As we look back on 2025, the world experienced a year of both remarkable achievement and profound challenge in global health. Multilateralism, science and solidarity were tested as never before, underscoring a fundamental truth: International cooperation is not optional. It is essential if we are to protect and promote health for everyone, everywhere in 2026 and beyond. Perhaps the most significant milestone was the adoption by WHO Member States of the Pandemic Agreement, a landmark step towards making the world safer from future pandemics. Alongside this, amendments to the International Health Regulations came into force, including a new "pandemic emergency" alert level designed to trigger stronger global cooperation.

Artificial intelligence (AI) is diffusing globally at unprecedented speed, but adoption remains uneven. Frontier Large Language Models (LLMs) are known to perform poorly on low-resource languages due to data scarcity. We hypothesize that this performance deficit reduces the utility of AI, thereby slowing adoption in Low-Resource Language Countries (LRLCs). To test this, we use a weighted regression model to isolate the language effect from socioeconomic and demographic factors, finding that LRLCs have a share of AI users that is approximately 20% lower relative to their baseline. These results indicate that linguistic accessibility is a significant, independent barrier to equitable AI diffusion.

Coral reefs are vital yet vulnerable ecosystems that require continuous monitoring to support conservation. While coral reef images provide essential information in coral monitoring, interpreting such images remains challenging due to the need for domain expertise. Visual Question Answering (VQA), powered by Large Vision-Language Models (LVLMs), has great potential in user-friendly interaction with coral reef images. However, applying VQA to coral imagery demands a dedicated dataset that addresses two key challenges: domain-specific annotations and multidimensional questions. In this work, we introduce CoralVQA, the first large-scale VQA dataset for coral reef analysis. It contains 12,805 real-world coral images from 67 coral genera collected from 3 oceans, along with 277,653 question-answer pairs that comprehensively assess ecological and health-related conditions. To construct this dataset, we develop a semi-automatic data construction pipeline in collaboration with marine biologists to ensure both scalability and professional-grade data quality. CoralVQA presents novel challenges and provides a comprehensive benchmark for studying vision-language reasoning in the context of coral reef images. By evaluating several state-of-the-art LVLMs, we reveal key limitations and opportunities. These insights form a foundation for future LVLM development, with a particular emphasis on supporting coral conservation efforts.

Clinical decision support systems (CDSS) are used to improve clinical and service outcomes, yet evidence from low- and middle-income countries (LMICs) is dispersed. This protocol outlines methods to quantify the impact of CDSS on patient and healthcare delivery outcomes in LMICs. We will include comparative quantitative designs (randomized trials, controlled before-after, interrupted time series, comparative cohorts) evaluating CDSS in World Bank-defined LMICs. Standalone qualitative studies are excluded; mixed-methods studies are eligible only if they report comparative quantitative outcomes, for which we will extract the quantitative component. Searches (from inception to 30 September 2024) will cover MEDLINE, Embase, CINAHL, CENTRAL, Web of Science, Global Health, Scopus, IEEE Xplore, LILACS, African Index Medicus, and IndMED, plus grey sources. Screening and extraction will be performed in duplicate. Risk of bias will be assessed with RoB 2 (randomized trials) and ROBINS-I (non-randomized). Random-effects meta-analysis will be performed where outcomes are conceptually or statistically comparable; otherwise, a structured narrative synthesis will be presented. Heterogeneity will be explored using relative and absolute metrics and a priori subgroups or meta-regression (condition area, care level, CDSS type, readiness proxies, study design).

Large language models (LLMs) hold great promise for medical applications and are evolving rapidly, with new models being released at an accelerated pace. However, benchmarking on large-scale real-world data such as electronic health records (EHRs) is critical, as clinical decisions are directly informed by these sources, yet current evaluations remain limited. Most existing benchmarks rely on medical exam-style questions or PubMed-derived text, failing to capture the complexity of real-world clinical data. Others focus narrowly on specific application scenarios, limiting their generalizability across broader clinical use. To address this gap, we present BRIDGE, a comprehensive multilingual benchmark comprising 87 tasks sourced from real-world clinical data sources across nine languages. It covers eight major task types spanning the entire continuum of patient care across six clinical stages and 20 representative applications, including triage and referral, consultation, information extraction, diagnosis, prognosis, and billing coding, and involves 14 clinical specialties. We systematically evaluated 95 LLMs (including DeepSeek-R1, GPT-4o, Gemini series, and Qwen3 series) under various inference strategies. Our results reveal substantial performance variation across model sizes, languages, natural language processing tasks, and clinical specialties. Notably, we demonstrate that open-source LLMs can achieve performance comparable to proprietary models, while medically fine-tuned LLMs based on older architectures often underperform versus updated general-purpose models. The BRIDGE and its corresponding leaderboard serve as a foundational resource and a unique reference for the development and evaluation of new LLMs in real-world clinical text understanding. The BRIDGE leaderboard: https://huggingface.co/spaces/YLab-Open/BRIDGE-Medical-Leaderboard

How is a factual claim made credible? We propose the novel task of Epistemic Appeal Identification, which identifies whether and how factual statements have been anchored by external sources or evidence. To advance research on this task, we present FactAppeal, a manually annotated dataset of 3,226 English-language news sentences. Unlike prior resources that focus solely on claim detection and verification, FactAppeal identifies the nuanced epistemic structures and evidentiary basis underlying these claims and used to support them. FactAppeal contains span-level annotations which identify factual statements and mentions of sources on which they rely. Moreover, the annotations include fine-grained characteristics of factual appeals such as the type of source (e.g. Active Participant, Witness, Expert, Direct Evidence), whether it is mentioned by name, mentions of the source's role and epistemic credentials, attribution to the source via direct or indirect quotation, and other features. We model the task with a range of encoder models and generative decoder models in the 2B-9B parameter range. Our best performing model, based on Gemma 2 9B, achieves a macro-F1 score of 0.73.

For example, in the Pandemic Response Challenge experiment, the context consisted of data about the geographic region for which the predictions were made, e.g., historical data of COVID-19 cases and intervention policies; actions were future schedules of intervention policies for the region; and outcomes were predicted future cases of COVID-19 along with the stringency

Vision-language models trained on large-scale multimodal datasets show strong demographic biases, but the role of training data in producing these biases remains unclear. A major barrier has been the lack of demographic annotations in web-scale datasets such as LAION-400M. We address this gap by creating person-centric annotations for the full dataset, including over 276 million bounding boxes, perceived gender and race/ethnicity labels, and automatically generated captions. These annotations are produced through validated automatic labeling pipelines combining object detection, multimodal captioning, and finetuned classifiers. Using them, we uncover demographic imbalances and harmful associations, such as the disproportionate linking of men and individuals perceived as Black or Middle Eastern with crime-related and negative content. We also show that 60-70% of gender bias in CLIP and Stable Diffusion can be linearly explained by direct co-occurrences in the data. Our resources establish the first large-scale empirical link between dataset composition and downstream model bias.

Large Language Models (LLMs) are rapidly being adopted in conservation to address the biodiversity crisis, yet their reliability for species evaluation is uncertain. This study systematically validates five leading models on 21,955 species across four core IUCN Red List assessment components: taxonomy, conservation status, distribution, and threats. A critical paradox was revealed: models excelled at taxonomic classification (94.9%) but consistently failed at conservation reasoning (27.2% for status assessment). This knowledge-reasoning gap, evident across all models, suggests inherent architectural constraints, not just data limitations. Furthermore, models exhibited systematic biases favoring charismatic vertebrates, potentially amplifying existing conservation inequities. These findings delineate clear boundaries for responsible LLM deployment: they are powerful tools for information retrieval but require human oversight for judgment-based decisions. A hybrid approach is recommended, where LLMs augment expert capacity while human experts retain sole authority over risk assessment and policy.