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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A small company devoted to low-cost space launch systems will take part in an upcoming mission to put an uncrewed lander on the moon. As Mike O’Sullivan reports, it’s one of many small companies hoping for a role in a future moon base.
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Four years ago, high school and college students in the class of 2023 had just entered their first year when the coronavirus pandemic hit. They were thrust into an academic world of uncertainty when in-person classes stopped and were moved to online platforms.

Now recent graduates, they are the last undergraduate class with memories of what it was like to be students when the pandemic began. 

“It was shocking and confusing because we didn’t know what was going to happen with our studies,” said Sarabeth McClain, 22, who just received her undergraduate diploma in economics and political science at Rhode Island University. 

When the World Health Organization declared COVID a global pandemic in March 2020, in-person classes stopped in the United States, forcing students to learn online.  

“It was chaotic. I was taking classes that quickly went virtual, and I started to feel more distant from my professors,” said Rachel Buxbaum, who was in a doctoral degree program in clinical psychology at Long Island University in New York. “Plus, I began seeing psychotherapy patients online, and it all felt overwhelming.”

COVID-19 changed everything, including the college experience. 

“It was a resilience test for these students and impacted their ability to focus on education,” said Lynn Pasquerella, president of the American Association of Colleges and Universities. 

According to a 2021 Best Colleges survey, 9 out of 10 college students said they struggled with isolation, anxiety and a lack of focus during the pandemic.

For much of two years, the lives of both college and high school students were turned upside down with uncertainty and the unease of not spending time with their classmates in person. 

“The quarantine led to an increase in social anxiety for them,” explained Caroline Clauss-Ehlers, a psychology professor in the School of Health Professions at Long Island University.  “Interacting with their peers is important to them, and with the quarantine that was lost, including some social skills.”

“I was struggling,” said high school student Jessica Hernandez, who graduated from Mount Vernon High School in Alexandria, Virginia, “because I couldn’t socialize with anyone since everyone was stuck behind a screen.” 

Besides social isolation, another Best Colleges study, in 2022, found the transition to remote learning caused significant stress from an increase in distractions and a loss of academic resources such as academic advisers.

“I felt neglected because the teacher wasn’t there to help me in person,” Hernandez told VOA, “and there were many distractions at home with my phone and TV easy to get to all the time, while I’m watching online classes from my bed.”

However, another high school student called her online learning “super easy.”

“It was such a quick transition during COVID that the teachers didn’t have much time to figure out online learning,” said Reda Adkins, a graduate of Perry High School in Perry, Ohio, “and so they were laid back and there was no pressure on the students to study and learn.”

According to a 2021 Frontiers in Psychology survey, 33% of college students were concerned about their academic futures due to the pandemic.

“I don’t feel there are many advantages to taking classes online,” said Sam Lodge, a graduate in economics at the University of Wisconsin. “It hurt me academically because it was harder to learn and process the information.”

“I didn’t like online learning and missed the structure of going to class, including classroom discussions,” said McClain.

“The professors prepared me academically,” said Matthew Shea, who received his diploma from Pennsylvania State University. “However, it was hard to pay attention during the lectures when you’re not in the classroom. I was also more hesitant to ask questions online rather than in-person, where I am more comfortable raising my hand.”

However, other students adapted to learning virtually, Pasquerella noted.

“Most students were skeptical about learning online during the pandemic, but after in-person college classes resumed, many wanted to have more online courses, especially for the flexibility.”

According to a new survey by TimelyCare, a virtual health and well-being program for students in higher education, about 80% of graduating seniors say the pandemic affected their workforce preparedness.

“I’m looking for employment right now,” Lodge told VOA. “During COVID, the lack of being social, including talking to new people, has had an impact on my reaching out to people who are hiring.”

Despite a disrupted college experience and trepidation about entering the workforce, nearly all of this year’s college graduates are hopeful for their future, TimelyCare said.

“I’m looking forward to my work as a clinical psychologist in primary health care at a hospital in New York,” said Buxbaum, who completed her doctoral degree.

“I feel like I’m regaining my mental energy, and I’m going to a local community college in northern Virginia to study to become a nurse,” said high school graduate Hernandez. 
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The idea of the American Dream can conjure up images of tidy suburban homes with immaculate green lawns, but achieving and maintaining that lush carpet of grass can seem like a nightmare.

“Most people don’t install lawns, they get them when they buy the house. They’re stuck,” says Paul Robbins, author of Lawn People: How Grasses, Weeds, and Chemicals Make Us Who We Are.

“That’s the first thing we learned in our research is that most people would prefer not to have them, but they feel that they need to have them, or that they can’t do anything about it. And the need to have them is that they feel an obligation to their neighbors,” Robbins said.

Conforming to the neighbors can be timely, expensive and unhealthy, due to the chemicals used to keep the lawn perfect. But not conforming can also be costly. Janet and Jeffrey Crouch, a Maryland couple who live about 45 minutes outside of Washington, learned this lesson when they decided to forgo a lawn to plant native plants that are wildlife-friendly.

“We started planting native plants and the butterflies and bees and birds started coming immediately when we stopped using pesticides and fertilizers,” Janet Crouch says.

But their next-door neighbor complained to the homeowners association, which like a typical HOA, oversees the management of some residential communities and is usually run by a board of volunteer homeowners. The Crouches were ordered to pull out their native plants and replace them with grass. They refused.

“We were not using pesticides or fertilizers. We knew we were doing things that were beneficial for the environment,” Janet Crouch says. “So, it just seemed fundamentally wrong to tear out this piece of paradise that we’ve created and put in turf grass, which is an environmental dead zone.”

Lawns are considered environmental dead zones in part because they provide no food or shelter for wildlife, including pollinators like birds, bees and butterflies, which are among the wildlife whose numbers are decreasing at a rapid rate due to habitat destruction and other human-related actions. One million species worldwide face extinction, many within decades, due to the loss of biodiversity.

“The fundamental ecological fact about turf grass is that it’s not native to North America, with maybe one exception. And to plant a crop which is not native to the continent, and then try to engineer it into a state of absolute perfection, is like pushing a boulder up the hill,” says Ted Steinberg, author of American Green: The Obsessive Quest for the Perfect Lawn.

An industry report suggests Americans spend almost $100 billion on lawn care yearly, with each household, on average, spending $503 on lawn care and gardening.

“Super-green monoculture is an ecological boondoggle,” Steinberg adds. “It uses a lot of chemical inputs, a lot of water — you water a lot — and leaches nutrients from the soil, and that sends people back to the store for more chemical inputs, especially fertilizer.”

Chemicals used to maintain lawns include glyphosate and 2,4-dichlorophenoxyacetic acid, known as 2,4-D, which are suspected of causing cancer and other health ailments and can contaminate groundwater. Some states already ban the use of certain chemicals on lawns. Others, particularly in the arid West, have restrictions on how often or if people can water their grass.

“There’s more than 40 million acres across the country of turf,” says Nancy Lawson, author of The Humane Gardener and Wildscapes. Lawson is also Janet Crouch’s sister and the person who encouraged the Crouches to install native plants. “Turf is the No. 1 irrigated crop, so it’s taking up a lot of water.”

Lawson has created a wildlife oasis of native plants surrounding her house. She lives in an area of Maryland that is not governed by HOAs.

“I think the future of the lawn, as it is now, is doomed,” Lawson says. “So, what’s the alternative? Well, it shouldn’t be rock or something like that because you’re heating up the planet even more. So, the alternative is plants, and it’s native plants that know how to grow in your soil conditions, in your sun conditions, in the weather of your region.”

The Crouches’ battle against their HOA took three years. The couple says they spent $60,000 fighting to keep their natural garden. They won and as a result of their efforts, the state of Maryland passed a law that allows people to grow native plants instead of grass, no matter what their HOA wants.

Robbins, who is also an environmental studies professor at the University of Wisconsin-Madison, believes lawns will always be around, but not in the state they are in now.

“They’re going to be targeted in places where they’re most appropriate, where you’ve got kids and you want them to have a place to run around,” Robbins says. “There’s going to be fewer of them, and they’re going to live alongside much more biodiverse options.”
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The Dutch government said on Tuesday it would hold U.S. industrial group 3M Co. liable for polluting the Western Scheldt river with potentially harmful substances known as PFAS, or “forever chemicals.” 

3M said in a statement e-mailed to Reuters that it had received a letter from the Dutch government’s legal representative on Tuesday and was studying its contents. 

The Netherlands said it would hold the company responsible for pollution in the Dutch part of the river, allegedly caused by its nearby Belgian plant. 

Higher than acceptable pollutant levels have resulted in financial damages for the fishing fleet and the government, the Netherlands said. 

“I think polluters should pay … Holding 3M liable is in line with that basic position,” Dutch Infrastructure and Water Management Minister Mark Harbers said in a statement. 

3M said it had already invited the Dutch authorities to have a meeting about the PFAS situation in the Western Scheldt. 

“(We) welcome the opportunity for conversation with the Dutch government and the Ministry of Infrastructure and Water Management,” it said in its statement. 

3M’s website shows it has a plant that makes products that contain PFAS on the Belgian side of the Scheldt river, which originates in France. 

Last December 3M set itself a 2025 deadline to stop producing PFAS. The European Union is considering a ban on the chemicals. 

Perfluoralkyl and polyfluoroalkyl substances (PFAS) do not break down quickly and have in recent years been found in dangerous concentrations in drinking water, soils and foods. 

SEE ALSO: A related video by VOA’s Veronica Balderas Iglesias

The chemicals have been used in everything from cars to medical gear and nonstick pans due to their long-term resistance to extreme temperature and corrosion. 

But they have also been linked to health risks including cancer, hormonal dysfunction and a weakened immune system as well as environmental damage. 

The Dutch government said there would be an assessment of how much of the alleged PFAS damages 3M could be held liable for. 
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The U.S. Department of Homeland Security is exploring ways artificial intelligence can help detect fentanyl and prevent it from entering the country. VOA’s Julie Taboh has more.
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A growing number of health emergencies around the world, from COVID-19 to cholera, have left the World Health Organization’s response “overstretched,” a senior advisor said on Tuesday.  

Speaking at the U.N. agency’s annual meeting, Professor Walid Ammar, chairman of a committee reviewing the WHO’s emergency response, said funding and staffing gaps were widening in the face of ever-increasing demands.  

“[The] program is overstretched as demands have only grown with the multiplicity and complexity of emergencies,” he said.  

As of March, the WHO was responding to 53 high-level emergencies, a report by the committee said. These included diseases like COVID-19, cholera and a Marburg outbreak in Equatorial Guinea and Tanzania, as well as humanitarian emergencies like the earthquake in Turkey and Syria and floods in Pakistan.  

The report also noted that climate change was increasing the frequency of events like floods and cyclones, all of which have health consequences.  

However, the emergency program’s core budget for 2022-2023 is only about 53% funded, the report found, calling for more stable financing.  

The WHO and member states are trying to reform how the agency — and countries — respond to health emergencies, as well as shoring up the WHO’s funding. On Monday, member states approved a new budget including a 20% hike in their mandatory fees. 

The report also called on the WHO to look for more efficiencies: for example, in Malawi, four different emergency teams were responding to cholera, COVID-19, polio, and flooding, in ways that may have overlapped, it said.  
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Brazil declared a state of animal health emergency for 180 days in response to the country’s first detection of the highly pathogenic avian influenza virus in wild birds, in a document signed Monday by Agriculture Minister Carlos Favaro.  

Infection by the H5N1 subtype of avian flu in wild birds does not trigger trade bans, based on guidelines of the World Organization for Animal Health. However, a case of bird flu on a farm usually results in the entire flock being killed and can trigger trade restrictions from importing countries. 

Brazil, the world’s biggest chicken meat exporter with $9.7 billion in sales last year, has so far confirmed eight cases of the H5N1 in wild birds, including seven in Espirito Santo state and one in Rio de Janeiro state.  

The country’s agriculture ministry said later Monday it has created an emergency operations center to coordinate, plan and evaluate “national actions related to avian influenza.”  

Though Brazil’s main meat producing states are in the south, the government is on alert after the confirmed cases, as avian flu in wild birds has been followed by transmission to commercial flocks in some countries. 

Over the weekend, the Health Ministry said samples of 33 suspected cases of avian influenza in humans in Espirito Santo, where Brazil confirmed the first cases in wild birds last week, came back negative for the H5N1 subtype.  
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Arizona, Nevada and California said Monday they’re willing to cut back on their use of the dwindling Colorado River in exchange for money from the federal government — and to avoid forced cuts as drought threatens the key water supply for the U.S. West.

The $1.2 billion plan, a potential breakthrough in a year-long stalemate, would conserve an additional 3 million acre-feet of water through 2026, when current guidelines for how the river is shared expire. About half the cuts would come by the end of 2024.

That’s less than what federal officials said last year would be needed to stave off crisis in the river but still marks a notable step in long and difficult negotiations between the three states.

The 2,334-kilometer river provides water to 40 million people in seven U.S. states, parts of Mexico and more than two dozen Native American tribes. It produces hydropower and supplies water to farms that grow most of the nation’s winter vegetables.

In exchange for temporarily using less water, cities, irrigation districts and Native American tribes in the three states will be paid. The federal government plans to spend $1.2 billion, said Lauren Wodarski, a spokesperson to U.S. Senator Catherine Cortez Masto, a Nevada Democrat.

Though adoption of the plan isn’t certain, U.S. Bureau of Reclamation Commissioner Camille Touton called it an “important step forward.” She said the bureau will pull back its proposal from last month that could have resulted in sidestepping the existing water priority system to force cuts while it analyzes the three-state plan. The bureau’s earlier proposal, if adopted, could have led to a messy legal battle.

“At least they’re still talking. But money helps you keep talking,” said Terry Fulp, former regional director of the U.S. Bureau of Reclamation’s Lower Colorado Basin region. He noted the agreement is a “short-term, three-year deal” and that because the Upper Basin states of Colorado, New Mexico, Utah and Wyoming didn’t face immediate cuts, they were not part of the pact.

The three Lower Basin states are entitled to 7.5 million acre-feet of water altogether from the river. An acre-foot of water is roughly enough to serve two to three U.S. households annually.

California gets the most, based on a century-old water rights priority system. Most of that goes to farmers in the Imperial Irrigation District, though some also goes to smaller water districts and cities across Southern California. Arizona and Nevada have already faced cuts in recent years as key reservoir levels dropped based on prior agreements. But California has been spared.

Under the new proposal, California would give up about 1.6 million acre-feet of water through 2026 — a little more than half of the total. That’s roughly the same amount the state first offered six months ago. It wasn’t clear why the other states agreed to a deal now when California didn’t offer further cuts. Leaders in Arizona and Nevada didn’t immediately say how they’d divide the other 1.4 million acre-feet.

The Imperial Irrigation District would account for more than half of California’s cuts. J.B. Hamby, chairman of the Colorado River Board of California, said the district has already taken measures to improve water efficiency and will need to do more. He said the district is working on a pilot summer idling program where farmers would sign up to turn off their water for 60 days for forage crops. During that time of year, yields are already down and more water is required, he said.

Bill Hasencamp, manager of Colorado River resources for the Metropolitan Water District of California, which supplies water to 19 million people in southern California, said the wet winter means the state simply needs less water. His district is planning on leaving 250,000 acre-feet this year in Lake Mead and won’t withdraw it until after 2026.

The district will also turn over to the federal government a program that pays farmers to fallow land that typically nets them about 130,000 acre-feet of water a year, he said.

The Colorado River has been in crisis for years due to a multi-decade drought in the West intensified by climate change, rising demand and overuse. Water levels at key reservoirs dipped to unprecedented lows, though they have rebounded somewhat thanks to heavy precipitation this winter.

In recent years, the federal government has cut some water allocations and offered billions of dollars to pay farmers, cities and others to cut back. But key water officials didn’t see those efforts as enough to prevent the system from collapsing.

Michael Cohen, a senior researcher at the Pacific Institute focused on the Colorado River, called the amount of cuts the three states have proposed a “huge, huge lift” and a significant step forward.

“It does buy us a little additional time,” he said. But if more dry years are ahead, “this agreement will not solve that problem.”
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As the International Day to End Obstetric Fistula approaches Tuesday, scores of women who have been treated for the medical condition are encouraging their peers in northern Cameroon to get help.

Many sufferers of obstetric fistula — characterized by urinary and fecal incontinence — believe the disease is a curse for wrongdoing. Now former patients and aid groups are telling families fistula can be treated.

The network of women who have been successfully operated on for obstetric fistula in Cameroon’s northern region say they are educating communities that it is a disease that can be treated.

Hospital workers say obstetric fistula is a hole between the birth canal and bladder or rectum, caused by prolonged, obstructed labor without access to timely, high-quality medical treatment. The disease leaves women and girls leaking urine, feces or both, and often leads to chronic medical problems, depression, social isolation and deepening poverty, medical staff members say.

Catherine Debong, 31, is the spokesperson for Women in Maroua, a group of women who have been operated on for obstetric fistula. Maroua is a town in Cameroon’s far north that shares a border with Chad and Nigeria. 

Debong said she is urging parents, husbands, clerics, community leaders and traditional rulers to educate others that obstetric fistula is not a curse or divine punishment for wrongdoing. She said she wants communities to encourage women who have gone into hiding due to the disease to seek treatment.

Debong said a Roman Catholic priest took her to the hospital in 2012 after she had lived with fistula for six years. She is now committed to saving the lives of other women with fistula whom she said are dying without medical help. 

Cameroon’s Ministry of Public Health says between 350 and 1,500 new cases of fistula are reported each year. Seventy-five percent of the cases are reported on Cameroon’s northern region, where more than 80% of civilians seek help from African traditional healers and seldom visit hospitals.

Cameroon reports that 60% of patients seeking help in hospitals have lived with obstetric fistula for more than 5 years. Eighty percent of patients have no formal education and 90% were teenagers when they had their first baby.

Many sufferers are accused of witchcraft and abandoned by their relatives.

The Cameron government is trying to end the stigma and discrimination attached to the condition through education programs.

Boyo Maurine is with the Cameroon Baptist Convention Health Services program, a nonprofit group that works with the United Nations Population Fund (UNFPA). The group educates communities about obstetric fistula and encourages women to seek treatment.

“Generally, the individuals perceive that people will not want to associate with them because of the odor that comes from them and from the embarrassment that will come from constantly being wet without any form of control,” Boyo said. “They already feel that they do not belong to society, and this leaves them sometimes with some negative emotions like sadness, depression, anger and aggression, which is as a result of this condition.”

In 2020, the U.N. launched a global commitment to fistula prevention and treatment, including surgical repair and social reintegration. The campaign hopes to end fistula by 2030, while transforming the lives of thousands of women and girls.

The International Day to End Obstetric Fistula draws attention to the condition, which affects tens of thousands of women globally. 
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The World Health Organization on Monday won basic approval for a $6.83 billion budget over the next two years, including a 20% hike in mandatory membership fees.

As the U.N. health agency kicked off its annual decision-making assembly, member states in a key committee approved the budget without objection.

WHO chief Tedros Adhanom Ghebreyesus hailed the move as “historic and a big milestone.”

The budget still needs to be approved by all the member states at the end of the 10-day event, but the approval procedure is basically a formality.

The decision comes after last year’s assembly agreed to a dramatic overhaul of WHO funding.

Shaken by the COVID-19 pandemic, countries agreed on the need to provide more reliable and stable funding.

The WHO is largely financed by its 194 member states.

The portion of funding from mandatory membership fees — “assessed contributions” calculated according to wealth and population — had dwindled to below one-fifth, with the rest coming from “voluntary contributions.”

This left WHO with limited leeway to respond to crises such as COVID-19, the war in Ukraine and other health emergencies.

Last year’s assembly agreed to gradually increase the membership fee portion to 50% by the 2030-31 budget cycle at the latest.

The 2024-25 budget cycle marks the first incremental increase, with countries agreeing to hike their assessed contributions by 20% from the 2022-23 budget.

In return for the funding shift, WHO has begun implementing 96 reforms, including towards more transparency on its financing and hiring and broader accountability.

Tedros told the assembly earlier Monday that WHO so far had implemented 42 of the requested reforms “and 54 are ongoing.”
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Saudi Arabia’s first astronauts in decades rocketed toward the International Space Station on a chartered multimillion-dollar flight Sunday. 

SpaceX launched the ticket-holding crew, led by a retired NASA astronaut now working for the company that arranged the trip from Kennedy Space Center. Also on board: a U.S. businessman who now owns a sports car racing team. 

The four should reach the space station in their capsule Monday morning; they’ll spend just more than a week there before returning home with a splashdown off the Florida coast. 

Sponsored by the Saudi Arabian government, Rayyanah Barnawi, a stem cell researcher, became the first woman from the kingdom to go to space. She was joined by Ali al-Qarni, a fighter pilot with the Royal Saudi Air Force. 

They’re the first from their country to ride a rocket since a Saudi prince launched aboard shuttle Discovery in 1985. In a quirk of timing, they’ll be greeted at the station by an astronaut from the United Arab Emirates. 

“Hello from outer space! It feels amazing to be viewing Earth from this capsule,” Barnawi said after settling into orbit. 

Added al-Qarni: “As I look outside into space, I can’t help but think this is just the beginning of a great journey for all of us.” 

Rounding out the visiting crew: Knoxville, Tennessee’s John Shoffner, former driver and owner of a sports car racing team that competes in Europe, and chaperone Peggy Whitson, the station’s first female commander who holds the U.S. record for most accumulated time in space: 665 days and counting. 

“It was a phenomenal ride,” Whitson said after reaching orbit. Her crewmates clapped their hands in joy. 

It’s the second private flight to the space station organized by Houston-based Axiom Space. The first was last year by three businessmen, with another retired NASA astronaut. The company plans to start adding its own rooms to the station in another few years, eventually removing them to form a stand-alone outpost available for hire. 

Axiom won’t say how much Shoffner and Saudi Arabia are paying for the planned 10-day mission. The company had previously cited a ticket price of $55 million each. 

NASA’s latest price list shows per-person, per-day charges of $2,000 for food and up to $1,500 for sleeping bags and other gear. Need to get your stuff to the space station in advance? Figure roughly $10,000 per pound ($20,000 per kilogram), the same fee for trashing it afterward. Need your items back intact? Double the price. 

At least the email and video links are free. 

The guests will have access to most of the station as they conduct experiments, photograph Earth and chat with schoolchildren back home, demonstrating how kites fly in space when attached to a fan. 

After decades of shunning space tourism, NASA now embraces it with two private missions planned a year. The Russian Space Agency has been doing it, off and on, for decades. 

“Our job is to expand what we do in low-Earth orbit across the globe,” said NASA’s space station program manager Joel Montalbano. 

SpaceX’s first-stage booster landed back at Cape Canaveral eight minutes after liftoff — a special treat for the launch day crowd, which included about 60 Saudis. 

“It was a very, very exciting day,” said Axiom’s Matt Ondler. 
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The provincial health department in the South African province of Gauteng on Sunday announced 19 new cases of Cholera in Hammanskraal, including 10 deaths.

South Africa reported its first cholera death in February, after the virus arrived in the country from Malawi.

It was unclear how many cholera cases there was nationally as of Sunday, but the most populous province of Gauteng, where Johannesburg and Pretoria are situated, has been hardest hit.

Cholera can cause acute diarrhea, vomiting and weakness and is mainly spread by contaminated food or water. It can kill within hours if untreated.

The last outbreak in South Africa was in 2008/2009 when about 12,000 cases were reported following an outbreak in neighboring Zimbabwe, which led to a surge of imported cases and subsequent local transmission.
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Mexico’s Popocatepetl volcano rumbled to life again this week, belching out towering clouds of ash that forced 11 villages to cancel school sessions.

The residents weren’t the only ones keeping a close eye on the towering peak. Every time there is a sigh, tic or heave in Popocatepetl, there are dozens of scientists, a network of sensors and cameras, and a roomful of powerful equipment watching its every move.

The 5,426-meter volcano, known affectionately as “El Popo,” has been spewing toxic fumes, ash and lumps of incandescent rock persistently for almost 30 years, since it awakened from a long slumber in 1994.

The volcano is 72 kilometers southeast of Mexico City, but looms much closer to the eastern fringes of the metropolitan area of 22 million people. The city also faces threats from earthquakes and sinking soil, but the volcano is the most visible potential danger — and the most closely watched. A severe eruption could cut off air traffic, or smother the city in clouds of choking ash.

Ringed around its summit are six cameras, a thermal imaging device and 12 seismological monitoring stations that operate 24 hours a day, all reporting back to an equipment-filled command center in Mexico City.

A total of 13 scientists from a multidisciplinary team take turns staffing the command center around the clock. Being able to warn of an impending ash cloud is key, because people can take precautions. Unlike earthquakes, warning times can be longer for the volcano and in general the peak is more predictable.

On a recent day, researcher Paulino Alonso made the rounds, checking the readings at the command center run by Mexico’s National Disaster Prevention Center, known by its initials as Cenapred. It is a complex task that involves seismographs that measure the volcano’s internal trembling, which could indicate hot rock and gas moving up the vents in the peak.

Monitoring gases in nearby springs and at the peak — and wind patterns that help determine where the ash could be blown — also play a role.

The forces inside are so great that they can temporarily deform the peak, so cameras and sensors must monitor the very shape of the volcano.

How do you explain all of this to 25 million non-experts living within a 62-mile (100-kilometer) radius who have grown so used to living near the volcano?

Authorities came up with the simple idea of a volcano “stoplight” with three colors: green for safety, yellow for alert and red for danger.

For most of the years since the stoplight was introduced, it has been stuck at some stage of “yellow.” The mountain sometimes quiets down, but not for long. It seldom shoots up molten lava: instead it’s more the “explosive” type, showering out hot rocks that tumble down its flanks and emitting bursts of gas and ash.

The center also has monitors in other states; Mexico is a country all too familiar with natural disasters.

For example, Mexico’s earthquake early alert system is also based at the command center. Because the city’s soil is so soft — it was built on a former lake bed — a quake hundreds of miles away on the Pacific coast can cause huge destruction in the capital, as happened in 1985 and 2017.

A system of seismic monitors along the coast sends messages that race faster than the quake’s shock waves. Once the sirens start blaring, it can give Mexico City residents up to half a minute to get to safety, usually on the streets outside.
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The World Health Organization on Saturday launched a global network to help swiftly detect the threat from infectious diseases, like COVID-19, and share the information to prevent their spread.

The International Pathogen Surveillance Network (IPSN) will provide a platform for connecting countries and regions, improving systems for collecting and analyzing samples, the agency said.

The network aims to help ensure infectious disease threats are swiftly identified and tracked and the information shared and acted on to prevent catastrophes like the COVID pandemic.

The network will rely on pathogen genomics to analyze the genetic code of viruses, bacteria and other disease-causing organisms to understand how infectious and deadly they are and how they spread.

The data gathered will feed into a broader disease surveillance system used to identify and track diseases, in a bid to contain outbreaks and to develop treatments and vaccines.

‘Ambitious’ goals

WHO chief Tedros Adhanom Ghebreyesus hailed the “ambitious” goals of the new network, saying it could “play a vital role in health security.”

“As was so clearly demonstrated to us during the COVID-19 pandemic, the world is stronger when it stands together to fight shared health threats,” he said.

The IPSN, announced a day before the annual meeting of WHO member states begins in Geneva, will have a secretariat within the WHO’s Hub for Pandemic and Epidemic Intelligence.

It is the latest of several initiatives launched since COVID that aim to bolster the world’s ability to prevent and more effectively respond to pandemic threats.

The network will bring together experts on genomics and data analytics, drawn from governments, academia, the private sector and elsewhere.

“All share a common goal: to detect and respond to disease threats before they become epidemics and pandemics, and to optimize routine disease surveillance,” the agency said.

COVID highlighted the critical role pathogen genomics plays when responding to pandemic threats, with the WHO noting that without the rapid sequencing of the SARS CoV-2 virus, vaccines would not have been as effective and would not have become available as quickly.

New and more transmissible variants of the virus would also not have been identified as quickly.

“Genomics lies at the heart of effective epidemic and pandemic preparedness and response,” the agency said, adding that it was also vital for surveillance of a range of diseases, from influenza to HIV.

Many countries lack effective systems

While the pandemic spurred countries to scale up their genomics capacity, the agency warned that many still lack effective systems for collecting and analyzing samples.

The IPSN would help address such challenges, Tedros said, since it could “give every country access to pathogen genomic sequencing and analytics as part of its public health system.”
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The U.S. space agency NASA announced Friday it has awarded the Jeff Bezos-owned aerospace company Blue Origin a contract to build a second lunar lander for the Artemis V moon mission, aiming to land a crew on the moon by 2029.

At a Washington news conference, NASA Administrator Bill Nelson said under the $3.4 billion contract, Blue Origin will design, develop, test and verify its Blue Moon lander to meet NASA’s human landing system requirements for recurring astronaut expeditions to the lunar surface, including docking with Gateway, a space station where crews will transfer in lunar orbit. 

Two years ago, Blue Origin made a bid on the contract NASA awarded to the Elon Musk-owned company SpaceX to build NASA’s initial human landing system to be used in the agency’s Artemis III and Artemis IV missions. In a release, the agency said it also directed SpaceX to evolve its design to meet the requirements for sustainable exploration on the moon.

Under its contract, Blue Origin will build a lander that meets the same sustainable requirements, including capabilities for a larger crew, longer missions and the delivery of more mass to the moon. NASA officials said the program is an important step toward their goal to establish “a regular cadence” of missions to the moon. 

And, NASA said, that competitive approach, using multiple providers, drives innovation, brings down costs and invests in commercial capabilities that will foster “a lunar economy.”

Nelson said Friday, “We are in a golden age of human spaceflight, which is made possible by NASA’s commercial and international partnerships. Together, we are making an investment in the infrastructure that will pave the way to land the first astronauts on Mars.”

The agency said the Artemis V project is the next step between extended lunar exploration capabilities and establishing a base on the moon to support recurring complex missions that would lead, eventually, to moon-to-Mars exploration.

Some information for this report was provided by Reuters. 
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More than half of the world’s large lakes and reservoirs have shrunk since the early 1990s, chiefly because of climate change, intensifying concerns about water for agriculture, hydropower and human consumption, a study published Thursday found.

An international team of researchers reported that some of the world’s most important water sources — from the Caspian Sea between Europe and Asia to South America’s Lake Titicaca — lost water at a cumulative rate of about 22 gigatonnes per year for nearly three decades. That’s about 17 times the volume of Lake Mead, the largest reservoir in the United States.

Fangfang Yao, a surface hydrologist at the University of Virginia who led the study in the journal Science, said 56% of the decline in natural lakes was driven by climate warming and human consumption, with warming “the larger share of that.”

Climate scientists generally think that the world’s arid areas will become drier under climate change and wet areas will get wetter, but the study found significant water loss even in humid regions. “This should not be overlooked,” Yao said.

Scientists assessed almost 2,000 large lakes using satellite measurements combined with climate and hydrological models.

They found that unsustainable human use, changes in rainfall and runoff, sedimentation, and rising temperatures have driven lake levels down globally, with 53% of lakes showing a decline from 1992 to 2020.

Nearly 2 billion people who live in drying lake basins are directly affected, and many regions have faced water shortages in recent years.

Scientists and campaigners have long said it is necessary to prevent global warming beyond 1.5 degrees Celsius (2.7 degrees Fahrenheit) to avoid the most catastrophic consequences of climate change. The world has already warmed about 1.1C (1.9F).

Thursday’s study found unsustainable human use dried up lakes such as the Aral Sea in Central Asia and the Dead Sea in the Middle East, while lakes in Afghanistan, Egypt and Mongolia were hit by rising temperatures, which can increase water loss to the atmosphere.

Water levels rose in a quarter of the lakes, often as a result of dam construction in remote areas such as the Inner Tibetan Plateau.
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Mexican authorities said Thursday that they were trying to locate several hundred people, including U.S. nationals, potentially at risk of developing fungal meningitis after medical treatment near the border.

The announcement came a day after the United States warned that suspected fungal infections had led to severe illness and even death among U.S. residents returning from the Mexican city of Matamoros.

Around 400 people were being traced, including roughly 80 from the United States, according to the health minister of Tamaulipas state, home to Matamoros, which sits across the border from Brownsville, Texas.

“They’re going to be located to rule out that they are infected,” Vicente Joel Hernandez told AFP.

Two clinics, River Side Surgical Center and Clinica K-3, have been closed following the death of an American and the infection of seven other people, he said.

According to the U.S. government, the affected travelers had medical or surgical procedures, including liposuction, that involved injecting anesthetic into the area around the spinal column.

The U.S. Centers for Disease Control and Prevention advised canceling any procedure that involves an epidural injection in Matamoros until the problem is resolved.

It urged anyone experiencing symptoms of fungal meningitis after having such an injection in the city to go to a hospital emergency department immediately.

The symptoms include fever, headache, stiff neck, nausea, vomiting, confusion and sensitivity to light, it said, adding that fungal meningitis infections are not contagious or transmitted person-to-person.

Mexico is one of the world’s top medical tourism destinations, largely due to U.S. residents crossing the border for everything from dental work to cosmetic surgery and cancer treatment.
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