U.S. regulators on Monday approved the first RSV vaccine for pregnant women so their babies will be born with protection against the respiratory infection.

RSV is notorious for filling hospitals with wheezing babies every fall and winter. The Food and Drug Administration cleared Pfizer’s maternal vaccination to guard against a severe case of RSV when babies are most vulnerable — from birth through 6 months of age.

The next step: The Centers for Disease Control and Prevention must issue recommendations for using the vaccine, named Abrysvo, during pregnancy. (Vaccinations for older adults, also at high risk, are getting underway this fall using the same Pfizer shot plus another from competitor GSK.)

“Maternal vaccination is an incredible way to protect the infants,” said Dr. Elizabeth Schlaudecker of Cincinnati Children’s Hospital, a researcher in Pfizer’s international study of the vaccine. If shots begin soon, “I do think we could see an impact for this RSV season.”

RSV is a cold-like nuisance for most healthy people but it can be life-threatening for the very young. It inflames babies’ tiny airways so it’s hard to breathe or causes pneumonia. In the U.S. alone, between 58,000 and 80,000 children younger than 5 are hospitalized each year, and several hundred die, from the respiratory syncytial virus.

Last year’s RSV season was extremely harsh in the U.S., and it began sickening tots in the summer, far earlier than usual.

Babies are born with an immature immune system, dependent for their first few months on protection from mom. How the RSV vaccination will work: A single injection late in pregnancy gives enough time for the mom-to-be to develop virus-fighting antibodies that pass through the placenta to the fetus — ready to work at birth.

It’s the same way pregnant women pass along protection against other infections. Pregnant women have long been urged to get a flu shot and a whooping cough vaccine — and more recently, COVID-19 vaccination.

Pfizer’s study included nearly 7,400 pregnant women plus their babies. Maternal vaccination didn’t prevent mild RSV infection — but it proved 82% effective at preventing a severe case during babies’ first three months of life. At age 6 months, it still was proving 69% effective against severe illness.

Vaccine reactions were mostly injection-site pain and fatigue. In the study, there was a slight difference in premature birth — a few weeks early — between vaccinated moms and those given a dummy shot, something Pfizer has said was due to chance. The FDA said to avoid the possibility, the vaccine should be given only between 32 weeks and 36 weeks of pregnancy, a few weeks later than during the clinical trial.

Cincinnati’s Schlaudecker, a pediatric infectious disease specialist, said both the new antibody drug and the maternal vaccine are eagerly anticipated, and predicted doctors will try a combination to provide the best protection for babies depending on their age and risk during RSV season.

Another Cincinnati Children’s physician who’s cared for seriously ill RSV patients volunteered to participate in Pfizer’s vaccine study when she became pregnant.

“The last thing a parent wants to see is their kid struggling to breathe,” Dr. Maria Deza Leon said. “I was also at risk of being the person that could get RSV and give it to my son without even realizing.”

Deza Leon received her shot in late January 2022 and her son Joaquin was born the following month. While she hasn’t yet learned if she received the vaccine or a dummy shot, Joaquin now is a healthy toddler who’s never been diagnosed with RSV.
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Practioners of traditional Chinese medicine use earthworms — dried to a powder or distilled in liquid — to treat fevers, arthritis, asthma and bronchitis. But overharvesting in China has nearly wiped out the country’s earthworm population.

Now, hunters are poaching and purchasing earthworms unearthed in Vietnam, upsetting Vietnamese farmers who depend on them to keep their fields fertile and environment balanced.

The earthworm rush has plagued Vietnam’s northern provinces, as poachers, driven by bounty offered by Chinese merchants, trespass private fields or fruit orchards to catch the invertebrate, the online VnExpress news outlet reported. Most of the hunters are Vietnamese, eager to cash in on the Chinese demand.

The rush is yet another marker in the sometimes fraught, centuries-long relationship between China and Vietnam, its largest trading partner. The two nations have long been locked in a territorial dispute over islands, fishing grounds, and drilling rights for oil and gas in the South China Sea.

Now, orange farmers in Hoa Binh province are on 24-hour alert to stop earthworm poachers, according to a VTC News report. The farmers have asked the Ministry of Agriculture and Rural Development to help. VOA Vietnamese contacted the ministry but received no response.

Catching earthworms is “easy money” for poachers, Vietnamnet newspaper reported, with each kilogram of wet earthworms fetching between $3 to $3.30. Some poachers can capture up to 100 to 120 kilograms of earthworms per night, earning hundreds of dollars, according to Vietnamnet.

Using a battery-powered device, the hunters use electric pulses to flush the earthworms above ground. They then gut and dry the earthworms before selling them to Chinese merchants, Vietnamnet said.

The practice has led to an “extinction-level ecological disaster” in China, where poachers now face a crackdown that has sent them to Vietnam.

“Dilong have been overfished in China, so Chinese merchants have to look to Vietnam,” Vo Tong Xuan, an agronomist who is also president of Nam Can Tho University, told VOA Vietnamese in a phone interview, referring to the Chinese name for the earthworm, which means “earth dragon.”

Biologist Nguyen Lan Hung, a professor at the Hanoi National University of Education and chief of the Vietnam Association of Biological Sciences, pointed to the earthworm’s utility in traditional medicine to explain why they are valued.

“During the anti-French independence war, our soldiers used to eat earthworms to treat malaria. Now, they are sourced to make cardiovascular or neurologic drugs,” Hung told VOA by phone.

Both Xuan and Hung warned that earthworm electrocutions damage soil quality, crops and the overall ecosystem. Xuan emphasized the earthworm’s role in keeping soil loose, porous and ultimately fertile.

“With earthworms absent, soil becomes so compacted [that] roots find it hard to absorb water,” Xuan said. “Crop yields deteriorate over time, while poorer water retention may result in inundation.”

He added that the electric current also destroys microorganisms essential for tree growth.

Hung hailed the earthworm as the “natural plowman” and warned that the electrocutions will eventually lead to their obliteration. Although earthworm eggs are abundant, their hatchings cannot keep up with the rate of electrocution harvesting, he said.

While the Vietnamese cannot ban the traders, Xuan said farmers should resist the temptation of profiting from Chinese market demand.

He would like Vietnam to criminalize the gathering of earthworms with electricity. For now, detained poachers are released after authorities confiscate their devices and catches, according to VTC News. Those detained must also pledge to not electrocute more earthworms in the future, VTC News said.

Nguyen Quang A, founder of the Hanoi-based Institute of Development Studies and an outspoken government critic, told VOA Vietnamese the earthworm situation “certainly feeds into the anti-China narrative.”

“We’ve seen such incidents happen from time to time in the last couple of decades, one after another,” he said.

In the past, Chinese demand for buffalo hooves, leeches, cashew leaves and young areca nuts has caused environmental damage in Vietnam.

Nguyen Quang A said to quell “toxic” anti-Chinese sentiment, the government should initiate talks with China to stop sourcing from Vietnam to meet sudden market demand.

Hung recommended commercial farming of earthworms to prevent poaching, based on Vietnam’s experience with raising compost worms for use as livestock feed.
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Public utility regulators in Iowa will begin a hearing Tuesday on a proposed carbon dioxide pipeline for transporting emissions of the climate-warming greenhouse gas for storage underground that has been met by resistant landowners who fear the taking of their land and dangers of a pipeline rupture.

Summit Carbon Solutions’ proposed $5.5 billion, 3,219-kilometer pipeline network would carry CO2 from 34 ethanol plants in five states to North Dakota for storage deep underground — a project involving carbon capture technology, which has attracted both interest and scrutiny in the U.S.

North Dakota regulators earlier this month denied a siting permit for Summit’s proposed route in the state, citing myriad issues they say Summit didn’t appropriately address, such as cultural resource impacts, geologic instability and landowner concerns. On Friday, Summit petitioned regulators to reconsider.

Other similar projects are proposed around the country, including ones by Navigator CO2 Ventures and Wolf Carbon Solutions, which would also have routes in Iowa.

Here is what to know about Summit’s project as more proceedings begin.

What is carbon capture?

Carbon capture entails the gathering and removal of planet-warming CO2 emissions from industrial plants to be pumped deep underground for permanent storage.

Supporters view the technology as a combatant of climate change. But opponents say carbon capture and storage isn’t proven at scale and could require huge investments at the expense of cheaper alternatives such as solar and wind power, all at a time when there is an urgent need to phase out all fossil fuels.

Carbon capture also is viewed by opponents as a way for fossil fuel companies to claim they are addressing climate change without actually having to significantly change their ways.

“I think there’s a recognition even in the fossil fuel industry that, whether you like it or not and agree or not, (climate change) is a reality you’re going to deal with from a regulatory standpoint, and you’d better get out in front of it or you’re going to get left behind,” said Derrick Braaten, a Bismarck-based attorney involved in issues related to Summit’s project.

New federal tax incentives have made carbon capture a lucrative enterprise. The technology has the support of the Biden administration, with billions of dollars approved by Congress for various carbon capture efforts.

High-profile supporters of Summit’s project include North Dakota Republican Gov. Doug Burgum, a presidential candidate who has hailed the state’s underground CO2 storage ability as a “geologic jackpot,” and oil magnate Harold Hamm, whose company last year announced a $250 million commitment to Summit’s project.

“Carbon capture and storage is going to be more and more important every day as we go forward in America,” Hamm has said.

What is happening in the five states?

The Iowa Utilities Board begins its public evidentiary hearing Tuesday in Fort Dodge, a hearing “anticipated to last several weeks,” according to a news release. The board’s final decision on Summit’s permit request will come sometime after the hearing.

Minnesota’s Public Utilities Commission has a hearing set for Aug. 31 in which the panel “will make decisions about the scope of environmental review” regarding Summit’s permit application for its pipeline in two counties, said Charley Bruce, an energy facilities planner with the commission.

A Summit attorney recently indicated to Minnesota that North Dakota regulators’ decision to deny a permit will not affect the company’s plans, including for other proposed routes in southern Minnesota.

The South Dakota Public Utilities Commission is set to begin its evidentiary hearing for the project on Sept. 11 and expects to make a final decision by Nov. 15.

Nebraska has no state-level regulatory authority for CO2 pipelines. Summit is working with counties individually in Nebraska.

Counties don’t approve or deny a route, but can institute ordinances’ setbacks for land-use purposes that can dictate where a pipeline may go, and can enter into road haul agreements and road crossing permits, said Omaha-based attorney Brian Jorde. He represents more than 1,000 landowners opposed to CO2 pipeline projects in four states.

Summit hasn’t hit “an insurmountable legal obstacle” in North Dakota regulators’ denial “because they literally said, ‘Try again,’” Braaten said.

“If they get over themselves I think that they could do it and get approved, but I think they certainly shot themselves in the foot and they’re making it much harder in those other states because they’re going to come in with those commissioners there looking at them with a certain level of skepticism because you literally just got denied a permit in North Dakota,” he said.

Why are landowners opposed?

Landowners have raised concerns about the pipeline breaking, as well as eminent domain, or the taking of private land for the project, with compensation.

Eminent domain laws vary state by state, said Jorde, who represents hundreds of people Summit has sued in South Dakota to take their land for its pipeline.

“When you have the power of eminent domain like a hammer over a landowner’s head, you can intimidate them into doing things they wouldn’t otherwise do, which is sign easements, which Summit then turns around and says, ‘Look at all these “voluntary” easements we have. Look at all the “support” we have,’ which is completely false,” Jorde said.

Summit has submitted eminent domain requests to the Iowa board. A Summit spokesperson did not specifically address the company’s intentions related to eminent domain when asked by the AP.

“Our team remains incredibly encouraged that Iowa landowners have signed voluntary easement agreements accounting for nearly 75% of the proposed pipeline route,” spokesperson Sabrina Ahmed Zenor said in an email. “This overwhelming level of support is a clear reflection that they believe like we do that our project will ensure the long-term viability of the ethanol industry, strengthen the agricultural marketplace for farmers, and generate tens of millions of dollars in new revenue for local communities across the Midwest.”

What about underground storage?

Summit submitted a draft application for underground storage to a three-member state panel which Burgum chairs and includes the attorney general. The timeline for a hearing and decision by the panel is unclear.

Last year, Summit and Minnkota Power Cooperative agreed to “co-develop” CO2 storage facilities in central North Dakota. Their agreement gives Summit access to Minnkota’s storage site and sets a framework for jointly developing more CO2 storage nearby.

Minnkota is pursuing Project Tundra, a project to install carbon capture technology at a coal-fired power plant.

Braaten views Summit’s Minnkota partnership as a backup plan, to “piggyback on a sure thing,” he said.

A North Dakota landowners’ group is suing over the state’s process for allowing CO2 and gas storage on private land, and land survey laws.

Braaten said the lawsuit, which would affect the permitting of a Summit storage site in North Dakota, is not directed at Summit but is tied to longtime legal battles related to landowner rights.
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Japanese Prime Minister Fumio Kishida made a brief visit to the tsunami-wrecked Fukushima nuclear plant on Sunday to highlight the safety of an impending release of treated radioactive wastewater into the Pacific Ocean, a divisive plan that his government wants to start soon despite protests at home and abroad.

His trip comes hours after he returned home Saturday from a summit with U.S. and South Korean leaders at the American presidential retreat of Camp David. Before leaving Washington on Friday, Kishida said it is time to make a decision on the treated water’s release date, which has not been set due to the controversy surrounding the plan.

Since the government announced the release plan two years ago, it has faced strong opposition from Japanese fishing organizations, which worry about further damage to the reputation of their seafood as they struggle to recover from the accident. Groups in South Korea and China have also raised concerns, turning it into a political and diplomatic issue.

The government and the plant operator, Tokyo Electric Power Co., say the water must be removed to make room for the plant’s decommissioning and to prevent accidental leaks from the tanks because much of the water is still contaminated and needs further treatment.

Japan has obtained support from the International Atomic Energy Agency to improve transparency and credibility and to ensure the plan by TEPCO meets international safety standards. The government has also stepped up a campaign promoting the plan’s safety at home and through diplomatic channels.

IAEA, in a final report in July, concluded that the TEPCO plan, if conducted strictly as designed, will cause negligible impact on the environment and human health, encouraging Japan to proceed.

Kishida told reporters after Sunday’s plant visit that he hoped to meet with the head of the national fisheries organization on Monday before his ministers decide the date at a meeting next week, Kyodo News agency reported. Kishida did not mention a starting date for the water release, which is widely expected to be at the end of August.

During his visit on Sunday, Kishida saw wastewater filtering and dilution facilities and met with TEPCO president Tomoaki Kobayakawa and other top officials. He urged the officials to prioritize safety in the release and help prevent reputational damage to local fisheries, Kyodo said.

While seeking understanding from the fishing community, the government has also worked to explain the plan to South Korea to keep the issue from interfering with their relationship-building. Japan, South Korea and the U.S. are working to bolster trilateral ties in the face of growing Chinese and North Korean threats.

South Korean President Yoon Suk Yeol’s government recently showed support for the Japanese plan, but he faces criticism at home. During a joint news conference at Camp David, Yoon said he backs the IAEA’s safety evaluation of the plan but stressed the need for transparent inspection by the international community.

Kishida said Friday the outreach efforts have made progress, and that the decision will factor in safety preparations and measures for possible reputation damage on the fisheries.

A massive March 11, 2011, earthquake and tsunami destroyed the Fukushima Daiichi plant’s cooling systems, causing three reactors to melt and contaminating their cooling water. The water is collected, filtered and stored in around 1,000 tanks, which will reach their capacity in early 2024.

The water is being treated with what’s called an Advanced Liquid Processing System, which can reduce the amounts of more than 60 selected radionuclides to government-set releasable levels, except for tritium, which the government and TEPCO say is safe for humans if consumed in small amounts.

Scientists generally agree that the environmental impact of the treated wastewater would be negligible, but some call for more attention to dozens of low-dose radionuclides that remain in it.
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The language is stark: People in torched areas of Maui should not try to filter their own drinking water because there is no “way to make it safe,” Maui County posted on its Instagram account this week.

The message reached Anne Rillero and her husband, Arnie, in Kula, who were eating yet another meal of frozen pizza. The couple feels incredibly lucky they and their home survived the fires that raced across Maui in recent days, wiping most of Lahaina off the map. The number of confirmed fatalities was raised on Friday to 114 people.

When a neighborhood organization alerted them not to drink their water and to air out the house even if they run the tap, the couple decided to eat off paper plates to avoid exposure. No washing dishes.

“It’s alarming that it may be in the water system for awhile,” said Rillero, a retired conservation communication specialist who has lived on the island for 22 years.

Brita filters, devices connected to refrigerators or sinks and even robust, whole-home systems are unlikely to address the “extreme contamination” that can happen after a fire.

“They will remove some of it, but levels that will be acutely and immediately toxic will get through,” said Andrew Whelton, a Purdue University researcher and expert in water contamination after wildfires in urban areas.

The Maui fires damaged hundreds of drinking water pipes, resulting in a loss of pressure that can allow toxic chemicals along with metals and bacteria into water lines.

“You can pull in contaminated or dirty water from the outside, even when those lines are underground,” said David Cwiertny, a civil and environmental engineering professor at the University of Iowa.

Hundreds of families could be in the same situation as the Rilleros in the Lahaina and Upper Kula areas, where people have been told to minimize any contact with county water including showers. In Lahaina alone, aerial imagery and damage assessment data generated by Vexcel Data show 460 buildings apparently undamaged by the fires. These are places where people are returning.

For now, the county has told people to use bottled water for all their needs or to fill jugs at tankers called water buffalos, which have been brought in near the burns.

The state health department’s environmental health division told Maui County, which operates water delivery systems for most residents, to test for 23 chemicals. Those are just the ones for which the federal government has set limits for drinking water.

These warnings reflect new science and are intended to avoid the whiplash of conflicting information received by people impacted by the 2018 Camp Fire in California, who received messages from four different agencies.

Until a few years ago, wildfire was only known to contaminate drinking water at the source, such as when ash runs into a river or reservoir. California’s Tubbs Fire in 2017 and the Camp Fire “are the first known wildfires where widespread drinking water chemical contamination was discovered in the water distribution network,” according to a recent study published by several researchers including Whelton with the American Water Works Association.

After the Camp Fire destroyed Paradise, California, officials didn’t initially understand that smoke and chemicals had leached into the water through broken and melted water pipes. So they did what was standard after other fires: they told people to boil water before use.

Concerned about benzene contamination, the Paradise Irrigation District water utility then changed the order and told people to avoid the water, district Assistant District Manager Mickey Rich said.

Four days later, the California State Water Resources Control Board announced people could drink it as long as it didn’t smell. Two and a half weeks later, that agency announced there was benzene in the water.

Two months after that, a third agency, a county health department, told the public the water was unsafe and not to attempt to treat it on their own.

“There were a lot of unknowns,” Rich said. “When the scientists came six months into the recovery, they really answered a lot of questions that we wish we would have had at the beginning.”

New contaminants also have been discovered recently. The chemicals that Hawaii’s state government told Maui County to test for are called volatile because they tend to become airborne, like gasoline that turns to vapor when it drips from the pump onto your car.

But Whelton’s new research on the Marshall Fire in Boulder County Colorado, shows a group of heavier compounds, called “semi-volatile,” can contaminate damaged water lines as well, even when benzene and other better-known chemicals are not there.

“We found SVOCs leaching from damaged water meters into drinking water,” Whelton said. “You can’t use VOCs to predict whether SVOCs are present.”

For people on Maui who get their water from private wells, now would be a good time to get it tested, said Steve Wilson, a groundwater hydrologist at the University of Illinois, Urbana-Champaign.

If fire burns near a well, it can damage the cap, which keeps out debris. Plastic in the lining can even melt, releasing hazardous fumes into the well.

“In the case of a fire, it may look fine, but it’s hard to know,” Wilson said. “It might have affected something on the inside.”

Experts caution complete restoration of safe water will take a long time.

“I would implore anybody not to make a decision about lifting the water safety order until you have repeated validation that there is no contamination that poses a health risk,” Whelton said.
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An “abnormal situation” occurred at Russia’s Luna-25 spacecraft Saturday as it was preparing to transfer to its pre-landing orbit, Russia’s national space agency Roskosmos said. 

The Russian spacecraft is scheduled to land on the south pole of the moon Monday, part of a big power race to explore a part of the moon that scientists think might hold frozen water and precious elements. 

“During the operation, an abnormal situation occurred on board the automatic station, which did not allow the maneuver to be performed with the specified parameters,” Roskosmos said in a short statement. 

Specialists are analyzing the situation, it said, without providing further details. 

Images of moon’s craters

Earlier, Roskosmos said it had received the first results from the Luna-25 mission and that they were being analyzed. 

The agency also posted images of the moon’s Zeeman crater taken from the spacecraft. The crater is the third deepest in the moon’s southern hemisphere, it said, measuring 190 kilometers (118 miles) in diameter and eight kilometers (five miles) in depth. 

Roskosmos said data it had received so far had provided information about the chemical elements in the lunar soil and would also facilitate the operation of devices designed to study the near-surface of the moon. 

It added that its equipment had registered “the event of a micrometeorite impact.” 

Craft enters moon’s orbit

The Luna-25 entered the moon’s orbit Wednesday, the first Russian spacecraft to do so since 1976. 

Roughly the size of a small car, it will aim to operate for a year on the south pole, where scientists at NASA and other space agencies in recent years have detected traces of frozen water in the craters. 

The presence of water has implications for major space powers, potentially allowing longer human sojourns on the moon that would enable the mining of lunar resources. 
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Phil Durst recalled clawing at his face after a chemical from a commercial dishwashing machine squirted into his eyes, causing “the most indescribable pain I’ve ever felt — ever, ever, ever.”

His left eye bore the brunt of the 2017 work accident, which stole his vision, left him unable to tolerate light and triggered four to five cluster headaches a day.

Then he underwent an experimental procedure that aims to treat severe injuries in one eye with stem cells from the other.

“I went from completely blind with debilitating headaches and pondering if I could go another day — like really thinking I can’t do this anymore” — to seeing well enough to drive and emerging from dark places literally and figuratively, he said, choking up.

The 51-year-old from Homewood, Alabama, was one of four patients to get stem cell transplants as part of the first U.S. study to test the technique, which could someday help thousands. Although additional treatment is sometimes needed, experts say stem cell transplant offers hope to people with few if any other options.

Results of the early-stage research were published Friday in the journal Science Advances, and a larger study is now underway.

The procedure is designed to treat “limbal stem cell deficiency,” a corneal disorder that can occur after chemical burns and other eye injuries. Patients without limbal cells, which are essential for replenishing and maintaining the cornea’s outermost layer, can’t undergo corneal transplants that are commonly used to improve vision.

Dr. Ula Jurkunas, an ophthalmologist at Mass Eye and Ear in Boston who was the principal investigator for the study, said the experimental technique involves taking a small biopsy of stem cells from the healthy eye, then expanding and growing them on a graft in a lab at Dana-Farber Cancer Institute in Boston.

A couple of weeks later, they’re sent back to be transplanted into the injured eye. Durst was the first patient to undergo the procedure.

“The great part of it is that we’re using a patient’s own tissue,” not donor tissue the body might reject, Jurkunas said.

She said this method is better than a different procedure that takes a very large piece of stem cells from a healthy eye for use on an injured eye — but risks damaging the good eye.

Both of Durst’s eyes were hurt in the accident, which happened while the former chemical company manager was visiting a client having problems with the dishwashing machine. For six to eight months, his overall vision was so bad his wife or son had to lead him around. But his right eye was less injured than his left and could provide stem cells for the transplant.

Jurkunas, who is also affiliated with Harvard Medical School, said Durst’s 2018 surgery was the culmination of almost two decades of research, “so we felt immense happiness and excitement to finally do it.”

All patients in the study saw their cornea surfaces restored. Durst and another patient were then able to get transplants of artificial corneas, while two others reported much-improved vision with the stem cell transplant alone. A fifth patient didn’t get the procedure because the stem cells weren’t able to adequately expand.

At this point, Durst said, the vision in his right eye is nearly perfect but the vision in his left eye is blurry; he’s scheduled for a different procedure in September to address that.

Jurkunas estimates about 1,000 people in the United States per year could potentially benefit from this sort of stem cell transplant, which has also been studied in Japan.

“There’s definitely an unmet clinical need for this effort — there’s no question,” said Dr. Tueng Shen, an ophthalmology professor at the University of Washington who was not involved in the research. She added that doctors currently have no reliable source of cultivated limbal stem cells.

Researchers are finalizing the next phase of the clinical trial, which includes 15 patients. One is Nick Kharufeh, whose left eye was injured in 2020. He was watching fireworks being set off in the street when a spark hit his eyeball.

Kharufeh moved from California to Boston to take part in the study, and the 26-year-old real estate agent can see well enough to fly a small plane.

Although he’s given up on plans of becoming a commercial pilot, “I still fly whenever I get back to California. I love it,” he said. “I’m just really thankful that they gave me the opportunity to be part of the trial because it’s really helped me out.”
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Japanese Prime Minister Fumio Kishida said he will visit the tsunami-wrecked Fukushima nuclear plant on Sunday before setting a release date for its treated radioactive wastewater, as his government continues working to promote understanding over the controversial plan at home and abroad.

“The government has reached the final stage where we should make a decision,” Kishida told reporters in Washington on Friday after wrapping up his summit with U.S. and South Korean leaders at the American presidential retreat of Camp David.

Since the government announced the release plan two years ago, it has faced strong opposition from Japanese fishing organizations, which worry about further damage to the reputation of their seafood as they struggle to recover from the accident. Groups in South Korea and China have also raised concerns, turning it into a political and diplomatic issue.

The government and the plant operator, Tokyo Electric Power Co., say the water must be removed to make room for the plant’s decommissioning and to prevent accidental leaks from the tanks because much of the water is still contaminated and needs further treatment.

The release “cannot be postponed,” Kishida said.

Japan has obtained support from the International Atomic Energy Agency to improve transparency and credibility and to ensure the plan by TEPCO meets international safety standards. The government has also stepped up a campaign promoting the plan’s safety at home and through diplomatic channels.

IAEA, in a final report in July, concluded that the TEPCO plan, if conducted strictly as designed, will cause negligible impact on the environment and human health, encouraging Japan to move ahead.

While seeking understanding from the fishing community, the government has also worked to explain the plan to South Korea to keep the issue from interfering with their relationship-building. Japan, South Korea and the U.S. are working to bolster trilateral ties in the face of growing Chinese and North Korean threats.

Kishida said the outreach efforts have made progress, but he did not mention a starting date for the water release, which is widely expected to be at the end of August. He said the decision will factor in safety preparations and measures for possible reputation damage on the fisheries. Japanese media reports say his ministers will decide the date at a meeting next week.

“Before making a final decision, I want to have a firsthand look on the ground and see if utmost safety measures are taken for the release, and if everyone involved is committed with a strong sense of responsibility for the project,” Kishida said.

He added that he wants to make sure TEPCO executives share a strong commitment to the plant’s decommissioning and Fukushima’s recovery.

A massive March 11, 2011, earthquake and tsunami destroyed the Fukushima Daiichi plant’s cooling systems, causing three reactors to melt and contaminating their cooling water, which has since leaked continuously into reactor basements and mixed with groundwater. The water is collected, filtered and stored in around 1,000 tanks, which will reach their capacity in early 2024.

The water is being treated with what’s called an Advanced Liquid Processing System, which can reduce the amounts of more than 60 selected radionuclides to government-set releasable levels, except for tritium, which the government and TEPCO say is safe for humans if consumed in small amounts.

Scientists generally agree that the environmental impact of the treated wastewater would be negligible, but some call for more attention to dozens of low-dose radionuclides that remain in it, saying data on their long-term effects on the environment and marine life are insufficient and the water requires close scrutiny.
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A British nurse who described herself as a “horrible evil person” was found guilty on Friday of murdering seven newborn babies and trying to kill another six in the neonatal unit of a hospital in northwest England where she worked.

Lucy Letby, 33, was convicted of killing five baby boys and two baby girls at the Countess of Chester hospital and attacking other newborns, often while working night shifts, in 2015 and 2016.

The verdict, following a harrowing 10-month trial at Manchester Crown Court, makes Letby Britain’s most prolific serial child killer in modern history, local media said.

She was found not guilty of two attempted murders while the jury, who spent 110 hours deliberating, were unable to agree on six other suspected attacks.

“We are heartbroken, devastated, angry and feel numb, we may never truly know why this happened,” the families of Letby’s victims said in a statement.

Prosecutors told the jury Letby poisoned some of her infant victims by injecting them with insulin, while others were injected with air or force-fed milk, sometimes involving multiple attacks before they died.

“I killed them on purpose because I’m not good enough to care for them,” said a handwritten note found by police officers who searched her home after she was arrested. “I am a horrible evil person,” she wrote. “I AM EVIL I DID THIS.”

Some of those she attacked were twins — in one case she murdered both siblings, in two instances she killed one but failed in her attempts to murder the other.

The youngest victim was just 1 day old.

‘Malevolent presence’

Letby will be sentenced on Monday and faces a lengthy prison term, possibly a rare full life sentence.

Her actions came to light when senior doctors became concerned at the number of unexplained deaths and collapses at the neonatal unit, where premature or sick babies are treated, over 18 months from January 2015.

With doctors unable to find a medical reason, police were called in. After a lengthy investigation, Letby, who had been involved in the care of the babies, was pinpointed as the “constant malevolent presence when things took a turn for the worse,” said prosecutor Nick Johnson.

Pictures of Letby on social media portrayed a happy and smiling woman with a busy social life, and in one photo she was seen cradling a baby. But, during months of often distressing evidence, her trial heard she was a determined killer.

The jury was told how Letby had tried on four occasions to murder one baby girl before she finally succeeded. When another of the victim’s mothers walked in on her attacking twin babies, she said “Trust me, I’m a nurse.”

At her home after her arrest, detectives found paperwork and medical notes with references to the children involved in the case. She had also carried out social media searches for the parents and families of the murdered babies.

Letby wept when she gave evidence over 14 days, saying she had never tried to hurt the babies and had only ever wanted to care for them, blaming unsafe staffing levels on the hospital ward and its dirty conditions.

She also claimed four doctors had conspired to pin the blame on her for the unit’s failings and said she had written the “I am evil” message because she had felt overwhelmed.

‘They could have stopped it’

But the prosecution said she was a cold, cruel, calculating liar who had repeatedly changed her account of events and said her notes should be treated as a confession.

Detectives said they had found nothing unusual about Letby’s life and could not determine any motive.

“Unfortunately, I don’t think we’ll ever know unless she just chooses to tell us,” said Detective Superintendent Paul Hughes, who led the investigation.

One senior doctor at the neonatal unit, Stephen Brearey, told the BBC that hospital bosses had failed to investigate allegations against Letby and failed to act on his and his colleagues’ concerns.

“Our staff are devastated by what has happened, and we are committed to ensuring that lessons continue to be learned,” said Nigel Scawn, medical director at Countess of Chester Hospital NHS Foundation Trust.

The government said it had ordered an independent inquiry, which would include how concerns raised by clinicians were dealt with.

The father of twins who survived Letby’s attempts to kill the children demanded answers from the hospital.

“They could have stopped it,” said the father, who cannot be named for legal reasons.

Police are carrying out further investigations into all the time Letby had worked as a nurse at the hospital and at another hospital in Liverpool where she had trained, to identify if there were any more victims.

“There is a number of cases that are active investigations that parents have been informed of,” Hughes said.
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The World Health Organization and U.S. health authorities said Friday they are closely monitoring a new variant of COVID-19, although the potential impact of BA.2.86 is currently unknown.

The WHO classified the new variant as one under surveillance “due to the large number (more than 30) of spike gene mutations it carries,” it wrote in a bulletin about the pandemic late Thursday.

So far, the variant has been detected in Israel, Denmark and the United States.

The U.S. Centers for Disease Control confirmed it is also closely monitoring the variant, in a message on the social platform X, formerly known as Twitter.

There are four known sequences of the variant, the WHO has said.

“The potential impact of the BA.2.86 mutations are presently unknown and undergoing careful assessment,” the WHO said.

Francois Balloux, professor of computational systems biology at University College London, said the attention attracted by the new variant was warranted.

“BA.2.86 is the most striking SARS-CoV-2 strain the world has witnessed since the emergence of Omicron,” he said in a comment published Friday, referring to the variant that exploded onto the global stage in the winter of 2022, causing a surge in COVID cases.

“Over the coming weeks we will see how well BA.2.86 will be faring relative to other Omicron subvariants,” he said.

He stressed, though, that even if BA.2.86 caused a major spike in infections, “we are not expecting to witness comparable levels of severe disease and death than we did earlier in the pandemic when the Alpha, Delta or Omicron variants spread.”

“Most people on earth have now been vaccinated and/or infected by the virus,” he said, pointing out that even if people were reinfected with the new variant, “immune memory will still allow their immune system to kick in and control the infection far more effectively.”

The WHO is currently monitoring upwards of 10 variants and their descent lineages.

Most countries that had established surveillance systems for the virus have since dismantled operations, determining it is no longer as severe and therefore could not justify the expense — a move the WHO has denounced, calling instead for stronger monitoring.

In the last reporting period between July 17 and Aug. 13, more than 1.4 million new cases of COVID-19 were detected and more than 2,300 deaths were reported, according to a WHO statement.

The case load represents a rise of 63% from the previous 28-day period, while deaths were down by 56%. 

As of Aug. 13, there were more than 769 million cases of COVID-19 confirmed and more than 6.9 million deaths worldwide, although the real toll is thought to be much higher because many cases went undetected.
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Comic books can be a great way to help people work through emotional trauma. For VOA, Genia Dulot reports on comics that encourage children and adults to share their feelings and address issues of mental health
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The evacuation center at the South Maui Community Park & Gymnasium is now Anne Landon’s safe space. She has a cot and access to food, water, showers, books and even puzzles that bring people together to pass the evening hours. 

But all it took was a strong wind gust for her to be immediately transported back to the terrifying moment a deadly fire overtook her senior apartment complex in Lahaina last week. 

“It’s a trigger,” she said. “The wind was so horrible during that fire.” 

Helping survivors cope

Mental health experts are working in Maui to help people who survived the deadliest fire in the United States in more than a century make sense of what they endured. While many are still in a state of shock, others are starting to feel overcome with anxiety and post-traumatic stress that experts say could be long-lasting. 

Landon, 70, has twice sought help in recent days to help her cope with anxiety. One psychologist she spoke with at an evacuation shelter taught her special breathing techniques to bring her heart rate down. On another occasion, a nurse providing 24/7 crisis support at her current shelter was there to comfort her while she cried. 

“I personally could hardly talk to people,” Landon said. “Even when I got internet connection and people reached out, I had trouble calling them back.” 

The person sleeping on the cot next to her, 65-year-old Candee Olafson, said a nurse helped her while she was having a nervous breakdown. Like Landon, Olafson fled for her life from Lahaina as the wind-whipped flames bore down on the historic town and smoke choked the streets. The trauma of the escape, on top of previous experience with depression, became too much to bear. 

“Everything culminated — I finally just lost it,” she said. 

Olafson said a nurse came over and told her, “Just look at me,” until she calmed down. Looking into the nurse’s eyes, she came back down to earth. 

“These people pulled me out faster than I’ve ever been pulled out from the abyss,” she said. 

What they witnessed as they fled will remain with them a long time — trauma that comes with no easy fix, something impossible to simply get over. 

“I know some of the people died in the water when I was in the water,” said John Vea, who fled into the ocean to avoid the flames. “I have never seen anything like this before. I’m never going to forget it.” 

Counselor offers compassion

Dana Lucio, a licensed mental health counselor with the Oahu-based group Healthy Mothers Healthy Babies coalition, is among the experts working on Maui to help support survivors. She’s been going to different donation hubs around Lahaina on the western side of the island, and sometimes even door to door, to be present for people and give them a shoulder to cry on. 

Lucio, who used to be in the Marine Corps and was deployed twice to Iraq and once to Afghanistan, said she’s able to understand some of their emotions because she has experienced post-traumatic stress herself. 

“I can connect with them in a way that most people can’t,” she said of those affected by the fire. “The trauma therapy that I do, I’ve learned within myself.” 

Global medical aid organization Direct Relief has been working with groups like Lucio’s to distribute medication to people who fled without their antidepressants and antipsychotic prescriptions, said Alycia Clark, the organization’s director of pharmacy and clinical affairs. 

People often leave their medication behind during sudden evacuations due to natural disasters. Downed cellphone towers and power outages can prevent them from contacting their doctors, and damage to health care clinics and a lack of transportation can all combine to complicate medical access, she said. 

It can take weeks to find the right dose for a mental health patient, and stopping medication suddenly can cause withdrawal symptoms, Clark said. For this reason, she said, Direct Relief includes mental health medication in most of its emergency and disaster response kits for those who are missing their prescriptions. 

Lucio, the mental health counselor, said she hopes people think about treatment as something that’s long term, as the initial shock wears off and the awful reality sets in. 

“This is not something their brains were prepared to understand,” she said. “There is going to be a need for ongoing therapy.” 
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Pollution from discarded plastic, metals and other items is a persistent problem in Nigeria. Some young people are doing what they can to clean up the trash and make strides toward sustainable development. Gibson Emeka has this story from Abuja, Nigeria, narrated by Salem Solomon.
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