Abortion providers in some places where the procedure could be banned if the U.S. Supreme Court overturns Roe v. Wade are bracing for a ruling by halting scheduling for the procedure, transitioning staff to help patients travel to other states and creating networks of clinics that will span across regions of the country.

Planned Parenthood of Wisconsin, which operates three clinics that provide abortions in the state, is not scheduling the procedure beyond June 25 as it anticipates a late June decision reversing the landmark 1973 decision that guaranteed abortion rights nationwide. The organization in recent weeks has dedicated two staff members to help patients book appointments and figure out how to get to clinics.

Whether clinics in Wisconsin will be able to provide abortions, though, has turned into a day-to-day question.

“One of the hardest aspects of this is not knowing what day this decision will come down and what it will be,” said Michelle Velasquez, the director of legal advocacy and services at Planned Parenthood Wisconsin. “The unknown has been difficult.”

It’s a window into what abortion providers and access funds are planning in more than a dozen other states across the South and Midwest. In South Dakota this week, the state’s only abortion clinic, also operated by Planned Parenthood, announced it had “paused” scheduling abortions beyond the end of the month. In Oklahoma, providers already stopped the procedure after a law was enacted to ban it.

In Wisconsin, a law banning abortion has been on the books since 1849, but Roe v. Wade overrode it. While Roe’s fall would likely spark a legal tussle over whether it is valid, Planned Parenthood does not want to put its staff at risk of prosecution.

Velasquez said clinic staff wanted to provide abortions in Wisconsin up until the last minute it was legal, but also had to consider that scheduling appointments for dates when it could become illegal could create uncertainty and be “distressing” for patients.

Velasquez acknowledged that the Supreme Court could release its decision as soon as next week, even while Planned Parenthood has appointments on the books. She said if that happened, Planned Parenthood would help those patients book appointments for abortions in nearby states, such as Minnesota and Illinois. Patients could still get counseling, lab work and ultrasounds in Wisconsin in the meantime.

“We wouldn’t leave patients, like, ‘You’re on your own,'” Velasquez said.

“Even if we can’t provide the medications or we can’t do a procedure, we are absolutely able to help people find the care they need,” she added.

The strategy will inevitably put more pressure on providers in states in the region where abortion will still be legal, said Caitlyn Myers, an economics professor at Middlebury College who studies abortion access.

“As hundreds of thousands of women flood out of these states, it is going to enormously tax the resources of these providers,” she said. “I don’t think they are prepared for this huge influx.”

It comes as the number and rates of U.S. abortions is on the rise after a long decline. Abortions increased from 2017-20, according to figures from the Guttmacher Institute, a research group that supports abortion rights. It counted more than 930,000 abortions in the U.S. in 2020.

Clinics shuttering, like one did in Idaho recently, or halting scheduling show that a post-Roe reality has already arrived in many places. Myers said getting an appointment for an abortion may soon become “critical” across the country.
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Data from a European space observatory tells the history of our galaxy and may even predict its future. Plus, the full moon was as close to Earth as it will be this year, and a look back at a true space pioneer. VOA’s Arash  Arabasadi  brings us The Week in Space.
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During the early months of the pandemic, the Chinese government developed a color-coded smartphone app to track the movement of people in its effort to control the spread of COVID-19 and implement its zero-COVID policy.

This week, however, media reports surfaced that authorities in Zhengzhou, the capital of Henan province, were now using the required codes to restrict the movement of people upset because local banks had frozen their deposits.

Hundreds of depositors who had lost access to their funds had planned to travel to Zhengzhou on Monday, only to find their health codes had suddenly turned red. This meant they couldn’t travel, and the protests fizzled. The red code seemed to target only depositors, according to CNN.

VOA Mandarin asked China’s Foreign Ministry for comment on the government’s alleged new use for the app but received no comment.

The state-run Global Times ran an editorial on Tuesday saying, “The health code is a technical means designed to make the public compromise some personal information rights to comply with the needs of society’s public health security. It can only be used for epidemic prevention purposes. It is the responsibility of the relevant authorities to protect the privacy of citizens to the greatest extent during the epidemic prevention process.”

Hu Xijin, the former editor-in-chief of Global Times, posted on his Weibo microblog that the “red code issue is very disturbing,” and that any non-COVID-related use would be a “clear violation” of virus prevention measures.

Ever since China began promoting the portable and personalized health codes in response to the coronavirus outbreak, some people have speculated that the technology could be used as a political tool to restrict mobility. The app tracks a user’s travel, contact history and biometric data, such as temperature, through a smartphone.

Alex Gladstein, chief strategy officer at the New York-based Human Rights Foundation, said on Twitter, “I would have actually thought this happened more routinely in the past two years but apparently this is a watershed moment for using health tools to crack down on dissent.”

Another comment came from James Palmer, a former Beijing resident who is now deputy editor at Foreign Policy, who tweeted, “This is significant because — afaik (as far as I know) — it’s the first clear story we have of the health code system being used for non-Covid political control.”

The app uses a QR code to track a user’s movements in order to monitor exposure to known cases of the virus, according to a blog post at Center for Strategic and International Studies, a Washington think tank. Authorities throughout China required residents to provide their names and ID numbers and register for facial recognition to obtain the QR code linked to their identity.

If the QR code glows green, the user has had no contact with an infected person and can move around. An amber code means the user is required to quarantine at home for seven to 14 days, Those with red codes are to be treated and quarantined either at home or in a centralized location, according to CSIS.

It has become routine for Chinese to show the code in order to gain entry to housing compounds, theaters and restaurants, and public transportation.

According to reports by Reuters and other media, the depositors who had planned to protest in Zhengzhou said their most recent COVID-19 test results were negative, and that officials refused to explain why their health codes turned red.

Rina Chandran, a journalist at Thomson Reuters Foundation in India, tweeted, “This is what can happen when the govt controls your data: #China Covid app overnight restricts residents who need the health code to enter buildings and shops, use public transport, or leave the city.”

The Henan Provincial Health Commission told The Paper, a state-run news website, that it was “investigating and verifying” the complaints from depositors who received red codes.

Anouk Eigenraam, China correspondent at Het Financieele Dagblad/Algemeen Dagblad, tweeted, “This red health codes is exactly the reason why China will keep this 0 covid alive a long time. It’s to useful as a tool for control. I’ve been saying this for a year and many people kept saying ‘but the economy’, well as we saw they’re very willing to take a hit.”

 
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The U.S. Environmental Protection Agency on Wednesday released new warnings about synthetic pollutants in drinking water known as “forever chemicals,” saying the toxins can still be harmful even at levels so low they are not detectable. 

The family of toxic chemicals known as per- and polyfluoroalkyl substances, or PFAS, have been used for decades in household products such as nonstick cookware, stain- and water-resistant textiles and in firefighting foam and industrial products. 

Scientists have linked some PFAS to cancers, liver damage, low birth weight and other health problems. But the chemicals, which do not break down easily, are not yet regulated. 

The agency is set to issue proposed rules in coming months to regulate PFAS. Until the regulations come into effect, the advisories are meant to provide information to states, tribes and water systems to address PFAS contamination. 

The EPA also said it would roll out the first $1 billion to tackle PFAS in drinking water, from a total of $5 billion in funding in last year’s infrastructure law. The funds would provide states technical assistance, water quality testing and installation of centralized treatment systems. 

The updated drinking water health advisories for perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) replace those the EPA issued in 2016. The advisory levels, based on new science that considers lifetime exposure, indicate that some health problems may still occur with concentrations of PFOA or PFOS in water that are near zero and below EPA’s ability to detect. 

“Today’s actions highlight EPA’s commitment to use the best available science to tackle PFAS pollution, protect public health, and provide critical information quickly and transparently,” said Radhika Fox, the EPA’s assistant administrator for water. 

The agency encourages entities that find PFAS in drinking water to inform residents and undertake monitoring and take actions to reduce exposure. Individuals concerned with PFAS found in their drinking water should consider installing a home filter, it said. 

The American Chemistry Council industry group, whose members include 3M and DuPont, said the EPA rushed the notices by not waiting for a review by the agency’s Science Advisory Board. The group said it was concerned that the process for developing the advisories was “fundamentally flawed.”
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COVID-19 shots for U.S. infants, toddlers and preschoolers moved a step closer Wednesday. 

The Food and Drug Administration’s outside vaccine advisers gave a thumbs-up to Moderna’s two shots for the littlest kids. The panel is set to vote later Wednesday on whether to also recommend Pfizer’s three-shot series for those youngsters. 

The outside experts voted unanimously that the benefits of Moderna’s shots outweigh any risks for children under 5 — that’s roughly 18 million youngsters. 

They are the last remaining group in the U.S. to get vaccinated, and many parents have been anxious to protect their little children. If all the regulatory steps are cleared, shots should be available next week. 

“This is a long-awaited vaccine,” said panel member Dr. Jay Portnoy of Children’s Hospital in Kansas City, Missouri. “There are so many parents who are absolutely desperate to get this vaccine, and I think we owe it to them to give them a choice to have the vaccine if they want to.” 

Dr. Peter Marks, FDA’s vaccine chief, opened the meeting with data showing a “quite troubling surge” in young children’s hospitalizations during the omicron wave, and noted that 442 children under 4 have died during the pandemic. That’s far fewer than adult deaths but should not be dismissed in considering the need for vaccinating the youngest kids, he said. 

“Each child that’s lost essentially fractures a family,” Marks said. 

FDA reviewers said both brands appear to be safe and effective for children as young as 6 months old in analyses posted ahead of the all-day meeting. Side effects, including fever and fatigue, were generally minor in both, and less common than seen in adults. 

The two vaccines use the same technology, but there are differences. In a call with reporters earlier this week, vaccine experts noted that the shots haven’t been tested against each other, so there’s no way to tell parents if one is superior. 

“That is a really important point,”‘ said Dr. Jesse Goodman of Georgetown University, a former FDA vaccine chief. “You can’t compare the vaccines directly.” 

If the FDA agrees with its advisers and authorizes the shots, there’s one more step. The Centers for Disease Control and Prevention will decide on a formal recommendation after its own advisers meet Saturday. If the CDC signs off, shots could be available as soon as Monday or Tuesday at doctor’s offices, hospitals and pharmacies. 

Pfizer’s vaccine is for children 6 months through 4 years. Moderna’s vaccine is for 6 months through 5 years. 

Moderna’s shots are one-quarter the dose of the company’s adult shots. Two doses appeared strong enough to prevent severe illness but only about 40% to 50% effective at preventing milder infections. Moderna has added a booster to its study and expects to eventually offer one. 

Pfizer’s shots are just one-tenth its adult dose. Pfizer and partner BioNTech found that two shots didn’t provide enough protection in testing, so a third was added during the omicron wave. 

Pfizer’s submitted data found no safety concerns and suggested that three shots were 80% effective in preventing symptomatic coronavirus infections. But that was based on just 10 COVID-19 cases. The calculation could change as more cases occur in the company’s ongoing studies. 

The same FDA panel on Tuesday backed Moderna’s half-sized shots for ages 6 to 11 and full-sized doses for teens. If authorized by the FDA, it would be the second option for those age groups. Currently, the Pfizer vaccine is their only choice. 

The nation’s vaccination campaign started in December 2020 with the rollout of adult vaccines from Pfizer and Moderna, with health care workers and nursing home residents first in line. Teens and school-age children were added last year. 

Moderna said in April that it is also seeking regulatory approval outside the U.S. for its little kid shots. According to the World Health Organization, 12 other countries already vaccinate kids under 5, with other brands. 

In the U.S., it remains uncertain how many parents want their youngest children vaccinated. While COVID-19 is generally less dangerous for young children than older kids and adults, there have been serious cases and some deaths. Many parents trying to keep unvaccinated tots safe have put off family trips or enrolling children in day care or preschool. 

Still, by some estimates, three-quarters of all children have already been infected. Only about 29% of children ages 5 to 11 have been vaccinated since Pfizer’s shots opened to them last November — a rate far lower than public health authorities consider ideal. 

Dr. Nimmi Rajagopal, a family medicine physician at Cook County Health in Chicago, said she’s been preparing parents for months. 

“We have some that are hesitant, and some that are just raring to go,” she said. 

 
…

Phil and Kristie Graves are a U.S.couple from Maryland and parents of three biological children and an adopted girl with special needs from Armenia. Recently, they decided to adopt a six-year-old girl with special needs from Ukraine. But that was before the Russian invasion. Anush Avetisyan has the story.
Videographer: Dmytri Shakhov  
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A massive, fast-growing black hole, more luminous than previously discovered phenomena, has been discovered by an international team led by astronomers in Australia. Scientists say the black hole consumes the equivalent of one Earth every second and shines 7,000 times brighter than all the light from our own galaxy.

Researchers were looking for unusual stars when they came across a supermassive black hole. It consumes the equivalent of one Earth every second and has the mass of three billion suns.

The team led by the Australian National University believes it was obscured by the lights of the Milky Way.

The discovery was made using the SkyMapper telescope at Siding Spring Observatory near Coonabarabran in New South Wales.

To take a more detailed look, the team went to the South African Astronomical Observatory’s 1.9-meter telescope in Cape Town.

Christopher Onken from the Australian National University is the study’s lead researcher.

He says astronomers have been searching for these types of objects without success for more than 50 years.

“What we found is what appears to be the most luminous growing black hole in the last nine billion years of the history of the universe,” said Onken. “People have been looking for these kinds of objects for almost 60-years and this one escaped its notice probably because it was just a little bit too close to the plane of the Milky Way, where there is so many stars that often it is hard to follow up all of the objects that you might find. And, so, this one had been just outside the range that had been surveyed in the past.”

Black holes are parts of space where matter has collapsed in on itself.

Their light comes from a ring of gas, dust and stars that circles the black hole, known as an accretion disk.

Astronomers hope this rare find will offer tantalizing clues about the formation of galaxies. The ancient black hole is so “astonishingly bright” that it should be visible to well-equipped amateur stargazers.

The Australian-led research is continuing. The team also discovered another 80 growing black holes.
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A dangerous heat wave hit much of the Midwest and South on Tuesday, with temperatures hitting triple digits in Chicago and combining with the humidity to make it feel even hotter there and in other sweltering cities. 

More than 100 million people were expected to be affected by midweek, and authorities warned residents to stay hydrated, remain indoors when possible, and be aware of the health risks of high temperatures. Strong storms brought heavy rain and damaging wind to many of the affected areas on Monday, and more than 400,000 customers remained without power as of Tuesday afternoon. 

Excessive heat warnings are in effect for much of Illinois and Indiana along with parts of Minnesota, Iowa, Michigan and Ohio from Tuesday through Wednesday night, according to the National Weather Service. 

Heat index values — which take into account the temperature and relative humidity and indicate how hot it feels outdoors — approached and topped 105 degrees Fahrenheit (40 degrees Celsius) in some locations, including Chicago, the weather service said. 

“Full sun today will make it feel even hotter,” the weather service wrote. “There will not be much relief for those without air conditioning today through Wednesday night.” 

Much of southeastern Michigan — from just south of Flint to the state lines with Ohio and Indiana — was put under an excessive heat watch Wednesday through Thursday morning as the warm front is forecast to move east. 

A heat advisory was also issued, stretching from as far north as Wisconsin down to the Florida Panhandle on the Gulf coast. 

Health risks of heat 

In Chicago, where a ferocious storm Monday night heralded temperatures that were expected to exceed 90 degrees on Tuesday and Wednesday, the May deaths of three women when temperatures climbed above 32 C (90 F) served as a reminder of the dangers of such heat — particularly for people who live alone or are dealing with certain health issues. 

Pat Clemmons, an 81-year-old resident of the apartment complex where the women died, said everything was working well Tuesday morning as the temperatures climbed. She said that she had lived in the building for about 20 years and that she had never experienced issues before “that one horrible Saturday” in May. 

“They have every kind of air conditioner, air blower, fan jets and everything else. … I’m fine right now,” Clemmons said. “The air’s on. You know they’re going to have everything working perfectly right now ’cause all the chaos that happened.” 

By mid-afternoon, the temperature at Chicago Midway National Airport reached 100 F (38 C) for the first time since July 2012, the area’s weather service office reported. 

Officials encouraged Chicagoans to check on their neighbors and loved ones and to quickly report any problems with cooling their homes. The city opened six large cooling centers and encouraged people to cool off in libraries, park district buildings and other public locations. 

“The next two days will require that we all look out for one another and provide extra attention and resources for our vulnerable neighbors,” said Alisa Rodriguez, managing deputy commissioner for Chicago’s Department of Family Services and Support. 

The Detroit suburb of Westland opened many of its public buildings as cooling stations Tuesday, including its city hall, fire and police stations, a library and a community center. Residents can get out of the heat, charge cellphones and get bottled water there, the city said. 

South sizzles 

With a noon temperature at 35 C (95 F) and the heat index pushing 43 C (110 F) on Tuesday in Birmingham, Alabama, Cindy Hanger sat outside the food truck where she works. Her face was red and her green T-shirt was soaked with sweat. 

“I am worn out and I’m hot, and I’m ready to go home and have a cold drink,” she said. 

Hanger works outside the small rig taking and filling orders while two relatives work inside cooking. That arrangement is just fine with her on such days. 

“You think it’s hot out here? Imagine in there,” she said. 

The heat was also stressing certain power grids. 

The Tennessee Valley Authority, which serves 10 million people in Tennessee and parts of six surrounding Southern states, said that on Monday, it experienced record power demand for a single day in June. It said it provided 31,311 megawatts of energy at an average temperature of 94 F (34 C) in its region, which broke the previous June high of 31,098 megawatts that was set on June 29, 2012. 

The power provider said similar demand could continue through the end of the week as more hot and humid weather was expected
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A government advisory panel Tuesday endorsed a second brand of COVID-19 vaccine for school-age children and teens.

The Food and Drug Administration’s outside experts voted unanimously that Moderna’s vaccine is safe and effective enough to give to kids ages 6 to 17. If the FDA agrees, it would become the second option for those children, joining Pfizer’s vaccine.

The same FDA expert panel will meet Wednesday to consider tot-sized shots from Moderna and Pfizer for the littlest kids, those under 5.

Moderna’s COVID-19 vaccine has long been available for adults in the U.S. and elsewhere, and more than three dozen countries offer it to older children. If the FDA authorizes Moderna’s vaccine for teens and younger children, the Centers for Disease Control and Prevention will next decide whether to formally recommend the shots.

The Massachusetts company is seeking clearance for two doses and plans to later offer a booster. Tuesday’s vote was only for two doses — full-strength for 12-17 and half-sized doses for those 6-11.

“The data do support that the benefits outweigh the risks for both of these doses, in both of these age groups,” said the CDC’s Dr. Melinda Wharton, a member of the panel.

“I believe that this will provide families an important option” and may be particularly important for families who live in areas where coronavirus spread is increasing, said another panel member, Dr. Ofer Levy of Boston Children’s Hospital.

The FDA held up Moderna’s teen vaccine for months while it investigated a rare side effect, heart inflammation. That’s mostly a risk for teen boys and young men, and also can occur with the Pfizer vaccine. Moderna got extra scrutiny because its shots are a far higher dose.

In their review, FDA scientists said there were no confirmed cases of heart inflammation in Moderna’s kid studies. But experts say the studies may have had too few participants for a rare side effect like that to appear.

“That clearly needs to be watched closely going forward as we expand the use of the vaccine,” said Dr. Mark Sawyer, a panel member from the University of California, San Diego’s medical school.

As for other side effects, FDA officials said nothing worrisome was reported — mainly sore arms, headache and fatigue.

The FDA analysis concluded that two doses of Moderna are effective in preventing symptomatic COVID-19 illness in teens and younger kids, with the levels of virus-fighting antibodies comparable to those developed in young adults.

Vaccine effectiveness was estimated at 93% for the teens, and 77% for the younger children, according to the FDA analysis. However, the research was done when earlier versions of the coronavirus were causing most U.S. infections, before more contagious versions emerged. It’s also based on a limited number of COVID-19 cases, making the estimates a bit rough.

A booster shot was added to the studies, and data is expected in about the next month, Moderna officials said. Booster shots are now recommended for children vaccinated with Pfizer’s shots, as well as for all adults.

How much demand there will be for even two Moderna shots isn’t clear. Teens became eligible a year ago for Pfizer’s vaccine, which uses the same technology, and only 60% have gotten two doses. Shots for younger kids started in November; about 29% have been fully vaccinated, according to the CDC.
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Microscopic air pollution caused mostly by burning fossil fuels shortens lives worldwide by more than two years, researchers reported Tuesday.

Across South Asia, the average person would live five years longer if levels of fine particulate matter met World Health Organization standards, according to a report from the University of Chicago’s Energy Policy Institute.

In the Indian states of Uttar Pradesh and Bihar, home to 300 million, crippling lung and heart disease caused by so-called PM2.5 pollution reduces life expectancy by eight years, and in the capital city of New Delhi by a decade.

PM2.5 pollution – 2.5 microns across or less, roughly the diameter of a human hair – penetrates deep into the lungs and enters the bloodstream.

In 2013, the United Nations classified it as a cancer-causing agent.

The WHO says PM2.5 density in the air should not top 15 micrograms per cubic meter in any 24-hour period, or 5 mcg/m3 averaged across an entire year.

Faced with mounting evidence of damaging health impacts, the WHO tightened these standards last year, the first change since establishing air quality guidance in 2005.

“Clean air pays back in additional years of life for people across the world,” lead research Crista Hasenkopf and colleagues said in the Air Quality Life Index report.

“Permanently reducing global air pollution to meet the WHO’s guidelines would add 2.2 years onto average life expectancy.”

Major gains in China

Almost all populated regions in the world exceed WHO guidelines, but nowhere more so that in Asia: by 15-fold in Bangladesh, 10-fold in India, and nine-fold in Nepal and Pakistan.

Central and West Africa, along with much of Southeast Asia and parts of central America, also face pollution levels — and shortened lives — well above the global average.

Surprisingly, PM2.5 pollution in 2020, the most recent data available, was virtually unchanged from the year before despite a sharp slow-down in the global economy and a corresponding drop in CO2 emissions due to Covid lockdowns.

“In South Asia, pollution actually rose during the first year of the pandemic,” the authors noted.

One country that has seen major improvements is China.

PM2.5 pollution fell in the nation of 1.4 billion people by almost 40 percent between 2013 and 2020, adding two years to life expectancy.

But even with this progress, lives in China are on average cut short today by 2.6 years.

The worst-hit provinces include Henan and Hebei, in north-central China, and the coastal province of Shandong.

Compared to other causes of premature death, the impact of PM2.5 pollution is comparable to smoking tobacco, more than three times that of alcohol use, and six times that of HIV/AIDS, the report said.
…

After cooking for decades on earthen stoves lit with firewood, women in Sarmathla village in India’s northern Haryana state were excited when they received cooking gas stoves and connections about five years ago.

The gas cylinders which use liquified petroleum gas (LPG) meant that they would not have to collect firewood and breathe in the smoky fumes emitted from stoves called “chullahs.”

They are among millions of poor rural households given subsidized gas connections and cylinders under a government program launched in 2016 to help women move away from using highly polluting sources of cooking such as wood and animal dung to a cleaner cooking fuel.

But in most homes in Sarmathla, the cylinders now lie unused in a corner of the kitchen as many return to lighting their stoves with firewood.

“I am a poor person and everything has become so expensive. As daily wagers, we barely earn four dollars a day,” said Santosh Devi, a village resident. “Tell me, should I buy food for children or buy a gas cylinder?”

A series of price increases in the past year and a half has made cooking gas cylinders unaffordable for many poor households already struggling to cope with soaring food prices and incomes that declined due to the pandemic.

The approximately $13 price tag of a gas cylinder is almost double compared to six years ago when the project was launched. And although the government last month announced a $2.50 subsidy for those with subsidized gas connections, most village residents say they still cannot use it as their primary source of cooking.

Cooking gas prices in India have jumped massively as international crude prices have spiraled — India is heavily dependent on imported natural gas.

The soaring costs pose a challenge to the ambitious program that aimed to tackle the severe health challenges caused by indoor air pollution. Along with building toilets and homes for the rural poor, it was one of the flagship programs of Prime Minister Narendra Modi’s government meant to dramatically improve the lives of poor households in the countryside.

The government subsidies had given more than 80 million rural households access to a clean energy source for cooking until last year, according to government figures.

But Poonam Devi, a resident of Sarmathla, said she uses it  sparingly.

“I only cook vegetables on gas but I make everything else on a wood fire,” said Devi as she rolled out Indian bread for the family of seven. “Sometimes I use it when guests come.”

Experts worry that this will set back efforts to address the severe health problems caused by toxic kitchen fumes. While this village depends mostly on firewood, cow dung and agricultural waste are other traditional sources for cooking in India’s vast rural areas.

“The indoor air pollution caused by these solid fuels is equivalent to a person smoking a significant number of cigarettes continuously at the same time,” said Abhishek Jain, director of Powering Livelihoods at the Council on Energy, Environment and Water in New Delhi.

Calling it one of India’s biggest public health challenges, Jain said, “Broad estimates suggest that India loses half a million of its population every year prematurely because of indoor air pollution. That is the scale of the problem we are dealing with.”

The women in this village know the health consequences of the sooty flames only too well.

“I cough and I get congestion and breathing problems due the cooking. So I try to cook on gas when I can,” said Paramwati, a Sarmathla resident whose tiny kitchen traps the fumes.

It is not just poor households that have been affected — even better-off families in this village, who do not benefit from government subsidies, are struggling to cope with the high prices of cooking gas.

“I have to think many times before I can refill this cylinder. I can only do it when I manage to save $13 or I have to wait until my husband gets his salary,” said Manju Chhoker.

That feeling is widely echoed across the village. “It is a huge challenge to cope with inflation and the high prices of gas. When it is time to refill the gas cylinder, I get really worried,” said another resident, Satya Prakash Rajput.

According to studies, the number of households using clean energy as the primary fuel for cooking rose exponentially from about 30 percent to nearly 70 percent between 2011 and 2020. Those gains are now under threat, say experts, as affordability emerges as a huge barrier.

“At the very least this has stalled the progress, at worst this has reversed some of the progress,” says Jain. “So, unless prices would get more affordable through either subsidy support by the government or a decrease in international prices, households may not now shift to liquified petroleum gas for most of their cooking.”

That means women in Sarmathla village may have to continue to lug firewood and cope with the fumes in their kitchens to light their stoves.
…

British health officials have detected another 104 cases of monkeypox in England in what has become the biggest outbreak beyond Africa of the normally rare disease.

The U.K.’s Health Security Agency said Monday there were now 470 cases of monkeypox across the country, with the vast majority in gay or bisexual men. Scientists warn that anyone, regardless of sexual orientation, is susceptible to catching monkeypox if they are in close, physical contact with an infected person or their clothing or bed sheets.

According to U.K. data, 99% of the cases so far have been in men and most are in London.

In May, a leading adviser to the World Health Organization said the monkeypox outbreak in Europe and beyond was likely spread by sex at two recent raves in Spain and Belgium.

Last week, WHO said 1,285 cases of monkeypox had been reported from 28 countries where monkeypox was not known to be endemic. No deaths have been reported outside of Africa. After the U.K., the biggest numbers of cases have been reported in Spain, Germany and Canada.

WHO said many people in the outbreak have “atypical features” of the disease which could make it more difficult for doctors to diagnose. The U.N. health agency also said while close contact can spread monkeypox, “it is not clear what role sexual bodily fluids, including semen and vaginal fluids, play in the transmission.”

Meanwhile, countries in Africa have reported more than 1,500 suspected cases including 72 deaths from eight countries. Monkeypox is considered endemic in Central and West Africa.
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