The white-colored humanoid “Garmi” does not look much different from a typical robot — it stands on a platform with wheels and is equipped with a black screen on which two blue circles acting as eyes are attached.

But retired German doctor Guenter Steinebach, 78, said: “For me, this robot is a dream.”

Not only is Garmi able to perform diagnostics on patients, it can also provide care and treatment for them. Or at least, that is the plan.

Garmi is a product of a new sector called geriatronics, a discipline that taps advanced technologies like robotics, IT and 3D technology for geriatrics, gerontology and nursing.

About a dozen scientists built Garmi with the help of medical practitioners like Steinebach at the Munich Institute of Robotics and Machine Intelligence.

Part of the Technical University of Munich, the institute based its unit specializing in geriatronics in Garmisch-Partenkirchen, a ski resort that is home to one of the highest proportion of elderly people in Germany.

Europe’s most populous country is itself one of the world’s most rapidly ageing societies.

With the number of people needing care growing quickly and an estimated 670,000 carer posts to go unfilled in Germany by 2050, the researchers are racing to conceive robots that can take over some of the tasks carried out today by nurses, carers and doctors.

“We have ATMs where we can get cash today. We can imagine that one day, based on the same model, people can come to get their medical examination in a kind of technology hub,” said Abdeldjallil Naceri, 43, the lead scientist of the lab.

Doctors could then evaluate the results of the robot’s diagnostics from a distance, something that could be particularly valuable for people living in remote communities.

Alternatively the machine could offer a more personalized service at home or in a care home — by serving meals, opening a bottle of water, calling for help in case of a fall or organizing a video call with family and friends.

‘We must get there’

In the Garmisch laboratory, Steinebach sat down at a table equipped with three screens and a joystick as he got ready to test the robot’s progress.

At the other end of the room, a researcher designated as a test model took his spot in front of Garmi, which poses a stethoscope on his chest — an action directed by Steinebach from afar via the joystick.

Medical data immediately appear on the doctor’s screen.

“Imagine if I had had that in my old practice,” Steinebach said, while moving the joystick.

Besides the retired doctor, other medical practitioners also visit the lab regularly to offer their ideas and feedback on the robot.

“It’s like a three-year-old child. We have to teach it everything,” Naceri said.

It’s anyone’s guess when Garmi might be ready on a commercial scale.

But Naceri is convinced that “we must get there, the statistics are clear that it is urgent.”

“From 2030, we must be able to integrate this kind of technology in our society.”

Question of trust

And if it is indeed deployed one day, residents of the Sankt Vinzenz retirement home in Garmisch, a partner of the project, will likely see Garmi whizzing down the corridors.

Just thinking about it made Mrs Rohrer, a 74-year-old resident at the home, smile.

“There are things that a robot can do, for example, serve a drink or bring meals,” she said as Eva Pioskowik, the director of the home, did her nails.

Pioskowik, who battles with staffing shortages on a daily basis, said she did not expect the robot to take the place of health workers.

“But it could allow our staff to spend a bit more time with the residents,” she said.

For Naceri’s team, one of the major challenges is not technological, medical or financial.

Rather, it remains to be seen if most patients will accept the robot.

“They need to trust the robot,” he said. “They need to be able to use it like we use a smartphone today.”
…

The U.N.’s premiere global body fighting for gender equality on Saturday called for wide-ranging efforts to close the gap between men and women in today’s technology-driven world and urged zero tolerance for gender-based violence and harassment online.

In a document approved by consensus after all-night negotiations at the end of a two-week meeting, the Commission on the Status of Women expressed grave concern at the interrelation between offline and online violence, harassment and discrimination against women and girls — and it condemned the increase in these acts.

It called for a significant increase in investments by the public and private sector to bridge the gender digital divide. It also called for the removal of barriers to equal access to digital technology for all women and girls, and new policies and programs to achieve gender parity in emerging scientific and technological fields.

Sima Bahous, executive director of UN Women, an entity of the United Nations focusing on gender equality and the empowerment, called the document “game-changing” in promoting a blueprint for a more equal and connected world for women and girls. The challenge now, she said, is for governments, the private sector, civil society and young people to turn the blueprint “into reality for all women and girls.”

At the start of the commission’s two-week meeting, U.N. Secretary-General Antonio Guterres said its focus was very timely because women and girls are being left behind as technology races ahead.

“Three billion people are still unconnected to the internet, the majority of them women and girls in developing countries, [and] in least developed countries just 19% of women are online,” Guterres said. “Globally, girls and women make up just one-third of students in science, technology, engineering and mathematics” and men outnumber women two to one in the tech industry.

Bahous told the opening meeting that “the digital divide has become the new face of gender inequality,” with 259 million more men than women online last year. She also cited a survey of female journalists from 125 countries that found three-quarters had experienced online harassment in the course of their work and a third had engaged in self-censorship in response.

The “agreed conclusions” document adopted Saturday by the 45-member commission calls for equal quality education for women and girls in science, technology, engineering, mathematics, information and communications technology, and digital literacy so they can thrive in the rapidly changing world.

During lengthy negotiations on the document, which has 93 paragraphs, U.N. diplomats said language on women’s rights was challenged by Russia, Indonesia, Malaysia and the Holy See and human rights language was also challenged by those countries as well as Cuba and China. There were also intense debates over language on gender-based violence facilitated by technology, they said, speaking on condition of anonymity because negotiations were closed.

The final document reaffirms the 1995 Beijing platform adopted by 189 countries which said for the first time in a U.N. document, that women’s human rights include the right to control and decide “on matters relating to their sexuality, including their sexual and reproductive health, free of discrimination, coercion and violence.”

The final issue blocking consensus was Pakistan’s insistence on adding a reference to “foreign occupation” to the document, and Israel’s strong opposition, diplomats said. The reference was not included and before the document’s adoption Pakistan’s representative expressed regret that the needs and priorities of women belonging to developing countries and facing humanitarian crisis including foreign occupation were not included.
…

Barbara Washington is a lifelong resident of Convent, Louisiana, a town of fewer than 500 residents along the Mississippi River that has been hit hard by cancer.

“One, two, three, four, five, six, seven … about eight,” she told VOA, counting the number of people on her street who have died from cancer in recent years. “And my sister died from lung cancer at just 57 years old. She didn’t smoke. She just worked at one of the chemical plants at night.”

Convent is in the southeastern part of the state, part of a corridor surrounded by chemical plants.

U.S. first lady Jill Biden’s recent visit to the nearby city of New Orleans highlighted the region’s dubious distinction of having some of the highest cancer rates in the nation. It’s a scourge the Biden administration aims to combat with an ambitious effort to cut America’s cancer death rate by at least 50% over the next 25 years.

“It’s a problem in southeast Louisiana, but it’s really a statewide problem,” said Joe Ramos, director and chief executive officer of the Louisiana Cancer Research Center (LCRC). “Louisiana is consistently among the worst-hit by cancer in the nation. We’re always among the bottom five states as far as the number of people diagnosed with cancer, as well as, unfortunately, the number of people who die from it.”

Ramos said carcinogenic pollutants in the air are undoubtedly a part of the problem, but that behavioral factors such as smoking, drinking and obesity also contribute to the state’s above-average cancer rate.

“This is a complicated problem,” he told VOA. “But the president’s focus on the issue underscores how important that coming together to find a solution is for the people of this state and this country.”

Many causes

Convent is part of what is known as Cancer Alley, a 136-kilometer stretch along the Mississippi River between New Orleans and Baton Rouge that contains more than 200 petrochemical plants and refineries.

The area is vital for America’s industrial needs, accounting for 25% of the country’s petrochemical production. But local residents can’t help but think about the human costs involved.

“This was such a beautiful place to grow up,” said Myrtle Felton, another Convent resident, recalling her childhood here in the 1960s. “It was so clean, and you could grow a garden and play outside for as long as your parents would let you.

“Nowadays, you wake up in the morning, and you find chemical residue from the surrounding factories covering your car and damaging it,” she said. “You find the side of your house is discolored yellow. Your roof, too. Pollution is billowing out from the factories, and it’s scary because you can’t help thinking that you’re breathing this stuff. It’s best not to go outside some days.”

Not everyone is convinced, however, that petrochemical plants are to blame for Louisiana’s high prevalence of cancer. Senator Bill Cassidy, a medical doctor and a Republican from Louisiana, pushed back against this assertion.

“We have a higher incidence of cigarette smoking, of obesity, of certain viral infections and other things which increase the incidence of cancer in our state,” he told New Orleans’ Times-Picayune in 2021.

“So, whenever you speak of Cancer Alley … you have to do what is called a regression analysis to separate out those factors,” Cassidy added, “and several others that could be an alternative, and a more typical explanation for why some folks may have cancer. When you do that, the amount of cancer which is left unexplained is pretty marginal.”

Comprehensive solutions required

In a study published last year, Tulane University’s Environmental Law Clinic estimated that high levels of toxic air pollution were responsible for 85 cancer cases each year in Louisiana.

The study also found that neighborhoods with higher poverty levels were most susceptible to living with higher levels of toxic air pollution. Poorer neighborhoods with the most toxic air had an average annual cancer rate of 502 cases per 100,000 people, compared with the state average of 480.3 cases per 100,000 residents.

Those defending the right of the industrial plants to operate so close to residents say the correlation between the plants and cancer isn’t as conclusive as factors such as obesity and smoking.

Kim Terrell, lead author of the Tulane clinic’s study, however, insists focusing on one cause of cancer over another is counterproductive.

“To me, it’s like saying that drinking and driving kills more people than texting and driving,” she told VOA. “Who cares? Neither is a good idea, and both should be stopped. Similarly, there are a lot of different risk factors for cancer, and if we’re going to improve health outcomes in our state, we have to tackle all of those risk factors and not just focus on one at a time.”

Cancer Moonshot

That’s what the Biden administration aims to do through the Cancer Moonshot, an initiative Joe Biden first championed as vice president in 2016 to supercharge America’s fight against cancer.

Biden, who lost his son Beau to brain cancer in 2015, proposed $2.8 billion in new Cancer Moonshot funding in his 2024 federal budget submitted to Congress this month. Among the many projects the Moonshot would fund are efforts to better understand how environmental factors affect cancer risks, boost cancer screening, decrease preventable cancers, better support patients and caregivers, and augment cutting-edge cancer research.

While Republicans, who control the House of Representatives, declared Biden’s budget “dead on arrival,” federal efforts to combat deadly diseases from Alzheimer’s to cancer have long garnered bipartisan support.

“Everyone who wants to be a part of this fight has a place,” said LCRC director Ramos. “It’s going to take academia, the public sector, the private sector — all of us working together on a variety of solutions at once.”

Moving forward

Nearly 2 million new cancer cases are expected to be diagnosed in the United States this year, with more than 600,000 deaths. A disproportionate number of diagnoses and deaths will occur in Louisiana, where Jill Biden last week committed to “building a world where cancer is not a death sentence.”

“I think the first lady’s visit to Louisiana last week is an indication of the administration’s continued commitment to cancer research,” said Erik Flemington, a professor of cancer research at the Tulane University School of Medicine, a partner in LCRC, “and I think it shows their appreciation for the importance of reaching parts of the country that are more highly impacted by cancer.”

But Louisiana isn’t only highly impacted. It’s also a state that many believe is poised to make big advances in the fight against cancer.

“The Louisiana Cancer Research Center — and I like to call it Louisiana’s Cancer Research Center — is embedded in the community at so many different points,” Ramos told VOA. “We’re engaged in clinical trials in communities across the state because we want to understand exactly what our communities are going through and how best to help them survive and thrive.”

He added, “Our physical center is also in the heart of the biomedical center where our faculty can create startup companies and work with existing private companies to develop more effective diagnostics and therapeutics.”

Ramos believes the LCRC will have a big role in achieving Biden’s ambitious Moonshot goals.

That would be important news for Louisianans like Washington and Felton, who, through activist organizations such as Inclusive Louisiana seek to draw attention to the devastating impact of cancer on their communities.

“Our health is all we have,” Washington told VOA. “We need help lowering the risk of cancer in our communities. Finding a cure is important, yes, but so is putting a moratorium on any new chemical plant trying to come to our community, and having our government regulate any plant that’s already here. This is our life we’re talking about, and it matters.”
…

Advisers to the World Health Organization urged China to release all information related to the origin of the COVID-19 pandemic Saturday after new findings were briefly shared on an international database used to track pathogens.

New sequences of the SARS-CoV-2 virus as well as additional genomic data based on samples taken from a live animal market in Wuhan, China, in 2020 were briefly uploaded to the GISAID database by Chinese scientists earlier this year, allowing them to be viewed by researchers in other countries, according to the statement from the WHO’s Scientific Advisory Group for the Origins of Novel Pathogens (SAGO).

The sequences suggested that raccoon dogs were present in the market and might have also been infected by the coronavirus, providing a new clue in the chain of transmission that eventually reached humans.

Access to the information was subsequently restricted “apparently to allow further data updates” by the Chinese Center for Disease Control and Prevention (CDC).

WHO officials discussed the matter with Chinese colleagues, who explained that the new data were intended to be used to update a preprint study from 2022. China’s CDC plans to resubmit the paper to the scientific journal Nature for publication, according to the statement.

WHO officials say such information, while not conclusive, represents a new lead into the investigation of COVID’s origins and should have been shared immediately.

“These data do not provide a definitive answer to the question of how the pandemic began, but every piece of data is important in moving us closer to that answer,” WHO Director-General Tedros Adhanom Ghebreyesus said Friday. “These data could have – and should have – been shared three years ago.”

“We continue to call on China to be transparent in sharing data, and to conduct the necessary investigations and share the results,” he said.

SAGO was tasked by the WHO to continue to investigate the origins of the pandemic that has killed nearly 7 million people worldwide.

“(This is) newly analyzed data and nothing new,” said George Gao, professor at the Institute of Microbiology at the CDC, when asked by Reuters why the sequences were not uploaded before. He said that GISAID, the pathogen database, took down the sequences, not the scientists.

“All this must be left for scientists to work on, NOT for journalists or [the] public. We are eager to know the answer,” he added in an emailed statement.

The Huanan Seafood Wholesale Market in Wuhan was shut down by Chinese authorities after the novel coronavirus emerged in the city in late 2019. The market has since been a focus of study of whether the virus had infected several other species before jumping to humans.

The WHO and other scientists have also said they cannot rule out the possibility that the virus emerged from a high-security laboratory in Wuhan that studies dangerous pathogens. China denies any such link.

The 2022 preprint paper said that a small portion of 923 samples collected from the stalls and sewage systems in and around the market tested positive for the virus; no virus was detected in 457 animal samples tested. The paper said initially that raccoon dogs were not among the animals tested.

The new analysis suggests “that raccoon dog and other animals may have been present before the market was cleaned as part of the public health intervention,” the SAGO statement said.
…

Burundi has declared a national public health emergency after polio was detected in a 4-year-old and two other children who had been in contact with the child.  

The polio outbreak is Burundi’s first in more than 30 years. 

The landlocked African country is preparing a vaccination campaign targeting eligible children, from newborns to 7-year-olds. It will be ready in a few weeks. 

In addition to the children, health officials found five polio samples in its surveillance of wastewater, confirming the presence of circulating poliovirus type 2.  Early detection is critical in containing an outbreak of the disease.

Type 2 infections can occur when the weakened strain of the virus contained in the oral polio vaccine circulates among under-immunized populations for long periods. 

The highly infectious disease is also spread through contaminated water and food or contact with an infected person.  
…

The COVID-19 pandemic could settle down this year to a point where it poses a threat similar to flu, the World Health Organization said Friday.

The WHO voiced confidence that it will be able to declare an end to the emergency sometime in 2023, saying it was increasingly hopeful about the pandemic phase of the virus coming to a close.

Last weekend marked three years since the U.N. health agency first described the situation as a pandemic — though WHO chief Tedros Adhanom Ghebreyesus insists countries should have jolted into action several weeks before.

“I think we’re coming to that point where we can look at COVID-19 in the same way we look at seasonal influenza,” WHO emergencies director Michael Ryan told a press conference. “A threat to health, a virus that will continue to kill. But a virus that is not disrupting our society or disrupting our hospital systems, and I believe that that will come, as Tedros said, this year.”

The WHO chief said the world was in a much better position now than it has been at any time during the pandemic.

“I am confident that this year we will be able to say that COVID-19 is over as a public health emergency of international concern (PHEIC),” Tedros said.

5,000 a week

The WHO declared a PHEIC — the highest level of alarm it can sound — on January 30, 2020, when, outside of China, fewer than 100 cases and no deaths had been reported.

But it was only when Tedros described the worsening situation as a pandemic on March 11 that year that many countries seemed to wake up to the danger.

“Three years later, there are almost 7 million reported deaths from COVID-19, although we know that the actual number of deaths is much higher,” Tedros said.

He was pleased that, for the first time, the weekly number of reported deaths over the past four weeks has been lower than when he first described COVID-19 as a pandemic.

But he said more than 5,000 deaths reported per week was 5,000 too many for a disease that can be prevented and treated.

Data emerges

The first infections with the new coronavirus were recorded in late 2019 in the Chinese city of Wuhan.

“Even as we become increasingly hopeful about the end of the pandemic, the question of how it began remains unanswered,” Tedros said, as he turned to address data that recently came to light concerning the early days of the pandemic.

The data, from the Chinese Centre for Disease Control and Prevention, relates to samples taken at the Huanan market in Wuhan in 2020.

Maria Van Kerkhove, the WHO’s technical lead on COVID, said they showed molecular evidence that animals were sold at the market, including animals susceptible to SARS-CoV-2 — the virus that causes COVID-19 disease.

The information was published on the GISAID global science initiative database in late January, then was taken down again — but not before some scientists downloaded and analyzed it and informed the WHO last weekend.

“These data could have — and should have — been shared three years ago,” Tedros lamented. “We continue to call on China to be transparent in sharing data, and to conduct the necessary investigations and share the results.”

Van Kerkhove said all theories about where the outbreak began remain on the table.

They include entering the human population via a bat, an intermediate host animal or through a biosecurity breach at a laboratory, she said.
…

The Southern Nevada Water Authority on Thursday voted to accept a $2.4 million grant from the U.S. Bureau of Reclamation to fund cloud seeding in other Western states whose rivers feed the parched desert region. 

The weather modification method uses planes and ground-based cannons to shoot silver iodide crystals into clouds, attracting moisture to the particles that fall as additional snow and rain. 

The funding comes as key reservoirs on the Colorado River hit record lows and booming Western cities and industries fail to adjust their water use to increasingly shrinking supplies. 

“This money from Reclamation is wonderful. We just have to decide how exactly it’s going to benefit us,” said Andrew Rickert, who coordinates Colorado’s cloud seeding for the Colorado Water Conservation Board. 

The federal funding will go toward upgrading manual generators to ones that can be remotely operated and using planes to seed clouds in key parts of the Upper Colorado River Basin, according to Southern Nevada Water Authority documents for its board meeting. 

Securing enough generators could be a challenge, Rickert said. “There’s not a lot of makers of cloud seeding generators,” he said. “Not only do we have to make sure we can find that, but that they could make as many as we need.” 

The Bureau of Reclamation declined to comment about the funding decision. 

The Southern Nevada Water Authority said the grant, while administered by Nevada, is not exclusively for the state’s benefit. “It will all be used to do cloud seeding in the Upper Basin for the benefit of all the river’s users,” wrote public outreach officer Corey Enus over email. 

In the Upper Colorado River Basin, Utah and Colorado have been seeding clouds for decades. Wyoming has nearly a decade of experience, and New Mexico recently began approving permits for warm weather seeding in the eastern part of the state. 

Colorado, Utah and Wyoming each spend between about $1 million and $1.5 million a year for cloud seeding. Utah’s legislature recently expanded its investment in cloud seeding programs in next year’s state budget, allocating more than $14 million. 

Numerous studies indicate cloud seeding can add 5% to 15% more precipitation from storm clouds. Contractors work with states to estimate how much ends up in water supplies. 

Since 2007, various groups have contributed to the overall cloud seeding budgets in those states. In 2018, several entities, including the Southern Nevada Water Authority, committed to long-term funding for those efforts, collectively contributing about $1.5 million annually. 

The reclamation bureau regularly funded cloud seeding operations toward the end of the 20th century, but has largely backed off in recent years, according to Frank McDonough a scientist at the nonprofit Desert Research Institute. 

“The research that’s come out over the last 10 years or so really seems to have convinced them that cloud seeding is a legitimate way to increase snowpack and subsequent water resources,” McDonough said. 

The grant from the bureau will be spread out over two years, temporarily doubling financial support for the Upper Basin cloud seeding from outside parties. 

The seven Colorado River basin states are still negotiating with the Bureau of Reclamation on how they will conserve 2 million to 4 million acre-feet of water. The bureau is expected to release a draft proposal this month and expects to finalize plans by mid-August, when it typically announces the amount of water available from the Colorado River for the following year. 

With such an overallocated river, everyone will have to use less, particularly the agricultural sector, said Kathryn Sorensen of the Kyl Center for Water Policy think tank. 

“I think a lot the allure of this type of program is it’s easier to talk about how do we get more than to talk about who has to use less,” she said. 
…

Mozambique’s health minister said Friday a cholera outbreak in the area hit by Cyclone Freddy killed eight people this week and hospitalized 250 – part of 600 sickened since the record storm made landfall in February.

Health Minister Armindo Tiago told state-run Radio Mozambique the cholera victims were in the port city of Quelimane, capital of Zambezia province, the area most affected by the cyclone.

Tigao said cholera prevention is focused on 133 centers in the city that are sheltering up to 50,000 people displaced by flooding. He added that more work is needed in other provinces hit by Cyclone Freddy, a record storm that hammered the region since February.

Tiago said everyone must work to control the outbreak by boiling drinking water, cleaning and washing food, and disposing of garbage properly – especially human waste.  And, if people have symptoms such as diarrhea and vomiting, they must go to health units.   

The World Health Organization Wednesday confirmed that Mozambique is seeing a rise in cholera cases, while cases are dropping in neighboring Malawi after a record outbreak.   

The WHO said more than 40,000 cases of cholera were reported this year in Africa, more than half of them in Malawi.

Malawi gave out close to 5 million vaccination doses since the outbreak a year ago, but health authorities fear the numbers could spike there and in Mozambique if adequate measures are not taken.   

Malawi was hit the hardest by the cyclone, which has weakened to a low-pressure system, leaving hundreds dead and spreading floodwaters could be contaminated with cholera bacteria.

As the cyclone approached the southeast coast of Africa in February, Mozambique vaccinated more than 700,000 people in four provinces deemed at high risk for cholera, but Zambezia province was not among the regions targeted in the WHO-partnered vaccine drive.   

Reuters reported Mozambique on Wednesday received approval for an additional 1.3 million cholera vaccine doses to help control the spread.  
…

Lack of access to clean drinking water is being exacerbated by climate change. In fact, less than 1% of the world’s water is fresh and accessible, according to Melissa Ho, senior vice president of freshwater and food at the World Wildlife Fund (WWF).

“Although we see water all around the planet, we do not necessarily realize what a precious and finite resource it is,” she said.

Ho cited that statistic during “This is Climate: Water,” a Washington Post event that featured leaders at the forefront of water crisis initiatives discussing possible solutions to address global water inequities and the role of water in sustainable development.

Ahead of Wednesday’s World Water Day, Colorado Sen. John Hickenlooper outlined growing demands on the Colorado River, which drains a watershed from seven Western U.S. states and Mexico.

While lack of access to clean water is especially prevalent in developing nations, more than 2 million Americans are without running water in their homes.

“In the U.S., race is the No. 1 predictor of water access,” said DigDeep co-CEO Julie Waechter. “Native American households are 19 times more likely than white households to not have running water, and Black and Latino households are twice as likely.”

According to Waechter, when water infrastructure was expanded in the U.S., “many communities of color were not included in that expansion.”

“So communities of color that are trying to catch up and get that water infrastructure are having a really hard time finding the funding to do that.”

WWF’s Ho said women and girls are disproportionately affected by inaccessible water, with millions of girls worldwide routinely walking more than 3 kilometers to fetch water. “Think of what that means for their safety and health and access to schooling and educational opportunities,” she added.

Contaminated water in US

Even when water is accessible, in too many instances it is unsafe to drink. Ho said water quality is an issue that should be of “prime concern” given that chemicals, heavy metals, hormones and other potentially toxic substances are routinely present in the U.S. water supply.

The White House on Tuesday announced the first-ever national drinking water standard for six polyfluoroalkyl substances (PFAS), also referred to as “forever chemicals.” The proposal would enforce limits on the amount of PFAS allowed in drinking water.

Water use in industry

Speakers also addressed the use of water in industry, where it’s needed but often wasted.

In the United States, agriculture, including farming and ranching, is the biggest user of water, with 70% of fresh water going to agriculture. World Environment Center CEO Glenn Prickett said that makes farmers “also the most vulnerable to climate impacts in terms of drought or flooding.”

With all industries depending on water in some way, limited availability of water worsened by climate change is an economic reality.

“Water scarcity is a key portion of what companies should be thinking about as they think about their water sustainability programs so that they can be more water resilient into the future,” said Calvin Emanuel, vice president and general manager of Sustainable Growth Solutions at Ecolab. “It has to be a part of their growth strategy and path forward.”

“Some are obvious, like food and beverage manufacturing,” Prickett said, “but others may be less obvious but highly valuable to our economy, like fabrication of microchips or data centers for the cloud or chemical manufacturing. All use water, and if they didn’t have it, it would be a big impact on their business and their profitability.”

Environmental activist Alexia Leclercq closed the session with thoughts on how activists are trying to conserve clean water sources for future generations.

“Not to diminish the complexity of policy and of these solutions that we direly need, but I think that if we shift away from prioritizing profit, I think that gives us a lot of space to imagine what our future could look like and actually put our resources towards finding those solutions and working on those solutions,” the Start: Empowerment co-founder said. “It’s really limitless what we can create.”
…

U.S. Defense Secretary Lloyd Austin ordered a number of improvements in access to mental health care on Thursday to reduce suicides in the military but held off on endorsing more controversial recommendations to restrict gun and ammunition purchases by young troops, sending them to another panel for study.

An independent committee in late February recommended that the Defense Department implement a series of gun safety measures, including waiting periods for the purchase of firearms and ammunition by service members on military property and raising the minimum age for service members to buy guns and ammunition to 25.

In a memo released Thursday, Austin called for the establishment of a suicide prevention working group to “assess the advisability and feasibility” of recommendations made by the initial study committee — which would include the gun measures. He also asked for cost estimates and a description of any “barriers” to implementing other changes and set a deadline of June 2 for that report. At no point did he specifically refer to the gun proposals or mention gun safety.

Growing concern 

Austin’s orders reflect increasing concerns about suicides in the military despite more than a decade of programs and other efforts to prevent them and spur greater intervention by commanders, friends and family members. But his omission of any gun safety and control measures underscores the likelihood that they would face staunch resistance, particularly in Congress, where such legislation has struggled in recent years.

The more immediate changes address broader access to care.

To more quickly provide help for troops who might be struggling, Austin directed the Pentagon to hire more behavioral health specialists and implement a scheduling system for appointments where patients receive multiple health care visits weekly when they first seek care.

Austin also ordered military primary care health clinics to screen for unhealthy levels of alcohol use, make unhealthy alcohol use treatment easier to receive, and make sure mental health care is available through service members’ primary care as well.

“The mental health support available for our teammates must be comprehensive and easy to access,” Austin said in the memo.

Brigadier General Pat Ryder, the Pentagon press secretary, told reporters in a briefing Thursday that Austin’s orders involved areas where the department already has the authority to take immediate steps.

“While we recognize that suicide has no single cause, and that no single preventative action, treatment or cure will eliminate suicide altogether, we will exhaust every effort to promote the wellness, health and morale of our total force,” Ryder said.

Committee recommends rules about firearms

The initial study committee recommended that the department require anyone living in military housing to register all privately owned firearms. In addition, the panel said the department should restrict the possession and storage of privately owned firearms in military barracks and dorms.

Confirming findings in annual suicide reports, the panel noted that about 66% of all active-duty military suicides — and more than 70% of those by National Guard and Reserve members — are done with firearms. It said reducing access to guns could prevent some deaths.

Craig Bryan, a clinical psychologist and member of the Suicide Prevention and Response Independent Review Committee, said the department should slow down troops’ access to guns — specifically those bought in stores on bases — so people under stress can survive periods of high risk.

He likened the expanded gun safety measures to requirements that the department puts on motorcycle usage — such as mandated helmets — that are often more strict than some state laws. Asked how likely such changes would be, Bryan said he believes troops are more receptive to such limits than civilians might be.
…

Deaths of pregnant women in the United States fell in 2022, dropping significantly from a six-decade high during the pandemic, new data suggests.

More than 1,200 U.S. women died in 2021 during pregnancy or shortly after childbirth, according to a final tally released Thursday by the Centers for Disease Control and Prevention. In 2022, there were 733 maternal deaths, according to preliminary agency data, though the final number is likely to be higher.

Officials say the 2022 maternal death rate is on track to get close to pre-pandemic levels. But that’s not great: The rate before COVID-19 was the highest it had been in decades.

“From the worst to the near worst? I wouldn’t exactly call that an accomplishment,” said Omari Maynard, a New Yorker whose partner died after childbirth in 2019.

Experts blame COVID-19 

The CDC counts women who die while pregnant, during childbirth, and up to 42 days after birth. Excessive bleeding, blood vessel blockages, and infections are leading causes.

COVID-19 can be particularly dangerous to pregnant women, and experts believe it was the main reason for the 2021 spike. Burned-out physicians could have added to the risk by ignoring pregnant women’s worries, some advocates said.

In 2021, there were about 33 maternal deaths for every 100,000 live births. The last time the government recorded a rate that high was 1964.

What happened “isn’t that hard to explain,” said Eugene Declercq, a longtime maternal mortality researcher at Boston University. “The surge was COVID-related.”

Previous government analyses concluded that one quarter of maternal deaths in 2020 and 2021 were COVID-related — meaning that the entire increase in maternal deaths was due to coronavirus infections or the pandemic’s wider impact on health care. Pregnant women infected with the coronavirus were nearly eight times as likely to die as their uninfected peers, according to a recent study published by BMJ Global Health.

The bodies of pregnant women are already under strain, their heart forced to pump harder. Other health problems can make their condition more fragile. And then on top of that, “COVID is going to make all that much worse,” said Dr. Elizabeth Cherot, chief medical and health officer for the March of Dimes.

It didn’t help that vaccination rates among pregnant women were low in 2021 — particularly among Black women. Part of that was related to limited vaccine availability, and that the CDC did not fully recommend shots for pregnant women until August 2021.

“Initially, there was a lot of mistrust of the vaccine in Black communities,” said Samantha Griffin, who owns a doula service that mainly serves families of color in the Washington area.

But there’s more to it than that, she and others added. The 2021 maternal mortality rate for Black women was nearly three times higher than it was for white women. And the maternal death rate for Hispanic American women that year rose 54% compared with 2020, also surpassing the death rate for white moms.

More than a year into the pandemic, a lot of doctors and nurses were feeling burned out and they were getting less in-person time with patients.

Providers at the time “were needing to make snap decisions and maybe not listening to their patients as much,” Griffin said. “Women were saying that they thought something was wrong and they weren’t being heard.”

‘She wasn’t being heard’

Maynard, who is 41 and lives in Brooklyn, said he and his partner experienced that in 2019.

Shamony Gibson, a healthy 30-year-old, was set to have their second child. The pregnancy was smooth until her contractions stopped progressing and she underwent a cesarean section.

The operation was more involved than expected but their son Khari was born in September. A few days later, Shamony began complaining of chest pains and shortness of breath, Maynard said. Doctors told her she just needed to relax and let her body rest from the pregnancy, he said.

More than a week after giving birth, her health worsened and she begged to go to the hospital. Then her heart stopped, and loved ones called for help. The initial focus for paramedics and firefighters was whether Gibson was taking illicit drugs, Maynard said, adding that she didn’t.

She was hospitalized and died the next day of a blood clot in the lungs. Her son was 13 days old.

“She wasn’t being heard at all,” said Maynard, an artist who now does speaking engagements as a maternal health advocate.
…

For the first time, scientists have created baby mice from two males. 

This raises the distant possibility of using the same technique for people — although experts caution that very few mouse embryos developed into live mouse pups, and no one knows whether it would work for humans. 

Still, “It’s a very clever strategy,” said Diana Laird, a stem cell and reproductive expert at the University of California, San Francisco, who was not involved in the research. “It’s an important step in both stem cell and reproductive biology.” 

Scientists described their work in a study published Wednesday in the journal Nature. 

First, they took skin cells from the tails of male mice and transformed them into “induced pluripotent stem cells,” which can develop into many different types of cells or tissues. Then, through a process that involved growing them and treating them with a drug, they converted male mouse stem cells into female cells and produced functional egg cells. Finally, they fertilized those eggs and implanted the embryos into female mice. About 1% of the embryos — 7 out of 630 — grew into live mouse pups. 

The pups appeared to grow normally and were able to become parents themselves in the usual way, research leader Katsuhiko Hayashi of Kyushu University and Osaka University in Japan told fellow scientists at the Third International Summit on Human Genome Editing last week. 

In a commentary published alongside the Nature study, Laird and her colleague, Jonathan Bayerl, said the work “opens up new avenues in reproductive biology and fertility research” for animals and people. Down the road, for example, it might be possible to reproduce endangered mammals from a single male. 

“And it might even provide a template for enabling more people,” such as male same-sex couples, “to have biological children, while circumventing the ethical and legal issues of donor eggs,” they wrote. 

But they raised several cautions. The most notable one: The technique is extremely inefficient. They said it’s unclear why only a tiny fraction of the embryos placed into surrogate mice survived; the reasons could be technical or biological. They also stressed that it’s still too early to know if the protocol would work in human stem cells at all. 

Laird also said scientists need to be mindful of the mutations and errors that may be introduced in a culture dish before using stem cells to make eggs. 

The research is the latest to test new ways to create mouse embryos in the lab. Last summer, scientists in California and Israel created “synthetic” mouse embryos from stem cells without a dad’s sperm or a mom’s egg or womb. Those embryos mirrored natural mouse embryos up to 8 ½ days after fertilization, containing the same structures, including one like a beating heart. Scientists said the feat could eventually lay the foundation for creating synthetic human embryos for research in the future.
…