WINDHOEK, NAMIBIA — The cervical cancer rate in Namibia is 37.5 for every 100,000 women, about three times higher than the rate worldwide.  Cervical cancer is one of the most preventable cancers and doctors in Namibia are advocating greater access to healthcare and the HPV vaccine to reduce the prevalence of the disease. 

November 2009 was a turning point in the life of Barbara Kamba-Nyathi. At the tender age of 29, she was diagnosed with stage three cervical cancer.  

Her doctors recommended radiation therapy as opposed to chemotherapy, because at that time she had not yet had children and radiation therapy would help her avoid premature menopause.

But that was not her only struggle. Kamba-Nyathi, who lived in Windhoek at the time, said she faced stigma for cervical cancer’s association with HIV and the human papilloma virus.  

“One of the challenges that come with having a diagnosis like cervical cancer is that our African society its usually taboo to talk about things of our reproductive organs, you know, our reproductive system is taboo,” said Kamba-Nyathi. “We don’t talk about such things and in the end, we tend to normalize pain and even things that don’t feel right in our bodies we tend to normalize them and they become part of our identity.” 

Rolf Hansen, the chief executive officer of the Cancer Association of Namibia, said a lack of education and a lack of access to healthcare prevent many women from getting tested or being treated for cervical cancer or HPV, which is the second-leading cause of cancer among sub-Saharan women. 

“Like I said, HIV and HPV work hand in hand to fuel the cervical cancer pandemic,” said Hansen. “Now, in our country as well we see that in our low-income setting as well as our rural setting, we have high HPV prevalence, high cervical cancer so a lot of work needs to be done at a grassroots level so that we can actually combat this disease.” 

Doctors Simon and David Emvula provide health services to underprivileged communities, together with the Be Free/Break Free program — an initiative of former first lady Monica Geingos — in Namibia’s largest township of Katutura. They are advocating for the rollout of the HPV vaccine for girls between the ages of 9 and 14, before they become sexually active. 

Emvula said that during one screening in Windhoek on Saturday, they treated more than 100 patients, screening girls and women for HPV, cervical cancer, fibroids and other sexually transmitted infections  and sexually transmitted diseases.  

Emvula spoke to VOA at his practice in Windhoek. 

“The turnout was actually beyond what we expected and once again it was an eye-opener … that there is definitely a need for that,” said Emvula. 

Emvula said HPV vaccination is among the most effective ways to prevent cervical cancer but the government of Namibia is lagging. 

HPV vaccines have been introduced in 129 countries worldwide and the Namibian government has endorsed the rollout of the vaccines for girls ages 9 to 14. Despite promises made as reported by VOA last year, the vaccines have not yet been made available. 

Namibia’s executive director of health, Ben Nangombe, could not be reached for comment.
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In the Southwest United States, bird migrations are shifting as global temperatures warm. Gustavo Martіnez Contreras takes us to the Bosque del Apache National Wildlife Refuge in the state of New Mexico.
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After President Joe Biden announced a ban on oil and gas drilling off most of the U.S. coastline in early January, President-elect Donald Trump quickly vowed to reverse it after he takes office on January 20. But there is one section of the California coast that has gained more permanent protection from drilling – a new national marine sanctuary. Genia Dulot takes us underwater for a look.
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Labels on wine, distilled spirits and malt beverages in the U.S. would be required to list alcohol content and nutritional information per serving, plus notification of potential allergens, under two new rules proposed Thursday by the Treasury Department. 

The department’s Alcohol and Tobacco Tax and Trade Bureau is seeking public content on proposals to require an “alcohol facts” box — similar to nutrition labels on food — that would list alcohol content, calories, carbohydrates, fat and protein per serving. A second rule would require labels to declare top allergens, including milk, eggs, fish, shellfish, tree nuts, wheat, peanuts, soybean and sesame. 

The changes are consistent with the bureau’s mandate “to ensure that labels provide consumers with adequate information about the identity, quality and alcohol content of alcohol beverages,” according to a notice published in the Federal Register. 

Similar rules were first proposed nearly two decades ago and later championed in petitions submitted by advocacy groups, including the Center for Science in the Public Interest. 

“The proposals represent a momentous step toward ensuring consumers have access to the information they need to make informed choices, follow health guidelines and avoid allergic reactions,” CSPI officials said in a statement. 

Companies have been allowed to provide the information voluntarily for several years. In August 2021, a survey from the Beer Institute indicated that 95% of beer volume sold by several top producers contained nutrition information provided voluntarily, the bureau noted. Advocates, however, maintained that a limited number of companies used voluntary labels, “underscoring the need for a mandatory policy.” 

The Wine Institute, a trade group, said it would support digital labels that contained the required information. “Given the unique nature of winemaking, the most accurate and least burdensome approach to providing nutrition information to consumers would be to allow the option of off-label disclosure via QR code or other electronic means,” the group said. 

The Distilled Spirits Council of the United States also suggested QR codes or website references. 

Comments will be accepted through April 16. The rules would take effect five years from the date of final approval. 

The move is the second major change for alcohol labels announced in the waning days of the Biden administration. On Jan. 5, U.S. Surgeon General Vivek Murthy called for new warnings about the link between alcohol and cancer. 

The new proposals come as the government is updating dietary guidelines, including those around alcohol, that will form the cornerstone of federal food programs and policy. The updated guidelines are expected later this year. 

The current guidelines recommend women have one drink or fewer per day while men should stick to two or fewer.
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PHUKET, THAILAND — Plastic bottles and empty beer cans roll on the sea floor in the waters around Phuket in southern Thailand, while ever more garbage piles up on the island itself, a tourist hotspot better known for its pristine beaches and stunning sunsets.

In one corner of the island, trucks and tractors trundle back and forth moving piles of trash around a sprawling landfill, the final destination for much of the more than 1,000 tonnes of waste collected on Phuket every day.

In a matter of months, the landfill has grown so large it has replaced the previous serene mountain view from Vassana Toyou’s home.

“There is no life outside the house, (we) just stay at home,” she said. “The smell is very strong, you have to wear a mask.”

To cope with the stench, Vassana said she keeps her air conditioner and air purifiers switched on all the time, doubling her electricity bill.

Phuket, Thailand’s largest island, has undergone rapid development due to its tourism sector, a major driver of the Thai economy as a whole. Of the country’s 35.5 million foreign arrivals in 2024, about 13 million headed to the island.

“The growth of (Phuket) city has been much more rapid than it should be,” said Suppachoke Laongphet, deputy mayor of the island’s main municipality, explaining how a tourism and construction boom has pushed trash volumes above pre-COVID levels.

By the end of year, the island could be producing up to 1,400 tonnes of trash a day, overwhelming its sole landfill, he said.

Authorities are pushing ahead with plans to cut waste generation by 15% in six months, expand the landfill and build a new incinerator, he said, as the island strives to become a more sustainable tourist destination.

But increasing capacity and incinerators is only part of the solution, experts say.

“If you just keep expanding more waste incinerators, I don’t think that would be just the solution,” said Panate Manomaivibool, an assistant professor in waste management at Burapha University.

“They need to focus on waste reduction and separation.” 
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BLANTYRE, MALAWI — Malawi’s government launched a plan Thursday to stop cholera outbreaks by 2030.

Officials say that if the government and international partners can effectively cooperate, they can greatly reduce the prevalence of cholera in the southern African country, where it has killed at least 1,700 people over the past three years.

Partners include the World Health Organization, or WHO, and UNICEF.

Minister of Health Khumbize Kandodo-Chiponda said, “The goal of the plan is to reduce the annual cholera rate by 90% and achieve the case fatality rate of less than 1% by the year 2030, as recommended by WHO.”

Kandodo-Chiponda said there are several ways to achieve the goal, all of which involve the government, development partners, civil society organizations and other stakeholders supplying expertise and funding to support prevention and control efforts.

She said those efforts will be “to increase access to safe water and sanitation facilities and promote improved hygiene practices; to raise awareness and promote community-led initiatives to prevent and to respond to outbreaks.”

Malawi has experienced cholera outbreaks over the past three years, with the most severe occurring in 2022, resulting in over 1,700 deaths nationwide.

During Thursday’s event, the Malawian government launched an oral cholera vaccine campaign targeting four districts — Mzimba, Karonga, Balaka and Machinga — to address a recent resurgence of cholera there.

Statistics from the Presidential Task Force on Cholera show the disease has caused 14 deaths since September.

Shadrack Omol, UNICEF’s representative in Malawi, said the 2024 resurgence of cholera shows that root causes of the infectious bacterial disease persist.

“Health interventions … are complimentary in support,” Omol said. “The key to addressing the root causes is in provision of safe drinking water across our country, improving sanitation and improving hygiene practices.”

Malawi’s public health experts say goals to eradicate the disease within five years will depend on stakeholder commitments.

George Jobe, executive director of the Malawi Health Equity Network, said, “If financial investments [and] technical investments from partners are done, we believe we can win this battle. It should not be a document that should grow dust on the shelves.”

Kandodo-Chiponda said the operational plans will be reviewed at least once every year to keep ahead of any possible cholera outbreaks.
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WASHINGTON — Hours after Jeff Bezos’s Blue Origin nailed its first-ever orbital mission, SpaceX seized back the spotlight on Thursday as its latest test of Starship, its gargantuan next-generation mega rocket, ended with the upper stage dramatically disintegrating over the Atlantic.

In terms of sheer excitement, Elon Musk’s company didn’t disappoint, underscoring its technical prowess by catching the first stage booster in the “chopstick” arms of its launch tower for a second time.

But the triumph was short-lived when teams lost contact with the upper stage vehicle. SpaceX later confirmed it had undergone “rapid unscheduled disassembly,” the company’s euphemism for an explosion.

A taller, improved version of the biggest and most powerful launch vehicle ever built blasted off from the company’s Starbase in Boca Chica, Texas, at 4:37 p.m. (2237 GMT) for its seventh test.

The gleaming prototype rocket is key to Musk’s ambitions of colonizing Mars, while NASA hopes to use a modified version as a human lunar lander.

Around seven minutes after liftoff, the Super Heavy booster decelerated from supersonic speeds — generating sonic booms — before descending gracefully into the launch tower’s waiting arms, prompting an eruption of applause from ground control teams.

The maneuver was first successfully executed in October, but not November, when Super Heavy made a controlled splashdown in the Gulf of Mexico instead.

Soon after the latest booster catch, however, announcers on a live webcast confirmed the upper stage vehicle had been lost following a propulsion anomaly.

The FlightAware tracker showed several planes in the Atlantic altering course near the Turks and Caicos Islands, while users on X shared dramatic footage purportedly capturing the spaceship breaking apart in a fiery cascade during atmospheric reentry.

“Success is uncertain, but entertainment is guaranteed!” Musk wrote on X, sharing one of the clips. He added the cause of the explosion appeared to be an “oxygen/fuel leak” and that the company would take corrective steps.

A Federal Aviation Administration (FAA) spokesperson said the agency “briefly slowed and diverted aircraft around the area where space vehicle debris was falling.”

Well wishes

Ahead of the SpaceX launch, Blue Origin’s massive New Glenn rocket reached orbital space for the first time, marking a potential turning point in the commercial space race.

SpaceX has long dominated orbital launches with its Falcon 9 rocket, securing contracts from private companies, the Pentagon and NASA.

In contrast, Blue Origin had been limited to short hop suborbital flights with its smaller New Shepard rocket — but could now look to erode SpaceX’s market share.

Although the two tech titans have had a contentious past, Musk congratulated Bezos “on reaching orbit on the first attempt,” and Bezos returned the goodwill a few hours later.

“Good luck today @elonmusk and the whole spacex team!!” the Amazon founder wrote on X.

NASA’s outgoing chief Bill Nelson meanwhile offered his congratulations to SpaceX for the booster catch, adding: “Spaceflight is not easy.”

For this flight, SpaceX announced it had made numerous upgrades, and increased Starship’s size to 123 meters tall. New Glenn stands 98 meters tall.

While its Falcon rockets remain steadfast workhorses, SpaceX has made clear it sees Starship as its future.

The first three test flights ended in dramatic explosions, resulting in the loss of vehicles. However, SpaceX has rapidly iterated on its design, reflecting its “fail fast, learn fast” philosophy.

Musk is now aiming to drastically ramp up the frequency of tests, requesting permission from the FAA to carry out 25 in 2025, compared to just four in 2024.

The agency is holding public meetings on potential environmental and regulatory concerns, amid accusations that SpaceX has harmed ecologically sensitive areas and violated wastewater regulations.

But with Musk now part of Trump’s inner circle, the billionaire may find a smoother path under the incoming administration.

Meanwhile, Bezos and fellow tech mogul Mark Zuckerberg are set to attend the president-elect’s inauguration on Monday, signaling warming ties.
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People hospitalized for flu should be tested for bird flu within 24 hours, the U.S. Centers for Disease Control and Prevention said on Thursday, in an expansion of the agency’s efforts to tackle increasing infections in humans. 

The advisory is intended to prevent delays in identifying human cases of avian influenza A (H5N1) viruses amid high levels of seasonal influenza. 

The risk to the general public from bird flu is low, and there has been no further evidence of person to person spread, the agency said. 

Still, influenza A-positive patients, particularly those in an intensive care unit, should be tested ideally within 24 hours of hospitalization to identify the viral subtype and determine whether they have bird flu, the agency said. 

Prior to Thursday’s guidance, hospitals generally sent batches of samples to labs for subtyping every few days. 

Faster testing also aims to help doctors identify how people became infected and provide their close contacts with testing and medicine more quickly, if needed, said Nirav Shah, the agency’s principal deputy director, on a call with reporters. 

The CDC does not believe it has been missing bird flu infections in people, Shah said. No surveillance system detects 100% of cases, he added later. 

“The system is working as it should,” said Shah, adding that health officials want results sooner in case any public health action is needed. “What we need is to shift to a system that tells us what’s happening in the moment.” 

Nearly 70 people in the United States, most of them farmworkers, have contracted bird flu since April, as the virus has circulated among poultry flocks and dairy herds. Three people have tested positive without a clear source of exposure to the virus, according to CDC. 

Most infections in humans have been mild, but one fatality was reported in Louisiana last week. 

The U.S. Department of Agriculture has more than 300 personnel working on its bird flu response and has spent $1.5 billion on its efforts to curb the spread among poultry and dairy cattle, said Eric Deeble, a deputy undersecretary at the agency. 

The USDA last week said it would rebuild a bird flu vaccine stockpile for poultry. 

USDA officials have met several times with the transition team of the incoming Donald Trump administration to try to ensure a smooth handoff on agency actions to curb the spread of the virus, including a tabletop exercise at the White House on Wednesday, Deeble said. 

Officials at the Department of Health and Human Services, which encompasses CDC, also have repeatedly met with the transition team on Zoom calls and have shared their bird flu playbook, officials said on the press call.  

HHS said on Thursday it plans to put $211 million toward mRNA-based vaccine technology to better respond to emerging infectious diseases such as bird flu.  
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GENEVA — The World Health Organization appealed Thursday for $1.5 billion for emergency operations this year, warning that conflict, climate change, epidemics and displacement had converged to create an “unprecedented global health crisis.”

The U.N. health agency estimated that health crises would leave 305 million people in need of urgent humanitarian assistance this year.

“WHO is seeking $1.5 billion to support our lifesaving work for the emergencies we know about and to react swiftly to new crises,” WHO chief Tedros Adhanom Ghebreyesus said as he launched the appeal.

The agency’s emergency request, which was for the same amount as last year’s request, outlined the critical priorities and resources needed to address 42 ongoing health emergencies.

“Conflicts, outbreaks, climate-related disasters and other health emergencies are no longer isolated or occasional — they are relentless, overlapping and intensifying,” Tedros said in a statement.

He pointed to the emergency health assistance provided in conflict zones ranging from the occupied Palestinian territories to the Democratic Republic of Congo to Sudan, as well as its work conducting vaccination campaigns, treating malnutrition and helping control outbreaks of diseases like cholera.

“Without adequate and sustainable funding, we face the impossible task of deciding who will receive care and who will not this year,” Tedros said at Thursday’s event.

“Your support helps to ensure that WHO remains a lifeline, bridging the gap between sickness and health, despair and hope, life and death for millions of people worldwide.”
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ARUSHA, Tanzania — The World Health Organization said Wednesday an outbreak of suspected Marburg disease has killed eight people in a remote part of northern Tanzania. 

“We are aware of 9 cases so far, including 8 people who have died,” WHO chief Tedros Adhanom Ghebreyesus said in a statement. “We would expect further cases in coming days as disease surveillance improves.” 

Like Ebola, the Marburg virus originates in fruit bats and spreads between people through close contact with the bodily fluids of infected individuals or with surfaces, such as contaminated bed sheets. 

Without treatment, Marburg can be fatal in up to 88% of people who fall ill with the disease. Symptoms include fever, muscle pains, diarrhea, vomiting and in some cases death from extreme blood loss. There is no authorized vaccine or treatment for Marburg. 

WHO said its risk assessment for the suspected outbreak in Tanzania is high at national and regional levels but low globally. There was no immediate comment from Tanzanian health authorities. 

An outbreak of Marburg in Rwanda, first reported on Sept. 27, was declared over on Dec. 20. Rwandan officials reported a total of 15 deaths and 66 cases, with the majority of those affected healthcare workers who handled the first patients. 

An outbreak in 2023 of Marburg in Kagera, which shares a border with Rwanda, killed at least five people. 

 
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China says HMPV infections in the northern part of the country are declining. News of increased respiratory illnesses in China kindled international concerns about another potential pandemic. But, as VOA’s Dora Mekouar reports, medical experts say HMPV is nothing like COVID-19. VOA Mandarin contributed to this report.
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Elon Musk said a third person has received an implant from his brain-computer interface company Neuralink, one of many groups working to connect the nervous system to machines.

“We’ve got … three humans with Neuralinks and all are working well,” he said during a recent wide-ranging interview at a Las Vegas event streamed on his social media platform X.

Since the first brain implant about a year ago, Musk said the company has upgraded the devices with more electrodes, higher bandwidth and longer battery life. Musk also said Neuralink hopes to implant the experimental devices in 20 to 30 more people this year.

Musk didn’t provide any details about the latest patient, but there are updates on the previous ones.

The second recipient — who has a spinal cord injury and got the implant last summer — was playing video games with the help of the device and learning how to use computer-aided design software to create 3-D objects. The first patient, also paralyzed after a spinal cord injury, described how it helped him play video games and chess.

But while such developments at Neuralink often attract notice, many other companies and research groups are working on similar projects. Two studies last year in the New England Journal of Medicine described how brain-computer interfaces, or BCIs, helped people with ALS communicate better.

Who’s working on brain-computer interface technology?

More than 45 trials involving brain-computer interfaces are underway, according to a U.S. database of studies. The efforts are aimed at helping treat brain disorders, overcoming brain injuries and other uses.

Many research labs have already shown that humans can accurately control computer cursors using BCIs, said Rajesh Rao, co-director of the Center for Neurotechnology at the University of Washington.

Rao said Neuralink may be unique in two ways: The surgery to implant the device is the first time a robot has been used to implant flexible electrode threads into a human brain to record neural activity and control devices. And those threads may record from more neurons than other interfaces.

Still, he said, the advantages of Neuralink’s approach have yet to be shown, and some competitors have eclipsed the company in other ways. For example, Rao said companies such as Synchron, Blackrock Neurotech and Onward Medical are already conducting BCI trials on people “using either less invasive methods or more versatile approaches” that combine neural recording with stimulation.

What are the benefits of BCIs?

Marco Baptista, chief scientific officer of the Christopher & Dana Reeve Foundation, called BCI technology “very exciting” with potential benefits to people with paralysis.

Through clinical trials, “we’ll be able to see what’s going to be the winning approach,” he said. “It’s a little early to know.”

Baptista said his foundation generally tries to support research teams financially and with expert help – though it hasn’t given any money to Neuralink.

“We need to really support high-risk, high-reward endeavors. This is clearly high-risk, high-reward. We don’t know how safe it’s going to be. We don’t know how feasible it’s going to be,” he said.

How are BCIs tested and regulated?

Neuralink announced in 2023 that it had gotten permission from U.S. regulators to begin testing its device in people.

While most medical devices go on the market without clinical studies, high-risk ones that undergo pre-market approval need what’s called an “investigational device exemption” from the Food and Drug Administration, said Dr. Rita Redberg, a cardiologist at the University of California, San Francisco, who studies high-risk devices.

Neuralink says it has this exemption, but the FDA said it can’t confirm or disclose information about a particular study.

Redberg said the FDA tends to be involved in all steps from recruiting patients to testing devices to analyzing data. She said this regulatory process prioritizes safety.

She also pointed to another layer of protection: All research involving people needs an institutional review board, or IRB. It can also be known as an ethical review board or an independent ethics committee. Members must include at least one non-scientist as well as someone not affiliated with the institution or organization forming the board.

The role of such boards “is to assume there is reasonable risk and reasonable chance of benefit and that patients are informed of those before they enroll,” said Redberg.
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