Public health strategist decoding urban health & NCDs in Asia. Nutrition, Health, policy & climate—evidence-backed, actionable, real-world impact.

Joined November 2009
1,671 Photos and videos
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Arsenic is natural. So is tobacco. “Natural” is a marketing word, not a safety label. Ask for evidence. #tobacco_tax #Publichealth
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Factory waste water, street food, hygiene and poverty. What could be ways you think this can be improved in the middle of a urban residential complex.
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The most important signal in these photos isn't the polluted water. It's that people are still forced to earn a living and buy food beside it. When poverty, pollution, and food systems collide in the same frame, the problem isn't individual hygiene—it's urban planning failure. Clean drains, waste enforcement, safe vending zones, and dignified livelihoods aren't luxuries. They're basic public health infrastructure. A city is judged not by its skyline, but by what flows through its streets.
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The deadliest part of a heatwave often isn't the heat. It's the lack of preparation before it arrives. An older adult living alone. A worker with no shade. A clinic not ready for a surge in patients. Most heat-related deaths are predictable. Many are preventable. That's why heat action plans matter. #ClimateHealth #HeatAction
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2 pm. Somewhere in Delhi. Rajan hasn't left his shop in 6 hours. The freezers keeping the meat cold are pumping heat straight at him. No AC. A fan that just moves the same hot air around. He knows this is dangerous. He also can't afford to close. This is what a heat crisis actually looks like. Not a graph. Not an alert on your phone. A man doing the math on whether his health costs more than his rent. Until our cities have shade, water, and streets built for people who have to show up — that math doesn't change. #HeatHealth
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HealthAsia retweeted
Wish we could do that?
In 1985, the average Korean woman lived to 73. By 2030? Projected 90.8. 17 years gained. One generation. Here's what actually drove it: → Universal healthcare since the 1980s → Low obesity rates across the whole population → Lower blood pressure than most Western peers → Health gains spread equally — not just for the wealthy No miracle drug. No genetic luck. Just a system that decided everyone deserved to be healthy. Now ask yourself — does your country do any of these? If not, why not? #Longivity #Health
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A farmer's family has worked the same land for generations. Now he drills deeper for water. And still — nothing comes out. 82% of his region is already under serious water stress. Irrigation that cost $0.55 an hour now costs $0.73. Yields are down. Debt is up. His teenage son? Learning computer skills. Because his father quietly knows — farming may not survive. This is what climate collapse looks like before it makes headlines. Not a flood. Not a fire. Just a well. Running dry. This is happening across Asia right now. Is anyone in charge actually watching? #WaterCrisis #ClimateAsia
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In 1985, the average Korean woman lived to 73. By 2030? Projected 90.8. 17 years gained. One generation. Here's what actually drove it: → Universal healthcare since the 1980s → Low obesity rates across the whole population → Lower blood pressure than most Western peers → Health gains spread equally — not just for the wealthy No miracle drug. No genetic luck. Just a system that decided everyone deserved to be healthy. Now ask yourself — does your country do any of these? If not, why not? #Longivity #Health
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The internet is full of arguments about salt. Sea salt vs table salt. Pink salt vs natural salt. Claims that sodium doesn't raise blood pressure. But most of that is noise. What matters isn't the color, origin, or marketing of your salt. What matters is how much sodium you're consuming. Decades of evidence show that reducing excess sodium lowers blood pressure, especially in people with hypertension. Don't get distracted by the salt. Focus on the sodium. #hypertension #Salt
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"What if it comes back?" Millions of women live with that question every day. This week, the answer got a little better. #cancer x.com/farhadali/status/20643…

Surviving breast cancer doesn't end the fear. The new fear is: "What if it comes back?" A new pill just cut that risk by 30%. No IV. No clinic. Just something you take at home. That's not a small update. That's life changing. #BreastCancer #Giredestrant
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Coconut husks are considered waste. In some SE Asian classrooms, they're now rooftop insulation — dropping indoor temps by up to 6°C. No electricity. No AC. Just smart use of what's already there. The solution to extreme heat isn't always imported tech. Sometimes it's what your farmers already throw away. #LocalInnovation #ClimateAdaptation
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Most people have never heard of the New World screwworm. Maybe they should. This parasitic fly lays eggs in open wounds. The larvae hatch and begin feeding on living tissue, turning small injuries into painful, foul-smelling wounds that worsen within days. It's a reminder that infectious disease threats aren't always viruses or bacteria. Sometimes they're much more visible. And much harder to forget. Prevention is surprisingly simple: • Cover wounds • Keep flies away • Seek care immediately if you see maggots in a wound Public health works best when people know the risks before they become emergencies. #screwworm
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Before the Florida Keys incident, the fly was officially eradicated from the U.S. mainland in 1966 using the sterile insect technique, with a minor outbreak occurring in the early 1970s
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Flesh-Eating Screwworm: A forgotten parasite returns, reminding us progress requires constant vigilance everywhere.
Most people have never heard of the New World screwworm. Maybe they should. This parasitic fly lays eggs in open wounds. The larvae hatch and begin feeding on living tissue, turning small injuries into painful, foul-smelling wounds that worsen within days. It's a reminder that infectious disease threats aren't always viruses or bacteria. Sometimes they're much more visible. And much harder to forget. Prevention is surprisingly simple: • Cover wounds • Keep flies away • Seek care immediately if you see maggots in a wound Public health works best when people know the risks before they become emergencies. #screwworm
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Update as of today: New Mexico just confirmed a case too. A dog in Andrews County, Texas — recently back from Mexico. USDA confirmed two additional US cases on June 8 alone. This is no longer a single incident. It's a pattern forming in real time. USDA The response tool? Releasing 2 million sterile flies by air twice a week, plus 4 million more via 24 ground chambers around the detection zone. It worked before. It has to work again. DVM360 But here's the part nobody's asking: what's the plan for travellers returning from affected areas who don't know they have a wound infestation? That's the surveillance gap. And it's wide open. #NewWorldScrewworm #OneHealth
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Surviving breast cancer doesn't end the fear. The new fear is: "What if it comes back?" A new pill just cut that risk by 30%. No IV. No clinic. Just something you take at home. That's not a small update. That's life changing. #BreastCancer #Giredestrant
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This isn't just an American or Central American problem. New World Screwworm has now reached the US. Before that — 2,100 human cases across Mexico and Central America in under 3 years. Parasites don't respect borders. Travellers carry them home. Trade moves them faster than any surveillance system can track. The fly targets ANY open wound. A scratch. A bug bite. A small cut. Once larvae burrow in, they feed on living tissue. It moves fast. It looks like a wound that won't heal. Everyone needs to know three things: → Any wound that smells, bleeds unprovoked, or feels like something moving — see a doctor immediately → Recently travelled anywhere in the Americas? Tell your doctor. → Doctors everywhere: this is now a travel medicine differential, not just a tropical disease footnote This image is a real patient. This is what it looks like when it's caught. We eradicated this in the 1960s. It took decades. It came back in 3 years. That's the public health lesson nobody's saying loudly enough. #NewWorldScrewworm
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Not all protein is created equal. 🥩🥚 Many people assume a serving of beans, nuts, eggs, or meat provides the same muscle-building value. But a Purdue University study found that equal “ounce-equivalent” servings of meat and eggs delivered substantially more essential amino acids into the bloodstream than black beans or almonds. The surprise? Foods that look equal on a nutrition chart may behave very differently in the body. Protein quantity matters. Protein quality matters too. #Nutrition #HealthyAging
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🔥 The most important climate lesson for Asian mayors may be coming from cities thousands of kilometers apart. Athens is mapping heat hotspots. Antalya is targeting vulnerable neighborhoods. Even Oulu, near the Arctic Circle, is redesigning for summer heat. The message is simple: Cities can no longer plan for the climate they had. They must plan for the climate that is coming. For mayors across Southeast Asia, that means: 🌳 More shade and trees 🏫 Cooler schools 🚨 Heat early-warning systems 🗺️ Heat-risk mapping 🏘️ Protecting the most vulnerable first Heat is now one of the deadliest climate threats. The cities that act today will save lives tomorrow. Ask your Mayors what are they planning to save you? #ClimateChange #Heatwaves
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Updates: Some reports initially pushed the quake as high as 8.2, before being revised down—raising questions about early warning volatility in real-time disasters. No confirmed fatalities yet, but evacuations are underway across multiple coastal zones. This is still unfolding. #Earthquack #Philippines
BREAKING: Magnitude 7.8 earthquake off Mindanao, Philippines (26 km SW of Kablalan) triggers tsunami warnings across the Western Pacific. Waves up to 3m possible for Philippines, Indonesia, Palau, Taiwan & PNG. Aftershocks ongoing—coastal evacuations urged.
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BREAKING: Magnitude 7.8 earthquake off Mindanao, Philippines (26 km SW of Kablalan) triggers tsunami warnings across the Western Pacific. Waves up to 3m possible for Philippines, Indonesia, Palau, Taiwan & PNG. Aftershocks ongoing—coastal evacuations urged.
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