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Think Global Health

War Injuries in Ukraine and U.S. Disaster Preparedness

October 3, 2025

 

Editors' Note

On Wednesday, EU leaders convened in Copenhagen, Denmark, to deliberate over defense plans—days after unidentified drones appeared over Danish airports. The event followed recent incursions by Russian drones into Estonia, Poland, and Romania. The meeting yielded a new proposal for a "drone wall" along the Russia-Ukraine border to repel unwelcome military aircraft.  

 
Modern war thrives off drones, physician Laurence Ronan writes this week for Think Global Health, and the aerial vehicles are propelling a growing trend of traumatic injuries and amputations. Ronan recounts a summer trip with Project HOPE to Dnipro, Ukraine—just 62 miles from the front lines—where one hospital performs 50 or more emergency surgeries each night on the wounded. The same day that article published, Russia hit Dnipro with a rare, daytime drone attack.  

Next, the U.S. federal government shut down Wednesday as the fiscal year lapsed and Congress failed to reach an agreement on a budget continuation. The shutdown, which could stifle the already struggling National Oceanic and Atmospheric Administration (NOAA) and Federal Emergency Management Agency (FEMA), comes during the busy period of hurricane season. Against that backdrop, journalist Rachel Nuwer interviews Alice Hill, CFR senior fellow for energy and the environment, on the changing nature of U.S. disaster preparedness and the separation of responsibilities between the federal government and states.  

Switching gears, professors Matthew D. Marr, Hiroshi Goto, and Dennis P. Culhane highlight the strategies Japan used to reduce unsheltered homelessness over the past two decades and how that approach contrasts with U.S. encampment sweeps.  
  

To cap the newsletter, health scientist Danilo Farias de Morais analyzes how Brazil's population is aging faster than its social protection system, public health infrastructure, and economic resources can provide support.  

Until next week!—Nsikan Akpan, Managing Editor, and Caroline Kantis, Associate Editor 

 

This Week's Highlights

GOVERNANCE

A nurse at the Mechnikov Hospital treats service members Viktor Cherniy, 52, and Vitalii Yunatskyi, 40, who were wounded during fighting against Russian forces, in an intensive care unit, in Dnipro, Ukraine, on May 14, 2025.

The War Wounded: A Doctor Reports 62 Miles From Ukraine's Front Lines  

by Laurence Ronan

A doctor travels with Project HOPE to Dnipro, where a hospital performs 50 or more emergency surgeries each night 

Read this story

 

ENVIRONMENT

A nurse at the Mechnikov Hospital treats service members Viktor Cherniy, 52, and Vitalii Yunatskyi, 40, who were wounded during fighting against Russian forces, in an intensive care unit, in Dnipro, Ukraine, on May 14, 2025.

Climate Disasters and U.S. Federalism

by Rachel Nuwer 

Climate resilience specialist Alice Hill discusses the changing nature of disaster preparedness in the United States 

Read this story

 

Figure of the Week

A line chart showing average life expectancy in Brazil for men, women, and average from 1940 to present

Read this story

 

Recommended Feature

URBANIZATION

Nathaniel, who is homeless, panhandles near the National Mall after U.S. President Donald Trump federalized the Metropolitan Police Department and deployed National Guard to assist in crime prevention, in Washington, DC, on August 15, 2025.

Addressing Homelessness: U.S. Sweeps Versus Japan's Public Assistance

by Matthew Marr  

Rather than sweep encampments and cut budgets, Japan found success with needs-based cash benefits and housing subsidies

Read this story

 

What We're Reading

Halal Concerns Drive Vaccine Hesitancy as Indonesia Fights Measles Outbreak (AP News)

Trump's USAID Pause Stranded Lifesaving Drugs. Children Died Waiting. (Washington Post) 

Neglected Form of Diabetes With Unusual Symptoms Finally Gets Its Own Name (NPR's Goats and Soda)

At Least 69 People Killed in a Powerful Earthquake That Hit the Philippines (ABC News)

How a Simple Tax Incentive Could Mobilize Billions in Private Investment for Sustainable Development (Center for Global Development)

Drug-Resistant Sepsis Threatens Newborns Across Southeast Asia, Study Warns (South China Morning Post)

 

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