Bitter lessons drawn from the past have shown that people suffer when business practices prioritise profit over health. The most obvious example is the tobacco industry, which was able to freely sell products that harmed people’s health for decades until science eventually caught up with it. In a recent series of articles published in The Lancet, academics from around the world explored the conflict between the drive by corporations to maximise profits and the impact this is having on our health. Today we feature one of them. Teurai Rwafa unpacks a paper that presents startling new findings. They include the fact that four industries (tobacco, unhealthy food, fossil fuel, and alcohol) are responsible for at least a third of global deaths annually.

In May last year the government in Ghana introduced a tax on mobile money transactions. Known as the e-levy, the tax targeted the informal sector. About 90% of total employment in the country is informal. The tax has come under attack because it was designed to target the least well off in Ghana. New research shows that the tax is indeed regressive – those earning the least pay a larger share of their earnings towards the levy. And it’s deeply unpopular. The authors of the research – Mike Rogan, Max Gallien, Nana Akua Anyidoho and Vanessa van den Boogaard – suggest the government should go back to the drawing board.

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Ina Skosana

Health + Medicine Editor (Africa edition)

Profit versus health: 4 ways big global industries make people sick

Teurai Rwafa, University of the Witwatersrand

The public bears the suffering and costs of the global epidemic of noncommunicable diseases, and the rapidly accelerating climate emergency.

Ghana’s e-levy is unfair to the poor and misses its revenue target: a lesson in mobile money tax design

Mike Rogan, Rhodes University; Max Gallien, Institute of Development Studies; Nana Akua Anyidoho, University of Ghana; Vanessa van den Boogaard, Institute of Development Studies

Domestic resource mobilisation cannot be achieved by over-taxing the livelihoods of the most vulnerable workers in the informal sector.

Leprosy, scabies and yaws - Togo’s neglected tropical skin diseases need attention

Michael Head, University of Southampton; Bayaki Saka, University of Lome; Palokinam Pitche, University of Lome

Neglected tropical diseases of the skin are stigmatised, and may affect an individual’s quality of life

Medicine stockouts are a problem in South Africa’s clinics: how pharmacist assistants can help

Sibusiso Zuma, University of South Africa

Clinics without pharmacist assistants were more likely to have erratic medicine supply management practices.

TC Afrique

Tchad : la méconnaissance des informations scientifiques freine l'accès à l'eau

Abdallah, Mahamat Nour, Université de N'Djamena (Tchad)

Les défis liés à l'accès à l'eau sont aggravés par les changements climatiques qui ont une incidence sur les ressources en eau dans la région sahélienne.

Calm Down : comment un chanteur nigérian et un danseur camerounais ont inspiré une nouvelle protestation puissante en Iran

Ananya Jahanara Kabir, King's College London

Les cinq adolescents iraniens ont été arrêtés et contraints de s'excuser - mais le défi de danse continue à devenir viral.

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