YCLOAK

ADDIS ABABA — As the price of fuel soared in Ethiopia earlier this year, Awgachew Seleshi decided to buy an electric car. That aligned with the government’s new efforts to phase out gas-powered vehicles. But months later, he’s questioning whether it was the right decision.  

He faces a range of issues, from the erratic supply of electricity in Addis Ababa, the capital, to the scarcity of spare parts.  

“Charging my car has been a challenge,” the civil servant said. “Spare parts that are imported from China are expensive, few mechanics are able to fix such cars and the resale value of such cars is poor.”  

Seleshi’s troubles point to wider challenges for Ethiopia. In January, the East African country became the first in the world to ban the importation of non-electric private vehicles. 

 The decision eased pressure on authorities who spend scarce foreign currency to subsidize the cost of fuel, but it also reflected growing enthusiasm for electric vehicles as the world demands more green technologies to reduce climate-changing emissions.  

Earlier this month, Ethiopia’s government raised the price of fuel by up to 8% as part of a plan to gradually end all fuel subsidies in Africa’s second-most populous country.  

Authorities have claimed some success in enforcing the ban on non-electric vehicles entering Ethiopia, and more than 100,000 electric cars are now being imported into the country each month.  

The official target is to increase the monthly import figure to 500,000 by 2030. By that time, a big new dam Ethiopia has built on the Nile River is expected to be producing power at full capacity.  

Ethiopian Prime Minister Abiy Ahmed, in a televised address earlier this year, said the Grand Renaissance Dam will start generating more than 5,000 megawatts of electric power within a year. Authorities say such capacity would support the transition to electric vehicles.  

For now, many in Addis Ababa, a city of more than 5 million people, are doubtful the country can achieve its ambitious goals for electric vehicles without further needed infrastructure and services.  

The few garage owners who can fix broken electric cars say they are overwhelmed, while customers say they are being overcharged amid an apparent lack of competition.  

“There are two or three garages that can fix new energy vehicles in Ethiopia and many consumers lack awareness on how to take care of such vehicles,” said Yonas Tadelle, a mechanic in Addis Ababa. “As mechanics, we also lack the tools, the spare parts and the know-how to fix such cars.”  

Many EVs are now parked in garages and parking lots awaiting parts expected to come from China.  

Ethiopia’s minister in charge of transport, Bareo Hassen Bareo, has said he believes the country can be a model nation with a green economy legacy, with the prioritization of electric vehicles a key component.  

The government will invest in public charging stations, he told The Associated Press, and there are plans to create a plant manufacturing EV batteries locally to reduce reliance on imports.   

Private efforts have included a collaboration, which has since fizzled, between Olympian Haile Gebreselassie and South Korean carmaker Hyundai to make electric vehicles in Ethiopia. That effort is believed to have collapsed over the sourcing of materials.  

Samson Berhane, an economist based in Addis Ababa, said the sudden flood of electric vehicles into the local market despite poor infrastructure is making it difficult for customers to adapt comfortably. Some EVs sell for about $20,000.  

“Very few people are willing to take the risk of buying electric cars due to the lack of infrastructure, shortage of mechanics specialized in EV maintenance and the flooding of the market with Chinese brands that have questionable details and long-term visibility,” Berhane said.  

But he said he believes that Ethiopia is more than able to provide electricity to the expected 500,000 EV’s there within the next decade while fulfilling its industrial ambitions.  

Some Ethiopians are already giving up on electric vehicles, and the secondhand trade in gasoline-powered vehicles continues. There are at least 1.2 million vehicles across Ethiopia, and only a small fraction are electric ones.  

Businessman Yared Alemayehu bought a Chinese-made electric vehicle that he had hoped to use for a taxi service. He knew the car had a mechanical defect, but he believed it could be fixed. A mechanic disagreed.  

In the end, he sold the car at a loss and bought a Toyota Corolla — a car made in 2007 that he felt was more reliable — for the equivalent of $20,000, a sum that included the hefty taxes imposed on gasoline vehicles. Taxes can be higher than the cost of importing the vehicle.  

“In addition to having to charge my old electric car, it frequently broke, and the garage was overcharging, and the lineup at the garage was overwhelming us,” he said.  

Taxi driver Dereje Hailu, who had high hopes for his Chinese-made E-Star electric vehicle when he purchased it earlier this year, said his expectations had been dashed.  

“With such a car, I fear I might be stuck if I go far from Addis Ababa where there are no charging stations,” he said. 
…

orlando, florida — The news rippled through Treasure Island, Florida, almost like a third storm: The mayor planned to move off the barrier island a month after Hurricane Helene flooded tens of thousands of homes along the Gulf Coast and two weeks after Hurricane Milton also ravaged the state. 

Mayor Tyler Payne’s home had been flooded and damaged beyond repair, he explained in a message to Treasure Island residents, and he and his husband can’t afford to rebuild. He also was stepping down as mayor. 

“While it pains my heart to make this decision in the midst of our recovery from Hurricanes Helene and Milton, this is the best decision for me and my family,” Payne, who had held the office for more than three years and was a fourth-generation Treasure Island resident, said Monday. 

Up and down Florida’s storm-battered Gulf Coast, residents are making the same calculations about whether they should stay or go. Can they afford to rebuild? What will insurance cover? People considering moving to Florida are contemplating whether it’s worth the risk to come to a hurricane-prone state. 

These existential questions about Florida’s appeal are raised regularly after the state experiences a busy hurricane season, such as in 2004, when four hurricanes crossed the Sunshine State. 

If moves into the state offer any answer, then hurricanes have served little as deterrents. Florida’s population has grown by one-third to 23 million residents in the two decades since Charley, Frances, Jeanne and Ivan ravaged the state. Last year, Florida added more than 365,000 residents, second only to Texas among states. 

On the other hand, there are signs that Florida’s white-hot real estate market has cooled. Sales of single-family homes were down 12% in September compared with the same time in the previous year. But interest rates, rising home prices and skyrocketing insurance costs likely played bigger roles than the recent hurricanes. 

“Florida recovers much faster than you think,” said Brad O’Connor, chief economist for Florida Realtors. 

What happens after a storm? 

Studies of hurricanes along the Gulf Coast have shown that any outbound migration tends to be short-lived, and if people do leave, it’s usually a short-distance move, such as from a barrier island to the mainland. Older people with more financial resources are more likely to return to devastated communities. 

When it comes to the housing market, there may be an initial shock to the supply as homeowners wait for reimbursement from insurance companies to fix up their homes or sell them. 

But in the three years after a hurricane, home prices in areas of Florida that were hit by one are 5% higher on average than elsewhere in the state because of smaller supply, according to a study of the impact of hurricanes on Florida’s housing market from 2000 to 2016. New homeowners tend to be richer than previous ones because wealthier buyers can absorb price increases. 

Other factors that determine how quickly communities bounce back include whether homes were insured, the speed of insurance reimbursements, and whether there are enough construction workers. Because of stricter building codes implemented in the years after Hurricane Andrew devastated South Florida in 1992, newer homes withstand hurricanes better than older ones, O’Connor said. 

“If a property is damaged and uninsured, and the homeowner says, ‘I don’t want to deal with this,’ there are always people willing to scoop up that property because it’s valuable land,” he said. “People build new homes under the new codes and there’s less of an impact from hurricanes.” 

Short term and long term 

Recent storms offer examples what happens to communities, both short term and longer term. 

In Lee County, home to Fort Myers, Hurricane Ian made landfall two years ago in what had been one of the fastest growing parts of the United States. Population growth slowed afterward to 1.5% from 4.4% before the storm. The number of households dropped from about 340,000 to about 326,000, according to the U.S. Census Bureau. 

In 2019, three-quarters of all United Van Lines truck moves were into Lee County and a quarter were outbound, but that dropped to two-thirds inbound and a third outbound in 2023 to 2024, the company told The Associated Press. 

The share of people in their late 20s, 30s and early 40s increased, as did the share of men with no spouse or partner, reflecting an influx of construction and recovery workers. The share of the white population dropped while it increased for the Hispanic community. The percentage of utility and transportation workers in the county jumped, according to the Census Bureau. 

Bay County in the Florida Panhandle, where Michael made landfall as the first Category 5 hurricane on the continental U.S. in a quarter century in 2018, offers a portrait of longer term trends. Four years later, Bay County had recovered its pre-hurricane population, which dropped almost 6% in the year after the storm. 

Since Michael, the county has grown more diverse, wealthier and older, with the median age rising from 39.6 to 41.4 and more people identifying as multiracial or Hispanic. The share of households earning $200,000 or more went from 4.3% before the hurricane to 8.3% in 2022 in a sign that some of the least affluent residents couldn’t afford to rebuild or return. 

Treasure Island’s mayor 

In his message to constituents, Payne said he would still stay connected to the Treasure Island community because his parents plan to rebuild on the barrier island, one of a string of beach towns along the Gulf of Mexico west of St. Petersburg known for motels, restaurants and bars lining the street. Payne, an attorney who also is an executive in his family’s eyeglass-lens manufacturing business, said in his message that his decision to move was “difficult.” 

“I completely empathize with the difficult decisions that are facing so many of our residents,” he said. 
…

RENO, Nevada — Conservationists and a Native American tribe are suing the U.S. to try to block a Nevada lithium mine they say will drive an endangered desert wildflower to extinction, disrupt groundwater flows and threaten cultural resources.

The Center for Biological Diversity promised the court battle a week ago when the U.S. Interior Department approved Ioneer Ltd.’s Rhyolite Ridge lithium-boron mine at the only place Tiehm’s buckwheat is known to exist in the world, near the California line halfway between Reno and Las Vegas.

It is the latest in a series of legal fights over projects President Joe Biden’s administration is pushing under his clean energy agenda intended to cut reliance on fossil fuels, in part by increasing the production of lithium to make electric vehicle batteries and solar panels.

The new lawsuit says the Interior Department’s approval of the mine marks a dramatic about-face by U.S. wildlife experts who warned nearly two years ago that Tiehm’s buckwheat was “in danger of extinction now” when they listed it as an endangered species in December 2022.

“One cannot save the planet from climate change while simultaneously destroying biodiversity,” said Fermina Stevens, director of the Western Shoshone Defense Project, which joined the center in the lawsuit filed Thursday in federal court in Reno.

“The use of minerals, whether for EVs or solar panels, does not justify this disregard for Indigenous cultural areas and keystone environmental laws,” said John Hadder, director of the Great Basin Resource Watch, another co-plaintiff.

Rita Henderson, spokesperson for Interior’s Bureau of Land Management in Reno, said Friday the agency had no immediate comment.

Ioneer Vice President Chad Yeftich said the Australia-based mining company intends to intervene on behalf of the U.S. and “vigorously defend” approval of the project, “which was based on its careful and thorough permitting process.”

“We are confident that the BLM will prevail,” Yeftich said. He added that he doesn’t expect the lawsuit will postpone plans to begin construction next year.

The lawsuit says the mine will harm sites sacred to the Western Shoshone people. That includes Cave Spring, a natural spring less than 1.6 kilometers away described as “a site of intergenerational transmission of cultural and spiritual knowledge.”

But it centers on alleged violations of the Endangered Species Act. It details the Fish and Wildlife Service’s departure from the dire picture it painted earlier of threats to the 15-centimeter-tall wildflower with cream or yellow blooms bordering the open-pit mine Ioneer plans to dig. 

The mine’s permit anticipates up to one-fifth of the nearly 3.6 square kilometers the agency designated as critical habitat surrounding the plants — home to various pollinators important to their survival — would be lost for decades, some permanently.

When proposing protection of the 368 hectares of critical habitat, the service said “this unit is essential to the conservation and recovery of Tiehm’s buckwheat.” The agency formalized the designation when it listed the plant in December 2022, dismissing the alternative of less-stringent threatened status.

“We find that a threatened species status is not appropriate because the threats are severe and imminent, and Tiehm’s buckwheat is in danger of extinction now, as opposed to likely to become endangered in the future,” the agency concluded.

The lawsuit also discloses for the first time that the plant’s population, numbering fewer than 30,000 in the government’s latest estimates, has suffered additional losses since August that were not considered in the U.S. Fish and Wildlife Service’s biological opinion.

The damage is similar to what the bureau concluded was caused by rodents eating the plants in a 2020 incident that reduced the population as much as 60%, the lawsuit says.

The Fish and Wildlife Service said in its August biological opinion that while the project “will result in the long-term disturbance (approximately 23 years) of 146 acres (59 hectares) of the plant community … and the permanent loss of 45 acres (18 hectares), we do not expect the adverse effects to appreciably diminish the value of critical habitat as a whole.” 
…

The good news: You will get a glorious extra hour of sleep. The bad: It’ll be dark by late afternoon for the next few months in the United States.

Daylight saving time ends at 2 a.m. local time Sunday, which means you should set your clock back an hour before you go to bed. Standard time will last until March 9, when we will again “spring forward” with the return of daylight saving time. 

“Fall back” should be easier. But it still may take a while to adjust your sleep habits, not to mention the downsides of leaving work in the dark or trying to exercise while there’s still enough light. Some people with seasonal affective disorder, a type of depression usually linked to the shorter days and less sunlight of fall and winter, may struggle, too. 

Some health groups, including the American Medical Association and American Academy of Sleep Medicine, have said it’s time to do away with time switches and that sticking with standard time aligns better with the sun — and human biology. 

Two states — Arizona and Hawaii — don’t change and stay on standard time. 

Here’s what to know about the twice-yearly ritual. 

How the body reacts to light 

The brain has a master clock that is set by exposure to sunlight and darkness. This circadian rhythm is a roughly 24-hour cycle that determines when we become sleepy and when we’re more alert. The patterns change with age, one reason that early-to-rise youngsters evolve into hard-to-wake teens. 

Morning light resets the rhythm. By evening, levels of a hormone called melatonin begin to surge, triggering drowsiness. Too much light in the evening — that extra hour from daylight saving time — delays that surge and the cycle gets out of sync. 

How do time changes affect sleep? 

Even an hour change on the clock can throw off sleep schedules — because even though the clocks change, work and school start times stay the same. 

That’s a problem because so many people are already sleep deprived. About 1 in 3 U.S. adults sleep less than the recommended seven-plus hours nightly, and more than half of U.S. teens don’t get the recommended eight-plus hours on weeknights. 

How to prepare for the time change 

Some people try to prepare for a time change jolt by changing their bedtimes little by little in the days before the change. There are ways to ease the adjustment, including getting more sunshine to help reset your circadian rhythm for healthful sleep. 
…

CALI, Colombia — After two weeks of negotiations, delegates on Saturday agreed at the United Nations conference on biodiversity to establish a subsidiary body that will include Indigenous peoples in future decisions on nature conservation, a development that builds on a growing movement to recognize the role of the descendants of some regions’ original inhabitants in protecting land and combating climate change. 

The delegates also agreed to oblige major corporations to share the financial benefits of research when using natural genetic resources. 

Indigenous delegations erupted into cheers and tears after the historic decision to create the subsidiary body was announced. It recognizes and protects the traditional knowledge systems of Indigenous peoples and local communities for the benefit of global and national biodiversity management, said Sushil Raj, Executive Director of the Rights and Communities Global Program at the Wildlife Conservation Society. 

“It strengthens representation, coordination, inclusive decision making, and creates a space for dialogue with parties to the COP,” Raj told The Associated Press, also known as the Conference of Parties. 

Negotiators had struggled to find common ground on some key issues in the final week but came to a consensus after talks went late into Friday. 

‘Historical debt’ 

The COP16 summit, hosted in Cali, Colombia, was a follow-up to the historic 2022 accord in Montreal, which included 23 measures to save Earth’s plant and animal life, including putting 30% of the planet and 30% of degraded ecosystems under protection by 2030. 

A measure to recognize the importance of the role of people of African descent in the protection of nature was also adopted in Cali. 

The Indigenous body will be formed by two co-chairs elected by COP: one nominated by U.N. parties of the regional group, and the other nominated by representatives of Indigenous peoples and local communities, the AP saw in the final document. 

At least one of the co-chairs will be selected from a developing country, taking into account gender balance, the document said. 

“With this decision, the value of the traditional knowledge of indigenous peoples, Afro-descendants and local communities is recognized, and a 26-year-old historical debt in the Convention on Biological Diversity [CBD] is settled,” Susana Muhamad, Colombia’s environment minister and COP16 president, posted on social media platform X shortly after the announcement. 

Who owns nature’s DNA was one of the most contentious and fiercely negotiated topics at the summit as tensions spiked between poorer and developed countries over digital sequence information on genetic resources, or DSI. 

Negotiators consented on Saturday morning, however, to bind big companies to share benefits when using resources from animals, plants or microorganisms in biotechnologies. 

Delegations agreed on a genetic information fee of 0.1% of companies’ revenues from products derived from such information. 

“Many of the life-saving medicines we use today come from the rainforest. It is therefore right that a portion of the income companies generate from this information goes back to protect nature,” said Toerris Jaeger, executive director of Rainforest Foundation Norway. “This is the absolute highlight from COP16.” 

Needs exceed pledges

Also adopted was an agreement to protect human health from Earth’s increasing biodiversity issues. Ecosystem degradation and loss of ecological integrity directly threaten human and animal health, environmental groups say. 

Pledges made by countries during the two weeks were far short of the billions needed to tackle plummeting global biodiversity, with only around $400 million in the fund. 

The modest pledges don’t bode well for the next U.N. climate talks, COP29, to take place in Azerbaijan beginning later this month. COP29 is expected to focus on how to generate trillions of dollars needed for the world to transition to clean energies such as solar, wind and geothermal. Raising that money will require major commitments by nations, companies and philanthropies. 

In Montreal’s biodiversity summit, wealthy nations pledged to raise $20 billion in annual conservation financing for developing nations by 2025, with that number rising to $30 billion annually by 2030. 

Global wildlife populations have plunged on average by 73% in 50 years, according to the World Wildlife Fund and the Zoological Society of London biennial Living Planet report in October. 
…

TOKYO — A remote-controlled robot has safely returned with a tiny piece of melted fuel it collected from inside one of three damaged reactors at the tsunami-hit Fukushima Daiichi nuclear power plant for the first time since the 2011 meltdown.

Tokyo Electric Power Company Holdings, which manages the plant, said Saturday that the extendable fishing rod-like robot successfully clipped a gravel as big as 5 millimeters, the size of a tiny granola bit, from the top surface of a mound of molten fuel debris that sits on the bottom of the No. 2 reactor’s primary containment vessel.

The Telesco robot, with its frontal tongs still holding the melted fuel bit, returned to the enclosed container for safe storage after workers in full hazmat gear pulled it out of the containment vessel earlier Saturday.

The sample marks the first time that melted fuel has been retrieved out of the containment vessel. But the mission is not over until it’s certain that the sample’s radioactivity is below a set standard and safely placed into a container.

If the radioactivity exceeds the limit, the robot must go back inside the reactor to find another piece. TEPCO officials said they expect the piece is small enough to meet the requirement.

The mission initially started in August for what was supposed to be a two-week round trip but had been suspended twice due to mishaps.

The first one was the procedural mistake at the beginning that held up the work for nearly three weeks. Then the robot’s two cameras, designed to transmit views of the target areas for its operators in the remote-control room, failed. The camera problem required the robot to be pulled out all the way for replacement before the mission resumed Monday.

Fukushima Daiichi lost its key cooling systems during the 2011 earthquake and tsunami, causing meltdowns in its three reactors. An estimated 880 tons of fatally radioactive molten fuel remains in them, and TEPCO has carried out a number of robotic probes to figure out how to decommission the plant.

Telesco on Wednesday successfully clipped a piece presumably measuring less than 3 grams (0.1 ounce) from the planned area right underneath the Unit 2 reactor core, from which large amounts of melted fuel fell during the meltdown 13 years ago, TEPCO said.

Plant chief Akira Ono said only the tiny spec can provide key data to plan decommissioning strategy, develop necessary technology and robots and retroactively learn how the accident developed.

The government and TEPCO have set a 30-to-40-year target for the cleanup, which experts say is overly optimistic and should be updated.

No specific plan for the full removal of the fuel debris or its final disposal has been decided.
…

sydney — A 5.48-meter Australian crocodile that held the world record as the largest crocodile in captivity has died, a wildlife sanctuary said on Saturday. He was thought to be more than 110 years old.

Cassius, weighing in at more than one ton, had been in declining health since October 15, Marineland Melanesia Crocodile Habitat said on Facebook.

“He was very old and believed to be living beyond the years of a wild croc,” according to a post by the organization, based on Green Island near the Queensland tourist town of Cairns.

“Cassius will be deeply missed, but our love and memories of him will remain in our hearts forever.”

The group’s website said he had lived at the sanctuary since 1987 after being transported from the neighboring Northern Territory, where crocodiles are a key part of the region’s tourist industry.

Cassius, a saltwater crocodile, held the Guinness World Records title as the world’s largest crocodile in captivity.

He took the title after the 2013 death of Philippines crocodile Lolong, who measured 6.17 meters long, according to Guinness.
…

As winter approaches and daylight hours grow shorter, people prone to seasonal depression can feel it in their bodies and brains.

“It’s a feeling of panic, fear, anxiety and dread all in one,” said Germaine Pataki, 63, of Saskatoon, Saskatchewan.

She’s among the millions of people estimated to have seasonal affective disorder, or SAD. Her coping strategies include yoga, walking and an antidepressant medication. She’s also part of a Facebook group for people with SAD.

“I try to focus on helping others through it,” Pataki said. “This gives me purpose.”

People with SAD typically have episodes of depression that begin in the fall and ease in the spring or summer. Changing the clocks back to standard time, which happens this weekend, can be a trigger for SAD. A milder form, subsyndromal SAD, is recognized by medical experts, and there’s also a summer variety of seasonal depression, though less is known about it.

In 1984, a team led by Dr. Norman Rosenthal, then a researcher at the National Institutes of Health, first described SAD and coined the term. “I believe that because it is easy to remember, the acronym has stuck,” he said.

What causes seasonal affective disorder?

Scientists are learning how specialized cells in our eyes turn the blue wavelength part of the light spectrum into neural signals affecting mood and alertness.

Sunlight is loaded with the blue light, so when the cells absorb it, our brains’ alertness centers are activated and we feel more wakeful and possibly even happier.

Researcher Kathryn Roecklein at the University of Pittsburgh tested people with and without SAD to see how their eyes reacted to blue light. As a group, people with SAD were less sensitive to blue light than others, especially during winter months. That suggests a cause for wintertime depression.

“In the winter, when the light levels drop, that combined with a lower sensitivity, might be too low for healthy functioning, leading to depression,” Roecklein said.

Miriam Cherry, 50, of Larchmont, New York, said she spent the summer planning how she would deal with her winter depression. “It’s like clockwork,” Cherry said. “The sunlight is low. The day ends at 4:45, and suddenly my mood is horrible.”

Does light therapy help?

Many people with SAD respond to light therapy, said Dr. Paul Desan of Yale University’s Winter Depression Research Clinic.

“The first thing to try is light,” Desan said. “When we get patients on exposure to bright light for a half an hour or so every morning, the majority of patients get dramatically better. We don’t even need medications.”

The therapy involves devices that emit light about 20 times brighter than regular indoor light.

Research supports using a light that’s about 10,000 lux, a measure of brightness. You need to use it for 30 minutes every morning, according to the research. Desan said this can help not only people with SAD but also those with less-severe winter blahs.

Special lights run from $70 to $400. Some products marketed for SAD are too dim to do much good, Desan said.

Yale has tested products and offers a list of recommendations, and the nonprofit Center for Environmental Therapeutics has a consumer guide to selecting a light.

If your doctor diagnosed you with SAD, check with your insurance company to see if the cost of a light might be covered, Desan suggested.

What about talk therapy or medication?

Antidepressant medications are a first-line treatment for SAD, along with light therapy. Doctors also recommend keeping a regular sleep schedule and walking outside, even on cloudy days.

Light therapy’s benefits can fade when people stop using it. One type of talk therapy — cognitive behavioral therapy, or CBT — has been shown in studies to have more durable effects, University of Vermont researcher Kelly Rohan said.

CBT involves working with a therapist to identify and modify unhelpful thoughts.

“A very common thought that people have is ‘I hate winter,'” Rohan said. “Reframe that into something as simple is ‘I prefer summer to winter,'” she suggested. “It’s a factual statement, but it has a neutral effect on mood.”

Working with a therapist can help people take small steps toward having fun again, Rohan said. Try planning undemanding but enjoyable activities to break out of hibernation mode, which “could be as simple as meeting a friend for coffee,” Rohan said.

What else might work?

People with SAD have half the year to create coping strategies, and some have found hacks that work for them — though there may be scant scientific support.

Elizabeth Wescott, 69, of Folsom, California, believes contrast showers help her. It’s a water therapy borrowed from sports medicine that involves alternating hot and cold water while taking a shower. She also uses a light box and takes an antidepressant.

“I’m always looking for new tools,” Wescott said.

Cherry in New York is devoting a corner of her garden to the earliest blooming flowers: snowdrops, winter aconite and hellebores. These bloom as early as February.

“That’s going to be a sign to me that this isn’t going to last forever,” Cherry said. “It will get better, and spring is on its way.”
…

A regional public health department in Idaho is no longer providing COVID-19 vaccinations to residents in six counties after a narrow decision by its board.

Southwest District Health appears to be the first in the nation to be restricted from giving COVID-19 shots. Vaccinations are an essential function of a public health department.

While policymakers in Texas banned health departments from promoting COVID-19 vaccines and Florida’s surgeon general bucked medical consensus to recommend against the vaccine, governmental bodies across the country haven’t blocked the vaccines outright.

“I’m not aware of anything else like this,” said Adriane Casalotti, chief of government and public affairs for the National Association of County and City Health Officials. She said health departments have stopped offering the vaccine because of cost or low demand, but not based on “a judgment of the medical product itself.”

The six-county district along the Idaho-Oregon border includes three counties in the Boise metropolitan area. Demand for COVID-19 vaccines in the health district has declined — with 1,601 given in 2021 to 64 so far in 2024. The same is true for other vaccines: Idaho has the highest childhood vaccination exemption rate in the nation, and last year, the Southwest District Health Department rushed to contain a rare measles outbreak that sickened 10.

On Oct. 22, the health department’s board voted 4-3 in favor of the ban — despite Southwest’s medical director testifying to the vaccine’s necessity.

“Our request of the board is that we would be able to carry and offer those [vaccines], recognizing that we always have these discussions of risks and benefits,” Dr. Perry Jansen said at the meeting. “This is not a blind, everybody-gets-a-shot approach. This is a thoughtful approach.”

Opposite Jansen’s plea were more than 290 public comments, many of which called for an end to vaccine mandates or taxpayer funding of the vaccines, neither of which are happening in the district. At the meeting, many people who spoke are nationally known for making the rounds to testify against COVID-19 vaccines, including Dr. Peter McCullough, a Texas cardiologist who sells “contagion emergency kits” that include ivermectin and hydroxychloroquine — drugs that have not been approved to treat COVID-19 and can have dangerous side effects.

Board Chairman Kelly Aberasturi was familiar with many of the voices who wanted the ban, especially from earlier local protests of pandemic measures.

Aberasturi, who told The Associated Press that he’s skeptical of COVID-19 vaccines and national public health leaders, said in the meeting and in an interview with the AP that he was supportive of but “disappointed” in the board’s decision.

He said the board had overstepped the relationship between patients and their doctors — and possibly opened a door to blocking other vaccines or treatments.

Board members in favor of the decision argued people can get vaccinated elsewhere, and that providing the shots was equivalent to signing off on their safety. (Some people may be reluctant to get vaccinated or boosted because of misinformation about the shots despite evidence that they’re safe and have saved millions of lives.)

The people getting vaccinated at the health department — including people without housing, people who are homebound and those in long-term care facilities or in the immigration process — had no other options, Jansen and Aberasturi said.

“I’ve been homeless in my lifetime, so I understand how difficult it can be when you’re … trying to get by and get ahead,” Aberasturi said. “This is where we should be stepping in and helping.

“But we have some board members who have never been there, so they don’t understand what it’s like.”

State health officials have said that they “recommend that people consider the COVID-19 vaccine.” Idaho health department spokesperson AJ McWhorter declined to comment on “public health district business,” but noted that COVID-19 vaccines are still available at community health centers for people who are uninsured.

Aberasturi said he plans to ask at the next board meeting if the health department can at least be allowed to vaccinate older patients and residents of long-term care facilities, adding that the board is supposed to be caring for the “health and well-being” of the district’s residents. “But I believe the way we went about this thing is we didn’t do that due diligence.”
…

geneva — More than 50,000 people have so far been vaccinated against mpox in the Democratic Republic of Congo and Rwanda, the World Health Organization’s chief said on Friday.

The outbreak is still not under control, the African Union’s health watchdog warned a day earlier, appealing for resources to avoid a “more severe” pandemic than Covid-19.

More than 1,100 people have died of mpox in Africa, where some 48,000 cases have been recorded since January, according to the Africa Centres for Disease Control and Prevention (Africa CDC).

The majority of deaths have been in the DRC, the epicenter of the outbreak, which launched a vaccination drive last month.

“So far, more than 50,000 people have been vaccinated against mpox in the Democratic Republic of Congo and Rwanda, thanks to donations from the United States and the European Commission,” WHO Director-General Tedros Adhanom Ghebreyesus told reporters.

He also said that nearly 900,000 vaccine doses had this week been allocated to nine countries under a mechanism set up by the WHO and its partners.

The countries in question were to be informed on Friday, he added.

“This is the first allocation of almost six million vaccine doses that we expect to be available by the end of 2024” through the Access and Allocation Mechanism (AAM), the WHO chief said.

Mpox, previously known as monkeypox, is caused by a virus transmitted to humans by infected animals that can also be passed from human to human through close physical contact.

Related to smallpox, the viral disease causes fever, body aches, swollen lymph nodes and a rash that forms into blisters.
…

NEW DELHI — A thick layer of toxic smog cloaked India’s capital on Friday as smoke from firecrackers used to celebrate Diwali, the Hindu festival of lights, pushed air pollution to hazardous levels.

New Delhi’s air quality index plunged into the “severe” category, according to SAFAR, India’s main environmental monitoring agency. In many areas, levels of deadly particulate matter reached seven times the World Health Organization’s safety limit.

Authorities in the capital have banned the use and sale of traditional firecrackers since 2017, asking people to opt for environmentally friendly ones or light shows instead, but the rule is often flouted.

New Delhi, home to more than 33 million people, is regularly ranked one of the most polluted cities in the world.

The air pollution crisis deepens particularly in the winter when the burning of crop residue in neighboring states coincides with cooler temperatures that trap deadly smoke. That smoke travels to New Delhi, leading to a surge in pollution and worsening the public health crisis.

Emissions from industries without pollution controls and the use of coal, which produces most of the country’s electricity, are also linked to poor air quality in urban areas.

“We may not realize it now, but later we will face lung problems,” said Manoj Kumar, a New Delhi resident who does his morning runs around the capital’s iconic India Gate monument.

Several studies have estimated that more than a million Indians die each year from air pollution-related diseases. Tiny particulate matter in polluted air can lodge deep in the lungs and cause a variety of major health problems.
…

Bird flu has infected three more people from Washington state after they were exposed to poultry that tested positive for the virus, according to health authorities in Washington and in Oregon, where the human cases were identified. 

A total of 39 people have tested positive for bird flu in the U.S. this year, including nine from Washington, as the virus has infected poultry flocks and spread to more than 400 dairy herds, federal data show. All of the cases were farm workers who had known contact with infected animals, except for one person in Missouri. 

The people from Washington cleaned facilities at an infected chicken farm after birds were culled to contain the virus, the Washington State Department of Health said in an email on Thursday. 

Officials tested workers who had symptoms, including red eyes and respiratory issues, and those with potential exposure to the birds, the department said. People with symptoms were told to isolate and given antiviral treatment, it added. 

Oregon identified the three new cases after the people traveled to the state from Washington while infected, the Oregon Health Authority said in a Thursday statement. They have since returned to Washington, where public health staff are monitoring them, according to the statement. 

There have been no infections among people living in Oregon and there is no evidence of human-to-human transmission, the Oregon Health Authority said. It said the risk for infection to the general public remains low. 

Since 2022, the virus has wiped out more than 100 million poultry birds in the nation’s worst-ever bird flu outbreak. 

H5N1 bird flu was confirmed in a pig on a backyard farm in Oregon, the first detection of the virus in swine in the country, the U.S. Department of Agriculture said on Wednesday. 
…

The United Nations, scientists and governments made an urgent call Wednesday for increased funding to protect coral reefs under threat of extinction.

Research this year shows that 77% of the world’s reefs are affected by bleaching, mainly due to warming ocean waters amid human-caused climate change. It’s the largest and fourth mass global bleaching on record and is impacting both hemispheres, United Nations Capital Development Fund said.

The findings prompted a U.N. special emergency session — typically called to address escalating conflicts or natural disasters — on corals to be convened on sidelines of the U.N. biodiversity summit, known as COP16, nearing its end after two weeks in Cali, Colombia.

Coral reefs are vital ecosystems that support over 25% of marine life and nearly a billion people, many relying on reefs for food security, coastal protection and livelihoods, the U.N. development fund said.

After the emergency session, the governments of New Zealand, the United Kingdom, Germany and France made new pledges totaling around $30 million to the U.N. fund for coral reefs established in 2020. By 2030, the fund seeks to leverage up to $3 billion in public and private finance to support coral reef conservation efforts. Around $225 million has been raised to date.

“Protecting our ocean and its precious habitats is fundamental to life on earth,” said U.K. Minister for Nature Mary Creagh. “But without urgent action, the world’s coral reefs face extinction from global heating, acidification, disease, and pollution; a vital ecosystem lost within our lifetime.”

Next year, a U.N. ocean conference will take place in Nice, France, and countries are being urged beforehand to pledge more to the U.N. global fund for coral reefs with the aim of mobilizing an additional $150 million in donations by the conference.

“In 2024, climate change and other human impacts triggered the fourth mass coral reef bleaching event, the most extensive and devastating on record,” said Peter Thomson, the U.N. Secretary-General’s Special Envoy for the Ocean. “With the window to protect these ecosystems closing rapidly, world leaders must act now.”

“We must secure a sustainable future for coral reefs and the countless lives that rely on them —before it’s too late,” Thomson said.

A change in water temperature can cause coral to drive out algae that provides nutrition, lose its color and become stressed. Coral may bleach for other reasons, such as extremely low tides, pollution or too much sunlight.

In the world’s largest coral reef ecosystem, Australia’s Great Barrier Reef, bleaching affected 90% of the coral assessed in 2022. The Florida Coral Reef, the third-largest, experienced significant bleaching last year.

The first mass bleaching happened in 1998, the second between 2011-2013, the third in 2016, said Kenyan marine ecologist David Obura, who heads Coastal Oceans Research and Development in the Indian Ocean East Africa.

“They’re lasting more than one year at a time, which is worrying,” Obura said at the U.N. emergency session at COP16.
…

taipei, taiwan — China and Russia are deepening cooperation in Antarctica in a trend that analysts say could undermine marine conservation efforts and disrupt the long-standing status quo in the resource-rich region.

China and Russia were accused of collaborating to block key proposals that would establish new marine protected areas and revise the krill fishery management plan in the Southern Ocean, during the annual conference of the Commission for the Conservation of Antarctic Marine Living Resources (CCAMLR) in Australia last week.

The commission was established in 1982 and is a part of the Antarctic Treaty System, which establishes the legal status of Antarctica and comprises four different treaties.

CCAMLR focuses on preserving marine life and other resources in the Antarctic. The commission has 26 members, including China, Russia, the United States, Australia and the European Union.

Any member state can veto a proposed measure, and Russia and China have repeatedly used that power to block proposed conservation efforts by the council over the years.

Some member states said every proposed measure at this year’s conference, including the establishment of four new marine protected areas and an extension of existing krill management measures, was blocked by China or Russia or both.

“Most concerning was the failure of some members to support the extension of existing krill management measures while the harmonization process is progressed,” a spokesperson of the Australian Antarctic Division told VOA in a written response.

“This is a backwards step for CCAMLR and puts krill, and the ecosystems and predators it supports, at risk,” the spokesperson added. Krill are small shrimp-like crustaceans that play a crucial role in the marine food chain.

Limit on krill fishing

The measure that CCAMLR member states hope to preserve is the mechanism that limits krill fishing in a protected area near the Antarctic Peninsula to no more than 620,000 tons.

Another 620,000 tons of fishable krill are redistributed across several subareas to prevent overconcentration of krill fishing in one area.

The measure needs to be renewed annually during the CCAMLR meeting with the approval of all the commission’s member states. Analysts said China’s and Russia’s move to block the rollover of the krill measure will affect the sustainability of a crucial food source for species such as penguins, seals and whales.

“If there’s too much krill fishing in one small region of Antarctica, it will restrict the amount of food available to the seal and penguin populations,” Tony Press, an expert on Antarctic affairs at the University of Tasmania, told VOA in a video interview.

In his view, other countries within CCAMLR should try to collectively challenge China’s and Russia’s decisions to block the proposed conservation measures through diplomatic means or decide to implement the proposed measures without involving Beijing or Moscow.

“Other countries could decide that Russia and China’s behaviors mean they would have to start implementing decisions among themselves,” Press said.

Experts say China and Russia refuse to support the proposed measures because they think setting up more marine protected areas will lead to more areas in the Antarctic becoming unavailable for use or development.

“They think once a marine protected area is adopted, it creates a snowball effect and generates more support behind the development of additional marine protected areas, which both countries think could lead to all marine living resource exploitation in the Southern Ocean being completely prohibited,” said Donald Rothwell, professor of international law at Australian National University.

Lynda Goldsworthy, a research associate at the University of Tasmania’s Institute for Marine and Antarctic Studies, said one of China’s objectives in increasing its fishery footprint in the Southern Ocean is to “increase geopolitical influence in the Antarctic region.”

But since Russia is not as invested in the Southern Ocean as before, Goldsworthy said its decision to block marine conservation efforts in Antarctica is driven by an attempt to challenge the rules-based world order.

“Russia is playing the disruptor and [the objections] are part of their global disruption approach,” she told VOA by phone.

The Russian Foreign Ministry and Russian Embassy in the U.S. have not responded to VOA’s request for comments. The Chinese Foreign Ministry and Chinese Embassy in Australia also have not responded to requests for comments from VOA.

CCAMLR successfully established two marine protected areas in the Southern Ocean in 2009 and 2017, but no new zones have been established since then. The four new zones proposed during the 2024 meeting would increase the protected area in the Southern Ocean to 26%.

Antarctic status quo

The deepened cooperation between China and Russia in Antarctica comes as Beijing expands its presence across the continent. In February, China inaugurated a new scientific research station near a U.S. research station. The development raises concerns among some security analysts that China may collect intelligence or develop its dual-used capabilities through the station.

China’s increased presence in Antarctica has allowed Beijing to more boldly assert its agenda in some regional bodies such as CCAMLR, said Press.

China’s behavior at last week’s conference “is a reflection of their confidence because they are now a party with a significant presence in the Antarctic,” he told VOA.

“A lot of what they [China and Russia] are doing points to the idea that the actions they take now are to ensure there are no curbs on any future actions they might take,” Press added.

Goldsworthy said the growing synergy between China and Russia in Antarctica could create potential challenges for the Antarctic Treaty System.

“There had been blockages for the protection of penguins on the Antarctic continent, and I do think both Russia and China are positioning themselves for [mineral mining] when or if the current mining ban is lifted,” she told VOA.

While Beijing and Moscow have been consistently blocking CCAMLR’s proposals, Rothwell said it is unclear whether that trend has “totally infected decision-making within the Antarctic Treaty,” which designates the continent as a demilitarized zone for peaceful purposes and scientific research.

Even if China and Russia can’t easily challenge the treaty, Rothwell said that China “will find it advantageous to align itself with Russia,” in order to fulfill its aspirations to exercise control and influence in Antarctica.

Goldsworthy added that if China and Russia maintain their “combative approach” in the Antarctic Treaty System, which includes CCAMLR, it could turn “a safe and secure region” into a “much less peace-oriented” continent.
…

washington — Militant groups have intensified attacks against polio vaccination teams and their police escorts in Pakistan amid a dramatic resurgence of polio cases in the country.

Officials say because of the deteriorating security situation, polio vaccination teams cannot reach communities in high-risk areas where polio is endemic.

On Tuesday, militants attacked two health centers in the tribal districts of Orakzai and Waziristan that are being used in the polio vaccination campaign. Two police officials were killed in the attack in the restive region along the Afghan border.

According to local officials in North Waziristan, militants took guns from the police officers guarding the polio team and warned the health workers not to take part in the anti-polio campaign.

Pakistan Interior Minister Mohsin Naqvi, in reaction to the latest violence, said in a statement, “The terrorists’ attack on the polio team is an attack on the safe future of Pakistan.”

Violence has heightened safety concerns among front-line polio workers in the country.

“When I go out as part of [a] polio vaccination team, I am not sure I will return home safely,” Fahima Bibi, a front-line polio worker supervising vaccinations in northwestern Pakistan, told VOA.

But Bibi said she is determined to do the job.

“The cause is bigger and needs bigger commitment and sacrifice,” she told VOA.

Bibi’s concerns for safety are shared by many of her co-workers.

According to the Pakistan National Emergency Operations Center for Polio Eradication, 225,440 female vaccinators are working in the immunization workforce, going door to door to administer polio drops to children. They travel to hard-to-reach and remote, conservative regions in Pakistan, breaking cultural barriers.

Ihtesham Ali, minister of health in Pakistan’s northwestern Khyber Pakhtunkhwa province, expressed concern Wednesday over the surge in attacks. He told VOA that the “security situation in the southern districts of Khyber Pakhtunkhwa is quite bad. And it is affecting access to communities. It is creating difficulties in our access for polio vaccinations.”

‘A fearful environment’

Most of the recent cases in Pakistan were reported in southwestern Balochistan province, which borders Afghanistan and Iran.

World Health Organization officials in southern Balochistan province say militant violence has affected polio campaigns in the province.

“Polio teams go house to house in a fearful environment,” said Dr. Nayyar Khan Loni, a WHO official in Balochistan. He said that the recent attacks in Balochistan have forced polio teams to rush the vaccination of children in some areas.

He said immunization campaigns have been modified because of security concerns. He attributed the recent polio outbreak in Balochistan to several factors, including cross-border mobility with Afghanistan and misinformation among certain parents about polio vaccines.

Campaign against polio vaccinators

Pakistan’s hard-line extremist group Tehreek-e-Taliban Pakistan (TTP) has sustained a violent campaign against polio vaccinators and security forces guarding polio team workers in Pakistan for nearly 15 years. Militants spread false claims that polio vaccines are part of a Western agenda to sterilize Muslim children. Also, militants target polio teams suspected of being government spies.

In January, at least five policemen were killed and more than a dozen injured in a major attack on polio teams and security personnel in northwestern Pakistan.

According to the Emergency Operations Center in Khyber Pakhtunkhwa, militants have carried out 23 attacks against polio teams and security escorts in Pakistan this year.

Overall, militant-sponsored violence has increased in Pakistan since the Taliban took over Afghanistan in 2021.

According to independent think tanks tracking violence in Pakistan, militant violence has killed more than 1,000 Pakistanis, half of them security forces, in the first 10 months of this year.

The Safeguarding Health in Conflict Coalition identified 16 incidents of violence against or obstruction of health care in Pakistan in 2022, an increase from seven in 2021. Nearly 90% of these incidents involved threats and violence against polio vaccination workers, undermining health care providers’ ability to meet vaccination targets.

Experts say the TTP has ignored local and international religious scholars’ fatwa (edicts) that support polio vaccination in Pakistan.

Fakhar Hayat Kakakhel, a Pakistan-based researcher on militancy, said that because of military operations, militants lost space and polio vaccination teams gained more access to conflict areas.

“After August 2021, when the Pakistani Taliban regrouped in the region and got space, they restarted their anti-polio vaccination campaigns. And now we are seeing a sudden surge in cases of polio,” he said.

Sindh province health officials say the security situation in Sindh is not like Khyber Pakhtunkhwa, but police are providing security to polio teams in Karachi and other parts of the province.

“Police are patrolling the streets in Karachi so that polio teams feel safe. We do not have any security issue, but [the] police department is with us,” Shumaila Rasool, spokesperson for Emergency Operations Center in Sindh, told VOA.

Afghanistan and Pakistan launched synchronized polio immunization campaigns on Monday. Pakistan and Afghanistan are the only two countries in the world where the spread of polio has never been stopped.

VOA Deewa reporter Usman Khan contributed from Peshawar.
…

CHICAGO, ILLINOIS — H5N1 bird flu had been confirmed in a pig in a backyard farm in Oregon, the first detection of the virus in swine in the country, the U.S. Department of Agriculture said on Wednesday.

Pigs represent a particular concern for the spread of bird flu because they can become co-infected with bird and human viruses, which could swap genes to form a new, more dangerous virus that can more easily infect humans.

The USDA said there is no risk to the nation’s pork supply from the Oregon case and that the risk to the public from bird flu remains low.

Pigs were the source of the H1N1 flu pandemic in 2009-2010, and have been implicated as the source of others, said Richard Webby, a St. Jude Children’s Research Hospital virologist who studies flu in animals and birds for the World Health Organization.

The finding of the virus in a small farm makes the pig infection less of a concern than if it had been detected in a commercial pig farm, he said.

“I think it probably doesn’t increase the risk much, but surely, if this virus starts transmitting in pigs, that absolutely increases the risk,” he said.

The Oregon farm has been quarantined, and other animals there, including sheep and goats, are under surveillance, the USDA said.

Pigs and poultry on the farm were culled to prevent the spread of the virus and enable additional testing of the swine, the USDA said. Tests are still pending for two of the pigs, the agency said.

The swine case originated with wild birds and not from a poultry or dairy farm, a USDA spokesperson said. Wild bird migration has carried bird flu to poultry flocks and cattle herds.

The case was one factor that prompted the USDA to broaden its bird flu surveillance to include nationwide bulk milk testing, which the agency announced on Wednesday, Agriculture Secretary Tom Vilsack told Reuters in an interview.

“While it’s a different variation of the virus and it is tied to wild birds, it is a factor to make sure that we understand and appreciate exactly where the virus is in dairy and in bovine,” he said.

The pigs on the Oregon farm were not intended for the commercial food supply, the USDA said.

The agency said that poultry and swine on the backyard farm shared water sources, housing and equipment, which have all served as pathways for transmitting the virus between animals in other states.

The detection is a warning for pig farmers to be on the lookout for further infections, said Marie Culhane, a professor of veterinary population medicine at the University of Minnesota who has researched flu viruses in swine.

“People need to start increasing their plans to deal with it if it should happen in another herd and another herd,” Culhane said. “Pigs are just really good at picking up influenza viruses.”

This year, 36 people have tested positive for bird flu as the virus has spread to nearly 400 dairy herds. All but one of the people were farm workers who had known contact with infected animals.

Since 2022, the virus has wiped out more than 100 million poultry birds in the nation’s worst-ever bird flu outbreak.
…

LONDON — Britain has detected its first case of new mpox variant clade Ib, the country’s health security agency (UKHSA) said Wednesday, adding that the risk to the population remained low.  

The clade Ib variant is a new form of the virus that was declared a global health emergency by the World Health Organization (WHO) in August after an outbreak in the Democratic Republic of Congo spread to neighboring countries in Africa.  

The case, in a patient who had recently traveled to affected countries in Africa, was detected in London and the individual has been transferred to a specialist hospital, the UKHSA said.  

Close contacts of the case are being followed up by UKHSA and partner organizations, the UKHSA added.  

There have been cases of mpox clade Ib reported in Burundi, Rwanda, Uganda, Kenya, Sweden, India and Germany, as well as Congo. It is a different form of the virus from clade II, which spread globally in 2022, largely among men who have sex with men.  

Mpox is a viral infection that typically causes flu-like symptoms and pus-filled lesions, and while usually mild it can kill. Clade Ib is thought to cause more severe disease than clade II.  

Both forms can be transmitted through close physical contact, including sexual contact.  

The United Kingdom authorities said they would not provide any more details about the patient, but added that the person’s contacts were being followed up and would be offered testing and vaccination as needed, as well as further care if they test positive or have symptoms.  

According to the latest WHO figures, there have been more than 44,000 confirmed and suspected cases of mpox in Africa this year, and more than 1,000 deaths, largely in Congo.
…

london — More than 8 million people were diagnosed with tuberculosis last year, the World Health Organization said Tuesday, the highest number recorded since the U.N. health agency began keeping track.

About 1.25 million people died of TB last year, the new report said, adding that TB likely returned to being the world’s top infectious disease killer after being replaced by COVID-19 during the pandemic. The deaths are almost double the number of people killed by HIV in 2023.

WHO said TB continues to mostly affect people in Southeast Asia, Africa and the Western Pacific; India, Indonesia, China, the Philippines and Pakistan account for more than half of the world’s cases.

“The fact that TB still kills and sickens so many people is an outrage, when we have the tools to prevent it, detect it and treat it,” WHO Director-General Tedros Adhanom Ghebreyesus said in a statement.

TB deaths continue to fall globally, however, and the number of people being newly infected is beginning to stabilize. The agency noted that of the 400,000 people estimated to have drug-resistant TB last year, fewer than half were diagnosed and treated.

Tuberculosis is caused by airborne bacteria that mostly affects the lungs. Roughly a quarter of the global population is estimated to have TB, but only about 5%-10% of those develop symptoms.

Advocacy groups, including Doctors Without Borders, have long called for the U.S. company Cepheid, which produces TB tests used in poorer countries, to make them available for $5 per test to increase availability. Earlier this month, Doctors Without Borders and 150 global health partners sent Cepheid an open letter calling on them to “prioritize people’s lives” and to urgently help make TB testing more widespread globally.
…

The Iowa Department of Health and Human Services on Monday confirmed the death of a middle-aged eastern Iowa resident from Lassa fever.

The individual had recently returned from travel to West Africa, where it is believed the person contracted the virus, the state health department said.

The U.S. Centers for Disease Control and Prevention is working to confirm the diagnosis of Lassa fever, the state health department said. The CDC said it assesses the risk to the general public to be extremely low.

Lassa fever is a viral disease common in West Africa, but rarely seen in the United States.

There have been eight travel-associated cases of Lassa fever in the United States in the past 55 years, according to the Iowa health department.

In West Africa, the Lassa virus is carried by rodents and spread to humans through contact with urine or droppings of infected rodents.

About 100,000 to 300,000 cases of Lassa fever and 5,000 related deaths occur in West Africa each year, according to the CDC.
…

Islamabad — Pakistan and neighboring Afghanistan simultaneously launched fresh vaccination campaigns against polio Monday amid a resurgence in cases in the only two countries globally where the virus continues to be endemic and paralyze children. 

The World Health Organization reported 64 polio infections this year: 41 from Pakistan and 23 from Afghanistan, up from six each in both countries in 2023.

Pakistani officials said the weeklong house-to-house nationwide campaign that was rolled out Monday enlists 400,000 polio workers, who aim to vaccinate over 45 million children under five against the paralytic disease.

“This is Pakistan’s third nationwide campaign this year, launched in response to the alarming increase in polio cases across 71 districts,” said Ayesha Raza Farooq, the prime minister’s point-person for polio eradication.

More than half the infections in 2024 are located in southwestern Balochistan province, which sits on the Afghan border and is “facing an intense transmission” of the poliovirus. The southern province of Sindh has recorded 12 cases this year, while other regions in Pakistan, a country of more than 240 million, have reported the remaining cases, according to Pakistan’s polio eradication program.

Anwarul Haq, the coordinator of the National Emergency Operations Center for Polio Eradication, urged parents to cooperate with health teams in protecting their children against the crippling disease, stressing that there is no cure for polio. “With the threat at an all-time high, we must act as one nation to keep our children safe through vaccination,” he stated.   

Local and WHO officials attribute the resurgence of poliovirus in Pakistan to vaccine boycotts in rural areas stemming from the false propaganda that these initiatives are a Western plot to sterilize Muslim children.

Additionally, anti-state militants in violence-hit districts bordering Afghanistan occasionally attack vaccinators and their police escorts, suspecting them of spying for the government. The violence has resulted in the deaths of dozens of polio workers and police personnel, including at least two vaccinators and seven police members killed this year.

Afghanistan 

Meanwhile, health officials in Taliban-led Afghanistan announced Monday the opening of a three-day polio-vaccination campaign, saying it aims to reach 6.2 million children under five in 16 of the country’s 34 provinces. The target areas are primarily located close to the border with Pakistan.

The latest round of this year’s anti-polio campaign in Afghanistan began after nearly a two-month delay because Taliban authorities abruptly halted house-to-house vaccine deliveries in the southern province of Kandahar without publicly stating any reason. Instead, de facto Afghan authorities stressed the need to conduct vaccinations for children from site to site and mosque to mosque.

In a report released last month, an independent monitoring board of the Global Polio Eradication Initiative believed that the Taliban’s action had stemmed from their “administration’s concerns about covert surveillance activities.” The report quoted Taliban officials as explaining that their leadership is living in Kandahar and has concerns about their security.

Kandahar, regarded as the unofficial capital of Afghanistan under Taliban rule, is where the militant group’s reclusive supreme leader, Hibatullah Akhundzada, resides and governs the country through his decrees based on his strict interpretation of Islam.

The Taliban chief has banned most Afghan women from public and private sector workplaces and barred girls from receiving an education beyond the sixth grade.

WHO officials say eradicating polio in Afghanistan requires comprehensive integration of large migrant populations into the vaccination program. They say it is also crucial to reach out to groups that refuse vaccination and establish a female public health workforce dedicated to the polio initiative to tackle multiple challenges facing polio-eradication efforts in the impoverished country.
…

LOS ANGELES — McDonald’s announced Sunday that Quarter Pounders will again be on its menu at hundreds of its restaurants after testing ruled out beef patties as the source of the outbreak of E. coli poisoning tied to the popular burgers that killed one person and sickened at least 75 others across 13 states.

The U.S. Food and Drug Administration continues to believe that slivered onions from a single supplier are the likely source of contamination, McDonald’s said in a statement. It said it will resume selling the Quarter Pounder at affected restaurants — without slivered onions — in the coming week.

As of Friday, the outbreak had expanded to at least 75 people sick in 13 states, federal health officials said. A total of 22 people had been hospitalized, and two developed a dangerous kidney disease complication, the Centers for Disease Control and Prevention said. One person has died in Colorado.

Early information analyzed by the FDA showed that uncooked slivered onions used on the burgers “are a likely source of contamination,” the agency said. McDonald’s has confirmed that Taylor Farms, a California-based produce company, was the supplier of the fresh onions used in the restaurants involved in the outbreak, and that they had come from a facility in Colorado Springs, Colorado.

McDonald’s pulled the Quarter Pounder burger from menus in several states — mostly in the Midwest and Mountain states — when the outbreak was announced Tuesday. McDonald’s said Friday that slivered onions from the Colorado Springs facility were distributed to approximately 900 of its restaurants, including some in transportation hubs like airports.

The company said it removed slivered onions sourced from that facility from its supply chain on Tuesday. McDonald’s said it has decided to stop sourcing onions from Taylor Farms’ Colorado Springs facility “indefinitely.”

The 900 McDonald’s restaurants that normally received slivered onions from Taylor Farms’ Colorado Springs facility will resume sales of Quarter Pounders without slivered onions, McDonald’s said.

Testing by the Colorado Department of Agriculture ruled out beef patties as the source of the outbreak, McDonald’s said.

The Department of Agriculture received multiple lots of fresh and frozen beef patties collected from various Colorado McDonald’s locations associated with the E. coli investigation. All samples were found to be negative for E. coli, the department said.

Taylor Farms said Friday that it had preemptively recalled yellow onions sent to its customers from its Colorado facility and continues to work with the CDC and the FDA as they investigate.

While it remains unclear if the recalled onions were the source of the outbreak, several other fast-food restaurants — including Taco Bell, Pizza Hut, KFC and Burger King — pulled onions from some menus in certain areas this week.

Colorado had the most illnesses reported as of Friday, with 26 cases. At least 13 people were sickened in Montana, 11 in Nebraska, 5 each in New Mexico and Utah, 4 each in Missouri and Wyoming, two in Michigan and one each in Iowa, Kansas, Oregon, Wisconsin and Washington, the CDC reported.

McDonald’s said Friday it didn’t pull the Quarter Pounder from any additional restaurants and noted that some cases in states outside the original region were tied to travel.

The CDC said some people who got sick reported traveling to other states before their symptoms started. At least three people said they ate at McDonald’s during their travel. Illnesses were reported between Sept. 27 and Oct. 11.

The outbreak involves infections with E. coli 0157:H7, a type of bacteria that produces a dangerous toxin. It causes about 74,000 infections in the U.S. annually, leading to more than 2,000 hospitalizations and 61 deaths each year, according to CDC.

Symptoms of E. coli poisoning can occur quickly, within a day or two of eating contaminated food. They typically include fever, vomiting, diarrhea or bloody diarrhea and signs of dehydration — little or no peeing, increased thirst and dizziness. The infection is especially dangerous for children younger than 5, people who are elderly, pregnant or who have weakened immune systems.
…

The good news: You will get a glorious extra hour of sleep. The bad: It’ll be dark as a pocket by late afternoon for the next few months in the U.S. 

Daylight saving time ends at 2 a.m. local time next Sunday, Nov. 3, which means you should set your clock back an hour before you go to bed. Standard time will last until March 9 when we will again “spring forward” with the return of daylight saving time. 

That spring time change can be tougher on your body. Darker mornings and lighter evenings can knock your internal body clock out of whack, making it harder to fall asleep on time for weeks or longer. Studies have even found an uptick in heart attacks and strokes right after the March time change. 

“Fall back” should be easier. But it still may take a while to adjust your sleep habits, not to mention the downsides of leaving work in the dark or trying exercise while there’s still enough light. Some people with seasonal affective disorder, a type of depression usually linked to the shorter days and less sunlight of fall and winter, may struggle, too. 

Some health groups, including the American Medical Association and American Academy of Sleep Medicine, have said it’s time to do away with time switches and that sticking with standard time aligns better with the sun — and human biology. 

Most countries do not observe daylight saving time. For those that do — mostly in Europe and North America — the date that clocks are changed varies. 

Two states — Arizona and Hawaii — don’t change and stay on standard time. 

Here’s what to know about the twice yearly ritual. 

How the body reacts to light 

The brain has a master clock that is set by exposure to sunlight and darkness. This circadian rhythm is a roughly 24-hour cycle that determines when we become sleepy and when we’re more alert. The patterns change with age, one reason that early-to-rise youngsters evolve into hard-to-wake teens. 

Morning light resets the rhythm. By evening, levels of a hormone called melatonin begin to surge, triggering drowsiness. Too much light in the evening — that extra hour from daylight saving time — delays that surge and the cycle gets out of sync. 

And that circadian clock affects more than sleep, also influencing things like heart rate, blood pressure, stress hormones and metabolism. 

How do time changes affect sleep? 

Even an hour change on the clock can throw off sleep schedules — because even though the clocks change, work and school start times stay the same. 

That’s a problem because so many people are already sleep deprived. About 1 in 3 U.S. adults sleep less than the recommended seven-plus hours nightly, and more than half of U.S. teens don’t get the recommended eight-plus hours on weeknights. 

Sleep deprivation is linked to heart disease, cognitive decline, obesity and numerous other problems. 

How to prepare for the time change 

Some people try to prepare for a time change jolt by changing their bed times little by little in the days before the change. There are ways to ease the adjustment, including getting more sunshine to help reset your circadian rhythm for healthful sleep. 

Will the U.S. ever get rid of the time change? 

Lawmakers occasionally propose getting rid of the time change altogether. The most prominent recent attempt, a now-stalled bipartisan bill named the Sunshine Protection Act, proposes making daylight saving time permanent. Health experts say the lawmakers have it backward — standard time should be made permanent. 
…

washington — A NASA astronaut who was hospitalized upon return from the International Space Station for an unspecified medical condition was released Saturday in “good health,” the U.S. space agency said. 

The four-member Crew-8 mission splashed down off the coast of Florida early Friday after nearly eight months aboard the orbital laboratory.   

NASA did not reveal which of the astronauts was hospitalized nor the reason, citing medical privacy.   

However, it said in a blog post that the crew member has returned to the Johnson Space Center in Houston “in good health and will resume normal post-flight reconditioning with other crew members.”   

On its way back to Earth, the SpaceX Dragon executed a normal re-entry and splashdown, and recovery of the crew and spacecraft was without incident, NASA said.   

But during routine medical assessments on the recovery ship, an “additional evaluation of the crew members was requested out of an abundance of caution,” it added, without elaborating. 

NASA astronauts Matthew Dominick, Michael Barratt and Jeanette Epps, and Roscosmos cosmonaut Alexander Grebenkin were all flown to Ascension Sacred Heart Pensacola.   

Three were subsequently released, while one remained at the hospital “under observation as a precautionary measure.” 
…

CAPE CANAVERAL, Florida — A NASA astronaut was taken to the hospital for an undisclosed medical issue after returning from a nearly eight-month space station stay extended by Boeing’s capsule trouble and Hurricane Milton, the space agency said Friday.

A SpaceX capsule carrying three Americans and one Russian parachuted before dawn into the Gulf of Mexico just off the Florida coast after undocking from the International Space Station at midweek. The capsule was hoisted onto the recovery ship where the four astronauts had routine medical checks.

Soon after splashdown, a NASA astronaut had a “medical issue” and the crew was flown to a hospital in Pensacola, Florida, for additional evaluation “out of an abundance of caution,” the space agency said in a statement.

The astronaut, who was not identified, was in stable condition and remained at the hospital as a “precautionary measure,” NASA said.

The space agency said it would not share details about the astronaut’s condition, citing patient privacy.

The other three astronauts were discharged and returned to NASA’s Johnson Space Center in Houston.

It can take days or even weeks for astronauts to readjust to gravity after living in weightlessness for several months.

The astronauts should have been back two months ago. But their homecoming was stalled by problems with Boeing’s new Starliner astronaut capsule, which came back empty in September because of safety concerns. Then Hurricane Milton interfered, followed by another two weeks of high wind and rough seas.

SpaceX launched the four — NASA’s Matthew Dominick, Michael Barratt and Jeanette Epps, and Russia’s Alexander Grebenkin — in March. Barratt, the only space veteran going into the mission, acknowledged the support teams back home that had “to replan, retool and kind of redo everything right along with us … and helped us to roll with all those punches.”

Their replacements are the two Starliner test pilots Butch Wilmore and Suni Williams, whose own mission went from eight days to eight months, and two astronauts launched by SpaceX four weeks ago. Those four will remain up there until February.

The space station is now back to its normal crew size of seven — four Americans and three Russians — after months of overflow.
…