Seeing Loreta sort and dry her Omena sardines at the shores of Lake Victoria in Western Kenya, one may dismiss this small, middle-aged woman as an ordinary fishmonger struggling to earn a living.

Of COVID-19’s many lessons, one is most critical to our collective next steps:

Business as usual in global health is no longer possible.

The pandemic exposed weaknesses in health systems across the world, and particularly in the delivery of equitable, high-quality reproductive, maternal, newborn, adolescent, and child health (RMNCAH) services. It also reinforced that effectively addressing these challenges requires rapid, responsive approaches driven and owned by countries and local institutions.

When Russia struck a deal with Ukraine on July 15, there was hope that millions of tons of food would once again be able to flow from the embattled country. Under the agreement, brokered by Turkey and the UN, Russia would lift naval blockades and allow large-scale shipments of grain to leave Ukraine’s ports.                                                  

From climate change to COVID-19 and the war in Ukraine, the world is a landscape of increasing instability. Book-ending the Top 5 posts of June are two articles that explore different aspects of these converging risks. In the top post for June, Steven Gale and Mat Burrows write that globally, younger generations are becoming increasingly disengaged and discontent with their democratic governments, civil society, and institutions. Youth disillusionment is not a result of ignorance to current affairs, but rather a lack of faith in democratic institutions to address today’s most pressing global issues. Tackling youth disillusionment, suggest Gale and Burrows, begins with examining youth engagement trends and placing it at the top of the agenda.

“Building strong and inclusive partnerships for maternal, newborn, child health, and family planning programs is not future work,” said Dr. Koki Agarwal, Director of USAID’s MOMENTUM Country and Global Leadership at a recent Wilson Center event. “It’s urgent and it’s ‘right now’ work.”

This exploration of country perspectives and expertise on improving maternal, newborn, child, and adolescent health and family planning programs was the third event in a series that placed regional experiences and voices in the foreground.

In Iraq, climate change is adding stress to an already precarious situation. Weak public services,  growing unemployment, fossil fuel-related environmental and health hazards, and other factors have generated high levels of social vulnerability and contributed to recent protests. In the top post for May, Dylan O’Driscoll and Shivan Fazil write about how, against this fragile backdrop, insecurity is heightened by increasingly deadly flash floods and more frequent dust storms that pose a public health threat.

Cristina Dorador has decided that science is not enough. The Chilean microbiologist’s decades of research have convinced her that the unique ecosystem of her country’s Atacama desert is threatened by ever-expanding lithium mines. She has spent years trying to convince the nation’s leaders to protect the place, with little success.

Now, she’s seizing a historic opportunity: Her election to Chile’s constitutional assembly in 2021 has given Dorador a chance to try to change not only Chile’s lithium industry, but the country’s whole approach to natural resources. But will her endeavor have broader implications for the worldwide shift to renewable energy?

Global risks abound these days, from climate change to the next pandemic, as well as acute supply chain disruptions, energy shortfalls, and cybersecurity threats. These challenges play out in a landscape of immense political instability fomented by the Russian Federation, the People’s Republic of China, Iran and others, as well as dangers looming in the potential state collapse of countries like Afghanistan, Yemen, and Sudan. Taken together, the risk tally of our moment is mounting quickly.