分类: health

  • 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.

  • Price guidelines set for novel therapies

    Price guidelines set for novel therapies

    China’s National Healthcare Security Administration (NHSA) has launched a comprehensive framework of national pricing guidelines that aims to streamline access to innovative medical treatments and standardize essential care services for elderly and pediatric populations, marking a major step forward in balancing technological innovation, industry development and public affordability.

    As of the latest update, the administration has rolled out 39 batches of these guidelines, covering approximately 180 categories of emerging medical technologies, products and care services. The new framework establishes unified national standards for service nomenclature, clinical definitions, and overarching pricing structures across all public healthcare institutions, while leaving authority for local governments to set final, context-specific fee levels aligned with regional economic conditions.

    Speaking at a press conference held on Monday, Dong Zhaohui, deputy director of the NHSA’s price bidding and purchasing department, outlined that the guidelines encompass a wide range of groundbreaking novel therapies. These include high-tech interventions such as surgical robotics, remote surgical procedures, brain-computer interface (BCI) implants, artificial heart devices, cochlear implants, artificial larynx devices, and high-intensity focused ultrasound treatment. When China granted the world’s first commercial approval for a BCI implant in March this year, the corresponding pricing guideline was released immediately to support rapid clinical rollout.

    Beyond neurological and device-based innovations, the framework also covers cutting-edge cancer treatments, including proton radiotherapy, heavy ion radiotherapy, and boron neutron capture therapy — interventions that have long been out of reach for many patients due to unclear pricing and limited infrastructure. Dong explained that when drafting the guidelines, regulators factored in multiple key priorities: fair returns for medical innovators, cost burdens for healthcare institutions, equitable patient access to new treatments, and practical implementation data from pilot regions such as Shanghai. The guidelines explicitly set reasonable payment caps per full treatment course, with a core goal of expanding affordable access for patients across the country.

    To further accelerate the adoption of life-saving new technologies, Dong added that the NHSA is exploring a proactive pre-approval pricing model, which would release guidance during the clinical trial stage of novel therapies, rather than waiting for full commercial approval. This early clarity is expected to cut development timelines and help bring new treatments to patients faster.

    Industry analysts and healthcare experts say the standardized pricing framework is already unlocking growth across China’s medical innovation ecosystem. Jiang Changsong, a professor at the National Institute of Healthcare Security at Capital Medical University, noted that under the new guidelines, government-referenced prices for invasive BCI implantation sit at around 7,000 yuan ($873) per procedure in Beijing, Hubei and Zhejiang, while non-invasive BCI implantation is priced at roughly 1,000 yuan.

    “With a clear pricing benchmark in place, medical enterprises can accurately calculate the return cycle for their R&D investments, which makes investors far more willing to commit capital to innovation. Hospitals also gain a transparent, official basis for service charging, and as a result, the entire industry chain is put into smooth motion,” Jiang explained. He added that the guidelines have already had a tangible impact on advanced cancer radiotherapy infrastructure: with a clear price anchor in place, more regional governments are confident in planning and constructing new proton therapy centers, which will eventually eliminate the need for patients to travel long distances across the country and wait in lengthy queues for life-saving treatment.

    For domestic medical device manufacturers, the standardized pricing framework is leveling the playing field in previously unregulated segments. Xing Yuzhu, executive deputy general manager of Beijing Surgerii Robotics Co, noted that before the new guidelines were introduced, surgical robot services lacked uniform national pricing standards, with fragmented pricing structures largely controlled by a small number of leading international companies. Under the new rules, fee structures for both primary surgical and auxiliary robotic procedures are clearly defined, with tiered pricing set based on the level of robotic involvement in each procedure. This structure enables domestic manufacturers to compete on a more equal footing with global brands while still ensuring they can earn reasonable returns on their innovation investments.

    In addition to supporting cutting-edge medical innovation, the new pricing guidelines also address pressing public welfare priorities aligned with China’s policy goals. To support the development of a birth-friendly society, the NHSA has added standardized pricing for a range of childbirth-related services, including fetal color ultrasound examinations, labor pain relief, family companionship during delivery, neonatal inpatient beds, general newborn nursing, and specialized care for premature infants.

    To improve access to high-quality, affordable care for China’s aging population, the administration has also introduced standardized pricing items for a full spectrum of elderly care services. These include 24/7 “companion-free” non-medical inpatient care, home care visits, end-of-life hospice care, home-based hospital beds, online follow-up consultations, and remote health monitoring, all designed to bring essential care services closer to elderly populations.

    Dong noted that under the guidelines, one-to-several “companion-free” care services are priced between 100 and 180 yuan per day across different regions, far lower than the 300 to 500 yuan typically charged by independent private caregivers. “This framework not only eases the financial burden on families caring for elderly relatives, but also helps attract more skilled talent to the professional nursing industry,” Dong said.

  • Health authority warns of rising flu, disease risks ahead of May Day holiday

    Health authority warns of rising flu, disease risks ahead of May Day holiday

    As China prepares for the upcoming five-day May Day holiday starting May 1, the country’s top public health authority has issued a formal warning over growing infectious disease threats, calling for stepped-up public vigilance to curb outbreaks during a period expected to see surges in travel and large-scale public gatherings. In a press briefing held in Beijing on Wednesday, April 22, Xi Jingjing, spokesperson for the National Disease Control and Prevention Administration, announced that influenza and rhinovirus transmission across China has followed a steady upward trajectory since the beginning of April 2026.

    With warmer spring temperatures shifting toward summer conditions, the authority is also urging heightened awareness of mosquito-borne and intestinal infectious diseases that typically become more active during this seasonal transition. Xi specifically highlighted four diseases as key priorities for precaution: dengue fever, chikungunya fever, norovirus infection, and hand, foot and mouth disease, all of which carry heightened transmission risk when crowds of travelers converge in shared spaces.

    Noting that weather patterns during the shift from spring to summer can be highly unpredictable, with sudden shifts in temperature, Xi offered targeted guidance for the public to reduce their risk of illness. She recommended that travelers pack flexible clothing options to adapt to changing conditions, and that all people planning trips check the latest infectious disease activity updates at their destination before departing. Food and water hygiene, she emphasized, is a critical line of defense against intestinal pathogens spread through contaminated consumption.

    For travelers and residents engaging in outdoor activities, Xi urged consistent measures to prevent bites from mosquitoes and ticks, which are increasingly active as temperatures rise. She also advised the public to avoid close contact with wild marmots when hiking or visiting natural areas, a precaution designed to reduce the risk of tick-borne or zoonotic disease transmission.

    The National Disease Control and Prevention Administration closed its warning with additional public guidance: all residents, particularly caregivers for children and guardians of older adults, should monitor health closely for any signs of infectious disease in the weeks surrounding the holiday. Anyone who develops symptoms consistent with the highlighted diseases is encouraged to seek prompt medical evaluation to prevent further spread and ensure timely care.

  • Chinese team pioneers scar-free, single-operation breast cancer removal

    Chinese team pioneers scar-free, single-operation breast cancer removal

    Breast cancer patients globally may soon access a revolutionary new treatment option, developed by a surgical team based in southern China, that eliminates the need for secondary follow-up operations and leaves no visible scarring on the breast — addressing two of the most distressing drawbacks of conventional breast cancer care.

    The innovative procedure was created by Liao Ning, lead of the breast surgery department at Guangdong Provincial People’s Hospital, and integrates three cutting-edge medical tools into one streamlined workflow: real-time ultrasound imaging, a fluorescent contrast dye that clearly demarcates tumor tissue from healthy breast cells, and a high-precision robotic surgical system. Peer-reviewed findings from the team’s clinical trials were recently published online in the *European Journal of Surgical Oncology*, marking international recognition of the technique’s safety and efficacy.

    In standard breast-conserving surgery, between 10% and 15% of patients require a second procedure to remove residual cancerous tissue that is not detected or excised during the initial operation. Early clinical results for the new Chinese method show a 98.4% rate of complete tumor removal with clear, cancer-free margins, and no patients in the trial cohort required a follow-up surgery to address leftover malignant tissue.

    The procedure demands close coordination among the surgical team: after the fluorescent dye is injected directly into the tumor under ultrasound guidance, the team has just five minutes to excise the highlighted tissue before the dye loses its visibility. The robotic system’s high-definition camera translates the invisible tumor boundary into a clear green visualization on the operating screen, while the device’s articulated mechanical arms perform excisions with precision between one and two millimeters — an accuracy that far outperforms manual surgical techniques.

    Artificial intelligence also contributes to the procedure’s success before the first incision is made. AI algorithms process pre-operative scans and patient clinical data to construct a detailed 3D model of the tumor, map exact safe cutting margins, and generate a prediction of the breast’s final appearance after resection. This allows surgeons to plan both tumor removal and breast reshaping well in advance, reducing the risk of intra-operative error and suboptimal cosmetic outcomes.

    Unlike conventional procedures that require incisions on the breast surface, all tumor removal work for the new method is done through a single small incision hidden in the armpit, leaving the outer breast completely free of visible scarring. For patients who previously faced an agonizing trade-off between cancer survival and preserving their body image and personal dignity, this breakthrough addresses both physical and psychological harms associated with traditional breast cancer treatment.

  • UK passes bill that will eventually ban cigarette purchases

    UK passes bill that will eventually ban cigarette purchases

    LONDON — After decades of advocacy from public health groups, UK lawmakers have approved one of the world’s most ambitious anti-tobacco laws, a historic piece of legislation that blocks future generations from ever legally purchasing cigarettes, bringing a long-sought victory to global public health advocates.

    Hazel Cheeseman, chief executive of leading anti-smoking organization Action on Smoking and Health, framed the vote as a turning point for public welfare. Following the bill’s approval on Tuesday, she noted that the end of smoking and its devastating, life-shortening harm is no longer a distant uncertain goal — it is now an inevitable outcome of the policy.

    The Tobacco and Vapes Bill, which only requires a formal royal assent from King Charles III — a procedural step that is all but guaranteed before the legislation takes effect — enshrines a radical new age restriction framework. Anyone born after December 31, 2008 will face a lifelong ban on buying cigarettes, with the legal minimum age for cigarette purchases increasing annually to lock in this restriction permanently.

    Currently, the sale of cigarettes, traditional tobacco products, and vapes to anyone under 18 is illegal across the UK. The new law expands this protection to lock out an entire upcoming generation from access to deadly tobacco products. Beyond the age restriction, the legislation also grants the UK government broad new authority to regulate tobacco, vaping, and nicotine products, covering everything from product flavoring to retail packaging standards.

    The policy puts the United Kingdom at the forefront of global anti-smoking regulation, matching a similar pioneering law passed by New Zealand lawmakers in 2022 — a policy that was ultimately repealed by that country’s new ruling government shortly after it took office. Even as other nations have walked back ambitious anti-tobacco measures, UK officials have pushed forward to address the ongoing public health crisis tied to smoking.

    Official public health data shows that smoking prevalence in Britain has dropped by two-thirds since the 1970s, yet the habit remains a major contributor to preventable death and illness. Roughly 6.4 million people, around 13% of the UK’s total population, still smoke regularly. Government health authorities estimate smoking causes approximately 80,000 premature deaths in the country each year, and it retains the unenviable title of the leading preventable cause of death, long-term disability, and poor health across the nation.

    UK Health Secretary Wes Streeting emphasized the transformative impact of the new law, saying that children growing up in the UK will be the first generation to grow up entirely protected from the risk of lifelong nicotine addiction and the irreversible harm caused by smoking.

  • Exploring barefoot trails on 2 continents as a way to connect with nature this Earth Day

    Exploring barefoot trails on 2 continents as a way to connect with nature this Earth Day

    Thousands of kilometers apart, two very different hiking trails share one unusual, intentional feature. In Germany’s scenic Black Forest, waterlogged path steps sink into ankle-deep mud that demands slow, careful footwork. Across the Atlantic in northern Arizona’s ponderosa pine woodlands, hikers must navigate just as deliberately across a line of tree stumps repurposed as stepping stones. What unites these two pathways is a simple premise: they are built for visitors to explore without socks or shoes.

    Barefoot trails have popped up across every inhabited continent, designed to invite people to engage more deeply with the natural world through direct sensory experience. Feeling cool mud squish between toes, stepping across soft pine needles, exploring quiet meditation nooks, testing scent stations and navigating dark sensory rooms transforms an ordinary daily walk into a fully immersive, grounding activity. Beyond the sensory experience, podiatrists and long-time barefoot walking advocates note that walking shoeless across varied natural surfaces may offer tangible benefits for both emotional well-being and long-term foot health.

    The modern barefoot trail movement is rooted in more than a century of wellness philosophy. While theories about the perks of going barefoot have surged in popularity among runners, athletes, environmental advocates and mental health wellness circles in recent decades, the core idea dates back to the 1800s. Sebastian Kneipp, a 19th-century German Catholic priest and an early pioneer of naturopathic medicine, championed regular nature exposure, hydrotherapy and barefoot walking as a form of gentle exercise. He argued that barefoot walking boosts circulation, supports overall immune function and improves whole-body health, famously recommending walks across dewy grass or even snow, and once referred to conventional shoes as “foot-bending machinery.”

    Kneipp’s wellness philosophy inspired the creation of barefoot paths across the European continent, where many trails are still referred to as Kneipp paths, and later spread to a smaller but growing community of enthusiasts in the United States. In Asia, a parallel tradition of reflexology trails, built from smooth stones, pebbles and natural grass, is designed to stimulate pressure points on the soles of the feet, a practice rooted in traditional East Asian medical therapy. This article is part of the Associated Press’s ongoing *Be Well* coverage series, which focuses on topics including holistic wellness, fitness, nutrition and mental health.

    Germany’s Park mit allen Sinnen — translated as “Park with All Senses” — sits within the Black Forest, a 6,000-square-kilometer region that has become a global hub for wellness tourism, where visitors come to breathe crisp mountain air, soak in natural thermal baths and book spa treatments that use native regional plants and herbs. The park charges a small admission fee for access to its 1-kilometer barefoot trail. According to the park’s official website, wandering shoeless across the trail’s wide range of different surfaces “is ideal for exercising your back and spine, and at the same time, it’s a perfect foot reflexology massage in the fresh air.”

    In the United States, Leah Williams, owner of The Barefoot Trail park near Flagstaff, Arizona, launched her own 1-kilometer manicured barefoot trail just off Route 66 two years ago, following a family trip to Europe. Williams runs the park through a nonprofit charitable foundation, and requires tickets for entry. Raised with the tradition of barefoot outdoor activity — her German-born mother encouraged her to play barefoot in the forests and creeks around Seattle as a child, a habit Williams carried into adulthood and passed down to her own children — Williams first fell in love with the concept of a formal barefoot trail during a trip to a Belgian path while her family was living in the Netherlands.

    “I loved everything about it. I saw all ages, and I loved seeing older people at the park because you don’t see that here in the United States,” Williams said. “I thought, ‘Wow, when I get back to the United States, I’m going to build one of these parks myself.’” Today, she also develops educational programming for schools, summer camps and youth programs that bring children to explore the trail. “Being good stewards of nature is really our job as human beings, and we have taken 13 acres of land at our park for our community enjoyment … for local, statewide and regional enjoyment,” Williams said, speaking emotionally about the project.

    Unlike a standard hike, barefoot trails offer a uniquely sensory experience that most people never get in regular daily life. For most people who do not regularly walk barefoot outdoors, exposing the soft soles of the feet to a range of textures, temperatures and surfaces takes time to get used to. “You should see people’s faces when they start walking,” Williams said, chuckling at the memory of first-time visitors’ reactions. While most barefoot trail operators strongly encourage shoeless walking to get the full experience, it is never required. Visitors with diabetes, neuropathy or other chronic foot conditions are fully welcome to keep their shoes on at both the Arizona and German parks.

    Many trails are intentionally designed to engage all five senses, not just the sense of touch. At Germany’s Park mit allen Sinnen, a “Quiet Please” sign marks the entrance to a dedicated meditation cave, where a long wooden bench faces tall windows looking out over the forest, and soft calming music plays through hidden speakers. In other sections of the park, visitors can squeeze red rubber bulbs to release the scents of papaya and apricot, or place their hands into a sealed box lined with wild boar fur to feel the texture.

    The barefoot trail movement has expanded far beyond Germany and the United States today. Across Europe, Austria, Denmark, France, Hungary, Switzerland and the United Kingdom all host a growing network of barefoot trails, though many small local paths are not marketed to tourists, so first-time visitors may need to search for trails using local language terms like “barefoot path” to find them. In East Asia, Hong Kong, Singapore and Japan all have public parks with permanent pebble reflexology trails, where smooth stones are set into concrete to offer a foot massage and pressure point stimulation during walks.

    In the United States, informal barefoot hikes along existing trails and small dedicated wellness parks are slowly growing in number, but formal barefoot parks remain relatively rare. That is why Williams is working to expand her nonprofit barefoot trail concept to other parts of the country. Her foundation recently received 20 acres of land in Lawrence, Kansas, a college town, to develop a second barefoot park integrated into a new mixed commercial and residential development. “It’s about integrating those natural environments into people’s daily lives and providing those safe spaces for people to enjoy,” Williams said.

    This report was compiled from on-the-ground reporting by Mumphrey in Flagstaff, Arizona.

  • A specialized tour at the Berlin Zoo brings joy to people living with dementia

    A specialized tour at the Berlin Zoo brings joy to people living with dementia

    BERLIN — Standing before a foggy aquarium tank at Berlin Zoo, 86-year-old Christel Krueger stared through thick glass at a mother hippopotamus and her calf resting peacefully on a sandbar, caught in a moment of quiet wonder. Krueger was one of several dementia patients participating in a specialized guided tour organized last month by Malteser Deutschland, the German branch of the global Catholic humanitarian organization Malteser Order of Malta.

    On the same excursion, Ingrid Barkow observed roaming elephants from her wheelchair, while 85-year-old Monika Jansen stood on her tiptoes to catch a clearer glimpse of a rhinoceros. “When I get home, I’ll still be thinking about it,” Jansen said. “Maybe even at night, while I’m sleeping and dreaming about it.”

    These three women are part of Germany’s 1.6 million population living with dementia, per data from the country’s National Dementia Strategy office. Experts project that this number will climb to 2.8 million by 2050, mirroring a global growth trend that has pushed cultural and community institutions to develop more accessible programming for affected individuals.

    Over the past decade, cultural venues across the world have expanded their offerings to include barrier-free, specialized guided experiences for marginalized groups. These programs range from sign-language tours for Deaf and hard-of-hearing visitors, touch-focused exhibits for guests with blindness or low vision, to sensory-friendly outings for people on the autism spectrum. It is within this growing movement that Malteser Deutschland’s Berlin chapter launched its dementia-focused cultural program last year.

    “People with dementia aren’t very visible in our society. It’s still a major taboo subject, yet it actually affects a great many people and it’s important that they continue to be at the heart of society,” explained Christine Gruschka, the project’s coordinator. “They have a right to participate, just like everyone else.”

    Dementia is an umbrella term for a range of progressive cognitive conditions that cause gradual decline in memory, reasoning, language skills and other core brain functions. It can also alter personality, emotional regulation and even visual perception. Alzheimer’s disease is the most common form, but dozens of other variants exist, each with distinct symptoms and underlying biological causes, affecting hundreds of millions of people globally.

    Malteser Berlin currently runs its dementia-friendly tours at four popular Berlin locations: Berlin Zoo, the Museum of Natural History, Britzer Garden and Charlottenburg Palace, with plans to expand the program to more sites in the coming months. Gruschka noted that standard public tours are rarely suited to the needs of dementia patients: “‘Normal’ tours — so-called normal tours — are often too fast, too loud, with too many people and too many distractions. That’s why we’ve made it our goal to create programs specifically for people with dementia: Where they still feel seen, where they feel comfortable, and where they can still show that they’re still here and can still be part of it.”

    During the Berlin Zoo excursion, tour coordinator Carola Tembrink deliberately skipped most of the zoo’s extensive collection to focus only on the hippo, rhino and elephant habitats, a choice designed to avoid overwhelming participants or leaving them fatigued. Tembrink explained that the zoo holds unique value for this program: “almost everyone who grew up in Berlin has been here as a child. And especially for people with dementia, childhood memories are often still present — they just need to be jogged a bit — and that happens naturally when they see the animals, smell the air as they enter the zoo, or when they go into the rhino house and catch a different scent.”

    Beyond the benefits for participants, the specialized tours have become a critical resource for family caregivers. For those navigating the daily challenges of caring for a loved one with dementia, these outings create space to connect with other people sharing similar experiences.

    Krueger received a formal dementia diagnosis just last year, though her daughter and caregiver Kerstin Hoehne said symptoms first emerged more than two years ago. “What’s nice is that it’s also with, let’s say, like-minded people, that you’re not alone, but that you have a sense of belonging because everyone else might have the same problem,” Hoehne said.

    Manuela Grudda, whose mother Ingrid Barkow participated in the tour, said the outing deepened the bond between them. As Grudda pushed her mother’s wheelchair through the zoo, she pointed out animals and gently rested her hands on her mother’s shoulders. “I can’t really communicate with her in a normal way, of course, but I see that when I show her something, she looks at it, she’s paying attention, and that’s important,” Grudda said. “And it just makes me happy that she’s not just in her own world, but also in this one.”

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