After President Joe Biden announced a ban on oil and gas drilling off most of the U.S. coastline in early January, President-elect Donald Trump quickly vowed to reverse it after he takes office on January 20. But there is one section of the California coast that has gained more permanent protection from drilling – a new national marine sanctuary. Genia Dulot takes us underwater for a look.
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Labels on wine, distilled spirits and malt beverages in the U.S. would be required to list alcohol content and nutritional information per serving, plus notification of potential allergens, under two new rules proposed Thursday by the Treasury Department. 

The department’s Alcohol and Tobacco Tax and Trade Bureau is seeking public content on proposals to require an “alcohol facts” box — similar to nutrition labels on food — that would list alcohol content, calories, carbohydrates, fat and protein per serving. A second rule would require labels to declare top allergens, including milk, eggs, fish, shellfish, tree nuts, wheat, peanuts, soybean and sesame. 

The changes are consistent with the bureau’s mandate “to ensure that labels provide consumers with adequate information about the identity, quality and alcohol content of alcohol beverages,” according to a notice published in the Federal Register. 

Similar rules were first proposed nearly two decades ago and later championed in petitions submitted by advocacy groups, including the Center for Science in the Public Interest. 

“The proposals represent a momentous step toward ensuring consumers have access to the information they need to make informed choices, follow health guidelines and avoid allergic reactions,” CSPI officials said in a statement. 

Companies have been allowed to provide the information voluntarily for several years. In August 2021, a survey from the Beer Institute indicated that 95% of beer volume sold by several top producers contained nutrition information provided voluntarily, the bureau noted. Advocates, however, maintained that a limited number of companies used voluntary labels, “underscoring the need for a mandatory policy.” 

The Wine Institute, a trade group, said it would support digital labels that contained the required information. “Given the unique nature of winemaking, the most accurate and least burdensome approach to providing nutrition information to consumers would be to allow the option of off-label disclosure via QR code or other electronic means,” the group said. 

The Distilled Spirits Council of the United States also suggested QR codes or website references. 

Comments will be accepted through April 16. The rules would take effect five years from the date of final approval. 

The move is the second major change for alcohol labels announced in the waning days of the Biden administration. On Jan. 5, U.S. Surgeon General Vivek Murthy called for new warnings about the link between alcohol and cancer. 

The new proposals come as the government is updating dietary guidelines, including those around alcohol, that will form the cornerstone of federal food programs and policy. The updated guidelines are expected later this year. 

The current guidelines recommend women have one drink or fewer per day while men should stick to two or fewer.
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PHUKET, THAILAND — Plastic bottles and empty beer cans roll on the sea floor in the waters around Phuket in southern Thailand, while ever more garbage piles up on the island itself, a tourist hotspot better known for its pristine beaches and stunning sunsets.

In one corner of the island, trucks and tractors trundle back and forth moving piles of trash around a sprawling landfill, the final destination for much of the more than 1,000 tonnes of waste collected on Phuket every day.

In a matter of months, the landfill has grown so large it has replaced the previous serene mountain view from Vassana Toyou’s home.

“There is no life outside the house, (we) just stay at home,” she said. “The smell is very strong, you have to wear a mask.”

To cope with the stench, Vassana said she keeps her air conditioner and air purifiers switched on all the time, doubling her electricity bill.

Phuket, Thailand’s largest island, has undergone rapid development due to its tourism sector, a major driver of the Thai economy as a whole. Of the country’s 35.5 million foreign arrivals in 2024, about 13 million headed to the island.

“The growth of (Phuket) city has been much more rapid than it should be,” said Suppachoke Laongphet, deputy mayor of the island’s main municipality, explaining how a tourism and construction boom has pushed trash volumes above pre-COVID levels.

By the end of year, the island could be producing up to 1,400 tonnes of trash a day, overwhelming its sole landfill, he said.

Authorities are pushing ahead with plans to cut waste generation by 15% in six months, expand the landfill and build a new incinerator, he said, as the island strives to become a more sustainable tourist destination.

But increasing capacity and incinerators is only part of the solution, experts say.

“If you just keep expanding more waste incinerators, I don’t think that would be just the solution,” said Panate Manomaivibool, an assistant professor in waste management at Burapha University.

“They need to focus on waste reduction and separation.” 
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BLANTYRE, MALAWI — Malawi’s government launched a plan Thursday to stop cholera outbreaks by 2030.

Officials say that if the government and international partners can effectively cooperate, they can greatly reduce the prevalence of cholera in the southern African country, where it has killed at least 1,700 people over the past three years.

Partners include the World Health Organization, or WHO, and UNICEF.

Minister of Health Khumbize Kandodo-Chiponda said, “The goal of the plan is to reduce the annual cholera rate by 90% and achieve the case fatality rate of less than 1% by the year 2030, as recommended by WHO.”

Kandodo-Chiponda said there are several ways to achieve the goal, all of which involve the government, development partners, civil society organizations and other stakeholders supplying expertise and funding to support prevention and control efforts.

She said those efforts will be “to increase access to safe water and sanitation facilities and promote improved hygiene practices; to raise awareness and promote community-led initiatives to prevent and to respond to outbreaks.”

Malawi has experienced cholera outbreaks over the past three years, with the most severe occurring in 2022, resulting in over 1,700 deaths nationwide.

During Thursday’s event, the Malawian government launched an oral cholera vaccine campaign targeting four districts — Mzimba, Karonga, Balaka and Machinga — to address a recent resurgence of cholera there.

Statistics from the Presidential Task Force on Cholera show the disease has caused 14 deaths since September.

Shadrack Omol, UNICEF’s representative in Malawi, said the 2024 resurgence of cholera shows that root causes of the infectious bacterial disease persist.

“Health interventions … are complimentary in support,” Omol said. “The key to addressing the root causes is in provision of safe drinking water across our country, improving sanitation and improving hygiene practices.”

Malawi’s public health experts say goals to eradicate the disease within five years will depend on stakeholder commitments.

George Jobe, executive director of the Malawi Health Equity Network, said, “If financial investments [and] technical investments from partners are done, we believe we can win this battle. It should not be a document that should grow dust on the shelves.”

Kandodo-Chiponda said the operational plans will be reviewed at least once every year to keep ahead of any possible cholera outbreaks.
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WASHINGTON — Hours after Jeff Bezos’s Blue Origin nailed its first-ever orbital mission, SpaceX seized back the spotlight on Thursday as its latest test of Starship, its gargantuan next-generation mega rocket, ended with the upper stage dramatically disintegrating over the Atlantic.

In terms of sheer excitement, Elon Musk’s company didn’t disappoint, underscoring its technical prowess by catching the first stage booster in the “chopstick” arms of its launch tower for a second time.

But the triumph was short-lived when teams lost contact with the upper stage vehicle. SpaceX later confirmed it had undergone “rapid unscheduled disassembly,” the company’s euphemism for an explosion.

A taller, improved version of the biggest and most powerful launch vehicle ever built blasted off from the company’s Starbase in Boca Chica, Texas, at 4:37 p.m. (2237 GMT) for its seventh test.

The gleaming prototype rocket is key to Musk’s ambitions of colonizing Mars, while NASA hopes to use a modified version as a human lunar lander.

Around seven minutes after liftoff, the Super Heavy booster decelerated from supersonic speeds — generating sonic booms — before descending gracefully into the launch tower’s waiting arms, prompting an eruption of applause from ground control teams.

The maneuver was first successfully executed in October, but not November, when Super Heavy made a controlled splashdown in the Gulf of Mexico instead.

Soon after the latest booster catch, however, announcers on a live webcast confirmed the upper stage vehicle had been lost following a propulsion anomaly.

The FlightAware tracker showed several planes in the Atlantic altering course near the Turks and Caicos Islands, while users on X shared dramatic footage purportedly capturing the spaceship breaking apart in a fiery cascade during atmospheric reentry.

“Success is uncertain, but entertainment is guaranteed!” Musk wrote on X, sharing one of the clips. He added the cause of the explosion appeared to be an “oxygen/fuel leak” and that the company would take corrective steps.

A Federal Aviation Administration (FAA) spokesperson said the agency “briefly slowed and diverted aircraft around the area where space vehicle debris was falling.”

Well wishes

Ahead of the SpaceX launch, Blue Origin’s massive New Glenn rocket reached orbital space for the first time, marking a potential turning point in the commercial space race.

SpaceX has long dominated orbital launches with its Falcon 9 rocket, securing contracts from private companies, the Pentagon and NASA.

In contrast, Blue Origin had been limited to short hop suborbital flights with its smaller New Shepard rocket — but could now look to erode SpaceX’s market share.

Although the two tech titans have had a contentious past, Musk congratulated Bezos “on reaching orbit on the first attempt,” and Bezos returned the goodwill a few hours later.

“Good luck today @elonmusk and the whole spacex team!!” the Amazon founder wrote on X.

NASA’s outgoing chief Bill Nelson meanwhile offered his congratulations to SpaceX for the booster catch, adding: “Spaceflight is not easy.”

For this flight, SpaceX announced it had made numerous upgrades, and increased Starship’s size to 123 meters tall. New Glenn stands 98 meters tall.

While its Falcon rockets remain steadfast workhorses, SpaceX has made clear it sees Starship as its future.

The first three test flights ended in dramatic explosions, resulting in the loss of vehicles. However, SpaceX has rapidly iterated on its design, reflecting its “fail fast, learn fast” philosophy.

Musk is now aiming to drastically ramp up the frequency of tests, requesting permission from the FAA to carry out 25 in 2025, compared to just four in 2024.

The agency is holding public meetings on potential environmental and regulatory concerns, amid accusations that SpaceX has harmed ecologically sensitive areas and violated wastewater regulations.

But with Musk now part of Trump’s inner circle, the billionaire may find a smoother path under the incoming administration.

Meanwhile, Bezos and fellow tech mogul Mark Zuckerberg are set to attend the president-elect’s inauguration on Monday, signaling warming ties.
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People hospitalized for flu should be tested for bird flu within 24 hours, the U.S. Centers for Disease Control and Prevention said on Thursday, in an expansion of the agency’s efforts to tackle increasing infections in humans. 

The advisory is intended to prevent delays in identifying human cases of avian influenza A (H5N1) viruses amid high levels of seasonal influenza. 

The risk to the general public from bird flu is low, and there has been no further evidence of person to person spread, the agency said. 

Still, influenza A-positive patients, particularly those in an intensive care unit, should be tested ideally within 24 hours of hospitalization to identify the viral subtype and determine whether they have bird flu, the agency said. 

Prior to Thursday’s guidance, hospitals generally sent batches of samples to labs for subtyping every few days. 

Faster testing also aims to help doctors identify how people became infected and provide their close contacts with testing and medicine more quickly, if needed, said Nirav Shah, the agency’s principal deputy director, on a call with reporters. 

The CDC does not believe it has been missing bird flu infections in people, Shah said. No surveillance system detects 100% of cases, he added later. 

“The system is working as it should,” said Shah, adding that health officials want results sooner in case any public health action is needed. “What we need is to shift to a system that tells us what’s happening in the moment.” 

Nearly 70 people in the United States, most of them farmworkers, have contracted bird flu since April, as the virus has circulated among poultry flocks and dairy herds. Three people have tested positive without a clear source of exposure to the virus, according to CDC. 

Most infections in humans have been mild, but one fatality was reported in Louisiana last week. 

The U.S. Department of Agriculture has more than 300 personnel working on its bird flu response and has spent $1.5 billion on its efforts to curb the spread among poultry and dairy cattle, said Eric Deeble, a deputy undersecretary at the agency. 

The USDA last week said it would rebuild a bird flu vaccine stockpile for poultry. 

USDA officials have met several times with the transition team of the incoming Donald Trump administration to try to ensure a smooth handoff on agency actions to curb the spread of the virus, including a tabletop exercise at the White House on Wednesday, Deeble said. 

Officials at the Department of Health and Human Services, which encompasses CDC, also have repeatedly met with the transition team on Zoom calls and have shared their bird flu playbook, officials said on the press call.  

HHS said on Thursday it plans to put $211 million toward mRNA-based vaccine technology to better respond to emerging infectious diseases such as bird flu.  
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GENEVA — The World Health Organization appealed Thursday for $1.5 billion for emergency operations this year, warning that conflict, climate change, epidemics and displacement had converged to create an “unprecedented global health crisis.”

The U.N. health agency estimated that health crises would leave 305 million people in need of urgent humanitarian assistance this year.

“WHO is seeking $1.5 billion to support our lifesaving work for the emergencies we know about and to react swiftly to new crises,” WHO chief Tedros Adhanom Ghebreyesus said as he launched the appeal.

The agency’s emergency request, which was for the same amount as last year’s request, outlined the critical priorities and resources needed to address 42 ongoing health emergencies.

“Conflicts, outbreaks, climate-related disasters and other health emergencies are no longer isolated or occasional — they are relentless, overlapping and intensifying,” Tedros said in a statement.

He pointed to the emergency health assistance provided in conflict zones ranging from the occupied Palestinian territories to the Democratic Republic of Congo to Sudan, as well as its work conducting vaccination campaigns, treating malnutrition and helping control outbreaks of diseases like cholera.

“Without adequate and sustainable funding, we face the impossible task of deciding who will receive care and who will not this year,” Tedros said at Thursday’s event.

“Your support helps to ensure that WHO remains a lifeline, bridging the gap between sickness and health, despair and hope, life and death for millions of people worldwide.”
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ARUSHA, Tanzania — The World Health Organization said Wednesday an outbreak of suspected Marburg disease has killed eight people in a remote part of northern Tanzania. 

“We are aware of 9 cases so far, including 8 people who have died,” WHO chief Tedros Adhanom Ghebreyesus said in a statement. “We would expect further cases in coming days as disease surveillance improves.” 

Like Ebola, the Marburg virus originates in fruit bats and spreads between people through close contact with the bodily fluids of infected individuals or with surfaces, such as contaminated bed sheets. 

Without treatment, Marburg can be fatal in up to 88% of people who fall ill with the disease. Symptoms include fever, muscle pains, diarrhea, vomiting and in some cases death from extreme blood loss. There is no authorized vaccine or treatment for Marburg. 

WHO said its risk assessment for the suspected outbreak in Tanzania is high at national and regional levels but low globally. There was no immediate comment from Tanzanian health authorities. 

An outbreak of Marburg in Rwanda, first reported on Sept. 27, was declared over on Dec. 20. Rwandan officials reported a total of 15 deaths and 66 cases, with the majority of those affected healthcare workers who handled the first patients. 

An outbreak in 2023 of Marburg in Kagera, which shares a border with Rwanda, killed at least five people. 

 
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China says HMPV infections in the northern part of the country are declining. News of increased respiratory illnesses in China kindled international concerns about another potential pandemic. But, as VOA’s Dora Mekouar reports, medical experts say HMPV is nothing like COVID-19. VOA Mandarin contributed to this report.
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Elon Musk said a third person has received an implant from his brain-computer interface company Neuralink, one of many groups working to connect the nervous system to machines.

“We’ve got … three humans with Neuralinks and all are working well,” he said during a recent wide-ranging interview at a Las Vegas event streamed on his social media platform X.

Since the first brain implant about a year ago, Musk said the company has upgraded the devices with more electrodes, higher bandwidth and longer battery life. Musk also said Neuralink hopes to implant the experimental devices in 20 to 30 more people this year.

Musk didn’t provide any details about the latest patient, but there are updates on the previous ones.

The second recipient — who has a spinal cord injury and got the implant last summer — was playing video games with the help of the device and learning how to use computer-aided design software to create 3-D objects. The first patient, also paralyzed after a spinal cord injury, described how it helped him play video games and chess.

But while such developments at Neuralink often attract notice, many other companies and research groups are working on similar projects. Two studies last year in the New England Journal of Medicine described how brain-computer interfaces, or BCIs, helped people with ALS communicate better.

Who’s working on brain-computer interface technology?

More than 45 trials involving brain-computer interfaces are underway, according to a U.S. database of studies. The efforts are aimed at helping treat brain disorders, overcoming brain injuries and other uses.

Many research labs have already shown that humans can accurately control computer cursors using BCIs, said Rajesh Rao, co-director of the Center for Neurotechnology at the University of Washington.

Rao said Neuralink may be unique in two ways: The surgery to implant the device is the first time a robot has been used to implant flexible electrode threads into a human brain to record neural activity and control devices. And those threads may record from more neurons than other interfaces.

Still, he said, the advantages of Neuralink’s approach have yet to be shown, and some competitors have eclipsed the company in other ways. For example, Rao said companies such as Synchron, Blackrock Neurotech and Onward Medical are already conducting BCI trials on people “using either less invasive methods or more versatile approaches” that combine neural recording with stimulation.

What are the benefits of BCIs?

Marco Baptista, chief scientific officer of the Christopher & Dana Reeve Foundation, called BCI technology “very exciting” with potential benefits to people with paralysis.

Through clinical trials, “we’ll be able to see what’s going to be the winning approach,” he said. “It’s a little early to know.”

Baptista said his foundation generally tries to support research teams financially and with expert help – though it hasn’t given any money to Neuralink.

“We need to really support high-risk, high-reward endeavors. This is clearly high-risk, high-reward. We don’t know how safe it’s going to be. We don’t know how feasible it’s going to be,” he said.

How are BCIs tested and regulated?

Neuralink announced in 2023 that it had gotten permission from U.S. regulators to begin testing its device in people.

While most medical devices go on the market without clinical studies, high-risk ones that undergo pre-market approval need what’s called an “investigational device exemption” from the Food and Drug Administration, said Dr. Rita Redberg, a cardiologist at the University of California, San Francisco, who studies high-risk devices.

Neuralink says it has this exemption, but the FDA said it can’t confirm or disclose information about a particular study.

Redberg said the FDA tends to be involved in all steps from recruiting patients to testing devices to analyzing data. She said this regulatory process prioritizes safety.

She also pointed to another layer of protection: All research involving people needs an institutional review board, or IRB. It can also be known as an ethical review board or an independent ethics committee. Members must include at least one non-scientist as well as someone not affiliated with the institution or organization forming the board.

The role of such boards “is to assume there is reasonable risk and reasonable chance of benefit and that patients are informed of those before they enroll,” said Redberg.
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SANTA FE, NEW MEXICO — The New Mexico Supreme Court on Thursday struck down abortion restrictions by conservative cities and counties, helping to ensure the state remains a go-to destination for people from other states with bans.

The unanimous opinion, in response to a request from state Attorney General Raúl Torrez, reinforces the state’s position as having some of the most liberal abortion laws in the country.

Attorneys representing the cities of Hobbs and Clovis and Lea and Roosevelt counties had argued that provisions of a federal “anti-vice” law known as the Comstock Act block courts from striking down local abortion ordinances.

But Justice C. Shannon Bacon, writing for the majority opinion, said state law precludes cities and counties from restricting abortion or regulating abortion clinics.

“The ordinances violate this core precept and invade the Legislature’s authority to regulate access to and provision of reproductive healthcare,” she wrote. “We hold the ordinances are preempted in their entirety.”

New Mexico Attorney General Raúl Torrez praised the court’s ruling Thursday, saying that the core of the argument was that state laws preempted any action by local governments to engage in activities that would infringe on the constitutional rights of citizens.

“The bottom line is simply this: Abortion access is safe and secure in New Mexico,” he said. “It’s enshrined in law by the recent ruling by the New Mexico Supreme Court and thanks to the work of the New Mexico Legislature.”

New Mexico House Speaker Javier Martínez called access to health care a basic fundamental right in New Mexico.

“It doesn’t take a genius to understand the statutory framework that we have. Local governments don’t regulate health care in New Mexico. It is up to the state,” the Albuquerque Democrat said.

Opposition to abortion runs deep in New Mexico communities along the border with Texas, which has one of the most restrictive bans in the U.S.

But Democrats, who control every statewide elected office in New Mexico and hold majorities in the state House and Senate, have moved to shore up access to abortion — before and after the U.S. Supreme Court overturned Roe v. Wade in 2022, eliminating the nationwide right to abortion.

In 2021, the New Mexico Legislature repealed a dormant 1969 statute that outlawed most abortion procedures as felonies, ensuring access to abortion even after the Roe v. Wade reversal.

And in 2023, Democratic New Mexico Gov. Michelle Lujan Grisham signed a bill that overrides local ordinances aimed at limiting abortion access and enacted a shield law that protects abortion providers from investigations by other states.

In September, construction began on a state-funded reproductive health and abortion clinic in southern New Mexico that will cater to local residents and people who travel from neighboring states.

The new clinic is scheduled for completion by early 2026 to provide services ranging from medical and procedural abortions to contraception, cervical cancer screenings and education about adoptions.

In Thursday’s opinion, justices said they “strongly admonish” Roosevelt County, in particular, for an ordinance that would have allowed individuals to file lawsuits demanding damages of more than $100,000 for violations of the county’s abortion ordinance.

The provision would have created “a private right of action and damages award that is clearly intended to punish protected conduct,” the court said in its opinion.

Erin Hawley, a vice president at Alliance Defending Freedom, an Arizona-based Christian legal advocacy group, is an attorney who argued on behalf of Roosevelt County in the case. On Thursday, she criticized the court’s decision and emphasized its limitations.

“Roosevelt County and other New Mexico localities should be able to enforce ordinances that comply with federal law and protect the lives of their citizens,” said Hawley, the wife of U.S. Sen. Josh Hawley of Missouri. “We’re grateful that the New Mexico Supreme Court did not abandon common sense and find a so-called right to abortion in the state constitution.”

It was not immediately clear whether the ruling can be appealed in federal court or influence broader efforts to apply Comstock Act restrictions on abortion. The New Mexico Supreme Court opinion explicitly declined to address conflicts with federal law, basing its decision solely on state provisions.

Austin, Texas-based attorney Jonathan Mitchell, a former Texas solicitor general and architect of that state’s strict abortion ban, said he looked forward “to litigating these issues in other states and bringing the meaning of the federal Comstock Act to the Supreme Court of the United States.” 
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CAPE CANAVERAL — A quarter of a century after its founding, Jeff Bezos’ Blue Origin is finally ready for its maiden orbital voyage with a brand-new rocket the company hopes will shake up the commercial space race.

The launch initially scheduled for Sunday was pushed back a day due to “unfavorable” sea conditions, Blue Origin posted on X.

Named New Glenn after legendary astronaut John Glenn — the first American to orbit Earth in 1962 — the rocket stands 320 feet (98 meters) tall, roughly equivalent to a 32-story building — and is set to blast off from Cape Canaveral Space Force Station in a launch window that opens at 1 a.m. (0600 GMT) Monday.

“Pointy end up!” the company’s CEO, Dave Limp posted on X alongside photos of the gleaming white behemoth.

With the mission, dubbed NG-1, Bezos, the world’s second-richest man, is taking direct aim at the world’s wealthiest: Elon Musk, whose company SpaceX dominates the orbital launch market through its Falcon 9 and Falcon Heavy rockets.

These serve the commercial sector, the Pentagon, and NASA — including, crucially, ferrying astronauts to and from the International Space Station.

“SpaceX has for the past several years been pretty much the only game in town and so having a competitor… this is great,” G. Scott Hubbard, a retired senior NASA official, told AFP.

SpaceX, meanwhile, is planning the next orbital test of Starship — its gargantuan new-generation rocket — the same day, upping the sense of high-stakes rivalry.

If all goes to plan, shortly after launch, Blue Origin will attempt to land the first-stage booster on a drone ship named Jacklyn, in honor of Bezos’ mother, stationed about 620 miles (1,000 kilometers) downrange in the Atlantic Ocean.

Though SpaceX makes such landings a near-routine spectacle, this will be Blue Origin’s first shot at a touchdown on the high seas.

Meanwhile, the rocket’s upper stage will fire its engines toward Earth orbit, carrying a Defense Department-funded prototype spaceship called Blue Ring, which will remain aboard for the roughly six-hour test flight.

Limp emphasized that simply reaching orbit is the prime goal, while successfully recovering the booster would be a welcome “bonus.”

Blue Origin does have experience landing its New Shepard rockets — used for suborbital tourism — but they are much smaller and land on terra firma rather than a ship at sea.

Blue Origin has secured a NASA contract to launch two Mars probes aboard New Glenn. The rocket will also support the deployment of Project Kuiper, a satellite internet constellation designed to compete with Starlink.

Like Musk, Bezos has a lifelong passion for space. But whereas Musk dreams of colonizing Mars, Bezos envisions shifting heavy industry off-planet onto floating space platforms to preserve Earth, “humanity’s blue origin.”

He founded Blue Origin in 2000 — two years before Musk created SpaceX — but has adopted a more cautious pace, in contrast to his rival’s “fail fast, learn fast” philosophy.

“There’s been impatience within the space community over Blue Origin’s very deliberate approach,” Scott Pace, a space policy analyst at George Washington University and former member of the National Space Council, told AFP.

If New Glenn succeeds, Pace added, it will give the U.S. government “dissimilar redundancy” — valuable backup if one system fails.
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BANGKOK — Nearly all of the world’s 35,000 online pharmacies are being run illegally and consumers who use them risk getting ineffective or dangerous drugs, according to the U.S. Trade Representative’s annual report on “notorious markets.” The report also singled out 19 countries over concerns about counterfeit or pirated products.

The report also named about three dozen online retailers, many of them in China or elsewhere in Asia that it said are allegedly engaged in selling counterfeit products or other illegal activities.

The report says 96% of online pharmacies were found to be violating the law, many operating without a license and selling medicines without prescriptions and safety warnings.

Their websites often look like legitimate e-commerce platforms, often with false claims that they are approved by the Food and Drug Administration, said the report, released Wednesday. The FDA and U.S. Drug Enforcement Administration have both issued warnings about risks of buying prescription medicines from such sources.

It cited a survey by the Alliance for Safe Online Pharmacies’ Global Foundation that found nearly one in four Americans who have used online pharmacies reported having encountered substandard, fake or harmful medicines.

Last year, federal prosecutors reported that a network of illegal drug sellers based in the U.S., the Dominican Republic and India had packaged potentially deadly synthetic opioids into pills disguised as common prescription drugs and sold millions of them through fake online drugstores, federal prosecutors said Monday. At least nine people died of narcotics poisoning between August 2023 and June 2024 after consuming the counterfeit pills, the indictment said.

Apart from the risks of using drugs that may contain inert ingredients or those that could cause allergies, the medicines are sometimes made in unsanitary conditions, said the report, which did not give annual statistics for those who may have died or otherwise been harmed.

Progress in fighting counterfeit and pirated goods

The USTR’s annual report cited examples from inside the United States, but and also mentioned risks of imported ingredients including fentanyl from China. Many of the illicit online pharmacies are based outside the U.S.

The “Notorious Markets List” did laud progress in fighting counterfeit and pirated goods.

In one case, U.S. authorities, industry groups and the police collaborated in shutting down a Hanoi, Vietnam-based piracy ring, Fmovies, and other related piracy sites, in July and August.

The report said the world’s then-largest pirated movies site had drawn more than 6.7 billion visits from January 2023 to June 2024.

In another Vietnam-linked case, two people operating pirate television platform BestBuyIPTV were convicted and ordered to pay fines and forfeit property.

The report also cited crackdowns on online piracy in Brazil and the United Kingdom and busts of sellers of counterfeit purses, clothing and shoes in Kuwait.

But problems remain with cyberlockers that thwart efforts to restrict piracy of movies and other content and of so-called “bulletproof” internet service providers, or ISPs, that promise people using them leeway for using pirate sites, it said.

One such ISP is Avito, a Russian-based ad platform that allegedly lets sellers advertise counterfeit products.

Baidu Wangpan, a cloud storage service of China’s largest search engine provider, Baidu, was named for allegedly failing to enforce or being slow to act on copyright protection.

The report also pointed to social-commerce site Pinduoduo and to Douyin Mall, a Chinese online platform owned by Tiktok owner ByteDance. It said the shopping platforms have sought to build up protections but that they still host many counterfeit goods.

It also named Shopee, a Singapore-based online and mobile e-commerce site, saying some country-focused platforms serving Southeast Asia and South American had better track records in fighting piracy than others.

IndiaMART, an big business-to-business marketplace in India, still offers a slew of counterfeit products, it said.

While a large share of theft of intellectual property has moved online, the report also highlighted real world locations notorious for selling counterfeit products, including markets in Turkey, bazaars in the United Arab Emirates and Saigon Square Shopping Mall in Vietnam’s Ho Chi Minh City.

The report said Bangkok’s MBK Center, a huge mall of about 2,000 stores, had actively cracked down on counterfeiting, though such products still can be found there. 
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NEW YORK — The 13-year-old boy came to the clinic with a rapidly ballooning neck. Doctors were puzzled.

Testing ruled out their first suspicion. But further tests pinpointed what they — and the boy — had been missing: iodine.

A century ago, iodine deficiency affected kids across large swaths of the country. It essentially disappeared after some food makers started adding it to table salt, bread and some other foods, in one of the great public health success stories of the 20th century.

But today, people are getting less iodine because of changes in diet and food manufacturing.

Although most people are still getting enough, researchers have increasingly been reporting low levels of iodine in pregnant women and other people, raising concerns about an impact on their newborns. And there is also a very small, but growing, number of reports of iodine deficiency in kids.

“This needs to be on people’s radar,” said Dr. Monica Serrano-Gonzalez, a Brown University doctor who treated the boy in 2021 in Providence, Rhode Island.

What is iodine?

Iodine is a trace element found in seawater and in some soils — mostly in coastal areas. A French chemist accidentally discovered it in 1811 when an experiment with seaweed ash created a purple puff of vapor. The name iodine comes from a Greek word meaning violet-colored.

Later that century, scientists began to understand that people need certain amounts of iodine to regulate their metabolism and stay healthy, and that it’s crucial in the development of brain function in children.

One sign of insufficient iodine is a swelling of the neck, known as a goiter. The thyroid gland in the neck uses iodine to produce hormones that regulate the heart rate and other body functions. When there’s not enough iodine, the thyroid gland enlarges as it goes into overdrive to make up for the lack of iodine.

At the beginning of the 20th century, goiter was very common in children in certain inland parts of the United States, especially in a “goiter belt” that stretched from Appalachia and the Great Lakes to the northwest United States. Some of the kids were unusually short, deaf, intellectually stunted and had other symptoms of a syndrome once known as “cretinism.”

Adding iodine to salt

Public health experts realized they couldn’t solve the problem by feeding everyone seaweed and seafood, but they learned that iodine can essentially be sprayed on table salt. Iodized salt first became available in 1924. By the 1950s, more than 70% of U.S. households used iodized table salt. Bread and some other foods also were fortified with iodine, and iodine deficiency became rare.

But diets changed. Processed foods now make up a large part of the American diet, and though they contain a lot of salt, it’s not iodized. Leading bread brands no longer add iodine. In the case of the 13-year-old boy, he has mild autism and was a fussy eater, mostly only eating specific brands of bread and peanut butter.

And for people who do salt their food, the fashion now is to use kosher salt, Himalayan rock salt or other noniodized products.

“People have forgotten why there’s iodine in salt,” said Dr. Elizabeth Pearce of Boston Medical Center. She is a leader in the Iodine Global Network, a nongovernmental agency working to eliminate iodine deficiency disorders.

She noted a reported 50% drop in U.S. iodine levels in surveyed Americans between the 1970s and the 1990s.

How much iodine is enough?

Though iodine consumption is falling overall, most Americans are still getting enough through their diet, experts say. But doctors worry that’s not the case for women and children, who are most vulnerable to iodine deficiency.

The American Academy of Pediatrics and other medical societies recommend that all pregnant and breastfeeding women get 150 micrograms of iodine each day. You can get that from one-half to three-quarters of a teaspoon of iodized table salt.

In the last 15 years or so, U.S. researchers have increasingly reported seeing mild iodine deficiency in pregnant women. A Michigan State University study of about 460 pregnant women in the city of Lansing found about a quarter of them were not getting enough.

Many prenatal vitamins don’t contain iodine, noted Jean Kerver, the study’s lead author. That’s why doctors recommend that pregnant or breastfeeding women check labels to ensure they are taking multivitamins or prenatal supplements with iodine.

Some studies have linked even mild iodine deficiency to lower IQs and language delay in children, although there is debate about at exactly what levels problems start, Pearce said.

Experts say there hasn’t been enough research to establish what impact that iodine deficiency has actually been having on the U.S. population in recent years.

Serrano-Gonzalez said she and her colleagues have seen four other cases in children in their clinic in Providence.

“We’re concerned this may be increasing, especially in patients with restricted diets,” she said. 
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Human Metapneumovirus (HMPV) has recently spread widely across China, overwhelming hospitals and evoking memories of the COVID-19 outbreak. HMPV is not a new virus; it has been known for years and typically has a low mortality rate. Nevertheless, epidemiologists are calling for greater transparency about the spread of the virus to help contain infections. While the health care system is under strain, experts stress that there is no need for panic. They recommend the public follow basic protective measures, particularly during the Spring Festival travel period, to help curb further spread of the virus.

Click here to read the full story in Mandarin.
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GENEVA — The World Meteorlogical Organization says that preventive action cannot avert natural disasters such as the wildfires raging across Los Angeles, but that it can help save lives and mitigate loss of property.

“Land management and prevention, regular clearing of underbrush play a key role in fire management, and evacuation plans are important in saving lives,” the WMO said Friday. “These are all part of effective early warning systems.”

In a briefing to journalists in Geneva, Claire Nullis, a WMO spokesperson, stressed the importance of preparing adequate evacuation plans and early warning systems to prevent some of the worst impacts from a natural disaster.

While acknowledging the staggering losses from the devastating wildfires sweeping across parts of Los Angeles in the United States this week, she said “The early warnings have, in this instance, been very, very good.

“You know, people have been evacuated. It has been impossible to save houses, and the loss of life is still too high, but it has been kept to a relative minimum,” she said.

Media reports say at least 10 people have been killed in this week’s Southern California wildfires, although more bodies are expected to be found once the fires have been contained and searchers can go through the debris.

More than 10,000 structures reportedly have burned, and 180,000 people are under evacuation orders.

While California is no stranger to wildfires, the WMO calls this catastrophic event “extraordinary” in that it is affecting one of the largest cities in the United States.

The WMO said that last year’s rainy season for the Los Angeles area as a whole was slightly above normal, but so far, this year it has been dry.

“The big compounding factor in this context is the winds. … They cause temperatures to rise, and they cause very low humidity, drying out the ground and vegetation,” Nullis said.

The WMO said destructive wildfires have been made worse by climate change.

“Climate change, including increased heat, extended drought and a thirsty atmosphere, has been a key driver in increasing the risk and extent of wildfires in the western United States during the last decades,” it said, citing data from the U.S. National Oceanic and Atmospheric Administration.

The WMO said wildfires require the alignment of a number of factors, including temperature, humidity and the lack of moisture in fuels such as trees, shrubs, grasses and forest debris.

“All these factors have strong direct or indirect ties to climate variability and climate change,” it said.

“Obviously, not every single weather-related disaster is due to climate change,” WMO spokesperson Nullis said. “Nobody would say that. But we get quite clear signals that climate change is exacerbating some of these disasters.”

In addition to the loss of life and destruction of homes and other infrastructure that could total billions of dollars in insured losses, the World Health Organization warns that wildfires can have a significant impact on human morbidity and mortality.

“Wildfire smoke, which is a mixture of air pollutants, of which particulate matter is of major concern as it can be full of PM 2.5. This is a very small particulate matter that gets right down into the lungs, and there certainly is a lot of it.” said Dr. Margaret Harris, a WHO spokesperson.

“A lot of it is associated with premature death in the general population,” she said. “It can cause and exacerbate diseases of lung, heart, brain, the nervous system” and other illnesses.

“It has been shown to lead to cognitive impairment and actually damage your intellectual capacity and lead to memory loss,” she said, adding that firefighters and emergency response workers “are most at risk from exposure to smoke.”

The WHO estimates 4.2 million deaths globally are linked to ambient or outdoor air pollution, with 99% of the global population exposed to air pollution levels that exceed the WHO guideline level for fine particulate matter (PM 2.5).

Harris said more research is needed to understand the long-term health effects of wildfire exposure on vulnerable populations, particularly children, older people, pregnant women and the chronically ill.

“We expect that we will see this over and over again if we do not get what we are doing to the planet under control,” she said.

Meanwhile, the World Meteorological Organization has officially confirmed that 2024 was the hottest year on record, “with a global mean temperature of more than 1.5 degrees above the 1850-1900 average.”

“We have just endured the hottest decade on record, with 2024 topping the list,” U.N. Secretary-General Antonio Guterres said, noting that “blazing temperatures in 2024 require trailblazing climate action in 2025.”

“There is still time to avoid the worst of climate catastrophe. But leaders must act now,” he said.
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For the first time, a person in the United States has died after being infected with the bird flu. Louisiana health officials reported the death on Monday. The World Health Organization says the risk of infection for the general population remains low, but as VOA’s Dora Mekouar reports, some medical experts are still sounding the alarm.
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WASHINGTON — Nearly a quarter of animals living in rivers, lakes and other freshwater sources are threatened with extinction, according to new research published Wednesday.

“Huge rivers like the Amazon can appear mighty, but at the same time freshwater environments are very fragile,” said study co-author Patricia Charvet, a biologist at Brazil’s Federal University of Ceará.

Freshwater habitats – including rivers, lakes, ponds, streams, bogs and wetlands – cover less than 1% of the planet’s surface, but support 10% of its animal species, said Catherine Sayer, a zoologist at the International Union for Conservation of Nature in England.

The researchers examined around 23,500 species of dragonflies, fish, crabs and other animals that depend exclusively on freshwater ecosystems. They found that 24% were at risk of extinction – classified as vulnerable, endangered or critically endangered – due to compounding threats from pollution, dams, water extraction, agriculture, invasive species, climate change and other disruptions.

“Most species don’t have just one threat putting them at risk of extinction, but many threats acting together,” said Sayer, a study-co-author.

The tally, published in the journal Nature, is the first time that researchers have analyzed the global risk to freshwater species. Previous studies have focused on land animals including mammals, birds and reptiles.

Duke University ecologist Stuart Pimm, who was not involved in the study, called it “a long-awaited and hugely important paper.”

“Almost every big river in North America and Europe is massively modified” through damming, putting freshwater species at risk, he said.

In South America, the vast Amazon River ecosystem also faces threats from deforestation, wildfires and illegal gold mining, said Charvet.

Illegal fires to clear forest result in waves of ash polluting the river, and unlicensed gold miners dump mercury into the water, she said.

Rivers and wetlands “concentrate everything that happens around them,” she said. “If something goes really wrong, like an acid or oil spill, you can threaten an entire species. There’s nowhere else for these animals to go.”
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India TV’s claims that HMPV is a mysterious virus, or speculation that a new virus may have arisen out of China, are false.
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WASHINGTON — The Louisiana Department of Health said Monday that a U.S. patient hospitalized with H5N1 bird flu had died, the country’s first death from an outbreak of the virus that has sickened dozens of people and millions of poultry and cattle. 

Nearly 70 people in the U.S. have contracted bird flu since April, according to the U.S. Centers for Disease Control and Prevention, most of them livestock workers exposed to sick chickens or dairy cattle. 

The patient in Louisiana, the first person in the country to be hospitalized with the virus, contracted bird flu after exposure to a combination of backyard chickens and wild birds, said Louisiana health officials. The patient was hospitalized on Dec. 18, state health officials said. 

The patient was over 65 and had underlying medical conditions, the officials said. 

“While the current public health risk for the general public remains low, people who work with birds, poultry or cows, or have recreational exposure to them, are at higher risk,” the department said in a statement.  

The CDC did not immediately respond to a request for comment.
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CAPE CANAVERAL, FLORIDA — The new year will bring a pair of lunar eclipses, but don’t expect any sun-disappearing acts like the one that mesmerized North America last spring.

While the world will have to wait until 2026 for the next total solar eclipse, the cosmos promises plenty of other wow moments in 2025. It’s kicking off the year with a six-planet parade in January that will be visible for weeks. Little Mercury will join the crowd for a seven-planet lineup in February.

Five planets already are scattered across the sky — all but Mars and Mercury — though binoculars or telescopes are needed to spot some of them just after sunset.

“People should go out and see them sometime during the next many weeks. I certainly will,” said the Planetary Society’s chief scientist Bruce Betts.

Here’s a sneak peek of what’s ahead:

Eclipses

The moon will vanish for more than an hour over North and South America on March 14, followed two weeks later by a partial solar eclipse visible from Maine, eastern Canada, Greenland, Europe, Siberia and northwestern Africa.

The cosmic double-header will repeat in September with an even longer total lunar eclipse over Europe, Asia, Africa and Australia, and a partial solar eclipse two weeks later near the bottom of the world.

Supermoons

Three supermoons are on tap this year in October, November and December.

The full moon will look particularly big and bright those three months as it orbits closer to Earth than usual.

November’s supermoon will come closest, passing within 356,980 kilometers. Last year featured four supermoons, wrapping up in November.

Planet parade

Six of our seven neighboring planets will line up in the sky to form a long arc around mid-January. All but Neptune and Uranus should be visible with the naked eye just after sunset, weather permitting.

The parade will continue for weeks, with some of the planets occasionally snuggling up. Mercury will make a cameo appearance by the end of February. The planets will gradually exit, one by one, through spring.

Northern and southern lights

The sun burped big time last year, painting the sky with gorgeous auroras in unexpected places.

Space weather forecasters anticipate more geomagnetic storms that could yield even more northern and southern lights.

That’s because the sun has reached its solar maximum during its current 11-year cycle that could continue through this year. The National Oceanic and Atmospheric Administration’s Shawn Dahl urges everyone to stay on top of space weather news, so as not to miss any pop-up, razzle-dazzle shows.

Meteor showers

The Perseids and Geminids are perennial crowd-pleasers, peaking in August and December, respectively. But don’t count out the smaller, less dramatic meteor showers like the Lyrids in April, the Orionids in October and the Leonids in November.

The darker the locale and dimmer the moon, the better it will be for viewing. Meteor showers are generally named for the constellation in which they appear to originate. They occur whenever Earth plows through streams of debris left behind by comets and sometimes asteroids. 
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TOKYO — Tomiko Itooka, a Japanese woman who was the world’s oldest person according to Guinness World Records, has died, an Ashiya city official said Saturday. She was 116.

Yoshitsugu Nagata, an official in charge of elderly policies, said Itooka died on Dec. 29 at a care home in Ashiya, Hyogo Prefecture, central Japan.

Itooka, who loved bananas and a yogurt-flavored Japanese drink called Calpis, was born on May 23, 1908. She became the oldest person last year following the death of 117-year-old Maria Branyas, according to the Gerontology Research Group.

When she was told she was at the top of the World Supercentenarian Rankings List, she simply replied, “Thank you.”

When Itooka celebrated her birthday last year, she received flowers, a cake and a card from the mayor.

Born in Osaka, Itooka was a volleyball player in high school, and long had a reputation for a sprightly spirit, Nagata said. She climbed the 3,067-meter (10,062-foot) Mount Ontake twice.

She married at 20, and had two daughters and two sons, according to Guinness.

Itooka managed the office of her husband’s textile factory during World War II. She lived alone in Nara after her husband died in 1979.

She is survived by one son, one daughter and five grandchildren. A funeral service was held with family and friends, according to Nagata.

According to the Gerontology Research Group, the world’s oldest person is now 116-year-old Brazilian nun Inah Canabarro Lucas, who was born 16 days after Itooka.
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WASHINGTON — The highly decorated Special Forces soldier who died by suicide in a Cybertruck explosion on New Year’s Day confided to a former girlfriend who had served as an Army nurse that he faced significant pain and exhaustion that she says were key symptoms of traumatic brain injury.

Green Beret Matthew Livelsberger, 37, was a five-time recipient of the Bronze Star, including one with a V device for valor under fire. He had an exemplary military record that spanned the globe and a baby born last year. But he struggled with the mental and physical toll of his service, which required him to kill and caused him to witness the deaths of fellow soldiers.

Livelsberger mostly bore that burden in private but recently sought treatment for depression from the Army, according to a U.S. official who spoke on condition of anonymity to provide details that have not been made public.

He also found a confidant in the former nurse, who he began dating in 2018.

Alicia Arritt, 39, and Livelsberger met through a dating app while both were in Colorado Springs. Arritt had served at Landstul Regional Medical Center in Germany, the largest U.S. military medical facility in Europe, where many of the worst combat injuries from Iraq and Afghanistan were initially treated before being flown to the United States.

There she saw and treated traumatic brain injuries, or TBIs, which troops suffered from incoming fire and roadside bombs. Serious but hard to diagnose, such injuries can have lingering effects that might take years to surface.

“I saw a lot of bad injuries. But the personality changes can happen later,” Arritt said.

In texts and images he shared with Arritt, Livelsberger raised the curtain a bit on what he was facing.

“Just some concussions,” he said in a text about a deployment to Helmand Province in Afghanistan. He sent her a photo of a graphic tattoo he got on his arm of two skulls pierced by bullets to mark lives he took in Afghanistan. He talked about exhaustion and pain, not being able to sleep and reliving the violence of his deployment.

“My life has been a personal hell for the last year,” he told Arritt during the early days of their dating, according to text messages she provided to The Associated Press. “It’s refreshing to have such a nice person come along.”

On Friday, Las Vegas law enforcement officers released excerpts of messages Livelsberger left behind showing the way Livelsberger killed himself was intentional, meant both as a “wakeup call” but also to “cleanse the demons” he was facing from losing fellow soldiers and taking lives.

Livelsberger’s death in front of the Trump Hotel using a truck produced by Elon Musk’s Tesla company has raised questions as to whether this was an act of political violence.

Officials said Friday that Livelsberger apparently harbored no ill will toward President-elect Donald Trump, and Arritt said she and Livelsberger were Tesla fans.

“I had a Tesla, too, that I rescued from a junkyard in 2019, and we used to work on it together, bond over it,” Arritt said.

The pair stopped talking regularly after they broke up in 2021, and she had not heard from him in more than two years when he texted out of the blue on Dec. 28, and again on Dec. 31. The upbeat messages included a video of him driving the Cybertruck and another one of its dancing headlights; the vehicle can sync up its lighting and music.

But she also said Livelsberger felt things “very deeply, and I could see him using symbolism” of both the truck and the hotel.

“He wasn’t impulsive,” Arritt said. “I don’t see him doing this impulsively, so my suspicion would be that he was probably thinking it out.”

Arritt served on active duty from 2003 to 2007 and then was in the Army Reserve until 2011. With Livelsberger, she saw symptoms of TBI as early as 2018.

“He would go through periods of withdrawal, and he struggled with depression and memory loss,” Arritt said. “I don’t know what drove him to do this, but I think the military didn’t get him help when he needed it.”

But Livelsberger was also sweet and kind, she recalled: “He had a really deep well of inner strength and character, and he just had a lot of integrity.”

Pentagon Deputy Press Secretary Sabrina Singh told reporters Friday that it has turned over all Livelsberger’s medical records to local law enforcement and encouraged troops facing mental health challenges to seek care through one of the military’s support networks.

“If you need help, if you feel that you need to seek any type of mental health treatment, or just to talk to someone — to seek the services that are available, either on base or off,” Singh said.

When Livelsberger struggled during the time they were dating, Arritt prodded him to get help. But he would not, saying it could cost him his ability to deploy if he was found medically unfit.

“There was a lot of stigma in his unit; they were, you know, big, strong, Special Forces guys there. There was no weakness allowed, and mental health is weakness is what they saw,” she said.

Livelsberger seeking treatment for depression was first reported by CNN.
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WASHINGTON — U.S. President Joe Biden’s outgoing administration announced Friday that it will allocate $306 million to bolster the nation’s bird flu response before President-elect Donald Trump takes office.

The new funding will support national, state and local preparedness and monitoring programs, as well as research into potential medical countermeasures against the H5N1 virus.

“While the risk to humans remains low, we are always preparing for any possible scenario that could arise,” Health Secretary Xavier Becerra said in a statement.

“Preparedness is the key to keeping Americans healthy and our country safe.”

The United States has reported 66 human cases of bird flu since the start of 2024, though experts believe the true number could be higher, with cases potentially going undetected among cattle and poultry workers.

While the virus has not been found to spread from person to person, the amount of bird flu circulating among animals and humans has alarmed scientists, because it might combine with seasonal influenza and mutate into a more transmissible form — potentially triggering a deadly pandemic.

The funding announcement comes amid concern over how the incoming Trump administration will handle the threat.

The president-elect told Time magazine recently he would abolish the Office of Pandemic Preparedness and Response Policy established under Biden — though it is not clear if he has the authority to do so, since it was created by Congress.

His pick for health secretary, Robert F. Kennedy Jr., is a vocal vaccine skeptic who has pledged to shake up the nation’s health agencies and promotes raw milk, thought to be a vector for bird flu.

Biden’s administration has also faced criticism for what some consider a subpar bird flu response.

The Center for Strategic and International Studies, a Washington-based think tank, published a report last month citing an array of problems including “lagging data, incomplete surveillance, sluggish coordination, considerable mistrust, and insufficient planning and stockpiling of vaccines and therapies.”

Given these shortcomings, infectious disease epidemiologist Meg Schaeffer of the SAS Institute told AFP: “In my opinion, avian influenza is going to become either a pandemic or a virus…  that will become a very widespread and significant health issue for us in the next one to two years.”

She urged raw milk consumers in particular to “take a pause on that consumption.”

Adding to concerns, a virus sample from a critically ill patient in Louisiana has shown signs of mutating to better adapt to human airways, although there is no evidence it has spread beyond that individual, health authorities said last week.

Researchers are also closely monitoring the growing number of bird flu infections in cats, which could expose humans through close contact. 
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