geneva — After the coronavirus pandemic triggered once-unthinkable lockdowns, upended economies and killed millions, leaders at the World Health Organization and worldwide vowed to do better in the future. Years later, countries are still struggling to come up with an agreed-upon plan for how the world might respond to the next global outbreak.

A ninth and final round of talks involving governments, advocacy groups and others to finalize a “pandemic treaty” was scheduled to end Friday. The accord’s aim: guidelines for how the WHO’s 194 member countries might stop future pandemics and better share scarce resources. But experts warn there are virtually no consequences for countries that don’t comply.

WHO’s countries asked the U.N. health agency to oversee talks for a pandemic agreement in 2021. Envoys have been working long hours in recent weeks to prepare a draft ahead of a self-imposed deadline later this month: ratification of the accord at WHO’s annual meeting. But deep divisions could derail it.

U.S. Republican senators wrote a letter to the Biden administration last week critical of the draft for focusing on issues like “shredding intellectual property rights” and “supercharging the WHO.” They urged Biden not to sign off.

Britain’s department of health said it would only agree to an accord if it was “firmly in the U.K. national interest and respects national sovereignty.”

And many developing countries say it’s unfair that they might be expected to provide virus samples to help develop vaccines and treatments, but then be unable to afford them.

“This pandemic treaty is a very high-minded pursuit, but it doesn’t take political realities into account,” said Sara Davies, a professor of international relations at Griffith University in Australia.

For example, the accord is attempting to address the gap that occurred between COVID-19 vaccines in rich and poorer countries, which WHO Director-General Tedros Adhanom Ghebreyesus said amounted to “a catastrophic moral failure.”

The draft says WHO should get 20% of the production of pandemic-related products like tests, treatments and vaccines and urges countries to disclose their deals with private companies.

“There’s no mechanism within WHO to make life really difficult for any countries that decide not to act in accordance with the treaty,” Davies said.

Adam Kamradt-Scott, a global health expert at Harvard University, said that similar to the global climate agreements, the draft pandemic treaty would at least provide a new forum for countries to try to hold each other to account, where governments will have to explain what measures they’ve taken.

The pandemic treaty “is not about anyone telling the government of a country what it can do and what it cannot do,” said Roland Driece, co-chair of WHO’s negotiating board for the agreement.

There are legally binding obligations under the International Health Regulations, including quickly reporting dangerous new outbreaks. But those have been flouted repeatedly, including by African countries during Ebola outbreaks and China in the early stages of COVID-19.

Suerie Moon, co-director of the Global Health Center at Geneva’s Graduate Institute, said it was critical to determine the expected role of WHO during a pandemic and how outbreaks might be stopped before spreading globally.

“If we fail to seize this window of opportunity which is closing … we’ll be just as vulnerable as we were in 2019,” she warned.

Some countries appear to be moving on their own to ensure cooperation from others in the next pandemic. Last month, President Joe Biden’s administration said it would help 50 countries respond to new outbreaks and prevent global spread, giving the country leverage should it need critical information or materials in the future.

Yuanqiong Hu, a senior legal and policy adviser at Doctors without Borders, said it’s unclear what might be different in the next pandemic, but hoped that focusing attention on some of the glaring errors that emerged in COVID-19 might help.

“We will mostly have to rely on countries to do better,” she said. “That is worrisome.”
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ISLAMABAD — Taliban officials have reported that heavy seasonal rains caused flash floods in Afghanistan’s northern Baghlan province, killing at least 72 people on Friday.  

Hedayatullah Hamdard, the head of the provincial natural disaster management department, told VOA by phone that the casualties could rise as many people are missing. 

He said residents across several Baghlan districts suffered losses after flooding caught them off guard and damaged homes and properties.  

Rescue teams, assisted by Taliban security forces, were searching for any possible victims under the mud and rubble. Social media footage showed muddy water swamping roads and villages.  

The Taliban government released a formal statement Friday, acknowledging that severe floods also had affected several other provinces in the north and west. “It is with heavy hearts that we mourn the loss of dozens of lives, injuries sustained, the destruction of homes, and the huge financial losses endured by many,” it said.  

Poverty-stricken Afghanistan also experienced heavy rains and flash floods across 32 of its 34 provinces in mid-April, resulting in the deaths of more than 100 people. 

That flooding destroyed nearly 1,000 homes and about 60,000 acres of agricultural land, alongside critical infrastructure, such as roads, bridges and electricity supplies, which could hinder the delivery of humanitarian assistance, according to international aid groups.  

An estimated 80% of the more than 40 million people in Afghanistan depend on agriculture to survive. The war-ravaged South Asian nation is ranked sixth among the countries vulnerable to climate change. 

“Three years of successive drought and the harshest winter in 15 years have exacerbated Afghanistan’s hunger crisis at a time when international support is falling,” the U.S.-based International Rescue Committee, or IRC, said in its latest assessment, published last week. 

The report said that an estimated 15.3 million Afghans, or 35% of the population, continue to suffer from crisis or worse levels of food insecurity. “Nearly half of the population lives in poverty and will continue to experience economic hardship,” IRC said.  

Afghanistan’s economy crashed after the Taliban militarily seized power in 2021 as the then-internationally supported government collapsed, and U.S.-led international forces withdrew after 20 years of involvement in the Afghan war. 

The Taliban takeover led to the termination of foreign development funding for Afghanistan, and its banking system largely remains isolated over terrorism-related concerns as well as sanctions on Taliban leaders.
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NEWPORT BEACH, California — Scores of sick and starving pelicans have been found in coastal California communities in recent weeks and many others have died.

Lifeguards spotted a cluster of two dozen sick pelicans earlier this week on a pier in coastal Newport Beach and called in wildlife experts to assist.

Debbie McGuire, executive director of the Wetlands and Wildlife Care Center in Huntington Beach, said the birds are the latest group that they’ve tried to save after taking in more than 100 other pelicans that were anemic, dehydrated and weighing only half of what they should.

“They are starving to death and if we don’t get them into care, they will die,” McGuire said. “It really is a crisis.”

It is not immediately clear what is sickening the birds. Some wildlife experts noted the pelicans are malnourished even though marine life abounds off the Pacific Coast.

Bird Rescue, which runs two wildlife centers in Northern and Southern California, reported 110 sick pelicans in the past three weeks, many entangled in fishing line or hooks. A similar event occurred in 2022, the group said.

Wildlife organizations are focused on caring for the birds until they can be released back into the wild.
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ABUJA, NIGERIA — In Nigeria, soaring inhaler costs pose a significant challenge for asthma patients, especially as the world marked Asthma Day this week.

The departure of multinational firms like GSK, coupled with inflation, has driven prices skyward, rendering essential medications unaffordable. As a result, patients are turning to alternative treatments.

World Asthma Day 2024 finds Nigeria facing a mounting health crisis with asthma medication costs soaring more than 500% in less than a year. 

That has led many like Khalida Jihad, an asthma sufferer for nearly 30 years, to cut down on their medical supplies.

“I hardly buy and stock up any more…but I definitely have to have inhaler no matter the cost I definitely have to have it but then what about people who can’t afford to have it?” she said.

Some, like Rita Joseph, a college student, unable to afford inhalers, turn to untested alternatives.

“For four months now, I can’t afford inhaler because of the high price so, I now use ginger, garlic, cloves, lemon and other natural ingredients because they are cheaper,” she said.

Asthma is a chronic lung disease causing breathing difficulties. It affects millions globally, and results in more than 450,000 preventable deaths annually according to the World Health Organization.

While Nigeria lacks recent official data, a 2019 survey estimated the country has 13 million asthma sufferers, among the most in Africa.

Public health experts like Ejike Orji fear the rising cost of medication could lead to a crisis.

“If the drug to manage that is not handy when someone has an acute attack, it leads to loss of life,” Orji said. “As one asthma is finishing attack, another one is starting and that is why affordability of those drugs is very important. Good example, Ventolin inhaler is a standard drug people buy, now Ventolin inhaler is not even in the market.”

Asthma’s burden falls heavily on low-income countries. More than 80% of deaths occur there due to lack of awareness, poor management of the disease, and limited healthcare access as disclosed by WHO.

Orji emphasizes the need for Nigeria’s government to promote asthma awareness.

“One area the government can do something is to increase the public education and community engagement to create comprehensive awareness of what to avoid if you are an asthmatic, what to do to prevent yourself getting into trouble and when you are having an attack, what to do immediately,” Orji said.
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Sulaimaniyah, Iraq — Floods caused by torrential rainstorms have killed four hikers in the Sulaimaniyah region of northern Iraq, local officials told AFP. 

“Four members of a hiking team drowned because of heavy rains and flooding in Awaspi village” in the Qaradah district, local official Rouf Kamal said. 

Civil defense spokesperson Aram Ali confirmed the toll and said eight other hikers survived the incident south of Sulaimaniyah on Friday, the autonomous Kurdistan region’s second city. 

He said a weather warning was issued Thursday, with hikers particularly urged to avoid mountainous areas. 

Heavier than usual rainfall has caused flooding in several parts of Iraq, especially the north, and some roads in Kurdistan region capital Arbil were blocked. 

Iraq has suffered four consecutive years of drought, with irregular rainfall badly affecting water resources, forcing many farmers to abandon their land. 

But Ammer al-Jabiri, spokesperson for the weather service in Iraq, where the rainy season is generally from December to March, said precipitation in 2024 was “better than last year.” 
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ISLAMABAD — Pakistan has recorded its wettest April since 1961, with more than double the usual rainfall for the month, the national weather center said.

The country experienced days of extreme weather in April that killed scores of people and destroyed property and farmland. Experts said Pakistan witnessed heavier rains because of climate change.

Last month’s rainfall for Pakistan was a 164% increase from the usual level for April, according to a report published Friday by Pakistan’s national weather center.

The intense downpours affected the country’s northwestern Khyber Pakhtunkhwa and the southwestern Baluchistan provinces the most.

Devastating summer floods in 2022 killed at least 1,700 people, destroyed millions of homes, wiped out swaths of farmland and caused billions of dollars in economic losses in a matter of months.

At one point, a third of the country was underwater. Pakistani leaders and many scientists worldwide blamed climate change for the unusually early and heavy monsoon rains.
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MEXICO CITY — If a woman wins Mexico’s presidency on June 2, would she rule with gender in mind?

The question has been raised by academics, humans rights organizations and activists ahead of the voting that will likely elect Mexico’s first female president for the term 2024-30.

Out of three candidates, the frontrunner is Claudia Sheinbaum, who has promised to keep President Andrés Manuel López Obrador’s legacy on track. Next comes Xóchitl Gálvez, representing several opposition parties, one of which is historically conservative.

The triumph of Sheinbaum or Gálvez, however, would not guarantee their support for certain gender-related policies.

In a country of more than 98 million Catholics, neither of the two leading candidates has shared specific proposals on abortion. Both have suggested equality and protection measures for women amid a wave of violence and femicide.

Here’s a look at some of the challenges that Mexico’s next president would face regarding abortion and LGBTQ+ rights.

What’s the current abortion landscape?

Twelve of Mexico’s 32 states have decriminalized abortion, most of them in the past five years. One more will join them after its legislature complies with a recent court’s ruling, demanding a reform in its penal code.

A few more states allow abortion if the mother’s life is in danger, and it is legal nationwide if the pregnancy is the result of rape.

Mexico’s Supreme Court ruled in 2023 that national laws prohibiting abortions are unconstitutional and violate women’s rights. The ruling, which extended Latin America’s trend of widening abortion access, happened a year after the U.S. Supreme Court went in the opposite direction, overturning the 1973 ruling that established a nationwide right to abortion.

Although the Mexican ruling orders the removal of abortion from the federal penal code and requires federal health institutions to offer the procedure to anyone who requests it, further state-by-state legal work is pending to remove all penalties.

In most of the states where it has been decriminalized, abortion-rights activists say they face persistent challenges in trying to make abortion safe, accessible and government-funded.

To address restrictions and bans, dozens of volunteers — known as “acompañantes” — have developed a nationwide network to share information on self-managed medication abortions following guidelines established by the World Health Organization.

Could a new government strike down the constitutional right to abortion in Mexico?

Whoever wins, the next president would not directly affect abortion legislation, since each state has autonomy over its penal code.

However, the president could indeed have an impact as a moral authority among the members of his or her party, said Ninde Molina, lawyer at Abortistas MX, an organization specializing in abortion litigation strategies.

“Much of the governors’ behavior emulates what the president does,” Molina said.

She’s among the activists who worry that neither Sheinbaum nor Galvez have shared specific proposals addressing abortion, LGBTQ+ rights and the protection of migrants.

“Such lukewarm proposals send the message that these are not fundamental rights,” Molina said.

And though she wouldn’t immediately worry about a setback on abortion policy, the scenario would change if López Obrador or Sheinbaum manage to get the approval of a judiciary reform aiming to replace the current judges with new ones elected by popular vote.

“The court is also in danger,” Molina said. “People may find this (electing the judges) attractive, but they don’t realize what it entails.”

If, for example, an abortion case reaches the Supreme Court and its current composition has changed, then a setback could indeed happen, Molina said.

What do the conservatives think?

Isaac Alonso, from Viva México Movement, which supported right-wing activist Eduardo Verástegui’ s presidential aspirations, thinks that neither Sheinbaum nor Gálvez represent Mexico’s conservative interests.

In his ranks, he said, no one is in favor of criminalizing women who have abortions. But since they firmly believe that abortion is unjustifiable, they would hope for government policies that encourage births through improvements in the adoption system.

Rodrigo Iván Cortés, director of the National Family Front, an anti-abortion group, said the current administration could not be considered an ally. “Before 2018, abortion had only been approved in Mexico City,” he said.

“It is very relevant to say how the Supreme Court, under the leadership of Arturo Saldívar, had an ideological bias,” said Cortés about a judge who currently advises Sheinbaum.

Still, he said, despite who wins the elections, his organization will continue “to take care of the first and fundamental of rights: life.”

What’s needed to rule with a feminist perspective?

“Just because a woman wins does not guarantee a gender perspective at all,” said Pauline Capdevielle, an academic from the National Autonomous University of Mexico.

“In fact, what we are seeing are strategies by conservative sectors to create a façade of feminism that opposes the feminist tradition.”

A true change, Capdevielle said, would start by integrating feminists into the government.

“It is not about putting women where there were none, but about politicizing these issues and really promoting a transformation.”

Some feminists have shown support for Sheinbaum, but both she and López Obrador have also received criticism for their lack of empathy towards women who protest against gender violence.

Amnesty International and other organizations have denounced excessive use of force against women during International Women’s Day protests and say that Mexican women’s right to protest has been stigmatized.

According to Capdevielle, some of the issues that need to be addressed in Mexico’s gender agenda are reproductive justice and women’s participation in political processes.

“The right to get an abortion must be consolidated,” she said. “It is far from being a reality for all women.”

Comprehensive sexual education, access to contraceptives and the rights of the LGBTQ+ community should be prioritized as well, Capdevielle said.

What about LGBTQ+ rights?

“The needs of this community are not likely to figure prominently in Mexico’s presidential elections,” said Cristian González Cabrera, senior researcher at Human Rights Watch.

Gay and transgender populations are regularly attacked and killed in Mexico, a nation marked by its “macho” culture and highly religious population. Human rights organization Letra S documented more than 500 homicides of LGBTQ+ people in the last six years, 58 of them in 2023.

The latest deaths came in 2024, with the murder of three members of the transgender community. This group, along with migrants, are particularly vulnerable to attacks, Gonzalez Cabrera said.

“LGBT migrants continue to suffer abuse from criminal groups and Mexican officials,” he said. “Too often, these human rights violations are not effectively investigated or punished.”

Sheinbaum said in 2023 that, as Mexico City’s mayor, she created a special unit for trans people and said that her dream would be to continue fighting on behalf of sexual diversity, but did not go into specifics.

As for Gálvez, she showed support for women “from the sexual diversity,” but also did not delve into specifics.

González Cabrera highlights that since 2022 all Mexican states recognize same-sex marriage, but some LGBTQ+ rights are not yet guaranteed nationwide.

“There are 11 states where the legal recognition of gender identity for trans people is not possible through administrative means, despite a Supreme Court’s ruling recognizing this right,” he said.

For there to be an agenda in favor of the LGBTQ+ population, González Cabrera said, a government should approach the communities’ organizations to learn about their needs, allocate resources to address violence based on sexual orientation and gender identity, support LGBTQ+ migrants and encourage local governments to align their legislation with the court’s rulings on their rights.
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TAIPEI, Taiwan — China is preparing to launch a lunar probe Friday that would land on the far side of the moon and return with samples that could provide insights into geological and other differences between the less-explored region and the better-known near side.

The unprecedented mission would be the latest advance in the increasingly sophisticated and ambitious space exploration program that is now competing with the U.S., still the leader in space. China already landed a rover on the moon’s far side in 2019, the first country to do so.

Free from exposure to Earth and other interference, the moon’s somewhat mysterious far side is ideal for radio astronomy and other scientific work. Because the far side never faces Earth, a relay satellite is needed to maintain communications.

The Chang’e lunar exploration probe is named after the Chinese mythical moon goddess.

The probe is being carried on a Long March-5 YB rocket set for liftoff Friday evening from the Wenchang launch center on the southern tropical island province of Hainan, the China National Space Administration announced. The launch window is 5-6 p.m. with the target of 5:27 p.m.

Huge numbers of people crowded Hainan’s beaches to view the launch, which comes in the middle of China’s five-day May Day holiday.

After orbiting the moon to reduce speed, the lander will separate from the spacecraft and begin scooping up samples almost as soon as it sets down. It will then reconnect with the returner for the trip back to Earth. The entire mission is set to last 53 days.

China in 2020 returned samples from the moon’s near side, the first time anyone has done so since the U.S. Apollo program that ended in the 1970s. Analysis of the samples found they contained water in tiny beads embedded in lunar dirt.

Also in the past week, three Chinese astronauts returned home from a six-month mission on the country’s orbiting space station after the arrival of its replacement crew.

China built its own space station after being excluded from the International Space Station, largely because of U.S. concerns over the Chinese military’s total control of the space program amid a sharpening competition in technology between the two geopolitical rivals. U.S. law bars almost all cooperation between the U.S. and Chinese space programs without explicit congressional approval.

China’s ambitious space program aims to put astronauts on the moon by 2030, as well as bring back samples from Mars around the same year and launch three lunar probe missions over the next four years. The next is scheduled for 2027.

Longer-term plans call for a permanent crewed base on the lunar surface, although those appear to remain in the conceptual phase.

China conducted its first crewed space mission in 2003, becoming the third country after the former Soviet Union and the U.S. to put a person into space using its own resources.

The three-module Tiangong, much smaller than the ISS, was launched in 2021 and completed 18 months later. It can accommodate up to six astronauts at a time and is mainly dedicated to scientific research. The crew will also install space debris protection equipment, carry out payload experiments, and beam science classes to students on Earth.

China has also said that it eventually plans to offer access to its space station to foreign astronauts and space tourists. With the ISS nearing the end of its useful life, China could eventually be the only country or corporation to maintain a crewed station in orbit.

The U.S. space program is believed to still hold a significant edge over China’s due to its spending, supply chains and capabilities.

The U.S. aims to put a crew back on the lunar surface by the end of 2025 as part of a renewed commitment to crewed missions, aided by private sector players such as SpaceX and Blue Origin. They plan to land on the moon’s south pole where permanently shadowed craters are believed to be packed with frozen water.
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phoenix — Democratic Arizona Governor Katie Hobbs has relegated a Civil War-era ban on most abortions to the past by signing a bill Thursday to repeal it. 

Hobbs said the move was just the beginning of a fight to protect reproductive health care in Arizona. The repeal of the 1864 law that the state Supreme Court recently reinstated won’t take effect until 90 days after the legislative session ends, which typically happens in June or July. 

Abortion rights advocates say they’re hopeful a court will step in to prevent what could be a confusing landscape of access for girls and women across Arizona as laws are introduced and then reversed. 

The effort to repeal the long-dormant law, which bans all abortions except those done to save a patient’s life, won final legislative approval Wednesday in a 16-14 vote of the Senate, as two GOP lawmakers joined with Democrats. 

Hobbs denounced “a ban that was passed by 27 men before Arizona was even a state, at a time when America was at war over the right to own slaves, a time before women could even vote.” 

“This ban needs to be repealed, I said it in 2022 when Roe was overturned, and I said it again and again as governor,” Hobbs said during the bill signing. 

In early April, Arizona’s Supreme Court voted to restore the 1864 law that provides no exceptions for rape or incest and allows abortions only if the mother’s life is in jeopardy. The majority opinion suggested doctors could be prosecuted and sentenced to up to five years in prison if convicted. 

Democrats, who are the minority in the Legislature, struck back with the help of a handful of Republicans in the House and Senate to advance a repeal in a matter of weeks to Hobbs’ desk. 

A crowd of lawmakers — mostly women — joined in the signing ceremony with celebratory airs, including taking selfies and exchanging congratulations among Democrats. 

The scene stood in sharp contrast to Wednesday’s vote in the Senate that extended for hours as Republicans described their motivations in personal, emotional and even biblical terms — including graphic descriptions of abortion procedures and amplified audio recordings of a fetal heartbeat. 

Meanwhile, across the country, an abortion rights initiative in South Dakota submitted far more signatures than required to make the ballot this fall. In Florida, a ban took effect against most abortions after six weeks of pregnancy, before many people even know they are pregnant. 

In Arizona, once the repeal takes effect in the fall, a 2002 statute banning abortion after 15 weeks of pregnancy will become the state’s prevailing abortion law. 

Whether the 1864 law will be enforced in the coming months depends on who is asked. The anti-abortion-rights group defending the ban, Alliance Defending Freedom, maintains county prosecutors can begin enforcing it once the Supreme Court’s decision becomes final, which hasn’t yet occurred. 

Planned Parenthood Arizona filed a motion Wednesday asking the court to prevent a pause in abortion services until the repeal takes effect. Democratic Attorney General Kris Mayes has joined in that action. 

The Supreme Court set deadlines next week for briefings on the motion.
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NASA may soon have another way to get astronauts into space. Plus, the agency reconnects with an old friend and how to train a dog for a walk … on the moon. VOA’s Arash Arabasadi brings us The Week in Space.
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WASHINGTON — Hackers who breached UnitedHealth’s tech unit in February potentially stole data from a third of Americans, the largest U.S. health insurer’s CEO told a congressional committee on Wednesday.

Two congressional panels grilled CEO Andrew Witty about the cyberattack on the company’s Change Healthcare unit, which processes around 50% of all medical claims in the U.S.

The breach has caused widespread disruptions in claims processing, impacting patients and providers across the country.

Witty fielded heated questions from House Energy and Commerce Committee members about the company’s failure to prevent the breach and contain its fallout.

Pressed for details on the data compromised, Witty said protected health information and personally identifiable information pertaining to “maybe a third” of Americans was stolen.

“We continue to investigate the amount of data involved here,” he added. “We do think it’s going to be substantial.”

The cybercriminal gang AlphV hacked into Change on Feb. 12 using stolen login credentials on an older server that did not have multifactor authentication, Witty said.

“It was … a platform which had only recently become part of the company was in the process of being upgraded,” Witty said, referring to UnitedHealth’s $13 billion acquisition of Change in 2022.

The platform also did not have the security measures prescribed in a joint alert issued by the FBI and U.S. cyber and health officials in December 2023 to specifically warn about AlphV, or BlackCat, targeting healthcare organizations.

UnitedHealth paid the gang around $22 million in bitcoin as ransom, Witty said, adding that however there was no guarantee that the breached data was secure and could not still be leaked. Another hacking group claiming to be an offshoot of AlphV said last month it had a copy of the data, though the company has not verified that claim.

The Senate Finance Committee probed the outsized influence of UnitedHealth – which has a market capitalization of $445 billion and annual revenue of $372 billion – on American health care. But Witty said the company’s problems were not a threat to the broader economy.

Senator Bill Cassidy said senators on the panel “would have to ask, is the dominant role of United too dominant because it is into everything and messing up United messes up everybody?”

“My point is, the size of United becomes a it’s almost a too big to fail and sure, because if it fails, it’s going to bring down far more than it ordinarily would,” Cassidy said.

Witty said in response, “I don’t believe it is because actually despite our size, for example, we have no hospitals in America, we do not own any drug manufacturers.”

Yet, Change processes medical claims for around 900,000 physicians, 33,000 pharmacies, 5,500 hospitals and 600 laboratories in the U.S.

U.S. military members’ data was also stolen in the hack, Witty revealed, without saying how many of them were impacted.

Senate Finance Committee Chairman Ron Wyden called the hack a national security threat.

“I believe the bigger the company, the bigger the responsibility to protect its systems from hackers. UHG was a big target long before it was hacked,” he added.

“UnitedHealth Group has not revealed how many patients’ private medical records were stolen, how many providers went without reimbursement, and how many seniors are unable to pick up their prescriptions as a result of the hack,” said Wyden.

In letters to both congressional committees, the American Hospital Association said an internal survey of its members found that 94% of hospitals reported damage to cash flow, and more than half reported “significant or serious” financial damage due to Change’s inability to process claims.

Similarly, 90% of respondents to an American Medical Association survey of doctors said they continue to lose revenue because of the hack, according to the group’s written testimony to the Senate Finance Committee.
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The U.S. state of Florida has a new law banning most abortions after six weeks of pregnancy. In this presidential campaign, Donald Trump is defending the right of states to regulate reproductive rights. Joe Biden says that decentralized authority threatens women’s lives. VOA correspondent Scott Stearns has the story
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London — Climate change will cut the average income of people around the world by one-fifth by 2050, according to a new report published in the journal Nature by the Potsdam Institute for Climate Impact Research.

As many parts of the world experience extreme weather, the global impacts of a changing climate are set to cost $38 trillion a year by the middle of the century, the report warns — a reduction in the world’s average income of some 19%.

The losses are already locked in, independent of future emission choices, the report says.

Maximilian Kotz, co-author of the report, told VOA there is little the world can do to mitigate the impact.

“What we find is that over the next 25 to 30 years, impacts on the economy are consistent across different emissions scenarios, regardless of whether we enter a high-emission or low-emission world,” he said.

Climate change, and especially higher temperatures, have been shown to impact worker productivity, said Kotz.

“That’s then going to be manifest across numerous different industries — although it’s particularly strong, those impacts, when workers are outdoors, so in contexts like manufacturing sectors,” he said. “And then, we also know that impacts on agricultural productivity are very strong from again, particularly high temperatures.”

The research looked at climate and economic data from the past 40 years from more than 1,600 regions across the world and used it to assess future impacts. Those least responsible for global emissions are likely to be worst hit.

“Committed losses are projected for all regions except those at very high latitudes, at which reductions in temperature variability bring benefits. The largest losses are committed at lower latitudes in regions with lower cumulative historical emissions and lower present-day income,” the report said.

The authors conclude that tackling climate change would be far cheaper than putting up with the economic damage and estimate the cost of reducing greenhouse gas emissions would be just one-sixth of the $38 trillion impact of climate change by 2050.

The research is likely to underestimate the total economic impact of climate change.

“Important channels such as impacts from heatwaves, sea-level rise, tropical cyclones and tipping points, as well as non-market damages such as those to ecosystems and human health, are not considered in these estimates,” the report said.
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The average income of people around the world will be cut by one-fifth because of climate change by the middle of the century, according to a new report by Germany’s Potsdam Institute for Climate Impact Research, published in the journal Nature. Henry Ridgwell has more.
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Mai Mahiu, Kenya — Kenyan President William Ruto on Tuesday deployed the military to evacuate everyone living in flood-prone areas in a nation where 171 people have been killed since March by torrential rains. 

Seasonal rains, amplified by the El Nino weather pattern, have devastated the East African nation, with floodwaters engulfing villages and threatening to unleash even more damage in the weeks to come. 

In the worst incident, which killed nearly 50 villagers, a makeshift dam burst in the Rift Valley before dawn Monday, sending a torrent of water and mud gushing down a hill and swallowing everything in its path. 

The tragedy in Kamuchiri village, Nakuru county, was the deadliest episode in the country since the start of the March-May rainy season. 

Ruto, who visited the victims of the Kamuchiri deluge after chairing a Cabinet meeting in Nairobi, said his government had drawn up a map of neighborhoods at risk of flooding. 

“The military has been mobilized, the national youth service has been mobilized, all security agencies have been mobilized to assist citizens in such areas to evacuate to avoid any dangers of loss of lives,” he said. 

People living in the affected areas will have 48 hours to move, he said. 

“The forecast is that rain is going to continue, and the likelihood of flooding and people losing lives is real. Therefore, we must take preemptive action,” Ruto said. 

“It is not a time for guesswork, we are better off safe than sorry.” 

The Kamuchiri disaster — which killed at least 48 people dead — cut off a road, uprooted trees and destroyed homes and vehicles. Some 26 people were hospitalized, Ruto said, with fears the death toll could rise as search and rescue operations continued. 

The Cabinet warned that two dams — Masinga and Kiambere — both less than 200 kilometers (125 miles) northeast of the capital, had “reached historic highs,” portending disaster for those downstream.  

“While the government encourages voluntary evacuation, all those who remain within the areas affected by the directive will be relocated forcibly in the interest of their safety,” a statement said. 

Monday’s tragedy came six years after a dam accident at Solai, also in Nakuru county, killed 48 people, sending millions of liters of muddy water raging through homes and destroying power lines. 

The May 2018 disaster involving a private reservoir on a coffee estate also followed weeks of torrential rains that sparked deadly floods and mudslides. 

Opposition politicians and lobby groups have accused Ruto’s government of being unprepared and slow to respond to the crisis despite weather warnings, demanding that it declare the floods a national disaster. 

Kenya’s main opposition leader, Raila Odinga, said Tuesday the authorities had failed to make “advance contingency plans” for the extreme weather. 

“The government has been talking big on climate change, yet when the menace comes in full force, we have been caught unprepared,” he said. “We have therefore been reduced to planning, searching and rescuing at the same time.” 

Environment Minister Soipan Tuya told a press briefing in Nairobi that the government was stepping up efforts to be better prepared for such events. 

“We continue to focus on the need to invest in early warning systems that prepare our population — days, weeks and months ahead of extreme weather events, such as the heavy rainfall we’re experiencing.”  

The international community, including the United Nations and African Union Commission chief Moussa Faki Mahamat, have sent condolences and pledged solidarity with the affected families. 

The weather has also left a trail of destruction in neighboring Tanzania, where at least 155 people have been killed in flooding and landslides. 

Late last year, more than 300 people died in rains and floods in Kenya, Somalia and Ethiopia, just as the region was trying to recover from its worst drought in four decades. 

El Nino is a naturally occurring climate pattern typically associated with increased heat worldwide, leading to drought in some parts of the world and heavy rains elsewhere. 
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Paris, France — G7 environment ministers committed on Tuesday to ramp up the production and deployment of battery storage technology, an essential component for increasing renewable energy and combating climate change.  

Here is how and why batteries play a vital role in the energy transition:   

Growing demand

Batteries have been central to the rise of electric vehicles (EVs) but are also critical to wind and solar power because of the intermittent nature of these energy sources.  

Surplus electricity must be stored in batteries to stabilize distribution regardless of peaks in demand, or breaks in supply at night or during low winds.   

Battery deployment in the energy sector last year increased more than 130 percent from 2022, according to a report released last week by the International Energy Agency (IEA).    

The main markets are China, the European Union and the United States. 

Following closely are Britain, South Korea, Japan and developing nations in Africa, where solar and storage technology is seen as the gateway to energy access.  

Six-fold goal

To triple global renewable energy capacity by 2030 — a goal set at the UN climate conference in December — the IEA says a six-fold increase in battery storage will be necessary.  

Clean energy is essential to reduce emissions from burning fossil fuels and to hope to keep the international target of restricting global warming to 1.5 degrees Celsius above pre-industrial levels.   

The total storage capacity required to achieve this target is an estimated 1,500 gigawatts by 2030.  

Of this, 1,200 GW will need to be supplied by batteries.

Cost challenges

In less than 15 years, the cost of batteries has fallen by 90 percent.  

“The combination of solar PV and batteries is today competitive with new coal plants in India. And just in the next few years, it will be cheaper than new coal in China and gas-fired power in the United States,” IEA chief Fatih Birol said last week.   

“But still the pace is not fast enough to reach our goals in terms of climate change and energy security.”  

Costs will have to come down further, he said, while calling for supply chains to be diversified.   

Most batteries are currently produced by China.   

But some 40 percent of planned battery manufacturing projects are in the United States and Europe, according to the IEA.   

If those projects are realized, they would be nearly sufficient to meet the needs of those countries.

Metal matters

Another thorny issue is the availability of critical metals like lithium and cobalt that are essential to make batteries.  

Experts say the development chemical alternatives could complement the dominant lithium-ion technology.  

“Transition in the technology will reduce the amount of lithium” needed, said Brent Wanner, head of the IEA’s power sector unit, adding, “this includes shifting to sodium-ion batteries.” 

Beyond 2030, high-density solid-state batteries that offer a longer lifespan are expected to become commercially available. 

There are other storage options, although not as widely applicable or available as batteries.

Pumped storage hydropower has long been used in the hydroelectric sector.

The transformation of electricity into hydrogen, which can be stored and transported, is a new technology expected to become more readily available. 

Be flexible

Renewable energy is not entirely reliant on storage and measures can be taken to improve the flexibility of its production to meet demands.   

Industry and governments are gearing up for the transition.   

The European Union’s Energy Regulators Agency called on member states in September to assess their “flexibility potential” based on estimates that renewables will need to double by 2030.   

Such a rise requires greater “flexibility” in grids, meaning energy can be stored and distributed consistently despite fluctuating production and demand.   

The G7 said Tuesday it would not only support more production and use of battery storage, but promote technological advancements in the sector as well as grid infrastructure.

 
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SHANGHAI — The first scientist to publish a sequence of the COVID-19 virus in China staged a sit-in protest outside his lab after authorities locked him out of the facility — a sign of the Beijing’s continuing pressure on scientists conducting research on the coronavirus.

Zhang Yongzhen wrote in an online post Monday that he and his team had been suddenly notified they were being evicted from their lab, the latest in a series of setbacks, demotions and ousters since the virologist published the sequence in January 2020 without state approval.

When Zhang tried to go to the lab over the weekend, guards barred him from entering. In protest, he sat outside on flattened cardboard in drizzling rain, pictures from the scene posted online show. News of the protest spread widely on Chinese social media and Zhang told a colleague he slept outside the lab — but it was not clear Tuesday if he remained there.

“I won’t leave, I won’t quit, I am pursuing science and the truth!” he wrote in a post on Chinese social media platform Weibo that was later deleted.

In an online statement, the Shanghai Public Health Clinical Center said that Zhang’s lab was being renovated and was closed for “safety reasons.” It added that it had provided Zhang’s team an alternative laboratory space.

But Zhang wrote online that his team wasn’t offered an alternative until after they were notified of their eviction, and that the lab offered didn’t meet safety standards for conducting their research, leaving his team in limbo.

Zhang’s latest difficulty reflects how China has sought to control information related to the virus: An Associated Press investigation found that the government froze meaningful domestic and international efforts to trace it from the first weeks of the outbreak. That pattern continues to this day, with labs closed, collaborations shattered, foreign scientists forced out and Chinese researchers barred from leaving the country.

When reached by phone on Tuesday, Zhang said it was “inconvenient” for him to speak, saying there were other people listening in. In an email Monday to collaborator Edward Holmes seen by AP, Zhang confirmed he was sleeping outside his lab after guards barred him from entering.

An AP reporter was blocked by a guard at an entrance to the compound housing Zhang’s lab. A staff member at the National Health Commission, China’s top health authority, said by phone that it was not the main department in charge and referred questions to the Shanghai government. The Shanghai government did not immediately respond to a request for comment.

Zhang’s ordeal started when he and his team decoded the virus on Jan. 5, 2020, and wrote an internal notice warning Chinese authorities of its potential to spread — but did not make the sequence public. The next day, Zhang’s lab was ordered temporarily shut by China’s top health official, and Zhang came under pressure by Chinese authorities.

Around the time, China had reported several dozen people were being treated for a respiratory illness in the central city of Wuhan. Possible cases of the same illness had been reported in Hong Kong, South Korea and Taiwan involving recent travelers to the city.

Foreign scientists soon learned that Zhang and other Chinese scientists had deciphered the virus and called for him to publish. Zhang published his sequence of the coronavirus on Jan. 11, 2020, despite a lack of government permission.

Sequencing a virus is key to the development of test kits, disease control measures and vaccinations. The virus eventually spread to every corner of the world, triggering a pandemic that disrupted lives and commerce, prompted widespread lockdowns and killed millions of people.

Zhang was later awarded prizes in recognition for his work.

But Zhang’s publication of the sequence also prompted additional scrutiny of his lab, according to Holmes, Zhang’s collaborator and a virologist at the University of Sydney. Zhang was removed from a post at the Chinese Center for Disease Control and Prevention and barred from collaborating with some of his former partners, crippling his research.

“Ever since he defied the authorities by releasing the genome sequence of the virus that causes COVID-19 there has been a campaign against him,” Holmes said. “He’s been broken by this process and I’m amazed he has been able to work at all.”
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geneva — Countries trying to negotiate a new global agreement on combating future pandemics began bridging their differences Monday, but they’re racing against time to seal a deal. 

The 194 nations in the World Health Organization are back at its Geneva headquarters for one last round of negotiations, after a two-year effort to secure a landmark accord on pandemic prevention, preparedness and response overran last month’s deadline.  

Issued with a new, slimmed-down draft text that kicks some of the tougher topics down the road, countries began going through its 37 articles in turn.  

However, the handful of articles opened Monday were still being negotiated as the day’s session was ending, with side discussion groups trying to come up with solutions.  

“It’s going as was to be expected. Most member states indicated that with this new text we are on the right track, but at the same time there are still a lot of things that need to be addressed,” talks co-chair Roland Driece told AFP.  

“The process is very time-consuming, and time is our biggest enemy,” the Dutch health diplomat said. “There are outstanding issues which are complicated — but time is not our friend.” 

Sting of COVID 

The goal of the talks, which last 12 hours a day and run until May 10, is to get an agreement ready for adoption at the WHO’s annual assembly of member states, which starts May 27.  

In December 2021, the raw sting of COVID-19 — which shredded economies, crippled health systems and killed millions — motivated countries to seek a binding framework of commitments aimed at preventing another such disaster.  

But big differences quickly emerged on how to go about it.  

The main disputes revolve around access and equity: access to pathogens detected within countries; access to pandemic-fighting products such as vaccines produced from that knowledge; and equitable distribution of not only counterpandemic tests, treatments and vaccinations but the means to produce them.

The new draft focuses on setting up the basic framework and pushes some of the trickier details into further talks running into 2026, notably on how the planned WHO Pathogen Access and Benefit-Sharing (PABS) System will work in practice.  

Clash of narratives   

One senior figure in the negotiations said there was a positive spirit, but that needed to be translated into “concrete action.” Another said the talks were “in the swing now,” with movement expected Tuesday.  

Nongovernmental organizations following the talks at WHO headquarters said it was difficult to read how they were progressing.  

“We’re witnessing a clash of narratives: We are either near the collapse, or the light at the end of the tunnel,” Jaume Vidal, senior policy adviser with Health Action International, told AFP.  

“I was convinced that the situation was worse than it seems,” Vidal said. “Discussions are taking place — that’s already a step forward — but we’re still missing some specific steps. We need public commitments on some of the articles.” 

African unity 

Alongside the African group, the Group for Equity bloc of countries is trying to ensure developing nations are not cut adrift again when it comes to accessing vaccines, tests and treatments. 

African Union health ministers released a statement Monday committing to getting “legal certainty for both users and providers” from the PABS system.  

“Africa stands ready to play its part and commits to engage actively in the ongoing negotiations,” the ministers said, following a meeting in Addis Ababa. 

They called for an international financing mechanism with explicit new, sustainable and increased funding from developed countries for pandemic preparedness and response. 

Indonesia has been a key player in the Group for Equity. 

Wiku Adisasmito, one of Indonesia’s lead negotiators at the Geneva talks, said both parts of the PABS system — having quick access to detected pathogens, and sharing the resulting benefits, such as vaccines — needed to be on an equal footing. 

“That’s key, not only for Indonesia but for most developing countries,” he told AFP. 

“All countries are not equal in terms of capacity, and the pathogens are only coming from hot spots,” he said, explaining that developing countries needed financial support to ramp up their surveillance for emerging dangerous pathogens in animals and the environment. 

If the talks needed an even greater reminder of urgency, the WHO has raised  alarm in recent weeks about the exponential growth of H5N1 bird flu, with concerns about what could happen if it starts being transmitted between humans. 
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