LONDON — Patients in the U.K. and European Union are facing shortages of vital medicines such as antibiotics and epilepsy medication, research published Thursday found.

The report by Britain’s Nuffield Trust think-tank found the situation had become a “new normal” in the U.K. and was “also having a serious impact in EU countries.”

Mark Dayan, Brexit program lead at the Nuffield Trust think tank, said Britain’s decision to leave the European Union had not caused U.K. supply problems but had exacerbated them.

“We know many of the problems are global and relate to fragile chains of imports from Asia, squeezed by COVID-19 shutdowns, inflation and global instability,” he said.

“But exiting the EU has left the U.K. with several additional problems -– products no longer flow as smoothly across the borders with the EU, and in the long term our struggles to approve as many medicines might mean we have fewer alternatives available,” he said.

Researchers also warned that being outside the EU might mean Britain is unable to benefit from EU measures taken to tackle shortages, such as bringing drug manufacturing back to Europe.

It said that this included the EU’s Critical Medicines Alliance which it launched in early 2024.

Analysis of freedom of information requests and public data on drug shortages showed the number of notifications from drug companies warning of impending shortages in the UK had more than doubled in three years.

Some 1,634 alerts were issued in 2023, up from 648 in 2020, according to the report, The Future for Health After Brexit.

Paul Rees, chief executive of the National Pharmacy Association (NPA), said medicine shortages had become “commonplace,” adding that this was “totally unacceptable” in any modern health system.

“Supply shortages are a real and present danger to those patients who rely on life-saving medicines for their well-being,” he said.

A Department of Health and Social Care spokesperson said the U.K. was not alone in facing medical supply issues.

It said most cases of shortages had been “swiftly managed with minimal disruption to patients.” 
…

Washington — China is bolstering its space capabilities and is using its civilian program to mask its military objectives, the head of the U.S. space agency said Wednesday, warning that Washington must remain vigilant.

“China has made extraordinary strides especially in the last 10 years, but they are very, very secretive,” NASA administrator Bill Nelson told lawmakers on Capitol Hill.

“We believe that a lot of their so-called civilian space program is a military program. And I think, in effect, we are in a race,” Nelson said.

He said he hoped Beijing would “come to its senses and understand that civilian space is for peaceful uses,” but added: “We have not seen that demonstrated by China.”

Nelson’s comment came as he testified before the House Appropriations Committee on NASA’s budget for fiscal 2025.

He said the United States should land on the moon again before China does, as both nations pursue lunar missions, but he expressed concern that were Beijing to arrive first, it could say: “‘OK, this is our territory, you stay out.'”

The United States is planning to put astronauts back on the moon in 2026 with its Artemis 3 mission. China says it hopes to send humans to the moon by 2030.

Nelson said he was confident the United States would not lose its “global edge” in space exploration.

“But you got to be realistic,” he said. “China has really thrown a lot of money at it and they’ve got a lot of room in their budget to grow. I think that we just better not let down our guard.”
…

Goma — In the eastern Democratic Republic of Congo, specifically in the Beni and Butembo region, parents are finding it hard getting vaccines for their children. Health care providers report that vaccines have been in short supply for several months, leaving thousands of children unvaccinated. Parents worried about their children’s health are calling on authorities to quickly resolve the situation.

In the town of Butembo, vaccination programs have come to a stop. The head nurse of the Makasi health area, Kambale Wangahikya, confirms the absence of vaccines in certain areas of North Kivu province.

He said they’re missing several vaccines, such as the one that fights pneumonia and helps children fight coughs, and also the vaccine that fights meningitis and mumps. He said that all children born and unborn are therefore still at risk.

This situation creates frustrations for breastfeeding women. One mother, Kasoki, is worried because her infant son has not yet received the BCG vaccine against tuberculosis.

She said she has a 4-month-old baby, but he’s having trouble getting BCG and other vaccines. She went to the hospital four times and couldn’t find anything. The doctors gave her several appointments but when she arrived, she could hardly find anything. She’s worried that her baby will catch serious diseases.

Another mother, Stephanie’s, said she made several trips to health facilities to have her child vaccinated. It was only last week, she said, that her son received his first dose of any vaccine. She told us about the fear she felt.

She said she felt very bad because the vaccine she had been looking for a long time was very important for her child, because if he didn’t get it, he would be exposed to disabilities and diseases when he grew up. She said that the health authorities should force themselves to bring in the vaccines, because this shortage could cause problems for the children later on.

Kasoki Defrose, a nurse at Beni’s university clinic, said that not vaccinating children has consequences for the physical health of newborns. She said that local authorities are working hard to respond to this shortage.

She said that if children aren’t vaccinated against polio, for example, they risk becoming weak and their muscles won’t be strengthened. She said the authorities intend to respond to the shortage soon.

According to officials from the Beni health zone, which oversees dozens of hospitals in the region, over 1,000 children are waiting to be vaccinated in several towns in the Beni and Butembo region.
…

The Biden Administration has launched a new effort to tackle the drug overdose epidemic in the United States, which in 2022 took more than 100,000 lives, according to the U.S. Centers for Disease Control and Prevention. But as VOA’s Veronica Balderas Iglesias reports, some critics say there are some gaps in the government’s strategy to save lives.
…

GENEVA — Decades of progress in sexual and reproductive health are being rolled back with the poorest, most vulnerable members of society at greatest risk of losing out on lifesaving services, according to the 2024 State of World Population report.  

The report, issued Wednesday by the U.N. Population Fund, UNFPA, says, “The data are damning.”  

“Women and girls who are poor, belong to ethnic, racial and indigenous minority groups, or are trapped in conflict settings, are more likely to die because they lack access to timely health care.”  

Thirty years ago, 179 governments that attended the International Conference on Population and Development in Cairo pledged that they would place sexual and reproductive health at the core of sustainable development, to empower women and girls, and achieve gender equality.  

“There was a moment in Cairo when humanity came together in agreement that women should not die while giving life. And this is a worthy pursuit,” Dr. Natalia Kanem, UNFPA executive director, told journalists in Geneva on Monday, in advance of the report’s publication.  

Unfortunately, she said, the promise of Cairo is not being met. Women are still being left behind. That, she added, is happening after a generation of notable achievement in reducing the rate of unintended pregnancy, in lowering maternal deaths by one-third, and in securing laws against domestic violence in more than 160 countries.  

“In the report, we show that inequalities are widening, human reproduction is being politicized. The rights of women, girls and gender-diverse people are the subject of increasing pushback … progress is slowing and by many measures it has stalled completely,” she said.  

“Annual reductions in maternal deaths have flatlined. Since 2016, the world made zero progress in saving women from preventable deaths in pregnancy and childbirth,” she said, noting that 800 women die every day giving birth.  

Instead of being empowered, she said women continue to be repressed and denied their rights. “One woman in four cannot make her own health care decisions, one woman in four cannot say no to sex, and nearly one in 10 are unable to make their own choices about whether or not to use contraception,” she said.  

The report finds racism, sexism, and other forms of discrimination are blocking women’s and girls’ access to sexual and reproductive health and that those living in poor, developing countries are far more likely to die from a lack of services than are women and girls in richer countries.  

The report says African women are most at risk. It says an African woman who experiences pregnancy and childbirth complications is around 130 times more likely to die from them than a woman in Europe or North America.  

It says nearly 500 deaths a day, more than half of all preventable maternal deaths, occur in countries with humanitarian crises and conflicts.  

The report notes that women of African descent across the Americas are more likely to die in childbirth than white women, noting, “In the United States, the rate is three times higher than the national average.”  

Kanem says the data show that “inequalities are killing women,” adding they are dying because “health systems today are weak, tainted by gender inequality, by racial discrimination, and by misinformation.”  

For example, she notes that midwives are undervalued, underpaid and under-supported in male-dominated health systems “even though increasing midwifery coverage could avert more than 40 percent of maternal deaths.”  

“We also see that women of African descent experience higher rates of mistreatment and neglect by health providers. Indigenous women are routinely denied culturally appropriate maternal health care.  

“As a result, these groups are much more likely and, in some places, six times more likely to die in pregnancy or childbirth,” she said.  

Nowhere in the 168-page report does the word “abortion” appear in the text. Kanem explains that as a U.N. entity, UNFPA does not take a position on member state policies and complies with whatever national governments determine “about that procedure.”  

However, she noted that UNFPA believes that, “Where legal in countries it should be safe and accessible and where not legal, it should be clear that post-abortion services, typically presenting as hemorrhage and bleeding, must be available, no matter the legal status. 

“In my mind, it is clear that unsafe abortion, the result of not having contraception … is a leading cause of this stubborn maternal death globally,” indicating that deaths from unsafe abortions are likely to be higher than the data suggest.  

“Often the physician is not going to put ‘unsafe abortion’ on the death certificate. You will see hemorrhage or some other concomitant cause,” she said.  

The report shows that investing in sexual and reproductive health benefits everyone and would contribute trillions of dollars to the global economy.  

Authors of the report say that spending an additional $79 billion in low- and middle-income countries by 2030 “would avert 400 million unplanned pregnancies, save one million lives and generate $660 billion in economic benefits.”
…

…

WARSAW — Thousands of Polish opponents of abortion marched Sunday in Warsaw to protest recent steps by the new government to liberalize the predominantly Catholic nation’s strict laws and allow termination of pregnancy until the 12th week.

Many participants in the downtown march were pushing prams with children, while others were carrying white-and-red national flags or posters representing a fetus in the womb.

Poland’s Catholic Church has called for Sunday to be a day of prayer “in defense of conceived life” and has supported the march, organized by an anti-abortion movement.

“In the face of promotion of abortion in recent months, the march will be a rare occasion to show our support for the protection of human life from conception to natural death,” a federation of anti-abortion movements said in a statement.

They were referring to an ongoing public debate surrounding the steps that the 4-month-old government of Prime Minster Donald Tusk is taking to relax the strict law brought in by its conservative predecessor.

Last week, Poland’s parliament, which is dominated by the liberal and pro-European Union ruling coalition voted to approve further detailed work on four proposals to lift the near ban on abortions.

The procedure, which could take weeks or even months, is expected to be eventually rejected by conservative President Andrzej Duda, whose term runs for another year.

Last month Duda vetoed a draft law that would have made the morning-after pill available over the counter from the age of 15.

A nation of some 38 million, Poland is seeking ways to boost the birth rate, which is currently at 1.2 per woman — among the lowest in the European Union. Poland’s society is aging and shrinking, facts that the previous right-wing government used among its arguments for toughening the abortion law.

Currently, abortions are only allowed in cases of rape or incest or if the woman’s life or health is at risk. According to the Health Ministry, 161 abortions were performed in Polish hospitals in 2022. However, abortion advocates estimate that some 120,000 women in Poland have abortions each year, mostly by secretly obtaining pills from abroad.

Women attempting to abort themselves are not penalized, but anyone assisting them can face up to three years in prison. Reproductive rights advocates say the result is that doctors turn women away even in permitted cases for fear of legal consequences for themselves.

One of the four proposals being processed in parliament would decriminalize assisting a woman to have an abortion. Another one, put forward by a party whose leaders are openly Catholic, would keep a ban in most cases but would allow abortions in cases of fetal defects — a right that was eliminated by a 2020 court ruling. The two others aim to permit abortion through the 12th week.
…

…

MEXICO CITY — A report released by the Mexican government Friday says the country is facing a dire shortage of fentanyl for medical use, even as Mexican cartels pump out tons of the illicit narcotic.

The paradox was reported in a study by Mexico’s National Commission on Mental Health and Addictions. The study did not give a reason for the shortage of the synthetic opioid, which is needed for anesthesia in hospitals, but claimed it was a worldwide problem.

The commission said fentanyl had to be imported, and that imports fell by more than 50% between 2022 and 2023.

Nonetheless, Mexican cartels appear to be having no problem importing tons of precursor chemicals and making their own fentanyl, which they smuggle into the United States. The report says Mexican seizures of illicit fentanyl rose 1.24 tons in 2020 to 1.85 tons in 2023.

Some of that is now spilling back across the border, with an increase in illicit fentanyl addiction reported in some Mexican border regions — a problem Mexico paradoxically blamed on the United States.

“Despite the limitations of availability in pharmaceutical fentanyl in our country, the excessive use of opiates in recent decades in the United States has had important repercussions on consumption and supply in Mexico,” the report states.

The report said that requests for addiction treatment in Mexico increased from 72 cases in 2020, to 430 cases in 2023. That sounds like a tiny number compared to the estimated 70,000 annual overdose deaths in the United States in recent years related to synthetic opioids. But in fact, the Mexican government does very little to offer addiction treatment, so the numbers probably don’t reflect the real scope of the problem.

The shortage of medical anesthetic drugs has caused some real problems in Mexico.

Local problems with the availability of morphine and fentanyl have led anesthesiologists to acquire their own supplies, carry the vials around with them, and administer multiple doses from a single vial to conserve their supply.

In 2022, anesthetics contaminated by those practices caused a meningitis outbreak in the northern state of Durango that killed about three dozen people, many of whom were pregnant women given epidurals. Several Americans died because of a similar outbreak after having surgery at clinics in the Mexican border city of Matamoros in 2023.

The response by the administration of President Andrés Manuel López Obrador to those twin problems — not enough legal fentanyl, and too much of the illicit stuff — has been contradictory.

In 2023, López Obrador briefly proposed banning fentanyl even for medical use but has not mentioned that idea lately after it drew a wave of criticism from doctors.

Meanwhile, the president has steadfastly denied that Mexican cartels produce the drug, despite overwhelming evidence that they import precursor chemicals from Asia and carry out the chemical processes to make fentanyl. López Obrador claims they only press the drug into pill form.
…

Islamabad — The recent detection of poliovirus in sewage water samples collected across 30 districts in Pakistan has reignited concerns about a potential surge in polio cases.

Among those deeply troubled is Musal Khan, a polio survivor who navigates life in a wheelchair. Having represented Pakistan in wheelchair cricket at the global level, Musal Khan doesn’t want others to endure the same hardships he has faced.

Reflecting on his own experience, Khan, who contracted polio at age 2, told VOA, “My father didn’t permit polio vaccination for me, leading to a lifetime confined to a wheelchair.”

Khan urges all parents to give polio drops to their children and protect them from lifelong disabilities.

His father, Awal Khan, carries a heavy burden of guilt for his son’s condition. He joins Musal in urging parents not to obstruct polio workers and health officials from administering the vaccine to their children.

Polio, a highly contagious viral illness primarily affecting children under 5, spreads through feces, oral transmission or contaminated food and water. While incurable, it can be prevented through vaccination. Health experts warn that the poliovirus is a persistent presence in Pakistan, particularly in urban centers such as Karachi, Quetta and Peshawar.

Plan to eradicate polio

Shahzad Baig, the coordinator of the National Emergency Operations Center, has outlined Pakistan’s goal of eradicating imported strains of the poliovirus, particularly those originating from neighboring Afghanistan, by the end of 2024.

To achieve this, he announced the implementation of eight comprehensive polio vaccination campaigns scheduled throughout the year.

Despite concerted efforts, the recent emergence of two polio cases in Chaman and Dera Bugti underscored the challenges facing Pakistan. Moreover, alarming findings from the analysis of more than 83 sewage water samples collected across 30 districts have revealed the presence of the virus.

Baig emphasized the importance of vaccination efforts considering these findings. He noted that even in areas where polio drops are administered, children remain susceptible to the virus due to deficiencies in the drainage infrastructure. Broken sewer lines contribute to the contamination of drinking water sources, facilitating the transmission of polio.

Baig stressed the urgent need for comprehensive measures to address not only vaccination coverage but also the improvement of sanitation infrastructure to prevent the spread of poliovirus.

This story originated in VOA’s Urdu Service.
…

The U.S. military says large groups of drones and ground robots can be managed by just one person without added stress to the operator. As VOA’s Julie Taboh reports, the technologies may be beneficial for civilian uses, too. VOA footage by Adam Greenbaum.
…

Reproductive rights are again at the forefront of the U.S. presidential campaign, as Republican candidate Donald Trump distances himself from an Arizona Supreme Court decision to ban most abortions in the state. VOA’s Scott Stearns has the story.
…