Health Archives - Polycrisis

Reforming Global Health for an Age of Mistrust, Fragmentation and Overlapping Crises

The authors argue that global health architecture must be reformed to respond more effectively to an era of polycrisis. They propose three interlinked priorities: rebalancing power by strengthening country ownership, regional institutions, and the participation of affected communities; reinforcing health systems by moving beyond fragmented, disease-specific approaches and building capacity to address interconnected and emerging

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Africa’s Greater Horn Region Is Facing a Looming Polycrisis Fueled by Conflict, Prices, Climate and Disease

This article argues that the Greater Horn of Africa is facing a looming polycrisis driven by the interaction of climate extremes, violent conflict, disease outbreaks, and rising food and fertiliser prices, compounded by weakening humanitarian capacity. The authors contend that these overlapping shocks are mutually reinforcing rather than additive, increasing the risk of famine, displacement,

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Evolutionary Mismatch, Stress, and Competition: Making Sense of Psychosocial Problems in the Polycrisis Era

The authors examine the psychosocial dimensions of the polycrisis through the concept of evolutionary mismatch, arguing that rapid technological, socioeconomic, and environmental changes expose humans to conditions that differ from those in which many psychological and behavioural adaptations evolved. They propose that interacting crises intensify these mismatches and associated stress, while modern conditions such as

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Mental Health in the Time of Polycrisis: Geopolitical Determinants and Modern Psychiatry

The authors advance geopsychiatry as a framework for understanding how the compounding pressures of today’s polycrisis are reshaping psychiatric vulnerabilities across communities and societies. Focusing on the emblematic and mutually reinforcing domains of wars, climate breakdown, and mass forced displacement, the authors show how geopolitical instability generates direct mental health burdens through proximal mechanisms such

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How Systemic Risks Threaten Global Health Security (And What We Can Do)

In this Cross Currents conversation, ASRA members discuss the systemic risks threatening global health security, including pandemics, antimicrobial resistance, climate-driven health crises, and fragmented global governance. They emphasize the need to move beyond siloed, reactive responses toward integrated, multi-level strategies that address the root causes of health insecurity. Key themes include the urgency of fostering

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Towards One Health Action for Addressing Antimicrobial Resistance in the Age of Polycrisis

The authors argue that antimicrobial resistance (AMR) represents a major One Health issue, driven by a range of accelerators, including emerging climate and social challenges. In the context of a worsening polycrisis, they call for an ecosystem-centered governance agenda based on four pillars: identifying local environmental drivers, mapping transmission pathways, reducing AMR stability and selection

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‘History will tell’: as US pressure grows, Cuba edges closer to collapse amid mass exodus

The author examines Cuba’s ongoing polycrisis, characterized by the convergence of economic collapse, demographic decline, social fragmentation, and political repression. Mass emigration is accelerating population loss and weakening public institutions, while economic contraction across nearly all sectors has deepened inequality and eroded the foundations of Cuba’s once-renowned healthcare and education systems. Despite widespread disillusionment, internal

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Mapping the Hope Attractor: A Conversation with Thomas- Homer Dixon

In this conversation, Thomas Homer-Dixon introduces the Cascade Institute’s Polycrisis Core Model (PCM), a novel framework designed to map and analyse interactions among 11 critical global systems, each with multiple potential future states. The model employs cross-impact balance (CIB) analysis to evaluate over four million internally consistent scenarios, ultimately identifying 11 distinct “attractor” states. These

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