At least 1m people facing starvation as Madagascar’s drought worsens

People eating termites and clay as UN says acute malnutrition has almost doubled this year in south

Madagascar’s worst drought in 40 years has left more than a million people facing a year of desperate food shortages.

The south of the island will produce less than half its usual harvest in the coming months because of low rains, prolonging a hunger crisis already affecting half the Grand Sud area’s population, the UN estimates.

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Pope adds voice to call for pharma giants to waive vaccine patents

Francis condemns ‘virus of individualism’ that is hampering global vaccination efforts in message to Vax Live concert

Pope Francis has given his backing to the campaign calling for the suspension of coronavirus vaccine patents to boost supplies to poorer countries.

In a video message to the Vax Live event, Francis backed “universal access to the vaccine and the temporary suspension of intellectual property rights”. And he added his condemnation of the “virus of individualism” that “makes us indifferent to the suffering of others”.

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Mission menopause: ‘My hormones went off a cliff – and I’m not going to be ashamed’

An estimated 13 million women in the UK are living with the menopause. So why are so many enduring the turmoil of its symptoms without help and support? It’s about time that changed. Portrait by Suki Dhanda. Illustration by Anna Kiosse

We are witnessing a tipping point: the rise of Menopause Power: a growing activist movement which will change the Change in the same way that Period Power fought period poverty and stigma. On social media, on podcasts and in newspapers, there’s a huge menopause conversation, as confrontational as it is celebratory. I’ve just produced a Channel 4 documentary, Davina McCall: Sex, Myths and the Menopause, and there’s nowhere we don’t go: losing jobs to hot flushes, vaginal dryness, memory loss, orgasms after menopause, and the shocking misinformation we’ve been fed on hormone replacement therapy.

But above all, we give the menopausal taboo the kicking it has long deserved. As Davina McCall, who’s presented everything from Big Brother to Long Lost Family and had her first hot flush at 44, says: “I was advised not to talk about it, that it was ageing and a bit unsavoury, but clearly that didn’t work out very well, because I’m sitting here talking to you… I’m not going to be ashamed about a transition that half the population goes through.”

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As the global family shrinks, migrants and the planet benefit

Figures from the US and Japan reveal sharp declines in birthrates, and even China may have peaked, but there are upsides

Read more: Italy’s birthrate is falling. Can the storks help?

Census data from the US released last week showed the number of babies born in the country in 2020 dropped to the lowest level in more than four decades. The same day, Japan marked Children’s Day by announcing that the number of under-14s in the country had fallen for the 40th consecutive year to a record low.

It is not just in the rich world that the appetite for having children is falling. Also in 2020, China may have recorded its first overall population decline since a catastrophic famine in the late 1950s, the Financial Times has reported, citing unpublished census data.

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Italy’s birthrate is falling. Can the storks help?

Last year, the population of Europe’s fourth biggest economy dropped by the equivalent of a city the size of Florence. Yet the northern hamlets of Val d’Ultimo have found ways to buck the trend

Read more: As the global family shrinks, migrants and the planet benefit

As if having a baby wasn’t expensive enough, fathers of newborns in the mountain hamlets that make up Italy’s Val d’Ultimo have an additional cost.

In a revival of an ancient myth that white storks deliver babies, carved wooden storks carrying a newborn child in a sling are a common feature outside homes in the valley.

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Are there too many people? All bets are off

For decades, scientists and economists have been making wagers about the outcome of human population growth. Now, more than ever, their speculations need to be taken seriously

In 2011, when the global population hit 7 billion, economist David Lam and demographer Stan Becker made a bet. Lam predicted food would get cheaper over the next decade, despite continuing population growth. Becker predicted that food prices would go up, because of the damage humans were doing to the planet, which meant that population growth would outstrip food supply. Becker won and, following his wishes, Lam has just written out a cheque for $194 to the Vermont-based nonprofit Population Media Center, which promotes population stabilisation internationally.

$194, about £140, equates to the amount by which a basket containing five food types – oils and fats, cereals, dairy, meat and sugar – and worth on average $1,000 in the decade to 2010, increased in price over the following decade, according to the UN Food and Agriculture Organization’s Food Price Index (FFPI) and allowing for inflation.

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Scientists launch search for genetic test to spot killer prostate cancer

Gene-screening, as is used to detect some breast cancer risks, could save thousands of lives

Scientists have begun work to create a prostate cancer screening service for the UK. In a few years, middle-aged men could be tested to reveal their genetic susceptibility to the condition, with those deemed to be under significant threat of developing it being offered treatment or surgery.

The service would tackle a disease that has become the nation’s most commonly diagnosed cancer and would parallel Britain’s breast cancer screening programme. Every year, more than 47,500 men are diagnosed with prostate cancer: 129 a day on average. More than 11,500 deaths from the disease occur each year, with one in eight men being diagnosed with prostate cancer at some time in their lives.

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Refugees and the Armenian genocide: human rights this fortnight in pictures

A roundup of the coverage on struggles for human rights and freedoms, from Colombia to China

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UK aid cuts will put tens of thousands of children at risk of famine, says charity

Save the Children’s analysis finds Britain will spend 80% less on nutrition abroad this year, as hunger levels rise around the world

Britain is set to spend 80% less on helping feed children in poorer nations than before the pandemic, according to a charity’s analysis.

Save the Children said the British government will spend less than £26m this year on vital nutrition services in developing countries, a drop of more than three-quarters from 2019. The estimate of aid cuts to nutrition comes after UN agencies called for urgent action to avert famine in 20 countries including Yemen, South Sudan and northern Nigeria.

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Keir Starmer concedes Labour has lost the trust of working people

Leader says party considering moving HQ out of London to show it represents the whole country after May election defeats

The Conservatives inflicted a historic byelection defeat on Labour and regained the Tees Valley mayoralty by a landslide as Keir Starmer conceded his party had lost the trust of working people across England.

The Labour leader, who called the local election results “bitterly disappointing”, is considering moving his party’s headquarters out of London to reflect Labour’s determination to show that it represents the whole country, party sources told the Guardian.

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‘A dirty business’: how one drug is turning Syria into a narco-state

Manufacture of Captagon is a growth industry so big it is starting to rival GDP of flatlining economy

In the summer of 2015 a businessman in the Syrian province of Latakia was approached by a powerful security chief, seeking a favour. The official wanted the merchant, an importer of medical supplies, to source large amounts of a drug called fenethylline from abroad. The regime, he said, would readily buy the lot.

After an internet search, the merchant made a decision. He left his home that same week, first sending his wife and children to exile, then following after, scrounging what he could from his businesses for a new start. “I know what they were asking me to do,” he said from his new home in Paris. “They wanted the main ingredient for Captagon. And that drug is a dirty business.”

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US-Germany rift as Berlin opposes plan to ditch Covid vaccine patents

  • Germany says waiver would inhibit private sector research
  • Opposition to Biden plan threatens to deadlock WTO talks

The US and Germany are at odds on the issue of waivers for patents on Covid-19 vaccines, as Berlin argued that a waiver would not increase production and would inhibit future private sector research.

The disagreement is the first major rift between the two economic powers since Joe Biden took office, and threatens to deadlock discussions at the World Trade Organization (WTO) and sour relations within the G7 group of major industrialised democracies.

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Global shortfall of nearly 1m midwives due to failure to value role, study finds

Investing in midwifery could prevent two-thirds of maternal and newborn deaths, but investment and training are urgently needed

The world is facing a shortage of 900,000 midwives, with more than half the shortfall in Africa, where nearly two-thirds of maternal deaths occur, according to a new survey.

Insufficient resources and a failure to recognise the importance of the role mean there has been little progress since the last study in 2014, according to the State of the World’s Midwifery report, which looked at 194 countries.

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Ministers urged to reveal details of £2bn Covid deals with private health firms

Contracts to increase capacity handed to 17 companies, some of whom had donated to Conservatives

The government has been urged to publish details of up to £2bn in Covid-19 contracts awarded to private healthcare companies, including some that have helped fund the Conservative party.

Contracts to provide extra capacity during the pandemic have been handed to 17 firms since March 2020.

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As UK nears zero Covid deaths, there’s good reason for optimism

Analysis: the vaccine strategy and staggered easing of restrictions have worked well. The next step is crucial

The handling of the coronavirus crisis in the UK has provided few moments to celebrate, but the day we reach zero deaths from the disease will clearly be one to toast. That day may not be far off. On Tuesday, the UK reported four Covid deaths within 28 days of a positive test. On Monday it was only one. Months of painful lockdown, in the face of more transmissible variants, and the rapid rollout of effective vaccines, have proven their worth. We have good reason to feel optimistic for the months ahead.

No one will have forgotten the brutal winter. In January alone, the UK reported nearly 32,000 Covid deaths, an appalling tally directly linked to locking down too late. In April, the death toll fell to 753. This month, scientists advising the government expect deaths to fall further. It is worth remembering that it’s been more than nine months since the UK last reported zero Covid deaths. We may see more in May, though people will continue to die of Covid, and the numbers might well rise again when restrictions are lifted on indoor mixing.

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Child marriage ‘thriving in UK’ due to legal loophole, warn rights groups

In a letter to the PM campaigners say forced marriage law fails to protect young people

A legal loophole that allows 16- and 17-year-olds in England and Wales to marry with parental consent is being exploited and used to coerce young people into child marriage, campaigners have warned.

More than 20 organisations have signed a letter to the prime minister insisting current forced marriage law does not go far enough in protecting young people.

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NHS introduces 3D heart scans to diagnose patients in 20 minutes

Revolutionary HeartFlow technology turns CT scan into 3D image, allowing treatment five times faster

Patients with life-threatening coronary heart disease will be treated five times faster thanks to 3D scans being introduced on the NHS that allow for a diagnosis in just 20 minutes.

The revolutionary technology can turn a regular CT scan of the heart into a 3D image, allowing doctors to diagnose them rapidly, NHS England said.

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Air pollution spikes may impair older men’s thinking, study finds

Even short, temporary increases in airborne particles can damage brain health, research suggests

Temporary rises in air pollution may impair memory and thinking in older men, according to research that indicates even short-term spikes in airborne particles can be harmful to brain health.

Scientists found that the men’s cognitive performance fell following rises in air pollution during the month before testing, even when peak levels remained below safety thresholds for toxic air set by the World Health Organization and national regulators.

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‘It’s terrifying’: parents’ struggle to get help for children with long Covid

Lack of research into area means children are being sent away from A&E and parents told they are overanxious

On Christmas Day, Gail Jackson’s 16-year-old daughter said she was in so much pain she thought she would die. Liliana had been briefly admitted to hospital with Covid in September. Her symptoms never went away and, as time went on, new ones had emerged.

“For months she had a relentless, agonising headache, nausea, tinnitus, fatigue and insomnia, but the worst thing was the agonising nerve pain,” said Jackson. “I couldn’t even touch her without her screaming in pain.”

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It’s a hard sell but Africa must invest in art and imagination

Building an arts centre in Uganda, in a pandemic, was never going to be easy but it’s crucial to our post-Covid future

I’ve been raising funds for a building project: not a hospital, not a school, but an arts centre.

It’s not an easy sell at the best of times but add in a pandemic and the fact that I’m in Africa and, according to the current rules of financial engagement, art is the verylowest of priorities.

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