Spotlight’s top 9 health stories to watch in 2026

From the limited rollout of a new HIV prevention jab to developments with new weight loss medicines, to high-stakes court cases relating to National Health Insurance (NHI), 2026 is set to be another tumultuous year in healthcare. Here are nine stories that Spotlight will keep a close eye on.

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#InsideTheBox with Dr Andy Gray | Where are we on the road to more coherent cannabis regulation?

There has been much confusion and misunderstandings about how cannabis and associated products are regulated in South Africa, with government’s own missteps adding to the uncertainty. In his last #InsideTheBox column for the year, Dr Andy Gray clearly sets out the current legal and regulatory situation and where we’re heading.

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Salim Abdool Karim | Transforming adversity into opportunity for the AIDS response

As World AIDS Day 2025 swings by, CAPRISA Director Professor Salim Abdool Karim reflects on the frantic days following this year’s unprecedented cuts to health aid and research funding from the US, arguing that the deliberate disruptiveness was designed to be cruel. Nonetheless, he argues, our HIV response must now forge ahead on a path that is more affordable, sustainable and independent.

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Vincent Tlala | Medicines safety – the crucial role of pharmacists in protecting you

Medicines are among the most powerful tools in healthcare, but they also come with risks. As we mark #MedSafetyWeek, Mr Vincent Tlala, registrar and CEO of the South African Pharmacy Council, argues that the safe use of medicines is a shared responsibility, and is not only up to pharmacists.

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#InsideTheBox with Dr Andy Gray | Public participation in medicines selection and regulation – lacking?

In several countries, the public is given an opportunity to share their views with regulators before new medicines are registered or to engage with those choosing essential medicines. In South Africa, however, opportunities for such public participation remains limited. In his latest #InsideTheBox column, Dr Andy Gray takes a look at how public participation is handled elsewhere and how it could be improved here.

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#InsideTheBox with Dr Andy Gray | How could more efficient use of reliance improve access to quality, affordable medicines?

Rather than trying to do everything from scratch, medicines regulators from different countries are increasingly sharing the load between them by ‘relying’ on each other’s work. In his latest #InsideTheBox column, Dr Andy Gray explains how such ‘reliance mechanisms’ can help regulators make decisions more quickly and efficiently, and digs into the details of how South Africa can make the most of these mechanisms.

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#InsideTheBox with Dr Andy Gray | Should pharmaceutical advertising in SA be better regulated, and why?

For over 20 years, the law has required that the Minister of Health issues regulations to govern the advertising of medicines in South Africa, but as yet no such regulations are in place. In his latest #InsideTheBox column, Dr Andy Gray considers what this means for the marketing of medicines in the country.

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