Rare but deadly skin reactions: A new Somalia hospital experience review highlights Stevens-Johnson syndrome and toxic epidermal necrolysis—rare medication-triggered conditions that can rapidly become life-threatening and need immediate drug withdrawal and urgent specialist care. Governance and health system risk: Somalia’s Auditor General reports weak internal controls and compliance gaps across federal agencies, including issues tied to medicines inspection and storage of records—problems that can indirectly affect public health service quality. Malaria pressure from climate change: Scientists warn warming temperatures and shifting rainfall could move malaria into new areas, with Kenya expected to see higher transmission as cooler highlands become more suitable for mosquitoes. Floods, disease, and food insecurity ahead: Somalia’s region faces El Niño-linked risks; planning in East Africa flags flooding, waterborne illness, and displacement as major health threats during the 2026 rains. Peacekeeping logistics and medical capacity: UN Support Office in Somalia is seeking auctioneers to sell mission equipment, including medical and laboratory gear, as funding uncertainty threatens continuity of support that underpins evacuation and frontline health services. Piracy health concerns: Pakistani crew held by Somali pirates report worsening illness and lack of medicine, raising urgent humanitarian and health needs for hostages.