Myanmar, while others are focused on delivering aid to those affected. However, the underlying issues driving this crisis will unlikely be resolved without a coordinated and sustained political effort ( Table 1, Figure 1 ). Addressing them can lead to improved outcomes for the Rohinyga population. On top of that, the health challenges faced by the Rohingya people go beyond just infectious diseases. The lack of access to essential health services has not only worsened physical health problems but has also led to a growing mental health crisis. Many Rohingya individuals are grappling with post-traumatic stress disorder (PTSD), anxiety, and depression stemming from their traumatic experiences of violence, loss, trauma, isolation, and forced displacement. Yet, mental health services in the refugee camps are severely lacking. A study showed that the prevalence of emotional and behavioural disorders is high among forcefully migrated refugee children, because of traumatic exposure like the unexpected death of parents, forceful displacement, and the witnessing of family violence and abuse. The stigma surrounding mental health in many cultures, including in the Rohingya community, creates additional hurdles for those seeking help. Enhancing access to mental health support is crucial, not just for the immediate well-being of the refugees, but also for their long-term healing and successful integration into the societies that host them. Moreover, providing humanitarian aid and hosting such a large population in Bangladesh is becoming difficult. The national and international NGOs maintain healthcare for the Rohingya population. However, the funding shortage and inadequate infrastructure hinder the provision of adequate medical services. For this reason, the refugee camps have reported significant outbreaks of diphtheria, cholera, and COVID-19. Given the challenges, developing innovative solutions and working collaboratively on a global or regional scale is needed. By empowering local health workers and training them to offer basic healthcare and mental health support, to close the service delivery gaps. Additionally, building partnerships among NGOs, governments, and international organisations can help ensure that resources are allocated more effectively and that comprehensive health programs are created to meet the unique needs of the Rohingya population. It's crucial to engage the community; by listening to the voices and experiences of the Rohingya, we can develop interventions that truly respect their dignity and cultural context. Additionally, raising global awareness about the struggles faced by the Rohingya can lead to stronger advocacy efforts. Involving the media, educational institutions, and civil society can foster a deeper understanding of the interconnected issues of geopolitics and health. Initiatives that share personal stories and experiences can rally public support and drive meaningful change. Ultimately, tackling the Rohingya crisis calls for a multifaceted approach that blends immediate humanitarian aid with long-term strategies aimed at ending their statelessness and ensuring their rights as human beings are upheld and protected. Recommendations from NGOs National NGOs: Several national NGOs play an essential role in supporting the healthcare needs of the Rohingya population: Bangladesh Rural Advancement Committee (BRAC), one of the world's largest NGOs, provides comprehensive health care services, including maternal and child health, immunisation programmes, disease prevention initiatives, and arranges many health campaigns for refugees. Gonoshasthaya Kendra established a field hospital and free clinic in the Cox Bazar area near the refugee camp, focusing on primary health care and emergency medical support. International NGOs MedGlobal, an international NGO, responds to this global crisis by delivering medical assistance within the refugee camp. Support hospitals and clinics for affected refugees between 2017 and 2019. This organisation's volunteers contributed over 17,000 hours of aid, assisting more than 80,000 individuals. Medair is another international NGO offering health and nutritional support to the Rohingya refugees. Migrant Offshore Aid focuses on sea rescue operations and delivering medical aid and assistance to surfers. Together, these national and international organisations make meaningful contributions to the healthcare needs of the Rohingya population, handling both immediate medical concerns and long-term health support in a challenging environment. Their collaborative efforts help ensure that essential services reach those in critical need, facilitating better health outcomes for refugees. Although they address the healthcare needs of the Rohingya, several challenges can limit their effectiveness. For example, coordination issues may lead to overlapping efforts or service gaps, resulting in inequitable and unequal healthcare access. Also, limited resources and funding can slow extensive long-term support, leaving specific medical needs unaddressed. Additionally, the intricate political and social conditions restrict these organisations' capacity to operate effectively, impacting immediate care and sustainable health initiatives for the Rohingya population. Moving forward, it is crucial for host countries to: finance extra healthcare facilities in refugee camps to enhance access and reduce diseases, launch culturally appropriate mental health initiatives with locally trained workers to decrease stigma and provide community-based support, integrate nutrition programmes to address different forms of malnutrition in vulnerable communities and encourage further international support to maintain health initiatives among the Rohingya population. Conclusion The Rohingya crisis is an example of global health injustice exacerbated by geopolitical and humanitarian challenges. At the same time, Bangladesh is trying to provide temporary shelter for the refugees to minimise the crisis. However, this crisis also requires international cooperation, policy support, and increased funding. Solving this issue is essential for global public health and human rights. Notably, finding sustainable solutions will help the Rohingya people recover and thrive, and enhance stability and security in the region. Their future goes beyond humanitarian aid; it is about upholding inclusion, justice, and respect for human dignity, which should guide all efforts to link geopolitics with health outcomes. To truly tackle the health issues faced by the Rohingya community, we need to take a comprehensive approach that looks at the political, social, and economic factors at play. By adopting such all-encompassing systems, we can work towards a brighter and fairer future for the Rohingya community and other vulnerable groups around the globe who are facing similar challenges. The next article will be the final one reflecting on everything discussed in this series. Written by Nasif Mahmood and Sam Jarada Related articles: Health and well-being in- Palestine , Kashmir / South Asian famine / South Asian mental health / Ethnic health inequalities REFERENCES Tinker HR. History of Bangladesh | Events, People, Dates, & Facts [Internet]. Encyclopedia Britannica. 2023 [cited 2025 Jul 15]. Available from: https://www.britannica.com/topic/history-of-Bangladesh Rahman MM, Bhuiyan MR, Ali MZ, Rahman MS, Hossain MA. Insecurity feelings and mental health status of Rohingya orphan children in BangladeshResearchGate; 2021 https://www.researchgate.net/publication/348521935_Insecurity_Feelings_and_Mental_Health_Status_of_Rohingya_Orphan_Children_in_Bangladesh UNHCR. Rohingya refugee crisis – Bangladesh. 2023. https://www.unhcr.org International Crisis Group (ICG). The health crisis in Rohingya refugee camps. 2022. https://www.crisisgroup.org Tay AK, Riley A, Islam R, Welton-Mitchell C, Duchesne B, Waters V, et al. The culture, mental health and psychosocial wellbeing of Rohingya refugees: a systematic review. Epidemiology and Psychiatric Sciences [Internet]. 2019 Apr 22 [cited 2025 Sep 10];28(5):489–94. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6998923/ Human Rights Watch. The plight of Rohingya refugees in Bangladesh. 2023. https://www.hrw.org . Nivedita Sudheer, Banerjee D. The Rohingya refugees: a conceptual framework of their psychosocial adversities, cultural idioms of distress and social suffering. Cambridge Prisms Global Mental Health [Internet]. 2021 Jan 1 [cited 2025 Sep 10];8. Available from: https://www.cambridge.org/core/journals/global-mental-health/article/rohingya-refugees-a-conceptual-framework-of-their-psychosocial-adversities-cultural-idioms-of-distress-and-social-suffering/F4D229807D4ED7667EA16195FDF5C787 World Health Organization (WHO). Health challenges in Rohingya refugee camps. 2022. https://www.who.int Médecins Sans Frontières (MSF). Medical response in Rohingya refugee settlements. 2022. https://www.msf.org Project Gallery