On the 32nd anniversary of the Americans with Disabilities Act (ADA), the U.S. remains one of a handful of countries that have not ratified the 2006 United Nations Convention on the Rights of Persons with Disabilities (CRPD) — an international treaty the U.S. legislation inspired.  

The ADA, signed into law by President George H.W. Bush on July 26, 1990, prohibits discrimination based on disability in public accommodations, employment, transportation and community living, and provides recourse for people with disabilities who faced discrimination.    

“It’s hard for the newer generation to imagine the injustices suffered before the ADA,” President Joe Biden said Tuesday in a House Bipartisan Disabilities Caucus event to celebrate the ADA’s anniversary. Biden, who is still in isolation from his COVID-19 diagnosis, delivered his remarks virtually.  

“If you’re disabled, stores can turn you away, and employers can refuse to hire you. If you use a wheelchair, there was no accommodation to take the bus or train to school or to work. America simply wasn’t built for all Americans,” Biden said. 

The administration on Tuesday announced $1.75 billion to make it easier for people with disabilities to get on board the nation’s public transportation systems, including $343 million to help agencies retrofit train and subway stations built prior to the disabilities act. 

During the caucus event, House Speaker Nancy Pelosi said Democrats will not give up trying to ratify the CRPD. A National Security Council spokesperson told VOA the administration “would certainly support its ratification.” 

However, with only 48 Democrats and two independents in the 100-seat U.S. Senate, and an urgent legislative agenda in the pipeline, it is unlikely that the Biden White House will take up the matter anytime soon.  

Global disability movement 

Since its passing, the ADA has inspired disability laws in various countries and sparked a movement for disability rights around the world that culminated in the CPRD. The U.S. also provided technical assistance during the convention’s negotiation and drafting process. 

The CPRD came into force in 2008 and was signed by President Barack Obama in 2009. But in 2012, it fell five votes short of the two-thirds majority required for the U.S. Senate to adopt it, largely due to a reluctance to submit to international law on a domestic policy matter. 

Out of 193 U.N. member countries, 185 have ratified the CRPD that aims to promote, protect and ensure full and equal enjoyment of all human rights for persons with disabilities.  

“We’re always very much open and honest in recognizing we haven’t ratified the CRPD,” Sara Minkara, special adviser on international disability rights, told VOA.  

Minkara, who is legally blind, leads the Office of International Disability Rights at the U.S. Department of State, which promotes the rights of persons with disabilities around the world through American diplomacy and development aid. The position was created under the Obama administration, and her office was made permanent by the Biden administration last November. 

In various countries, views on people with disabilities often fall between pity or inspiration from their suffering, Minkara said, and those extreme narratives contribute to societies leaving people with disabilities behind. 

“We need to normalize disability. We need to change how we look at the word disability. We need to change how we look at disabilities and identities, not from a pity lens but from a strength and value-based lens.”  

The administration says it supports “disability-inclusive development and humanitarian action” around the world.  

However, there is no mechanism to ensure full disability inclusion in U.S. foreign assistance, said Eric Rosenthal, executive director of the advocacy group Disability Rights International. 

“You can offer your assistance and say our assistance is available to all people, but the truth is, people with disabilities have a hard time finding the aid,” Rosenthal told VOA. “There has to be more active outreach efforts.” 

People with intellectual disabilities, psychiatric and psychosocial disabilities are particularly vulnerable, Rosenthal said. In many places, they are often stripped of legal rights and put away in institutions. 

“There are very serious human rights violations against them in most countries, and the advocacy movements are usually way behind the advocacy movements for other disability groups,” Rosenthal said. “So, that’s an example of a very at-risk group that needs to be targeted for more attention.” 

Disability Rights International and other groups have endorsed a concept for a U.S. bill to support the efforts of disability advocates worldwide to stop children with disabilities from being institutionalized, where they often face serious neglect and abuse. 

Katherine Gypson and Cindy Saine contributed to this report.

 
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Aid workers say deep poverty and harsh living conditions lead to hopelessness among Idlib’s youth
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The World Health Organization is urging people who may have been exposed to or at risk of monkeypox to get vaccinated against the disease as a preventive measure. 

Since it declared monkeypox a global health threat last week, the WHO says the disease has continued to spread around the world, with cases topping 16,000 in at least 75 countries. 

The WHO says the outbreak is mainly concentrated among men who have sex with men, especially those with multiple sexual partners. It warns against stigmatizing a whole group of people, as this could cause the outbreak to accelerate exponentially by driving the disease underground. 

The WHO technical leader on monkeypox, Rosamund Lewis, says the outbreak can be stopped with the right strategies in the right groups. She says mass vaccination is not required, but the WHO recommends vaccination for those who have been exposed or are at risk. 

“When someone is vaccinated, it takes several weeks for the immune response to be generated by the body. So, it is not something you can be vaccinated one day and be protected the next. You need to give it some time,” Lewis said. “So, the folks we are recommending to be vaccinated right now are anyone who has exposure, a contact with someone who may have been confirmed to have monkeypox. And so, that could be family members. It could be other close contacts.” 

She says even children are not immune from getting the disease. Between 80 and 90 cases of monkeypox in children have been reported in several countries, mostly in households where someone was infected. 

The monkeypox virus is spread from person to person through close bodily contact. It can cause a range of symptoms, including painful sores. Those at higher risk for the disease or complications include women who are pregnant, children and people who are immunocompromised. 

European countries have the highest number of confirmed cases. Although monkeypox is endemic in Africa, where it has been present since 1970, the reported caseload is relatively low. For example, Nigeria reports 101 cases, and the Democratic Republic of Congo has confirmed 163 cases out of more than 2,000 suspected cases. 

Lewis says the number of suspected cases in the DRC is high because the country’s ability to confirm cases through laboratory testing is limited. She says testing needs to be supported and ramped up. 

“Suspected cases may be other things. They may even be measles. They may be chickenpox. There is no vaccine for chickenpox being used in that environment. So, it is critically important to support countries to access testing. That is one of the most important things that WHO is trying to do right now,” she said. “At the same time, in the global reports, what we are reporting are confirmed and probable cases.” 

For now, no travel-related monkeypox restrictions are in place. However, the WHO recommends anyone with signs or symptoms compatible with the monkeypox virus should avoid travel and isolate for the duration of the illness. 

 
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Russia said Tuesday it will pull out of the International Space Station after 2024 to build its own orbiting outpost. The country’s space chief made the announcement during a meeting with President Vladmir Putin.

Yuri Borisov, CEO of state space agency Roscosmos, said during the meeting that Russia plans to fulfill a promise to its partners before fully stepping away.

“Of course, we will comply with all our commitments to our partners, but the decision to leave this station after 2024 has been made,” Borisov said during the meeting. “I think we will have started work on the Russian space station by that time.”

Moscow has made it clear that creating a Russian space station is one of its main priorities.

The U.S. space agency has not been made specifically aware of Russia pulling out of the International Space Station, a senior NASA official told the Reuters news agency.

NASA and the other partners involved in the International Space Station hope to continue their partnership through 2030, but Russia has been unwilling to commit to anything past 2024.

The announcement comes at a time of heightened tensions between the West and Moscow due to Russia’s invasion of Ukraine. It also comes just a month after NASA and Roscosmos agreed to continue using Russian rockets to deliver astronauts to the space station.
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White House ramping up monkeypox testing, treatment and vaccines
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Regional authorities, medical professionals and residents of Ethiopia’s Afar region say they are in dire need of medical aid with hundreds of hospitals and health centers destroyed by conflict. The World Health Organization says it is struggling to fulfill the country’s needs as crises around the world intensify. Henry Wilkins reports from Berhale, Ethiopia.
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A report Monday in the British newspaper The Guardian said a growing number of people in the Mahama refugee camp in Rwanda are registering in health centers for non-communicable diseases, or NCDs, that are usually seen in older people and in urban areas.

Examples cited in the paper included a hypertensive 6-year-old, a 2-year-old with respiratory problems, a 40-year-old woman with kidney failure who became hypertensive during a pregnancy, and a 20-year-old woman, diagnosed with diabetes after falling into a coma.

The report says while the number of people with NCDs at Mahama is at 5% of the total caseload, the figures are rising every month. Mahama houses 58,000 of the country’s 127,000 refugees, The Guardian reported.

Dieudonne Yiweza, senior regional public health officer for East and Horn of Africa at the U.N. refugee agency told the publication, “Before, we said NCDs affect urban settings. Now, they are attacking refugee settings . . . Now, they are affecting children and young people. For refugees, this is a challenging situation.”

Yiweza said it is not uncommon to encounter children as young as 10 or 15 who have suffered strokes.

Contributing factors to the NCDs in young people, Yiweza said, include poor housing, a limited diet that often lacks protein, and trauma.  
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Virtually all the contiguous United States experienced above normal temperatures in the past week, with more dangerously hot weather forecast. 

The U.S. heat wave followed record heat that killed hundreds if not thousands of people and sparked wildfires in Europe.

Following is an explanation of what is causing the heat waves, according to scientists.

What is a heat wave?

A heat wave has no single scientific definition. Depending on the climate of a region, it can be determined by a certain number of days above a specific temperature or percentile of the norm.

Arctic warming and jet stream migration

The Arctic is warming three to four times faster than the globe as a whole, meaning there is ever less difference between northern temperatures and those closer to the equator.

That is resulting in swings in the North Atlantic jet stream, which in turn leads to extreme weather events like heat waves and floods, according to Jennifer Francis, senior scientist at the Woodwell Climate Research Center.

Heat domes

Warmer oceans contribute to heat domes, which trap heat over large geographical areas. This weekend the heat dome is stretching from the southern plains of the Oklahoma/Arkansas area all the way to the eastern seaboard, according to the U.S. Weather Prediction Center.

Scientists have found the main cause of heat domes is a strong change in ocean temperatures from west to east in the tropical Pacific Ocean during the preceding winter.

“As prevailing winds move the hot air east, the northern shifts of the jet stream trap the air and move it toward land, where it sinks, resulting in heat waves,” the U.S. National Oceanic and Atmospheric Administration says on its website.

El Niño and La Niña

Every few years, the climate patterns known as El Niño and, less frequently, La Niña occur. El Niño brings warm water from the equatorial Pacific Ocean up to the western coast of North America, and La Niña brings colder water.

At present, La Niña is in effect. Because summer temperatures trend lower during La Niña, climate scientists are concerned about what a serious heat wave would look like during the next El Niño, when even hotter summer weather could be expected. 

Human-influenced climate change

Climate change caused by the burning of fossil fuels is a global phenomenon that is certainly playing a role in what the United States is experiencing, scientists say. 

“Climate change is making extreme and unprecedented heat events both more intense and more common, pretty much universally throughout the world,” said Daniel Swain, climate scientist at UCLA.

“Heat waves are probably the most underestimated type of potential disaster because they routinely kill a lot of people. And we just don’t hear about it because it doesn’t kill them in, to put it bluntly, sufficiently dramatic ways. There aren’t bodies on the street.”

Francis, of the Woodwell Center, said with climate change the world is seeing changing wind patterns and weather systems “in ways that make these heat waves, like we’re seeing right now, more intense, more persistent, and cover areas that just aren’t used to having heat waves.”

Alex Ruane, researcher at NASA’s Goddard Institute for Space Studies, said as the world warms, “it takes less of a natural anomaly to push us into the extreme heat categories. Because we’re closer to those thresholds, it’s more likely that you’ll get more than one heat wave at the same time. We’re seeing this in the United States.”
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China on Sunday launched the second of three modules to its permanent space station, in one of the final missions needed to complete the orbiting outpost by year’s end.

A live feed on state broadcaster CCTV showed the 23-ton Wentian (“Quest for the Heavens”) laboratory module launching on the back of China’s most powerful rocket, the Long March 5B, at 2:22 p.m. (0622 GMT) from the Wenchang Space Launch Center on the southern island of Hainan.

Space agency staff, seen on the live feed observing the progress of the launch from a control room, cheered and applauded when the Wentian separated from the rocket about 10 minutes after the launch.

The launch was “a complete success”, CCTV reported shortly after.

China began constructing the space station in April 2021 with the launch of the Tianhe module, the main living quarters, in the first of 11 crewed and uncrewed missions in the undertaking.

The Wentian lab module, 17.9 meters long, will be where astronauts can carry out scientific experiments, along with the other lab module yet to be launched – Mengtian (“Dreaming of the Heavens”).

Wentian features an airlock cabin that is to be the main exit-entry point for extravehicular activities when the station is completed.

It will also serve as short-term living quarters for astronauts during crew rotations on the station, designed for long-term accommodation of just three astronauts.

Mengtian is expected to be launched in October and, like Wentian, is to dock with Tianhe, forming a T-shaped structure.

The completion of the structure, about a fifth of the International Space Station (ISS) by mass, is a source of pride among ordinary Chinese people and will cap President Xi Jinping’s 10 years as leader of China’s ruling Communist Party.

On board the space station are Shenzhou-14 mission commander Chen Dong and teammates Liu Yang and Cai Xuzhe. They are slated to return to Earth in December with the arrival of the Shenzhou-15 crew.

 
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Maverick’s next wingman could be a drone.

In the movies, fighter pilots are depicted as highly trained military aviators with the skills and experience to defeat adversaries in thrilling aerial dogfights.

New technologies, though, are set to redefine what it means to be a “Top Gun,” as algorithms, data and machines take on a bigger role in the cockpit — changes hinted at in “Top Gun: Maverick.”

“A lot of people talk about, you know, the way of the future, possibly taking the pilot out of the aircraft,” said 1st Lt. Walker Gall, an F-35 pilot with the U.S. 48th Fighter Wing based at RAF Lakenheath in England. “That’s definitely not something that any of us look forward to.”

“I’d like to keep my job as long as possible, but I mean, it’s hard to argue with newer and newer technology,” he said. “And if that’s the way of the future, that’s what it is. But I’m just here to enjoy it while I can.”

The future for fighter pilots was on display this week at the Farnborough International Airshow near London, one of the world’s biggest aviation, defense and aerospace expos.

Defense contractors outlined how artificial intelligence and other technologies will be used in the newest warplanes as global military delegations browsed mockups of missiles, drones and fighter jets. At stake are many billions of dollars as countries update military fleets or pump up defense procurement budgets amid rising geopolitical tensions.

The original “Top Gun” movie released in 1986 follows Tom Cruise’s hot-shot Navy pilot, Pete “Maverick” Mitchell, through fighter weapons training school. In the sequel, an aging Maverick, now a test pilot, learns the top secret hypersonic plane he’s working on is being canceled so the funding can be used for a pilotless drone program.

It’s a debate that’s been playing out for years in the real world. Drones have been used extensively in the war between Russia and Ukraine and other modern conflicts, raising the question of just how much need there is for human pilots to fly expensive fighter jets and other aircraft — or whether unmanned aerial vehicles could do the job.

At the Farnborough show, experts said the future of air warfare is likely to be manned and unmanned aircraft working together.

One day, fighter pilots will “have a drone aircraft that’s flying as a loyal wingman” under their control, said Jon Norman, a vice president at Raytheon Technologies Corp.’s missile and defense business.

Norman, a retired U.S. Air Force pilot, said he used to complain about drones controlled from the ground that got in his way when he was flying fighter jets.

The latest communications systems let fighters, drones and other aircraft talk to each other, he said.

Technology has already removed the need for a second person to sit in the backseat to work the radar — a role portrayed in the original “Top Gun” movie by the character Goose.

It will continue to play a bigger role in the cockpit, Raytheon executives said. Artificial intelligence will analyze reams of data from sensors placed on planes, drones, the ground or missiles flying through the air to give pilots in the sky and commanders back at headquarters a better sense of the battlefield.

In future battles, AI might allow a pilot to send an armed drone close to an enemy position “and have them just fire at will,” Norman added.

But it’s too soon to write an epitaph for the pilot.

“If we had had this conversation 20 years ago, almost everyone was certain that some (drones) would be serving in a combat aircraft replacement role. That simply hasn’t happened,” said Richard Aboulafia, managing director at consultancy AeroDynamic Advisory.

Nowadays, he said, drones mainly support manned military aircraft, which “allows them to get out there with a greater combat aircraft punch.”

There was speculation that the F-35 fighter, which went into operation in 2015, would be the last manned fighter jet, said Gareth Jennings, aviation editor at defense intelligence provider Janes. “But no one says that anymore.”

The F-35, built by Lockheed Martin Corp., is a stealthy fighter part of today’s generation of warplanes. There is a next generation of fighter jets in the concept stages offering even more high-tech advances, including potentially pilotless versions, but they won’t arrive before the next decade at the earliest.

Gall, who recently graduated from fighter pilot training school, said the F-35 is easy to fly and that technology would likely make its successors even easier. But he stressed that the fighter pilot’s role would remain intense.

Even if that role isn’t going away anytime soon, the Pentagon is working on transforming it.

The Air Combat Evolution program, run by the Pentagon’s DARPA research agency, is working on incorporating artificial intelligence into warfighting, including designing a plane that can fly itself in a dogfight.

The program has already carried out a live simulation of air combat, pitting a virtual plane piloted by an AI agent against a human pilot. If all goes well, researchers plan to carry out a live dogfight with AI-enabled planes by 2024.

Experts, though, are skeptical pilots will be eliminated from the cockpit in the near future.

“I don’t think we’ll be at the stage of not needing fighter pilots for a few decades yet,” said Jennings, the aviation editor. “Unmanned technology and the public willingness to accept not having a human in the loop are just not there, and won’t be for at least another 30 years or so.”
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World Health Organization Director-General Tedros Adhanom Ghebreyesus used his authority Saturday to declare Monkeypox a public health emergency of international concern. The action comes after an Emergency Committee convened to review the situation was unable to reach consensus.

When the Emergency Committee last met a month ago, more than 3,000 cases of monkeypox in 47 countries had been reported to the WHO.  Since then, the outbreak has grown, with more than 16,000 cases reported in 75 countries. Five deaths from the disease also have been reported.

As happened the last time it met, the committee again was unable to reach consensus on whether monkeypox posed a global health threat.  WHO chief Tedros Adhanom Ghebreyesus says he has evaluated the information under consideration and has determined there is a clear risk of further international spread of the disease.

“So, in short, we have an outbreak that has spread around the world rapidly, through new modes of transmission, about which we understand too little, and which meets the criteria in the International Health Regulations,” said Tedros. “For all of these reasons, I have decided that the global monkeypox outbreak represents a public health emergency of international concern.” 

Tedros says the WHO believes monkeypox poses a moderate risk globally and in all regions, except in the European region, where it assesses the risk as high.  Although there is a potential for further international spread, he says the danger of interference with international traffic remains low for now.

The monkeypox virus is spread from person to person through close bodily contact.  For now, the outbreak is concentrated among men who have sex with men, especially those with multiple sexual partners.   

Since the outbreak is largely contained in one group, Tedros says monkeypox can be stopped with the right strategies in the right groups.

“It is therefore essential that all countries work closely with communities of men who have sex with men, to design and deliver effective information and services, and to adopt measures that protect the health, human rights, and dignity of affected communities,” he said. “Stigma and discrimination can be as dangerous as any virus.”

Tedros says the necessary tools for tackling the outbreak are available.  However, he adds the world must act together.  It must act in coordination and solidarity to bring the monkeypox virus under control and prevent it from gaining a foothold in the countries where it is found.  
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The rapidly spreading monkeypox outbreak represents a global health emergency, World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus told a media briefing Saturday.

The WHO label – a “public health emergency of international concern” – is designed to sound an alarm that a coordinated international response is needed and could unlock funding and global efforts to collaborate on sharing vaccines and treatments.

There are already effective treatments and vaccines for monkeypox, but they are in short supply. The WHO has also already been providing advice and updates since the outbreak began in early May.

At the first meeting of the expert committee, the group said it would reconsider its position on the emergency declaration if the outbreak escalated.

In Europe and the United States, cases have almost entirely been reported among men who have sex with men, and the committee also said it would reconsider if other groups began to report cases, particularly children or others who have been more vulnerable to the virus in past outbreaks in endemic countries.

On Friday, the United States identified its first two monkeypox cases in children.

Any changes to the virus itself, which spreads through close contact and causes lesions and flu-like symptoms, could also spark a rethink, the committee has said.

The group is now split between those who think an emergency declaration would accelerate efforts to contain the disease, and those who do not think it meets the criteria because it has not yet spread to new groups of people or had a high fatality rate, the sources said.
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Two children have been diagnosed with monkeypox in the U.S., health officials said Friday.

One is a toddler in California and the other an infant who is not a U.S. resident but was tested while in Washington, D.C., according to the Centers for Disease Control and Prevention.

The children were described as being in good health and receiving treatment. How they caught the disease is being investigated, but officials think it was through household transmission.

Other details weren’t immediately disclosed.

Monkeypox is endemic in parts of Africa, but this year more than 15,000 cases have been reported in countries that historically don’t see the disease. In the U.S. and Europe, most infections have happened in men who have sex with men, though health officials have stressed that anyone can catch the virus.

In addition to the two pediatric cases, health officials said they were aware of at least eight women among the more than 2,800 U.S. cases reported so far.

While the virus has mostly been spreading among men who have sex with men, “I don’t think it’s surprising that we are occasionally going to see cases” outside that social network, the CDC’s Jennifer McQuiston told reporters Friday.

Officials have said the virus can spread through close personal contact, and via towels and bedding. That means it can happen in homes, likely through prolonged or intensive contact, said Dr. James Lawler, an infectious diseases specialist at the University of Nebraska Medical Center.

“People don’t crawl on each other’s beds unless they are living in the same house or family,” he said.

In Europe, there have been at least six monkeypox cases among kids 17 years old and younger.

This week, doctors in the Netherlands published a report of a boy who was seen at an Amsterdam hospital with about 20 red-brown bumps scattered across his body. It was monkeypox, and doctors said they could not determine how he got it.

In Africa, monkeypox infections in children have been more common, and doctors have noted higher proportions of severe cases and deaths in young children.

One reason may be that many older adults were vaccinated against smallpox as kids, likely giving them some protection against the related monkeypox virus, Lawler said.

Smallpox vaccinations were discontinued when the disease was eradicated about 40 years ago. 
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The spread of monkeypox in the U.S. could represent the dawn of a new sexually transmitted disease, though some health officials say the virus that causes pimple-like bumps might yet be contained before it gets firmly established.

Experts don’t agree on the likely path of the disease, with some fearing that it is becoming so widespread that it is on the verge of becoming an entrenched STD — like gonorrhea, herpes and HIV.

But no one’s really sure, and some say testing and vaccines can still stop the outbreak from taking root.

So far, more than 2,400 U.S. cases have been reported as part of an international outbreak that emerged two months ago.

Health officials are not sure how fast the virus has spread. They have only limited information about people who have been diagnosed, and they don’t know how many infected people might be spreading it unknowingly.

They also don’t know how well vaccines and treatments are working. One impediment: Federal health officials do not have the authority to collect and connect data on who has been infected and who has been vaccinated.

With such huge question marks, predictions about how big the U.S. outbreak will get this summer vary widely, from 13,000 to perhaps more than 10 times that number.

Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, said the government’s response is growing stronger every day and vaccine supplies will soon surge.

“I think we still have an opportunity to contain this,” Walensky told The Associated Press.

Monkeypox is endemic in parts of Africa, where people have been infected through bites from rodents or small animals. It does not usually spread easily among people.

But this year more than 15,000 cases have been reported in countries that historically don’t see the disease. In the U.S. and Europe, the vast majority of infections have happened in men who have sex with men, though health officials have stressed that anyone can catch the virus.

It spreads mainly through skin-to-skin contact, but it can also be transmitted through linens used by someone with monkeypox. Although it’s been moving through the population like a sexually transmitted disease, officials have been watching for other types of spread that could expand the outbreak.

Symptoms include fever, body aches, chills, fatigue and bumps on parts of the body. The illness has been relatively mild in many men, and no one has died in the U.S. But people can be contagious for weeks, and the lesions can be extremely painful.

When monkeypox emerged, there was reason to believe that public health officials could control it.

The tell-tale bumps should have made infections easy to identify. And because the virus spreads through close personal contact, officials thought they could reliably trace its spread by interviewing infected people and asking who they had been intimate with.

It didn’t turn out to be that easy.

With monkeypox so rare in the U.S., many infected men — and their doctors — may have attributed their rashes to some other cause.

Contact tracing was often stymied by infected men who said they did not know the names of all the people they had sex with. Some reported having multiple sexual interactions with strangers.

It didn’t help that local health departments, already burdened with COVID-19 and scores of other diseases, now had to find the resources to do intensive contact-tracing work on monkeypox, too.

Indeed, some local health officials have given up expecting much from contact tracing.

There was another reason to be optimistic: The U.S. government already had a vaccine. The two-dose regimen called Jynneos was licensed in the U.S. in 2019 and recommended last year as a tool against monkeypox.

When the outbreak was first identified in May, U.S. officials had only about 2,000 doses available. The government distributed them but limited the shots to people who were identified through public health investigations as being recently exposed to the virus.

Late last month, as more doses became available, the CDC began recommending that shots be offered to those who realize on their own that they could have been infected.

Demand has exceeded supply, with clinics in some cities rapidly running out of vaccine doses and health officials across the country saying said they don’t have enough.

That’s changing, Walensky said. As of this week, the government has distributed more than 191,000 doses, and it has 160,000 more ready to send. As many as 780,000 doses will become available as early as next week.

Once current demand is satisfied, the government will look at expanding vaccination efforts.

The CDC believes that 1.5 million U.S. men are considered at high risk for the infection.

Testing has also expanded. More than 70,000 people can be tested each week, far more than current demand, Walensky said. The government has also embarked on a campaign to educate doctors and gay and bisexual men about the disease, she added.

Donal Bisanzio, a researcher at RTI International, believes U.S. health officials will be able to contain the outbreak before it becomes endemic.

But he also said that won’t be the end of it. New bursts of cases will probably emerge as Americans become infected by people in other countries where monkeypox keeps circulating.

Walensky agrees that such a scenario is likely. “If it’s not contained all over the world, we are always at risk of having flare-ups” from travelers, she said.

Shawn Kiernan, of the Fairfax County Health Department in Virginia, said there is reason to be tentatively optimistic because so far the outbreak is concentrated in one group of people — men who have sex with men.

Spread of the virus into heterosexual people would be a “tipping point” that may occur before it’s widely recognized, said Kiernan, chief of the department’s communicable disease section. 

Spillover into heterosexuals is just a matter of time, said Dr. Edward Hook III, emeritus professor of infectious diseases at the University of Alabama at Birmingham. 

If monkeypox becomes an endemic sexually transmitted disease, it will be yet another challenge for health departments and doctors already struggling to keep up with existing STDs. 

Such work has long been underfunded and understaffed, and a lot of it was simply put on hold during the pandemic. Kiernan said HIV and syphilis were prioritized, but work on common infections like chlamydia and gonorrhea amounted to “counting cases and that’s about it.” 

For years, gonorrhea, chlamydia and syphilis cases have been rising. 

“By and large,” Hook said, doctors “do a crummy job of taking sexual histories, of inquiring about and acknowledging their patients are sexual beings.” 
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India and Namibia have signed an agreement to bring cheetahs to the forests of the South Asian country, where the large cat became extinct 70 years ago.

According to the agreement signed Wednesday, eight African cheetahs will be transferred from Namibia to India in August for captive breeding at the Kuno National Park (KNP) wildlife sanctuary, in the central Indian state of Madhya Pradesh.

Indian officials said that as part of the “ambitious” project, 12 more African cheetahs from South Africa are expected to be brought to the park, though a formal agreement between the two countries has not yet been signed.

The KNP wildlife sanctuary is the new Indian home for African cheetahs, complying with International Union for Conservation of Nature (IUCN) guidelines, including a specific focus on site quality, abundant prey base and vast swaths of grasslands.

“The main goal of cheetah reintroduction project is to establish viable cheetah metapopulation in India that allows the cheetah to perform its functional role as a top predator,” a statement from the Indian Environment Ministry said.

The arrival of the cheetahs is expected to coincide with India’s 75th Independence Day celebrations on August 15, 2022.

After signing the agreement in New Delhi with Namibia’s Deputy Prime Minister Netumbo Nandi-Ndaitwah, India’s Environment Minister Bhupender Yadav tweeted: “Completing 75 glorious years of Independence with restoring the fastest terrestrial flagship species, the cheetah, in India, will rekindle the ecological dynamics of the landscape.”

In another tweet, he said, “Cheetah reintroduction in India has a larger goal of re-establishing ecological function in Indian grasslands that was lost due to extinction of Asiatic cheetah. This is in conformity with IUCN guidelines on conservation translocations.”

A statement from the Environment Ministry said the KNP can currently host up to 21 cheetahs, but after the restoration of a wider landscape, its capacity will be increased to about 36.

The cheetah, the fastest land animal, has been rapidly heading toward extinction and is classified as a vulnerable species under the IUCN’s red list of threatened species. An estimated 7,000 cheetahs remain in the wild and almost all of them are in Africa.

The plummeting number of cheetahs across the world is blamed mostly on the depletion of habitats and poaching. Hunting, loss of habitat and food scarcity led to the animal’s extinction in India.

It is believed that more than 10,000 Asiatic cheetahs roamed the wilds of India during the 16th century.

The cheetah population in India dwindled during the 19th century, largely because of bounty hunting by local Indian kings and ruling British officials.

The last three Asiatic cheetahs were hunted down in 1948 by an Indian king in central India. In 1952, the cheetah was declared officially extinct in the country.

Just a dozen or so Asiatic cheetahs are left in the wild right now — all in Iran.

In 2010, India initiated an effort to revive the cheetah population at the KNP wildlife sanctuary by bringing in African cheetahs. But in 2012, an Indian court stalled the project, noting it would come in conflict with a then-ongoing plan to introduce lions in the sanctuary.

In 2020, India’s Supreme Court announced African cheetahs could be introduced in a “carefully chosen location” in India on an experimental basis. Since then, India has been making an effort to ship in the African cheetahs.

Indian officials are hopeful that this time, the plan to introduce African cheetahs in India is going to succeed, and the country will be able to revive its cheetah population.
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Ukrainian therapist Svitlana Kutsenko thought she was making progress with her patients — army veterans recovering from mental trauma suffered during fighting with Russia in 2014. Then, war erupted again.

Now, five months after Russia invaded Ukraine, Kutsenko says the situation looks bleaker than ever. Many of her patients have returned to the front lines, while ordinary citizens scarred by the horrors of life in wartime are now seeking treatment.

“Sometimes it’s bearable, sometimes it’s not,” Kutsenko, who lives in Kyiv, told The Associated Press. “Some people are suffering from huge fear — fear of death, fear of their relatives’ death and some are pretty angry about what’s going on and they want to somehow take this anger under control.”

Kutsenko was among 20 Ukrainian mental health professionals who spent the past two weeks in Israel receiving training on how to treat trauma cases.

Israel, which has gone through several wars with its Arab neighbors and has a large population of Holocaust survivors, has deep experience in treating psychological or mental trauma.

But in Ukraine, awareness for recognizing and treating mental trauma remains relatively low. And despite a conflict with Russia that has been ongoing since 2014, the country is not equipped to deal with the numbers of people affected by the Russian invasion.

Kutsenko said that there is a great difference between treating patients struggling to come to terms with events from the past and helping people who are under fire cope with grief and fear in real time.

“Right now, in Ukraine, it’s not just, you know, shooting and people” being killed by missiles and bombs, Kutsenko said, adding that torture, rape and other terrible acts are also happening.

The course’s instructor, Danny Brom, says treating mental trauma in Israel has taught him how to provide therapy to victims who are both post-trauma and still in immediate danger. These lessons, he said, have helped him relate to mental health professionals from conflict zones across the world and especially Ukraine.

“They understand that we Israelis know what we are talking about. This … has happened to us in the different wars, so there’s a very special connection between them and us. They really feel that we understand what we are talking about,” said Brom, a clinical psychologist who is director of Metiv, an Israeli nonprofit that trains mental health professionals to treat trauma victims.

The group included 20 psychologists from across Ukraine, including some who have been displaced throughout the war. The course included training in cognitive behavior therapy techniques, or CBT, which are commonly used to treat depression and anxiety.

Larysa Zasiekina is a psychologist from western Ukraine, where internally displaced people have flocked to seek refuge from the fighting.

Before the war, she treated adults, but now she sees mothers and children who have had to suddenly leave everything behind as their husbands and fathers head off to battle.

Zasiekina says the course has given her new methods to cope with this new reality, especially when it comes to working with young people.

“We used a lot of imaginary exercises, and I think these exercises are very good for children because actually they have a lot of imagination,” says Zasiekina. “They want to play.”

Throughout the course, the participants were never far from having to deal with horrific news from back home.

During her time in Jerusalem, Kutseno got word that the building across from her family home in Vinnytsia, where her parents still live, had been bombed. Her parents weren’t harmed in the barrage, which killed 23 people that day, but it was a terrifying reminder.

“Even being here, feeling safe, war is still (in) the background of everything I do here,” Kutseno said.

“It’s not like I will get back to something that will have changed,” she added. “What I will find there is war.” 
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