It is a simple, but startling, statistic: one in four people around the world will have a mental or neurological disorder at some point in their lives. But dealing with mental health issues is so much easier if they are caught early. VOA’s Kevin Enochs reports that is the thinking behind a new method using virtual reality to gauge mental health.
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Month: November 2017
The European Union’s top court Monday ordered Poland to stop logging in the ancient Bialowieza Forest, or pay an $118,000 daily fine.
“Poland must immediately cease its active forest management operations in the Bialowieza Forest, except in exceptional cases where they are strictly necessary to ensure public safety,” the European Court of Justice wrote.
The forest is home to rare plants, birds and mammals and is one of Europe’s last remaining primeval habitats. It is a UNESCO World Heritage site.
The court first warned Poland against logging in July.
Poland says the trees are weak and damaged by a beetle outbreak. It says cutting them down is necessary to prevent people foraging for mushrooms from getting hurt if the trees fall.
The logging argument is another in a series of a war of words between the European Union and the right-wing Polish government, which accuses the EU of infringing on its sovereignty.
The EU has said it is worried about the decline of democratic values in Poland.
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The U.S. Justice Department is suing to stop AT&T’s multi-billion dollar bid to take over another communications giant, Time Warner, calling it illegal and likening it to extortion.
“The $108 billion acquisition would substantially lessen competition, resulting in higher prices and less innovation for millions of Americans,” a Justice Department statement said Monday.
“The combined company would use its control over Time Warner’s valuable and highly popular networks to hinder its rivals by forcing them to pay hundreds of millions of dollars more per year for the right to distribute those networks.”
CNN, HBO top Time Warner products
Time Warner’s products include CNN, HBO, TNT, The Cartoon Network, and Cinemax — these networks broadcast highly popular newscasts, movies, comedy and drama series, and sports.
AT&T and its subsidiary DirectTV distribute these programs, as well as others, thorough cable and satellite.
The Justice Department decries the possibility of AT&T not just controlling television productions, but also the means of bringing them into people’s homes.
In its lawsuit, it threw AT&T’s words right back at the communications giant, noting that AT&T recognizes that distributors with control over the shows “have the incentive and ability to use … that control as a weapon to hinder competition.”
It also cited a DirectTV statement saying distributors can withhold programs from their rivals and “use such threats to demand higher prices and more favorable terms.”
Assured transaction would be approved
AT&T’s CEO Randall Stephenson told reporters the Justice Department’s lawsuit “stretches the reach of anti-trust law to the breaking point.”
He said the “best legal minds in the country” assured AT&T that the transaction would be approved and said the government is discarding decades of legal precedent.
AT&T and Time Warner are not direct competitors, and AT&T says government regulators have routinely approved such mergers.
President Donald Trump has made no secret of his contempt for one of Time Warner’s crown jewels — CNN, the Cable News Network — because of his perception of CNN being a liberal biased provider of “fake news,” including direct attacks against his administration.
Trump vowed during last year’s presidential campaign to block the merger.
Stephenson called the matter “the elephant in the room,” saying he said he “frankly does not know” if the White House disdain for CNN is at the heart of the Justice Department lawsuit.
But he said a proposal that Time Warner sell-off CNN as part of a settlement with the Trump Justice Department would be a “non-starter.”
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A small fly that thrives at an inhospitable California lake east of Yosemite National Park long has perplexed observers who watch as it crawls into the severely salty and alkaline water, snacks on some algae or lays some eggs, then emerges dry as a desert.
Research published on Monday finally explains the secrets of this scuba-diving insect.
These quarter-inch-long (6-mm) alkali flies possess specialized traits that let them conquer Mono Lake, scientists found. They are covered in a large quantity of fine hairs coated with special waxes that let them encapsulate themselves in a body-hugging bubble that protects them from water that would doom an ordinary insect.
“The flies have found a great gig — all the food they want with few predators. They just had to solve this one tricky problem,” said California Institute of Technology biologist Michael Dickinson, co-author of the study in the Proceedings of the National Academy of Sciences.
All insects are hairy and water repellant to some degree.
These alkali flies, whose scientific name is Ephydra hians, have magnified both traits to overcome the extreme conditions of Mono Lake, considered among the “wettest” water on Earth with a slippery, nearly oily feel. The water tends to attach to any surface due to exorbitant amounts of sodium carbonate, a chemical used in laundry detergent.
“The study provides a clear example of evolution in action,” added co-author Floris van Breugel, a former Caltech postdoctoral scholar now at the University of Washington.
“The flies have evolved to crawl under water so they can feed on the abundant food, alga, that grows there. The lake has no fish because the fish cannot live in the harsh chemicals of the lake. Thus, the flies have no major predators in the lake. Fish are why most insects would be crazy to crawl under water.”
American author Mark Twain was among those who remarked about these flies at the 12-mile-wide (19-km) Mono Lake, which is three times saltier than the Pacific Ocean. They also live at Oregon’s Lake Abert and Utah’s Great Salt Lake, also salty and alkaline.
The flies use sharp foot claws to crawl into the water from rocky outcroppings. Their hairy bodies trap a layer of air that envelops them in a protective bubble, except for the eyes to permit good underwater vision. After eating or laying eggs, they let go and float to the surface, where the bubble pops, leaving them safe and dry.
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Businessman Kyle Graves shot himself in the ankle so emergency room doctors would feed his opioid habit.
Ex-trucker Jeff McCoy threatened to blow his brains out if his mother didn’t hand over his fentanyl patches.
Bianca Knight resorted to street pills when her opioids ran out, envisioning her law career dreams crumble.
These are three Americans who started using powerful painkillers legitimately but, like millions of others, got caught in the country’s worst drug epidemic.
Now they’re fighting the same recovery battle, on anti-addiction medicine similar to pills that nearly did them in. Their doctor, Dan Lonergan, a Vanderbilt University pain and addiction physician, sometimes recommends the same drugs to pain patients that brought his addiction patients to the brink.
He’s heard criticism about doctors “who get ’em hooked on drugs and then turn around and treat ’em for addiction.” And he’s seen the finger-pointing from those who think faith and willpower are the only answer.
“Doctors have contributed to this problem. In the past three decades we have gotten a lot of patients on medications that can be very dangerous,” he said. “The pharmaceutical industry has contributed significantly to this problem. This is a problem that we all need to own.”
This is a snapshot from Nashville of America’s addiction crisis. More than 2 million people are hooked on opioids. Overdoses kill, on average, 120 Americans every day. Even for survivors, success can be precarious.
An unsure future
At 53 and on disability, Kyle Graves still feels stabbing pains that a daily handful of pills used to ease.
His troubles began more than a decade ago when he sought relief for excruciating arthritis. He was prescribed oxycodone, opioid pills that can help short-term pain but can become addictive when used long-term.
When he lost his finance manager job, they helped with that pain, too. When his sixth child, a baby boy, died from spinal meningitis, Graves sunk deep into addiction.
He’d use up a month’s supply in days, followed by terrible withdrawals — vomiting, shaking uncontrollably, intense pain.
After a doctor refused more refills, Graves grabbed a pistol from his nightstand, pulled the trigger, then called an ambulance.
At the hospital, two shots of morphine for the ankle wound “did the trick.”
Graves thinks only his wife suspected the ruse; she left with the kids.
“It just devastated and ruined my life,” he said.
Graves went to rehab, treated with hard work and prayer. It worked for a time, but after relapsing Graves sought help three years ago from Lonergan, who prescribed recovery medicine containing buprenorphine, an opioid that reduces cravings and withdrawal symptoms.
He hasn’t relapsed for two years, but tries not to dwell on the future.
“Anything could happen,” Graves said.
Problem for a lifetime
Jeff McCoy has been a drummer, a Harley rider and long-haul trucker. These days he prefers baking cookies and doting on his wife, Joanne. Recovery from opioid painkillers prompted the turnaround.
It started nearly 17 years ago, after surgery for a back injury — maybe from too much time on the road, he’s not really sure, but it forced him to quit trucking. His doctor prescribed Vicodin — painkillers that contain the opioid hydrocodone. Soon he was hooked.
“I just went full bore,” McCoy says. “I was popping pills like crazy.”
When those stopped working, he was prescribed powerful fentanyl skin patches that deliver medicine gradually. McCoy found that chewing them worked faster.
McCoy needed ever more to avoid withdrawals.
His wife would lock the patches in a safe, but when he found the key, his mother stored them at her house nearby.
“Got to the point where I got on the phone with mom, ‘You better bring me that patch right now else I’m splattering my brains all over this living room.’”
When his wife threatened to leave, he checked in to a detox center, in 2009, enduring two hellish weeks of withdrawal.
Now he calls his wife his addiction and figures he’ll be on anti-craving medicine for life.
“I finally wanted to stop,” McCoy said. “If I can survive with no life, come on, it’s worth it, but you gotta want to.”
Do I have problem?
After law school graduation, Bianca Knight had a nagging question: “How do I know if I have a problem?”
After injuring her back carrying law books, Knight had spent the past two years medicated, on hydrocodone pills from a different doctor.
They eased the pain, but “also gave me a euphoric feeling and helped me get through my long day in law school,” she said.
Knight is nearly blind from a rare optic nerve condition. A state program paid for a reader to help with school work.
A doctor warned vaguely about addiction risks but Knight thought she’d be immune. Soon she was taking far more than the prescribed amount.
“Toward the end, I resorted to buying off the street,” Knight said. That’s when she sought out Lonergan.
He explained that the average person doesn’t think about opioid pain pills 24/7.
Knight started buprenorphine treatment. Church and support group meetings also help, she says. Her baby girl, born this past summer, is extra incentive for her to stay clean.
Still, Knight said, “For anyone in recovery, it is a daily struggle and I’d be a fool not to think so.”
Cancer doctors struggling to work out the best way to use modern immunotherapy drugs now have further evidence of the benefits of adding them to chemotherapy, despite earlier skepticism.
News that Roche’s immune system-boosting drug Tecentriq delayed lung cancer progression when given alongside chemo and its older drug Avastin validates the approach for the first time in a large Phase III clinical trial.
It is a significant milestone for physicians, patients and investors, who are trying to assess the competitive landscape as drugmakers race to develop better ways to fight tumors in previously untreated lung cancer.
Lung cancer is by far the biggest oncology market and first-line treatment provides access to the most patients, opening up potential annual sales forecast by some analysts at $20 billion.
Roche and Merck & Co have led the way in pioneering so-called “chemo-combo” treatment, while AstraZeneca and Bristol-Myers are betting primarily on mixing two immunotherapies. AstraZeneca notably failed to show a similar
benefit in a high-profile clinical trial in July.
Stefan Zimmermann, an oncologist at Lausanne University Hospital in Switzerland, said the Roche data would help scotch concerns that chemo might hamper the new class of immuno-oncology medicines.
“Many experts in the field will be relieved because there has been uncertainty … I think this will really encourage many of us to use this combination upfront,” he told Reuters. “For now, the only positive data that we have is for chemo combination.”
Merck, in fact, already has U.S. approval to add chemo to its immunotherapy drug Keytruda – but this was based on a small trial and the company withdrew a similar European application last month, knocking confidence in its strategy.
Since Keytruda, Bristol’s Opdivo, Roche’s Tecentriq and AstraZeneca’s Imfinzi are all rival inhibitors of biological switches known as PD-1 or PD-L1, the market is “largely a zero-sum game,” according to Bernstein analyst Tim Anderson.
“Roche’s good fortune means there is less to go around for other companies,” he said.
In the case of Merck, the U.S. drugmaker now faces a rival with a different and perhaps superior drug combination. Roche believes adding Avastin in addition to chemo can further help restore anti-cancer immunity.
For AstraZeneca and Bristol, the bar has just been raised for two other key clinical trials sponsored by the drugmakers that are expected to report results in 2018.
Roche itself will present full results on the ability of its new combination to delay the worsening of lung cancer at a European Society for Medical Oncology meeting in Geneva on December 7. Data on whether it also helps patients live longer is expected in the first half of next year.
Overall survival is the gold standard in cancer care but proving a treatment extends the time before disease progresses is an important marker on the way.
“If there is positive progression-free survival then I think it is very, very likely this will also translate into an overall survival benefit over time,” said Zimmermann.
Reporting by Ben Hirschler; Editing by Mark Potter.
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Preparing for a century of steadily higher tides is a central challenge for city officials from Boston to Bangkok. The U.S. city of Miami, Florida, and its neighbors are home to nearly 3 million people and billions of dollars of real estate development. VOA’s Steve Baragona has a look at what rising seas mean for one of the most vulnerable cities in the United States.
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Lily pads, fish and mussels of the electronic variety are being deployed in and around the canals of Venice. It’s part of a project designed to monitor the water quality of the watery city. VOA’s kevin Enochs reports.
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Pervasive online abuse and harassment pressure women and girls into censoring themselves on social media and fuel gender-based discrimination and violence, rights groups said on Monday.
About one in four women in Britain, the United States and six other countries said in a survey they had experienced online abuse or harassment.
More than 40 percent said the online abuse made them fear for their physical safety and more than half reported trouble sleeping, loss of self-esteem and panic attacks after the incidents, according to rights group Amnesty International.
About a third stopped expressing their opinions online or withdrew from public conversations as a result, Amnesty said.
“It’s no secret that misogyny and abuse are thriving on social media platforms, but this poll shows just how damaging the consequences of online abuse are,” said Amnesty researcher Azmina Dhrodia. “This is not something that goes away when you log off.”
Online harassment starts at a young age and may be more common for girls and teenagers than adults, according to U.K.-based child rights group Plan International.
Nearly half of girls aged 11-18 in the U.K. said they had experienced abuse or harassment on social media, Plan found in a survey earlier this year.
Like women, most of the girls said they stopped sharing opinions or otherwise changed their online behavior out of fear, according to Plan.
“Very young girls are learning that they need to take responsibility for harassment and abuse,” Kerry Smith of Plan told the Thomson Reuters Foundation. “What they are saying is that they are holding themselves back.”
Parents, teachers and police often respond to online abuse by taking away girls’ phones or telling them to go offline, which teaches victims that they are responsible for the problem, Smith said.
Online harassment, including crude comments on pictures or sexual references, teaches boys that it is okay to treat girls as sexual objects and to exercise power over them, which can lead to physical abuse and rape, she added.
Social media attacks are so common for female politicians that they deter women from running for office around the world, advocates and female lawmakers have said.
Companies and governments need to step up to make the internet a safe space for girls and women, campaigners said.
“Social media companies have a responsibility… to ensure that women using their platforms are able to do so freely and without fear,” said Amnesty’s Dhrodia.
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Opioid drug abuse, which has ravaged parts of the United States in recent years, cost the economy as much as $504 billion in 2015, White House economists said in a report made public on Sunday.
The White House Council of Economic Advisers (CEA) said the toll from the opioid crisis represented 2.8 percent of gross domestic product that year.
President Donald Trump last month declared the opioid crisis a public health emergency. While Republican lawmakers said that was an important step in fighting opioid abuse, some critics, including Democrats, said the move was meaningless without additional funding.
The report could be used by the Trump White House to urge Republicans in Congress – who historically have opposed increasing government spending – to provide more funding for fighting the opioid crisis by arguing that the economic losses far outweigh the cost of additional government funding.
Using a combination of statistical models, the CEA said the lost economic output stemming from 33,000 opioid-related deaths in 2015 could be between $221 billion and $431 billion, depending on the methodology used.
In addition, the report looked at the cost of non-fatal opioid usage, estimating a total of $72 billion for 2.4 million people with opioid addictions in 2015. Those costs included medical treatment, criminal justice system expenses and the decreased economic productivity of addicts.
The CEA said its estimate was larger than those of some prior studies because it took a broad look at the value of lives lost to overdoses. The CEA also said its methodology incorporated an adjustment to reflect the fact that opioids were underreported on death certificates.
“The crisis has worsened, especially in terms of overdose deaths which have doubled in the past ten years,” the CEA said.
“While previous studies have focused exclusively on prescription opioids, we consider illicit opioids including heroin as well.”
Opioids, primarily prescription painkillers, heroin and fentanyl, are fueling the drug overdoses. More than 100 Americans die daily from related overdoses, according to the U.S. Centers for Disease Control and Prevention.
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Talks to update the North American Free Trade Agreement appeared to be in danger of grinding toward a stalemate amid complaints of U.S. negotiators’ inflexibility, people familiar with the process said on Sunday.
The United States, Canada and Mexico are holding the fifth of seven planned rounds of talks to modernize NAFTA, which U.S. President Donald Trump blames for job losses and big trade deficits for his country.
Time is running short to reach a deal before the March 2018 start of Mexico’s presidential elections, and lack of progress in the current round could put the schedule at risk.
“The talks are really not going anywhere,” Jerry Dias, president of Unifor, the largest Canadian private-sector union, told reporters after meeting with Canada’s chief negotiator on Sunday. “As long as the United States is taking the position they are, this is a colossal waste of time,” said Dias, who is advising the government and regularly meets the Canadian team.
Hanging over the negotiations is the very real threat that Trump could make good on a threat to scrap NAFTA.
Canada and Mexico object to a number of demands the U.S. side unveiled during the fourth round last month, including for a five-year sunset clause that would force frequent renegotiation of the trade pact, far more stringent automotive content rules and radical changes to dispute settlement mechanisms.
Calls for greater US flexibility
“Our internal view as of this morning is that if any progress is to be made, the United States needs to show some flexibility and a willingness to do a deal,” said a Canadian source with knowledge of the talks.
“We are seeing no signs of flexibility now,” added the source, who requested anonymity given the sensitivity of the situation. However, a NAFTA country official familiar with the talks said Canada had not yet submitted any counterproposals to the U.S. demands.
Dias said the United States was showing some signs of flexibility over its sunset clause proposal after Mexican officials floated a plan for a “rigorous evaluation” of the trade pact, but without an automatic expiration.
U.S. negotiating objectives that were updated on Friday appeared to accommodate the Mexican proposal, saying the revised NAFTA should “provide a mechanism for ensuring that the Parties assess the benefits of the Agreement on a periodic basis.”
Canada and Mexico are also unhappy about U.S. demands that half the content of North American-built autos come from the United States, coupled with a much higher 85 percent North American content threshold. Officials are due to discuss the issue from Sunday through the end of the fifth round on Tuesday, Flavio Volpe, president of the Canada’s Automotive Parts Manufacturers’ Association, said there was little chance of making substantial progress on autos in Mexico City, as the U.S. demands were still not fully understood.
“I don’t expect a heavy negotiation here,” he said in an interview on the sidelines of the talks.
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Britain will submit its proposals on how to settle its financial obligations to the European Union before an EU Council meeting next month, finance minister Philip Hammond said on Sunday.
British Prime Minister Theresa May was told on Friday that there was more work to be done to unlock Brexit talks, as the European Union repeated an early December deadline for her to move on the divorce bill.
“We will make our proposals to the European Union in time for the council,” Hammond told the BBC.
Last week, May met fellow leaders on the sidelines of an EU summit in Gothenburg, Sweden, to try to break the deadlock over how much Britain will pay on leaving the bloc in 16 months.
She signaled again that she would increase an initial offer that is estimated at some 20 billion euros ($24 billion), about a third of what Brussels wants.
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Brexit is still well over year away but two European cities on Monday will already be celebrating Britain’s departure from the European Union.
Two major EU agencies now in London — the European Medicines Agency and the European Banking Authority — must move to a new EU city because Britain is leaving the bloc. The two prizes are being hotly fought over by most of the EU’s other 27 nations.
Despite all the rigid rules and conditions the bloc imposed to try to make it a fair, objective decision, the process has turned into a deeply political beauty contest — part Olympic host city bidding, part Eurovision Song Contest.
It will culminate in a secret vote Monday at EU headquarters in Brussels that some say could be tainted by vote trading.
The move involves tens of millions in annual funding, about 1,000 top jobs with many more indirectly linked, prestige around the world and plenty of bragging rights for whichever leader can bring home the agencies.
“I will throw my full weight behind this,” French President Emmanuel Macron said when he visited Lille, which is seeking to host the EMA once Britain leaves in the EU in March 2019. “Now is the final rush.”
At an EU summit Friday in Goteborg, Sweden, leaders were lobbying each other to get support for their bids.
The EMA is responsible for the scientific evaluation, supervision and safety monitoring of medicines in the EU. It has around 890 staff and hosts more than 500 scientific meetings every year, attracting about 36,000 experts.
The EBA, which has around 180 staff, monitors the regulation and supervision of Europe’s banking sector.
With bids coming in from everywhere — from the newest member states to the EU’s founding nations — who gets what agency will also give an indication of EU’s future outlook.
The EU was created as club of six founding nations some 60 years ago, so it’s logical that a great many key EU institutions are still in nations like Germany, France and Belgium. But as the bloc kept expanded east and south into the 21st century, these new member states see a prime opportunity now to claim one of these cherished EU headquarters, which cover everything from food safety to judicial cooperation to fisheries policy.
Romania and Bulgaria were the last to join the EU in 2007 and have no headquarters. Both now want the EMA — as does the tiny island nation of Malta.
“We deserve this. Because as we all know, Romania is an EU member with rights and obligations equal with all the rest of the member states,” said Rodica Nassar of Romania’s Healthcare Ministry.
But personnel at the EMA and EBA are highly skilled professionals, and many could be reluctant to move their careers and families from London to less prestigious locations.
“You have to imagine, for example, for the banking authority, which relies on basically 200 very high-level experts in banking regulatory matters to move to another place,” said Karel Lannoo of the CEPS think tank. “First of all, to motivate these people to move elsewhere. And then if you don’t manage to motivate these people, to find competent experts in another city.”
As the vote nears, Milan and Bratislava are the favorites to win the EMA, with Frankfurt, and perhaps Dublin, leading the way for the EBA.
Parasitic worms found in a North Korean soldier, critically injured during a desperate defection, highlight nutrition and hygiene problems that experts say have plagued the isolated country for decades.
At a briefing Wednesday, lead surgeon Lee Cook-jong displayed photos showing dozens of flesh-colored parasites, including one 27 cm (10.6 in) long, removed from the wounded soldier’s digestive tract during a series of surgeries to save his life.
“In my over 20 year-long career as a surgeon, I have only seen something like this in a textbook,” Lee said.
The parasites, along with kernels of corn in his stomach, may confirm what many experts and previous defectors have described about the food and hygiene situation for many North Koreans.
“Although we do not have solid figures showing health conditions of North Korea, medical experts assume that parasite infection problems and serious health issues have been prevalent in the country,” said Choi Min-Ho, a professor at Seoul National University College of Medicine who specializes in parasites.
The soldier’s condition was “not surprising at all considering the North’s hygiene and parasite problems,” he said.
Hail of bullets
The soldier was flown by helicopter to hospital Monday after his dramatic escape to South Korea in a hail of bullets fired by North Korean soldiers.
He is believed to be an army staff sergeant in his mid-20s who was stationed in the Joint Security Area in the United Nations truce village of Panmunjom, according to Kim Byung-kee, a lawmaker of South Korea’s ruling party, briefed by the National Intelligence Service.
North Korea has not commented on the defection.
While the contents of the soldier’s stomach don’t necessarily reflect the population as a whole, his status as a soldier with an elite assignment would indicate he would at least be as well nourished as an average North Korean.
He was shot in his buttocks, armpit, back shoulder and knee among other wounds, according to the hospital where the soldier is being treated.
‘The best fertilizer’
Parasitic worms were also once common in South Korea 40 to 50 years ago, Lee noted during his briefing, but have all but disappeared as economic conditions greatly improved.
Other doctors have also described removing various types of worms and parasites from North Korean defectors.
Their continued prevalence north of the heavily fortified border that divides the two Koreas could be in part tied to the use of human excrement, often called “night soil.”
“Chemical fertilizer was supplied by the state until the 1970s, but from the early 1980s, production started to decrease,” said Lee Min-bok, a North Korean agriculture expert who defected to South Korea in 1995. “By the 1990s, the state could not supply it anymore, so farmers started to use a lot of night soil instead.”
In 2014, supreme leader Kim Jong Un personally urged farmers to use human waste, along with animal waste and organic compost, to fertilize their fields. A lack of livestock, however, made it difficult to find animal waste, said Lee, the agriculture expert.
Even harder to overcome, he said, is the view of night soil as the “best fertilizer in North Korea,” despite the risk of worms and parasites.
“Vegetables grown in it are considered more delicious than others,” Lee said.
Limited diets
The medical briefing described the wounded soldier as being 170 cm (5 feet 5 inches) and 60 kg (132 pounds) with his stomach containing corn. It’s a staple grain that more North Koreans may be relying on in the wake of what the United Nations has called the worst drought since 2001.
Imported corn, which is less preferred but cheaper to obtain than rice, has tended to increase in years when North Koreans are more worried about their seasonal harvests.
Between January and September this year, China exported nearly 49,000 tons of corn to North Korea, compared with 3,125 tons in all of 2016, according to data released by Beijing.
Despite the drought and international sanctions over Pyongyang’s nuclear program, the cost of corn and rice has remained relatively stable, according to a Reuters analysis of market data collected by the defector-run Daily NK website.
Since the 1990s, when government rations failed to prevent a famine, North Koreans have gradually turned to markets and other private means to feed themselves.
The World Food Program says a quarter of North Korean children 6-59 months old, who attend nurseries that the organization assists, suffer from chronic malnutrition.
On average North Koreans are less nourished than their southern neighbors. The WFP says around 1 in 4 children have grown less tall than their South Korean counterparts. A study from 2009 said pre-school children in the North were up to 13 cm (5 inches) shorter and up to 7 kg (15 pounds) lighter than those brought up in the South.
“The main issue in DPRK is a monotonous diet — mainly rice/maize, kimchi and bean paste — lacking in essential fats and protein,” the WFP told Reuters in a statement last month.
Another wearable health monitor is poised to enter the market. As Faith Lapidus reports, this one is on permanent watch for any signs of illness.
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When it comes to cars, generally there are three options, there is gas, a gas-battery hybrid, or a full electric car. But for a fourth option, some car companies are banking on hydrogen as the fuel of the future. VOA’s Kevin Enochs reports.
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Fotis Kafatos, a Greek molecular biologist who had a distinguished academic career in both the United States and Europe and became the founding president of the European Research Council, has died. He was 77.
His family announced his death in Heraklion, Crete, on Saturday “after a long illness.”
Born in Crete in 1940, Kafatos was known for his research on malaria and for sequencing the genome of the mosquito that transmits the disease.
He was a professor at Harvard University from 1969 to 1994, where he also served as chairman of the Cellular and Developmental Biology Department, and at Imperial College in London since 2005. He had been an adjunct professor at the Harvard School of Public Health since 2007.
Kafatos was also a part-time professor at the University of Crete in his hometown since 1982. He also was the third director of the European Molecular Biology Laboratory, a life sciences research organization funded by multiple countries, from 1993 to 2005.
Kafatos considered the 2007 founding of the European Research Council under the auspices of the European Commission as his crowning achievement. The council funds and promotes projects driven by researchers. He stepped down as president in 2010.
He came to be disillusioned by the heavily bureaucratic rules that, in his mind, hampered research.
“We continuously had to spend energy, time and effort on busting bureaucracy roadblocks that kept appearing in our way,” Kafatos told scientific journal Nature soon after he left the post. But, he added, “We delivered to Europe what we promised.”
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The so-called ‘godfather of coral’ is part of a new research mission to unlock some of the secrets of Australia’s Great Barrier Reef. Dr. Charlie Veron is part of a scientific team searching for the “super corals” that managed to survive consecutive years of bleaching on the world’s largest reef system.
Charlie Veron is one of the world’s leading experts on coral reefs. Born in Sydney, he is known as the ‘godfather of coral’ because he has discovered so many different species. He is part of the Great Barrier Reef Legacy mission, which is taking eight teams of scientists on a voyage to map and test the health of remote parts of Australia’s Great Barrier Reef.
They are searching for so-called ‘super corals’ that managed to survive the past two years of devastating coral bleaching events.
Veron says the reef is in sharp decline.
“It is gut-wrenching and I have lived with this now for close on 20 years,” he said. “The predictions that scientists made well over a decade ago have all turned out to be spot on. Well, this is a very important trip because we are actually seeing for ourselves what corals are vulnerable to mass bleaching and what corals are surviving mass bleaching. So, once we know that we will be able to make smart decisions about coral, so the trip is really quite pivotal.”
In April, researchers discovered that for the first time mass bleaching had affected the Great Barrier Reef in consecutive years, damaging two-thirds of the World Heritage-listed area.
When it bleaches, the coral is not dead, but it begins to starve and can eventually die. The reefs, though, are resilient, but what concerns scientists is that more frequent bleaching, which is caused by rising water temperatures, makes it harder for the coral to recover. Bleaching occurs when corals under stress drive out the algae that give them color.
Scientists believe that the main threat to the reef that stretches 2,300 kilometers down the Queensland coast in northern Australia is climate change.
The Great Barrier Reef Marine Park is about the size of Italy or Japan and is so big it can be seen from outer space. It is home to more than 3,000 types of mollusks and 30 species of whales and dolphins.
When the heaviest rain of tropical storm Harvey had passed, Kathryn Clark’s west Houston neighborhood had escaped the worst. Then the dams were opened — a decision by the U.S. Army Corps of Engineers to prevent upstream flooding and potential dam failures by releasing water into Buffalo Bayou, just a few hundred feet from the end of Clark’s street.
When she and her husband returned to survey the damage later that week, they entered their two-story home by kayak in roughly three feet of water. In the kitchen, a snake slithered past.
Nothing like that had happened in the nearly 11 years the Clarks have lived there; it got Kathryn thinking about their long-term plans, including whether to rebuild.
“What if they decide to open the dams again?” she asked. “But if you don’t rebuild, you just walk away, and that is a big loss.”
The Clarks ultimately opted to reconstruct, a process that will take another half-year before they can move back in. Elsewhere in the city, the waiting will be longer.
A sprawling concrete jungle
In early November, Texas Governor Greg Abbott told reporters that Texas will need more than $61 billion in federal aid, to help fund a reconstruction plan that he said would curtail damage from future coastal storms. However, he added, there will be more requests: “This is not a closed book.”
Hurricane Harvey, the costliest storm in U.S. history, will affect Houston for months, and years. Apart from tens of thousands of ongoing home rebuilding projects, civil construction is in the evaluation phase.
“With Katrina, it actually took them 12 years before FEMA [Federal Emergency Management Agency] made their final payment to the city of New Orleans,” said Jeff Nielsen, executive vice president of the Houston Contractors Association. “That’s how long it takes to really test and figure out where all the repairs and where all the damage occurred.”
Houston covers a landmass of 1,600 square kilometers, compared to New Orleans’ 900, and is much more densely populated. The impermeable concrete jungle experienced major runoff during the storm, and that translates to high civil construction costs in roads, bridges, water, sewage and utility lines that are difficult to determine.
WATCH: Post-Harvey Houston: Years Until Recovery, Unknown Costs
Nielsen explains to VOA the immensity of the task.
“You may be driving down the road one day and, all of a sudden — boom — there is a 10-foot sinkhole underneath the road because there is a water line or a sewer line or a storm sewer line that runs underneath that road.
“There is no way to tell that that’s happening without going through and testing each and every line,” Nielsen said.
Waiting, waiting
Rob Hellyer, owner of Premier Remodeling & Construction, says Houston has seen an uptick in inquiries for both flood and nonflood-related projects — good for business, but a challenge for clients.
“A lot of those people come to the realization that ‘If we want to get our project done in the next two or three years, we better get somebody lined up quick,’” Hellyer told VOA.
But industrywide, much of the workforce is dealing with flooding issues of their own, while simultaneously attempting to earn a living.
“It really has disbursed that labor pool that we have been using for all these years,” Hellyer said.
Labor shortages in construction-related jobs have long been a challenge despite competitive wages, according to Nielsen, who describes his field — civil construction — as less-than-glamorous.
“Outside, it’s hot. What could be more fun than pouring hot asphalt on a road?” he asked.
Networking barriers
With construction costs up and waiting periods long, the hands-on rebuilding effort is typically attractive for some lower-wage immigrant communities.
Among the city’s sizable Vietnamese population, though, that’s not exactly the case, said Jannette Diep, executive director of Boat People SOS Houston office (BPSOS), a community organization serving the area’s diaspora population.
“[Vietnamese construction workers] face not only a language barrier but that networking piece, because they’re not intertwined with a lot of the rules and regulations,” Diep said. “‘Well, how do I do the bid; what’s the process?’”
Overwhelmed with paperwork and often discouraged by limited communication skills in English, Diep says many within the industry opt to work only from within their own communities, despite more widespread opportunities across Greater Houston.
The same barriers apply to the Asian diaspora’s individual post-recovery efforts. BPSOS-Houston, according to Diep, remains focused on short-term needs — food, clothing, cleaning supplies — and expects the longer-term recovery to take two to three years, particularly in lower-income neighborhoods.
Love thy neighbor
Loc Ngo, a mother of seven and grandmother from Vietnam, has lived in Houston for 40 years, but speaks little English. In Fatima Village, a tightly knit single-street community of mobile homes — comprising 33 Vietnamese families — she hardly has to.
“They came to fix the home and it cost $11,000, but they’re not finished yet,” she explained, through her son’s translation. “The washer, dryer and refrigerator — I still haven’t bought them yet, and two beds!”
Across the street, the three-generation Le family levels heaps of dirt across a barren lot that’s lined by spare pipes and cinderblocks. They plan to install a new mobile home.
At the front end of the road is the village’s single-story church, baby blue and white, like the sky — the site of services, weddings, funerals and community gatherings.
Victor Ngo, a hardwood floor installer, typically organizes church events. But for now, his attention is turned to completing reconstruction of the altar and securing donations to replace 30 ruined benches.
“At first I had to spend two months to fix up my house, and now I finished my house, and I [have started] to fix up this church,” Ngo said. “So basically, I don’t go out there to work and make money. Not yet.”
In the village, made up largely of elders, Ngo stresses the importance of staying close to home to help with rebuilding, translation, and paperwork, at least for a while longer.
“We stick together as a community to survive,” he said.
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Through a headset around the head and over the eyes, virtual reality can take us to computer-generated environments very different from the physical environment we’re in. Now, virtual reality technology is offering the food industry a new life. As Faiza Elmasry tells us, virtual reality can change the future of our dining experiences and make food tastier and healthier. Faith Lapidus narrates.
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A 2014 study by the World Health Organization concluded that there are 400 million people around the world living with diabetes. One of the many complications of diabetes is the prevalence of foot ulcers, which if untreated can lead to amputations, and in many cases death. But a simple scanner being developed in Britain can give some important warning for doctors who want to prevent the ulcers from happening. VOA’s Kevin Enochs reports.
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Pro-trade Republicans in the U.S. Congress are growing worried that U.S. President Donald Trump may try to quit the NAFTA free trade deal entirely rather than negotiate a compromise that preserves its core benefits.
As a fifth round of talks to modernize the North American Free Trade Agreement kicked off in Mexico on Friday, several Republicans interviewed by Reuters expressed concerns that tough U.S. demands, including a five-year sunset clause and a U.S.-specific content rule, will sink the talks and lead to the deal’s collapse.
Business groups have warned of dire economic consequences, including millions of jobs lost as Mexican and Canadian tariffs snap back to their early 1990s levels.
“I think the administration is playing a pretty dangerous game with this sunset provision,” said Representative Charlie Dent, a moderate Republican from eastern Pennsylvania.
He said putting NAFTA under threat of extinction every five years would make it difficult for companies in his district, ranging from chocolate giant Hershey Co to small family owned manufacturing firms, to invest in supply chains and manage global operations.
Hershey operates candy plants in Monterrey and Guadalajara, Mexico.
Lawmakers’ letter
Nearly 75 House of Representatives members signed a letter this week opposing U.S. proposals on automotive rules of origin, which would require 50 percent U.S. content in NAFTA-built vehicles and 85 percent regional content.
They warned that this would “eliminate the competitive advantages” that NAFTA brings to U.S. automakers or lead to a collapse of the trade pact.
Representative Pete Sessions, a Texas Republican who has long been a supporter of free trade deals, said he disagreed with the Trump approach of “trying to beat someone” in the NAFTA talks. Texas is the largest U.S. exporting state with nearly half of its $231 billion in exports last year headed to Mexico and Canada, according to Commerce Department data.
“We need to offer Mexico a fair deal. If we want them to take our cattle, we need to take their avocados,” Sessions said.
Still, congressional apprehension about Trump’s stance is far from unanimous. The signers were largely Republicans, with no Democrats from auto-intensive states such as Michigan and Ohio signing.
Democratic support
Some pro-labor Democrats have actually expressed support for U.S. Trade Representative Robert Lighthizer’s tough approach.
“Some of those demands are in tune,” said Representative Bill Pascrell of New Jersey, the top Democrat on the House Ways and Means trade subcommittee.
“We don’t want to blow it up, Republicans don’t want to blow it up. But we want substantial changes in the labor, the environmental, the currency, on how you come to an agreement when there’s a dispute, and on problems of origin.”
Farm state Republicans are especially concerned that a collapse of NAFTA would lead to the loss of crucial export markets in Mexico and Canada for corn, beef and other products.
Senator Chuck Grassley of Iowa said Lighthizer in a recent meeting agreed that a withdrawal from NAFTA would be hard on U.S. agriculture, which has largely benefited from the trade pact.
U.S. agricultural exports to Canada and Mexico quintupled to about $41 billion in 2016 from about $9 billion in 1993, the year before NAFTA went into effect, according to U.S. Commerce Department data.
Grassley said, however, that Lighthizer’s approach was “taking everybody to the brink on these talks.”
Other Republicans are taking a wait-and-see approach to the talks.
Representative Frank Lucas of Oklahoma said he was willing to give Trump “the benefit of the doubt” on NAFTA talks, adding that farmers and ranchers in his rural district were strong Trump supporters in the 2016 election.
“The president’s a practical fellow. When push comes to shove, he understands the base,” Lucas said.
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The head of Canada’s biggest private-sector union headed to Mexico’s Senate on Friday, promising to fight at the NAFTA trade pact talks for improved Mexican wages and free collective bargaining as a way of benefiting workers across North America.
The issue of tougher labor standards has emerged as a key sticking point in the talks to update the North American Free Trade Agreement, and has brought disparate groups of workers from across the region closer to U.S. populists.
“There will not be an agreement” until the Mexican team agrees to free collective bargaining, the elimination of so-called yellow unions that are dominated by employers, and fair wages for Mexican workers, Unifor President Jerry Dias said.
The event held in a side chamber of the Senate was organized by the umbrella organization Better Without Free Trade Agreements, which represents dozens of social organizations and unions.
Dias argued that low wages have not only hurt Mexican workers but have also prompted manufacturing jobs in Canada and the United States to leave for Mexico.
By including much tougher labor standards in an updated NAFTA, the issue could be dealt with head on, he said. “When you start talking about low wages, we can deal with that under the dispute mechanism as an unfair subsidy.”
The fifth round of talks NAFTA is being held in the upscale Camino Real hotel in Mexico City.
“What Mexico offers in this negotiation and to the rest of the world is cheap labor. That’s what Mexico puts on the table and how it presents itself as an attractive place for investments,” Senator Mario Delgado of the leftist Party of the Democratic Revolution told Reuters.
“It is a shame and it is unsustainable for Mexico. … Our salary policy is putting at risk the existence of the treaty,” said Delgado.
Mexican business leaders argue that integrating Mexico into North American supply chains has made the entire region more competitive. Recent studies have shown, however, that wages in Mexico have experienced significant downward pressure.
Given Mexico’s higher inflation rates, wages are now lower there in real terms than when NAFTA took effect, according to a report published in August by credit rating agency Moody’s.
While formally employed workers earn significantly more, the statutory minimum wage is a mere 80 pesos ($4.23) a day.
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The Trump administration on Friday revised its negotiating objectives for revamping the North American Free Trade Agreement, largely to reflect the demands it has made in NAFTA talks on agriculture, intellectual property and investment.
The revised objectives are now in line with U.S. proposals to eliminate Canada’s import tariffs on dairy, poultry and egg products and to allow more protections for seasonal U.S. produce that is sensitive to imports from Mexico.
The U.S. Trade Representative’s office said it is keeping in place most of its NAFTA objectives, first published in July, including a first-ever goal of reducing U.S. trade deficits.
USTR Robert Lighthizer said that the revisions are aimed at keeping Americans informed about what the Trump administration is seeking in a revised NAFTA.
“If we are able to achieve these objectives, we will both modernize and rebalance NAFTA to better serve the interests of our workers, farmers, ranchers and businesses,” Lighthizer said in a statement.
The new objectives on investment and intellectual property rights add considerable detail, partly aimed at reflecting existing demands and partly aimed at setting precedents for future trade agreements.
On investment, the objectives now seek to provide “meaningful procedures for resolving investment disputes, while ensuring the protection of U.S. sovereignty and the maintenance of strong U.S. domestic industries.”
U.S. negotiators are seeking to allow countries to “opt in” to an investor-state dispute settlement mechanism and to eliminate panels that arbitrate anti-dumping disputes between NAFTA countries.
But the new objectives for NAFTA investment rules also seek to prohibit forced technology transfers and technology localization, a goal that seems more aimed at addressing U.S. complaints about Chinese investment practices.
On intellectual property, the new objectives specify that the USTR will seek U.S. equivalent standards on trademarks, patents, copyrights with some appropriate exceptions, undisclosed test or other data and trade secrets.
The wording on rules of origin goals was also slightly revised to conform with the U.S. demand that NAFTA-built cars and trucks contain 50 percent U.S.-specific content.