Decades of violence and humanitarian crises have left many Somali people traumatized, according to a health study by the U.N. and Somali organizations. Harun Maruf reported from Washington and Abdulkadir Zubeyr in Mogadishu spoke to mental health doctors and patients in the country. They have this report narrated by Salem Solomon. Camera: Abdulkadir Zubeyr. Video editor Betty Ayoub.
…

Two Russian cosmonauts and an American astronaut will remain aboard the International Space Station for an extra six months because of damage to their Russian spacecraft.

Sergey Prokopyev, Dmitry Petelin and Frank Rubio were set to end their six-month stay aboard the ISS in late March, but the Russian space agency Roscosmos said Tuesday the trio will have to remain on the orbital outpost until September.

The Soyuz MS-22 capsule that carried the crew to the ISS last September has been leaking coolant since mid-December, which both Roscosmos and the U.S. space agency NASA have blamed on a micrometeoroid, or space rock, that struck the capsule.

Russia had planned to send an unmanned Soyuz capsule to the ISS earlier this month to bring the crew home, but the launch of that spacecraft was postponed because a Russian Progress MS-21 cargo ship docked at the station was also leaking coolant. That leak has been blamed by officials on an “external impact.”

Prokopyev, Petelin and Rubio were joined on the ISS in October by four astronauts brought by a SpaceX capsule: two Americans, a Russian and a Japanese. The space station will become even more crowded next week when another four person crew, including an astronaut from the United Arab Emirates, is set to arrive.

Some information for this report came from Reuters and Agence France-Presse.
…

The U.N. in Malawi has launched an urgent appeal for aid to deal with the impact of a record cholera outbreak that has so far killed nearly 1,450 people and infected 45,000.  

Local health experts say if urgent action isn’t taken to scale up the response, the number of cases could double in the next few months.

The U.N. says the flash appeal seeks to raise $45.3 million to provide life-saving aid to thousands of people in Malawi devastated by the outbreak.

In a statement released Monday, the U.N. said the appeal aims to assist four million people in Malawi, including 56,000 refugees and asylum seekers who are at the highest risk in the outbreak.

The current outbreak started in March last year and has spread to all 29 districts of Malawi.

Rebecca Adda-Dontoh, the U.N. resident coordinator in Malawi, told reporters Monday that more assistance is needed to stop the outbreak.

“So much work has been done but a lot more needs to be done,” she said. “We have focused on health, we have focused on WASH (water, sanitation and hygiene). The two are very important but there are also other sectors like nutrition, protection and even logistics because we need to be able to move supplies from one point to the other.”

Adda-Dontoh said the needed assistance would complement what various donor partners have already contributed.

“The U.N. itself has mobilized already close to $10 million,” she said. “You heard the EU; you heard the U.K. here saying they had already contributed over 500,000 euros for the EU and also over 500,000 pounds for the U.K. Even the government of Malawi is on the ground and already contributed.”   

Local media have reported that Malawi needs an additional $40 million for its national plan on cholera response.

Cases of cholera in Malawi have increased since the beginning of January, worsening the country’s largest outbreak in the past two decades.

Malawian President Lazarus Chakwera said last week, when he launched a national anti-cholera campaign, that the country’s health facilities were recording between 500 to 600 cholera cases every day.

The U.N. said that health experts have warned that Malawi could record between 64,000 and 100,000 more cases of cholera within the next three months unless urgent action is taken to scale up the response.
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When COVID-19 hit in 2020, Ghenya Grondin of Waltham, Massachusetts, was a postpartum doula – a person charged with helping young couples navigate the first weeks of their newborn child’s life at home.

Grondin, now aged 44, was infected with SARS-CoV-2 in mid-March of that year – before there were tests, before social distancing or masks, and many months before the medical community recognized long COVID as a complication of COVID-19.

She is part of a community of first-wave long-haulers who faced a new disease without a roadmap or support from the medical establishment.

Three years later, at least 65 million people worldwide are estimated to have long COVID, according to an evidence review published last month in Nature Reviews Microbiology. More than 200 symptoms have been linked to the syndrome – including extreme fatigue, difficulty thinking, headaches, dizziness when standing, sleep problems, chest pain, blood clots, immune dysregulation, and even diabetes.

There are no proven treatments but research is underway.

People infected later in the pandemic had the benefit of vaccination, which “protects at least to some degree” from long COVID, said Dr. Bruce Levy, a Harvard pulmonologist and a co-principal investigator of the National Institute of Health’s $1.15 billion U.S. RECOVER trial, which aims to characterize and find cures for the disease.

“The initial variant of the virus caused a more severe illness than we’re seeing currently in most patients,” he said.

According to the University of Washington’s Institute of Health Metrics and Evaluation, in the first two years of the pandemic women were twice as likely as men to develop long COVID, and 15% of all of those affected at three months continued to experience symptoms beyond 12 months.

An analysis of thousands of health records by the RECOVER trial found that non-Hispanic white women in wealthier areas were more likely than others to have a long COVID diagnosis. Researchers said that likely reflected disparities in access to health care, and suggests that many cases of long COVID among people of color are not being diagnosed.

Grondin grew concerned when she continued to have symptoms three months after her initial infection – but there was no name for it then.

“I just kept saying to my husband, something isn’t right,” she said.

Like her fellow long-haulers, she has experienced a host of symptoms, including fatigue, sleep apnea, pain, cognitive dysfunction, and in her case, a brain aneurysm. She described a frightening moment when she was driving a car with her toddler in the back and had a seizure that left her in the path of oncoming traffic.

She has since been diagnosed with long COVID and can no longer work.

“It just feels like a constant punch in the face,” said Grondin.

Scientists are still working out why some people infected with COVID develop long-term symptoms, but syndromes like this are not new. Other infections such as Lyme disease can result in long-term symptoms, many of which overlap with long COVID.

Leading theories of the root causes of long COVID include the virus or viral proteins remaining in the tissues of some individuals; the infection causing an autoimmune response; or the virus reactivating latent viruses, leading to inflammation that damages tissue.

Kate Porter, 38, of Beverly, Massachusetts, a project manager for a financial services company, believes she was infected on a flight back from Florida in late March of 2020.

She had daily fevers for seven months, muscle weakness, shortness of breath, and excruciating nerve pain.

“I don’t think people realize how brutal physically everything was,” she said. In one of her darker moments, Porter recalled, “I cried on the floor begging for something to take me peacefully. I’ve never been like that.”

Frustrated by the lack of answers from a list of 10 specialists she has seen, Porter has explored alternative medicine. “It has opened me up to other remedies,” she said.

Although her health is much improved now, she still suffers from near daily migraines and neck pain she fears may never go away.

Genie Stevens, 65, a director of climate education, got infected while traveling from her home in Santa Fe to Cape Cod in late March 2020 to visit her mother, and never left. “It completely upended my life,” she said.

She went to an emergency department seeking tests and was told there were none – the typical answer in the spring of 2020, when scientists were scrambling to understand the nature of the virus and tests were being rationed. She was sent home to manage on her own.

A lifelong practitioner of meditation, Stevens took solace there, finding it eased her symptoms.

Confined to her bed that spring, she focused on an ancient crabapple tree outside her room. “I watched every bud unfurl.”

Although largely recovered, Stevens still has flare-ups of brain fog, exhaustion and high-pitched ringing in her ears when she pushes too hard. “This is the astoundingly maddening part of the illness. I feel totally fine, and then bam.”
…

Two 16th-century sculptures, jewels of French Renaissance art, have been on display since 1908 at New York’s Metropolitan Museum of Art.

But thanks to modern technology and an unusual agreement, precise 3D copies will be made and installed in the French castle where the originals long resided.

The facsimiles plan is the fruit of a rare partnership between the Met, as the New York museum is known, and the Dordogne department in southwestern France.

The statues, both from the early 1500s and by an anonymous sculptor, represent Biblical scenes entitled “Entombment of Christ” and “Pieta With Donors.”

A tourism promotion agency in the Dordogne, Semitour, will be working with the Atelier of Fac-Similes Perigord (AFSP) to make the replicas over the coming months.

For nearly 400 years, the originals graced the chapel of the Biron chateau in the Dordogne.

Built on a strategic promontory, the sprawling fortress comprises buildings from different eras, including a dungeon dating to the 12th century.

Damaged and rebuilt repeatedly through the centuries, the chateau has belonged since 1978 to the Dordogne department, which declared it a historic monument, Dordogne president Germinal Peiro said during a visit to the Met.

Digital copy

The technology to be employed in copying the sculptures was described to AFP by Francis Rigenbach, who heads the Perigord atelier, and C. Griffith Mann, the Met’s medieval art curator.

Using 3D scanners to make digital images of the sculptures, artisans will be able to create replicas without having to move or disturb the monumental originals.

“By making a digital ‘cast,'” said Rigenbach, “we can employ non-invasive techniques” to produce identical copies.

He added that “90 percent of the artistic work” will involve reproducing signs of wear, such as the patina on the ageing marble originals — though both statues are considered exceptionally well-preserved.

The replicas, to be returned to their original spots in the Biron chapel, will cost around 350,000 euros ($375,000), Rigenbach added.

His atelier is famed for having copied the celebrated Lascaux cave — including its prehistoric wall art — for a museum in Montignac, in northern Perigord.

That allows visitors to feel as if they were visiting the cave itself, which was closed 60 years ago to avoid damage to the fragile site, said Sebastien Cailler, who manages the Biron chateau.

“And when you see these facsimile sculptures in Biron, you’ll surely feel the same emotion as if you were standing before the originals,” he told AFP in New York.

The two statues, whose value was recognized by historians and collectors in the late 18th century, were sold in 1907 by the last marquis of Biron to wealthy American banker John Pierpont Morgan, who was then president of the Met board.

In the 1950s, Dordogne and the Biron castle negotiated with the Met for four years in a vain effort to recover the statues.

In 2018, Perigord officials revived talks with the Met; four years later, technological tests were undertaken, and then on February 15, the agreement was signed in New York.

This type of unusual deal ensures that art works can exist in two places, Mann said, while adding that his museum, with its millions of annual visitors, “seems like the safest place to have the sculptures for their long-term preservation.”

 
…

United Nations members gather Monday in New York to resume efforts to forge a long-awaited and elusive treaty to safeguard the world’s marine biodiversity. 

Nearly two-thirds of the ocean lies outside national boundaries on the high seas where fragmented and unevenly enforced rules seek to minimize human impact. 

The goal of the U.N. meetings, running through March 3, is to produce a unified agreement for the conservation and sustainable use of those vast marine ecosystems. The talks, formally called the Intergovernmental Conference on Marine Biodiversity of Areas Beyond National Jurisdiction, resume negotiations suspended last fall without agreement on a final treaty. 

“The ocean is the life support system of our planet,” said Boris Worm, a marine biologist at Canada’s Dalhousie University. “For the longest time, we did not feel we had a large impact on the high seas. But that notion has changed with expansion of deep-sea fishing, mining, plastic pollution, climate change,” and other human disturbances, he said. 

The U.N. talks will focus on key questions, including: How should the boundaries of marine protected areas be drawn, and by whom? How should institutions assess the environmental impacts of commercial activities, such as shipping and mining? And who has the power to enforce rules? 

“This is our largest global commons,” said Nichola Clark, an oceans expert who follows the negotiations for the nonpartisan Pew Research Center in Washington. “We are optimistic that this upcoming round of negotiations will be the one to get a treaty over the finish line.” 

The aim of the talks is not to designate marine protected areas, but to establish a mechanism for doing so. 

“The goal is to set up a new body that would accept submissions for specific marine protected areas,” Clark said. 

Marine biologist Simon Ingram at the University of Plymouth in England says there’s an urgent need for an accord. 

“It’s a really pressing time for this — especially when you have things like deep-sea mining that could be a real threat to biodiversity before we’ve even been able to survey and understand what lives on the ocean floor,” Ingram said. 

Experts say that a global oceans treaty is needed to enforce the U.N. Biodiversity Conference’s recent pledge to protect 30% of the planet’s oceans, as well as its land, for conservation. 

“We need a legally binding framework that can enable countries to work together to actually achieve these goals they’ve agreed to,” said Jessica Battle, an expert on oceans governance at World Wide Fund for Nature 

U.S. Assistant Secretary of State for Oceans and International Environmental and Scientific Affairs Monica Medina said the treaty is a priority. 

“This agreement seeks to create, for the first time, a coordinated approach to establishing marine protected areas on the high seas,” she said. “It’s time to finish the job.” 

Officials, environmentalists and representatives of global industries that depend on the sea are also watching negotiations closely. 

Gemma Nelson, a lawyer from Samoa and an Ocean Voices fellow at the University of Edinburgh, said that small Pacific and Caribbean island countries were “especially vulnerable to global ocean issues,” such as pollution and climate change, which generally they did not cause nor have the resources to easily address. 

“Getting the traditional knowledge of local people and communities recognized as valid” is also essential to protect both ecosystems and the ways of life of Indigenous groups, she said. 

With nearly half the planet’s surface covered by high seas, the talks are of great importance, said Gladys Martínez de Lemos, executive director of the nonprofit Interamerican Association for Environmental Defense focusing on environmental issues across Latin America. 

“The treaty should be strong and ambitious, having the authority to establish high and fully protected areas in the high seas,” she said. “Half of the world is at stake these weeks at the United Nations.” 
…

The prospect of large-scale mining to extract valuable minerals from the depths of the Pacific Ocean, once a distant vision, has grown more real, raising alarms among the oceans’ most fervent defenders.

“I think this is a real and imminent risk,” Emma Wilson of the Deep Sea Conservation Coalition, an umbrella organization of environmental groups and scientific bodies, told AFP.

“There are plenty of stakeholders that are flagging the significant environmental risks.”

And the long-awaited treaty to protect the high seas, even if it is adopted in negotiations resuming on Monday, is unlikely to alleviate risks anytime soon: it will not take effect immediately and will have to come to terms with the International Seabed Authority (ISA).

That agency, established under the U.N. Convention on the Law of the Sea, has 167 member states.

It has authority over the ocean floors outside of member states’ Exclusive Economic Zones (which extend up to 200 nautical miles, or 370 kilometers, from coastlines).

But conservation groups say the ISA has two glaringly contradictory missions: protecting the sea floors under the high seas while organizing the activities of industries eager to mine untapped resources on the ocean floor.

For now, some 30 research centers and enterprises have been approved to explore — but not exploit — limited areas.

Mining activities are not supposed to begin before negotiators adopt a mining code, already under discussion for nearly a decade.

Making waves

But the small Pacific island nation of Nauru, impatient with the plodding pace of progress, made waves in June 2021 by invoking a clause allowing it to demand relevant rules be adopted within two years.

Once that deadline is reached, the government could request a mining contract for Nori (Nauru Ocean Resources), a subsidiary of Canada’s The Metals Company.

Nauru has offered what it called a “good faith” promise to hold off until after an ISA assembly in July, in hopes it will adopt a mining code.

“The only thing we need is rules and regulations in place so that people are all responsible actors,” Nauru’s ambassador to the ISA Margo Deiye told AFP.

But it is “very unlikely” that a code will be agreed by July, said Pradeep Singh, a sea law expert at the Research Institute for Sustainability, in Potsdam, Germany.

“There’s just too many items on the list that still need to be resolved,” he told AFP. Those items, he said, include the highly contentious issue of how profits from undersea mining would be shared, and how environmental impacts should be measured.

NGOs thus fear that Nori could obtain a mining contract without the protections provided by a mining code.

Conservation groups complain that ISA procedures are “obscure” and its leadership is “pro-extraction.”

The agency’s secretary-general, Michael Lodge, insists that those accusations have “absolutely no substance whatsoever.”

He noted that contracts are awarded by the ISA’s Council, not its secretariat.

“This is the only industry…that has been fully regulated before it starts,” he said, adding that the reason there is no undersea mining “anywhere in the world right now is because of the existence of the ISA.”

Target: 2024

Regardless, The Metals Company is making preparations.

“We’ll be ready, and aim to be in production by the end of 2024,” chief executive Gerard Barron told AFP.

He said the company plans to collect 1.3 million tons of material in its first year and up to 12 million tons by 2028, all “with the lightest set of impacts.”

Barron said tons of polymetallic nodules (rich in minerals such as manganese, nickel, cobalt, copper and rare earths), which had settled to the ocean floor over the centuries, could easily be scraped up.

This would occur in the so-called Clipperton Fracture Zone, where Nori in late 2022 conducted “historic” tests at a depth of four kilometers (2.4 miles).

But Jessica Battle of the WWF conservation group said it is not that simple. Companies might, for example, suck up matter several yards (meters) down, not just from the seabed surface.

“It’s a real problem to open up a new extractive frontier in a place where you know so little, with no regulations,” she told AFP. “It will be a disaster.”

Scientists and advocacy groups say mining could destroy habitats and species, some of them still unknown but possibly crucial to food chains; could disturb the ocean’s capacity to absorb human-emitted carbon dioxide; and could generate noises that might disrupt whales’ ability to communicate.

Moratorium calls

“The deep ocean is the least known part of the ocean,” said deep-sea biologist Lisa Levin of the Scripps Institution of Oceanography. “So change might take place without anybody ever seeing it.”

She has signed a petition calling for a moratorium on mining. Some companies and about a dozen countries support such a call, including France and Chile.

With its slogan, “A battery in a rock,” The Metals Company emphasizes the world’s need for metals used in electric-vehicle batteries; Nauru makes the same case.

But while island nations are among the first to feel the impact of global warming, Nauru says it can’t wait forever for the funds rich countries have promised to help it adapt to those impacts.

“We’re tired of waiting,” said Deiye, the Nauru ambassador.

And Lodge says people should keep the anti-extraction arguments in perspective.

Of the 54 percent of seabeds under ISA jurisdiction, he said, “less than half a percent is under exploration… and of that half a percent, less than one percent is likely ever to be exploited.”
…

The little-noticed program that led to a Chinese spy balloon drifting across the United States this month has been discussed in China’s state-controlled media for more than a decade in articles extolling its potential military applications.

The reports, dating back to at least 2011, focus on how best to exploit what is known as “near space” – that portion of the atmosphere that is too high for traditional aircraft to fly but too low for a satellite to remain in orbit. Those early articles may offer clues to the capabilities of the balloon shot down by a U.S. jet fighter on Feb. 4.

“In recent years, ‘near space’ has been discussed often in foreign media, with many military commentators pointing out that this is a special sphere that had been neglected by militaries but now has risen to hotspot status,” reads a July 5, 2011, article in the People’s Liberation Army Daily titled Near Space – A Strategic Asset That Ought Not to be Neglected.

The article quoted Zhang Dongjiang, a senior researcher at the Chinese Academy of Military Sciences, discussing the potential applications of flying objects designed for near space.

“This is an area sitting in between ‘air’ and ‘space’ where neither the theory of gravity nor Kepler’s Law is independently applicable, thus limiting the freedom of flight for both aircraft that are designed based on the theory of gravity and spacecraft that follow Kepler’s Law,” Zhang was quoted as saying.

He noted that near space lacks the atmospheric disturbances of aeronautical altitudes, such as turbulence, thunder and lightning, yet is cheaper and easier to reach than the altitudes where satellites can remain in orbit.

“At the same time,” he added, near space is “much higher than ‘sky,’ hence holding superb prospects and potential for intelligence collection, reconnaissance and surveillance, securing communication, as well as air and ground warfare.”

Zhang suggested that near space can be exploited with “high-dynamic” craft that travel faster than the speed of sound, such as hypersonic cruise vehicles and sub-orbital vehicles, which “can arrive at target with high speed, attack with both high speed and precision, [and] can be deployed repeatedly.”

But he said near space also can provide an environment for slower vehicles, which he called “low-dynamic” craft, such as stratospheric airships, high-altitude balloons and solar-powered unmanned vehicles.

These, he said, “are capable of carrying payloads capable of capturing light, infrared rays, multispectral, hyper-spectral, radar, and other info, which can then be used to increase battlefield sensory and knowledge capability, support military operations.”

They also “can carry various payloads aimed at electronic counter-battle, fulfilling the aim of electronic magnetic suppression and electronic magnetic attack on the battlefield, damage and destroy an adversary’s information systems.”

Four years after the PLA Daily article, images were published in the military pages of Global Times, a state-controlled outlet, of two small-scale stratospheric vehicles identified as KF13 and KF16.

The vehicles were developed by the Opto-Electronics Engineering Institute of Beijing Aeronautics and Aerospace University, China’s main aeronautical and aerospace research university, according to an explanatory note published alongside the model shown in the Global Times. The institution is now known as Beihang [Beijing-Aero] University.

The explanatory note said a key feature of the vehicles was their unmanned and remote-control dual capability. Work was being done in Beijing and Shanghai, as well as in Shanxi province, on seeing the vehicles evolve from concept to production, according to the October 2015 article.

Other images of near space objects that surfaced the same month featured variously shaped aircraft whose features and functions included high-functioning surface materials, emergency control mechanisms, precise flight control technology, high-efficiency propeller technology, high-efficiency solar technology and ground operation integration technology.

An image of a blimp-like near space flying object called the Yuan Meng, literally “fulfilling dream,” was also posted to the internet in October 2015. It was described as having a flying altitude of 20-24 kilometers, a flight duration of six months and a payload of 100-300 kilograms.

Rick Fisher, a senior fellow at the International Assessment and Strategy Center in Washington, told VOA that China’s interest in the exploitation of near space actually began long before the PLA Daily article.

“Since the late 1990s, the PLA has been devoting resources for research and development for preparing for combat in ‘near space,’ the zone just below Low Earth Orbit (LEO) that is less expensive to reach than LEO [itself], and offers stealth advantages, especially for hypersonic platforms,” he said in an exchange of emails.

In addition to round balloons such as the one shot down by U.S. aircraft on Feb. 4, he said, “the PLA is also developing much larger blimp or airship stratospheric balloons that have solar powered engines driving large propellers that enable greater maneuverability.”

Fisher said Chinese state-owned conglomerates such as China Aerospace Science and Industry Corporation (CASIC) “have full-fledged near space programs like their Tengyun to produce very high-altitude UAV and hypersonic vehicles” for the purpose of waging combat in near space.

Tengyun literally means “riding above clouds.”

In September 2016, Chinese official media reported that Project Tengyun, initiated by CASIC, was expected to be ready for a test flight in 2030. The so-called “air-spacecraft” is designed to serve as a “new-generation, repeat-use roundtrip flying object between air and space,” a deputy general manager of CASIC told the 2nd Commercial Aeronautical Summit Forum held in Wuhan that month.

Another four projects proposed by CASIC also bore the concept of “cloud” in their names: Feiyun, meaning “flying cloud,” focuses on communication relay; Xingyun, meaning “cloud on the move,” would enable users to send text or audio messages even “at the end of the earth or edge of the sky”; Hongyun, meaning rainbow cloud, would be able to launch 156 satellites in its first stage; and Kuaiyun, meaning “fast cloud,” would be tasked with formulating a near space spheric network.

While China’s openness about its near space ambitions may be debatable, the speed with which it has made advances in related R&D appears to be indisputable.

“Throughout my career that was focused on the PLA, I do not recall anything about the PLA having a balloon program, let alone to have balloons operating over U.S. territory,” U.S. Navy Captain (retired) James Fanell, who retired as [a former] director of intelligence for the U.S. Pacific Fleet in 2015, told VOA in a written interview.

U.S. official now say they are aware of at least 40 incidents, however, in which Chinese surveillance balloons have passed over countries on as many as five continents. Those presumably included an incident last December in which a high-altitude airship was photographed near the northern Philippine Island of Luzon bordering the South China Sea.

“The object would look to be a teardrop-shaped airship with four tail fins. It’s not entirely clear from the images whether it might have a translucent exterior or a metallic-like one,” wrote Joseph Trevithick, deputy editor of The War Zone, a specialized website dedicated to developments in military technology and international security.

“Overall, the apparent airship’s general shape has broad similarities to a number of high-altitude, long-endurance types that Chinese companies are known to have been working on,” he wrote, including “at least two uncrewed solar-powered designs, the Tian Hang and Yuan Meng, with external propulsion and other systems intended primarily for operations at stratospheric altitudes, both of which have reportedly been test flown at least once.”

Fisher said the United States would be well advised to emulate China in enhancing its capabilities in near space.

The American aerospace company Lockheed Martin “tested a technology demonstrator in 2011 [but] there has been no further development of operational stratospheric airships for the U.S.” since then, Fisher said.

“The PLA is correct to invest in stratosphere balloons and airships; the U.S. must do more to develop these assets as well.”
…

World health officials warn the war in Ukraine is taking a heavy toll on the mental health condition of millions of people, requiring an urgent increase in mental health and psychological support.

“An estimated almost 10 million people may currently have a mental health condition, of whom about 4 million may have conditions which are moderate or severe,” said Hans Kluge, World Health Organization regional director for Europe.

Speaking in the Ukrainian city of Zhytomyr, Kluge said he met Thursday with first lady Olena Zelenska, who summed up the prevailing situation in the country by telling him that “everyone in society has to become a psychologist.”

Managing the critical situation, he said, “requires an all-government and all-society effort.”

Data and evidence gathered by Ukraine’s Ministry of Health and WHO in recent months show the major priorities and challenges that need to be addressed are mental health, rehabilitation, and community access to health services.

The latest estimate by the U.N.’s Office of the High Commissioner for Human Rights finds more than 7,000 civilians have been killed and nearly 12,000 injured since Russia invaded Ukraine nearly one year ago.

Kluge said rehabilitation of victims of the war must not be delayed but made available now.

“We are doubling the support on rehabilitation,” he said, “including treatment for war-related injuries, which are often horrific for adults and children alike.”

The latest WHO needs assessment survey finds that one in 10 people express difficulty in accessing medicine for various reasons, including damaged or destroyed pharmacies and the unavailability of supplies. One-third of those surveyed said they could not afford to pay for the medicine they need.

The survey also highlighted the need to pay more attention to the treatment of people with non-communicable diseases. Kluge noted that 44% of those surveyed said they had difficulty receiving care for chronic conditions.

“The most common were cardiovascular diseases, notably hypertension, but also diabetes and kidney disease, and then, of course, there is routine immunization that is weak,” he said.

The carpet bombing of Ukrainian cities, missile strikes and artillery fire by Russian forces has put much of Ukraine’s health care system out of commission.

In a media interview a few days ago, Ukraine’s minister of health, Viktor Liashko, said 1,218 health care institutions have been damaged, including 540 hospitals, 173 of which were completely destroyed.

Kluge said the WHO has verified nearly 780 attacks on health care services, calling it “unforgivable.” He said, “Any attack on any health and health care is clearly a breach of international humanitarian law.”

Speaking from Poltava Oblast, Jarno Habicht, WHO representative for Ukraine, said the health system was functional depending on the region. For example, in areas regained from Russia, such as Bucha, Irpin and Kharkiv, “access to health care is more difficult.”

“Primary health care centers, which have been attacked — more than 780 attacks —need to be rebuilt. These centers need water, these centers need electricity, these centers need health care workers to come back,” he said.

There were, however, hopeful signs of recovery, Habicht added, noting that 20% of health facilities have been rebuilt by charities and private-sector investments.

“So, that means that the health system is also healing itself,” he said.

The U.N. refugee agency estimates more than 8 million Ukrainians have fled to neighboring European countries as refugees, and an estimated 7 million are displaced inside Ukraine.

Habicht also said the WHO’s latest “health survey shows that the internally displaced people have more barriers to access to care” than those who have left the country.

Overall, he said, Ukraine’s health system is under stress but working, and in regained areas, rebuilding infrastructure and attracting more health care workers is critical.

As the war enters its second year, he said, “We need new specialists, we need to do faster training for nurses as well for the doctors.

“We need more mental health specialists … and physiotherapists to ensure that children have enough support that they can move around, they can go to school, and their life can go on.”

Kluge, who is on his fifth visit to Ukraine within the past year, noted the need for continued international humanitarian support. “Unfortunately, after what I saw, I cannot tell that the impact of the war on the health of the people in this country is going to diminish.

“I am very concerned it will in the coming months actually increase,” he said.
…

Imagine if your dog or cat could use words to let you know when they’re angry, lonely or in pain. Well now they can, thanks to an innovative communication tool that’s helping them express themselves more effectively. VOA’s Julie Taboh has more.

Camera: Adam Greenbaum           

Produced by: Julie Taboh, Adam Greenbaum  
…

Avian flu has reached new corners of the globe and become endemic for the first time in some wild birds that transmit the virus to poultry, according to veterinarians and disease experts, who warn it is now a year-round problem.

Reuters spoke to more than 20 experts and farmers on four continents who said the prevalence of the virus in the wild signals that record outbreaks will not abate soon on poultry farms, ramping up threats to the world’s food supply. They warned that farmers must view the disease as a serious risk all year, instead of focusing prevention efforts during spring migration seasons for wild birds.

Outbreaks of the virus have widened in North and South America, Europe, Asia and Africa, undefeated by summer heat or winter cold snaps, since a strain arrived in the United States in early 2022 that was genetically similar to cases in Europe and Asia.

On Wednesday, Argentina and Uruguay each declared national sanitary emergencies after officials confirmed the countries’ first infections. Argentina found the virus in wild birds, while dead swans in Uruguay tested positive.

Egg prices set records after the disease last year wiped out tens of millions of laying hens, putting a staple source of cheap protein out of reach to some of the world’s poorest at a time the global economy is reeling from high inflation.

Wild birds are primarily responsible for spreading the virus, according to experts. Waterfowl like ducks can carry the disease without dying and introduce it to poultry through contaminated feces, saliva and other means.

Farmers’ best efforts to protect flocks are falling short.

In the United States, Rose Acre Farms, the country’s second-largest egg producer, lost about 1.5 million hens at a Guthrie County, Iowa, production site last year, even though anyone who entered barns was required to shower first to remove any trace of the virus, Chief Executive Marcus Rust said.

A company farm in Weld County, Colorado, was infected twice within about six months, killing more than 3 million chickens, Rust said. He thinks wind blew the virus in from nearby fields where geese defecated.

“We got nailed,” Rust said. “You just pull your hair out.”

The United States, Britain, France and Japan are among countries that have suffered record losses of poultry over the past year, leaving some farmers feeling helpless.

“Avian flu is occurring even in a new poultry farm with modern equipment and no windows, so all we could do now is ask God to avoid an outbreak,” said Shigeo Inaba, who raises chickens for meat in Ibaraki prefecture near Tokyo.

Poultry in the Northern Hemisphere were previously considered to be most at risk when wild birds are active during spring migration. Soaring levels of the virus in a broad range of waterfowl and other wild birds mean poultry now face high risks year round, experts said.

“It’s a new war,” said Bret Marsh, the state veterinarian in the U.S. state of Indiana. “It’s basically a 12-month vigil.”

In a sign the threat is expected to persist, Marsh is seeking funds from Indiana’s lawmakers to hire an additional poultry veterinarian and poultry health-specialist. Indiana lost more than 200,000 turkeys and other birds over the past year, while total U.S. deaths top 58 million birds, according to U.S. government data, surpassing the previous 2015 record.

The virus is usually deadly to poultry, and entire flocks are culled when even one bird tests positive.

Vaccinations are not a simple solution: they may reduce but not eliminate the threat from the virus, making it harder to detect its presence among a flock. Still, Mexico and the EU are among those vaccinating or considering shots.

Global problem

Wild birds have spread the disease farther and wider around the world than ever before, likely carrying record amounts of the virus, said Gregorio Torres, the head of the science department at the Paris-based World Organisation for Animal Health, an intergovernmental group and global authority on animal diseases. The virus changed from previous outbreaks to a form that is probably more transmissible, he told Reuters.

“The disease is here to stay at least in the short term,” Torres said.

Torres could not confirm the virus is endemic in wild birds worldwide, though other experts said it is endemic in certain birds in places like the United States.

While the virus can infect people, usually those who have contact with infected birds, the World Health Organization says the risk to humans is low.

The form of the virus circulating is infecting a broader range of wild birds than previous versions, including those that do not migrate long distances, said David Suarez, acting laboratory director of the U.S. government’s Southeast Poultry Research Laboratory in Georgia.

Such infections of “resident” birds are helping the virus to persist throughout the year when it didn’t previously, he said.

Black vultures, which inhabit the southern United States and previously avoided infections, are now among the species suffering, said David Stallknecht, director of the Southeastern Cooperative Wildlife Disease Study at the University of Georgia.

The virus has also infected mammals like foxes, bears and seals.

“We all have to believe in miracles,” Stallknecht said, “but I really can’t see a scenario where it’s going to disappear.”

Crossing borders

High virus levels in birds like blue-winged teal, ducks that migrate long distances, helped spread the virus to new parts of South America, Stallknecht said.

Countries including Peru, Ecuador and Bolivia in recent months reported their first cases.

Ecuador imposed a three-month animal-health emergency on Nov. 29, two days after its first case was detected, the country’s Ministry of Agriculture and Livestock said. So far, more than 1.1 million birds have died, the ministry said.

Infections in Uruguay and Bolivia put the disease close to top global chicken exporter Brazil, which has never confirmed a case. Brazilian Agriculture Minister Carlos Favaro said on Wednesday the country investigated three suspected cases, but test results came back negative.

“Everyone is focused on preventing the flu from reaching our country,” said Gian Carlos Zacchi, who raises chickens for processor Aurora in Chapecó in Brazil’s Santa Catarina state.

Some experts suspect climate change may be contributing to the global spread by altering wild birds’ habitats and migratory paths.

“The wild bird dynamics have shifted, and that’s allowed the viruses that live in them to shift as well,” said Carol Cardona, an avian flu expert and professor at the University of Minnesota.

Farmers are trying unusual tactics to protect poultry, with some using machines that make loud noises to scare off wild birds, experts said.

In Rhode Island, Eli Berkowitz, an egg producer and chief executive of Little Rhody Foods, sprayed the disinfectant Lysol on goose poop on a walkway of his farm in case it contained the virus. He also limits visitors to the farm, a more traditional precaution.

Berkowitz said he is bracing for March and April when migration season will pose an even greater risk to poultry.

“You’d better buckle up and hold on for your dear life,” he said.

 
…

The confirmation of more bird flu cases in South America raised alarm bells in Brazil, which remains free of contagion even after its close neighbors Argentina and Uruguay confirmed cases there on Wednesday. 

In a press conference to discuss the global sanitary hazard, Brazilian Agriculture Minister Carlos Favaro said Brazil, the world’s biggest chicken exporter, would bolster measures to prevent outbreaks as the virus continued to spread. 

Until now, bird flu cases had been detected in commercial farms in Bolivia, which borders Brazil, and in Peru and Ecuador, Favaro said. 

On Wednesday, cases in wild birds were confirmed in Uruguay and Argentina, sparking a health emergency in both. 

In recent days, Brazil also investigated suspected cases of the highly pathogenic bird flu. 

The suspect cases occurred in wild birds in Rio Grande do Sul state, where many Brazilian meatpackers operate, and in domestic birds, ducks and chickens with bird flu symptoms in Amazonas state, according to the minister. 

None of the suspect cases turned out to be avian influenza, he said. 

Avian flu, which has reached new corners of the globe, has become endemic for the first time in some wild birds that transmit the virus to poultry, experts said. 

The virus has spurred import bans in some countries and pushed egg prices to record highs in some parts of the world. 

Brazil is home to some of the world’s biggest meatpackers. It has never registered a bird flu case. 

But since late last year, the Brazilian meat industry has been on high alert. Most of Brazil’s chicken processors operate in southern states, making the discoveries in Uruguay and Argentina worrisome. 

“It should be remembered that the situation in Uruguay (affecting wild birds) is an example of a case that would not suspend trade and exports of poultry products, in accordance with recommendations established by the World Organization for Animal Health,” Brazil’s meat lobby ABPA said in a statement. 

The Uruguayan government declared a state of national sanitary emergency after detecting bird flu in five dead black neck swans between the departments of Maldonado and Rocha. 

“It’s very important to isolate wild birds from domestic birds, especially sources of food and water,” Virginia Russi, a technician from the agriculture ministry of Uruguay told a news conference. 

Argentina’s Agriculture Secretary Juan Jose Bahillo also confirmed its first cases of bird flu in wild birds, leading it to declare a sanitary emergency and reinforce measures against the disease. 
…

Cameroon’s health ministry has dismissed a report of two suspected cases of Marburg virus in the country after a first deadly outbreak in neighboring Equatorial Guinea. Health officials along the border said Tuesday there were two suspected cases of the severe hemorrhagic fever in Cameroon after Malabo confirmed nine deaths and sixteen possible infections. Despite dismissing the reported cases, Cameroon’s health ministry says it is increasing surveillance and travel restrictions along the border.

Health Minister Manaouda Malachie says Cameroon does not yet have any suspected cases of the Marburg virus, despite reports of two possible infections.

Health officials in Cameroon’s South region on Tuesday said a teenage boy and girl suffering from high fever were rushed to a hospital Monday in Olamze, on the border with Equatorial Guinea.

The health officials said the children were suspected of being infected with the Marburg virus, are in isolation, and are responding to treatment.

But Malachie seemed to contradict those reports when he spoke Wednesday to state broadcaster Cameroon Radio Television.

Malachie says the decision by Cameroon to stop Marburg virus, an illness like Ebola, by restricting movement along the border with Equatorial Guinea is so far yielding fruit. He says as of Wednesday at midday central African time, Cameroon had not reported any deaths or suspected cases of Marburg virus.

Malachie says civilians should avoid contact with animals and people who have travelled to Equatorial Guinea and make sure people with fever, fatigue, and blood-stained vomit and diarrhea are isolated.

But Malachie warned its porous border with Equatorial Guinea, which confirmed Monday its first outbreak of the deadly virus, puts it at risk.

Cameroon last week said it restricted movement along the border after Equatorial Guinea quarantined hundreds of people in Kie-Ntem Province, where the hemorrhagic fever was first reported.

The World Health Organization says Equatorial Guinea sent samples to the Pasteur Institute in Senegal, after an alert by a health official on February 7, and one of them tested positive.

The WHO says Marburg was transmitted to people from fruit bats, spreads between people via bodily fluids, and has a fatality rate of up to 88%.

Marburg is in the same family as the Ebola virus but, unlike Ebola, there are no vaccines for Marburg — just treatments for the symptoms such as dehydration and fever.

Health officials from Cameroon and Gabon, which also shares borders with Equatorial Guinea, met Tuesday in Yaoundé and agreed to work together to prevent the virus from spreading.

University of Yaoundé sociology lecturer Francois Bingono Bingono was in the meeting.

He says the frequent movement of people across the borders will make stopping the virus a challenge.

Bingono says in 2020 Cameroon and Equatorial Guinea restricted movement along their border to protect their populations from COVID-19, but civilians on both sides did not respect the order. He says people living on both sides of the Cameroon-Equatorial Guinea border belong to the same ethnic groups, speak the same language, and celebrate happy events or mourn sad events together.

Bingono says health workers not known in border communities are struggling to educate locals that a deadly virus threatens their lives.

He says they will need traditional rulers to help convince their people.

The U.S. Centers for Disease Control and Prevention says the virus was first identified in 1967 in simultaneous outbreaks in laboratories in Marburg and Frankfurt, Germany, and in Belgrade.

Marburg is not new to Africa but is relatively new to West Africa.

An outbreak in Ghana in September last year killed two people, while Guinea recorded one death from the virus in 2021 — the first known case in West Africa.

The WHO reported previous outbreaks in Angola, the Democratic Republic of Congo, Kenya, South Africa, and Uganda.
…

Plumes of smoke, questions about dead animals, worries about the drinking water. A train derailment in Ohio and subsequent burning of some of the hazardous chemicals has people asking: How worried should they be? 

It’s been more than a week since about 50 cars of a freight train derailed in a fiery, mangled mess on the outskirts of East Palestine near the Pennsylvania state line, apparently because of a mechanical issue with a rail car axle. No one was injured in that wreck. But concerns about air quality and the hazardous chemicals on board the train prompted some village residents to leave, and officials later ordered the evacuation of the immediate area as fears grew about a potential explosion of smoldering wreckage. 

Officials seeking to avoid the danger of an uncontrolled blast chose to intentionally release and burn toxic vinyl chloride from five rail cars, sending flames and black smoke again billowing high into the sky. The jarring scene left people questioning the potential health impacts for residents in the area and beyond, even as authorities maintained they were doing their best to protect people. 

In the days since, residents’ concerns and questions have only abounded — amplified, in part, by misinformation spreading online. 

More on what we know: 

Controlled burn  

Vinyl chloride is associated with increased risk of certain cancers, and officials at the time warned burning it would release two concerning gases — hydrogen chloride and phosgene, the latter of which was used as a weapon in World War I. 

Environmental officials say that monitors detected toxins in the air at the site during the controlled burn and that officials kept people away until that dissipated. They say continuing air monitoring done for the railroad and by government agencies — including testing inside nearly 400 homes — hasn’t detected dangerous levels in the area since residents were allowed to return. The U.S. Environmental Protection Agency has shared air monitoring results online. 

Continuing concerns 

Even in communities beyond East Palestine, some residents say they worry about long-term effects of even low-grade exposure to contaminants from the site. The village has scheduled a town hall at the local high school Wednesday evening to hear questions from residents, whose concerns have included lingering smells, how to ensure accountability for the cleanup, and what to make of pets and livestock that have appeared ill or died since the derailment. 

The risk to such animals is low, according to the Ohio Department of Agriculture, which recommended that people contact a local veterinarian for any concerns about their livestock or pets’ health. The department hasn’t received any official reports about livestock or pet illnesses or deaths directly related to the incident, though making such a determination would require a necropsy and lab work, the Agriculture Department said. 

Ohio Health Department Director Bruce Vanderhoff cautioned at a news conference Tuesday that residents who were worried about lingering odors or headaches since the derailment should know that those can be triggered by contaminant levels in the air that are well below what’s unsafe. 

The derailment also highlighted questions about railroad safety, though federal data show accidents involving hazardous materials at this scale are very rare. Trains were rolling past East Palestine again soon after the evacuation order was lifted. 

Ground and water 

Contaminants from derailed cars spilled into some waterways and were toxic to fish, but officials have said drinking water in the area has remained protected. 

In addition to vinyl chloride, at least three other substances — butyl acrylate, ethylhexyl acrylate, and ethylene glycol monobutyl — were released into the air, soil or water, according to a U.S. Environmental Protection Agency letter putting rail operator Norfolk Southern on notice about its potential liability for cleanup costs. 

Norfolk Southern’s response has included efforts to remove spilled contaminants from the ground surface and nearby streams, as well as air quality monitoring, soil sampling and residential water well surveys, according to its preliminary remediation plan. 

The Ohio Department of Natural Resources estimates the spill affected more than 11.2 kilometers (7 miles) of streams and killed some 3,500 fish, mostly small ones such as minnows and darters. 

A plume of contaminants that includes butyl acrylate formed in the Ohio River in the first days after the derailment and on Tuesday was flowing slowly, nearing Huntington, West Virginia, Ohio Environmental Protection Agency officials said. 

The contaminant amounts found so far don’t pose a risk for cities that rely on the river for their drinking water, and the plume is continuing to be diluted as it moves farther along, the state EPA said. 

In response, some water companies have shut off their intakes or increased treatment processes as a precaution. 

Social media claims  

As with any developing situation, misinformation and hyperbole about the derailment have spread online in recent days. 

Social media users, for example, falsely claimed that drinking water is contaminated throughout the entire Ohio River basin, when many areas in the multistate region are not affected by the chemical release. 

Footage of dark, ominous clouds has also spread with claims it showed East Palestine post-burn, despite the fact that the footage appeared online as early as November 2022. 

As information continues to develop, disinformation experts emphasize that people should exercise caution before sharing unverified claims. 

Cause of accident 

Investigators examined the rail car that initiated the derailment and have surveillance video from a home showing “what appears to be a wheel bearing in the final stage of overheat failure moments before the derailment,” the National Transportation Safety Board said Tuesday. Its preliminary report is expected in two weeks. 

Rail operator Norfolk Southern and the NTSB haven’t publicly answered one of the big questions about the February 3 derailment, however: Exactly when was the crew alerted to a mechanical issue with a rail car axle — the suspected cause — and did they respond appropriately? 

A wayside defect detector alerted the crew to a mechanical issue “shortly before the derailment,” and emergency braking was initiated, a National Transportation Safety Board member said that weekend. 

Security video from two businesses in Salem, Ohio, shows the underside of one rail car glowing brightly from an apparent fiery axle, indicating the train might have traveled more than 32.1 kilometers (20 miles) with that malfunction before the derailment, the Pittsburgh Post-Gazette reported. The NTSB says it’s reviewing that video. 

Pennsylvania Governor Josh Shapiro said on Tuesday that Norfolk Southern had mismanaged the disaster from the outset and that its actions hampered the response from local and state agencies. He also said the company had been unwilling to look at alternatives to intentionally releasing and burning the five cars filled with vinyl chloride. 

“Prioritizing an accelerated and arbitrary timeline to reopen the rail line injected unnecessary risk and created confusion,” Shapiro said in a letter to Norfolk Southern CEO Alan Shaw. A message seeking comment was left with the company. 
…

Health rights campaigners in Malawi are welcoming a national campaign against a record cholera outbreak, which has affected all 29 districts in the country and killed nearly 1,400 people.

President Lazarus Chakwera launched the campaign Monday, pledging to reduce the transmission and mortality rate of the water-borne illness. Chakwera said the spread is largely because people in the country are not following good hygiene practices.

“And because the behavior is not changing, the situation has become dire,” he said. “So far, over 1,300 funerals have happened around the country because of cholera. And the disease is still spreading at an alarming rate. We are getting between 500 to 600 cholera cases every day in our health facilities throughout the country.”

The campaign, known as “Tithetse Kolera” or “Let’s end cholera,” focuses on repairing water kiosks across the country and helping people construct toilets in their homes.

Chakwera said statistics show that about 40 percent of Malawians do not have toilets and instead use the bush to relieve themselves.

Several organizations in Malawi have long been running campaigns against the practice of open defecation, but with little result.

“We are human beings with dignity, not animals that can just use any place as a toilet. If any place is not a toilet, don’t treat it as a toilet,” Chakwera said. “And a toilet is not something that is given to you by the government or something that is donated from abroad or something that comes down from heaven. It is something you give yourself as a human being because you respect yourself better than an animal.”

Health authorities say they hope the campaign will help reduce the cholera fatality rate from the current 3.6% to 1%.

Health rights campaigner George Jobe welcomed the campaign, but said the government should go further by ending myths and misinformation associated with the outbreak.

Jobe, who is also executive director for the Malawi Health Equity Network, cited two recent incidents in Lilongwe and Balaka districts, where angry members of the community assaulted medical workers and vandalized two public health facilities, forcing them to close. The community members accused the medical workers of deliberately infecting patients with cholera-infested vaccines.

“The current cholera seems to be different from previous outbreaks of cholera just because the current one was preceded by COVID-19. So, we shall continue to provide some piece of advice to the government that when we are doing awareness raising, we must be mindful that we are also fighting with reductions of COVID-19,” Jobe said.

Chakwera ordered the reopening of the closed health facilities and assured the health workers that they would receive maximum security.

In the meantime, the Africa Centers for Disease Control and Prevention and United Nations have pledged their support toward the success of the cholera campaign.

“The United Nations is currently in the process of preparing a multisector cholera appeal to increase the capacity of the U.N. and NGOs to support the government of Malawi. It will be launched next week,” said Rebecca Donto, the United Nations’ resident coordinator in Malawi.

Local media have reported that Malawi needs an additional $40 million for an effective cholera response. 
…

Equatorial Guinea announced its first outbreak of the Marburg virus, a highly infectious disease similar to Ebola, the World Health Organization said in a statement Monday. 

The small central African nation of about 1.6 million people reported nine deaths and 16 more suspected cases after a sample sent to a laboratory in Senegal on February 7 came back positive. 

Health Minister Mitoha Ondo’o Ayekaba told reporters that a health alert had been declared in Kie-Ntem province and the neighboring district of Mongomo, after consulting with the World Health Organization and the United Nations, Agence France-Presse reported.

The nine deaths occurred between January 7 and February 7, Ayekaba said.

The Marburg virus has a fatality rate of up to 88% and spreads from person to person through direct contact with bodily fluids, WHO said. The disease comes from the same family of viruses as Ebola. Symptoms consist of high fever and severe headache, with many patients developing hemorrhagic symptoms within seven days.

WHO said officials have been deployed in Equatorial Guinea to “trace contacts, isolate and provide medical care to people showing symptoms of the disease.”

“Marburg is highly infectious. Thanks to the rapid and decisive action by the Equatorial Guinean authorities in confirming the disease, emergency response can get to full steam quickly so that we save lives and halt the virus as soon as possible,” said Dr. Matshidiso Moeti, the WHO regional director for Africa.

WHO said there are currently no vaccines or antiviral treatments for the virus. However, oral rehydration therapy and treatment of certain symptoms can improve chances of survival, it added.

Some material for this report came from The Associated Press and Agence France-Presse. 
…

The Biden administration says it’s working with the governments of Mexico, Colombia and Ecuador to combat a documented rise in the availability and lethality of illegal drugs containing fentanyl, a synthetic opioid that can be up to 100 times stronger than morphine.

According to the Drug Enforcement Administration, the potency of pills is rising — in 2022, six out of 10 pills contained a potentially lethal dose of the narcotic.

President Joe Biden mentioned the deadly drug in his recent State of the Union address, in which he spoke of “a record number of personnel working to secure the border, arresting 8,000 human smugglers, seizing over 23,000 pounds of fentanyl in just the last several months.”

And Biden outlined his administration’s plan to tackle the epidemic in different ways, including funding screening measures, checking packages and “expanding access to evidence-based prevention, harm reduction, treatment and recovery.”

VOA’s Jorge Agobian spoke to Dr. Rahul Gupta, director of the Office of National Drug Control Policy, to find out how the U.S. is battling the overdose epidemic both inside and beyond its borders.

“The problem of fentanyl and synthetic drugs is not limited exclusively to the United States or Mexico,” Gupta said. “It’s a global problem. And secondly, the supply chain is also global. So whether it’s precursor chemicals that are converted into fentanyl, coming from China into Mexico or North America, or the synthesis of these drugs, we need to be making sure that we’re monitoring all of it, and we’re addressing specific choke points in this supply chain.”

This interview has been edited for clarity and brevity.

VOA: A key component of President Biden’s State of the Union address was the fentanyl crisis. What next steps will the administration take on this issue?

Dr. Rahul Gupta: Fentanyl is killing 70,000 Americans a year overall as part of the overdose crisis. It is a top priority for President Biden to address that. It’s important for us to make sure we have an education campaign, especially for children, to be aware and understand that they have the power to not only be aware about this deadly threat, but also maybe carry Naloxone, the antidote for it so they can help their friends and others.

Also, what we can do is to ensure that we have the treatment available to everybody who needs it. We know that far too many Americans today aren’t able to get the treatment. So along with the antidote, we’ve got to get more people into treatment, and he talked about how he had challenged Congress the year before about removing barriers to doctors to prescribing, and he worked in a bipartisan manner with both sides of Congress to get that to happen. And he signed that into law.

He also talked about how there’s controlling of the fentanyl-related substances already, but it’s temporary we need to make that permanent.

President Biden highlighted how we have through the highest levels of fentanyl seizures at the border — twice as much as 2020 and four times as much in 2019. Why? Because we’ve implemented technology to be able to detect more, but the problem doesn’t begin or end at the border. We have to work with Mexico.

VOA: What in this strategy is the role of Mexico cooperating with the United States? And how much does the United States rely on Mexico to prosecute?

Gupta: People in Mexico are dying from overdoses and poisoning from fentanyl just like in America. So it’s very important that we work with a shared sense of responsibility, to make sure that we’re working to secure our country to make sure that we’re going after the bad guys who are intending harming Americans as well as Mexicans at the same time, we’re working on enhancing public health treatment, and the antidote Naloxone or Narcan and make it available to anyone who needs it.

We have made sure that we’re providing as much assistance to Mexico in partnership as a key player in helping us, but we also want to make sure that we’re holding traffickers, manufacturers and others accountable for their actions by preying on vulnerable people. It’s important because we want to make sure that they’re not making profits off the back of unsuspecting people who are dying and being poisoned. So it’s important whether it is in the United States or across the border, that our governments hold bad actors accountable in a forceful way.

VOA: Does the White House believe that the war on drugs is ‘a failed campaign,’ as the president of Colombia has called it?

Gupta: When President (Gustavo) Petro was inaugurated in Colombia early last year, I went, as the first delegation from the United States. We had a long and good conversation, and I said to him, “Look, we recognize that not all policies have been proven to be successful of the United States. But the important part is that we have a problem where an American is dying every 5 minutes around the clock. You have a problem where the economy is dependent, a lot, on cocaine production. We need to work with our 200-year relationship productively to see how we can secure a future both for the American people and the Colombian people.’”

And we need to see the way forward which is humane, which is protective of the environment.

And we need to figure out how to get people gainful employment, give hope, and the ability to have economic development as a way to address this. And that’s exactly some of the things that we’re going to be working with countries like Colombia.

VOA: What about the other countries in the Western Hemisphere?

Gupta: We know that these profits and the drugs don’t only kill Americans, but the profits go back to cause more destabilization, more crime and corruption and violence. It’s very important for us as a global leader to continue to work as good partners with other countries across Latin America. And there’s a history of us working with them, but to make sure that we’re doing in a way that yields us results, mutual respect and mutual cooperation. So we can hold the bad actors accountable, while ensuring that people everywhere have a chance to live safely, securely and healthy.

VOA: And finally, what about Venezuela? There is no cooperation between the two governments, of course, but Venezuela is still a key player in all these industries.

Gupta: We’re going to continue to focus with our partners in Colombia, and as well as Ecuador, to make sure that people there are getting the support when it comes to both the people coming in from Venezuela as well as resources. And then that work will continue, you know, as far as so I don’t have anything new to report on that at this point, from a policy perspective.

Anita Powell contributed to this report.

FOR HELP:

The World Health Organization says there are three common signs and symptoms of an overdose: pinpoint pupils, unconsciousness and difficulties with breathing.

Learn more about overdoses in the WHO’s fact sheet.

For the unfamiliar, fentanyl goes by several nicknames. The U.S. Drug Enforcement Administration lists several commonly used in the U.S.: Apache, China Girl, China Town, Dance Fever, Friend, Goodfellas, Great Bear, He-Man, Jackpot, King Ivory, Murder 8, and Tango & Cash.

Check the DEA’s website for details.
…

An uncrewed Russian supply ship docked at the International Space Station has lost cabin pressure, the Russian space corporation reported Saturday, saying the incident doesn’t pose any danger to the station’s crew.

Roscosmos said the hatch between the station and the Progress MS-21 had been locked so the loss of pressure didn’t affect the orbiting outpost.

“The temperature and pressure on board the station are within norms and there is no danger to health and safety of the crew,” it said in a statement.

The space corporation didn’t say what may have caused the cargo ship to lose pressure.

Roscosmos noted that the cargo ship had already been loaded with waste before its scheduled disposal. The craft is set to be undocked from the station and deorbit to burn in the atmosphere Feb. 18.

The announcement came shortly after a new Russian cargo ship docked smoothly at the station Saturday. The Progress MS-22 delivered almost 3 tons of food, water and fuel along with scientific equipment for the crew.

Roscosmos said that the loss of pressure in the Progress MS-21 didn’t affect the docking of the new cargo ship and “will have no impact on the future station program.”

The depressurization of the cargo craft follows an incident in December with the Soyuz crew capsule, which was hit by a tiny meteoroid that left a small hole in the exterior radiator and sent coolant spewing into space.

Russian cosmonauts Sergey Prokopyev and Dmitri Petelin, and NASA astronaut Frank Rubio were supposed to use the capsule to return to Earth in March, but Russian space officials decided that higher temperatures resulting from the coolant leak could make it dangerous to use.

They decided to launch a new Soyuz capsule February 20 so the crew would have a lifeboat in the event of an emergency. But since it will travel in automatic mode to expedite the launch, a replacement crew will now have to wait until late summer or fall when another capsule is ready. It means that Prokopyev, Petelin and Rubio will have to stay several extra months at the station, possibly pushing their mission to close to a year.

NASA took part in all the discussions and agreed with the plan.

Besides Prokopyev, Petelin and Rubio, the space station is home to NASA astronauts Nicole Mann and Josh Cassada, Russian Anna Kikina, and Japan’s Koichi Wakata. The four rode up on a SpaceX capsule last October.
…

On the packed streets of Nairobi, Cyrus Kariuki is one of a growing number of bikers zooming through traffic on an electric motorbike, reaping the benefits of cheaper transport, cleaner air and limiting planet-warming emissions in the process.

“Each month one doesn’t have to be burdened by oil change, engine checks and other costly maintenance costs,” Kariuki said.

Electric motorcycles are gaining traction in Kenya as private sector-led firms rush to set up charging points and battery-swapping stations to speed up the growth of cleaner transport and put the east African nation on a path toward fresher air and lower emissions.

But startups say more public support and better government schemes can help further propel the industry.

Ampersand, an African-based electric mobility company, began its Kenyan operations in May 2022. The business currently operates seven battery-swapping stations spread across the country’s capital and has so far attracted 60 customers. Ian Mbote, the startup’s automotive engineer and expansion lead, says uptake has been relatively slow.

“We need friendly policies, taxes, regulations and incentives that would boost the entry into the market,” said Mbote, adding that favorable government tariffs in Rwanda accelerated its electric transport growth. Ampersand plans to sell 500 more electric motorbikes by the end of the year.

Companies say the savings of switching to electric and using a battery-swap system, rather than charging for several hours, are key selling points for customers.

“Our batteries cost $1.48 to swap a full battery which gives one mobility of about 90 to 110 kilometers (56 to 68 miles) as compared to the $1.44 of fuel that only guarantees a 30 to 40 kilometer ride (19 to 25 miles) on a motorcycle,” Mbote said.

Kim Chepkoit, the founder of electric motorbike-making company Ecobodaa Mobility, added that “electricity costs are going to be more predictable and cushioned from the fluctuation of the fuel prices.”

Ecobodaa’s flagship product is a motorcycle with two batteries, making it capable of covering 160 kilometers (100 miles) on one battery charge. The motorcycle costs 185,000 shillings ($1,400) without the battery, about the same as a conventional motorbike.

Other cleaner transport initiatives in the country include the Sustainable Energy for Africa program which runs a hub for 30 solar-powered charging stations for electric vehicles and battery-swapping in Kenya’s western region.

Electric mobility has a promising future in the continent but “requires infrastructural, societal and political systemic changes that neither happen overnight nor will be immune to hesitance,” said Carol Mungo, a research fellow at the Stockholm Environment Institute.

The move to electric transport “will require African governments to rethink how they deliver current services such as reliable and affordable electricity” and at the same time put in place adequate measures to address electric waste and disposal, Mungo added.

Some financial incentives are on the way.

Earlier in February the African Development Bank announced that it will provide $1 million in grants for technical assistance in Kenya, Morocco, Nigeria, Rwanda, Senegal, Sierra Leone, and South Africa.

The African continent records a million premature deaths annually from air pollution, according to a soon-to-be-released study by the U.N. environment agency, Stockholm Environment Institute and the African Union obtained by The Associated Press.

Studies by the Climate and Clean Air Coalition say a reduction of short-lived climate pollutants can cut the amount of warming by as “much as 0.6 degrees Celsius (1.1 degrees Fahrenheit), while avoiding 2.4 million premature deaths globally from annual outdoor air pollution.”

But Mungo warned that cleaning up transport is just one step toward better air quality.

“There are so many emission factors in cities,” she said. “E-mobility, however, looks broadly beyond the transport sector to infrastructure development and urban planning, which in the end can solve complex pollution issues on in Africa.”

 
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While others in her Zimbabwean village agonize over a maize crop seemingly headed for failure, Jestina Nyamukunguvengu picks up a hoe and slices through the soil of her fields that are lush green with a pearl millet crop in the African country’s arid Rushinga district.

“These crops don’t get affected by drought, they are quick to flower, and that’s the only way we can beat the drought,” the 59-year old said, smiling broadly. Millets, including sorghum, now take up over two hectares of her land — a patch where maize was once the crop of choice.

Farmers like Nyamukunguvengu in the developing world are on the front lines of a project proposed by India that has led the U.N.’s Food and Agricultural Organization to christen 2023 as “The Year of Millets,” an effort to revive a hardy and healthy crop that has been cultivated for millennia — but was largely elbowed aside by European colonists who favored corn, wheat and other grains.

The designation is timely: Last year, drought swept across much of eastern Africa; war between Russia and Ukraine upended supplies and raised the prices of foodstuffs and fertilizer from Europe’s breadbasket; worries surged about environmental fallout of cross-globe shipments of farm products; many chefs and consumers are looking to diversify diets at a time of excessively standardized fare.

All that has given a new impetus to locally-grown and alternative grains and other staples like millets.

Millets come in multiple varieties, such as finger millet, fonio, sorghum, and teff, which is used in the spongy injera bread familiar to fans of Ethiopian cuisine. Proponents tout millets for their healthiness — they can be rich in proteins, potassium, and vitamin B — and most varieties are gluten-free. And they’re versatile: useful in everything from bread, cereal and couscous to pudding and even beer.

Over centuries, millets have been cultivated around the world — in places like Japan, Europe, the Americas and Australia — but their epicenters have traditionally been India, China, and sub-Saharan Africa, said Fen Beed, team leader at FAO for rural and urban crop and mechanization systems.

Many countries realized they “should go back and look at what’s indigenous to their agricultural heritage and what could be revisited as a potential substitute for what would otherwise be imported — which is at risk when we had the likes of pandemic, or when we have the likes of conflict,” said Beed.

Millets are more tolerant of poor soils, drought and harsh growing conditions, and can easily adapt to different environments without high levels of fertilizer and pesticide. They don’t need nearly as much water as other grains, making them ideal for places like Africa’s arid Sahel region, and their deep roots of varieties like fonio can help mitigate desertification, the process that transforms fertile soil into desert, often because of drought or deforestation.

“Fonio is nicknamed the Lazy Farmers crop. That’s how easy it is to grow,” says Pierre Thiam, executive chef and co-founder of New York-based fine-casual food chain Teranga, which features West African cuisine. “When the first rain comes, the farmers only have to go out and just like throw the seeds of fonio … They barely till the soil.”

“And it’s a fast growing crop, too: It can mature in two months,” he said, acknowledging it’s not all easy: “Processing fonio is very difficult. You have to remove the skin before it becomes edible.”

Millets account for less than 3% of the global grain trade, according to FAO. But cultivation is growing in some arid zones. In Rushinga district, land under millets almost tripled over the past decade. The U.N.’s World Food Programme deployed dozens of threshing machines and gave seed packs and training to 63,000 small-scale farmers in drought-prone areas in the previous season.

Low rainfall and high temperatures in recent years in part due to climate change, coupled with poor soils, have doused interest in water-guzzling maize.

“You’ll find the ones who grew maize are the ones who are seeking food assistance, those who have grown sorghum or pearl millet are still eating their small grains,” said Melody Tsoriyo, the district’s agronomist, alluding to small grains like millets, whose seeds can be as fine as sand. “We anticipate that in five years to come, small grains will overtake maize.”

Government teams in Zimbabwe have fanned out to remote rural regions, inspecting crops and providing expert assistance such as through WhatsApp groups to spread technical knowledge to farmers.

WFP spokesman Tatenda Macheka said millets “are helping us reduce food insecurity” in Zimbabwe, where about a quarter of people in the country of 15 million — long a breadbasket of southern Africa — are now food insecure, meaning that they’re not sure where their next meal will come from.

In urban areas of Zimbabwe and well beyond, restaurants and hotels are riding the newfound impression that a millet meal offers a tinge of class, and have made it pricier fare on their menus.

Thiam, the U.S.-based chef, recalled eating fonio as a kid in Senegal’s southern Casamance region, but fretted that it wasn’t often available in his hometown — the capital — let alone New York. He admitted once “naively” having dreams making what’s known in rural Senegal as “the grain of royalty” — served to honor visiting guests — into a “world class crop.”

He’s pared back those ambitions a bit, but still sees a future for the small grains.

“It’s really amazing that you can have a grain like this that’s been ignored for so long,” Thiam said in an interview from his home in El Cerrito, Calif., where he moved to be close to his wife and her family. “It’s about time that we integrate it into our diet.”
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Don’t feed the bears! 

Wildlife biologists and forest rangers have preached the mantra for nearly a century at national parks like Yellowstone and Yosemite, and for decades in areas where urban development increasingly invaded native wildlife habitat. 

But don’t feed the birds? That may be a different story — at least for one bird species at Lake Tahoe. 

Snowshoe and cross-country ski enthusiasts routinely feed the tiny mountain chickadees high above the north shore of the alpine lake on the California-Nevada border. The black-capped birds of Chickadee Ridge will even perch on extended hands to snatch offered seeds. 

New research from University of Nevada scientists found that supplementing the chickadees’ natural food sources with food provided in feeders or by hand did not negatively impact them, as long as proper food is offered and certain rules are followed. 

“It’s a wonderful experience when the birds fly around and land on your hand to grab food. We call it ‘becoming a Disney princess,'” said Benjamin Sonnenberg, a biologist/behavioral ecologist who co-authored the six-year study. 

But he also recognized “there’s always the question of when it is appropriate or not appropriate to feed birds in the wild.” 

State wildlife officials said this week that they generally frown on feeding wildlife. But Nevada Department of Wildlife spokeswoman Ashley Sanchez acknowledged concerns about potential harm are based on speculation, not scientific data. 

The latest research project under the wings of professor Vladimir Pravosudov’s Chickadee Cognition Lab established feeders in the Forest Service’s Mount Rose Wilderness and tracked populations of mountain chickadees at two elevations — both those that did and didn’t visit feeders. 

‘No effect’

“If we saw increases in the population size or decreases in the population size, that could mean we were hurting the animals by feeding them,” co-author Joseph Welklin said. “Our study shows that feeding these mountain chickadees in the wild during the winter has no effect on their population dynamics.”

Sonnenberg said he understood concerns about supplementing food for wild creatures at Tahoe, where bears attracted to garbage get into trouble that sometimes turns fatal. The bears may ultimately be killed because they no longer fear people. 

“Should you feed the bears? Of course not,” Sonnenberg said. “But given the millions of people that are feeding birds around the world, understanding the impact of this food on wild populations is important, especially in a changing world.” 

Mountain chickadees are of particular interest because they’re among the few avian species that hunker down for the cold Sierra winters instead of migrating to a warmer climate. They stash away tens of thousands of food items every fall, then return to the hidden treasure throughout the winter to survive. 

“When they come to your hand and grab a food item,” Sonnenberg said, “if they fly away into the woods and you can’t see them anymore, they are likely storing that food for later.” 

Sanchez said the Nevada Department of Wildlife’s concerns include observations that the chickadees are exhibiting a level of tameness around potential predators — humans — which could make them more susceptible to other predators in nature. 

She also said in an email the number of people hand-feeding the birds at Chickadee Ridge has increased significantly in recent years, “which means the odds that somebody will feed them inappropriate food items or handle them inappropriately has also increased.”

Only food that’s suitable 

Sonnenberg added in an email that the researchers are “not directly advocating for or against the feeding of chickadees at Chickadee Ridge.” 

But “what our results do show is that this extra food does not cause chickadee populations in the Sierra Nevada to boom (increase to densities that could be harmful) or bust (decrease dramatically due to harmful effects),” he wrote. 

Anyone feeding the birds should only provide food similar to what is found in their natural environment such as unsalted pine nuts or black-oil sunflower seeds, never bread or other human food, he said. 

“And always be respectful of the animal,” Sonnenberg said. “Behave like you’re in their house and you’re visiting them.”
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Experts predict that psychedelic compounds could become a billion-dollar industry for treating depression and trauma after initial clinical trials in the United States show promising results. Out of respect for medical privacy some full names were not used. Aron Ranen has the story from New York.
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The coolest thing on social media these days may be celebrities and regular folks plunging into frigid water or taking ice baths.

The touted benefits include improved mood, more energy, weight loss and reduced inflammation, but the science supporting some of those claims is lukewarm.

Kim Kardashian posted her foray on Instagram. Harry Styles has tweeted about his dips. Kristen Bell says her plunges are “brutal” but mentally uplifting. And Lizzo claims ice plunges reduce inflammation and make her body feel better.

Here’s what medical evidence, experts and fans say about the practice, which dates back centuries.

The mind

You might call Dan O’Conor an amateur authority on cold water immersion. Since June 2020, the 55-year-old Chicago man has plunged into Lake Michigan almost daily, including on frigid winter mornings when he has to shovel through the ice.

“The endorphin rush … is an incredible way to wake up and just kind of shock the body and get the engine going,” O’Conor said on a recent morning when the air temperature was a frosty 23 degrees (minus-5 Celsius). Endorphins are “feel good” hormones released in response to pain, stress, exercise and other activities.

With the lake temperature 34 degrees (1 Celsius), the bare-chested O’Conor did a running jump from the snow-covered shore to launch a forward flip into the icy gray water.

His first plunge came early in the pandemic, when he went on a bourbon bender and his annoyed wife told him to “go jump in the lake.” The water felt good that June day. The world was in a coronavirus funk, O’Conor says, and that made him want to continue. As the water grew colder with the seasons, the psychological effect was even greater, he said.

“My mental health is a lot stronger, a lot brighter. I found some Zen down here coming down and jumping into the lake and shocking that body,” O’Conor said.

Dr. Will Cronenwett, chief of psychiatry at Northwestern University’s Feinberg medical school, tried cold-water immersion once, years ago while visiting Scandinavian friends on a Baltic island. After a sauna, he jumped into the ice-cold water for a few minutes and had what he called an intense and invigorating experience.

“It felt like I was being stabbed with hundreds of millions of really small electrical needles,” he said. “I felt like I was strong and powerful and could do anything.”

But Cronenwett says studying cold water immersion with a gold-standard randomized controlled trial is challenging because devising a placebo for cold plunges could be difficult.

There are a few theories on how it affects the psyche.

Cronenwett says cold water immersion stimulates the part of the nervous system that controls the resting or relaxation state. That may enhance feelings of well-being.

It also stimulates the part of the nervous system that regulates fight-or-flight stress response. Doing it on a regular basis may dampen that response, which could in turn help people feel better able to handle other stresses in their lives, although that is not proven, he said.

“You have to conquer your own trepidation. You have to muster the courage to do it,” he said. “And when you finally do it, you feel like you’ve accomplished something meaningful. You’ve achieved a goal.”

Czech researchers found that cold water plunging can increase blood concentrations of dopamine — another so-called happy hormone made in the brain — by 250%. High amounts have been linked with paranoia and aggression, noted physiologist James Mercer, a professor emeritus at the Arctic University of Norway who co-authored a recent scientific review of cold water immersion studies.

The heart

Cold water immersion raises blood pressure and increases stress on the heart. Studies have shown this is safe for healthy people and the effects are only temporary.

But it can be dangerous for people with heart trouble, sometimes leading to life-threatening irregular heartbeats, Cronenwett said. People with heart conditions or a family history of early heart disease should consult a physician before plunging, he said.

Metabolism

Repeated cold-water immersions during winter months have been shown to improve how the body responds to insulin, a hormone that controls blood sugar levels, Mercer noted. This might help reduce risks for diabetes or keep the disease under better control in people already affected, although more studies are needed to prove that.

Cold water immersion also activates brown fat — tissue that helps keep the body warm and helps it control blood sugar and insulin levels. It also helps the body burn calories, which has prompted research into whether cold water immersion is an effective way to lose weight. The evidence so far is inconclusive.

Immune system

Anecdotal research suggests that people who routinely swim in chilly water get fewer colds, and there’s evidence that it can increase levels of certain white blood cells and other infection-fighting substances. Whether an occasional dunk in ice water can produce the same effect is unclear.

Among the biggest unanswered questions: How cold does water have to be to achieve any health benefits? And will a quick dunk have the same effect as a long swim?

“There is no answer to ‘the colder the better,'” Mercer said. “Also, it depends on the type of response you are looking at. For example, some occur very quickly, like changes in blood pressure. … Others, such as the formation of brown fat, take much longer.”

O’Conor plunges year-round, but he says winter dunks are the best for “mental clarity,” even if they sometimes last only 30 seconds.

On those icy mornings, he is “blocking everything else out and knowing that I got to get in the water, and then more importantly, get out of the water.”
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SpaceX is a big step closer to sending its giant Starship spacecraft into orbit, completing an engine-firing test at the launch pad on Thursday.

Thirty-one of the 33 first-stage booster engines ignited simultaneously for about 10 seconds in south Texas. The team turned off one engine before sending the firing command and another engine shut down _ “but still enough engines to reach orbit!” tweeted SpaceX’s Elon Musk.

Musk estimates Starship’s first orbital test flight could occur as soon as March, if the test analyses and remaining preparations go well.

The booster remained anchored to the pad as planned during the test. There were no signs of major damage to the launch tower.

NASA is counting on Starship to ferry astronauts to the surface of the moon in a few years, linking up with its Orion capsule in lunar orbit. Further down the road, Musk wants to use the mammoth Starships to send crowds to Mars.

Only the first-stage Super Heavy booster, standing 230 feet (69 meters) tall, was used for Thursday’s test. The futuristic second stage _ the part that will actually land on the moon and Mars _ was in the hangar being prepped for flight.

Altogether, Starship towers 394 feet (120 meters), making it the biggest and most powerful rocket ever built. It’s capable of generating 17 million pounds of liftoff thrust, almost double that of NASA’s moon rocket that sent an empty capsule to the moon and back late last year.

SpaceX fired up to 14 Starship engines last fall and completed a fueling test at the pad last month.

Flocks of birds scattered as Starship’s engines came alive and sent thick dark plumes of smoke across the Starship launch complex, dubbed Starbase. It’s located at the southernmost tip of Texas near the village of Boca Chica, close to the Mexican border.
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