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A scientific reflection on the humanitarian, physical, and psychological cost of war Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Maveerar Naal: health, trauma, and resilience amid decades of war Last updated: 11/01/26, 18:48 Published: 27/11/25, 08:00 A scientific reflection on the humanitarian, physical, and psychological cost of war Every year on 27 November — and throughout the month of remembrance — Eelam Tamils worldwide observe Maveerar Naal, honouring those who lost their lives during Sri Lanka’s war (1983–2009). While traditionally centred on fallen fighters, this period also serves as a vital opportunity to reflect on the epidemiology of trauma, the collapse of public health systems, and the long-term physical and psychological consequences carried by Eelam Tamil communities after more than two decades of conflict. This article reframes Maveerar Naal not only as a commemoration, but also as a scientific reflection on the humanitarian, physical, and psychological cost of war — and the resilience of those who survived it. A health system under siege From the mid-1980s onward, northern and eastern Sri Lanka experienced a chronic, escalating humanitarian emergency. Repeated mass displacement, food scarcity, blocked medical supply routes, and intermittent bombardment steadily eroded the region’s healthcare infrastructure. Clinics became inaccessible due to shelling or military restrictions, and maternal and child health services deteriorated sharply. Early epidemiological observations from the 1990s documented widespread anxiety, depression, and trauma symptoms among civilians, demonstrating that mental-health consequences were emerging long before the war’s final years. By the late 2000s, the public health crisis intensified dramatically. As the conflict entered its final phase — from late 2008 to May 2009 — more than 2.5 million people were trapped in active conflict zones, while approximately 800,000 civilians were internally displaced. Entire districts lost functional hospitals; others were forced to convert schools, churches, and tarpaulin shelters into emergency medical centres. Human resource shortages reflected the near-total systemic collapse: in some northern districts, only 34 of 108 midwife posts and 6 of 27 doctor posts remained filled. Pregnant women delivered in makeshift bunkers, neonatal mortality spiked, and infectious diseases spread rapidly through overcrowded displacement camps. For many, survival came at the cost of long-term disability, untreated injuries, and profound psychological trauma. Physical health consequences across populations The physical scars of the war persist across generations. Civilians experienced blast injuries, shrapnel wounds, burns, and amputations, often without access to timely surgical care. Emergency operations were performed in unsterile environments; in some cases, anaesthesia was unavailable, forcing staff to improvise with inadequate substitutes. Conditions in displacement camps — overcrowding, poor sanitation, contaminated water — led to outbreaks of diarrhoea, hepatitis A and E, and vector-borne diseases. For combatants, chronic health burdens are well-documented. Peer-reviewed studies, including research published in journals such as the International Journal of Social Psychiatry and the Journal of Rehabilitation Medicine , report the following long-term conditions among injured veterans: Back pain: 69.4% Knee osteoarthritis: 18.8% Hypertension: 22.4% Diabetes: 34.2% Phantom-limb pain among amputees: over 77% PTSD among amputees: ~41.7% These outcomes reflect years of untreated injuries, limited rehabilitation access, chronic stress, and long-term nutritional deficiencies. Psychological trauma and intergenerational consequences The psychological impact of the war has been profound. Medical workers described witnessing mass casualties with inadequate supplies — a situation that produced significant moral injury, compassion fatigue, and long-lasting mental-health consequences. Among severely injured fighters, mental-health assessments published in trauma and rehabilitation journals report: PTSD: 41.7% Adjustment disorder: 16.4% Depressive disorder: 15.6% Somatoform/dissociative disorders: significant prevalence Civilians exposed to high-intensity conflict show similarly alarming patterns. Studies from humanitarian organisations and academic institutions report that approximately: 64% of civilians exhibited long-term trauma-related effects 27% experienced PTSD 26% had anxiety disorders 25% had depression 18% experienced functional disability due to psychological distress Notably, emerging research has identified intergenerational transmission of trauma, with children of survivors — even those born after 2009 — displaying elevated rates of anxiety, behavioural challenges, and trauma-related symptoms. This represents a critical area for continued scientific study and intervention. Health workers on the frontline: the hidden scientific story The war’s final months produced some of the most extreme medical working conditions documented in modern conflict settings. For ethical, political, and safety reasons, this article does not name frontline medical staff; however, their experiences are well-recorded in reports by Physicians for Human Rights (PHR), Human Rights Watch (HRW), and eyewitness testimonies. One regional physician coordinated makeshift hospitals inside schools and religious buildings. With no supplies, he sterilised instruments over open flames, used sarongs as dressings, and suspended IV fluids from tree branches. He performed dozens of emergency surgeries daily, sometimes operating while artillery fire struck nearby. A field-hospital superintendent described conducting amputations without anaesthesia, supported only by volunteer nurses. When their facility was shelled — an incident documented by multiple international observers — dozens died instantly. Survivors were treated in trenches illuminated by mobile phone torches. Another medical coordinator reported overseeing triage for thousands of displaced civilians, many severely dehydrated or malnourished. He described having to prioritise patients based solely on survivability, an ethically devastating but necessary decision in conditions of extreme scarcity. PHR and HRW documented at least 30 direct attacks on hospitals between December 2008 and May 2009. These incidents — some among the most thoroughly investigated attacks on medical facilities globally — illustrate the catastrophic collapse of health infrastructure and the extraordinary resilience of those who continued to provide care. Reflection, healing, and the path ahead Maveerar Naal is, at its core, a day of remembrance. Yet for many Eelam Tamils, it is also a day of scientific reflection — a moment to acknowledge the measurable, long-term consequences of conflict on physical health, mental well-being, and community resilience. Healing requires investment in: Long-term mental-health services rooted in trauma-informed care Rehabilitation programmes for amputees and individuals with chronic injuries Public health research into intergenerational trauma Accessible healthcare for survivors living in diaspora communities Preservation of evidence and health data for historical and scientific record By understanding the epidemiology of suffering, communities can better design strategies for recovery. By recognising the extraordinary resilience of civilians, fighters, and health workers, they honour all forms of courage. And by grounding remembrance in scientific truth, Maveerar Naal becomes not only a memorial, but a commitment to protecting health, dignity, and humanity for future generations. In remembering the past, we build the foundation for a more compassionate, prepared, and resilient future. Written by Jeevana Thavarajah Related articles: Impact of war on health (series) / South Asian Mental Health REFERENCES Amnesty International (2009) Sri Lanka: Twenty Years of Make-Believe. Available at: https://www.amnesty.org/en/documents/asa37/005/2009/en/ BBC News (2009) Sri Lanka shells no-fire zone. Available at: http://news.bbc.co.uk/2/hi/south_asia/8046136.stm Catani, C. et al. (2008) ‘War trauma, child abuse and PTSD in Sri Lankan children’, Journal of Child Psychology and Psychiatry . Available at: https://pubmed.ncbi.nlm.nih.gov/18673497/ Channel 4 News (2011) Sri Lanka’s Killing Fields. Available at: https://www.channel4.com/news/sri-lankas-killing-fields Fernando, G. and Ferrari, M. (2013) ‘Short- and long-term psychological effects of war in Sri Lankan populations’, Asian Journal of Psychiatry . Available at: https://pubmed.ncbi.nlm.nih.gov/23885541/ Human Rights Watch (2009) Sri Lanka: Repeated Shelling of Hospitals. Available at: https://www.hrw.org/news/2009/05/08/sri-lanka-repeated-shelling-hospitals International Committee of the Red Cross (ICRC) (2014) War injury rehabilitation and prosthetics – Sri Lanka. Available at: https://www.icrc.org/en/document/sri-lanka-prosthetics-rehabilitation International Crisis Group (2010) War Crimes in Sri Lanka. Available at: https://www.crisisgroup.org/asia/south-asia/sri-lanka/war-crimes-sri-lanka Office of the High Commissioner for Human Rights (OHCHR) (2015) OISL Report: Sri Lanka. Available at: https://www.ohchr.org/en/hr-bodies/hrc/oisl-sri-lanka Physicians for Human Rights (PHR) (2009) PHR calls for inquiry into detention of doctors and war crimes in Sri Lanka. Available at: https://phr.org/news/phr-calls-for-inquiry-into-detention-of-doctors-and-war-crimes-in-sri-lanka/ Project Gallery

Study the plethora of interactions between drug and target with these articles focusing on antibiotic resistance, analgesics, and drug treatments for diseases with presently no cure. Pharmacology Articles Study the plethora of interactions between drug and target with these articles focusing on antibiotic resistance, analgesics, and drug treatments for diseases with presently no cure. You may also like: Chemistry , Medicine Effect of heat on medicine When medication is exposed to extreme heat, what happens? Antibiotic resistance Its rising threat Exploring ibuprofen Ibuprofen is a painkiller A treatment for Parkinson's disease By using a common diabetes drug mRNA vaccines What they are, and how they are different to traditional (live, attenuated, or viral-vectored) vaccines Anthrax toxin Using bacterial toxins to treat pain 'The Molecule': an upcoming biotech thriller A book review

An extensive collection of insightful reviews on the best STEM books available. Whether you're a student looking to deepen your knowledge or something to aid your revision and research, an educator seeking great resources for your classroom, or simply a curious mind passionate about science, technology, engineering, mathematics, medicine and more, you'll find something here to inspire and inform you.  Discover Your Next Great Read Deep Dive into STEM Books Here you can explore an extensive collection of insightful reviews on the best STEM books available. Whether you're a student looking to deepen your knowledge or something to aid or complement your revision and research, an educator seeking great resources for your classroom, or simply a curious mind passionate about science, technology, engineering, mathematics, medicine and more, you'll find something here to inspire and inform you. Our Curated Selections: Intern Blues by Robert Marion, M.D. The Emperor of All Maladies by Siddhartha Mukherjee The Molecule by Dr Rick Sax and Marta New

Elements, compounds, and mixtures make up the building blocks of materials that shape our world. Read on to uncover the latest contributions in chemistry, such as advances in mass spectrometry and quantum chemistry. Chemistry Articles Elements, compounds, and mixtures make up the building blocks of materials that shape our world. Read on to uncover the latest contributions in chemistry, such as advances in mass spectrometry and quantum chemistry. You may also like: Medicine , Pharmacology Advances in mass spectrometry Analytical chemistry Bioorthogonal chemistry Chemical reactions with high yields Polypharmacy Multiple medications Plastics and their environmental impact The same property that makes plastics so strong endangers the environment Quantum chemistry A relatively new field of chemistry Nanomedicine and targeted drug delivery An overview as to why nanoparticles are suitable for drug delivery Nanogels Smarter drug delivery The importance of symmetry in chemistry Symmetry in spectroscopy, reaction mechanisms and bonding Previous

Due to systemic barriers like a lack of interpreting services, and discriminatory treatment, among other factors Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Ethnic Health Inequalities Last updated: 11/01/26, 18:46 Published: 11/01/26, 18:31 Due to systemic barriers like a lack of interpreting services, and discriminatory treatment, among other factors This is Article 2 in a series on health inequalities. Next article: Addressing health equalities (coming soon). Previous article: S ocioeconomic health equalities. Welcome to the third article in a series of articles about health inequalities. This article will look more in detail at what ethnic health inequalities are. Introduction Ethnic health inequalities are persistent disparities in health outcomes, experiences of healthcare, and even employment within the healthcare sector itself, for ethnic minority groups. Individuals from minority ethnicities frequently face an increased risk of poor health compared to their White counterparts. These inequalities are often rooted in structural racism and the racialisation of socioeconomic factors, rather than biological or cultural differences, suggesting that racism itself is a primary determinant of health. These inequalities manifest in different ways for different minority groups, and can be measured by specific health outcomes in different conditions. How ethnic health inequalities manifest A joint report by the Health Foundation and Runnymede Trust explained that Bangladeshi and Pakistani individuals have higher mortality rates for circulatory diseases. They also have significantly higher rates of metabolic conditions compared to their White counterparts. This predominantly includes diabetes, which is three to five times more common in Bangladeshi and Pakistani individuals. In addition, research collated by the King’s Fund shows that Black Caribbean and Black African individuals experience higher rates of hypertension and stroke, and have higher rates of admission to psychiatric hospitals with psychotic illness diagnoses. Furthermore, Office for National Statistics data from 2022 shows that infant mortality is tragically twice as high for Black infants and nearly twice as high for Asian infants compared with White infants, as seen in Figure 1 . Maternal mortality for Black women is almost three times higher than for White women. Experiences of ethnic health inequalities and the role of structural and institutional racism Even though the NHS generally provides free universal access to primary care, access to and experience of healthcare services for ethnic minority groups often differ compared to their White counterparts. The NHS Race and Health Observatory has conducted research on racism and has found that there are disparities in areas like hospital and dental services: for example, there aren’t enough interpreting services for those whose first language is not English, which limits effective communication between patients and healthcare professionals. This also makes it harder for patients to stick to their treatments. Repeated negative experiences have led to a lack of trust in the health system among some ethnic minority communities. Patients from these groups consistently report less favourable experiences across various services, as seen in Figure 2 . A review by the UCL Institute of Health Equity reported that some indicators of this are longer waits for GP appointments, needing multiple visits before cancer referral, and overall lower satisfaction with hospital and mental health care. This poor experience is often characterised by stereotyping, disrespect, cultural insensitivity, and discriminatory treatment from healthcare staff, leading to delayed diagnoses, inappropriate interventions, and poorer health outcomes. The review also explained that these systemic issues can manifest in the NHS workforce, where ethnic minority staff face discrimination and harassment, impacting morale, retention, and ultimately the quality of care provided to patients. Conclusion Ethnic health inequalities, like all other types of health inequalities, are avoidable, unfair, and systematic failures. They have persistent impacts across different ethnic groups, leading to poorer health outcomes. Beyond clinical outcomes, ethnic minority patients also encounter systemic barriers such as a lack of interpreting services and discriminatory treatment, including stereotyping and cultural insensitivity, leading to a breakdown of trust in the healthcare system. These issues impact everything from GP wait times to the morale of the NHS workforce, where ethnic minority staff face discrimination that can ultimately impact the quality of care provided. Therefore, a comprehensive strategy is needed to remove these barriers and provide equitable care for everyone. The next article will be the final article in the series, and will look more in detail at how to address health inequalities, so watch out for that! Written by Naoshin Haque Related articles: Eelam Tamil health impacts / Rohingya community / Syria and Lebanon health injustices Project Gallery

Book review Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link 'Intern Blues' by Robert Marion, M.D. 08/01/26, 18:59 Last updated: Published: 01/09/24, 12:30 Book review The public's glimpse of a doctor’s life varies depending on the doctor. Popular TV shows like Grey’s Anatomy , New Amsterdam , and Private Practice allow keen viewers to follow the romanticised lives of doctors, from their heroic moments to the romances and tragedies that take place in their hospital shifts. Similarly, social media platforms have been filled with doctors and medical students glamourising their experience with hashtags and filters, focusing on the positive but hardly ever commenting on their negative experiences. Additionally, flashy news articles celebrate a doctor’s innovative and ground-breaking methods and attempts to save a lucky patient’s life. In particular, doctors were placed in the spotlight during the COVID-19 pandemic, being seen as the real-life superheroes of the pandemic. On the other hand, in 2023, the televised NHS doctors’ protests presented the struggles and hardships endured by the professionals. Furthermore, a report by the General Medical Council in 2022 found that 50% of doctors were unhappy in their workplace. Simply put, the public’s perspective towards medicine and a doctor’s life will differ depending on their source and possibly their personal experiences. Therefore, how can one understand the world through the eyes of a doctor without studying and working within the profession? This question may never have a perfect answer, but the book Intern Blues by Robert Marion could be considered a step in the right direction. This book explores the life of three first-year interns (Amy, Adam, and Mark) in New York paediatric hospitals during the mid-1980s. After meeting his new interns and learning about the fear and outsider syndrome they felt toward the coming year, Dr. Robert Marion encouraged them to document their experiences during their year as interns to reflect and possibly learn through their achievements and struggles. Unknowingly, Dr Marion’s advice created the concept behind this inspiring book. The book explains treatment methods, their reasoning, and the medical abbreviations, making any reader feel like a doctor. This is emphasised by the vividly descriptive writing and the constant log of emotions, allowing anyone to experience the vibrant rush of a hospital from the comfort of their home. One of the best things about this book is each intern’s contrasting perspectives on such supposedly similar experiences. The first intern, Andy Baron, explored his struggles of living far from his family and girlfriend due to his awkward working hours and his feelings that his loved ones do not understand what he is going through. On the other hand, Amy Horowitz has an intriguing perspective of being a mother of a young child, presenting to the reader the struggles with viewing her own child in her patients' eyes and how she surpassed this challenge to succeed in her work. In contrast, Mark Greenberg has an interesting and almost humoristic negative perspective towards his experience – one should note that, at times, some of his entries are quite shocking with their abruptness and pessimistic view. On the other hand, one of the few limitations to note in this book would be the timing. Having taken place in the 1980s, the reader should note that some elements have changed and evolved over the years. However, one could argue that this difference in 40 years gives a uniqueness to the book as it allows for a comparison and reflection on how medicine has changed. For instance, there is a brief exploration of the struggle that Amy faced as a doctor: struggles that in some way stem from how being a woman made others view her differently from her male colleagues. Although these same struggles may not apply to female doctors in the present, the Amys of 2024 encounter their own challenges. Moreover, the book provides an interesting reflection on how the HIV pandemic changed medicine and forced the medical community to adapt – which, for many readers, can resonate with the recent COVID-19 pandemic. Intern Blues is an entertaining read that will make its readers want to hug their siblings and appreciate their lives differently. This book will elicit laughs, tears, and moments of profound contemplation - a rollercoaster of emotions filled to the brim with intriguing medical cases. Presenting the hardships these three doctors faced, one has the opportunity to reflect and decide for themselves: does the good outweigh the bad? What causes the balance to tip? Is a doctor’s life made for them? Nevertheless, one conclusion is constant: the newfound admiration for the healthcare community. Check out this book on Amazon Written by Inês Couto André Related article and book reviews: Healthcare serial killers / The Emperor of All Maladies / The Molecule REFERENCES Marion R. The Intern Blues: The Timeless Classic about the Making of a Doctor. Reprint edition. William Marrow & Company; 2001. General Medical Council. The State of Medical Education and Practice in the UK, Workplace Experiences 2023 [Internet]. General Medical Council. 2023 June. Available from: gmc-uk.org/stateofmed . Project Gallery

Book review Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link 'The Emperor of All Maladies' by Siddhartha Mukherjee 08/01/26, 18:58 Last updated: Published: 28/11/24, 14:55 Book review Stretching nearly 4,000 years of history, Pulitzer Prize winner Siddhartha Mukherjee sets on a journey to document the biography of cancer in The Emperor of All Maladies. Drawing from a vast array of books, studies, interviews, and case studies, Mukherjee crafts a narrative that is as comprehensive as it is compelling. Driven by curiosity and a desire to understand the origins of cancer, Mukherjee sets the tone by reflecting on his experiences as an oncology trainee, drawing insightful parallels to contemporary perspectives on the fight against this relentless disease. Mukherjee also pays homage to Ancient Egyptian and Greek physicians for their early observations on cancer, from the work on Imhotep to Claudius Galen. He then introduces Sidney Farber, whose monumental contributions to modern chemotherapy are brought to life through Mukherjee's exceptional storytelling—tracing Farber's journey from his initial observations to his unprecedented success in treating children with leukaemia. As you progress through each chapter of this six-part book, your appreciation deepens for how far cancer treatments have advanced - and how much further they can go. Mukherjee’s unparalleled skill as a science communicator shines through, seamlessly weaving together groundbreaking scientific discoveries with the historical contexts in which they emerged contributing to an immersive reading experience. Siddhartha Mukherjee, The Emperor of All Maladies : In 2005, a man diagnosed with multiple myeloma asked me if he would be alive to watch his daughter graduate from high school in a few months. In 2009, bound to a wheelchair, he watched his daughter graduate from college. The wheelchair had nothing to do with his cancer. The man had fallen down while coaching his youngest son's baseball team. Mukherjee also makes an effort to highlight the critical role of raising awareness in shaping public health outcomes. ‘Jimmy’ was a cancer patient that represented children with cancer, his real name was Einar Gustafson, but his individual story was able to galvanise large-scale support. As the face of the ‘Jimmy Fund’, he was able to assist in raising $231,485.51 for the Dana-Farber Institute subsequently becoming the official charity for the Boston Red Sox. Mukherjee underscores how storytelling can serve as a catalyst for change, not just in raising money, but also in enacting larger societal and governmental shifts. In 1971, President Richard Nixon signed the National Cancer Act, the first of its kind where federal funding went directly into advancing cancer research. What struck me most was how Mukherjee connects this historical event to the broader need for advocacy, as science doesn’t just happen in the lab. It is a collective effort, driven by awareness, to push funding and influence policy. The ability to link individual stories to broader missions, as Mukherjee illustrates, continues to be one of the most effective strategies in keeping cancer research in the public eye. Mukherjee delves into the pivotal role of genetics in cancer research, tracing its evolution from the discovery of DNA's structure by Francis Crick, James Watson, and Rosalind Franklin to Robert Weinberg's ground-breaking work on how proto-oncogenes and tumour suppressors drive cancer progression. These discoveries ushered in a new era in cancer drug development. Mukherjee also emphasises the importance of collaboration and the rise of the internet, which gave birth to The Cancer Genome Atlas, a landmark program, that unites various research disciplines to diagnose, treat, and prevent cancer. In concluding the book, Mukherjee looks ahead to the future of cancer treatment, seamlessly connecting this discussion to his second book, The Gene . This book takes readers on a remarkable journey through the history of cancer, from the earliest recorded cases to groundbreaking discoveries in genetics. It weaves together compelling personal stories as well as pivotal moments in governmental policy. The storytelling is rich and immersive, drawing you in with its detail and depth. By the time you finish, you'll find yourself returning to its pages, eager to revisit the knowledge and insights it offers. Written by Saharla Wasarme Related book reviews: Intern Blues / The Molecule Project Gallery

Impact of war and geopolitics on health in Palestine Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Life under occupation: the health and well-being of Palestinians Last updated: 08/01/26, 18:56 Published: 13/03/25, 08:00 Impact of war and geopolitics on health in Palestine This is article no. 1 in a series about global health injustices. Next article: Civil war in Sudan . Introduction Welcome to the Global Health Injustices Series, which will focus on critically examining the health inequalities and inequities faced by vulnerable populations within different countries and regions worldwide and even put forward actionable steps to improve their health and wellbeing. This series will begin with Palestine, as it has been an enduring crisis that should be addressed to include long-lasting benefits and outcomes for the Palestinians. Palestine: from a rich history to current occupation Palestine is a country in the Middle East (West Asia) mainly bordered by Israel. Palestine is unique in its various cultures and knowledge, moulded by multifaceted events and geopolitical shifts over centuries. The multidimensional cultural landscape of Palestine illustrates the impact of civilisations, such as the Romans, Byzantines, and Ottomans, who each had their religions, languages, and cultures, which still exist in various forms today. The resilience of the Palestinians is evident through their distinct traditions, art, food and environment, which are essential to their identity. With these testaments in mind, Palestinians are facing consistent strife because they are under constant occupation, blockade and cutting off of needed supplies carried out by Israel, as noted by several humanitarian and human rights non-governmental organisations (NGOs) like Amnesty International and Save the Children. These actions are facilitated by nations, notably the United States and the United Kingdom, through arms and weapons trade. Hence, the struggle for the Palestinians to have autonomy and freedom, among other human rights within their own homeland, is a consistent fight that requires ongoing international cooperation and solidarity. Geopolitics: its detrimental impacts on the Palestinians Given the currently divisive geopolitical landscape, it is essential to bring attention to the health outcomes of the Palestinian population, especially since at least half of them are children. A report from the Global Nutrition Cluster called “Nutrition Vulnerability and Situation Analysis / Gaza” had several key findings and tables (see Tables 1 and 2 ). Firstly, more than 90% of children less than a year old, along with pregnant and breastfeeding women, encounter high under-nutrition due to poverty. Another finding was that approximately 90% of children under five are impacted by at least one infectious disease, and 81% of households in Gaza lack clean and safe water. However, the authors noted limitations in their analysis, such as limited data sources because collecting it is difficult within the context of Gaza, and this was true for screening. Another report from the organisation Medical Aid For Palestinians (MAP), titled “Health Under Occupation” from 2017, discussed healthcare access and outcomes more broadly. For example, they noted that in 2016, up to one-third of patients’ permits to exit Gaza for healthcare access were either denied or delayed. Moreover, they stated that 40% of people in Gaza live below the poverty line. Given the recent geopolitical shifts in power, these findings from both reports will likely be higher now. This brings forthcoming uncertainty about whether the health outcomes of Palestinians will improve. In a recent qualitative study involving the views of Palestinian physicians in the West Bank, they shared their experiences of violence, threats of violence, issues with healthcare access for themselves and patients, financial difficulties to support their families, struggle to help their patients and limited access to education due to harsher life under occupation. Thinking more largely about emergency care in Palestine, one scoping review reported the depletion of healthcare resources such as medical equipment and medications. The authors even related how human rights violations and the destruction of the Palestinian healthcare system, including emergencies, have exacerbated outcomes; the most notable were stroke, myocardial infarction and traumatic injury, among other non-infectious diseases. Although the authors included this information from a human rights standpoint, they called for additional interventions and research to fill in and learn gaps within emergency care to enhance health outcomes for Palestinians. This review was published in 2022, and again, many geopolitical shifts in power have taken place within a few years. Therefore, it can be deduced that emergency care is drastically needed for the Palestinians; this is primarily compelled by the blockade in Gaza and occupation in the West Bank. Focusing on the mental health outcomes among Palestinians, they have become worse. In another scoping review, researchers focused on trauma among young Palestinian people in Gaza; the authors noted that events, such as exposure to devastation and violence, as well as the death or loss of friends and family, have contributed to mental health outcomes ranging from post-traumatic stress disorder (PTSD) to depression. Nevertheless, the authors stated that further qualitative research is vital to addressing gaps in knowledge and enhancing mental health outcomes among the Palestinian youth and the wider population. Connecting back to how the modern geopolitical landscape is very dynamic, the poorer mental health outcomes among Palestinians have conceivably increased. Urgent calls to action: recommendations from NGOs to upholding human rights Given all of these detrimental impacts on the health and wellbeing of Palestinians, there are recommendations from organisations, notably the United Nations (UN), for ways forward towards upholding the human rights of Palestinians: Immediately end all practices of collective punishment, including lifting its blockade and closures – and the “complete siege”- of Gaza, and urgently ensure immediate access to humanitarian and commercial goods throughout Gaza, commensurate with the immense humanitarian needs. Ensure that all Palestinians forcibly displaced from Gaza are allowed to return to their homes creating safe conditions and fulfil its responsibilities as an occupying Power in this regard. End the 56-year occupation of the Occupied Palestinian Territory, including East Jerusalem as part of a broader process towards achieving equality, justice, democracy, non-discrimination, and the fulfilment of all human rights for all Palestinians. These recommendations, among others mentioned in the report from the United Nations (UN) High Commissioner for Human Rights, were divulged in 2024; the year had been a challenging time, particularly in Gaza, due to the complete blockade of food, water and essentials like medical supplies; in addition to this, many explosives were dropped on Gaza, killing thousands of men, women and children. Finally, buildings, such as hospitals and homes, were destroyed. Conclusion: moving forward towards a equitable and equal future for Palestinians Reflecting on everything discussed in this article, the numerous injustices happening to Palestinians must not go on; they have been suppressed for nearly 75 years by governments and the mainstream media before receiving closer attention, examination and debate within Western society recently. Therefore, we need to take actionable steps by initiating more open discussions of justice and advocacy involving the voices of Palestinians, such as myself and others. Furthermore, it is crucial always to nudge those in positions of power worldwide to fulfil their responsibilities as civil servants and defend human rights for everyone. Both of these actions uphold the health and wellbeing of Palestinians living in Gaza and the West Bank, especially as enabling the recommendations from the UN and other NGOs. As for the wider international community, we must continue upholding human rights to maintain our health and wellbeing. In my next article, I will discuss Sudan because this population has also encountered many injustices, primarily the civil war that has been occurring since 2023. This has impacted the health and wellbeing of the Sudanese population, which requires thorough attention and discussion. Written by Sam Jarada Related articles: Gentrification and well-being / Health Inequalities / Impacts of global warming on NTDs / Global health injustices- Bangladesh , Sri Lankan Tamils REFERENCES Human rights in Israel and the Occupied Palestinian Territory. Amnesty International. 2022. Available from: https://www.amnesty.org/en/location/middle-east-and-north-africa/middle-east/israel-and-the-occupied-palestinian-territory/report-israel-and-the-occupied-palestinian-territory/ Occupied Palestinian Territory. Save the Children International. 2024. Available from: https://www.savethechildren.net/occupied-palestinian-territory Nutrition Vulnerability and Situation Analysis / Gaza. 2024. Available from: https://www.nutritioncluster.net/sites/nutritioncluster.com/files/2024-02/GAZA-Nutrition-vulnerability-and-SitAn-v7.pdf HEALTH UNDER OCCUPATION. Medical Aid For Palestinians. 2017. Available from: https://www.map.org.uk/downloads/health-under-occupation---map-report-2017.pdf Husam Dweik, Hadwan AA, Beesan Maraqa, Taher A, Zink T. Perspectives of Palestinian physicians on the impact of the Gaza War in the West Bank. SSM - Qualitative Research in Health. 2024 Nov 14;6:100504–4. Available from: https://www.sciencedirect.com/science/article/pii/S2667321524001136 Rosenbloom R, Leff R. Emergency Care in the Occupied Palestinian Territory: A Scoping Review. Health and Human Rights. 2022 Dec;24(2):255. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9790939/ Abdallah Abudayya, Fugleberg T, Nyhus HB, Radwan Aburukba, Tofthagen R. Consequences of war-related traumatic stress among Palestinian young people in the Gaza Strip: A scoping review. Mental Health & Prevention. 2023 Nov 25;32:200305–5. Available from: https://www.sciencedirect.com/science/article/pii/S2212657023000478 M.I. Human rights situation in the Occupied Palestinian Territory, including East Jerusalem, and the obligation to ensure accountability and justice - Report of the United Nations High Commissioner for Human Rights - Advance unedited version (A/HRC/55/28) - Question of Palestine. United Nations. Available from: https://www.un.org/unispal/document/human-rights-situation-in-opt-unohchr-23feb-2024/ Project Gallery

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