Month: October 2017

Radio Pollution Creates Space Shield for Satellites

People are big polluters, on the land, in the sea and even in outer space, that can include anything from a hammer that floats away from the space station, to radiation from a nuclear weapons test in the atmosphere.

“This can range from little chips of paint all the way up to spent rocket bodies and things like that,” said Dan Baker, director of the Laboratory of Atmosphere and Space Physics at the University of Colorado, Boulder. “We’ve been trying to figure out how can we most effectively eliminate this debris without causing more of a problem.”

Space debris travels so fast, even an orbiting chip of paint can poke a hole in a satellite. But Baker says something tinier, and natural, is a bigger hazard: It’s the highly charged “killer electrons” of the magnetized zone above the earth called The Van Allen Belts.

“We’ve observed them to cause very significant problems for spacecraft,” Baker said.

Electro-magnetic planetary blanket

The doughnut-shaped Van Allen Belts around our planet protect life on earth from solar winds and cosmic rays. But their highly energetic charged particles can damage the circuitry in space stations, weather satellites and other machines that travel through that region of space.

Baker notes that “killer electrons” can also come from some human activities, like the atmospheric testing of nuclear weapons.

“Back in the 1950s and especially in the 1960s, there were nuclear explosions that put huge amounts of radiation into space that caused many satellites to ‘die’ because of radiation damage,” he said. “And if that were to happen today, we know that there are over 1,400 satellites operating in space around the earth and all of those could be subject to very severe consequences.”

Most nations adhere to treaties that prohibit atmospheric weapon testing. But Baker says that’s no guarantee.

“What is worrisome to us from a political standpoint today is that there are nations, for example, North Korea and others, that may be thinking once again, and who may not be adherent to such treaties, that this might be an interesting way to mess with modern technology,” Baker said.

Mysterious space shield

Radiation particles in the Van Allen Belts already “mess” with modern technology. So when satellites must spend time in that region, they are built with thicker materials. That armor makes them heavier, and more expensive. Fortunately, spacecraft and satellites that orbit just under the Van Allen Belts don’t need this heavy shielding. Baker says that’s because, at the lower edge of the Van Allen Belts, the killer electrons abruptly stop.

He compares it to the shields that protected Captain Kirk’s ship, the Enterprise, from phasers and asteroids on Star Trek.

Scientists have known for years that something here on the earth creates an invisible bubble that clears killer electrons from the lower edge of the Van Allen Belts. Just what makes that shield has been a mystery.

But recently, Baker’s teams figured out its source. The “bubble maker” is very low frequency radio transmissions, also known as VLF. Militaries use VLF to communicate with submarines underwater. It turns out those radio waves also travel up, through the atmosphere, to the Van Allen Belts.

“So the VLF bubble is made up of these intense waves. These waves act to sort of scatter and scrub the inner part of the Van Allen Belts,” Baker said, admitting, “I would prefer that we not be messing with nature. However, in this particular case I would say that there is some evidence that this is beneficial.”

John Bonnell, a researcher at the University of California Berkeley’s Space Sciences Lab, agrees that VLF “pollution” is probably benign, and he points to the high-energy radiation emitted by lightning bolts as evidence.

“We’ve had natural clearing of the radiation Belts with lightning, for as long as we’ve had lightning. So in essence, you’ve had a long-running experiment that you can look at and say, ‘Well, if we’re going to do things on sort of a sporadic basis, whereas lightning’s been doing it daily for hundreds of millions of years, the likelihood of there being a bad side effect is pretty minimal,'” he said.

Bonnell says that discovering a man-made way to clear killer electrons from the Van Allen Belt does not mean we will soon create “shields up” devices that use magnetics or radio transmissions. At least, he says, we’re not making them yet.

“It’s a fascinating possibility and it’s a fascinating technology that could enable us in the future, to explore more of the solar system with people, with robots. And so it’s definitely something that people pick away at slowly over time,” he said.

Bonnell says scientists, engineers and astronomers have teamed up to make amazing discoveries about how to study, and travel through, outer space. And while the future shape of space exploration is a mystery, our new understanding about the man-made “pollution” that shields satellites may be an important part of it.

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For Spanish, Catalan Economies, No Winners in Standoff

Xavier Gabriel can take some credit if the tiny Catalan mountain town of Sort is one of the most famous in Spain.

He runs a lottery shop called La Bruja de Oro, or The Golden Witch, in a town whose name, aptly, means “Luck” in Catalan. Its fortune in having sold many prize-winning tickets has made it a household name and a successful online business.

But the crisis surrounding Catalonia’s push for independence has changed life for 60-year-old Gabriel. He joined more than 1,500 companies in moving their official headquarters out of the wealthy region in recent weeks. Their main fear: that they would no longer be covered by Spanish and European Union laws if Catalonia manages to break away, dragging their businesses into unknown territory.

“The time had come to make a decision,” said Gabriel, who employs 16 people and describes himself as a proud Catalan.

​Hedging their bets

Like Gabriel’s, the vast majority of companies that moved their headquarters didn’t transfer workers or assets, such as bank holdings or production equipment. So far, it’s mainly a form of legal insurance. But as the political crisis escalates, the risk is that companies are deferring investments and hiring. There is evidence that tourists are holding off booking, perhaps frightened by images in the media of police crackdowns, street demonstrations and strikes.

And the situation risks getting worse before it improves: the central government’s decision Friday to take control of the region could spiral out of control if there is popular resistance, whether by citizens or local authorities like the Catalan police force.

“There is absolutely no doubt that the crisis is having a very damaging effect on the economy,” said Javier Diaz Gimenez, an economics professor at Spain’s prestigious IESE Business School.

Financial markets in Spain have so far fallen only modestly, reflecting investors’ apparent belief that the tensions will eventually be resolved. The Spanish government has called a regional election in Catalonia for Dec. 21 and could later consider revisions to the constitution that might placate some of the independence supporters.

But that could take some time, Diaz Gimenez says, given how confrontational both sides have been.

Banks leave

The list of businesses moving headquarters includes Catalonia’s top two banks, Caixabank and Sabadell, which are among Spain’s top five lenders. Then there is the Codorniu cava sparkling wine maker for which Catalonia is famous. Another well-known cava maker, Freixenet, is also planning to follow if the independence drive continues. Publishing giant Planeta, the world’s leading Spanish-language publisher and second biggest publisher in France, has also moved its official address out of Catalonia.

Caixabank says it suffered a moderate but temporary run on deposits because of the crisis, but said it has since recovered and was adamant the move was permanent.

Shares for Caixabank, Sabadell and some other companies have been volatile, falling after the Oct. 1 vote for independence and jumping sharply when they announced their decision to move headquarters.

Tip of the iceberg

Lottery shop owner Gabriel says ticket sales this month are up nearly 300 percent over last year, a rise he attributed to popular support for his decision to move his business.

Diaz Gimenez said the decisions to move headquarters, while not immediately affecting jobs, were “just the tip of the iceberg.”

“Plans to relocate firms or invest elsewhere are going to accelerate and some of it is going to go to, say, Poland, and it’s never going to come back,” he said.

“People that were thinking about investing in Spain and Barcelona are starting to think again,” he said. “It’s not just Catalonia. It’s the mismanagement by Spain, which is proving that it’s not a serious country because it cannot solve this thing.”

Spanish economy humming

The turmoil, ironically, comes just as Spain has been enjoying some of the fastest economic growth in Europe.

Its economy, the fourth-largest in the 19-country eurozone, grew by a hefty quarterly rate of 0.9 percent in the second quarter. The government has maintained its forecast for growth in 2017 at 3.1 percent, but revised its estimate for 2018 from 2.6 percent to 2.3 percent because of the political crisis. Moody’s credit rating agency has warned that a continued political impasse and, ultimately, independence for Catalonia would severely hurt the country’s credit rating.

Billions at stake

Tourism seems to be taking the biggest hit so far.

Experts say spending in the sector in Catalonia in the first two weeks of October — that is, following the independence referendum — was down 15 percent from a year earlier.

Tourism represents about 11 percent of Spain’s 1.1-trillion euro ($1.3 trillion) gross domestic product, with Catalonia and its capital, Barcelona, providing a fifth of that, being the most popular destinations for visitors.

Exceltur, a nonprofit group formed by the 25 leading Spanish tourist groups, expects growth in tourism this year to ease from an estimated 4.1 percent to 3.1 percent.

Reservations in Barcelona alone are down 20 percent compared with last year, it said. If the trend continues in the final three months of the year, it could lead to losses of up to 1.2 billion euros ($1.41 billion) in the sector, which in turn could affect jobs.

Analysts fear that the independence movement’s stated aim of continuing to create as much social and economic chaos for Spain as possible could exacerbate the situation. The Catalan National Assembly group has been openly talking about a boycott against Spain’s top companies and major strike activity.

“Spain, its tourism, everything is very dependent on image,” Diaz Gimenez said. “And this is just killing it.”

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On Climate Change, It’s Trump vs. Markets

At the 2015 Paris summit, world leaders pledged to take steps to avoid catastrophic climate change. This November in Bonn, Germany, U.N. negotiators will be back, working out the details of how to cut emissions of planet-warming gases. It is the first conference since President Donald Trump said the United States would withdraw from the agreement. That leaves questions about the direction of U.S. greenhouse gas emissions. As VOA’s Steve Baragona reports, the answer is not straightforward.

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Ghostly Things Are Happening in Harpers Ferry, West Virginia

Tuesday is Halloween, the spookiest day of the year. Some people like to use the holiday to visit scary attractions like haunted houses. In historic Harpers Ferry, West Virginia, a ghost tour takes visitors to places that are said to be haunted. But that’s no surprise to locals, who say they often see and hear paranormal activity. VOA’s Deborah Block has the spine-chilling story.

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Artisans in Mali Hope to Bring Back an Ancient Fabric Style

Artisans in Mali are hoping that Bogolan, a traditional cotton fabric, will continue to fascinate Western fashion designers and provide jobs at home. VOA’s Teffera Girma Teffera and Bagassi Koura visited a small neighborhood in central Bamako where artisans are hard at work. Salem Solomon narrates.

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Dracula Sings His Way Into Sweden’s Royal Opera House

While American’s prepare for Halloween — a holiday known for ghosts and goblins and costumed children going door-to-door and scaring candy from their neighbors — in the Swedish capital of Stockholm, a thousand people dressed as vampires from around the world descended upon the Royal Opera House for the final dress rehearsal of an opera about history’s best-known vampire. Arash Arabasadi reports.

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Angelina Jolie Supports Film That Speaks to Human Rights in Afghanistan

When Angelina Jolie puts her name on a film, you will likely find an important message in there. “The Breadwinner” is no exception, spinning an inspiring tale of an Afghan girl who won’t be denied her human rights. The film was recently screened in Washington with a special guest who could relate to the story firsthand.

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Retailers Offer New Tools to Help Shoppers Find Clothes That Fit

Stores watching Amazon take a larger share of clothing sales are trying to solve one of the most vexing issues for online shoppers: finding items that fit properly.

The retailers are unleashing tools that use artificial intelligence to replicate the help a salesperson at a store might offer, calculate a shopper’s most likely body shape, or use 3-D models for a virtual fitting room experience. Amazon, which some analysts say will surpass Macy’s this year as the largest U.S. clothing seller, is offering some customers an Alexa-powered device that doubles as a selfie-stick machine and a stylist.

Retailers want to reduce the rate of online returns, which can be up to 40 percent, and thus make customers happier — and more likely to be repeat shoppers. And the more interaction shoppers have with a brand, the more the technology will learn about shoppers’ preferences, said Vicky Zadeh, chief executive of Rakuten Fits Me, a tech company that works with QVC and clothing startup brands.

 

“It’s all about confidence,” she said. “If they have the confidence to buy, they will come back to the retailer time and time again.”

The push is coming from big names like Levi’s and The Gap and startups like Rhone and Taylrd.

Levi’s new Virtual Stylist texts back and forth with online customers to offer recommendations, based on their preferences. Marc Rosen, Levi’s president of global e-commerce, said early tests show the chatbot is driving more browsers to become buyers.

Reliance on body shape

Rakuten Fits Me, which works with QVC and other companies, fine-tuned its fitting technology this summer and said its retail partners now offer garments that should fit shoppers’ body shapes when the customer first does the initial search. Shoppers provide three measurements — height, weight and age — and then it calculates a person’s most likely body shape, not size, to determine the fit for any garment and offer more accurate recommendations.

And Gap Inc. has an augmented reality app in collaboration with Google and startup Avametric that allows shoppers to virtually try on clothes. Shoppers enter information like height and weight and then the app puts a 3-D model in front of them. However, the tool only works on Google Tango smartphones.

Sebastian DiGrande, executive vice president and strategy and chief customer officer at Gap, said the augmented reality app had produced good feedback, but the company is still determining whether shoppers really want a virtual 3-D model.

Clothing brand Tommy Hilfiger similarly has built its mobile app around the camera and image recognition. It has an augmented reality feature enabling shoppers to see what the clothes look like on a virtual runway model — but not their own body type.

And men’s online clothier Bonobos, now owned by Wal-Mart, launched an app that offers customers a virtual closet to see items they bought and saved. The app is converting browsers to buyers at a faster rate, said Andy Dunn, founder of Bonobos.

Companies are smart to offer new tools, but many are too “gimmicky,” said Sapna Shah, principal at Red Giraffe Advisors, which makes early-stage investments in fashion tech.

“If it’s not Amazon, will brand-specific apps be the way for people to shop in the future?” she said. “How many apps are people going to have on their phone?”

And all the companies need to win over customers who prefer to touch and see things in person.

“It’s great that they’re busting their tail with all these apps, but I am skeptical,” said Doug Garnett of Portland, Oregon. Garnett said he buys some clothes online when he knows and understands the brands, but otherwise, “I really need to see them on my body before I act, and really prefer that to be in a store.”

Personalized offers

As Amazon dives further into fashion, it could use its base of data to spur trends and personalize offers for its customers. Its Echo Look features a built-in camera that photographs and records shoppers trying on clothes and offers recommendations on outfits. It works with its Style Check app, using machine learning and advice from experts. The potential: Learn shoppers’ styles and recommend outfits to buy. Amazon reportedly is exploring the idea of quickly fulfilling online orders for custom-fit clothing.

The company also reportedly acquired Body Labs, which creates true-to-life 3-D body models.

“We’re always listening to our customers, learning and innovating on their behalf and bringing them products we think they will love,” said Amazon spokeswoman Molly Wade. She wouldn’t comment on the prospect of custom-fit or the reports about Body Labs.

Steve Barr, the U.S. retail and consumer sector leader at consultants PwC, said that Amazon was trying for a curated experience based on massive data analytics. But he said he thought such an approach had limitations.

“No matter how great Amazon is with artificial intelligence and predictive behaviors,” Barr said, “they can’t put a red tab on a pair of a jeans or a swoosh on a pair of shoes.”

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Facebook Moves to Increase Transparency in Political Ads

Under pressure in advance of hearings on Russian election interference, Facebook is moving to increase transparency for everyone who sees and buys political advertising on its site.

Executives for the social media company said Friday they will verify political ad buyers in federal elections, requiring them to reveal correct names and locations. The site will also create new graphics where users can click on the ads and find out more about who’s behind them.

More broadly, Rob Goldman, Facebook’s vice president in charge of ad products, said the company is building new transparency tools in which all advertisers, even those that aren’t political, are associated with a page, and users can click on a link to see all of the ads any advertiser is running.

Users also will be able to see all of the ads paid for by the advertisers, whether those ads were originally targeted toward them.

3,000 Russia-linked ads

The move comes after the company acknowledged it had found more than 3,000 ads linked to Russia that focused on divisive U.S. social issues and were seen by an estimated 10 million people before and after the 2016 U.S. elections.

Facebook, Twitter and Google will testify in Congress Tuesday and Wednesday on how their platforms were used by Russia or other foreign actors in the election campaign. The Senate and House intelligence committees and the Senate Judiciary Committee are all holding hearings as part of their investigations into Russian election interference.

Facebook’s announcement comes a day after Twitter said it will ban ads from RT and Sputnik, two state-sponsored Russian news outlets. Twitter also has said it will require election-related ads for candidates to disclose who is paying for them and how they are targeted.

Federal election ad archive

Facebook’s Goldman said the company also will build a new archive of federal election ads on Facebook, including the total amount spent and the number of times an ad is displayed, he said. The archive, which will be public for anyone to search, would also have data on the audience that saw the ads, including gender and location information. The archive would eventually hold up to four years of data.

Goldman said the company is still building the new features. They plan to test them in Canada and roll them out in the United States by next summer ahead of the 2018 midterm elections.

“This is a good first step but it’s not at all the last step, there’s a lot to learn once we start testing,” Goldman said in an interview.

Facebook already had announced in September that the platform would require an advertiser to disclose who paid for the ads and what other ads it was running at the same time. But it was unclear exactly how the company would do that.

​Heading off legislation

The moves are meant to bring Facebook more in line with what is now required of print and broadcast advertisers. Federal regulations require television and radio stations to make publicly available the details of political ads they air. That includes who runs the ad, when it runs and how much it costs.

It is also likely meant to head off bipartisan legislation in the Senate that would require social media companies to keep public files of election ads and try to ensure they are not purchased by foreigners. Though Virginia Sen. Mark Warner, a Democratic co-sponsor of the legislation, has said his bill would be “the lightest touch possible,” social media companies would rather set their own guidelines than face new regulation.

Facebook has responded swiftly to the attention it has received in recent months on Capitol Hill, boosting staff and lobbying efforts. The company has spent more than $8.4 million in lobbying Congress and the rest of the government through the third quarter of this year, according to federal records.

Some analysts have warned that policing such online election ads can be difficult. It’s one thing to enforce advertising rules for a print newspaper or a TV station, where real humans can vet each ad before it is printed or aired. But that is much more complicated when automated advertising platforms allow millions of advertisers, basically anyone with a credit card and internet access, to place an ad.

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Weirdness, Few Tourists, Return to Key West After Irma

Things are weird, as usual, in Key West.

A pair of Vikings push a stroller full of stuffed chimps down Duval Street. A man with a ponytail swallows a steel sword. People dressed only in body paint and glitter wander and jiggle from bar to bar.

Fantasy Fest, one of Key West’s major tourist draws of the year, is in full swing. And that’s a relief for Florida Keys business owners trying to weather the economic storm that hit after Hurricane Irma battered the middle stretch of the tourism-dependent island chain.

Bucket list trip

The festivities have not disappointed Gary Gates from Buffalo, New York, who planned this “bucket list” trip 10 months ago with six friends.

“We were coming whether there was a hurricane or not,” the former NFL cameraman said. “I’ve never seen anything quite like this. To come down here and actually see people dressed in all kinds of costumes — or no costumes at all — was something that I needed to see.”

Gates flew into Key West and has not left during its annual 10-day festival of costume parties and parades, so he has not seen the devastation that lingers more than a month since Hurricane Irma made landfall Sept. 10 about 20 miles north of the city.

​Middle Keys hit hardest

The mostly residential middle stretch of the island chain took the brunt of the hurricane’s 130-mph winds. The area is almost entirely brown, with debris piled alongside the highway and mangroves stripped bare. A stranded boat was christened the SS Irma with spray paint and offered “free” to drivers passing by.

But at opposite ends of the 120-mile-long island chain, tourist attractions in Key Largo and Key West escaped significant damage.

Dolphins Plus Bayside was ready for visitors three days after Irma’s landfall, but business has been down by half compared to last fall, said Mike Borguss, the third generation in his family to run the Key Largo attraction.

Some staff now live with friends or in temporary trailers parked outside their damaged homes, but the dolphins swim up to the water’s edge to check out new people toting cameras, and an adjacent hotel property is open for weddings and other events that had to be canceled elsewhere in the Keys because of Irma, said Art Cooper, Borguss’ cousin and curator at Dolphins Plus Bayside.

“The water’s pretty, the weather’s beautiful and we wish you were here,” Cooper said.

​Tourism down significantly

Scott Saunders, president and CEO of Fury Water Adventures, estimated tourism in Key West has been about a third of what it was at this time last fall, even though the city’s hotels, restaurants, cruise ship operations and beaches quickly reopened after the storm.

“There’s no reason not to be doing everything we did last year,” Saunders said before one of his fleet’s sunset cruises. “We should be having that tourist base down here, but we haven’t had any.”

Jodi Weinhofer, president of the Lodging Association of the Florida Keys and Key West, blames news coverage of Irma, but not the hurricane itself, for the downturn.

“There was over a $100 million worth of negative press,” Weinhofer said.

Tourism big business in Keys

Tourism is a $2.7 billion industry in the Keys, supporting 54 percent of all jobs in the island chain, according to Monroe County’s Tourist Development Council.

Some jobs have been lost to Irma. Last week, Hawks Cay Resort on Duck Key, about 35 miles northeast of Irma’s landfall, let go 260 workers amid ongoing repairs. The Islamorada Resort Company said its four properties in the Middle Keys will be closed for renovations over the next six months.

But up and down the island chain, bars, marinas and mom-and-pop establishments able to reopen have been hiring laid-off workers and keeping people from moving away, Daniel Samess, CEO of the Greater Marathon Chamber of Commerce.

About 70 percent of roughly 35 hotels and motels in the Middle Keys are open, though those rooms mostly are filled by displaced residents and state and federal recovery workers. Officials plan to provide alternative housing and open those hotel rooms fully to tourists within the next two months, Samess said.

Final sweeps for debris in some parts of the Keys are scheduled Sunday, which also is the finale for Fantasy Fest. So far, the amount of broken tree branches and remnants of homes and belongings wrecked by Irma could fill over 133 Goodyear Blimps, according to Monroe County officials.

The cleanup will help create a good impression for visitors to Key West long before they arrive in the southernmost city in the continental U.S., said Key West Mayor Craig Cates.

“It’s a scenic cruise in your car coming down, and it’s very important that they get it cleaned up,” he said.

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Why Fear Is Fun for Some, Crippling for Others

The latest movie adaptation of Steven King’s terrifying book “IT” brought in a record $123 million in its opening weekend. But in real life, there’s nothing fun about being scared, so why do people flock to scary movies, and around Halloween, haunted houses and participate in other frightening activities? New research has the answer. VOA’s Kevin Enochs reports.

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New Gadgets We May (or May Not) Need

The ever expanding field of consumer technology just got several dozen new specimens, showcased at the Netherlands’ first Consumer Electronics Show. None are expected to spectacularly change our lives … but at least some of them may prove to be truly useful. VOA’s George Putic reports.

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UN Expert: Anti-gay Sex Laws Wane; Rights ‘Crucible’ Endures

Laws criminalizing consensual gay sex have been scrapped in about 25 countries in the last 20 years, but more than 70 nations still have such prohibitions, a U.N. expert said Friday in a first-of-its-kind report at the General Assembly.           

 

And in many places around the world, lesbian, gay, bisexual and transgender people live in “a crucible of egregious violations” of human rights, enduring violence and discrimination, said Vitit Muntarbhorn, the U.N.’s first independent expert investigating violence and discrimination based on sexual orientation. The world body’s Human Rights Council appointed him last year, in a move that met significant opposition amid deep international divisions on gay rights.

 

Addressing a U.N. General Assembly committee for the first time Friday, Muntarbhorn noted “a global trend toward decriminalization of consensual same-sex relations.” At least five countries — Belize, Lesotho, Mozambique, Palau and Seychelles — have scrubbed such laws in the last five years.

 

“The gaps are, however, ubiquitous,” Muntarbhorn added.

Besides the dozens of countries where it’s a crime — sometimes punishable by death — for people of the same gender to have sex, some countries also have criminal laws aimed at transgender people.

 

While some laws are rarely applied, they still fuel other forms of discrimination, Muntarbhorn said. He called for reforming all criminal laws against same-sex relations and for establishing more anti-discrimination laws.

Muntarbhorn’s job became a flashpoint last year, when African nations tried to stop his work. They questioned its legal basis and said the U.N. was delving into national matters and prioritizing LGBT issues over discrimination based on race or religion.

 

A proposal to suspend Muntarbhorn ultimately lost a General Assembly vote, 77-86, with 16 abstentions.

 

His work has continued to face headwinds. Few countries have responded when contacted about alleged rights violations, Muntarbhorn said, adding that all details of the communications were confidential.

 

“Precisely because this mandate was so heated, so caustic, from the beginning, my humble intention during this year was to calm the situation through quiet engagement,” said Muntarbhorn, a Thai law professor who has served in other U.N. posts. He’s resigning as of Tuesday, citing illness in his household.

His successor is to be named in December.

 

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Trump Administration Proposes Health Care Benefit Changes

The Trump administration Friday proposed new health insurance regulations that could affect basic benefits required by the Affordable Care Act, but not for a couple of years.

Loosening “Obamacare” benefit requirements was a major sticking point for congressional Republicans in thus-far fruitless efforts to repeal the law.

The complex new plan from the administration would give states a potential path to easing some requirements.

Starting in 2019, states could select from coverage levels in another state, which could be less generous. Ten broad categories of services required by the health law would still have to be covered, but the fine print could change.

Plan issued late Friday

Issued late in the day, the 365-page plan also proposes other changes to the inner workings of the health insurance markets created under the Obama-era law. The marketplaces offer subsidized private plans to people who don’t have access to job-based coverage. The changes proposed by the Trump administration cover areas from consumers’ eligibility for subsidies to how insurers are reimbursed.

It could take days for consumer groups, insurers, benefits experts and others to assess the potential impact of the proposal. Among the biggest uncertainties is whether the proposed changes would appeal to state officials, who generally try to protect standards established on their home turf.

The basic benefits that could be affected include:

Outpatient, inpatient and emergency care
Prescription drugs and labs
Preventive care
Pregnancy, maternity and newborn care
Mental health and substance abuse
Rehabilitation
Children’s services, including vision and dental

While those categories are established by law and can’t be changed in a regulation, the fine print can make a big difference. For example, insurers can cover certain drugs, but not others, for a given medical condition. Expensive treatments for complicated chronic illnesses can be subject to limits on the number of visits the plan will cover.

The Trump administration’s proposal also called for changes to small-business health insurance markets created by the ACA.

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Midwest Health Care Provider Cuts Opioid Prescriptions

A major health care system serving the upper Midwest said this week that the number of opioid pills it prescribes has fallen by almost a quarter as it works to respond to America’s opioid epidemic.

South Dakota-headquartered Sanford Health started analyzing its prescribing last year to direct its response to rising opioid and heroin overdose deaths, said Doug Griffin, who spearheaded the system’s data collection as vice president and medical officer for Sanford in Fargo, North Dakota.

Griffin said the health system learned that the numbers are “staggering”: The system reported prescribing 4.3 million opioid pills in the first quarter of 2016, a figure that doesn’t include cancer patients’ prescriptions. Sanford took steps as a result, including mandating opioid education for providers and using its electronic health record system to alert doctors about safe prescribing habits, Griffin said.

Sanford has since seen a significant reduction in both the number of pills prescribed and prescriptions written. Sanford providers wrote 18 percent fewer prescriptions for opioids in the third quarter of 2017 compared to the first quarter of 2016, amounting to 24 percent, or about 1.25 million, fewer pills prescribed, according to the health system.

The Sioux Falls, South Dakota, region saw a 19 percent reduction in pills prescribed, while the Fargo area experienced a 33 percent drop and the Bemidji, Minnesota, region saw a 37 percent decrease, according to Sanford.

​‘Knowledge has changed’

“The stance that we have taken is clearly opioid overdoses, both illicit and prescription overdoses, are a problem in this country, including in our footprint,” Griffin said. “Like many things in medicine, our knowledge has changed and our focus has shifted on this.”

Allison Suttle, chief medical officer at Sanford, said the system’s end goal is to ensure patients are safe and well-treated and that physicians are educated in how to treat patients’ pain while being “good stewards of the use of opioids.”

“Large health systems can serve as examples,” she said.

South Dakota Department of Health Secretary Kim Malsam-Rysdon said that South Dakota has a low opioid overdose death rate compared to other states, but noted that the state had 38 opioid overdose deaths last year. She said large health systems are on the front lines.

“I think they’re extremely committed to this, and I’m really confident that we’re going to see the changes that we need to see to stay ahead of this epidemic that we’re seeing in other states,” she said.

Avera Health, a Sioux Falls-based health system, sponsored a conference this month with the U.S. Attorney’s Office of South Dakota on the opioid epidemic. Deb Fischer-Clemens, Avera vice president of public policy, said the organization’s responsible prescribing program includes patient contracts, educating providers and patients on opioids and working with its electronic health record to create easy access to the state Prescription Drug Monitoring Program.

Fewer prescriptions, fewer pills

Jay Bhatt, senior vice president and chief medical office for the American Hospital Association, said in a statement that the nation’s hospitals and health systems are working to reduce the number of prescriptions written for opioids and the number of days that many patients take them.

Utah-based Intermountain Healthcare pledged in August to cut by 40 percent the average amount of opioids given per acute pain prescription by the end of next year.

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Tech Companies Ready to Face Congress Over Foreign Interference in US Election

Since the 2016 U.S. presidential election nearly a year ago, there has been increasing scrutiny of how Russian-backed operatives used accounts on Facebook, Google and Twitter to try to influence its outcome.

Executives from those companies appear before at least three congressional hearings starting Tuesday, facing questions from lawmakers about what happened and how they plan to respond.

What happened on the internet companies’ services during the 2016 election “was the undermining of our political process,” said Ann Ravel, a lecturer at the University of California-Berkeley’s law school and a former chair at the Federal Election Commission, the federal agency that enforces campaign finance law.

The congressional spotlight on the internet marks a shift in how lawmakers and the public think of the global communications network, observers say. 

View of the internet

For years, the internet was viewed as “an egalitarian force, basically giving voice to the voiceless,” said Nate Persily, a Stanford University law professor.

The 2016 election, with Russian-backed operatives reportedly placing political ads on social networks or posing as Americans talking about hot-button issues, changed that utopian view of the internet.

“We realized that once you allow anyone to speak to as many people as they want no matter when they want, that enables certain types of speakers who hold undemocratic speech,” Persily said.

On the streets of San Francisco, people interviewed echoed frustrations heard around the country that little is known yet about how and why Russian-backed actors used internet firms.

But some say tech companies should take responsibility for what happens on their services and play more of a monitoring role than they have done.

“Social media is accessible to everyone,” peer counselor Moinnette Harris said. “People can engage in it or put whatever they want on there, whether it’s true or false.”

Lia McLoughlin, a stay-at-home parent, said, “I think Facebook has a responsibility. … If you know that there’s something that is affecting our democracy, and if you have any idea that it might be fake, there is a reason to stand in there. It’s our democracy.”

Facebook and other companies share responsibility if their services were used by foreign agents, said Christian Simonetti, an administrative assistant. But any new rules or penalties the internet companies face should be done “without infringing on people’s democratic rights to express themselves,” he said.

Proposed legislation

Law lecturer Ravel said that congressional leaders and regulators should require that internet companies be transparent about who is using their services for political ads, something that billboards, TV stations and newspapers have to do.

In recent weeks, some of the companies have vowed to make changes in reaction to the scrutiny. Twitter and Facebook have said they will do more to make political advertisements more transparent.

Twitter also banned RT and Sputnik, two Russian-backed media companies, from advertising on its site.

But almost everyone agrees it would be harder to regulate — for the government and internet firms — so-called “issue-based ads,” which are about hot topics such as gun rights and gay marriage. Those ads may not be tied to a specific candidate or ballot measure.

Even harder would be fake Facebook or Twitter accounts created overseas but purporting to have been created by people living in a targeted community.

“There is currently no clear industry definition for issue-based ads,” Twitter said in a blog post.

How the U.S. navigates these issues will matter to the rest of the world, Ravel said.

“It’s important for the United States to be a leader to balance innovation we want from the internet for people to speak openly on the internet,” Ravel said, “yet to do something to prevent the intervention in the election.”

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Sessions: War on Opioids Is ‘Winnable’

U.S. Attorney General Jeff Sessions on Friday welcomed President Donald Trump’s declaration of the opioid epidemic as a public health emergency, saying he agreed with Trump that the war on addiction was “winnable.”

Trump on Thursday directed the U.S. Department of Health and Human Services to declare a 90-day public health emergency, but he stopped short of declaring the epidemic a national emergency or asking Congress for additional funds.

Trump’s declaration nonetheless gives states more flexibility to use federal funds, although it will not provide funds specifically for the opioid crisis.

The White House said the administration had allocated more than $1 billion for the opioid epidemic, including $800 million for prevention, treatment, first responders and prescription drug monitoring programs.

‘Make a difference’

Sessions, speaking to law enforcement officials at New York’s John F. Kennedy International Airport, called Trump’s announcement a “rare step” that “will make a difference by getting more help to those who need it.”

“In confronting the worst drug crisis in our history, we need to use every lawful tool we have,” Sessions said. “But if we do, there is hope. I agree with the president — I’m convinced that this is a winnable war.”

In August, the Department of Justice formed the Opioid Abuse and Detection Unit, a pilot program that places prosecutors in so-called opioid “hot spots” and uses data to investigate and prosecute opioid-related health care fraud.

Sessions said the program had begun to produce results.

On Thursday, he announced the first case brought by the program, a 14-count indictment of a Pennsylvania doctor for illegally prescribing and dispensing opioid pills and morphine — “often without an examination.”

On Wednesday, the Justice Department announced that the operator of a now-defunct pain management practice had pleaded guilty of opioid-related fraud in the amount of $750,000.

The doctor admitted prescribing a highly addictive version of the synthetic opioid drug fentanyl in exchange for $188,000 in kickbacks from drug company Insys Therapeutics Inc.

The company’s founder and majority owner, John Kapoor, was arrested Thursday and charged with conspiracy to commit bribery and fraud.

‘Overprescribing’ blamed

“Overprescribing is largely how we got into this crisis,” Sessions said. But he added that the proliferation of illegal fentanyl, which is 50 times as potent as heroin, had made the epidemic “much deadlier.”

Last year, more than 20,000 people died of overdoses involving fentanyl, according to the Centers for Disease Control and Prevention. Overall, deaths from drug overdoses topped 64,000 for the first time, making overdoses the leading cause of death for Americans under age 50.

Fentanyl is available as a Schedule II prescription drug in the United States. But drug seizure data suggest that a large number of the increase in opioid-related deaths is related to illicit fentanyl, often sold on the internet.

In recent years, China has emerged as the No. 1 source of illicit fentanyl in the United States. Earlier this month, federal prosecutors charged two Chinese nationals with illegally distributing large quantities of fentanyl in the United States.

In July, authorities shut down the largest illegal drug marketplace operating on the so-called dark web. The site, AlphaBay, had more than 200,000 drug listings, including fentanyl.

Law enforcement officials vowed to continue to go after illegal fentanyl suppliers.

“As a first step in response to the president’s announcement, the Cyber Crimes Center … will serve as ground zero in our efforts to attack the fentanyl issue where it originates — the dark web,” said Derek Benner, acting executive associate director of Homeland Security Investigations at U.S. Immigration and Customs Enforcement.

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Kenyan Wins $100,000 Grant for Device to Help Expectant Mothers

A Kenyan university student has won a $100,000 research grant for an idea aimed at decreasing maternal and infant deaths among cattle-raising families on the Kenya-Ethiopia border.

Dahabo Adi Galgalo secured the 2017 innovation award from AESA, Alliance for Accelerating Excellence in Science in Africa, for designing a GPS-like device to track expectant mothers in the area and ensure they seek health care for themselves and their babies.

Born into a pastoralist family in Kenya’s Marsabit County, Dahabo told VOA Horn of Africa that she always wanted to improve health care for families in the border area who depend on raising and selling livestock to make a living.

“The area of the pastoral community is so vast. The hospitals and health workers are very few. In fact, Marsabit County is among the top counties in Kenya in maternal and infant death,” she said.

One of the key factors contributing to the high death rates, she believes, is a lack of antenatal care (ANC) for pregnant women.

ANC clinics providing prenatal services are few and far between in the area, and pastoralists don’t often visit the ones that do exist, partly because of the long distances they would have to cover.

Dahabo says that in 2015, she conducted a study of mothers who gave birth at a regional hospital. Out of 1,042 mothers who delivered during the one-year period, she says, 116 lost their babies during delivery.

Of those 116 women, she says, 40 percent had never gone to an ANC clinic. And those who did make a visit, often traveled 50 to 80 kilometers to receive checkups and treatment.

“That is when my idea of going mobile came to my mind,” Dahabo said.

Her goal was to give expectant mothers a GPS-like device to help health care workers track them, remind them to get proper antenatal care, and arrange a visit with a doctor or health care volunteer.

The solar-powered device — which Dahabo helped design and a manufacturer is helping to build — is the size of a coin, and designed to be worn on a bracelet.

“With this, we can track the expectant mothers wherever they are and give them treatment,” she said.

Under Dahabo’s envisioned system, the program would be centered at the Moyale regional hospital and would cover the majority of Marsabit County with a radius of 160 kilometers.

The program aims to reach up to 200 expectant mothers for an initial period of two years. “We follow the expectant mothers for nine months and follow their children for full immunization,” Dahabo said.

Dahabo has been involved in research and control of diseases for more than 10 years in the Kenyan ministry of health.

She is among eight African inventors who have received research grants from AESA, which is funded by the Bill & Melinda Gates Foundation.

One of the other winners, Diawo Diallo from Senegal, is working on a surveillance system to track Zika-infected mosquitoes.

Another winner, Niaina Rakotosaminanana of Madgascar, is developing a low-cost, minimally invasive diagnostic test for pregnant women using blood samples drawn from finger pricks. 

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US Economy Expands at 3 Percent Rate in Third Quarter

The U.S. economy expanded at a three percent annual pace in July, August and September, about the same pace as the prior quarter.

Friday’s Commerce Department data surprised economists, who thought damage from two hurricanes would cut growth to a lower level. The data show the world’s largest economy is now about 2.3 percent larger than it was at this time last year.

Stuart Hoffman of PNC bank says the “solid” growth data is likely to help corporate profits and reinforce the U.S. central bank’s determination to raise interest rates in December. Josh Bivens of the Economic Policy Institute says the figures “overstate” growth, and he notes inflation is still below the Fed’s two percent target, making an interest rate hike unnecessary at this time.

Officials raise rates to fend off high inflation by cooling economic activity. Rates were slashed during the recession to bolster growth and employment. 

Federal Reserve leaders gather Tuesday and Wednesday in Washington to debate interest rate policy. Most economists predict they will not raise rates until their next meeting in mid-December.

Next Friday, government experts will publish unemployment data for October. September’s rate was a low 4.2 percent.

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Patients Turning to Alternative Pain Treatments Amid America’s Opioid Crisis

In 2015, 92 million Americans used prescription opioids to alleviate or manage pain, with 11.5 million reporting they misused them. Now more than ever, patients are seeking alternative treatments to avoid using potentially addictive pain pills. VOA’s Elizabeth Cherneff introduces us to a Washington doctor who is helping people manage their pain and combat their addictions.

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Drug Court a Lifeline in Battle Against Opioid Addiction

Paul Coles’ journey to becoming one of the 2.5 million Americans addicted to prescription opioids began with painkillers prescribed for injuries suffered during an IED attack in Iraq. The physical scars healed, but emotionally Coles suffered. He had Post Traumatic Stress Disorder and couldn’t stop using drugs. 

“It got to the point I would take three times the lethal dose of heroin and cocaine, load it into a syringe and shoot it up, trying to shut my body down,” Coles said. “I would sit there and say, ‘God if you are out there, just kill me.’”

Time after time, he cheated death. But he couldn’t escape the law. Coles found himself handcuffed, arrested and jailed on charges of felony drug possession. Yet what seemed to be a new low would turn into a lifeline.

From the moment Judge Jeri Beth Cohen looked at Coles, she knew he needed help. 

“My feeling is that opioid addiction is a terminal illness: You’re either going to end up in prison or you’re going to end up dead,” Cohen said.

“I’m seeing more and more cases,” she said. “These are young men and women between the age of, I guess, 21-30. It’s a largely Caucasian population,” she added.

​One judge, two courts, one team

Coles’ case is one of hundreds Cohen has seen during the unfolding prescription opioid and heroin epidemic in South Florida. Inside her courtroom, with graphic photos of what drugs can do to the body, she surrounds herself with professional caseworkers on the frontlines of how America’s criminal justice system handles the boom in opioid abuse.

Miami-Dade County launched the nation’s first drug court in 1989. Today there are 3,000 U.S. drug courts serving 136,000 people. But a report by Physicians for Human Rights claims few communities have adequate treatment facilities and the criminal justice objectives of drug courts often overrule the medical need of the patient.

Cohen’s drug court gives people the chance to beat their addictions, stay out of prison while eventually getting their felony drug charge expunged from the record if they complete the year-long program. 

Like Paul Coles 75 percent of Drug Court graduates remain arrest-free at least two years after leaving the program. 

Miami-Dade County launched its first drug court when the community was facing a previous drug crisis. The approach then did not address people’s addictions, rather it was focused on jailing them for criminal conduct.

“There was a crack cocaine epidemic just like we’re looking at this opioid and heroin epidemic right now. People coming into criminal court in large numbers were taking a plea or going to jail, getting out and getting rearrested,” Cohen said.

Today there’s a stream of people in drug court struggling with addiction to a multitude of prescription pain pills and heroin. Cohen, regarded as one of the top drug court judges in the country, uses a holistic approach.

“What I find is if we can get them stabilized on a drug like Methadone or a Suboxone, which blocks a high, then they’re able to start engaging and they’re much more able to focus on getting well.” she said. The goal of the drug court is to get people treatment, steering them away from prison time and hopefully reducing recidivism rates.

“You have to take many variables into account: trauma, untreated mental illness, the chronicity or severity of the drug usage and also what’s going on in the family. If you’re not developing a treatment plan with your treatment team based on an individual’s particular risk and needs, you aren’t going to be successful with that individual,” Cohen said.

The judge bemoans the system’s lack of compassion.

“People are treated really, really poorly,” she said. “In the jails, in the courts, even in treatment they’re treated poorly. If you have money, it’s easier to access care [but] it’s still hard.”

​Zero tolerance

For all her understanding, Cohen shows little tolerance for those not following the rules. She sentences some to community service hours while others go back to jail.

There are frequent drug screenings to make sure people stick with their sobriety. Those who don’t meet the court’s year-long requirements may be returned to a traditional criminal court to face felony drug charges.

“I don’t think that sick people should be in jail. I do the best that I can to help people get well within our system, to divert them out of jail, but yet hold them accountable,” Cohen said “I feel like I do my job and I feel like I do it well.” 

“If you don’t go into the program, that’s fine with me,” Cohen tells a young, opioid-addicted mother, handcuffed and dressed in orange prison suit. “I am not going to keep you here and I am going to have the state dependency court file a termination of parental rights. I will order them to do it,” Cohen stressed.

Family reunions

“The children in my court have been removed from their parents because they have severe and chronic drug addiction and have failed to get into treatment,” the judge said. Her formula is to get parents who are struggling with opioid addiction intensive drug treatment so they can regain custody of their children.

She said 60 percent of the parents who go through the program get their children back.

“It’s getting into true recovery, improving your relationships with your family, your spouse, your children and starting that long life-long journey to recovery,” Cohen said.

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Drug Court Judge Throws Lifeline to Those Addicted to Opioids

American drug courts are taking a public health approach to help those addicted to prescription opioids and heroin. The goal is long-term recovery and allowing people to have their felony drug charges erased from their records if they complete the program. VOA’s Chris Simkins reports from Miami on how one judge is helping those struggling with opioid abuse.

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