Cholera spreading in Sudan as fighting between rival generals shows no sign of abating 

Cairo — Cholera is spreading in war-torn Sudan, killing at least 388 people and sickening about 13,000 others over the past two months, health authorities said, as more than 17 months of fighting between the military and a notorious paramilitary group shows no sign of abating.  

The disease is spreading in areas devastated by recent heavy rainfall and floods especially in eastern Sudan where millions of war displaced people sheltered.  

The casualties from cholera included six dead and about 400 sickened over the weekend, according to Sunday’s report by the Health Ministry. The disease was detected in 10 of the country’s 18 provinces with the eastern Kassala and al-Qadarif provinces the most hit, the ministry said.  

Cholera is a fast-developing, highly contagious infection that causes diarrhea, leading to severe dehydration and possible death within hours when not treated, according to the World Health Organization. It is transmitted through the ingestion of contaminated food or water.   

The disease is not uncommon in Sudan. A previous major outbreak left at least 700 dead and sickened about 22,000 in less than two months in 2017.  

Sudan was plunged into chaos in April last year when simmering tensions between the military and a powerful paramilitary group, the Rapid Support Forces, exploded into open warfare across the country.  

The fighting, which wrecked the capital, Khartoum, and other urban areas has been marked by atrocities including mass rape and ethnically motivated killings that amount to war crimes and crimes against humanity, especially in the western region of Darfur, according to the United Nations and international rights groups.  

It has killed at least 20,000 people and wounded tens of thousands others, according to the U.N. However, rights groups and activists say the toll was much higher.  

The war also has created the world’s largest displacement crisis. More than 13 million people have been forced to flee their homes since the fighting began, according to the International Organization for Migration. They include over 2.3 million who fled to neighboring countries.  

Devastating seasonal floods and cholera have compounded the Sudanese misery. At least 225 people have been killed and about 900 others were injured in the floods, the Health Ministry said. Critical infrastructure has been washed away, and more than 76,000 houses have been destroyed or damaged, it said.  

Famine was also confirmed in July in the Zamzam camp for displaced people, which is located about 15 kilometers (10 miles) from North Darfur’s embattled capital of al-Fasher, according to global experts from the Famine Review Committee. About 25.6 million people — more than half of Sudan’s population — will face acute hunger this year, they warned.  

Fighting, meanwhile, rages in al-Fasher, the last major city in Darfur that is still held by the military. The RSF has been attempting to retake it since the start of the year.  

Last week, the paramilitary force and its allied Arab militias launched a new attack on the city. The military said its forces, aided by rebel groups, managed to repel the attack and kill hundreds of RSF fighters, including two senior commanders. 

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Micro dramas shake up China’s film industry, aim for Hollywood

ZHENGZHOU, China — On a film set that resembles the medieval castle of a Chinese lord, Zhu Jian is busy disrupting the world’s second-largest movie industry.

The 69-year-old actor is playing the patriarch of a wealthy family celebrating his birthday with a lavish banquet. But unbeknownst to either of them, the servant in the scene is his biological granddaughter.

A second twist: Zhu is not filming for cinema screens.

“Grandma’s Moon” is a micro drama, composed of vertically shot, minute-long episodes featuring frequent plot turns designed to keep millions of viewers hooked to their cellphone screens — and paying for more.

“They don’t go to the cinema anymore,” said Zhu of his audience, which he described as largely composed of middle-aged workers and pensioners. “It’s so convenient to hold a mobile phone and watch something anytime you want.”

China’s $5 billion a year micro drama industry is booming, according to Reuters’ interviews with 10 people in the sector and four scholars and media analysts.

The short-format videos are an increasingly potent competitor to China’s film industry, some experts say, which is second in size only to Hollywood and dominated by state-owned China Film Group. And the trend is already spreading to the United States, in a rare instance of Chinese cultural exports finding traction in the West.

Three major China-backed, micro-drama apps were downloaded 30 million times across both Apple’s App Store and Google Play in the first quarter of 2024, grossing $71 million internationally, according to analytics company Appfigures.

“The audience only has that much attention. So obviously, the more time they spend in short videos, the less time they have for TV or other longer-format shows,” said Ashley Dudarenok, founder of a Hong Kong-based marketing consultancy.

The leader in the space is Kuaishou, an app that accounted for 60% of the top 50 Chinese micro dramas last year, according to media analytics consultancy Endata.

Kuaishou vice president Chen Yiyi said at a media conference in January that the app featured 68 titles that notched more than 300 million views last year, with four of them watched over a billion times.

Some 94 million people — more than the population of Germany — watched more than 10 episodes a day on Kuaishou, she said. Reuters was not able to independently verify the data.

Initial episodes on such apps are often free, but to complete a micro drama like “Grandma’s Moon,” which has 64 clips, audiences may pay tens of yuan.

Douyin, the Chinese version of TikTok that is owned by internet technology firm Bytedance, is also popular with micro drama fans.

Alongside other major Chinese social media apps like Instagram-like Xiaohongshu and YouTube competitor Bilibili, it has announced plans to make more.

In the United States, micro drama platform ReelShort, whose parent company is backed by Chinese tech giants Tencent and Baidu, has recently outranked Netflix in terms of downloads on Apple’s U.S. app store, according to market researcher Sensor Tower.

“China discovered this audience first,” said Layla Cao, a Chinese producer based in Los Angeles. “Hollywood hasn’t realized that yet, but all the China-based companies are already feeding the content.”

‘Low-brow and vulgar’

Many popular micro dramas, including “Grandma’s Moon,” have narratives that revolve around revenge or Cinderella-like rags-to-riches journeys.

Tales of how circumstances at birth are deterministic and can only be changed by near-miracles have struck a chord with viewers at a time when upward mobility in China is low and youth unemployment high.

The micro dramas often “show people who one day are lower class and the next day become upper class — you get so rich that you get to humiliate those who used to humiliate you,” said a 26-year-old screenwriter known by her pen name of Camille Rao.

Rao recently left her poorly paid job as a junior producer in the traditional film industry for what she described as the more dynamic and less hierarchical world of micro dramas. She now writes and adapts scripts for the U.S. market.

“Social mobility is actually very difficult now. Many people perceive this as a social reality,” said Xu Ting, associate professor of Chinese language and literature at Jiangnan University.

This has fueled interest in stories about billionaires and wealthy families, she added: “Everyone desires power and wealth, so it is normal for these type of stories to be popular.”

In the U.S. market, by contrast, fantasy stories about werewolves and vampires are particularly popular, several creators told Reuters.

The boom in micro dramas in China has brought scrutiny from the Communist Party.

Between late 2022 and early 2023, the National Radio and Television Administration regulator said it organized a “special rectification campaign” during which it removed 25,300 micro dramas, totaling close to 1.4 million episodes, due to their “pornographic, bloody, violent, low-brow and vulgar content.”

As Chinese leader Xi Jinping promotes values such as loyalty to the Communist Party and heteronormative marriages, the state-owned China Women’s News outlet in April complained that some micro dramas “portray unequal and twisted marriage and family relationships as a common phenomenon” and “deviate from mainstream social values.”

In June, the government began requiring some creators to register micro dramas with NRTA. The regulator didn’t respond to Reuters’ questions for this story.

Key to the commercial success of these films are plot twists that keep people paying as they scroll while commuting or in line at a grocery store. Episodes often end with a hook — such as a boyfriend walking in on his partner with another man — and viewers have to pay for the next episode to find out what happened.

“The plot of these micro dramas is exaggerated,” said Zhu, the actor. “It has plot reversals, it’s nonsensical, so it catches people’s attention and a large audience wants to see them.”

Zhu is a lover of cinema and an avid fan of Ingrid Bergman in “Casablanca.” Like many of his colleagues in micro dramas, he thinks the genre has limited artistic value. “I see it as fast food: a longer drama is a kind of sumptuous meal, and a micro drama is fast food.”

But its dedicated viewers disagree. Huang Siyi, a 28-year-old customer service agent, said she enjoyed watching romantic micro dramas because “the acting is good and the male and female leads are good-looking.”

“It’s easy to be obsessed with micro dramas,” she said.

Explosive growth

Vertical filming and distribution through social media apps mean micro dramas can be made with small overhead costs. Budgets for such films range from between $28,000 and $280,000, according to market researcher iResearch.

In the central Chinese city of Zhengzhou, “Grandma’s Moon” is being made with a compressed budget and timeline. When Reuters visited the set in July, the filming day stretched until 2 a.m. The crew then moved to a new location and began shooting again at 7 a.m.

The show was shot in just six days, and Zhu, a muscular man with a wide smile and boundless energy, says he plays table tennis after hours to keep up with the young crew on set.

“We’d need to take two to three years to distribute one traditional TV series of film, but we only need three months to distribute a micro drama, saving us a lot of time,” said Zhou Yi, a showrunner at Chinese gaming giant NetEase, which also makes micro dramas.

As micro dramas gain in popularity, actors’ salaries have also grown. Leading roles used to pay $280 a day, said Zhu, adding that main actors in big productions can now make more than double the rate, though extras earn as little as $17 daily.

A retired railway employee who started acting in the 1970s in a theater troupe attached to the unit where he worked, Zhu now lives off his pension and occasional acting gigs.

Many Chinese micro drama producers have their eye on Western markets, where cultural exports from China have often struggled. NetEase last year started making productions for the U.S. that it distributes via an app called LoveShots; the made-for-export films aren’t typically available in China.

Micro dramas designed for the West are often made by production and acting crews in Los Angeles and shot on location. The scripts, which are in English, may also revolve around themes of wealth, cheating partners and miracles.

One of the latest micro dramas on LoveShots is about a woman who, after years of being paralyzed, miraculously regains her ability to move — and walks in on her husband cheating on her.

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US to propose ban on Chinese software, hardware in connected vehicles, sources say

Washington — The U.S. Commerce Department is expected on Monday to propose prohibiting Chinese software and hardware in connected and autonomous vehicles on American roads due to national security concerns, two sources told Reuters.

The Biden administration has raised serious concerns about the collection of data by Chinese companies on U.S. drivers and infrastructure as well as the potential foreign manipulation of vehicles connected to the internet and navigation systems.

The proposed regulation would ban the import and sale of vehicles from China with key communications or automated driving system software or hardware, said the two sources, who declined to be identified because the decision had not been publicly disclosed.

The move is a significant escalation in the United States’ ongoing restrictions on Chinese vehicles, software and components. Last week, the Biden administration locked in steep tariff hikes on Chinese imports, including a 100% duty on electric vehicles as well as new hikes on EV batteries and key minerals.

Commerce Secretary Gina Raimondo said in May the risks of Chinese software or hardware in connected U.S. vehicles were significant.

“You can imagine the most catastrophic outcome theoretically if you had a couple million cars on the road and the software were disabled,” she said.

President Joe Biden in February ordered an investigation into whether Chinese vehicle imports pose national security risks over connected-car technology — and if that software and hardware should be banned in all vehicles on U.S. roads.

“China’s policies could flood our market with its vehicles, posing risks to our national security,” Biden said earlier. “I’m not going to let that happen on my watch.”

The Commerce Department plans to give the public 30 days to comment before any finalization of the rules, the sources said. Nearly all newer vehicles on U.S. roads are considered “connected.” Such vehicles have onboard network hardware that allows internet access, allowing them to share data with devices both inside and outside the vehicle.

The department also plans to propose making the prohibitions on software effective in the 2027 model year and the ban on hardware would take effect in January 2029 or the 2030 model year. The prohibitions in question would include vehicles with certain Bluetooth, satellite and wireless features as well as highly autonomous vehicles that could operate without a driver behind the wheel.

A bipartisan group of U.S. lawmakers in November raised alarm about Chinese auto and tech companies collecting and handling sensitive data while testing autonomous vehicles in the United States.

The prohibitions would extend to other foreign U.S. adversaries, including Russia, the sources said.

A trade group representing major automakers including General Motors, Toyota Motor, Volkswagen, Hyundai and others had warned that changing hardware and software would take time.

The carmakers noted their systems “undergo extensive pre-production engineering, testing, and validation processes and, in general, cannot be easily swapped with systems or components from a different supplier.”

The Commerce Department declined to comment on Saturday. Reuters first reported, in early August, details of a plan that would have the effect of barring the testing of autonomous vehicles by Chinese automakers on U.S. roads. There are relatively few Chinese-made light-duty vehicles imported into the United States.

The White House on Thursday signed off on the final proposal, according to a government website. The rule is aimed at ensuring the security of the supply chain for U.S. connected vehicles. It will apply to all vehicles on U.S. roads, but not for agriculture or mining vehicles, the sources said.

Biden noted that most cars are connected like smartphones on wheels, linked to phones, navigation systems, critical infrastructure and to the companies that made them.

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‘Beetlejuice Beetlejuice’ scares off ‘Transformers’ for third week as box office No. 1

Los Angeles — It’s a three-peat for “Beetlejuice Beetlejuice.”

The Tim Burton legacy sequel to his 1988 horror comedy topped the North American box office charts for the third straight weekend with $26 million in ticket sales, according to studio estimates Sunday.

It edged out the animated new release “Transformers: One,” which brought in $25 million. The Optimus Prime origin story from Paramount Pictures features the voices of Chris Hemsworth, Brian Tyree Henry and Scarlett Johansson.

“Beetlejuice Beetlejuice,” a Warner Bros. release with Michael Keaton and Winona Ryder returning as stars, has earned more than $226 million domestically in its three weeks after a monster opening of $110 million — the third best of the year — and a second weekend of $51.6 million.

Third place went to the James McAvoy horror “Speak No Evil,” which came in at $5.9 million in its second week for a total of $21.5 million.

On the whole, the box office was in a quiet phase that is expected to break when ” Joker: Folie à Deux ” dances its way onto the big screen on Oct. 4.

The year’s second-highest grosser ” Deadpool & Wolverine ” remained in the top 5 in its ninth weekend with another $3.9 million and a domestic total of $627 million. Only Pixar’s “Inside Out 2” has earned more.

The Demi Moore-starring, Coralie Fargeat-directed body horror “The Substance,” which made a splash at the Cannes Film Festival, brought in $3.1 million on limited screens in its first weekend for the sixth spot.

The Daily Wire movie “Am I Racist?” — in which conservative columnist Matt Walsh goes undercover as a “DEI trainee” — stayed in the top 10 after a fourth place finish last week, earning $2.9 million for seventh place and a two-week total of $9 million.

Estimated ticket sales for Friday through Sunday at U.S. and Canadian theaters, according to Comscore. Final domestic figures will be released Monday.

  1. “Beetlejuice Beetlejuice,” $26 million.

  2. “Transformers One,” $25 million.

  3. “Speak No Evil,” $5.9 million.

  4. “Never Let Go,” $4.5 million.

  5. “Deadpool & Wolverine,” $3.9 million.

  6. “The Substance,” $3.1 million.

  7. “Am I Racist?” $2.5 million.

  8. “Reagan,” $1.7 million.

  9. “JUNG KOOK: I AM STILL,” $1.4 million.

  10. “Alien Romulus,” $1.3 million.

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UN adopts pact promising to build ‘brighter future’ for humanity 

United Nations, United States — The United Nations on Sunday adopted a “Pact for the Future” aimed at addressing sprawling 21st-century challenges ranging from conflict to climate change and human rights, despite last-minute objections from a group of countries led by Russia.

Secretary-General Antonio Guterres, who organized the “Summit of the Future,” had billed it as a “once-in-a-generation opportunity” to reshape human history by rekindling international cooperation.

As an opening act for the annual high-level week of the U.N. General Assembly, which begins Tuesday, dozens of heads of state and government gathered for the signing of the text.

In the adopted version, leaders pledged to bolster the multilateral system to “keep pace with a changing world” and to “protect the needs and interests of current and future generations” facing “persistent crisis.”

“We believe there is a path to a brighter future for all of humanity,” the document says.

The pact outlines 56 “actions,” including commitments to multilateralism, upholding the U.N. Charter and peacekeeping.

It also calls for reforms to international financial institutions and the U.N. Security Council, along with renewed efforts to combat climate change, promote disarmament, and guide the development of artificial intelligence.

The adoption of the text faced a brief delay when Russia’s deputy minister of foreign affairs, Sergey Vershinin, introduced an amendment emphasizing the “principle of non-interference in the internal affairs of states” and urging the U.N. to avoid duplicating efforts.

Russia’s objections were backed by allies Belarus, North Korea, Iran, Nicaragua and Syria, but its amendment was overwhelmingly dismissed in a motion to take no action.

During the negotiations phase, Guterres had urged nations to show “vision” and “courage,” calling for “maximum ambition” to strengthen international institutions that struggle to respond effectively to today’s threats.

But while there are some “good ideas,” the text “is not the sort of revolutionary document reforming the whole of multilateralism that Antonio Guterres had originally called for,” Richard Gowan of the International Crisis Group told AFP.

That sentiment was widely shared among diplomats, many of whom expressed frustration when discussing the ambition and impact of the text, describing it as “lukewarm,” “the lowest common denominator,” and “disappointing.”

“Ideally, you would hope for new ideas, fresh ideas,” said one diplomat.

The fight against global warming was one of the sticking points in the negotiations, with references to the “transition” away from fossil fuels having disappeared from the draft text weeks ago, before being re-inserted.

Despite the criticism, it is still “an opportunity to affirm our collective commitment to multilateralism, even in the difficult current geopolitical context,” one Western diplomat said, emphasizing the need to rebuild trust between the Global North and South.

Developing countries have been particularly vocal in demanding concrete commitments on the reform of international financial institutions, aiming to secure easier access to preferential financing, especially considering the impacts of climate change.

The text does indeed include “important commitments on economic justice and reforming the international financial architecture,” Human Rights Watch (HRW) commented, while also praising “the centrality of human rights.”

However, world leaders “still need to demonstrate that they are willing to act to uphold human rights,” said Louis Charbonneau, HRW’s U.N. director.

Regardless of its content, the pact and its annexes — a Global Digital Compact and a Declaration on Future Generations — are non-binding, raising concerns about implementation, especially as some principles — such as the protection of civilians in conflict — are violated daily.

“Our next task is to breathe life into them, to turn words into action,” Guterres urged on Saturday.

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Japan cracks down on bad-faith buyers as temple, shrine sales surge

SANBAGAWA, Japan — Benmou Suzuki’s dilapidated 420-year-old temple, located deep in the forest near a tiny Japanese mountain village, hardly looks like prized real estate.

Yet the monk was recently approached by two men, who said they were real estate brokers and wanted to know if he was interested in selling.

He suspects they weren’t really interested in the ornate building at the trailhead of a sacred mountain, but the special tax status that comes with running a religious property.

“There are people out there who want a temple, even a mountain temple like this. In fact, considering the value of the religious corporation status, this temple could fetch quite a lot of money,” said 52-year-old Suzuki.

As Japan’s population falls and interest in religion declines, there are fewer people to contribute to the upkeep of the country’s numerous temples and shrines. Suzuki’s Mikaboyama temple, for example, is located in Sanbagawa — an area a three-hour drive from Tokyo with only 500 residents and which also has three other Buddhist temples, one Shinto shrine and a church.

A surge in religious properties coming up for sale has Japanese authorities worried that prospective buyers are not interested in them for heavenly purposes. Rather they fear many are out to dodge taxes or possibly even launder money.

“It’s already a sense of crisis for us and the religious community,” said an official at Japan’s Agency for Cultural Affairs, which oversees religious sites.

Cases of temple or shrine properties being extensively repurposed have triggered public outrage. In Osaka, a temple sold in 2020 was later razed and dozens of graves were relocated to make way for a property development. In Kyoto, a case about a temple that was demolished and turned into a parking lot made headlines this year.

Owning a temple, shrine or church recognized as a religious corporation in Japan can confer sizeable tax benefits. Businesses under such corporations that offer religious services such as funerals do not have to pay taxes while other non-religious businesses also enjoy preferential tax rates. A wide range of undertakings are allowed from restaurants to hair salons to hotels.

Japan had about 180,000 religious sites with corporation status as end-2023, according to the agency’s data. The number of so-called inactive corporations — such as those with no religious events for more than a year — jumped by a third to more than 4,400.

When monks or priests die without a successor, the overseeing religious group will usually appoint someone to take over or voluntarily relinquish the site’s corporation status.

However, there are around 7,000 religious sites that operate independently of these groups and are considered easy to acquire, according to the agency and specialist brokers.

The cultural affairs agency said it has stepped up efforts to dissolve the corporation status of inactive religious sites to stop them from being targeted by dubious buyers.

And when big earthquakes hit, often damaging temples and shrines, agency officials visit religious groups in those areas, warning them about falling prey to such buyers.

Last year, 17 religious corporations were voluntarily dissolved and six were ordered to dissolve. The agency said the number would increase this year and next year as it ratchets up scrutiny.

It might seem easier for Japan to change its laws to more strictly control the criteria for purchasing religious sites. But the agency said the government is wary about amending laws related to religion as that could be seen as impinging on religious freedom which is guaranteed by Japan’s constitution.

Reuters checks of six websites specializing in brokering the sale of religious properties showed hundreds on the market. Most are only obliquely described online with brokers saying sellers prefer to conduct sales as privately as possible.

Osaka-based broker Takao Yamamoto told Reuters interest is surging. A religious corporation license alone can fetch 30 million yen ($210,000), he adds. Some religious sites, especially those with profitable graveyards, are advertised for millions of dollars.

“Anyone can buy independent sites as long as you have money…even foreigners can buy them. Recently, a lot of Chinese people are trying to buy them,” Yamamoto said.

For his part, Suzuki says he has no intention to sell Mikaboyama temple and is working on ideas to raise funds to maintain it. “Temples are places for local people to gather and forge connections. We just can’t get rid of them,” he said. 

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Dolphins dying in Amazon lake made shallow by drought

TEFE, Brazil — The carcass of a baby dolphin lay on the sand bank left exposed by the receding waters in an Amazon lake that has been drying up during the worst drought on record. 

Researchers recovered the dead animal on Wednesday and measured water temperatures that have been rising as the lake’s level drops. In last year’s drought, more than 200 of the endangered freshwater dolphins died in Lake Tefe from excessive water temperatures. 

“We’ve found several dead animals. Last week, we found one a day on average,” said Miriam Marmontel, head of the dolphin project at the Mamiraua Institute for Sustainable Development.  

“We’re not yet associating the deaths with changes in water temperatures, but with the exacerbation of the proximity between human populations, mainly fishermen, and the animals,” she said. 

With branches of major rivers in the Amazon basin drying up in this year’s critical drought, the lake connected to the Solimoes River has shrunk, leaving less room for the dolphins in their favorite habitat. 

The lake’s main channel is 2 meters deep and roughly 100 meters wide, and it is used by all the boat traffic, from canoes to heavy ferries, Marmontel said. Two dolphins were killed recently when boats ran into them in the shallow water. 

“Nobody thought this drought would come so quickly or imagine that it would surpass last year’s drought,” fisherman Clodomar Lima said. 

While the dolphin deaths are nowhere close to last year’s toll, the dry season has more than a month to go and water levels will continue to decline, the researcher said. 

And it is not just the rare dolphin species that are suffering. Riverine communities across the Amazon are stranded by the lack of transport on waters too shallow for boats, and their floating houses are now on solid ground. 

Even houses built on stilts over water are now high and dry a distance from the river shore. 

Lake Tefe resident Francisco Alvaro Santos said it was the first time ever that his floating house was out of the water. 

“Water is everything to us. It is part of our daily lives, the means of transportation for everyone who live here,” said Santos. “Without water we are nobody!”

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This US city is hailed as a vaccination success. Can it be sustained?

LOUISVILLE, Kentucky — On his first day of school at Newcomer Academy, Maikel Tejeda was whisked to the school library. The 7th grader didn’t know why.

He soon got the point: He was being given make-up vaccinations. Five of them.

“I don’t have a problem with that,” said the 12-year-old, who moved from Cuba early this year.

Across the library, a group of city, state and federal officials gathered to celebrate the school clinic, and the city. With U.S. childhood vaccination rates below their goals, Louisville and the state were being praised as success stories: Kentucky’s vaccination rate for kindergarteners rose 2 percentage points in the 2022-23 school year compared with the year before. The rate for Jefferson County — which is Louisville — was up 4 percentage points.

“Progress is success,” said Dr. Mandy Cohen, director of the Centers for Disease Control and Prevention.

But that progress didn’t last. Kentucky’s school entry vaccination rate slipped last year. Jefferson County’s rate slid, too. And the rates for both the county and state remain well below the target thresholds.

It raises the question: If this is what success looks like, what does it say about the nation’s ability to stop imported infections from turning into community outbreaks?

Local officials believe they can get to herd immunity thresholds, but they acknowledge challenges that includes tight funding, misinformation and well-intended bureaucratic rules that can discourage doctors from giving kids shots.

“We’re closing the gap,” said Eva Stone, who has managed the county school system’s health services since 2018. “We’re not closing the gap very quickly.”

Falling vaccination rates

Public health experts focus on vaccination rates for kindergartners because schools can be cauldrons for germs and the launching pad for community outbreaks.

For years, those rates were high, thanks largely to mandates that required key vaccinations as a condition of school attendance.

But they have slid in recent years. When COVID-19 started hitting the U.S. hard in 2020, schools were closed, visits to pediatricians declined and vaccination record-keeping fell off. Meanwhile, more parents questioned routine childhood vaccinations that they used to automatically accept, an effect that experts attribute to misinformation and the political schism that emerged around COVID-19 vaccines.

A Gallup survey released last month found that 40% of Americans said it is extremely important for parents to have their children vaccinated, down from 58% in 2019. Meanwhile, a recent University of Pennsylvania survey of 1,500 people found that about 1 in 4 U.S. adults think the measles, mumps and rubella vaccine causes autism — despite no medical evidence for it.

All that has led more parents to seek exemptions to school entry vaccinations. The CDC has not yet reported national data for the 2023-24 school year, but the proportion of U.S. kindergartners exempted from school vaccination requirements the year before hit a record 3%.

Overall, 93% of kindergartners got their required shots for the 2022-23 school year. The rate was 95% in the years before the COVID-19 pandemic.

Officials worry slipping vaccination rates will lead to disease outbreaks.

The roughly 250 U.S. measles cases reported so far this year are the most since 2019, and Oregon is seeing its largest outbreak in more than 30 years.

Kentucky has been experiencing its worst outbreak of whooping cough — another vaccine-preventable disease — since 2017. Nationally, nearly 14,000 cases have been reported this year, the most since 2019.

Persuading parents

The whooping cough surge is a warning sign but also an opportunity, said Kim Tolley, a California-based historian who wrote a book last year on the vaccination of American schoolchildren. She called for a public relations campaign to “get everybody behind” improving immunizations.

Much of the discussion about raising vaccination rates centers on campaigns designed to educate parents about the importance of vaccinating children — especially those on the fence about getting shots for their kids.

But experts are still hashing out what kind of messaging work best: Is it better, for example, to say “vaccinate” or “immunize”?

A lot of the messaging is influenced by feedback from small focus groups. One takeaway is some people have less trust in health officials and even their own doctors than they once did. Another is that they strongly trust their own feelings about vaccines and what they’ve seen in Internet searches or heard from other sources.

“Their overconfidence is hard to shake. It’s hard to poke holes in it,” said Mike Perry, who ran focus groups on behalf of a group called the Public Health Communications Collaborative.

But many people seem more trusting of older vaccines. And they do seem to be at least curious about information they didn’t know, including the history of research behind vaccines and the dangers of the diseases they were created to fight, he said.

Improving access

Dolores Albarracin has studied vaccination improvement strategies in 17 countries, and repeatedly found that the most effective strategy is to make it easier for kids to get vaccinated.

“In practice, most people are not vaccinating simply because they don’t have money to take the bus” or have other troubles getting to appointments, said Albarracin, director of the communication science division within Penn’s Annenberg Public Policy Center.

That’s a problem in Louisville, where officials say few doctors were providing vaccinations to children enrolled in Medicaid and fewer still were providing shots to kids without any health insurance. An analysis a few years ago indicated 1 in 5 children — about 20,000 kids — were not current on their vaccinations, and most of them were poor, said Stone, the county school health manager.

A 30-year-old federal program called Vaccines for Children pays for vaccinations for children who Medicaid-eligible or lack the insurance to cover it.

But in a meeting with the CDC director last month, Louisville health officials lamented that most local doctors don’t participate in the program because of paperwork and other administrative headaches. And it can be tough for patients to get the time and transportation to get to those few dozen Louisville providers who do take part.

The school system has tried to fill the gap. In 2019, it applied to become a VFC provider, and gradually established vaccine clinics.

Last year, it held clinics at nearly all 160 schools, and it’s doing the same thing this year. The first was at Newcomer Academy, where many immigrant students behind on their vaccinations are started in the school system.

It’s been challenging, Stone said. Funding is very limited. There are bureaucratic obstacles, and a growing influx of children from other countries who need shots. It takes multiple trips to a doctor or clinic to complete some vaccine series. And then there’s the opposition — vaccination clinic announcements tend to draw hateful social media comments. 

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Dedicated artists keep Japan’s ancient craft of temari alive

KAWARAMACHI, Japan — Time seems to stop here. 

Women sit in a small circle, quietly, painstakingly stitching patterns on balls the size of an orange, a stitch at a time. 

At the center of the circle is Eiko Araki, a master of the Sanuki Kagari Temari, a Japanese traditional craft passed down for more than 1,000 years on the southwestern island of Shikoku. 

Each ball — known as a “temari” ball — is a work of art, with colorful geometric patterns carrying poetic names like “firefly flowers” and “layered stars.” A temari ball takes weeks or months to finish. Some cost hundreds of dollars (tens of thousands of yen), although others are much cheaper. 

These kaleidoscopic balls aren’t for throwing or kicking around. They’re destined to be heirlooms, carrying prayers for health and goodness. They might be treasured like a painting or piece of sculpture in a Western home. 

The concept behind temari is an elegant otherworldliness, an impractical beauty that is also very labor-intensive to create. 

“Out of nothing, something this beautiful is born, bringing joy,” said Araki. “I want it to be remembered there are beautiful things in this world that can only be made by hand.” 

Natural materials 

The region where temari originated was good for growing cotton, warm with little rainfall, and the spherical creations continue to be made out of the humble material. 

At Araki’s studio, which also serves as head office for temari’s preservation society, there are 140 hues of cotton thread, including delicate pinks and blues, as well as more vivid colors and all the subtle gradations in between. 

The women dye them by hand, using plants, flowers and other natural ingredients, including cochineal, which is a bug living in cacti that produces a red dye. The deeper shade of indigo is dyed again and again to turn just about black. Yellow and blue are combined to form gorgeous greens. Soy juice is added to deepen the tints, a dash of organic protein. 

Outside the studio, loops of cotton thread, in various tones of yellow today, hang outside in the shade to dry. 

Creating and embroidering the balls 

The arduous process starts with making the basic ball mold on which the stitching is done. Rice husks that are cooked then dried are placed in a piece of cotton, then wound with thread, over and over, until, almost magically, a ball appears in your hands. 

Then the stitching begins. 

The balls are surprisingly hard, so each stitch requires a concentrated, almost painful, push. The motifs must be precise and even. 

Each ball has lines to guide the stitching — one that goes around it like the equator, and others that zigzag to the top and bottom. 

Appealing to a new generation 

These days, temari is getting some new recognition, among Japanese and foreigners as well. Caroline Kennedy took lessons in the ball-making when she was United States ambassador to Japan a decade ago. 

Yoshie Nakamura, who promotes Japanese handcrafted art in her duty-free shop at Tokyo’s Haneda airport, says she features temari there because of its intricate and delicate designs. 

“Temari that might have been everyday in a faraway era is now being used for interior decoration,” she said. 

“I really feel each Sanuki Kagari Temari speaks of a special, one-and-only existence in the world.” 

Araki has come up with newer designs that feel both modern and historical. She is trying to make the balls more accessible to everyday life — for instance, as Christmas tree ornaments. A strap with a dangling miniature ball, though quite hard to make because of its size, is affordable at about 1,500 yen ($10) each. 

Another of Araki’s inventions is a cluster of pastel balls that opens and closes with tiny magnets. Fill it with sweet-smelling herbs for a kind of aromatic diffuser. 

A tradition passed down through generations 

Araki, a graceful woman who talks very slowly, her head cocked to one side as though always in thought, often travels to Tokyo to teach. But mostly she works and gives lessons in her studio, an abandoned kindergarten with faded blue paint and big windows with tired wooden frames. 

She started out as a metalwork artist. Her husband’s parents were temari masters who worked hard to resurrect the artform when it was declining in the modern age, at risk of dying out. 

They were stoic people, rarely bestowing praise and instead always scolding her, she remembers. It’s a tough-love approach that’s common in the handing down of many Japanese traditional arts, from Kabuki acting to hogaku music, that demand lifetimes of selfless devotion. 

Today, only several dozen people, all women, can make the temari balls to traditional standards. 

“The most challenging aspect is nurturing successors. It typically takes over 10 years to train them, so you need people who are willing to continue the craft for a very long time,” Araki said. 

“When people start to feel joy along with the hardship that comes with making temari, they tend to keep going.” 

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California governor signs law to protect children from social media addiction

SACRAMENTO, California — California will make it illegal for social media platforms to knowingly provide addictive feeds to children without parental consent beginning in 2027 under a new law Governor Gavin Newsom signed Friday. 

California follows New York state, which passed a law earlier this year allowing parents to block their kids from getting social media posts suggested by a platform’s algorithm. Utah has passed laws in recent years aimed at limiting children’s access to social media, but those have faced challenges in court. 

The California law will take effect in a state home to some of the largest technology companies in the world. Similar proposals have failed to pass in recent years, but Newsom signed a first-in-the-nation law in 2022 barring online platforms from using users’ personal information in ways that could harm children. 

It is part of a growing push in states across the country to try to address the impact of social media on the well-being of children. 

“Every parent knows the harm social media addiction can inflict on their children — isolation from human contact, stress and anxiety, and endless hours wasted late into the night,” Newsom, a Democrat, said in a statement. “With this bill, California is helping protect children and teenagers from purposely designed features that feed these destructive habits.” 

The law bans platforms from sending notifications without permission from parents to minors between midnight and 6 a.m., and between 8 a.m. and 3 p.m. on weekdays from September through May, when children are typically in school. The legislation also makes platforms set children’s accounts to private by default. 

Opponents of the legislation say it could inadvertently prevent adults from accessing content if they cannot verify their age. Some argue it would threaten online privacy by making platforms collect more information on users. 

The law defines an “addictive feed” as a website or app “in which multiple pieces of media generated or shared by users are, either concurrently or sequentially, recommended, selected, or prioritized for display to a user based, in whole or in part, on information provided by the user, or otherwise associated with the user or the user’s device,” with some exceptions. 

The subject garnered renewed attention in June when U.S. Surgeon General Vivek Murthy called on Congress to require warning labels on social media platforms and their impacts on young people. Attorneys general in 42 states endorsed the plan in a letter sent to Congress last week. 

State Senator Nancy Skinner, a Democrat representing Berkeley who wrote the California law, said that “social media companies have designed their platforms to addict users, especially our kids.” 

“With the passage of SB 976, the California Legislature has sent a clear message: When social media companies won’t act, it’s our responsibility to protect our kids,” she said in a statement.

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Parts of US Midwest could offer fall’s most vibrant foliage

PORTLAND, Maine — Fall is back, and bringing with it jack-o’-lanterns, football, pumpkin spice everything and — in some parts of the country — especially vibrant foliage.

Leaves around the northern United States are starting to turn orange, yellow and red, inspiring legions of leaf lovers to hop in their cars and travel to the countryside for the best look at fall’s fireworks. Leaf peeping — the act of traveling to witness nature’s annual kaleidoscope — contributes billions of dollars to the economy, especially in New England and New York.

But this year, some of the most colorful displays could be in the Midwest. AccuWeather, the commercial forecasting service, said in early September that it expects especially vibrant foliage in states such as Michigan and Illinois.

The service also said powerful, popping colors are expected in upstate New York and parts of Pennsylvania, while New England will follow a more typical color pattern. But that doesn’t mean New England travelers will miss out.

Maine, the most forested state in the country, had “an abundance of daily sunshine with just the right amount of rainfall to set the stage for a breathtaking foliage season,” said Gale Ross, the state’s fall foliage spokesperson. Color change and timing depend on the weather in the fall, but cooler nighttime temperatures and shorter days should enhance the colors, Ross said.

“The growing season of 2024 has been excellent for trees, supporting tree health and resilience that should lead to brilliant fall colors throughout Maine,” said Aaron Bergdahl, the state’s forest pathologist.

Fall colors peak at different times around the U.S., with the foliage season sometimes starting not long after Labor Day in the far northern reaches of the country and extending into November further to the south. In Maine alone, peak foliage can arrive in the northern part of the state in late September and not arrive in coastal areas until close to Halloween.

Leaf turn happens when summer yields to fall and temperatures drop and the amount of sunlight decreases. Chlorophyll in leaves then breaks down, and that allows their fall colors to shine through before leaf drop.

However, weather conditions associated with climate change have disrupted some recent leaf peeping seasons. A warming planet has brought drought that causes leaves to turn brown and wither before reaching peak colors.

Other enemies of leaf peeping include heat waves that cause leaves to fall before autumn arrives and extreme weather events like hurricanes that strip trees of their leaves. A summer heatwave in the Pacific Northwest in 2021 caused a condition called “foliage scorch” that prematurely browned leaves.

This year in Maine, leaf turn was still very sparse in most of the state as late September approached, but the state office of tourism was already gearing up for an influx of tourists. Northern Maine was already experiencing moderate color change. And neighboring New Hampshire was expecting about 3.7 million visitors — more than twice the state’s population.

“It’s no surprise people travel from all over the world to catch the incredible color,” said New Hampshire Travel and Tourism Director Lori Harnois.

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Climate protesters say pace of change isn’t fast enough

NEW YORK — Six years after a teenage Greta Thunberg walked out of school in a solitary climate protest outside of the Swedish parliament, people around a warming globe marched in youth-led protest, saying their voices are being heard but not sufficiently acted upon.

Emissions of heat-trapping gases and temperatures have been rising and oil and gas drilling has continued, even as the protests that kicked off major weeklong climate events in New York City have become annual events. This year, they come days before the United Nations convenes two special summits, one concentrating on sea level rise and the other on the future.

The young people who organized these marches with Fridays for Future said there is frustration with inaction but also hope. People marched in Berlin, Rio de Janeiro, New Delhi and elsewhere, but the focus often is in New York City because of Climate Week NYC. Diplomats, business leaders and activists are concentrating their discussions on the money end of fighting climate change — something not lost on protesters.

“We hope that the government and the financial sector make polluters pay for the damage that they have imposed on our environment,” said Uganda Fridays for Future founder Hilda Flavia Nakabuye, who was among a few hundred marching in New York Friday, a far cry from the tens of thousands that protested in a multigroup mega-rally in 2023.

The New York protest wants to take aim at “the pillars of fossil fuels” — companies that pollute, banks that fund them and leaders who are failing on climate, said Helen Mancini, an organizer and a senior at the city’s Stuyvesant High School.

“A lot of older people want to make sure the economy is intact, and that’s their main concern,” said Julia Demairo, a sophomore at Pace University. “I think worrying about the future and the environment is worrying about the economy.”

On a day that was at least 8 degrees warmer than average, protest signs included “This is not what we mean by Hot Girl Summer,” while others focused on the theme of fighting the coal, oil and gas industries: “Youth Didn’t Vote for Fossil Fuels,” “Don’t Be a Fossil Fool” and “Climate Crisis = Extermination By Capitalism.”

Nakabuye said she was in New York to represent Uganda “that is bearing the brunt of the climate crisis.”

“We feel like we are creating an impact in the community. However, we are not listened to enough; there is more that needs to be done, especially right now when the climate catastrophes are intensifying,” said Nakabuye. “We need to even raise our voices more to demand change and to demand that fuels should end.”

In the six years since Thunberg founded what became Fridays for Future, global carbon dioxide emissions from the burning of fossil fuels have increased by about 2.15%, according to Global Carbon Project, a group of scientists who monitor carbon pollution.

The growth of emissions has slowed compared with previous decades and experts anticipate peaking soon, but that’s a far cry from the 43% reduction that a U.N. report said is needed to keep temperature increases to an agreed-upon limit.

Since 2019, carbon dioxide emissions from coal have increased by nearly 900 million metric tons, while natural gas emissions have increased slightly and oil pollution has dropped a tiny amount, according to the International Energy Agency, or IEA. That growth has been driven by China, India and developing nations.

But emissions from advanced or industrialized economies have been falling and in 2023 were the lowest in more than 50 years, according to the IEA. Coal emissions in rich countries are down to levels seen around the year 1900, and the United Kingdom next month is set to shutter its last coal plant.

In the past five years, clean energy sources have grown twice as fast as fossil fuels, with solar and wind individually growing faster than fossil fuel-based electricity, according to the IEA. Developing countries — where more than 80% of the world population lives — say that they need financial help to curb their increasing use of fossil fuels.

Since 2018, the globe has warmed more than 0.29 degrees Celsius, with last year setting a record for the hottest year and this year poised to break that mark, according to the U.S. National Oceanic and Atmospheric Administration and the European climate agency Copernicus.

“We’re making progress, even if it’s slow progress,” said 17-year-old Ashen Harper of Connecticut, a veteran protester turned organizer. “Our job right now is to accelerate that progress.”

In Berlin, hundreds of people took to the streets, although in fewer numbers than in previous years. Activists held up signs saying, “Save the Climate” and “Coal is Over!” as they watched a gig put on outside the German Chancellor’s Office. Protesters in London held up letters spelling out “Pay Up,” calling for the country to pay more to adapt to climate change and transition away from fossil fuels.

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‘Souls of Ancestors’ display stirs new interest in Cambodian antiquity

PHNOM PENH, CAMBODIA — Nhem Liza made her first visit to the National Museum of Cambodia after learning about the August return from the United States of dozens of looted Cambodian artifacts, including important Hindu and Buddhist masterpieces dating from the ninth to 14th centuries.

“Those artifacts are amazing,” said 15-year-old Nhem, a 10th grade Phnom Penh high school student.

The return of the statues — viewed as divine or containing the souls of ancestors — has given younger Cambodians like Nhem an opportunity to embrace the country’s cultural heritage and history.

“I am excited to see these artifacts our government is trying to get back,” she told VOA on September 16 after viewing some of objects now on display at the museum.

Cambodia has worked for years to identify and secure the return of culturally and historically important relics from private collections and museums overseas, many of which were lost to the country because of war, theft and the illegal artifact trade.

Cambodia faced continuous civil unrest from the mid-1960s until the early 1990s and archeological sites from the ancient Khmer Empire, such as Angkor Wat and Koh Ker, suffered serious damage and widespread looting, Cambodian officials told VOA Khmer.

In August, Cambodia celebrated the return of 70 items from museums and private collections overseas, including 14 from the Metropolitan Museum of Art in New York. The objects include priceless stone statues such as one depicting a mythical warrior from the Hindu epic Mahabharata. There are also statues of Hindu deities Shiva and Parvati, and one of the Hindu god Ardhanarishvara from the ancient capital of Koh Ker, according to Ministry of Culture and Fine Arts.

Presiding over the return ceremony, Prime Minister Hun Manet said the 70 returned objects symbolically reunited the Cambodian people with their “ancestral souls,” adding that the government will continue working to bring more artifacts home.

From 1996 to July of this year, 1,098 artifacts had been returned to Cambodia — 571 from private collections and 527 from foreign institutions and governments, Hun said.

“It is the soul of our nation,” Doeun Sokun Aly, 18, told VOA at the museum. “The heroes of our country built those artifacts for the younger generation to know about those antiques. … I will visit museums more to see more artifacts.”

National Museum Director Chhay Visoth told VOA the display is meant to stir new interest from Cambodians, especially younger Cambodians.

“Recently, we have seen a surprising increase of Cambodian visitors to the museum, especially youth,” he said by phone this week.

The authorities, he said, are now planning to conduct a “mobile exhibition” to display the artifacts at museums in provinces such as Siem Reap, Battambang and Pursat, in the northwestern part of the country.

Chhay said the museum also hopes the display will send a message to private collectors and museums overseas that “those artifacts are greatly important” and “not for beautifying gardens, kitchens, living rooms, residents or offices of the rich.”

“For Cambodians, they are meaningful indeed. Those artifacts are the souls of Khmer ancestors,” he said.

Chhay added that the museum is already planning to expand its display area to accommodate more returned artifacts.

Over the years, Cambodia has received dozens of statues from the families of wealthy collectors, such as George Lindemann, a U.S. businessman and philanthropist who died in 2018.

In 2021, after three years of negotiations, the family of the late British art collector Douglas Latchford agreed to return more than 100 Cambodian artifacts, according to the government.

Latchford, who co-authored three books on Cambodian art and antiques, died in 2020 facing accusations that he had illegally trafficked the artifacts to his homes in Bangkok and London.

In November 2019, federal prosecutors in New York charged Latchford with falsifying the provenance, invoices and shipping documents to transport valuable Khmer-era relics to private collections, museums and auction houses around the world.

Other cultural objects that have found their way back to Cambodia went through processes including voluntary returns, negotiations, seizures and legal proceedings.

The United States has helped secure the return of well over 150 antiques to Cambodia so far, Wesley Holzer, a U.S. Embassy spokesperson in Phnom Penh said.

“The United States is proud of its longstanding contributions to preserving and restoring Cambodia’s cultural heritage,” he told VOA in an email, adding that Cambodia is the first country in Southeast Asia to establish a bilateral property repatriation memorandum of understanding with the U.S.

“Through this MOU, the United States and Cambodia have trained heritage professionals, prevented pillaging of antiquities, and facilitated the return of looted artifacts. This agreement also makes it illegal to import certain Cambodian archeological and ethnological material into the United States,” he added.

Bradley Gordon, a lawyer representing Cambodian government, said there were “many more” that his team are searching for.

“To be clear, Cambodia does not want to empty out museums around the world, but wants many important and precious national treasures to come home.   Cambodia also is open to long-term loans which they are exploring with a number of museums,” he added.

A member of Gordon’s restitution team, Cambodian researcher Kunthea Chhoun, said getting the artifacts back is not easy.

“We need to investigate and collect testimonies from looters, villagers and brokers.  It takes a great amount of patience and many interviews.   We have used different approaches to get back our artifacts and it has taken many years,” she told VOA in a September 20 email. 

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Congo struggles to contain mpox; here’s why

KAVUMU, Congo — Health authorities have struggled to contain outbreaks of mpox in Congo, a huge central African country where a myriad of existing problems makes stemming the spread particularly hard.

Last month, the World Health Organization declared the outbreaks in Congo and about a dozen other African countries a global health emergency. And in Congo, scientists have identified a new strain of mpox that may spread more easily. It has reached areas where conflict and the displacement of a large number of people have already put health services under pressure.

Overall, Congo has more than 21,000 of the 25,093 confirmed and suspected mpox cases in Africa this year, according to WHO’s most recent count.

Has Congo seen cases of mpox before?

Yes, Congo is one of the African countries where mpox has been endemic for decades.

Mpox, once known as monkeypox, comes from the same family of viruses as smallpox but causes milder symptoms such as fever. People with more serious cases can develop skin lesions. More than 720 people in Africa have died in the latest outbreaks, mostly in Congo.

Mpox is a zoonotic disease, meaning it can spread to humans from infected animals. In the global mpox outbreak of 2022, the virus spread between people primarily through sex and close physical contact.

What changed in Congo?

In September 2023, mpox spread to Congo’s eastern province of South Kivu; it had previously been seen in the center and far west. Scientists then identified a new form of mpox in South Kivu that may be more infectious.

The WHO said that from the outbreak in South Kivu, the virus spread among people elsewhere in the country, arriving in neighboring province North Kivu. Those two provinces — some 2,000 kilometers from the capital, Kinshasa — face escalating violence, a humanitarian crisis and other issues.

What are the problems in eastern Congo?

More than 120 armed groups have been fighting each other and the Congolese army for years in the eastern part of the country over the control of minerals. That has forced millions of people fleeing violence into refugee camps or nearby towns.

That means mpox is hitting already-stretched health facilities. Dr. Musole Mulambamunva Robert, medical director of the Kavumu hospital in eastern Congo, said it is “truly a challenge” — sometimes treating as many as four times the facility’s capacity for patients.

With more than 6 million displaced people in the east, authorities and aid agencies were already struggling to provide food and healthcare, while fighting other diseases such as cholera. Many people have no access to soap, clean water or other basics.

Some eastern Congo communities are out of reach of health clinics — roads are unreliable, and hourslong risky boat trips are sometimes the only means of transport, said Mercy Muthee Lake of the International Federation of Red Cross and Red Crescent.

People can be more susceptible to severe mpox cases because of malnutrition and undiagnosed HIV, she said.

She also said health workers in eastern Congo have requested more mpox training as medications to treat fever and ease pain run out.

Health authorities “are up against it because it’s such a complex area,” said Chris Beyrer, of Duke University’s Global Health Institute.

What about vaccines?

Africa has no capacity to produce mpox vaccines. Around 250,000 doses have arrived in Congo from the European Union and the United States, and more are expected. Congolese authorities say they need around 3 million vaccines. It will likely be weeks before any vaccines reach people in eastern Congo.

For now, the vaccine is approved only for adults. There’s limited evidence of how it works in children.

Vaccines are desperately needed, but they’re just “an additional tool,” said Emmanuel Lampaert, the Congo representative for Doctors Without Borders. The key, Lampaert said, is still identifying cases, isolating patients, and executing grassroots health and education campaigns.

Local conditions make that trying — Lampaert noted it’s almost impossible to isolate cases among poor, displaced people.

“Families with six to eight children are living in a hut, which is maybe the space of the bed we are sleeping in,” he said. “So, this is the reality.”

Why are critics blasting the mpox response?

Unlike the millions of dollars that poured into Congo for Ebola and COVID aid, the response to mpox has been sluggish, many critics say.

Health experts say the sharp contrast is due to a lack of both funds and international interest.

“Ebola is the most dangerous virus in the world, and COVID wiped out the world economy,” said professor Ali Bulabula, who works on infectious diseases in the medical department at Congo’s University of Kindu. “While mpox is a public health emergency of international concern, there is a lack of in-depth research and interest in the virus, as it’s still seen as a tropical disease, localized to Africa with no major impact on Western economies.” 

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As traces of Pakistani megacity’s past vanish, flamboyant pink palace endures

KARACHI, Pakistan — Stained glass windows, a sweeping staircase and embellished interiors make Mohatta Palace a gem in Karachi, a Pakistani megacity of 20 million people. Peacocks roam the lawn and the sounds of construction and traffic melt away as visitors enter the grounds.

The pink stone balustrades, domes and parapets look like they’ve been plucked from the northern Indian state of Rajasthan, a relic of a time when Muslims and Hindus lived side by side in the port city.

But magnificence is no guarantee of survival in a city where land is scarce and development is rampant. Demolition, encroachment, neglect, piecemeal conservation laws and vandalism are eroding signs of Karachi’s past.

The building’s trustees have fended off an attempt to turn it into a dental college, but there’s still a decadeslong lawsuit in which heirs of a former owner are trying to take control of the land. It sat empty for almost two decades before formally opening as a museum in 1999.

The palace sits on prime real estate in the desirable neighborhood of Old Clifton, among mansions, businesses and upmarket restaurants.

The land under buildings like the Mohatta Palace is widely coveted, said palace lawyer Faisal Siddiqi. “It shows that greed is more important than heritage.”

Karachi’s population grows by around 2% every year and with dozens of communities and cultures competing for space there’s little effort to protect the city’s historic sites.

For most Pakistanis, the palace is the closest they’ll get to the architectural splendor of India’s Rajasthan, because travel restrictions and hostile bureaucracies largely keep people in either country from crossing the border for leisure, study or work.

Karachi’s multicultural past makes it harder to find champions for preservation than in a city like Lahore, with its strong connection to the Muslim-dominated Mughal Empire, said Heba Hashmi, a heritage manager and maritime archaeologist.

“The scale of organic local community support needed to prioritize government investment in the preservation effort is nearly impossible to garner in a city as socially fragmented as Karachi,” she said. 

Mohatta Palace is a symbol of that diversity. Hindu entrepreneur Shivratan Mohatta had it built in the 1920s because he wanted a coastal residence for his ailing wife to benefit from the Arabian Sea breeze. Hundreds of donkey carts carried the distinctively colored pink stone from Jodhpur, now across the border in India.

He left after partition in 1947, when India and Pakistan were carved from the former British Empire as independent nations, and for a time the palace was occupied by the Foreign Ministry.

Next, it passed into the hands of Pakistani political royalty as the home of Fatima Jinnah, the younger sister of Pakistan’s first leader and a powerful politician in her own right.

After her death, the authorities gave the building to her sister Shirin, but Shirin’s passing in 1980 sparked a court fight between people saying they were her relatives, and a court ordered the building sealed.

The darkened and empty palace, with its overgrown gardens and padlocked gates, caught people’s imagination. Rumors spread of spirits and supernatural happenings.

Someone who heard the stories as a young girl was Nasreen Askari, now the museum’s director.

“As a child I used to rush past,” she said. “I was told it was a bhoot (ghost) bungalow and warned, don’t go there.”

Visitor Ahmed Tariq had heard a lot about the palace’s architecture and history. “I’m from Bahawalpur (in Punjab, India) where we have the Noor Mahal palace, so I wanted to look at this one. It’s well-maintained, there’s a lot of detail and effort in the presentations. It’s been a good experience.”

But the money to maintain the palace isn’t coming from admission fees.

General admission is 30 rupees, or 10 U.S. cents, and it’s free for students, children and seniors. On a sweltering afternoon, the palace drew just a trickle of visitors.

It’s open Tuesday to Sunday but closes on public holidays; even the 11 a.m.-6 p.m. hours are not conducive for a late-night city like Karachi.

The palace is rented out for corporate and charitable events. Local media report that residents grumble about traffic and noise levels.

But the palace doesn’t welcome all attention, even if it could help carve out a space for the building in modern Pakistan.

Rumors about ghosts still spread by TikTok, pulling in influencers looking for spooky stories. But the palace bans filming inside, and briefly banned TikTokers.

“It is not the attention the trustees wanted,” said Askari. “That’s what happens when you have anything of consequence or unusual. It catches the eye.”

A sign on the gates also prohibits fashion shoots, weddings and filming for commercials.

“We could make so much money, but the floodgates would open,” said Askari. “There would be non-stop weddings and no space for visitors or events, so much cleaning up as well.”

Hashmi, the archaeologist, said there is often a strong sense of territorialism around the sites that have been preserved.

“It counterproductively converts a site of public heritage into an exclusive and often expensive artifact for selective consumption.” 

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UN report: Debt crisis undermines AIDS eradication in Africa

Harare, Zimbabwe — A new report released by the main United Nations agency for action on AIDS and HIV says growing public debt is choking sub-Saharan African countries, leaving them with little fiscal room to finance critical HIV services.

In the report, launched ahead of the 79th session of the U.N. General Assembly in New York, Winnie Byanyima, the executive director of UNAIDS, asks the international community for more funding to ensure Africa eliminates AIDS by 2030.

She said Africa, which accounts for the largest number of people living with HIV — some 26 million out of 40 million globally — is overwhelmed by public debt.

Robert Shivambu, UNAIDS communication officer, told VOA: “The region’s success in having reduced new HIV infections by 56% since 2010 will not be sustained if fiscal space is constrained.”

Shivambu said the U.N. believes that when debt payments hinder countries’ ability to effectively look after health care needs of their people, global health security is put at risk.

Zimbabwe is one of the countries fighting to reduce the rate of HIV infection while dealing with high debt.

On Friday, parliament Speaker Jacob Mudenda told colleagues that the country had made strides in fighting HIV/AIDS, starting in 1999 as a pioneer of the AIDS levy — a 3% income tax for individuals and 3% tax on profits of employers.

He said that the budget of $387 million for HIV programs — largely foreign sponsored — was no longer enough and that there was need to expand the tax base.

“Let’s create wealth, when that wealth is created from our wealth, including mineral resources, we are going to be able to expand the tax base,” he said.

“From that expanded tax base we will be able as parliament to come with a very stout budget. These donations are going to dwindle, slowly but surely. This current funding level still falls far short of the estimated $500 million needed annually to achieve [the] ambitious goal of the Zimbabwe national AIDS strategic plan, especially with over 1 million people living with HIV now on anti-retroviral therapy.”

Mudenda declined to say if servicing Zimbabwe’s debt — which stands at $17.5 billion, according to the African Development Bank — was one reason funding for HIV programs is falling short.

Zimbabwe is battling to service its debt so that it can resume receiving loans from multilateral development banks such as the IMF and World Bank.

Shivambu said, “Public debt needs to be urgently reduced and domestic resource mobilization strengthened to enable the fiscal space to fully fund the HIV response and end AIDS. World leaders cannot let a resource crunch derail global progress to end AIDS as a public health threat by 2030.”

That’s the message UNAIDS officials will take to the high-level summit of the U.N. General Assembly beginning next week.

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Mpox spreads at alarming rate among children in Burundi

GENEVA — The United Nations Children’s Fund, or UNICEF, warned Friday that children in Burundi are bearing the brunt of the mpox outbreak, with cases of this deadly, infectious disease spreading at an alarming rate among a young population.

“Of the nearly 600 reported cases, two-thirds are in children under 19. The situation has escalated rapidly, with a more-than-40% increase in cases over the past three weeks,” Dr. Paul Ngwakum, UNICEF’s regional health adviser for Eastern and Southern Africa, told journalists in Geneva via video link Friday.

Ngwakum, who currently is on a visit to Burundi, said, “The fear expressed by the parents and the resilience of communities in the face of this public health crisis” and the rapid escalation of the disease “were striking.”

Speaking from the capital, Bujumbura, he said the rise of mpox among children under the age of 5 is of particular concern as they represent 30% of the reported cases. This, he said, underscores the urgent need for targeted interventions to protect children from becoming infected as schools have reopened this week.

“UNICEF is supporting the Ministry of Education to implement health measures in schools, train staff to recognize early symptoms of mpox and reinforce hand hygiene. We aim to ensure that all children can safely return to school and minimize educational disruptions,” he said, noting that this was “a rapidly evolving situation.”

Even amid the grim situation, he observed that Burundi has had no deaths from mpox, formerly known as monkeypox. He said this provides “an opportunity to end this outbreak in a very short time period.”

“The geographical area is still limited, and with concerted effort from all partners, we can limit the spread, contain the virus, and potentially end the outbreak with no lives lost,” said Ngwakum.

He added that “it was difficult to make firm statements regarding when the outbreak could be brought under control,” both in Burundi and the wider African region, a sentiment echoed by the World Health Organization.

WHO spokesperson Dr. Margaret Harris told journalists, “The response to the outbreak is made more difficult by the context, with insecurity in the affected areas, and concurrent outbreaks of other diseases including measles and chickenpox. WHO is on the ground, working to stop these outbreaks.”

So far this year, the WHO reports there have been more than 25,000 suspected mpox cases and 723 deaths among suspected cases in Africa. The most heavily infected country is the Democratic Republic of Congo, with 21,835 suspected cases and 717 deaths, followed by Burundi with 1,489 suspected cases and no deaths and Nigeria with 935 suspected cases and no deaths.

“Vaccination is going to be a very useful tool, particularly for trying to break the chains of transmission,” Harris said. “But the virus primarily spreads through close personal contact within families. And when people are living in difficult conditions, if they do not have access to the materials, to the soap, to the clean bedding, to the clean clothing, it is very, very difficult for them to not transmit.

“Many of the children who we have seen who have sadly died in the Democratic Republic of the Congo were severely malnourished, had suffered the effects of conflict, and perhaps also had other diseases at the same time. … It may indeed be that this population cannot respond immunologically to yet another threat,” she warned.

While affirming the importance of vaccines in the fight against mpox, UNICEF representative Ngwakum observed that “unfortunately,” the vaccines that are available now “cannot be used for children.”

“I do not want to bank all our interventions on vaccines,” he said. “Vaccines are only one tool that can be used to protect children and communities against mpox. And we are, in addition to vaccines, deploying other different tools” to keep children safe, he said.

UNICEF says it is possible to halt the rapid spread of mpox if agencies act swiftly and have the means in which to do it. The U.N. children’s agency is urgently appealing for $58.8 million to scale up its humanitarian response across six African countries, including Burundi.

“These funds are essential to stop the transmission of mpox, protect children and maintain critical services like education and health care,” said Ngwakum.

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China-connected spamouflage impersonated Dutch cartoonist

Washington — Based on the posts of an X account that bears the name of Dutch cartoonist Bart van Leeuwen, a profile picture of his face and short professional bio, one would think the Amsterdam-based artist is a staunch supporter of China and fierce critic of the United States.

In one post, the account blasts what it calls Washington’s “fallacies against the Chinese economy,” accompanied by a cartoon from the Global Times — a Beijing-controlled media outlet — showing Uncle Sam aiming but failing to hit a target emblazoned with the words “China’s economy.”

In another, the account reposts a Chinese propaganda video about the country’s rubber-stamp legislature, writing “today’s China is closely connected with the world, blending with each other, and achieving mutual success.”

But Van Leeuwen didn’t make the posts. In fact, this account doesn’t even belong to him.

It belongs to a China-connected network on X of “spamouflage” accounts, which pretend to be the work of real people but are in reality controlled by robots sending out messages designed to shape public opinion.

China has repeatedly rejected reports that it seeks to influence U.S. presidential elections, describing such claims as “fabricated.”

VOA Mandarin and DoubleThink Lab (DTL), a Taiwanese social media analytics firm, uncovered the fake Van Leeuwen account during a joint investigation into a network of spamouflage accounts working on behalf of the Chinese government.

The network, consisting of at least nine accounts, propagated Beijing’s talking points on issues including human rights abuses in China’s western Xinjiang province, territorial disputes with countries in the South China Sea and U.S. tariffs on Chinese goods.

Fake account contradicts real artist

Van Leeuwen confirmed in an interview with VOA Mandarin that he had nothing to do with and was not aware of the fake account.

“It’s ironic that my identity, being a political cartoonist, is being used for political propaganda,” he told VOA in a written statement.

The real Van Leeuwen is an award-winning cartoonist whose works have been published on news outlets around the world, such as the Las Vegas Review-Journal, the Korea Times, Sing Tao Daily in Hong Kong and Gulf Today in the United Arab Emirates.

He specializes in editorial cartoons, whose main subjects include global politics, elections in the U.S. and Russia’s invasion of Ukraine. Several of his past illustrations made fun of Chinese leader Xi Jinping’s economic policies and the opaqueness of Beijing’s inner political struggles.

After being contacted by VOA Mandarin, a spokesman from X said the fake account has been suspended.

Other than finding irony in being impersonated by a Chinese propaganda bot, Van Leeuwen said the incident also worries him.

“This example once again highlights the need for far-reaching measures regarding the restriction of social media,” Van Leeuwen wrote in his statement, “especially with irresponsible people like Elon Musk at the helm.”

After purchasing what was then called Twitter in 2022, the Tesla and SpaceX CEO vowed to reduce the prevalence of bots on the platform, but many users complain it has become even worse.

Musk, the world’s richest person, is a so-called “free speech absolutist,” opposing almost all censorship of people voicing their views. Critics say his policy allows racist and false information to flourish on X.

Former President Donald Trump has praised Musk’s business acumen and said he plans to have the man who may become the world’s first trillionaire head a commission on government efficiency if he is reelected in November.

Network of spamouflage accounts

Before its suspension, the X account that impersonated Van Leeuwen had close to 1,000 followers, more than Van Leeuwen’s real X account. It was registered in 2013, but its first post came only last year. The account’s early posts were mostly encouraging and inspiring words in Chinese. It also posted many dance videos.

Gradually, the account started to mix in more and more political narratives, criticizing the U.S. and defending China. It often reposted content from another spamouflage account called “Grey World.”

“Grey World” used a photo of an attractive Asian woman as its profile picture. Most of its posts were supportive of Beijing’s talking points. It regularly posted videos and cartoons from Chinese state media. It also posted several of Van Leeuwen’s cartoons about American politics.

VOA Mandarin and DTL’s investigation identified “Grey World” as the main spamouflage account in a network of nine such accounts. Other accounts in the network, including the fake Van Leeuwen account, amplified “Grey World” by reposting its content.

But posts from “Grey World” had limited reach on X, despite having tens of thousands of followers. For example, between August 18 and September 1, its most popular post, a diatribe against Washington’s Indo-Pacific strategy, was viewed a little over 10,000 times but only had 35 reposts and 65 likes.

After the suspension of the fake Van Leeuwen account, X also shut down the “Grey World” account.

The spamouflage network is not the first linked to China.

In April, British researchers released a report saying Chinese nationalist trolls were posing as American supporters of Trump on X to try to exploit domestic divisions ahead of the U.S. election.

U.S. federal prosecutors in 2023 accused China’s Ministry of Public Security of having a covert social media propaganda campaign that also aimed to influence U.S. elections.

Researchers at Facebook’s parent company Meta said it was the largest known covert propaganda operation ever identified on that platform and Instagram, reported Rolling Stone magazine.

Network analysis firm Graphika called the pro-Chinese network “Spamouflage Dragon,” part of a campaign it identified in early 2020 that was at the time posting content that praised Beijing’s policies and attacked those of then-President Trump.

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New analysis of 2019 Wuhan market animals may help find COVID-19 origin

LONDON — Scientists searching for the origins of COVID-19 have zeroed in on a short list of animals that possibly helped spread it to people, an effort they hope could allow them to trace the outbreak back to its source.

Researchers analyzed genetic material gathered from the Chinese market where the first outbreak was detected and found that the most likely animals were raccoon dogs, civet cats and bamboo rats. The scientists suspect infected animals were first brought to the Wuhan market in late November 2019, which then triggered the pandemic.

Michael Worobey, one of the new study’s authors, said they found which sub-populations of animals might have transmitted the coronavirus to humans. That may help researchers pinpoint where the virus commonly circulates in animals, known as its natural reservoir.

“For example, with the raccoon dogs, we can show that the raccoon dogs that were [at the market] … were from a sub-species that circulates more in southern parts of China,” said Worobey, an evolutionary biologist at the University of Arizona. Knowing that might help researchers understand where those animals came from and where they were sold. Scientists might then start sampling bats in the area, which are known to be the natural reservoirs of related coronaviruses like SARS.

While the research bolsters the case that COVID-19 emerged from animals, it does not resolve the polarized and political debate over whether the virus instead emerged from a research lab in China.

Mark Woolhouse, a professor of infectious diseases at the University of Edinburgh, said the new genetic analysis suggested that the pandemic “had its evolutionary roots in the market” and that it was very unlikely COVID-19 was infecting people before it was identified at the Huanan market.

“It’s a significant finding and this does shift the dial more in favor of an animal origin,” said Woolhouse, who was not connected to the research. “But it is not conclusive.”

An expert group led by the World Health Organization concluded in 2021 that the virus probably spread to humans from animals and that a lab leak was “extremely unlikely.” WHO chief Tedros Adhanom Ghebreyesus later said it was premature to rule out a lab leak.

An AP investigation in April found the search for the COVID origins in China has gone dark after political infighting and missed opportunities by local and global health officials to narrow the possibilities.

Scientists say they may never know for sure where exactly the virus came from.

In the new study, published Thursday in the journal Cell, scientists from Europe, the U.S. and Australia analyzed data previously released by experts at the Chinese Center for Disease Control and Prevention. It included 800 samples of genetic material Chinese workers collected on Jan. 1, 2020, from the Huanan seafood market, the day after Wuhan municipal authorities first raised the alarm about an unknown respiratory virus.

Chinese scientists published the genetic sequences they found last year, but did not identify any of the animals possibly infected with the coronavirus. In the new analysis, researchers used a technique that can identify specific organisms from any mixture of genetic material collected in the environment.

Worobey said the information provides “a snapshot of what was [at the market] before the pandemic began” and that genetic analyses like theirs “helps to fill in the blanks of how the virus might have first started spreading.”

Woolhouse said the new study, while significant, left some critical issues unanswered.

“There is no question COVID was circulating at that market, which was full of animals,” he said. “The question that still remains is how it got there in the first place.”

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