YCLOAK

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.
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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.”
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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.
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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.  
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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.
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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. 
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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.  
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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.”
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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.
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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.
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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.
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Moonwalking astronauts will have sleeker, more flexible spacesuits that come in different sizes when they step onto the lunar surface later this decade. 

Exactly what that looks like remained under wraps. The company designing the next-generation spacesuits, Axiom Space, said Wednesday that it plans to have new versions for training purposes for NASA later this summer. 

The moonsuits will be white like they were during NASA’s Apollo program more than a half-century ago, according to the company. That’s so they can reflect heat and keep future moonwalkers cool. 

The suits will provide greater flexibility and more protection from the moon’s harsh environment, and will come in a wider range of sizes, according to the Houston-based company. 

NASA awarded Axiom Space a $228.5 million contract to provide the outfits for the first moon landing in more than 50 years. The space agency is targeting late 2025 at the earliest to land two astronauts on the moon’s south pole. 

At Wednesday’s event in Houston, an Axiom employee modeled a dark spacesuit, doing squats and twisting at the waist to demonstrate its flexibility. The company said the final version will be different, including the color. 

“I didn’t want anybody to get that mixed up,” said Axiom’s Russell Ralston. 
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In the early days of the COVID-19 pandemic, nurses, truck drivers, grocery clerks and other essential workers were hailed as heroes.

“Now we are vilifying them … and this has long-term ramifications for our well-being,” said Manuela Tomei, International Labor Organization assistant director-general for governance, rights, and dialogue.

“The work that these persons perform is absolutely essential for families and societies to function,” she said, speaking Wednesday in Geneva. “So, the non-availability of their services would really result into a loss of well-being and the impossibility of ensuring safe lives to society at large.”

And yet a new study by the International Labor Organization (ILO) finds essential workers are undervalued, underpaid and laboring under poor working conditions, exposed to treatment that “exacerbates employee turnover and labor shortages, jeopardizing the provision of basic services.”

The U.N. agency’s report classifies key workers into eight main occupation groups covering health, food systems, retail, security, cleaning and sanitation, transport, manual, and technical and clerical occupations.

Data from 90 countries show that during the COVID-19 crisis key workers suffered higher mortality rates than non-key workers overall, with transport workers being at highest risk.

The report found 29% of key workers globally are low paid, earning on average 26% less than other employees. It reports they tend to work long, unpredictable hours under poor conditions.

Tomei said inaction in improving sub-standard conditions of work is having consequences today.

“In a number of countries, these sectors are facing some labor shortages because people are increasingly reluctant to engage in work which is not fairly valued by society and rewarded in terms of better pay and also improved working conditions.

“So, we are facing a crisis right now,” she added.

Richard Samans, director of the ILO research department, noted that a critical shortage of nurses in many countries is of particular concern.

“This affects the very life of people,” he said Wednesday. “Many people in countries are facing long delays in treatment. In the event of a shock — some sort of a major health disruption or natural disaster or otherwise — if the system is already strained, it cannot handle the major influx of demand for those nursing services.”

A new report by the World Health Organization warns the “widespread disruptions to health services” due to the COVID-19 pandemic “has resulted in a rapid acceleration in the international recruitment of health professionals,” mainly from poor to rich countries, exacerbating shortages of this vital workforce in developing countries.

The ILO reports that countries are still experiencing supply shortages three years after WHO declared COVID-19 a pandemic. ILO research director Richard Samans attributes this to a scarcity of truck drivers due to lack of training and bad working conditions.

“In the event of a shock that increases the demand for certain types of products and services, if the underlying logistical infrastructure is not fit for purpose, then that affects the daily livelihood of people and, in some cases, their health and well-being,” he said.

The ILO report also says key workers fare worse than non-key workers in both wealthy and poor countries, but ILO senior economist Janine Berg said the problems are worse in low-income countries.

“There are particularly severe problems, for example, in agricultural work in low-income countries, and the entire agricultural food chain is part of the key worker definition,” she said. “There are also very severe problems in lower-income countries with respect to very low coverage in social protection.”

The report urges nations to identify gaps in decent work and develop national strategies to address the problems facing key workers through strengthened policies and investment.

Among its recommendations, the report calls on governments to reinforce occupational health and safety systems, improve pay for essential workers, guarantee safe and predictable working hours through regulation, and increase access to training so that key workers can carry out their work effectively and safely.
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Every month, young girls in Ghana are forced to miss school days due to menstruation. But a schoolteacher is working to find a solution by providing reusable sanitary pads. Hamza Adams visited a school in Afari, Ghana, and has this story narrated by Salem Solomon.
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The Webb Space Telescope has captured the rare and fleeting phase of a star on the cusp of death.

NASA released the picture Tuesday at the South by Southwest conference in Austin, Texas.

The observation was among the first made by Webb following its launch in late 2021. Its infrared eyes observed all the gas and dust flung into space by a huge, hot star 15,000 light years away. A light year is about 5.8 trillion miles.

Shimmering in purple like a cherry blossom, the cast-off material once comprised the star’s outer layer. The Hubble Space Telescope snapped a shot of the same transitioning star a few decades ago, but it appeared more like a fireball without the delicate details.

Such a transformation occurs only with some stars and normally is the last step before they explode, going supernova, according to scientists.

“We’ve never seen it like that before. It’s really exciting,” said Macarena Garcia Marin, a European Space Agency scientist who is part of the project.

This star in the constellation Sagittarius, officially known as WR 124, is 30 times as massive as our sun and already has shed enough material to account for 10 suns, according to NASA.
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Illegal fishing, a multibillion-dollar industry closely linked to organized crime, is set to pose a greater threat to global security as climate change warms the world’s oceans, according to a report by the Royal United Services Institute, a research organization based in London, in partnership with The Pew Charitable Trust.

Illegal, unreported and unregulated, or IUU, fishing is worth up to $36.4 billion annually, according to the report, representing up to a third of the total global catch.

Fish stocks

As climate change warms the world’s oceans, fish stocks are moving to cooler, deeper waters, and criminal operations are expected to follow.

“IUU actors and fishers in general will be chasing those fish stocks as they move. And there’s predictions, or obviously concern, that they will move in across existing maritime boundaries and IUU actors will pursue them across those boundaries,” report co-author Lauren Young told VOA.

RUSI said that global consumption of seafood has risen at more than twice the rate of population growth since the 1960s. At the same time, an increasing proportion of global fish stocks have been fished beyond biologically sustainable limits.

The report also highlights that fish play a key role in capturing carbon through feeding, so a decline in fish stocks itself could accelerate warming temperatures.

Crime nexus

“Climate change will impact in other ways, with impacts on coastal erosion as well, and that will have impacts on local small-scale fisheries. As their livelihoods become more vulnerable, they may begin engaging more in IUU practices like disruptive fishing practices or engaging in other type of criminal activity as well.”

“There is a nexus with other crime types as well, like narcotics, human trafficking and labor abuses,” Young added.

Many poorer countries do not have the capacity to police their waters. In parts of Africa and South America, foreign trawlers — including many vessels from China — have devastated fish stocks. Beijing denies its fleets conduct illegal fishing.

The United States Coast Guard said in 2021 that IUU fishing had replaced piracy as the leading global maritime security threat. “If IUU fishing continues unchecked, we can expect deterioration of fragile coastal states and increased tension among foreign-fishing nations, threatening geo-political stability around the world,” the document warned.

US response

The United States launched a sustainable fishing initiative in Peru and Ecuador in October. Project “Por la Pesca” is aimed at helping artisanal fishing in the face of depleted stocks caused by IUU fishing.

“It’s having a profound impact on stocks of fish, on the livelihoods of fisherpeople, on sustainability,” U.S. Secretary of State Antony Blinken said on a visit to Peru in October. “We have many countries around the world where fishing is at the heart of their economy and the heart of their culture as well, where illegal, unreported, unregulated fishing is a real and growing challenge.”

South China Sea

RUSI highlights the warming South China Sea as a flashpoint. Already, fishing grounds and maritime boundaries are hotly contested, with frequent armed confrontations.

“Many relate to China’s commitment to the nine-dash line, which is the country’s self-declared sort of maritime boundary,” said RUSI’s Young. “And they enforce that through armed fishing militia. So that obviously plays into it a lot as well. But those existing tensions there are likely to be exacerbated by climate change. And that is in line with predictions of climate change being this kind of threat multiplier.”

Enforcement

Earlier this month, United Nations member states agreed to the High Seas Treaty, aimed at protecting biodiversity by establishing vast marine protected areas.

“Whilst it’s a positive move with climate change that we’re looking to protect more of the world’s oceans, we need to improve our ability to actually monitor and enforce [the agreements] as well,” Young said.

The report authors call on governments and multinational bodies to tackle illegal fishing based on climate change predictions; enhanced vessel monitoring capabilities and tougher enforcement, with greater recognition on the role the industry plays in wider criminal networks.
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Poorer countries are increasingly losing health care workers to wealthier ones as the latter seek to shore up their own staff losses from the COVID-19 pandemic, sometimes through active recruitment, the World Health Organization said on Tuesday. 

The trend for nurses and other staff to leave parts of Africa or Southeast Asia for better opportunities in wealthier countries in the Middle East or Europe was already under way before the pandemic but has accelerated since, the U.N. health agency said, as global competition heats up.

“Health workers are the backbone of every health system, and yet 55 countries with some of the world’s most fragile health systems do not have enough and many are losing their health workers to international migration,” said Tedros Adhanom Ghebreyesus, the WHO director-general.

He was referring to a new WHO list of vulnerable countries which has added eight extra states since it was last published in 2020. They are: Comoros, Rwanda, Zambia, Zimbabwe, East Timor, Laos, Tuvalu and Vanuatu.

Jim Campbell, director of the WHO’s health workforce department, told journalists safeguards for countries on the WHO list were important so they “can continue to rebuild and recover from the pandemic without an additional loss of workers to migration”.

Some 115,000 health care workers died from COVID around the world during the pandemic but many more left their professions due to burnout and depression, he said. As a sign of the strain, protests and strikes have been organised in more than 100 countries since the pandemic began, he added, including in Britain and the United States.

“We need to protect the workforce if we wish to ensure the population has access to care,” said Campbell.

Asked which countries were attracting more workers, he said wealthy OECD countries and Gulf states but added that competition between African countries had also intensified.

The WHO says it is not against migration of workers if it was managed appropriately. In 2010, it released a voluntary global code of practice on the international recruitment of health personnel and urges its members to follow it.
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Jiang Yanyong, a Chinese military doctor who revealed the full extent of the 2003 SARS outbreak and was later placed under house arrest for his political outspokenness, has died, a long-time acquaintance and a Hong Kong newspaper said Tuesday.  

Jiang was 91 and died of pneumonia Saturday in Beijing, according to human rights activist Hu Jia and the South China Morning Post.

News of Jiang’s death and even his name were censored within China, underscoring how he remained a politically sensitive figure even late in life.

Jiang had been chief surgeon at the People’s Liberation Army’s main 301 hospital in Beijing when the army fought its way through the city to end weeks of student-led pro-democracy protests centered on Tiananmen Square, causing the deaths of hundreds — possibly thousands — of civilians.

In April 2003, as the ruling Communist Party was suppressing news about the outbreak of the highly contagious Severe Acute Respiratory Syndrome, Jiang wrote an 800-word letter stating there were many more SARS cases than were being officially reported by the country’s health minister.

Jiang emailed the letter to state broadcaster CCTV and Hong Kong’s Beijing-friendly Phoenix Channel, both of which ignored it. The letter was then leaked to Western media outlets that published it in its entirety, along with reports on the true extent of the outbreak and official Chinese efforts to hide it.

The letter, along with the death of a Finnish United Nations employee and statements by renowned physician Zhong Nanshan, forced the lifting of government suppression, leading to the resignations of both the health minister and Beijing’s mayor. Strict containment measures were imposed virtually overnight, helping to restrain the spread of the virus that had already begun appearing overseas.

In all, more than 8,000 people from 29 countries and territories were infected with SARS, resulting in at least 774 deaths.

“Jiang had the conscience of a doctor to people the patients first. He saved so many lives with that letter, without thought for the consequences,” Hu told The Associated Press.  

Chinese authorities later sought to block media access to Jiang, who retired with the rank of major general. He turned down an interview with The Associated Press, saying he had been unable to obtain the necessary permission from the Ministry of Defense.

From 2004, Jiang and his wife were periodically placed under house arrest for appealing to Communist leaders for a re-evaluation of the 1989 protests that remains a taboo topic. That recalled Jiang’s earlier experiences when he was persecuted as a rightist under Mao Zedong during the 1950s, ’60s and ’70s.

In 2004, Jiang was awarded the Ramon Magsaysay Award for Public Service from the Philippines, considered by some an Asian version of the Nobel Peace Prize. In the citation, he was praised for having broken “China’s habit of silence and forced the truth of SARS into the open.”

Jiang was prevented from leaving the country and the award was collected by his daughter on his behalf.

Three years later, he won the Heinz R. Pagels Human Rights of Scientists Award given by the New York Academy of Sciences, but was again blocked from traveling.

Echoes of Jiang’s experience were heard in China’s approach to the initial outbreak of COVID-19, first detected in the central Chinese city of Wuhan in late 2019.

A Wuhan eye doctor, Li Wenliang, was detained and threatened by police for allegedly spreading rumors on social media following an attempt to alert others about a “SARS-like” virus. Li’s death on Feb. 7, 2020, sparked widespread outrage against the Chinese censorship system. Users posted criticism for hours before censors moved to delete posts. 

Sympathy and the outpouring of anger of the treatment of Li and other whistleblowers prompted the government to change course and declare him and 13 others martyrs.

COVID-19 has killed almost 7 million people worldwide, including an estimated 1.5 million in China, whose government has been accused of massively undercounting the true number of deaths.

Jiang is survived by his wife, Hua Zhongwei, a son and a daughter, according to the South China Morning Post.   
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Pfizer Inc PFE.N struck a $43 billion deal for Seagen Inc SGEN.O to add innovative targeted therapies to its portfolio of cancer treatments as it braces for a steep fall in COVID-19 product sales and stiff competition for some top sellers.

Monday’s deal, Pfizer’s biggest in a string of acquisitions following a once-in-a-lifetime cash windfall from its COVID-19 vaccine and pill, will add four approved cancer therapies with combined sales of nearly $2 billion in 2022.

Washington-based Seagen is a pioneer of antibody-drug conjugates, which work like “guided missiles” designed for a targeted destructive effect and spare healthy cells.

The deal helps Pfizer move into an area “that it is more protected from regulators, patent perspectives and market dynamics,” Chief Executive Officer Albert Bourla said in a conference call. 

Seagen, Bourla said, is set to benefit from out-of-pocket health care spending caps for older Americans under President Joe Biden’s Inflation Reduction Act (IRA), meaning more patients could have access to the company’s expensive treatments.

A focus on complex biotech medicines also provides a longer exclusivity on the market versus pills before becoming subject to government price limits under the IRA, he said.

Pfizer will pay $229 in cash per Seagen share, a 32.7% premium to Friday’s closing price. Seagen’s shares rose to $200 in early trading.

The latest deal comes as Pfizer seeks to mitigate an anticipated $17 billion hit to revenue by 2030 from patent expirations for top drugs and decline in demand for its COVID products.

The drugmaker expects more than $10 billion in sales from Seagen products in 2030, and another $15 billion from its other recent acquisitions.

Pfizer’s recent deals include its purchase of Global Blood Therapeutics for $5.4 billion, migraine drug maker Biohaven Pharmaceutical Holding for $11.6 billion, and a $6.7 billion buyout of drug developer Arena Pharmaceuticals.

Pfizer’s portfolio of oncology therapies includes 24 approved drugs, while Seagen’s includes Adcetris for lymphoma, Padcev for bladder cancers, Tivdak for cervical cancer and breast cancer treatment Tukysa.

The companies expect to complete the deal in late 2023 or early 2024. Pfizer said antitrust regulators could closely review the deal due to its size but eventually approve it.

Pfizer rival Merck & Co Inc MRK.N and Seagen were in advanced deal talks last year but those reportedly collapsed over antitrust concerns. 
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Discovering the origins of COVID-19 is a moral imperative and all hypotheses must be explored, the head of the World Health Organization said, in the clearest indication yet that the U.N. body remains committed to finding how the virus arose.

A U.S. agency was reported by The Wall Street Journal to have assessed the pandemic had likely been caused by an unintended Chinese laboratory leak, raising pressure on the WHO to come up with answers. Beijing denies the assessment which could soon become public after the U.S. House of Representatives voted this week to declassify it.

“Understanding #COVID19’s origins and exploring all hypotheses remains: a scientific imperative, to help us prevent future outbreaks [and] a moral imperative, for the sake of the millions of people who died and those who live with #LongCOVID,” Tedros Adhanom Ghebreyesus said on Twitter late on Saturday.

He was writing to mark three years since the WHO first used the word “pandemic” to describe the global outbreak of COVID-19.

Activists, politicians and academics said in an open letter this weekend that the focus of the anniversary should be on preventing a repeat of the unequal COVID-19 vaccine rollout, saying this led to at least 1.3 million preventable deaths.

In 2021, a WHO-led team spent weeks in and around Wuhan, China where the first human cases were reported and said in a joint report that the virus had probably been transmitted from bats to humans through another animal, but further research was needed. China has said no more visits are needed.

Since then, the WHO has set up a scientific advisory group on dangerous pathogens but it has not yet reached any conclusions on how the pandemic began, saying key pieces of data are missing.
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Researchers have found long-term evidence that actively monitoring localized prostate cancer is a safe alternative to immediate surgery or radiation.

The results, released Saturday, are encouraging for men who want to avoid treatment-related sexual and incontinence problems, said Dr. Stacy Loeb, a prostate cancer specialist at NYU Langone Health who was not involved in the research.

The study directly compared the three approaches — surgery to remove tumors, radiation treatment and monitoring. Most prostate cancer grows slowly, so it takes many years to look at the disease’s outcomes.

“There was no difference in prostate cancer mortality at 15 years between the groups,” Loeb said. And prostate cancer survival for all three groups was high — 97% regardless of treatment approach. “That’s also very good news.”

The results were published Saturday in the New England Journal of Medicine and presented at a European Association of Urology conference in Milan, Italy. Britain’s National Institute for Health and Care Research paid for the research.

Men diagnosed with localized prostate cancer shouldn’t panic or rush treatment decisions, said lead author Dr. Freddie Hamdy of the University of Oxford. Instead, they should “consider carefully the possible benefits and harms caused by the treatment options.”

A small number of men with high-risk or more advanced disease do need urgent treatments, he added.

Researchers followed more than 1,600 U.K. men who agreed to be randomly assigned to get surgery, radiation or active monitoring. The patients’ cancer was confined to the prostate, a walnut-sized gland that’s part of the reproductive system. Men in the monitoring group had regular blood tests and some went on to have surgery or radiation.

Death from prostate cancer occurred in 3.1% of the active-monitoring group, 2.2% in the surgery group, and 2.9% in the radiation group, differences considered statistically insignificant.

At 15 years, cancer had spread in 9.4% of the active-monitoring group, 4.7% of the surgery group and 5% of the radiation group. The study was started in 1999, and experts said today’s monitoring practices are better, with MRI imaging and gene tests guiding decisions.

“We have more ways now to help catch that the disease is progressing before it spreads,” Loeb said. In the U.S., about 60% of low-risk patients choose monitoring, now called active surveillance.

Hamdy said the researchers had seen the difference in cancer spread at 10 years and expected it to make a difference in survival at 15 years, “but it did not.” He said spread alone doesn’t predict prostate cancer death.

“This is a new and interesting finding, useful for men when they make decisions about treatments,” he said. 
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On the third anniversary of the COVID-19 pandemic, the virus is still spreading, and the death toll is nearing 7 million worldwide. Yet most people have resumed their normal lives, thanks to a wall of immunity built from infections and vaccines.

The virus appears here to stay, along with the threat of a more dangerous version sweeping the planet.

“New variants emerging anywhere threaten us everywhere,” said virus researcher Thomas Friedrich of the University of Wisconsin-Madison. “Maybe that will help people to understand how connected we are.”

Saturday marks three years since the World Health Organization first called the outbreak a pandemic, March 11, 2020, and the United Nation’s health organization says it’s not yet ready to say the emergency has ended.

The virus endures

With the pandemic still killing 900 to 1,000 people a day worldwide, the stealthy virus behind COVID-19 hasn’t lost its punch. It spreads easily from person to person, riding respiratory droplets in the air, killing some victims but leaving most to bounce back without much harm.

“Whatever the virus is doing today, it’s still working on finding another winning path,” said Dr. Eric Topol, head of Scripps Research Translational Institute in California.

We’ve become numb to the daily death toll, Topol says, but we should view it as too high. Consider that in the United States, daily hospitalizations and deaths, while lower than at the worst peaks, have not yet dropped to the low levels reached during summer 2021 before the delta variant wave.

At any moment, the virus could change to become more transmissible, more able to sidestep the immune system or more deadly. Topol said we’re not ready for that. Trust has eroded in public health agencies, furthering an exodus of public health workers. Resistance to stay-at-home orders and vaccine mandates may be the pandemic’s legacy.

Fighting back

There’s another way to look at it. Humans unlocked the virus’ genetic code and rapidly developed vaccines that work remarkably well. We built mathematical models to get ready for worst-case scenarios. We continue to monitor how the virus is changing by looking for it in wastewater.

“The pandemic really catalyzed some amazing science,” said Friedrich.

The achievements add up to a new normal where COVID-19 “doesn’t need to be at the forefront of people’s minds,” said Natalie Dean, an assistant professor of biostatistics at Emory University. “That, at least, is a victory.”

Dr. Stuart Campbell Ray, an infectious disease expert at Johns Hopkins, said the current omicron variants have about 100 genetic differences from the original coronavirus strain. That means about 1% of the virus’ genome is different from its starting point. Many of those changes have made it more contagious, but the worst is likely over because of population immunity.

Matthew Binnicker, an expert in viral infections at the Mayo Clinic in Rochester, Minnesota, said the world is in “a very different situation today than we were three years ago — where there was, in essence, zero existing immunity to the original virus.”

That extreme vulnerability forced measures aimed at “flattening the curve.” Businesses and schools closed, weddings and funerals were postponed. Masks and “social distancing” later gave way to showing proof of vaccination. Now, such precautions are rare.

“We’re not likely to go back to where we were because there’s so much of the virus that our immune systems can recognize,” Ray said. Our immunity should protect us “from the worst of what we saw before.”

Real-time data lacking

On Friday, Johns Hopkins did its final update to its free coronavirus dashboard and hot-spot map with the death count standing at more than 6.8 million worldwide. Its government sources for real-time tallies had drastically declined. In the U.S., only New York, Arkansas and Puerto Rico still publish case and death counts daily.

“We rely so heavily on public data and it’s just not there,” said Beth Blauer, data lead for the project.

The U.S. Centers for Disease Control and Prevention still collects a variety of information from states, hospitals and testing labs, including cases, hospitalizations, deaths and what strains of the coronavirus are being detected. But for many counts, there’s less data available now and it’s been less timely.

“People have expected to receive data from us that we will no longer be able to produce,” said the CDC’s director, Dr. Rochelle Walensky.

Internationally, the WHO’s tracking of COVID-19 relies on individual countries reporting. Global health officials have been voicing concern that their numbers severely underestimate what’s actually happening and they do not have a true picture of the outbreak.

For more than year, CDC has been moving away from case counts and testing results, partly because of the rise in home tests that aren’t reported. The agency focuses on hospitalizations, which are still reported daily, although that may change. Death reporting continues, though it has become less reliant on daily reports and more on death certificates — which can take days or weeks to come in.

Then and now

“I wish we could go back to before COVID,” said Kelly Forrester, 52, of Shakopee, Minnesota, who lost her father to the disease in May 2020, survived her own bout in December and blames misinformation for ruining a longtime friendship. “I hate it. I actually hate it.”

The disease feels random to her. “You don’t know who will survive, who will have long COVID or a mild cold. And then other people, they’ll end up in the hospital dying.”

Forrester’s father, 80-year-old Virgil Michlitsch, a retired meat packer, deliveryman and elementary school custodian, died in a nursing home with his wife, daughters and granddaughters keeping vigil outside the building in lawn chairs.

Not being at his bedside “was the hardest thing,” Forrester said.
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A requirement that travelers to the U.S. from China present a negative COVID-19 test before boarding their flights expired Friday after more than two months as cases in China have fallen.

The restrictions were put in place December 28 and took effect January 5 amid a surge in infections in China after the nation sharply eased pandemic restrictions and as U.S. health officials expressed concerns that their Chinese counterparts were not being truthful to the world about the true number of infections and deaths. The requirement from the U.S. Centers for Disease Control and Prevention expired for flights leaving after 3 p.m. Eastern time Friday.

When the restriction was imposed, U.S. officials also said it was necessary to protect U.S. citizens and communities because there was a lack of transparency from the Chinese government about the size of the surge or the variants that were circulating within China.

The rules imposed in January require travelers to the U.S. from China, Hong Kong and Macau to take a COVID-19 test no more than two days before travel and provide a negative test before boarding their flight. The testing applies to anyone 2 years and older, including U.S. citizens.

China saw infections and deaths surge after it eased back from its “zero COVID” strategy in early December after rare public protests of the policy that confined millions of people to their homes and sparked demands for President Xi Jinping to resign.

But as China eased its strict rules, infections and deaths surged, and parts of the country for weeks saw their hospitals overwhelmed by infected patients looking for help. Still, the Chinese government has been slow to release data on the number of deaths and infections.

The U.S. decision to lift restrictions comes at a moment when U.S.-China relations are strained. U.S. President Joe Biden ordered a Chinese spy balloon shot down last month after it traversed the continental United States. The Biden administration has also publicized U.S. intelligence findings that raise concern Beijing is considering providing Russia weaponry for its ongoing war on Ukraine.
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As the world waits for NASA to announce the first crews in its Artemis missions to the moon, VOA’s Kane Farabaugh talks with several astronauts hoping to make the cut as the space agency promotes diversity in its ranks. Camera: Adam Greenbaum
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