09/02/2026
When health inequity becomes someone else’s problem, we all become more vulnerable.
The recent NPR report about hundreds of children in Pakistan acquiring HIV through unsafe healthcare practices is heartbreaking—and deeply concerning. These are children who sought care for common illnesses and instead left with a lifelong infection. Investigations have pointed to unsafe injection practices, inadequate oversight, limited resources, and systemic weaknesses in healthcare delivery.
But I believe we need to look beyond the individual tragedy.
This is a health equity issue.
Poverty, limited access to quality healthcare, inadequate education and training, weak surveillance systems, insufficient resources, and gaps in infection prevention do not exist in isolation. They create environments where preventable harm can flourish.
And while the rest of the world watches from the sidelines, we continue to draw imaginary boundaries around these problems:
“That's their healthcare system.”
“That's their country.”
“That's their problem.”
It isn't.
The global boundaries are closing.
The same lesson applies to Ebola, measles, emerging infectious diseases, antimicrobial resistance, and other public health threats around the world. Disease does not recognize borders, passports, socioeconomic status, or political boundaries.
What happens in one community can eventually affect another.
As healthcare professionals, public health leaders, and global citizens, we have to move beyond reacting to tragedies after they occur. We must invest in prevention, infection prevention and control, workforce education, safe injection practices, surveillance, laboratory capacity, access to treatment, and resilient health systems.
Health equity cannot mean that people simply have access to healthcare.
It must mean they have access to SAFE, quality healthcare.
Because a child should never enter a hospital seeking treatment for a fever and leave with a preventable lifelong infection.
And we should not wait until an outbreak reaches our doorstep before deciding that it matters.
Global health is local health.
Their health is our health.
Their problem can become our problem.
The question is: Will we act before it does?
An avoidable tragedy: Hundreds of children infected with HIV : NPR
For years, Pakistan has seen cases of children infected with HIV due to unsafe treatment in clinics and hospitals. A current outbreak numbers hundreds of cases. Why does this problem keep occurring?