分类: health

  • Experts warn of rising lead risks in Africa’s solar energy boom

    Experts warn of rising lead risks in Africa’s solar energy boom

    In the tight-knit residential settlement of Owino Uhuru on Kenya’s Mombasa coast, the doors of a local lead-acid battery recycling plant closed more than a decade ago. But for thousands of residents who call this neighborhood home, the toxic legacy of that facility has never faded — a warning sign of the hidden public health risks emerging as Africa’s clean energy transition drives an unprecedented surge in battery demand across the continent.

    Forty-year-old Faith Muthama, a mother of four, is one of hundreds of residents still living with chronic health damage linked to the site’s contamination. Decades after the plant first began operations, she still cannot complete routine household work without gasping for breath. A 2012 blood test confirmed what her body had already been signaling: dangerous, elevated levels of lead were circulating in her bloodstream. “Life has never been the same,” Muthama says.

    The contamination that poisons this community traces back to 2007, when Kenya Metal Refineries EPZ — a local subsidiary of an Indian firm headquartered in Mumbai — opened the recycling plant in the middle of the residential area. For seven years, the facility processed spent lead-acid batteries to extract refined lead for export to India. Residents say toxic waste from operations leached untreated into the neighborhood’s soil and groundwater, sparking a public health disaster that has been linked to more than 20 deaths to date. Even after the Kenyan government shut the plant down in 2014, the embedded lead in local ecosystems continues to sicken generations of residents.

    Medical research confirms lead exposure carries irreversible, life-altering health harms: permanent neurological damage, stunted cognitive development in children, and chronic organ damage that cuts life expectancy. Vulnerable groups including children, the elderly and pregnant people face the highest risk, as growing bodies absorb lead far more readily than adults.

    In 2025, affected residents won a rare legal victory for environmental justice: Kenya’s Supreme Court upheld a class-action lawsuit against the smelting company, ordering roughly $12 million in damages to be distributed to nearly 3,000 impacted community members. But months after the landmark ruling, activists and residents say the Kenyan state has failed to move forward with timely disbursement of the awarded funds, leaving sick residents without financial support to cover ongoing medical care.

    Seventy-year-old Alfred Ogulo, a village elder, has already spent all of his life savings on treatment for lead-related illness. Tests once showed critically high lead levels in his blood, leaving him with permanent nerve damage that leaves him unable to walk without a cane. He lives with persistent chest pain and a chronic cough, a leftover from breathing toxic fumes when the plant was active. “I am just waiting for help as I have exhausted all my resources treating myself,” Ogulo says.

    The crisis in Owino Uhuru is far from an isolated case. Public health experts warn that similar lead contamination risks are emerging across the entire African continent, driven by the rapid expansion of renewable energy access that relies heavily on lead-acid battery storage. A February 2025 report from the Centre for Global Development, an independent think tank with offices in Washington and London, finds that the boom in off-grid solar systems — widely seen as a critical solution to closing Africa’s decades-long energy access gap — has caused a sharp spike in demand for affordable lead-acid batteries, and by extension, for battery recycling services.

    Lead-acid batteries remain the dominant power storage option across low-income African markets because they cost a fraction of the price of newer alternatives such as lithium-ion batteries. But safe, environmentally sound recycling of these batteries requires expensive specialized infrastructure that most African countries lack. As a result, the majority of lead-acid battery recycling in the region falls to informal, unregulated operators who use low-cost, rudimentary methods that release massive amounts of lead particles into the surrounding air, soil and water.

    “Off-grid solar could account for a substantial share of batteries entering the recycling stream in Africa,” explained Lee Crawford, a senior research fellow at the Centre for Global Development and one of the lead contributors to the report. “That’s on top of existing demand from vehicles like cars and motorbikes.”

    Crawford notes that the high cost of safe recycling creates powerful economic incentives for operators to cut corners on environmental and public health protections. While banning lead-acid batteries entirely would address the risk, Crawford says such a ban is unfeasible given the current affordability gap with alternative technologies. The only viable path forward, he argues, is investing in scaling up safe, regulated recycling infrastructure across the continent.

    The scale of the threat is staggering. Studies conducted across Africa and South Asia estimate that between one-third and half of all children living in these regions have elevated blood lead levels, making lead poisoning one of the most widespread underreported environmental health risks in the world. Weak regulatory enforcement across many African nations amplifies the problem: while most countries have environmental rules on paper that would limit toxic exposure from lead operations, inconsistent implementation and lack of funding for inspections allow unregulated recycling to continue unchecked.

    “This is a silent threat,” Crawford said. “It’s often invisible, but it affects health, cognitive development and economic productivity for entire communities.”

    The problem of accountability extends far beyond small informal recycling workshops, experts add. Even larger, formal recycling facilities often lack proper pollution control measures, while globalized supply chains for recycled lead make it easy for responsible parties to avoid accountability for contamination. “There needs to be accountability across the entire supply chain,” Crawford emphasized.

    A small number of African countries have begun to implement policy solutions to address the gap. South Africa, for example, has introduced a formal producer responsibility framework that requires battery manufacturers to fund and manage end-of-life recycling for their products, creating a structured, regulated system for processing spent batteries. But across much of the continent, especially in countries that import most of their batteries rather than producing them domestically, assigning clear responsibility for safe recycling remains a major policy challenge.

    International development donors have increasingly shifted funding toward lithium-ion battery technologies, which do not carry the same lead-related public health risks. But industry analysts project that lead-acid batteries will remain in widespread use across Africa for decades to come, particularly in low-cost off-grid solar systems that bring energy access to remote communities.

    For the residents of Owino Uhuru, the crisis remains an immediate, daily reality. Phyllis Omido, who leads the Mombasa-based Centre for Justice Governance and Environmental Action and helped residents bring their class-action lawsuit, says the Kenyan government has failed to uphold the Supreme Court’s ruling, leaving vulnerable residents without the relief they were awarded.

    “It is sad that the state has ignored prioritizing the compensation payment as ordered by the court,” Omido said. “These monies would have alleviated the current suffering these vulnerable residents are going through.”

    Sixty-year-old Mejumaa Hassan Nyanje, who has lived in Owino Uhuru through the entire crisis, says residents feel abandoned by national leaders and the company that caused the contamination. “Is it fair that we are the ones still chasing justice while the company walks away?” Nyanje said, fighting back tears. “Will we all die before justice is served? It feels like we’ve been abandoned, like our lives and our health don’t matter.”

    This climate and environmental reporting from The Associated Press receives financial support from multiple private foundations. AP maintains full editorial control over all content.

  • US infant formula supply is ‘safe,’ FDA says after looking for potential contaminants

    US infant formula supply is ‘safe,’ FDA says after looking for potential contaminants

    U.S. federal health officials announced Wednesday that a landmark safety analysis of commercial infant formula sold across the country has found mostly reassuringly low concentrations of heavy metals, pesticides, and other potentially harmful contaminants. The comprehensive testing was carried out as part of the U.S. Food and Drug Administration’s Operation Stork Speed, an initiative the agency describes as the most expansive and rigorous assessment of U.S. infant formula safety ever conducted. Both FDA leaders and independent public health experts have concluded that the current domestic infant formula supply remains safe for consumer use.

    “There is no reason for American parents to avoid any available infant formula on the market right now,” stated Dr. Steven Abrams, a pediatrics professor at the University of Texas at Austin who served as an independent reviewer for the FDA’s findings.

    Between 2023 and 2025, FDA scientists collected and tested more than 300 samples of commercially produced infant formula for a full panel of potential contaminants, including four common heavy metals: lead, arsenic, cadmium, and mercury. The testing also extended to pesticide residues, phthalates (industrial chemicals commonly used in plastic packaging and manufacturing), and per- and polyfluoroalkyl substances (PFAS), the persistent man-made compounds widely nicknamed “forever chemicals” for their ability to remain in the environment and human body for decades.

    Per the FDA’s final report, all tested contaminants registered either undetectable levels or concentrations far lower than established safety thresholds. Any heavy metals that were detected fell well below the strict exposure limits set by the U.S. Environmental Protection Agency for drinking water. Ninety-nine percent of tested samples showed no trace of pesticide residues at all, and 25 out of the 30 specific PFAS compounds included in the testing panel were not detected in any samples.

    Most independent experts who reviewed the data have backed the FDA’s conclusion that the current supply is safe, noting that trace amounts of some heavy metals can enter the food supply naturally through environmental contamination, rather than as a result of manufacturing flaws. But not all specialists share the full reassuring conclusion: synthetic compounds like phthalates and PFAS do not occur naturally, so even trace detections raise red flags for some clinicians and researchers.

    “These are completely human-made chemicals,” explained Dr. Sheela Sathyanarayana, a pediatrics professor at UW Medicine and researcher with the Seattle Children’s Research Institute. “The fact that we can detect any of these compounds in infant formula at all is a cause for concern.” Sathyanarayana added that the findings underscore a critical need for expanded ongoing monitoring of contaminants not just in infant formula, but across the entire U.S. food supply.

    Operation Stork Speed was launched by the Trump administration in March 2025, marking the first comprehensive update to U.S. infant formula safety and quality standards in decades. The initiative builds on earlier FDA work that examined heavy metal contamination in a range of infant foods, a public health priority because high early-life exposure to these toxins is linked to long-term impairments in children’s brain development, learning capacity, and behavioral development, Abrams explained.

    Currently, unlike regulatory frameworks in the European Union, Canada, and Australia, the U.S. does not have legally enforceable maximum exposure limits for heavy metals in infant formula. For years, consumer advocacy organizations have pushed the FDA to implement these strict, science-based limits. In 2024, independent consumer organization Consumer Reports published its own analysis of 41 U.S. infant formulas, claiming that many products contained troublingly high levels of heavy metals and other contaminants. However, that study set its own safety threshold for concern far lower than the existing standards used by the European Union, and the high-profile report sparked widespread public anxiety that led many parents to avoid necessary commercial formula use unnecessarily, Abrams noted.

    Abrams himself has called on the FDA to continue regular safety monitoring of infant formula and maintain transparent public reporting of test results. Abbott, one of the largest domestic infant formula manufacturers in the U.S., has also urged the FDA to formalize scientific, enforceable standards for contaminants in the sector.

    “Producing infant formula at scale domestically is a matter of national security for the United States,” Abbott spokesman John Koval said in a prepared email statement. “These latest results confirm that our current domestic supply is safe for American families.”

    This reporting was produced by The Associated Press Health and Science Department, which receives grant support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP maintains full editorial control over all of its independent content.

  • Gabonese patient walks again after life-changing surgery in Changsha

    Gabonese patient walks again after life-changing surgery in Changsha

    For eight long years, 57-year-old Mapekeko Marie from Gabon lived in constant pain and near immobility, trapped by severe spinal stenosis and progressive hip degeneration. Dependent on heavy pain medication to manage her symptoms and barely able to move short distances, she faced a difficult choice: local doctors recommended urgent surgery, but Gabon’s limited specialized orthopedic infrastructure and the high perceived risk of the procedure left her unwilling to proceed. That changed when a former Gabonese patient who had received successful care in Changsha, China, connected Marie with Changsha Taihe Hospital, opening the door to a life-changing new treatment path. After a thorough remote consultation to review her complex medical history, the hospital’s specialized orthopedic team agreed to take on her challenging case, welcoming her to Hunan province for care. On February 9, a multidisciplinary team of 13 surgeons spent eight hours completing the combined procedure: total replacement of both severely degenerated hips and surgical decompression of the compressed spinal cord. The complex operation went entirely according to plan, marking a major clinical success. Just two weeks after surgery, Marie was discharged from the hospital. Rather than returning home immediately, she chose to stay in Changsha to complete her supervised rehabilitation, renting a local apartment and working closely with hospital physical therapists to rebuild her strength and mobility. It was during this recovery period that she experienced a breakthrough moment: during a visit to a nearby city park, she stood unassisted, without crutches, for the first time in nearly a decade. For weeks, she progressed through structured rehabilitation, steadily gaining the ability to move freely and independently. By April 10, when she was ready to return to Gabon, Marie could walk without assistance and even board her international flight entirely on her own. Within days of arriving back in her home country, Marie reached out to her care team in Changsha to share her joy and continued progress, writing, “I bought a bicycle, and I keep up with my daily exercises.” In a heartfelt final message before departing China, she even thanked her medical team in simple Mandarin: “Thank you, Chinese doctors.” Marie’s stay in Changsha coincided with the Chinese Lunar New Year holiday, a time when most people travel to reunite with family. Instead of taking leave, the hospital’s care team remained on site to support her recovery, going out of their way to make her feel welcome and at home: they shared traditional holiday dumplings, gave her handwritten Spring Festival couplets and small festive gifts, turning her medical trip into a warm, cross-cultural experience. This successful treatment is not an isolated case for Changsha Taihe Hospital. According to Kuang Yahua, the hospital’s medical dean, the facility has treated international patients from 15 different countries since last year, building a reputation for high-quality, accessible specialized orthopedic care. “Our core mission has always been to put patients first, and through providing excellent care to international visitors, we hope to build lasting bridges of health and friendship between China and communities across the world,” Kuang explained. For Marie, that bridge has already transformed her life, turning a future of limited mobility and constant pain into one of newfound independence and possibility.

  • Shanghai hosts global event on reproductive genetics

    Shanghai hosts global event on reproductive genetics

    In a landmark moment for global reproductive health collaboration, the 23rd International Conference on Preimplantation Genetics officially opened its doors in Shanghai on April 25, 2026. This gathering marks the first time the leading international event in the specialized field of reproductive genetics has been hosted on Chinese soil, breaking new ground for cross-border knowledge exchange in the region.

    Over four days, the conference brings together more than 300 clinical practitioners and research scientists from 23 countries and regions across the globe. Attendees have gathered to explore cutting-edge advancements reshaping preimplantation genetic testing, or PGT, a life-changing technology that plays a critical role in advancing global reproductive health and curbing the global prevalence of birth defects. The event is co-hosted by the Preimplantation Genetic Diagnosis International Society (PGDIS) and Renji Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, alongside other leading national healthcare institutions.

    Specialists in the field note that traditional prenatal screening methods have long carried a significant limitation: they frequently fail to detect single-gene genetic disorders early in pregnancy. When these conditions are identified after conception, they often leave families facing devastating decisions, imposing heavy long-term emotional and financial burdens that extend to broader society. PGT, widely recognized as a core technological tool for preventing birth defects, addresses this gap by allowing clinicians to conduct a highly precise analysis of an embryo’s genetic material before implantation. This process enables care teams to select only healthy embryos that do not carry pathogenic genetic mutations, drastically reducing the risk of inherited genetic conditions being passed to newborns.

    This year’s conference agenda features deep dives into some of the most pressing topics in the field, including the expanding clinical use of non-invasive PGT techniques, as well as the ethical frameworks and real-world implementation practices for PGT designed to assess polygenic disease risk. In a highlight of the program, Chinese leading researchers and clinicians shared the latest breakthroughs and outcomes from PGT clinical adoption across China, offering global peers valuable insight into the nation’s rapid progress in the sector.

    Global industry leaders have praised the milestone hosting of the conference in Shanghai, noting that the event reflects the city’s rising international influence in reproductive genetics and its sustained commitment to nurturing international partnership and innovation in life-saving healthcare technology. For the global reproductive health community, the conference is expected to drive faster, more equitable advancement of PGT technology, improving outcomes for families seeking to build healthy families across the world.

  • Scientists deploy tech in cancer radiation therapy

    Scientists deploy tech in cancer radiation therapy

    A decade-long research project led by scientists at Sun Yat-sen University Cancer Center in Guangzhou has yielded an artificial intelligence-powered innovation that is set to reshape radiation therapy for cancer, particularly nasopharyngeal carcinoma, by drastically improving precision and cutting down on clinician workload.

    Nasopharyngeal carcinoma, which forms in the upper throat behind the nose, is primarily treated with radiation therapy. The stakes of this treatment are extraordinarily high: an undersized radiation field leaves sections of the tumor untreated, raising the likelihood of cancer recurrence, while an overly broad field can inflict irreversible damage to critical nearby structures including the brainstem, temporal lobe, middle ear, and optic nerve. Such collateral damage often triggers life-altering complications ranging from chronic headaches and memory loss to permanent hearing and vision impairment, severely diminishing a patient’s post-treatment quality of life.

    To avoid these outcomes, clinicians must complete a meticulous pre-treatment step called target volume delineation, where they manually identify and trace the boundaries of both the tumor and surrounding healthy organs on medical scans to define the exact radiation field. Before this new technology was introduced, this demanding task required clinicians to maintain intense focus for three to six hours per patient, according to Sun Ying, a professor at the cancer center.

    The complexity of the process is further compounded by changes in patient anatomy over the course of treatment. A full course of radiotherapy typically spans six to seven weeks and requires more than 30 separate treatment sessions. During this period, tumors often shrink and patients may experience weight loss that shifts the exact position of the remaining cancer. This means initial scans taken at the start of treatment quickly become outdated, leaving clinicians to update delineations repeatedly to avoid misaligned radiation delivery.

    To solve these longstanding challenges, the research team led by the center’s vice-president Ma Jun, an academician of the Chinese Academy of Sciences, and Sun spent more than 10 years developing their proprietary AI-powered “digital dissection” technique. The system is trained on large datasets that map how nasopharyngeal tumors grow and shift over the course of treatment, allowing it to automatically generate highly precise outline of target radiation areas in real time as a patient’s condition changes. Clinicians then only need to review and make minor adjustments to the AI-generated outline before finalizing an adaptive radiotherapy plan, which adjusts to current patient anatomy during each session.

    In a recent demonstration at the center, the entire process — from integrated CT imaging to completed adaptive radiation delivery — was finished in under 30 minutes for a nasopharyngeal carcinoma patient.

    Zhou Guanqun, a chief physician at the center, noted that the new system already outperforms 50% of specialist physicians in terms of delineation accuracy. Beyond accuracy gains, the technology has cut the variation in outline work between different clinicians by 50% and boosted workflow efficiency by more than five times, bringing total treatment time for each case down to roughly 30 minutes from the multiple hours previously required for manual delineation alone.

    The innovation marks a significant step forward in making precision radiotherapy more accessible and consistent, addressing a critical gap in cancer care that has long depended on individual clinician skill and experience.

  • Japan awakens to Radio Taiso exercise tradition. One face of the country’s longevity

    Japan awakens to Radio Taiso exercise tradition. One face of the country’s longevity

    Every morning at 6:30 across Japan, a familiar piano melody drifts through radio airwaves, calling millions of people to begin their day with movement. This centuries-old tradition, known as Radio Taiso (translated as Exercise Radio), has become a woven thread in Japanese daily life, uniting people across generations in parks, office campuses, schoolyards, and living rooms.

    What makes Radio Taiso enduringly popular is its remarkable accessibility. The 10-minute routine consists of simple calisthenic movements, from overhead stretches and torso twists to arm swings and gentle squats that can be adjusted to any fitness level. Participants can make the workout as low-impact or as strenuous as they prefer, with options to do every move standing or seated. Split into three 3-minute segments that gradually increase in difficulty, the sequence requires no specialized equipment, and beginners can pick up the choreography after just one or two sessions. Every movement is repeated four to eight times, with consistent cues to breathe slowly and stay relaxed, keeping the routine gentle even for older participants.

    ### A Tradition Steeped in History
    Radio Taiso’s origins trace back 100 years, inspired by a similar radio exercise program launched by Metropolitan Life Insurance in the United States. In the 1920s, Japanese postal ministry officials brought the concept home after observing the program overseas, and Radio Taiso was formally introduced to the public in 1928, coinciding with the enthronement of Emperor Hirohito. Within 10 years, millions of Japanese people were joining the daily routine, with postal workers leading outreach by distributing instructional pamphlets and hosting local training sessions.

    After Japan’s defeat in World War II, the group exercise program was banned during the U.S. occupation, with authorities viewing mass collective practice as carrying potential militaristic and totalitarian overtones. But popular demand for the ritual never faded, and group Radio Taiso sessions resumed in 1951, just one year before the formal end of the U.S. occupation. Today, the tradition is stronger than ever: a 2023 survey from the Japan Radio Taiso Federation found that more than 20 million Japanese people practice the routine at least once a week, out of the country’s total population of 122 million. It has also spread globally, with particularly large followings in countries like Brazil, which is home to the world’s largest population of Japanese descent outside Japan. Anyone curious can also find English-language and multilingual Radio Taiso tutorials on YouTube to try the routine at home.

    ### More Than Exercise: A Community Anchor for Aging Japan
    Beyond physical benefits, Radio Taiso has long served as a critical social space, especially for Japan’s large elderly population. In Tokyo’s sprawling Kiba Park, a group of regulars gathers almost every morning to move together. Eighty-eight-year-old Mieko Kobayashi, a longtime participant, says the routine keeps her feeling well, while her 77-year-old friend Yoshiko Nagao notes that the gathering is a lifeline for many elderly residents who live alone. “We even come on New Year’s Day,” Nagao says, explaining that post-workout walks and casual conversation are just as important as the exercise itself.

    Eighty-three-year-old Kenji Iguchi, who has practiced Radio Taiso regularly for 20 years and appears decades younger than his age, says the routine keeps his joints — particularly his knees and back — healthy. He wakes at 5 a.m. every day, walks through the park before the 6:30 session, and counts the social connection with familiar fellow participants as one of his favorite weekly rituals.

    Japan consistently boasts one of the highest life expectancies in the world, with an average of 85 years — just slightly behind Hong Kong, and six years higher than the United States’ average of 79. Last year, the Japanese government confirmed that 99,763 people aged 100 or older are currently living in the country, marking the 55th consecutive year that the number of centenarians has hit a new national record. Japan holds the global record for the highest share of centenarians per capita, and experts often attribute the country’s longevity to a combination of healthy diet, universal high-quality healthcare, and cultural norms that encourage consistent physical activity across all ages — including the simple daily ritual of Radio Taiso.

  • Beijing Tongren Hospital sells ophthalmic dataset to pharma firms

    Beijing Tongren Hospital sells ophthalmic dataset to pharma firms

    In a landmark development for medical data collaboration and pharmaceutical innovation, Beijing Tongren Hospital, a leading Chinese medical institution specializing in ophthalmology, has announced the completion of the world’s first legally compliant transaction of a full-dimensional ophthalmic follow-up dataset, with agreements signed with two major drugmakers: China’s Hengrui Pharmaceuticals and German multinational Bayer.

    Hospital president Yuan Jin detailed that the sold dataset is drawn from the facility’s comprehensive multi-dimensional, fully structured quantitative ophthalmic database, which has been constructed around anonymized health records from a 100,000-strong patient population. The dataset covers full-cycle clinical follow-up information for all common high-prevalence eye diseases, including keratopathy, dry eye syndrome, myopia, glaucoma, cataracts, and diabetic retinopathy.

    Unlike fragmented medical data collections, this integrated dataset combines multiple layers of clinically valuable information: patient demographic characteristics, confirmed clinical diagnoses, adopted treatment plans, long-term post-treatment follow-up records, and standardized ophthalmic imaging results. This rich, multi-faceted real-world data is expected to fill critical gaps in ophthalmic drug development, supporting not only early-stage new drug research but also post-marketing efficacy evaluations, medical insurance access assessments, and the training of clinical artificial intelligence tools focused on eye health.

    To address growing global concerns around medical data privacy and regulatory compliance, the transaction was conducted through two established, authoritative Chinese platforms: the National AI Application Pilot Base for the Medical Sector and the Beijing International Big Data Exchange. Prior to the transaction, all sensitive personal identifiable information was fully removed and anonymized, aligning with China’s strict personal health information protection regulations and eliminating privacy risks for former patients.

    Beijing Tongren Hospital emphasized that the core goal of this pioneering transaction is to advance ophthalmic medical research and ultimately improve treatment outcomes for patients living with eye diseases around the world. This milestone is widely expected to set a regulatory and operational precedent for future compliant medical data transactions that balance innovation, public health benefit, and patient privacy protection.

  • Some patients advised surgery may not need it, leading surgeons say

    Some patients advised surgery may not need it, leading surgeons say

    Leading orthopedic and spine specialists from China and the United States have issued a critical public warning: a substantial share of patients currently recommended for orthopedic surgery do not actually need invasive intervention, and overreliance on imaging alone is driving unnecessary procedures that put patients at avoidable risk.

    The consensus was reached during a high-level joint forum held in Beijing on Tuesday, organized by global medical consultancy Saint Lucia Consulting, Xinhua Health, and New York’s globally ranked Hospital for Special Surgery (HSS), a leading institution for musculoskeletal care.

    Todd Albert, Surgeon-in-Chief Emeritus and the Richard Rogers Chair to Advance Spine Care at HSS, shared data illustrating the scale of the issue: roughly 35 percent of patients who travel to HSS to seek a second medical opinion after being told they need surgery ultimately end up receiving effective non-surgical treatment instead.
    Zhang Jianguo, chair of orthopedics at Beijing’s Peking Union Medical College Hospital, echoed this finding, noting that many patients referred to his center after a surgery recommendation from other facilities ultimately do not require any invasive procedure at all. Zhang emphasized that surgical decisions cannot be made based on imaging scans alone. “You cannot decide on surgery based solely on imaging results,” he said. “You have to look at the patient’s symptoms, physical signs, and functional limitations.”

    Forum participants also highlighted the growing value of cross-border medical collaboration in reducing unnecessary procedures. Albert stressed that international cooperation is not just about encouraging patients to seek treatment abroad. Instead, the core benefit lies in streamlined preoperative assessment, secure cross-border sharing of imaging data, and collaborative expert consultations that help patients make informed choices about whether to pursue care at home or overseas. This model, Albert added, cuts down on unnecessary international referrals and wasted, costly trips for patients who do not need offshore intervention.

    When it comes to complex orthopedic cases — including severe spinal deformities, age-related degenerative conditions, revision surgeries, and patients managing multiple coexisting chronic health conditions — care requires a far more comprehensive approach than just surgical skill, Zhang explained. “Complex orthopedics is not just about surgical technique anymore,” he said. “It’s a systemic project. The more complex the patient, the more you need multiple disciplines including respiratory, anesthesia, neurology and rehabilitation working together before the surgery even happens.”

    To address the gap in access to high-quality expert input for uncertain orthopedic cases, Saint Lucia Consulting launched a new international orthopedic care program at the conclusion of Tuesday’s forum. The initiative is tailored specifically for patients living with complex spinal and joint conditions, and offers a full suite of services including formal international case reviews, second opinions from top global specialists, coordination for cross-border treatment when needed, rehabilitation planning support, and long-term clinical follow-up.
    Cheng Xiaoyu, deputy general manager and rotating medical director of Saint Lucia Consulting, noted that the program is designed to move quickly for patients facing confusing diagnoses, conflicting medical recommendations, or poor outcomes from prior treatment. The initiative can connect patients to leading global orthopedic specialists for a formal review within 72 hours. “What complex orthopedic patients often lack, is not treatment opportunities, but the ability to make high-quality decisions at critical moments,” Cheng said.

  • In photos: North India braces for heatwaves as temperatures cross 40C

    In photos: North India braces for heatwaves as temperatures cross 40C

    As India enters the peak of its pre-monsoon summer season, the country’s official meteorological department has issued an urgent heatwave warning for swathes of northern, central and western India, with the national capital Delhi bracing for severe extreme heat conditions over the coming weekend.

    The alert follows a record-breaking hot day on Thursday, when thermometers in multiple parts of Delhi pushed past the 40-degree Celsius mark, marking one of the highest daily temperature readings recorded in the city so far this year. Forecasters added that abnormal above-average temperatures will persist across Madhya Pradesh and Rajasthan, two large states in central and western India, for at least the next 48 to 72 hours, with temperatures projected to climb an additional 2 to 3 degrees Celsius across northern and central regions by Friday.

    Extreme summer heat is a life-threatening hazard across India, where prolonged exposure to scorching conditions triggers a range of heat-related illnesses that have claimed hundreds of lives in severe heatwave seasons in recent years. In response to the rising risk, Delhi’s education department moved earlier this week to implement protective guidelines for schools across the capital. The new rules require schools to suspend all outdoor open-air classes, limit or move large daily school assemblies indoors, and install regular hydration reminders, with bells scheduled to ring every 45 to 60 minutes to prompt students to drink water.

    The looming heatwave also underscores the growing impact of human-caused climate change on India’s weather patterns, according to recent research. A 2024 analysis published in the leading medical journal *The Lancet* found that nearly one-third of all heatwave days recorded across India in 2024 were directly attributable to long-term global warming driven by climate change. The research also quantified the massive economic toll of rising heat: in 2024 alone, excessive heat exposure cost India an estimated 247 billion potential labor hours, most lost in the high-exposure agriculture and construction sectors, adding up to a total economic loss of roughly $194 billion (around £151 billion).

    Public health experts warn that prolonged exposure to extreme heat overwhelms the human body’s natural temperature regulation system, creating severe health risks that can turn fatal for vulnerable groups. Common complications include dehydration, heatstroke, and heightened cardiovascular stress, with outdoor laborers, elderly residents, infants and young children facing the highest risk of severe outcomes. Beyond health impacts, extreme heat also exacerbates existing infrastructure gaps, with vulnerable communities in informal urban settlements facing heightened water shortages as demand for drinking water surges during heatwaves.

  • UK Biobank data hacked and listed for sale in China

    UK Biobank data hacked and listed for sale in China

    A major data security incident has hit UK Biobank, one of the world’s largest long-term public health research initiatives, after listings advertising access to records of 500,000 project participants were found for sale on Alibaba, the Chinese e-commerce giant, UK government officials have confirmed.

    UK Technology Secretary Ian Murray confirmed details of the breach in a statement to Members of Parliament this week, noting that the charity that manages UK Biobank first notified the UK government of the unauthorized listings on Monday. In an effort to address widespread public concern, Murray emphasized that none of the data included in the advertised listings contained direct personal identifiable information, including full names, residential addresses, contact information, or telephone numbers.

    Founded in 2006, UK Biobank holds anonymized genetic, lifestyle and health records from 500,000 volunteer participants across the United Kingdom. The dataset has become a foundational resource for global medical research, enabling groundbreaking advances in the detection and treatment of conditions ranging from dementia and multiple types of cancer to Parkinson’s disease, improving health outcomes for millions worldwide.

    In a public statement released after the incident, UK Biobank Chief Executive Professor Sir Rory Collins acknowledged that the unauthorized listings, even temporary ones, would alarm project participants. “We want to reassure you that all the data are de-identified; they do not contain any personally identifying information (such as names, addresses, dates of birth, and NHS numbers),” Collins said. The institution added that it is conducting a full internal investigation into the incident, and extended gratitude to the UK and Chinese governments, as well as Alibaba, for their rapid cooperation in addressing the issue.

    Murray confirmed that as of the latest update, no successful purchases of the data were recorded from the three unauthorized listings posted to the platform. The listings have already been removed from Alibaba’s site following coordinated action between all involved parties, he added.

    The UK’s Information Commissioner’s Office (ICO), the national data protection regulator, has also launched its own enquiry into the incident. An ICO spokesperson noted that personal health information is categorized as extremely sensitive data, noting that the public rightfully expects strict secure handling of such records, and all organizations processing health data hold a legal responsibility to protect it. “UK Biobank has made us aware of an incident and we are making enquiries,” the spokesperson added.

    Alibaba has not yet released an official statement or comment on the incident as of press time.