
Slow, reflective writing on the tensions and contradictions that shape global health and the systems behind it.
| Platform | Pricing | Only free issues | Publishes | Weekly | |
|---|---|---|---|---|---|
| Issues | 45 | Founded | 8 months ago | Last Issue | 8 days ago |
| Active | |||||

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There is a French word that has no real real equivalent in English: le dépaysement. The Petit Robert Dictionary defines it as both a state and an impression, being removed from one’s familiar surroundings and experiencing...
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Dentistry lives with a strange contradiction.
It is obviously healthcare. Dentistry deals with pain, infection, inflammation, function, nutrition, speech, appearance, dignity and disease. A toothache can destroy sleep. Mi...
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Nobody sees global health whole. Not governments, not the World Health Organization, not philanthropies, not researchers, not civil society, not consultants. And certainly not me.
For a long time, I assumed the problem wa...
Global health hears some diseases before others.
It hears the pathogen that crosses a border. It hears the outbreak that threatens trade. It hears the virus that can turn distant suffering into domestic risk. It is less quick to hear the p...
There is a republic you have never voted in. You interact with it every day.
It has no seat at the United Nations. It signs no treaties. It holds no elections. And yet it reaches two billion people daily, operates...
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The writers behind this newsletter.
Global health researcher and adviser working across science, systems, equity, governance, and implementation, with experience in ministries, universities, and global agencies.
Ikenna Ebiri Okoro has a sharp eye for policy gaps and a commitment to the principle of leaving no one behind. He pushes for reforms that center lived experience and human rights.
TIME100 Health Honoree. Founder, Fidel Strub Forum & ETHOS FIDELIS. Applying watchmaker precision to global health. Occasional forensic insights on Noma, the architecture of dignity, and survivor-led intelligence.
Leenu Maimanuku writes on health, equity, and Pacific life. With 30+ years in dental education, research, and care, she’s led teams, programs, worked with communities, and advocates to improve access to oral health and amplify Pacific voices.
Dental public health specialist whose work spans oral health, ethics, and health systems reform across Africa and globally. My interest is in how global health frameworks shape the visibility, responsibility, and political possibility of oral health.
Yours, truly
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