Malaria Vaccines Progress: WHO-backed RTS,S malaria vaccine use has expanded across 25 African countries, with more than 10 million children targeted each year; new WHO prequalification also highlights an anti-malarial treatment designed for newborns and young infants, as studies in Ghana, Kenya, and Malawi report reduced child mortality. Climate & Health Risk: IGAD’s seasonal outlook warns El Niño-linked wetter-than-normal conditions may reshape malaria risk across the Greater Horn, while new research in Nature suggests climate change could shift childhood malaria hotspots—potentially raising cases in cooler highlands. Djibouti in the Spotlight (Emergency Care): U.S. Airmen deployed to Camp Lemonnier, Djibouti used Tactical Combat Casualty Care training to respond to a heat-exhaustion collapse during physical training, underscoring readiness and lifesaving first response. Rubella Immunization Gap: A CDC analysis shows rubella-related birth defect syndrome cases have dropped globally, but Africa still carries most of the remaining burden, with some countries lacking routine rubella vaccine programs. Maritime Security & Health Context: A new multinational maritime defence coalition including Djibouti aims to protect shipping lanes near the Bab el-Mandeb and Gulf of Aden—an indirect factor for regional safety and humanitarian access.