In this episode of A Moment in Health, Dr. Ashish Jha explains the significance behind the largest U.S. measles outbreak in 25 years, with 1,288 confirmed cases as of last week. He then highlights a major new study tracking two decades of U.S. childhood health trends and rising deaths due to firearms, substance use and suicide. Senior Adviser to the Pandemic Center and former South African Member of Parliament Wilmot James joins to share his perspective on America’s retreat from global health leadership, the erosion of soft power and the risks of being seen as an unreliable partner.

Dr. Jha discusses:

• Measles: restoring confidence in vaccine information — BMJ
• Trends in US Children’s Mortality, Chronic Conditions, Obesity, Functional Status, and Symptoms — JAMA

Dr. Wilmot James, an internationally recognized thought leader in biosecurity, global health, and pandemic preparedness, is a Senior Advisor to the Pandemic Center and a Professor of the Practice of Health Services, Policy and Practice. Dr. James has served as Member of Parliament and Shadow Minister of Health in South Africa, and most recently held positions at Columbia University as Senior Research Scholar at the Institute for Social and Economic Research and Policy and as Chair of the Center for Pandemic Research.

Dr. Ashish K. Jha is the dean of the Brown University School of Public Health.

Music by Katherine Beggs, additional music by Lulu West and Maya Polsky

In this episode of A Moment in Health, Dr. Ashish Jha highlights the steep administrative costs of Medicaid work requirements and breaks down a new study estimating that U.S. foreign aid programs via USAID have saved 90 million lives in the past two decades, with an additional 14 million lives at stake by 2030 if funding cuts persist.

Professor of the Practice Stefanie Friedhoff joins to answer a timely question: How did we arrive at this moment of rampant public health misinformation? She explains how trust, online relationships, and unmet informational needs shape what people believe—and why traditional fact-based communication can fall short.

Dr. Jha discusses:

• Recent Experience Shows National Medicaid Work Requirements Would Create Enormous Administrative Inefficiencies — Health Affairs
• Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis — The Lancet

Stefanie Friedhoff is co-founder of the Information Futures Lab (IFL) and Professor of the Practice at the Brown University School of Public Health. She is a leading media, communications and global health strategist, and an expert at knowledge translation, information creation, and verification. From July 2022 to May 2023, Friedhoff served as a senior policy advisor on the White House Covid-19 Response Team, focusing on population information needs, health equity, community engagement, and medical countermeasure uptake. At Brown, Friedhoff studies information ecosystems and the relationships between information needs, information inequities, and health outcomes.

Dr. Ashish K. Jha is the dean of the Brown University School of Public Health.

Music by Katherine Beggs, additional music by Lulu West and Maya Polsky

In this episode of A Moment in Health, Dr. Ashish Jha illustrates the economic benefits of health insurance coverage and a new study linking adjuvanted vaccines for shingles and RSV to a lower risk of dementia. Senior Adviser to the Pandemic Center and former Gavi CEO Dr. Seth Berkley joins to discuss the consequences of the recent U.S. withdrawal of funding for Gavi, noting the cost-effectiveness of vaccines and the loss of vaccinations for 75 million children.

Dr. Jha discusses:

• Health insurance as a productive factor — Labour Economics
• Lower risk of dementia with AS01-adjuvanted vaccination against shingles and respiratory syncytial virus infections — npj Vaccines

Dr. Seth Berkley is a Senior Advisor to the Brown University Pandemic Center and a serial entrepreneur and pioneer in global public health for more than 35 years. From 2011 to 2023, he served as CEO of Gavi, the Vaccine Alliance. During his tenure at Gavi, Berkley led a team that worked toward broadening global immunization access, resulting in more than half of the world’s children being vaccinated annually.

Dr. Ashish K. Jha is the dean of the Brown University School of Public Health.

Music by Katherine Beggs, additional music by Lulu West and Maya Polsky