Month: October 2018

DRC Health Ministry: Children Dying of Ebola at Unprecedented Rate

Children in eastern Democratic Republic of Congo are dying from Ebola at an unprecedented rate due largely to poor sanitary practices at clinics run by traditional healers, the health ministry said on Sunday.

The impact on children has been felt acutely in the city of Beni, which has emerged as the outbreak’s new epicenter. Of 120 confirmed Ebola cases in Beni, at least 30 are under 10-years-old, and 27 of them have died, according to health ministry data.

Many children affected by an unrelated malaria outbreak near Beni are thought to have contracted Ebola at clinics run by traditional healers who have also treated Ebola patients, said Jessica Ilunga, a spokeswoman for the health ministry.

“There is an abnormally high number of children who have contracted and died of Ebola in Beni. Normally, in every Ebola epidemic, children are not as affected,” Ilunga told Reuters.

“Traditional healers use the same tools to treat everyone. And the child who has entered a traditional healer’s clinic with malaria comes out with Ebola and dies several days later,” she said.

The rate of new cases in eastern Congo has accelerated in recent weeks. An emergency World Health Organization committee said earlier this month that the outbreak was likely to worsen significantly unless the response was stepped up.

The health ministry reported nine new confirmed cases late on Saturday — seven in Beni and two in the city of Butembo — the biggest one-day day jump since the outbreak was declared on Aug. 1.

The hemorrhagic fever is believed to have killed 168 people and infected another 98 in North Kivu and Ituri provinces, where attacks by armed groups and community resistance to health officials have complicated the response.

Congo has suffered 10 Ebola outbreaks since the virus was discovered near its eponymous Ebola River in 1976. The current one now ranks third in terms of number of confirmed cases.

 

Japan, India Leaders Build Ties Amid Trade, Security Worries

The leaders of Japan and India are reaffirming their ties amid growing worries about trade and regional stability.

Indian Prime Minister Narendra Modi, who arrived Saturday, was meeting Japanese Prime Minister Shinzo Abe at a resort area near Mount Fuji on Sunday. Modi is also visiting a nearby plant of major Japanese robot maker Fanuc.

 

Relations with China are a major issue shared by Modi and Abe, as their cooperation may balance China’s growing regional influence and military assertiveness.

 

“The India-Japan partnership has been fundamentally transformed and it has been strengthened as a ‘special strategic and global partnership,'” Modi told Kyodo News service. “There are no negatives but only opportunities in this relationship which are waiting to be seized.”

 

Modi chose Japan among the first nations to visit after taking power four years ago. He has been urging countries in the Indo-Pacific region to unite against protectionism and cross-border tensions.

 

In another sign of closer relations, India and Japan are also set to hold their first joint military exercises involving ground forces, starting next month.

 

Abe has just returned from China, where he met President Xi Jinping and agreed the two nations were “sharing more common interests and concerns.”

 

President Donald Trump’s policies that have targeted mostly China with tariffs, but also Japan and other nations, accusing them of unfair trade practices, are working to prod India and Japan to promote their economic ties.

 

The Japanese Foreign Ministry said the leaders had lunch at a hotel in Yamanashi Prefecture, west of Tokyo, and exchanged a wide range of views on pursuing “a free and open” Indo-Pacific region. Abe told Modi about his recent trip to China, and both sides agreed on the need to cooperate closely on getting North Korea to drop nuclear weapons development, the ministry said in a statement.

 

Japan’s investment in India still has room to grow. Japan is helping India build a super-fast railway system.

 

Abe has made bolstering and opening the nation’s economy central to his policies called “Abenomics,” and has encouraged trade, foreign investment and tourism.

 

Although Japan has long seen the U.S. as its main ally, especially in defense, Abe is courting other ties. He has also been vocal about free trade, which runs counter to Trump’s moves to raise tariffs.

 

Earlier this year, Japan signed a landmark deal with the European Union that will eliminate nearly all tariffs on products they trade. European and Japanese leaders pledged to strengthen their partnership in defense, climate change and human exchange, to send what they called a clear message against protectionism.

 

Abe and Modi will hold a more formal summit Monday in Tokyo.

 

 

 

 

French FinMin: Eurozone not Prepared Enough to Face New Crisis

There is no risk of contagion from Italy’s budget crisis in the European Union but the euro zone is not prepared enough to face a new economic crisis, French Finance Minister Bruno Le Maire told daily Le Parisien on Sunday.

The European Commission rejected Italy’s draft 2019 budget earlier this week for breaking EU rules on public spending, and asked Rome to submit a new one within three weeks or face disciplinary action.

“We do not see any contagion in Europe. The European Commission has reached out to Italy, I hope Italy will seize this hand,” he said in an interview.

“But is the eurozone sufficiently armed to face a new economic or financial crisis? My answer is no. It is urgent to do what we have proposed to our partners in order to have a solid banking union and a euro zone investment budget.”

Eurozone officials have said that Rome’s unprecedented standoff with Brussels seems certain to delay the reform process and probably dilute it for good.

Le Maire also said French banks with branches in Italy had issued corporate and household loans totaling 280 billion euros ($319 billion).

“This sum is manageable but substantial,” he said.

 

 

 

 

 

 

 

Istanbul to Unveil New Airport, Seeks to be World’s Biggest

Recep Tayyip Erdogan has held plenty of grand opening ceremonies in his 15 years at Turkey’s helm. On Monday he will unveil one of his prized jewels — Istanbul New Airport —

a megaproject that has been dogged by concerns about labor rights, environmental issues and Turkey’s weakening economy.

Erdogan is opening what he claims will eventually become the world’s largest air transport hub on the 95th anniversary of Turkey’s establishment as a republic. It’s a symbolic launch, as only limited flights will begin days later and a full move won’t take place until the end of the year.

 

Tens of thousands of workers have been scrambling to finish the airport to meet Erdogan’s Oct. 29 deadline. Protests in September over poor working conditions and dozens of construction deaths have highlighted the human cost of the project.

 

Istanbul New Airport, on shores of the Black Sea, will serve 90 million passengers annually in its first phase. At its completion in ten years, it will occupy nearly 19,000 acres and serve up to 200 million travelers a year with six runways. That’s almost double the traffic at world’s biggest airport currently, Atlanta’s Hartsfield-Jackson.

 

“This airport is going to be the most important hub between Asia and Europe,” Kadri Samsunlu, head of the 5-company consortium Istanbul Grand Airport, told reporters Thursday.

 

The airport’s interiors nod to Turkish and Islamic designs and its tulip-shaped air traffic control tower won the 2016 International Architecture Award. It also uses mobile applications and artificial intelligence for customers, is energy efficient and boasts a high-tech security system.

 

All aviation operations will move there at the end of December when Istanbul’s main international airport, named after Turkey’s founder Mustafa Kemal Ataturk, is closed down. Ataturk Airport now handles 64 million people a year. On the Asian side of the city, Sabiha Gokcen Airport handled 31 million passengers last year. It will remain open.

 

Erdogan is expected to announce the official name of the new airport, part of his plan to transform Turkey into a global player.

 

Turkish Airlines will launch its first flights out of the new airport to three local destinations: Ankara, Antalya and Izmir. It will also fly to Baku and Ercan in northern Cyprus.

 

Nihat Demir, head of a construction workers’ union, said the rush to meet Erdogan’s deadline has been a major cause of the accidents and deaths at the site that employs 36,000 people.

 

“The airport has become a cemetery,” he told The Associated Press, describing the pressure to finish as relentless and blaming long working hours for leading to “carelessness, accidents and deaths.”

 

The Dev-Yapi-Is union has identified 37 worker deaths at the site and claimed more than 100 dead remain unidentified.

 

Turkey’s Ministry of Labor has denied media reports about hundreds of airport construction deaths, saying in February that 27 workers had died at the site due to “health problems and traffic accidents.” It has not commented since then.

 

Airport workers in September began a strike against poor working conditions, including unpaid salaries, bedbugs, unsafe food and inadequate transport to the site. Security forces rounded up hundreds of workers and formally arrested nearly 30, among them union leaders. The company said it was working to improve conditions.

 

Megaprojects in northern Istanbul like the airport, the third bridge connecting Istanbul’s Asian and European shores and Erdogan’s yet-to-start plans for a man-made canal parallel to the Bosporus strait are also impacting the environment. The environmental group Northern Forests Defense said the new airport has destroyed forests, wetlands and coastal sand dunes and threatens biodiversity.

 

These projects are spurring additional construction of transportation networks, housing and business centers in already overpopulated Istanbul, where more than 15 million people live. Samsunlu, the airport executive, said an “airport city” for innovation and technology would also be built.

 

The five Turkish companies that won the $29 billion tender in 2013 under the “build-operate-transfer” model have been financing the project through capital and bank loans. IGA will operate the airport for 25 years.

 

Financial observers say lending has fueled much of Turkey’s growth and its construction boom, leaving the private sector with a huge $200 billion debt. With inflation and unemployment in Turkey at double digits and a national currency that has lost as much as 40 percent of its value against the dollar this year, economists say Turkey is clearly facing an economic downturn.

 

Despite those dark financial clouds, the airport consortium hopes the world’s growing aviation industry will generate both jobs and billions of dollars in returns.

 

“Istanbul New Airport will remain ambitious for growth and we will carry on mastering the challenge to be the biggest and the best. That’s our motto,” Samsunlu said.

 

 

China to Give Pakistan ‘Grant’ as UAE Mulls $6B in Aid

China plans to provide an unspecified financial “grant” to Pakistan while the United Arab Emirates is actively considering Islamabad’s request for a fiscal relief package of up to $6 billion to help the country deal with a looming balance-of-payments crisis, Chinese and Pakistani officials say.  

News of the anticipated financial aid came days after Prime Minister Imran Khan secured more than $6 billion in immediate financial support from Pakistan’s close ally, Saudi Arabia, during an official visit to Riyadh. 

Pakistan urgently needs foreign currency to shore up its depleting reserves of less than $8 billion, which is barely enough for servicing its debt and paying import bills. 

Khan’s nascent government, which took office two months ago and has inherited a debt-ridden national economy, estimates the country urgently needs about $12 billion to fulfill domestic and external liabilities. 

Khan is to travel to Beijing Nov. 2-5 on his first official visit to the country, where he is scheduled to meet President Xi Jinping and his Chinese counterpart. 

Chinese diplomats in Islamabad have announced ahead of Khan’s visit that it will result in “good news” in terms of securing financial assistance for Pakistan. 

“During the visit of the prime minister, we will provide, hopefully, a grant to the Pakistani government. Please look forward to the outcome of this visit. There will be more good news to follow,” said Deputy Chinese Ambassador Lijian Zhao, when asked whether Beijing would provide Khan financial assistance similar to the package the Saudis have pledged. He declined to speculate on the size of the grant. 

Under the Saudi deal, Riyadh will deposit $3 billion in the coming days with the central State Bank of Pakistan for one year, as balance-of-payments support. Additionally, Saudi Arabia will export oil to Islamabad worth more than $3 billion on a deferred-payment basis over the next three years. 

Khan’s government has rejected reports of any conditions attached to the Saudi aid package. 

Federal Minister Haroon Sharif, chairman of the Board of Investment, said Saturday that the Pakistani government had formally submitted a financial request to a visiting UAE delegation similar to what Saudis have pledged. The Gulf state, he noted, is one of the biggest oil suppliers to Pakistan. 

The minister told local Dunya TV the UAE delegation “positively” noted the Pakistani request and has promised to return with possible options in the next few days.

“It is expected to be a good package. I am unable to share the figures, but I think it would more or less be similar to the one Saudi Arabia has announced [for Pakistan],” said Sharif, who accompanied Khan during his visit to Saudi Arabia and will be part of the Pakistani delegation traveling to China. 

​IMF bailout plan 

In addition to pushing friendly countries to provide fiscal relief, Khan’s government has also turned to the International Monetary Fund to seek a bailout package. Formal talks are scheduled to begin in Islamabad on Nov. 7. Pakistan has taken advantage of repeated IMF bailouts in the past several decades. 

Analysts say the Saudi financial package and expected aid from both China and the UAE will most likely boost Pakistan’s negotiating position and may mean the country will require a smaller IMF arrangement. 

During Khan’s visit to Beijing, officials said the two countries would sign “many agreements” to boost trade and investment ties and launch the second phase of the China-Pakistan Economic Corridor (CPEC), which is the flagship of Xi’s global Road and Belt Initiative. 

The two sides will sign a framework for launching industrial cooperation under CPEC and increasing Pakistani exports to China. 

CPEC, Khan’s visit to China 

The United States has persistently expressed concerns about the Chinese infrastructure and connectivity initiative, saying they are burdening partner nations like Pakistan with debt. The U.S. also criticized a lack of transparency about the terms of contracts under the infrastructure initiative and consequent effects on the economy, said Henry Ensher, acting deputy assistant secretary of state. 

He acknowledged in a speech in Washington this month the importance of China-led initiative. “But that role ought to be done, ought to be played in accordance with usual rules about the transparency and accountability so that people in countries that cooperate with China can see clearly what they are signing up for,” Ensher said. 

U.S. officials have already cautioned the IMF about entering into an arrangement with Pakistan, citing CPEC loans as a main factor for the country’s debt crisis and suspecting the IMF money would be used to pay back China. 

Islamabad and Beijing have vehemently rejected Washington’s assertions as “misplaced” and “irrelevant.” Both countries acknowledge Chinese loans under CPEC are just over 6 percent of Pakistan’s total domestic and external debts of about $95 billion.  

Since launching CPEC in 2013, China has invested $19 billion in Pakistan, building or upgrading its transportation network and power plants and putting into operation the key Arabian Sea port of Gwadar. 

The mega-project is expected to bring more than $62 billion to Pakistan in Chinese investment by 2030, ultimately linking Gwadar to the landlocked western Chinese region of Xinjiang and giving Beijing the shortest secure access to international markets. 

“We are building these projects totally based on mutual consultation and also mutual sharing. … Definitely, there is no private interest or unilateral interest from the Chinese side. We believe all the projects are mutually beneficial,” Yao Jing, Beijing’s ambassador to Islamabad, told reporters at the sprawling Chinese Embassy on Friday.  

DRC Ebola Death Toll Rises to 164

The Ebola outbreak in eastern Democratic Republic of the Congo has led to 164 deaths, health authorities said. 

In mid-October, Congolese authorities said they were facing a “second wave” of the outbreak centered on Beni, a town in North Kivu near the border with Uganda. 

The epicenter had earlier been focused on Mangina, a town about 20 kilometers (12 miles) from Beni. 

In total, 257 cases had been recorded in the region, of which 222 were confirmed and 35 were probable, since the start of the outbreak at the beginning of August, the Congolese Health Ministry said in a bulletin dated Friday. 

On Oct. 17, the World Health Organization said the death toll was 139, although it said the outbreak did not yet merit being labeled a global health emergency. 

The second wave of the deadly virus has been attributed to community resistance to measures already taken to tackle the disease. 

On Thursday, about 1,000 students marched through the streets of Beni to launch a campaign to fight Ebola. 

Since a vaccination program began on Aug. 8, over 22,000 people have been inoculated, of whom about 11,000 were in Beni, the health ministry said. 

An Ebola treatment center in the city now has more than 60 beds, it added. 

The latest outbreak is the 10th in DRC since Ebola was first detected there in 1976. 

Somali Medical Pioneer Continues Battle to Stop FGM

When she was a young girl, Edna Adan Ismail’s mother and grandmother circumcised her in a traditional ceremony while her father, a doctor, was away.

That evening, he returned home, enraged at what had happened. “What have you done?” he asked Ismail’s mother and grandmother. Cutting the young girl, he said, was “haraam” — a sin.

She was only seven or eight, but Ismail knew what had happened was wrong. The event, and her father’s reaction, would have a lasting impact.

Medical trailblazer

Years later, Ismail followed in her father’s footsteps, pursuing a career in medicine. She studied abroad and became a pioneer in health care in Somaliland, an autonomous region of Somalia.

In 1965, the World Health Organization made Ismail the first Somali appointed to a senior civil servant position. She spent decades with the organization working in Somalia, Somaliland and Djibouti, and caring for patients from across the Horn of Africa, many of whom were refugees.

In 1976, Ismail attended a health conference in Sudan that changed her next steps. Ismail, then a director in Somaliland’s Ministry of Health, had traveled with a team of doctors to learn about developments in the field.

At the conference, Ismail heard, for the first time, people in a Muslim country openly discuss the harm caused by female circumcision, also called female genital mutilation, or FGM.

For Ismail, the discussions were a revelation. Back home, talking about FGM, let alone its harms, was taboo.

But Ismail knew there was another way. In England, where Ismail studied and practiced medicine, women weren’t subjected to FGM, and they gave birth with few complications.

But Ismail didn’t believe the practice could be stopped in Somaliland, where she had returned in 1961 as the country’s first qualified nurse and midwife.

“I saw the difficulties, and the tears, and the lacerations, and the fistulas,” Ismail said. “This created in me this anger about this damage.”

Ismail knew the practice was wrong. But she couldn’t break through the silence.

That changed after the Sudan conference, where doctors, nurses and midwives discussed the physical and psychological toll of the traditional practice. They shared steps that health care workers could take to lessen suffering. They made FGM defeatable.

Ismail knew she could do more. She returned home and co-founded a group to eradicate the procedure. She also began speaking up.

“I was the first person who publicly spoke about the harmful effects of female circumcision,” Ismail told VOA in a recent studio interview in Washington. The practice, she added, “is the most harmful thing that can happen to a girl.”

‘Little girls are still being cut’

Ismail retired in 1997 and built a hospital a year later in Hargeisa, Somaliland, with her personal savings. The facility opened in 2002. “It was a natural thing to do,” Ismail said.

Doctors and nurses at the facility, also a teaching hospital, treat patients from Somaliland, Somalia and Ethiopia. As a center for learning and caring, the hospital is “a symbol of what we need to do in our countries,” Ismail said. “I’m so privileged and so happy that I could also influence so many others and be an example for others to come back,” she added.

After retirement, Ismail contributed in other ways. In 2003, she became Somaliland’s foreign minister, a post she held until 2006. Now in her 80s, Ismail continues to direct the hospital.

But she knows there’s work left to do. “Little girls are still being cut,” she said.

Often, it’s women — mothers, grandmothers, aunts — directly responsible for FGM, which 200 million women and girls alive today have experienced, the World Health Organization estimates.

But men have a vital role to play in stopping the practice. “Fathers must come into it,” Ismail said, “the same way my father objected.”

Legal mechanisms must also be used, Ismail said. Countries where FGM rates remain high have, in some cases, passed laws banning at least the most severe forms of the procedure, but enforcement is key.

Fathers should be taken to court if their daughters are harmed, Ismail said, forcing all parts of society to face the issue. “It’s a battle that needs to be fought by both men and women — and communities and governments — together.”

At her own hospital, Ismail has seen progress. In 2002, 98 percent of the women who delivered babies had experienced FGM. That number had fallen to 76 percent several years later.

But Ismail isn’t satisfied. “Zero percent is what we want,” she said.

Equities’ Slide Sends Bonds Higher, Dents Greenback

Stock markets around the world tumbled Friday while U.S. Treasury prices rose along with demand for safer bets as better-than-expected U.S. economic data did little to ease anxiety over disappointing corporate profits and trade wars.

Wall Street closed above its session lows, but earnings reports from Amazon.com and Alphabet, issued late Thursday, rekindled a rush to dump technology and other growth sectors.

MSCI’s gauge of stocks across the globe shed 1.19 percent. The global index went 13.7 percent below its Jan. 26 record close and clocked its fifth straight week of consecutive losses for the first time since May 2013.

With equities whip-sawing each day in reaction to the last big earnings beat or miss, investors braced for more volatility through the remainder of the U.S. earnings season and ahead of the Nov. 6 U.S. midterm congressional elections.

“Once the elections and earnings are out of the way we’ll have a calmer market but not necessarily a big move up,” said Ernesto Ramos, portfolio manager for BMO Global Asset Management in Chicago.

“Investors are anxious about 2019 earnings. They know 2018 is going to be phenomenal,” he said. “There’s been a lot of panic selling. One of the things you don’t want to do is buy or sell based on emotion. … The volatility is incredible.”

The Dow Jones Industrial Average fell 296.24 points, or 1.19 percent, to 24,688.31; the S&P 500 lost 46.88 points, or 1.73 percent, to 2,658.69; and the Nasdaq Composite dropped 151.12 points, or 2.07 percent, to 7,167.21.

There was some support from data that showed third-quarter U.S. economic growth slowing less than expected as a tariff-related drop in soybean exports was partially offset by the strongest consumer spending in nearly four years.

But while U.S. Treasury yields initially rose after the data, stock market volatility caused them to reverse course and fall to a three-week low.

Benchmark 10-year notes last rose 15/32 in price to yield 3.0793 percent, from 3.136 percent late Thursday.

The U.S. dollar slid alongside stocks after rising to a two-month high in morning trade after the GDP data.

The dollar index fell 0.35 percent, with the euro up 0.28 percent to $1.1406.

Doubt grew about whether the U.K. and the European Union can clinch a Brexit deal. Bloomberg, citing people familiar with the matter, reported Friday that Brexit talks were on hold because Prime Minister Theresa May’s cabinet was not close enough to agreement on how to proceed.

The Japanese yen strengthened 0.52 percent versus the greenback at 111.83 per dollar, while sterling was last trading at $1.2834, up 0.15 percent on the day.

European and Asian stocks had led the way lower. The pan-European STOXX 600 index lost 0.77 percent and MSCI’s broadest index of Asia-Pacific shares outside Japan dropped one percent, hitting its lowest level since February 2017.

Bear markets — a price drop of 20 percent or more from recent peaks — have increased across indexes and individual stocks since the start of this year.

Oil prices rose Friday, supported by expectations that sanctions on Iran would tighten global supplies, but futures posted a weekly drop as a slump in stock markets and concerns about trade wars clouded the fuel demand outlook.

U.S. crude settled at $67.59 per barrel, up 0.4 percent, and Brent settled up 1 percent to $77.62 on the day.

Spot gold added 0.2 percent to $1,233.95 an ounce.

Study: Online Attacks on Jews Ramp Up Before Election Day

Far-right extremists have ramped up an intimidating wave of anti-Semitic harassment against Jewish journalists, political candidates and others ahead of next month’s U.S. midterm elections, according to a report released Friday by a Jewish civil rights group.

The Anti-Defamation League’s report says its researchers analyzed more than 7.5 million Twitter messages from Aug. 31 to Sept. 17 and found nearly 30 percent of the accounts repeatedly tweeting derogatory terms about Jews appeared to be automated “bots.”

But accounts controlled by real-life humans often mount the most “worrisome and harmful” anti-Semitic attacks, sometimes orchestrated by leaders of neo-Nazi or white nationalist groups, the researchers said.

“Both anonymity and automation have been used in online propaganda offensives against the Jewish community during the 2018 midterms,” they wrote.

Billionaire philanthropist George Soros was a leading subject of harassing tweets. Soros, a Hungarian-born Jew demonized by right-wing conspiracy theorists, is one of the prominent Democrats who had pipe bombs sent to them this week.

The ADL’s study concludes online disinformation and abuse is disproportionately targeting Jews in the U.S. “during this crucial political moment.”

“Prior to the election of President Donald Trump, anti-Semitic harassment and attacks were rare and unexpected, even for Jewish Americans who were prominently situated in the public eye. Following his election, anti-Semitism has become normalized and harassment is a daily occurrence,” the report says.

The New York City-based ADL has commissioned other studies of online hate, including a report in May that estimated about 3 million Twitter users posted or re-posted at least 4.2 million anti-Semitic tweets in English over a 12-month period ending Jan. 28. An earlier report from the group said anti-Semitic incidents in the U.S. in the previous year had reached the highest tally it has counted in more than two decades.

For the latest report, researchers interviewed five Jewish people, including two recent political candidates, who had faced “human-based attacks” against them on social media this year. Their experiences demonstrated that anti-Semitic harassment “has a chilling effect on Jewish Americans’ involvement in the public sphere,” their report says.

“While each interview subject spoke of not wanting to let threats of the trolls affect their online activity, political campaigns, academic research or news reporting, they all admitted the threats of violence and deluges of anti-Semitism had become part of their internal equations,” researchers wrote.

The most popular term used in tweets containing #TrumpTrain was “Soros.” The study also found a “surprising” abundance of tweets referencing “QAnon,” a right-wing conspiracy theory that started on an online message board and has been spread by Trump supporters.

“There are strong anti-Semitic undertones, as followers decry George Soros and the Rothschild family as puppeteers,” researchers wrote.

Facebook Removes 82 Iranian-Linked Accounts

Facebook announced Friday that it has removed 82 accounts, pages or groups from its site and Instagram that originated in Iran, with some of the account owners posing as residents of the United States or Britain and tweeting about liberal politics.

At least one of the Facebook pages had more than one million followers, the firm said. The company said it did not know if the coordinated behavior was tied to the Iranian government. Less than $100 in advertising on Facebook and Instagram was spent to amplify the posts, the firm said.

The company said in a post titled “Taking Down Coordinated Inauthentic Behavior from Iran” that some of the accounts and pages were tied to ones taken down in August.

“Today we removed multiple pages, groups and accounts that originated in Iran for engaging in coordinated inauthentic behavior on Facebook and Instagram,” the firm said. “This is when people or organizations create networks of accounts to mislead others about who they are, or what they’re doing.”

Monitoring online activity

Facebook says it has ramped up its monitoring of the authenticity of accounts in the runup to the U.S. midterm election, with more than 20,000 people working on safety and security. The social media firm says it has created an election “war room” on the campus to monitor behavior it deems “inauthentic.”

Nathaniel Gleicher, head of cybersecurity policy for Facebook, said that the behavior was coordinated and originated in Iran.

The posts appeared as if they were being made by citizens in the United States and in a few cases, in Britain. The posts were of “politically charged topics such as race relations, opposition to the president, and immigration.”

In terms of the reach of the posts, “about 1.02 million accounts followed at least one of these Pages, about 25,000 accounts joined at least one of these groups, and more than 28,000 accounts followed at least one of these Instagram accounts.”

A more advanced approach

The company released some images related to the accounts. 

An analysis of 10 Facebook pages and 14 Instagram accounts by the Atlantic Council’s Digital Forensic Research Lab concluded the pages and accounts were newer, and more advanced, than another batch of Iranian-linked pages and accounts that were removed in August.

“These assets were designed to engage in, rather than around, the political dialogue,” the lab’s Ben Nimmo and Graham Brookie wrote. “Their behavior showed how much they had adapted from earlier operations, focusing more on social media than third party websites.”

And those behind the accounts appeared to have learned a lesson from Russia’s ongoing influence campaign.

“One main aim of the Iranian group of accounts was to inflame America’s partisan divides,” the analysis said. “The tone of the comments added to the posts suggests that this had some success.”

Targeting U.S. midterm voters

Some of the accounts and pages directly targeted the upcoming U.S. elections, showing individuals talking about how they voted or calling on others to vote.

Most were aimed at a liberal audience.

“Proud to say that my first ever vote was for @BetoORourke,” said one post from an account called “No racism no war,” which had 412,000 likes and about half a million followers.

“Get your ass out and VOTE!!! Do your part,” said another post shared by the same account.

U.S. intelligence and national security officials have repeatedly warned of efforts by countries like Iran and China, in addition to Russia, to influence and interfere with U.S. elections next month and in 2020.

Democratic Representative Adam Schiff, who is a ranking member of the House Intelligence Committee, said Facebook’s decision to pull down the questionable pages and accounts and share the information with the public is critical to “keeping users aware of and inoculated against such foreign influence campaigns.”

“Facebook’s discovery and exposure of additional nefarious Iranian activity on its platforms so close to the midterms is an important reminder that both the public and private sector have a shared responsibility to remain vigilant as foreign entities continue their attempts to influence our political dialogue online,” Schiff said in a statement.

But not all the Iranian material was focused on the U.S. midterm election.

“These accounts masqueraded primarily as American liberals, posting only small amounts of anti-Saudi and anti-Israeli content,” the Digital Forensic Research Lab said.

A number of posts also took aim at U.S. policy in the Middle East in general. One post by @sut_racism, accused Ivanka Trump of having “the blood of Dead Children on Her Hands.”

Still, the analysts said many of the posts also contained errors that gave away their non-U.S. origins. For example, in one post talking about the deaths of U.S. soldiers in World War II, the account’s authors used a photo of Soviet soldiers.

Michelle Quinn contributed to this report.

US Stocks Plunge, Then Recover Some Ground Friday

U.S. stock market indexes fell sharply in Friday’s early trading, but saw losses ease later in the day. 

At one point the S&P 500 and the Dow were down by two percent or more, while the NASDAQ was off by 3.5 percent at one point. 

Investors worried about faltering growth, rising interest rates, trade tensions, and weak profit outlook for major tech firms, including Amazon and Google’s parent company.

By afternoon, losses moderated with the S&P off by 1.3 percent, the Dow down six-tenths of a percent, and the NASDAQ sliding 1.9 percent. 

Key European indexes dropped about one percent.Earlier in Asia, Hong Kong’s Hang Seng was off a bit more than one percent, while Japan’s Nikkei moved down four-tenths of a percent.

The market turbulence comes at the same time as U.S. unemployment is low, and reports show growth and consumer confidence are strong.

US Economy Grew at Strong 3.5 Percent Rate in 3rd Quarter

The U.S. economy grew at a robust annual rate of 3.5 percent in the July-September quarter as the strongest burst of consumer spending in nearly four years helped offset a sharp drag from trade. 

The Commerce Department said Friday that the third quarter’s gross domestic product, the country’s total output of goods and services, followed an even stronger 4.2 percent rate of growth in the second quarter. The two quarters marked the strongest consecutive quarters of growth since 2014.

The result was slightly higher than many economists had been projecting. It was certain to be cited by President Donald Trump as evidence his economic policies are working. But some private economists worry that the recent stock market declines could be a warning signal of a coming slowdown.

The GDP report along with next week’s unemployment report for October are the last major looks at the economy before voters go to the polls in the mid-term elections.

For this year, economists are projecting the momentum built up should result in growth of 3 percent, the best annual showing in 13 years. But they believe the impact of Trump’s trade war with China and rising interest rates will slow growth in 2019 to around 2.4 percent, with a further decline to under 2 percent in 2020.

“I think we will see a significant slowdown, in part because economic growth has been raised to an artificially high level by the tax cuts,” said Sung Won Sohn, chief economist at SS Economics in Los Angeles.

Trump in recent weeks has accelerated his attacks on the Federal Reserve for raising interest rates, contending that the higher rates by slowing the economy will work against his efforts to speed up growth through the $1.5 trillion tax cut package Trump got Congress to pass last year.

“Every time we do something great, he raises interest rates,” Trump said in an interview this week with the Wall Street Journal in which he again said he viewed the Fed as the “biggest risk” facing the economy “because I think interest rates are being raised too quickly.”

The central bank has raised rates three times this year and signaled it will raise rates one more time this year and expect to raise rates three times in 2019. Those moves are being made to ensure that tight labor markets, with unemployment at a 49-year low of 3.7 percent, and strong growth don’t trigger unwanted inflation.

The GDP report Friday was the government’s first of three reviews of overall economic activity for the July-September period.

The report showed that consumer spending, which accounts for 70 percent of economic activity, surged at an annual rate of 4 percent in the third quarter, even better than the 3.8 percent gain in the second quarter and the best showing since last 2014.

Trade, which had boosted second quarter growth by 1.2 percentage points, shaved 1.8 percentage points off growth in the third quarter. Exports, which had surged at a 9.3 percent rate in the second quarter, fell at a 3.5 percent rate in the third quarter. Analysts had forecast this turn-around, saying it reflected the surge in exports of goods such as soybeans in the spring as producers tried to beat the higher tariffs being imposed by China in retaliation for Trump’s tariffs.

Another big swing factor in the third quarter was business restocking of their shelves. Inventories had trimmed 1 percentage point off growth in the second quarter but boosted growth by 2 percentage points in the third quarter.

Housing continued to be a drag, falling for a third straight quarter. Business investment, which had surged at an 8.7 percent rage in the second quarter, slowed to a small 0.8 percent gain the third quarter.

Sources: Honda Mulls Moving US-Bound Fit Production to Japan

Honda Motor Co is considering shifting production of its U.S.-bound Fit subcompact cars to Japan from Mexico in a few years, partly due to a new North American trade agreement, two people familiar with the deal told Reuters.

Fit cars for export to the United States are now made at Honda’s auto plant in Celaya, Mexico. The Celaya plant also makes HR-V sport utility vehicles (SUVs) for the U.S. market.

A Honda spokesman said the company had not made any decisions on Fit production.

The new trilateral deal, which replaces the 1994 North American Free Trade Agreement (NAFTA), is set to raise the minimum North American content for cars to qualify for duty-free market access to 75 percent from 62.5 percent.

U.S. President Donald Trump wants the deal to shrink the U.S. trade deficit by curbing imports into the United States and boosting production of foreign-branded vehicles there.

But the terms of the trade deal reduce Honda’s incentive to produce the Fit in Mexico for the U.S. and European markets, said the sources, one of whom has direct knowledge of the plan and the other who was briefed on it.

They declined to be identified as the matter was still confidential.

In addition, they said, U.S. consumers are increasingly shifting to SUVs, making it more advantageous for the Mexico plant to build those, rather than subcompacts.

One of the sources said if Honda decides to shift production, it would come when the company launches its next Fit model in the next few years.

Trump Says Proposal Will Lower Some US Drug Prices

Less than two weeks before the midterm elections, President Donald Trump on Thursday announced a plan to lower prices for some prescription drugs, saying it would stop unfair practices that force Americans to pay much more than people in other countries for the same medications. 

“We are taking aim at the global freeloading that forces American consumers to subsidize lower prices in foreign countries through higher prices in our country,” Trump said in a speech at the Department of Health and Human Services. 

“Same company. Same box. Same pill. Made in the exact same location, and you would go to some countries and it would be 20 percent of the cost of what we pay,” said Trump, who predicted the plan would save Americans billions. “We’re fixing it.” 

But consumers take note: 

— The plan would not apply to medicines people buy at the pharmacy, just ones administered in a doctor’s office, as are many cancer medications and drugs for immune system problems. Physician-administered drugs can be very expensive, but pharmacy drugs account for the vast majority of what consumers buy. 

— Don’t expect immediate rollbacks. Officials said the complex proposal could take more than a year to be put into effect. 

In another twist, the plan is structured as an experiment through a Medicare innovation center empowered to seek savings by the Affordable Care Act. That’s the law also known as “Obamacare,” which Trump is committed to repealing. 

Trump has long promised sweeping action to attack drug prices, both as president and when he was running for the White House. He made his latest announcement just ahead of the Nov. 6 elections, with health care high among voters’ concerns. 

Under the plan, Medicare payment for drugs administered in doctors’ offices would gradually shift to a level based on international prices. Prices in other countries are lower because governments directly negotiate with manufacturers. 

Drugmakers immediately pushed back, arguing the plan amounts to government price-setting. 

“The administration is imposing foreign price controls from countries with socialized health care systems that deny their citizens access and discourage innovation,” Stephen Ubl, president of the Pharmaceutical Research and Manufacturers of America, said in a statement. “These proposals are to the detriment of American patients.” 

Trump is linking the prices Americans complain about to one of his long-standing grievances: foreign countries the president says are taking advantage of U.S. research breakthroughs. 

Drug pricing expert Peter Bach of Memorial Sloan Kettering’s Center for Health Policy and Outcomes called the plan “a pretty substantive proposal” but one that faces “serious political challenges.” 

“The rhetoric about finally dealing with foreign freeloading suggests that we are going to take steps to get other countries to pay their fair share for innovation,” Bach added. But that’s “quite literally the opposite of what is being proposed. What is being proposed is that we freeload off of other countries’ ability to negotiate more effectively.” 

Democratic leaders on Capitol Hill were dismissive. House Minority Leader Nancy Pelosi of California said if Trump wants to save seniors money, he should seek congressional approval for Medicare to negotiate prices for its main prescription drug program, Part D. Senate Democratic leader Chuck Schumer of New York said, “It’s hard to take the Trump administration and Republicans seriously about reducing health care costs for seniors two weeks before the election.” 

The health insurance industry, at odds with drugmakers over prices, commended the administration’s action. 

As an experiment, the proposal would apply to half the country. Officials said they’re seeking input on how to select the areas that will take part in the new pricing system. Health and Human Services Secretary Alex Azar said politics would have nothing to do with it. 

In advance of Trump’s speech, HHS released a report that found U.S. prices for the top drugs administered in doctors’ offices are nearly twice as high as those in foreign countries. The list includes many cancer drugs. Medicare pays directly for them under its Part B coverage for outpatient care. 

Physician-administered drugs cost Medicare $27 billion in 2016. HHS says the plan would save Medicare $17.2 billion over five years. Beneficiaries would save an estimated $3.4 billion through lower cost-sharing. 

The plan could meet resistance not only from drugmakers but also from doctors, now paid a percentage of the cost of the medications they administer. However, HHS officials said the plan was designed so it would not cut into doctors’ reimbursements. 

Azar said more plans were being developed on drug costs. 

“This is not the end of the road, the end of the journey,” he said. “There is more coming.” 

Trump has harshly criticized the pharmaceutical industry, once asserting that the companies were “getting away with murder.” But it’s largely been business as usual for drugmakers even as Trump has predicted “massive” voluntary price cuts. 

A recent Associated Press analysis of prices for brand-name drugs found far more increases than cuts in the first seven months of this year. The analysis found 96 price hikes for every price cut. The number of increases slowed somewhat, and they were not quite as steep as in past years, the AP found. 

The Trump administration proposal is open for public comment for 60 days.  

WTO Member Group Vows to Reform Rules on Subsidies, Dispute Settlement

Top trade officials from 12 countries and the European Union on Thursday vowed to reform World Trade Organization rules in the face of U.S. actions that threaten to paralyze the body and address some of Washington’s complaints about Chinese subsidies.

The officials, meeting in the Canadian capital Ottawa, said they shared a “common resolve for rapid and concerted action” to address challenges to the WTO.

“The current situation at the WTO is no longer sustainable. Our resolve for change must be matched with action,” the officials said in a communique issued after their daylong meeting ended.

The United States and China, which are locked in an escalating tariff war that is threatening the WTO’s foundations, were not invited to the meeting to discuss reform ideas, but Canadian Trade Minister Jim Carr said he would report outcomes to them and try to persuade them to join the reform effort.

Carr acknowledged that no WTO reforms could proceed without a buy-in from the world’s two largest economies.

“They should listen because we’re making good arguments,” Carr told a news conference after the meeting, adding that the group’s proposals would ultimately serve U.S. and Chinese interests.

The officials from Canada, the European Union, Japan, Brazil, Mexico, Australia and seven other countries agreed to meet again in January 2019 to review progress from their discussions.

They were short on specifics of their proposals, but called for urgent action to unblock the appointment of new judges to the Appellate Body of the WTO’s dispute settlement system, which they said puts the functioning of the entire body at risk, causing rules enforcement to grind to a halt by the spring of 2019.

The statement did not refer directly to U.S. actions to block such appointments over longstanding complaints that many past appellate rulings have exceeded the judges’ authority, unfairly favoring China and some other members.

“Our number one priority is getting dispute settlement back on track. What good is there to have rules if they cannot be enforced?” said one participating minister who spoke on condition of anonymity.

U.S. President Donald Trump has repeatedly threatened to pull out of the 23-year-old trade body, with roots that date back to the end of World War II, if it does not “shape up” and treat the United States more fairly.

At the Ottawa meetings, Carr said “there was no blaming, there was no shaming” of the United States and the group agreed to consider “alternative” ways to settle disputes, including mediation.

The trade officials also said they recognize “the need to address market distortions caused by subsidies and other instruments,” a reference to complaints by the United States and some other Western economies that current WTO anti-subsidy rules fail to capture all the ways China’s government supports its industries and state enterprises.

The statement said the officials were concerned with WTO members’ track record in complying with subsidy notification requirements and called for stronger monitoring and transparency of countries’ trade policies.

The member group also vowed to “reinvigorate” the WTO’s long-stalled negotiating function, calling for talks to curb fisheries subsidies to be completed in 2019.

Mexico’s Deputy Economy Minister Juan Carlos Baker said world leaders would have a chance to press the United States, China and other nations twice next month — at an Asia-Pacific summit and a meeting of leaders of the G-20 group of nations.

“We are going to waste no opportunity whatsoever in terms of political events. … I am sure that we will use these occasions to speak about what we’re doing,” he said in an interview.

Water Out of Thin Air: California Couple’s Device Wins $1.5M

It started out modestly enough: David Hertz, having learned that under the right conditions you really can make your own water out of thin air, put a little contraption on the roof of his California office and began cranking out free bottles of H2O for anyone who wanted one.

Soon he and his wife, Laura Doss-Hertz, were thinking bigger — so much so that this week the couple won the $1.5 million XPrize For Water Abundance. They prevailed by developing a system that uses shipping containers, wood chips and other detritus to produce as much as 528 gallons (2,000 liters) of water a day at a cost of no more than 2 cents a quart (1 liter).

The XPrize competition, created by a group of philanthropists, entrepreneurs and others, has awarded more than $140 million over the years for what it calls audacious, futuristic ideas aimed at protecting and improving the planet. The first XPrize, for $10 million, went to Microsoft co-founder Paul Allen and aviation pioneer Burt Rutan in 2004 for SpaceShipOne, the first privately financed manned space flight.

When Hertz learned a couple of years ago that a prize was about to be offered to whoever could come up with a cheap, innovative way to produce clean freshwater for a world that doesn’t have enough of it, he decided to go all in.

At the time, his little water-making machine was cranking out 150 gallons a day, much of which was being given to homeless people living in and around the alley behind the Studio of Environmental Architecture, Hertz’s Venice Beach-area firm that specializes in creating green buildings.

He and his wife, a commercial photographer, and their partner Richard Groden, who created the smaller machine, assembled The Skysource/Skywater Alliance and went to work. They settled on creating little rainstorms inside shipping containers by heating up wood chips to produce the temperature and humidity needed to draw water from the air and the wood itself.

“One of the fascinating things about shipping containers is that more are imported than exported, so there’s generally a surplus,” said Hertz, adding they’re cheap and easy to move around.

And if there’s no wood chips around for heat, coconut husks, rice, walnut shells, grass clippings or just about any other such waste product will do just fine.

“Certainly in regions where you have a lot of biomass, this is going to be a very simple technology to deploy,” said Matthew Stuber, a professor of chemical and biomolecular engineering at the University of Connecticut and expert on water systems who was one of the panel’s judges.

He called their water-making machine a “really cool” merging of rather simple technologies that can be used to quickly deliver water to regions hit by natural disasters or stricken by drought, or even rural areas with a shortage of clean water.

Hertz and Doss-Hertz are just starting to contemplate how to accomplish that.

Theirs was among 98 teams from 27 countries who entered the competition. Many teams were bigger and better funded, while the couple mortgaged their Malibu home to stay in the game. At one point, they were told they hadn’t made the final round of five, but one team dropped out and they were back in.

“If you say we were the dark horse in the race, we weren’t even in the race,” Hertz recalled, smiling.

He stood near a giant copy of the check in his office while Doss-Hertz prepared to leave for a photo shoot and a visitor sampled a glass of their freshly made water.

Now, though, they are in for the long, wet haul.

“There’s no restrictions whatsoever on how it’s used,” Hertz said of the prize money. “But Laura and I have committed to using it all for the development and deployment of these machines, to get them to people who need the water most.

US Stocks Rebound Strongly

Major U.S. stock indexes made strong gains in Thursday’s trading after some upbeat profit reports by major companies. 

The Nasdaq composite posted its biggest daily gain since March, as Microsoft’s upbeat earnings spurred a rebound in technology names and investors snapped up oversold shares. The Nasdaq added 209.94 points, or 2.95 percent, to 7,318.34, a day after it confirmed a correction and registered its biggest decline since 2011.

The Dow Jones industrial average rose 401.13 points, or 1.63 percent, to 24,984.55, while the Standard & Poor’s 500 gained 49.47 points, or 1.86 percent, to 2,705.57. Both moved back into positive territory for the year. 

In Europe, France’s key index jumped 1.6 percent, while German and British stock prices made smaller gains. 

Variety of gainers

The latest round of good U.S. results came from a variety of companies, including Ford Motor Co., Visa Inc., Whirlpool Corp. and Twitter Inc., and offered relief after the earnings season began slowly and stumbled further on sluggish outlooks from manufacturers and chipmakers. 

Stocks have sold off recently amid worries about rising interest rates, growing trade tensions between the world’s two largest economies, China’s slowing economy and the fading impact of the recent U.S. tax cut on company profits. 

In a further sign that economic growth is moderating, U.S. business spending on equipment appeared to have remained slow in September and the goods trade deficit grew as rising imports outpaced a rebound in exports. 

Lower prices

But the recent sell-off has also made stocks a bit cheaper. The S&P 500’s valuation fell to a 2½-year low of 15.3 times profit estimates for the next 12 months from 15.8, according to trading and data business Refinitiv.

Results from S&P 500 companies have pushed up third-quarter profit growth estimates to 23.6 percent from 21.8 percent in the last 10 days. But forecasts have trimmed fourth-quarter growth estimates to 19.4 percent from 19.9 percent, according to I/B/E/S data from Refinitiv. 

Some information for this report came from Reuters.

UK Fines Facebook Over Data Privacy Scandal, EU Seeks Audit

British regulators slapped Facebook on Thursday with a fine of 500,000 pounds ($644,000) — the maximum possible — for failing to protect the privacy of its users in the Cambridge Analytica scandal.

At the same time, European Union lawmakers demanded an audit of Facebook to better understand how it handles information, reinforcing how regulators in the region are taking a tougher stance on data privacy compared with U.S. authorities.

Britain’s Information Commissioner Office found that between 2007 and 2014, Facebook processed the personal information of users unfairly by giving app developers access to their information without informed consent. The failings meant the data of some 87 million people was used without their knowledge.

“Facebook failed to sufficiently protect the privacy of its users before, during and after the unlawful processing of this data,” said Elizabeth Denham, the information commissioner. “A company of its size and expertise should have known better and it should have done better.”

The ICO said a subset of the data was later shared with other organizations, including SCL Group, the parent company of political consultancy Cambridge Analytica, which counted U.S. President Donald Trump’s 2016 election campaign among its clients. News that the consultancy had used data from tens of millions of Facebook accounts to profile voters ignited a global scandal on data rights.

The fine amounts to a speck on Facebook’s finances. In the second quarter, the company generated revenue at a rate of nearly $100,000 per minute. That means it will take less than seven minutes for Facebook to bring in enough money to pay for the fine.

But it’s the maximum penalty allowed under the law at the time the breach occurred. Had the scandal taken place after new EU data protection rules went into effect this year, the amount would have been far higher — including maximum fines of 17 million pounds or 4 percent of global revenue, whichever is higher. Under that standard, Facebook would have been required to pay at least $1.6 billion, which is 4 percent of its revenue last year.

The data rules are tougher than the ones in the United States, and a debate is ongoing on how the U.S. should respond. California is moving to put in regulations similar to the EU’s strict rules by 2020 and other states are mulling more aggressive laws. That’s rattled the big tech companies, which are pushing for a federal law that would treat them more leniently.

Facebook CEO Mark Zuckerberg said in a video message to a big data privacy conference in Brussels this week that “we have a lot more work to do” to safeguard personal data.

About the U.K. fine, Facebook responded in a statement that it is reviewing the decision.

“While we respectfully disagree with some of their findings, we have said before that we should have done more to investigate claims about Cambridge Analytica and taken action in 2015. We are grateful that the ICO has acknowledged our full cooperation throughout their investigation.”

Facebook also took solace in the fact that the ICO did not definitively assert that U.K. users had their data shared for campaigning. But the commissioner noted in her statement that “even if Facebook’s assertion is correct,” U.S. residents would have used the site while visiting the U.K.

EU lawmakers had summoned Zuckerberg in May to testify about the Cambridge Analytica scandal.

In their vote on Thursday, they said Facebook should agree to a full audit by Europe’s cyber security agency and data protection authority “to assess data protection and security of users’ personal data.”

The EU lawmakers also call for new electoral safeguards online, a ban on profiling for electoral purposes and moves to make it easier to recognize paid political advertisements and their financial backers.

 

Google Abandons Berlin Campus Plan After Locals Protest

Google is abandoning plans to establish a campus for tech startups in Berlin after protests from residents worried about gentrification.

The internet giant confirmed reports Thursday it will sublet the former electrical substation in the capital’s Kreuzberg district to two charitable organizations, Betterplace.org and Karuna.

Google has more than a dozen so-called campuses around the world. They are intended as hubs to bring together potential employees, startups and investors.

Protesters had recently picketed the Umspannwerk site with placards such as “Google go home.”

Karuna, which helps disadvantaged children, said Google will pay 14 million euros ($16 million) toward renovation and maintenance for the coming five years.

Google said it will continue to work with startups in Berlin, which has become a magnet for tech companies in Germany in recent years.

At Many Hospitals Worldwide, If You Don’t Pay, You Can’t Leave

Doctors at Nairobi’s Kenyatta National Hospital have told Robert Wanyonyi there’s nothing more they can do for him. Yet more than a year after he first arrived, shot and paralyzed in a robbery, the ex-shopkeeper remains trapped in the hospital.

Because Wanyonyi cannot pay his bill of nearly 4 million Kenyan shillings ($39,570), administrators are refusing to let him leave his fourth-floor bed.

At Kenyatta National Hospital and at an astonishing number of hospitals around the world, if you don’t pay up, you don’t go home.

The hospitals often illegally detain patients long after they should be medically discharged, using armed guards, locked doors and even chains to hold those who have not settled their accounts. Even death does not guarantee release: Kenyan hospitals and morgues are holding hundreds of bodies until families can pay their loved ones’ bills, government officials say.

An Associated Press investigation has found evidence of hospital imprisonments in more than 30 countries worldwide, according to hospital records, patient lists and interviews with dozens of doctors, nurses, health academics, patients and administrators. The detentions were found in countries including the Philippines, India, China, Thailand, Lithuania, Bulgaria, Bolivia and Iran. Of more than 20 hospitals visited by the AP in Congo, only one did not detain patients.

Millions possibly affected

“What’s striking about this issue is that the more we look for this, the more we find it,” said Dr. Ashish Jha, director of the Harvard Global Health Institute. “It’s probably hundreds of thousands, if not millions of people that this affects worldwide.”

During several August visits to Kenyatta National Hospital — a major medical institution designated a Center of Excellence by the U.S. Centers for Disease Control and Prevention — the AP witnessed armed guards in military fatigues standing watch over patients. Detainees slept on bedsheets on the floor in cordoned-off rooms. Guards prevented one worried father from seeing his detained toddler.

Kenya’s ministry of health and Kenyatta canceled several scheduled interviews with the AP and declined to respond to repeated requests for comment.

Health experts decry hospital imprisonment as a human rights violation. Yet the United Nations, U.S. and international health agencies, donors and charities have all remained silent while pumping billions of dollars into these countries to support their splintered health systems or to fight outbreaks of diseases including AIDS and malaria.

“People know patients are being held prisoner, but they probably think they have bigger battles in public health to fight, so they just have to let this go,” said Sophie Harman, a global health expert at Queen Mary University of London.

Hospitals often acknowledge detaining patients isn’t profitable, but many say it can sometimes result in a partial payment and serves as a deterrent.

‘A way to conduct business’

Festus Njuguna, an oncologist at the Moi Teaching and Referral Hospital in Eldoret, about 300 kilometers northwest of Nairobi, said the institution regularly detains children with cancer who have finished their treatment, but whose parents cannot pay.

“It’s not a very good feeling for the doctors and nurses who have treated these patients, to see them kept like this,” Njuguna said.

Still, many officials openly defend the practice.

“We can’t just let people leave if they don’t pay,” said Leedy Nyembo-Mugalu, administrator of Congo’s Katuba Reference Hospital. He said holding patients wasn’t an issue of human rights, but simply a way to conduct business: “No one ever comes back to pay their bill a month or two later.”

Global health agencies and companies that operate where patients are held hostage often have very little to say about it.

The CDC provides about $1.5 million every year to Kenyatta National Hospital and Pumwani Maternity Hospital, helping to cover treatment costs for patients with HIV and tuberculosis, among other programs. The CDC declined to comment on whether it was aware that patients were regularly detained at the two hospitals or if it condones the practice.

Dr. Agnes Soucat of the World Health Organization said it does not support patient detentions, but has been unable to document where it happens. And while the WHO has issued hundreds of health recommendations on issues from AIDS to Zika virus, the agency has never published any guidance advising countries not to imprison people in their hospitals.

‘Cruel, inhuman and degrading’

Many Kenyan human rights advocates lament that hospitals continue to hold patients despite what was seen as a landmark judgment in 2015.

Back then, the High Court ruled that the detention of two women at Pumwani who couldn’t pay their delivery fees — Maimuna Omuya and Margaret Oliele — was “cruel, inhuman and degrading.” Omuya and her newborn were held for almost a month next to a flooded toilet while Oliele was handcuffed to her bed after trying to escape.

Earlier this month, the High Court ruled again that imprisoning patients “is not one of the acceptable avenues [for hospitals] to recover debt.”

Omuya said she is still psychologically scarred by her detention at Pumwani, especially after another recent run-in with a Nairobi hospital.

Several months ago, her youngest brother was treated for a suspected poisoning. When Omuya and her family were unable to pay the bill, the situation took a familiar but unwelcome turn: he was imprisoned. Her brother was only freed after his doctor intervened.

“Detentions still go on because there are no rights here,” Omuya said. “What I suffered, I want no one else to suffer.”

 

EU Parliament Moves to Ban Single-Use Plastics

The European Parliament voted overwhelmingly Wednesday to ban single-use plastic products such as straws, eating utensils and coffee sticks across the European Union.

The measure passed 571 to 53, with 34 abstentions.

If approved by the European Commission — the EU executive — and individual states, the ban would become law in 2021.

Supporters say plastics are a major source of pollution that chokes oceans, litters cities, and can take decades to disintegrate.

Some U.S. cities have moved to ban plastic straws in restaurants after a heartbreaking video of a wildlife rescuer pulling a straw out of a turtle’s bloody nose was posted on the internet earlier this year.

A consortium of European plastics manufacturers called the EU bill “disproportionate” and said banning single-use plastics discourages investment into new ways to recycle.

The EU plastics bill also includes deadlines for reducing or recycling other plastics such as bottles, fishing lines, food wrappers, and cigarette filters.