Authorities in several West African countries are trying to manage their huge diphtheria outbreaks, including in Nigeria where a top health official said Thursday that millions are being vaccinated to cover wide gaps in immunity against the disease.

At least 573 people out of the 11,640 diagnosed with the disease in Nigeria have died since the current outbreak started in December 2022, though officials estimate the toll — now on the decline because of treatment efforts — could be much higher across states unable to detect many cases.

In Niger, 37 people had died out of the 865 cases as of October, while Guinea has reported 58 deaths out of 497 since its outbreak started in June.

“As far as the history that I am aware of, this is the largest outbreak that we have had,” Ifedayo Adetifa, head of the Nigeria Centre for Disease Control, told The Associated Press.

The highly contagious bacterial infection has been reported in 20 of Nigeria’s 36 states so far.

A major driver of the high rate of infection in the region has been a historically wide vaccination gap, the French medical organization Doctors Without Borders, or MSF, said in a statement on Tuesday.

In Nigeria, only 42% of children under 15 years old are fully protected from diphtheria, according to a government survey, while Guinea has a 47% immunization rate — both far below the 80-85% rate recommended by the World Health Organization to maintain community protection.

The fate of the affected countries is worsened by the global shortages of the diphtheria vaccine as demand has increased to respond to outbreaks, MSF said.

“We’re not seeing vaccination happen, not at the scale that is needed,” said Dr. Dagemlidet Tesfaye Worku, emergency medical program manager for MSF in Abidjan, Ivory Coast. “What is needed is a truly massive scale-up of vaccination, as soon as possible.”

The Nigerian government is ramping up vaccination for targeted populations while assisting states to boost their capacity to detect and manage cases, said Adetifa, the Nigeria CDC head.

But several states continue to struggle, including Kano, which accounts for more than 75% of cases in Nigeria but has only two diphtheria treatment centers, according to Abubakar Labaran Yusuf, the state’s top health official.

“Once people have to travel or move significant distances to access treatment, that becomes a challenge,” Adetifa said.
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A 14-year-old Ethiopian-born American in the U.S. state of Virginia has won the 3M Young Scientist Challenge, an annual science competition for U.S. students in grades five through eight. VOA’s Eden Geremew recently spoke with the winner in Fairfax County, Virginia, in this report narrated by Salem Solomon. Camera: Karina Choudhury
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For most of her life, Claudia Stearns dreaded Thanksgiving. As a person who struggled with obesity since childhood, Stearns hated the annual turmoil of obsessing about what she ate — and the guilt of overindulging on a holiday built around food. 

Now, after losing nearly 100 pounds using medications including Wegovy, a powerful new anti-obesity drug, Stearns says the “food noise” in her head has gone very, very quiet. 

“Last year, it felt so lovely to just be able to enjoy my meal, to focus on being with friends and family, to focus on the joy of the day,” says Stearns, 65, of Somerville, Massachusetts. “That was a whole new experience.” 

As millions of Americans struggling with obesity gain access to a new generation of weight-loss drugs, Stearns’ experience is becoming more common — and more noticeable at the times of year when cooking, eating and a sense of abundance can define and heighten gatherings of loved ones and friends. Medical experts and consumers say the drugs are shifting not only what users eat, but also the way they view food.

For some, it means greater mental control over their meals. Others say it saps the enjoyment from social situations, including traditionally food-centric holidays like Thanksgiving, Passover and Christmas.

“It’s something that really changes a lot of things in their life,” says Dr. Daniel Bessesen, chief of endocrinology at Denver Health, who treats patients with obesity. “They go from food being a central focus to it’s just not.”

Undermining the festivities?

The new obesity drugs, originally designed to treat diabetes, include semaglutide, used in Ozempic and Wegovy, and tirzepatide, used in Mounjaro and recently approved as Zepbound. Now aimed at weight loss, too, the drugs delivered as weekly injections work far differently than any diet. They mimic powerful hormones that kick in after people eat to regulate appetite and the feeling of fullness communicated between the gut and the brain. Users can lose as much as 15% to 25% of their body weight, studies show. 

“That’s how it works — it reduces the rewarding aspects of food,” explains Dr. Michael Schwartz, an expert in metabolism, diabetes and obesity at the University of Washington in Seattle. 

For Stearns, who started treatment in 2020, using the weight-loss medications means she can take a few bites of her favorite Thanksgiving pies — and then stop. “I would not feel full,” she says, “but I would feel satisfied.” 

Yet such a shift can have broader implications, both religious and cultural, because it alters the experience of festive and religious holidays that are often built around interactions with food — and lots of it.

“I’m Italian. For us, it’s like going to church, going to a table,” says Joe Sapone, 64, a retiree from Atlantic Highlands, New Jersey, who lost about 100 pounds with dieting and Mounjaro. He no longer needs what he called “the food orgy” of a holiday, but he acknowledges it was an adjustment.

“Part of succeeding at this is disconnecting a good time with what you eat,” he says.

Changes in enjoyment

Many users welcome what they say is greater control over what they eat, even during the emotionally charged holiday season. 

“I may be more selective of the items I put on my plate,” says Tara Rothenhoefer, 48, of Trinity, Florida. She lost more than 200 pounds after joining a clinical trial testing Mounjaro for weight loss in 2020. “I don’t care about the bread as much. I still eat what I enjoy.” 

But others on the drugs lose their appetites entirely or suffer side effects — nausea, vomiting, diarrhea — that undermine the pleasure of any food. 

“I’ve had a handful of patients over the years who were really miserable because they didn’t enjoy food in the same way,” says Dr. Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of Intellihealth, a clinical and software company that focuses on obesity treatment. 

But, she added, most people who have turned to weight-loss medications have spent years struggling with the physical and mental burdens of chronic obesity and are relieved to discover a decreased desire for food — and grateful to shed pounds. 

When people stop taking the drugs, their appetites return and they regain weight, often faster than they lost it, studies show. One early analysis found that two-thirds of patients who started taking weight-loss drugs were no longer using them a year later. 

Part of that may be due to the high cost and ongoing supply shortages. But the larger question of what it means to alter a basic human drive like appetite needs to be considered as well, says Dr. Jens Juul Holst of the University of Copenhagen. He is one of the researchers who first identified the gut hormone GLP-1, or glucagon-like peptide 1, which eventually led to the new class of obesity drugs. 

Speaking at an international diabetes conference this fall, Holst offered a philosophical critique of the new medications’ real-world impact. 

“Why is it that you’ve lost weight? That’s because you’ve lost your appetite. That’s because you’ve lost the pleasure of eating and the reward of having a beautiful meal,” Holst told his colleagues. “And how long can you stand that? That is the real, real question.” 
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Rising sea levels, extreme weather and rising temperatures are threatening coastal communities in South Africa. For VOA, Derick Mazarura has the story from Eastern Cape, South Africa. Camera — Buhle Ndamase and Norah Chisa.
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Growing up in Lahore — Pakistan’s cultural capital — fall used to be the perfect time for Mariam to enjoy outdoor activities after months of scorching summer heat. Now, she cannot imagine the same for her young daughters as Lahore’s air, ranked the most polluted globally, becomes unusually toxic in cooler months.

“You can just smell, sometimes you can taste it, and feel it as well,” said the mother of two describing what it is like to breathe the polluted air.

With an AQI reading of 345 early in the day, Lahore ranked second worst city in the world for air pollution on Tuesday, according to the Air Quality Index or AQI run by IQAir, a Swiss air purifier manufacturer.

An AQI above 151 is unhealthy, while above 301 the air is hazardous for breathing.

IQAir’s index ranked Lahore the most polluted city of 2022.

Smog emergency

The city, along with several other in Pakistan’s biggest province Punjab,is under a month-long smog emergency since early November.

Smog – a combination of smoke and fog – is a specific phenomenon that occurs when certain pollution particles mix with cold, moist air and hang close to the ground, reducing visibility.

In a bid to reduce traffic congestion and exposure to toxic air, the top court in Punjab on Monday ordered the closure of government-run educational institutions on Saturdays until the end of January 2024. The court also asked the provincial government to come up with a work-from-home plan for the private sector.

A year-long emergency

For a few weeks in fall, smoke in Punjab’s air increases as Pakistani and Indian farmers on both sides of the divided state burn agricultural residue to prepare fields for planting the next crop. Environmentalists, however, say the government is in denial about the extent of Pakistan’s pollution problem, which is primarily driven by low quality, high-Sulphur fuel.

“Air pollution has always been an issue in Pakistani cities, going back the better part of 15 odd years,” Ahmad Rafay Alam, a Lahore-based environmental lawyer told VOA. “We have a year-long regional air pollution emergency and we tend to think of it as a Lahore smog issue.”

According to the Air Quality Life Index developed by the Energy Policy Institute at the University of Chicago, 98.3 of Pakistanis breathe air that is below the country’s own national air quality standard.

In 2017 the provincial Environmental Protection Department came up with an 11-point policy, on court orders, focusing on controlling emissions from vehicles and factories.

The court was, however, dissatisfied and constituted a smog commission for detailed analysis and recommendations on improving air quality.

Speaking to VOA, Naseem-ur-Rehman Shah, secretary of the provincial Environment Commission claimed that 80% of factories were now monitoring their emissions while 70-percent of brick kilns had moved to an environmentally friendly design

Still, data paints a terrifying picture.

“Every figure is telling you that the air pollution in Lahore is about, on the lower end, like 30, 40 times higher than the WHO safe limits,” said Abid Omar, founder of Air Quality Pakistan Initiative, a network of volunteers who monitor air quality using IQAir monitors.

Omar is based in Karachi which routinely competes with Lahore and Delhi for the worst air quality in the world.

Monitoring

For the city of nearly 15 million people, Punjab’s environmental agency gathers data from only five air quality monitors in Lahore.

Omar’s Pakistan Air Quality Initiative has 50 monitors feeding into IQAir’s Air Quality Index.

Shah’s department does not use PAQI’s data over standardization concerns but it is planning to add several monitors of its own.

In 2019, the provincial environmental regulator was forced to revise its air quality standards after it emerged officials were underreporting pollution by using low standards.

Alam represented the complainants in taking the regulator to court.

Knee jerk reaction

With air quality declining dramatically this month, the provincial and city administration have ramped up crackdown on smoke-emitting factories, brick kilns, and vehicles.

Citing city administration, local media reported that more than 16,000 vehicles were ticketed and over $100,000 dollars in fines imposed since the beginning of the emergency.

Omar calls such administrative measures a knee jerk reaction lacking long-term impact.

“Because it’s very random and ad hoc implementation, it’s not going to be an effective policy,” Omar said.

Shah called such criticism unfair. “We are working to eliminate sources of pollution,” he said.

Policy shift

“What we need to do is improve the quality of our refineries, which don’t produce high quality fuels … you have to transition to renewable energies, which is expensive and time consuming,” said Alam, pointing to studies that show fuel and energy sector are among the primary polluters in the country.

In May this year, Pakistan’s Ministry of Climate Change introduced the National Clean Air Policy. It aims to reduce harmful emissions in the next 10 years by introducing interventions in transport, industry, agriculture, waste and household sectors.

Such an overhaul will take time, money, and political will.

For Mariam, who runs three air purifiers in her home, the only option at the moment is to keep her daughters indoors as much as possible.

“It actually feels like … you’re being deprived of something very basic … not being able to breathe in fresh air.”

According to the Air Quality Life Index at the University of Chicago, Pakistanis are losing 3.9 years of life expectancy because of breathing toxic air. In Lahore and the rest of Punjab, residents are on track to lose between 3.7 to 4.6 years of life expectancy.
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Innovations in food production could alleviate hunger for millions of people, according to Britain, which hosted a global summit on food insecurity Monday, but critics say the focus on technology ignores the growing inequality of wealth.

The summit was a joint initiative between Britain, Somalia, the United Arab Emirates, the Children’s Investment Fund Foundation and the Bill and Melinda Gates Foundation, aimed at boosting food security through science and innovation.

Innovation hub

British Prime Minister Rishi Sunak said a renewed focus was needed to alleviate hunger.

“It can’t be right that today in 2023, almost 1 billion people across the world regularly do not have enough to eat, that millions face hunger and starvation, and over 45 million children under five are suffering acute malnutrition. In a world of abundance, no one should die from lack of food and no parent should ever have to watch their child starve,” Sunak told delegates in London.

He outlined Britain’s plans to host a “virtual hub” for innovation in food production, known as CGIAR (Consultative Group on International Agricultural Research), aimed at making global food systems more resilient to future shocks in a changing climate.

“We’ve already helped develop crops that are drought-resistant and even richer in vitamins, now feeding 100 million people across Africa. And we’re going further, launching a new U.K. CGIAR science center to drive cutting-edge research on flood-tolerant rice, disease-resistant wheat and much more. These innovations will reach millions across the poorest countries, as well as improving U.K. crop yields and driving down food prices,” Sunak said.

Somalia emergency

Somali President Hassan Sheikh Mohamud also addressed the summit, telling delegates that the country’s stabilization program, developed in partnership with Britain, was working on tackling his country’s humanitarian crisis.

Somalia is among the countries worst-hit by climate change and food insecurity. The government recently declared a state of emergency after 113,000 people were forced to flee their homes following extreme rainfall and extensive flooding, which also caused widespread damage to crops and farmland. The floods come a year after Somalia suffered its worst drought in 40 years.

Technological solutions

Can new technology end global food insecurity, like that endured by Somalia and many other poorer nations? It’s one tool in the box, said analyst Steve Wiggins, a food security specialist at the ODI development think tank.

“The fundamentals of global hunger are the fundamentals of poverty, marginalization, and people being in situations of extraordinary vulnerability. Those are the fundamentals of hunger and that’s what we have to drive towards,” he told VOA.

“Of course, there are technical advances that we get that we’re very happy for, which make things a little bit easier,” Wiggins added, highlighting innovations like solar-powered irrigation in Mali. “So, if you want to pump water onto your fields, it’s becoming increasingly easy without having to spend money on diesel to do so.”

Inequalities

Critics say the focus on technology ignores the main driver of food insecurity.

“This summit is welcome. I think some of the solutions are welcome. But I think it’s not going to be enough to tackle that huge problem of hunger, which has been with us for decades and which we seem to be going backwards in many steps,” said Nick Nisbett of the Institute of Development Studies.

“Technological solutions tend to focus on the supply side, so new tech for agriculture and supply chains and so on. But what we actually need to do is to tackle the inequalities that lie behind that hunger.”

“Possibly the simplest thing to do is actually to give people food or to give people the money to [go] out and buy and purchase food in [the] markets themselves,” Nisbett told VOA.
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A federal judge in Nevada has dealt another legal setback to Native American tribes trying to halt construction of one of the biggest lithium mines in the world.

U.S. District Judge Miranda Du granted the government’s motion to dismiss their claims the mine is being built illegally near the sacred site of an 1865 massacre along the Nevada-Oregon line.

But she said in last week’s order the three tribes suing the Bureau of Land Management deserve another chance to amend their complaint to try to prove the agency failed to adequately consult with them as required by the National Historic Preservation Act.

“Given that the court has now twice agreed with federal defendants (and) plaintiffs did not vary their argument … the court is skeptical that plaintiffs could successfully amend it. But skeptical does not mean futile,” Du wrote Nov. 9.

She also noted part of their case is still pending on appeal at the 9th U.S Circuit Court of Appeals, which indicated last month it likely will hear oral arguments in February as construction continues at Lithium Nevada’s mine at Thacker Pass about 370 kilometers northeast of Reno.

Du said in an earlier ruling the tribes had failed to prove the project site is where more than two dozen of their ancestors were killed by the U.S. Cavalry Sept. 12, 1865.

Her new ruling is the latest in a series that have turned back legal challenges to the mine on a variety of fronts, including environmentalists’ claims it would violate the 1872 Mining Law and destroy key habitat for sage grouse, cutthroat trout and pronghorn antelope.

All have argued the bureau violated numerous laws in a rush to approve the mine to help meet sky-rocketing demand for lithium used in the manufacture of batteries for electric vehicles.

Lithium Nevada officials said the $2.3 billion project remains on schedule to begin production in late 2026. They say it’s essential to carrying out President Joe Biden’s clean energy agenda aimed at combating climate change by reducing dependence on fossil fuels.

“We’ve dedicated more than a decade to community engagement and hard work in order to get this project right, and the courts have again validated the efforts by Lithium Americas and the administrative agencies,” company spokesperson Tim Crowley said in an email to The Associated Press.

Du agreed with the government’s argument that the consultation is ongoing and therefore not ripe for legal challenge.

The tribes argued it had to be completed before construction began.

“If agencies are left to define when consultation is ongoing and when consultation is finished … then agencies will hold consultation open forever — even as construction destroys the very objects of consultation — so that agencies can never be sued,” the tribal lawyers wrote in recent briefs filed with the 9th Circuit.

Will Falk, representing the Reno-Sparks Indian Colony and Summit Lake Paiute Tribe, said they’re still considering whether to amend the complaint by the Dec. 9 deadline Du set, or focus on the appeal.

“Despite this project being billed as `green,’ it perpetrates the same harm to Native peoples that mines always have,” Falk told AP. “While climate change is a very real, existential threat, if government agencies are allowed to rush through permitting processes to fast-track destructing mining projects like the one at Thacker Pass, more of the natural world and more Native American culture will be destroyed.”

The Paiutes call Thacker Pass “Pee hee mu’huh,” which means “rotten moon.” They describe in oral histories how Paiute hunters returned home in 1865 to find the “elders, women, and children” slain and “unburied and rotting.”

The Oregon-based Burns Paiute Tribe joined the Nevada tribes in the appeal. They say BLM’s consultation efforts with the tribes “were rife with withheld information, misrepresentations, and downright lies.”
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Oregon’s first-in-the-nation law that decriminalized the possession of small amounts of heroin, cocaine and other illicit drugs in favor of an emphasis on addiction treatment is facing strong headwinds in the progressive state after an explosion of public drug use fueled by the proliferation of fentanyl and a surge in deaths from opioids, including those of children.

“The inability for people to live their day-to-day life without encountering open-air drug use is so pressing on urban folks’ minds,” said John Horvick, vice president of polling firm DHM Research. “That has very much changed people’s perspective about what they think Measure 110 is.”

When the law was approved by 58% of Oregon voters three years ago, supporters championed Measure 110 as a revolutionary approach that would transform addiction by minimizing penalties for drug use and investing instead in recovery.

But even top Democratic lawmakers who backed the law, which will likely dominate the upcoming legislative session, say they’re now open to revisiting it after the biggest increase in synthetic opioid deaths among states that have reported their numbers.

The cycle of addiction and homelessness spurred by fentanyl is most visible in Portland, where it’s not unusual to see people using it in broad daylight on busy city streets.

“Everything’s on the table,” said Democratic state Sen. Kate Lieber, co-chair of a new joint legislative committee created to tackle addiction. “We have got to do something to make sure that we have safer streets and that we’re saving lives.”

Measure 110 directed the state’s cannabis tax revenue toward drug addiction treatment services while decriminalizing the possession of so-called “personal use” amounts of illicit drugs. Possession of under a gram of heroin, for example, is only subject to a ticket and a maximum fine of $100.

Those caught with small amounts of drugs can have the citation dismissed by calling a 24-hour hotline to complete an addiction screening within 45 days, but those who don’t do a screening are not penalized for failing to pay the fine. In the first year after the law took effect in February 2021, only 1% of people who received citations for possession sought help via the hotline, state auditors found.

Critics of the law say this doesn’t create an incentive to seek treatment.

Republican lawmakers have urged Democratic Gov. Tina Kotek to call a special session to address the issue before the Legislature reconvenes in February. They have proposed harsher sanctions for possession and other drug-related offenses, such as mandatory treatment and easing restrictions on placing people under the influence on holds in facilities such as hospitals if they pose a danger to themselves or others.

“Treatment should be a requirement, not a suggestion,” a group of Republican state representatives said in a letter to Kotek.

Law enforcement officials who have testified before the new legislative committee on addiction have proposed reestablishing drug possession as a class A misdemeanor, which is punishable by up to a year in jail or a $6,250 fine.

“We don’t believe a return to incarceration is the answer, but restoring a (class A) misdemeanor for possession with diversion opportunities is critically important,” Jason Edmiston, chief of police in the small, rural city of Hermiston in northeast Oregon, told the committee.

However, data shows decades of criminalizing possession hasn’t deterred people from using drugs. In 2022, nearly 25 million Americans, roughly 8% of the population, reported using illicit drugs other than marijuana in the previous year, according to the annual National Survey on Drug Use and Health.

Some lawmakers have suggested focusing on criminalizing public drug use rather than possession. Alex Kreit, assistant professor of law at Northern Kentucky University and director of its Center on Addiction Law and Policy, said such an approach could help curb visible drug use on city streets but wouldn’t address what’s largely seen as the root cause: homelessness.

“There are states that don’t have decriminalization that have these same difficult problems with public health and public order and just quality-of-life issues related to large-scale homeless populations in downtown areas,” he said, mentioning California as an example.

Backers of Oregon’s approach say decriminalization isn’t necessarily to blame, as many other states with stricter drug laws have also reported increases in fentanyl deaths.

But estimates from the U.S. Centers for Disease Control and Prevention show, among the states reporting data, Oregon had the highest increase in synthetic opioid overdose fatalities when comparing 2019 and the 12-month period ending June 30, a 13-fold surge from 84 deaths to more than 1,100.

Among the next highest was neighboring Washington state, which saw its estimated synthetic opioid overdose deaths increase seven-fold when comparing those same time periods, CDC data shows.

Nationally, overdose deaths involving synthetic opioids such as fentanyl roughly doubled over that time span. Roughly two-thirds of all deadly overdoses in the U.S. in the 12 months ending June 30 involved synthetic opioids, federal data shows.

Supporters of Oregon’s law say it was confronted by a perfect storm of broader forces, including the COVID-19 pandemic, a mental health workforce shortage and the fentanyl crisis, which didn’t reach fever pitch until after the law took effect in early 2021.

A group of Oregon lawmakers recently traveled to Portugal, which decriminalized the personal possession of drugs in 2001, to learn more about its policy. State Rep. Lily Morgan, the only Republican legislator on the trip, said Portugal’s approach was interesting but couldn’t necessarily be applied to Oregon.

“The biggest glaring difference is they’re still not dealing with fentanyl and meth,” she said, noting the country also has universal health care.

Despite public perception, the law has made some progress by directing $265 million dollars of cannabis tax revenue toward standing up the state’s new addiction treatment infrastructure.

The law also created what are known as Behavioral Health Resource Networks in every county, which provide care regardless of the ability to pay. The networks have ensured about 7,000 people entered treatment from January to March of this year, doubling from nearly 3,500 people from July through September 2022, state data shows.

The law’s funding also has been key for providers of mental health and addiction services because it has “created a sustainable, predictable funding home for services that never had that before,” said Heather Jefferis, executive director of Oregon Council for Behavioral Health, which represents such providers.

Horvick, the pollster, said public support for expanding treatment remains high despite pushback against the law.

“It would be a mistake to overturn 110 right now because I think that would make us go backwards,” Lieber, the Democratic state senator, said. “Just repealing it will not solve our problem. Even if we didn’t have 110, we would still be having significant issues.” 
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SpaceX’s uncrewed spacecraft Starship, developed to carry astronauts to the moon and beyond, failed in space shortly after lifting off Saturday, cutting short its second test but making it further than an earlier attempt that ended in an explosion. 

The two-stage rocket ship blasted off from the Elon Musk-owned company’s Starbase launch site near Boca Chica in Texas, helping boost the Starship spacecraft as high as 90 miles (148 kilometers) above ground on a planned 90-minute test mission to space and back. 

But the rocket’s Super Heavy first stage booster, though it achieved a crucial maneuver to separate with its core Starship stage, exploded over the Gulf of Mexico shortly after detaching, a SpaceX webcast showed. 

Meanwhile, the core Starship stage boosted farther toward space, but a few minutes later a company broadcaster said that SpaceX mission control suddenly lost contact with the vehicle. 

“We have lost the data from the second stage… we think we may have lost the second stage,” SpaceX engineer and livestream host John Insprucker said. He added that engineers believe an automated flight termination command was triggered to destroy the rocket, though the reason was unclear. 

About eight minutes into the test mission, a camera view tracking the Starship booster appeared to show an explosion that suggested the vehicle failed at that time. The rocket’s altitude was 91 miles (148 kilometers). 

FAA will oversee investigation

The launch was the second attempt to fly Starship mounted atop its towering Super Heavy rocket booster, following an April attempt that ended in explosive failure about four minutes after lift-off. 

The U.S. Federal Aviation Administration, which oversees commercial launch sites, confirmed a mishap occurred that “resulted in a loss of the vehicle,” adding no injuries or property damage have been reported. 

The agency said it will oversee a SpaceX-led investigation into the testing failure and will need to approve SpaceX’s plan to prevent it from happening again. 

The mission’s objective was to get Starship off the ground in Texas and into space just shy of reaching orbit, then plunge through Earth’s atmosphere for a splashdown off Hawaii’s coast. The launch had been scheduled for Friday but was pushed back by a day for a last-minute swap of flight-control hardware. 

Testing failures 

Starship’s failure to meet all its test objectives could pose a setback for SpaceX. The FAA will need to review the company’s failure investigation and review its application for a new launch license. SpaceX officials have complained that such regulatory reviews take too long. 

On the other hand, the failure in a program for which SpaceX plans to spend roughly $2 billion this year was in line with the company’s risk-tolerant culture that embraces fast-paced testing and re-testing of prototypes to hasten design and engineering improvements. 

“More things were successful than in the previous test, including some new capabilities that were significant,” said Carissa Christensen, CEO of space analytics firm BryceTech. 

“There’s not money and patience for unlimited tests, but for a vehicle that is so different and so big, two, three, four, five tests — is not excessive,” Christensen said. 

At roughly 43 miles (70 kilometers) in altitude, the rocket system executed the crucial maneuver to separate the two stages — something it failed to do in the last test — with the Super Heavy booster intended to plunge into Gulf of Mexico waters while the core Starship booster blasts farther to space using its own engines. 

But the Super Heavy booster blew up moments later, followed by the Starship stage’s own explosion. SpaceX in a post on social media platform X said, “success comes from what we learn,” adding that the core Starship stage’s engines “fired for several minutes on its way to space.” 

A fully successful test would have marked a key step toward achieving SpaceX’s ambition producing a large, multi-purpose, spacecraft capable of sending people and cargo back to the moon later this decade for NASA, and to Mars. 

SpaceX’s worker safety culture underpinning its speedy development ethos is facing scrutiny by lawmakers after a Reuters investigation documented hundreds of injuries at the rocket company’s U.S. manufacturing and launch sites. 

Clock is ticking 

NASA, SpaceX’s primary customer, has a considerable stake in the success of Starship, which the U.S. space agency is counting on to play a central role of landing humans on the moon within the next few years under its human spaceflight program, Artemis, successor to the Apollo missions. 

NASA chief Bill Nelson, who has made competition with China a core need for speed in Artemis, said Saturday’s Starship test was an “opportunity to learn — then fly again.” 

Musk — SpaceX’s founder, chief executive and chief engineer — sees Starship as eventually replacing the company’s workhorse Falcon 9 rocket as the centerpiece of its launch business that already lifts most of the world’s satellites and other commercial payloads into space. 

“The clock is ticking,” said Chad Anderson, a SpaceX investor and managing partner of venture capital firm Space Capital. “NASA has a timeline where they’re trying to get to the moon, and this is their primary vehicle to do it. So, SpaceX needs to deliver on a timeline.” 

Jaret Matthews, CEO of lunar rover startup Astrolab that has booked space on a future Starship flight, toured SpaceX’s Starbase site this year and said he expects the company to resume tests after the Saturday flight, though such a pace is expected to be driven largely by the FAA’s review and the extent of Starship’s technical failures. 

“They have the next number of vehicles already lined up in the factory ready to go,” he said. “I think people will be shocked by the cadence that emerges next year.” 
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U.S. President Joe Biden and Chinese President Xi Jinping agreed earlier this week that Beijing will crack down on companies in China that produce precursor chemicals for fentanyl, an agreement that Biden said would “save lives.”

In exchange, the Biden administration agreed to lift sanctions on China’s Physical Evidence Identification Center of the Ministry of Public Security and the National Drug Laboratory. In May 2020, the U.S. Department of Commerce sanctioned the lab for allegedly participating in human rights violations against Uyghurs and other ethnic minorities in Xinjiang.

China, which is the source of most fentanyl precursors used in the U.S., argued that U.S. export controls have “severely affected” China’s inspection and testing of fentanyl-related substances and impaired its “goodwill to help the U.S. in drug control,” according to the spokesperson of the Chinese Embassy in the United States.

Although a cooperative effort to curb the supply of fentanyl brought some results over the years, enthusiasm dampened as tensions grew between China and the U.S. On Aug. 5, 2022 — after then-House Speaker Nancy Pelosi visited Taiwan, a self-governing island Beijing considers its own — China officially announced the suspension of anti-drug cooperation with the U.S.

Here is some background to the Biden-Xi deal.

What is fentanyl?

According to the U.S. Centers for Disease Control and Prevention (CDC), fentanyl is 50 times more potent than heroin and 100 times more potent than morphine. It is a prescription drug in the United States used for treating severe pain.

Illegally manufactured fentanyl “is often added to other drugs because of its extreme potency, which makes drugs cheaper, more powerful, more addictive, and more dangerous,” according to the CDC.

Fentanyl sold on the black market is often mixed with heroin and/or cocaine to increase a user’s sense of euphoria, according to the CDC.

Why does the United States care about the fentanyl issue?

Fentanyl is now the leading cause of death among Americans ages 18 to 49, according to U.S. Department of Justice data.

What does the fentanyl problem in the United States have to do with China?

According to a report by the Congressional Research Service: “Prior to 2019, China was the primary source of U.S.-bound illicit fentanyl, fentanyl-related substances, and production equipment.” It said Chinese traffickers supplied fentanyl and fentanyl-related substances to the U.S. via international mail and express consignment operations.

Xi promised then-U.S. President Donald Trump to tighten regulation of fentanyl and related substances when the two met in 2018 on the sidelines of the G20 Summit in Buenos Aires, Argentina. This was seen as a move taken by China to ease trade disputes.

China then passed new laws that took effect on May 1, 2019, to put all fentanyl-related substances under national control.

In July 2022 testimony, a senior adviser to the Office of National Drug Control Policy stated that as a result, “the direct shipment of fentanyl and fentanyl-related substances from China to the United States went down to almost zero.”

What role does China play?

After China regulated fentanyl-related substances, Mexican transnational criminal organizations became the main operators in the production and distribution of illegal fentanyl in the U.S., according to data from the U.S. Drug Enforcement Administration (DEA).

“The cartels are buying precursor chemicals in the People’s Republic of China (PRC); transporting the precursor chemicals from the PRC to Mexico; using the precursor chemicals to mass produce fentanyl; pressing the fentanyl into fake prescription pills; and using cars, trucks, and other routes to transport the drugs from Mexico into the United States for distribution,” said Anne Milgram, administrator of DEA, at a Senate hearing in February.

Why does the US accuse China of lax cooperation?

Certain precursors used in the production of fentanyl are internationally classified as unscheduled chemicals and legal to produce in China and export. Beijing argues that it cannot restrict the export of precursors that are not illegal.

The U.S. has repeatedly called on China to adopt a “know-your-customer” approach such as identifying and verifying customer identities to ensure that these chemicals are not sold to likely drug traffickers and to alert authorities about such buyers.

However, in an interview with Newsweek in September 2022, Qin Gang, the then-Chinese ambassador to the U.S., said that approach “goes far beyond the obligations of countries under the United Nations Convention on Drug Control.”
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Britain’s medicines regulator has authorized the world’s first gene therapy treatment for sickle cell disease, in a move that could offer relief to thousands of people with the crippling disease in the U.K.

In a statement Thursday, the Medicines and Healthcare Regulatory Agency said it approved Casgevy, the first medicine licensed using the gene editing tool CRISPR, which won its makers a Nobel prize in 2020.

The agency approved the treatment for patients with sickle cell disease and thalassemia who are 12 years old and older. Casgevy is made by Vertex Pharmaceuticals (Europe) Ltd. and CRISPR Therapeutics. To date, bone marrow transplants, extremely arduous procedures that come with very unpleasant side effects, have been the only long-lasting treatment.

“The future of life-changing cures resides in CRISPR based (gene-editing) technology,” said Dr. Helen O’Neill of University College London.

“The use of the word ‘cure’ in relation to sickle cell disease or thalassemia has, up until now, been incompatible,” she said in a statement, calling the MHRA’s approval of gene therapy “a positive moment in history.”

Both sickle cell disease and thalassemia are caused by mistakes in the genes that carry hemoglobin, the protein in red blood cells that carry oxygen. 

In people with sickle cell — which is particularly common in people with African or Caribbean backgrounds — a genetic mutation causes the cells to become crescent-shaped, which can block blood flow and cause excruciating pain, organ damage, stroke and other problems.

In people with thalassemia, the genetic mutation can cause severe anemia. Patients typically require blood transfusions every few weeks, and injections and medicines for their entire life. Thalassemia predominantly affects people of South Asian, Southeast Asian and Middle Eastern heritage.

The new medicine, Casgevy, works by targeting the problematic gene in a patient’s bone marrow stem cells so that the body can make properly functioning hemoglobin.

Patients first receive a course of chemotherapy, before doctors take stem cells from the patient’s bone marrow and use genetic editing techniques in a laboratory to fix the gene. The cells are then infused back into the patient for a permanent treatment. Patients must be hospitalized at least twice — once for the collection of the stem cells and then to receive the altered cells.

“This is so exciting. It’s a new wave of treatments that we can utilize for patients with sickle cell disease,” said Dr. James LaBelle, director of the pediatric stem cell and cellular therapy program at the University of Chicago. He said Britain’s approval suggested the U.S. authorization was likely “imminent.”

Casgevy is currently being reviewed by the U.S. Food and Drug Administration; the agency is expected to make a decision early next month, before considering another sickle cell gene therapy.

LaBelle said officials at the University of Chicago are “already moving forward to build not only the clinical infrastructure but also the reimbursement infrastructure to get these patients this treatment.”

Britain’s regulator said its decision to authorize the gene therapy for sickle cell disease was based on a study done on 29 patients, of whom 28 reported having no severe pain problems for at least one year after being treated. In the study for thalassemia, 39 out of 42 patients who got the therapy did not need a red blood cell transfusion for at least a year afterwards.

Gene therapy treatments can cost millions of dollars and experts have previously raised concerns that they could remain out of reach for the people who would benefit most.

Last year, Britain approved a gene therapy for a fatal genetic disorder that had a list price of £2.8 million ($3.5 million). England’s National Health Service negotiated a significant confidential discount to make it available to eligible patients.

Vertex Pharmaceuticals said it had not yet established a price for the treatment in Britain and was working with health authorities “to secure reimbursement and access for eligible patients as quickly as possible.”

In the U.S., Vertex has not released a potential price for the therapy, but a report by the nonprofit Institute for Clinical and Economic Review said prices up to around $2 million would be cost-effective. By comparison, research earlier this year showed medical expenses for current sickle cell treatments, from birth to age 65, add up to about $1.6 million for women and $1.7 million for men.

Medicines and treatments in Britain must be recommended by a government watchdog before they are made freely available to patients in the national health care system.

Millions of people around the world, including about 100,000 in the U.S., have sickle cell disease. It occurs more often among people from places where malaria is or was common, like Africa and India, and is also more common in certain ethnic groups, such as people of African, Middle Eastern and Indian descent. Scientists believe being a carrier of the sickle cell trait helps protect against severe malaria.
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The U.S. flu season is under way, with at least seven states reporting high levels of illnesses and cases rising in other parts of the country, health officials say.

The Centers for Disease Control and Prevention posted new flu data Friday, showing very high activity last week in Louisiana, and high activity in Alabama, Florida, Georgia, Mississippi, New Mexico and South Carolina. It was also high in the District of Columbia and Puerto Rico, the U.S. territory where health officials declared an influenza epidemic earlier this month.

“We’re off to the races,” said Dr. William Schaffner, a Vanderbilt University infectious diseases expert.

Traditionally, the winter flu season ramps up in December or January. But it took off in October last year, and is making a November entrance this year.

Flu activity was moderate but rising in New York City, Arkansas, California, Maryland, New Jersey, North Carolina, Tennessee and Texas. And while flu activity has been high in Alaska for weeks, the state did not report data last week, so it wasn’t part of the latest count.

Tracking during flu season relies in part on reports of people with flu-like symptoms who go to doctor’s offices or hospitals; many people with the flu are not tested, so their infections aren’t lab-confirmed. COVID-19 and other respiratory viruses can sometimes muddy the picture.

Alicia Budd, who leads the CDC’s flu surveillance team, said several indicators are showing “continued increases” in flu.

There are different kinds of flu viruses, and the version that’s been spreading the most so far this year usually leads to a lesser amount of hospitalizations and deaths in the elderly — the group on whom flu tends to take the largest toll.

So far this fall, the CDC estimates at least 780,000 flu illnesses, at least 8,000 hospitalizations and at least 490 flu-related deaths — including at least one child.

Budd said that it’s not yet clear exactly how effective the current flu vaccines are, but the shots are well-matched to the flu strains that are showing up. In the U.S., about 35% of U.S. adults and 33% of children have been vaccinated against flu, current CDC data indicates. That’s down compared to last year in both categories.

Flu vaccination rates are better than rates for the other two main respiratory viruses — COVID-19 and RSV. About 14% of adults and 5% of children have gotten the currently recommended COVID-19 shot, and about 13.5% of adults 60 and older have gotten one of the RSV shots that became available earlier this year.
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In the Arctic, the impact of climate change is happening at an accelerated pace, with temperatures rising two to four times faster than the global average.

“It’s called the polar amplification,” explains Vladimir Romanovsky, a geophysicist at the University of Alaska in Fairbanks. “Snow and ice reflect lots of energy back to space when ice and snow are melting, and the surface turns much darker. So this amount of energy will be absorbed by the surface, and it will make the surface warmer – at the same time making the atmosphere warmer as well.”

Communities in circumpolar regions of Alaska are dealing with a triple challenge of climate change: coastal erosion, thawing of permafrost on which buildings and infrastructure stand, and, for some communities, the challenge of managing encounters with apex predators — polar bears pushed onshore.

“An optimal habitat for polar bears now is basically absent, it’s disappeared,” says Todd Atwood, a wildlife biologist with the United States Geological Survey. He has been studying polar bears for the past 12 years and says melting sea ice makes it harder for bears to hunt seals.

“That tends to be the trigger for bears to either stay with the sea ice as it retreats further over those deeper waters, or, for a growing proportion of the population to make the swim to shore.”

In addition to the high risk of succumbing to sea conditions on a long swim, bears trying to adapt to life on land face an additional risk as they search for new sources of food.

“They’re coming ashore in areas where people are active, whether it’s near communities where people are engaged in subsistence activities, or whether it’s in the oil and gas industrial footprint where people are working [outdoors] on a daily basis,” Atwood says. “And that raises the likelihood of human-bear interactions and conflict.”

In the Inupiat village of Kaktovik on Alaska’s North Slope, posters warn people to be on the lookout for polar bears.

Six hundred kilometers from the nearest big city, Kaktovik hosted visitors on polar bear tours before the COVID pandemic. Those restrictions are now lifted, but it’s contractors, not tourists, occupying the main hotel as they work to complete repairs to the local school and maintain infrastructure before the harsh winter weather and darkness set in.

Lee Kyoutak picks up visitors from the landing strip where small planes carrying a few passengers and supplies land when the island’s frequently foggy weather allows it. He says not to worry about hearing shots or firecrackers. “There’s a polar bear patrol patrolling the village,” he said. “If you go out, just make sure you look around when you go out because there’s polar bears hanging around.”

Kaktovik is one of six communities in North Alaska where residents receive special training provided by the North Slope Borough and the U.S. Fish and Wildlife Service to join Polar Bear Patrols that use non-lethal deterrents to haze bears who sneak into areas where people live or work.

In traditional indigenous communities such as Nuiqsut, Utqiagvik (Barrow), and Kaktovik where there is seasonal whale hunting, polar bears attracted to bowhead whale bones discarded outside the village keep those patrols especially busy. Some encounters between bears and humans can be lethal — for either side.

Inupiat wildlife guide Robert Thompson says he rarely walks around the village unarmed, especially at night.

“I had to shoot two bears that came after me,” he said. “I don’t want to do it, but when bears come after you, you got to defend yourself. One was four to five feet from my doorway, and another one tried to jump into the house though my bedroom window.”

Thompson came to Kaktovik more than 50 years ago. Back then, he says “ice was visible all summer. Pack ice, meaning ice that doesn’t melt. And so, recently, we had 700 miles of open water toward the North Pole. So that’s affecting the polar bears. With the ice around us melting, they are trying to swim ashore. The cubs don’t make it.”

Scientists have recorded polar bears swimming as far as 350 kilometers over several days. Even strong swimmers may not survive the challenge.

Research led by the U.S. Geological Survey shows that in the first decade of the 21st century, the number of polar bears in the southern Beaufort Sea dropped 40%.

“One of the things that we’re pretty confident of as a polar bear research community is that without sea ice, you’re not going to have polar bears,” Atwood said. “They represent a kind of the canary in the cryosphere in the sense that they are the animal that is probably most associated with the threat of climate change to wildlife persistence.”

The International Union for Conservation of Nature lists the polar bear as a vulnerable species most threatened by the loss of sea ice. With an estimated 26,000 bears remaining worldwide, the group says all but a few of those bears could be lost by the end of the century without action on climate change.
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After a barrage of earthquakes that herald an impending volcanic eruption, some evacuated residents of the Icelandic town of Grindavik wonder if they will ever return.

“There are going to be a lot of people who don’t want to go there. My mother said, ‘I never want to go there again,’” Eythor Reynisson, who was born and raised in Grindavik, told AFP.

The fishing port of 4,000 people on Iceland’s south coast was evacuated on November 11 after magma shifting under the Earth’s crust caused hundreds of earthquakes — a warning of a likely volcanic eruption.

Thousands of smaller tremors have shaken the region since.

With massive crevices ripping roads apart and buildings’ concrete foundations shattered, the once picturesque Grindavik now resembles a war zone.

The damage to the town hall will take months to repair.

Long-term threat

Even if the magma flow stops and no eruption occurs, “there is the issue of whether one should live in a town like this,” Freysteinn Sigmundsson, a geophysicist at the University of Iceland, told AFP.

The Reykjanes peninsula had not experienced an eruption for eight centuries until 2021.

Since then, three eruptions have struck — all in remote uninhabited areas — and volcanologists believe this may be the start of a new era of activity in the region.

Sigmundsson warned that “a difficult period of uncertainty” lies ahead, as eruptions could happen in the coming years.

That has left residents wondering whether it is worth rebuilding their homes.

Sigmundsson said that for the region to be deemed safe, the current activity would first need to cease.

“There is a possibility that the activity will move to another area. And then it could be acceptable to go back to Grindavik,” he said.

Strong community

Despite the conditions, a resilient community spirit was evident as residents this week queued to enter Grindavik to collect belongings they left in their hurried evacuation. 

Residents embraced each other and shared moments of laughter.

“I am really emotional. That’s basically how I am feeling right now,” Johannes Johannesson told AFP.

For some, living around volcanoes comes with the territory.

“We are a strong community, so I think it’s possible to build it up again,” Reynisson said.

Iceland is home to 33 active volcano systems, the highest number in Europe. Towns have been hit before.

In 1973, a fissure erupted just 150 meters (164 yards) from the town center on the island of Heimaey, surprising locals at dawn.

A third of the homes were destroyed, and the 5,300 residents were evacuated. One person died.

In Grindavik, steam fills the air from burst hot water pipes and the electricity grid struggles to keep operating at night because of the infrastructure damage.

Locals are now seeking accommodation in hotels, with friends and family, and at emergency shelters while they wait for life to return to normal.

Authorities have organized occasional trips into the port town, escorting those with homes in the most perilous parts to rescue everything from cherished pets to photo albums, furniture and clothing.

But the operations proceed with utmost caution. On Tuesday the village was quickly emptied as sulfur dioxide measurements indicated the magma was moving closer to the surface.

“There was panic,” Reynisson acknowledged.

Today or in a month

For almost a week, Iceland has been on tenterhooks, prepared for an eruption at any moment.

“There is still a flow of new magma into this crack, and it is widening,” Sigmundsson explained.

As long as there is an inflow of magma into the crack, the likelihood of an eruption remains high.

“We need to be prepared for an eruption happening today or within the coming week or even up to a month,” the researcher said.

The most likely place for an eruption “is from the town of Grindavik northwards,” Sigmundsson said.

For residents, this means an extended and anxiety-filled time over the weeks to come.

“Plans now are to try to manage — try to just get the family into a routine and keep on going,” Johannesson said. 
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Zimbabwe has recorded more than 7,000 suspected cholera cases and almost 150 deaths
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The moon glowed in the predawn Mongolia sky as Agvaantogtokh and his family prepared for another big move. On horseback, he rode to a well with nearly a thousand sheep and goats. Occasionally, he and his wife, Nurmaa, stopped to help struggling young ones, weak after a harsh winter.

Thousands of miles away in Senegal, Amadou Altine Ndiaye’s family led livestock through a sparse African savannah. Horses and donkeys pulled a four-cart caravan along dirt paths in sweltering heat. Cattle followed. The family believed the next village would be richer with vegetation.

“I was born into pastoralism, and since then I’ve known only that,” said Ndiaye, 48, a member of the Muslim Fulani ethnic group who learned the ways of herding alongside his elders. “It’s a source of pride.”

More than 50 million people in Asia, Africa, the Middle East and elsewhere practice this way of life. As nomadic pastoralists, they keep domestic animals and move with them to seek fresh pastures — often selling some livestock for meat.

Although pastoralism has sustained these populations for millennia, it faces mounting pressures from deteriorating environments, shrinking rangelands, and new generations who seek a less grueling life. At the same time, pastoralism is modernizing, with groups leveraging technology.

The practice has survived for so long because it is designed to adapt to a changing environment — pastoralists move with animals to find fresh pasture and water, leaving behind fallow land to regrow.

Experts say it’s a lesson that could help those who raise livestock at larger scales adapt and reduce the impact on the environment. Pastoralists aren’t only trying to outrun climate change; they’re combating it.

‘We need more rain’

Perhaps more than any other place, Mongolia is known for pastoralism. The practice is enshrined in the nation’s constitution, which calls its 80 million camels, yaks, cows, sheep, goats and horses “national wealth” protected by the state.

For families like Agvaantogtokh’s, pastoralism is more than a profession. It’s a cultural identity that connects generations. At its heart is the human connection to animals.

Agvaantogtokh and his family sell animals for meat. They also sell dairy products such as yogurt and hard cheeses. While they consider animals their property, they also see them as living beings working alongside them.

Researchers say herders believe in “animal agency.” Agvaantogtokh lets his livestock pick grass, flowers or herbs to eat, and find their own water. To him, fencing an animal and asking it to eat the same thing daily is like putting a person in prison.

In Mongolia, weather extremes are a part of life. When Agvaantogtokh thinks about climate change, he worries about humans and livestock.

Chronic drought and warming plague Mongolia. Since 1940, the government says, average temperatures have risen 2.2 degrees Celsius. Dzuds — natural disasters unique to Mongolia caused by droughts and severe, snowy winters — have grown harsher and more frequent.

A dzud pushed Agvaantogtokh and his family to move out after a disastrous winter killed 400 of their animals.

The family lives simply. They have a sink with a rubber pump to limit water use. They live in a tent called a ger, with wooden circular frames insulated with sheepskin and felt, and doors facing east to let in the morning sun.

Nurmaa, who married into this way of life, uses a boiler fired with horse dung to cook and stay warm.

“Year by year,” she said, “I have learned a lot of things.” Herding and birthing animals. Setting up camp. Cooking meals of breads, stews, milk tea and homemade wine.

Surviving on the edge of the Sahara

In Senegal, caravans carry the comforts of a furnished home, such as a metal bed frame and mattress, and water for people and animals.

With the rainy season approaching earlier this year, Ndiaye, his son-in-law Moussa Ifra Ba and the rest of the family prepared for a 170-kilometer, 16-day trek.

“The livestock are hungry, and you sometimes have trouble selling one because it is so thin,” Ndiaye said. Water and plentiful grass have become harder to come by.

Ba said: “Many varieties of tree have disappeared, and even our children are unaware of certain species. The best varieties of grass no longer grow in certain areas, and the most widespread grass is more like rubber: It fills the belly but doesn’t nourish the animals.”

Meals for Ndiaye’s family rarely include meat. Only when they pass through certain villages can they stock up on food — vegetables, rice. Per-person meat consumption in Senegal is among the lowest in the world; rates are more than six times higher in Mongolia.

Ndiaye’s family doesn’t sell animals regularly. Meat is mostly for special occasions: weddings, holidays. When they do, a few head of cattle can provide enough money to get married, buy rice or even emigrate.

Ancient practice, new techniques

To keep their practice alive, pastoralists seek ways to modernize.

In Mongolia, Lkhaebum recently began using a motorbike to more easily search for horses. The family has a solar-powered battery that runs a television and washing machine, a karaoke machine, and a cellphone to keep track of weather and access Facebook groups where herders exchange information.

Though modern tools promise to make things easier, many pastoralists run into obstacles. Those in Senegal, for example, often struggle to find cellphone signals. They rely mostly on older technology and methods. An important advancement in infrastructure has helped: water towers known as forages that have sprung up with government assistance.

Perhaps the biggest threat to pastoralism comes from within, as the next generation chooses other paths.

Nurmaa and Agvaantogtokh’s 18-year-old daughter studies medicine. Their son spoke about becoming a herder in his early teens. But not anymore.

“I won’t regret anything if my child won’t be a herder,” Nurmaa said. “I would like them to do what they aspire to do.”

Four of Ndiaye’s seven living children don’t travel with their parents. Ba, 28, and his wife Houraye, 20, have a 2-year-old daughter and want to expand their family. They mused about a future in which at least one child stays in pastoralism while at least one goes to school.

“I’d like my children to keep up with the changing world,” Ba said. 
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Hundreds of previously unreported workplace injuries surface at a space industry titan. Plus, the European Space Agency chief’s warning on climate change, and we say goodbye to a space travel pioneer. VOA’s Arash Arabasadi brings us The Week in Space. A caution to our viewers – this report contains graphic images some may find disturbing.
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Advances in childhood cancer are a success story in modern medicine. But in the past decade, those strides have stalled for Black and Hispanic youth, opening a gap in death rates, according to a new report published Thursday.

Childhood cancers are rare and treatments have improved drastically in recent decades, saving lives.

Death rates were about the same for Black, Hispanic and white children in 2001, and all went lower during the next decade. But over the next 10 years, only the rate for white children dipped a little lower.

“You can have the most sophisticated scientific advances, but if we can’t deliver them into every community in the same way, then we have not met our goal as a nation,” said Dr. Sharon Castellino, a pediatric cancer specialist at Emory University’s Winship Cancer Institute in Atlanta, who had no role in the new report.

She said the complexity of new cancers treatments such as gene therapy, which can cure some children with leukemia, can burden families and be an impediment to getting care.

“You need at least one parent to quit their job and be there 24/7, and then figure out the situation for the rest of their children,” Castellino said. “It’s not that families don’t want to do that. It’s difficult.”

More social workers are needed to help families file paperwork to get job-protected leave and make sure the child’s health insurance is current and doesn’t lapse.

The overall cancer death rate for children and teenagers in the U.S. declined 24% over the two decades, from 2.75 to 2.10 per 100,000, according to the Centers for Disease Control and Prevention report.

The 2021 rate per 10,000 was 2.38 for Black youth, 2.36 for Hispanics and 1.99 for whites.

Nearly incurable 50 years ago, childhood cancer now is survivable for most patients, especially those with leukemia. The leading cause of cancer deaths in kids is now brain cancer, replacing leukemia.

Each year in the U.S. about 15,000 children and teens are diagnosed with cancer. More than 85% live for at least five years.

The improved survival stems from research collaboration among more than 200 hospitals, said Dr. Paula Aristizabal of the University of California, San Diego. At Rady Children’s Hospital, she is trying to include more Hispanic children, who are underrepresented in research.

“Equity means that we provide support that is tailored to each family,” Aristizabal said.

The National Cancer Institute is working to gather data from every childhood cancer patient with the goal of linking each child to state-of-the-art care. The effort could improve equity, said Dr. Emily Tonorezos, who leads the institute’s work on cancer survivorship.

The CDC’s report is “upsetting and discouraging,” she said. “It gives us a roadmap for where we need to go next.”
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How was the air breathed by Caesar, the Prophet Mohammed or Christopher Columbus? A giant freezer in Copenhagen holds the answers, storing blocks of ice with atmospheric tales thousands of years old.

The Ice Core Archive, housing 25 kilometres (15 miles) of ice collected primarily from Greenland, is helping scientists understand changes in the climate.

“What we have in this archive is prehistoric climate change, a record of man’s activities in the last 10,000 years,” glaciology professor Jorgen Peder Steffensen of the University of Copenhagen told AFP.

Blocks of ice have been his passion for 43 years — and it was while drilling into Greenland’s ice sheet that he met his wife Dorthe Dahl-Jensen, also a top expert in the field of paleoclimatology.

Steffensen has since 1991 managed the repository, one of the biggest in the world, with 40,000 blocks of ice stacked on long rows of shelves in large boxes.

The frozen samples are unique, made up of compressed snow and not frozen water.

“All the airspace between the snowflakes is trapped as bubbles inside (and) the air inside these bubbles is the same age as the ice,” Steffensen explained.

The repository’s antechamber is similar to a library’s reading room: this is where scientists can examine the ice they have withdrawn from the main “library”, or storage room.

But they must be quick: the temperature in the antechamber is kept at -18 degrees Celsius (-0.4F) — decidedly balmy compared to the -30C (-22F) in the storage room.

Here, Steffensen removes a block of ice from a box. Its air bubbles are visible to the naked eye: it’s snow that fell during the winter of year zero.

“So we have the Christmas stuff, the real Christmas snow,” says Steffensen with a big grin, his head covered in a warm winter bonnet with furry ear flaps.

Bedrock

A team of researchers brought the first ice cores to Denmark in the 1960s from Camp Century, a secret US military base on Greenland.

The most recent ones date from this summer, when scientists hit the bedrock on eastern Greenland at a depth of 2.6 kilometres, gathering the oldest ice possible.

Those samples contain extracts from 120,000 years ago, during the most recent interglacial period when air temperatures in Greenland were 5C higher than today.

“The globe has easily been much warmer than it is today. But that’s before humans were there,” Steffensen said.

This recently acquired ice should help scientists’ understanding of rising sea levels, which can only be partly explained by the shrinking ice cap.

Another part of the explanation comes from ice streams, fast-moving ice on the ice sheet that is melting at an alarming rate.

“If we understand the ice streams better, we can get a better idea of how much the contribution will be (to rising sea levels) from Greenland and Antarctica in the future,” Steffensen said.

He hopes they’ll be able to predict the sea level rise in 100 years with a margin of error of 15 centimetres — a big improvement over today’s 70 centimetres.

‘Treasure’

Ice cores are the only way of determining the state of the atmosphere prior to man-made pollution.

“With ice cores we have mapped out how greenhouse gases, carbon dioxide and methane vary over time,” Steffensen said.

“And we can also see the impact of the burning of fossil fuels in modern times.”

This project is separate from the Ice Memory foundation, which has collected ice cores from 20 sites worldwide to preserve them for future researchers at the French-Italian Concordia research station in Antarctica, before they disappear forever due to climate change.

“Storing Greenland’s ice memory is very good,” said the head of the foundation, Jerome Chappellaz.

But, he noted, the storage of samples in an industrial freezer is susceptible to technical glitches, funding woes, attacks, or even wars.

In 2017, a freezer that broke down at the University of Alberta in Canada exposed 13 percent of its precious samples thousands of years old to undesirably warm temperatures.

At Concordia Station, the average annual temperature is -55C, providing optimal storage conditions for centuries to come.

“They have a treasure,” said Chappellaz, appealing to the Danes to join Concordia’s project.

“We must protect this treasure and, as far as possible, ensure that it joins mankind’s world heritage.”
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Fifty young innovators and leaders from 19 African countries attended a three-week leadership and professional development training program in Ghana’s capital, Accra. Sponsored by the U.S. government, the Young African Leaders Initiative, or YALI, program challenges them to find technology-focused social and business solutions to climate challenges. Isaac Kaledzi has more from Accra.
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Almost two years since Russia’s full-scale invasion of Ukraine, combat medics have started to perform blood transfusions in the trenches. To carry out this crucial task, the medics are undergoing specialized training. Myroslava Gongadze reports from Bucha, Ukraine. Camera — Eugene Shynkar.
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Earlier this year, the doctor who leads the World Health Organization’s efforts to prevent sexual abuse traveled to Congo to address the biggest known sex scandal in the U.N. health agency’s history, the abuse of well over 100 local women by staffers and others during a deadly Ebola outbreak.

According to an internal WHO report from Dr. Gaya Gamhewage’s trip in March, one of the abused women she met gave birth to a baby with “a malformation that required special medical treatment,” meaning even more costs for the young mother in one of the world’s poorest countries.

To help victims like her, the WHO has paid $250 each to at least 104 women in Congo who say they were sexually abused or exploited by officials working to stop Ebola. That amount per victim is less than a single day’s expenses for some U.N. officials working in the Congolese capital — and $19 more than what Gamhewage received per day during her three-day visit — according to internal documents obtained by The Associated Press.

The amount covers typical living expenses for less than four months in a country where, the WHO documents noted, many people survive on less than $2.15 a day.

The payments to women didn’t come freely. To receive the cash, they were required to complete training courses intended to help them start “income-generating activities.”

The payments appear to try to circumvent the U.N.’s stated policy that it doesn’t pay reparations by including the money in what it calls a “complete package” of support.

Many Congolese women who were sexually abused have still received nothing. WHO said in a confidential document last month that about a third of the known victims were “impossible to locate.” The WHO said nearly a dozen women declined its offer.

The total of $26,000 that WHO has provided to the victims equals about 1% of the $2 million, WHO-created “survivor assistance fund” for victims of sexual misconduct, primarily in Congo.

In interviews, recipients told the AP the money they received was hardly enough, but they wanted justice even more.

Paula Donovan, who co-directs the Code Blue campaign to eliminate what it calls impunity for sexual misconduct in the U.N., described the WHO payments to victims of sexual abuse and exploitation as “perverse.”

“It’s not unheard of for the U.N. to give people seed money so they can boost their livelihoods, but to mesh that with compensation for a sexual assault, or a crime that results in the birth of a baby, is unthinkable,” she said.

Requiring the women to attend training before receiving the cash set uncomfortable conditions for victims of wrongdoing seeking help, Donovan added.

The two women who met with Gamhewage told her that what they most wanted was for the “perpetrators to be brought to account so they could not harm anyone else,” the WHO documents said. The women were not named.

“There is nothing we can do to make up for (sexual abuse and exploitation),” Gamhewage told the AP in an interview.

The WHO told the AP that criteria to determine its “victim survivor package” included the cost of food in Congo and “global guidance on not dispensing more cash than what would be reasonable for the community, in order to not expose recipients to further harm.” Gamhewage said the WHO was following recommendations set by experts at local charities and other U.N. agencies.

“Obviously, we haven’t done enough,” Gamhewage said. She added the WHO would ask survivors directly what further support they wanted.

The WHO has also helped defray medical costs for 17 children born as a result of sexual exploitation and abuse, she said.

At least one woman who said she was sexually exploited and impregnated by a WHO doctor negotiated compensation that agency officials signed off on, including a plot of land and health care. The doctor also agreed to pay $100 a month until the baby was born in a deal “to protect the integrity and reputation of WHO.”

But in interviews with the AP, other women who say they were sexually exploited by WHO staff asserted the agency hasn’t done enough.

Alphonsine, 34, said she was pressured into having sex with a WHO official in exchange for a job as an infection control worker with the Ebola response team in the eastern Congo city of Beni, an epicenter of the 2018-2020 outbreak. Like other women, she did not share her last name for fear of reprisals.

Alphonsine confirmed that she had received $250 from the WHO, but the agency told her she had to take a baking course to obtain it.

“The money helped at the time, but it wasn’t enough,” Alphonsine said. She said she later went bankrupt and would have preferred to receive a plot of land and enough money to start her own business.

For a visiting WHO staffer working in Congo, the standard daily allowance ranges from about $144 to $480. Gamhewage received $231 a day during her three-day trip to the Congolese capital Kinshasa, according to an internal travel claim.

The internal documents show that staff costs take up more than half of the $1.5 million the WHO allotted toward the prevention of sexual misconduct in Congo for 2022-2023, or $821,856. Another 12% goes to prevention activities and 35%, or $535,000, is for “victim support,” which Gamhewage said includes legal assistance, transportation and psychological support. That budget is separate from the $2 million survivors’ assistance fund, which assists victims globally.

The WHO’s Congo office has a total allocated budget of about $174 million, and its biggest funder is the Bill & Melinda Gates Foundation.

The U.N. health agency continues to struggle with holding perpetrators of sexual abuse and exploitation to account in Congo. A WHO-commissioned panel found at least 83 perpetrators during the Ebola response, including at least 21 WHO staffers. The youngest known victim was 13.

In May 2021, an AP investigation revealed that senior WHO management was told of sexual exploitation during the agency’s efforts to curb Ebola even as the abuse was happening but did little to stop it. No senior managers, including some who were aware of the abuse during the outbreak, were fired.

After years of pressure from Congolese authorities, the WHO internal documents note it has shared information with them about 16 alleged perpetrators of sexual abuse and exploitation who were linked to the WHO during the Ebola outbreak.

But the WHO hasn’t done enough to discipline its people, said another Congolese woman who said she was coerced into having sex with a staffer to get a job during the outbreak. She, too, received $250 from the WHO after taking a baking course.

“They promised to show us evidence this has been taken care of, but there has been no follow-up,” said Denise, 31.

The WHO has said five staffers have been dismissed for sexual misconduct since 2021.

But in Congo, deep distrust remains.

Audia, 24, told the AP she was impregnated when a WHO official forced her to have sex to get a job during the outbreak. She now has a 5-year-old daughter as a result and received a “really insufficient” $250 from WHO after taking courses in tailoring and baking.

She worries about what might happen in a future health crisis in conflict-hit eastern Congo, where poor infrastructure and resources mean any emergency response relies heavily on outside help from the WHO and others.

“I can’t put my trust in (WHO) anymore,” she said. “When they abandon you in such difficulties and leave you without doing anything, it’s irresponsible.”
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