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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Aberasturi said he plans to ask at the next board meeting if the health department can at least be allowed to vaccinate older patients and residents of long-term care facilities, adding that the board is supposed to be caring for the “health and well-being” of the district’s residents. “But I believe the way we went about this thing is we didn’t do that due diligence.”
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geneva — More than 50,000 people have so far been vaccinated against mpox in the Democratic Republic of Congo and Rwanda, the World Health Organization’s chief said on Friday.

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

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

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

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

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

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

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

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

Related to smallpox, the viral disease causes fever, body aches, swollen lymph nodes and a rash that forms into blisters.
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NEW DELHI — A thick layer of toxic smog cloaked India’s capital on Friday as smoke from firecrackers used to celebrate Diwali, the Hindu festival of lights, pushed air pollution to hazardous levels.

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

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

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

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

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

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

Several studies have estimated that more than a million Indians die each year from air pollution-related diseases. Tiny particulate matter in polluted air can lodge deep in the lungs and cause a variety of major health problems.
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Bird flu has infected three more people from Washington state after they were exposed to poultry that tested positive for the virus, according to health authorities in Washington and in Oregon, where the human cases were identified. 

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

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

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

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

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

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

H5N1 bird flu was confirmed in a pig on a backyard farm in Oregon, the first detection of the virus in swine in the country, the U.S. Department of Agriculture said on Wednesday. 
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The United Nations, scientists and governments made an urgent call Wednesday for increased funding to protect coral reefs under threat of extinction.

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

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

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

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

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

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

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

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

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

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

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

“They’re lasting more than one year at a time, which is worrying,” Obura said at the U.N. emergency session at COP16.
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taipei, taiwan — China and Russia are deepening cooperation in Antarctica in a trend that analysts say could undermine marine conservation efforts and disrupt the long-standing status quo in the resource-rich region.

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

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

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

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

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

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

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

Limit on krill fishing

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

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

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

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

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

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

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

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

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

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

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

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

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

Antarctic status quo

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

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

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

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

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

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

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

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

Goldsworthy added that if China and Russia maintain their “combative approach” in the Antarctic Treaty System, which includes CCAMLR, it could turn “a safe and secure region” into a “much less peace-oriented” continent.
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washington — Militant groups have intensified attacks against polio vaccination teams and their police escorts in Pakistan amid a dramatic resurgence of polio cases in the country.

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

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

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

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

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

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

But Bibi said she is determined to do the job.

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

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

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

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

‘A fearful environment’

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

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

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

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

Campaign against polio vaccinators

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

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

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

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

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

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

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

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

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

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

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

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

VOA Deewa reporter Usman Khan contributed from Peshawar.
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CHICAGO, ILLINOIS — H5N1 bird flu had been confirmed in a pig in a backyard farm in Oregon, the first detection of the virus in swine in the country, the U.S. Department of Agriculture said on Wednesday.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Since 2022, the virus has wiped out more than 100 million poultry birds in the nation’s worst-ever bird flu outbreak.
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LONDON — Britain has detected its first case of new mpox variant clade Ib, the country’s health security agency (UKHSA) said Wednesday, adding that the risk to the population remained low.  

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

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

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

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

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

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

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

According to the latest WHO figures, there have been more than 44,000 confirmed and suspected cases of mpox in Africa this year, and more than 1,000 deaths, largely in Congo.
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london — More than 8 million people were diagnosed with tuberculosis last year, the World Health Organization said Tuesday, the highest number recorded since the U.N. health agency began keeping track.

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

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

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

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

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

Advocacy groups, including Doctors Without Borders, have long called for the U.S. company Cepheid, which produces TB tests used in poorer countries, to make them available for $5 per test to increase availability. Earlier this month, Doctors Without Borders and 150 global health partners sent Cepheid an open letter calling on them to “prioritize people’s lives” and to urgently help make TB testing more widespread globally.
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The Iowa Department of Health and Human Services on Monday confirmed the death of a middle-aged eastern Iowa resident from Lassa fever.

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

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

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

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

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

About 100,000 to 300,000 cases of Lassa fever and 5,000 related deaths occur in West Africa each year, according to the CDC.
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Islamabad — Pakistan and neighboring Afghanistan simultaneously launched fresh vaccination campaigns against polio Monday amid a resurgence in cases in the only two countries globally where the virus continues to be endemic and paralyze children. 

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

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

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

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

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

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

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

Afghanistan 

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

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

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

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

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

WHO officials say eradicating polio in Afghanistan requires comprehensive integration of large migrant populations into the vaccination program. They say it is also crucial to reach out to groups that refuse vaccination and establish a female public health workforce dedicated to the polio initiative to tackle multiple challenges facing polio-eradication efforts in the impoverished country.
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LOS ANGELES — McDonald’s announced Sunday that Quarter Pounders will again be on its menu at hundreds of its restaurants after testing ruled out beef patties as the source of the outbreak of E. coli poisoning tied to the popular burgers that killed one person and sickened at least 75 others across 13 states.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Symptoms of E. coli poisoning can occur quickly, within a day or two of eating contaminated food. They typically include fever, vomiting, diarrhea or bloody diarrhea and signs of dehydration — little or no peeing, increased thirst and dizziness. The infection is especially dangerous for children younger than 5, people who are elderly, pregnant or who have weakened immune systems.
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The good news: You will get a glorious extra hour of sleep. The bad: It’ll be dark as a pocket by late afternoon for the next few months in the U.S. 

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

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

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

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

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

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

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

How the body reacts to light 

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

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

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

How do time changes affect sleep? 

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

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

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

How to prepare for the time change 

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

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

Lawmakers occasionally propose getting rid of the time change altogether. The most prominent recent attempt, a now-stalled bipartisan bill named the Sunshine Protection Act, proposes making daylight saving time permanent. Health experts say the lawmakers have it backward — standard time should be made permanent. 
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washington — A NASA astronaut who was hospitalized upon return from the International Space Station for an unspecified medical condition was released Saturday in “good health,” the U.S. space agency said. 

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

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

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

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

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

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

Three were subsequently released, while one remained at the hospital “under observation as a precautionary measure.” 
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CAPE CANAVERAL, Florida — A NASA astronaut was taken to the hospital for an undisclosed medical issue after returning from a nearly eight-month space station stay extended by Boeing’s capsule trouble and Hurricane Milton, the space agency said Friday.

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

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

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

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

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

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

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

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

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

The space station is now back to its normal crew size of seven — four Americans and three Russians — after months of overflow.
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BERLIN, Germany — Close to 200 countries are scheduled to negotiate a new climate finance target for the Global South at the U.N. Climate Change Conference, or COP29, in Baku, Azerbaijan, in November.  

Dubbed the “Finance COP,” next month’s conference is expected to see focused discussions on a New Collective Quantified Goal on Climate Finance, or NCQG. It defines a new target for monetary support from historic emitters – mostly countries in the Global North – to address climate needs in poorer countries.    

Surging climate needs  

In 2009, countries including the United States and the European Union agreed to contribute $100 billion collectively each year by 2020, but an OECD report showed that they struggled to meet that goal over the years. Worse still, much of the climate finance came in the form of loans, which critics say have piled more pressure on developing countries already drowning in debt.    

The new negotiations come after a spate of extreme weather conditions intensified by human-caused climate change. July, for instance, witnessed the three hottest days ever recorded. Scientists said in an article on BioScience that as fossil fuel emissions reached an all-time high, the Earth is on track for 2.7 degrees Celsius warming by 2100, far above the 1.5 degrees Celsius target established in the 2015 Paris Agreement.   

To combat the burgeoning crisis, developing countries will now need more than $100 billion a year, with estimates ranging up to $6 trillion by 2030. Even that does not sufficiently cover measures to adapt to already inevitable climate change, according to a 2021 U.N. report. 

Conference host Azerbaijan in July launched the Climate Finance Action Fund with an initial goal of raising $1 billion from fossil-fuel producing countries and companies. 

Nations are likely to reach a compromise at the lower end of a NCQG goal, according to Irene Monasterolo, professor of climate finance at the Utrecht University. 

“These results of the negotiations may not be able to address the current need for climate finance in low-income countries, which are massively affected already now by climate risk,” Monasterolo told VOA. “The focus so far has been mostly on mitigation [reducing emissions] projects and measures, while adaptation investments are lagging behind.”   

Adaptation finance   

While adaptation finance has gone up over the years, mitigation still accounts for the majority of current climate finance, the OECD report revealed. Monasterolo said the scale of adaptation finance ultimately depends on mitigation efforts.    

“We don’t see bold plans for mitigation that would be needed to achieve the 1.5 degrees Celsius target, including the Global North. We have instead some issues of policy reversal and some major economies and polluting countries like the U.S. stepping back and in Europe,” she added.    

“The science is clear. To limit global warming to below 2 degrees Celsius compared to pre-industrial times, we need to drop production, extraction, use of fossil fuels and related carbon activities and focus on renewables, and low-carbon activities should go up. But that’s not happening. In the latest geopolitical crisis, we increased our dependency on fossil fuels.”  

The wars in the Middle East and Russia have put energy security at risk, according to the International Energy Agency. While a record high level of clean energy came online last year, emissions from the energy sector also broke records.    

Another reason for low adaptation finance, Monasterolo said, is the complexity of assessing climate risks. “We need to work on how to integrate forward-looking climate risk into investors and financial authorities’ models. Market-based approaches based on past data are a poor proxy of what could happen in the near future with ongoing climate change.”   

Loss and damage fund   

At COP28 in Dubai last year, countries agreed to set up a voluntary fund for historic emitters to pay for the damage caused by climate disasters in vulnerable developing countries. Western countries also called for large emitters like China to contribute. Negotiators are expected to continue the discussion at COP29.    

For now, it remains unclear whether the loss and damage fund will be included in the new NCQG, according to Karoliina Hurri, researcher at the Center on Climate Politics and Security at the Finnish Institute of International Affairs. 

The fund “is defined as voluntary, so it’s not based on the same categorization of developed and developing countries. … Some developed countries argue that the loss and damage fund is not part of the mandate and should be negotiated separately from this.”  

Looming NDCs   

As countries are slated to declare new and more ambitious national green goals by February 2025, COP29 is expected to be a big push.   

“I am afraid we won’t see ambitious enough NDCs [national determined contributions], but I think this is really important at this COP, especially the discussion of how to ensure the [recommended] outcomes of last year’s Global Stocktake, and the discussion about transitioning away from fossil fuels,” Hurri explained. 

Hurri said many countries said they would lead by example to announce goals aligned with the 1.5 degrees Celsius warming goal. “But at the same time, nations can decide for themselves what the alignment means. This clarifies how difficult it is to reach the NDC.”   

At COP28, countries signed a historic deal to start transitioning away from polluting fossil fuels. Hurri said, however, it remains to be seen how the phases translate into actions. “Do we see, for example, schedules of roadmaps on how this process is planned on the national level?”   

Pivotal US election   

The U.S. election results could have a large impact on the implementation of potential negotiation results, including cooperation measures with the world’s biggest emitting nation, China, according to Hurri. 

“I have not seen very detailed climate policy arguments from either of the candidates, although we know that they have very different views on climate change. … We know what happened last time during President [Donald] Trump’s term that the U.S. decreased financial contribution for climate,” she said.    

COP29 will also mark the first cooperation talks between the new envoys from the United States and China — John Podesta and Liu Zhenmin. They had a working group meeting in Beijing in early September, in which they agreed to host a summit on methane and non-carbon greenhouse gases during the climate conference.   

“While the U.S. election might not influence the cooperation at this year’s COP, the election outcome can have an influence on the credibility of their cooperation in the long term on a high level,” Hurri said.   
…

Four astronauts returned to Earth on Friday after a nearly eight-month space station stay extended by Boeing’s capsule trouble and Hurricane Milton.

A SpaceX capsule carrying the crew parachuted before dawn into the Gulf of Mexico just off the Florida coast after undocking from the International Space Station mid-week.

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

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

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

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

Maulana Tayyab Qureshi, the top cleric in Pakistan’s Khyber Pakhtunkhwa Province, has seen up close the devastating effects of polio.

Two of his own kin were once paralyzed, victims of a scourge that has been vanquished worldwide yet refuses to go away from Pakistan and neighboring Afghanistan.

“Had their parents not neglected [to have their children vaccinated], their children wouldn’t be disabled today,” Qureshi said of his relatives.

As the chief khateeb, or Friday prayer leader, of the northwestern province, Qureshi preaches this message at every opportunity — Friday sermons at his 17th century Mahabat Khan Mosque in Peshawar, Eid prayers when upward of 40,000 people congregate, meetings with village elders.

“I’m very clear cut: I tell them, it’s free. It doesn’t cost you anything. Why don’t you take it seriously?” Qureshi said in an interview with VOA.

Qureshi is not the only Pakistani cleric advocating vaccination. Several renowned scholars have issued decrees in its support, with a notable shift in attitudes. Vaccine hesitancy, an intractable obstacle to eradicating polio, has waned, he said.

A once infamous bastion of vaccine resistance outside Peshawar has now embraced immunization.

“The fatwas have had a great impact,” Qureshi said.

Yet, as Pakistan and Afghanistan seek to eradicate polio, misinformation remains a key hurdle. While immunization rates are generally high in both countries, pockets of resistance persist along the border, jeopardizing eradication efforts.

To counter vaccine misinformation, public health officials increasingly have turned to influential clerics like Qureshi. As the trusted voices within their communities, these religious leaders play a crucial role in dispelling harmful myths and misconceptions about vaccines, experts say.

“The best way to fight through this is empowering trusted voices in communities to push back on it and provide real information,” said Kai Ruggeri, a Columbia University health policy professor who has written about vaccine disinformation.

The stakes are high. Afghanistan and Pakistan are the only countries where polio remains endemic. And as World Polio Day arrives this year, there are renewed concerns over their ability to eliminate the disease.

The neighboring countries were once on the brink of going polio-free. But persistent insecurity coupled with cross-border movements has fueled a resurgence.

Pakistan has recorded 40 cases and Afghanistan at least 20, this year. This marks a significant increase from the six cases each reported last year.

A setback came last month when more than 1 million Pakistani children missed vaccinations, and Afghanistan’s Taliban briefly suspended immunization campaigns.

Oliver Rosenbauer, a spokesman for WHO’s polio eradication program in Geneva, noted that misinformation is not the only obstacle to eliminating polio; a lack of infrastructure, insecurity and population density also contribute.

“The important point is the polio virus doesn’t care why a child is not vaccinated,” Rosenbauer said in an interview. “It’s very, very good at finding that unvaccinated child.”

Polio, a crippling disease that can lead to paralysis and death, has long been eradicated globally thanks to universal immunization efforts. For most people around the world, polio is a distant memory or even a relic of history.

But in Afghanistan and Pakistan, the disease remains a stark reality despite significant progress in recent decades. Its scars are visible to those who look, Rosenbauer said.

“It’s a disease that parents still see,” he said. “If you walk around Karachi or Kabul, you’ll still see people with polio on the streets.”

This “respect for the disease” explains why vaccine hesitancy remains around 1.5% in Afghanistan and Pakistan, significantly lower than many Western countries.

Yet in densely populated areas, such as the border regions of Afghanistan and Pakistan, lingering resistance can prevent efforts to eradicate the virus.

Leading the charge against the vaccine, militants on both sides of the border have waged violent attacks on polio workers and their escorts. Their claim that the vaccine program violates Islamic law and is used for surveillance has fueled resistance.

Hundreds have been killed in both Pakistan and Afghanistan.

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

According to the Emergency Operations Center in Khyber Pakhtunkhwa, militants have carried out 21 attacks against polio teams and security escorts in Pakistan this year.

Mainstream clerics have pushed back.

In 2019, prominent Islamic scholars from Afghanistan and Pakistan declared the polio vaccine safe and Sharia-compliant. They stressed the “moral duty” of parents to have their children vaccinated.

In 2022, the al-Azhar University, the Sunni Muslim world’s most prestigious institution of religious education, warned against decrees banning the polio vaccine in Pakistan.

Last month, nearly 200 renowned religious scholars in Khyber Pakhtunkhwa declared support for polio vaccination.

Qureshi, the chief khateeb of KP, was among them.

The scholars “took a strong stand not only regarding the polio vaccine but all health measures by the ministry of health,” Qureshi said.

Across the border, Taliban health officials are waging their own campaign against vaccine misinformation even as attacks on health workers, often claimed by ISIS, have persisted.

Ehsanul Haq Hanafi, a cleric and senior official in the health ministry, understands the clergy’s influence in Afghan society.

“People listen to the ulema and accept what they say,” Hanafi said in an interview with VOA.

Among the myriad misconceptions about the vaccine, he said, some Afghans believe it corrupts morals or causes sterility. Others think it can accelerate puberty, he said.

“This is unscientific and baseless disinformation,” he said.

To combat this, Hanafi travels around the country to meet with locals and mullahs to convince the skeptics. While some clerics remain opposed, most accept the vaccine once its benefits are explained, he said.

“We can’t convince 100% of the people, but 80% agree with us and have their children vaccinated,” Hanafi said.

VOA’s Ihsan M. Khan contributed to this article.
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Snakebites are classified as a neglected tropical disease by the World Health Organization. In South Africa and other countries in the region, there are numerous barriers to getting the antivenom necessary to save limbs and lives. But scientists are working to make antivenom cheaper, safer and easier to produce. Kate Bartlett reports from Johannesburg. Camera: Zaheer Cassim
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The naturally occurring form of polio remains active in only two countries in the world: Pakistan and Afghanistan. Over 50 cases of so-called wild polio have been confirmed in the region this year despite continuing efforts to eradicate the disease. This report comes from both sides of the border, narrated by Bezhan Hamdard.
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One person died and dozens fell ill from E. coli infections linked to McDonald’s Quarter Pounder hamburgers in 10 states, led by Colorado, where 26 people were sickened, the U.S. Centers for Disease Control said on Tuesday.

The E. coli outbreak, linked to one of McDonald’s most popular menu items, has sickened 49 people and sent 10 to the hospital, officials say.

The strain involved, E. coli O157:H7, can cause serious illness and was the source of a 1993 outbreak that killed four children who ate undercooked hamburgers at Jack in the Box restaurants.

Shares of the world’s largest fast-food chain were down about 6% in extended trading. A livestock trader said the outbreak also could pressure U.S. cattle futures on Wednesday by threatening demand for beef.

Everyone interviewed as part of an investigation into the outbreak has reported eating at McDonald’s before their illness started, and most mentioned eating a Quarter Pounder hamburger, according to the CDC.

The specific ingredient linked to the illness has not been identified but investigators are focused on fresh, slivered onions and fresh beef patties, the CDC said.

Most of the illnesses were reported in Colorado and Nebraska.

“The initial findings from the investigation indicate that a subset of illnesses may be linked to slivered onions used in the Quarter Pounder and sourced by a single supplier that serves three distribution centers,” McDonald’s North America Chief Supply Chain Officer Cesar Piña said in a statement.

McDonald’s has proactively removed the slivered onions and beef patties used for the Quarter Pounder hamburgers from stores in the affected states while the investigation continues, the company informed the CDC.

U.S. food safety attorney Bill Marler, who represented a victim in the Jack in the Box outbreak, said more cases of illness could surface. Onions have been linked to prior E. coli O157:H7 outbreaks, he said.

According to Marler, a founder of Marler Clark in Seattle, beef contamination is less common due to food safety measures. “You’d have to have multiple restaurants under-cooking the meat,” he said.

McDonald’s is temporarily removing the Quarter Pounder from restaurants in the impacted areas, including Colorado, Kansas, Utah and Wyoming, it said in a statement, adding it was working with suppliers to replenish supply in the coming week.

Symptoms for E. coli include severe stomach cramps, diarrhea and vomiting. Most people who suffer an infection will start feeling sick three to four days after eating or drinking something that contains the bacteria, Colorado’s public health department said. However, illnesses can start anywhere from one to 10 days after exposure, the department added.

In 2015, burrito chain Chipotle saw its sales battered and reputation hit due to E.coli outbreaks in several states. That outbreak was linked to a different strain of E. coli that typically causes less severe illness than E. coli O157:H7.

In addition to Colorado, the CDC said small clusters of a few people fell ill after eating a Quarter Pounder in Nebraska, Utah and Wyoming. Kansas, Missouri, Oregon, Iowa, Wisconsin and Montana had one illness apiece.
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Health officials say there have been six cases of polio reported in Ivory Coast in 2023, and one so far this year. It doesn’t seem like many, but any polio cases are cause for concern among health officials trying to completely eradicate the disease.  VOA’s Yassin Ciyow reports from Abidjan, in this story narrated by Anthony LaBruto. (Camera: Yassin Ciyow )
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Berlin — An infection with the new mpox variant clade 1b has been detected in Germany for the first time, the Robert Koch Institute health authority said on Tuesday.  

The infection occurred abroad and was detected last Friday, the institute said, adding that it did not see an increased risk for Germany but was “monitoring the situation very closely.”  

Mpox, a viral disease related to smallpox that causes fever, body aches, swollen lymph nodes and a rash that forms into blisters, has two main subtypes — clade 1 and clade 2.  

From May 2022, clade 2 spread around the world, mostly affecting gay and bisexual men in Europe and the United States. In July 2022, the WHO declared an international public health emergency, its highest level of alarm over the spread.  

Vaccination and awareness drives in many countries helped stem the number of worldwide cases and the WHO lifted the emergency in May 2023 after reporting 140 deaths out of roughly 87,400 cases.  

But this year, a new epidemic has broken out in the Democratic Republic of Congo.  

As well as clade 1, which mainly affects children, a new strain emerged in the DRC, called clade 1b.  

Clade 1b cases have also been recorded in nearby Burundi, Kenya, Rwanda and Uganda — none of which had previously detected mpox. The WHO declared another international emergency in August.
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