In this episode of A Moment in Health, Dr. Ashish Jha spotlights a sobering data point: 40,000 estimated hepatitis A cases in Gaza since the start of the war in October 2023. He reviews a JAMA Network Open study on chronic disease care in war-torn Tigray, Ethiopia, which found a dramatic decrease in the number of patients with conditions like diabetes who had access to treatment. Dr. Michael VanRooyen, Chair of Emergency Medicine at Brigham and Women’s Hospital and founding director of the Harvard Humanitarian Initiative, joins to outline what it takes to rebuild Gaza’s health system—beginning with stability and governance, clearing unsafe areas, sustaining emergency care, and gradually restoring long-term health infrastructure and workforce capacity.

Dr. Jha discusses:

• War and Health Care Services Utilization for Chronic Diseases in Rural and Semiurban Areas of Tigray, Ethiopia — JAMA Network Open

About the Guest

Dr. Michael VanRooyen is the founding director of the Harvard Humanitarian Initiative (HHI), an interfaculty initiative at Harvard University dedicated to advancing evidence and professional development in humanitarian assistance. He has led complex humanitarian operations with numerous relief organizations in more than thirty countries affected by conflict and disaster, including Somalia, Bosnia and Herzegovina, Rwanda, Iraq, North Korea, Sudan–Darfur, Chad, Democratic Republic of the Congo, Palestine, and Ukraine. Dr. VanRooyen is the Chair of Emergency Medicine at the Massachusetts General Hospital and at Brigham and Women’s Hospital, as well as the Enterprise Chief of Emergency Medicine for the Mass General Brigham health system.

About the Host

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