Explorez tous les épisodes du podcast A Shot in the Arm Podcast

At the AIDS 2026 Global AIDS Conference in Rio de Janeiro, Ben interviews Dr. mike Reed about how global health technology succeeds or fails depending less on the tools than on governance, ownership, community co-design, and alignment with ministries of health and other relevant government authorities. Reed contrasts Rwanda’s scaled Zipline drone deliveries and a government-led “sovereign” AI large language model and real-time health dashboards with the many HIV AI pilots that never scale due to weak partnerships, poor interoperability, and lack of sustainable financing. They discuss AI’s potential to support marginalized communities with stigma-free access to information and care navigation, alongside risks around privacy, market capture by big tech, and the need for fair value exchange when community data trains models. Reed highlights a “force multiplier checklist,” Botswana’s youth-designed prevention campaign, and the need to speed up rigorous implementation science and data-to-action timelines. 00:00 Intro 00:32 Drones and donor tech 03:45 Why pilots fail 06:56 Rooting tech locally 10:59 Sovereign AI example 12:43 AI for key populations 18:28 Governance and commons 25:06 Force multiplier checklist 29:36 Data sovereignty rules 31:24 Faster science with AI 36:19 Optimistic closing 41:12 Thanks and wrap Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

Recorded at AIDS 2026 in Rio de Janeiro at the Roche Diagnostics booth, host Ben Plumley speaks with Professor Pedro Cahn (Fundación Huésped, Argentina) and Dr. Rupa Patel (Whitman-Walker Health, Washington, DC) about why diagnostics—often overlooked in the HIV continuum—are the essential entry point to prevention and care, especially amid reduced funding. They discuss late diagnosis and loss to follow-up, structural barriers like clinic access and hours, and the need for community-led, person-centered delivery models including outreach brigades, mobile and home-based services, and task shifting to peers and other health workers. The conversation covers integrating point-of-care and lab testing, the promise and risks of self-testing with real-time linkage to support, and linking HIV diagnostics with broader health needs such as TB, STIs, diabetes, and cancer screening to advance equity and progress toward 95-95-95. 00:00 Welcome and Setup 01:22 Live Booth Kickoff 02:20 Why Diagnostics Matter 07:11 Late Diagnosis and Equity 12:15 Reimagining Care Delivery 19:28 Outreach Testing in Practice 22:53 Point of Care vs Lab 27:28 Self Testing Debate 34:35 Building Integrated Platforms 38:30 Policy and Provider Barriers 43:43 Closing Calls to Action Guests: Professor Pedro Cahn Scientific Director Fundación Huésped, Argentina Dr. Rupa R. Patel Biomedical HIV Prevention Clinical and Research Lead Whitman Walker Institute and Health, Washington D.C. Roche Diagnostics https://diagnostics.roche.com AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #RocheDiagnostics

Recorded at the AIDS 2026 conference in Rio de Janeiro, Ben and Dr. mike Reid discuss how climate disruption will exacerbate existing infectious diseases, enable emerging threats, and worsen non-infectious conditions, arguing global health must anticipate and mitigate climate-health impacts. They note health was sidelined at COP Egypt 2025 and that few national climate plans include health adaptation budgets. Case studies contrast Pakistan’s 2022 floods—2.6 million new malaria cases, fivefold dengue increase, and 20% of primary care facilities underwater—with Mozambique’s Cyclone Idai response, where PEPFAR-supported HIV infrastructure enabled faster recovery through reliable supply chains, information systems, energy backups, and workforce support. They emphasize integrated, resilient primary care and scaled community health workforces (e.g., Ethiopia), including community-delivered mental health care, amid shrinking donor support. mike explains applying Kate Raworth’s “donut economics” to climate-health financing, referencing the Bridgetown Initiative and proposing climate-health bonds, while also highlighting greener delivery, regional manufacturing, and lower-emission prevention tools like lenacapavir and cabotegravir. 00:00 Live from Rio 00:52 Climate-Driven Disease 03:26 Health Plans Missing 05:31 Resilient Systems 06:10 Pakistan Flood Case 08:00 Mozambique Cyclone Ida 11:35 Primary Care Backbone 12:27 Community Health Workforce 14:22 Conference Funding Shift 17:09 Donut Economics Explained 20:55 Cameroon Donut Priorities 22:25 Why Leaders Ignore Health 23:32 Financing Climate Health 29:57 Sustainable Global Health 32:09 One Key Investment 33:34 Rio Networking Surprise 35:02 Wrap-Up and Credits Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

In this episode of Redefining Global Health in the 21st Century, Ben chats with authors mike Reid and Eric Goosby about how funding shocks become life-and-death realities, starting with a case from Zambia after the January 2025 U.S. pause and cuts to PEPFAR that left many without antiretrovirals and destabilized HIV services in a system heavily dependent on U.S. support. They describe behind-the-scenes efforts to warn political leaders, on-the-ground resilience and improvisation, and the emotional toll of what they view as an abandonment of dialogue. The discussion explores whether donor dependency was a design choice, the roles donors should play (equity gaps, global public goods, and underwriting transitions), and options such as co-investment requirements, government-to-government funding, debt-to-health swaps, public financial management support, domestic resource mobilization (including sin taxes), and potential roles for development finance and sovereign wealth funds, while stressing the need to define a clear destination for health financing and country ownership. 00:00 Welcome and Book Intro 00:29 Zambia Funding Shock 02:26 Why Zambia Matters 05:58 Scrambling After PEPFAR Pause 07:58 Resilience and System Fragility 09:58 Eric Goosby Reaction 15:37 Dependency by Design 18:44 Colonial Debt Reality 22:25 What Solidarity Looks Like 26:10 Donor Funding Roles 30:21 Accountability and Oversight 32:50 Co Investment and Direct Funding 35:37 Debt Relief as Co Investment 36:46 Debt for Health Swaps 37:46 Modernizing Gavi and Global Fund 41:26 Local Accountability and Trust 45:26 Post Aid Era Roadmap 48:19 Building Country Ownership 53:46 Sovereign Wealth Fund Ideas 58:04 New Finance Tools and Taxes 01:00:04 Defining the Destination 01:04:03 Call to Action and Thanks Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

This episode was made in partnership with the International AIDS Society (IAS), Young Leaders Programme. ---- Host Ben Plumley wraps up the A Shot in the Arm Podcast from AIDS 2026 in Rio de Janeiro with Zarawu Adams, a medical scientist from Salama Clinic in Accra, Ghana, reflecting on an exhausting but valuable week balancing conference sessions with the IAS’ Young Leaders Programme. Adams highlights research linking antiretroviral treatment to metabolic crises such as type 2 diabetes, including work focused on pregnant women, and confirms through conversations with scientific leaders that this issue is still under-emphasized. She describes the Young Leaders program as a diverse international advocacy network across HIV and other infectious diseases that builds connections, fills gaps, and broadens engagement beyond science to policy, innovation, and activism. Adams emphasizes resilience, the funding crisis, and the urgent need to tackle stigma and discrimination – particularly as a driver of suicide, while noting increased visibility for LGBT communities within the IAS space. 00:00 Welcome to Rio 00:53 Metabolic Risks Spotlight 03:15 Young Leaders Program 04:53 Networking and Advice 07:26 Stigma and Discrimination 08:32 Activism and Funding Crisis 10:36 Resilience and New Ideas 14:27 Priority on Stigma 15:41 LGBTQ and Closing Reflections 17:54 Final Thanks and Sign Off Guests: Zarawu Adams Medical Scientist, Salama Clinic, Accra, Ghana AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #IAS

Host Ben Plumley speaks with Solange Baptiste Simon and Othoman Mellouk of the International Treatment Preparedness Coalition (ITPC) about their packed treatment pre-conference and concerns that treatment is being sidelined amid heavy focus on PrEP and prevention. They argue the prevention-versus-treatment framing is false, emphasizing a continuum from testing to prevention to treatment, and describe on-the-ground chaos as HIV services are integrated into broader chronic care with overstretched health workers and communities. They discuss a “strange” AIDS 2026 marked by funding cuts and reduced PEPFAR influence, uneven country leadership, and a shift from scientific innovation to challenges of financing, manufacturing, regulation, and equitable delivery of long-acting technologies. They caution against product-driven responses, stress human rights and stigma realities, and conclude that community power, involvement, and resourcing remain central to sustainable solutions. 00:00 Welcome and Guests 01:08 Treatment Preconference Highlights 03:13 Prevention vs Treatment Debate 05:00 Continuum of Care Reality 07:34 Clinic Integration Chaos 10:07 Conference Avoiding Hard Truths 14:58 Post PEPFAR Future 18:39 Product Hype vs Access 22:58 Fiscal Space and Priorities 25:13 Beyond Biomedical Fixes 30:19 2030 Targets Reality Check 32:29 Crossroads and Policy Choices 36:15 Community Hope and Closing 38:23 Final Thanks and Signoff Guests: Solange Baptiste Simon Executive Director, ITPC Othoman Mellouk Access to Medicines & Diagnostic Lead, ITPC ITPC Global https://itpcglobal.org AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #ITPC

At AIDS 2026 in Rio de Janeiro, host Ben Plumley speaks with Wame Jallow, Jerop Limo, and JulieBrenda Waweru about Shuga Global’s evolution from the MTV Staying Alive Foundation and why entertainment-education remains relevant for HIV prevention and youth health. They discuss how Shuga’s storytelling reflects young people’s lived realities, helps break taboos, builds agency, and connects audiences to services through a broader ecosystem that includes peer education, screenings, and chatbots. The guests describe how Gen Z’s autonomy, digital media habits, and demand for solutions require new ways of communicating health, while addressing backlash, misinformation, and harmful online influences. They also share reflections from the conference on shifting resources, community leadership, new prevention and treatment options, and the need to fund and empower youth-led solutions through stronger government and civil society collaboration. 00:00 Welcome and Guests 01:14 What Is Shuga Now 01:22 From MTV to Global Movement 02:38 Proof Entertainment Works 04:54 Why Shuga Still Matters 07:28 Fan Stories and Impact 09:16 Gen Z Needs New Approach 14:23 Solutions Not Lectures 16:14 Youth Activism and Health Demands 17:45 Media Shift And Backlash 18:32 Short Clips For Health 19:02 Shuga As Holistic Support 21:18 Competing With Misinformation 22:45 Trust And Community Dialogue 24:43 Conference Takeaways 26:34 Science And Choice Agenda 27:30 Youth Power And Funding 30:56 Partnership With Government 32:21 Watch Shuga And Wrap Up Guests Wame Jallow Executive Director, Shuga Global Jerop Limo Executive Director, Ambassador For Youth and Adolescent Reproductive Health Program (AYARHEP) JulieBrenda Waweru Actress, Shuga Mashariki , Shuga Global Shuga Global https://shuga.global AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #Shuga #ShugaGlobal

This episode was made in partnership with the International AIDS Society (IAS), Young Leaders Programme. ---- Host Ben Plumley records from a windy Rio de Janeiro at AIDS 2026 with IAS Young Leaders guests Zarawu Adams (Ghana), Xandro Xu (USA), and returning guest Mengfei Li (Hong Kong). Adams discusses research on antiretroviral therapy–related metabolic complications and an app concept to monitor metabolic panels to prevent type 2 diabetes among patients on treatment. Xu presents research on how civic engagement and political empowerment relate to more frequent HIV testing among LGBTQ+ people in the United States, with findings highlighting benefits for transgender communities. Li shares success from a hand-dance campaign and a poster on why U=U messaging struggles to gain traction across Asia Pacific, noting ongoing knowledge gaps. They reflect on conference networking, stigma, funding uncertainty, integration with broader health priorities, optimism, collaboration, communication, and self-care as they commit to long-term HIV work. 00:00 Welcome and Guests 00:49 Metabolic Crisis Research 02:39 Civic Engagement and Testing 05:19 Hand Dance Campaign Wins 06:38 U Equals U Awareness Gap 08:43 Conference Takeaways 13:09 Why We Chose HIV Work 16:58 Can We End HIV 22:42 What Fuels Optimism 25:13 Family and Health Advocacy 28:31 HIV Fatigue and Funding Cuts 31:10 Lessons and Final Advice 37:37 Closing Thanks Guests: Zarawu Adams IAS Young Leader Medical Scientist, Salama Clinic Accra, Ghana Xandro Xu IAS Young Leader Researcher & Advocate, University of Pennsylvania alum Mengfei Li IAS Young Leader PhD Candidate, The University of Hong Kong AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026

On the first full day of AIDS 2026 in Rio, the A Shot in the Arm podcast (with the International AIDS Societies Young Leaders Program) captures excitement about new HIV science alongside anxiety over PEPFAR-related funding cuts and debate about reliance on a single donor. Guests include Florence, a Botswana-Harvard lab research scientist studying HIV/HBV coinfection and occult hepatitis B, reporting mutation findings (notably in the HBx region) and urging more inclusive OBI screening and greater HBV visibility at AIDS conferences; Bernard, a Nigerian doctor practicing emergency medicine in Russia, proposing integrating HIV awareness into existing emergency/ambulance systems to reduce stigma and cost; and returning guest Maggie Duncan, who presents work improving the Intact Proviral DNA Assay for measuring HIV reservoirs across subtypes. They discuss partnerships, private sector roles, long-term post-2030 HIV response, stigma, and unequal access to technologies and reagents. 00:00 Welcome From Rio 00:30 Conference Mood Check 01:08 PEPFAR Tensions 02:13 Meet The Guests 02:30 Florence HBV HIV Research 06:04 Clinical Coinfection Basics 07:08 Bernard Emergency Integration 10:18 Stigma Sparked A Pivot 11:45 Maggie Reservoir Assay 13:53 Florence Poster Deep Dive 19:18 Partnerships And Funding 22:58 Private Sector Debate 27:18 Beyond 2030 Future Outlook 31:27 Access Equity And Stigma 34:47 Closing Thanks Guests: Florence Gaone, IAS Young Leader: Research Scientist, Botswana Harvard Health Partnership Bernard Adorbe, IAS Young Leader: Medical doctor- Hospital of Emergency Medical Services, Rostov on don, Russia Maggie Duncan, IAS Young Leader: PhD Student at the Faculty of Health Sciences, Simon Fraser University Vancouver Canada AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026

From AIDS 2026 in Rio de Janeiro, host Ben Plumley talks with International AIDS Society Young Leaders Edmond Soko (Zambia, Grassroots Soccer) and Noah Mancuso (Atlanta, Emory/RTI) about where the HIV epidemic is heading. Edmond describes using soccer-based, play-focused curricula to deliver HIV prevention education and reach rural adolescents who struggle to access services. Noah outlines three posters: a systematic review on barriers and facilitators to injectable PrEP for adolescent girls and young women, an analysis of how US federal funding cuts affect geographic access to PrEP in Atlanta, and a review of 20 years of mobile health interventions showing limited translation into real-world apps. They discuss new prevention innovations like a monthly pill and a weekly prevention pill with earlier access planning, the promise and risks of AI and telehealth for reducing stigma and improving access, shifting funding realities, and ongoing activism and optimism for epidemic control. 00:00 Welcome to AIDS 2026 00:50 Meet the Young Leaders 01:24 Edmond’s Grassroots Soccer Work 03:00 Noah’s Path into HIV Research 04:09 Posters and New Findings 07:12 Soccer as Prevention Strategy 08:30 Conference Vibe and Tensions 10:24 New Prevention Innovations 12:11 Careers and Funding Cut Reality 13:34 Optimism and Activism 17:03 AI and Digital Health Trends 21:46 Telehealth Access and Stigma 25:16 Next Generation Takeaways 27:10 Closing Thanks and Sign Off AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth

Ben launches the first of six daily A Shot in the Arm Podcast episodes from AIDS 2026 in Rio de Janeiro, produced with the International AIDS Society and its Young Leaders program. He interviews two young leaders: Mengfei, a Hong Kong–based PhD researcher in health communication who studies how to translate HIV science on social media and promotes U=U (Undetectable = Untransmittable), and Maggie Duncan from Vancouver, a PhD researcher focused on characterizing and improving quantification of the HIV reservoir to better measure cure strategies. They discuss why HIV is uniquely complex scientifically and socially, persistent stigma and lack of U=U awareness among young people in Asia Pacific, and Mengfei‘s U=U hand-dance campaign expanding from social media to offline events. Both present on Tuesday, with a U=U pop-up Wednesday in the Global Village. 00:00 Welcome to AIDS 2026 00:44 Meet the Young Leaders 01:07 Mengfei on Health Communication 03:26 U Equals U Explained 03:49 Maggie on HIV Reservoirs 06:41 What Makes HIV Unique 09:39 Stigma Across Generations 11:32 Talking HIV With Peers 15:50 Hand Dance U Equals U Campaign 21:30 Conference Plans and Wrap Up 23:16 Credits and Goodbye AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth

From AIDS 2026 in Rio de Janeiro, A Shot in the Arm Podcast hosts, Ben and Yvette, discuss why convening the global AIDS community still matters amid major financial challenges and shifts in U.S. aid. They emphasize “humanity first,” the need for African leadership, sovereignty in HIV financing, and learning how programs survived when aid decreased because “the community stayed.” They discuss remembering people lost due to changes in American aid and reject “America First” approaches in favor of multilateral collaboration. They also highlight scientific innovation and access issues, including once-monthly PrEP, once-weekly treatment, new combinations, and the importance of real choice to address treatment fatigue, along with growing interest in African manufacturing and policies like South Africa’s BEE requirements. 00:00 Welcome to Rio 00:53 Why This Conference Matters 01:42 Funding Sovereignty Debate 03:57 Resilience After Aid Cuts 05:43 New HIV Science Pipeline 07:31 Choice and Local Manufacturing 11:24 Rejecting America First 13:29 Community Power and Wrap Up AIDS 2026, the 26th International AIDS Conference https://www.iasociety.org/conferences/aids2026 APHA - Advocates for the Prevention of HIV in Africa https://www.apha.org.za Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth

In this episode of AIDS 2060, Ben explores how the climate crisis may disrupt the global HIV response with diplomat, author, and podcaster Arthur Snell, marking the U.S. launch of Snell’s book Elemental: The New Geography of Climate Change and How We Survive It. They discuss climate-driven population movements globally (from the Sahel to Central America and even within the U.S.), the political rise of hard-line migration policies, and how populism and disinformation can undermine science-based health and climate action. Snell outlines Africa’s potential as an energy superpower through critical minerals, agriculture, and renewable electricity exports enabled by new transmission technology, while Ben notes HIV risks linked to large male workforces and urban migration. The conversation also covers wildfire-related health impacts, pandemic risks from warming and thawing regions, and the need to rebuild trust and plan for food security and mobility beyond 2030. 00:00 Climate Crisis Meets HIV 01:29 Introducing Arthur Snell 02:10 Snell’s Diplomatic Journey 06:20 Surviving a Hotter World 09:02 Climate Migration Goes Global 13:37 Heat and Relocation in the West 17:35 Africa’s Energy Opportunity 20:44 Renewables and Global Power Grids 25:02 HIV Risks in New Economies 27:31 Populism and Misinformation 29:29 Populism Meets Denial 30:32 Net Zero Under Attack 32:09 Disaster Spin Machine 34:17 HIV Echoes Populism 37:01 Brexit Lessons on Emotion 39:13 Wildfires Health Toll 42:35 Firefighting and Solidarity 44:21 Thawing Ice Pandemic Risk 47:47 Trust Over Technocracy 50:46 Mobility Food and Futures 02:18 Closing Thanks and Next Steps Check out Arthur’s Book: Elemental: The New Geography of Climate Change and How We Survive it https://www.londonreviewbookshop.co.uk/stock/elemental-the-new-geography-of-climate-change-and-how-we-survive-it-the-first-comprehensive-account-of-the-geopolitics-of-climate-change-arthu Check out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this episode of “Redefining Global Health in the 21st Century,” Ben speaks with authors Dr. mike Reed and Professor Eric Goosby about how COVID exposed the geopolitical ramifications of Global Health, using Serbia’s vaccine deals with China, Russia, Pfizer, and AstraZeneca as a case study. They argue the era of a single global health superpower is fading and discuss a multipolar future shaped by “middle powers,” alongside the consequences of the US stepping back from traditional global health commitments, including leaving the WHO. The conversation critiques bureaucratic, duplicative governance and vaccine inequity, examines China’s largely transactional health role and the limited donor potential of the BRICS nations, and warns that the US defunding of South Africa’s HIV program harms HIV research more broadly. They call for stronger WHO implementation and decentralized rapid-response capacity, greater accountability, and less credit-seeking, while condemning tying lifesaving aid to transactional commercial arrangements, for example access to minerals and other commodities. 00:00 Serbia Vaccine Surprise 01:45 Multipolar Health Governance 05:04 US Retreat and Local Ownership 08:33 Why WHO Faces Critique 11:08 China Steps Into the Gap 17:04 BRICS Limits and Leverage 22:15 South Africa Research Stakes 24:54 WHO Reform and Decentralization 34:36 WHO Beyond Guidelines 36:29 Pandemic Governance Gaps 38:36 Climate Zoonoses Preparedness 39:45 Trust And Fragmentation 42:01 Rapid Response Blueprint 45:38 Inclusive Accountable Governance 49:36 Post Aid Future Financing 52:53 Hard Power Moral Costs 58:54 New Compact Conclusion 59:48 Humble Leadership Lessons 01:03:01 Thanks And Where To Listen Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-podcast A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

HIV prevention advocate Siviwe Gaika urges policymakers, governments, and donors to expand the HIV prevention “choice basket,” emphasizing long-acting injectable PrEP (cabotegravir) as WHO-recommended, safe, and highly effective, and calling for funding, youth-friendly delivery, streamlined national guidelines, and transparent accountability; she also acknowledges Glggobal Fund investment and South Africa’s commitment to long-acting innovation and local manufacturing. In the AIDS 2060 episode, host Ben interviews APHA executive director Yvette Raphael about why the world is not on track to end AIDS as a public health threat by 2030, the impact of shifting U.S. funding, and the need for country-led responses, health sovereignty, and dignity for key populations. Raphael centers feminist prevention advocacy, the Choice Manifesto, intergenerational leadership, better trial inclusion and post-trial access, and warns about misinformation on social media. 00:00 Youth Prevention Reality 00:55 Meet Yvette Raphael 02:21 Are We On Track 06:02 Funding Shockwaves 08:39 Self Reliance Now 12:04 Southern Led Response 15:55 Why Prevention Matters 20:41 Choice Manifesto Fight 23:15 Africa As A Market 25:51 Youth Boom Stakes 30:12 Let Youth Lead 31:49 Mentoring Future Leaders 33:01 Message to Our Future Selves 34:27 Pregnancy in Clinical Trials 38:25 Post Trial Access Rights 40:53 Why Youth Still Fear HIV 42:27 Social Media Misinformation 45:58 Health Sovereignty and Aid 50:31 Documenting Community Lessons 52:47 Pan African Collaboration 55:22 Let Young People Thrive 57:00 Closing Thanks and Next Steps Advocates for the Prevention of HIV in Africa https://www.apha.org.za Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Host Ben Plumley welcomes Professor Heidi Larson (London School of Hygiene & Tropical Medicine) and Dr. Mark Anderson (Pattern Computer/Strategic News Service) to discuss innovation and equity in global health through the lens of “entropy” as chaos in human and data systems. Larson reflects on vaccine confidence as a window into societal trust in government, science, technology, and information, and announces a new Lancet Commission on rethinking misinformation, health, and human security. Anderson explains pattern-based, hypothesis-free discovery, critiques large language models as probabilistic and untrustworthy for life‑critical medical decisions and emphasizes explainable AI. They explore how rapid technological and social change, emotional determinants of health, and social media contribute to fragmentation, and outline plans to collaborate on macro-level patterns driving trust and misinformation while expanding access to Pattern’s discovery tools through international programs. 00:00 Welcome and Theme 01:01 Meet Heidi Larson 03:52 Meet Mark Anderson 05:42 How They Connected 09:48 Defining Entropy 12:18 Why AI Is Untrustworthy 14:53 Heidi on Life Imbalance 19:19 Mark Pattern Thinking 23:05 Pattern Discovery Example 23:41 Gene Pattern Breakthrough 24:39 Least Action Across History 26:21 Rethinking Misinformation Systems 31:53 Macro Patterns vs Specialization 34:22 Explainable AI for Humans 35:43 Vaccine Confidence Signals 42:23 Predictions and Broken Patterns 43:49 Collaboration Plans Ahead 45:49 Global Discovery Program Rollout 48:06 Trust and Communication Wrap 49:33 Closing Credits and Thanks Pattern Computer https://www.patterncomputer.com Strategic News Service https://www.stratnews.com Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments!

Ben Plumley speaks with Dr. mike Reid and Eric Goosby about their new book Redefining Global Health in the 21st Century, focusing on epistemology—how global health defines knowledge, evidence, and success. They argue global health has overprioritized biomedical metrics and donor-driven targets, often sidelining local knowledge, community co-design, and broader measures like sustainability, equity, and trust. Using examples from HIV/TB programming, maternal health, differentiated service delivery, and integration vs vertical programs, they discuss how humility and partnership shape effective, resilient responses and how “measurement is rarely neutral.” The conversation addresses threats to key populations under current political decisions, the need for epistemic justice and a preferential option for the poor, failures in academic authorship equity, and how shifts in US leadership and the climate crisis may reshape global health governance. They also stress better explaining global health’s value to taxpayers. 00:00 Local Wisdom vs Evidence 00:55 Meet the Authors 01:45 Epistemology and Priorities 05:09 Epistemic Humility 08:51 PEPFAR Lessons on Partnership 10:39 Measurement Is Not Neutral 13:18 Motivation and Co-Design 21:09 Integration vs Vertical Programs 25:05 Equity and Key Populations 32:06 Politics and Funding Dilemmas 34:31 Moral Case for Care 36:09 Domestic Front Lines 36:56 Beyond Us Versus Them 40:10 Epistemology and Donor Power 44:15 Inclusive Leadership Priorities 47:37 Vacuum After US Retreat 51:09 Climate as Next Crisis 55:34 Decolonizing Academic Incentives 57:55 Preferential Option for Poor 01:00:27 Selling Global Health at Home 01:04:36 Three Arguments for Taxpayers 01:06:56 Closing Reflections and Next Episode Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://youtube.com/playlist?list=PLW7yagTEtywqvW9_bs6heRikREgwS9sE9&si=TuNEdwcA9Z-VKLH A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

Why does an undetectable HIV viral load sometimes flip to “detectable” — and what does that actually mean for the patient? Host Ben Plumley talks with Ben LaBrot (Professor of Global Medicine, USC; Medical Affairs Lead, Roche Molecular Diagnostics) and Daniel Griffin, MD (Chief of Infectious Disease, Island Infectious Disease Medical, Instructor of Clinical Medicine, Columbia University, Host, This Week in Virology) about the “viral blip” — a brief, low-level detectable result that occurs even in patients on fully effective antiretroviral therapy. The conversation covers the science behind ultra-sensitive viral load assays, the real meaning of U=U (undetectable = untransmittable), why lab handling and patient illness can cause a temporary blip, and why so many patients are blindsided by results in their MyChart before their doctor has a chance to explain. Ben and Daniel also discuss “prebunking” — preparing patients in advance — and the underused role of community health workers in HIV education. Topics: HIV, viral load, U=U, undetectable, antiretroviral therapy, infectious disease, diagnostics, patient communication, global health. 00:00 Welcome and Setup 00:13 The Viral Blip Riddle 01:20 Meet the Guests 04:02 Why Blips Matter Now 05:54 Assay Sensitivity and LOD 06:22 What Undetectable Means 08:36 U Equals U Confusion 12:50 MyChart Panic and Context 17:09 Prebunking Patient Fear 18:21 Why Blips Happen 20:59 Tech Problem Analog Fix 22:26 Testing Noise Sources 23:28 RNA Fragments Explained 25:16 Sample Handling Pitfalls 26:46 Reporting Low Copy Results 29:02 Managing Patient Anxiety 33:14 When a Blip Matters 36:12 Changing the Landscape 40:48 Community Outreach Ideas 43:12 Key Takeaways Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this second episode of AIDS2060, Ben sits down with Dr Andrew Kambugu, Executive Director of the Infectious Disease Institute at Makere University in Kampala Uganda. They discuss the state of the clinical response to HIV in Africa, and Andrew sets out a research and implementation agenda that gives equal weight to HIV prevention, treatment and diagnosis. He compares it to floor cleaning: you have to switch the water off at its source and not rely exclusively on mopping water up on the floor. In other words, African solutions for African problems of an epidemic that we know how to treat but can’t control rates of infection across the continent. 00:00 AIDS 2060 episode 2 intro 02:20 Three pillar overview 02:58 Prevention breakthroughs 04:19 Treatment momentum risks 06:00 Injectables and dual therapy 08:24 Integrating chronic care 10:12 Circumcision and ownership 14:07 Rethinking optimization 20:03 Africa led R & D 26:02 Africa CDC and AMA 27:42 Building Regulatory Capacity 28:21 Private Sector Momentum 29:37 Uganda Manufacturing Model 31:55 Academia Industry R&D 33:35 Africa Research Priorities 36:44 Biotech and Diagnostics 44:55 Funding and Innovation 49:51 Closing Thanks and Outro Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

A Shot in the Arm Media in partnership with UCSF Institute for Global Health launched a nine-part series to explore the future of global health built around the book Redefining Global Health in the 21st Century, co-authored by Dr. mike Reid (UCSF Institute for Global Health Sciences) and Ambassador Eric Goosby (former U.S. Global AIDS Coordinator and former PEPFAR Chief Medical Officer). In this episode, what if the greatest threat to global health isn't a new virus — it's us? Our funding fatigue, our outdated playbook, our addiction to replication over adaptation. We've saved millions of lives. But are we sleepwalking inexorably into decline, into the enshittocene. Eric and mike don’t think so. And they’ve written a book, “Redefining Global Health in the 21st Century, that sets out an alternative, optimistic future. In this episode, they reflect on the end of the old order, and the implications for innovation and scale up into a new era in global health. mike and Eric are hosted by Ben Plumley from A Shot In The Arm Media. 00:00 Series Kickoff Recap 01:25 Early Wins Foundations 02:07 Global Fund and PEPFAR Tensions 04:40 What Worked Best 06:29 Malawi Dependency Shock 08:48 Why Systems Collapsed 12:50 Donor Ecosystem Incentives 18:30 Designing Better Partnerships 23:25 New Players Multipolar Era 27:21 Philanthropy Promise and Peril 31:44 Limits of Philanthropy 32:24 Gates Foundation Lessons 33:41 Sustainability Commitments 35:56 Country Led Coordination 37:45 Innovation Beyond Tech Fixes 39:28 Private Sector as Resource Motor 42:02 Equity Risks and Guardrails 44:24 Indigenous Knowledge in Trials 48:08 From Pilots to Scale 52:19 Access and Global Rollout Rules 54:34 Paradigm Shift Takeaways 55:25 Episode Wrap and Next Steps Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://youtube.com/playlist?list=PLW7yagTEtywqvW9_bs6heRikREgwS9sE9&si=Tu-NEdwcA9Z-VKLH A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

A Shot in the Arm Media launches a new nine-part series produced in partnership with the UCSF Institute for Global Health Sciences, built around the book Redefining Global Health in the 21st Century, co-authored by Dr. mike Reid (UCSF Institute for Global Health Sciences) and Ambassador Eric Goosby (former U.S. Global AIDS Coordinator and former PEPFAR Chief Medical Officer). In this prologue episode, Reid and Goosby explain why they wrote the book, what defined the “golden era” of global health since the early 2000s—the Global Fund, PEPFAR, Gavi—and why that progress now feels at risk under the Trump administration's cuts to USAID and PEPFAR. They introduce the book's central metaphor, borrowed from Cory Doctorow's concept of “enshittification,” to ask whether global health institutions are on the brink of decay, and argue that decline is a choice, not a destiny. The conversation previews the arc of the series—covering the old order, governance, financing, climate, technology and AI, and self-care for health workers—and closes with a call for honesty, bipartisanship and accountability, grounded in the legacies of Nelson Mandela and Steve Biko. 00:00 Introduction: Is the Greatest Threat to Global Health... Us? 00:49 Launching the Series: Redefining Global Health in the 21st Century 02:06 Meet the Authors: Dr. Mike Reid and Ambassador Eric Goosby 02:32 Why They Wrote This Book 03:28 Writing Through the Trump Transition 05:28 The Golden Era of Global Health 08:04 Shared Responsibility and Its Roots 10:21 What's Unraveling Now 11:34 Vancouver 1996 and the Roots of the Reckoning 12:18 Honoring Health Workers and Naming the Moral Injury 14:18 What Would Have to Change, Structurally and Politically 17:50 “Enshittification” and the Risk of Global Health Decline 20:30 Kuhn, Paradigm Shifts, and a New Vision for Global Health 22:17 Goosby's 38,000-Foot View: Aligning Need, Access and Governance 25:16 Reid on Financing, Governance, Science and New Tools 28:06 Mapping the Series and the Book's Chapters 32:11 Reform Agenda or Transformation Agenda? 35:19 Letters to My Daughters: Making Global Health Personal 37:31 Why Global Health Matters at Home 41:12 Does the Field Still Reflect Why We Got Into It? 43:18 Bipartisanship, Nelson Mandela and Steve Biko 46:18 Toward a Reckoning: Truth, Reconciliation and Accountability 51:02 “Not on Our Watch” 53:27 Holding the Administration to Account 56:32 The Book, Its Price, and Where to Find It 58:23 Sign-Off and What's Coming in Episode Two Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid’s Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm’s YouTube home. Redefining Global Health in the 21st Century (Playlist on Youtube) https://bit.ly/rgh-podcast A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

Another candid update from Ben Plumley on life with stage four colorectal cancer, focusing on one of the most under appreciated challenges of treatment: the daily battle to eat. Treatment Update — Ben is continuing maintenance chemotherapy and awaiting a PET scan at the end of June. The goal is non-progression — holding the cancer steady — which counts as a win. --- 01:30 - The Food Fight — Ben breaks down why eating has become such a struggle, covering two main culprits: the cancer itself and the side effects of chemotherapy -which damages the digestive tract lining and causes nausea, taste changes, and mouth and jaw pain. 03:37 - Taste Changes Explained — Ben describes the layered impact on his senses: from persistent metallic taste, a sulfuric reaction to eggs and squash, to complete tastelessness , and to brights including orange juice and alpine milk chocolate. 09:29 - Cannabinoids as a Tool — After a referral through Kaiser’s infectious disease department, Ben has incorporated CBD tinctures into his routine. 13:56 - And on a genuinely uplifting note, Ben’s vegetable garden is thriving with fruit and vegetables - a reminder that the garden remains a vital source of calm and energy throughout his journey. Hosted by Ben Plumley | A Shot in the Arm Media | Produced and directed by Erik Espera. Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben’s Substack: https://substack.com/@benplumley1 Useful resources: https://fightcolorectalcancer.org https://colontown.org Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health news.

This is the first episode of AIDS 2060, a special multimedia mini-series of podcasts and Substack articles devoted to understanding what is needed to bring the HIV epidemic under control, how long that will take, and why the world has been unable to do so to date, notwithstanding overly ambitious public commitments that questionably are not rooted in science and hide the real threat HIV poses, even today. We are in San Francisco, one of the first epicenters of the epidemic, and meet the City’s Community Health Center which is on the frontline of providing comprehensive care and prevention services to the hardest to reach populations, people of color, the trans community, people who inject drugs, the homeless and people with mental health issues. Ending the HIV epidemic will not be achieved, let alone by an arbitrary date like 2060, unless human rights and evidence-based programs reach and are used by these people. Does a progressive city like San Francisco have the political will to do what the science tells us works? Host Ben Plumley is joined by Lance Toma (CEO), Dan O’Neill (Chief Medical Officer), and Dr. Tatyana Moaton (Chief Strategy & Workforce Officer). 00:00 Welcome to AIDS 2060 00:38 Why the Response Stalled 02:05 Picking 2060 as the Lens 03:01 San Francisco Frontlines 03:39 Targets and Reality Check 04:16 Meet the Health Center Team 05:35 Will AIDS 2030 Happen 07:46 Local Progress and Setbacks 10:52 Who the Clinic Serves 14:12 Trans Communities as Canary 18:15 Surveillance Data Under Attack 22:15 Leading Through Funding Chaos 26:53 Long Acting Injectables in Practice 28:47 Prep Access Gaps and Equity 30:14 Street Medicine and Viral Suppression 32:50 Worrying About Innovation Stalls 33:16 HIV Pipeline Reality Check 33:54 Long Acting Drug Revolution 35:10 New Classes And Regimen Design 36:02 Once Yearly Prevention Vision 37:09 Equity Over Innovation 37:52 Whole Person Care Infrastructure 40:31 Radical Roots And Community Power 42:58 Hard Reboot In Crisis 46:25 Coalitions Beyond HIV 49:43 Data Visibility And Erasure 53:55 Global Community Connections 55:32 2060 Hopes And Closing Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Investigative journalist and public health expert Emily Bass returns to A Shot In The Arm with the most consequential update on the global HIV response in months. Drawing on a brand-new report from Physicians for Human Rights and South African partners — built from 40 oral histories — Emily walks Ben Plumley through the human cost of the Trump administration’s foreign aid disruptions, the staggering waste of dismantled prevention infrastructure, and the bizarre data spin emerging from the State Department. The episode also covers Dr. mike Reed’s headline-making resignation as PEPFAR’s Chief Scientific Officer, the dangerous quiet around supply chain contracts and bed-net procurement, and what the new “America First Global Health Strategy” is choosing to celebrate — and choosing to obscure. Ben closes with a preview of two new initiatives: AIDS 2060, a long-horizon project from A Shot In The Arm Media, and the rebrand of MTV Staying Alive Foundation to Shuga Global. 00:00 Welcome and Setup 01:18 Global Health Upheaval 03:13 PEPFAR Data Spin 04:07 South Africa Report 05:51 Prevention Platform Collapse 09:27 Clinic Breakdown Story 12:52 Why 18 Percent Matters 16:33 Community Resilience 19:22 Research Partnerships Lost 22:12 Treatment Disruptions 25:26 Trauma to Transition 31:11 Data Blackout Returns 39:07 Prep Data Mirage 42:08 Kids Treatment Declines 44:55 Age Data Removed 47:02 Congress Pushback 52:02 Supply Chain Breakdown 59:38 Last Mile Disaster Story 01:02:16 Orderly Transition Demands 01:06:23 AIDS 2060 Vision 01:10:35 Sugar Global Storytelling 01:15:20 Africa Led Future 01:20:42 Closing Thanks Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

What the hell has gone wrong with the global HIV and AIDS response? Does it matter? And what do we need to do to fix it? Ben Plumley introduces AIDS 2060, a new project from A Shot In The Arm Media asking the questions the global health community has been quietly dodging for a decade. With 40.8 million people living with HIV, 1.3 million new infections every year, and the US sending the world into "septic shock" with sudden cuts to PEPFAR, the scale of the real challenge ahead is finally coming into focus. Over the coming months, we'll travel the world to gather insights from scientific, political, and community leaders — starting with an initial AIDS 2060 episode focused on San Francisco’s evolving epidemic and long-term plans. Look out for that episode dropping soon! 00:00 Welcome and Big Question 00:30 Why HIV Still Matters 00:57 Funding Shock and False Optimism 01:42 Introducing AIDS 2060 02:05 Looking Ahead to Future Conferences 02:19 World Tour and First Episode 02:42 Subscribe and Closing Thanks Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Ben Plumley is joined by Ambassador Eric Goosby, and by Dr. mike Reid to react to Reid’s recently announced resignation from PEPFAR on Substack. Reid describes his growing moral dissonance with an administration he characterizes as authoritarian, citing concerns that lifesaving HIV services could be conditioned on geopolitical or commercial interests, a deprioritization of equity, reduced emphasis on evidence-based programming, and rapid changes made without deliberation or stakeholder engagement. The conversation contrasts partnership-based global health diplomacy with short-term coercive quid pro quo dynamics, the push toward country ownership and government-to-government funding, as well as ensuring marginalized populations are still able to access comprehensive HIV services. Is there a need for PEPFAR to course-correct, and if so, how? Perhaps the future will depend on what kind of new administration comes into office in 2029… 00:00 Special Episode Introduction 00:33 Resignation Goes Public 02:53 Why Reid Resigned Now 07:50 Authoritarianism And Ethics 10:39 Quid Pro Quo In MOUs 12:28 Partnership Versus Coercion 15:30 Making Global Health Matter 18:13 Domestic Policy Dissonance 20:22 PEPFAR Not Fit For Purpose 23:56 Country Ownership Fast Track 26:21 Public Health Versus Politics 28:23 Who Gets Left Behind 31:32 Science And Sustainable Transition 33:36 Can PEPFAR Recover 35:54 Shared Blame and Dependency 38:14 MOU Enforcement and Penalties 40:56 Minerals Deals and Ethics 43:37 Lessons From Past Bilaterals 44:47 Building Sustainable Systems 47:45 Doing More With Less 50:50 Efficiency Integration and Tech 52:41 New Tools and Market Shaping 54:08 Personal Next Steps 56:41 Moral Ambition and Hope 01:00:51 Final Thanks and Signoff Read mike’s resignation on Substack: https://reimaginingglobalhealth.substack.com/p/stepping-away Check Out Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Ben discusses living with stage IV colorectal cancer, noting fluctuating wellbeing and chemotherapy side effects including pain, nausea, fatigue, itchy skin, brittle nails, and poor appetite. He mentions infusion logistics, new pains and temperature swings, as well as anxiety about his PET scan. He observes minor changes in tumor and thyroid SUV values and plans to review these with his oncologist. Ben recommends Colontown for peer support and acknowledges recent losses in his community. 00:00 Welcome and Gratitude 00:46 Up and Down Health 02:02 Too Much to Say 03:31 Humor and Sports Talk 06:14 Time Travel Thoughts 08:21 Facing Death and Grief 09:34 Chemo Routine Update 12:33 PET Scan Anxiety 14:23 Mystery Pains and Symptoms 18:45 Planning Life Anyway 22:27 Travel Dreams and Politics 26:04 Reading PET Results Early 29:16 Wrap Up and Colontown 29:31 Final Reflections on Loss Visit Colontown! https://colontown.org Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Ben talks with Birgit Poniatowski, the Executive Director of the International AIDS Society (IAS), about the role of professional associations in the HIV movement and IAS’s convening power. Poniatowski describes IAS’s origins in 1988, its 13,000-member multidisciplinary base including people living with HIV, and its three main conferences: the IAS Conference on HIV Science (odd years), the International AIDS Conference (even years), and HIV Research for Prevention. They discuss why the International AIDS Conference remains vital amid abrupt funding cuts and shifting donor priorities, the limits and value of hybrid/virtual formats, and plans for AIDS 2026 in Rio with the theme “Rethink, Rebuild, Rise,” emphasizing rebuilding systems for long-term realities, financing and equity, and a broad prevention toolbox. Poniatowski also outlines IAS governance changes to embed community decision-making, priorities “2026 onwards,” youth leadership programs, her career path, and how to engage via the IAS website and volunteering. For more information visit https://www.iasociety.org/ Stephanie Nolan’s article on the state of negotiations between the US and Zambia. https://www.nytimes.com/2026/03/16/health/zambia-hiv-aid-minerals-trump.html 00:00 Welcome and Setup 01:08 What Is the IAS 03:01 IAS Conferences Overview 05:25 Why the Big Conference Matters 08:01 Are Conferences Worth It 10:20 Hybrid and Virtual Access 13:47 AIDS 2026 Theme 15:07 Donor Politics and MOUs 21:22 Rio Program Priorities 23:44 US Reliance and Europe 26:41 Reforming IAS Governance 30:06 Rebuild and New Leadership 35:22 Bergit's Career Journey 38:05 Music and Final Reflections 40:12 How to Get Involved 41:53 Closing Thanks and Subscribe

Welcome to a new episode of 'Colon, Meet Cancer' from A Shot in the Arm Media. In this first episode of 2026, Ben shares his experiences of treatment side effects while living with stage four colorectal cancer, and how these impact his ability to live as near a normal life as possible. Also covered are unexpected complications like clostridioides difficile and pulmonary embolism, which had Ben hospitalized in December 2025. He also reflects on his interactions with medical staff, including the invaluable support from nurses, and discusses his thoughts on resilience, the future, and living beyond the diagnosis. Join Ben as he candidly narrates his personal cancer journey and hopes for the year ahead. 00:00 Introduction and Diagnosis 01:08 Coping with Chemotherapy 03:06 Maintenance Therapy Explained 06:41 Hospitalization and Complications 09:33 Reflections on Healthcare and Diversity 12:21 Christmas Reflections 14:16 Living with Uncertainty 17:27 Looking Ahead to 2026 Join the Conversation! If you or someone you know is living with cancer, share your experiences and thoughts in the comments! Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this powerful episode of A Shot in the Arm podcast, host Ben Plumley discusses the state of the HIV/AIDS epidemic in the United States under a hostile federal government with Dr. Tatyana Moaton, the Director of Strategic Innovation and Partnership at the San Francisco Community Health Center. Dr. Moaton unpacks the systemic challenges faced by the trans community, healthcare disparities, the significant threats posed by current federal policies, and the urgent need for advocacy and coalition building. Dr. Moaton's insights and lived experiences highlight the relentless fight for trans rights, healthcare equity, and the importance of acknowledging humanity in healthcare decisions. Join us for an eye-opening conversation about innovation, equity, and the resilience required to confront these pressing social issues. 00:00 Introduction to the Podcast and Today's Topic 01:21 Personal Disclosure and Health Update 02:13 Introducing Dr. Tatyana Moaton 03:02 Dr. Moaton's Background and Journey 04:43 San Francisco Community Health Center's Mission 07:13 Trans Thrive Program and Services 10:03 Challenges Faced by Trans Communities 25:27 Violence Against Trans Women 26:42 Systematic Erasure and Advocacy 29:43 Contradictions in Gender Affirming Care 33:06 A Harrowing Story from the Ballroom Community 33:51 The Impact of Federal Policies on Trans Services 36:57 Executive Orders and Community Health Center's Response 37:50 Navigating Federal Funding Restrictions 39:03 The Importance of Gender Affirming Care 40:57 Challenges and Misconceptions Around Trans Rights 53:19 ICE and Immigration Issues 57:09 The Fight for Trans Rights and Community Support 01:02:38 Call to Action and Conclusion Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Visit and Support the San Francisco Community Health Center https://www.sfcommunityhealth.org https://www.facebook.com/SFCommunityHealth https://www.instagram.com/sfcommunityhealth https://youtube.com/@sfcommunityhealth https://bsky.app/profile/sfcommunityhealth.bsky.social https://www.linkedin.com/company/1387878 Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this special World AIDS Day episode, Emily Bass and Ben Plumley delve into the current and future state of the global AIDS response. Join them as they discuss the rise of Emily's influential Substack, the impact of recent US administration policies, and the essential roles played by organizations like UNAIDS. The conversation highlights the challenges and opportunities in the fight against HIV/AIDS, with a particular focus on country-driven initiatives and the need for sustainable, equitable solutions. With special mentions of groundbreaking biomedical advances, crucial data collection, and the evolving landscape of global health governance, this episode is a must-listen for anyone engaged in or passionate about global health advocacy. 00:00 Introduction and Opening Remarks 00:21 World AIDS Day Podcast Overview 00:51 Emily Bass' Substack and Its Impact 01:47 US Government's Role in AIDS Response 04:51 Challenges and Frustrations with Substack 05:49 Global Health Agreements and Specimen Sharing 10:39 Pan-African Leadership in Health 18:18 US Administration's Health Policies 35:20 America's Prioritization in Vaccine Distribution 36:02 Financial Implications of Vaccine Pricing 36:38 Multilateral vs. Unilateral Approaches 37:33 Concerns Over Bilateral Agreements 40:23 Global Fund Replenishment and Commitments 42:34 Challenges in Global Health Leadership 52:36 The Role of UNAIDS in Global Health 01:06:57 Reflections and Future Directions 01:10:28 Closing Remarks and Acknowledgements Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this episode of 'A Shot in The Arm Podcast,' host Ben Plumley reconnects with his longtime friend and colleague, Andy Seale from the World Health Organization. The conversation spans decades of their personal and professional journeys across global health, with a primary focus on HIV, TB, and malaria. Ben and Andy discuss the challenges and triumphs of their work, including Andy's experience with HIV diagnosis and the global fight against pandemics such as Ebola. They also tackle critical issues like WHO’s evolving role in global health, the impacts of reduced funding, and the necessity for integration with broader policy fields like security and economics. The transcript also reveals Andy as an enthusiastic fan of Taylor Swift, humorously contrasting with Ben’s musical preferences. The episode highlights past collaborations, current challenges, and the future of global health in an unpredictable geopolitical landscape. 00:00 Introduction and Personal Update 01:43 A Special Guest: Andy Seale 02:42 The ERAS Tour: Reflecting on the Past 04:08 Growing Up During the HIV Epidemic 05:31 Early Careers and Professional Crossroads 09:48 Community and Personal Impact of HIV 20:53 Transition to Global Health Initiatives 23:54 Responding to Health Emergencies 29:51 The Role of Media and Communication 37:05 The Massive Effort and Global Fund 41:33 A Murder Mystery at the UN 42:29 Golden Era of Epidemic Responses 42:55 Roles and Contributions in UNAIDS and Global Fund 44:21 Challenges and Changes in Global Health 45:36 Sexual Orientation and Gender Identity Strategy 47:03 Integration and Sustainability in Health Services 51:19 Reflections on Global Health and WHO's Role 56:56 The Future of Global Health and Security 01:17:30 Concluding Thoughts and Optimism Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Ben's Colon, Meet Cancer Podcast https://www.youtube.com/playlist?list=PLW7yagTEtywrzqAXsYp8gYw3LJpjcnnSB Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

In this episode Ben Plumley catches up with Dr. Seth Berkley, founder of the International AIDS Vaccine Initiative, former CEO of GAVI and amongst other responsibilities, now a senior advisor at Brown University's School of Public Health's Pandemic Center. Seth has recently published a new book “Fair Doses: An Insider's Story of the Pandemic and the Global Fight for Vaccine Equity” and he and Ben discuss the book’s topics of vaccine equity, misinformation, and the rapid innovations in vaccine development, particularly the success and future potential of mRNA vaccines. Dr. Berkley highlights the challenges posed by misinformation and the political landscape, as well as the importance of global collaboration in addressing pandemics. They also explore his defining role in Covax's efforts to distribute COVID vaccines, the need for local manufacturing, and the impacts of nationalistic policies on global health. Dr. Berkley stresses the critical role of ongoing innovation and funding in preparing for future health crises and ensuring equitable access to health technologies. And he pulls no punches on the current US administration’s failures in supporting global health research and partnerships. https://www.ucpress.edu/books/fair-doses/hardcover 00:00 Introduction and Guest Introduction 01:05 Current State of Misinformation and Disinformation 03:56 Challenges in Public Health Communication 09:19 Reflections on COVID-19 and Vaccine Equity 12:44 Global Health and Future Pandemics 16:41 Vaccine Nationalism and Local Manufacturing 23:38 Preparedness for Future Health Threats 31:01 The Future of Clinical Research and Innovation 36:03 Seth Berkeley's Current Work and Future Plans 38:13 Conclusion and Closing Remarks Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Read Emily Bass’ Substack: https://substack.com/@emilysbass Check Out Ben’s Substack: https://substack.com/@benplumley1 Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Ben’s journey of battling stage four colorectal cancer with chemotherapy brings him to a fairly predictable pit stop; what significance does faith have in spiritual and physical care? , Whether its unravelling deeper issues of self-acceptance and self-faith., the episode explores faith from various perspectives, including personal conviction and religious doctrine, questioning the existence of an all-powerful, all-knowing God amidst the presence of widespread suffering. The psychological and spiritual impacts of cancer treatment are discussed, including the what may be a gradual transition from atheism to an almost agnostic faith as a coping mechanism. The episode concludes with an update on treatment progress and a contemplation on the broader implications of faith, love, and legacy. This wee’s t shirt is from St. Javelin, a Ukrainian-based clothier. Find out more about them at www.saintjavelin.com 00:00 Introduction: The Journey of Faith 00:17 A Lunch With A Pop Star Gone Awry 03:47 Reflections on Faith and Self-Esteem 04:51 Chemotherapy Update 06:23 Exploring the Concept of Faith 08:30 Faith in the Context of Cancer 10:33 Religious Perspectives on Faith 19:30 Personal Reflections and Legacy 22:35 Conclusion and Final Thoughts 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of 'Colon Meet Cancer,' Ben recounts the surprising success story of Henrik Gretzky's Symphony Number Three, how badly it was initially received by the musicology world and draws a surprising parallel to his chemotherapy journey. He shares the complex experience of managing an increasing range of chemo side effects, including white blood cell treatments, pain, and hair loss. Ben candidly discusses his struggles with memory fog, the challenges it brings, and the ensuing emotional toll manifested as depression and self-reflection. Despite the adversities, he highlights the importance of humor, intellectual stimulation, and staying hopeful. One of the tools he has used has been late night reflections on controversial topics, and he closes out the episode with Ben by sharing one of those midnight reflections - the potential risks and benefits of AI in healthcare. This week's t-shirt, gifted by Andy Seale, features the slogan 'Make America Democratic Again.' 00:00 Introduction: A Surprising Symphony 02:53 The Onset of Chemotherapy 04:37 Managing Side Effects 10:13 Chemo Brain and Memory Fog 14:59 Depression and Self-Reflection 18:45 AI and Its Implications 23:35 Humor as a Coping Mechanism 25:32 Conclusion: Gratitude and Hope Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated! Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

It’s a Paul Revere moment, “RFK Junior is coming!” Ben is joined by author and journalist Emily Bass and UCSF Professor Eric Goosby, co-host of the Global Health Diplomats podcast to diagnose and propose solutions to the Trump Administration’s assault on US public health. From the hollowing out of the CDC, to vaccine skepticism at the heart of the federal leadership, and savage, unconstitutional cuts to public health home and abroad, they delve into the broader ramifications of these attacks on scientific integrity, US democracy and security. They round upon what could be profoundly damaging political consequences, particularly for Republicans, if the health of their voters’ children and elderly relatives is put directly at risk by this willful dismantling of US public health services. And in conclusion, Ben, Eric and Emily explore how to support the emerging regional health coalitions of states, cities and professional bodies to fill the gap. 00:00 Introduction and Guest Welcome 00:50 Recent Developments in Global Health 02:08 Legal Challenges and Public Health Implications 03:18 Impact on Democracy and Public Health 12:04 Interview with Eric Goosby 14:27 Concerns About CDC and Public Health Surveillance 19:36 Future of Public Health and Science 34:46 Potential Solutions and Local Efforts 39:09 Coalitions and Surveillance Systems 44:23 Challenges in Public Health Funding 48:24 The Role of Philanthropy in Public Health 50:37 Political Ramifications and Public Health 56:22 Vaccine Misinformation and Public Trust 58:27 Accountability in Public Health Leadership 01:04:33 COVID Variants and Vaccination Strategies 01:10:27 Final Thoughts and Reflections Emily’s Substack: https://substack.com/@emilysbass Ben’s Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of A Shot in the Arm Podcast, host Ben Plumley engages in a comprehensive discussion with journalist and author Emily Bass about the current state of global health, specifically focusing on HIV/AIDS. Recorded in sunny Sacramento, they reflect on the extraordinary events of the past few months and assess the alignment of innovation and equity in global health. Their conversation covers a wide range of topics, including the importance of community-based care and accountability, the evolving role of international NGOs, and the critical nature of differentiated service delivery in HIV treatment. They also discuss the geopolitical uncertainties affecting global health funding and the influence of recent political changes in the US on the future of the global HIV response. They touch upon the significant role of entities like PEPFAR, the Global Fund, and UNAIDS, and the necessity for national contributions and regional procurement in sustaining HIV programs. Emily emphasizes the need to preserve community-based accountability and the value of innovative, country-led solutions for delivering healthcare. They conclude with a commitment to delve deeper into HIV prevention in a future episode, recognizing the ongoing challenges and opportunities in achieving global HIV/AIDS objectives. Emily’s book: To End a Plague: America's Fight to Defeat AIDS in Africa https://www.amazon.com/End-Plague-Americas-Defeat-Africa/dp/1541762436 Emily’s recent essay in the New York Times: https://www.nytimes.com/2025/07/14/opinion/pepfar-hiv-foreign-aid.html Emily’s Substack: https://substack.com/@emilysbass Ben’s Substack: https://substack.com/@benplumley1 Chapters: 00:00 Introduction and Host Welcome 00:36 Guest Introduction: Emily's Expertise 02:26 Global Health Check-In 03:11 Humanitarian Crises and HIV 05:00 Impact of Global Health Policies 06:44 HIV Treatment Challenges 08:57 Sustainability and Ownership in HIV Response 12:47 Global Health Architecture and Funding 16:33 The Role of PEPFAR and Global Fund 22:25 Future of Global Health Initiatives 38:25 Global Fund's Role in Procurement and National Contributions 40:33 US Congress and Global Health Budget 42:15 Innovation in Global AIDS Response 49:30 The Importance of Differentiated Service Delivery 01:00:58 Community Accountability in Public Health 01:09:38 Challenges and Future of HIV Prevention Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

As Ben starts his first chemotherapy cycle, he explores the controversial yet essential role of chemotherapy in cancer treatment. He looks at its historical roots and tries to understand the scientific mechanisms of various chemotherapies. He shares an intimate look at the highs and lows of his first cycle of treatment, the importance of comprehensive, multidisciplinary care, as well as the physical and emotional aspects of cancer therapy. Ben’s t-shirt this week celebrates the Ukrainian Alliance for Public Health. You can find out more about the Alliance and how you can help at https://aph.org.ua/en/home 00:00 Introduction and Preface 00:45 The Origins of Chemotherapy 02:33 Personal Experience with Chemotherapy 04:30 The Chemotherapy Process 07:25 Side Effects and Challenges 11:15 Living with Chemotherapy 17:25 Understanding Chemotherapy 22:16 The Vagal Response Incident 28:20 Conclusion and Acknowledgements 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

Ben and Yvette catch up with Winnie Byanyima, Executive Director of UNAIDS, as the joint UN program on HIV and AIDS launched a global AIDS update report entitled “AIDS, crisis and the power to transform”. They explore what levers are left to meet the 2030 Sustainable Development Goals, including ending AIDS as a public health crisis by 2030, the continuing relevance of UNAIDS to lead the world’s response to one of the greatest zoonotic infections of the 21st century, and what the real trajectory of an epidemic that even a year ago seemed entering its last mile. 00:00 Introduction and Welcome 00:54 Introducing the Guest: Winnie Byanyima 01:23 UNAIDS Report Highlights 06:37 Community Leadership and Challenges 15:02 Integration and Health Systems 30:18 Decolonizing Health Systems 32:56 Fast Tracking African Market Integration 34:08 UN's Own Story and Decolonization 35:37 Youth Perspectives on Decolonization 38:06 Global Solidarity and Economic Injustices 44:01 Immediate Actions for Health Crisis 47:58 UNAIDS' Future Vision and Challenges 57:30 Call to Action and Closing Remarks 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of A Shot in the Arm podcast, host Ben Plumley discusses the Kigali International AIDS Society Conference with guests Solange Baptiste from ITPC and Rosemary Mburu from WACI Health. They explore the importance of community voices in global health innovations, the challenges of funding cuts, and the significance of long-acting antiretroviral therapies. Additionally, they touch upon the roles of UNAIDS and the Global Fund, advanced HIV disease, and the critical need for prioritizing global health and HIV funding. 00:00 Introduction to the Podcast 00:16 Kigali International AIDS Society Conference Overview 00:40 Community Involvement and Clinical Trials 00:51 Introducing the Guests: Solange Baptiste and Rosemary Mburu 02:13 Discussion on the Kigali AIDS Conference 04:48 Challenges and Strategies in Global Health Funding 11:32 Community Leadership and Global Health Architecture 14:54 UNAIDS and Global Fund Presence at the Conference 26:00 Scientific Innovations and Long-Acting Treatments 31:59 Integration and Efficiency in Global Health 35:15 Conclusion and Final Thoughts 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

Ben delves into the multifaceted experience of pain, beginning with a literary reference from Margaret Atwood. He shares personal anecdotes about blood draws, the insertion of a chemotherapy port, and the challenges of effectively communicating pain levels to healthcare professionals. Ben reflects on his nearly forty years’ experience living with Crohn's disease, exploring different ways to describe pain, and examines various strategies for pain management, including medications like acetaminophen and oxycodone, and the antidepressant duloxetine. The episode also highlights historical and cultural contexts of pain and invites listeners to contribute to a virtual medicine cabinet of motivational and entertaining resources. 00:00 Introduction and Literary Preface 01:34 Personal Anecdotes and Blood Tests 02:08 Chemotherapy Port Installation 05:31 Experiencing and Describing Pain 13:38 Pain Management Strategies 18:25 Upcoming Chemotherapy and Final Thoughts https://www.ninds.nih.gov/health-information/disorders/pain 💬 Join the Conversation How should people share their experiences of life-threatening disease? Share your thoughts in the comments! 🔔Subscribe & Stay Updated Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this special episode of the podcast, host Yvette Raphael and a panel of young female advocates take over the discussion at the IAS 2025 held in Kigali, Rwanda. The episode features insightful conversations with Sinehlanhla Gogela, Sihle Magwentshu, Siviwe Gaika, who are active members of the Young Women's HIV Prevention Council and ground forces with the organization APA. The panel discusses the impact of recent funding cuts on HIV prevention efforts, their experiences in promoting HIV awareness, and the importance of community engagement. They also highlight promising developments in HIV prevention, including the introduction of the long-lasting injectable Lenacapavir and the dual prevention pill (DPP). The advocates express their hopes for the future and the need for continued support and funding to sustain their vital work. 00:00 Introduction and Welcome 00:27 Meet the Guests 01:44 Impact of Funding Cuts 05:50 Conference Highlights and Key Takeaways 09:57 Future of HIV Prevention 16:30 The Role of Ground Forces 20:42 Closing Remarks and Celebrations 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of A Shot in the Arm Podcast, host Ben Plumley welcomes Dr. mike Reid, Associate Director of Global Health Delivery and Economics at UCSF. The discussion centers on Reid's analysis of the 'seven dead ideas' in global health, criticizing outdated approaches such as the overreliance on donor directives and vertical programs. Reid emphasizes the need for context-sensitive solutions informed by rigorous implementation science and local realities. The conversation also touches on how health, intrinsically political, demands both donor and recipient nations to prioritize equitable solutions. Additional insights include the inefficiencies in current funding models, the dangers of overly technical approaches, and the underutilized role of faith communities and AI in future health strategies. The episode concludes with a call for integrated efforts and sustainable practices as the path forward. 00:00 Introduction and Podcast Overview 00:43 Guest Introduction: Dr. mike Reid 01:23 State of Global Health: Key Issues 02:17 Seven Dead Ideas in Global Health 03:42 Dead Idea #1: We Know What Works 07:19 Dead Idea #2: Health is a Technical Problem 11:27 Dead Idea #3: Donors Know Best 13:07 Dead Idea #4: More Money Means More Impact 15:35 Dead Idea #5: Vertical Programs are Efficient 20:35 Dead Idea #6: Measurement Equals Progress 24:44 Dead Idea #7: We Are on Track to Achieve SDG Goal 3 27:10 The Role of Faith Communities in Global Health 30:18 Artificial Intelligence in Global Health 33:57 Conclusion and Farewell 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of A Shot in the Arm podcast, host Ben Plumley is joined by Professor Heidi Larson, co-founder of the Global Listening Project, and Dr. Nduku Kilonzo, managing director of Yemaya Health Advisory. Recorded in during IAS 2025 in Kigali, Rwanda, the discussion centers on the essential contributions of faith leaders to global health, particularly in engaging communities and influencing public health decisions. The episode explores findings from the Global Listening Project's studies in Kenya and Nigeria, highlighting the deep trust communities place in faith leaders and the necessity of including them in health initiatives. The conversation emphasizes the need for health professionals to rethink their engagement strategies with faith communities, the role of digital technologies, and the importance of co-creating health solutions with faith leaders. 00:00 Introduction and Welcome 00:17 Meet the Guests: Professor Heidi Larson and Dr. Nduku Kilonzo 00:35 The Role of Faith Leaders in Global Health 02:20 Insights from the Global Listening Project 03:54 Challenges and Opportunities in Engaging Faith Leaders 05:17 Deep Listening Techniques and Findings 07:49 Faith Leaders' Perspectives on Health Issues 09:53 The Importance of Trust and Engagement 19:11 Digital Technologies and Faith Communities 24:27 Future Directions and Final Thoughts 28:30 Closing Remarks and Thanks 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode, host Ben Plumley, along with co-host Yvette Raphael, reports from the International AIDS Society Scientific Conference in Kigali, Rwanda. They discuss significant advancements in HIV prevention, particularly the recent FDA approval of Lenacapavir, with Dr. Alex Kintu from Gilead Sciences. The conversation covers the clinical journey and delivery mechanisms of Lenacapavir, its impact on young people and pregnant women, and the urgency of making this innovation widely accessible amidst funding challenges. The episode also highlights the critical role of community engagement and accountability boards in informing and driving HIV prevention strategies. Tune in for an in-depth look at the latest scientific and policy developments in the fight against HIV/AIDS. 00:00 Introduction and Welcome 00:37 Yvette's Stage Takeover Experience 01:33 Discussion on Gilead Sciences and HIV Prevention 02:15 Dr. Alex Kintu's Background and Role 03:33 FDA Approval and Next Steps for Lenacapavir 04:08 Global Access and Regulatory Processes 11:04 Understanding Lena Kavir and Its Importance 17:36 Challenges and Future of HIV Prevention 27:23 Community Engagement and Youth Involvement 34:33 Closing Remarks and Call to Action 💬 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

In this episode of A Shot in the Arm Podcast, host Ben Plumley is joined by Dr. Judy Auerbach, Dr. Jirair Ratevosian, and Dr. Mumbi Chola to discuss the 2025 Kigali Call to Action, a call to action for the global HIV response. The conversation highlights the need for meaningful partnerships, sustained research, prioritization of prevention, protection of human rights, and rejection of science politicization. The guests emphasize the importance of local leadership and community involvement in redesigning and rethinking the HIV response. The episode also addresses the challenges posed by reduced U.S. funding and the shifting roles of northern and southern countries in tackling the epidemic. 00:00 Introduction and Podcast Overview 00:06 HIV Science Conference and Guest Introductions 01:12 Introduction of Guests 04:24 Challenges and Common Purpose in HIV Response 05:23 Call to Action and Building Signatories 06:56 Core Principles for HIV Response 11:32 Emphasizing Prevention and Human Rights 12:23 The Importance of Prevention and Treatment 14:12 Scientific Research and Interdisciplinary Approaches 23:56 National and Regional Leadership in HIV Response 24:03 National and Regional Leadership in HIV Response 25:02 The Role of CEOs and Elected Officials 28:29 African-Led HIV Control Initiatives 39:04 Community Involvement in HIV Research 41:34 Call to Action and Global Collaboration 45:36 Final Thoughts and Closing Remarks 47:01 Conclusion and Farewell 💬 Join the Conversation How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

The sudden termination of US overseas funding jolted AIDS programs in countries hardest hit by the epidemic. Yet the leaders of national AIDS programs had already been preparing for the day when donor funding ended. The HIV Leadership Forum, a community of practice of Directors General of National AIDS Councils from around the world has recently published a report setting out steps on how resilient and sustainable national programs can be achieved.   Ben is joined by Dr Nduku Kilonzo, Chair of the UNAIDS Global HIV Prevention Coalition, and Dr. Thembisile Xulu, CEO of the South African National AIDS Council, to explore the strategies and challenges in the post-donor era for HIV/AIDS prevention and treatment. Key topics include the importance of sustainability, integrating HIV programs into broader health systems, and rethinking donor-country partnerships. Both experts offer valuable insights into how African countries are navigating the reduction in international funding while striving to meet their health goals. 00:00 Introduction and Episode Overview 01:11 Meet Dr. Nduku Kilonzo 01:38 Key Findings from the International Aid Society Scientific Conference 03:09 The HIV Leadership Forum and Sustainability Report 05:11 Challenges and Lessons in HIV Prevention 17:42 Interview with Dr. Thembisile Xulu 21:16 South Africa's Response to Funding Cuts 32:03 The Future of HIV Programs and Donor Relationships 47:49 Concluding Thoughts and Reflections 53:07 Closing Remarks and Call to Action   💬 Join the Conversation How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast

Ben Plumley is joined by Professor Heidi Larson, Co-founder and Chair of the Global Listening Project (GLP), and Susie Barnes, Senior Vice President of Global Medical Affairs for the Vaccines Division at GSK to discuss the importance of building trust and motivating awareness about new technologies in global health. The conversation covers the collaboration between the GLP and GSK, insights from their research on trust during COVID-19, and how community engagement and innovative communication strategies play a crucial role in vaccine confidence and public health. They emphasize the need for holistic approaches to prevention and the challenges of addressing vaccine hesitancy in an evolving technological landscape. 00:00 Introduction and Podcast Overview 00:45 Episode Topic: Building Trust in New Technologies 01:09 Meet the Guests: Professor Heidi Larson and Susie Barnes 02:31 The Global Listening Project and GSK Partnership 03:44 Impact of COVID-19 on Trust and Vaccine Confidence 07:22 The Role of General Practitioners and Community Health Workers 14:41 Advancements in Vaccine Technology and Prevention 19:16 Communication Strategies in the 21st Century 28:04 AI and the Need for Multiple Listening Strands 28:42 Engaging Communities in Healthcare 29:21 The Future of Therapeutic Relationships 30:58 Challenges in Vaccine Access and Trust 33:27 Communicating Science Effectively 36:06 Global Listening Project Insights 37:38 Understanding Measles and Immune Amnesia 39:39 Balancing Individual Rights and Societal Responsibilities 42:11 Next Steps for the Global Listening Project 46:43 GSK's Commitment to Prevention and Partnership 💬 Join the Conversation How do you see the future of global health unfolding? Share your thoughts in the comments! 🔔Subscribe & Stay Updated Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions – www.youtube.com/@shotarmpodcast

A quick trip to the surgeon reveals that all is not as it seems, and Ben’s colon cancer journey takes a sharp turn almost as immediately as it starts. Multiple tumors during a surgery initially meant to remove a single cancerous mass lead to a diagnosis of metastasized colorectal cancer. And the expensive nuclear diagnosis machine shorts – in much the same way Ben’s Father’s brand new (at the time) Vauxhall Victor broke down on a Sunday afternoon drive. A potential podcast subject that Ben dismissed years ago as not being interesting enough (Italian data on a barrage of combination chemotherapy) reappears as the best first-line treatment option for Ben in 2025. The episode concludes with insights from Ben’s oncologist and preparation for the rigorous chemotherapy regimen ahead: Chemotherapy – it’s a full-time job. 00:00 Introduction: The Vauxhall Victor Story 02:11 Unexpected Medical News 04:12 Understanding the Diagnosis 06:45 The PET Scan Incident 11:04 Meeting the Oncologist 15:15 Preparing for Chemotherapy 16:58 Conclusion: The Journey Ahead https://www.mycrohnsandcolitisteam.com/ https://www.cancer.gov/types/colorectal https://www.cancer.org/cancer/types/colon-rectal-cancer.html

Healthcare just got personal for A Shot In The Arm Podcast’s Ben Plumley, who brings his offbeat insights & humor to a surprise advanced colon cancer diagnosis. Join him on an odyssey around cancer treatment and the vagaries of the Californian health system. New episodes weekly… hopefully. https://www.mycrohnsandcolitisteam.com/ https://www.cancer.gov/types/colorectal https://www.cancer.org/cancer/types/colon-rectal-cancer.html