BAKU, Azerbaijan — United Nations climate talks resumed Monday with negotiators urged to make progress on a stalled-out deal that could see developing countries get more money to spend on clean energy and adapting to climate-charged weather extremes.

U.N. Climate Change executive secretary Simon Stiell called for countries to “cut the theatrics and get down to real business.”

“We will only get the job done if Parties are prepared to step forward in parallel, bringing us closer to common ground,” Stiell said to a room of delegates in Baku, Azerbaijan. “I know we can get this done.”

Climate and environment ministers from around the world have arrived at the summit to help push the talks forward.

“Politicians have the power to reach a fair and ambitious deal,” said COP29 President Mukhtar Babayev at a press conference at the venue. “They must deliver and engage immediately and constructively.”

Climate cash is still a sticking point

Talks in Baku are focused on getting more climate cash for developing countries to transition away from fossil fuels, adapt to climate change and pay for damages caused by extreme weather. But countries are far apart on how much money that will require.

A group of developing nations last week put the sum at $1.3 trillion, while rich countries are yet to name a figure. Several experts estimated that the money needed for climate finance is around $1 trillion.

“We all know it is never easy in politics and in international politics to talk about money, but the cost of action today is, as a matter of fact, much lower than the cost of inaction,” said Wopke Hoekstra, the EU climate commissioner at press conference.

“We will continue to lead to do our fair share and even more than our fair share, as we’ve always done,” he said. But Hoekstra added that “others have a responsibility to contribute based on their emissions and based on their economic growth too.”

Teresa Anderson, the Global Lead on Climate Justice at ActionAid International, was skeptical about rich countries’ intentions.

“The concern is that the pressure to add developing countries to the list of contributors is not, in fact, about raising more money for frontline countries,” Anderson said. “Rich countries are just trying to point the finger and have an excuse to provide less finance. That’s not the way to address runaway climate breakdown, and is a distraction from the real issues at stake.”

Rachel Cleetus from the Union of Concerned Scientists said $1 trillion in global climate funds “is going to look like a bargain five, 10 years from now.”

“We’re going to wonder why we didn’t take that and run with it,” she said, citing a multitude of costly recent extreme weather events from flooding in Spain to hurricanes Helene and Milton in the United States.

Robert Habeck, Germany’s climate and economic affairs minister said rich nations shouldn’t try to stop developing nations from producing more energy, but it has to come from cleaner sources.

“They have the same right to create same work, same education and health system,” he said. “On other hand, if we’re they are doing the same as we did for 100 years of burning fossil energy, that is completely messed up.”

Climate watchers keep an eye on Rio and Paris

Meanwhile, the world’s biggest decision makers are halfway around the world as another major summit convenes. Brazil is hosting the Group of 20 summit, which runs Nov. 18-19, bringing together many of the world’s largest economies. Climate change — among other major topics like rising global tensions and poverty — will be on the agenda.

COP President Babayev said the world “cannot succeed” in its climate goals without G20 nations.

“We urge them to use the G20 meeting to send a positive signal of their commitment to addressing the climate crisis. We want them to provide clear mandates to deliver,” he said.

Harjeet Singh, global engagement director for the Fossil Fuel Non-Proliferation Treaty Initiative, said G20 nations “cannot turn their backs on the reality of their historical emissions and the responsibility that comes with it.”

“They must commit to trillions in public finance,” he said.

Also on Monday, the Paris-based Organization for Economic Cooperation and Development has been mulling a proposal to cut public spending for foreign fossil fuel projects. The OECD — made up of 38 member countries including the United States, the United Kingdom, South Korea, Japan and Germany — are discussing a deal that could prevent up to $40 billion worth of carbon-polluting projects.

At COP29, activists are protesting the U.S., South Korea, Japan, and Turkey who they say are the key holdouts preventing the agreement in Paris from being finalized.

“It’s of critical importance that President Biden comes out in support. We know it’s really important that he lands a deal that Trump cannot undo. This can be really important for Biden’s legacy,” said Lauri van der Burg, Global Public Finance Lead at Oil Change international. “If he comes around, this will help mount pressure on other laggards including Korea, Turkey and Japan.”
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In New York City, where some communities have limited access to fresh produce, a unique classroom program is teaching students how to grow their own food and improve their eating habits. Aron Ranen has more on how gardening is shaping healthier futures for kids.
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SAN VICENTE DE TAGUA TAGUA, Chile — An emerging group of farmers and growers in Chile, known as seed guardians, aim to protect the traditional crops of their ancestors, keeping them safe from industrial agriculture and genetic modification.

The guardians collect, trade and plant hundreds of seeds to preserve forgotten varieties of tomatoes, corn and other vegetables that were historically farmed by the indigenous Mapuche people.

One such guardian, Ana Yanez, said the varieties the guardians aim to save are dwindling due to changing environments or farmers opting for higher-yield varieties.

“We are rescuing the seeds and knowledge of our ancestors,” said Delfin Toro, another guardian. “How they harvested, how they sowed, the dynamics of the moon, when to plant, when to harvest.”

The guardians are finding clients at high-end restaurants.

Pablo Caceres, a seed guardian and chef at Vik Winery’s Pavilion restaurant in the Millahue Valley in central Chile, said he normally finds no more than five varieties of tomatoes at markets and fairs.

“This year we’ll have 26 varieties of tomatoes and we think that there are more than 200,” Caceres said.

This diversification could also help crops adapt to new terrain and areas affected by a changing climate. Ricardo Pertuze, an agronomist at the University of Chile, said new varieties are needed when climate change makes a crop’s current location unsuitable.

The genetic diversity the guardians are collecting are essential to find those varieties, Pertuze said.

Wilson Hugo, an official at the U.N. Food and Agriculture Organization, said the trend of safeguarding traditional seeds exists in other nations such as India, China, sub-Saharan Africa, as well as in countries of the former Soviet Union.

“We have to congratulate them and support them and that’s probably not enough,” Hugo said. “We need more of them. We need to do more of this kind of work.”
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The World Bank is helping Malawi’s vulnerable communities address the impact of the climate-related disasters, such as cyclones and drought, that the country has been facing since 2022. Participants say increased community involvement would lead to more immediate outcomes from the program. Lameck Masina reports from the Karonga District in northern Malawi
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NEW YORK — Health officials said Saturday they have confirmed the first U.S. case of a new form of mpox that was first seen in eastern Congo. 

The person had traveled to eastern Africa and was treated in Northern California upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low. 

The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said. 

Mpox is a rare disease caused by infection with a virus that’s in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals. Milder symptoms can include fever, chills and body aches. In more serious cases, people can develop lesions on the face, hands, chest and genitals. 

Earlier this year, scientists reported the emergence of a new form of mpox in Africa that was spread through close contact including through sex. It was widely transmitted in eastern and central Africa. But in cases that were identified in travelers outside of the continent, spread has been very limited, according to the U.S. Centers for Disease Control and Prevention. 

More than 3,100 confirmed cases have been reported since late September, according to the World Health Organization. Most of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo. 

Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom. 

Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups. 

The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up most of the cases. 
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U.S. President-elect Donald Trump has selected Chris Wright, the founder of an oilfield services company, to lead the Energy Department, as his new administration continues to take shape. 

The transition team officially announced the choice on Saturday afternoon. On Friday, Trump announced a new National Energy Council to be led by his Interior Department pick, former North Dakota Governor Doug Burgum.

In this role, Burgum will direct a panel that crosses all executive branch agencies involved in energy permitting, production, generation, distribution, regulation and transportation, Trump said in a statement. As chairman of the National Energy Council, Burgum will have a seat on the National Security Council, the president-elect said. 

Wright, the CEO of Liberty Energy based in Denver, Colorado, has no political experience. He is an advocate for the oil and gas industry, including fracking. In 2019, he drank fracking liquid to show that it was not dangerous. 

According to a March 2024 report by the U.S. Energy Information Administration, the U.S. has produced more crude oil than any nation at any time, according to its International Energy Statistics, for the past six years in a row. Average monthly U.S. crude oil production established a monthly record high in December 2023 at more than 13.3 million barrels per day. 

Earlier announcements 

The Trump-Vance transition team announced Steven Cheung will return to the Trump White House as communications director. He held the same position for the Trump-Vance 2024 presidential campaign and served in the White House during Trump’s first term as director of strategic response.   

On Friday evening, Trump announced that his campaign press secretary, Karoline Leavitt, would be his White House press secretary. She served as assistant press secretary in his previous term in office. 

Trump has swiftly named an array of political loyalists to key Cabinet positions. Most of them are likely to win quick Senate approval after confirmation hearings.  

Having won majorities in both the U.S. House of Representatives and the U.S. Senate, Republicans are set to take full control of the U.S. government by the third week in January.  

“Republicans in the House and Senate have a mandate,” newly reelected House Speaker Mike Johnson said earlier this week. “The American people want us to implement and deliver that ‘America First’ agenda.” 

Trump will be sworn in as the country’s 47th president on January 20, two weeks after the new Congress has been seated.  

The 78-year-old Trump campaigned on a sweeping agenda that Democrats will be largely powerless to stop.  

Republicans will have a 53-47 edge in the Senate, and the tie-breaking vote of Vice President-elect JD Vance in the event of a 50-50 stalemate on any legislative proposal. Republicans have secured at least 218 seats in the 435-member House, pending the outcome of seven undecided elections for two-year terms.   

During his bid to win a second, nonconsecutive four-year term, Trump called for the massive deportation of millions of undocumented migrants living in the United States to their home countries, an extension and expansion of 2017 tax cuts that are set to expire at the end of 2025, further deregulation of businesses, a curb on climate controls, and prosecution of his political opponents.  

Senator John Thune of South Dakota, newly elected by his fellow Republicans as the Senate majority leader, said, “This Republican team is united. We are on one team. We are excited to reclaim the majority and to get to work with our colleagues in the House to enact President Trump’s agenda.”  

Trump also has called on Senate Republican leaders to allow him to make “recess appointments,” which could occur when the chamber is not in session and would erase the need for time-consuming and often contentious confirmation hearings.  

Despite the likelihood that most of his nominees will be approved, Trump this week named four who immediately drew disparaging assessments from several Democrats and some Republicans for their perceived lack of credentials.  

They are former Representative Matt Gaetz as attorney general; former Democratic congresswoman turned Republican Tulsi Gabbard as director of national intelligence; former junior military officer and Fox News host Pete Hegseth as defense secretary; and former presidential candidate and anti-vaccine activist Robert F. Kennedy Jr. to lead the Health and Human Services Department.  

The blowback presages tough confirmation fights for the four in the Senate, which reviews the appointments of top-level officials and then votes to confirm them or, on occasion, reject them, forcing the White House to make another choice.  

The appointment of Gaetz, 42, could prove particularly problematic, with some senators openly questioning whether he can win a 51-vote majority to assume the government’s top law enforcement position. 

A House ethics committee probe was in the final stages of investigating whether he engaged in sexual misconduct and illicit drug use when he announced his resignation from the chamber late Wednesday, ending the probe. 

The Justice Department that Gaetz hopes to lead had decided not to pursue criminal charges. Gaetz has denied all wrongdoing. 

Gabbard, 43, has been criticized for her lack of direct experience in intelligence and accused of disseminating pro-Russian disinformation. If confirmed, she would be tasked with overseeing 18 U.S. intelligence agencies. She won over Trump with her switch from being a one-time Democratic House member from Hawaii to changing parties and staunchly advocating for his election. 

Critics have assailed Hegseth, a 44-year-old decorated former military officer, as someone who lacks managerial experience in the business world. A weekend anchor on Fox News, he has voiced his opinions on military operations, including his opposition to women serving in combat roles. 

A descendant of the Kennedy family political dynasty, Kennedy, 70, for years has been one of the country’s most prominent proponents of anti-vaccine views. He also opposed water fluoridation. 

On Thursday, Trump also selected former Securities and Exchange Commission Chairman Jay Clayton to be Manhattan’s top federal prosecutor, and former Representative Doug Collins to be secretary of the Department of Veterans Affairs. 

Trump named one of his personal criminal defense attorneys, Todd Blanche, to be deputy attorney general, and another of his attorneys, D. John Sauer, to be solicitor general. 

The Associated Press provided some information for this report. 
…

RIO DE JANEIRO — As Brazil prepares to welcome leaders from the world’s 20 largest economies for the Group of 20 summit, another event is taking place in Rio de Janeiro, one that brings global civil society to together for pivotal discussions.

The Brazil G20 Social Summit, an initiative by the Brazilian government, marks the first event at which citizens from around the world, as well as nonprofits and community organizations, are invited to participate in a series of smaller conferences.

One of the most talked-about initiatives is the launch of the Global Alliance Against Hunger — a group proposed by Brazil’s government to raise funds and implement policies aimed at reducing hunger worldwide.

Wellington Dias, Brazil’s minister of Development and Social Assistance, Family and Combating Hunger, told VOA this initiative is open to any nation. He said the G20 addressing hunger and poverty is a significant challenge and a new development.

Dias said the recent COVID pandemic and climate change created a problem for the world.

“It further disrupted the immigration process,” Dias said in an interview in Portuguese. “We also began to face situations involving climate change and people referred to as climate refugees. Hence, the need to address this issue.”

Brazil, Ghana, Zimbabwe, Kenya, Chile, Indonesia and the Dominican Republic have outlined their strategies. Countries supporting these efforts include Germany, France, the United Kingdom, Norway and Spain, as well as the European Union and organizations such as the World Bank, the Food and Agriculture Organization and the World Food Program.

Proposed measures include expanding cash transfer programs to support 500 million people, providing school meals to an additional 150 million children and offering health services to 200 million women and children younger than 6.

“What we need to solve hunger is much less than what is allocated to wars [and conflicts]. … The goal here is to develop a solution tailored to each country’s needs. It’s not just about distributing food baskets but also about delivering a development plan,” Dias said.

Brazilian officials said this financial commitment is expected to come from about 40 nation members of the alliance, 13 international organizations and financial institutions, 19 large philanthropic foundations, civil society organizations, nongovernmental organizations and other nonprofit organizations.

Dias said the alliance is expected to reach its target of 100 countries in the coming months, with more than 50 nations preparing plans to join. However, he said to join the alliance, countries must present well-defined plans and proven projects that effectively reduce poverty.

According to the United Nations, the relationship between food insecurity, migration and displacement is heavily influenced by factors such as conflict, climate change, natural disasters and poverty.

Current projections show that by 2030, 622 million people will live below the World Bank’s extreme poverty line of $2.15 a day.

The alliance’s mission is to lift at least 600 million people out of poverty by 2030.

The G20 social proposals will be compiled into a final document to be presented at the G20 leaders’ summit on Monday and Tuesday, hosted by Brazil. The Brazilian government has prioritized the fight against world hunger, alongside addressing climate change and anti-corruption governance reform.

South African Ambassador Nosipho Jezile told VOA: “Brazil has inspired me and [other] leaders in the context of this global alliance against hunger and poverty. It’s quite a stretch goal in terms of dealing with the challenges in hand.”

But she said nations know the problem and have evidence-based solutions.

“All we have to do is collaborate and make it happen. … It needs a lot of money, but of course, the reorientation of resources that are available to enable and deal with 500 million people that are in hunger and that’s what we have in this commitment,” she said.

About 47,000 people attended the G20 Social Summit from Thursday to Saturday, engaging in discussions on inequality and climate change.

“So, beyond the immigration issue, I always argue that hunger and extreme poverty are not just problems for those experiencing them — they are problems for the middle class, for the wealthy, for rich countries, and for rich individuals. There will be no social peace in the world if we do not find a solution to this issue,” Dias told VOA.
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BAKU, AZERBAIJAN — Hundreds of activists formed a human chain outside one of the main plenary halls at the United Nations climate summit on what is traditionally their biggest protest day during the two-week talks.

The demonstration in Baku, Azerbaijan, will be echoed at sites around the world in a global “day of action” for climate justice that’s become an annual event.

Activists waved flags, snapped their fingers, hummed and mumbled chants, with many covering their mouths with the word “Silenced.”

Demonstrators held up signs calling for more money to be pledged for climate finance, which involves cash for transitioning to clean energy and adapting to climate change. It comes as negotiators at the venue try to hammer out a deal for exactly that — but progress has been slow, and observers say the direction of any agreement is still unclear.

‘Keep fighting’

Lidy Nacpil said protestors like her are “not surprised” about how negotiations are going. But past wins — such as a loss and damage fund that gives developing nations cash after extreme weather events exacerbated by climate change — keep organizers going, said Nacpil, a coordinator with the Asian Peoples’ Movement on Debt and Development.

“The role we play is to increase the pressure,” she said of the action. “We know we’re not going to get the results that the world needs in this round of negotiations, but at least to bring us many steps closer is our hope, is our aim.

“I think we have no option but to keep fighting. … It’s the instinctive response that anyone, any living being, living creatures will have, which is to fight for life and fight for survival.”

Tasneem Essop said she was inspired by the action, which was challenging to organize. “To be able to pull off something where people feel their own power, exercise their own power and get inspired in this creative way, I’m super excited about this,” she said.

Essop said she’s “not very” optimistic about an outcome on finance but knows next week will be pivotal. “We can’t end up with a bad deal for the peoples of the world, those who are already suffering the impacts of climate change, those who need to adapt to an increasing and escalating crisis,” she said.

“We fight until the end.”

Climate cash

Negotiators at COP29, as the talks are known, are working on a deal that might be worth hundreds of billions of dollars to poorer nations. Many are in the Global South and already suffering the costly impact of weather disasters fueled by climate change. Several experts have said $1 trillion or more annually is needed both to compensate for such damages and to pay for a clean-energy transition that most countries can’t afford on their own.

Samir Bejanov, deputy lead negotiator of this year’s climate talks, said in a press conference that the climate finance talks were moving too slowly.

“I want to repeat our strong encouragement to all parties to make as much progress as possible,” he said. “We need everyone to approach the task with urgency and determination.”

Diego Pacheco, a negotiator from Bolivia, said the amount of money on the table for developing countries needs to be “loud and clear.”

“No more speeches but real money,” he said.

Observers also were disappointed at the pace of progress.

“This has been the worst first week of a COP in my 15 years of attending this summit,” said Mohamed Adow, of climate think tank Power Shift Africa. “There’s no clarity on the climate finance goal, the quality of the finance or how it’s going to be made accessible to vulnerable countries.

“I sense a lot of frustration, especially among the developing country blocs here,” he said.

Panama environment minister Juan Carlos Navarro agreed, telling The Associated Press he is “not encouraged” by what he’s seeing at COP29 so far.

“What I see is a lot of talk and very little action,” he said, noting that Panama is among the group of countries least responsible for warming emissions but most vulnerable to the damage caused by climate change-fueled disasters.
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BAKU, AZERBAIJAN — The United Nation’s climate chief urged G20 nations on Saturday to push COP29 negotiations toward a deal to raise money for developing nations, warning there was a “long way to go.”

Negotiators worked through the night to narrow their differences at the U.N. talks in Baku before ministers arrive next week for the final days of the summit, but major differences remain.

U.N. climate chief Simon Stiell appealed for leaders of the Group of 20 nations, which includes the world’s biggest economies and top polluters, to weigh in when they meet in Brazil on Monday.

“As G20 Leaders head to Rio de Janeiro, the world is watching and expecting strong signals that climate action is core business for the world’s biggest economies,” Stiell said in a statement.

Some developing countries, which are least responsible for global greenhouse gas emissions, want an annual commitment of $1.3 trillion to help them adapt to climate impact and transition to clean energy.

The figure is over 10 times what donors including the United States, the European Union and Japan currently pay.

But the negotiations are stuck over a final figure, the type of financing and who should pay, with developed countries wanting China and wealthy Gulf states to join the list of donors.

The latest draft deal was 25 pages long and still contained a raft of options.

“Here in Baku negotiators are working around the clock on a new climate finance goal,” Stiell said.

“There is a long way to go, but everyone is very aware of the stakes, at the halfway point in the COP,” he said.

“Climate finance progress outside of our process is equally crucial, and the G20’s role is mission-critical.” 
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WINCHESTER, England — In the half-light of dusk, Martin Edwards surveys the shadows of the ancient woodland from a high seat and waits. He sits still, watching with his thermal camera.

Even the hares don’t seem to notice the deer stalker until he takes aim. The bang of his rifle pierces the stillness. He’s killed a buck, one of many wild deer roaming this patch of forest in Hampshire, southern England.

Edwards advocates humane deer management: the culling of deer to control their numbers and ensure they don’t overrun forests and farmland in a country where they no longer have natural predators. For these advocates, shooting deer is much more than a sport. It’s a necessity because England’s deer population has gotten out of control.

There are now more deer in England than at any other time in the last 1,000 years, according to the Forestry Commission, the government department looking after England’s public woodland.

That has had a devastating impact on the environment, officials say. Excessive deer foraging damages large areas of woodland including young trees, as well as the habitats of certain birds like robins. Some landowners have lost huge amounts of crops to deer, and overpopulation means that the mammals are more likely to suffer from starvation and disease.

“They will produce more young every year. We’ve got to a point where farmers and foresters are definitely seeing that impact,” said Edwards, pointing to some young hazel shrubs with half-eaten buds. “If there’s too many deer, you will see that they’ve literally eaten all the vegetation up to a certain height.”

Forestry experts and businesses argue that culling the deer — and supplying the meat to consumers — is a double win: It helps rebalance the ecosystem and provides a low-fat, sustainable protein.

While venison — a red meat similar to lean beef but with an earthier flavor — is often perceived as a high-end food in the U.K., one charity sees it as an ideal protein for those who can’t afford to buy other meats.

“Why not utilize that fantastic meat to feed people in need?” said SJ Hunt, chief executive of The Country Food Trust, which distributes meals made with wild venison to food banks.

Pandemic population boom

An estimated 2 million deer now roam England’s forests.

The government says native wild deer play a role in healthy forest ecosystems, but acknowledges that their population needs managing. It provides some funding for solutions such as building deer fences.

But experts like Edwards, a spokesman for the British Association for Shooting and Conservation, believe lethal control is the only effective option, especially after deer populations surged during the COVID-19 pandemic.

The pandemic was a boon to deer because hunters, like everyone else, stayed home and the restaurant market — the main outlet for venison in the U.K. — vanished overnight.

“There were no sales of venison and the price was absolutely on the floor,” said Ben Rigby, a leading venison and game meats wholesaler. “The deer had a chance to breed massively.”

Rigby’s company now processes hundreds of deer a week, turning them into diced venison or steaks for restaurants and supermarkets. One challenge, he said, is growing the domestic appetite for venison so it appears on more dinner plates, especially after Brexit put new barriers up for exporting the meat.

“We’re not really a game-eating nation, not like in France or Germany or Scandinavia,” he said. “But the U.K. is becoming more and more aware of it and our trade is growing.”

From the forest to the table

Shooting deer is legal but strictly regulated in England. Stalkers must have a license, use certain kinds of firearms and observe open seasons. They also need a valid reason, such as when a landowner authorizes them to kill the deer when their land is damaged. Hunting deer with packs of dogs is illegal.

Making wild venison more widely available in supermarkets and beyond will motivate more stalkers to cull the deer and ensure the meat doesn’t go to waste, Edwards said.

Forestry England, which manages public forests, is part of that drive. In recent years it supplied some hospitals with 1,000 kilograms of wild venison, which became the basis of pies and casseroles popular with patients and staff, it said.

The approach appears to have been well received, though it has attracted some criticism from animal welfare group PETA, which advocates veganism.

Hunt, the food charity chief, said there’s potential to do much more with the meat, which she described as nutritious and “free-range to the purest form of that definition.”

Her charity distributed hundreds of thousands of pouches of venison Bolognese meals to food banks last year — and people are hungry for more, she said.

She recalled attending one food bank session where the only protein available was canned sardines, canned baked beans and the venison meals.

“There were no eggs. There was no cheese. That’s all that they could do, and people were just saying, ‘Thank you, please bring more (of the venison),” she said. “That’s fantastic, because people realize they’re doing a double positive with helping the environment by utilizing the meat as well.” 
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LONDON — There are certain phrases that Wachuka Gichohi finds difficult to hear after enduring four years of living with long COVID, marked by debilitating fatigue, pain, panic attacks and other symptoms so severe she feared she would die overnight.

Among them are normally innocuous statements such as, “Feel better soon” or “Wishing you a quick recovery,” the Kenyan businesswoman said, shaking her head.

Gichohi, 41, knows such phrases are well-intentioned. “I think you have to accept, for me, it’s not going to happen.”

Recent scientific studies shed new light on the experience of millions of patients like Gichohi. They suggest the longer someone is sick, the lower their chances of making a full recovery.

The best window for recovery is in the first six months after getting COVID-19, with better odds for people whose initial illness was less severe, as well as those who are vaccinated, researchers in the United Kingdom and the United States found. People whose symptoms last between six months and two years are less likely to fully recover.

For patients who have been struggling for more than two years, the chance of a full recovery “is going to be very slim,” said Manoj Sivan, a professor of rehabilitation medicine at the University of Leeds and one of the authors of the findings published in The Lancet.

Sivan said this should be termed “persistent long COVID” and understood like the chronic conditions myalgic encephalomyelitis/chronic fatigue syndrome, or fibromyalgia, which can be features of long COVID or risk factors for it.

Waning attention

Long COVID, defined as symptoms persisting for three months or more after the initial infection, involves a constellation of symptoms from extreme fatigue to brain fog, breathlessness and joint pain.

It can range from mild to utterly disabling, and there are no proven diagnostic tests or treatments, although scientists have made progress on theories about who is at risk and what might cause it.

One British study suggested almost a third of those reporting symptoms at 12 weeks recovered after 12 months. Others, particularly among patients who had been hospitalized, show far lower rates of recovery.

In a study run by the UK’s Office for National Statistics, 2 million people self-reported long COVID symptoms this past March. Roughly 700,000, or 30.6%, said they first experienced symptoms at least three years previously.

Globally, accepted estimates have suggested between 65 million and 200 million people have long COVID. That could mean between 19.5 million and 60 million people face years of impairment based on the initial estimates, Sivan said.

The United States and some countries like Germany continue to fund long COVID research.

But more than two dozen experts, patient advocates and pharmaceutical executives told Reuters that money and attention for the condition is dwindling in other wealthy countries that traditionally fund large-scale studies. In low- and middle-income countries, it was never there.

“The attention has shifted,” said Amitava Banerjee, a professor at University College London who co-leads a large trial of repurposed drugs and rehabilitation programs.

He says long COVID should be viewed as a chronic condition that can be treated to improve patients’ lives rather than cured, like heart disease or arthritis.

‘Profoundly disabling’

Leticia Soares, 39, from northeast Brazil, was infected in 2020 and has battled intense fatigue and chronic pain ever since. On a good day, she spends five hours out of bed.

When she can work, Soares is a co-lead and researcher at Patient-Led Research Collaborative, an advocacy group involved in a review of long COVID evidence published recently in Nature.

Soares said she believes recovery seldom happens beyond 12 months. Some patients may find their symptoms abate, only to recur, a kind of remission that can be mistaken for recovery, she said.

“It’s so profoundly disabling and isolating. You spend every time wondering, ‘Am I going to get worse after this?'” she said of her own experience.

Soares takes antihistamines and other commonly available treatments to cope with daily life. Four long COVID specialist doctors in different countries said they prescribe such medicines, which are known to be safe. Some evidence suggests they help.

Others have less success with mainstream medicine.

Gichohi’s illness was dismissed by her doctor, and she turned to a functional medicine practitioner, who focused on more holistic treatments.

She moved out of her hectic home city of Nairobi to a small town near Mount Kenya, policing her activity levels to prevent fatigue and receiving acupuncture and trauma therapy.

She has tried the addiction treatment naltrexone, which has some evidence of benefit for long COVID symptoms, and the controversial anti-parasitic infection drug ivermectin, which does not but she says helped her.

She said shifting from “chasing recovery” to living in her new reality was important.

A piecemeal treatment approach is to be expected while research progresses, and perhaps longer-term, said Anita Jain, a long COVID specialist at the World Health Organization.

Meanwhile, long-haulers face a new challenge with each spike in COVID cases. A handful of studies have suggested re-infection can exacerbate existing long COVID.

Shannon Turner, a 39-year-old cabaret singer from Philadelphia, got COVID in late March or early April of 2020.

She was already living with psoriatic arthritis and antiphospholipid antibody syndrome, autoimmune diseases for which she regularly took steroids and an immunotherapy. Such conditions may increase the risk of developing long COVID, researchers say.

This past summer, Turner got COVID again. Once again, she is extraordinarily tired and uses a walker for mobility.

Turner is determined to pursue her music career despite ongoing pain, dizziness and a racing heart rate, which regularly land her in hospital.

“I don’t want to live my life in bed,” she said.  
…

BAKU, Azerbaijan — Cities in Asia and the United States emit the most heat-trapping gas that feeds climate change, with Shanghai the most polluting, according to new data that combines observations and artificial intelligence.

Seven states or provinces spew more than 1 billion metric tons of greenhouse gases, all of them in China, except Texas, which ranks sixth, according to new data from an organization co-founded by former U.S. Vice President Al Gore and released Friday at the United Nations climate talks in Baku, Azerbaijan.

Nations at the talks are trying to set new targets to cut such emissions and figure out how much rich nations will pay to help the world with that task.

Using satellite and ground observations, supplemented by artificial intelligence to fill in gaps, Climate Trace sought to quantify heat-trapping carbon dioxide, methane and nitrous oxide, as well as other traditional air pollutants worldwide, including for the first time in more than 9,000 urban areas.

Earth’s total carbon dioxide and methane pollution grew 0.7% to 61.2 billion metric tons with the short-lived but extra potent methane rising 0.2%. The figures are higher than other datasets “because we have such comprehensive coverage and we have observed more emissions in more sectors than are typically available,” said Gavin McCormick, Climate Trace’s co-founder.

Plenty of big cities emit far more than some nations

Shanghai’s 256 million metric tons of greenhouse gases led all cities and exceeded those from the nations of Colombia or Norway. Tokyo’s 250 million metric tons would rank in the top 40 of nations if it were a country, while New York City’s 160 million metric tons and Houston’s 150 million metric tons would be in the top 50 of countrywide emissions. Seoul, South Korea, ranks fifth among cities at 142 million metric tons.

“One of the sites in the Permian Basin in Texas is by far the No. 1 worst polluting site in the entire world,” Gore said. “And maybe I shouldn’t have been surprised by that, but I think of how dirty some of these sites are in Russia and China and so forth. But Permian Basin is putting them all in the shade.”

In terms of states and provinces, seven of them emit more than 1 billion metric tons of carbon pollution, led by Shandong, China’s 1.28 billion metric tons. Other billion-ton polluters are Hebei, Shanxi, Inner Mongolia, Jiangsu and Guangdong, all in China, and Texas.

Which countries are going up, and which are going down

China, India, Iran, Indonesia and Russia had the biggest increases in emissions from 2022 to 2023, while Venezuela, Japan, Germany, the United Kingdom and the United States had the biggest decreases in pollution.

The dataset — maintained by scientists and analysts from various groups — also looked at traditional pollutants such as carbon monoxide, volatile organic compounds, ammonia, sulfur dioxide and other chemicals associated with dirty air. Burning fossil fuels releases both types of pollution, Gore said.

Burning fossil fuels releases both types of pollution, said Gore, and noted the millions of people who die worldwide each year from air pollution.

This “represents the single biggest health threat facing humanity,” Gore said.

Gore criticized the hosting of climate talks, called COPs, by Azerbaijan, an oil nation and site of the world’s first oil wells, and by the United Arab Emirates last year.

“It’s unfortunate that the fossil fuel industry and the petrostates have seized control of the COP process to an unhealthy degree,” Gore said. “Next year in Brazil, we’ll see a change in that pattern. But, you know, it’s not good for the world community to give the No. 1 polluting industry in the world that much control over the whole process.”

Brazil President Luiz Inácio Lula da Silva has called for more to be done on climate change and has sought to slow deforestation since returning for a third term as president. But Brazil last year produced more oil than both Azerbaijan and the United Arab Emirates, according to the U.S. Energy Information Administration. 
…

A study by the World Bank on Thursday said urgent action is needed to address rising sea levels in the Pacific atoll islands of Kiribati, the Marshall Islands and Tuvalu, which under current projections could be 50% to 80% submerged in the next 50 years.

The World Bank’s “Pacific Atoll Countries Country Climate and Development Report” says the low-lying nations and the roughly 200,000 people who live on them face some of the most severe existential threats from climate change of any region in the world.

The study cites projected sea level rises of up to a half meter in the last half of this century and suggests 50% to 80% of major urban areas in the countries could be underwater.

The region is already seeing annual losses from climate events — such as more frequent and powerful storms — equivalent to 7% of the total economic output in Tuvalu. About 3% to 4% of output in the Marshall Islands and Kiribati are projected to increase.

The bank said that without urgent global and local action, a 1-in-20-year climate event in Tuvalu could lead to damage and losses equivalent to 50% of current annual output by 2050.

The study makes near-, medium- and long-term recommendations for the island nations. The near- and medium-term suggestions include investments in sustainable construction to protect freshwater resources, fisheries and energy supplies, among other crucial infrastructure.

The study’s long-term suggestions include investments in education, legal and regulatory frameworks, economic development and climate resilience.

The study also called on the international donor community to make contributions to the Pacific atoll countries, which still face a significant climate funding gap.

The World Bank produces diagnostic country climate and development reports, CCDRs, that integrate climate change and development considerations and suggest concrete actions that countries can take to mitigate and adapt to climate change. The bank has completed over 45 CCDRs around the world as of October 2024.
…

Islamabad — The World Health Organization has labeled a forced repatriation of Afghan nationals from Pakistan as a “major setback” for polio eradication efforts, contributing to the regional resurgence of the paralytic disease.

Pakistan and neighboring Afghanistan are the only two polio-endemic nations, reporting 49 and 23 cases respectively, so far this year, up from only six cases each in 2023. 

The latest case in Pakistan was confirmed Thursday in the southwestern province of Balochistan, which sits on the Afghan border and accounts for half the cases reported in 2024.

“Until you get rid of polio completely, it will resurge and come back, and this is what we are seeing now in Pakistan [where] nearly half of the districts are infected, and in Afghanistan, a third of the provinces are infected,” Hamid Jafari, the WHO director for the Eastern Mediterranean, said Wednesday while discussing causes of polio resurgence in both countries. 

“I think the major setback was a forced repatriation of Afghan nationals that led to a massive and unpredictable movement of populations within Pakistan and across both borders and within Afghanistan, so the virus moved with these populations,” Jafari told the virtual discussion hosted by the Global Polio Eradication Initiative, or GPEI. 

The United Nations High Commissioner for Refugees has said that Pakistan’s crackdown on undocumented foreign nationals has resulted in more than 730,000 Afghan migrants returning to Afghanistan since August 2023.

Jafari also mentioned other factors contributing to the rise of polio in Pakistan, including authorities’ inability to consistently carry out vaccination campaigns in areas affected by militancy, where children cannot be effectively immunized against the crippling disease. He also highlighted the presence of “significant vaccine hesitancy and community boycotts” rooted in public frustration over the lack of essential services in impoverished districts.

Pakistani and WHO officials say vaccine boycotts in some regions also result from the false propaganda that anti-polio campaigns are a Western plot to sterilize Muslim children. Additionally, anti-government militants in violence-hit regions occasionally stage deadly attacks on polio teams, suspecting them of spying for authorities, routinely disrupting vaccination drives in districts near the Afghan border. 

Afghan polio ban

While sharing the latest polio situation in Afghanistan, the senior WHO official stated they are collaborating with various humanitarian actors and partners to promote vaccination against polio and all other diseases.

“We cannot implement house-to-house vaccination,” Jafari stated, referencing the ban imposed by Taliban authorities on polio teams over security concerns. 

“The program is working closely with [Taliban] authorities to re-update micro plans and work closely with the communities and local officials to make sure children are mobilized to vaccination sites,” he added. 

In September, the Taliban abruptly halted house-to-house vaccine deliveries in parts of southern Afghanistan, including Kandahar, without publicly stating any reason. 

An independent monitoring board of the GPEI recently said that the Taliban’s action had stemmed from their “administration’s concerns about covert surveillance activities.” The report quoted de facto Afghan authorities as explaining that their leadership is living in Kandahar and has concerns about their security.

Jafari stated that Pakistan and Afghanistan are taking measures to address the challenges in their bid “to rebuild community confidence” and work closely with security agencies in both countries to be able to access all children. 

He cautioned that the current resurgence of polio in Pakistan and Afghanistan does not guarantee a low point next year.

“We are confident that we will come very close to elimination, but the key is to make sure that in these final safe havens for poliovirus in insecure areas, among migrant and mobile populations, and vaccine-hesitant communities, we can finally overcome these residual challenges to make sure that finally polio is eradicated,” the regional WHO director said. 

Polio once paralyzed an estimated 20,000 children in Pakistan each year until the country initiated national vaccination campaigns in the 1990s to control the infections, according to the WHO. In 2019, there were 176 reported cases in Pakistan and Afghanistan. In 2021 and 2022, however, the countries reported only one and two infections, respectively.
…

BAKU, Azerbaijan — For the third straight year, efforts to fight climate change haven’t lowered projections for how hot the world is likely to get — and recent developments in China and the United States are likely to slightly worsen the outlook, according to an analysis Thursday.

The analysis comes as countries come together for the 29th edition of the United Nations climate talks, hosted in Baku, Azerbaijan, where nations are trying to set new targets to cut emissions of heat-trapping gases and figure out how much rich nations will pay to help the world with that task.

But Earth remains on a path to be 2.7 degrees Celsius warmer than pre-industrial times, according to Climate Action Tracker, a group of scientists and analysts who study government policies and translate that into projections of warming.

If emissions are still rising and temperature projections are no longer dropping, people should wonder if the United Nations climate negotiations known as COP are doing any good, said Climate Analytics CEO Bill Hare.

“There’s an awful lot going on that’s positive here, but on the big picture of actually getting stuff done to reduce emissions … to me it feels broken,” Hare said.

Climate action is stifled by the biggest emitters

The world has already warmed 1.3 degrees Celsius above pre-industrial times. That’s near the 1.5-degree limit that countries agreed to at 2015 climate talks in Paris. Climate scientists say the atmospheric warming, mainly from human burning of fossil fuels, is causing ever more extreme and damaging weather including droughts, flooding and dangerous heat.

Climate Action Tracker does projections under several different scenarios, and in some cases, those are going up slightly.

One projected track based on what countries promise to do by 2030 is up to 2.6 degrees Celsius, a tenth of a degree warmer than before. And even the analysts’ most optimistic scenario, which assumes that countries all deliver on their promises and targets, is at 1.9 Celsius, also up a tenth of a degree from last year, said study lead author Sofia Gonzales-Zuniga of Climate Analytics, one of the main groups behind the tracker.

“This is driven highly by China,” Gonzales-Zuniga said. Even though China’s fast-rising emissions are starting to plateau, they are peaking higher than anticipated, she said.

Another upcoming factor not yet in the calculations is the U.S. elections. A Trump administration that rolls back the climate policies in the Inflation Reduction Act, and carries out the conservative blueprint Project 2025, would add 0.04 degree Celsius to warming projections, Gonzales-Zuniga said. That’s not much, but it could be more if other nations use it as an excuse to do less, she said. And a reduction in American financial aid could also reverberate even more in future temperature outlooks.

“For the U.S. it is going backwards,” said Hare. At least China has more of an optimistic future with a potential giant plunge in future emissions, he said.

“We should already be seeing (global) emissions going down” and they are not, Hare said. “In the face of all of the climate disasters we’ve observed, whether it’s the massive floods in Nepal that killed hundreds of people or whether it’s the floods in Valencia, Spain, that just killed hundreds of people. The political system, politicians are not reacting. And I think that’s something that people everywhere should be worried about.”

Experts say $1 trillion is needed in climate cash for developing nation

The major battle in Baku is over how much rich nations will help poor countries to decarbonize their energy systems, cope with future harms of climate change and pay for damage from warming’s extreme weather. The old goal of $100 billion a year in aid is expiring and Baku’s main focus is coming up with a new, bigger figure.

A special independent group of experts commissioned by United Nations Secretary-General Antonio Guterres issued its own estimate of costs and finances on Thursday, calling for a tripling of the old commitment.

“Advanced economies need to demonstrate a credible commitment” to helping poor nations, the report said.

A coalition of poor nations at the Baku talks are asking for $1.3 trillion in annual climate finance. The independent experts’ report said about $1 trillion a year is needed by developing nations from all outside sources, not just government grants.

The report detailed how expensive decarbonizing the world’s economy would be, how much it would cost and where the money could come from. Overall climate adaption spending for all countries is projected to reach $2.4 trillion a year.

“The transition to clean, low-carbon energy, building resilience to the impacts of climate change, coping with loss and damage, protecting nature and biodiversity, and ensuring a just transition, require a rapid step-up in investment in all countries,” said the report.
…

Washington — National Geographic scientists say they’ve discovered the world’s largest coral near the remote Solomon Islands in the Pacific Ocean — an undersea mass that is so big, it can be seen from space.

The man who found it, Manu San Felix, director of cinematography for National Geographic Society’s Pristine Seas, a program dedicated to marine conservation, says the giant organism measures 34 meters wide and 32 meters long and is “close to the size of a cathedral.”

“I see this as a living library that has the information of the conditions of the oceans for centuries,” he told reporters this week, underscoring it is a reminder of the need to better protect the ocean from global climate change.

Eric Brown, a Pristine Seas coral scientist, said the enormous coral species, Pavona clavus, is healthy and has “high reproductive potential,” making it essential to help other coral reef ecosystems recover from the damage of a warming ocean.

Corals “are very vulnerable ecosystems. So, it’s important for us to do whatever we can to protect these environments that are both small and mighty,” Brown said at a Tuesday press briefing to announce the find.

The announcement comes as world leaders gather for the United Nations climate conference, known as COP29, in Azerbaijan. Attendees are trying to agree on new mechanisms to finance a global energy transition to renewables and help nations like the Pacific Islands pay for the cost of adapting to rising oceans.

Pristine Seas is also encouraging nations to designate marine protected areas, or MPAs. The goal is to protect 30% of the world’s oceans by 2030.

Palau President Surangel Whipps Jr. is attending the summit. Palau has walled off 80% of its waters to development, while the nearby Pacific Island nation of Niue has designated 40% of its waters for protection.

“It cannot just be big countries. Small countries need to do their part,” he told VOA in an interview. “So, it’s all of us working together … protecting our oceans, because we know that healthy oceans are an important part of the ecosystem and important in regulating climate.”

Solomon Islands Prime Minister Jeremiah Manele agreed.

“Our survival depends on healthy coral reefs, so this exciting discovery underlines the importance of protecting and sustaining them for future generations,” he said in a press release.

But so far, the Solomon Islands has created a network of 79 designated ocean conservation areas — less than 1% of its exclusive economic zone. What’s more, its economy is largely dependent on forestry — the very industry that threatens the viability of coral through sedimentation.

“All that sediment is going onto a reef, and it’s smothering the reef, thereby preventing the corals from being able to feed, to grow, to reproduce,” Molly Timmers, Pristine Seas lead scientist on the Solomon Islands, said at the press briefing.

According to the Observatory of Economic Complexity, an online platform that seeks to visualize the distribution of international trade, the Solomons exported $308 million in rough wood in 2022, with $260 million of it going to China.

VOA asked Chief Dennis Marita, director of culture at the Ministry of Culture & Tourism, how the government can find a balance.

“Much of the logging activities are happening on the mainland” away from the coral, Marita said in an interview, but “there needs to be a serious awareness about the impacts of what’s happening in the logging industry to the marine environment.”

Marita sees this coral discovery as a way to attract researchers, biologists and tourists to bring in revenue to the small island nation of 740,000 people. Earlier this week, the Solomon Islands signed an agreement with China to provide visa-free travel between the two countries.

“Suddenly, people will start coming to the island, but then we need to be prepared for them, and also, we need to ensure that the coral is safeguarded,” Marita said.

Dr. Daniel Barshis of Old Dominion University’s Ecological Sciences Department in Norfolk, Virginia, said that idea has merit.

“I would imagine this discovery would draw tourists to the area, similar to how old-growth trees inspire folks to visit,” he told VOA via email.

“The fact that [corals] like this still exist is a reminder that coral reefs are still surviving and deserve us working as hard as we possibly can to save them from some of the worst-case scenarios if we don’t reverse course on greenhouse gas emissions as soon as possible,” said Barshis.

William Yang contributed to this report.
…

The world’s largest coral colony has been discovered near the remote Solomon Islands in the Pacific Ocean – an undersea mass that is so big, it can be seen from space, National Geographic scientists announced Nov. 12, 2024.   
…

NEW YORK — The decline in U.S. drug overdose deaths appears to have continued this year, giving experts hope the nation is seeing sustained improvement in the persistent epidemic. 

There were about 97,000 overdose deaths in the 12-month period that ended June 30, according to provisional Centers for Disease Control and Prevention data released Wednesday. That’s down 14% from the estimated 113,000 for the previous 12-month period. 

“This is a pretty stunning and rapid reversal of drug overdose mortality numbers,” said Brandon Marshall, a Brown University researcher who studies overdose trends. 

Overdose death rates began steadily climbing in the 1990s because of opioid painkillers, followed by waves of deaths led by other opioids like heroin and — more recently — illicit fentanyl. Provisional data had indicated a slight decline for 2023, and the tally released Wednesday showed that the downward trend has kept going. 

Of course, there have been moments in the last several years when U.S. overdose deaths seemed to have plateaued or even started to go down, only to rise again, Marshall noted. 

“This seems to be substantial and sustained,” Marshall said. “I think there’s real reason for hope here.” 

Experts aren’t certain about the reasons for the decline, but they cite a combination of possible factors. 

One is COVID-19. In the worst days of the pandemic, addiction treatment was hard to get, and people were socially isolated — with no one around to help if they overdosed. 

“During the pandemic we saw such a meteoric rise in drug overdose deaths that it’s only natural we would see a decrease,” said Farida Ahmad of the CDC’s National Center for Health Statistics. 

Still, overdose deaths are well above what they were at the beginning of the COVID-19 pandemic. 

The recent numbers could represent the fruition of years of efforts to increase the availability of the overdose-reversing drug naloxone, and addiction treatments such as buprenorphine, said Erin Winstanley, a University of Pittsburgh professor who researches drug overdose trends. 

Marshall said such efforts likely are being aided by money from settlements of opioid-related lawsuits, brought by state, local and Native American governments against drugmakers, wholesalers and pharmacies. Settlement funds have been rolling out to small towns and big cities across the U.S., and some have started spending the money on naloxone and other measures. 

Some experts have wondered about changes in the drug supply. Xylazine, a sedative, has been increasingly detected in illegally manufactured fentanyl, and experts are sorting out exactly how it’s affecting overdoses. 

In the latest CDC data, overdose death reports are down in 45 states. Increases occurred in Alaska, Nevada, Oregon, Utah and Washington. 

The most dramatic decreases were seen in North Carolina and Ohio, but CDC officials voiced a note of caution. Some jurisdictions have had lags in getting death records to federal statisticians — particularly North Carolina, where death investigations have slowed because of understaffing at the state medical examiner’s office. The CDC made estimates to try to account for incomplete death records, but the decline in some places may ultimately turn out not to be as dramatic as initial numbers suggest. 

Another limitation of the provisional data is that it doesn’t detail what’s happening in different groups of people. Recent research noted the overdose deaths in Black and Native Americans have been growing disproportionately larger. 

“We really need more data from the CDC to learn whether these declines are being experienced in all racial ethnic subgroups,” Marshall said.
…

Harare, Zimbabwe — Zimbabwe has recorded new cases of cholera several months after declaring the end of an outbreak that killed more than 700 people over an 18-month period. 

On Wednesday, Zimbabwe confirmed a new outbreak of cholera has been recorded in the district of Kariba — on the border with Zambia — where 21 cases have been confirmed and one person died. 

Dr. Godfrey Muza, the Kariba district medical officer, said the government is working to contain the situation: 

“We have set up cholera equipment camp and also some oral rehydration points within the affected villages,” said Muza. “We are getting assistance from our local and regional partners like MSF [Medecins Sans Frontieres, also known as Doctors Without Borders] and UNICEF. And our teams are on the ground doing risk communication and community engagement activities on health promotion, hygiene promotion and assisting the community in terms of improving sanction.”  

In August, the Zimbabwe government declared that the 18-month long cholera outbreak was over. The outbreak  affected up to 35,000 people and claimed more than 700 lives.

Zimbabwe has dealt with cholera outbreaks in the past.  In 2008, an outbreak resulted in more than 98,000 cases and more than 4,000 reported deaths.  

Independent health experts such as Dr. Norman Matara of Zimbabwe Doctors for Human Rights said the government needs to address the conditions that enable the waterborne disease to spread. 

“In public health, we often say cholera is a disease of poverty which mainly affects people with inadequate access to safe water and basic sanitation,” said Matara. “In Zimbabwe, we have witnessed perennial cholera outbreaks in recent years and these outbreaks are being caused by a lack of safe drinking water supply and a broken-down sanitation system which leaves residents in densely populated communities surrounded by flowing sewer. This sewer will then contaminate alternative sources of water such as shower wells, streams, rivers and even boreholes resulting in people drinking or eating food contaminated with the cholera bacteria.” 

He said that those conditions have been chronic over the years in Zimbabwe, contributing to the repeated outbreaks. 

How does Zimbabwe get out of this cycle of recurring cholera outbreaks? 

“We need to make sure that our hospitals are well-supposed with the real addressing solutions and medicines so that people can be assisted,” said Matara. ” … Also, those high-risk communities, especially in towns and urban cities, we may give them the oral cholera vaccine so that they may be protected. In the long term, the government needs to invest more in proper sanitation facilities and infrastructure as well as making sure that people are provided with clean safe water for drinking and cooking.” 

Matara said he hopes the current outbreak is contained quickly and does not spread to other parts of Zimbabwe. 

But with raw sewage flowing in some streets of Harare, it might be a question of time.  
…

BAKU, Azerbaijan — When more than two dozen world leaders deliver remarks at the United Nations’ annual climate conference on Wednesday, many have detailed their nations’ firsthand experience with the catastrophic weather that has come with climate change.

“Over the past year, catastrophic floods in Spain, Bosnia and Herzegovina as well as well as in southern Croatia have shown the devastating impact of rising temperatures,” said Croatia’s prime minister, Andrej Plenkovic. “The Mediterranean, one of the most vulnerable regions, calls for urgent action.”

The Greek prime minister said Europe and the world needs to be “more honest” about the trade-offs needed to keep global temperatures down.

“We need to ask hard questions about a path that goes very fast, at the expense of our competitiveness, and a path that goes some much slower, but allows our industry to adapt and to thrive,” he said. His nation this summer was hammered by successive heat waves after three years of below-average rainfall. In Greece, the misery included water shortages, dried-up lakes and the death of wild horses.

Other speakers on the list include Pakistan Prime Minister Shehbaz Sharif, whose nation has seen deadly flooding this year from monsoon rains that scientists say have become heavier with climate change. Just two years ago, more than 1,700 people died in widespread flooding. Pakistan has also suffered from dangerous heat, with thousands of people hospitalized with heatstroke this spring as temperatures soared to 47 degrees Celsius.

Also on the list of speakers Wednesday is Bahamas Prime Minister Philip Edward Davis. Like many other countries in the Global South, the Bahamas has piled up debt from warming-connected weather disasters it did little to cause, including Hurricanes Dorian in 2019 and Matthew in 2016. Leaders have been seeking help and money from the Global North and oil companies.

Early on Wednesday, ministers and officials from African nations called for initiatives to advance green development on the continent and strengthen resilience to extreme weather events — from floods to droughts — across the region.

Plenty of big names and powerful countries are noticeably absent from COP29 this year. That includes the 13 largest carbon dioxide-polluting countries — a group responsible for more than than 70% of the heat-trapping gases emitted last year — were missing. The world’s biggest polluters and strongest economies — China and the United States — didn’t send their No. 1s. Neither did India and Indonesia.

But U.K. Prime Minister Keir Starmer was there, and he announced an 81% emissions reduction target on 1990 levels by 2035, in line with the Paris Agreement goal to limit warming to 1.5 degrees Celsius above pre-industrial times. That’s up from the 78% the U.K. had already pledged.

The main focus of this year’s talks is climate finance — wealthier nations compensating poor countries for damages from climate change’s weather extremes, helping them pay to transition their economies away from fossil fuels and helping them with adaptation.
…

TORONTO, canada — A teenager is in critical condition in a British Columbia children’s hospital, sick with Canada’s first presumptive human case of avian influenza.

“This was a healthy teenager prior to this, so no underlying conditions,” said provincial health officer Bonnie Henry in a news conference on Tuesday. “It just reminds us that in young people this is a virus that can progress and cause quite severe illness, and the deterioration that I mentioned was quite rapid.”

British Columbia health officials said on Saturday the province had detected Canada’s first human case of H5 bird flu in a teenager.

Henry said the province is still identifying the exact strain but assumes the case is H5N1.

The World Health Organization says H5N1’s risk to humans is low because there is no evidence of human transmission, but the virus has been found in an increasing number of animals, including cattle in the United States.

Henry would not disclose the teen’s gender or age but said the patient had first developed symptoms on November 2 and was tested on November 8, when admitted to a hospital. Symptoms included conjunctivitis, fever and coughing.

As of Tuesday, the teen was hospitalized with acute respiratory distress syndrome, she said.

The teen had no farm exposure but had been exposed to dogs, cats and reptiles, Henry said. No infection source had been identified. “That is absolutely an ongoing investigation.”

More severe illness takes place when the virus binds to receptors deep in the lungs, she said.

Public health officials had identified and tested about three dozen contacts and had not found anyone infected with the virus.

There has been no evidence that the disease is easily spread between people. But if that were to happen, a pandemic could unfold, scientists have said.

Earlier in November, the U.S. Centers for Disease Control and Prevention asked that farm workers exposed to animals with bird flu be tested for the virus even if they did not have symptoms.

Bird flu has infected nearly 450 dairy farms in 15 U.S. states since March, and the CDC has identified 46 human cases of bird flu since April.

In Canada, British Columbia has identified at least 26 affected premises across the province, Henry said Tuesday, and numerous wild birds have tested positive.

Canada has had no cases reported in dairy cattle and no evidence of bird flu in samples of milk.
…

BAKU, Azerbaijan — World leaders are converging Tuesday at the United Nations annual climate conference in Baku, Azerbaijan although the big names and powerful countries are noticeably absent, unlike past climate talks which had the star power of a soccer World Cup.

But 2024’s climate talks are more like the International Chess Federation world championship, lacking recognizable names but big on nerd power and strategy. The top leaders of the 13 largest carbon dioxide-polluting countries will not appear. Their nations are responsible for more than 70% of 2023’s heat-trapping gases.

The world’s biggest polluters and strongest economies — China and the United States — aren’t sending their No. 1s. India and Indonesia’s heads of state are also not in attendance, meaning the four most populous nations with more than 42% of all the world’s population aren’t having leaders speak.

“It’s symptomatic of the lack of political will to act. There’s no sense of urgency,” said climate scientist Bill Hare, CEO of Climate Analytics. He said this explains “the absolute mess we’re finding ourselves in.”

Transition to clean energy

The world has witnessed the hottest day, months and year on record “and a master class in climate destruction,” United Nations Secretary-General Antonio Guterres told the world leaders who did show up.

But Guterres held out hope, saying, in a veiled reference to Donald Trump’s re-election in the United States, that the “clean energy revolution is here. No group, no business, no government can stop it.”

United Nations officials said in 2016, when Trump was first elected, there were 180 gigawatts of clean energy and 700,000 electric vehicles in the world. Now there are 600 gigawatts of clean energy and 14 million electric vehicles.

Host Azerbaijan President Ilham Aliyev kicked off two scheduled days of world leaders’ speeches by lambasting Armenia, western news media, climate activists and critics who highlighted his country’s rich oil and gas history and trade, calling them hypocritical since the United States is the world’s biggest oil producer. He said it was “not fair” to call Azerbaijan a “petrostate” because it produces less than 1% of the world’s oil and gas.

Oil and gas are “a gift of the God” just like the sun, wind and minerals, Aliyev said. “Countries should not be blamed for having them. And should not be blamed for bringing these resources to the market because the market needs them.”

As the host and president of the climate talks, called COP29, Aliyev said his country will push hard for a green transition away from fossil fuels, “but at the same time, we must be realistic.”

Lack of star power

Aliyev, United Kingdom’s Prime Minister Keir Starmer and Turkey’s President Recep Tayyip Erdogan are the headliners of around 50 leaders set to speak on Tuesday.

There’ll also be a strong showing from the leaders of some of the world’s most climate-vulnerable countries. Several small island nations presidents and over a dozen leaders from countries across Africa are set to speak over the two-day World Leaders’ Summit at COP29.

As a sense of how the bar for celebrity has lowered, on Tuesday morning photographers and video cameras ran alongside one leader walking through the halls of the meeting. It was the emergency management minister for host country Azerbaijan.

United Nations officials downplayed the lack of head of state star power, saying that every country is represented and active in the climate talks.

One logistical issue is that next week, the leaders of the most powerful countries have to be half a world away in Brazil for the G20 meetings. The United States recent election, Germany’s government collapse, natural disasters and personal illnesses also have kept some leaders away.

The major focus of the negotiations is climate finance, which is rich nations trying to help poor countries pay for transitioning their economies away from fossil fuels, coping with climate change’s upcoming harms and compensating for damages from weather extremes.

Nations are negotiating over huge amounts of money, anywhere from $100 billion a year to $1.3 trillion a year. That money “is not charity, it’s an investment,” Guterres said.

“Developing countries must not leave Baku empty-handed,” Guterres said. “A deal is a must.”
…

OTTAWA, Ontario — Canada has detected its first presumptive case of H5 bird flu in a person, a teenager in the western province of British Columbia, health officials said Saturday.

The teenager likely caught the virus from a bird or animal and was receiving care at a children’s hospital, the province said in a statement.

The province said it was investigating the source of exposure and identifying the teenager’s contacts. The risk to the public remains low, Canada’s Health Minister Mark Holland said in posting on X.

“This is a rare event,” British Columbia Health Officer Bonnie Henry said in a statement. “We are conducting a thorough investigation to fully understand the source of exposure here in B.C.”

H5 bird flu is widespread in wild birds worldwide and is causing outbreaks in poultry and U.S. dairy cows, with several recent human cases in U.S. dairy and poultry workers.

There has been no evidence of person-to-person spread so far. But if that were to happen, a pandemic could unfold, scientists have said.

Earlier in November, the U.S. Centers for Disease Control and Prevention asked for farm workers who have been exposed to animals with bird flu to be tested for the virus even if they do not have symptoms.

Bird flu has infected nearly 450 dairy farms in 15 U.S. states since March, and the CDC has identified 46 human cases of bird flu since April.

In Canada, British Columbia has identified at least 22 infected poultry farms since October, and numerous wild birds tested positive, according to the province.

Canada has had no cases reported in dairy cattle and no evidence of bird flu in samples of milk.  
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Most strokes could be prevented, according to new guidelines aimed at helping people and their doctors do just that. 

Stroke was the fourth-leading cause of death in the U.S. in 2023, according to the Centers for Disease Control and Prevention, and more than half a million Americans have a stroke every year. But up to 80% of strokes may be preventable with better nutrition, exercise and identification of risk factors. 

The first new guidelines on stroke prevention in 10 years from the American Stroke Association, a division of the American Heart Association, include recommendations for people and doctors that reflect a better understanding of who gets strokes and why, along with new drugs that can help reduce risk. 

The good news is that the best way to reduce your risk for stroke is also the best way to reduce your risk for a whole host of health problems — eat a healthy diet, move your body and don’t smoke. The bad news is that it’s not always so easy to sustain. 

Dr. Sean Duke, a stroke doctor at the University of Mississippi Medical Center, blames the forces in society that keep people sedentary and eating poorly, like cell phones and cheap, unhealthy food. “Our world is stacked against us,” he said. 

Here’s what to know about stroke and the new guidelines: 

What is a stroke? 

A stroke happens when blood flow to part of the brain is blocked or if a blood vessel in the brain bursts. That deprives the brain of oxygen which can cause brain damage that can lead to difficulty thinking, talking and walking, or even death. 

How eating healthy can reduce your risk for stroke 

Eating healthy can help control several factors that increase your risk for stroke, including high cholesterol, high blood sugar, and obesity, according to the heart association. 

The group recommends foods in the so-called Mediterranean diet such as fruits, vegetables, whole grains and olive oil, which can help keep cholesterol levels down. It suggests limiting red meat and other sources of saturated fat. Instead, get your protein from beans, nuts, poultry, fish and seafood. 

Limit highly processed foods and foods and drinks with a lot of added sugar. This can also reduce your calorie intake, which helps keep weight in check. 

Moving your body can help prevent strokes 

Getting up and walking around for at least 10 minutes a day can “drastically” reduce your risk, said Dr. Cheryl Bushnell, a neurologist at Wake Forest University School of Medicine who was part of the group that came up with the new guidelines. Among the many benefits: Regular exercise can help reduce blood pressure, a major risk factor for stroke. 

Of course, more is better: The heart association recommends at least 150 minutes of moderate aerobic or 75 minutes of vigorous activity — or some combination — per week. How you do it doesn’t matter so much, experts said: Go to the gym, take a walk or run in your neighborhood or use treadmills or stepper machines at home. 

New tools to reduce obesity, a risk factor for stroke 

Diet and exercise can help control weight, another important risk factor for strokes. But a new class of drugs that can drastically reduce weight have been approved by regulators, providing new tools to reduce stroke risk since guidelines were last updated. 

The guidelines now recommend that doctors consider prescribing these drugs, including those sold under the brand names Ozempic, Wegovy, Mounjaro and Zepbound, to people with obesity or diabetes. 

But while those drugs can help, people still need to eat well and get exercise, cautions Dr. Fadi Nahab, a stroke expert at Emory University Hospital. 

Guidelines help identify people who might be at higher risk 

The new guidelines for the first time recommend doctors screen patients for other factors that could increase stroke risk, including sex and gender and non-medical factors such as economic stability, access to health care, discrimination and racism. For example, the risk for having a first stroke is nearly twice as high for Black adults in the U.S. as it is for white adults, according to the CDC. 

“If somebody doesn’t have insurance or they can’t get to a doctor’s office because of transportation issues or they can’t get off work to get health care … these are all things that can impact the ability to prevent stroke,” Bushnell said. 

Doctors may be able to point to resources for low-cost health care or food, and can give ideas about how to be active without breaking the bank for a gym membership. 

The guidelines also now recommend doctors should screen for conditions that could increase a woman’s risk for stroke, such as high blood pressure during pregnancy or early menopause. 

How do I know if I’m having a stroke and what do I do? 

Three of the most common stroke symptoms include face weakness, arm weakness and difficulty speaking. And time is important, because brain damage can happen quickly and damage can be limited if a stroke is treated quickly. Stroke experts have coined an acronym to help you remember: FAST. F for face, A for arm, S for speech, and T for time. If you think you or a loved one could be having a stroke, call 911 right away. 
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