YCLOAK

The World Health Organization on Monday won basic approval for a $6.83 billion budget over the next two years, including a 20% hike in mandatory membership fees.

As the U.N. health agency kicked off its annual decision-making assembly, member states in a key committee approved the budget without objection.

WHO chief Tedros Adhanom Ghebreyesus hailed the move as “historic and a big milestone.”

The budget still needs to be approved by all the member states at the end of the 10-day event, but the approval procedure is basically a formality.

The decision comes after last year’s assembly agreed to a dramatic overhaul of WHO funding.

Shaken by the COVID-19 pandemic, countries agreed on the need to provide more reliable and stable funding.

The WHO is largely financed by its 194 member states.

The portion of funding from mandatory membership fees — “assessed contributions” calculated according to wealth and population — had dwindled to below one-fifth, with the rest coming from “voluntary contributions.”

This left WHO with limited leeway to respond to crises such as COVID-19, the war in Ukraine and other health emergencies.

Last year’s assembly agreed to gradually increase the membership fee portion to 50% by the 2030-31 budget cycle at the latest.

The 2024-25 budget cycle marks the first incremental increase, with countries agreeing to hike their assessed contributions by 20% from the 2022-23 budget.

In return for the funding shift, WHO has begun implementing 96 reforms, including towards more transparency on its financing and hiring and broader accountability.

Tedros told the assembly earlier Monday that WHO so far had implemented 42 of the requested reforms “and 54 are ongoing.”
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Saudi Arabia’s first astronauts in decades rocketed toward the International Space Station on a chartered multimillion-dollar flight Sunday. 

SpaceX launched the ticket-holding crew, led by a retired NASA astronaut now working for the company that arranged the trip from Kennedy Space Center. Also on board: a U.S. businessman who now owns a sports car racing team. 

The four should reach the space station in their capsule Monday morning; they’ll spend just more than a week there before returning home with a splashdown off the Florida coast. 

Sponsored by the Saudi Arabian government, Rayyanah Barnawi, a stem cell researcher, became the first woman from the kingdom to go to space. She was joined by Ali al-Qarni, a fighter pilot with the Royal Saudi Air Force. 

They’re the first from their country to ride a rocket since a Saudi prince launched aboard shuttle Discovery in 1985. In a quirk of timing, they’ll be greeted at the station by an astronaut from the United Arab Emirates. 

“Hello from outer space! It feels amazing to be viewing Earth from this capsule,” Barnawi said after settling into orbit. 

Added al-Qarni: “As I look outside into space, I can’t help but think this is just the beginning of a great journey for all of us.” 

Rounding out the visiting crew: Knoxville, Tennessee’s John Shoffner, former driver and owner of a sports car racing team that competes in Europe, and chaperone Peggy Whitson, the station’s first female commander who holds the U.S. record for most accumulated time in space: 665 days and counting. 

“It was a phenomenal ride,” Whitson said after reaching orbit. Her crewmates clapped their hands in joy. 

It’s the second private flight to the space station organized by Houston-based Axiom Space. The first was last year by three businessmen, with another retired NASA astronaut. The company plans to start adding its own rooms to the station in another few years, eventually removing them to form a stand-alone outpost available for hire. 

Axiom won’t say how much Shoffner and Saudi Arabia are paying for the planned 10-day mission. The company had previously cited a ticket price of $55 million each. 

NASA’s latest price list shows per-person, per-day charges of $2,000 for food and up to $1,500 for sleeping bags and other gear. Need to get your stuff to the space station in advance? Figure roughly $10,000 per pound ($20,000 per kilogram), the same fee for trashing it afterward. Need your items back intact? Double the price. 

At least the email and video links are free. 

The guests will have access to most of the station as they conduct experiments, photograph Earth and chat with schoolchildren back home, demonstrating how kites fly in space when attached to a fan. 

After decades of shunning space tourism, NASA now embraces it with two private missions planned a year. The Russian Space Agency has been doing it, off and on, for decades. 

“Our job is to expand what we do in low-Earth orbit across the globe,” said NASA’s space station program manager Joel Montalbano. 

SpaceX’s first-stage booster landed back at Cape Canaveral eight minutes after liftoff — a special treat for the launch day crowd, which included about 60 Saudis. 

“It was a very, very exciting day,” said Axiom’s Matt Ondler. 
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The provincial health department in the South African province of Gauteng on Sunday announced 19 new cases of Cholera in Hammanskraal, including 10 deaths.

South Africa reported its first cholera death in February, after the virus arrived in the country from Malawi.

It was unclear how many cholera cases there was nationally as of Sunday, but the most populous province of Gauteng, where Johannesburg and Pretoria are situated, has been hardest hit.

Cholera can cause acute diarrhea, vomiting and weakness and is mainly spread by contaminated food or water. It can kill within hours if untreated.

The last outbreak in South Africa was in 2008/2009 when about 12,000 cases were reported following an outbreak in neighboring Zimbabwe, which led to a surge of imported cases and subsequent local transmission.
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Mexico’s Popocatepetl volcano rumbled to life again this week, belching out towering clouds of ash that forced 11 villages to cancel school sessions.

The residents weren’t the only ones keeping a close eye on the towering peak. Every time there is a sigh, tic or heave in Popocatepetl, there are dozens of scientists, a network of sensors and cameras, and a roomful of powerful equipment watching its every move.

The 5,426-meter volcano, known affectionately as “El Popo,” has been spewing toxic fumes, ash and lumps of incandescent rock persistently for almost 30 years, since it awakened from a long slumber in 1994.

The volcano is 72 kilometers southeast of Mexico City, but looms much closer to the eastern fringes of the metropolitan area of 22 million people. The city also faces threats from earthquakes and sinking soil, but the volcano is the most visible potential danger — and the most closely watched. A severe eruption could cut off air traffic, or smother the city in clouds of choking ash.

Ringed around its summit are six cameras, a thermal imaging device and 12 seismological monitoring stations that operate 24 hours a day, all reporting back to an equipment-filled command center in Mexico City.

A total of 13 scientists from a multidisciplinary team take turns staffing the command center around the clock. Being able to warn of an impending ash cloud is key, because people can take precautions. Unlike earthquakes, warning times can be longer for the volcano and in general the peak is more predictable.

On a recent day, researcher Paulino Alonso made the rounds, checking the readings at the command center run by Mexico’s National Disaster Prevention Center, known by its initials as Cenapred. It is a complex task that involves seismographs that measure the volcano’s internal trembling, which could indicate hot rock and gas moving up the vents in the peak.

Monitoring gases in nearby springs and at the peak — and wind patterns that help determine where the ash could be blown — also play a role.

The forces inside are so great that they can temporarily deform the peak, so cameras and sensors must monitor the very shape of the volcano.

How do you explain all of this to 25 million non-experts living within a 62-mile (100-kilometer) radius who have grown so used to living near the volcano?

Authorities came up with the simple idea of a volcano “stoplight” with three colors: green for safety, yellow for alert and red for danger.

For most of the years since the stoplight was introduced, it has been stuck at some stage of “yellow.” The mountain sometimes quiets down, but not for long. It seldom shoots up molten lava: instead it’s more the “explosive” type, showering out hot rocks that tumble down its flanks and emitting bursts of gas and ash.

The center also has monitors in other states; Mexico is a country all too familiar with natural disasters.

For example, Mexico’s earthquake early alert system is also based at the command center. Because the city’s soil is so soft — it was built on a former lake bed — a quake hundreds of miles away on the Pacific coast can cause huge destruction in the capital, as happened in 1985 and 2017.

A system of seismic monitors along the coast sends messages that race faster than the quake’s shock waves. Once the sirens start blaring, it can give Mexico City residents up to half a minute to get to safety, usually on the streets outside.
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The World Health Organization on Saturday launched a global network to help swiftly detect the threat from infectious diseases, like COVID-19, and share the information to prevent their spread.

The International Pathogen Surveillance Network (IPSN) will provide a platform for connecting countries and regions, improving systems for collecting and analyzing samples, the agency said.

The network aims to help ensure infectious disease threats are swiftly identified and tracked and the information shared and acted on to prevent catastrophes like the COVID pandemic.

The network will rely on pathogen genomics to analyze the genetic code of viruses, bacteria and other disease-causing organisms to understand how infectious and deadly they are and how they spread.

The data gathered will feed into a broader disease surveillance system used to identify and track diseases, in a bid to contain outbreaks and to develop treatments and vaccines.

‘Ambitious’ goals

WHO chief Tedros Adhanom Ghebreyesus hailed the “ambitious” goals of the new network, saying it could “play a vital role in health security.”

“As was so clearly demonstrated to us during the COVID-19 pandemic, the world is stronger when it stands together to fight shared health threats,” he said.

The IPSN, announced a day before the annual meeting of WHO member states begins in Geneva, will have a secretariat within the WHO’s Hub for Pandemic and Epidemic Intelligence.

It is the latest of several initiatives launched since COVID that aim to bolster the world’s ability to prevent and more effectively respond to pandemic threats.

The network will bring together experts on genomics and data analytics, drawn from governments, academia, the private sector and elsewhere.

“All share a common goal: to detect and respond to disease threats before they become epidemics and pandemics, and to optimize routine disease surveillance,” the agency said.

COVID highlighted the critical role pathogen genomics plays when responding to pandemic threats, with the WHO noting that without the rapid sequencing of the SARS CoV-2 virus, vaccines would not have been as effective and would not have become available as quickly.

New and more transmissible variants of the virus would also not have been identified as quickly.

“Genomics lies at the heart of effective epidemic and pandemic preparedness and response,” the agency said, adding that it was also vital for surveillance of a range of diseases, from influenza to HIV.

Many countries lack effective systems

While the pandemic spurred countries to scale up their genomics capacity, the agency warned that many still lack effective systems for collecting and analyzing samples.

The IPSN would help address such challenges, Tedros said, since it could “give every country access to pathogen genomic sequencing and analytics as part of its public health system.”
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The U.S. space agency NASA announced Friday it has awarded the Jeff Bezos-owned aerospace company Blue Origin a contract to build a second lunar lander for the Artemis V moon mission, aiming to land a crew on the moon by 2029.

At a Washington news conference, NASA Administrator Bill Nelson said under the $3.4 billion contract, Blue Origin will design, develop, test and verify its Blue Moon lander to meet NASA’s human landing system requirements for recurring astronaut expeditions to the lunar surface, including docking with Gateway, a space station where crews will transfer in lunar orbit. 

Two years ago, Blue Origin made a bid on the contract NASA awarded to the Elon Musk-owned company SpaceX to build NASA’s initial human landing system to be used in the agency’s Artemis III and Artemis IV missions. In a release, the agency said it also directed SpaceX to evolve its design to meet the requirements for sustainable exploration on the moon.

Under its contract, Blue Origin will build a lander that meets the same sustainable requirements, including capabilities for a larger crew, longer missions and the delivery of more mass to the moon. NASA officials said the program is an important step toward their goal to establish “a regular cadence” of missions to the moon. 

And, NASA said, that competitive approach, using multiple providers, drives innovation, brings down costs and invests in commercial capabilities that will foster “a lunar economy.”

Nelson said Friday, “We are in a golden age of human spaceflight, which is made possible by NASA’s commercial and international partnerships. Together, we are making an investment in the infrastructure that will pave the way to land the first astronauts on Mars.”

The agency said the Artemis V project is the next step between extended lunar exploration capabilities and establishing a base on the moon to support recurring complex missions that would lead, eventually, to moon-to-Mars exploration.

Some information for this report was provided by Reuters. 
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More than half of the world’s large lakes and reservoirs have shrunk since the early 1990s, chiefly because of climate change, intensifying concerns about water for agriculture, hydropower and human consumption, a study published Thursday found.

An international team of researchers reported that some of the world’s most important water sources — from the Caspian Sea between Europe and Asia to South America’s Lake Titicaca — lost water at a cumulative rate of about 22 gigatonnes per year for nearly three decades. That’s about 17 times the volume of Lake Mead, the largest reservoir in the United States.

Fangfang Yao, a surface hydrologist at the University of Virginia who led the study in the journal Science, said 56% of the decline in natural lakes was driven by climate warming and human consumption, with warming “the larger share of that.”

Climate scientists generally think that the world’s arid areas will become drier under climate change and wet areas will get wetter, but the study found significant water loss even in humid regions. “This should not be overlooked,” Yao said.

Scientists assessed almost 2,000 large lakes using satellite measurements combined with climate and hydrological models.

They found that unsustainable human use, changes in rainfall and runoff, sedimentation, and rising temperatures have driven lake levels down globally, with 53% of lakes showing a decline from 1992 to 2020.

Nearly 2 billion people who live in drying lake basins are directly affected, and many regions have faced water shortages in recent years.

Scientists and campaigners have long said it is necessary to prevent global warming beyond 1.5 degrees Celsius (2.7 degrees Fahrenheit) to avoid the most catastrophic consequences of climate change. The world has already warmed about 1.1C (1.9F).

Thursday’s study found unsustainable human use dried up lakes such as the Aral Sea in Central Asia and the Dead Sea in the Middle East, while lakes in Afghanistan, Egypt and Mongolia were hit by rising temperatures, which can increase water loss to the atmosphere.

Water levels rose in a quarter of the lakes, often as a result of dam construction in remote areas such as the Inner Tibetan Plateau.
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Mexican authorities said Thursday that they were trying to locate several hundred people, including U.S. nationals, potentially at risk of developing fungal meningitis after medical treatment near the border.

The announcement came a day after the United States warned that suspected fungal infections had led to severe illness and even death among U.S. residents returning from the Mexican city of Matamoros.

Around 400 people were being traced, including roughly 80 from the United States, according to the health minister of Tamaulipas state, home to Matamoros, which sits across the border from Brownsville, Texas.

“They’re going to be located to rule out that they are infected,” Vicente Joel Hernandez told AFP.

Two clinics, River Side Surgical Center and Clinica K-3, have been closed following the death of an American and the infection of seven other people, he said.

According to the U.S. government, the affected travelers had medical or surgical procedures, including liposuction, that involved injecting anesthetic into the area around the spinal column.

The U.S. Centers for Disease Control and Prevention advised canceling any procedure that involves an epidural injection in Matamoros until the problem is resolved.

It urged anyone experiencing symptoms of fungal meningitis after having such an injection in the city to go to a hospital emergency department immediately.

The symptoms include fever, headache, stiff neck, nausea, vomiting, confusion and sensitivity to light, it said, adding that fungal meningitis infections are not contagious or transmitted person-to-person.

Mexico is one of the world’s top medical tourism destinations, largely due to U.S. residents crossing the border for everything from dental work to cosmetic surgery and cancer treatment.
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Shipwreck enthusiasts have cause for celebration because the Titanic ocean liner’s infamous wreck can now be visualized like never before.

Deep-sea researchers have completed the first full-size digital scan of the Titanic, showing the entire wreck in clarity and detail. Researchers say it is the “largest underwater scanning project in history.”

Unveiled on Wednesday, the 3D scan was the result of a six-week expedition to the North Atlantic wreck site in summer 2022, during which researchers used two remotely operated submersibles — named Romeo and Juliet — to map the entire shipwreck and the surrounding 3-mile debris field.

The researchers took more than 700,000 images from every angle to create a virtual, exact 3D reconstruction.

“It’s an absolutely one-to-one digital copy, a ‘twin,’ of the Titanic in every detail,” Anthony Geffen, head of documentary maker Atlantic Productions, told The Associated Press. Atlantic Productions is making a documentary about the project.

The scan, which enables the ship to be seen as if the water has been drained away, may also reveal more details about the ship’s ill-fated trip across the Atlantic in 1912.

An estimated 1,500 people died when the Titanic sank on April 15, 1912, after hitting an iceberg on its maiden voyage from England to New York.

Richard Parkinson, founder of the deep-sea exploration firm Magellan, believes that the data amount to 10 times more than any underwater 3D model ever tried before.

Magellan carried out the scan project in partnership with Atlantic Productions.

“The depth of it, almost 4,000 meters, represents a challenge, and you have currents at the site, too — and we’re not allowed to touch anything so as not to damage the wreck,” Magellan’s Gerhard Seiffert, who led the planning for the expedition, told the BBC.

“And the other challenge is that you have to map every square centimeter — even uninteresting parts. Like on the debris field, you have to map mud, but you need this to fill in between all these interesting objects,” Seiffert said.

After the expedition in the North Atlantic, researchers spent seven months rendering the large amount of data they collected. A documentary about the project is set to come out next year.

Geffen said he hopes the scan will help researchers better understand what happened to the Titanic.

“All our assumptions about how it sank, and a lot of the details of the Titanic, come from speculation, because there is no model that you can reconstruct or work exact distances,” he told The Associated Press. “I’m excited because this quality of the scan will allow people in the future to walk through the Titanic themselves.”

Some information for this report came from The Associated Press and the BBC.
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Drug overdose deaths in the U.S. went up slightly last year after two big leaps during the pandemic. 

Officials with the Centers for Disease Control and Prevention say the numbers plateaued for most of last year. Experts aren’t sure whether that means the deadliest drug overdose epidemic in U.S. history is finally reaching a peak, or whether it’ll look like previous plateaus that were followed by new surges in deaths. 

“The fact that it does seem to be flattening out, at least at a national level, is encouraging,” said Katherine Keyes, a Columbia University epidemiology professor whose research focuses on drug use. “But these numbers are still extraordinarily high. We shouldn’t suggest the crisis is in any way over.” 

An estimated 109,680 overdose deaths occurred last year, according to numbers posted Wednesday by the CDC. That’s about 2% more than the 107,622 U.S. overdose deaths in 2021, but nothing like the 30% increase seen in 2020, and 15% increase in 2021. 

While the overall national number was relatively static between 2021 and 2022, there were dramatic changes in a number of states: 23 reported fewer overdose deaths, one — Iowa — saw no change, and the rest continued to increase. 

Eight states — Florida, Indiana, Kentucky, Maryland, Michigan, Ohio, Pennsylvania and West Virginia — reported sizable overdose death decreases of about 100 or more compared with the previous calendar year. 

Some of these states had some of the highest overdose death rates during the epidemic, which Keyes said might be a sign that years of concentrated work to address the problem is paying off. State officials cited various factors for the decline, like social media and health education campaigns to warn the public about the dangers of drug use; expanded addiction treatment — including telehealth — and wider distribution of the overdose-reversing medication naloxone. 

Plus, the stigma that kept drug users from seeking help — and some doctors and police officers from helping them — is waning, said Dr. Joseph Kanter, the state health officer for Louisiana, where overdose deaths fell 4% last year. 

“We’re catching up and the tide’s turning — slowly,” said Kanter, whose state has one of the nation’s highest overdose death rates. 

Beginning in the mid-1990s, abuse of prescription opioid painkillers was to blame for deaths before a gradual turn to heroin, which in 2015 caused more deaths than prescription painkillers or other drugs. A year later, the more lethal fentanyl and its close cousins became the biggest drug killer. 

Last year, most overdose deaths continued to be linked to fentanyl and other synthetic opioids. About 75,000, up 4% from the year before. There also was an 11% increase in deaths involving cocaine and a 3% increase in deaths involving meth and other stimulants. 

Overdose deaths are often attributed to more than one drug; some people take multiple drugs and officials say inexpensive fentanyl is increasingly cut into other drugs, often without the buyers’ knowledge. 

Research from Dr. Daniel Ciccarone, a drug policy expert at the University of California, San Francisco, suggests “there appears to be some substitution going on,” with a number of people who use illicit drugs turning to methamphetamines or other options to try to stay away from fentanyl and fentanyl-tainted drugs. 

Ciccarone said he believes overdose deaths finally will trend down. He cited improvements in innovations in counseling and addiction treatment, better availability of naloxone and legal actions that led to more than $50 billion in proposed and finalized settlements — money that should be available to bolster overdose prevention. 

“We’ve thrown a lot at this 20-year opioid overdose problem,” he said. “We should be bending the curve downward.” 

But he also voiced some caution, saying “we have been here before.” 

Consider 2018, when overdose deaths dropped 4% from the previous year, to about 67,000. After those numbers came out, then-President Donald Trump declared “we are curbing the opioid epidemic.” 

But overdose deaths then rose to a record 71,000 in 2019, then soared during the COVID-19 pandemic to 92,000 in 2020 and 107,000 in 2021. 

Lockdowns and other pandemic-era restrictions isolated people with drug addictions and made treatment harder to get, experts said. 

Keyes believes that 2022’s numbers didn’t get any worse partly because isolation eased as the pandemic ebbed. But there may be issues ahead, others say, like increased detection of veterinary tranquilizer xylazine in the illicit drug supply and proposals to scale back things like prescribing addiction medications through telehealth. 

“What the past 20 years of this overdose crisis has taught us is that this really is a moving target,” Keyes said. “And when you think you’ve got a handle on it, sometimes the problem can shift in new and different ways.” 
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