The COVID-19 pandemic could settle down this year to a point where it poses a threat similar to flu, the World Health Organization said Friday.

The WHO voiced confidence that it will be able to declare an end to the emergency sometime in 2023, saying it was increasingly hopeful about the pandemic phase of the virus coming to a close.

Last weekend marked three years since the U.N. health agency first described the situation as a pandemic — though WHO chief Tedros Adhanom Ghebreyesus insists countries should have jolted into action several weeks before.

“I think we’re coming to that point where we can look at COVID-19 in the same way we look at seasonal influenza,” WHO emergencies director Michael Ryan told a press conference. “A threat to health, a virus that will continue to kill. But a virus that is not disrupting our society or disrupting our hospital systems, and I believe that that will come, as Tedros said, this year.”

The WHO chief said the world was in a much better position now than it has been at any time during the pandemic.

“I am confident that this year we will be able to say that COVID-19 is over as a public health emergency of international concern (PHEIC),” Tedros said.

5,000 a week

The WHO declared a PHEIC — the highest level of alarm it can sound — on January 30, 2020, when, outside of China, fewer than 100 cases and no deaths had been reported.

But it was only when Tedros described the worsening situation as a pandemic on March 11 that year that many countries seemed to wake up to the danger.

“Three years later, there are almost 7 million reported deaths from COVID-19, although we know that the actual number of deaths is much higher,” Tedros said.

He was pleased that, for the first time, the weekly number of reported deaths over the past four weeks has been lower than when he first described COVID-19 as a pandemic.

But he said more than 5,000 deaths reported per week was 5,000 too many for a disease that can be prevented and treated.

Data emerges

The first infections with the new coronavirus were recorded in late 2019 in the Chinese city of Wuhan.

“Even as we become increasingly hopeful about the end of the pandemic, the question of how it began remains unanswered,” Tedros said, as he turned to address data that recently came to light concerning the early days of the pandemic.

The data, from the Chinese Centre for Disease Control and Prevention, relates to samples taken at the Huanan market in Wuhan in 2020.

Maria Van Kerkhove, the WHO’s technical lead on COVID, said they showed molecular evidence that animals were sold at the market, including animals susceptible to SARS-CoV-2 — the virus that causes COVID-19 disease.

The information was published on the GISAID global science initiative database in late January, then was taken down again — but not before some scientists downloaded and analyzed it and informed the WHO last weekend.

“These data could have — and should have — been shared three years ago,” Tedros lamented. “We continue to call on China to be transparent in sharing data, and to conduct the necessary investigations and share the results.”

Van Kerkhove said all theories about where the outbreak began remain on the table.

They include entering the human population via a bat, an intermediate host animal or through a biosecurity breach at a laboratory, she said.
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The Southern Nevada Water Authority on Thursday voted to accept a $2.4 million grant from the U.S. Bureau of Reclamation to fund cloud seeding in other Western states whose rivers feed the parched desert region. 

The weather modification method uses planes and ground-based cannons to shoot silver iodide crystals into clouds, attracting moisture to the particles that fall as additional snow and rain. 

The funding comes as key reservoirs on the Colorado River hit record lows and booming Western cities and industries fail to adjust their water use to increasingly shrinking supplies. 

“This money from Reclamation is wonderful. We just have to decide how exactly it’s going to benefit us,” said Andrew Rickert, who coordinates Colorado’s cloud seeding for the Colorado Water Conservation Board. 

The federal funding will go toward upgrading manual generators to ones that can be remotely operated and using planes to seed clouds in key parts of the Upper Colorado River Basin, according to Southern Nevada Water Authority documents for its board meeting. 

Securing enough generators could be a challenge, Rickert said. “There’s not a lot of makers of cloud seeding generators,” he said. “Not only do we have to make sure we can find that, but that they could make as many as we need.” 

The Bureau of Reclamation declined to comment about the funding decision. 

The Southern Nevada Water Authority said the grant, while administered by Nevada, is not exclusively for the state’s benefit. “It will all be used to do cloud seeding in the Upper Basin for the benefit of all the river’s users,” wrote public outreach officer Corey Enus over email. 

In the Upper Colorado River Basin, Utah and Colorado have been seeding clouds for decades. Wyoming has nearly a decade of experience, and New Mexico recently began approving permits for warm weather seeding in the eastern part of the state. 

Colorado, Utah and Wyoming each spend between about $1 million and $1.5 million a year for cloud seeding. Utah’s legislature recently expanded its investment in cloud seeding programs in next year’s state budget, allocating more than $14 million. 

Numerous studies indicate cloud seeding can add 5% to 15% more precipitation from storm clouds. Contractors work with states to estimate how much ends up in water supplies. 

Since 2007, various groups have contributed to the overall cloud seeding budgets in those states. In 2018, several entities, including the Southern Nevada Water Authority, committed to long-term funding for those efforts, collectively contributing about $1.5 million annually. 

The reclamation bureau regularly funded cloud seeding operations toward the end of the 20th century, but has largely backed off in recent years, according to Frank McDonough a scientist at the nonprofit Desert Research Institute. 

“The research that’s come out over the last 10 years or so really seems to have convinced them that cloud seeding is a legitimate way to increase snowpack and subsequent water resources,” McDonough said. 

The grant from the bureau will be spread out over two years, temporarily doubling financial support for the Upper Basin cloud seeding from outside parties. 

The seven Colorado River basin states are still negotiating with the Bureau of Reclamation on how they will conserve 2 million to 4 million acre-feet of water. The bureau is expected to release a draft proposal this month and expects to finalize plans by mid-August, when it typically announces the amount of water available from the Colorado River for the following year. 

With such an overallocated river, everyone will have to use less, particularly the agricultural sector, said Kathryn Sorensen of the Kyl Center for Water Policy think tank. 

“I think a lot the allure of this type of program is it’s easier to talk about how do we get more than to talk about who has to use less,” she said. 
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Mozambique’s health minister said Friday a cholera outbreak in the area hit by Cyclone Freddy killed eight people this week and hospitalized 250 – part of 600 sickened since the record storm made landfall in February.

Health Minister Armindo Tiago told state-run Radio Mozambique the cholera victims were in the port city of Quelimane, capital of Zambezia province, the area most affected by the cyclone.

Tigao said cholera prevention is focused on 133 centers in the city that are sheltering up to 50,000 people displaced by flooding. He added that more work is needed in other provinces hit by Cyclone Freddy, a record storm that hammered the region since February.

Tiago said everyone must work to control the outbreak by boiling drinking water, cleaning and washing food, and disposing of garbage properly – especially human waste.  And, if people have symptoms such as diarrhea and vomiting, they must go to health units.   

The World Health Organization Wednesday confirmed that Mozambique is seeing a rise in cholera cases, while cases are dropping in neighboring Malawi after a record outbreak.   

The WHO said more than 40,000 cases of cholera were reported this year in Africa, more than half of them in Malawi.

Malawi gave out close to 5 million vaccination doses since the outbreak a year ago, but health authorities fear the numbers could spike there and in Mozambique if adequate measures are not taken.   

Malawi was hit the hardest by the cyclone, which has weakened to a low-pressure system, leaving hundreds dead and spreading floodwaters could be contaminated with cholera bacteria.

As the cyclone approached the southeast coast of Africa in February, Mozambique vaccinated more than 700,000 people in four provinces deemed at high risk for cholera, but Zambezia province was not among the regions targeted in the WHO-partnered vaccine drive.   

Reuters reported Mozambique on Wednesday received approval for an additional 1.3 million cholera vaccine doses to help control the spread.  
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Lack of access to clean drinking water is being exacerbated by climate change. In fact, less than 1% of the world’s water is fresh and accessible, according to Melissa Ho, senior vice president of freshwater and food at the World Wildlife Fund (WWF).

“Although we see water all around the planet, we do not necessarily realize what a precious and finite resource it is,” she said.

Ho cited that statistic during “This is Climate: Water,” a Washington Post event that featured leaders at the forefront of water crisis initiatives discussing possible solutions to address global water inequities and the role of water in sustainable development.

Ahead of Wednesday’s World Water Day, Colorado Sen. John Hickenlooper outlined growing demands on the Colorado River, which drains a watershed from seven Western U.S. states and Mexico.

While lack of access to clean water is especially prevalent in developing nations, more than 2 million Americans are without running water in their homes.

“In the U.S., race is the No. 1 predictor of water access,” said DigDeep co-CEO Julie Waechter. “Native American households are 19 times more likely than white households to not have running water, and Black and Latino households are twice as likely.”

According to Waechter, when water infrastructure was expanded in the U.S., “many communities of color were not included in that expansion.”

“So communities of color that are trying to catch up and get that water infrastructure are having a really hard time finding the funding to do that.”

WWF’s Ho said women and girls are disproportionately affected by inaccessible water, with millions of girls worldwide routinely walking more than 3 kilometers to fetch water. “Think of what that means for their safety and health and access to schooling and educational opportunities,” she added.

Contaminated water in US

Even when water is accessible, in too many instances it is unsafe to drink. Ho said water quality is an issue that should be of “prime concern” given that chemicals, heavy metals, hormones and other potentially toxic substances are routinely present in the U.S. water supply.

The White House on Tuesday announced the first-ever national drinking water standard for six polyfluoroalkyl substances (PFAS), also referred to as “forever chemicals.” The proposal would enforce limits on the amount of PFAS allowed in drinking water.

Water use in industry

Speakers also addressed the use of water in industry, where it’s needed but often wasted.

In the United States, agriculture, including farming and ranching, is the biggest user of water, with 70% of fresh water going to agriculture. World Environment Center CEO Glenn Prickett said that makes farmers “also the most vulnerable to climate impacts in terms of drought or flooding.”

With all industries depending on water in some way, limited availability of water worsened by climate change is an economic reality.

“Water scarcity is a key portion of what companies should be thinking about as they think about their water sustainability programs so that they can be more water resilient into the future,” said Calvin Emanuel, vice president and general manager of Sustainable Growth Solutions at Ecolab. “It has to be a part of their growth strategy and path forward.”

“Some are obvious, like food and beverage manufacturing,” Prickett said, “but others may be less obvious but highly valuable to our economy, like fabrication of microchips or data centers for the cloud or chemical manufacturing. All use water, and if they didn’t have it, it would be a big impact on their business and their profitability.”

Environmental activist Alexia Leclercq closed the session with thoughts on how activists are trying to conserve clean water sources for future generations.

“Not to diminish the complexity of policy and of these solutions that we direly need, but I think that if we shift away from prioritizing profit, I think that gives us a lot of space to imagine what our future could look like and actually put our resources towards finding those solutions and working on those solutions,” the Start: Empowerment co-founder said. “It’s really limitless what we can create.”
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U.S. Defense Secretary Lloyd Austin ordered a number of improvements in access to mental health care on Thursday to reduce suicides in the military but held off on endorsing more controversial recommendations to restrict gun and ammunition purchases by young troops, sending them to another panel for study.

An independent committee in late February recommended that the Defense Department implement a series of gun safety measures, including waiting periods for the purchase of firearms and ammunition by service members on military property and raising the minimum age for service members to buy guns and ammunition to 25.

In a memo released Thursday, Austin called for the establishment of a suicide prevention working group to “assess the advisability and feasibility” of recommendations made by the initial study committee — which would include the gun measures. He also asked for cost estimates and a description of any “barriers” to implementing other changes and set a deadline of June 2 for that report. At no point did he specifically refer to the gun proposals or mention gun safety.

Growing concern 

Austin’s orders reflect increasing concerns about suicides in the military despite more than a decade of programs and other efforts to prevent them and spur greater intervention by commanders, friends and family members. But his omission of any gun safety and control measures underscores the likelihood that they would face staunch resistance, particularly in Congress, where such legislation has struggled in recent years.

The more immediate changes address broader access to care.

To more quickly provide help for troops who might be struggling, Austin directed the Pentagon to hire more behavioral health specialists and implement a scheduling system for appointments where patients receive multiple health care visits weekly when they first seek care.

Austin also ordered military primary care health clinics to screen for unhealthy levels of alcohol use, make unhealthy alcohol use treatment easier to receive, and make sure mental health care is available through service members’ primary care as well.

“The mental health support available for our teammates must be comprehensive and easy to access,” Austin said in the memo.

Brigadier General Pat Ryder, the Pentagon press secretary, told reporters in a briefing Thursday that Austin’s orders involved areas where the department already has the authority to take immediate steps.

“While we recognize that suicide has no single cause, and that no single preventative action, treatment or cure will eliminate suicide altogether, we will exhaust every effort to promote the wellness, health and morale of our total force,” Ryder said.

Committee recommends rules about firearms

The initial study committee recommended that the department require anyone living in military housing to register all privately owned firearms. In addition, the panel said the department should restrict the possession and storage of privately owned firearms in military barracks and dorms.

Confirming findings in annual suicide reports, the panel noted that about 66% of all active-duty military suicides — and more than 70% of those by National Guard and Reserve members — are done with firearms. It said reducing access to guns could prevent some deaths.

Craig Bryan, a clinical psychologist and member of the Suicide Prevention and Response Independent Review Committee, said the department should slow down troops’ access to guns — specifically those bought in stores on bases — so people under stress can survive periods of high risk.

He likened the expanded gun safety measures to requirements that the department puts on motorcycle usage — such as mandated helmets — that are often more strict than some state laws. Asked how likely such changes would be, Bryan said he believes troops are more receptive to such limits than civilians might be.
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For the first time, scientists have created baby mice from two males. 

This raises the distant possibility of using the same technique for people — although experts caution that very few mouse embryos developed into live mouse pups, and no one knows whether it would work for humans. 

Still, “It’s a very clever strategy,” said Diana Laird, a stem cell and reproductive expert at the University of California, San Francisco, who was not involved in the research. “It’s an important step in both stem cell and reproductive biology.” 

Scientists described their work in a study published Wednesday in the journal Nature. 

First, they took skin cells from the tails of male mice and transformed them into “induced pluripotent stem cells,” which can develop into many different types of cells or tissues. Then, through a process that involved growing them and treating them with a drug, they converted male mouse stem cells into female cells and produced functional egg cells. Finally, they fertilized those eggs and implanted the embryos into female mice. About 1% of the embryos — 7 out of 630 — grew into live mouse pups. 

The pups appeared to grow normally and were able to become parents themselves in the usual way, research leader Katsuhiko Hayashi of Kyushu University and Osaka University in Japan told fellow scientists at the Third International Summit on Human Genome Editing last week. 

In a commentary published alongside the Nature study, Laird and her colleague, Jonathan Bayerl, said the work “opens up new avenues in reproductive biology and fertility research” for animals and people. Down the road, for example, it might be possible to reproduce endangered mammals from a single male. 

“And it might even provide a template for enabling more people,” such as male same-sex couples, “to have biological children, while circumventing the ethical and legal issues of donor eggs,” they wrote. 

But they raised several cautions. The most notable one: The technique is extremely inefficient. They said it’s unclear why only a tiny fraction of the embryos placed into surrogate mice survived; the reasons could be technical or biological. They also stressed that it’s still too early to know if the protocol would work in human stem cells at all. 

Laird also said scientists need to be mindful of the mutations and errors that may be introduced in a culture dish before using stem cells to make eggs. 

The research is the latest to test new ways to create mouse embryos in the lab. Last summer, scientists in California and Israel created “synthetic” mouse embryos from stem cells without a dad’s sperm or a mom’s egg or womb. Those embryos mirrored natural mouse embryos up to 8 ½ days after fertilization, containing the same structures, including one like a beating heart. Scientists said the feat could eventually lay the foundation for creating synthetic human embryos for research in the future.
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Moonwalking astronauts will have sleeker, more flexible spacesuits that come in different sizes when they step onto the lunar surface later this decade. 

Exactly what that looks like remained under wraps. The company designing the next-generation spacesuits, Axiom Space, said Wednesday that it plans to have new versions for training purposes for NASA later this summer. 

The moonsuits will be white like they were during NASA’s Apollo program more than a half-century ago, according to the company. That’s so they can reflect heat and keep future moonwalkers cool. 

The suits will provide greater flexibility and more protection from the moon’s harsh environment, and will come in a wider range of sizes, according to the Houston-based company. 

NASA awarded Axiom Space a $228.5 million contract to provide the outfits for the first moon landing in more than 50 years. The space agency is targeting late 2025 at the earliest to land two astronauts on the moon’s south pole. 

At Wednesday’s event in Houston, an Axiom employee modeled a dark spacesuit, doing squats and twisting at the waist to demonstrate its flexibility. The company said the final version will be different, including the color. 

“I didn’t want anybody to get that mixed up,” said Axiom’s Russell Ralston. 
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In the early days of the COVID-19 pandemic, nurses, truck drivers, grocery clerks and other essential workers were hailed as heroes.

“Now we are vilifying them … and this has long-term ramifications for our well-being,” said Manuela Tomei, International Labor Organization assistant director-general for governance, rights, and dialogue.

“The work that these persons perform is absolutely essential for families and societies to function,” she said, speaking Wednesday in Geneva. “So, the non-availability of their services would really result into a loss of well-being and the impossibility of ensuring safe lives to society at large.”

And yet a new study by the International Labor Organization (ILO) finds essential workers are undervalued, underpaid and laboring under poor working conditions, exposed to treatment that “exacerbates employee turnover and labor shortages, jeopardizing the provision of basic services.”

The U.N. agency’s report classifies key workers into eight main occupation groups covering health, food systems, retail, security, cleaning and sanitation, transport, manual, and technical and clerical occupations.

Data from 90 countries show that during the COVID-19 crisis key workers suffered higher mortality rates than non-key workers overall, with transport workers being at highest risk.

The report found 29% of key workers globally are low paid, earning on average 26% less than other employees. It reports they tend to work long, unpredictable hours under poor conditions.

Tomei said inaction in improving sub-standard conditions of work is having consequences today.

“In a number of countries, these sectors are facing some labor shortages because people are increasingly reluctant to engage in work which is not fairly valued by society and rewarded in terms of better pay and also improved working conditions.

“So, we are facing a crisis right now,” she added.

Richard Samans, director of the ILO research department, noted that a critical shortage of nurses in many countries is of particular concern.

“This affects the very life of people,” he said Wednesday. “Many people in countries are facing long delays in treatment. In the event of a shock — some sort of a major health disruption or natural disaster or otherwise — if the system is already strained, it cannot handle the major influx of demand for those nursing services.”

A new report by the World Health Organization warns the “widespread disruptions to health services” due to the COVID-19 pandemic “has resulted in a rapid acceleration in the international recruitment of health professionals,” mainly from poor to rich countries, exacerbating shortages of this vital workforce in developing countries.

The ILO reports that countries are still experiencing supply shortages three years after WHO declared COVID-19 a pandemic. ILO research director Richard Samans attributes this to a scarcity of truck drivers due to lack of training and bad working conditions.

“In the event of a shock that increases the demand for certain types of products and services, if the underlying logistical infrastructure is not fit for purpose, then that affects the daily livelihood of people and, in some cases, their health and well-being,” he said.

The ILO report also says key workers fare worse than non-key workers in both wealthy and poor countries, but ILO senior economist Janine Berg said the problems are worse in low-income countries.

“There are particularly severe problems, for example, in agricultural work in low-income countries, and the entire agricultural food chain is part of the key worker definition,” she said. “There are also very severe problems in lower-income countries with respect to very low coverage in social protection.”

The report urges nations to identify gaps in decent work and develop national strategies to address the problems facing key workers through strengthened policies and investment.

Among its recommendations, the report calls on governments to reinforce occupational health and safety systems, improve pay for essential workers, guarantee safe and predictable working hours through regulation, and increase access to training so that key workers can carry out their work effectively and safely.
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Every month, young girls in Ghana are forced to miss school days due to menstruation. But a schoolteacher is working to find a solution by providing reusable sanitary pads. Hamza Adams visited a school in Afari, Ghana, and has this story narrated by Salem Solomon.
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The Webb Space Telescope has captured the rare and fleeting phase of a star on the cusp of death.

NASA released the picture Tuesday at the South by Southwest conference in Austin, Texas.

The observation was among the first made by Webb following its launch in late 2021. Its infrared eyes observed all the gas and dust flung into space by a huge, hot star 15,000 light years away. A light year is about 5.8 trillion miles.

Shimmering in purple like a cherry blossom, the cast-off material once comprised the star’s outer layer. The Hubble Space Telescope snapped a shot of the same transitioning star a few decades ago, but it appeared more like a fireball without the delicate details.

Such a transformation occurs only with some stars and normally is the last step before they explode, going supernova, according to scientists.

“We’ve never seen it like that before. It’s really exciting,” said Macarena Garcia Marin, a European Space Agency scientist who is part of the project.

This star in the constellation Sagittarius, officially known as WR 124, is 30 times as massive as our sun and already has shed enough material to account for 10 suns, according to NASA.
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Illegal fishing, a multibillion-dollar industry closely linked to organized crime, is set to pose a greater threat to global security as climate change warms the world’s oceans, according to a report by the Royal United Services Institute, a research organization based in London, in partnership with The Pew Charitable Trust.

Illegal, unreported and unregulated, or IUU, fishing is worth up to $36.4 billion annually, according to the report, representing up to a third of the total global catch.

Fish stocks

As climate change warms the world’s oceans, fish stocks are moving to cooler, deeper waters, and criminal operations are expected to follow.

“IUU actors and fishers in general will be chasing those fish stocks as they move. And there’s predictions, or obviously concern, that they will move in across existing maritime boundaries and IUU actors will pursue them across those boundaries,” report co-author Lauren Young told VOA.

RUSI said that global consumption of seafood has risen at more than twice the rate of population growth since the 1960s. At the same time, an increasing proportion of global fish stocks have been fished beyond biologically sustainable limits.

The report also highlights that fish play a key role in capturing carbon through feeding, so a decline in fish stocks itself could accelerate warming temperatures.

Crime nexus

“Climate change will impact in other ways, with impacts on coastal erosion as well, and that will have impacts on local small-scale fisheries. As their livelihoods become more vulnerable, they may begin engaging more in IUU practices like disruptive fishing practices or engaging in other type of criminal activity as well.”

“There is a nexus with other crime types as well, like narcotics, human trafficking and labor abuses,” Young added.

Many poorer countries do not have the capacity to police their waters. In parts of Africa and South America, foreign trawlers — including many vessels from China — have devastated fish stocks. Beijing denies its fleets conduct illegal fishing.

The United States Coast Guard said in 2021 that IUU fishing had replaced piracy as the leading global maritime security threat. “If IUU fishing continues unchecked, we can expect deterioration of fragile coastal states and increased tension among foreign-fishing nations, threatening geo-political stability around the world,” the document warned.

US response

The United States launched a sustainable fishing initiative in Peru and Ecuador in October. Project “Por la Pesca” is aimed at helping artisanal fishing in the face of depleted stocks caused by IUU fishing.

“It’s having a profound impact on stocks of fish, on the livelihoods of fisherpeople, on sustainability,” U.S. Secretary of State Antony Blinken said on a visit to Peru in October. “We have many countries around the world where fishing is at the heart of their economy and the heart of their culture as well, where illegal, unreported, unregulated fishing is a real and growing challenge.”

South China Sea

RUSI highlights the warming South China Sea as a flashpoint. Already, fishing grounds and maritime boundaries are hotly contested, with frequent armed confrontations.

“Many relate to China’s commitment to the nine-dash line, which is the country’s self-declared sort of maritime boundary,” said RUSI’s Young. “And they enforce that through armed fishing militia. So that obviously plays into it a lot as well. But those existing tensions there are likely to be exacerbated by climate change. And that is in line with predictions of climate change being this kind of threat multiplier.”

Enforcement

Earlier this month, United Nations member states agreed to the High Seas Treaty, aimed at protecting biodiversity by establishing vast marine protected areas.

“Whilst it’s a positive move with climate change that we’re looking to protect more of the world’s oceans, we need to improve our ability to actually monitor and enforce [the agreements] as well,” Young said.

The report authors call on governments and multinational bodies to tackle illegal fishing based on climate change predictions; enhanced vessel monitoring capabilities and tougher enforcement, with greater recognition on the role the industry plays in wider criminal networks.
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Poorer countries are increasingly losing health care workers to wealthier ones as the latter seek to shore up their own staff losses from the COVID-19 pandemic, sometimes through active recruitment, the World Health Organization said on Tuesday. 

The trend for nurses and other staff to leave parts of Africa or Southeast Asia for better opportunities in wealthier countries in the Middle East or Europe was already under way before the pandemic but has accelerated since, the U.N. health agency said, as global competition heats up.

“Health workers are the backbone of every health system, and yet 55 countries with some of the world’s most fragile health systems do not have enough and many are losing their health workers to international migration,” said Tedros Adhanom Ghebreyesus, the WHO director-general.

He was referring to a new WHO list of vulnerable countries which has added eight extra states since it was last published in 2020. They are: Comoros, Rwanda, Zambia, Zimbabwe, East Timor, Laos, Tuvalu and Vanuatu.

Jim Campbell, director of the WHO’s health workforce department, told journalists safeguards for countries on the WHO list were important so they “can continue to rebuild and recover from the pandemic without an additional loss of workers to migration”.

Some 115,000 health care workers died from COVID around the world during the pandemic but many more left their professions due to burnout and depression, he said. As a sign of the strain, protests and strikes have been organised in more than 100 countries since the pandemic began, he added, including in Britain and the United States.

“We need to protect the workforce if we wish to ensure the population has access to care,” said Campbell.

Asked which countries were attracting more workers, he said wealthy OECD countries and Gulf states but added that competition between African countries had also intensified.

The WHO says it is not against migration of workers if it was managed appropriately. In 2010, it released a voluntary global code of practice on the international recruitment of health personnel and urges its members to follow it.
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Jiang Yanyong, a Chinese military doctor who revealed the full extent of the 2003 SARS outbreak and was later placed under house arrest for his political outspokenness, has died, a long-time acquaintance and a Hong Kong newspaper said Tuesday.  

Jiang was 91 and died of pneumonia Saturday in Beijing, according to human rights activist Hu Jia and the South China Morning Post.

News of Jiang’s death and even his name were censored within China, underscoring how he remained a politically sensitive figure even late in life.

Jiang had been chief surgeon at the People’s Liberation Army’s main 301 hospital in Beijing when the army fought its way through the city to end weeks of student-led pro-democracy protests centered on Tiananmen Square, causing the deaths of hundreds — possibly thousands — of civilians.

In April 2003, as the ruling Communist Party was suppressing news about the outbreak of the highly contagious Severe Acute Respiratory Syndrome, Jiang wrote an 800-word letter stating there were many more SARS cases than were being officially reported by the country’s health minister.

Jiang emailed the letter to state broadcaster CCTV and Hong Kong’s Beijing-friendly Phoenix Channel, both of which ignored it. The letter was then leaked to Western media outlets that published it in its entirety, along with reports on the true extent of the outbreak and official Chinese efforts to hide it.

The letter, along with the death of a Finnish United Nations employee and statements by renowned physician Zhong Nanshan, forced the lifting of government suppression, leading to the resignations of both the health minister and Beijing’s mayor. Strict containment measures were imposed virtually overnight, helping to restrain the spread of the virus that had already begun appearing overseas.

In all, more than 8,000 people from 29 countries and territories were infected with SARS, resulting in at least 774 deaths.

“Jiang had the conscience of a doctor to people the patients first. He saved so many lives with that letter, without thought for the consequences,” Hu told The Associated Press.  

Chinese authorities later sought to block media access to Jiang, who retired with the rank of major general. He turned down an interview with The Associated Press, saying he had been unable to obtain the necessary permission from the Ministry of Defense.

From 2004, Jiang and his wife were periodically placed under house arrest for appealing to Communist leaders for a re-evaluation of the 1989 protests that remains a taboo topic. That recalled Jiang’s earlier experiences when he was persecuted as a rightist under Mao Zedong during the 1950s, ’60s and ’70s.

In 2004, Jiang was awarded the Ramon Magsaysay Award for Public Service from the Philippines, considered by some an Asian version of the Nobel Peace Prize. In the citation, he was praised for having broken “China’s habit of silence and forced the truth of SARS into the open.”

Jiang was prevented from leaving the country and the award was collected by his daughter on his behalf.

Three years later, he won the Heinz R. Pagels Human Rights of Scientists Award given by the New York Academy of Sciences, but was again blocked from traveling.

Echoes of Jiang’s experience were heard in China’s approach to the initial outbreak of COVID-19, first detected in the central Chinese city of Wuhan in late 2019.

A Wuhan eye doctor, Li Wenliang, was detained and threatened by police for allegedly spreading rumors on social media following an attempt to alert others about a “SARS-like” virus. Li’s death on Feb. 7, 2020, sparked widespread outrage against the Chinese censorship system. Users posted criticism for hours before censors moved to delete posts. 

Sympathy and the outpouring of anger of the treatment of Li and other whistleblowers prompted the government to change course and declare him and 13 others martyrs.

COVID-19 has killed almost 7 million people worldwide, including an estimated 1.5 million in China, whose government has been accused of massively undercounting the true number of deaths.

Jiang is survived by his wife, Hua Zhongwei, a son and a daughter, according to the South China Morning Post.   
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Pfizer Inc PFE.N struck a $43 billion deal for Seagen Inc SGEN.O to add innovative targeted therapies to its portfolio of cancer treatments as it braces for a steep fall in COVID-19 product sales and stiff competition for some top sellers.

Monday’s deal, Pfizer’s biggest in a string of acquisitions following a once-in-a-lifetime cash windfall from its COVID-19 vaccine and pill, will add four approved cancer therapies with combined sales of nearly $2 billion in 2022.

Washington-based Seagen is a pioneer of antibody-drug conjugates, which work like “guided missiles” designed for a targeted destructive effect and spare healthy cells.

The deal helps Pfizer move into an area “that it is more protected from regulators, patent perspectives and market dynamics,” Chief Executive Officer Albert Bourla said in a conference call. 

Seagen, Bourla said, is set to benefit from out-of-pocket health care spending caps for older Americans under President Joe Biden’s Inflation Reduction Act (IRA), meaning more patients could have access to the company’s expensive treatments.

A focus on complex biotech medicines also provides a longer exclusivity on the market versus pills before becoming subject to government price limits under the IRA, he said.

Pfizer will pay $229 in cash per Seagen share, a 32.7% premium to Friday’s closing price. Seagen’s shares rose to $200 in early trading.

The latest deal comes as Pfizer seeks to mitigate an anticipated $17 billion hit to revenue by 2030 from patent expirations for top drugs and decline in demand for its COVID products.

The drugmaker expects more than $10 billion in sales from Seagen products in 2030, and another $15 billion from its other recent acquisitions.

Pfizer’s recent deals include its purchase of Global Blood Therapeutics for $5.4 billion, migraine drug maker Biohaven Pharmaceutical Holding for $11.6 billion, and a $6.7 billion buyout of drug developer Arena Pharmaceuticals.

Pfizer’s portfolio of oncology therapies includes 24 approved drugs, while Seagen’s includes Adcetris for lymphoma, Padcev for bladder cancers, Tivdak for cervical cancer and breast cancer treatment Tukysa.

The companies expect to complete the deal in late 2023 or early 2024. Pfizer said antitrust regulators could closely review the deal due to its size but eventually approve it.

Pfizer rival Merck & Co Inc MRK.N and Seagen were in advanced deal talks last year but those reportedly collapsed over antitrust concerns. 
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Discovering the origins of COVID-19 is a moral imperative and all hypotheses must be explored, the head of the World Health Organization said, in the clearest indication yet that the U.N. body remains committed to finding how the virus arose.

A U.S. agency was reported by The Wall Street Journal to have assessed the pandemic had likely been caused by an unintended Chinese laboratory leak, raising pressure on the WHO to come up with answers. Beijing denies the assessment which could soon become public after the U.S. House of Representatives voted this week to declassify it.

“Understanding #COVID19’s origins and exploring all hypotheses remains: a scientific imperative, to help us prevent future outbreaks [and] a moral imperative, for the sake of the millions of people who died and those who live with #LongCOVID,” Tedros Adhanom Ghebreyesus said on Twitter late on Saturday.

 

He was writing to mark three years since the WHO first used the word “pandemic” to describe the global outbreak of COVID-19.

Activists, politicians and academics said in an open letter this weekend that the focus of the anniversary should be on preventing a repeat of the unequal COVID-19 vaccine rollout, saying this led to at least 1.3 million preventable deaths.

In 2021, a WHO-led team spent weeks in and around Wuhan, China where the first human cases were reported and said in a joint report that the virus had probably been transmitted from bats to humans through another animal, but further research was needed. China has said no more visits are needed.

Since then, the WHO has set up a scientific advisory group on dangerous pathogens but it has not yet reached any conclusions on how the pandemic began, saying key pieces of data are missing.
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Researchers have found long-term evidence that actively monitoring localized prostate cancer is a safe alternative to immediate surgery or radiation.

The results, released Saturday, are encouraging for men who want to avoid treatment-related sexual and incontinence problems, said Dr. Stacy Loeb, a prostate cancer specialist at NYU Langone Health who was not involved in the research.

The study directly compared the three approaches — surgery to remove tumors, radiation treatment and monitoring. Most prostate cancer grows slowly, so it takes many years to look at the disease’s outcomes.

“There was no difference in prostate cancer mortality at 15 years between the groups,” Loeb said. And prostate cancer survival for all three groups was high — 97% regardless of treatment approach. “That’s also very good news.”

The results were published Saturday in the New England Journal of Medicine and presented at a European Association of Urology conference in Milan, Italy. Britain’s National Institute for Health and Care Research paid for the research.

Men diagnosed with localized prostate cancer shouldn’t panic or rush treatment decisions, said lead author Dr. Freddie Hamdy of the University of Oxford. Instead, they should “consider carefully the possible benefits and harms caused by the treatment options.”

A small number of men with high-risk or more advanced disease do need urgent treatments, he added.

Researchers followed more than 1,600 U.K. men who agreed to be randomly assigned to get surgery, radiation or active monitoring. The patients’ cancer was confined to the prostate, a walnut-sized gland that’s part of the reproductive system. Men in the monitoring group had regular blood tests and some went on to have surgery or radiation.

Death from prostate cancer occurred in 3.1% of the active-monitoring group, 2.2% in the surgery group, and 2.9% in the radiation group, differences considered statistically insignificant.

At 15 years, cancer had spread in 9.4% of the active-monitoring group, 4.7% of the surgery group and 5% of the radiation group. The study was started in 1999, and experts said today’s monitoring practices are better, with MRI imaging and gene tests guiding decisions.

“We have more ways now to help catch that the disease is progressing before it spreads,” Loeb said. In the U.S., about 60% of low-risk patients choose monitoring, now called active surveillance.

Hamdy said the researchers had seen the difference in cancer spread at 10 years and expected it to make a difference in survival at 15 years, “but it did not.” He said spread alone doesn’t predict prostate cancer death.

“This is a new and interesting finding, useful for men when they make decisions about treatments,” he said. 
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On the third anniversary of the COVID-19 pandemic, the virus is still spreading, and the death toll is nearing 7 million worldwide. Yet most people have resumed their normal lives, thanks to a wall of immunity built from infections and vaccines.

The virus appears here to stay, along with the threat of a more dangerous version sweeping the planet.

“New variants emerging anywhere threaten us everywhere,” said virus researcher Thomas Friedrich of the University of Wisconsin-Madison. “Maybe that will help people to understand how connected we are.”

Saturday marks three years since the World Health Organization first called the outbreak a pandemic, March 11, 2020, and the United Nation’s health organization says it’s not yet ready to say the emergency has ended.

The virus endures

With the pandemic still killing 900 to 1,000 people a day worldwide, the stealthy virus behind COVID-19 hasn’t lost its punch. It spreads easily from person to person, riding respiratory droplets in the air, killing some victims but leaving most to bounce back without much harm.

“Whatever the virus is doing today, it’s still working on finding another winning path,” said Dr. Eric Topol, head of Scripps Research Translational Institute in California.

We’ve become numb to the daily death toll, Topol says, but we should view it as too high. Consider that in the United States, daily hospitalizations and deaths, while lower than at the worst peaks, have not yet dropped to the low levels reached during summer 2021 before the delta variant wave.

At any moment, the virus could change to become more transmissible, more able to sidestep the immune system or more deadly. Topol said we’re not ready for that. Trust has eroded in public health agencies, furthering an exodus of public health workers. Resistance to stay-at-home orders and vaccine mandates may be the pandemic’s legacy.

Fighting back

There’s another way to look at it. Humans unlocked the virus’ genetic code and rapidly developed vaccines that work remarkably well. We built mathematical models to get ready for worst-case scenarios. We continue to monitor how the virus is changing by looking for it in wastewater.

“The pandemic really catalyzed some amazing science,” said Friedrich.

The achievements add up to a new normal where COVID-19 “doesn’t need to be at the forefront of people’s minds,” said Natalie Dean, an assistant professor of biostatistics at Emory University. “That, at least, is a victory.”

Dr. Stuart Campbell Ray, an infectious disease expert at Johns Hopkins, said the current omicron variants have about 100 genetic differences from the original coronavirus strain. That means about 1% of the virus’ genome is different from its starting point. Many of those changes have made it more contagious, but the worst is likely over because of population immunity.

Matthew Binnicker, an expert in viral infections at the Mayo Clinic in Rochester, Minnesota, said the world is in “a very different situation today than we were three years ago — where there was, in essence, zero existing immunity to the original virus.”

That extreme vulnerability forced measures aimed at “flattening the curve.” Businesses and schools closed, weddings and funerals were postponed. Masks and “social distancing” later gave way to showing proof of vaccination. Now, such precautions are rare.

“We’re not likely to go back to where we were because there’s so much of the virus that our immune systems can recognize,” Ray said. Our immunity should protect us “from the worst of what we saw before.”

Real-time data lacking

On Friday, Johns Hopkins did its final update to its free coronavirus dashboard and hot-spot map with the death count standing at more than 6.8 million worldwide. Its government sources for real-time tallies had drastically declined. In the U.S., only New York, Arkansas and Puerto Rico still publish case and death counts daily.

“We rely so heavily on public data and it’s just not there,” said Beth Blauer, data lead for the project.

The U.S. Centers for Disease Control and Prevention still collects a variety of information from states, hospitals and testing labs, including cases, hospitalizations, deaths and what strains of the coronavirus are being detected. But for many counts, there’s less data available now and it’s been less timely.

“People have expected to receive data from us that we will no longer be able to produce,” said the CDC’s director, Dr. Rochelle Walensky.

Internationally, the WHO’s tracking of COVID-19 relies on individual countries reporting. Global health officials have been voicing concern that their numbers severely underestimate what’s actually happening and they do not have a true picture of the outbreak.

For more than year, CDC has been moving away from case counts and testing results, partly because of the rise in home tests that aren’t reported. The agency focuses on hospitalizations, which are still reported daily, although that may change. Death reporting continues, though it has become less reliant on daily reports and more on death certificates — which can take days or weeks to come in.

Then and now

“I wish we could go back to before COVID,” said Kelly Forrester, 52, of Shakopee, Minnesota, who lost her father to the disease in May 2020, survived her own bout in December and blames misinformation for ruining a longtime friendship. “I hate it. I actually hate it.”

The disease feels random to her. “You don’t know who will survive, who will have long COVID or a mild cold. And then other people, they’ll end up in the hospital dying.”

Forrester’s father, 80-year-old Virgil Michlitsch, a retired meat packer, deliveryman and elementary school custodian, died in a nursing home with his wife, daughters and granddaughters keeping vigil outside the building in lawn chairs.

Not being at his bedside “was the hardest thing,” Forrester said.
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A requirement that travelers to the U.S. from China present a negative COVID-19 test before boarding their flights expired Friday after more than two months as cases in China have fallen.

The restrictions were put in place December 28 and took effect January 5 amid a surge in infections in China after the nation sharply eased pandemic restrictions and as U.S. health officials expressed concerns that their Chinese counterparts were not being truthful to the world about the true number of infections and deaths. The requirement from the U.S. Centers for Disease Control and Prevention expired for flights leaving after 3 p.m. Eastern time Friday.

When the restriction was imposed, U.S. officials also said it was necessary to protect U.S. citizens and communities because there was a lack of transparency from the Chinese government about the size of the surge or the variants that were circulating within China.

The rules imposed in January require travelers to the U.S. from China, Hong Kong and Macau to take a COVID-19 test no more than two days before travel and provide a negative test before boarding their flight. The testing applies to anyone 2 years and older, including U.S. citizens.

China saw infections and deaths surge after it eased back from its “zero COVID” strategy in early December after rare public protests of the policy that confined millions of people to their homes and sparked demands for President Xi Jinping to resign.

But as China eased its strict rules, infections and deaths surged, and parts of the country for weeks saw their hospitals overwhelmed by infected patients looking for help. Still, the Chinese government has been slow to release data on the number of deaths and infections.

The U.S. decision to lift restrictions comes at a moment when U.S.-China relations are strained. U.S. President Joe Biden ordered a Chinese spy balloon shot down last month after it traversed the continental United States. The Biden administration has also publicized U.S. intelligence findings that raise concern Beijing is considering providing Russia weaponry for its ongoing war on Ukraine.
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By launching an unmanned capsule into space, sending it around the moon and bringing it back to Earth in November, NASA demonstrated how it will once again transport astronauts to the lunar surface — a core goal of the Artemis program.

What remains to be seen is who will crew the first trips.

“Everybody in the astronaut office has the background, the basic training and the qualifications to go do that mission, so everyone is hoping that their name gets called,” astronaut Stan Love told VOA during an interview at Kennedy Space Center ahead of the Artemis 1 launch.

Love is among those being considered for a spot. Artemis 2, a manned mission to orbit but not land on the moon, could launch as early as 2024. Love said the Artemis crews will look different than those of the Apollo program during the 1960s and 1970s.

“We are going to broaden our demographics, so it won’t just be white guys landing on the moon.”

“We make our boss’ jobs actually challenging, we make his job hard because he’s got to pick some of us,” says astronaut Victor Glover, who could make history as the first person of color to reach the moon.

The crew for Artemis 2 will be announced April 3, according to NASA Administrator Bill Nelson, who said the team will include three NASA astronauts and one member of the Canadian Space Agency.

“I think all of us are ready, trained and capable of making this mission a success,” Glover told VOA. “Just to be where we are now and be a part of this team is an honor.”

The initiative to ensure diversity in NASA’s Artemis program was outlined in the Biden administration’s $25 billion funding request to Congress for NASA for the fiscal year 2022, which includes the moon missions.

“Apollo had a sister, Artemis, and this is our generation, and I think this is a fantastic thing,” said Branelle Rodriguez, who works on the Orion capsule that will transport the astronauts in Artemis.

Ahead of the launch of Artemis 1, she expressed pride taking part in a historic project that will also bring the first woman to the moon.

“I think it’s important for all of us, whether it’s a man or a woman, I think it’s fantastic,” Rodriguez said. “I think as an agency, as a nation and as a world showing that we can explore as humans back to the surface of the moon is what we need to go off and show.”

Danielle Bell, a marketing and communications professor at Northwestern University’s Medill School who focuses on issues of diversity and inclusion, welcomes NASA’s initiative and said she hopes it is permanent.

“NASA has taken the step of naming the entire mission after the sister of Apollo, the Greek god, so that in and of itself is a wonderful symbol, [and a] signal when we think about diversity and inclusion,” Bell said.

“To do this once, would feel like performing,” she added. “When they are transformative and not performative, that happens when the organization lives their values from the inside out.”

Women make up one-third of the current group of 41 astronauts at NASA. Twelve are people of color. While 16 are experienced pilots, the rest are experts in fields such as geology, medicine and engineering, bringing professional diversity to the corps.

Bell said that makeup suggests that skin color or gender won’t likely drive the decision on who goes first.

“What I can appreciate about this mission, is that it’s not just about diversity, it’s not just about representation,” Bell told VOA. “It’s not diversity for diversity’s sake. It’s more meaningful, it’s more impactful. You’ve got an entire pool that is of diverse backgrounds.”

The importance of the Artemis diversity initiative is underscored for Glover whenever he participates in outreach and education efforts for NASA.

“People keep asking me, ‘Is it meaningful to you that little Black kids look up to you and say they want to be like you?’ You know what? Let’s be honest, I represent America. I’m a naval officer and I work for NASA.

“I represent America and little white kids, little Mexican kids, little Hispanic kids and little Iranian kids follow what we’re doing because this,” he said, pointing to the iconic NASA patch on his blue flight suit “is maybe one of the most recognizable symbols in the universe. I think that that’s really important and I take that very seriously.”

While Glover hopes to be picked for an upcoming Artemis mission to the moon, he said he will participate in the mammoth undertaking one way or another.

“If your name gets called or not, I’m going to be happy to still be a part of this team and help from the ground,” Glover told VOA.

“There won’t be any sense of disappointment,” said astronaut Love. “If I’m not on the rocket, I’m going to be in mission control talking to these crews. So, I will be supporting these missions no matter what my role.”
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A man in Spain who was suspected of having the deadly Marburg disease tested negative Saturday and does not have the virus, the health ministry said.

Health authorities in Valencia earlier said they had detected the country’s first suspected case of the infectious disease that has led to the quarantining of more than 200 people in Equatorial Guinea.

The 34-year-old man, who had recently been in Equatorial Guinea, had been given the all-clear but would be tested again in the coming weeks, officials said.

He had been transferred from a private hospital to an isolation unit at the Hospital La Fe in Valencia while tests were being conducted, the Valencian regional health authorities said.

Three health staff who are treating the man were also isolated as a precautionary measure, authorities said.

Marburg virus can have a fatality rate of up to 88%, according to the World Health Organization. There are no vaccines or antiviral treatments approved to treat it.

Equatorial Guinea quarantined more than 200 people and restricted movement February 13 in its Kie-Ntem province, where the hemorrhagic fever was first detected.

The small central African country has so far reported nine deaths as well as 16 suspected cases of the disease, with symptoms including fever, fatigue, blood-stained vomit and diarrhea, according to the WHO.

Cameroonian authorities detected two suspected cases of Marburg disease February 13 in Olamze, a commune on the border with Equatorial Guinea, the public health delegate for the region, Robert Mathurin Bidjang, said February 14.

Cameroon had restricted movement along the border to try to avoid contagion.
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Spain has identified its first suspected case of Marburg disease. 

The Spanish patient is a 34-year-old man who had recently traveled to the Central African nation of Equatorial Guinea.  He was in a private hospital but has been transferred to an isolation unit at Hospital La Fe in Valencia for further tests, regional medical officials said.

Marburg virus disease, or MVD, according to the Centers for Disease Control and Prevention, “is a rare but severe hemorrhagic fever which affects both people and non-human primates … Primates [including people] can become infected with Marburg virus, and may develop serious disease with high mortality.” 

Spanish health officials said Saturday that more than 200 people in Equatorial Guinea have recently been quarantined because of Marburg disease.  

Earlier this month, two suspected cases of Marburg were detected in Cameroon near its border with Equatorial Guinea.  

The World Health Organization says that the “highly virulent disease” can have “a fatality ratio of up to 88%” and “is in the same family as the virus that causes Ebola virus disease.” 

There are no vaccines or antiviral treatments for Marburg.
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Uber Technologies Inc. said on Friday plans by the local government in India’s Delhi city to only allow electric vehicles to function as bike taxis would risk “finishing off the sector” and impact the mobility needs of millions.

Delhi’s plans, part of a new policy to regulate vehicles used by ride-hailing companies like Uber and rival Ola, are being finalized and will be rolled out soon, the Economic Times reported earlier this week.

Reuters could not immediately confirm those plans.

If implemented, this would mark an aggressive step towards the country’s ambitions to ramp up the transition to vehicles that run on clean energy to reduce oil imports and curb pollution.

Uber, in a blogpost, said any such move would put at risk the livelihood of over 100,000 drivers in the city.

“Steep and infeasible EV mandates risk finishing off the sector as we know it. The impact of such a decision on the livelihoods and mobility needs of millions of Delhiites is clear,” San Francisco-headquartered Uber said, urging the government to initiate industry dialog.

Uber has set a 2040 target for 100% of its rides to be in zero-emission vehicles, public transport or with micro-mobility, including in India.

Earlier this month, Uber announced plans to introduce 25,000 EVs over three years in India. Electric cars will however still be a fraction of Uber’s current overall active fleet of 300,000 vehicles in India.

On Sunday, the Delhi government in newspaper ads said digital platforms offering two-wheeler bike taxi rides should not do so as it violates certain existing transport rules.

Uber, which offers bike rides in Delhi and many other states in India, did not respond to a Reuters request for a comment on the advertisement.
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