YCLOAK

World health officials were stunned when the U.S. opposed a resolution for countries to encourage breastfeeding, especially when decades of research have shown its benefits for both mothers and babies. VOA’s Carol Pearson spoke with two prominent doctors who fully support the U.N. resolution based on scientific studies and explain the benefits and risks of breast or bottle feeding.
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There’s a glimmer of hope in the fight against the deadly HIV virus that causes AIDS. A new vaccine has produced a favorable immune system response during a trial on nearly 400 people. VOA Correspondent Mariama Diallo has details from the recent study published in the Lancet medical journal.
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NASA’s Kepler Space Telescope is almost out of fuel and has been forced to take a nap.

Flight controllers placed the planet-hunting spacecraft into hibernation last week to save energy. It will remain asleep until early August, when controllers attempt to send down the data collected before observations were interrupted.

Kepler has been searching for planets outside our solar system for nearly a decade. Considered the pioneer of planet hunting, it’s discovered nearly 3,000 confirmed worlds and as many potential candidates.

Launched in 2009, Kepler has endured mechanical failures and other mishaps. But there’s no getting around an empty fuel tank. The fuel is needed for pointing the telescope.

Kepler’s antenna must be pointed toward Earth to get the most recent observations back. For now, that’s the team’s highest priority.
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Peruvian President Martin Vizcarra’s government is planning to create an ocean reserve in the first quarter to protect feeding and breeding grounds for humpback whales and other marine species, the environment minister said Monday.

The reserve would span more than 400 square miles (1,040 square km) and overlap with four offshore oil blocks, according to a government document on the proposal.

Environment Minister Fabiola Munoz said oil drilling and fishing would still be allowed in the protected area, but that extra care would be taken to ensure they do not threaten marine ecosystems, with resources allocated for government oversight.

“The goal of creating this reserve isn’t to ban economic activity. It’s to create the conditions so that species can reproduce in the time of year they need,” Munoz said in a news conference with foreign media.

Munoz said she expects the proposed reserve to be created via a presidential decree in the first quarter of 2019, after information meetings are held with stakeholders this year.

The proposed area includes feeding and breeding grounds for turtles, humpback whales, seals, seahorses and commercial fish species, according to the document.

The companies that have exploration or drilling rights inside the borders of the proposed reserve include Savia Peru — a joint venture of Ecopetrol and Korea National OilCorp — BPZ Exploracion & Produccion, Karoon Gas Australia Ltd. and China National Petroleum Corporation.
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The United States is disputing a newspaper report that it bullied and threatened nations in an effort to water down a World Health Assembly resolution supporting breastfeeding.

A State Department official said, “Reports suggesting the United States threatened a partner nation related to a World Health Assembly resolution are false.”

Health and Human Services spokeswoman Caitlin Oakley also described as “patently false” attempts to portray the U.S. position as anti-breastfeeding.

A New York Times report Monday said the U.S. delegation at the assembly in Geneva this spring embraced “the interest of infant formula manufacturers” and “upended the deliberations.” 

The resolution had been expected to be approved “quickly and easily,” the newspaper said. Instead, the U.S. delegation “sought to wear down the other participants through procedural maneuvers in a series of meetings that stretched on for two days, an unexpectedly long period.”

A State Department official said the U.S. believed “the resolution as originally drafted called on states to erect hurdles for mothers seeking to provide nutrition to their children.”

The official said the United States “recognizes that breastfeeding and provision of breast milk is best for all babies,” but also recognizes that “not all women are able to breastfeed for a variety of reasons.”

The official said, “Women should have access to full and accurate information about breastfeeding,” as well as “full information about safe alternatives when breastfeeding is not possible.”

Oakley said, “The issues being debated were not about whether one supports breastfeeding.”

“Many women are not able to breastfeed for a variety of reasons, these women should not be stigmatized; they should be equally supported with information and access to alternatives for the health of themselves and their babies,” she said.

The Times said Ecuador was slated to introduce the World Health Assembly breastfeeding resolution, but after the U.S. threatened to “unleash punishing trade measures and withdraw crucial military aid,” it “quickly acquiesced.”

The newspaper said more than a dozen participants from different countries at the assembly confirmed the “showdown over the issue.” Many of them, however, asked to remain anonymous because they fear U.S. retaliation.

Health advocates had trouble finding another sponsor who did not fear U.S. “retaliation.”

The Times said that in the end, the Russian delegation stepped in as the resolution’s sponsor. It said, “The Americans did not threaten them.”

Patti Rundall, policy director of the British advocacy group Baby Milk Action, told the newspaper, “What happened was tantamount to blackmail, with the U.S. holding the world hostage and trying to overturn nearly 40 years of consensus on the best way to protect infant and young child health.”

The State Department official said the United States works “to identify common cause when possible and does not shy away from expressing its disagreement when necessary.”  

Cindy Saine and Barry Newhouse contributed to this report.
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A recent study demonstrates that India can grow more nutritious food and decrease water use simply by switching the cereals farmers produce.

Currently, 7.3 billion people live on Earth, and the world population is expected to rise to 9.7 billion by 2050. Technological innovations have helped keep up with population growth in the past, but new research shows we might not need fancy tech for nutritional purposes.

Lead researcher Kyle Frankel Davis from Columbia University told VOA, “A lot of my research interests stem from trying to better align food security and environmental goals. And the Green Revolution is a good example of how we haven’t been able to do that historically.”

The Green Revolution is the name given to the development of high-yielding rice and wheat in the 1960s. These crops dramatically boosted food supplies in India and elsewhere; however, they required large amounts of water and fertilizer. With water supplies being strained and fertilizer pollution problems growing in many parts of the world, experts are encouraging farmers to consider less needy crops.

Davis and his co-authors wanted to test whether a shift from rice and wheat to maize, sorghum or millet could lead to better nutritional balance and less water use.

Working district by district, they used computer models to replace rice and wheat with other cereals that were grown in the district, but on a smaller scale. That ensured there was local agricultural knowledge about the alternative grain, and that the shift would be feasible.

The authors went through this process twice. One model chose grains that would increase the balance of nutritional content among calories, protein, iron and zinc, and the second model reduced irrigation demands. In both cases, replacing rice with another grain like sorghum, millet or maize led to better water efficiency and more nutritious output. Maize, in particular, performed generally well as a nutritious alterative, but was even better at reducing water use.

‘Win-win situations’

The researchers’ “small changes lead to big impacts,” according to the Environmental Defense Fund’s Kritee Kritee, who studies climate-smart agriculture. She added, “This study really brings attention to [alternative grains] and encourages both Indian scientists and international partners to do more research on the ground.”

“I think I was a bit surprised with the magnitude of potential water savings that could occur,” Davis acknowledged. “We estimated that water demand could be reduced by about one-third, which is a really substantial volume.

“I was also surprised that there are these win-win solutions sitting there,” said Davis. “But it doesn’t seem like they’ve been adopted historically and that has raised a lot of interesting questions as to why that hasn’t been the case.”

Subsidies

One potential explanation could be the governmental subsidies that are placed on some grains and not others. Davis thinks these state-level subsidies might explain the reliance on wheat and rice over other alternatives.

Currently, most grains are grown in Punjab and Haryana. The computer models indicated that shifting cereals would create less regional dependence, which could protect against local crop failure, although the models did not take into account soil fertility. That is a major reason those two districts are considered bread baskets.

Kritee agrees that while governmental policies are important, they aren’t the only drivers of what crops farmers choose to cultivate.

“India has 100 million small farms less than two to five acres and people making less than $2 a day. Behavior is not driven just by government prices. Behavior is driven by small-scale farmers managing their livelihood, and government-supported prices are only one way you can try to tweak that behavior.”

This study, published in Science Advances, is part of a larger research program to address multiple aspects of agriculture in India. The researchers are interested in observing how climate change, land use, and other factors affect farming practices, with the aim of increasing yield without damaging the environment.

Davis hopes to translate these research findings into policy, saying, “In developing these solutions for a specific place, it’s also vital that researchers work closely with government officials and local experts to really tailor the solutions and the research questions to what’s important to the people in that place of interest.”
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Bradford Smith, a NASA astronomer who acted as planetary tour guide to the public with his interpretations of stunning images beamed back from Voyager missions, has died.

Smith’s wife, Diane McGregor, said he died Tuesday at his home in Santa Fe, New Mexico, of complications from myasthenia gravis, an autoimmune disorder. He was 86.

Smith led the NASA team that interpreted pictures taken by Voyager space probes as they passed Jupiter, Saturn, Uranus and Neptune and then presented the images to the public. He was a retired professor of planetary sciences and astronomy at the University of Arizona and research astronomer at the University of Hawaii in Manoa.

At NASA press conferences on Voyager discoveries following their launch in 1977, Smith was a star, and known for a certain dry wit. At a press conference showing a multicolored, pockmarked moon of Jupiter called Io, Smith quipped, “I’ve seen better looking pizzas than this.”

A video of the conference ran on national broadcast news and his quote was on front pages around the world, said Ellen Hale, a former Associated Press communications director and friend of Smith’s.

A 1981 People magazine profile called Smith “the nation’s tour guide” who showed the public active volcanoes on Io, violent hurricanes on Jupiter, thousands of complex rings around Saturn and other space oddities that constituted “a very bizarre world,” as Smith put it, “that goes beyond the imagination of science fiction writers.”

Planetary scientist Carolyn Porco who worked with Smith at NASA called him a “visionary” who pushed for changes in optics on Voyager cameras and the hiring of scientists with expertise in geology and planetary rings.

“Brad was one of few who had the foresight to recognize the satellites and, later, the rings of the outer planets would be as fascinating as the planets themselves, and the need for a high-resolution imaging capability to address both,” Porco recalled in tribute to Smith on Facebook.

Smith is survived by McGregor, his wife of 34 years, three children, five grandchildren and five great-grandchildren.
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Researchers from half a dozen states in West Africa have joined together in a battle against what one expert calls a root crop “Ebola” — a viral disease that could wreck the region’s staple food and condemn millions to hunger.

Their enemy: cassava brown streak disease (CBSD), a virus that strikes cassava, also called manioc, which in some of the region’s countries is consumed by as many as 80 percent of the population.

The root-rotting disease was first discovered in Tanzania eight decades ago and is steadily moving westward.

“In outbreaks in central Africa, it has wiped out between 90 and 100 percent of cassava production — it’s now heading towards West Africa,” Justin Pita, in charge of the research program, told AFP.

“It is a very big threat. It has to be taken very seriously.”

In Uganda, 3,000 people died of hunger in the 1990s after the dreaded disease showed up, striking small farmers in particular.

“You can call it the Ebola of cassava,” said Pita.

The West African Virus Epidemiology (WAVE) project, a multi-million-dollar scheme funded by the Bill and Melinda Gates Foundation, aims to shield the region from the advancing peril.

Headquartered at Bingerville, on the edges of the Ivorian economic capital Abidjan, it gathers six countries from West Africa — Benin, Burkina Faso, Ghana, Ivory Coast, Nigeria and Togo — as well as the Democratic Republic of Congo.

Much is already known about CBSD — the virus is generally believed to be propagated by an insect called the silverleaf whitefly, and also through cuttings taken from infected plants.

But there remain gaps in knowledge about West Africa’s specific vulnerabilities to the disease.

They include understanding the susceptibility of local strains of cassava to the virus, and identifying points in the cassava trade that can help a localized outbreak of CBSD swell into an epidemic.

The scheme will also look at initiatives to help boost yield — a key challenge in a region with surging population growth.

“The current average yield from cassava [in West Africa] is 10 to 12 tonnes per hectare [four to 4.8 tonnes per acre], but it has the potential to reach 40 tonnes a hectare,” said Odile Attanasso, Benin’s minister of higher education and scientific research.

“In Asia, they have yields of 22 tonnes per hectare.”

‘Attieke is our husband’

The WAVE project hopes to go beyond the lab and test fields, though.

It also wants to harness the clout of community leaders and chiefs to spread CBSD awareness and promote better farming practices, such as confining and destroying crops in infested areas and banning transport of manioc cuttings.

“We kings and traditional chiefs are the interface between the population and the government,” said Amon Tanoe, the ceremonial monarch of the coastal Grand-Bassam region in Ivory Coast.

Ivory Coast is a huge consumer of cassava — the starchy root is typically pulped and fermented and served in a side dish called attieke.

In Affery, a big cassava-growing region about 100 kilometers (60 miles) east of the economic capital Abidjan, makers of attieke said they were deeply worried about the threat of CBSD.

“Attieke is our husband,” said Nathalie Monet Apo, head of the association of attieke producers, emphasizing how the cassava dish is intertwined with Ivorian life.

“If the disease shows up, it would be dramatic for our families and our community.”

“They have to find a cure for this disease — it’s thanks to growing cassava that I am able to provide an education for my four children,” said Blandine Yapo Sopi, eying a mound of harvested manioc that she hoped would bring in 450,000 CFA francs (nearly 700 euros, around $800).
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Dressed in heavy cotton, a helmet and respirator, Jessica Ball worked the night shift monitoring “fissure 8,” which has been spewing fountains of lava as high as a 15-story building from a slope on Hawaii’s Kilauea volcano.

The lava poured into a channel oozing toward the Pacific Ocean several miles away. In the eerie orange night scape in the abandoned community of Leilani Estates, it looked like it was flowing toward the scientist, but that was an optical illusion, Ball said.

“The volcano is doing what it wants to. … We’re reminded what it’s like to deal with the force of nature,” said Ball, a geologist with the U.S. Geological Survey.

Scientists have been in the field measuring the eruptions 24 hours a day, seven days a week since Kilauea first exploded more than two months ago.

They are a mix of USGS staff, University of Hawaii researchers and trained volunteers working six-to-eight-hour shifts in teams of two to five.

They avoid synthetics because they melt in the intense heat and wear gloves to protect their hands from sharp volcanic rock and glass. Helmets protect against falling lava stones, and respirators ward off sulfur gases.

This is not a job for the faint hearted. Geologists have died studying active volcanoes. David Alexander Johnston, a USGS volcanologist was killed by the 1980 eruption of Mount St. Helens in Washington state. In 1991,

American volcanologist Harry Glicken and his French colleagues Katia and Maurice Krafft were killed while conducting avalanche research on Mount

Unzen in Japan.

Ball, a graduate of the State University of New York at Buffalo, located in upstate New York near the Canadian border, compared Kilauea’s eruptions to Niagara Falls.

“It gives you the same feeling of power and force,” she said.

Worth the risks

Kilauea, which has been erupting almost continuously since 1983, is one of the world’s most closely monitored volcanoes, largely from the now-abandoned Hawaiian Volcano Observatory at the summit. But the latest eruption is one of Kilauea’s biggest and could prove to be a bonanza for scientists.

Ball and the USGS teams are studying how the magma – molten rock from the earth’s crust – tracks through a network of tubes under the volcano in what is known as the “Lower East Rift Zone,” before ripping open ground fissures and spouting fountains of lava.

They are trying to discover what warning signs may exist for future eruptions to better protect the Big Island’s communities, she said.

Fissure 8 is one of 22 around Kilauea that have destroyed over 1,000 structures and forced 2,000 people to evacuate. They are what make this volcanic eruption a rare event, Ball said.

“They’re common for Kilauea on a geologic time scale, but in a human time scale it’s sort of a career event,” she said.

Meanwhile, the summit is erupting almost every day with steam or ash, said Janet Snyder, spokeswoman for the County of Hawaii, where Kilauea is located.

Scientists had thought the steam explosions resulted from lava at the summit dropping down the volcano’s throat into groundwater. This was based on Kilauea’s 1924 eruption, to which the current one is most often compared.

But the explosions this time have released lots of sulfur dioxide gas, which means magma is involved, said Michael Poland, scientist-in-charge at Yellowstone Volcano Observatory, one of many volcanologists seconded to Kilauea.

“So we have already made a conceptual leap, leading us to believe it was different from what we had understood,” he said.

Poland and other scientists pulled equipment and archives out of the abandoned observatory at the volcano summit after hundreds of small eruption-induced quakes damaged the structure, and have decamped to the University of Hawaii in Hilo on the Big Island.

The archives included photos, seismic records and samples, some 100 or more years old, Poland said. “These materials are invaluable to someone who says, ‘I have this new idea, and I want to test it using past data.'”

Now the second longest Kilauea eruption on record, surpassed only by one in 1955, this eruption offers far better research opportunities than previous events, Ball said.

“We’ve got much better instruments and we’ve got longer to collect the data,” she said.
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The Trump administration said Saturday it’s freezing payments under an “Obamacare” program that protects insurers with sicker patients from financial losses, a move expected to add to premium increases next year.

At stake are billions in payments to insurers with sicker customers.

In a weekend announcement, the Centers for Medicare and Medicaid Services said the administration is acting because of conflicting court ruling in lawsuits filed by some smaller insurers who question whether they are being fairly treated under the program.

Risk adjustment

The so-called risk adjustment program takes payments from insurers with healthier customers and redistributes that money to companies with sicker enrollees. Payments for 2017 are $10.4 billion. No taxpayer subsidies are involved.

The idea behind the program is to remove the financial incentive for insurers to cherry pick healthier customers. The government uses a similar approach with Medicare private insurance plans and the Medicare prescription drug benefit.

Major insurer groups said Saturday the administration’s action interferes with a program that’s working well.

The Blue Cross Blue Shield Association, whose members are a mainstay of Affordable Care Act coverage said it was “extremely disappointed” with the administration’s action.

The Trump administration’s move “will significantly increase 2019 premiums for millions of individuals and small business owners and could result in far fewer health plan choices,” association president Scott Serota said in a statement. “It will undermine Americans’ access to affordable coverage, particularly those who need medical care the most.”

Serota noted that the payments are required by law, and said he believes the administration has the legal authority to continue making them despite the court cases. He warned of turmoil as insurers finalize their rates for 2019.

America’s Health Insurance Plans, the main health insurance industry trade group, said in a statement that it is “very discouraged” by the Trump administration’s decision to freeze payments.

“Costs for taxpayers will rise as the federal government spends more on premium subsidies,” the group said.

Conflicting rulings

Rumors that the Trump administration would freeze payments were circulating late last week. But the Saturday announcement via email was unusual for such a major step.

The administration argued in its announcement that its hands were tied by conflicting court rulings in New Mexico and Massachusetts.

Medicare and Medicaid Administrator Seema Verma said the Trump administration was disappointed by a New Mexico court ruling that questioned the workings of the risk program for insurers.

The administration “has asked the court to reconsider its ruling, and hopes for a prompt resolution that allows (the government) to prevent more adverse impacts on Americans who receive their insurance in the individual and small group markets,” she said.

More than 10 million people currently buy individual health insurance plans through HealthCare.gov and state insurance marketplaces. The vast majority of those customers receive taxpayer subsidies under the Obama-era health law and would be shielded from premium increases next year.

The brunt of higher prices would fall on solid middle-class consumers who are not eligible for the income-based subsidies. Many of those are self-employed people and small business owners, generally seen as a Republican constituency.

The latest “Obamacare” flare-up does not affect most people with employer coverage.
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Nano technology researchers at the University of Cambridge are developing an intelligent toilet that might change the nature of medicine. It automatically analyzes a user’s urine to capture valuable medical data. VOA Correspondent Mariama Diallo reports.
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