China on Sunday reported two additional deaths from COVID-19 as some cities move cautiously to ease anti-pandemic restrictions following increasingly vocal public frustrations.

The National Health Commission said one death was reported each in the provinces of Shandong and Sichuan. No information was given about the ages of the victims or whether they had been fully vaccinated.

China, where the virus first was detected in late 2019 in the central city of Wuhan, is the last major country trying to stop transmission completely through quarantines, lockdowns and mass testing. Concerns over vaccination rates are believed to figure prominently in the ruling Communist Party’s determination to stick to its hard-line strategy.

While nine in 10 Chinese have been vaccinated, only 66% of people over 80 have gotten one shot while 40% have received a booster, according to the commission. It said 86% of people over 60 are vaccinated.

Given those figures and the fact that relatively few Chinese have been built up antibodies by being exposed to the virus, some fear millions could die if restrictions were lifted entirely.

Yet, an outpouring of public anger appears to have prompted authorities to lift some of the more onerous restrictions, even as they say the “zero-COVID” strategy — which aims to isolate every infected person — is still in place.

The demonstrations, the largest and most widely spread in decades, erupted Nov. 25 after a fire in an apartment building in the northwestern city of Urumqi killed at least 10 people. That set off angry questions online about whether firefighters or victims trying to escape were blocked by locked doors or other anti-virus controls. Authorities denied that, but the deaths became a focus of public frustration.

The country saw several days of protests across cities including Shanghai and Beijing, with protesters demanding an easing of COVID-19 curbs. Some demanded Chinese President Xi Jinping step down, an extraordinary show of public dissent in a society over which the ruling Communist Party exercises near total control.

Beijing and some other Chinese cities announced that riders can board buses and subways without a virus test for the first time in months. The requirement has led to complaints from some Beijing residents that even though the city has shut many testing stations, most public venues still require COVID-19 tests.

On Sunday, China announced another 35,775 cases from the past 24 hours, 31,607 of which were asymptomatic, bringing its total to 336,165 with 5,235 deaths.

While many have questioned the accuracy of the Chinese figures, they remain relatively low compared to the U.S. and other nations which are now relaxing controls and trying to live with the virus that has killed at least 6.6 million people worldwide and sickened almost 650 million.

China still imposes mandatory quarantine for incoming travelers even as its infection numbers are low compared to its 1.4 billion population.
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It’s now a lot easier — and cheaper — for many hard-of-hearing Americans to get help.

Hearing aids can now be sold without a prescription from a specialist. Over-the-counter, or OTC, hearing aids started hitting the market in October at prices that can be thousands of dollars lower than prescription hearing aids.

About 30 million people in the United States deal with hearing loss, according to the Food and Drug Administration. But only about 20% of those who could use a hearing aid seek help.

Here’s a closer look:

Who might be helped

The FDA approved OTC hearing aids for adults with mild-to-moderate hearing loss. That can include people who have trouble hearing phone calls or who turn up the TV volume loud enough that others complain.

It also can include people who have trouble understanding group conversations in noisy places.

OTC hearing aids aren’t intended for people with deeper hearing loss, which may include those who have trouble hearing louder noises, like power tools and cars. They also aren’t for people who lost their hearing suddenly or in just one ear, according to Sterling Sheffield, an audiologist who teaches at the University of Florida. Those people need to see a doctor.

Hearing test

Before over-the-counter, you usually needed to get your hearing tested and buy hearing aids from a specialist. That’s no longer the case.

But it can be hard for people to gauge their own hearing. You can still opt to see a specialist just for that test, which is often covered by insurance, and then buy the aids on your own. Check your coverage before making an appointment.

There also are a number of apps and questionnaires available to determine whether you need help. Some over-the-counter sellers also provide a hearing assessment or online test.

Who’s selling

Several major retailers now offer OTC hearing aids online and on store shelves.

Walgreens drugstores, for example, are selling Lexie Lumen hearing aids nationwide for $799. Walmart offers OTC hearing aids ranging from about $200 to $1,000 per pair. Its health centers will provide hearing tests.

The consumer electronics chain Best Buy has OTC hearing aids available online and in nearly 300 stores. The company also offers an online hearing assessment, and store employees are trained on the stages of hearing loss and how to fit the devices.

Overall, there are more than a dozen manufacturers making different models of OTC hearing aids.

New devices will make up most of the OTC market as it develops, Sheffield said. Some may be hearing aids that previously required a prescription, ones that are only suitable for people with mild to moderate hearing loss.

Shoppers should expect a lot of devices to enter and leave the market, said Catherine Palmer, a hearing expert at the University of Pittsburgh.

“It will be quite a while before this settles down,” she said.

What to watch for

Look for an OTC label on the box. Hearing aids approved by the FDA for sale without a prescription are required to be labeled OTC.

That will help you distinguish OTC hearing aids from cheaper devices sometimes labeled sound or hearing amplifiers — called a personal sound amplification product or PSAP. While often marketed to seniors, they are designed to make sounds louder for people with normal hearing in certain environments, like hunting. And amplifiers don’t undergo FDA review.

“People really need to read the descriptions,” said Barbara Kelley, executive director of the Hearing Loss Association of America.

And check the return policy. That’s important because people generally need a few weeks to get used to them, and make sure they work in the situations where they need them most. That may include on the phone or in noisy offices or restaurants.

Does the company selling OTC devices offer instructions or an app to assist with setup, fit and sound adjustments? A specialist could help too, but expect to pay for that office visit, which is rarely covered by insurance.

Sheffield said hearing aids are not complicated, but wearing them also is not as simple as putting on a pair of reading glasses.

“If you’ve never tried or worn hearing aids, then you might need a little bit of help,” he said.

The cost

Most OTC hearing aids will cost between $500 and $1,500 for a pair, Sheffield said. He noted that some may run up to $3,000.

And it’s not a one-time expense. They may have to be replaced every five years or so.

Hearing specialists say OTC prices could fall further as the market matures. But they already are generally cheaper than their prescription counterparts, which can run more than $5,000.

The bad news is insurance coverage of hearing aids is spotty. Some Medicare Advantage plans offer coverage of devices that need a prescription, but regular Medicare does not. There are discounts out there, including some offered by Medicare Advantage insurer UnitedHealthcare in partnership with nonprofit organization AARP.

Shoppers also can pay for the devices with money set aside in health savings accounts or flexible spending accounts.

Don’t try to save money by buying just one hearing aid. People need to have the same level of hearing in both ears so they can figure out where a sound is coming from, according to the American Academy of Audiology.
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Chinese leader Xi Jinping is unwilling to accept Western vaccines despite the challenges China is facing with COVID-19, and while recent protests there are not a threat to Communist Party rule, they could affect his personal standing, U.S. Director of National Intelligence Avril Haines said Saturday.

Although China’s daily COVID cases are near all-time highs, some cities are taking steps to loosen testing and quarantine rules after Xi’s zero-COVID policy triggered a sharp economic slowdown and public unrest.

Haines, speaking at the annual Reagan National Defense Forum in California, said that despite the social and economic impact of the virus, Xi “is unwilling to take a better vaccine from the West, and is instead relying on a vaccine in China that’s just not nearly as effective against omicron.”

“Seeing protests and the response to it is countering the narrative that he likes to put forward, which is that China is so much more effective at government,” Haines said.

“It’s, again, not something we see as being a threat to stability at this moment, or regime change or anything like that,” she said, while adding: “How it develops will be important to Xi’s standing.”

China has not approved any foreign COVID vaccines, opting for those produced domestically, which some studies have suggested are not as effective as some foreign ones. That means easing virus prevention measures could come with big risks, according to experts.

The White House said earlier in the week that China had not asked the United States for vaccines.

One U.S. official told Reuters there was “no expectation at present” that China would approve western vaccines.

“It seems fairly far-fetched that China would greenlight Western vaccines at this point. It’s a matter of national pride, and they’d have to swallow quite a bit of it if they went this route,” the official said.

Haines also said North Korea recognized that China was less likely to hold it accountable for what she said was Pyongyang’s “extraordinary” number of weapons tests this year.

Amid a record year for missile tests, North Korean leader Kim Jong Un said last week his country intends to have the world’s most powerful nuclear force.

Speaking on a later panel, Admiral John Aquilino, the commander of the U.S. Indo-Pacific Command, said China had no motivation to restrain any country, including North Korea, that was generating problems for the United States.

“I’d argue quite differently that it’s in their strategy to drive those problems,” Aquilino said of China.

He said China had considerable leverage to press North Korea over its weapons tests, but that he was not optimistic about Beijing “doing anything helpful to stabilize the region.”
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The director-general of the World Health Organization said Friday that due to COVID-19 “more than 8,500 people lost their lives last week — which is not acceptable three years into the pandemic, when we have so many tools to prevent infections and save lives.”

Dr. Tedros Adhanom Ghebreyesus said last Saturday marked the anniversary of WHO’s announcement of COVID-19’s omicron variant, which he said “has proved to be significantly more transmissible than its predecessor, delta, and continues to cause significant mortality due to the intensity of transmission.”

The WHO chief said omicron has evolved and there are now “over 500 sublineages of omicron circulating” and all of them are “highly transmissible” and “have mutations that enable them to escape built-up immunity more easily.”

While WHO believes the world is “closer to being able to say that the emergency phase of the pandemic is over,” Tedros said, “we are not there yet,” despite WHO estimates that at least 90% of the world’s population has some form of COVID immunity, due to infection of vaccination.

Tedros warned that, “Gaps in surveillance, testing, sequencing and vaccination are continuing to create the perfect conditions for a new variant of concern to emerge that could cause significant mortality.”
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Days after protests erupted in China over the country’s strict zero-COVID policy, there are signs the government is beginning to ease its testing requirements and quarantine rules in some cities, but it is unclear whether the measures will go far enough to appease those who have been in lockdown for so long.

Some called for more protests in China this weekend, but it remains to be seen if people will take to the streets like they did last weekend, when demonstrations broke out in more than 20 cities in a display of civil disobedience rarely seen in China.

“It’s hard to predict” what will happen this weekend, Sophie Richardson, the China director at Human Rights Watch, told VOA’s Mandarin Service.

Few people last weekend had been expecting to see Chinese residents “come out onto the streets in cities across the country, unmasked and calling for an end to lockdowns,” she said.

“The authorities have certainly made clear that they don’t want more of those — both by dispersing, surveilling and detaining some people, but also by agreeing in some areas to some relaxations on COVID-19 restrictions,” Richardson said.

Chinese officials said this week they are taking steps to ease coronavirus restrictions. While officials did not publicly mention the protesters, the move was widely seen as an effort to ease public anger over the government’s COVID-19 restrictions and head off any more demonstrations.

Chinese Vice Premier Sun Chunlan, who heads the country’s coronavirus response efforts, said during a panel discussion with health workers on Wednesday that China would take “small steps” to relax its COVID-19 policy.

She said the country is facing a “new reality” as the omicron variant poses less of a threat than previous variants.

Several Chinese cities, including Guangzhou in the south and Shijiazhuang in the north said they were easing testing requirements and restrictions on movement. In the capital, Beijing, some neighborhoods said they would allow people who have tested positive for COVID-19 to quarantine at home instead of in government facilities, according to state-run media.

CNN reported Friday that Chinese President Xi Jinping acknowledged frustration within his country over the government’s strict COVID policies.

The news outlet quoted a European Union official who requested anonymity who said Xi told visiting European Council President Charles Michel in Beijing on Thursday that the protesters were “mainly students” who were frustrated by the government’s COVID-19 measures.

The Chinese leader hinted at the potential relaxation of the measures, saying that the omicron variant is less deadly than the delta variant, according to CNN.

Joe Mazur, a senior analyst at Beijing-based consulting firm Trivium China, wrote on Twitter on Friday that he and his colleagues are “convinced major shift is finally happening in China’s approach to COVID.”

He said the government is taking several steps that would indicate a true policy shift, including downplaying the seriousness of omicron, ramping up vaccination efforts, and allowing people with certain mild COVID-19 cases to quarantine at home.

A top World Health Organization official said Friday the agency was pleased to see China loosening some of its coronavirus restrictions. Dr. Michael Ryan, WHO emergencies executive director, said, “It’s really important that governments listen to their people when the people are in pain.”

He said China could boost its immunization coverage by using imported messenger RNA vaccines, like those made by BioNTech-Pfizer and Moderna.

China has not yet authorized any foreign-made vaccines, which have been found to be highly effective. The country has struggled to vaccinate its elderly population, with only two-thirds of the people 80 and older are fully vaccinated, according to China’s National Health Commission.

Despite Chinese officials signaling a shift in policy, many of the COVID-19 restrictions that brought people into the streets to demonstrate this past week remain in force. It remains to be seen whether the moves by the government will go far enough to appease those frustrated by lengthy lockdowns and widespread testing.

Police patrolled the streets in major Chinese cities in an effort to head off any more protests. Notes on social media said people were being stopped at random by police who were checking their phones, possibly looking for any signs that they were supporting the protests.

An unknown number of people were detained in the recent demonstrations. Richardson said it is “virtually impossible to know at this point” how many protesters have been detained, on what charges they were brought in, and how they are being treated.

A Shanghai resident who participated in a vigil last Saturday to commemorate those who died in a fire in the western Xinjiang region told VOA he witnessed police arresting multiple people.

The fire in Urumqi was what initially spawned the protests across China, with many saying the victims in the burning building were blocked by locked doors and other anti-infection controls. Chinese officials have denied the doors were blocked and blamed “forces with ulterior motives” for linking the fire to the strict COVID-19 measures.

The Shanghai vigil eyewitness, who requested anonymity due to the sensitivity of the issue, told VOA Mandarin, “The police were arresting people in my face because I was always in the front row of the crowd. I was never targeted by them, just luck.”

Asked why he participated in the vigil, he said, “I happened to see it and felt that I had to participate because this is my responsibility as a citizen.”

John Kirby, the U.S. National Security Council’s coordinator for strategic communications, told VOA that the United States has consistently supported the right of people to protest around the world.

The fundamental right for citizens is “to be able to freely assemble without fear, without intimidation, certainly without violence, to protest, to make their voices heard on issues that matter to them,” he said.

A bipartisan group of more than 40 U.S. senators warned China on Thursday against any violent crackdown on peaceful protesters saying there would be “grave consequences” for such actions.

While most of the protesters across China have focused their frustrations on the government’s anti-COVID policies, some have also demanded the resignation of President Xi.

China’s zero-COVID policy has been a signature policy of President Xi since the pandemic began. The country’s state media has touted the government’s political system under Xi as one of the main reasons China has been so successful in preventing COVID-19 cases and deaths.

The zero-COVID policy aims to isolate every infected person and has helped China to keep its case numbers, as a percentage of its overall population, lower than those in the United States.

As a result, millions of Chinese have been confined to their homes for up to four months. The policy has also had economic ramifications, including affecting global supply chains. Beijing’s target economic growth for 2022 was 5.5%, but by the end of September the country’s economy had grown only 3.9%.

Some information in this report came from the Associated Press, Reuters and Agence France-Presse.
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Prayer. Bombs. Walls. Over the decades, people have tried all of them to stanch the flow of lava from Hawaii’s volcanoes as it lumbered toward roads, homes and infrastructure.

Now Mauna Loa — the world’s largest active volcano — is erupting again, and lava is slowly approaching a major thoroughfare connecting the Big Island’s east and west sides. And once more, people are asking if anything can be done to stop or divert the flow.

“It comes up every time there’s an eruption and there’s lava heading towards habited areas or highways,” said Scott Rowland, a geologist at the University of Hawaii. “Some people say, ‘Build a wall’ or ‘Board up,’ and other people say, ‘No, don’t!”

Humans have rarely had much success stopping lava and, despite the world’s technological advances, doing so is still difficult and dependent on the force of the flow and the terrain. But many in Hawaii also question the wisdom of interfering with nature and Pele, the Hawaiian deity of volcanoes and fire.

Prayers to Pele

Attempts to divert lava have a long history in Hawaii.

In 1881, the governor of Hawaii Island declared a day of prayer to stop lava from Mauna Loa as it headed for Hilo. The lava kept coming.

According to the U.S. Geological Survey, Princess Regent Lili’uokalani and her department heads went to Hilo and considered ways to save the town. They developed plans to build barriers to divert the flow and place dynamite along a lava tube to drain the molten rock supply.

Princess Ruth Ke’elikōlani approached the flow, offered brandy and red scarves and chanted, asking Pele to stop the flow and go home. The flow stopped before the barriers were built.

More than 50 years later, Thomas A. Jaggar, the founder of the Hawaiian Volcano Observatory, asked U.S. Army Air Services to send planes to bomb a Mauna Loa vent to disrupt lava channels.

Lt. Col. George S. Patton, who later became famous as a general in Europe during World War II, directed planes to drop 20 272-kilogram demolition bombs, according to a National Park Service account of the campaign. The bombs each had 161 kilograms of TNT. The planes also dropped 20 smaller bombs that only had black powder charge.

Jagger said the bombing helped to “hasten the end of the flow,” but Howard Stearns, a U.S. Geological Survey geologist onboard the last bombing run, was doubtful. In his 1983 autobiography, he wrote: “I am sure it was a coincidence.”

According to the park service, geologists today also are doubtful the bombing stopped the lava flow, which didn’t end with the bombing. Instead, the flows waned over the next few days and didn’t change paths.

Local advises to go with the flow

Rowland said authorities could use a bulldozer to pile a big berm of broken rock in front of Daniel K. Inouye Highway. If the terrain is flat, then lava would pile up behind the wall. But the lava may flow over it, like it did when something similar was attempted in Kapoho town in 1960.

Rapidly moving lava flows, like those from Kilauea volcano in 2018, would be more difficult to stop, he said.

“It would have been really hard to build the walls fast enough for them. And they were heading towards groups of homes. And so you would perhaps be sacrificing some homes for others, which would just be a legal mess,” he said.

He said he believes most people in Hawaii wouldn’t want to build a wall to protect the highway because it would “mess with Pele.”

If lava crosses the highway, Rowland said officials could rebuild that section of the road like they did in 2018 when different routes were covered. There are no current plans to try to divert the flow, a county official said.

Thinking you should physically divert lava is a Western idea rooted in the notion that humans have to control everything, said Kealoha Pisciotta, a Native Hawaiian cultural practitioner. She said people need to adjust to the lava, not the other way around.
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Britain’s Prince William capped a three-day visit to Boston by meeting with U.S. President Joe Biden on Friday, ahead of announcing his Earthshot Prize environmental award winners at a gala event.

The Prince of Wales shook hands with Biden and spoke quietly in the winter cold near the water outside of the John F. Kennedy Memorial Library and Museum. He also met Caroline Kennedy, the late president’s daughter, and told her that the stories of the Earthshot Prize winners were an inspiration.

William once again paid homage to President Kennedy, “the man who inspired our mission,” and said the “game-changing” solutions were being offered to protect the planet.

Kennedy’s legacy loomed large during the visit by William and his wife, Kate. William named his environmental award the Earthshot Prize, drawing inspiration from Kennedy’s moonshot speech that mobilized the nation in 1962 by declaring astronauts would set foot on the moon before decade’s end.

William became heir apparent less than three months ago with his grandmother’s death, but he was already crowned Britain’s chief environmentalist.

During his visit to Boston, William drew praise for his drawing attention to pollution and climate change and the need to scale up solutions to address them. Those efforts were culminating Friday evening, when the five winners of the royal couple’s Earthshot Prize for environmental innovators were to be announced.

“I just appreciate that they are using platform and publicity to bring attention to meaningful climate work,” said Joe Christo, who is managing director of Stone Living Lab, which researches nature-based approaches to climate adaptation, and was among those who met the royal couple at Boston Harbor on Thursday.

“I do know his dad is a big environmentalist,” he said. “He seems to be doing a great job continuing that legacy.”

The Earthshot Prize offers 1 million pounds ($1.2 million) in prize money to each of the winners of five separate categories: nature protection, clean air, ocean revival, waste elimination, and climate change. The winners and all 15 finalists also receive help in expanding their projects to meet global demand.

The winners were to be announced at Boston’s MGM Music Hall as part of a glitzy show headlined by Billie Eilish, Annie Lennox, Ellie Goulding, and Chloe x Halle. The show will also feature videos narrated by naturalist David Attenborough and actor Cate Blanchett.

William is following in the footsteps of his environmentally minded grandfather Prince Philip — the late husband of Queen Elizabeth II — and more recently his father and Elizabeth’s successor, King Charles III.

In his capacity as prince, Charles was for decades one of Britain’s most prominent environmental voices, blasting the ills of pollution. Last year, he stood before world leaders at a U.N. climate conference in Scotland and suggested the threats posed by climate change and biodiversity loss were no different than those posed by the coronavirus pandemic.

But now that he is king, Charles is expected to be more careful with his words and must stay out of politics and government policy, in accordance with the traditions of Britain’s constitutional monarchy. This year, he did not attend the U.N. climate conference in Egypt.

The caution presents an opportunity for William to step into that role as the royal family’s environmental advocate and speak more forcefully about the issues once associated with his father.

There is no better example than the Earthshot Prize.

“It’s a huge deal to Prince William,” Joe Little, the managing editor of Majesty Magazine. “He knows he can attract attention from the most important people. That really is the core of the Boston trip.”

After attending a welcome event Wednesday at City Hall and then a Boston Celtics game, the royal couple spent much of Thursday hearing about the threats of climate change and solutions in the works.

They got a firsthand look at some innovations at a green technology startup incubator called Greentown Labs, in Somerville. Among them were solar-powered autonomous boats and low-carbon cement.

“Climate change is a global problem, so it’s so important to have global leaders talking about the importance of taking action,” said Lara Cottingham, vice president of strategy policy and climate impact for Greentown Labs.

William and Kate also chatted with Katherine Dafforn, co-founder of Living Seawalls, an Australian company that designs environmentally friendly ocean infrastructure. “For all of us, time is ticking,” William said.

The couple’s first trip to the U.S. since 2014 is part of the royal family’s efforts to change its international image. After Elizabeth’s death, Charles has made clear that his will be a slimmed-down monarchy, with less pomp and ceremony than its predecessors. William and Kate arrived in Boston on a commercial British Airways flight.
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The lava flowing from Hawaii’s Mauna Loa, which is the world’s largest active volcano and erupted this week, is edging closer to the Big Island’s main highway.

The U.S. Geological Survey’s Hawaiian Volcano Observatory reported Friday that the main front of the lava flow was 5.2 kilometers away from the Daniel K. Inouye Highway, also known as Saddle Road, and could possibly reach it in a week.

But the USGS also said that because of the unpredictable nature of lava flows, it’s “difficult to estimate when or if the flow will impact” the highway, which is the island’s main east-west road.

If the main highway is cut off, Hawaii county officials say, traffic will be forced onto coastal roads, crowding them and adding hours onto a trip from Hilo, the largest city on the Big Island, to Kona, a tourist magnet, which takes just 90 minutes on the Daniel K. Inouye Highway.

Talmadge Magno, administrator of Hawaii County’s Civil Defense Agency, told reporters this week that if lava flows onto the highway it would likely take the federal government a few months to get it passable again once the flows halt.

After the eruption on Sunday, the lava initially moved quickly down steep slopes. Over the past day, it reached a flatter area and slowed significantly, moving at just 40 meters per hour. The sight has attracted visitors to the “once in a lifetime” spectacle.

The USGS says many variables influence exactly where the lava will move and at what speed. On flatter ground, lava flows spread out and “inflate” — creating individual lobes that can advance quickly and then stall.

Mauna Loa rises 4,169 meters above the Pacific Ocean, part of a chain of volcanoes that formed the islands of Hawaii. It last erupted in 1984.
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Cities across China further unwound COVID restrictions Friday, loosening testing and quarantine rules in the wake of nationwide protests calling for an end to lockdowns and greater political freedoms.

Anger and frustration with China’s hardline pandemic response spilled out onto the streets last weekend in widespread demonstrations not seen in decades.

In the wake of the unrest across China, a number of cities have begun loosening COVID-19 restrictions, such as moving away from daily mass testing requirements, a tedious mainstay of life under Beijing’s stringent zero-COVID policy.

At the same time, authorities are continuing to seek to contain protests with heavy security on the streets, online censorship in full force, and surveillance of the population heightened.

As of Friday, the southwestern metropolis of Chengdu will no longer require a recent negative test result to enter public places or ride the metro, instead only requiring a green health code confirming they have not travelled to a “high risk” area.

In Beijing, health authorities called Thursday on hospitals not to deny treatment to people without a negative PCR test taken within 48 hours.

In January, a pregnant woman in the city of Xi’an miscarried after being refused hospital entry for not having a PCR test result.

China has seen a string of deaths after treatment was delayed by COVID restrictions, including the recent death of a 4-month-old baby who was stuck in quarantine with her father.

Those cases became a rallying cry during the protests, with a viral post listing the names of those who died because of alleged negligence linked to the pandemic response.

Many other cities with virus outbreaks are allowing restaurants, shopping malls and even schools to reopen, in a clear departure from previous tough lockdown rules.

In northwestern Urumqi, where a fire that killed 10 people was the spark for the anti-lockdown protests, authorities announced Friday that supermarkets, hotels, restaurants, and ski resorts would gradually be opened.

The city of over 4 million residents endured one of China’s longest lockdowns, with some areas shut in early August.

Home quarantine

An analysis by state-run newspaper People’s Daily on Friday quoted a number of health experts supporting local government moves to allow positive cases to quarantine at home.

The shift would be a marked departure from current rules, which require that they be held in government facilities.

The southern factory hub of Dongguan on Thursday said that those who meet “specific conditions” should be allowed to quarantine at home. It did not specify what those conditions would be.

The southern tech hub Shenzhen rolled out a similar policy Wednesday.

Central government officials have also signaled that a broader relaxation of zero-COVID policy could be in the works.

Speaking at the National Health Commission Wednesday, Vice Premier Sun Chunlan said the omicron variant was weakening and vaccination rates were improving, according to the state-run Xinhua news agency.

A central figure behind Beijing’s pandemic response, Sun said this “new situation” required “new tasks.”

She made no mention of zero-COVID in those remarks or in another meeting Thursday, suggesting the approach, which has disrupted the economy and daily life, might soon be relaxed.
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Former NBA star Jeremy Lin, who plays for a Chinese team, was fined 10,000 yuan ($1,400) for “inappropriate remarks” on social media about quarantine facilities ahead of a game, China’s professional league announced Friday, as the government tries to stop protests against anti-virus controls that are among the world’s most stringent.

Also Friday, more cities eased restrictions, allowing shopping malls, supermarkets and other businesses to reopen following protests last weekend in Shanghai and other areas in which some crowds called for President Xi Jinping to resign. Urumqi in the northwest, site of a deadly fire that triggered the protests, announced supermarkets and other businesses were reopening.

Lin, who plays for the Loong Lions Basketball Club, made “inappropriate remarks about quarantine hotel-related facilities” where the team stayed Wednesday ahead of a game, the China Basketball Association announced. It said that “caused adverse effects on the league and the competition area.”

The ruling Communist Party is trying to crush criticism of the human cost and disruption of its “zero-COVID” strategy, which has confined millions of people to their homes. Protesters have been detained and photos and videos of events deleted from Chinese social media. Police fanned out across Shanghai, Beijing and other cities to try to prevent additional protests.

The CBA gave no details of Lin’s comments and there was no sign of them on his account on the popular Sina Weibo platform.

The Shanghai news outlet The Paper reported Lin posted a video complaining about hotel workout facilities in the city of Zhuji, south of Shanghai in Zhejiang province, ahead of games next week.

“Can you believe this is a weight room?” Lin was quoted as saying. “What kind of garbage is this?” The Paper said the video was deleted after “the situation was clarified” that the hotel was only for a brief stay required by regulations.

A representative of Vision China Entertainment, which says on its website it represents Lin, didn’t immediately respond to a request for comment. Phone calls to Loong Lions Basketball Club headquarters in the southern city of Guangzhou weren’t answered.

Lin, born in California to parents from Taiwan, was the first NBA player of Chinese or Taiwanese descent.

He played for California’s Golden State Warriors in 2010 before joining the New York Knicks in the 2011-12 season. He became the first Asian American to win an NBA championship with the Toronto Raptors in 2019. He played for the Beijing Ducks in 2019 before joining the Loong Lions.

On Friday, there were no signs of more protests.

The government reported 34,980 infections found in the past 24 hours, including 30,702 with no symptoms.

China’s case numbers are low, but “zero-COVID” aims to isolate every infected person. That has led local officials to suspend access to neighborhoods and close schools, shops and offices. Manufacturers including the biggest iPhone factory in central China use “closed-loop” management, which requires employees to live at their workplace without outside contact.

Demonstrations erupted Nov. 25 after a fire in an Urumqi apartment building killed at least 10 people.

That set off angry questions online about whether firefighters or victims trying to escape were blocked by locked doors or other anti-virus controls. Authorities denied that, but the deaths became a focus of public frustration.

Xi’s government has promised to reduce the cost and disruption of controls but says it will stick with “zero-COVID.” Health experts and economists expect it so stay in place at least until mid-2023 and possibly into 2024 while millions of older people are vaccinated in preparation for lifting controls that keep most visitors out of China.

Urumqi will “further increase efforts to resume production and commerce” by reopening hotels, restaurants, large supermarkets and ski resorts, the official newspaper Guangming Daily reported on its website, citing Sui Rong, a member of the Municipal Committee.

Elsewhere, the northern city of Hohhot in the Inner Mongolia region restarted bus service and allowed restaurants and small businesses to reopen, according to state media. Jinzhou in the northeast lifted curbs on movement and allowed businesses to reopen.

On Thursday, the metropolis of Guangzhou in the south, the biggest hotspot in the latest infection spike, allowed supermarkets and restaurants to reopen.

Other major cities including Shijiazhuang in the north and Chengdu in the southwest restarted bus and subway service and allowed businesses to reopen.
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China’s rulers are accusing “hostile forces,” including foreigners, of inciting street demonstrations in more than three dozen Chinese cities and many more universities in the biggest domestic political challenge for Beijing since 1989’s Tiananmen Square protests.

At stake is the legitimacy of the ruling Chinese Communist Party as protesters question its management of the COVID-19 pandemic. The government has used repressive methods such as repetitive mass testing, quarantines, and lockdowns resulting in large-scale unemployment and economic loss.

Jolted, the government is handling the new situation cautiously. Though several instances of police violence have taken place, state repression has not reached the magnitude initially feared. The government is depending more on propaganda to evoke nationalistic sentiments and using politically divisive methods to address some of the problems highlighted by protesters, according to analysts.

“We must resolutely crack down on infiltration and sabotage activities by hostile forces in accordance with the law, resolutely crack down on illegal and criminal acts that disrupt social order and effectively maintain overall social stability,” the CCP’s Central Political and Legal Affairs Commission (CPLAC) said in a statement released Tuesday.

Bucknell University political scientist Zhiqun Zhu said the statement is a direct reference to foreign forces attempting to fan the flames of political unrest.

“The definitions of ‘infiltration’ and ‘sabotage activities’ are very broad. Even a foreign journalist reporting on site is viewed with suspicion,” Zhu told VOA. “Social media postings and commentaries on the protests are also considered adding fuel to the fire.

“In this context, foreigners offering critical comments about the protests or making contacts with protesters are easily blamed for instigating, shaping and guiding the demonstrations,” he said.

By blaming unrest on foreigners and foreign governments, analysts said, Beijing can whip up nationalist sentiments that weaken the protest movement.

An estimated 43 protests across 22 Chinese cities unfolded between Saturday and Monday, according to the Canberra-based Australian Strategic Policy Institute, and some analysts say the protests have since spread to more cities and towns.

China’s leadership is trying to meet some protest demands to lift COVID-19 requirements such as lockdowns, mass testing and quarantines, and several locked-down areas and restaurants in the southern Chinese city of Guangzhou — a manufacturing hub hit hard by the latest COVID-19 outbreaks — reopened Wednesday.

“I believe that in the next few days most of the locked-down areas across China will be reopened,” Hu Xijin, former editor in chief of the Global Times and a strong Communist Party voice, said in a video statement on the paper’s website.

Hu indicated this would likely be done to maintain social stability. “As lockdowns are coming to an end, the biggest factor for public discontent will be eliminated. It will have a very positive effect on maintaining social stability,” he said.

Instead of using batons to keep protesters in line — a normal strategy for Chinese riot officers — police are busy identifying possible rebels and troublemakers and checking phones to find out whether they have been circulating protest images on virtual private networks and accessing banned sites such as Facebook and Twitter.

Tuesday’s statement by CPLAC said agency officials had emphasized that “political and legal organs must take effective measures to … resolutely safeguard national security and social stability.”

Will protests persist?

Analysts differ on whether the protests — which are demanding democratic freedoms and an end to censorship — are likely to continue.

“It is unlikely that there will be more large-scale protests in the near future,” Zhu said. “New policies are being rolled out to loosen COVID-19 controls. It is also expected that the ‘zero-COVID’ policy will be replaced by more scientific and pragmatic measures,” he said.

Others disagree.

“More protests will emerge in different parts of China in the coming days, although the authorities may try to suppress them,” said Jagannath Panda, head of the Stockholm Center for South Asian and Indo-Pacific affairs at the Institute for Security and Development Policy in Sweden. “The Communist Party’s image has taken a severe beating because of widespread unemployment and the government’s repression.”

Salih Hudayar, an activist leader of the Uyghur Muslims of Xinjiang, said China might even use the military to suppress the protest movement. The suppression of Uyghurs has drawn the attention of human rights activists and several foreign governments.

“The Chinese government has already started to crack down on the protests by intimidating protesters and arresting many of them,” said Hudayar, prime minister of the self-styled East Turkistan Government in Exile.

“Because there is not any meaningful political support from the international community, it’s highly likely that the Chinese government will use military force to suppress the protests in the coming weeks, if not days,” he said.
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In the highly conservative country of Pakistan, AIDS patients often face discrimination that keeps them from disclosing their diagnosis. Hundreds of HIV cases reported in Sindh Province in 2019 included children. That region was recently devastated by floods, making access to health care for HIV patients even more difficult. VOA’s Sidra Dar reports from Sindh Province, in this report narrated by Asadullah Khalid.
Camera: Muhammad Khalil
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As much of the world returned to some kind of new normal in 2022, China remains the only country sticking to a strict “zero-COVID” policy to control the spread of a global pandemic. While credited with saving lives, the policy slowed the economy, exacerbated supply-chain disruptions, cost millions of jobs, forced a large portion of Chinese residents into some form of lockdown for months, and is now, experts say, forcing Beijing’s leadership to seek a way out of a problem they don’t admit having.

Over the last weekend in November, protests against the zero-COVID policy erupted across China, the country where the virus was first identified in humans in late 2019 and where authorities in Wuhan, site of the initial outbreak, locked down millions of residents for most of the first four months of 2020.

That draconian step saved thousands of lives, according to Chinese figures, and since then many Chinese have compared the 6.6 million deaths worldwide to Beijing’s official count of just 15,986 deaths. The U.S. alone has lost more than 1.08 million people. Beijing’s policy emphasized “always putting the people and their lives above everything else,” according to a November 25 analysis in the official Xinhua news outlet.

‘We want freedom!’

But three years into zero-COVID, people fed up with being locked down are in the streets chanting “No PCR test, we want freedom!” “End the lockdowns!” “Step down, Communist Party!” Protests of this scale are rare because the Chinese Communist Party limits freedom of speech and association.

Under President Xi Jinping, whose increasingly authoritarian rule was extended for a historic third term in October, many citizens vent on social media, trying to stay ahead of censors.

“China at one point was one of the world leaders in COVID response, and now it’s the only country in the world that hasn’t gotten back to a near normal,” said Lawrence Gostin, a professor of global health law at Washington’s Georgetown University and director of the World Health Organization Collaborating Center on National and Global Health Law.

“I think part of the reason for that is literally the stubbornness of Chinese leadership, and particularly Xi Jinping,” he told VOA Mandarin via phone.

Xi Chen, an associate professor of health policy and economics at the Yale School of Public Health, told VOA Mandarin in a phone interview that public outrage and economic impact indicate that China needs to make “a big adjustment in its public health policy.”

Medical experts inside China are making similar arguments. Dr. Zhang Wenhong, who heads Shanghai’s expert panel on COVID, said in a recent video circulating on the Chinese app WeChat that Beijing should consider relaxing its zero-COVID strategy soon.

“Look at the U.S., their cases are several times higher than us, yet their people are living their lives to the fullest. It’s time for us to adjust our policy, people should be able to relax and live a normal life, we as medical workers are the ones that should be prepared to face a rise in severe cases,” he said in the video, which China’s censors deleted soon after it appeared.

Georgetown’s Gostin said that through conversations with top epidemiologists in Hong Kong who advise Beijing on its COVID strategy, he believes that Xi understands that China needs to end its zero-COVID policy.

“But China is running out of time,” Gostin added.

Authorities commit to policy

Officially, Chinese leadership had shown little interest in ending zero-COVID before the end of last month.

On November 29, during the regular daily press briefing, a Reuters reporter in Beijing asked Chinese Foreign Ministry spokesperson Zhao Lijian, “Given the widespread display of anger and frustration at the zero-COVID policy in recent days across China, is China thinking about ending it and if so, when?”

Zhao, usually quick with an answer, looked at the papers on his podium for almost 20 seconds before asking the reporter to repeat his question. Zhao then paused for another 15 seconds before saying that China is following a “dynamic zero-COVID policy” and there is no public anger. 

His silence came after Xinhua issued commentaries on November 28, saying that while Beijing will do its best to accommodate the needs or desires of the people, it will stick to a “dynamic zero-COVID policy.”

“From newborn babies to centenarians, we won’t miss one infected case, we won’t give up on one patient,” one commentary said.

A day later, Vice Premier Sun Chunlan, who oversees China’s COVID containment efforts, urged further “optimization” of testing, treatment and quarantine policies, according to Reuters. The agency cited other officials saying that current restrictions, such as forcing people from their homes into quarantine centers if they test positive for the virus, would be implemented more flexibly to reflect local conditions.

Zero-COVID above all

Xi has staked his political reputation on the fight against COVID, and that continues to mean mass testing, snap lockdowns and extensive quarantines.

According to estimates by the Japanese investment bank Nomura, about 412 million people in China were in some kind of lockdown as of November 23. That accounts for almost a third of China’s total population and was up from 340 million the week before.

Shanghai, China’s most populous city and financial hub, experienced two months of strict lockdowns this spring, bringing business to a halt and severing key links in already disrupted regional and global supply chains. 

In November, with the number of cases increasing in Beijing, many residents in the country’s capital feared a similar lockdown as residents of other cities blamed the zero-COVID policy for tragedies.

Father says policy ‘indirectly killed’ his son

In the western city of Lanzhou, a 3-year-old boy died of carbon monoxide poisoning after COVID restrictions kept him from receiving medical care. His father told Reuters that the strict COVID-19 policies “indirectly killed” his son.

In China’s northern city of Hohhot, a 55-year-old woman committed suicide by jumping from the 12th floor, where she had been quarantined for two weeks. The woman was reported to have suffered from anxiety and was on anti-depression medication, sparking discussion about the impact on mental health from strict zero-COVID lockdowns.

The last straw was a fire in Urumqi on November 24 that killed at least 10 people and injured nine in a building with stringent lockdown protocols that that may have prevented victims from fleeing the flames. In a news briefing after the fire, Li Wensheng, head of the Urumqi City Fire Rescue department, said “the residents lacked the ability to rescue themselves.” 

“I think China’s zero-COVID strategy has been disastrous for the country in so many different ways,” said Gostin of Georgetown. “Most importantly it’s really been a huge violation of human rights: not just the lockdowns, but also the intrusive surveillance that we’ve seen of the entire population on their mobile phones.”

To enter any public space, all residents of China rely on a color-coded smart phone app that tracks exposure to infection. In June, media reports surfaced that authorities in Zhengzhou, the capital of central Henan province, were using the codes to restrict the movement of people heading to protest at local banks that had frozen their deposits.

An economy upended

Although the zero-COVID policy had nothing to do with the Zhengzhou bank run, it has slowed the country’s economic growth.

Previous official estimates said China’s economy would grow 5.5% in 2022. Now, the International Monetary Fund has lowered China’s economic growth projection for this year to 3.3%. The difference equals about $400 billion in lost GDP. 

“International trade and tourism have ground to a halt. Supply chains have been severely disrupted,” Gostin said. “And all in all, I think it’s actually reduced public trust in Xi Jinping, and it burst the bubble of so-called Chinese efficiency and effectiveness in policy.” 

Dr. Anthony Fauci, U.S. President Joe Biden’s chief medical adviser, said that he thinks China’s zero-COVID strategy “doesn’t make public health sense” on NBC’s “Meet the Press” on November 27.

“They went into a prolonged lockdown without any seeming purpose or endgame to it,” Fauci said.

Exit strategy

Unlike almost all other countries, a large percentage of China’s population lacks immunity because most people have not been infected with COVID. Without this so-called herd immunity, it may be difficult for China to extricate itself from its zero-COVID position.

The elderly are among the most vulnerable, but according to new statistics released by the Chinese Center for Disease Control and Prevention on November 29, only 65.8% of people over the age of 80 have received booster shots, up from 40% as of November 11.

Chen of the Yale School of Public Health said there’s real concern among international experts about China’s ability to treat severe cases.

“There is no shortage of hospital beds in China. The number of hospital beds per 100,000 people is basically the same as that of the United States. But for intensive care unit beds, it’s a completely different story,” he said.

According to government statistics, there are 3.6 intensive care (ICU) beds per 100,000 people in China, compared to 11 in Singapore and 29.4 in the United States.

“This is China’s weakest point,” Chen said. “Once the country relaxes the zero-COVID strategy, there will inevitably be a proportion of severe cases. And there will be deaths considering the current ICU beds level.”

He added that as the country pours all its medical resources to COVID testing, there are few resources available for making these long-term preparations.

Shin-Ru Shih, director of the Research Center for Emerging Viral Infections at Taiwan’s Chang Gung University in Taiwan, said that even though the omicron variant has become less virulent, it is still a threat to Chinese people who have not been infected or vaccinated.

“The best way for China to fight against COVID and to reduce economic impact is vaccination by next-generation vaccines,” she said.

Gostin stressed that it’s particularly important to make sure that a large percentage of the vulnerable populations gets jabbed with effective vaccines and boosters, saying “that is the only way China can emerge from zero-COVID … without a considerable loss of life.”
…

Cameroonian health workers and people with HIV marched for World AIDS Day on December 1, calling for access to treatment for patients in conflict areas.

About half a million Cameroonians have HIV, and at least 1,000 live in troubled western regions and the border with Nigeria. The protesters urged Cameroon’s military, separatists, and militants to allow all HIV patients access to needed treatment.

Marie Chantal Awoulbe, who belongs to the Cameroon Network of Adolescents and Positive Youths, which encourages those with AIDS to get regular treatment, took part in the protest and World AIDS Day activities at Chantal Biya International Research Centre in Yaounde. The center carries out research on AIDS, and supports programs to treat and support vulnerable people with HIV.

Awoulbe said her network is asking both armed groups and government troops to stop deaths among people with AIDS where there are armed conflicts by allowing the patients access to regular treatment.

Cameroon’s public health ministry says similar protests and activities to encourage free screening took place in 70 hospitals, with at least 30 hospital workers and people with AIDS taking part at each of the hospitals.

The Cameroon government accuses separatists in the country’s west of attacking hospitals and abducting health care workers. Activists also accuse government troops of attacking and arresting hospital staff suspected of treating civilians the military believes are either fighters or sympathize with separatists.

In April, medical aid group Doctors Without Borders suspended work in Cameroon’s troubled Southwest region to protest the rearrest of four of its staff members. Authorities accused the staffers of cooperating with regional separatists, but the organization denied it.

Medical staff members say intimidation and abduction of health workers, and ceaseless battles between government troops and separatist fighters make it impossible for medical supplies to reach the troubled English-speaking regions.

Twenty-eight-year-old Betrand Lemfon said he and several dozen people with AIDS moved from Jakiri, an English-speaking northwestern town, to Bafoussam, a French-speaking commercial city. He said he and others with the disease were afraid of dying in Jakiri because they did not have access to regular treatment.

“There are a lot of persons out there who are in need of medications, so if we could have the opportunity and chance for medications to always reach every interior part of the North-West region, South-West region who are hit by the crisis, it will help the adolescents, young persons and children living with HIV to take their ARVs [antiretroviral medicines] and stay healthy,” he said.

Lemfon spoke via the messaging app WhatsApp from Bafoussam.

Cameroon’s military says it will protect all health workers and civilians in the troubled regions.

The government says the number of people with the disease in Cameroon has decreased from about 970,000 in 2010 to 500,000 in 2021.

Health officials say the decline is due to increasing awareness of the disease and its consequences. The government says sexual behavior is changing, with the number of people using condoms or abstaining from sex increasing.

Honorine Tatah, a government official in charge of AIDS control in Cameroon, said unlike in 2020 when there was resistance due to lack of awareness, many more civilians now accept systematic screening for HIV.

“During antenatal care, a woman is screened for a number of diseases including hepatitis B, HIV and if you are tested positive, you are eligible for treatment and that treatment will reduce the chances of a child getting infected with HIV. The treatment is free of charge,” Tatah said.

World AIDS Day was the first international day for global health, starting in 1988. It allows people all over the world to join in the battle against HIV, to support those with HIV, and to remember those who have died from an AIDS-related illness.
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NASA’s uber-expensive test dummy moon mission exceeds expectations. Plus, a lunar flashlight’s frosty mission, and a state visit to NASA headquarters. VOA’s Arash Arabasadi brings us The Week in Space.
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In October, Zimbabwe became to first African country to approve the use of the injectable HIV prevention drug known as cabotegravir. As Columbus Mavhunga reports from Harare, Zimbabwe, many are eager for the drug to become available. Videography by Blessing Chigwenhembe.
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A new, long-lasting drug could be a game-changer for preventing HIV infections, experts say.

Advocates are hopeful that those who need it most in low- and middle-income countries will not have to wait for it as long as they have for previous HIV drugs. But questions remain about access and price.

The drug is called cabotegravir and is delivered as a shot once every other month. In clinical trials, it did a better job at preventing infection than another option — a pill taken once a day.

The bimonthly injection seems to be an easier treatment regimen to stick to than daily pills, according to Mitchell Warren, executive director of AVAC, an HIV prevention advocacy organization.

“If you can take a pill every day, that’s great. But if you can’t, we see a lot of people who start [taking the pills] who don’t continue,” he said.

Aside from the inconvenience, there can be a stigma attached to taking the pills, Warren said. The drugs for prevention, called pre-exposure prophylaxis, or PrEP, are the same as the drugs used to treat HIV infection.

“If you’re a young person and your parents find your pill bottle, they say, ‘Why are you taking this pill? Are you HIV infected?’ And the young person may say, ‘No, I’m protecting myself,'” Warren said. “And they say, ‘Well, why are you having sex?'”

Long-lasting drugs like cabotegravir or another new product, a once-a-month vaginal ring, offer patients more choices, he added.

About 1.5 million people were newly infected with HIV in 2021, according to the World Health Organization, about 60% of them in Africa.

Uganda and Zimbabwe approved cabotegravir for PrEP earlier this year. They are the first countries in sub-Saharan Africa to do so.

These approvals come less than a year after the U.S. Food and Drug Administration authorized it.

That’s progress, Warren said. FDA approved PrEP pills in 2012, but “it took three years before any African regulatory agency approved it. So, we’ve already seen a condensing of that timeline.”

Cabotegravir costs $22,000 per year in the United States. ViiV Healthcare, the company that makes the drug, has not officially announced what it will cost in low- and middle-income countries, but it is expected to be much lower. Some aid groups have indicated that ViiV will offer the drug at $250 per year.

“The problem is that actually that won’t be really affordable for countries who need to roll it out and scale up,” said Jessica Burry, a pharmacist with humanitarian group Doctors without Borders.

PrEP pills cost about $54 per year, Warren said.

“The hope is that early in 2023, we can see a price point that is much closer to that 54 [dollars] than to the 250 [dollars],” he said. “Hopefully, in the $100 range per year.”

ViiV said it is working with the U.N.-backed Medicines Patent Pool to allow generic manufacturers to produce cabotegravir at a lower price for low- and middle-income countries.

ViiV said cabotegravir is more complicated to manufacture than most HIV drugs. No generic manufacturers have been selected yet. Once they are, it will take about three to five years before a generic version is on the market.

The company has filed for regulatory approval in 11 countries so far. Burry says there should be more.

“If they’re going to be the only supplier for the next four or five years until generics are available, then they really need to step up to the plate and actually file, register and get that drug available,” she said.

Demand for the drug is unclear. PrEP pills have been slow to catch on.

About 845,000 people in more than 50 countries took them in 2020, but the United Nations was aiming for 3 million by that time.

“We don’t have a ton of PrEP users, so if you’re ViiV, you’re looking at a very small market,” Warren said.

Warren said providers and advocates need to help grow that market. They need to do a better job connecting people at risk with programs that offer PrEP, he added.

“Some of the early PrEP programs began with us thinking that if you just bought the product, people would magically show up,” he said.

Warren hopes to change that as part of a coalition that includes ViiV, the Bill and Melinda Gates Foundation, the World Health Organization and others.

“There’s a huge effort in this coalition to bring in civil society from day one, and the communities that this product is meant to help and support,” he said.

The slow uptake means PrEP has not yet shown that it can make much of a real-world impact, Warren noted. He hopes to see research programs launch next year to find the best ways to reach the communities most at risk and lower infection rates.

“If we can’t show that in the next three years, then we don’t necessarily need all these generic manufacturers, because there will not be a market for this product,” he said.
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Deforestation in the Brazilian Amazon slowed slightly last year, a year after setting a 15-year high, according to closely watched numbers published Wednesday. The data was released by the National Institute for Space Research.

The agency’s Prodes monitoring system shows the rainforest lost an area roughly the size of Qatar, about 11,600 square kilometers in the 12 months from August 2021 to July 2022.

That is down 11% compared with the previous year, when more than 13,000 square kilometers were destroyed.

For more than a decade deforestation in the Brazilian Amazon declined dramatically and never rose back above 10,000 square kilometers. Then came the presidency of far-right President Jair Bolsonaro, beginning in January 2019.

This will be the last report published under Bolsonaro, who lost his reelection bid and will leave office January 1. But part of the destruction that took place on his watch will not appear until next year, including the key months from August to October 2022. A because it is the dry season.

An analysis of the new yearly data from Climate Observatory, a network of environmental groups, shows that in the four years of Bolsonaro’s leadership, deforestation rose 60% over the previous four years. That is the largest percentage rise under a presidency since satellite monitoring began in 1998.

In one state, Para, a fierce rate of destruction fell by 21% yet it was still the center of one-third of all Brazil’s Amazon forest loss. Part of the tree cutting and burning happens in areas that are ostensibly protected. One such area is Paru State Forest, where the nonprofit Amazon Institute of People and the Environment registered 2 square kilometers of deforestation in just October.

“In recent years, deforestation has reached protected areas where previously there was almost no destruction,” Jacqueline Pereira, a researcher with the Amazon Institute, told The Associated Press. “In Paru’s region, the destruction is driven by lease of land for soybean crops and cattle.”

Another critical area is the southern part of the state of Amazonas, the only state that increased deforestation in the most recent data, by 13% compared to the year before. It’s largely attributable to Bolsonaro’s push to pave about 400 kilometers of the only road that connects Manaus, home to 2.2 million people, with Brazil’s larger urban centers further south. Most Amazon deforestation occurs alongside roads where access is easier and land value is higher.

Researchers and environmentalists have blamed Bolsonaro’s policies for the surge in deforestation. The administration weakened environmental agencies and backed legislative measures to loosen land protections in the name of economic development, paired with a view of occupying a sparsely populated territory at any cost. This policy has emboldened land robbers and spurred more illegal mining.

Bolsonaro’s successor, leftist former President Luiz Inácio Lula da Silva, promised cheering crowds at the recent U.N. climate conference in Egypt to end all deforestation in the country by 2030.

“There will be no climate security if the Amazon isn’t protected,” he said.

The last time da Silva was president, from 2003 to 2010, deforestation fell sharply. On the other hand, he backed initiatives that set in motion destruction in the long run, such as the construction of the mammoth Belo Monte hydroelectric dam and generous loans to the beef industry. Chopping down forest for pasture is the primary driver of deforestation.

The Amazon rainforest, which covers an area twice the size of India, acts as a buffer against climate change by absorbing large amounts of carbon dioxide. It’s also the most biodiverse forest in the world, and the home of tribes that have lived in the forest for thousands of years, some of them living in isolation.

“If da Silva wants to decrease forest destruction by 2023, he must have zero tolerance for environmental crime from Day One of his administration. That includes holding accountable those who sabotaged environmental governance in the country while in office over the past four years,” said Marcio Astrini, executive secretary of the Climate Observatory.
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In South Africa, which has the world’s largest HIV population, authorities say girls and young women are now the most at-risk demographic with many having resorted to transactional sex to pay the bills during COVID pandemic lockdowns.  Ahead of World Aids Day on Dec. 1, VOA spoke to a former sex worker and visited a clinic that treats adolescent girls and others with HIV. Kate Bartlett reports from Johannesburg, South Africa, on efforts to halt the spread. Camera: Zaheer Cassim 
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Malawi and the World Health Organization are rolling out a new malaria vaccine for young children that backers say will reduce deaths from the mosquito-borne disease.

The RTSS vaccine was pilot tested on more than one million children in Ghana, Kenya and Malawi and recommended a year ago by the WHO. Despite a low effectiveness rate of 30%, the vaccine has raised hopes that some of the more than 400,000 people who die annually from malaria can be saved. 

Malaria remains a huge public health problem in Malawi, with about one third of its 20 million people getting infected each year. 

According to the ministry of health, the disease kills five Malawians every day, most of them children under the age of five or pregnant women who were not presented early enough for care.  

The health ministry says the first phase of the vaccination campaign will target 330,000 children, who were not reached during vaccine trials. 

The vaccine, sold by GlaxoSmithKline as Mosquirix, is meant for children under the age of five and requires four doses. 

“Malaria is major problem in children. They are the ones at highest risk of dying,” said Dr. Charles Mwansambo, Malawi’s secretary for health. “That’s why even when we were doing the earlier studies, we found that once we get maximum benefit, we should target this age group. The main reason is that they are the ones that are most likely to die from malaria.” 

Last year, the government launched a nationwide anti-malaria initiative known as Zero Malaria Starts with Me, aimed at eliminating the disease by 2030. 

Mwansambo said the vaccine is a key part of that initiative. 

“It actually prevents about 33 percent of deaths. Meaning that if you add the 33 to those that we can prevent using insecticide treated nets, if will also add on those [we can] prevent by indoor residual spraying, it [can] add up to something significant that will end up eliminating malaria,” he said. 

However, the Bill and Melinda Gates Foundation, backers of the vaccine, have raised concerns about whether the vaccine is worth the cost. 

In July, the Associated Press quoted Philip Welkhoff, director of malaria programs for the Gates Foundation, as saying the foundation will no longer offer direct financial support for the vaccine, although it will fund an alliance backing the vaccine. 

He said Mosquirix has much lower efficacy than the foundation would like and that the vaccine is relatively expensive and logistically challenging to deliver. 

Dr. Neema Kimambo, a WHO representative in Malawi, said the malaria vaccine itself is not a silver bullet but part of a combination of all interventions to fight the disease. 

“Where it [vaccination] was done, we have seen how it has reduced under-five deaths and we believe that as we expand now, we are definitely to save more lives of children under five,” she said. 

Maziko Matemba, a health activist and community health ambassador in Malawi, said he hopes the malaria vaccine efficacy will improve as time goes by. 

“I have an example with COVID-19. When we had AstraZeneca, the efficacy when it started — as you know it was also a new vaccine — it was less that certain percentage and people said no it was less than this. But over time, we found that the efficacy has gone up,” Matemba said. “So we are monitoring the launch of this new vaccine with keen interest.

“I know that other partners are saying the worthiness of investment is not worth it, but looking at the way we are coming from, Malawi in particular, this could be one of the tools to prevent malaria.” 

Besides WHO, other partners supporting Malawi in the fight against malaria include USAID, UNICEF, the Global Fund to Fight AIDS, Tuberculosis and Malaria and a global health nonprofit organization, PATH. 

 
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Bacterial infections are the second leading cause of death worldwide, accounting for one in eight of all deaths in 2019, the first global study of their lethality revealed on Tuesday.

The massive new study, published in The Lancet journal, looked at deaths from 33 common bacterial pathogens and 11 types of infection across 204 countries and territories.

The pathogens were associated with 7.7 million deaths — 13.6% of the global total — in 2019, the year before the COVID-19 pandemic took off.

That made them the second-leading cause of death after ischemic heart disease, which includes heart attacks, the study said.

Just five of the 33 bacteria were responsible for half of those deaths: Staphylococcus aureus, Escherichia coli, Streptococcus pneumoniae, Klebsiella pneumoniae and Pseudomonas aeruginosa.

S. aureus is a bacterium common in human skin and nostrils but behind a range of illnesses, while E. coli commonly causes food poisoning. 

The study was conducted under the framework of the Global Burden of Disease, a vast research program funded by the Bill and Melinda Gates Foundation involving thousands of researchers across the world. 

“These new data for the first time reveal the full extent of the global public health challenge posed by bacterial infections,” said study co-author Christopher Murray, the director of the U.S.-based Institute for Health Metrics and Evaluation.

“It is of utmost importance to put these results on the radar of global health initiatives so that a deeper dive into these deadly pathogens can be conducted and proper investments are made to slash the number of deaths and infections.”

The research points to stark differences between poor and wealthy regions. 

In Sub-Saharan Africa, there were 230 deaths per 100,000 population from the bacterial infections.

That number fell to 52 per 100,000 in what the study called the “high-income super-region” which included countries in Western Europe, North America and Australasia.

The authors called for increased funding, including for new vaccines, to lessen the number of deaths, also warning against “unwarranted antibiotic use.”

Hand washing is among the measures advised to prevent infection.
…

The World Health Organization said Monday it was thrashing out a new list of priority pathogens that risk sparking pandemics or outbreaks and should be kept under close observation. 

The WHO said the aim was to update a list used to guide global research and development (R&D) and investment, especially in vaccines, tests and treatments. 

As part of that process, which started Friday, the United Nations’ health agency is convening more than 300 scientists to consider evidence on more than 25 virus families and bacteria. 

They will also consider the so-called Disease X, an unknown pathogen that could cause a serious international epidemic. 

“Targeting priority pathogens and virus families for research and development of countermeasures is essential for a fast and effective epidemic and pandemic response,” said WHO emergencies director Michael Ryan. 

“Without significant R&D investments prior to the COVID-19 pandemic, it would not have been possible to have safe and effective vaccines developed in record time.” 

The list was first published in 2017. 

It currently includes COVID-19, Ebola virus disease and Marburg virus disease, Lassa fever, Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), Nipah, Zika and Disease X. 

For each pathogen identified as a priority, experts will pinpoint knowledge gaps and research priorities. 

Desired specifications for vaccines, treatments and diagnostic tests can then be drawn up. 

Efforts are also made to facilitate clinical trials to develop such tools, while efforts to strengthen regulatory and ethics oversight are also considered. 

The revised list is expected to be published before April 2023. 

Pandemic treaty 

The pathogen threat sessions come as the WHO prepares for the next round of talks toward a pandemic treaty. 

An intergovernmental negotiating body is paving the way toward a global agreement that could eventually regulate how nations prepare for and respond to future pandemic threats. 

They are due to meet in Geneva from December 5 to 7 for a third meeting to draft and negotiate a WHO convention or other kind of international agreement on pandemic preparedness and response. 

A progress report will be presented to WHO member states next year, with the final outcome presented for their consideration in 2024. 

An initial draft text for the December meeting emerged last week. 

The Panel for a Global Public Health Convention, an independent coalition of statespersons and health leaders, said the draft did not go far enough, despite its bright spots. 

The panel said Monday that more should be done to establish accountability and clear timelines for alert and response to avoid damaging consequences when an outbreak emerges. 

“Once an outbreak is detected, there are often a few critical hours to report, assess and act to stop the spread of a disease before it becomes virtually unstoppable,” the panel said in a statement. 

“The current draft does not go far enough to call out the urgency needed to either prepare for disease X or known pathogens, or to respond at the early stage,” it said. 

“From December 2019 when information about the new coronavirus was suppressed, to multiple countries taking a ‘wait and see’ approach when Covid-19 cases were first reported … we’ve seen the damaging consequences of inaction at the onset.” 

 
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NASA’s Orion capsule reached the moon Monday, whipping around the back side and passing within 80 miles (128 kilometers) on its way to a record-breaking lunar orbit. 

The close approach occurred as the crew capsule and its three test dummies were on the far side of the moon. Because of the half-hour communication blackout, flight controllers in Houston did not know if the critical engine firing went well until the capsule emerged from behind the moon, more than 232,000 miles (375,000 kilometers) from Earth. 

It’s the first time a capsule has visited the moon since NASA’s Apollo program 50 years ago, and represented a huge milestone in the $4.1 billion test flight that began last Wednesday. Orion’s flight path took it over the landing sites of Apollo 11, 12 and 14 — humanity’s first three lunar touchdowns. 

The moon loomed ever larger in the video beamed back earlier in the morning, as the capsule closed the final few thousand miles since blasting off last Wednesday from Florida’s Kennedy Space Center, atop the most powerful rocket ever built by NASA. 

“This is one of those days that you’ve been thinking about and talking about for a long, long time,” flight director Zeb Scoville said while awaiting to resume contact. 

As the capsule swung out from behind the moon, onboard cameras sent back a picture of Earth — a blue dot surrounded by blackness. 

Orion needed to slingshot around the moon to pick up enough speed to enter the sweeping, lopsided lunar orbit. If all continues to go well, another engine firing will place the capsule in that orbit Friday. 

Next weekend, Orion will shatter NASA’s distance record for a spacecraft designed for astronauts — nearly 250,000 miles (400,000 kilometers) from Earth, set by Apollo 13 in 1970. And it will keep going, reaching a maximum distance from Earth next Monday at nearly 270,000 miles (433,000 kilometers). 

The capsule will spend close to a week in lunar orbit, before heading home. A Pacific splashdown is planned for Dec. 11. 

Orion has no lunar lander; a touchdown won’t come until NASA astronauts attempt a lunar landing in 2025 with SpaceX’s Starship. Before then, however, astronauts will strap into Orion for a ride around the moon as early as 2024. 

NASA managers were delighted with the progress of the mission. The Space Launch System rocket performed exceedingly well in its debut, they told reporters late last week. 

The 322-foot (98-meter) rocket caused more damage than expected, however, at the Kennedy Space Center launch pad. The force from the 8.8 million pounds (4 million kilograms) of liftoff thrust was so great that it tore off the blast doors of the elevator.
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Beijing’s most populous district urged residents to stay at home Monday, extending a request from the weekend as the city’s COVID-19 case numbers rose, with many businesses shut and schools in the area shifting classes online.

Nationally, new case numbers held steady on Sunday near April peaks as China battles outbreaks in cities across the country, from Zhengzhou in central Henan province to Guangzhou in the south and Chongqing in the southwest.

In the capital, two COVID-19 deaths were reported Sunday. Authorities earlier reported the death of an 87-year-old Beijing man, the country’s first official COVID-19 fatality since May 26, raising China’s coronavirus death toll to 5,227. It is unclear if his death is one of the two reported Sunday.

In addition to the deaths, the city reported 154 symptomatic new locally transmitted COVID-19 infections and 808 asymptomatic cases, local government authorities said Monday. 

This compared with 69 symptomatic cases and 552 asymptomatic cases the day before. Authorities also found 266 cases on Sunday outside quarantined areas.

On Sunday, Beijing city officials urged residents of the sprawling Chaoyang district, home to nearly 3.5 million people as well as embassies and office towers, to stay home Monday.

“The number of cases discovered outside quarantine is increasing rapidly at present, and there are hidden transmission risks from multiple places,” Liu Xiaofeng, deputy director of the Beijing Center for Disease Prevention and Control, told a media briefing.

“The pressure on Beijing has further increased,” he said.

Many Beijing residents stocked up on food during the weekend, with some delivery services experiencing delays. 

Hairdressers in the neighboring Dongcheng district were also told to close.

On Sunday, China reported 24,435 new COVID-19 infections for November 19, down slightly from 24,473 a day earlier but near highs clocked in April when Shanghai, China’s largest city, was in the middle of an outbreak and a grinding two-month lockdown.

China is trying to ease the impact of containment measures that drag on the economy and frustrate residents fed up with lockdowns, quarantine and other disruptions, even as it reiterates its commitment to its zero-COVID approach. 

While official infection tallies are low by global standards, China tries to stamp out every infection chain, making it an outlier nearly three years into the pandemic.

Under a series of measures unveiled this month, Chinese health authorities have sought more targeted COVID-19 curbs, sparking investor hopes of a more significant easing even as China faces its first winter battling the highly transmissible omicron variant. 

Many analysts expect such a shift to begin only in March or April, however, with the government arguing that President Xi Jinping’s signature zero-COVID policy saves lives. 

Experts warn that full reopening requires a massive vaccination booster effort and a change in messaging in a country where the disease remains widely feared.

The People’s Daily, the ruling Communist Party’s official newspaper, warned Sunday that the pandemic may expand because of mutations and seasonal factors.

“The situation of pandemic control is severe. We must maintain confidence that we will win, resolutely overcome issues such as insufficient understanding and insufficient preparation,” it said in an editorial.
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