Africa

Dr Elizabeth Igaga in one of the operating rooms at Smile Train partner, CORSU hospital, Uganda during a partner visit. Credit: Smile Train

By Elizabeth Igaga
KAMPALA Uganda, Jun 16 2026 (IPS)

Global health has a habit of mobilizing around the visible and the dramatic. Ebola, malaria, and Mpox have all dominated headlines related to Africa in recent years, and understandably so. But nobody is talking about one of the most consequential regional health crises waiting to happen.

When a child needs surgery, the first challenge is not the procedure itself. It is getting them safely to sleep. For decades, hospitals across sub-Saharan Africa have relied on a drug called halothane to do that. It has a faintly sweet smell, which means children breathe it in calmly, without distress or resistance. It’s affordable, stable in warm climates, and it works. Although there are anesthetics with fewer side effects that have been used for decades in higher-income countries, in low-resource settings with limited options, it has been indispensable.

Dr. Elizabeth Igaga, Senior Director of Program Safety, Smile Train

In 2023, the sole global manufacturer of halothane abruptly and permanently shut down production. There was very little warning time, no wind-down period, and no coordinated plan for the countries most dependent on the drug. What remains is the stock that was already distributed across global markets. That stock will not last much longer. Based on what we know about consumption patterns, it is very likely that by the end of 2026 or in early 2027, the last bottle of halothane in Africa will be gone.

I am an anesthesiologist and perioperative patient safety specialist based in Uganda. I work with hospitals across low and middle-income countries to ensure that children who need surgical care receive it safely. Safe anesthesia is not a luxury. It is a foundation of surgical care. What I see on the ground makes the halothane shortage one of the most pressing and underacknowledged patient safety problems in global health today.

The obvious alternative is a drug called sevoflurane. As a more modern anesthetic, it’s safer and more effective than halothane. But in Uganda, sevoflurane costs approximately ten times more than halothane. In settings where health budgets are already stretched, this is not a simple swap.

This matters on an enormous scale. Research published in The Lancet shows that outcomes for children undergoing surgery in Africa are already significantly worse than those in high-income countries, including African mortality rates that are approximately 11 times higher. Remove access to the one anesthetic drug that most African pediatric facilities currently rely on, and those numbers will get worse.

The demographic stakes make this more urgent still. Africa is projected to be home to roughly 40 percent of the world’s children by 2050. The continent already carries an enormous burden of conditions that can only be treated with surgery, much of it in pediatric populations, not to mention a child hit by a car, diagnosed with cancer, or rushed to the hospital with a ruptured appendix. All of these children face the same anesthesia infrastructure as everyone else, and when that infrastructure fails, what would have been a survivable crisis becomes something far worse.

What is often misunderstood about the transition away from halothane is that it is not simply a matter of substituting one drug for another. It is a systems problem with at least four distinct components that all need to move at the same time.

The first is government procurement. Halothane is currently embedded in national drug budgets across the continent at a price point that sevoflurane cannot match. Ministers of health and national procurement authorities must make an active decision to fund the difference and begin revising their drug budgets now, before shortages force their hand under emergency conditions. Market dynamics mean dwindling supplies will make halothane increasingly expensive, another component that could put essential surgeries out of reach.

The second is equipment. Many anesthesia machines currently in use across African hospitals are not compatible with sevoflurane without modification or outright replacement. That requires hospital-by-hospital assessment to understand what is needed before a single bottle of the new drug is ordered. Committing to a new anesthetic without first confirming that the infrastructure can deliver it safely is not a transition plan; it is a different kind of crisis.

The third is the supply chain. Sevoflurane needs to be formally incorporated into national essential medicines lists and procurement frameworks so that it reaches facilities reliably and at negotiated prices, rather than arriving sporadically through fragmented channels.

The fourth is workforce training. The majority of anesthesia care in Africa is delivered by non-physician anesthesia providers rather than doctors. Administering anesthesia to a child is one of the most technically demanding and emotionally weighty responsibilities in medicine, requiring precise judgment in real time when the margin for error is razor-thin. Nobody should be put in the position of performing that task for the first time on an unfamiliar drug in the middle of an emergency. These providers need structured, supervised training on sevoflurane before the transition happens, not after. National anesthesia societies have a direct role to play here, both in alerting their members to what is coming and in developing and delivering the training programs they will need.

The World Federation of Societies of Anaesthesiologists has already called on national and regional health authorities to rapidly budget for and implement a safe transition to sevoflurane. That call deserves a far more urgent response than it has received so far. Countries that stockpiled halothane may have a few additional months of runway. Countries that did not are already running low.

The Philippines and Indonesia have already navigated this shift successfully, and they offer a promising roadmap, including training for local biomedical engineers and anesthesia providers to ensure the transition is safe, practical, and sustainable. The lesson from those experiences is not that transition is easy, but that it is entirely achievable when governments, health systems, and the medical community move together with a shared plan.

The difference between those countries and much of sub-Saharan Africa right now is time and attention. Unlike other urgent global health situations, halothane depletion will not arrive with an outbreak curve or a dramatic headline. It will arrive quietly, one empty bottle at a time, in a hospital where a child needs surgery and the only drug the staff knows how to use is no longer on the shelf. By the time that moment becomes a crisis visible enough to mobilize a response, it will already be too late.

We know this is coming and what the solution requires. The only thing that remains uncertain is whether we will treat it with the urgency it deserves.

Elizabeth Igaga is Senior Director of Program Safety, Smile Train

IPS UN Bureau

 

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There are glimpses of happiness in the Democratic Republic of Congo's fight against the virus that has killed more than 170.

There are glimpses of happiness in the Democratic Republic of Congo's fight against the virus that has killed more than 170.

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The streets of the capital, Praia, shook with wild celebrations as the small island nation held Spain to a shock 0-0 draw.

The streets of the capital, Praia, shook with wild celebrations as the small island nation held Spain to a shock 0-0 draw.

The streets of the capital, Praia, shook with wild celebrations as the small island nation held Spain to a shock 0-0 draw.

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Cape Verde stuns Spain with a goalless draw inspired by a 40-year-old goalkeeper who has gone viral on social media.

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By James Alix Michel
VICTORIA, Seychelles, Jun 15 2026 (IPS)

Tomorrow, Africa hosts the Our Ocean Conference on its own shores for the first time, in Mombasa.

This is more than a diplomatic milestone. It is a test of whether we, as Africans, are prepared to safeguard our ocean as a shared heritage and a pillar of our future prosperity.

James Alix Michel

For island and coastal nations such as Seychelles, this is not an abstract debate. It is a question of survival, identity and dignity. Our ocean is the blue heart that sustains our people. It feeds our families, stabilises our climate, underpins our blue economies and shapes our cultures. If we fail to protect it, we will have failed our children.

As former President of Seychelles, I had the privilege to help pioneer the blue economy concept in Seychelles and the South West Indian Ocean. That vision, born from our own lived reality, was simple but profound: our economic future depends on a healthy ocean. We must build prosperity not by exhausting marine wealth, but by restoring and protecting it.

Today, as the world gathers in Kenya under the theme “Our Ocean, Our Heritage, Our Future”, that same blue economy vision must guide Africa’s choices. The theme is not a slogan to open a conference; it is a call to re imagine the relationship between our societies and the sea. It demands that we treat the ocean as a living heritage we hold in trust, not a frontier for short term extraction.

Earlier this year, together with Dona Bertarelli, we called for a moratorium on deep sea mining and for stronger protection of Africa’s ocean. We did so in anticipation of the Mombasa conference, knowing that the decisions taken there – or avoided there – will echo across our continent and far beyond. Africa’s voice on the ocean has to be heard clearly, and our commitments will be judged not by the elegance of our words, but by the protections that reach people and nature.

Deep sea mining crystallises what is at stake. The deep ocean is one of the last largely unknown frontiers on our planet. It supports ecosystems that have taken millennia to form and that play roles in global processes we are only beginning to understand. To open this fragile realm to industrial mining without robust, independent science and effective governance would be to gamble with consequences we cannot foresee and cannot reverse.

For Africa, the risks are even more acute. Many of our states are still building their scientific and regulatory capacities. Many of our coastal communities and small scale fishers already face pressure from climate change, pollution and overfishing. To layer the uncertain impacts of deep sea mining on top of these existing stresses would be reckless.

This is why I support a precautionary pause on deep sea mining. Precaution is not anti development. It is responsible leadership in a time of profound uncertainty. It says: we will not mortgage the ocean that sustains us for promises of quick gain, especially when those gains may flow elsewhere while the damage remains with us.

Africa’s seas underpin our food security, our climate resilience, our blue economies, our cultures and our identities as ocean peoples. They are the living foundation for millions of coastal and island communities across the continent, from the Western Indian Ocean to the Atlantic and Mediterranean shores. To treat them as mere repositories of minerals is to ignore their true value and the rights of those who depend on them.

As leaders, negotiators and experts gather in Mombasa, I believe Africa should speak with one clear, principled message.

First, our ocean is not a frontier for unchecked extraction, but a heritage we hold in trust. Decisions taken in Mombasa must respect the ocean’s ecological limits and recognise the special vulnerabilities and rights of small island developing states and coastal nations.

Second, any activity in the deep sea must proceed only when independent science shows it will not cause irreversible harm. That means investing in African and global scientific capacity and listening to evidence, not to pressure for rapid exploitation.

Third, ocean decisions must prioritise coastal communities, small scale fishers, women and youth, and the countries that depend on the sea every day. The benefits of a blue economy must be shared fairly, and its governance must be inclusive. Communities on the frontlines of change must be at the centre of decision making, not at the margins.

From Seychelles, we know that it is possible to chart a different course. Through marine spatial planning, marine protected areas, innovative financing and a strong commitment to conservation, we have shown that protecting the ocean can go hand in hand with creating opportunities for our people. The blue economy is not a theory for us. It is a lived pathway, built through hard choices and long term vision.

From Mombasa, Africa now has a chance to lead. True ocean leadership requires more than ambitious speeches. It requires restraint as well as innovation, protection as well as investment. It demands that we say “not yet” when the science is uncertain and the risks are too great. It asks us to measure success not only in money raised, but in coral reefs saved, fish stocks rebuilt and communities strengthened.

The Our Ocean Conference was created to move the world from promises to action. Let us ensure that the action that emerges from Mombasa honours its theme: “Our Ocean, Our Heritage, Our Future.” Let us ensure that the legacy of this conference is a safer ocean for Africa and for the world, not new risks passed on to our children.

From Victoria to Mombasa, from Seychelles to the African mainland, our message should be united and firm: Africa’s ocean is not for sacrifice. It is for stewardship. It is for our people. And it is for our future.

James Alix Michel is the former President of the Republic of Seychelles and founder of the James Michel Foundation.

IPS UN Bureau

 

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Ibrahim helped define a genre of South African jazz music in a career that spanned eight decades.

A seat is being left empty in the press box at every France game at the World Cup to highlight the case of a French football writer who is in prison in Algeria.

A seat is being left empty in the press box at every France game at the World Cup to highlight the case of a French football writer who is in prison in Algeria.

A seat is being left empty in the press box at every France game at the World Cup to highlight the case of a French football writer who is in prison in Algeria.

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Mexico modernized the legendary Azteca Stadium –now officially known as Banorte Stadium, to host five matches during the 2026 World Cup. However, residents have complained that the urban projects developed in the area do not address their needs, such as access to drinking water and better transportation. Credit: Emilio Godoy

By Emilio Godoy
MEXICO CITY, Jun 15 2026 (IPS)

The construction of an elevated pedestrian bridge connecting central and southern Mexico City –one of roughly 2,000 urban works tied to the 2026 FIFA World Cup, began last October, and, with only days to go before the tournament’s kickoff, remains unfinished.

When work broke ground, the Mexican capital, one of three host cities in this Latin American country, had no environmental plan in place –a requirement under the sustainability framework of the International Federation of Association Football (FIFA), the sport’s global governing body.

The 2026 World Cup spans three North American nations –Canada, the United States and Mexico, where the opening match was played last Thursday 11th at the iconic Estadio Azteca, now officially named Banorte Stadium, in Mexico City.

The unfinished bridge is not an isolated case, as it reflects the broader dynamic in Mexico City, where the local administration has launched some 2,000 construction projects ahead of the tournament, accelerating preparations throughout 2025 for a metropolis of nine million residents –23 million including greater metropolitan areas–.

The 2026 World Cup is the largest in history, featuring 48 teams, 104 matches across 16 cities in Canada, the United States, and Mexico. It is also set to be the most polluting ever, according to two recent studies

The two other Mexican host venues face comparable shortfalls. Zapopan, neighboring Guadalajara in the western Jalisco state, and Guadalupe, on the outskirts of Monterrey in northern Nuevo León, have environmental plans riddled with gaps and not designed for mass events like a World Cup.

In all three cases, sustainability became an afterthought. The absolute priority was speed – ensuring completion before the opening whistle.

FIFA’s sustainability strategy encompasses the social, environmental, economic and governance pillars, and covers all three phases of tournament organization: preparation, staging and post-event activities, from strategy development through to the final sustainability and human rights report. FIFA, headquartered in Zürich, requires host cities to integrate environmental and human rights into their planning.

The strategy includes the prevention and mitigation of adverse environmental impacts, as well as measures to protect the ecosystems and address environmental degradation and its consequences on human rights.

The plan also stipulates protections for groups or populations facing disproportionate risks associated with the World Cup environmental footprint, addressing potential environmental risks related to the tournament’s organization, and tackling the effects tied to modifications made during its preparation.

Its environmental pillar comprises energy efficiency, waste reduction, city-level transport planning, impact prevention and mitigation. However, the strategy does not establish a specific carbon budget or an updated emissions estimate for the tournament.

The environmental factor is critical due to issues such as waste generation and water scarcity –common challenges across all three Mexican cities, as well as ongoing construction projects, particularly in Mexico City.

This reporter filed dozens of public information requests to agencies across all three host municipalities. None possessed estimates for carbon dioxide (CO₂) emissions –the human-generated gas responsible for global warming, energy consumption, traffic volume, waste generation, water use or public transport ridership tied to the World Cup.

The gaps extended across virtually every relevant institution: Mexico’s Office of the Presidency; Mexico City’s Mayor’s Office; the capital’s secretaries for Mobility, Environment and Water Management; local public transit services; and the boroughs of Coyoacán and Tlalpan have no records of these measurements.

The same was true in Jalisco, where the state General Secretary of Government, the Secretaries of Environment and Territorial Development, the general coordination offices of Municipal Services, Public Works, Mobility and Transport, and Strategic Growth and Economic Development; the State Water Commission, the Inter-municipal Water and Sanitation Services System, and Guadalajara and Zapopan local governments confirmed they had no such projections. In Nuevo León, the pattern repeated itself: state and municipal environment and mobility agencies, along with the Monterrey water utility, have failed to produce these projections.

Gabriela Cuevas, a former senator from the opposition National Action Party (PAN) now serving as the presidential delegate for the World Cup, told this reporter her schedule was full and referred the inquiry to the Federal Attorney General for Environmental Protection (Profepa). In a June 4 appearance at President Claudia Sheinbaum’s morning press conference, Cuevas asserted Mexico had met all FIFA requirements. FIFA did not respond to a request for comment.

The Mayor’s Office referred inquiries to the Secretary of Territorial Management, whose communications department stated that the matter fell outside its jurisdiction.

This silence is no accident; the government’s priority is the absolute success of the competition, overshadowing improvisations, mistakes, and complaints.

Streets flooded by heavy rains in the Santa Úrsula neighborhood, in southern Mexico City, home to the Banorte Stadium (formerly Azteca), which will host five World Cup matches.
Credit: Emilio Godoy

Urban window-dressing

Sources consulted for this article doubt on the environmental credentials and the necessity of many of the projects, while also denouncing a lack of public consultation to affected communities in several cases.

Rubén Ramírez, Santa Úrsula local community’s traditional authority –where Banorte Stadium stands, said the works fail to address the area’s most pressing crises, such as water availability, mobility, and the unchecked surge in construction.

“From the two World Cups that have been held (in Mexico), they have made millions, while the town has been left behind”, he said, referring to the 1970 and 1986 tournaments, both of which featured prominently the then-Azteca Stadium.

Mexico City legal framework requires authorities to consult indigenous and traditional communities before carrying out works on their territories –a requirement that was not met in the World Cup preparations, residents say. Locals have also complained of inadequate information and no meaningful response to their concerns.

Amid water shortages, a lack of green spaces, and poor mobility, the Santa Úrsula neighborhood has lived in the shadow of the stadium for half a century, but nothing has compared to this tournament. Its narrow streets are now bracing for thousands of visitors and dozens of public transit units in the so-called “Last Mile” corridor to the arena.

Alejandro Cerezo, who lives within the area of influence of the modernized stadium, considers the works to be mere “showcase projects” with no real environmental benefit.

“They didn’t build infrastructure. The right to mobility is restricted by road closures. It’s their plan, they (the government) execute it, and for everything else, there’s no consultation”, said Cerezo, a human rights defender.

In April, with dozens of projects already underway, Mexico City Mayor Clara Brugada unveiled the “Green World Cup: With Fair Play, the Planet Wins” –a ten-point initiative covering recycling, clean air and sustainable food.

Furthermore, in March, she had announced a Human Rights Agenda for the capital ahead of the tournament, comprising more than 100 actions under six headings, including mobility, non-discrimination, diversity and transparency.

One of these pillars, dubbed “Green Pitch” (Cancha Verde), supports economic, social, cultural, and environmental rights, with an emphasis on promoting circular economy principles and waste reduction.

The capital government has painted the city purple –the city government’s colour of presumed feminist alignment, and has plastered images of axolotls on every corner. The species, endemic to Mexico City, is critically endangered. For the Brugada administration, its ubiquitous image serves as a proxy for environmental credibility.

The true color is gray, the dye of the concrete poured across the city. Simply inserting the words “green” or “environmental” into every official message has not, by itself, made this World Cup any greener.

Mexico City, Guadalupe, and Zapopan—which expect to receive over five million visitors—have focused their efforts exclusively on projects surrounding the stadiums and the transit infrastructure needed to reach them: roadways and public transportation.

The Mexican capital has also tackled hydraulic works, rainwater capture, street lighting, pedestrian mobility and the rehabilitation of avenues surrounding the stadium, which will host five matches. Larger projects include the renovation of the international airport and an upgrade to one Metro public transit system line.

Across all three cities, the population breathes polluted air, faces water access issues, and copes with massive waste generation.

Government propaganda for the soccer World Cup in southern Mexico City. The capital administration has painted the public space purple and covered it with images of the axolotl, an endangered endemic species. However, the ecological credentials of the tournament preparations are nowhere to be seen.
Credit: Emilio Godoy

Insufficient Plans

Guadalupe, Nuevo León –home to BBVA Stadium, which will host four matches — has no specific plan for large-scale events that incorporates environmental and human rights obligations, no equity or environmental justice framework, and no quantifiable targets for emissions, renewable energy or carbon footprint reduction.

The town, which has 635,718 residents –while the Monterrey metropolitan area counts 5.32 million, has a regulation for stationary emission sources. Its Article 129 sets specific environmental guidelines for collection centers and sport fields, as well as frameworks for waste management, ecosystem protection and public participation.

The Guadalupe Programme, announced in 2025, includes cleanup actions, paving, reforestation, improvements to parks and plazas, as well as traffic safety campaigns. The local administration announced a mobility plan in May –one month before kick-off. Civil society organizations had already flagged poor public transport planning in February.

In Zapopan, home to Akron Stadium (host for four games) and located near Guadalajara, the Municipal Climate Action Programme lacks an environmental justice approach, a human rights-environment nexus and any assessment of cumulative impacts from the tournament. Furthermore, it is not designed for large-scale international events like the World Cup.

On the positive side, its ban on single-use plastics and polystyrene in commercial establishments represents a concrete step toward tournament sustainability.

In response to an FOIA request, the municipal council said it was still calculating greenhouse gas emissions and waste projections.

Over the course of this year, human rights organizations have recorded at least 15 protests over mobility issues in Guadalajara, whose metropolitan area totals 5.32 million residents, while Zapopan has 1.58 million.

“There are impacts from the closure of public spaces, not just from construction. We don’t know the environmental impact of the works”, said Denise Montiel, the Centro de Justicia para la Paz y el Desarrollo director, a Guadalajara-based NGO.

The construction of a public electric bus line –originally conceived as a metro track, began in 2025 without local permits. The lane links Guadalajara’s airport to the metropolitan area, with a stop at the stadium.

 

Water for Whom?

Water scarcity is among the most critical issues across all three host cities. Six NGOs warn that consumption could rise 40 to 60 percent during the contest in the three metropolises.

In Mexico City, where one in four households does not receive water daily and nearly four in ten liters are lost to leaks, an estimated 15,000 additional visitors could require some 2,250 cubic meters (m3) of water per day.

Guadalajara faces a similar crisis, as three of the four aquifers supplying the city suffer from a deficit because extraction outpaces recharge. It is estimated that an additional 18 000 people could require nearly 2700 m3 of water per day.

Monterrey is no different. All four of its supply aquifers are in the red, and the city carries a permanent deficit of 2.1 m3 between supply and demand. An estimated 15 000 additional visitors could require daily some 2250 m3.

 

The Dirtiest Cup

The 2026 World Cup is the largest in history, featuring 48 teams, 104 matches across 16 cities in Canada, the United States, and Mexico. It is also set to be the most polluting ever, according to two recent studies.

The 2026 tournament is expected to generate 7,8 million tons of CO2—double the 2022 Qatar World Cup level of 3.6 million –primarily due to fan travel (nearly 88% of the total) across the 16 venues, according to an analysis by Paris-based climate tech consultancy Greenly. The next largest sources are accommodation and stadium modernization.

Meanwhile, London-based Scientists for Global Responsibility and the non-governmental Environmental Defense Fund put the figure even higher, at nine million tonnes.

FIFA has committed itself to halving its climate emissions by 2030 and achieving net-zero carbon emissions by 2040, but this commitment applies to the organization as a whole, rather than to individual competitions. Little evidence of progress has emerged from net-zero tracking platforms. FIFA is expected to rely again on carbon offsets, as it did for Qatar 2022.

In 2023, the Swiss Fairness Commission –Switzerland’s self-regulatory body for advertising and communications, found FIFA’s claim that Qatar 2022 was the first fully carbon-neutral World Cup to be unsubstantiated.

Even before it is kicked, FIFA and the three Mexican host cities have already fouled the ball.

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MEPs from the Foreign Affairs and Development Committees and the Human rights Subcommittee will meet Andrzej Poczobut in Strasbourg this evening.
Committee on Foreign Affairs
Committee on Development
Subcommittee on Human Rights

Source : © European Union, 2026 - EP