The initiative, known as the Big Catch-Up and led by the World Health Organization, UNICEF and Gavi, the Vaccine Alliance, concluded in March after a three-year effort to restore immunization coverage disrupted by the pandemic.

By the end of December 2025, the campaign had reached an estimated 18.3 million children aged under five across 36 countries in Africa and Asia, delivering more than 100 million vaccine doses, according to a joint statement. Of those, around 12.3 million children had never received any prior vaccination, while 15 million had not previously been immunized against measles.

Health systems worldwide faced severe disruption during the COVID-19 crisis, leading to missed routine immunizations and a resurgence of preventable diseases including measles and polio. The agencies said the campaign also strengthened national immunization systems by improving their ability to identify children who had previously been missed.

Tedros Adhanom Ghebreyesus said the initiative had helped reverse one of the pandemic’s major health setbacks by reaching children who had been excluded due to service disruptions.However, officials warned that significant obstacles persist.

The agencies highlighted declining foreign aid and widening gaps in routine immunization, noting that measles outbreaks have increased globally, with approximately 11 million cases reported in 2024.Kate O’Brien said growing politicization of vaccines and health issues posed a serious concern, even as trust in frontline health workers remained relatively strong.

Sania Nishtar pointed to the role of social media in amplifying misinformation, saying digital platforms often incentivize the spread of misleading or false content about vaccines.

Ephrem Lemango added that algorithm-driven amplification of anti-vaccine narratives, combined with reductions in global health funding, could undermine progress and risk reversing gains made through the campaign.

The UNICEF Executive Board concluded its first regular session of 2026 with a warning that decades of progress in child survival could be reversed as funding constraints, conflict and systemic pressures weaken global health systems, according to statements delivered during the meeting.

The two-and-a-half day session reviewed a range of institutional priorities, including implementation of the United Nations’ UN80 reform initiative, UNICEF’s global evaluation plan for 2026–2029, and updates on the work of national committees engaged in fundraising and youth outreach. Financial oversight, programme delivery and governance issues were also examined as part of the Board’s agenda.

A central focus of the session was child health, highlighted during discussions on eight newly approved country programme documents covering Argentina, Cuba, Georgia, Malaysia, Mexico, Somalia, South Africa and Sudan. Board members and senior officials framed investment in primary healthcare as critical not only to survival outcomes but to broader human development and social stability.

Opening the session, Rein Tammsaar, President of the Board and Estonia’s Permanent Representative to the United Nations, emphasized inclusive governance as a priority for 2026. He also pointed to the potential role of artificial intelligence in expanding access to and improving the quality of education.

Tammsaar acknowledged UNICEF personnel working in high-risk environments, stating that their operational commitment underpins the organization’s credibility.In her introductory remarks, Catherine Russell cautioned that progress in reducing child mortality could stall for the first time in three decades.

She identified child and maternal health as core priorities and cited the establishment of a global Centre of Excellence in Nairobi aimed at strengthening technical capacity in health, nutrition and water, sanitation and hygiene services.Senior officials presented evidence of significant global gains, including a reduction in annual under-five deaths to below 5 million and an estimated 4.2 million child deaths prevented annually through immunization.

Maternal mortality has declined by roughly one third since 2000. However, speakers stressed that these achievements remain fragile.Douglas Noble, Associate Director of Health, said abrupt reductions in development funding are disrupting essential services and exposing structural weaknesses in health systems. He added that misinformation is undermining vaccine confidence, while conflict, climate-related shocks and economic instability are increasing displacement and limiting access to care.

Noble stated that survival alone is no longer an adequate benchmark for child development, arguing for integrated approaches that include mental health, psychosocial support and adolescent well-being alongside physical health services. He urged governments to prioritize primary healthcare in national budgets, protect health spending during fiscal pressures and invest in community-level health workers.

Panel discussions reflected concerns that setbacks are not confined to low-income countries. Participants noted declining vaccination rates in Argentina and signs of reversal in child survival indicators in South Africa. Rising mental health challenges among adolescents, including increased suicidal behaviour in Malaysia, were also highlighted.

Speakers from governments, international organizations, academia and civil society reiterated that access to healthcare should not be treated as a privilege. They stressed the need for age-appropriate services that address both communicable and noncommunicable conditions, supported by integrated systems spanning health, education and social protection.

Testimony from field representatives underscored the impact of conflict on health infrastructure. Ayoub Ibrahim Arabi Mohammed described conditions in Sudan, where ongoing violence has displaced populations and disrupted medical services. He reported shortages of fuel, medicine and basic supplies in hospitals, while some clinics have ceased operations entirely, leaving families without access to care.

He emphasized the role of frontline health workers as critical to sustaining services in conflict settings and called for their protection. He also warned that children are dying due to the inability of healthcare systems to function effectively under prolonged instability.Across discussions, a consistent theme emerged that sustaining progress in child survival requires resilient primary healthcare systems capable of withstanding external shocks.

UNICEF outlined key policy areas for governments, including strengthening primary care, restoring trust in immunization programmes, addressing underlying determinants such as malnutrition and sanitation, and integrating mental health and noncommunicable disease responses into health strategies.

Mental health featured prominently in the session, with officials noting that one in seven adolescents aged 10 to 19 is living with a mental health condition. Data presented indicated that one in four children has a caregiver experiencing mental health challenges, highlighting broader social implications.

Officials also cited global estimates suggesting that a young person dies by suicide every 11 minutes, underscoring the scale of the issue.Meylan Alejandra Ramos Espejel, speaking on behalf of young people, linked mental health challenges to wider global pressures including migration, conflict and climate-related disruptions.

She called for greater inclusion of youth perspectives in policymaking and emphasized the need for tangible support mechanisms.Noncommunicable diseases were identified as another growing concern, affecting more than 2 billion individuals under the age of 20 through direct conditions or exposure to risk factors.

Officials noted that these diseases disproportionately affect children in lower-income settings, challenging the perception that they are confined to wealthier populations.The Board also reviewed progress on international policy commitments.

A political declaration adopted by heads of state in September 2025 on noncommunicable diseases and mental health was cited as a milestone, with references to children and youth included multiple times, reflecting increased global attention to these issues.Despite broad agreement on key priorities, the Board did not reach consensus on all agenda items, with some decisions requiring formal votes.

By the end of the session, seven decisions were adopted, covering areas including governance, financial oversight, evaluation frameworks and fundraising strategies.The Board approved eight country programmes and extended a subregional programme for the Gulf Area.

These programmes are intended to guide interventions across sectors including health, education, nutrition and child protection, reflecting an integrated approach to humanitarian and development challenges.In closing remarks, Russell said the approved programmes provide operational frameworks for delivering measurable outcomes, while acknowledging the absence of consensus on certain items.

Tammsaar expressed concern over divisions within the Board, stating that consensus-based decisions strengthen institutional unity and effectiveness.The next annual session of the Executive Board is scheduled to take place from June 16 to 19, 2026.

Your body is your lifelong home—nourish it, move it, respect it.

Obesity is often spoken of in the language of personal failure—poor discipline, unhealthy choices, or sedentary habits. This narrative, repeated in popular discourse and media commentary, places the burden squarely on individuals while ignoring the larger forces at play. Such framing is not only incomplete but deeply misleading. It simplifies a complex health condition into a matter of willpower, obscuring the structural realities that make healthy living increasingly difficult for large sections of society.

Obesity is not merely an individual concern; it is a silent epidemic shaped by modern lifestyles, economic systems, cultural shifts, and policy neglect. The environments in which people live today are engineered for convenience rather than well-being—characterised by ultra-processed foods, relentless marketing, sedentary work patterns, and shrinking spaces for physical activity. When unhealthy choices become the easiest, cheapest, and most accessible options, personal responsibility alone cannot carry the weight of prevention.

Treating obesity as a moral shortcoming has had serious consequences. It has fostered stigma, discouraged individuals from seeking medical or psychological support, and diverted attention from the need for systemic reform. Worse, it has allowed governments, industries, and institutions to evade accountability while the health burden continues to grow. By reducing obesity to a question of individual failure, societies have overlooked its profound implications for public health, healthcare systems, and economic productivity.

To address obesity meaningfully, it must be recognised not as a personal flaw but as a collective challenge—one that reflects how modern societies organise food, work, education, and urban life. Only by shifting the conversation from blame to understanding, and from judgement to shared responsibility, can obesity be confronted as the public health crisis it truly is.

A Growing Burden of Non-Communicable Disease

At its core, obesity is a chronic medical condition characterised by the accumulation of excessive body fat to a degree that impairs health and reduces quality of life. It is not merely a cosmetic concern or a matter of appearance; it fundamentally alters metabolic, hormonal, and inflammatory processes within the body. This disruption significantly increases the risk of non-communicable diseases, including type 2 diabetes, cardiovascular disorders, hypertension, musculoskeletal degeneration, respiratory complications, and certain forms of cancer.

The consequences of obesity extend beyond physical illness. Individuals living with obesity are more likely to experience reduced mobility, chronic pain, fatigue, and psychological distress, including depression and anxiety. Over time, these health challenges can limit productivity, strain healthcare systems, and diminish overall life expectancy. What makes obesity particularly dangerous is its gradual progression—often developing silently over years before manifesting as serious disease.

The World Health Organization has long recognised obesity as a major global health risk and a key driver of the worldwide rise in non-communicable diseases. Alarmingly, its prevalence has increased sharply across both developed and developing nations, cutting across age groups and socioeconomic boundaries. Once associated primarily with affluence, obesity now coexists with undernutrition in many countries, creating a dual burden that complicates public health responses.

This global rise reflects profound changes in diet, physical activity, and living conditions rather than sudden shifts in individual behaviour. As obesity becomes increasingly widespread, it poses not only a medical challenge but a societal one—demanding coordinated action in healthcare, education, urban planning, and policy. Recognising obesity as a serious, multifaceted health condition is the first step toward addressing its long-term consequences effectively and ethically.

How Modern Lifestyles Fuel Obesity

Contemporary life has fundamentally altered how people eat, move, and rest, creating conditions that make obesity increasingly common. The food environment today is dominated by highly processed, calorie-dense options that are not only cheap and widely available but also aggressively marketed, particularly to children and young adults. Sugary drinks, snack foods, fast-food chains, and ready-to-eat meals are positioned as convenient, desirable, and even aspirational, while fresh fruits, vegetables, and whole grains often remain relatively expensive, less accessible, or inconvenient for those with demanding schedules.

At the same time, physical activity has been systematically reduced in daily life. Urban design prioritises cars over pedestrians, schools and workplaces emphasise desk-bound tasks over movement, and recreational options are increasingly digital rather than active. Mechanised transport, elevators, escalators, and household conveniences reduce opportunities for natural physical exertion, while screen-based entertainment—television, computers, and smartphones—occupies ever more leisure time. Even recreational sports and outdoor play have declined due to shrinking green spaces and parental concerns about safety.

The combination of high-calorie intake and minimal energy expenditure creates an environment in which obesity is not merely a matter of personal choice but a predictable outcome. People live within systems that encourage overconsumption and inactivity, often without realising the cumulative impact on health. Modern lifestyles, designed for efficiency and convenience, have unintentionally engineered obesity into everyday life, making it a systemic rather than individual problem.

Cultural Shifts and the Normalisation of Obesity

Beyond structural and lifestyle factors, cultural perceptions of body weight have evolved in ways that complicate the obesity crisis. On one hand, individuals living with obesity are often subjected to stigma and social judgement, labelled as lazy, undisciplined, or lacking self-control. This moralising narrative not only causes psychological stress but also discourages people from seeking medical guidance, nutrition counselling, or physical activity support. The shame associated with obesity can exacerbate unhealthy behaviours, creating a vicious cycle that public health messaging alone struggles to break.

On the other hand, there is a growing tendency in some societies to normalise obesity, framing it as an acceptable variation of body type without adequately addressing its serious health implications. While body-positivity movements have rightly challenged unrealistic beauty standards and promoted self-acceptance, the message can sometimes blur the line between embracing diversity and ignoring the medical risks associated with excessive weight.

This duality—stigmatisation on one side, normalisation on the other—creates a confusing social landscape. Individuals are left to navigate contradictory messages: they are shamed for being overweight, yet encouraged to accept it without intervention. Effective solutions must strike a balance—promoting empathy and dignity while clearly communicating the health consequences associated with obesity.

Ultimately, addressing obesity is not only about personal choice or discipline; it is about reshaping cultural norms, promoting informed awareness, and creating environments where healthy eating, regular movement, and preventive care are supported, respected, and accessible.

Beyond Personal Responsibility: Systemic Solutions for Obesity

Obesity is not just a personal or cultural issue; it carries significant economic and systemic consequences. Rising rates of obesity contribute to an increasing burden of non-communicable diseases such as diabetes, hypertension, heart disease, and certain cancers. This translates into escalating healthcare costs, long-term medical treatments, and reduced workforce productivity, affecting societies at both micro- and macroeconomic levels.

Yet, despite its scale, obesity often receives fragmented or inadequate policy attention. Governments have historically focused more on undernutrition, infectious diseases, or acute healthcare needs, leaving obesity prevention and management under-resourced. Preventive healthcare systems, nutrition education, regulation of food marketing—especially to children—and urban planning that encourages physical activity remain patchy or unevenly implemented.

The food industry plays a major role in shaping dietary behaviour. Highly processed, energy-dense foods are aggressively marketed and widely accessible, while healthier options remain less profitable, more expensive, or harder to distribute. Without regulatory oversight, profit incentives often outweigh public health considerations. Subsidies for sugar-rich crops, minimal labelling requirements, and the omnipresence of fast-food chains create a structural environment in which obesity becomes an almost predictable outcome.

Ultimately, obesity is not a problem that can be solved solely at the level of personal responsibility. It is a public health and economic challenge that demands systemic solutions, spanning regulation, education, urban planning, and healthcare policy. Only by addressing these structural and economic dimensions can societies hope to reverse the silent epidemic of obesity.

Confronting the Silent Epidemic

Obesity is not merely a matter of individual choice or willpower; it is the product of modern lifestyles, cultural shifts, and systemic gaps in policy and infrastructure. It thrives in environments where high-calorie, processed foods are cheap and accessible, physical activity is minimised, and social narratives vacillate between stigmatisation and normalisation. When left unaddressed, obesity burdens not only individual health but also societies through rising medical costs, reduced productivity, and escalating rates of chronic disease.

Addressing this silent epidemic requires a holistic approach. Urban planning must promote active living; schools must instil nutrition literacy and physical fitness; governments must regulate food marketing and ensure healthier options are affordable; and media campaigns must empower rather than shame. Only by tackling obesity at these structural, cultural, and economic levels can societies hope to reverse its steady rise.

Ultimately, the fight against obesity is not just a health intervention—it is a test of societal priorities. By creating environments that support healthy choices and treating obesity as a collective challenge rather than a personal failing, we can move toward a future in which well-being is accessible to all.

Disclaimer: Views expressed by writers in this section are their own and do not reflect Milli Chronicle’s point-of-view.