Health

After years of closure due to war, hospitals in the Sudanese capital are welcoming mothers again, despite lingering economic and logistical hurdles.

In the Sudanese city of Omdurman, the maternity hospital, known locally as Al-Dayat or ‘Midwives” in English, has resumed operations after a long closure caused by the war. Mothers are once again arriving at maternity wards, navigating difficult economic and logistical conditions to give birth safely.

Al-Toma Jabara, a mother from East Nile, gave birth to her daughter, Doaa, at the hospital two days ago. She told Al Jazeera that she was unable to conceive during the war years. Fighting between the Sudanese armed forces and the Rapid Support Forces (RSF) separated Jabara from her husband for two years.

She has lived under constant bombardment and clashes in her home, making a normal family life seem impossible. She described Doaa’s arrival as a “new beginning” for her family after years of fear and deprivation.

At Bahri Hospital, Fatima Abdel Rahman, a mother from Al Jazirah state, recounted her exhausting and expensive journey to the capital Khartoum. Her family had to spend a large portion of their income on transportation and temporary accommodation near the facility to monitor her condition post-delivery.

Abdel Rahman noted that medication shortages forced her to buy basic drugs from outside pharmacies at inflated prices, adding to her financial burden. However, she stressed that the functioning maternity ward provided her with a vital sense of safety, sparing her the fear of dying due to lack of medical care – a constant dread she lived with during the war.

Rebuilding the shattered health sector

During the conflict, the closure of specialised maternity hospitals forced many women to undergo unsafe home births or travel long distances, drastically increasing risks for both mothers and infants. An anonymous official from the Khartoum State Ministry of Health confirmed that maternal and infant complications and mortality rates surged during the war due to closures.

The official told Al Jazeera that complication rates are now gradually decreasing as services resume. The health ministry has repaired and reopened 15 maternity wards across the capital, including Al-Dayat and the Saudi Hospital. The capital’s hospitals are now recording a significant increase in births, reaching about 7,000 new deliveries per month.

Emad Abdullah, director of the Omdurman Maternity Hospital, noted that it initially received only one or two cases a day upon reopening. Today, that number has climbed to approximately 60 births per day, as services expand to meet growing demand.

The hospital has several vital departments, including a caesarean section, an intensive care unit and a neonatal department equipped with about 140 incubators, making it the largest in Sudan.

Rising costs and logistical nightmares

Maternity costs vary significantly depending on the facility. At government hospitals, a natural birth typically costs about 130,000 Sudanese pounds ($216), while C-sections cost around 400,000 pounds ($666). In private hospitals, the cost of a natural birth shoots up to approximately 500,000 pounds ($813) and C-sections range between 600-800,000 pounds ($999-1,322), depending on the service level.

Despite the reopening of wards in Khartoum, Omdurman and Bahri, large challenges remain with patients from distant regions such as Al Jazirah and Kordofan facing exhausting journeys and exorbitant transport costs.

In the hospitals, there is a shortage of basic medicines and emergency rooms often operate beyond their capacity. In addition, the wartime exodus of doctors and nurses has left a critical gap in qualified staff, while essential medical equipment needs regular maintenance to keep up with demand.

Amira Othman Abdel Majeed, an infection control officer at Bahri Hospital, described the war as the most challenging period for the health sector, marred by severe shortages of supplies, electricity and water. That has imposed psychological pressure on medical staff who feared losing mothers and children during treatment.

However, she said the “liberation of Khartoum” and the resumption of maternity services have dramatically changed the landscape. Staff emerged stronger and more resilient, with the ongoing medical care serving as a prime symbol of the capital’s recovering health sector.

21 cases of the viral disease have been confirmed in the UK

People that are eligible for the Mpox vaccine in Northern Ireland are being urged to step forward before the summer holidays as 21 cases of the viral disease, formerly known as monkeypox, have been confirmed by the Public Health Agency in the last three weeks.

This is a significant rise as, according to the BBC, only nine cases of Mpox had been reported in Northern Ireland since 2023. The Public Health Agency is asking people to learn the symptoms, be vigilant about the signs and get vaccinated but not everyone will be eligible for the vaccine.

The main symptoms the Public Health Agency is urging people to keep an eye out for include rashes with blisters, aches, fever and swollen glands that can last for up to three weeks.

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According to the NHS, the first symptoms of mpox include:

• a high temperature, or feeling hot, cold or shivery
• a headache
• muscle aches
• backache
• swollen glands
• shivering (chills)
• exhaustion
• joint pain

The telltale sign of mpox is a distinctive rash which usually appears one to five days after the other symptoms. It can appear on any part of the body including the hands, soles of the feet, mouth or genitals.

The rash is sometimes mistaken for chickenpox. It starts with small raised spots that turn into ulcers or small blisters filled with fluid, the blister eventually forms a scab that later falls off.

Dr Rachel Coyle, Consultant in Health Protection at the PHA, said: “We want to remind those who are eligible to get vaccinated. Vaccination is available for those eligible in Northern Ireland through sexual health clinics, also known as genitourinary medicine or GUM clinics.

“While anyone can catch mpox, the majority of mpox cases in the UK are in gay, bisexual and other men who have sex with men (GBMSM).

“Therefore, those eligible for the vaccine include gay, bisexual or other men who have sex with men who have multiple sexual partners, and those who participate in group sex or attend sex on premises venues. Staff who work in these premises are also eligible.

“If you think you may be eligible and have not yet received your first dose or completed the course of two vaccines, contact your local GUM clinic and enquire about getting the vaccine.”

Mpox is passed from one person to another through any close physical contact with mpox rash, blisters or scabs. This can include during sexual contact or other skin-to-skin contact.

It can also be passed through contaminated surfaces like bedding or towels and through the coughs and sneezes of a person that has mpox if they are close enough to you.

Mpox is usually mild and can get better in a few weeks even without treatment. However, while you have symptoms you can pass on the virus to other people and some may be more vulnerable to more severe symptoms. This includes older people, young children and anyone taking medication that affects their immune system.

On June 25, the United States Supreme Court decision allowed President Donald Trump and his administration to end Temporary Protected Status (TPS) for Haitians, paving the way for their legal immigration status to be removed.

Trump has pushed to end TPS for several groups, as part of his efforts to restrict immigration into the US.

But lawmakers from both political parties have argued that stripping Haitians of their TPS status could create a caregiving crisis, given their presence in key industries like healthcare.

“Of the 350,000+ lawful Haitian TPS holders, roughly 1/3 work in our healthcare system. Immediately shutting off TPS will create a crisis in our hospitals, nursing homes, and in the [intellectual disabilities] community,” Republican Representative Mike Lawler wrote on the social media platform X.

Democratic Representative Ayanna Pressley echoed that sentiment in a statement.

“Seniors will lose their caregivers when we already have a caregiving crisis, and seniors will lose their ability to age in community with much-needed assistance,” she wrote.

The Temporary Protected Status programme allows nationals from countries experiencing crises, such as natural disasters or armed conflict, to live in the United States for up to 18 months. The federal government had previously renewed the designations, making them effectively permanent, before President Trump took office for a second term in 2025.

Lawler’s estimates about how many Haitians with TPS work in the US healthcare system are within the range of what the data show.

The Trump administration decision — and Supreme Court ruling — affect about 330,000 Haitians whose TPS-related work authorisations expire on July 10. They face deportation unless they qualify for another status. The ruling also applies to Syrians and Venezuelans.

About 158,000 Haitians in Florida have TPS, the majority of whom are in South Florida. The Sunshine State has the largest population of TPS recipients in the US: nearly 404,000 people. More than half are from Venezuela and about one-third are from Haiti, according to the nonpartisan Congressional Research Service.

With an ageing population and an existing caregiver shortage, healthcare experts say the end of TPS for Haitians will have a significant effect on the US healthcare industry.

Of the 330,000 Haitian TPS holders, about 13,000 work daily as nursing assistants, caring for 65,000 patients, The Boston Globe found. Another 8,000 Haitian caregivers serve 12,000 children and ageing people, according to Americans for Immigrant Justice, a Miami-based nonprofit law firm that provides free representation to low-income immigrants.

Experts said the TPS healthcare workforce exodus will be felt most acutely in New York, Massachusetts and Florida.

With its high populations of older people and immigrants, Florida is expected to be particularly hard-hit.

David Grabowski, a Harvard Medical School healthcare policy professor, said the decision will “have a major impact on nursing homes, assisted living facilities and home care agencies”.

What will happen if most Haitians with TPS are deported?

Healthcare researchers say deporting Haitian recipients of Temporary Protected Status will add pressure on a strained system.

Immigrants who have TPS are more likely to work in healthcare, with one 2025 study finding that recipients represent 15 percent of all noncitizen healthcare workers. (TPS recipients make up about 2.1 percent of the total immigrant population.)

Immigrants make up a large share of direct care workers — people who are home health aides, personal care aides and nursing assistants.

There is already a national shortage of home health aides, personal care aides, nursing assistants and other long-term care and eldercare workers, but the US will need even more in the future. The US 65-and-up population is expected to rise from 58 million to 82 million by 2050 — a 42 percent increase.

Nearly half of US nursing homes report limiting admissions due to staffing shortages, and 19 percent recently met the minimum staffing levels set by the Centers for Medicare & Medicaid Services. In 2023, shortages of nurses and other employees caused about two-thirds of US hospitals to operate below capacity.

“People who run nursing homes, chronic care hospitals and home care agencies – they are all saying this is a crisis,” said Dr Steffie Woolhandler, a distinguished professor of public health at City University of New York’s Hunter College. “There has long been a shortage of folks who are willing to do direct care work as nursing aides, and there’s still a shortage now, so, of course, if the US deports them all, it’s just going to make it worse.”

Drishti Pillai, the director of immigrant health policy at the research nonprofit KFF, said, “The long-term care industry is already facing shortages prior to these immigration policy changes, so I think it’s accurate to say that this is going to further exacerbate the situation.”

Why do so many Haitians with TPS work in caregiving?

Healthcare experts pointed to several reasons for TPS holders’ high numbers in direct care, including job availability, an easier certification process compared with other healthcare jobs, and prior experience caring for family members.

“We do not have sufficient native-born workers to fill all the caregiving jobs,” Grabowski, the healthcare policy professor, said.

These positions also typically have lower barriers to entry for licensure, or no English language requirements, experts said. Refugee settlement organisations often recommend the work to immigrants for those reasons.

The positions are “extremely difficult to fill” because they’re physically and emotionally demanding, with low pay and with little or no employee benefits, said Priya Chidambaram, senior policy manager with KFF’s programme on Medicaid and the uninsured.

Some Haitians also have experience caring for sick family members in their homes, given the lack of nursing home infrastructure in their home country.

In the end, experts said there will be many more people who need this care than people who will be able to provide it.

“This was true before the ruling,” Chidambaram said. “Now, the impact will only be worse.”

Research published in the British Medical Journal (BMJ) has found that a United Kingdom-United States pharmaceutical deal could cause 229,000 excess deaths as a result of the diversion of billions of pounds away from Britain’s National Health Service (NHS).

In December, the UK and US signed a pharmaceutical trade deal, under which the US government agreed not to impose tariffs on UK pharmaceutical and medical technology exports for the next three years.

In return, the British government committed to increasing NHS spending on new US medicines from 0.3 percent in 2026 to at least 0.6 percent of its gross domestic product (GDP) by 2036. This means that medicine spending overall should increase from 10 percent to 12 percent of the NHS budget.

UK politicians defended the deal with Science Minister Patrick Vallance saying in April that the arrangement gives patients across the NHS access to “life-changing new medicines that they previously would have been denied”.

“Not only this, but as the first country in the world to benefit from a zero percent tariff on pharmaceuticals to the US, Britain’s life sciences sector will be further boosted,” Vallance argued.

But the research published in the BMJ found that the commitment to spend so much more on new branded medicines over the next decade without any increase in NHS funding will “create substantial opportunity costs elsewhere, having a direct effect on population health”.

Samuel Cross, a professor in the department of pharmacology and therapeutics at the University of Liverpool, who coauthored the report, said the agreement “benefits pharmaceutical companies and comes at a cost of NHS patients”.

“There’s really no way to sugar-coat that. The numbers speak for themselves,” Cross told Al Jazeera.

Here’s what we know about the report:

What is in the US-UK deal?

The agreement signed on December 1 was hailed as a landmark deal between British Prime Minister Keir Starmer and US President Donald Trump on pharmaceutical trade and pricing.

The US agreed not to impose tariffs on UK pharmaceutical and medical exports for the following three years – until January 19, 2029.

According to a policy paper published by the British government, the preliminary understanding of the agreement recognised that the US and UK shared a “mutual interest in developing a global medicines system that supports development and commercialisation of new innovations”.

 What did the research find?

In February, Vallance disclosed that funding for the increased spending on medicines would come from the Department of Health and Social Care, which funds the NHS in England, rather than the Treasury.

The study in the BMJ forecast that if spending targets are met and the economy grows as forecast by the Office for Budget Responsibility, the NHS would need to spend an extra 1.3 billion pounds ($1.73bn) a year by 2028 – about 25 million pounds ($33.4m) a week. By 2036, this would rise to an extra 8.8 billion pounds ($11.74bn) a year – about 170 million pounds ($227m) a week). Over the course of the agreement, that would add up to about 44.7 billion pounds ($59.7bn) by the end of 2036.

“Costs are even higher if the impact on publicly funded adult social care is also considered – modelling of English local authority data indicates that every £1bn [$1.33bn] the NHS must find to fund this deal will increase the costs of adult social care by £118m [$157.5m] because of increases in morbidity and mortality,” the report found.

Ultimately, the study predicted, excess deaths are likely as a result.

“Even if we restrict attention to the direct effect of reductions in available NHS expenditure, by 2036 this deal is likely to result in roughly 229,000 excess deaths – more than during the COVID-19 pandemic between March 2020 and June 2022 (137,000). If the indirect effect on adult social care is also included, the increase in excess deaths is even greater (291,000),” the report stated.

The report added that the findings are “unsurprising” given the existing pressures on the NHS and the “large burden of unmet need in highly cost-effective areas of care”.

It also referred to shortfalls in NHS funding and pharmaceutical pricing as “opportunity costs”.

Cross said that in health economics, opportunity costs are the “key to all of this”.

“In the NHS, we have a finite budget – we’re not made of money – and if you take money away to pay for, in this case, more medicines. then that comes at an opportunity cost of the places that the money has been diverted away from,” he explained.

Which health sectors will be worst affected?

The research predicted that the greatest number of deaths would occur in cardiovascular, respiratory, gastrointestinal and cancer patients.

It added that there will also be broader harm caused to quality of life for patients in those sectors as well as “neurological, endocrine, musculoskeletal, and mental health problems”.

“Despite this evidence and reassurances that ‘frontline services’ will be protected, the NHS will need to fund this deal from allocations made six months before the deal was agreed. The evidence suggests that if additional public expenditure was available, it could be more effectively deployed within the NHS itself,” it added.

The report also called the government’s claims that the US-UK agreement would encourage pharmaceutical innovation in the country “uncertain”.

“Pharmaceutical research and development operate within a global market, of which the UK represents a relatively small share. As such, there is limited evidence that UK domestic pricing materially influences global investment decisions,” the report stated.

“Even so, evidence suggests in most cases the UK is already paying more than 100 percent of the long-term value of new medicines; incentivising production of new medicines under this deal will do long-term harm to the public health objective of the NHS,” it added.

Cross added that because money has in effect been diverted away from the NHS, there is no way for the government to offset the impact on the service.

“If the funds are used to pay for new medicines, we will lose positive health outcomes elsewhere, and that is as simple as that,” he said.

He called for the government to release an impact assessment to trigger a public discussion about how good the US-UK deal really is for Britain.

Medical experts fear the aftermath of Venezuela’s devastating twin earthquakes could trigger a widening health crisis marked by untreated injuries, infectious diseases, and a healthcare system already on the brink of collapse.

Thousands of displaced Venezuelans are sleeping in crowded temporary shelters or outside without access to clean water amid dismal sanitary conditions following the June 24 earthquakes, which officials said on Wednesday killed at least 2,295 people and left more than 11,000 injured.

“The issue we foresee just around the corner is the infections that patients who have been exposed to the disaster for the longest time might bring,” said Eugenio Cova, the head of the trauma unit at Hospital Jose Gregorio Hernandez in Caracas.

“We’ve already gone through a period of complex trauma – which will continue to occur – but now, it’s complicated by infections,” Cova said.

Aid workers also warn that the extensive damage to infrastructure could fuel outbreaks of diseases in the hardest-hit communities.

“There’s been lots of reports among the population here with diarrhoea and other diseases,” said Al Jazeera’s correspondent Teresa Bo, reporting from a shelter site in the region of La Guaira.

“They’re asking, for example, for portable toilets, and also help from the government to try to reorganise this place to try to prevent overcrowding, but also the spread of disease,” Bo said.

US military deploys 900 personnel to aid Venezuela

The United States has deployed some 900 military personnel on the ground in Venezuela to support relief and rescue operations as of Wednesday, Steven McLoud, a spokesperson for the US military’s Southern Command (SOUTHCOM), told The Associated Press news agency.

According to McLoud, the US military has repaired an earthquake-damaged runway at Venezuela’s main international airport, which serves Caracas, to allow for the arrival of humanitarian assistance, and has stationed naval vessels off the country’s coast to assist in the aid operation.

An additional 100 people from the US Department of State have been sent to support the efforts, McLoud said.

So far, the administration of US President Donald Trump has offered Venezuela $300m in assistance channelled through aid groups and the United Nations.

That contribution is just a fraction of the post-earthquake aid the country needs, with material damage from the devastating quakes estimated at more than $6.7bn, according to satellite analysis by the UN Development Programme.

About 50 other international aid teams have arrived in the country in recent days to help with search-and-rescue operations, including from Ecuador and Israel, which do not have diplomatic relations with Venezuela.

Against the odds, rescuers continue to find a small number of survivors, including on Tuesday, a toddler who had been trapped for six days beneath the rubble.

Kevin Simm, a volunteer aid worker, told Al Jazeera the scale of the destruction was akin to armed conflict.

“This obviously brings to mind the current situations that are going on across Gaza and Ukraine,” Simm said.

“It’s like a scene from a movie or from a war zone… We have never seen this in peacetime.”

Venezuela’s crisis-stricken hospitals dealt another blow

Long before the earthquakes, Venezuela’s public hospitals were strained by shortages of water, energy, critical medical equipment, and highly trained staff, according to reports.

More than 7.7 million Venezuelans have left the country since its economic crisis began in 2013 under then-President Nicolas Maduro, who was abducted by US forces in a military raid, along with his wife, earlier this year.

Many specialised doctors and nurses were among those who departed, with Venezuela’s medical association estimating that about one-third of its 60,000 registered physicians have left the country.

Huniades Urbina, a member of the board of Venezuela’s paediatrics association, said that a 2025 national survey of public hospitals revealed shortages of more than 30 percent of emergency supplies, and more than 70 percent of supplies in operating rooms.

Laboratories are “all practically closed or do the basic things only”, Urbina said.

The earthquakes “once again highlight the Venezuelan government’s inability to provide an adequate healthcare system that meets the needs of the Venezuelan people”, he added.

Catia la Mar, Venezuela – Andreina Velasquez looks up at her multistorey apartment block overlooking Catia la Mar, a coastal city in the Venezuelan state of La Guaira. The concrete slabs that once separated each floor are now stacked on top of each other.

“They fell like a pack of cards,” she said, pointing to where she used to live on the sixth floor.

Velasquez feels lucky. She left her apartment a couple of hours before a pair of deadly earthquakes shook Venezuela on June 24, reaching magnitudes of 7.2 and 7.5, respectively.

She had gone to get a new key cut and was at the beach when the first quake struck.

Her neighbours did not make it. She remembers one as a gentle, retired man, another as a woman with a young daughter who had just moved in. They had been overjoyed with their view of the sea.

Velasquez is still struggling to process what she has lost. Her state was among the hardest hit by the earthquakes.

But despite her grief, she has started to hand out face masks to passersby, hoping to shield them from the gusts of dust drifting from the collapsed buildings and the stench rising from the rubble.

“I’ve been here every day. Other people came to help, but they don’t have helmets, they don’t have gloves, they don’t have masks. That’s why I’m helping,” she said.

More than 2,295 people have been killed and 11,000 injured in the twin earthquakes, according to Venezuela’s National Assembly. The United Nations has warned the death toll could rise to 10,000.

As Venezuela continues to confront the destruction, experts say recovery efforts have been driven largely by volunteers and neighbours like Velasquez.

Hospitals are overwhelmed, and government aid has been slow to reach some of the worst-affected areas.

Carolina Jimenez, the president of the Washington Office on Latin America (WOLA), a research and advocacy group, told Al Jazeera that the result has been growing anger towards the state.

“In a government in any other country, the first responder should be the state,” she said. “In the case of Venezuela, the state has been the last responder.”

In places like Catia la Mar, north of Caracas, authorities still haven’t arrived or are lacking.

Velasquez and other locals say that help from the federal government only arrived on Sunday — three days after the earthquakes hit the country. In some parts of La Guaira, such assistance has yet to arrive at all.

“[The] response has come from citizens, from civil society, from humanitarian workers, from volunteers — but not from the government,” Jimenez said.

Health officials say three people died during massive celebrations in Mexico City after Mexico’s 2-0 World Cup win over Ecuador. The victims — a 19-year-old woman, a 48-year-old woman and a 44-year-old man — died of asphyxiation. Thousands had crowded into the streets to celebrate Mexico’s first World Cup knockout-round win since 1986.

An intense heatwave is set to blanket much of the central and eastern United States this week as a “heat dome” settles over the region, bringing days of oppressively high temperatures and humidity ahead of the Fourth of July weekend and FIFA World Cup matches in several US cities.

Forecasters say in some places it could feel as hot as 46 degrees Celsius (115 degrees Fahrenheit). Dozens of temperature records could be broken, according to the National Weather Service (NWS), which called the conditions “dangerous”. More than 60 million people are currently under heat alerts.

At the centre of this week’s forecast is a weather phenomenon known as a heat dome. What is it, and why does it make heatwaves even more intense and unbearable?

What is a heat dome?

A heat dome is a large area of high pressure, formed when warm air flows northward, that acts like a lid over the atmosphere, trapping hot air close to the ground.

As the air sinks, it compresses and warms even more. At the same time, the pressure system helps prevent cooler air and storms from moving in, allowing heat to build at the surface and remain trapped there. With few clouds and little wind, the sun has more direct access to the ground, creating a heat feedback loop.

Heat domes are linked to prolonged heatwaves that can last for days.

How long will it last?

The heat dome is already building and is expected to strengthen over the coming days, spreading from the central US towards the east coast, with dangerous heat lasting several days into early July.

The hottest conditions are expected Thursday and Friday, according to the NWS, and are set to continue through the Fourth of July weekend, which marks the 250th anniversary year of the US, and forecasters say some areas across the Great Plains, the southeast, and the mid-Atlantic are likely to remain unusually hot into next weekend.

What will the highest temperatures be?

Many places are expected to see daytime temperatures in the high 30s Celsius (low 100s Fahrenheit), but humidity will make it feel much hotter. In parts of the central and eastern US, the heat index – a measure of how hot it feels when humidity is factored in – could climb between 40C and 46C (100F and 115F).

“That’s heat that’s impactful to anyone,” said NWS meteorologist Bryan Putnam. “It’s not just older adults or younger children or people who are spending a ton of time outdoors, maybe straining themselves a little more than normal. This is heat that really could impact everyone, especially with people outdoors going into the holiday weekend.”

The nights won’t bring much relief either, with temperatures expected to stay in the 20s Celsius (70s Fahrenheit) overnight, creating potentially miserable sleep conditions for those without air conditioning and making it harder for people to cool down.

“Even after the sun goes down, it’s still going to be very hot,” said AccuWeather senior meteorologist Alan Reppert. “We’re at a pattern that’s really going to be hot during the good portion of the afternoon and even into the evening hours.”

Which parts of the US will be hit the hardest?

The most dangerous conditions are expected in a broad corridor stretching from the Great Lakes to the East Coast, where several cities could experience their hottest day of the year so far. New York City, Philadelphia, Washington, Baltimore, Chicago, Indianapolis, Detroit and St Louis are all expected to be affected, with temperatures also soaring farther south in Dallas, Little Rock and Memphis.

Several of those cities are also hosting FIFA World Cup events. In Philadelphia, organisers have already changed Fan Festival hours to start later in the day.

Cities across the US are rolling out emergency measures as temperatures climb.

Chicago said it would open cooling centres and send city workers to check on vulnerable residents.

In New York City, Mayor Zohran Mamdani’s office announced what it called an “unprecedented” response to the heat, including hydration vans and pop-up cooling stations equipped with misting fans and cooling towels.

Washington, DC, where temperatures are expected to exceed 38C (100F) from Thursday through Saturday, the heat will coincide with Fourth of July celebrations, including what organisers say will be the largest fireworks display ever held on the National Mall.

What are some ways to stay cool?

The NWS says people should stay hydrated, avoid strenuous outdoor activity during the hottest part of the day and seek air conditioning or cooling centres where possible. If you’re spending time outside, wear loose, lightweight clothing and stay near shady areas.

Experts say one of the biggest risks during a prolonged heatwave is that the body doesn’t have time to cool down overnight, which can make the effects of the heat build up from one day to the next. They also recommend drinking water before you feel thirsty and limiting alcohol, which can increase the risk of dehydration.

“If somebody realises that they’re hot, but they’re not sweating, or if they begin to feel a little bit dizzy, those are some signs that they really need to take a break, get inside, find some cooling, and drink plenty of water,”  said Geoff Cornish, assistant chief video meteorologist for the weather forecasting company AccuWeather. “And if they really begin to experience significant symptoms, they need to seek medical attention right away.”

A TikTok video has showcased the stunning lake, with the bubblegum pink hue leaving viewers desperate to visit the spot

When you picture Spain, you imagine stunning beaches, delicious cuisine and breathtaking scenery. And this specific corner of Spain has now got tourists buzzing about its natural beauty.

The must-visit bubblegum pink lake sits just an hour’s drive from popular British hotspot Benidorm. Holiday provider Travel Republic has shared everything you need to know about the must-see travel spot, including its health benefits and the reason behind its striking pink hue.

One TikTokker, who goes by the username @carielizabethh, has posted a video of “one of the coolest” experiences you can have just outside of Alicante, Spain.

The video has amassed over 6.5 million views and it’s easy to see why. She goes on to explain that while visiting her boyfriend’s parents, who live nearby, they took the couple to experience the spectacular Laguna Salada de Torrevieja.

The captivating lake is described as “one of the most unique experiences” thanks to its salt content which allows you to float with zero effort.

What’s more, legend has it that covering yourself from head to toe in mud before swimming offers numerous therapeutic benefits.

Users of the platform are intrigued and keen to visit, taking to the comments to say: “It’s giving rose quartz lake vibes”, “omg so cool” and “We have to go “.

The video does caution, however, that visitors should be “super respectful” and not “swim outside of the designated area which is protected by wooden planks”.

So what exactly gives it that striking colour?

The lake’s distinctive strawberry hue is down to the activity of various microorganisms living within the water.

The two key ingredients are salt bacteria and micro-algae. Both flourish in highly saline conditions and produce natural pigments responsible for the water’s stunning pink appearance.

What are the ‘therapeutic’ benefits of the Laguna Salada de Torrevieja?

This remarkable salt lake and its mud are said to offer a wealth of health benefits. Immersing yourself in this natural spa has been credited with helping to prevent skin and lung conditions, while also deeply exfoliating and nourishing the skin.

It’s reportedly beneficial for those suffering from eczema and may also assist with reducing inflammation and easing pain. Those with sensitive skin are advised to take care, however, as the high salt content can cause irritation or a mild stinging sensation.

The water’s elevated salt levels also provide the ideal habitat for brine shrimp, making it a prime feeding ground for flamingos. It is, in fact, these very shrimp that are responsible for giving flamingos their iconic pink plumage.

Gallup survey says the financial toll of scams in the United States in 2025 was estimated at $68bn.

A tenth of adults in the United States directly or indirectly experienced a scam last year, adversely affecting their financial and emotional wellbeing, according to a new Gallup poll.

The report by Gallup released on Tuesday indicated that 6 percent of US adults were personally scammed in 2025, while 4 percent experienced a scam indirectly, with someone in their household affected.

Scams are a widespread problem in the country, with Gallup noting that they can leave victims more cautious, less likely to shop online, and more hesitant to engage with unfamiliar businesses.

“The data suggest the cost of scams extends beyond what can be measured in dollars, as nearly three in four victims say the experience negatively affected their mental health or wellbeing,” the report stated.

The poll suggested that people from lower-income households were more likely than wealthier people to report being scammed.

Adults with less than a bachelor’s degree were more likely to report being scammed than those with a bachelor’s degree or higher – 7 percent versus 4 percent, Gallup found.

Black (8 percent) and Hispanic (9 percent) adults were also more likely than white adults (5 percent) to say they had been scammed. However, victimisation rates did not differ by age, the report stated.

In more than half of the scams reported to Gallup, people lost $500 or less. However, the average loss per scam was $5,578, as some scams reached tens of thousands of dollars, the report said.

In total, the financial toll of scams in 2025 was estimated at $68bn, amounting to an average of $186m stolen each day.

One in five adults who were personally victimised or live in a household that was scammed in 2025 reported that it created a severe financial hardship for their household, with households earning less than $80,000 annually hit harder.

Emotional damage from scams, however, was more widespread, the survey indicated.

Among adults in households affected by scams, more than a quarter (28 percent) said the experience had a very negative impact on their mental health or wellbeing, while a further 45 percent describe the impact as moderately negative. Overall, nearly three-quarters (73 percent) of people reported that the scam adversely affected their mental health or wellbeing.

The emotional toll was also pervasive among those who live with someone who was scammed, the survey suggested.

The poll also indicated that the lifetime prevalence of being scammed is much higher than the 6 percent of people who were in 2025. Nearly a quarter (24 percent) of adults report having been scammed at some point in their lives, including 10 percent who said that they had fallen victim multiple times.

“At a time when institutional trust in the US is already weak, the prevalence of scams represents not just a personal financial threat, but a broader erosion of confidence in the businesses and systems used in everyday life,” the report said.

Gallup surveyed 5,173 US adults between January and February of this year.

Dr Amir Khan has opened up about his own mental health, saying he has a “full-blown case”

A doctor has asked if “anyone else has this”, revealing he’s diagnosed himself with a form of anxiety. Doctor Amir Khan, who is known for his appearances on ITV, opened up about something called anticipatory anxiety.

In a video uploaded to social media platform Instagram, the medical professional shared more about his experience. Speaking to his more than one million followers, he said: “I’ve diagnosed myself with something called anticipatory anxiety and I need to know if anyone else has this.”

He explained how this phenomenon causes his brain to prepare for the “worst case scenario”, which in reality, doesn’t happen. “You know, when you’ve got like a meeting coming up or you’ve got an awkward conversation with someone you just don’t want to have,” Dr Amir said.

“It could be, I don’t know your boss at work, a friend, a family member, literally anyone – a meeting normally for me. Well then my brain decides we’re not just going to have one conversation in my head with these people, we’re gonna have 47, it just replays conversations in my head and what they’re going to go like.

“I’ll imagine them saying something awful. So I prepare my perfect comeback, then they say something even worse in my head, so I then prepare for that.

“Then I imagine myself calmly standing my ground, walking away with dramatic dignity, probably to a soundtrack that only I can hear. By the time I’ve finished, I’ve won an argument that never actually happened.

“Then the real conversation comes along and they’re lovely, they’re polite, we agree on things. The meeting lasts like just six minutes, so then it’s just a chat. And I come away thinking, ‘Why on earth did I spend two days emotionally preparing for that?’

“Well, that is anticipatory anxiety, and I have a full-blown case of it all the time.” He said this occurs when your brain starts worrying about something before it’s happened and because your brain’s threat system is trying to protect you, it “often throws in a bit of catastrophizing as well”.

Dr Amir said: “It’s trying to help me it, believes that if it rehearses every possible disaster, I’ll be ready for anything. But in reality most of those disasters, just don’t happen.

“So all that’s really happened is I put myself through stress, once in my imagination and then once again in real life, except the real life version usually turns out absolutely fine.” He added: “Please tell me this isn’t just me.”

He was met by support in his comment section with one person saying: “Omg Amir this is me! I drive myself mad doing it. Glad I’m not alone. Thanks.”

Another commented: “Yes! Amir you most definitely are not alone, this is so me.” And one person replied: “I do this too, it can be exhausting.”

Anticipatory anxiety is a recognised form of anxiety. On its website, Anxiety UK says: “Anticipatory anxiety is where a person experiences increased levels of anxiety by thinking about an event or situation in the future.

“Rather than being a specific disorder in its own right, anticipatory anxiety is a symptom commonly found in a number of anxiety-related conditions, such as generalised anxiety. Anticipatory Anxiety can be extremely draining for people as it can last for months prior to an event.

“The worries people experience specifically focus on what they think might happen, often with catastrophic predictions about an event. The nature of negative predictions about the event will be the difference between an anxiety level that is incapacitating or merely uncomfortable.”

The NHS lists common symptoms of general anxiety as:

• Feeling tired, restless or irritable
• Feeling shaky or trembly, dizzy or sweating more
• Being unable to concentrate or make decisions
• Trouble sleeping
• Worrying about the past or future, or thinking something bad will happen
• Headaches, tummy aches or muscle pain
• Dry mouth
• Pins and needles
• Noticing your heartbeat gets stronger, faster or irregular, or you get short of breath when you start feeling anxious

It says that if you cannot tell if shortness of breath is from anxiety or if you are worried about any other symptoms, you should see a GP.

Grid operators warn the US heatwave could send electricity demand near record levels before the Fourth of July holiday.

Power grid operators in the United States are warning that a dangerous heatwave could put more strain on an electric grid already under pressure from surging energy consumption.

A stretch of extreme heat is expected to intensify across much of the central and eastern parts of the country this week, peaking from Tuesday through Thursday.

That heatwave is likely to continue through one of the busiest travel weekends of the year, as millions of Americans prepare for Fourth of July celebrations on Saturday.

Temperatures this week are forecasted to climb above 38 degrees Celsius (100 degrees Fahrenheit) from Boston to Washington, DC, pushing up demand for air conditioning.

The heatwave coincides with two major events on the US calendar. Saturday’s holiday marks the 250th anniversary of the US’s independence, and millions are expected to gather for barbecues, parades and fireworks.

The extreme temperatures also come as the FIFA World Cup has reached the knockout stage, with many host cities, including New York, Boston, Philadelphia and Washington, expected to feel the heat.

Humidity could push the heat index as high as 46 degrees Celsius (114 Fahrenheit) in some places, while overnight temperatures will offer little respite.

The US’s largest regional grid operator, PMJ Interconnection, is forecasting record summer electrical demand of 166.3 gigawatts for Thursday evening, surpassing the previous summer peak set two decades ago, in 2006.

The New York Independent System Operator (NYISO), the state’s grid operator, is also expecting electricity demand to approach record highs, while the Midcontinent Independent System Operator (MISO), which covers 15 states in the Midwest and South, could also see its peak demand record challenged.

Authorities at MISO say they will rely on PMJ for support in covering consumer needs.

In a May report, PMJ’s executives warned of a “fundamental mismatch between how fast demand is growing and how quickly new supply can be built and connected to the grid”.

New power plants, they said, now take twice as long to build and cost twice as much as they did a decade ago.

Meanwhile, there has been increasing pressure on electrical grids from new technology like data centres and electric vehicles.

In May, PMJ said hyperscale data centres were “adding load at an unprecedented pace”.

Experts say the artificial intelligence (AI) boom is colliding with climate change, with tools like ChatGPT, Gemini and Claude being processed in vast, energy-hungry data centres.

The most energy-intensive are the hyperscale facilities that require between 100 and 300 megawatts of electricity, enough to power hundreds of thousands of homes.

Many of those are concentrated in northern Virginia, which sits within PJM’s service territory and is widely described as the world’s largest data centre hub.

Researchers have also identified what they call a “data heat island effect”, finding that land surface temperatures around AI data centres rise by an average of 2 degrees Celsius (3.6 degrees Fahrenheit), with some locations seeing increases of up to 9 degrees Celsius (16.2 degrees Fahrenheit).

The National Weather Service in the US warns that long periods of extreme heat create significant stress on the body.

It has urged people to limit outdoor activity, stay hydrated and keep close to air conditioning or cooling centres.

A 2024 report from the Journal of the American Medical Association (JAMA) found that 21,518 deaths in the United States from 1999 to 2023 were heat-related.

The highest number came in the final year of the report’s analysis, 2023. That year, 2,325 people died from causes attributed to high temperatures.

THIS summer’s celebrity trend isn’t a snatched waistline or even a peachy backside.

It’s the ‘11-line abs’ – a pair of razor sharp lines running down the stomach.

A host of stars, including Jodie Comer, Zendaya and Maura Higgins, have been proudly proving the magic number is 11 by flaunting their honed stomachs.

It’s an enviable look that screams gruelling hours at the gym and super-low body fat.

Until now, the number 11 was something women dreaded as it referred to the pair of lines that form between the eyebrows through frowning.

Now, however, 11 has become the ultimate badge of fitness — 11-line abs are created by the natural gap between the six-pack muscles (rectus abdominis) and the abdomen’s side muscles (obliques).

While it may have once been tacky to show off your naked waist, this year people are exhibiting their defined midriffs everywhere — not just at the beach or the gym but on the red carpet, too.

Earlier this month, actress Jodie Comer looked sensational at a star-studded bash as she flashed her sculpted midriff in a black dress.

But if you think achieving this physique is as simple as jumping on fat jabs, you need to think again — it’s down to exercise and good nutrition, according to women’s fitness expert Shakira Akabusi.

“There isn’t a single magic exercise to achieve visible abs,” says mum-of-four Shakira.

“But a great set of core exercises are planks, dead bugs, hanging knee raises and bicycles. Compound exercises like squats and deadlifts are also great.”

Although Shakira recommends a well-rounded diet, she says “a modest calorie deficit” is necessary to reduce body fat.

She adds: “Your abdominal muscles sit beneath a fat layer, so visible definition relies on overall body composition as well as building muscle.”

The expert emphasised that aesthetics and health shouldn’t be confused.

“Visible ab definition is not a marker of health, and is down to many factors including genetics, hormones, body fat distribution, nutrition and even lighting.

“So, don’t be fooled by social media posts.”

Rats are invading displacement camps across Gaza, where piles of garbage, overflowing sewage and overcrowded shelters are worsening a public health crisis. Doctors report more severe skin diseases as families struggle without proper sanitation or adequate medical care.

COUNTRY legend Alan Jackson is preparing to take the stage one final time – but behind his emotional farewell has been a grueling 15-year battle with a degenerative nerve disease that has changed his life.

The music icon was diagnosed with Charcot–Marie–Tooth disease in 2011, but kept it private for a decade before publicly revealing the condition in 2021.

The hereditary disorder causes nerve damage, mostly in the arms and legs, leading to muscle weakness, loss of sensation, balance problems, and difficulty walking.

While it’s not typically considered fatal, it has led to deaths – including 911: Nashville actress Isabelle Tate, who passed away from the disease in 2025. 

Behind Alan’s final curtain call is a brutal health battle that has quietly followed him for more than 15 years.

“It’s been affecting me for years,” he said in 2021 while first revealing the diagnosis on the Today Show. 

“And it’s getting more and more obvious. I know I’m not going to be able to tour like I have.”

Alan, 67, also revealed the diagnosis runs in his family, explaining: “I have this neuropathy and neurological disease. It’s genetic that I inherited from my daddy.”

The disease affects balance, coordination, and muscle control – making even simple movement more difficult as it progresses.

For a performer known for commanding massive stages and playing live instruments, the condition has made touring especially challenging.

Alan has opened up about his struggles, saying: “I know I’m stumbling around on stage. And now I’m having a little trouble balancing, even in front of the microphone.” 

Over the years, Alan has continued performing despite worsening symptoms, though he acknowledged the disease has forced him to adjust.

“I don’t feel comfortable,” he said of performing while navigating the disorder. “It’s going to disable me eventually.”

While Charcot-Marie-Tooth does not always directly impact life expectancy, there is no cure, according to the Mayo Clinic. 

Treatment typically focuses on managing symptoms through physical therapy, braces, pain management, and mobility support.

Still, Alan said he has refused to let the diagnosis define him, pushing through multiple tours and live shows while accepting that the end of his road on stage would come in the nearer future. 

Now, the singer is set for his final full-length concert, Last Call: One More for the Road – The Finale, on June 27 at Nissan Stadium. 

The massive send-off will bring Alan back to Nashville – the city where his career first took off – and feature an all-star lineup including Luke Bryan, Eric Church, Luke Combs, Miranda Lambert, George Strait, Carrie Underwood, Lainey Wilson, Little Big Town, Thomas Rhett, Jake Owen, Jon Pardi, and Lee Ann Womack.

The sold-out show will begin in the early evening and rock on all night, with more than 50,000 fans expected in attendance.

And for those who can’t make it in person, the historic farewell will be filmed for an NBC primetime special titled Alan Jackson: The Last Show, before streaming the following day on Peacock.

For the country crooner, it’s a full-circle moment – and the closing chapter of one of music’s most enduring careers.

The Georgia native has sold more than 75 million records worldwide, with a staggering 35 Number 1 hits and 50 Top 10 singles to his name. 

He’s won two Grammy Awards, 16 CMA Awards, 17 ACM Awards, and was inducted into the Country Music Hall of Fame in 2017.

The singer is also a member of the Grand Ole Opry and has long been praised for helping preserve traditional country music through hits like Chattahoochee, Livin’ on Love, Remember When, and Where Were You (When the World Stopped Turning).

Alan has long credited his family as the backbone of his decades-long career.

He has been married to his high school sweetheart, Denise Jackson, since 1979 after the pair met as teenagers in their hometown of Newnan, Georgia.

Denise famously helped launch his music career after running into country legend Glen Campbell on a flight and passing along Alan’s demo – a moment that helped change their lives forever.

Together, Alan and Denise share three daughters: Mattie Jackson Smith, Alexandra Jane Bradshaw, and Dani Grace Jackson.

Our Yorkshire Farm star Amanda Owen has been a firm favourite on our screens for years

Amanda Owen rose to prominence on the much-loved series Our Yorkshire Farm.

The Channel 5 programme launched in 2018, chronicling Amanda’s experiences at Ravenseat Farm alongside her ex-husband Clive and their nine children. The show has since become one of the broadcaster’s most-watched offerings.

Channel 4 subsequently commissioned a ten-part series titled Our Farm Next Door, which documents the family as they renovate a 200-year-old farmhouse in the Yorkshire Dales.

The third series broadcast earlier this year, with a further instalment on the way.

As Our Farm Next Door prepares to air a repeat episode this evening (Friday, June 26), here’s everything you need to know about Amanda Owen’s life beyond the cameras, reports Yorkshire Live.

Heartbreaking losses

Amanda and her family have endured several painful losses at the farm. In 2022, the Owens bid farewell to their cherished dog, Kate, who died peacefully in her sleep.

In a series of tweets at the time, Amanda said she was “mourning” her “faithful workmate, companion, colleague and friend,” adding: “I miss her”.

Additionally, an emotional Amanda supported her children through the loss of their treasured horse, Little Joe. “Eventually, all life will come to an end, right? Anything can die; life is a truly fragile thing,” she noted.

In a previous episode of Our Farm Next Door, Amanda also battled to contain her emotions after discovering that their family dog, Chalky, had passed away.

When reflecting on the moment she learned the news, the mother of nine said: “It was really clear and obvious that Chalky was fading away. When the children came running out of the house saying that Chalky had passed away, they were absolutely bereft, and they knew it was coming, and I knew it was coming.”

Health struggles

The Yorkshire Shepherdess has spoken candidly about her struggle with an eating disorder that left her fearing for her life.

Amanda previously told Daily Mail: “I just shut down. Physical and mental health are intertwined and anxiety, depression, paranoia, agoraphobia and an eating disorder were all smooshed into one.”

She added: “I remember sitting in the sheep pens in the dark, just hiding. It’s the price you pay for living your life in the open, for being observed. It’s like having a post mortem before you’re dead.”

The television star revealed that she was repeatedly in and out of hospital during what she described as a “critical time”, with her former partner, Clive, even worrying that Amanda might not make it through to the following morning.

Amanda has since reassured her followers with the welcome news that she is “out of the woods”.

More recently, Amanda found herself back at hospital after her son, Miles, suffered a medical emergency on the farm due to his type one diabetes.

“It’s been a hard few days but we’re all here to tell the tale. I’m super proud of you @milesowen86,” the star wrote on Instagram, prompting an outpouring of support from her devoted fans.

Our Farm Next Door: Amanda, Clive and Kids is available to stream on Channel 4

Lionel Richie brought the first stop on his summer tour with Earth, Wind & Fire to an abrupt stop Wednesday evening, citing his health.

The 77-year-old Grammy winner, hitmaker of “Hello” and “Say You, Say Me,” unexpectedly hit pause on the concert at the Grand Casino Arena in St. Paul, Minn., after taking a seat on stage multiple times during his performance of “Dancing on the Ceiling” and telling his audience he felt “dizzy,” according to videos shared on social media.

“What I have learned about my years of being in the business, when you are feeling dizzy, sit your a— down,” he joked, according to a TikTok posted Wednesday evening by user ynaffitmocha. “When you are feeling strange about yourself, sit your a— down.”

Moments later, saxophonist Dino Soldo informed the audience that the singer was “not feeling well” and would not continue the concert. A representative for the singer did not respond to a request for comment, but TMZ reported on Thursday the singer-songwriter was hospitalized after the health scare. Paramedics reportedly met the artist backstage and transported him to a nearby hospital out of precaution.

A spokesperson for the Saint Paul Fire Department did not immediately respond to a request for confirmation on Thursday.

Live Nation announced “American Idol” judge Richie and Earth, Wind & Fire’s joint tour in January, unveiling a 26-city circuit that includes stops in Chicago, Orlando, San Francisco and Los Angeles. Richie and the “September” group are next set to perform at the United Center in Chicago on Friday and again at Schottenstein Center in Columbus, Ohio. It is currently unclear whether Richie will resume performing for those concerts.

Richie and Earth, Wind & Fire are scheduled to play Inglewood’s Intuit Dome on Aug. 9. The tour ends Aug. 14 with a show at the Moody Center in Austin.

Daryl Hall recently underwent a kidney transplant and he’s already feeling better.

The 79-year-old musician — formerly of the iconic rock duo Hall & Oates — took to social media Tuesday to share the news.

“I thought you should know that I recently received a kidney transplant from a very kind and generous living donor,” Hall wrote in an Instagram post. “It happened a couple of weeks ago, and I’m already starting to feel better. It was, according to my doctors, a complete success!”

The “Dreamtime” singer-songwriter added that he expects to be “back to normal in a few months” and promised “more music and lots of Daryl’s House shows” in the future. Hall has been hosting “Live from Daryl’s House,” a web series where he and his band perform with guest artists, on and off since 2007.

A living-donor kidney transplant is when a healthy living person donates their kidney. The recipient is usually experiencing kidney failure. According to the National Kidney Foundation, “kidneys from a living donor may last longer and are more likely to start working right away than a kidney from a deceased donor.”

Hall did not share any additional details regarding his kidney transplant.

The “Bring It On Home” singer has opened up about other health issues in the past. In 2005, Hall & Oates had to postpone a series of shows after Hall was diagnosed with Lyme disease.

Lyme disease is a bacterial infection that is spread through the bite of infected black-legged ticks — also known as deer ticks. Symptoms can include fever, rash, facial paralysis, an irregular heartbeat and arthritis, according to the CDC.

The United States Supreme Court has sided with the maker of Roundup weedkiller in a ruling expected to block thousands of lawsuits alleging it failed to warn people the product could cause cancer.

The ruling on Thursday was tied to a case that came before the justices after a tidal wave of litigation that included some multibillion-dollar verdicts against the global agrochemical manufacturer Bayer, a Germany-based company that acquired Roundup when it bought its original producer Monsanto in 2018.

The decision is a victory for US President Donald Trump’s administration, but one that could be tricky politically since allies in the “Make America Healthy Again” movement want to rein in pesticide use.

The high court, in a 7-2 ruling, found that the company cannot face failure-to-warn lawsuits in state courts because federal regulations have found a cancer link unlikely and do not require a warning label.

The justices overturned a jury verdict in Missouri awarding $1.25m to a man named John Durnell who said he was diagnosed with non-Hodgkin lymphoma after years of exposure to glyphosate in Roundup. The Supreme Court agreed with Bayer that a US law that governs pesticides precludes failure-to-warn claims that are brought under state law from moving forward in court.

Bayer shares jumped nearly 18 percent following the ruling.

Trump’s administration had backed Bayer in the case.

Conservative Justice Brett Kavanaugh, who authored the ruling, said the US Environmental Protection Agency, or EPA, has concluded glyphosate does not cause cancer and has not required a cancer warning on Roundup.

The law preempts Durnell’s claim because it “would require Monsanto to add a cancer warning to Roundup’s label even though federal law requires Monsanto to use the EPA-approved label without a cancer warning”, Kavanaugh wrote.

Liberal Justice Ketanji Brown Jackson, in a dissent joined by conservative Justice Neil Gorsuch, said that Durnell’s claim would impose equivalent labelling requirements on Monsanto that the federal law requires and so should not be preempted.

Jackson called the ruling “remarkable and regrettable, for it unjustifiably closes the courthouse doors to state tort plaintiffs like Durnell”.

Bayer acquired Roundup as part of its $63bn purchase of agrochemical company Monsanto in 2018. More than 100,000 plaintiffs have filed cases in US state and federal courts alleging a cancer link, and the German drugmaking and crop science company had said that the lawsuits could threaten its ability to supply the herbicide to farmers.

The torrent of litigation already prompted Bayer to remove glyphosate from its consumer version of Roundup. Bayer said before the Supreme Court ruled that a decision in its favour could largely end the Roundup litigation.

“The US Supreme Court decision is good for science, farmers, and industries that depend on regulatory clarity for innovation. It should help significantly contain the Roundup litigation after nearly a decade of legal battles. The ruling should result in the dismissal of current warning-based claims and bar future failure-to-warn claims,” Bayer spokesperson Tino Andresen said in a statement.

The company emphasised throughout the litigation that the EPA repeatedly found that glyphosate does not cause cancer and approved its product labels without a warning.

Facing billions of dollars in potential liability, Bayer announced in February a proposed $7.25bn settlement to resolve tens of thousands of current and future lawsuits. The settlement would not affect claims that stem from pending appeals or that fall outside the deal, according to the company. Those amount to nearly $1bn, it said.

‘Disaster for public health’

Environmental activists and others criticised the court’s ruling on Thursday.

“Once again, the Supreme Court has sided with big business over people and the environment. Today’s ruling is a disaster for public health,” said Tarah Heinzen, legal director at the advocacy group Food and Water Watch.

“The harm from this decision will perpetuate our cancer, infertility and general chronic disease epidemic for generations to come,” said Kelly Ryerson, co-executive director of advocacy group American Regeneration and a Make America Healthy Again activist who posts on social media under the moniker “The Glyphosate Girl”.

The sprawling dispute centres on a US law called the Federal Insecticide, Fungicide and Rodenticide Act, or FIFRA, that governs the sale and labelling of pesticides and bars states from imposing differing or additional requirements.

The measure prohibits pesticides that are “misbranded” with labels that lack an adequate warning to protect health and the environment.

Bayer has argued that Durnell’s claims are preempted by this law. The EPA has repeatedly approved labels without such a cancer warning, demonstrating that these products are not misbranded, the company said, adding that labels cannot be substantially changed without the agency’s approval.

Durnell’s lawyers said that despite the EPA’s registration of Roundup, the label may still be challenged as misbranded. They also said Durnell’s claims are not preempted because Missouri state law that requires products to adequately warn of dangers imposes the same requirements as FIFRA’s prohibition on misbranding.

‘A new era’

Union Investment fund manager Markus Manns called Thursday’s ruling a significant milestone for Bayer, adding that a decade after the Monsanto acquisition, the company is “entering a new era”.

“While future lawsuits are not entirely off the table, they will become considerably more difficult. A final breakthrough would come if the settlement is accepted by the plaintiffs and approved by the competent court in July. This would bring Bayer’s glyphosate litigation chapter to a definitive close, allowing management to fully refocus on operational and strategic matters,” Manns said.

Durnell sued Monsanto in Missouri state court in 2019, claiming it failed to warn users of the dangers associated with Roundup and glyphosate.

He was diagnosed with a rare and often aggressive form of non-Hodgkin lymphoma, a cancer that starts in the white blood cells, and attributed the disease to his exposure to Roundup starting in 1996. For about 20 years, he was the “spray guy” for a neighborhood association in St Louis, killing weeds at local parks without protective equipment, according to court papers.

A jury sided with Durnell in 2023, and in 2025, a state appeals court upheld that verdict.

Hundreds of migrants in Paris are left exposed as a heatwave sweeps Europe. Some have taken to unsafe swimming to cope with the record-breaking temperatures.

In the early hours of another day of Israel’s genocidal war on Gaza, 20-year-old Hamza al-Ghazali, who lives in the Zeitoun neighborhood south of Gaza City, set out once again in search of an insulin pen.

It was not the first time he had moved between pharmacies and medical centres, looking for a dose. The effort has become a recurring part of his life since the outbreak of war in October 2023 and the tightening Israeli restrictions on the entry of medicines and medical supplies into the Gaza Strip.

Hamza knows that delaying an insulin dose is potentially life-threatening. Type 1 diabetes requires strict daily treatment and continuous monitoring. However, under war and blockade conditions, managing the disease has turned into a daily, high-risk struggle.

Hamza recalls how his health condition was more stable before the war. He used to obtain insulin from pharmacies at prices ranging between 25 and 35 shekels ($8.5 and $12) per pen, sometimes even less.

“I started to know all the pharmacies, and they also knew me, because I was always buying insulin pens,” Hamza says.

But this changed drastically with the war and the tightening of restrictions on the entry of medical supplies. The price of a single insulin pen rose to between 75 and 100 shekels ($25 and $34), and, as Hamza needs six to seven pens per month, he was forced to try to extend the use of each pen for as long as possible.

Fight for survival

The suffering of diabetes patients in Gaza extends to restrictions on the entry of medicines through border crossings, measures that have led to a severe shortage of insulin, glucose metres, and test strips.

Hamza notes that this shortage has created an unstable medical reality, where, in some cases, medicines that may have been stored for long periods or in improper conditions appear on the market, raising concerns about reduced effectiveness or uncertain quality due to the lack of alternatives.

A year ago, when an Israeli blockade on the entry of food led to a famine in northern Gaza, Hamza was forced to eat anything he could find.

But for Hamza, it wasn’t just about securing enough nutrition for his body, but also about finding the right balance between the insulin he had access to and the food he could find.

If he ate more without sufficient insulin doses, then he could have dangerously high blood sugar levels. If he reduced his food intake out of fear of running out of insulin, then that could result in severe and potentially fatal hypoglycemia (low blood sugar).

“I was afraid for myself during the shelling in northern Gaza,” said Hamza. “We were under siege. If the house was bombed, I might survive under the rubble, but die from low blood sugar. And if I ate without insulin, my sugar could rise dangerously. I was living between two fears all the time.”

He adds that the fear was not only about losing insulin, but also about losing glucose metres and test strips, which he relies on daily to monitor his condition. Every time he was forced to evacuate, the first thing he would carry was his “diabetes bag”.

Equipment shortages

Glucose test strips have been in short supply, limiting Hamza’s ability to monitor his blood sugar levels on a daily basis and forcing him to rely on judging his physical symptoms.

Hamza notes that the cost of a glucose metre ranges between 250 and 300 shekels ($85 and $120), but the real problem lies in the availability of test strips.

Without them, the device becomes useless, forcing some patients to repeatedly buy new devices. Hamza estimates that more than 80 percent of diabetes patients in some areas are unable to test their blood sugar regularly, which he describes as a “medical disaster”, as it turns treatment into daily guesswork.

According to data from the Palestinian Ministry of Health in Gaza, between 70,000 and 80,000 diabetes patients in the Palestinian enclave are at risk due to the severe shortage of insulin and test strips, in addition to the collapse of medical follow-up services and poor nutrition.

Endocrinology and diabetes specialist Dr Adli al-Ghouti notes that about 2,500 children in Gaza are living with Type 1 diabetes, and are in a highly critical health condition.

As a result of insulin shortages, a lack of proper storage conditions, and power outages, a real crisis is unfolding.

Al-Ghouti warns that the deterioration of insulin quality, the expiration of the stock available in Gaza, and improper storage can all reduce effectiveness, creating a false sense of security while blood sugar levels remain uncontrolled, potentially resulting in severe complications such as diabetic ketoacidosis, a life-threatening emergency condition.

“Taking an expired dose of insulin may cause significant harm inside the body, while giving a temporary impression of improvement,” Dr al-Ghouti said.

Diabetes is therefore no longer a condition that can be managed easily in Gaza. Between the shortage of insulin, a lack of testing tools, rising prices, and deteriorating nutrition, even the simplest aspects of treatment turn into a daily struggle for survival.