The Biden administration is proposing tougher standards for a deadly air pollutant, saying that reducing soot from tailpipes, smokestacks and wildfires could prevent thousands of premature deaths a year. 

A proposal released Friday by the Environmental Protection Agency would set maximum levels of 9 to 10 micrograms of fine particle pollution per cubic meter of air, down from 12 micrograms set a decade ago under the Obama administration. The standard for particle pollution, more commonly known as soot, was left unchanged by former President Donald Trump, who overrode a scientific recommendation for a lower standard in his final days in office. 

Environmental and public health groups that have been pushing for a stronger standard were disappointed, saying the EPA proposal does not go far enough to limit emissions of what is broadly called “fine particulate matter,” the tiny bits of soot we breathe in unseen from tailpipes, wildfires, factory and power plant smokestacks, and other sources. 

In a development that could lead to an even lower standard, the EPA said Friday that it also would take comments on a range of ideas submitted by a scientific advisory committee, including a proposal that would lower the maximum standard for soot to 8 micrograms. A microgram is one-millionth of a gram. 

EPA Administrator Michael Regan said the proposal to strengthen the national ambient air quality standards for fine particle pollution would help prevent serious health problems, including asthma attacks, heart attacks and premature death that disproportionately affect vulnerable populations. Those populations include children, older adults and those with heart and lung conditions, as well as low-income and minority communities throughout the United States. 

“This administration is committed to working to ensure that all people, regardless of the color of their skin, the community they live in or the money in their pocket, have clean air to breathe, clean water to drink and the opportunity to lead a healthy life,” Regan said at a news conference. “At EPA, we are working every single day to create cleaner and healthier communities for all and have been doing so for over 50 years.” 

‘A disappointment’

Harold Wimmer, the president of the American Lung Association, called the EPA’s proposal disappointing, saying it was “inadequate to protect public health from this deadly pollutant.” 

“Current science shows that stronger limits are urgently needed … to protect vulnerable populations,” Wimmer said, calling for the EPA to lower the standard to 8 micrograms or lower. 

Seth Johnson, an attorney for the environmental group Earthjustice, called the EPA plan “a disappointment and missed opportunity overall.” While it would strengthen some public health protections, “EPA is not living up to the ambitions of this administration to follow the science, protect public health and advance environmental justice,” Johnson said. He urged the EPA “to hear communities, not industrial polluters, and strengthen this rule. Overburdened communities have the right to breathe clean air.” 

The U.S. Chamber of Commerce and other business groups called for the current standards to be maintained. 

“The United States has some of the best air quality in the world, thanks to steady reductions in contributors to particulate matter emissions over the last decade,” said Chad Whiteman, vice president of environment and regulatory affairs at the chamber’s Global Energy Institute. 

The proposed rule could “stifle manufacturing and industrial investment and exacerbate permitting challenges that continue to hamper the economy,” Whiteman said. 

‘Regulatory burden’

Mike Ireland, president of the Portland Cement Association, which represents U.S. cement manufacturers, added that the EPA’s proposed action “is yet another regulatory burden that will hamper the cement industry’s ability to manufacture sustainable construction materials to meet the nation’s infrastructure needs.” 

EPA scientists have estimated exposure at current limits causes the early deaths of thousands of Americans annually from heart disease and lung cancer as well as causing other health problems. 

Dr. Doris Browne, president of the National Medical Association, the oldest and largest national organization representing African American physicians, hailed the plan as “the bold action needed to protect public health across the country.” 

Appearing with Regan at a news conference, Browne said the proposal is likely to have lasting benefits across the country “but especially for those communities of color and low-income communities that experience the increase in particulate matter pollution.” Smog, soot and other pollution near factories, power plants and other hazards has a “devastating impact on public health,” she said. 

The EPA proposal would require states, counties and tribal governments to meet a stricter air quality standard for fine particulate matter up to 2.5 microns in diameter — far smaller than the diameter of a human hair. A micron, also called a micrometer, is equal to one-millionth of a meter. 

The standard would not force polluters to shut down, but the EPA and state regulators could use it as the basis for other rules that target pollution from specific sources such as diesel-fueled trucks, refineries and power plants. 

A 2022 report by the American Lung Association found that 63 million Americans live in counties that experience unhealthy daily spikes in soot pollution and 21 million live in counties that exceed annual limits for soot pollution. Most of those counties were in 11 Western states, the report said. People of color were 61% more likely than white people to live in a county with unhealthy air quality, the report said. 

Fresno, California, displaced Fairbanks, Alaska, as the metropolitan area with the worst short-term particle pollution, the report found, while Bakersfield, California, continued in the most-polluted slot for year-round particle pollution for the third year in a row. 

As of December 31, five metropolitan areas were not in compliance with current standards, the EPA said. Four of those areas are in California, including the San Joaquin Valley and Los Angeles. Allegheny County, Pennsylvania, which includes Pittsburgh, also is out of compliance. 

The EPA will accept comments on the proposed rule through mid-March and will hold a virtual public hearing over several days. A final rule is expected this summer.
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India has announced a $2.3 billion plan to promote “green hydrogen” — hydrogen produced with renewable energy — which experts say could be the clean fuel of the future.

The initiative could help the world’s third-largest emitter of greenhouse gases reach its goal of net zero carbon emissions by 2070. 

A series of incentives are aimed at making green hydrogen affordable by bringing down production costs of a technology that has yet to become commercially viable.  

While India has been rapidly expanding renewables such as solar energy, these will not be enough to meet climate goals in a country whose energy needs are expected to grow more than anywhere in the world over the next two decades. India’s current reliance on carbon-emitting coal, its primary source of electricity, has raised concerns on how it will switch to clean energy.

The government is hoping that investments under what is called the National Hydrogen Mission, will provide the answer.

“For lot of heavy industries like steel, cement and oil refining, green hydrogen can be a better solution to make them cleaner. Their massive energy requirements cannot be met by other renewable sources such as solar and wind,” Vibhuti Garg, South Asia director at the Institute for Energy Economics and Financial Analysis, said.

 “But much will depend on the cost economics” he said. 

Green hydrogen is made by using electricity from renewable sources to split hydrogen from water. The energy it produces creates no carbon emissions. But in an industry still in its infancy, the key lies in significantly lowering production costs. 

“The goal is to bring down its cost over the next five years,” Information and Broadcasting Minister Anurag Thakur said this week while announcing the initiative. He said it will also help India reduce its emissions and become a major exporter in the field.   

Some experts are optimistic. “In the last one year there has been a drop in green hydrogen prices from roughly $4 per kilogram to $3 now,” said Hemant Mallya at the Council for Energy, Environment and Water, a public policy think tank in New Delhi.

He said increased use will bring down costs further. “The eventual target is $1 per kilogram because that is when you start becoming competitive with coal. But even before that if we can hit $2 per kilogram, it will compete with gas currently imported from Russia and that is pretty much achievable with scale and technological advancement.”

The hope is that just as costs for solar power have dropped substantially in recent years and are now lower than that of electricity generated by coal plants, the cost of producing green hydrogen will also reduce over time. 

India’s goal is to produce 5 million tons of green hydrogen per year by 2030. Experts call it an “ambitious” target and point out that at the moment India only has a handful of pilot projects in the sector. 

However, India wants to ensure that it is not left behind in a technology that is now being looked at with much more hope as the world grapples with a climate crisis. In giving a push to green hydrogen, India is following other countries like the United States and those in the European Union that have also approved incentives worth billions of dollars for its development. 

“I think India does not want to miss the bus and is putting the building blocks in place,” said Garg. She pointed out that in the solar energy sector for example, China took the lead in manufacturing the most cost-competitive components for solar panels, leaving most countries, including India, dependent on Chinese imports. “In green hydrogen, India wants to be a pioneer and not wait for other countries to become the lead players.” 

As the government offers financial incentives, some of India’s biggest firms have made commitments to invest in green hydrogen. They include conglomerates like the Adani Group and Reliance Industries and state-owned energy companies.  

Still, experts say there are many challenges ahead in developing the nascent industry. India will have to scale up domestic manufacturing of electrolyzers, which are a key component to develop green hydrogen and also ensure that there is enough renewable energy available to make it. The investments needed will be huge. Domestic industries might have to be incentivized to switch to using green hydrogen.  

India is also eyeing exports of green hydrogen by becoming a cost-competitive source.

“Our aim is to establish India as a global hub of green hydrogen,” Thakur said. “We will make efforts to get at least 10% of the global demand for green hydrogen.” 

Hopes that export markets will emerge if green hydrogen becomes viable have risen after the disruption in global energy markets in the wake of Russia’s invasion of Ukraine. “We need to broaden the horizon and look at exports because the premium on the price of green hydrogen might be a problem domestically, but internationally it is not that much of a challenge for someone in Europe to pay it. And because of the Ukraine crisis for example, countries in Europe, will want to transition quicker than anticipated from natural gas,” according to Mallya.  

 
…

The world’s glaciers are shrinking and disappearing faster than scientists thought, with two-thirds of them projected to melt out of existence by the end of the century at current climate change trends, according to a new study.

But if the world can limit future warming to just a few more tenths of a degree and fulfill international goals — technically possible but unlikely according to many scientists — then slightly less than half the globe’s glaciers will disappear, said the same study. Mostly small but well-known glaciers are marching to extinction, study authors said.

In an also unlikely worst-case scenario of several degrees of warming, 83% of the world’s glaciers would likely disappear by the year 2100, study authors said.

Thursday’s study in the journal Science examined all of the globe’s 215,000 land-based glaciers — not counting those on ice sheets in Greenland and Antarctica — in a more comprehensive way than past studies. Scientists then used computer simulations to calculate, using different levels of warming, how many glaciers would disappear, how many trillions of tons of ice would melt, and how much it would contribute to sea level rise.

The world is now on track for a 2.7-degree Celsius (4.9 degrees Fahrenheit) temperature rise since pre-industrial times, which by the year 2100 means losing 32% of the world’s glacier mass, or 48.5 trillion metric tons of ice as well as 68% of the glaciers disappearing. That would increase sea level rise by 115 millimeters (4.5 inches) in addition to seas already getting larger from melting ice sheets and warmer water, said study lead author David Rounce.

“No matter what, we’re going to lose a lot of the glaciers,” Rounce, a glaciologist and engineering professor at Carnegie Mellon University, said. “But we have the ability to make a difference by limiting how many glaciers we lose.”

“For many small glaciers it is too late,” said study co-author Regine Hock, a glaciologist at the University of Alaska Fairbanks and the University of Oslo in Norway. “However, globally our results clearly show that every degree of global temperature matters to keep as much ice as possible locked up in the glaciers.”

Projected ice loss by 2100 ranges from 38.7 trillion metric tons to 64.4 trillion tons, depending on how much the globe warms and how much coal, oil and gas is burned, according to the study.

The study calculates that all that melting ice will add anywhere from 90 millimeters (3.5 inches) in the best case to 166 millimeters (6.5 inches) in the worst case to the world’s sea level, 4% to 14% more than previous projections.

That average sea level rise from glaciers would mean more than 10 million people around the world — and more than 100,000 people in the United States — would be living below the high tide line, who otherwise would be above it, said sea level rise researcher Ben Strauss, CEO of Climate Central. Twentieth-century sea level rise from climate change added about 100 millimeters to the surge from 2012 Superstorm Sandy, costing about $8 billion in damage just in itself, he said.

Scientists say future sea level rise will be driven more by melting ice sheets than glaciers.

But the loss of glaciers is about more than rising seas. It means shrinking water supplies for a big chunk of the world’s population, more risk from flood events from melting glaciers and losing historic ice-covered spots from Alaska to the Alps to even near Mount Everest’s base camp, several scientists told The Associated Press.

“For places like the Alps or Iceland … glaciers are part of what makes these landscapes so special,” said National Snow and Ice Data Center Director Mark Serreze, who wasn’t part of the study but praised it. “As they lose their ice in a sense they also lose their soul.”

Hock pointed to Vernagtferner glacier in the Austrian Alps, which is one of the best-studied glaciers in the world, and said “the glacier will be gone.”

The Columbia Glacier in Alaska had 216 billion tons of ice in 2015, but with just a few more tenths of a degree of warming, Rounce calculated it will be half that size. If there’s 4 degrees Celsius (7.2 degrees Fahrenheit) of warming since pre-industrial times, an unlikely worst-case scenario, it will lose two-thirds of its mass, he said.

“It’s definitely a hard one to look at and not drop your jaw at,” Rounce said.

Glaciers are crucial to people’s lives in much of the world, said National Snow and Ice Center Deputy Lead Scientist Twila Moon, who wasn’t part of the study.

“Glaciers provide drinking water, agricultural water, hydropower, and other services that support billions (yes, billions!) of people,” Moon said in an email.

Moon said the study “represents significant advances in projecting how the world’s glaciers may change over the next 80 years due to human-created climate change.”

That’s because the study includes factors in glacier changes that previous studies didn’t and is more detailed, said Ruth Mottram and Martin Stendel, climate scientists at the Danish Meteorological Institute who weren’t part of the research.

This new study better factors in how the glaciers’ ice melts not just from warmer air, but also from water both below and at the edges of glaciers and how debris can slow melt, Stendel and Mottram said. Previous studies concentrated on large glaciers and made regional estimates instead of calculations for each individual glacier.

In most cases, the estimated loss figures Rounce’s team came up with are slightly more dire than earlier estimates.

If the world can somehow limit warming to the global goal of 1.5 degrees Celsius (2.7 degrees Fahrenheit) of warming since pre-industrial times — the world is already at 1.1 degrees (2 degrees Fahrenheit) — Earth will likely lose 26% of total glacial mass by the end of the century, which is 38.7 trillion metric tons of ice melting. Previous best estimates had that level of warming melting translating to only 18% of total mass loss.

“I have worked on glaciers in the Alps and Norway which are really rapidly disappearing,” Mottram said in an email. “It’s kind of devastating to see.”
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In a move that amplifies the debate over access to abortion in the United States, the Food and Drug Administration this week ruled that a drug used in the majority of abortions in the country can be dispensed by retail pharmacies to individuals with valid prescriptions.

Until the ruling, that drug, mifepristone, could be dispensed only by certified clinics and doctors’ offices, or by specific online pharmacies. Now, retail pharmacies, including those of major chains like CVS and Walgreens, will have the ability, though not the obligation, to carry the medication.

However, it will remain illegal for pharmacies to dispense the medication in at least 12 states, which have passed laws banning abortions.

Mifepristone blocks hormones that contribute to the development of a fetus. When a dose is followed one to two days later with a dose of a second drug, misoprostol, which induces muscle contractions, the result is an abortion. Known as a medical abortion, the two-pill regimen accounts for more than half of all abortions in the U.S. Both mifepristone and misoprostol have other uses unrelated to abortion.

The ruling came days after it was announced that the Justice Department had issued a finding, at the request of the U.S. Postal Service, that it is legal to use the U.S. mail to deliver mifepristone and misoprostol. That finding would apply regardless of the laws of individual states.

State laws differ 

The Supreme Court’s ruling last year that abolished the federal right to an abortion, which was put in place by the 1973 court decision Roe v. Wade, left it to individual states to craft abortion laws themselves. This has led to a patchwork of abortion regulation across the country.

Sixteen states have adopted laws that ban all or practically all abortions. In those states, as well as in several others, laws restricting abortions would also make it illegal to sell mifepristone and misoprostol within their borders, regardless of the FDA’s position.

Other states have explicitly protected the right to abortion in their laws, with several amending their constitutions to do so.

If retail pharmacies opted to sell abortion drugs in states where they are legal, it would further widen the already large gap in abortion access in some parts of the country. In certain regions, particularly states in the Deep South, a woman seeking access to an abortion has to travel hundreds of miles to reach a state that has not banned the procedure.

Abortion rights activists cheered 

Supporters of the right to an abortion said that they were encouraged by the FDA’s ruling.

“Today’s news is a step in the right direction for health equity. Being able to access your prescribed medication abortion through the mail or to pick it up in person from a pharmacy like any other prescription is a game-changer for people trying to access basic health care,” Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America, said in a statement.

However, advocates also noted that the sale of the pills would remain illegal in 12 states, because of abortion bans passed by state legislatures.

“Today’s announcement means that people in states where abortion is legal will be able to consult with their health care providers and obtain medication abortion in the way that works best for them — whether it’s through their neighborhood pharmacy or through the mail,” Nancy Northup, president and CEO of the Center for Reproductive Rights, said in a statement. “However, 12 states have banned abortion, and this move will not change anything for the people in those states, which is why Congress must pass the Women’s Health Protection Act to ensure the right to access abortion care is protected nationwide.”

Abortion-rights opponents unhappy

Groups that support the restriction or outright elimination of abortion in the U.S. were unhappy with the ruling, with some criticizing the administration of President Joe Biden over its support for abortion rights.

Although the medical establishment, including the FDA, has said that medical abortions are safe, anti-abortion-rights groups point to rare side effects, including heavy bleeding and infection, as proof that they are dangerous.

“Today’s announcement is yet another in a long train of actions the Biden administration has taken that put women at grave risk, in its headlong rush to push abortion drugs on the American public,” Steven H. Aden, chief legal officer and general counsel for Americans United for Life, said in a statement emailed to VOA.

“The Biden administration has once again proved that it values abortion industry profits over women’s safety and unborn children’s lives,” Marjorie Dannenfelser, president of Susan B. Anthony Pro-Life America, said in a statement.

Retail pharmacies consider options 

It was not clear whether retail pharmacies, including those of large chains, would carry mifepristone and misoprostol in states that have not made abortion illegal. To do so, they would have to comply with special rules put forward by the FDA.

They would also have to assess the reputational costs and benefits of a decision that will likely have repercussions that extend beyond the balance sheet.

“We’re reviewing the FDA’s updated Risk Evaluation and Mitigation Strategy (REMS) drug safety program for mifepristone to determine the requirements to dispense in states that do not restrict the dispensing of medications prescribed for elective termination of pregnancy,” Amy Thibault, lead director of external communications for CVS Pharmacy, told VOA.

Fraser Engerman, a senior director for external relations with Walgreen Co., told VOA, “We look forward to reviewing the FDA’s announcement and mifepristone REMS program, and we will continue to enable our pharmacists to dispense medications consistent with federal and state law.”
…

With Russian rockets targeting Ukraine’s energy infrastructure and electrical grid, scientists in the northern city of Sumy, some 330 kilometers east of Kyiv, are hoping to start mass producing solar technology that could keep the lights on. Olena Adamenko has the story, narrated by Anna Rice. Camera and video editing by Mykhailo Zaika.
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The Food and Drug Administration on Tuesday finalized a rule change that allows women seeking abortion pills to get them through the mail, replacing a long-standing requirement that they pick up the medicine in person. 

The Biden administration implemented the change last year, announcing it would no longer enforce the dispensing rule. Tuesday’s action formally updates the drug’s labeling to allow women to get a prescription via telehealth consultation with a health professional, and then receive the pills through the mail, where permitted by law. 

Still, the rule change’s impact has been blunted by numerous state laws limiting abortion broadly and the pills specifically. Legal experts foresee years of court battles over access to the pills, as abortion-rights proponents bring test cases to challenge state restrictions. 

For more than 20 years, the FDA labeling had limited dispensing to doctor’s offices and clinics, due to safety concerns. During the COVID-19 pandemic, the FDA temporarily suspended the in-person requirement. The agency later said a new scientific review by agency staff supported easing access, concurring with numerous medical societies that had long said the restriction wasn’t necessary. 

Two drugmakers that make brand-name and generic versions of abortion pills requested the latest FDA label update. Agency rules require a company to file an application before modifying dispensing restrictions on drugs. 

Danco Laboratories, which sells branded Mifeprex (mifepristone), said in a statement the change “is critically important to expanding access to medication abortion services and will provide healthcare providers” another option for prescribing the drug. 

More than half of U.S. abortions are now done with pills rather than surgery, according to the Guttmacher Institute, a research group that supports abortion rights. 

The FDA in 2000 approved mifepristone to terminate pregnancies of up to 10 weeks when used with a second drug, misoprostol. Mifepristone is taken first to dilate the cervix and block the progesterone hormone, which is needed to sustain a pregnancy. Misoprostol is taken 24 to 48 hours later, causing the uterus to contract and expel pregnancy tissue. 

Bleeding is a common side effect, though serious complications are very rare. The FDA says more than 3.7 million U.S. women have used mifepristone since its approval. 

Several FDA-mandated safety requirements remain in effect, including training requirements to certify that prescribers can provide emergency care in the case of excessive bleeding. Pharmacies that dispense the pills also need a certification. 
…

Walter Cunningham, the last surviving astronaut from the first successful crewed space mission in NASA’s Apollo program, died Tuesday in Houston. He was 90.

NASA confirmed Cunningham’s death in a statement but did not include its cause. Spokespersons for the agency and Cunningham’s wife, Dot Cunningham, did not immediately respond to questions.

Cunningham was one of three astronauts aboard the 1968 Apollo 7 mission, an 11-day spaceflight that beamed live television broadcasts as they orbited Earth, paving the way for the moon landing less than a year later.

Cunningham, then a civilian, crewed the mission with Navy Capt. Walter M. Schirra and Donn F. Eisele, an Air Force major. Cunningham was the lunar module pilot on the space flight, which launched from Cape Kennedy Air Force Station, Florida, on October 11 and splashed down in the Atlantic Ocean south of Bermuda.

NASA said Cunningham, Eisele and Schirra flew a near perfect mission. Their spacecraft performed so well that the agency sent the next crew, Apollo 8, to orbit the moon as a prelude to the Apollo 11 moon landing in July 1969.

The Apollo 7 astronauts also won a special Emmy award for their daily television reports from orbit, during which they clowned around, held up humorous signs and educated earthlings about space flight.

It was NASA’s first crewed space mission since the deaths of the three Apollo 1 astronauts in a launch pad fire January 27, 1967.

Cunningham recalled Apollo 7 during a 2017 event at the Kennedy Space Center, saying it “enabled us to overcome all the obstacles we had after the Apollo 1 fire and it became the longest, most successful test flight of any flying machine ever.”

Cunningham was born in Creston, Iowa, and attended high school in California before enlisting with the Navy in 1951 and serving as a Marine Corps pilot in Korea, according to NASA. He later obtained bachelor’s and master’s degrees in physics from the University of California at Los Angeles, where he also did doctoral studies, and worked as scientist for the Rand Corporation before joining NASA.

In an interview the year before his death, Cunningham recalled growing up poor and dreaming of flying airplanes, not spacecraft.

“We never even knew that there were astronauts when I was growing up,” Cunningham told The Spokesman-Review.

After retiring from NASA in 1971, Cunningham worked in engineering, business and investing, and became a public speaker and radio host. He wrote a memoir about his career and time as an astronaut, “The All-American Boys.” He also expressed skepticism in his later years about human activity contributing to climate change, bucking the scientific consensus in writing and public talks, while acknowledging that he was not a climate scientist.

Although Cunningham never crewed another space mission after Apollo 7, he remained a proponent of space exploration. He told the Spokane, Washington, paper last year, “I think that humans need to continue expanding and pushing out the levels at which they’re surviving in space.”

Cunningham is survived by his wife, his sister Cathy Cunningham, and his children Brian and Kimberly.
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A top health official in China has said that the fatalities from the latest surge in COVID-19 cases are “increasing” but within the normal range for mortality.

In an interview with state broadcaster China Central Television (CCTV), Jiao Yahui, a National Health Commission official, said, “We have a huge base, so what people feel is that the severe cases, the critical cases or the fatalities are increasing.

“Relative to the rest of the world, the infection peaks we are faced with across the country are not unusual,” she added. 

The contrast between statements by Chinese officials assessing the COVID situation and social media footage of crowded hospital hallways and long lines at clinics prompted leading scientists advising the World Health Organization to call Tuesday for a “more realistic picture” about what China is experiencing after the pivot from “zero-COVID.”

Normal mortality is the number of deaths authorities expect for a specific period based on long-term population data. Excess mortality reveals the difference between the number of deaths caused during the current wave of COVID and the number of fatalities expected had the pandemic not occurred. The excess mortality number has been used worldwide during the pandemic to provide a better sense of how many people have died of COVID.

Tong Zhaohui, vice president of Chaoyang Hospital in Beijing, agreed that while the actual number of deaths is growing, the fatalities remain a small percentage of China’s population.

“Think how many people around you have been infected but how many have developed critical cases or pneumonia? I think everyone has the idea,” he told CCTV.

China began relaxing its stringent zero-COVID policy in early December. Since then, Tong has supervised treatment for critically ill COVID patients at two major hospitals in Beijing.

Tong said, “I roughly counted, both severe and critical cases (of COVID) at the two designated hospitals accounted for 3% to 4% of infected patients.” He added that the actual number can’t be determined because PCR testing is no longer mandatory.

Beijing reported three new COVID deaths for Monday, taking the official death toll to 5,253 since the pandemic began in January 2020. China’s population was over 1.4 billion people in 2021.

CCTV’s coverage acknowledged that the number of fever outpatients in some hospitals increased tenfold, and one doctor saw up to 150 patients in one night. A fever patient cannot be assumed to be a COVID patient.

Photos and videos of hospitals full of sick people waiting to be treated are circulating on social media from facilities across the country. Reuters visited a Shanghai hospital and reported finding crowded hallways and emergency rooms. China’s censors are moving quickly to keep photos and videos from circulating inside the country, but many are leaping the country’s Great Firewall for the internet and posting photos and videos that were said to be from hospitals in China’s central and southern Hunan province as well as other cities.

Although VOA Mandarin was unable to independently verify the videos circulating on Twitter that are said to show hospitals in Hunan, a staffer who answered the phone at Changsha No. 1 People’s Hospital in Changsha, the province’s capital, said the hospital has no vacant beds left and new patients are being asked to go to other hospitals. According to Baike, China’s version of Wikipedia, the hospital has a total capacity of 1,593 beds. The staffer said that while many doctors have tested positive, they are still working.

Social media videos from various cities show long lines waiting to be admitted outside crematoriums.

In an interview with Da Jiangdong Studio, an affiliate of the state-run newspaper People’s Daily, Chen Erzhen, vice president of Shanghai’s Ruijin Hospital and a member of the city’s COVID expert advisory panel, estimated that 70% of population of 25 million people in Shanghai may have been infected. The interview was conducted December 31 and published Tuesday.

“Now the spread of the epidemic in Shanghai is very wide, and it may have reached 70% of the population, which is 20 to 30 times more than (in April and May),” he told Da Jiangdong Studio. Shanghai endured a two-month long lockdown in April and May, during which over 600,000 residents were infected and already weakened global supply chains were further strained.

China could see as many as 25,000 deaths a day from COVID later in January, according to a Bloomberg report.

That daily total is “roughly equivalent to China’s normal daily death toll from all other causes,” according to The British Medical Journal referencing research published December 20 from Airfinity, a London-based research firm that focuses on predictive health analytics.

Mortalities from the contagious respiratory illness will probably peak around January 23, the second day of the annual new year holiday, according Airfinity.

China said it had submitted genome sequence data from recently sampled COVID-19 cases to GISAID, an international database hosted by Germany, ahead of a meeting with WHO officials on Tuesday.

Before the meeting, Reuters reported that two unnamed scientists affiliated with WHO had asked Beijing for a “more realistic picture” of COVID in China.

Some experts doubted that Beijing would be forthright in its statistical offerings.

Alfred Wu, associate professor at the Lee Kuan Yew School of Public Policy at National University of Singapore, told Reuters, “I don’t think China will be very sincere in disclosing information.”

“They would rather just keep it to themselves, or they would say nothing happened, nothing is new,” said Wu. “My own sense is that we could assume that there is nothing new … but the problem is China’s transparency issue is always there.”
…

Advocates for education and health care in Malawi are criticizing the government’s decision to close schools in two cities to try to contain a cholera outbreak. 

The Presidential Taskforce on Coronavirus and Cholera said in a statement Monday that the suspension is applied to all primary and secondary schools in the capital, Lilongwe, and commercial hub, Blantyre.

Khumbize Kandodo Chiponda, co-chairperson of the taskforce and Malawi’s minister of health, told a press conference Tuesday the decision is a result of the continuing increase in the number of cholera cases in the two cities.

As of Monday, the bacterial disease, spread by dirty water, had killed more than 620 people out of 18,222 cases since the outbreak began in March. 

Chiponda expressed fear for the safety of students and others if the schools remain open, adding that in just seven days, Blantyre recorded 792 cases with 36 deaths, and Lilongwe recorded 536 cases with 36 deaths.

But Malawian education and health rights campaigners say the timing of the suspension was wrong.

Hastings Moloko, trustee of the Private Schools Association of Malawi, told a press conference Monday that there is no logic in suspending learning in only two out of the 28 affected districts. 

“The playing field is not leveled,” he said. “It is schools in Blantyre and Lilongwe that have been affected. While other students are not learning, students everywhere else in the country are learning. And yet these students will sit for exactly the same exams, exactly at the same time. So, Blantyre and Lilongwe students will be disadvantaged in terms of time to cover their syllabuses.”

Moloko said there is also no scientific evidence that cholera spreads more in schools than in homes.

Cholera is an acute diarrheal infection caused by ingesting food or water contaminated with bacteria. The disease affects both children and adults, and if untreated, can kill within hours.

Agnes Nyalonje, minister of education in Malawi, said the move is to protect the lives of the learners in these two cholera hotspot districts. 

“The issue is a balance between protection of life and continuity of learning,” she said. “We have information that shows that currently across all schools, we are short of 1,262 boreholes or water supply in schools that need water supply. And we are saying personal hygiene and school hygiene have to go hand in hand.”

Nyalonje said her ministry has put measures in place that allow students in the closed schools to take lessons through distance learning, as was the case when the schools shut down for the COVID-19 pandemic. 

 
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A new report by the Africa Center for Strategic Studies says “once in a hundred years” floods will become more common in coastal communities due to rising sea levels caused by climate change. As a stretch of West Africa’s coast is set to become the world’s largest megalopolis and an economic powerhouse, academics worry rising sea levels will stymie growth and impact the continent and the world. Henry Wilkins reports from Ganvie, Benin.
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