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Global Health Now - Tue, 01/20/2026 - 09:24
96 Global Health NOW: The Bacterial Detective Battling Superbugs in Nigeria; and Historic Clues for a Modern Medical Mystery January 20, 2026 TOP STORIES Unusually heavy rains across Mozambique in the last few weeks have triggered a “rapidly escalating emergency” affecting 513,000+ people—over half of them children, who are at an especially high risk in disease outbreaks, given compromised access to safe water and preexisting high malnutrition rates.    
Chinese authorities are blocking online searches about the country's plunging births after official figures released yesterday showed the country's birth rate dipped to 5.63 per 1,000 last year—the lowest since the 1949 founding of the People's Republic.     A personalized experimental drug based on mRNA technology halved melanoma patients’ risk of recurrence or death after five years compared with patients treated only with immunotherapy, per Moderna.  
A new meta-analysis and systematic review of 43 studies concluded that taking Tylenol (also known as paracetamol) during pregnancy does not cause autism in children, ; the review follows President Trump’s warning against taking the medication during pregnancy.   IN FOCUS: GHN EXCLUSIVE Iruka Okeke and her small team run a national surveillance project tracking antimicrobial resistance in Nigeria. Andrew Esiebo The Bacterial Detective Battling Superbugs in Nigeria    IBADAN, Nigeria—Inside a crowded University of Ibadan lab, Iruka Okeke and her dozen students are running a national surveillance project for one of Nigeria's—and Africa's—most understudied problems: antimicrobial resistance (AMR).  
  • More than 1 million deaths in the  were associated with bacterial AMR.  
  • “AMR deaths threaten Africa’s future,” says Okeke.      
Big ambitions: Okeke founded the Nigeria National Surveillance Unit at the University of Ibadan’s College of Medicine in 2022. 
  • She and her team use whole genome sequencing and other tools to understand how microbes inherit and spread resistant traits.  
  • They’ve already investigated more than a dozen suspected outbreaks. 
  • The lab—Nigeria’s first reference lab for AMR surveillance—obtains samples from three sentinel hospitals in Ibadan and sequences pathogenic bacteria, sharing data with the Nigeria CDC. 
Daily challenges: Doing science in Nigeria with limited resources isn’t easy.  
  • “There are days I wake up, and I think, ‘Oh, gosh, there’s too many problems to solve—like how are you going to keep the electricity uninterrupted?’” Okeke says. “And then, there are days I wake up and think, ‘It’s amazing we’re doing this stuff that nobody else is doing.’”   
DATA POINT

980,000
—ĔĔĔĔ
The number of midwives needed across 181 countries—90% of them LMICs; improved access could potentially save 4.3m lives a year by 2035, by the International Confederation of Midwives. —
  CANCER Historic Clues for a Modern Medical Mystery    U.K. scientists seeking to understand why colorectal cancer continues to rise sharply among young people are looking to hospital archives for leads.    The clues: A vast collection of century-old cancer samples stored at St. Mark’s Hospital in London.  
  • The samples, which have been preserved in wax, are being sent to the Institute of Cancer Research for molecular tests that can identify DNA damage “signatures,” revealing possible triggers.  
The stakes: Bowel cancer rates in the U.K. have spiked 75% among people under age 24 since the early 1990s—mirroring a global phenomenon that still does not have a clear underlying cause.        Related: 

What science says about how weight-loss drugs affect cancer risk –  

Sugar Land resident advances global cancer research while still an undergrad –  GLOBAL HEALTH VOICES QUICK HITS Napkins for bandages: How 11 doctors survived the siege of El Fasher –     The near death — and last-minute reprieve — of a trial for an HIV vaccine –     The Obituary Of The US Childhood Immunization Schedule –     Drug use disorders a growing public health concern in the Americas, PAHO study finds –      Public Views About Opioid Overdose and People With Opioid Use Disorder –     More than half of mpox patients in 2022 outbreak experienced lasting physical effects: Study –     Alzheimer's finger-prick test could help diagnosis –   Issue No. 2849
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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