YCLOAK

new york — As U.S. health officials investigate a fatal outbreak of listeria food poisoning, they’re advising people who are pregnant, elderly or have compromised immune systems to avoid eating sliced deli meat unless it’s recooked at home to be steaming hot.

The U.S. Centers for Disease Control and Prevention didn’t mandate a food recall as of early Saturday, because it remains unclear what specific products have been contaminated with the bacteria now blamed for two deaths and 28 hospitalizations across 12 states. This means the contaminated food may still be in circulation, and consumers should consider their personal risk level when consuming deli meats.

Federal health officials warned Friday that the number of illnesses is likely an undercount, because people who recover at home aren’t likely to be tested. For the same reason, the outbreak may have spread wider than the states where listeria infections have been reported, mostly in the Midwest and along the U.S. eastern coast.

The largest number known to get sick — seven — were in New York, according to the CDC. The people who died were from Illinois and New Jersey.

What investigators have learned

Of the people investigators have been able to interview, “89% reported eating meats sliced at a deli, most commonly deli-sliced turkey, liverwurst and ham. Meats were sliced at a variety of supermarket and grocery store delis,” the CDC said.

And samples collected from victims from May 29 to July 5 show the bacteria is closely related genetically.

“This information suggests that meats sliced at the deli are a likely source of this outbreak. However, at this time CDC doesn’t have enough information to say which deli meats are the source of this outbreak,” the agency said in a statement published on its website Friday.

What to expect if you’re infected

Listeria infections typically cause fever, muscle aches and tiredness and may cause stiff neck, confusion, loss of balance and convulsions. Symptoms can occur quickly or to up to 10 weeks after eating contaminated food.

It can be diagnosed by testing bodily fluids, usually blood, and sometimes urine or spinal fluid, according to the Mayo Clinic.

Listeria infections are especially dangerous for people older than 65 and those with weakened immune systems, according to the CDC. Victims of this outbreak ranged in age from 32 to 94, with a median age of 75.

For pregnant people, listeria can increase the risk of miscarriages. One of the victims of the current outbreak was pregnant, but did not have a miscarriage, officials said.

Infections confined to the gut — intestinal listeriosis — can often be treated without antibiotics according to the CDC. For example, people might need extra fluids while experiencing diarrhea.

But when the infection spreads beyond the gut — invasive listeriosis — it’s extremely dangerous and is often treated with antibiotics to mitigate the risk of blood infections and brain inflammation, according to the Mayo Clinic.

What about the meat in your fridge

So far there’s no sign that people are getting sick from prepackaged deli meats. And for at-risk people who already have deli slices in their refrigerator, they can be sanitized by being recooked.

“Refrigeration does not kill Listeria, but reheating before eating will kill any germs that may be on these meats,” the CDC says.
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After the Apollo program ended, the US took a long hiatus from lunar exploration. What happened during this time, and what has NASA been doing? This documentary by the Voice of America’s Russian service focuses on the details of the NASA’s Artemis program and plans to further explore the Moon and Mars.
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Washington — Russia and China are edging ever closer to unleashing space-based weapons, a decision that could have far-reaching implications for America’s ability to defend itself, U.S. military and intelligence agencies warn.

Adding to the concern, they say, is what appears to be a growing willingness by both countries to set aside long-running suspicions and animosity in order to gain an edge over the United States.

“I would highlight … the increasing amount in intent to use counterspace capabilities,” said Lieutenant General Jeff Kruse, director of the Defense Intelligence Agency.

“Both Russia and China view the use of space early on, even ahead of conflict, as important capabilities to deter or to compel behaviors,” Kruse told the annual Aspen Security Forum on Wednesday. “We just need to be ready.”

Concerns about the safety of space surged earlier this year when House Intelligence Committee Chairman Mike Turner called for the declassification of “all information” related to what was described as a new Russian anti-satellite capability involving nuclear weapons.

More recently, Turner has warned that the U.S. is “sleepwalking” into a disaster, saying that Russia is on the verge of being able to detonate a nuclear weapon in space, which would impose high costs on the U.S. military and economy.

The White House has responded repeatedly that U.S. officials have been aware of the Russian plans, and that Moscow has not yet deployed a space-based nuclear capability.

It is a stance that Kruse reaffirmed Wednesday, with added caution.

“We have been tracking for almost a decade Russia’s intent to design the ability to put a nuclear weapon in space,” he said. “They have progressed down to a point where we think they’re getting close.”

The Russians “don’t intend to slow down, and until there’s repercussions, will not slow down,” he said.

Russian and Chinese officials have yet to respond to VOA’s requests for reaction to the latest U.S. accusations, but both countries have repeatedly denied U.S. criticisms of their space policies.

In May, Russian Deputy Foreign Minister Sergei Ryabkov dismissed U.S. concerns about Moscow trying to put nuclear weapons in space as “fake news.”

But the Chinese Embassy in Washington, while admitting there are some “difficulties” when it comes to China-U.S. relations in space, rejected any suggestion Beijing is acting belligerently in space.

“China always advocates the peaceful use of outer space, opposes weaponizing space or an arms race in space and works actively toward the vision of building a community with a shared future for mankind in space,” spokesperson Liu Pengyu told VOA in an email.

“The U.S. has been weaving a narrative about the so-called threat posed by China in outer space in an attempt to justify its own military buildup to seek space hegemony,” Liu said. “It is just another illustration of how the U.S. clings on to the Cold War mentality and deflects responsibility.”

Despite Beijing’s public posture, the Defense Intelligence Agency’s Kruse suggested Wednesday that China’s rapid expansion into the space domain is just as worrisome.

“They’re in multiple orbits that they did not used to be before,” he told the audience in Aspen, Colorado, warning that Beijing has already invested heavily in directed energy weapons, electronic warfare capabilities and anti-satellite technology.

“China is the one country that more so even than the United States has a space doctrine, a space strategy, and they train and exercise the use of space and counterspace capabilities in a way that we just don’t see elsewhere,” he said.

The general in charge of U.S. Space Command described the Chinese threat in even starker terms.

“China is building a kill web, if you will, in space,” said General Stephen Whiting, speaking alongside Kruse at the Aspen conference. 

“In the last six years, they’ve tripled the number of intelligence, surveillance and reconnaissance satellites they have on orbit — hundreds and hundreds of satellites, again, purpose built and designed to find, fix, track target and, yes, potentially engage U.S. and allied forces across the Indo-Pacific,” he said.

Whiting also raised concerns about the lack of clear military communication with China about space.

“We want to have a way to talk to them about space safety as they put more satellites on orbit,” he said, “so that we can operate effectively and don’t have any miscommunication or unintended actions that cause a misunderstanding.”
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Blantyre, Malawi     — Malawi has declared the end of the country’s worst cholera outbreak, which began in March 2022 and killed nearly 2,000 people.

In a statement Monday, the Ministry of Health said the country had registered no cases or deaths from cholera in 26 of Malawi’s 29 health districts in the past four weeks. Some health experts, however, said the outbreak could resurface if the country failed to address sanitation problems that caused it.

Malawi President Lazarus Chakwera launched a national campaign to end the cholera outbreak in February 2023. The “Tithetse Kolera” or “Let’s End Cholera” campaign came three months after he declared the disease to be a public health emergency in Malawi.

The campaign aimed to interrupt cholera transmission in all districts and reduce the fatality rate from 3.2% to below 1%, which the World Health Organization considers a controlled cholera outbreak.

Dr. Wilfred Chalamira Nkhoma,  co-chairperson for the presidential task force on COVID-19 and cholera in Malawi, told VOA the disease had now been defeated largely because of the campaign.

“By WHO definition, a country stands to end the transmission of cholera when they have gone at least four weeks without reporting a laboratory confirmed case of cholera,” he said. “So that is the case with Malawi right now. We haven’t had a confirmed case since 6th of June.”

Successful steps

Nkhoma attributed the development to several interventions Malawi conducted over the past two years. He said they involved educating people about transmission, prevention and control of cholera; increasing surveillance; and properly managing cholera cases.

“The key one — and that must remain the key one — is to increase access to safe water and also improve adequate sanitation,” he said. “The Ministry of Water and Sanitation was taking the lead in this, but they were supported very well by nongovernmental organizations that are working in the water and sanitation sector.”

Nkhoma said another measure was the oral cholera vaccination campaign, which began in December 2022.

“We were able as a country to access some doses from WHO,” he said. “We were able to administer not less than about  6 million doses of cholera vaccine focusing first and foremost in priority areas.”

The Ministry of Health said in its Monday statement that Malawi had registered 56,376 cases of cholera, with 1,772 deaths since March 2022.

Maziko Matemba, a national community health ambassador in Malawi, told VOA that Malawi seemed to have managed the cholera outbreak at the treatment and case-management levels, but added that sanitation problems remained a challenge.

“Because at the moment, if you go to villages, if you go to public places, people are not doing the sanitation issues properly,” Matemba said. “Even if you check in public toilets, even if you check how people are preparing food, you will find that we still have challenges as a country to contain disease like cholera.” 

Nkhoma said the government would continue its effort to educate people about how cholera is transmitted, prevented and controlled to try to avoid further outbreaks.
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LONDON — The world’s second vaccine against malaria was launched on Monday as Ivory Coast began a routine vaccine program using shots developed by the University of Oxford and the Serum Institute of India. 

The introduction of the World Health Organization (WHO)-approved R21 vaccine comes six months after the first malaria vaccine, called RTS,S and developed by British drugmaker GSK, began being administered in a routine program in Cameroon. 

Some 15 African countries plan to introduce one of the two malaria vaccines this year with support from the Gavi global vaccine alliance. 

Ivory Coast has received a total of 656,600 doses of the Oxford and Serum shot, which will initially vaccinate 250,000 children aged between 0 and 23 months across the West African country. The vaccine has also been approved by Ghana, Nigeria, Burkina Faso and the Central African Republic. 

The rollout of a second vaccine is the latest milestone in the global fight against malaria and should help address a problem that emerged well before either of the two shots was launched: demand for them is likely to far outstrip supply for several years. 

Experts say having safe and effective malaria vaccines is important to meet demand. The shot is meant to work alongside existing tools — such as bed nets — to combat malaria, which in Africa kills nearly half a million children under the age of five each year. 

The Serum Institute of India, which manufactures the vaccine, has produced 25 million doses for the initial rollout of the shot and “is committed to scaling up to 100 million doses annually,” the company said on Monday about the launch in Ivory Coast. 

Serum said it is offering the vaccine for less than $4 per dose, in keeping with its aim to deliver low-cost vaccines at scale. 

Results from a large trial in February showed the vaccine prevented around three-quarters of symptomatic malaria cases in young children the first year after they got the shots. 

Experts told Reuters at that time that comparing the two malaria vaccines head-to-head was difficult because of the many variables involved in the trials, but overall their performance was similar — a conclusion endorsed by WHO.
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CAPE CANAVERAL, Fla. — Scientists have confirmed a cave on the moon, not far from where Neil Armstrong and Buzz Aldrin landed 55 years ago, and suspect there are hundreds more that could house future astronauts.

An Italian-led team reported Monday that there’s evidence for a sizable cave accessible from the deepest known pit on the moon. It’s located at the Sea of Tranquility, just 250 miles (400 kilometers) from Apollo 11’s landing site.

The pit, like the more than 200 others discovered up there, was created by the collapse of a lava tube.

Researchers analyzed radar measurements by NASA’s Lunar Reconnaissance Orbiter, and compared the results with lava tubes on Earth. Their findings appeared in the journal Nature Astronomy. 
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Geneva — Global childhood vaccination levels have stalled, leaving millions more children un- or under-vaccinated than before the pandemic, the U.N. said Monday, warning of dangerous coverage gaps enabling outbreaks of diseases like measles.

In 2023, 84% of children, or 108 million, received three doses of the vaccine against diphtheria, tetanus and pertussis (DTP), with the third dose serving as a key marker for global immunization coverage, according to data published by the U.N. health and children’s agencies.

That was the same percentage as a year earlier, meaning that modest progress seen in 2022 after the steep drop during the COVID-19 crisis has “stalled,” the organizations warned. The rate was 86% in 2019 before the pandemic.

“The latest trends demonstrate that many countries continue to miss far too many children,” UNICEF chief Catherine Russell said in a joint statement.

In fact, 2.7 million additional children remained un- or under-vaccinated last year compared to the pre-pandemic levels in 2019, the organizations found.

‘Off track’

“We are off track,” World Health Organization vaccine chief Kate O’Brien told reporters. “Global immunization coverage has yet to fully recover from the historic backsliding that we saw during the course of the pandemic.”

Not only has progress stalled, but the number of so-called zero-dose children, who have not received a single jab, rose to 14.5 million last year from 13.9 million in 2022 and from 12.8 million in 2019, according to the data published Monday.

“This puts the lives of the most vulnerable children at risk,” O’Brien warned.

Even more concerning is that more than half of the world’s unvaccinated children live in 31 countries with fragile, conflict-affected settings, where they are especially vulnerable to contracting preventable diseases, due to lacking access to security, nutrition and health services.

Children in such countries are also far more likely to miss out on the necessary follow-up jabs.

A full 6.5 million children worldwide did not complete their third dose of the DTP vaccine, which is necessary to achieve disease protection in infancy and early childhood, Monday’s datasets showed. 

‘Canary in the coal mine’

The WHO and UNICEF voiced additional concern over lagging vaccination against measles — one of the world’s most infectious diseases — amid an exploding number of outbreaks around the world.

“Measles outbreaks are the canary in the coal mine, exposing and exploiting gaps in immunization and hitting the most vulnerable first,” WHO chief Tedros Adhanom Ghebreyesus said in the statement.

In 2023, only 83% of children worldwide received their first dose of the measles vaccine through routine health services — the same level as in 2022 but down from 86% before the pandemic.

And only 74% received their second necessary dose, while 95% coverage is needed to prevent outbreaks, the organizations pointed out.

“This is still too low to prevent outbreaks and achieve elimination goals,” Ephrem Lemango, UNICEF immunization chief, told reporters.

He pointed out that more than 300,000 measles cases were confirmed in 2023 — nearly three times as many as a year earlier.

And a full 103 countries have suffered outbreaks in the past five years, with low vaccination coverage of 80% or lower seen as a major factor.

By contrast, 91 countries with strong measles vaccine coverage experienced no outbreaks.

“Alarmingly, nearly three in four infants live in places at the greatest risk of measles outbreaks,” Lemango said, pointing out that 10 crisis-wracked countries, including Sudan, Yemen and Afghanistan, account for more than half of children not vaccinated against measles.

On a more positive note, strong increases were seen in vaccination against the cervical cancer-causing HPV virus.

But that vaccine is still only reaching 56% of adolescent girls in high-income countries and 23% in lower-income countries — far below the 90% target.
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The Kenyan government is using a new mobile application to educate girls about menstrual health. Through the Oky Kenya app, users can access information on hygiene and other topics. The goal is to dispel myths and misconceptions about menstruation and protect girls against teenage pregnancies. Victoria Amunga reports from Nairobi.
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