First new treatments for sexually transmitted disease in decades approved by US Food and Drug Administration as number of cases worldwide surge to 82m

The first new treatments for gonorrhoea in decades could be a “huge turning point” in efforts to combat the rise of superbug strains of the bacteria, researchers have said.

Gonorrhoea is on the rise around the world, with more than 82m infections globally each year and particularly high rates in Africa and countries in the World Health Organization’s Western Pacific region, which reaches from Mongolia and China to New Zealand. Cases in England are at a record high, and rates in Europe were three times higher in 2023 than in 2014.

Our investigation of the Free Birth Society points to problems with maternity care and the role played by technology

Despite all the proven advances of modern medicine, some people are drawn to alternative or “natural” cures and practices. Many of these do no harm. As the cancer specialist Prof Chris Pyke noted last year, people undergoing cancer treatment will often try meditation or vitamins as well. When such a change is in addition to, and not instead of, evidence-based treatment, this is usually not a problem. If it reduces distress, it can help.

But the proliferation of online health influencers poses challenges that governments and regulators in many countries have yet to grasp. The Guardian’s investigation into the Free Birth Society (FBS), a business offering membership and advice to expectant mothers, and training for “birth keepers”, has exposed 48 cases of late-term stillbirths or other serious harm involving mothers or birth attendants who appear to be linked to FBS. While the company is based in North Carolina, its reach is international. In the UK, the NHS only recently removed a webpage linking to a charity “factsheet” that recommended FBS materials.

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An estimated 6,000 nurses left in 2024 for roles in countries including the US, UK, Canada, and Australia. Three nurses explain what made them decide to leave or stay

When Bright Ansah, a nursing officer in Accra, goes searching for colleagues who have failed to show up for a shift at the overstretched hospital where he works, he knows where to look. “When you see ‘In God we trust’ on their WhatsApp status, that’s when you know they’re already in the US,” he says.

The motto of the US has been co-opted by Ghanaian medical professionals who are leaving the west African nation in droves. Many believe their faith has finally been rewarded when, after years of planning, they reach the promised land of the well-equipped, well-resourced hospitals of the US.