EUROPEAN MEDICAL ASSOCIATION SOLIDARITY FOR IRANIAN HEALTHCAREWORKERS AND THE PROBLEMS THEY ARE CURRENTLY FACING

The European Medical Association has been urged by many parties to express its solidarity with Iranian healthcare workers who have been subjected to threats, pressure, and violence simply for carrying out their mission in accordance with ethical principles.We are saddened and cannot fail to express our dismay and disgust at what we read in BMJ 2026; 392 doi:https://doi.org/10.1136/bmj.s228 (Published February 3, 2026), which we report almost in its entirety. We write to express our grave concern regarding the escalating and systematic violations of medical neutrality in Iran. Credible and independent reports indicate that doctors, nurses, and other healthcare workers have been arrested, tortured, threatened with execution, and otherwise persecuted solely for providing medical care to civilians injured during recent nationwide protests. These professionals are being punished for fulfilling their fundamental ethical and professional duty to treat the wounded without discrimination.  Multiple sources document deliberate state actions to obstruct access to medical care, intimidate healthcare personnel, and militarise hospitals in order to suppress evidence of state violence. Injured protesters have reportedly been forcibly removed from healthcare facilities by security forces, denied essential treatment, or killed in what appear to be execution-style actions within medical settings. Such acts constitute a direct assault on the sanctity of healthcare spaces and represent serious violations of international humanitarian law, medical neutrality, and the core principles of medical ethics. An investigation by The Guardian describes widespread disappearances of bodies, mass burials, and testimony from medical professionals and morgue workers suggesting a death toll far higher than officially acknowledged. The report depicts a pervasive climate of fear in which injured individuals avoid seeking medical care due to the risk of arrest or death, while healthcare workers face severe reprisals for treating protest-related injuries. Further reporting by IranWire details explicit threats issued by Iranian security agencies to physicians, warning them not to treat injured protesters or instructing them to report patients to the authorities. This places clinicians in an untenable ethical position, directly contradicting the principles of patient confidentiality and the duty of care. Additional cases of detained doctors and healthcare workers have been documented by independent media, underscoring the systematic targeting of medical professionals for adhering to their ethical obligations. The criminalisation of healthcare workers for providing life-saving care represents a profound breach of the principles that underpin the medical profession globally. Physicians and healthcare workers must never be punished for preserving life and alleviating suffering. Silence from the international medical community risks normalising these abuses and eroding the universality of medical ethics.  Medical journals, professional bodies, and healthcare organisations worldwide have a responsibility to unequivocally condemn not only the killing and injury of unarmed civilians, but also the persecution of healthcare workers who attempt to care for them. Defending medical neutrality is not a political position; it is a moral, ethical, and professional imperative.  We hope that this situation will come to an end as soon as possible and that the mission of doctors and other healthcare workers can be carried out in Iran with the serenity and peace of mind that such an important mission, which is to save human lives, deserves the utmost respect.  Vincenzo Costigliola, EMA PresidentAnd the EMA Board Click here

OVERVIEW & REPORT OF THE CONFERENCE. PREPARING MEDICAL PROFESSIONALS ON ENVIRONMENTAL HEALTH AND CLIMATE CHANGE. A CHALLENGE FOR EUROPE.

The European Medical Association (EMA) convened a conference on 17th September 2025 at University College London (UCL), streamed live to a wide online audience. The conference was held in partnership with the European Network on Climate and Health Education (ENCHE), International Network on Public Health and Environment Tracking (INPHET), with support from the UCL Institute for Global Health. This meeting aimed to provide a forum for advancing environmental health (EH), teaching, research, and practice within the European region and the UK. Participants included researchers with interdisciplinary expertise, health care practitioners, public health professionals, academic clinicians and educators responsible for undergraduate and postgraduate training. The conference aim was to address: “What opportunities can be identified for best practice arrangements to be included in (1) EH curricula in universities; (2) EH training as part of professional practice in health and social care; (3) EH training as part of professional practice in public health?” Look also at the EMANET LinkedIn article. Objectives: Converge toward the proposal of a specific curriculum on environmental determinants of health and on the effects of climate changes on human health for preparing/training health professionals (undergraduate and postgraduate) during their official course of studies. Compare different possible approaches and teaching methodologies such as creating dedicated “teaching units” (European Credit Transfer and Accumulation System (ECTS) on EH and/or integrating EH issues into subjects already delivered to students (physiology, pathology, clinical medicine, clinical surgery, psychiatry etc). Conclusion and planning of proposal. From a medical viewpoint, as presented by the speakers of clinical areas, a good medical practice reduces the environmental impact of the abuse of technology, particularly of useless or redundant advanced diagnostics and imaging procedures. Strengthening physician’s knowledge, training and practice enhancing and teaching physical diagnostic skills allows more focused, timely, and accurate diagnoses. These neglected but effective tools increase appropriateness and reduce healthcare costs, waiting times and the resulting inconvenience. From an environmental perspective, it will greatly decrease the unjustified use of disposable materials and the consequent pollution due to health-care waste. 1) The tasks of the working group https://emanet.org/working-groups/ that led to the creation of this conference will be broadly followed up, maintaining the leadership of Giovanni Leonardi; 2) An EMA position article will be developed shortly to be published online on LinkedIn and suitable to be submitted to a peer-reviewed medical journal; 3) Contacts will be established with several medical school deans, university presidents, and institutional CME providers to develop appropriate and sustainable curricula, both as pilot projects for individual schools and as structured proposals at the regional, national, and European levels. 4) Workshops will be scheduled, including online and at appropriate venues in the EU, UK, and elsewhere; for Europe, existing contacts with interested MPs will be followed up, including to possibility of hosting at institutional venues. 5) relationships, connections and agreements with ngo will be pursued for more effective dissemination and for developing joint projects and initiatives. The conference content is summarized in the videos listed below. Some of the most significant developments on the relationship between health and the environment were presented from an interdisciplinary perspective, incorporating economic, psychological, strategic and political dimensions, and framed within both European and global contexts. Quality of life assessment and promotion in urban, rural and work subset and noise pollution were in focus, with detail on the current and forthcoming EU initiatives, rules and debate. To access the presentations from the speakers, please use also the LinkedIn article, regularly. Click here.   The complete recording of the conference is also available. List of the speakers and titles of the speeches. 1 Giovanni Leonardi.  Objectives and program: the need of new environmental health curricula. 2 Camille Huser. Wellcome and Presentation. 3 Francesco Salustri. The contribution of economics to environmental health.The contribution of economics to environmental health. 4 Andy Haines LECTURE. Environmental Health Capacity. Need for integrating pollution and climate agenda. 5 Andy Haines – discussion on the topics of the Lecture and on other related themes. 6 Joachim D’Eugenio. Environment and Health. Progress and outlook on EU Policy initiatives. 7 Vincenzo Costigliola, EMA President.  Welcome and wishes: the hope. 8 Ana Correa Ossa.   Health economics and decision science. Proposing innovation in Environmental Health Policies and curricula. 9 Elisa Puzzolo.  Air pollution: a global threat. Insights and implications for healthcare professionals 10 Ariana Zeka. Environmental health and climate change in the disease course: cardiovascular health 11 San YuMay Tun. How far along are we? What initiatives can we support. 11 Gabriele De Luca. Challenges unique to brain disease and neurology: their impact on planetary health. Opportunities for the future. 12 Gabriella Captur.  Which cardiology must integrate environmental health. Clinical risk, sector responsibility and training solutions for Europe. 13 Paolo Lauriola.  Primary care as the missing link. Education, training and capacity building for environmental and global health protection. Respiratory disease. 14 Camille Huser.  Education for sustainable health care. 15 Ken Barker. The National Green Theatre program. 16 Prisco Piscitelli and Giovanni Leonardi. Comments and proposals. 17 Vincenzo Costigliola. Final comments and perspectives. 18 Guglielmo Trovato, EMA’s Vice-President.   Facts, opportunities and barriers. Overview and few remarks on EMA’s actions. Complete recording of the conference is also available.

Santa Maria delle Grazie

All members of the European Medical Association and its Board, as a voice representing the global medical community, participate in the mourning of Christianity for the passing of Pope Francis.

Navigating Change: Embracing the Role of International Medical Graduates as the United States Enters a Period of Transition

As the United States enters another period of transition in both federal and state governments, including the White House, Intealth™ reaffirms its commitment to our organization’s core values and mission — advancing quality in health care education worldwide and supporting international medical graduates (IMGs) and the essential contributions they make to U.S. health care. Regardless of the election outcomes, our nation will continue to face a critical shortage of physicians. IMGs — comprising citizens of both the United States and other countries — are one-quarter of our nation’s physician workforce and more likely to practice in primary care as well as rural and other vulnerable communities. Intealth is uniquely positioned to inform and address this workforce challenge as a leader in medical education and research, with a robust portfolio of services designed to verify qualifications and support IMGs throughout their journey. Intealth will advocate for policies that support IMGs, ensuring that these physicians are not adversely affected by potential changes that can occur with any transition in government. We will work to protect and enhance the pathways to U.S. medicine, including graduate medical education (GME) and professional licensure. For IMGs who are not U.S. citizens, we will promote immigration processes that are fair, predictable, and efficient. Importantly, as the sponsor of J-1 exchange visitor visas for medical residency, we will also continue to collaborate with the U.S. Department of State to enrich these educational and cultural exchange experiences. Central to Intealth’s advocacy efforts is our commitment to educate the public and policy makers about the significant contributions of IMGs to health care in the United States and beyond. We look forward to working with others in academic medicine and government to ensure a robust and inclusive health care workforce that serves the U.S. public effectively.