Surgeons have performed the world’s first transplant of an entire human eye, an extraordinary addition to a face transplant — although it’s far too soon to know if the man will ever see through his new left eye. 

An accident with high-voltage power lines destroyed most of Aaron James’ face and one eye. His right eye still works. But surgeons at NYU Langone Health hoped replacing the missing one would yield better cosmetic results for his new face, because it would support the transplanted eye socket and lid. 

The NYU team announced Thursday that so far, it’s doing just that. James is recovering well from the dual transplant last May, and the donated eye looks remarkably healthy. 

“It feels good. I still don’t have any movement in it yet. My eyelid, I can’t blink yet. But I’m getting sensation now,” James told The Associated Press as doctors examined his progress recently. 

“You got to start somewhere, there’s got to be a first person somewhere,” said James, 46, of Hot Springs, Arkansas. “Maybe you’ll learn something from it that will help the next person.” 

Today, transplants of the cornea — the clear tissue in front of the eye — are common to treat certain types of vision loss. But transplanting the whole eye — the eyeball, its blood supply and the critical optic nerve that must connect it to the brain — is considered a moonshot in the quest to cure blindness. 

Whatever happens next, James’ surgery offers scientists an unprecedented window into how the human eye tries to heal. 

“We’re not claiming that we are going to restore sight,” said Dr. Eduardo Rodriguez, NYU’s plastic surgery chief, who led the transplant. “But there’s no doubt in my mind we are one step closer.” 

Some specialists had feared the eye would quickly shrivel like a raisin. Instead, when Rodriguez propped open James’ left eyelid last month, the donated hazel-colored eye was as plump and full of fluid as his own blue eye. Doctors see good blood flow and no sign of rejection. 

Now researchers have begun analyzing scans of James’ brain that detected some puzzling signals from that all-important but injured optic nerve. 

One scientist who has long studied how to make eye transplants a reality called the surgery exciting. 

“It’s an amazing validation” of animal experiments that have kept transplanted eyes alive, said Dr. Jeffrey Goldberg, chair of ophthalmology at Stanford University. 

The hurdle is how to regrow the optic nerve, although animal studies are making strides, Goldberg said. He praised the NYU team’s “audacity” in even aiming for optic nerve repair and said he hopes the transplant will spur more research. 

“We’re really on the precipice of being able to do this,” Goldberg said. 

James was working for a power line company in June 2021 when he was shocked by a live wire. He nearly died. Ultimately, he lost his left arm, requiring a prosthetic. His damaged left eye was so painful it had to be removed. Multiple reconstructive surgeries couldn’t repair extensive facial injuries including his missing nose and lips. 

James pushed through physical therapy until he was strong enough to escort his daughter Allie to a high school homecoming ceremony, wearing a face mask and eye patch. Still, he required breathing and feeding tubes, and he longed to smell, taste and eat solid food again. 

“In his mind and his heart, it’s him — so I didn’t care that, you know, he didn’t have a nose. But I did care that it bothered him,” said his wife, Meagan James. 

Face transplants remain rare and risky. James’ is only the 19th in the United States, the fifth Rodriguez has performed. The eye experiment added even more complexity. But James figured he’d be no worse off if the donated eye failed. 

Three months after James was placed on the national transplant waiting list, a matching donor was found. Kidneys, a liver and pancreas from the donor, a man in his 30s, saved three other people. 

During James’ 21-hour operation, surgeons added another experimental twist: When they spliced together the donated optic nerve to what remained of James’ original, they injected special stem cells from the donor in hopes of spurring its repair. 

Last month, tingles heralded healing facial nerves. James can’t yet open the eyelid and wears a patch to protect it. But as Rodriguez pushed on the closed eye, James felt a sensation — although on his nose rather than his eyelid, presumably until slow-growing nerves get reoriented. The surgeon also detected subtle movements beginning in muscles around the eye. 

Then came a closer look. NYU ophthalmologist Dr. Vaidehi Dedania ran a battery of tests. She found expected damage in the light-sensing retina in the back of the eye. But she said it appears to have enough special cells called photoreceptors to do the job of converting light to electrical signals, one step in creating vision. 

Normally, the optic nerve then would send those signals to the brain to be interpreted. James’ optic nerve clearly hasn’t healed. Yet when light was flashed into the donated eye during an MRI, the scan recorded some sort of brain signaling. 

That both excited and baffled researchers, although it wasn’t the right type for vision and may simply be a fluke, cautioned Dr. Steven Galetta, NYU’s neurology chair. Only time and more study may tell. 

As for James, “we’re just taking it one day at a time,” he said. 
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Recent heavy rain and flooding killed 15 people in Kenya and displaced thousands of others, the Kenya Red Cross Society says.

The heavy rainfall also killed livestock and destroyed businesses and farmland, said Peter Murgor, a disaster risk reduction and climate change adaptation manager with the Kenya Red Cross Society.

“Schools [are] being affected … and even hospital facilities in some of the places that have been marooned are also affected,” Murgor told VOA.

The situation could get worse, Murgor said.

In its forecast for this year’s last quarter, the Kenya Meteorological Department had warned the country will experience above-average rainfall, driven by warmer sea surface temperatures over the central and eastern equatorial Pacific Ocean.

“We are informed by the [weather forecaster] that November normally is the peak,” Murgor told VOA. “If November is the peak and we are just at the beginning of November, chances are … the situation is likely to worsen in the month towards the end, probably seeing a bit more people being displaced, probably seeing a bit more loss of livelihoods.”

Nearly half of the 47 counties in Kenya are at risk, he said, with the northeastern part of the country being the most affected.

Heavy rains also have affected neighboring Uganda, Ethiopia and Somalia, where the government declared a state of emergency after 29 people died and hundreds of thousands were displaced as a result of the extreme weather.

Meanwhile, in Kenya, Murgor said flash floods would likely cause more problems.

“We are likely to see a rise in disease outbreak as a secondary impact of the flooding,” he said. “But from the Kenya Red Cross prospect, we are working together with the ministry of health, with the government, with stakeholders, trying to see how to mitigate against the effect, how to anticipate and then try to act early [and] work with farmers to do post-harvest loss management.”

He also said that in cases in which early warnings are possible, communities would be alerted about possible floods so people can move to safer ground. 
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Crying in a hospital bed with a nebulizer mask on his tiny face, 1-month-old Ayansh Tiwari has a thick, hacking cough. His doctors blame the acrid air that blights New Delhi every year.

The spartan emergency room of the government-run Chacha Nehru Bal Chikitsalaya hospital in the Indian capital is crowded with children struggling to breathe — many with asthma and pneumonia, which spike as air pollution peaks each winter in the megacity of 30 million people.

Delhi regularly ranks among the most polluted major cities on the planet, with a melange of factory and vehicle emissions exacerbated by seasonal agricultural fires.

“Wherever you see there is poisonous smog,” said Ayansh’s mother Julie Tiwari, 26, as she rocked the baby on her lap, attempting to calm him.

“I try to keep the doors and windows closed as much as possible. But it’s like breathing poison all the time. I feel so helpless,” she told AFP, fighting back tears.

On Thursday, the level of PM2.5 particles — the smallest and most harmful, which can enter the bloodstream — topped 390 micrograms per cubic meter, according to monitoring firm IQAir, more than 25 times the daily maximum recommended by the World Health Organization.

Government efforts have so far failed to solve the country’s air quality problem, and a study in the Lancet medical journal attributed 1.67 million premature deaths to air pollution in the world’s most populous country in 2019.

‘Maddening rush’

“It’s a maddening rush in our emergency room during this time,” said Dhulika Dhingra, a pediatric pulmonologist at the hospital, which serves poor neighborhoods in one of Delhi’s most polluted areas.

The foul air severely impacts children, with devastating effects on their health and development.

Scientific evidence shows children who breathe polluted air are at higher risk of developing acute respiratory infections, a UNICEF report said last year.

A study published in the Lung India journal in 2021 found nearly one out of every three schoolchildren in Delhi had asthma and airflow obstruction.

Children are more vulnerable to air pollution than adults because they breathe more quickly and their brains, lungs and other organs are not fully developed.

“They can’t sit in one place, they keep running and with that, the respiratory rate increases even more. That is why they are more prone to the effects of pollution,” said Dhingra.

“This season is very difficult for them because they can hardly breathe.”

Vegetable vendor Imtiaz Qureshi’s 11-month-old son, Mohammad Arsalan, was admitted to the hospital overnight with breathing issues.

“We have to live day in and day out in this air,” said the distraught 40-year-old, who pulls his cart through the streets every day.

“If I go out, the air will kill me. If I don’t, poverty will kill me.”

‘Toxic environment’

The hospital provides treatment and medicine free of cost — none of its patients can afford private health care, and many cannot buy even a single air purifier for their one-room homes in the city’s sprawling slums.

Pediatrician Seema Kapoor, the hospital’s director, said patient inflows had risen steadily since the weather cooled, trapping pollutants closer to the ground.

“About 30-40% of the total attendance is primarily because of respiratory illnesses,” she said.

Pulmonologist Dhingra said the only advice they can offer parents is to restrict their children’s outdoor activities as much as possible.

“Imagine telling a parent not to let the child go out and play in this toxic environment.”

The Delhi government has announced emergency school closures, stopped construction and banned diesel vehicles from entering the city in a bid to bring down pollution levels.

But stubble burning by farmers in the neighboring agrarian states, which contributes significantly to Delhi’s pollution, continues unabated, drawing a rebuke from the Supreme Court on Tuesday.

Delhi’s choked air is resulting in the “complete murder of our young people,” said the court.

Housewife Arshi Wasim, 28, brought her 18-month-old younger daughter Nida Wasim to the hospital with pneumonia.

“She coughs non-stop,” she said. “She doesn’t take milk or even water because her lungs are choked. Sometimes we have to give her oxygen and rush her to the doctor two or three times a day.

“Every year it’s the same story.”
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Transsexual people can be godparents at Roman Catholic baptisms, witnesses at religious weddings and receive baptism themselves, the Vatican’s doctrinal office said on Wednesday, responding to questions from a bishop. 

The department, known as the Dicastery of the Doctrine of the Faith, was vague, however, in response to a question about whether a same-sex couple could have a church baptism for an adopted child or one obtained through a surrogate mother. 

Bishop Jose Negri of Santo Amaro, Brazil, sent the doctrinal office six questions in July regarding LGBTQ people and their participation in the sacraments of baptism and matrimony. 

The three pages of questions and answers were signed by the department’s head, Argentine Cardinal Víctor Manuel Fernandez, and approved by Pope Francis on October 31. They were posted in Italian on the department’s website Wednesday. 

Francis, 86, has tried to make the church more welcoming to the LGBTQ community without changing church teachings, including one saying that same-sex attraction is not sinful but same-sex acts are. 

In response to a question of whether transsexual people can be baptized, the doctrinal office said they could with some conditions and as long as there is “no risk of causing a public scandal or disorientation among the faithful.” 

It said a transsexual people could be godparents at a baptism at the discretion of the local priest, as well as a witness at a church wedding, but the local priest should exercise “pastoral prudence” in his decision. 

A person in a same-sex relationship could also be a witness at a Catholic wedding, the office said, citing current church canonical legislation that contained no prohibition against it. 

The response was less clear regarding persons in same-sex relationships and their role in baptism, which is the initiation into the church for infants, children or adults. 

The Brazilian bishop sought guidance on whether a same-sex couple who had adopted a child or obtained it from a surrogate mother could have that child baptized in a Catholic ceremony. 

The response said that for the child of a same-sex couple to be baptized, there had to be “a well-founded hope that it would be educated in the Catholic religion.” 

There was a similarly nuanced response to a question about whether a person in a same-sex relationship could be a godparent at a church baptism. It said the person had to “lead a life that conforms to the faith.” 
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A new study by the World Health Organization and International Labour Organization finds nearly 1 in 3 deaths from non-melanoma skin cancer are caused by working in the sun.

“We know that around the world, 1.6 billion workers are exposed to solar ultraviolet radiation globally. Depending on where you live, you will have more or less protection,” said Maria Neira, director of the WHO department of environment, climate change and health.

“The number of those deaths from occupational non-melanoma skin cancer burden has doubled over the last 20 years and, of course, unfortunately, we can expect to see many cases in the future. It takes a number of years to develop a cancer,” she said.

The joint study issued Wednesday provides data for 183 countries and produces the first comprehensive global picture of the extent of this growing occupational health problem. Authors of the study say governments can use their data to identify unsafe workplaces and design policies to protect workers from the harmful effects of the sun’s rays.

According to the joint estimates, 1 in 4 of the 1.6 billion people of working age was exposed to UV radiation while working outdoors in 2019 and nearly 19,000 died from non-melanoma skin cancer.

“We pooled a large number of case control studies, epidemiological evidence in three regions of the world, 90,000 people, and found there was a 60% increased risk” of developing non-melanoma skin cancer among working people exposed to solar UV radiation, said Frank Pega, a technical officer in the WHO department of environment, climate change and health, and the report’s lead author.

“It is not only a question of life and death,” he said, “but actually skin cancer is extremely disabling. Skin cancer poses a lot of lesions on your skin and your face, and your arms and is highly visible. It is a really big burden for people — half a million lives lost every year to this horrible risk factor.”

The report says occupational exposure to solar ultraviolet radiation is estimated to have decreased by almost one-third between 2000 and 2019. However, it noted that during this same period, “there has been an 88% increase in non-melanoma skin cancer deaths and a 77% increase in non-melanoma skin cancer” due to occupational ultraviolet radiation.

Pega said that these large work-related occupational skin cancer deaths were very unusual in that they were almost equally distributed around the world.

“Skin cancer normally is concentrated in high income countries, in the European and North American regions and in Australasia. But this burden is different. It actually affects low and middle-income countries.

“So, it is really a global health issue, and it actually is equally present in Africa as it is in Europe, North America and Southeast Asia,” he said. “So that is very new and that is something that we have to think about.”

The WHO and ILO are calling for action to mitigate this serious workplace hazard.

“There are effective solutions to protect workers from the sun’s harmful rays, and prevent their deadly effects,” said Tedros Adhanom Ghebreyesus, WHO director-general.

Echoing the WHO chief’s sentiments, Joaquim Pintado Nunes, head of the ILO’s Labor Administration, inspection and occupation safety and health branch, said, “We know that preventing death from this kind of exposure is quite cost effective and does not require much.”

“For example, organizing work in a way to avoid workers to be exposed and working under the sun at given hours of the day, providing shade for the workers, hydrating also the workers while they work, providing clothing that will also cover the skin to protect it from the sun,” he said. “I would say with a very minor investment, this impressive number of 19,000 deaths could, as a matter of fact, be prevented.”

While agreeing with the substance of these measures, Pega observed that a large category of workers is cut out of these protections because of inequalities baked into the system.

“We cannot forget informal economy workers,” he said. “These are 61% of all workers globally and they are likely much more commonly to be outdoor workers. So, they will be most affected, and often not have any protections from employers because they do not have one or actually any protections from labor, labor laws or labor institutions because there is no employer to work with.”

WHO and ILO warn these deaths will continue to increase unless governments, employers, and workers’ representatives cooperate to enact life-saving policies that will protect workers from the sun’s harmful rays.
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A new United Nations report says the amount of fossil fuels produced in 2030 will far exceed the levels needed for the world to alleviate global warming. 

The study by the U.N. Environment Program says 20 of the world’s major fossil fuel producing nations are on track to produce about 110% more oil, gas and coal in 2030 than the amounts consistent with limiting global temperature rise to 1.5 degrees celsius.

Holding down global temperatures to a 1.5 degree increase compared with pre-industrial levels was a key goal of the global climate pact signed in Paris in 2015. 

The 20 countries in the report include Australia, Brazil, Russia, Saudi Arabia, the United Arab Emirates and the United States, which account for 82% of fossil fuel production and 73% of consumption.  

The report says none of them have committed to reducing production of oil, gas and coal to levels that would meet the 1.5 degree Celsius threshold. Many of those countries have continued to offer government subsidies or tax breaks to fossil fuel companies, while others produce oil through state-owned enterprises. 

The report was also produced by experts with the Stockholm Environment Institute, the  

International Institute for Sustainable Development, and research groups Climate Analytics and E3G.

Some information for this report came from The Associated Press, Reuters, Agence France-Presse.  
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This year is “virtually certain” to be the warmest in 125,000 years, European Union scientists said on Wednesday, after data showed last month was the world’s hottest October in that period.

Last month smashed through the previous October temperature record, from 2019, by a massive margin, the EU’s Copernicus Climate Change Service (C3S) said.

“The record was broken by 0.4 degrees Celsius, which is a huge margin,” said C3S Deputy Director Samantha Burgess, who described the October temperature anomaly as “very extreme.”

The heat is a result of continued greenhouse gas emissions from human activity, combined with the emergence this year of the El Nino weather pattern, which warms the surface waters in the eastern Pacific Ocean.

Globally, the average surface air temperature in October was 1.7 degrees Celsius warmer than the same month in 1850-1900, which Copernicus defines as the pre-industrial period.

The record-breaking October means 2023 is now “virtually certain” to be the warmest year recorded, C3S said in a statement. The previous record was 2016, another El Nino year.

Copernicus’ dataset goes back to 1940. “When we combine our data with the IPCC, then we can say that this is the warmest year for the last 125,000 years,” Burgess said.

The longer-term data from the U.N. climate science panel IPCC includes readings from sources such as ice cores, tree rings and coral deposits.

The only other time before October a month breached the temperature record by such a large margin was in September 2023.

“September really, really surprised us. So after last month, it’s hard to determine whether we’re in a new climate state. But now records keep tumbling and they’re surprising me less than they did a month ago,” Burgess said.

Michael Mann, a climate scientist at University of Pennsylvania, said: “Most El Nino years are now record-breakers, because the extra global warmth of El Nino adds to the steady ramp of human-caused warming.”

Climate change is fueling increasingly destructive extremes. This year, that included floods that killed thousands of people in Libya, severe heatwaves in South America, and Canada’s worst wildfire season on record.

“We must not let the devastating floods, wildfires, storms, and heatwaves seen this year become the new normal,” said Piers Forster, climate scientist at University of Leeds.

“By rapidly reducing greenhouse gas emissions over the next decade, we can halve the rate of warming,” he added.

Despite countries setting increasingly ambitious targets to gradually cut emissions, so far that has not happened. Global CO2 emissions hit a record high in 2022.
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After a century-long absence, gray wolves have returned to California forests. Though some wildlife experts are thrilled to see the their return, some farmers and ranchers worry the wolves present a threat to their animals. From Tulare County, California, VOA’s Robin Guess reports. Camera: Matt Dibble, Roy Kim.
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Alarmed by yet another jump in syphilis cases in newborns, U.S. health officials are calling for stepped-up prevention measures, including encouraging millions of women of childbearing age and their partners to get tested for the sexually transmitted disease.

More than 3,700 babies were born with congenital syphilis in 2022 — 10 times more than a decade before and a 32% increase from 2021, the Centers for Disease Control and Prevention said Tuesday. Syphilis caused 282 stillbirth and infant deaths, nearly 16 times more than the 2012 deaths.

The 2022 count was the most in more than 30 years, CDC officials said, and in more than half of the congenital syphilis cases, the mothers tested positive during pregnancy but did not get properly treated.

The rise in congenital syphilis comes despite repeated warnings by public health agencies, and it’s tied to the surge in primary and secondary cases of syphilis in adults, CDC officials said. It’s also been increasingly difficult for medical providers to get benzathine penicillin injections — the main medical weapon against congenital syphilis — because of supply shortages.

“It is clear that something is not working here, that something has to change,” the CDC’s Dr. Laura Bachmann said. “That’s why we’re calling for exceptional measures to address this heartbreaking epidemic.”

The federal agency wants medical providers to start syphilis treatment when a pregnant woman first tests positive, rather than waiting for confirmatory testing, and to expand access to transportation so the women can get treatment. The CDC also called for rapid tests to be made available beyond doctors’ offices and STD clinics to places such as emergency rooms, needle-exchange programs and prisons and jails.

Federal officials again advised sexually active women of childbearing age and their partners to get tested for syphilis at least once if they live in a county with high rates. According to a new CDC map and definition, 70% of U.S. adults live in a county with high rates. That’s likely tens of millions of people, according to an Associated Press estimate based on federal data.

The CDC’s recommendations are just that; there is no new federal money going out to state and local health departments to bolster testing or access. Some state health departments have already said they’re stretched thin when it comes to treatment and prevention, although Illinois announced last week it was starting a phone line for health care providers to help with record searching, consultation and assistance with mandatory reporting.

Syphilis is a bacterial infection that for centuries was a common but feared sexually transmitted disease. New infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest mark in the late 1990s. By 2002, cases began rising again, with men who have sex with other men being disproportionately affected, although the STD is spreading among several demographics.

In congenital syphilis, mothers pass the disease on to their babies, potentially leading to the death of the child or health problems for the child such as deafness, blindness and malformed bones. Case rates have been rising across racial and ethnic groups.

Dr. Mike Saag, an infectious diseases expert at the University of Alabama at Birmingham, said syphilis can be “a silent infection” in women because it’s tricky to diagnose without a blood test — not everyone gets painless sores, wart-like lesions or other visible symptoms.

The CDC has long recommended that all pregnant women should be tested for syphilis at their first prenatal visit, but poor access to prenatal care — largely in rural areas of the U.S. — can make that difficult. Nearly 40% of last year’s congenital syphilis cases involved mothers who didn’t have prenatal care, the CDC said.

If syphilis is diagnosed early in a pregnancy, the threat of passing it to the baby can be removed by a single penicillin shot. But experts say the later one gets into pregnancy, the more likely one will need multiple shots, and they have to be completed at least 30 days before delivery.

“I have had patients who have been on (a three-shot) regimen who then miss a shot,” said Dr. Nina Ragunanthan, an OB/GYN at the Delta Health Center in Mound Bayou, Mississippi. “So they are trying to get their shots, but if they don’t get the three in a row, because of transportation issues, because of job issues, child care issues, any number of reasons that prevent them from coming back, they don’t complete their treatment.”

Plus, the shortage of shots makes the task of getting syphilis numbers down difficult, health officials across the U.S. told the AP. Patients who are not pregnant can use the antibiotic doxycycline to treat syphilis, but health officials are concerned that the 14- to 28-day timeline of treatment is difficult to complete, leaving infected people uncured.

Pfizer is the nation’s sole supplier of penicillin shots. Earlier this year, company officials said penicillin was in short supply because of increased demand. Pfizer also said the shortage may not be resolved until next year.

The CDC said the shortage didn’t affect the 2022 congenital syphilis case numbers and that, despite the shortage, it isn’t aware of patients not getting their needed shots.
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When Hurricane Michael hit the Florida Panhandle five years ago, it left boats, cars and trucks piled up to the windows of Bonny Paulson’s home in the tiny coastal community of Mexico Beach, Florida, even though the house rests on pillars 14 feet above the ground. But Paulson’s home, with a rounded shape that looks something like a ship, shrugged off Category 5 winds that might otherwise have collapsed it. 

“I wasn’t nervous at all,” Paulson said, recalling the warning to evacuate. Her house lost only a few shingles, with photos taken after the storm showing it standing whole amid the wreckage of almost all the surrounding homes.

Some developers are building homes like Paulson’s with an eye toward making them more resilient to the extreme weather that’s increasing with climate change, and friendlier to the environment at the same time. Solar panels, for example, installed so snugly that high winds can’t get underneath them, mean clean power that can survive a storm. Preserved wetlands and native vegetation that trap carbon in the ground and reduce flooding vulnerability, too. Recycled or advanced construction materials that reduce energy use as well as the need to make new material.

A person’s home is one of the biggest ways they can reduce their individual carbon footprint. Buildings release about 38% of all energy-related greenhouse gas emissions each year. Some of the carbon pollution comes from powering things like lights and air conditioners and some of it from making the construction materials, like concrete and steel.

Deltec, the company that built Paulson’s home, says that only one of the nearly 1,400 homes it’s built over the last three decades has suffered structural damage from hurricane-force winds. But the company puts as much emphasis on building green, with higher-quality insulation that reduces the need for air conditioning, heat pumps for more efficient heating and cooling, energy-efficient appliances, and of course solar.

“The real magic here is that we’re doing both,” chief executive Steve Linton. “I think a lot of times resilience is sort of the afterthought when you talk about sustainable construction, where it’s just kind of this is a feature on a list … we believe that resilience is really a fundamental part of sustainability.”

Other companies are developing entire neighborhoods that are both resistant to hurricanes and contribute less than average to climate change.

Pearl Homes’ Mirabella community in Bradenton, Florida, consists of 160 houses that are all LEED-certified platinum, the highest level of one of the most-used green building rating systems.

To reduce vulnerability to flooding, home sites are raised 3 feet above code. Roads are raised, too, and designed to direct accumulating rainfall away and onto ground where it may be absorbed. Steel roofs with seams allow solar panels to be attached so closely it’s difficult for high winds to get under them, and the homes have batteries that kick in when power is knocked out.

Pearl Homes CEO Marshall Gobuty said his team approached the University of Central Florida with a plan to build a community that doesn’t contribute to climate change. “I wanted them to be not just sustainable, but resilient, I wanted them to be so unlike everything else that goes on in Florida,” Gobuty said. “I see homes that are newly built, half a mile away, that are underwater … we are in a crisis with how the weather is changing.”

That resonates with Paulson, in Mexico Beach, who said she didn’t want to “live day to day worried about tracking something in the Atlantic.” Besides greater peace of mind, she says, she’s now enjoying energy costs of about $32 per month, far below the roughly $250 she said she paid in a previous home.

“I don’t really feel that the population is taking into effect the environmental catastrophes, and adjusting for it,” she said. “We’re building the same old stuff that got blown away.”

Babcock Ranch is another sustainable, hurricane-resilient community in South Florida. It calls itself the first solar-powered town in the U.S., generating 150 megawatts of electricity with 680,000 panels on 870 acres. The community was also one of the first in the country to have large batteries on site to store extra solar power to use at night or when the power is out.

Syd Kitson founded Babcock Ranch in 2006. The homes are better able to withstand hurricane winds because the roofs are strapped to a system that connects down to the foundation. Power lines are buried underground so they can’t blow over. The doors swing outward in some homes so when pressure builds up from the wind, they don’t blast open, and vents help balance the pressure in garages.

In 2022 Hurricane Ian churned over Babcock Ranch as a Category 4 storm. It left little to no damage, Kitson said.

“We set out to prove that a new town and the environment can work hand-in-hand, and I think we’ve proven that,” said Kitson. “Unless you build in a very resilient way, you’re just going to constantly be repairing or demolishing the home.”

The development sold some 73,000 acres of its site to the state for wetland preservation, and on the land where it was built, a team studied how water naturally flows through the local environment and incorporated it into its water management system.

“That water is going to go where it wants to go, if you’re going to try and challenge Mother Nature, you’re going to lose every single time,” said Kitson. The wetlands, retention ponds, and native vegetation are better able to manage water during extreme rainfall, reducing the risk of flooded homes.

In the Florida Keys, Natalia Padalino and her husband, Alan Klingler, plan to finish building a Deltec home by December. The couple was concerned about the future impacts global warming and hurricanes would have on the Florida Keys and researched homes that were both sustainable and designed to withstand these storms.

“We believe we’re building something that’s going to be a phenomenal investment and reduce our risk of any major catastrophic situation,” Klingler said.

“People have been really open and receptive. They tell us if a hurricane comes, they’re going to be staying in our place,” Padalino said.
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Prince William arrived Sunday in Singapore for the annual Earthshot Prize awards, the first to be held in Asia, to support environmental innovators with solutions to battle climate change and save the planet. 

Upon his arrival, dozens of people waving British flags welcomed him with loud cheers. William, 41, shook hands, signed autographs and sportingly took selfies with many of them during a walkabout. 

“It’s fantastic to be back in Singapore for this year’s Earthshot Prize ceremony, after 11 years,” he said in a statement upon landing. “Singapore’s bold vision to be a leader for environmental innovation sets the standard for others to follow.” 

“He has this charm,” said Johanes Mario, a Singaporean welcoming William at the airport. “He really fights for … the climate. I believe this is really a good cause for the future of our generation.”

At Singapore’s Changi Airport and before greeting the crowd, William stood on an upper floor for a stunning view of the 40-meter (131-foot) Rain Vortex, the world’s largest indoor waterfall, which was illuminated green to mark his arrival. He was also shown a tree planted in his honor in the indoor garden at the foot of the waterfall. 

The heir to the British throne last visited Singapore with his wife, Princess Catherine, in 2012. Traveling solo this time, William’s focus is on the Earthshot Prize that he and his Royal Foundation charity launched in 2020 to promote innovative solutions and technologies to combat global warming and mitigate its impact on the environment. 

15 finalists

Five winners will be named at an award ceremony Tuesday. Each will get a million pounds ($1.2 million) to help them scale up their projects for a wider global reach. Fifteen finalists representing six continents were selected from 1,300 nominees this year. The winners are from five categories: nature protection, clean air, ocean revival, waste elimination and climate change. 

William will address the star-studded ceremony, to be hosted by English actress Hannah Waddingham. Renowned wildlife conservationist Robert Irwing and celebrities including Oscar-winner Cate Blanchett and actresses Lana Condor and Nomzamo Mbatha are expected to attend the event. 

The inaugural ceremony was held in London in 2021, followed by Boston last year. The prize’s name refers to the late President John F. Kennedy’s 1962 “moonshot” speech, which challenged Americans to reach the moon by the end of that decade. That inspired the prince and his partners to set a similar goal for finding solutions to pressing environmental problems by 2030. 

Singapore’s Foreign Ministry said William will call on Singapore President Tharman Shanmugaratnam and meet Prime Minister Lee Hsien Loon at The Istana palace — one of Singapore’s oldest heritage sites — during his four-day trip. 

William, a keen sportsman, will also try his hand at dragon boating, a popular sport in Singapore and many parts of the world. He will also meet Singaporeans to see how local organizations are working to protect and restore the planet. 

William’s office at Kensington Palace has said that Singapore was chosen to host this year’s awards ceremony because of its role as a “hub for innovation” in Southeast Asia. 

William will also attend the United for Wildlife global summit, featuring representatives of law enforcement agencies, conservation groups and corporations working to combat trade in illegal wildlife products, estimated at $20 billion annually. 
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Building a robot that’s both humanlike and useful is a decadesold engineering dream inspired by popular science fiction. 

While the latest artificial intelligence craze has sparked another wave of investments in the quest to build a humanoid, most of the current prototypes are clumsy and impractical, looking better in staged performances than in real life. That hasn’t stopped a handful of startups from keeping at it. 

“The intention is not to start from the beginning and say, ‘Hey, we’re trying to make a robot look like a person,'” said Jonathan Hurst, co-founder and chief robot officer at Agility Robotics. “We’re trying to make robots that can operate in human spaces.” 

Do we even need humanoids? Hurst makes a point of describing Agility’s warehouse robot Digit as human-centric, not humanoid, a distinction meant to emphasize what it does over what it’s trying to be. 

What it does, for now, is pick up tote bins and move them. Amazon announced in October it would begin testing Digits for use in its warehouses, and Agility opened an Oregon factory in September to mass-produce them. 

Digit has a head containing cameras, other sensors and animated eyes, and a torso that essentially works as its engine. It has two arms and two legs, but its legs are more birdlike than human, with an inverted knees appearance that resembles so-called digitigrade animals such as birds, cats and dogs that walk on their toes rather than on flat feet. 

Rival robot-makers, like Figure AI, are taking a more purist approach on the idea that only true humanoids can effectively navigate workplaces, homes and a society built for humans. Figure also plans to start with a relatively simple use case, such as in a retail warehouse, but aims for a commercial robot that can be “iterated on like an iPhone” to perform multiple tasks to take up the work of humans as birth rates decline around the world. 

“There’s not enough people doing these jobs, so the market’s massive,” said Figure AI CEO Brett Adcock. “If we can just get humanoids to do work that humans are not wanting to do because there’s a shortfall of humans, we can sell millions of humanoids, billions maybe.” 

At the moment, however, Adcock’s firm doesn’t have a prototype that’s ready for market. Founded just over a year ago and after having raised tens of millions of dollars, it recently revealed a 38-second video of Figure walking through its test facility in Sunnyvale, California. 

Tesla CEO Elon Musk is also trying to build a humanoid, called Optimus, through the car company’s robotics division, but a hyped-up live demonstration last year of the robot’s awkwardly halting steps didn’t impress experts in the robotics field. Seemingly farther along is Tesla’s Austin, Texas-based neighbor Apptronik, which unveiled its Apollo humanoid in an August video demonstration. 

All the attention — and money — poured into making ungainly humanoid machines might make the whole enterprise seem like a futile hobby for wealthy technologists, but for some pioneers of legged robots, it’s all about what you learn along the way. 

“Not only about their design and operation, but also about how people respond to them, and about the critical underlying technologies for mobility, dexterity, perception and intelligence,” said Marc Raibert, the co-founder of Boston Dynamics, best known for its dog-like robots named Spot. 

Raibert said sometimes the path of development is not along a straight line. Boston Dynamics, now a subsidiary of carmaker Hyundai, experimented with building a humanoid that could handle boxes. 

“That led to development of a new robot that was not really a humanoid, but had several characteristics of a humanoid,” he said via email. “But the changes resulted in a new robot that could handle boxes faster, could work longer hours and could operate in tight spaces, such as a truck. So humanoid research led to a useful nonhumanoid robot.” 

Some startups aiming for humanlike machines focused on improving the dexterity of robotic fingers before trying to get their robots to walk. 

Walking is “not the hardest problem to solve in humanoid robotics,” said Geordie Rose, co-founder and CEO of British Columbia, Canada-based startup Sanctuary AI. “The hardest problem is the problem of understanding the world and being able to manipulate it with your hands.” 

Sanctuary’s newest and first bipedal robot, Phoenix, can stock shelves, unload delivery vehicles and operate a checkout, early steps toward what Rose sees as a much longer-term goal of getting robots to perceive the physical world to be able to reason about it in a way that resembles intelligence. Like other humanoids, it’s meant to look endearing, because how it interacts with real people is a big part of its function. 

“We want to be able to provide labor to the world, not just for one thing, but for everybody who needs it,” Rose said. “The systems have to be able to think like people. So we could call that artificial general intelligence if you’d like. But what I mean more specifically is the systems have to be able to understand speech and they need to be able to convert the understanding of speech into action, which will satisfy job roles across the entire economy.” 
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Using sidewalks as exam rooms and heavy red duffle bags as medical supply closets, volunteer medics spend their Saturdays caring for the growing number of migrants arriving in Chicago without a place to live.

Mostly students in training, they go to police stations where migrants are first housed, prescribing antibiotics, distributing prenatal vitamins and assessing for serious health issues. These student doctors, nurses and physician assistants are the front line of health care for asylum-seekers in the nation’s third-largest city, filling a gap in Chicago’s haphazard response.

“My team is a team that shouldn’t have to exist, but it does out of necessity,” said Sara Izquierdo, a University of Illinois Chicago medical student who helped found the group. “Because if we’re not doing this, I’m not sure anyone will.”

More than 19,600 migrants have come to Chicago over the last year since Texas Gov. Greg Abbott began sending buses to so-called sanctuary cities. The migrants wait at police stations and airports, sometimes for months, until there’s space at a longer-term shelter, like park district buildings.

Once in shelter, they can access a county clinic exclusively for migrants. But the currently 3,300 people in limbo at police stations and airports must rely on a mishmash of volunteers and social service groups that provide food, clothes and medicine.

Izquierdo noted the medical care gap months ago, consulted experienced doctors and designed a street-medicine model tailored to migrants’ medical needs. Her group makes weekly visits to police stations, operating on a shoestring budget of $30,000, mostly used for medication.

On a recent Saturday, she was among dozens of medics at a South Side station where migrants sleep in the lobby, on sidewalks and an outdoor basketball court. Officers didn’t allow the volunteers in the station so when one patient requested privacy, their doctor used his car.

Abrahan Belizario saw a doctor for the first time in five months.

The 28-year-old had a headache, toothache and chest pain. He recently arrived from Peru, where he worked as a driver and at a laundromat but couldn’t survive. He wasn’t used to the brisk Chicago weather and believed sleeping outdoors exacerbated his symptoms.

“It is very cold,” he said. “We’re almost freezing.”

The volunteers booked him a dental appointment and gave him a bus pass.

Many migrants who land in Chicago and other U.S. cities come from Venezuela where a social, political and economic crisis has pushed millions into poverty. More than 7 million have left, often risking a dangerous route by foot to the U.S. border.

The migrants’ health problems tend to be related to their journey or living in crowded conditions. Back and leg injuries from walking are common. Infections spread easily. Hygiene is an issue. There are few indoor bathrooms and outdoor portable toilets lack handwashing stations. Not many people carry their medical records.

Most also have trauma, either from their homeland or from the journey itself.

“You can understand the language, but it doesn’t mean you understand the situation,” said Miriam Guzman, one of organizers and a fourth-year medical student at UIC.

The doctors refer patients to organizations that help with mental health but there are limitations. The fluid nature of the shelter system makes it difficult to follow-up; people are often moved without warning.

Chicago’s goal is to provide permanent homes, which could help alleviate health issues. But the city has struggled to manage the growing population as buses and planes arrive daily at all hours. Mayor Brandon Johnson, who took office in May, calls it an inherited issue and proposed winterized tents.

His administration has acknowledged the heavy reliance on volunteers.

“We weren’t ready for this,” said Rey Wences Najera, first deputy of immigrant, migrant and refugee rights. “We are building this plane as we are flying it and the plane is on fire.”

The volunteer doctors also are limited in what they can do: Their duffle bags have medications for children, bandages and even ear plugs after some migrants wanted to block out sirens. But they cannot offer X-rays or address chronic issues.

“You’re not going to tell a person who has gone through this journey to stop smoking,” said Ruben Santos, a Rush University medical student. “You change your way of trying to connect to that person to make sure that you can help them with their most pressing needs while not doing some of the traditional things that you would do in the office or a big academic hospital.”

The volunteers explain to each patient that the service is free but that they’re students. Experienced doctors, who are part of the effort, approve treatment plans and prescribe medications.

Getting people those medications is another challenge. One station visit prompted 15 prescriptions. Working from laptops on the floor — near dozens of sleeping families — the doctors mapped out which medics would pick up medications the following day and how they’d find the recipients.

Sometimes the volunteers must call for emergency help.

Thirty-year-old Moises Hidalgo said he had trouble breathing. Doctors heard a concerning “crackling” sound, suspected pneumonia and called an ambulance.

Hidalgo, who came from Peru after having left his native Venezuela more than a decade ago, once worked as a chef. He’s been walking around Chicago looking for jobs, but has been turned away without a work permit.

“I’ve been trying to find work, at least so that I can pay to sleep somewhere, because if this isn’t solved, I can’t keep waiting,” he said.

To stay warm while sleeping outside, he wore four layers of clothing; his loose pants cinched with a shoelace.

The medics hope Chicago can formalize their approach. And they say they’ll continue to keep at it — for some, it’s personal.

Dr. Muftawu-Deen Iddrisu, who works Advocate Illinois Masonic Medical Center, said he wanted to give back. Originally from Ghana, he attended medical school in Cuba.

“I come from a very humble background,” he said. “I know how it feels. I know once sometime back someone did the same for me.” 
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