The mpox health emergency has ended, but U.S. health officials are aiming to prevent a repeat of last year’s outbreaks.

Mpox infections exploded early in the summer of 2022 in the wake of Pride gatherings. More than 30,000 U.S. cases were reported last year, most of them spread during sexual contact between gay and bisexual men. About 40 people died.

With Pride events planned across the country in the coming weeks, health officials and event organizers say they are optimistic that this year infections will be fewer and less severe. A bigger supply of vaccine, more people with immunity and readier access to a drug to treat mpox are among the reasons.

But they also worry that people may think of mpox as last year’s problem.

“Out of sight, out of mind,” said Dr. Demetre Daskalakis, who is advising the White House on its mpox response. “But we are beating the drum.”

Last week, the Centers for Disease Control and Prevention issued a health alert to U.S. doctors to watch for new cases. On Thursday, the agency published a modeling study that estimated the likelihood of mpox resurgence in 50 counties that have been the focus of a government campaign to control sexually transmitted diseases.

The study concluded that 10 of the counties had a 50% chance or higher of mpox outbreaks this year. The calculation was based largely on how many people were considered at high risk for infection and what fraction of them had some immunity through vaccination or previous infection.

At the top of the list are Jacksonville, Florida; Memphis, Tennessee; and Cincinnati — cities where 10% or fewer of the people at highest risk were estimated to have immunity. Another 25 counties have low or medium immunity levels that put them at a higher risk for outbreaks.

The study had a range of limitations, including that scientists don’t know how long immunity from vaccination or prior infections lasts.

So why do the study? To warn people, said Dr. Chris Braden, who heads the CDC’s mpox response.

“This is something that is important for jurisdictions to promote prevention of mpox, and for the population to take note — and take care of themselves. That’s why we’re doing this,” he said.

Officials are trying to bring a sense of urgency to a health threat that was seen as a burgeoning crisis last summer but faded away by the end of the year.

Formerly known as monkeypox, mpox is caused by a virus in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals but was not known to spread easily among people.

Cases began emerging in Europe and the U.S. about a year ago, mostly among men who have sex with men, and escalated in dozens of countries in June and July. The infections were rarely fatal, but many people suffered painful skin lesions for weeks.

Countries scrambled to find a vaccine or other countermeasures. In late July, the World Health Organization declared a health emergency. The U.S. followed with its own in early August.

But then cases began to fall, from an average of nearly 500 a day in August to fewer than 10 by late December. Experts attributed the decline to several factors, including government measures to overcome a vaccine shortage and efforts in the gay and bisexual community to spread warnings and limit sexual encounters.

The U.S. emergency ended in late January, and the WHO ended its declaration earlier this month.

Indeed, there is a lower sense of urgency about mpox than last year, said Dan Dimant, a spokesman for NYC Pride. The organization anticipates fewer messages about the threat at its events next month, though plans could change if the situation worsens.

There were long lines to get shots during the height of the crisis last year, but demand faded as cases declined. The government estimates that 1.7 million people — mostly men who have sex with men — are at high risk for mpox infection, but only about 400,000 have gotten the recommended two doses of the vaccine.

“We’re definitely not where we need to be,” Daskalakis said, during an interview last week at an STD conference in New Orleans.

Some see possible storm clouds on the horizon.

Cases emerged this year in some European countries and South Korea. On Thursday, U.K. officials said an uptick in mpox cases in London in the last month showed that the virus was not going away.

Nearly 30 people, many of them fully vaccinated, were infected in a recent Chicago outbreak. (As with COVID-19 and flu shot, vaccinated people can still get mpox, but they likely will have milder symptoms, officials say.)

Dr. Joseph Cherabie, associate medical director of the St. Louis County Sexual Health Clinic, said people from the area travel to Chicago for events, so outbreaks there can have ripple effects elsewhere.

“We are several weeks behind Chicago. Chicago is usually our bellwether,” Cherabie said.

Chicago health officials are taking steps to prevent further spread at an “International Mr. Leather” gathering this weekend.

Event organizers are prominently advising attendees to get vaccinated. Chicago health officials put together social media messages, including one depicting three candles and a leather paddle that reads: “Before you play with leather or wax get yourself the mpox vax.”
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Britain’s health minister, Steve Barclay, said on Sunday that the government would not negotiate on pay with the nurses’ union, as the threat of further strikes looms.

The government’s offer, which includes a one-off payment equivalent to 2% of salaries in the 2022/23 financial year and a 5% pay raise for 2023/24, was rejected by the members of the Royal College of Nursing in April.

When asked by Sky News whether the government would resume talks with the union, Barclay said, “Not on the amount of pay.”

The union is already balloting its 300,000 members on further strike action over the next six months.

The union did not immediately respond to Reuters’ request for a comment on Barclay’s remarks on Sunday. It has said that the government must pay National Health Service staff “fairly.”

The relationship between the union, which has staged multiple strikes that have disrupted patient care, and the government became strained in late April when the health department limited the length of a strike after legal action against the RCN.
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A meeting of a United Nations committee dedicated to eradicating plastic pollution begins in Paris Monday. Plastic piles up from ocean beds to landfills. Manufacturers have begun the shift to biodegradable materials, but the billions of tons of plastic waste already in our environment are here to stay, at least for now. VOA’s Arash Arabasadi has more.
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When Thomas Hertog was first summoned to Stephen Hawking’s office in the late 1990s, there was an instant connection between the young Belgian researcher and the legendary British theoretical physicist.

“Something clicked between us,” Hertog said.

That connection would continue even as Hawking’s debilitating disease ALS robbed him of his last ways to communicate, allowing the pair to complete a new theory that aims to turn how science looks at the universe on its head.

The theory, which would be Hawking’s last before his death in 2018, has been laid out in full for the first time in Hertog’s book “On the Origin of Time,” published in the UK last month.

In an interview with AFP, the cosmologist spoke about their 20-year collaboration, how they communicated via facial expression, and why Hawking ultimately decided his landmark book “A Brief of History of Time” was written from the wrong perspective.

The ‘designed’ universe

During their first meeting at Cambridge University in 1998, Hawking wasted no time in bringing up the problem bothering him.

“The universe we observe appears designed,” Hawking told Hertog, communicating via a clicker connected to a speech machine.

Hertog explained that “the laws of physics — the rules on which the universe runs — turn out to be just perfect for the universe to be habitable, for life to be possible.”

This remarkable string of good luck stretches from the delicate balance that makes it possible for atoms to form molecules necessary for chemistry to the expansion of the universe itself, which allows for vast cosmic structures such as galaxies.

One “trendy” answer to this problem has been the multiverse, an idea that has recently become popular in the movie industry, Hertog said.

This theory explains away the seemingly designed nature of the universe by making it just one of countless others — most of which are “crap, lifeless, sterile,” the 47-year-old added.

But Hawking realized the “great mire of paradoxes the multiverse was leading us into,” arguing there must be a better explanation, Hertog said.

Outsider’s perspective

A few years into their collaboration, “it began to sink in” that they were missing something fundamental, Hertog said.

The multiverse and even “A Brief History of Time” were “attempts to describe the creation and evolution of our universe from what Stephen would call a ‘God’s eye perspective’,” Hertog said.

But because “we are within the universe” and not outside looking in, our theories cannot be decoupled from our perspective, he added.

“That was why (Hawking) said that ‘A Brief History of Time’ is written from the wrong perspective.”

For the next 15 years, the pair used the oddities of quantum theory to develop a new theory of physics and cosmology from an “observer’s perspective.”

But by 2008, Hawking had lost the ability to use his clicker, becoming increasingly isolated from the world.

“I thought it was over,” Hertog said.

Then the pair developed a “somewhat magical” level of non-verbal communication that allowed them to continue working, he said.

Positioned in front of Hawking, Hertog would ask questions and look into the physicist’s eyes.

“He had a very wide range of facial expressions, ranging from extreme disagreement to extreme excitement,” he said.

“It’s impossible to disentangle” which parts of the final theory came from himself or Hawking, Hertog said, adding that many of the ideas had been developed between the pair over the years.

‘One grand evolutionary process’

Their theory is focused on what happened in the first moments after the Big Bang.

Rather than an explosion that followed a pre-existing set of rules, they propose that the laws of physics evolved along with the universe.

This means that if you turn back the clock far enough, “the laws of physics themselves begin to simplify and disappear,” Hertog said.

“Ultimately, even the dimension of time evaporates.”

Under this theory, the laws of physics and time itself evolved in a way that resembles biological evolution — the title of Hertog’s book is a reference to Darwin’s “On the Origin of Species.”

“What we’re essentially saying is that (biology and physics) are two levels of one grand evolutionary process,” Hertog said.

He acknowledged that it is difficult to prove this theory because the first years of the universe remain “hidden in the mist of the Big Bang.”

One way to lift this veil could be by studying gravitational waves, ripples in the fabric of space time, while another could be via quantum holograms constructed on quantum computers, he said.
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South African customs officials recently became suspicious when they noticed that shipments of “Made in China” children’s toys were being sent, oddly, back to China.

On closer inspection, the packages did not contain toys at all but were filled with poached contraband.

Chinese criminal syndicates, often the very same ones that already have established smuggling routes in South Africa for illegal abalone or rhinoceros horns, have now moved on to trafficking in elephant’s foot.

But elephant’s foot is not what you think.

It is a type of succulent — unique plants with fleshy parts that retain water and grow in arid areas like South Africa’s vast Karoo — and its greyish wrinkled bulb bears a startling resemblance to a pachyderm’s pad.

It’s just one kind of succulent that’s being pulled out of the wilderness at what scientists say are alarming rates, and many of the rare plants — some of which are up to 100 years old and may only be found on a single rocky outcrop — are now nearing extinction.

Social media craze

The Succulent Karoo biome is a globally recognized biodiversity area that stretches all the way from Namibia right down into South Africa’s Western Cape province.

“We have incredibly special plants that occur nowhere else in the world, and it is part of South Africa’s heritage,” said Ismail Ebrahim, a scientist with the South African National Biodiversity Institute (SANBI).

He said some species, particularly succulents like conophytums, are now “on the brink of extinction.”

Some 1.5 million South African succulents have been removed from the wild over the past three years, according to SANBI.

While succulents were always beloved by amateur botanists and collectors, they’ve gained a broader fan base since the pandemic, experts told VOA on a recent trip to the Little Karoo organized by WWF South Africa, which is coordinating efforts to combat the illegal trade.

With people in lockdown, isolated and unable to go out into nature, a trend for houseplants started on social media, with influencers — or “plantfluencers” — calling themselves plant moms and dads and extolling the virtues of ornamental houseplants.

“I would see the appeal of having something in my house because … they’re very unique,” said Emily Norma Kudze, senior scientific coordinator for the illegal succulent trade with SANBI. “Ornamental value is now becoming a thing. I think just because of how they grow has brought in the trendiness of having them in your homes.”

The number of plants confiscated by South African law enforcement has increased by more than 200 percent since 2018, with over 242,000 succulents seized last year alone, according to CapeNature, a government organization that looks after wilderness areas in the Western Cape.

The South African government has developed a national action plan to try and address the growing trade.

Smuggling syndicates

Paul Gildenhuys, a CapeNature enforcement specialist, has been involved with cracking down on smuggling syndicates.

The collecting and export of succulents without a permit is prohibited under South African law and those caught poaching them can face a fine or prison time, Gildenhuys said. The poaching of endangered flora carries the highest penalty, a 400,000 rand fine or 10 years jail.

More than 90 arrests were made last year according to CapeNature. Thanks to informants, the majority of people are caught in vehicles on the highway while transporting the plants.

But prosecutions often lead to relatively small fines and suspended sentences and those caught are usually on the lower rungs of the trafficking groups — locals working for international syndicates who go and dig up the plants.

Still, with high levels of unemployment and poverty in the area, succulent poaching can be an attractive option for South Africans despite the low amounts of money they make.

“The succulent Karoo is a very vast, very arid landscape and there are very limited economic opportunities,” said WWF-SA’s Katherine Forsythe. “[In] the illegal trade unfortunately, all of the benefit is going overseas, while people on the ground in South Africa aren’t receiving any benefit.”

The poached plants are sent to an address in China or Hong Kong — sometimes through Johannesburg’s busy O.R. Tambo Airport, but often simply through the mail or by courier, said Gildenhuys.

Officials VOA spoke to did not want to give exact monetary figures, to avoid encouraging the trade in succulents, but said the profits to be made by foreign-run smuggling syndicates were significant.

Carl Brown, another CapeNature enforcement officer, said while there’s some illegal trade of South African succulents to the U.S. and E.U., China dominates.

Of the almost 400,000 plants seized in the Western Cape between 2019 and 2022, 98.7% of all plants were destined for the Chinese market, according to CapeNature.

“Hundreds of thousands of succulents are going to China weekly,” he told VOA.

Brown said he thinks the demand in China is partially due to the growing urban middle class in the world’s second-largest economy.

“Now you have the average Chinese citizen with disposable income looking for things that they can decorate their house with, and if you’re living in a high-rise building, you only have a certain amount of space,” he said, adding that sometimes a houseplant is the only bit of green in a person’s home.

Chinese efforts to stop trade

Brown said buyers might not even be aware their plant was illegally pulled out of the ground in South Africa — and admitted the issue does not get people as worked up as something such as rhino poaching.

But he stressed that the trade is having devastating effects.

“A plant the size of my hand that’s being smuggled to China could be 150 years old, and that’s one of the plants that’s setting seeds to replace itself in the ecosystem that’s now been removed,” he said.

There are various pages on the internet that offer succulent plants for sale, such as eBay and Etsy, and Chinese social media, according to CapeNature.

Scientific books on succulent types have also been translated into Mandarin recently, so people know what they are looking for.

Asked by VOA what the country is doing to try to end the poaching, the Chinese Embassy in Pretoria replied by email saying South Africa and China have been cooperating on combating such crimes.

“Over the years, the law enforcement departments of the two countries have always maintained close cooperation in cracking down on crimes such as smuggling ivory, rhinoceros horns and rare plants. Our smooth cooperation has produced fruitful results, especially in intelligence sharing, evidence exchange and arresting suspects,” the embassy said.

Additionally, the embassy said, Chinese diplomatic missions in South Africa have repeatedly reminded Chinese citizens and tourists in South Africa to avoid picking wild plants at will.
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France confirmed its aim to launch a vaccination program against bird flu in the autumn after results from a series of tests on the vaccination of ducks showed “satisfactory effectiveness,” the farm ministry said. 

A severe strain of highly pathogenic avian influenza, commonly called bird flu, has ravaged poultry production around the world, leading to the culling of over 200 million birds in the past 18 months. 

France has been the worst hit country in the European Union and is facing a strong resurgence of outbreaks since early this month in the southwestern part of the country, mainly among ducks. 

It had already launched a pre-order of 80 million vaccines last month, which needed to be confirmed based on final tests carried out by French health safety agency ANSES. 

“These favorable results provided sufficient guarantees to launch a vaccination campaign as early as autumn 2023,” the farm ministry wrote on its website. 

Governments, often shy to use vaccination due to the trade restrictions it can entail, have increasingly considered adopting them to stem the spread of the virus and avoid interhuman transmission. 

The results of the tests demonstrated a good control of virus transmission in vaccinated mule ducks, a differentiation between infected and vaccinated animals, known as the DIVA principle, and a reduction in virus excretion by vaccinated birds, the test conclusions said. 

France has mandated two companies, France’s Ceva Animal Health and Germany’s Boehringher Ingelheim, to develop bird flu vaccines for ducks. 

Several other EU countries have been carrying out tests, including the Netherlands on laying hens and Italy on turkeys. 

First results in the Netherlands showed the vaccines tested were efficient. 
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When the Popocatepetl volcano reawakened in 1994, Mexican scientists needed people in the area who could be their eyes and ears. State police helped them find one, Nefi de Aquino, a farmer then in his 40s who lived beside the volcano. From that moment on, his life changed.

He became a police officer himself, but with a very specific job: watching Popocatepetl and reporting everything that he saw to authorities and researchers at diverse institutions.

For nearly three decades, de Aquino says he has been “taking care of” the volcano affectionately known as “El Popo.” And for the past 23 of those years, he has been sending scientists daily photographs.

Collaboration between researchers and local residents — usually people of limited means — is crucial to Mexico’s volcano monitoring. Hundreds of villagers collaborate in different ways. Often local residents are the only witnesses to key events. Sometimes scientists install recording devices on their land, or have them collect ash samples.

One evening this week, the thin 70-year-old policeman with a hoarse voice stopped his patrol truck near the cemetery overlooking his home town, one of the area’s best vantage points. At his feet lay the town of Santiago Xalitzintla. Directly in front at a distance of 14 miles (23 kilometers) sat Popocatepetl, puffing smoke, the rim of its crater aglow.

Because it appeared calm, de Aquino didn’t stay long. Over the previous week, he had been busy sending digital volcano photographs to a slew of researchers at universities and government agencies as the mountain’s activity increased and authorities raised the alert level. Once again, the world’s eyes were on the 17,797-foot Popocatepetl, including those of the 25 million people living within 60 miles of its crater.

On Friday, officials said the volcano’s activity had decreased somewhat although they maintained the same alert level.

A farmer who was a meat packer for three years in Utah in his late 20s when he illegally emigrated to the United States, de Aquino’s life took a radical turn one day in 1994 when someone in his home town told him police were looking for him.

At first he was afraid to go to the police, but eventually did. The interview was brief.

“‘Do you know how to read?’ ‘Yes.’ ‘Write?’ ‘Yes.’ ‘Do you drive?’ ‘Yes.’ ‘Do you have a license?’ ‘Yes.’ ‘Heck, this one will work.'”

Officers told de Aquino that the government was looking for people to monitor the volcano and that he, then 41, had certain advantages. He appeared serious, he had finished high school, and during his short stay in the United States he had learned how to take photographs.

‘Immersed in the volcano’

At first, de Aquino was given a volunteer civil defense role, and he took some courses at National Center for Disaster Prevention, or CENAPRED where he was “immersed in the volcano.” But he wasn’t thrilled with doing the work without pay. So authorities offered to send him to the police academy.

Although de Aquino became an officer with some normal police duties, he was an odd cop. He almost always worked alone, patrolling remote mountain roads, taking photos of the volcano.

The ways that local people who help monitor the volcano are compensated are seldom straightforward, because they are not on the payrolls of universities or other research institutions, despite “becoming our eyes close to the volcano,” said Carlos Valdes, a researcher at the UNAM’s Geophysics Institute and former head of CENAPRED.

As an example, Valdes said that the key person when the seismic monitoring system was installed on Popocatepetl was a mountain climber who lived in the town of Amecameca. The man, since deceased, knew the safest routes to climb and how to avoid putting instruments in locations that were sacred to locals.

The way to compensate the man, was “to buy tires for his jeep, repair the vehicle, get him coats,” because it was otherwise difficult to pay him.

Paulino Alonso, a technician at CENAPRED who does fieldwork at Popocatepetl, said collaboration with locals also has given researchers a better understanding of how locals perceive risks.

“A machine is never going to speak to the human perception of danger,” Alonso said.

Three photos a day

In 2000, when Popocatepetl grew more active, authorities declared a red alert and thousands of people were evacuated. De Aquino’s monitoring work intensified.

“They gave me cameras, a patrol car and binoculars and every day I had to send three photos: one in the morning, one at midday and one at night,” the policeman said.

De Aquino continues working to this day, filling his adobe-walled home with thousands of photographs. He lives alone on a modest ranch on the volcano’s slopes, where he has some fruit trees growing beside a stream, and raises corn and a few animals.

De Aquino helps keep locals informed about the volcano and assists during evacuations. Once, his house became an impromptu shelter for soldiers, police and government officials, he said.

De Aquino has gotten to go along on overflights of the crater, the first time terrified. “You see the whole base, how it lights up, how it puts out smoke … it felt strange,” he said.

He has continued in his job despite being past retirement age.

“What I have learned from (Popocatepetl) is that while it’s calm, it doesn’t do anything,” he said. “But when it gets mad, it goes crazy.”
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The U.S. Drug Enforcement Administration stripped one of the nation’s largest drug distributors of its license to sell highly addictive painkillers Friday after determining it failed to flag thousands of suspicious orders at the height of the opioid crisis.

The action against Morris & Dickson Co., which threatens to put the company out of business, came two days after an Associated Press investigation found the DEA allowed the company to keep shipping drugs for nearly four years after a judge recommended the harshest penalty for its “cavalier disregard” of rules aimed at preventing opioid abuse.

The DEA acknowledged the time it took to issue its final decision was “longer than typical for the agency” but blamed Morris & Dickson in part for holding up the process by seeking delays due to the COVID-19 pandemic and its lengthy pursuit of a settlement that the agency said it had considered. The order becomes effective in 90 days, allowing more time to negotiate a settlement.

12,000 unusually large orders

DEA Administrator Anne Milgram said in the 68-page order that Morris & Dickson failed to accept full responsibility for its past actions, which included shipping 12,000 unusually large orders of opioids to pharmacies and hospitals between 2014 and 2018. During this time, the company filed just three suspicious order reports with the DEA.

Milgram specifically cited testimony of then-company president Paul Dickson Sr. in 2019 that Morris & Dickson’s compliance program was “dang good,” and he didn’t think a “single person has gotten hurt by [their] drugs.”

“Those statements from the president of a family-owned and -operated company so strongly miss the point of the requirements of a DEA registrant,” she wrote. “Its acceptance of responsibility did not prove that it or its principals understand the full extent of their wrongdoing … and the potential harm it caused.”

Roots go back to 1840

Shreveport, Louisiana-based Morris & Dickson traces its roots to 1840, when its namesake founder arrived from Wales and placed an ad in a local newspaper selling medicines. It has since become the nation’s fourth-largest wholesale drug distributor, with $4 billion a year in revenue and nearly 600 employees serving pharmacies and hospitals in 29 states.

In a statement, the company said it has invested millions of dollars over the past few years to revamp its compliance systems and appeared to hold out hope for a settlement.

“Morris & Dickson is grateful to the DEA administrator for delaying the effective date of the order to allow time to settle these old issues,” it said. “We remain confident we can achieve an outcome that safeguards the supply chain for all of our health care partners and the communities they serve. … Business will continue as usual and orders will continue to go out on time.”

Morris & Dickson’s much larger competitors, a trio of pharmaceutical distributors known as the Big Three, have already agreed to pay the federal government more than $1 billion in fines and penalties to settle similar violations. Cardinal Health, AmerisourceBergen and McKesson also agreed to pay $21 billion over 18 years to resolve claims as part of a nationwide settlement.

While Morris & Dickson wasn’t the only drug distributor whom the DEA accused of fueling the opioid crisis, it was unique in its willingness to challenge those accusations in the DEA’s administrative court.
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Elon Musk’s brain implant company Neuralink says it’s gotten permission from U.S. regulators to begin testing its device in people.

The company made the announcement on Twitter Thursday evening but has provided no details about a potential study, which was not listed on the U.S. government database of clinical trials.

Officials with the Food and Drug Administration wouldn’t confirm or deny whether the agency granted the approval, but press officer Carly Kempler said in an email that the FDA “acknowledges and understands” that Musk’s company made the announcement.

Neuralink is one of many groups working on linking the nervous system to computers. The aim is to put into humans a neural-chip implant designed to decode and stimulate brain activity.

Earlier this week, for example, researchers in Switzerland published research in the journal Nature describing an implant that restores communication between the brain and spinal cord to help a man with paralysis to stand and walk naturally. There are more than 30 brain or spine computer interface trials underway, according to clinicaltrials.gov.

Musk – who also owns Twitter and is the CEO of Tesla and SpaceX – said last December that his team was in the process of asking regulators to allow them to test the Neuralink device.

The device is about the size of a large coin and is designed to be implanted in the skull, with ultra-thin wires going directly into the brain. Musk has said the first two applications in people would attempt to restore vision and try to help people with little or no ability to operate their muscles rapidly. He also said he envisions that signals from the brain could be bridged to Neuralink devices in the spinal cord for someone with a broken neck.

After Musk made a presentation late last year about the device, Rajesh Rao, co-director of the Center for Neurotechnology at the University of Washington, said he didn’t think Neuralink was ahead of other teams in terms of brain-computer interface achievements but was “quite ahead” in terms of the hardware in the devices.

It’s unclear how well this device or similar interfaces will ultimately work, or how safe they might be. Neuralink’s interface is considered an “investigational device” at this point, and clinical trials are designed to collect data on safety and effectiveness.

In its tweet this week, Neuralink said that it’s not yet recruiting participants for the study and will provide more information soon.
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The Supreme Court on Thursday sharply limited the federal government’s authority to police water pollution into certain wetlands, the second decision in as many years in which a conservative majority narrowed the reach of environmental regulations.

The outcome could threaten efforts to control flooding on the Mississippi River and protect the Chesapeake Bay, among many projects, wrote Justice Brett Kavanaugh, breaking with the other five conservatives.

The justices boosted property rights over concerns about clean water in a ruling in favor of an Idaho couple who sought to build a house near Priest Lake in the state’s panhandle. Chantell and Michael Sackett objected when federal officials identified a soggy portion of the property as a wetlands that required them to get a permit before filling it with rocks and soil.

By a 5-4 vote, the court said in an opinion by Justice Samuel Alito that wetlands can only be regulated under the Clean Water Act if they have a “continuous surface connection” to larger, regulated bodies of water. There is no such connection on the Sacketts’ property.

The court jettisoned the 17-year-old opinion by their former colleague, Anthony Kennedy, allowing regulation of what can be discharged into wetlands that could affect the health of the larger waterways.

Kennedy’s opinion covering wetlands that have a “significant nexus” to larger bodies of water had been the standard for evaluating whether permits were required for discharges under the 1972 landmark environmental law.

Opponents had objected that the standard was vague and unworkable.

Environmental advocates said the new standard would strip protections from millions of acres of wetlands across the country.

Reacting to the decision, Manish Bapna, the chief executive of the Natural Resources Defense Council, called on Congress to amend the Clean Water Act to restore wetlands protections and on states to strengthen their own laws.

“The Supreme Court ripped the heart out of the law we depend on to protect American waters and wetlands. The majority chose to protect polluters at the expense of healthy wetlands and waterways. This decision will cause incalculable harm. Communities across the country will pay the price,” Bapna said in a statement.

The outcome almost certainly will affect ongoing court battles over new wetlands regulations that the Biden administration put in place in December. Two federal judges have temporarily blocked those rules from being enforced in 26 states.

EPA Administrator Michael S. Regan said the Clean Water Act has been responsible for “transformational progress” in cleaning up the nation’s waterways.

“I am disappointed by today’s Supreme Court decision that erodes longstanding clean water protections,” he said in a statement.

Damien Schiff, who represented the Sacketts at the Supreme Court, said the decision appropriately narrowed the reach of the law.

“Courts now have a clear measuring stick for fairness and consistency by federal regulators. Today’s ruling is a profound win for property rights and the constitutional separation of powers,” Schiff said in a statement issued by the property rights-focused Pacific Legal Foundation.

In Thursday’s ruling, all nine justices agreed that the wetlands on the Sacketts’ property are not covered by the act.

But only five justices joined in the opinion that imposed a new test for evaluating when wetlands are covered by the Clean Water Act. Chief Justice John Roberts, Justice Clarence Thomas and Alito would have adopted the narrower standard in 2006, in the last big wetlands case at the Supreme Court. They were joined Thursday by Justices Neil Gorsuch and Amy Coney Barrett.

Kavanaugh and the court’s three liberal justices charged that their colleagues had rewritten that law.

Kavanaugh wrote that the court’s “new and overly narrow test may leave long-regulated and long-accepted-to-be regulable wetlands suddenly beyond the scope of the agencies’ regulatory authority.”

Justice Elena Kagan wrote that the majority’s rewriting of the act was “an effort to cabin the anti-pollution actions Congress thought appropriate.” Kagan referenced last year’s decision limiting the regulation of greenhouse gas emissions under the Clean Air Act.

In both cases, she noted, the court had appointed “itself as the national decision-maker on environmental policy.” Kagan was joined in what she wrote by her liberal colleagues Sonia Sotomayor and Ketanji Brown Jackson.

The Sacketts paid $23,000 for a 0.63-acre lot near Priest Lake in 2005 and started building a three-bedroom home two years later.

They had filled part of the property, described in an appellate ruling as a “soggy residential lot,” with rocks and soil in preparation for construction, when officials with the Environmental Protection Agency showed up and ordered a halt in the work.

They also won an earlier round in their legal fight at the Supreme Court.

The federal appeals court in San Francisco upheld the EPA’s determination in 2021, finding that part of the property, 300 feet from the lake and 30 feet from an unnamed waterway that flows into the lake, was wetlands.

The Sacketts’ own consultant had similarly advised them years ago that their property contained wetlands.
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Teachers from 115 schools in the Mozambican province of Manica are creating their own teaching material using cardboard, plastic gallon jugs, and bags made from raffia leaves, offered by the community. They say they’re saving money by replacing expensive conventional teaching material while helping the environment, in this story narrated by Barbara Santos.
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Seated on his mother’s lap, one-year old Jeon Tyler Ancheta gets vaccinated for measles and rubella. Jeon Tyler lets out a short cry after the needle is pulled out of his arm, but he’s comforted by his mother while a doctor enthusiastically says “good.”

There’s a line of parents who brought their kids to get vaccinated at this local health clinic. It’s a positive sign in a country that has a large number of unvaccinated children.

The Philippines has about one-million children who have not received a single routine vaccination according to the United Nations Children’s Fund (UNICEF). The country is ranked in the top five globally for the highest number of zero-dose children. In addition, there are many kids who are only partially vaccinated for diseases that require multiple shots including measles.

So, health departments across the country have teamed up with UNICEF and the World Health Organization for a nationwide vaccine campaign.

Robert Pascual Jr. came to this clinic with his two-year old daughter Zafeerah. “When she grows up, I want her to be protected and safe,” Pascual said although he acknowledged having some vaccine hesitancy until recently.

The reasons behind the high number of unvaccinated children in the Philippines include strict lockdowns during the pandemic that kept families from routine medical appointments.

Many Filipinos also have lingering mistrust of vaccines after more than 800,000 Filipino children received a dengue vaccine, Dengvaxia, which was later shown to increase the risk of a severe form of the disease in some people.

Several studies show the Dengvaxia debacle caused a drop in Filipino parents’ trust of vaccines, even with vaccines that have been routine for children for decades. Health officials in the Philippines say this led to measles outbreaks.

“There are myths that these particular vaccines give you the disease itself. So, there’s a lot of controversies,” says Dr. Jennifer Lou Lorico-De Guzman, medical coordinator for the national immunization program for the city of Taguig.

“We are trying to educate the public about the importance of vaccines,” she adds.

Health advocates such as Ma. Nieves Bulalacao are hitting the streets to talk to parents. On a recent morning, Bulalacao walked through Taguig’s side streets and alleyways alongside nurse Gigi Quintero who carried a cooler stocked with ice packs and vaccines for measles as well as rubella.

“We’re trying to find parents with children who need to be vaccinated,” Bulalacao said.

Together they went door to door telling parents how contagious diseases like measles are and that vaccines are the best way to protect their children.

They came across Stephanie Opider whose three children need to be vaccinated. “It’s dangerous because measles can spread quickly,” Bulalacao told Opider.

The children’s father, Joeson Dalanon, is afraid vaccinations could harm their kids. “I hear there are lots of kids who die so I didn’t want them to get vaccinated,” Dalanon said.

These parents are especially concerned about their middle child, three-year-old King Andrei, who they say gets convulsions whenever he gets a fever.

Eventually the parents agree, seemingly reluctantly, to let Quintero vaccinate all three of their children. Bulalacao acknowledges that more work needs to be done so that parents can feel confident that vaccination is the right decision. “We have to keep reassuring them that these routine vaccines will not harm their kids,” she said.

At a clinic in Taguig’s Maharlika neighborhood, Suhaira Bago lines up with her two-year-old daughter Alicia for a measles and rubella vaccination. They’re part of this neighborhood’s Muslim community and Bago says some families refuse to let their children get inoculated.

“Many of the [grandparents] have a lot of influence over these decisions in their family,” Bago says. “They say they didn’t get the vaccine so their [grandchildren] don’t need it either. The issue with the [Dengvaxia] vaccine only added to this feeling for many.”

Cristina Rakim, a city health worker in this neighborhood who’s also Muslim, says outreach teams are investing significant time in this community. ”We’re trying to convince parents and grandparents how much safer their children and grandchildren will be if they’re vaccinated,” Rakim said.

Two-year-old Alicia didn’t even flinch when the needle went in and out of her arm. Her mother smiled when she later said, “I know this measles and rubella vaccine will protect my child.”
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