Nations

This archive collects milestones and progress stories involving nations — countries and their governments — acting to improve lives, protect rights, or address shared challenges. From policy breakthroughs to international cooperation, these stories show what countries are doing right.

Narcan nasal spray, for article on OTC naloxone

U.S. FDA approves over-the-counter sale of overdose reversal drug Narcan

Over-the-counter Narcan is now a reality: the FDA cleared the 4 mg naloxone nasal spray for sale at pharmacies, convenience stores, and other retailers without a prescription — the first opioid overdose reversal drug ever to earn that status in the U.S. The medication works within minutes to restore breathing, and it’s safe enough that any bystander can use it, no medical training required. For years, harm reduction workers quietly distributed naloxone in their communities, knowing how much it mattered; this decision finally meets them where they’ve been standing. Putting a life-saving tool on the same shelf as aspirin won’t end the overdose crisis on its own, but it’s a powerful reminder that expanding access — trusting ordinary people to help each other — is how public health movements actually save lives.

Vjosa River in Albania, for article on Vjosa wild river national park

Europe establishes its first wild river national park in Albania

Albania’s Vjosa River is now Europe’s first wild river national park, locking in permanent protection across 118 miles of one of the continent’s last large free-flowing rivers. The designation blocks 45 proposed hydropower dams that would have fragmented habitat for otters, Egyptian vultures, and the critically endangered Balkan lynx. It’s the result of nearly a decade of organizing by the Save the Blue Heart of Europe campaign, working alongside the Albanian government, the IUCN, and Patagonia, whose non-profit arm contributed $4.6 million. In a Europe crisscrossed by more than a million dams and weirs, the Vjosa offers a glimpse of what rivers once were — and a model other countries can follow as the world works toward protecting 30 percent of the planet by 2030.