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HONOLULU — A Hawaii judge has temporarily blocked the state from enforcing a law requiring the licensing of practitioners and teachers of traditional Native Hawaiian midwifery while a lawsuit seeking to overturn the statute wends its way through the courts.

Lawmakers enacted the midwife licensure law, which asserted that the “improper practice of midwifery poses a significant risk of harm to the mother or newborn, and may result in death,” in 2019. Violations are punishable by up to a year in jail, plus thousands of dollars in criminal and civil fines.

The measure requires anyone who provides “assessment, monitoring, and care” during pregnancy, labor, childbirth and the postpartum period to be licensed.

A group of women sued, arguing that a wide range of people, including midwives, doulas, lactation consultants and even family and friends of the new mother would be subject to penalties and criminal liability.

Their complaint also said the law threatens the plaintiffs’ ability to serve women who seek traditional Native Hawaiian births.

Judge Shirley Kawamura issued a ruling late Tuesday afternoon barring the state from “enforcing, threatening to enforce or applying any penalties to those who practice, teach, and learn traditional Native Hawaiian healing practices of prenatal, maternal and child care.”

Plaintiffs testified during a four-day hearing last month that the law forces them to get licensed through costly out-of-state programs that don’t align with Hawaiian culture.

Ki’inaniokalani Kahoʻohanohano testified that a lack of Native Hawaiian midwives when she prepared to give birth for the first time in 2003 inspired her to eventually become one herself. She described how she spent years helping to deliver as many as three babies a month, receiving them in a traditional cloth made of woven bark and uttering sacred chants as she welcomed them into the world.

The law constitutes a deprivation of Native Hawaiian customary rights, which are protected by the Hawaii constitution, Kawamura’s ruling said, and the “public interest weighs heavily towards protecting Native Hawaiian customs and traditions that are at risk of extinction.”

The dispute is the latest in a long debate about how and whether Hawaii should regulate the practice of traditional healing arts that date to well before the islands became the 50th state in 1959. Those healing practices were banished or severely restricted for much of the 20th century, but the Hawaiian Indigenous rights movement of the 1970s renewed interest in them.

The state eventually adopted a system under which councils versed in Native Hawaiian healing certify traditional practitioners, though the plaintiffs in the lawsuit say their efforts to form such a council for midwifery have failed.

The judge also noted in her ruling that the preliminary injunction is granted until there is a council that can recognize traditional Hawaiian birthing practitioners.

“This ruling means that traditional Native Hawaiian midwives can once again care for families, including those who choose home births, who can’t travel long distances, or who don’t feel safe or seen in other medical environments,” plaintiff and midwife trainee Makalani Franco-Francis said in a statement Wednesday. “We are now free to use our own community wisdom to care for one another without fear of prosecution.”

She testified last month how she learned customary practices from Kahoʻohanohano, including cultural protocols for a placenta, such as burying it to connect a newborn to its ancestral lands.

The judge found, however, that the state’s regulation of midwifery more broadly speaking is “reasonably necessary to protect the health, safety, and welfare of mothers and their newborns.”

The ruling doesn’t block the law as it pertains to unlicensed midwives who do not focus on Hawaiian birthing practices, said Hillary Schneller, an attorney with the Center for Reproductive Rights, which represents the women. “That is a gap that this order doesn’t address.”

The case is expected to continue to trial to determine whether the law should be permanently blocked.

The state attorney general’s office said in an email Wednesday that it was still reviewing the decision.
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washington — NASA’s rover Perseverance on Mars has made what could be its most astonishing discovery to date: possible signs of ancient life on the Red Planet.

The six-wheeled robotic explorer came across an intriguing, arrow-shaped rock dubbed “Cheyava Falls” that may harbor fossilized microbes from billions of years ago, when Mars was a watery world.

Perseverance drilled into the enigmatic rock to collect a core sample on July 21, as it traversed Neretva Vallis, an ancient river valley.

The samples carefully stowed beneath the rover’s belly are destined to eventually return to Earth, where they will undergo more comprehensive analysis.

“Cheyava Falls is the most puzzling, complex, and potentially important rock yet investigated by Perseverance,” project scientist Ken Farley of Caltech said Thursday.

Three compelling clues have scientists buzzing.

White calcium sulfate veins run the length of the rock, a telltale sign that water once flowed through it.

Between these veins is a reddish middle area, teeming with organic compounds, as detected by the rover’s SHERLOC (Scanning Habitable Environments with Raman and Luminescence for Organics and Chemicals) instrument.

Finally, tiny off-white splotches ringed with black, reminiscent of leopard spots, contain chemicals that suggest energy sources for ancient microbes, according to scans by the PIXL (Planetary Instrument for X-ray Lithochemistry) instrument.

“On Earth, these types of features in rocks are often associated with the fossilized record of microbes living in the subsurface,” said David Flannery, an astrobiologist and member of the Perseverance science team from the Queensland University of Technology in Australia.

The quest to confirm ancient Martian life is far from over, however.

The real test will come when Perseverance’s precious rock samples are returned to Earth as part of the Mars Sample Return Program, a collaboration between NASA and the European Space Agency slated for the 2030s.

While there are alternative explanations for these findings that do not involve microbes, there is a tantalizing chance that Perseverance’s core sample might contain actual fossilized microbes — potentially making history as the first proof of life beyond Earth.

“We have zapped that rock with lasers and X-rays and imaged it literally day and night from just about every angle imaginable,” said Farley.

“Scientifically, Perseverance has nothing more to give. To fully understand what really happened in that Martian river valley at Jezero Crater billions of years ago, we’d want to bring the Cheyava Falls sample back to Earth, so it can be studied with the powerful instruments available in laboratories,” he explained.
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washington — Thousands of policymakers, health care professionals and advocates gathered this week in Munich, Germany, to take stock of the global fight against HIV as they try to meet the 2030 deadline set by world leaders for eliminating AIDS as a public health threat.

Advocates hailed sub-Saharan Africa’s progress in the global HIV response, with tens of millions of people now on lifesaving drugs.

A new UNAIDS survey released during the conference reported that “approximately 30.7 million of the estimated 39.9 million people living with HIV globally were receiving antiretroviral therapy in 2023.”

The report called that result a “landmark public health achievement,” and health officials at the conference said it would not be possible without the “immense political will” of regional leaders and NGOs.

Anne Githuku-Shongwe, the UNAIDS regional director for eastern and southern Africa, told VOA from Johannesburg that recently there has been a “huge focus” on ensuring that anyone living with HIV in sub-Saharan Africa gets access to testing and treatment to ensure virus suppression, so the virus becomes untransmissible.

“The data is telling us that 84% of people living with HIV in our region have access to treatment. And 94% of those on treatment have been able to keep [the virus] suppressed so it is untransmissible,” she said.

However, Githuku-Shongwe pointed out that despite the progress that has been made, some countries in Africa are lagging behind in the battle against HIV/AIDS, partly because of civil wars, humanitarian setbacks and sheer negligence. She mentioned South Sudan, Angola, Madagascar, Mauritius, Seychelles and the Comoros as examples.

“[Countries] like Mauritius are barely at 50% of the treatment target,” she said, adding that another critical challenge being faced is the lack of attention to children living with the virus.

The report said children aged 0-14 years are still contracting HIV. An estimated 120,000 children got the virus in 2023, bringing the number of children living with HIV globally to 1.4 million, 86% of whom are in sub-Saharan Africa, according to the UNAIDS report.

Worries about donor funding

Githuku-Shongwe said there have been major investments from partners – particularly from PEPFAR, a U.S.-funded initiative to tackle the HIV/AIDS crisis, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. She noted that in some countries, up to 99% of the HIV response is externally funded.

“But with time we are seeing that dwindling,” she said.

Nearly $19.8 billion was available in 2023 for HIV programs in low- and middle-income countries, almost $9.5 billion short of the amount needed by 2025, the report said.

Catherine Connor, vice president in charge of public policy and advocacy at the Elizabeth Glaser Pediatric AIDS Foundation, a Washington nonprofit, told VOA from Munich that the data on infections in children were “troubling” and pointed to a lackadaisical approach toward pediatric HIV.

“The report clearly shows that children are one out of every 10 new infections, which is really high,” she said. “But there’s also an outsized mortality issue around children. Children make up 3% of the HIV-infected population, but they represent 12% of deaths.”

Connor said there’s inequity in treatment, particularly for children living with HIV.

“Children can’t take themselves to clinics. They often don’t even know they’ve been exposed to HIV,” she said. “So they really rely on caregivers, the community around them, to ensure not just that they can be identified as being HIV-exposed or potentially HIV-positive, but also get the needed support to maintain their health, even if they are on treatment.”

Connor concluded that world leaders and policymakers should be made aware how significant it is to act on HIV prevention, because if the world fails to take steps to curtail the virus, then “we will not end AIDS.”

“It’s almost like having a dam holding back a river of water,” she said.

“HIV is preventable and treatable, but it is not curable. And so, if we let cracks in that dam get so bad, it’s going to break, and we are going to see a reemergence of the HIV/AIDS pandemic in ways we have never seen,” Connor said.
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United Nations — The U.N. Secretary-General warned Thursday that the Earth is becoming hotter and more dangerous for everyone, killing nearly a half-million people annually, and he blamed fossil fuels for driving global warming.

“Billions of people are facing an extreme heat epidemic — wilting under increasingly deadly heat waves, with temperatures topping 50 degrees Celsius around the world. That’s 122 degrees Fahrenheit. And halfway to boiling,” Antonio Guterres told reporters.

Sunday was the Earth’s hottest day on record, only to have the record broken the following day. Temperatures have been rising steadily, with scientists declaring the last 13 consecutive months all heat record-breakers. Urban areas are heating up at twice the global average.

Heat waves have killed scores of people this year in India and in Africa’s Sahel region. Last month, extreme heat killed 1,300 Muslim pilgrims in Saudi Arabia. This month, Europe, the United States and Asia have also seen exceptional heat.

He said that the World Health Organization and World Meteorological Organization estimate that improvements to heat health warning systems in 57 countries could save nearly 100,000 lives a year.

Fossil fuels

Guterres has repeatedly called on greenhouse gas emitters to meet the 2015 Paris Climate Accord’s target of limiting global temperature rise to 1.5 degrees Celsius — a goal that many worry is slipping away. He said that fossil fuel expansion and new coal plants are obstacles to meeting that target.

“I must call out the flood of fossil fuel expansion we are seeing in some of the world’s wealthiest countries,” he said. “In signing such a surge of new oil and gas licenses, they are signing away our future.”

He urged leaders to quickly and fairly phase out fossil fuels and end new coal projects.

“The G20 must shift fossil fuel subsidies to renewables and support vulnerable countries and communities,” he said of the world’s largest economies.

And he urged more climate adaptation and mitigation financing from the richest countries — which are the biggest emitters — to help the poorest, most vulnerable nations that have contributed the least to global warming.

Guterres said he is launching a global call to action focused on caring for the most vulnerable, including protecting workers who are exposed to extreme heat.

“A new report from the International Labor Organization — being released today — warns that over 70% of the global workforce — 2.4 billion people — are now at high risk of extreme heat,” he said.

In addition to the rights and health of individual workers, there are economic impacts of extreme heat too.

“Heat stress at work is projected to cost the global economy $2.4 trillion by 2030. Up from $280 billion in the mid-1990s,” Guterres said, adding measures need to be taken to “heat proof” critical sectors of the global economy, like farming and construction work.

The U.N. chief warned that extreme heat widens social inequality, undermines development, furthers food insecurity, and pushes people deeper into poverty.

“Leaders across the board must wake up and step up,” he said.
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CAPE CANAVERAL, Florida — A super Jupiter has been spotted around a neighboring star by the Webb Space Telescope — and it has a super orbit. 

The planet is roughly the same diameter as Jupiter, but with six times the mass. Its atmosphere is also rich in hydrogen like Jupiter’s. 

One big difference: It takes this planet more than a century, possibly as long as 250 years, to go around its star. It’s 15 times the distance from its star than Earth is to the sun. 

Scientists had long suspected a big planet circled this star 12 light-years away, but not this massive or far from its star. A light-year is 5.8 trillion miles. These new observations show the planet orbits the star Epsilon Indi A, part of a three-star system. 

An international team led by Max Planck Institute for Astronomy’s Elisabeth Matthews in Germany collected the images last year and published the findings Wednesday in the journal Nature. 

Astronomers directly observed the incredibly old and cold gas giant — a rare and tricky feat — by masking the star through use of a special shading device on Webb. By blocking the starlight, the planet stood out as a pinpoint of infrared light. 

The planet and star clock in at 3.5 billion years old, 1 billion years younger than our own solar system, but still considered old and brighter than expected, according to Matthews. 

The star is so close and bright to our own solar system that it’s visible with the naked eye in the Southern Hemisphere. 

Don’t bet on life, though. 

“This is a gas giant with no hard surface or liquid water oceans,” Matthews said in an email. 

It’s unlikely this solar system sports more gas giants, she said, but small rocky worlds could be lurking there. 

Worlds similar to Jupiter can help scientists understand “how these planets evolve over giga-year timescales,” she said. 

The first planets outside our solar system — dubbed exoplanets — were confirmed in the early 1990s. NASA’s tally now stands at 5,690 as of mid-July. The vast majority were detected via the transit method, in which a fleeting dip in starlight, repeated at regular intervals, indicates an orbiting planet. 

Telescopes in space and also on the ground are on the hunt for even more, especially planets that might be similar to Earth. 

Launched in 2021, NASA and the European Space Agency’s Webb telescope is the biggest and most powerful astronomical observatory ever placed in space.
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A group of young African students is shooting for the stars thanks to a program called ‘Pathways to Space.’ Aerospace company Boeing and a South African science organization backed an education program that just celebrated its first batch of graduates. Vicky Stark reports from Cape Town.
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Geneva — A senior World Health Organization official expressed alarm Tuesday at the high risk of polio spreading within the Gaza Strip because of dire sanitary conditions in the war-wracked enclave, and that the paralytic disease it causes could spill across borders without prompt action to stem the outbreak.

“I am, like, super worried,” Dr. Avadil Saparbekov, team lead for health emergencies at the WHO in the occupied Palestinian territory, told journalists from Jerusalem. “I am extremely worried about an outbreak happening in Gaza … and that it may spill over internationally at a very high point.” 

Saparbekov, who recently returned from a weeklong visit to Gaza, confirmed that “circulating vaccine-derived poliovirus type 2” has been identified in samples of Gazan sewage assessed by researchers and that an epidemiological probe “to identify the potential source of this importation” is underway.

“Based on the results of the assessment, WHO and the GPEI (Global Polio Eradication Initiative) partners will consolidate a set of recommendations, including the need for a mass vaccination campaign,” he said.

On July 16, the Global Polio Laboratory Network isolated the virus in six environmental surveillance samples collected from sewage on June 23 in Khan Younis and Deir al Balah in Gaza.

The WHO reports that further genomic sequencing of the samples by the U.S. Centers for Disease Control and Prevention indicates that they are related to environmental samples that were circulating in Egypt during the second half of last year.

“It is important to note that poliovirus has been isolated from environmental samples only at this time; no associated paralytic cases have been detected,” Saparbekov stressed.

Circulating vaccine-derived poliovirus is transmitted from person to person mainly through the fecal-oral route. It can invade a person’s nervous system and cause paralysis and death.

“We have not yet collected the human samples to identify any viruses because of the lack of equipment to collect those and lack of capacity to test those samples,” Saparbekov said, noting that WHO and UNICEF teams entering Gaza on Thursday will bring up to 50 sample collection kits “so we will be able to collect human samples, stool samples from humans.”

The samples, he said, will be sent to a lab in Jordan to confirm any cases of infection.

“Until that is done, I cannot say that there are any humans that are affected with this circulating vaccine-derived poliovirus,” he said.

The WHO said that wild poliovirus was eliminated more than 25 years ago in the Palestinian territories. Before the start of the war in Gaza, following a vicious attack on Israel by Hamas militants on October 7, the U.N. health agency says 89% of the population was vaccinated against polio, primarily conducted through routine immunization.

Last Sunday, Israel’s military said it would offer polio vaccinations to soldiers serving in Gaza to protect against the paralytic disease.

Saparbekov said the WHO will be reaching out to COGAT, the Israeli authority responsible for the coordination of government activities in the Palestinian territories, “to see how they can facilitate” the response to the outbreak. One way to do that, he added, is to have vaccines available for Gazans in case “there is a decision to conduct a mass campaign.”

“We have so far received assurances that this will be done,” he said.

The WHO official expressed hope that the epidemiological investigation and risk assessment would be completed by the end of the week, such that his team “will have a joint recommendation from the GPEI network about what to do with this particular outbreak” by Sunday.

In the meantime, he said, aid workers are doing their best to inform the population as to health measures they must take to prevent a polio outbreak.

“Given the water and sanitation limitations in Gaza, it will be very difficult for the population to follow the advice to wash their hands, to drink safe water,” he said.

“Unfortunately, the majority that live in shelters with one toilet for 600 people and maybe 1.5 liters of water per person, will definitely not be able to follow the recommendations that we are providing,” he said.

While reiterating concerns about polio spreading in the Palestinian enclave, WHO health emergency chief Saparbekov said he also is very worried about the possible outbreak of other communicable diseases.

“We had Hepatitis A confirmed last year and now we may have a polio outbreak,” he said. “So, with the crippled health system, lack of water and sanitation, as well as lack of access of the population to health services, specifically primary health services, this is going to be a very bad situation that will happen in Gaza.

“We may have more people dying from communicable diseases than from injuries and related conditions,” he warned.
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Some people who have lost the ability to speak can still move their vocal cords. California researchers are working to transform those muscle movements into audible speech. Genia Dulot reports from Los Angeles in this week’s edition of LogOn.
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United Nations — Nearly 40 million people were living with the HIV virus that causes AIDS last year, over 9 million weren’t getting any treatment, and the result was that every minute someone died of AIDS-related causes, the U.N. said in a new report launched Monday.

While advances are being made to end the global AIDS pandemic, the report said progress has slowed, funding is shrinking, and new infections are rising in three regions: the Middle East and North Africa, Eastern Europe and Central Asia, and Latin America.

In 2023, around 630,000 people died from AIDS-related illnesses, a significant decline from the 2.1 million deaths in 2004. But the latest figure is more than double the target for 2025 of fewer than 250,000 deaths, according to the report by UNAIDS, the U.N. agency leading the global effort to end the pandemic.

Gender inequality is exacerbating the risks for girls and women, the report said, citing the extraordinarily high incidence of HIV among adolescents and young women in parts of Africa.

The proportion of new infections globally among marginalized communities that face stigma and discrimination – sex workers, men who have sex with men, and people who inject drugs also increased to 55% in 2023 from 45% in 2010, it said.

UNAIDS Executive Director Winnie Byanyima said: “World leaders pledged to end the AIDS pandemic as a public health threat by 2030, and they can uphold their promise, but only if they ensure that the HIV response has the resources it needs, and that the human rights of everyone are protected.”

As part of that pledge, leaders vowed to reduce annual new HIV infections to below 370,000 by 2025, but the report said in 2023 new infections were more than three times higher at 1.3 million.

Last year, among the 39.9 million people globally living with HIV, 86% knew they were infected, 77% were accessing treatment, and for 72% the virus was suppressed, the report said

Cesar Nunez, director of the UNAIDS New York office, told a news conference there has been progress in HIV treatments — injections that can stay in the body for six months, but the two doses cost $40,000 yearly, out of reach for all but the richest people with the virus.

He said UNAIDS has been asking the manufacturer to make it available at lower cost to low and middle-income countries.

Nunez said there have also been seven cases where people with HIV who were treated for leukemia emerged with no sign of the HIV virus in their system.

He said injections and the seven cases will be discussed at the 25th International AIDS Conference which began Monday in Munich.

At present, he said, daily treatment with pills costs about $75 per person per year. It has allowed many countries to increase the number of people with HIV to receive treatment.

Nunez said UNAIDS will continue advocating for a vaccine to prevent AIDS.
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