Former Ebony Editor Author Lerone Bennett Jr. Dies at 89

Lerone Bennett Jr., an African-American history author and former editor of Ebony magazine, has died at age 89.

A.A. Rayner and Sons Funeral Home in Chicago said Thursday that Bennett died Tuesday. Ebony magazine tells the Chicago Sun-Times that Bennett had vascular dementia.

The Rev. Jesse Jackson on Thursday called Bennett an “activist historian” and said “a global force for justice he was, a mighty pen he had.”

Bennett grew up in Jackson, Mississippi, and worked on his high school newspaper and edited the student newspaper at Morehouse College, where he went to school with Martin Luther King Jr. Bennett went on to work at the Atlanta Daily World before joining Jet and then Ebony. He worked at Ebony for about 50 years.

“He was the guiding light for the editorial vision of Ebony,” Ebony CEO Linda Johnson Rice said Wednesday. “Lerone was not just essential in the formation of Ebony’s historic trajectory, he was a pillar in the black community.”

Bennett chronicled the civil rights movement. Among his books was “What Manner of Man, a Biography of Martin Luther King, Jr.,” along with “Before the Mayflower: A History of Black America” and “The Shaping of Black America.”

Bennett took on national roles, including as a member of President Bill Clinton’s Committee on the Arts and Humanities and as an early adviser to the Smithsonian’s National Museum of African American History and Culture. His footprints are in pavement at the International Civil Rights Walk of Fame in Atlanta.

Bennett’s wife, Gloria, was a Jet journalist. She died in 2009. He is survived by three children.

Olympians Balance Parenthood With Chasing Career Goals

After finishing her fourth Winter Games in Sochi, Kikkan Randall decided: It was time to have a baby. But the cross-country skiing champion wasn’t ready to give up her Olympic goals.

 

So, at 32, she looked at the calendar and plotted her window: 2016, a gap year. No World Cup circuit and no Olympics. If things worked out as planned, Randall could get pregnant, give birth and be back in competition and qualify for Pyeongchang.

 

It’s the kind of calculation many ambitious career women are forced to make. For the three-time World Cup Sprint Champion regarded as a pioneer of American women’s skiing, there was one more challenge ahead before retirement: Pushing herself to a fifth and final Olympics after having a child.

 

“I’d worked really hard to get the pinnacle of skiing … I knew I couldn’t wait another four years to start a family,” said Randall, now 35, whose record-setting resume has earned her the nickname “Kikkanimal.”

 

“I’d had an amazing career up to that point,” Randall said. “I just felt like, in a sport like cross-country, where it takes so many years to develop to your top potential, I didn’t want to have to make the choice of career or family. I had a feeling I would be able to come back to skiing stronger, but it was definitely an unknown. If I had to pick one season to miss, it was a good one.”

 

Randall did get pregnant in 2015. Her son, Breck, was born the following spring . She is the only mother on the U.S. Olympic Team, which also has 20 fathers this year.

 

When Randall returned to competition in 2016, she wasn’t the only new mom on skis. Randall and her friend and competitor, Aino-Kaisa Saarinen of Finland, gave birth within two weeks of each other. Marit Bjoergen of Norway — regarded as the best woman in the sport — had her child four months earlier. French skiers Aurora Jean, Anouk Faivre-Picon and Caroline Hugue, and Slovenia’s Katja Visnar had new babies, too.

 

Most are competing in Pyeongchang, and have had to balance the challenges of parenthood and career with the help of fellow athletes, friends and family — and not always with the support of their workplace.

 

“It’s a sport that requires so much time,” said Randall’s husband, former Canadian race skier Jeff Ellis . “It’s impressive what they’ve done as moms.”

 

For Randall, skiing has often come first. When she married in 2008, there was training season to consider — along with the Alaska spring. She and Ellis wed at the beginning of May, shortly after both seasons began. One of her coaches officiated the ceremony.

 

After a couple of tries, Randall conceived in August 2015. She trained throughout her pregnancy, sticking to a shortened version of her twice-a-day routine, including running through her seventh month, interval training to keep her heart rate up, and weight training — which got her some funny looks in the gym as her belly grew.

 

Randall delivered Breck in April and , like many moms, was back at work after six weeks, missing only a month of the training season. She would pump breast milk between workouts, time feedings around her training, and bring Breck along in a baby jogger for hikes and runs. Easing the transition was a supportive husband, who works only in the winter, and Randall’s parents, who live close by in Anchorage.

 

“In today’s world it’s kind of the only way you can do it,” said her father, Ronn Randall, 68. “This is just a little bit on steroids here. But when she discussed it with us, I thought it was a completely natural thing to do. I knew it could have an impact on her career, but you don’t want a career to have an impact on your life, either.”

 

When Randall returned to the World Cup circuit in 2016, Breck was also in tow, along with both sets of grandparents. With several moms competing, race organizers set up a baby room at venues for breastfeeding or changing diapers. Extra credentials were made available for caretakers, who were also able to take advantage of the team rate for accommodations.

 

“It was the first time they’d ever done something like that,” Randall said.

 

There was also a new camaraderie among the ski moms, who set up a Facebook group for support and updates.

 

Randall had hoped to bring Breck to Pyeongchang for her final Games, but the cost of family housing proved too expensive. The 22-month old is with her husband’s parents in Canada.

 

Randall said she sees an opportunity for the International Olympic Committee to do more to support athletes who are also parents.

 

“I haven’t experienced it from the men’s side, but there are unique challenges when you’re a mother,” she said. “We’re not talking about 500 athletes here; we’re talking about maybe 10 mothers, more if we include fathers, and not everyone’s going to take advantage of it. It allows families to be close.”

 

IOC spokeswoman Emmanuelle Moreau said assistance for athletes is typically provided by their national Olympic committees.

 

Still, Ellis said after watching his wife over the past two years, it’s doable.

 

“You don’t have to choose one or the other,” he said. “If anything, she’s a more balanced athlete than she was prior to [having Breck].”

 

While she is hopeful for her Olympic prospects this year, as she heads into retirement, Randall said she already considers her decision “a really successful experiment.” She wants to encourage other women athletes who may also find themselves at this point.

 

“I’m blending the two most important things in my life: My family and my skiing,” Randall said. “It’s great to have another thing turn out so well.”

 

Pay-As-You-Go Service Offers Smartphone Access to the Cash-Strapped

Until recently, Javier, a 60-year-old line cook, couldn’t afford a smartphone.

Now, thanks to a Silicon Valley company, Javier has a Galaxy S8, one of Samsung’s high-end smartphones. Javier said he relies on it for everything.

Once a month, he walks into a mobile phone store near San Francisco and makes a cash payment. If he didn’t, the phone would be remotely locked. No YouTube, no Skype calls, no Facebook. He has never missed a payment.

 

WATCH: Pay-As-You-Go Smartphone Gives the Poor Access to Better Technology

Smartphones out of many people’s reach

Around the world, people rely more and more on their smartphones for connecting to the internet, and yet for many, the device is still cost prohibitive. For the roughly 1 in 10 American consumers without financial identities — no banking history or credit scores — it is difficult to get smartphones on one of the low-cost payment plans offered by the major carriers.

Javier, who declined to give his last name because he is an undocumented immigrant, is on his third phone from PayJoy, a company founded by former Google employees. PayJoy offers a pay-as-you-go model for the smartphone market aimed particularly at customers with little or bad credit histories.

“We work with immigrants from all over the world coming to the U.S., and we work with Americans who are just outside the financial system,” said Doug Ricket, PayJoy’s chief executive, who worked in the pay-as-you-go solar industry in Africa. “They can afford $10 a week, and they can get a great smartphone. And for PayJoy, we say, ‘Welcome to the 21st century and get all the modern apps.’”

A new way to figure out a person’s credit risk

PayJoy figures out a person’s risk differently than most companies. A customer provides a Facebook profile, a phone number and some sort of official government ID. PayJoy decides the person’s risk level before offering him or her credit for a phone. Then, a customer picks a payment plan and makes a down payment. PayJoy’s research has found that a Facebook profile can be useful in establishing a person’s identity.

“We’re starting from this pool of people who have no traditional credit score and we’re saying for most of them, we can actually find something that the credit agencies are not finding,” Ricket said.

No payment means no YouTube

If a customer doesn’t pay by 5 p.m. the day payment is due, PayJoy remotely locks the phone. A customer can only make emergency calls or call PayJoy’s customer service. The customer can see that friends are texting or messaging on Facebook, but cannot open the phone to read the messages.

“Now, when we look internationally, we see more people going from a flip phone to smartphones, and people upgrading from a really basic level to one that can handle Facebook, maps and Instagram,” Ricket said.

If customers stop paying, they can return the phone without penalty. But if they do pay off the phone, they can qualify for an even better one. PayJoy makes its money by charging monthly interest — as high as 50 percent in some cases — on the retail price of the phone.

Expanding into Africa, Asia and India

The company is operating in the United States and Mexico and has plans to expand into Kenya, Tanzania, southeast Asia and India. So far, PayJoy offers only smartphones running Android, the operating system created by Google, but Ricket hopes to offer iPhones one day.

PayJoy’s vision is to be not just a smartphone firm, but a financing company, offering customers a way to use their phones as collateral to pay off televisions and other household goods.

“Once the customer gets the smartphone, they can potentially use that smartphone either by buying the smartphone with PayJoy or just collateralize an existing smartphone to finance a TV or a sofa,” Ricket said.

If PayJoy takes off, people in emerging markets may be able to upgrade their phone choices, and have a new way to finance their purchases.

Pay-As-You-Go Smartphone Gives the Poor Access to Better Technology

In the U.S. and around the world, many poor people don’t have access to smartphones. But a Silicon Valley company is offering phones to customers in the U.S. and Mexico who pay in installments. If they don’t pay, the phone is turned off remotely. VOA’s Michelle Quinn reports.

First Blood Test to Help Diagnose Brain Injuries Gets US OK

The first blood test to help doctors diagnose traumatic brain injuries has won U.S. government approval.

The move means Banyan Biomarkers can commercialize its test, giving the company an early lead in the biotech industry’s race to find a way to diagnose concussions.

The test doesn’t detect concussions and the approval won’t immediately change how patients with suspected concussions or other brain trauma are treated. But Wednesday’s green light by the Food and Drug Administration “is a big deal because then it opens the door and accelerates technology,” said Michael McCrea, a brain injury expert at Medical College of Wisconsin.

The test detects two proteins present in brain cells that can leak into the bloodstream following a blow to the head. Banyan’s research shows the test can detect them up within 12 hours of injury. It’s designed to help doctors quickly determine which patients with suspected concussions may have brain bleeding or other brain injury.

Patients with a positive test would need a CT scan to confirm the results and determine if surgery or other treatment is needed. The test will first be used in emergency rooms, possibly as soon as later this year, but Banyan’s hope is that it will eventually be used on battlefields and football fields.

FDA Commissioner Dr. Scott Gottlieb said the test fits with the agency’s goals for delivering new technologies to patients and reducing unnecessary radiation exposure.

The test “sets the stage for a more modernized standard of care for testing of suspected cases,” Gottlieb said in a statement.

Traumatic brain injuries affect an estimated 10 million people globally each year; at least 2 million of them are treated in U.S. emergency rooms. They often get CT scans to detect bleeding or other abnormalities. The scans expose patients to radiation, but in many patients with mild brain injuries including concussions, abnormalities don’t show up on these imaging tests.

With Department of Defense funding, Banyan’s research shows its Brain Trauma Indicator can accurately pick up brain trauma later found on CT scans. It also shows that absence of the two proteins in the test is a good indication that CT scans will be normal. That means patients with negative blood tests can avoid CT scans and unnecessary radiation exposure, said Dr. Jeffrey Bazarian, a University of Rochester emergency medicine professor involved in Banyan’s research.

Bazarian called the test “a huge step” toward devising a blood test that can detect brain injuries including concussions.

Dr. Walter Koroshetz, director of the National Institute of Neurological Disorders and Stroke, and other brain injury experts say the test isn’t sensitive enough to rule out concussions.

“This may be a beginning. It’s not the pot of gold at the end of the rainbow,” Koroshetz said.

That prize would be a test that could detect and guide treatment for concussions and traumatic brain injuries, similar to a blood test that hospitals commonly use to evaluate suspected heart attacks, Koroshetz said.

“That’s what we’d like to have for the brain,” he said.

San Diego-based Banyan has partnered with French firm bioMerieux SA to market the test to hospitals using that company’s’ blood analyzing machines.

Other companies are developing similar blood tests to detect brain injuries. Abbott has licensed both protein biomarkers from Banyan and is developing its own blood tests. BioDirection is developing a test involving one of the proteins in Banyan’s test plus another one and using a portable device that can yield results from a single drop of blood in less than two minutes.

Quanterix is also working to develop a blood test to diagnose concussions and other brain injuries. It has licensed the use of both proteins in Banyan’s test to be used with its own technology.

Flu-stricken Texas Teacher’s Death Puts Focus on Antivirals

A Texas elementary school teacher who died almost a week after getting sick from the flu became a talking point online after her husband said she didn’t immediately fill her prescription for an antiviral drug after deeming the $116 insurance co-pay too high.

While her husband told the Wall Street Journal that he picked up the prescription the day after she refused it and she then started taking the medication, Heather Holland, 38, died three days later on Feb. 4. 

Doctors told The Associated Press that while it’s ideal to start taking antiviral medication as quickly as possible, it’s no guarantee that one’s condition will not drastically worsen.

Antivirals make it “not zero, but less likely” that complications will develop, said Dr. William Schaffner, infectious diseases specialist at the Vanderbilt University Medical Center in Nashville, Tennessee, who added, “antivirals are not a magic potion.”

Frank Holland of Willow Park, just west of Fort Worth, told the newspaper that his wife, a second-grade teacher, came home feeling a bit sick Jan. 29. The mother of two went to work in nearby Weatherford on Jan. 30 but by evening had a fever. 

She went to the doctor on Jan. 31. Frank Holland said a rapid flu test was positive for influenza B. The doctor wrote her a prescription for oseltamivir phosphate, a generic form of the antiviral medication Tamiflu.

Frank Holland told the Wall Street Journal that they had the money, but she was frugal and didn’t want to fill it. 

She went to a Fort Worth hospital on Feb. 2. The following day, blood tests showed she had sepsis, a complication of infections, he said.

Antiviral drugs – when taken within 48 hours after becoming sick – can lessen symptoms, shorten the time one is sick by about one day and reduce complications. 

“There are people who are going to do very well, regardless of getting Tamiflu or not. There are people that are going to do very poorly, regardless of getting Tamiflu or not. And then there’s kind of the middle segment of the population where Tamiflu really may push them to the right outcome,” said Dr. Luis Ostrosky, an infectious disease expert with McGovern Medical School at UTHealth and Memorial Hermann-Texas Medical Center in Houston.

Dr. Trish Perl, chief of infectious diseases at UT Southwestern Medical Center in Dallas, said that “in some cases it may be useful” to give patients an antiviral even after the 48-hour onset. 

The Centers for Disease Control and Prevention said the flu shot is the best way to prevent seasonal flu. Frank Holland said he couldn’t remember whether she got a flu shot this season. Generally, he said, they’ve both been “pretty healthy.”

Study: Partial Dose of Yellow Fever Vaccine Provides Protection

When stockpiles of yellow fever vaccine run low, partial doses are effective, according to a new study.

The report on the vaccine, which currently is in short supply, comes as officials in Brazil attempt to contain an outbreak with what they describe as the largest-ever mass vaccination campaign using partial doses.

Yellow fever is a mosquito-borne viral disease found in tropical Africa and South and Central America. Severe cases can cause jaundice and death, but most cases involve fever, muscle pain and vomiting.

Congo outbreak, experiment

During a major outbreak in the Democratic Republic of the Congo in 2016, the government aimed to prevent the disease from spreading in the capital, Kinshasa. Health officials launched a mass vaccination campaign targeting 7.6 million people.

But the outbreak had depleted vaccine stockpiles. Hoping to stretch the available supply, the World Health Organization reviewed the small number of available studies on using reduced doses and recommended using one-fifth of a dose per person.

It seemed to work.

Researchers took blood samples from more than 700 people before and after they received the partial dose. In the new study, published in the New England Journal of Medicine, nearly all of those vaccinated with the lower dose developed enough antibodies to the virus to prevent infection.

“That was the encouraging thing, that this can be done as a potential way — when there’s supply limitations on the vaccine — to help potentially control an outbreak,” said study co-author Erin Staples at the U.S. Centers for Disease Control and Prevention.

Hundreds infected

More than 350 people have become infected with yellow fever in Brazil since late last year, and health officials have launched a campaign targeting nearly 24 million people with a one-fifth dose of the vaccine.

Staples says the new study is good news for controlling outbreaks like Brazil’s in the short term. But, she notes, “We still need some information about how long immunity will last.”

A full dose of yellow fever vaccine provides lifelong immunity. Researchers will continue to study how long people who received partial doses are protected.

Rights Group Sounds Alarm Over Chechnya’s Role in Soccer World Cup

Human Rights Watch has said world soccer’s governing body must tackle rights abuses in Russia’s Chechnya region now that one of the teams in this year’s World Cup in Russia has chosen Chechnya as the location for its base camp.

Rights groups and Western governments allege that the authorities in Chechnya repress their political opponents, discriminate against women and persecute sexual minorities, all allegations that Chechnya’s leaders deny.

The region is not hosting any World Cup matches, but the world governing body, FIFA, said that the Egyptian national team will use the Chechen capital, Grozny, as their base between matches.

“This suddenly makes Chechnya, which was not on the list of Russia’s World Cup regions, one of the World Cup sites,” Tatyana Lokshina, Russia Program Director for Human Rights Watch, told Reuters Television.

“Chechnya has been run by Ramzan Kadyrov, a ruthless strongman who with the blessing of the Kremlin has been ruling it with an iron fist through brutal repression for over a decade,” said Lokshina.

“FIFA must understand that the situation with human rights in Chechnya is indeed so dire that unless something gets done without delay it’s going to cast an ominous shadow on the World Cup,” she said.

Contacted by Reuters on Wednesday, a spokesman for Kadyrov said the stance adopted by Human Rights Watch was unfounded.

“These conclusions are not based on anything, they are not grounded in the real situation in the Chechen Republic,” said the spokesman, Alvi Karimov.

“I can state with full responsibility that the Chechen Republic is a more worthy location than all the places where World Cups have been conducted up to his point.”

FIFA said in an emailed statement to Reuters that “there should be no doubt that in line with its Human Rights Policy, FIFA condemns discrimination of any form.”

“When FIFA was confronted with the incidents in Chechnya last year, we strongly condemned them,” it added. FIFA confirmed it had received a letter from Human Rights Watch over the matter and said it would respond shortly.

The Egyptian team manager, Ihab Leheta, said that the choice of Grozny was endorsed by FIFA, and that the city had the right facilities for the squad.

He told Reuters any reservations about Chechnya as a venue should be addressed to FIFA and not to the Egyptian team. “For us the place is good and calm, the people are welcoming us,” Leheta said of the Chechen capital.

According to FIFA, the Egypt squad will stay in a newly built hotel in Grozny and train at the nearby stadium, Akhmat Arena. It is named after Chechnya’s former leader, and Ramzan Kadyrov’s father, Akhmad Kadyrov, who was assassinated in a 2004 bomb attack.

Uber’s Net Loss Widens to $4.5B for Tumultuous 2017

Ride-hailing giant Uber’s full-year net loss widened to $4.5 billion in 2017 as the company endured a tumultuous year that included multiple scandals, a lawsuit alleging the theft of trade secrets and the replacement of its CEO.

The results also showed that Uber cut its fourth-quarter net loss by 25 percent from the third quarter as new CEO Dara Khosrowshahi moves to make the company profitable ahead of a planned initial public stock offering sometime next year.

The full-year loss grew from $2.8 billion in 2016, a year with results skewed by a gain from the sale of Uber’s unprofitable business in China. Uber also said its U.S. ride-hailing market share fell from 82 percent at the start of last year to 70 percent in the fourth quarter. Uber said the share has now stabilized.

Gross revenue for the year rose 85 percent over 2016, to $37 billion.

For the fourth quarter, Uber’s net loss was $1.1 billion, down from $1.46 billion it lost in the third quarter. Bookings from fares rose 14 percent to just over $11 billion for the quarter.

While the losses are significant, the results still are positive for Uber with revenue rising and losses falling in three of four quarters in 2017, said Rohit Kulkarni, managing director of SharesPost, a research group focused on privately held companies.

The numbers show that Uber under Khosrowshahi is on a path toward profitability and a sustainable economic model, Kulkarni said. “If you draw that out further, a year from now, this could be a significant IPO waiting to happen,” he said.

Uber considers adjusted earnings before taxes as a better indicator of its financial performance rather than net earnings based on Generally Accepted Accounting Principles, which include losses for accounting purposes. On an adjusted basis, excluding stock-based compensation, legal costs, taxes and depreciation, the company lost $2.2 billion for the full year. The fourth-quarter adjusted loss was $475 million, down from $606 million to in the third quarter.

San Francisco-based Uber Technologies Inc.’s results are difficult to report because only pieces are released. Khosrowshahi detailed them on a conference call with investors Tuesday, and the company made some results public by giving them to a website called The Information.

A person briefed on the results provided some numbers and confirmed the accuracy of The Information’s story to The Associated Press on Wednesday. The person didn’t want to be identified because Uber remains a private company.

Last year was a particularly bad one for Uber with its reputation tarnished by the company’s acknowledgement of rampant sexual harassment within its ranks, a yearlong cover-up of a major computer break-in, and the use of duplicitous software to thwart government regulators.

CEO Travis Kalanick was ousted in June and replaced by Khosrowshahi in August.

Earlier this month Uber ended the autonomous vehicle trade secrets lawsuit filed by Alphabet Inc.’s Waymo for a payment of Uber stock valued by Waymo at $245 million.

How Best to Treat Opioids’ Youngest Sufferers? No One Knows

Two babies, born 15 months apart to the same young woman overcoming opioid addiction. Two very different treatments.

 

Sarah Sherbert’s first child was whisked away to a hospital special-care nursery for two weeks of treatment for withdrawal from doctor-prescribed methadone that her mother continued to use during her pregnancy. Nurses hesitated to let Sherbert hold the girl and hovered nervously when she visited to breast-feed.

 

Born just 15 months later and 30 miles away at a different South Carolina hospital, Sherbert’s second child was started on medicine even before he showed any withdrawal symptoms and she was allowed to keep him in her room to encourage breast-feeding and bonding. His hospital stay was just a week.

 

“It was like night and day,” Sherbert said.

 

The different approaches highlight a sobering fact: The surge has outpaced the science, and no one knows the best way to treat the opioid epidemic’s youngest patients.

 

Trying to cope with the rising numbers of affected infants, hospitals around the United States are taking a scattershot approach to treating the tremors, hard-to-soothe crying, diarrhea and other hallmark symptoms of newborn abstinence syndrome.

 

“It’s a national problem,” said Dr. Lori Devlin, a University of Louisville newborn specialist. “There’s no gold-standard treatment.”

 

With help from $1 million in National Institutes of Health funding, researchers are seeking to change that by identifying the practices that could lead to a national standard for evidence-based treatment. A rigorous multi-center study comparing treatments and outcomes in hard-hit areas could start by the end of this year, said Dr. Matthew Gillman, who is helping lead the effort.

 

“When there’s so much variability in practice, not everyone can be doing the very best thing,” Gillman said.

 

Once the umbilical cord is cut, babies born to opioid users are at risk for developing withdrawal symptoms. By some estimates, one infant is born with the condition in the U.S. every 25 minutes. The numbers have tripled since 2008 at a rate that has solid medical research comparing treatments and outcomes struggling to keep pace.

 

Not all opioid-exposed babies develop the syndrome, but drug use late in a pregnancy increases the chances and can cause dependence in fetuses and newborns. These infants are not born with addiction, which experts consider a disease involving compulsive, harmful drug-seeking behavior. But the sudden withdrawal of opioids from their mothers may cause increased production of neurotransmitters, which can disrupt the nervous system and overstimulate bodily functions. Symptoms can last for months.

 

The condition can result from a mother’s use of illicit drugs, but it also can stem from mothers being prescribed methadone or other anti-addiction medicine. Doctors believe the benefits of that treatment for the mothers outweigh any risks to their infants.

 

The Centers for Disease Control and Prevention doesn’t routinely track the condition, but the agency’s most recent data — from 2014 — indicates that the syndrome affects nearly 11 in every 1,000 U.S. births. The CDC said it is working with the March of Dimes and several states to get a better picture of the number of affected infants and how they fare developmentally and academically into childhood.

 

Some studies have suggested possible increased risks for developmental delays and behavior problems, but no research has been able to determine if that’s due to mothers’ drug use during pregnancy, infants’ treatment after birth or something completely unrelated. And there’s no definitive evidence that these children fare worse than unexposed youngsters.

 

“It’s very, very frustrating” not knowing those answers, Devlin said. “It’s such a difficult population to go back and do research on. They’re people who often don’t trust the system, often people who have had lots of trauma in their lives.”

 

Treatment aims to reduce or even prevent symptoms. Some hospitals use morphine drops, while others use methadone and sometimes sedatives. Some send the babies straight to newborn intensive care units and some focus on comfort care from moms, allowing them to room-in with their infants. A recently published Dartmouth-Hitchcock Medical Center analysis linked rooming-in with less medication use and shorter hospital stays for infants, but it can be difficult if mothers are still in the throes of addiction.

 

A Florida hospital is even testing tiny acupuncture needles on affected infants.

 

Many hospitals use a 40-year-old scoring system to measure 21 symptoms and frame diagnosis and treatment length, but some have created their own scales.

 

The Government Accountability Office’s health care team has called for federal action to address the issue, saying the current recommendations from the U.S. Health and Human Services Department amount to a half-baked strategy lacking priorities and a timeline for implementation.

 

The department’s recommendations include education for doctors and nurses to teach them how to manage affected infants, along with an emphasis on non-drug treatment.

 

Katherine Iritani, director of the GAO’s health care team, said government officials have since indicated that they are convening experts to develop and finalize a plan by March 15.

 

“We’ll review it and make sure it’s responsive to our recommendations,” she said.

 

A separate GAO report released last week recommended beefed-up government guidance to help states implement programs that ensure safe care for opioid-affected infants and treatment for parents still struggling with drug use.

 

Medicaid pays for more than 80 percent of costs for treating affected babies, totaling about $1 billion in 2012, the GAO has found.

 

At Greenville Memorial Hospital, where Sarah Sherbert’s son was delivered two years ago, babies born to methadone users are given that drug before symptoms start and are sent home with a supply to continue treatment.

 

Clemson University research has showed that approach could reduce hospital stays by nearly half, to an average of eight days costing $11,000 compared with the state average of 15 days at a cost of $45,000.

 

“The baby has already been exposed to methadone for nine months so adding four to five weeks and making weaning gentle instead of quitting cold turkey we think won’t have any additional effect on babies’ brain development,” said Dr. Jennifer Hudson, who developed the treatment approach.

 

Sherbert, 31, said her drug use began eight years ago after she was prescribed opioid painkillers for injuries from a car accident. She was on methadone prescribed by her doctor when her daughter, now 3, was born.

 

She later lost custody after relapsing and her parents are caring for the children. Sherbert said she has been sober for a year and recently was promoted to supervisor at her job. She said she’s determined to get them back.

 

“I’ve worked so hard and come such a long way,” she said. “Seeing their little faces — that’s worth every bit of it.”

 

 

 

Fries, Not Flowers: Fast-Food Chains Try to Lure Valentines

Is that love in the air or french fries? White Castle, KFC and other fast-food restaurants are trying to lure sweethearts for Valentine’s Day.

It’s an attempt to capture a bit of the $3.7 billion that the National Retail Federation expects Americans to spend on a night out for the holiday. Restaurant analyst John Gordon at Pacific Management Consulting Group says it appeals to people who don’t want to splurge on a pricier restaurant. And some customers enjoy it ironically.

White Castle, which has been offering Valentine’s Day reservations for nearly 30 years, expects to surpass the 28,000 people it served last year. Diners at the chain known for its sliders get tableside service and can sip on its limited chocolate and strawberry smoothie. KFC is handing out scratch-and-sniff Valentine’s Day cards that give off a fried chicken aroma to diners who buy its $10 Chicken Share meals or a bucket full of Popcorn Nuggets.

Panera Bread wants couples to get engaged at its cafes; those who do can win food for their weddings from the soup and bread chain. And Wingstop sold out of its $25 Valentine’s Day kit, which came with a gift card and a heart-shaped box to fill with chicken wings. The company says 1,000 of the kits were gone in 72 hours.

US Inflation Increases Most in a Year

The U.S. on Wednesday reported its biggest increase in consumer prices in a year, pushing stocks lower in early trading.

The consumer price index, which follows the costs of household goods and services, advanced by a half percentage point in January, up from two-tenths of a point in December.

The January increase pushed the year-over-year inflation rate up by 2.1 percent. It was the same 12-month rate recorded in December, increasing fears among investors that firming inflation, along with increasing wages paid to American workers, could lead policymakers at the country’s central bank, the Federal Reserve, to boost interest rates at a faster pace.

The Labor Department said consumer prices, minus the volatile changes in food and energy costs, rose three-tenths of a percentage point in January, the largest increase since January 2017. Analysts had been expecting an increase of 0.2 percent.

Stock indexes were lower at the start of Wednesday, with the key Dow Jones industrial average falling about a third of a percentage point after a string of recent days with massive swings between losses and gains.

Reviving Traditional Treatment, Polish Company Breeds Leeches for Export

The use of blood-sucking leeches in treating disease may seem like a relic of the Middle Ages, but one Polish company says there is growing demand by doctors for the worms. Faith Lapidus reports.

NYC E-Bike Ban is Disaster for Immigrant Delivery Workers

Electric powered bicycles, known as “e-bikes,” are a common sight among New York’s immigrant delivery workers, who consider the bikes a necessity to make a living wage. The problem is, they’re illegal to operate in the city, creating a dilemma for these immigrants who feel they have no alternative employment options. VOA’s Ramon Taylor and Ye Yuan report.

‘Can You Dig It?’ Africa Reality Show Draws Youth to Farming

As a student, Leah Wangari imagined a glamorous life as a globe-trotting flight attendant, not toiling in dirt and manure.

 

Born and raised in Kenya’s skyscraper-filled capital, Nairobi, the 28-year-old said farming had been the last thing on her mind. The decision to drop agriculture classes haunted her later, when her efforts in agribusiness investing while running a fashion venture failed.

 

Clueless, she made her way to an unusual new reality TV show, the first of its kind in Africa. “Don’t Lose the Plot,” backed by the U.S. government, trains contestants from Kenya and neighboring Tanzania and gives them plots to cultivate, with a $10,000 prize for the most productive. The goal: Prove to young people that agriculture can be fun and profitable.

 

“Being in reality TV was like the best feeling ever, like a dream come true for me,” Wangari said. But she found it exhausting. As callouses built up on her hands, her friends made bets that she wouldn’t succeed.

 

“Don’t Lose the Plot” is aimed at inspiring youth in East Africa to pursue agribusiness entrepreneurship. Producers said the show wants to demystify the barriers to starting a small business and challenge the prejudices against farming-related careers, even as many youths flee rural areas for urban ones.

“What we hope to achieve … is first to show people that you can make money out of farming, to change the age profile of farmers in Africa from 60 to the youth. And the next thing we want to do is to show farmers, young farmers, that they can use their mobile and technology in order to farm and achieve their goals,” producer Patricia Gichinga said. The show also offers training via online platforms and text message.

 

Attracting people to agriculture is no small challenge in Africa, where a booming young population is often put off by the image of punishing work and poor, weather-beaten farmers.

 

“Most young Africans think of farming as back-breaking labor that pays peanuts,” former Nigerian President Olusegun Obasanjo, the committee chair for the $100,000 annual Africa Food Prize and a farmer himself, wrote in the New African magazine last year. “This view, though largely inaccurate, is to some extent understandable.”

 

If Africa’s youth, who make up about 65 percent of the population, don’t venture into agribusiness, “then there is little chance that agriculture will have a transformative impact on the continent’s fortunes,” Obasanjo wrote.

 

Most experts agree that farming growth can boost African economies by increasing trade, creating more jobs and improving food self-sufficiency on a continent with the highest occurrence of food insecurity in the world.

 

But much of the potential remains untapped. Africa has over 60 percent of the world’s fertile but uncultivated land while importing $35 billion to $50 billion in food per year, the Alliance for the Green Revolution in Africa says . Weak or corrupt land governance is a challenge, as well as conflict.

 

Yields for major crops remain low compared to other regions of the world. Change must come by empowering the smallholder farmers who produce 80 percent of the food consumed on the continent, the organization says.

Now Wangari is one of them. After placing second in “Don’t Lose the Plot,” she became a full-time mushroom farmer.

 

In a damp structure of mud and clay on the outskirts of Nairobi, she has harvested her first crop and is preparing for her second. She had expected to make a $2,500 profit but took in $1,000 instead after mites from a nearby chicken house invaded and lowered her yield.

 

“When I see young men in the village now sitting idle I feel disappointed because there is a lot of idle land and they can use it to make ends meet,” she said. “They don’t require a lot of capital but they don’t have the information.”

Land Fight Simmers Over Brasilia’s Shrine of Shamans

Brasilia – It is one of the most expensive areas in the Brazilian capital – and one of the most sacred.

A plot in downtown Brasilia – known as Santuário dos Pajés or Shrine of the Shamans – is at the center of a conflict between indigenous people hoping to preserve their traditional way of life and developers eager to build an upmarket neighborhood.

While property is often contested in Brazil, it is usually waged over remote jungles or distant mountains – vast swaths of land that can be mined or farmed for profit.

This conflict centers on Brasilia’s urban power base. Just minutes from the National Congress, the Shrine of the Shamans – with its unpaved roads, forest and small houses – sits surrounded by lavish high rises.

Indigenous residents say they feel cornered by the encroaching developers, with multiple interests fighting over the last undeveloped plot in Brasilia, a planned city known for its futuristic buildings designed by Brazilian architect Oscar Niemeyer.

“The sanctuary has been an indigenous land for more than 40 years. We have been fighting for its demarcation,” indigenous leader Márcia Guajajara told the Thomson Reuters Foundation inside the Shrine.

“When the developers arrived, we were already here. They think that money always wins,” she said.

It is one of many such conflicts in Brazil, rich in land to be exploited and low on deeds and property records.

For land demarcation is controversial in Brazil, despite safeguards in both the constitution and United Nations guidelines that are supposed to enshrine rights for indigenous people.

About a third of almost a million indigenous people live in Brazil’s cities, according to government statistics.

There are several land battles wending their way through the courts, many of them pit native people against powerful business interests.

But it is the prime downtown location that makes the fight over the Shrine stand out in the capital city, declared a World Heritage Site by the United Nations for its modernist architecture and artistic planning.

Conflicting Claims

Conflict began a decade ago when the local government claimed it owned the Brasilia plot, prompting indigenous groups to counterclaim, saying the Fulni-Ô Tapuya had lived and performed religious ceremonies there for decades.

To further complicate matters, the federal government said it took ownership of the area in 2008 and a year later sold it on to building firms to create a green and sustainable neighborhood called Noroeste (Northwest).

Since then, high-rise buildings have sprung up all around the sacred soil, making the Shrine one of the few areas in the city that is free of new buildings.

Forty-year-old Guajajara has been living in Santuário dos Pajés since 1996, after marrying shaman Santxiê Tapuya, considered the founder of the sacred land. She is one of 180 indigenous people who live in the area.

According to court documents, a receipt from 1980 shows Santxiê bought an area of about 4 hectares (9.8 acres), the size of almost six football pitches.

Indigenous locals say pressure to displace them from the area has steadily increased over the years.

One November afternoon last year, Guajajara said about 10 men – some armed – and three tractors invaded the Santuário dos Pajés area, knocking down trees in the hope of clearing the land sufficiently to pave an avenue down its middle.

Her 18-year-old son Fetxa said he tried and failed to stop them by blocking their path. “I did not get out of the front.

They pushed me forward, along with the soil, twice. I was shocked.”

According to Guajajara, she and her son – the only ones in the area when the tractors arrived – screamed they could not enter the indigenous land because it is protected by a court decision.

But the men said they had an order “to run it over.”

The local government’s development arm, Terracap, said its staff were doing some infrastructure works in the neighborhood close to the indigenous area but denied they were armed.

“We are removing garbage in various locations and they understood this as an affront,” Júlio César Reis, the head of Terracap, said by phone.

In an emailed statement, Brazil’s indigenous affairs agency, Funai, said it would not comment.

Federal prosecutors are investigating the case.

The indigenous residents were quick to fence in the area, though it is no barrier to any possible future encroachment.

How Much Land?

In 2013, a court recognized the indigenous land ownership rights over the area of about four hectares bought by Santxiê but Funai, Terracap and federal prosecutors appealed.

Terracap said it has not been proven the indigenous people lived in the sacred area before their registered their claim.

The matter was further complicated when in October 2017 federal prosecutors, who act on behalf of indigenous people in Brazil, made a request in court to allocate a further 28 hectares to  Santxiê’s family and the ethnic group Fulni-Ô Tapuya.

Federal prosecutor Felipe Fritz Braga said the sanctuary is crucial to ensure the Fulni-Ô Tapuya’s future in the area.

An anthropological report used in the suit found evidence that indigenous tribes have been living in the area since 1956, during the construction process of Brasília, he said.

Santuário dos Pajés has been targeted by almost 30 lawsuits over the last 10 years.

“This number of lawsuits reflects the complexity of the problem,” Braga said in an email to the Thomson Reuters Foundation.

Solar Power Push Lights Up Options for India’s Rural Women

In her village of Komalia, the fog swirls so thick at 7 a.m. that Akansha Singh can see no more than 15 meters ahead. But the 20-year-old is already cycling to her workplace, nine kilometers away.

Halfway there she stops for two hours at a computer training center, where she’s learning internet skills. Then she’s off again, and by 10 a.m. reaches the small garment manufacturing plant where she stitches women’s clothing for high-end brands on state-of-the-art electric sewing machines.

Solar energy powers most of her day — the computer training center and the 25-woman garment factory run on solar mini-grid electricity — and clean power has given her personal choice as well, she said.

If the mini-grid system had not been put in place, Singh — a recent college graduate without funds to pursue training as a teacher, the only job open to women in her village — would have had no alternative but to marry, she said.

In fact, “I would already be married off,” she told the Thomson Reuters Foundation.

Today, however, she earns 4,500 rupees ($70) a month working on solar-powered sewing machines. She uses part of that to pay 300 rupees ($4.70) a month for her computer education class — and is planning to start a computer training center closer to home.

Like her, most of the women at the factory earn between 2,500 and 4,500 rupees ($39- $70) a month, which has helped their families eat better, get children to school and pay for healthcare, they said.

“With a month’s earning alone we can buy new bicycles for ourselves and our school-going children,” Bandana Devi, a mother of four, told the Thomson Reuter Foundation, as she looked up from her sewing.

She bought one for her 12-year-old daughter, she said, and her 6-year-old rides pillion with her to the school, 2 km away.

Prime Minister Narendra Modi has announced a $2.5 billion plan to electrify every Indian household by 2019 — a huge task in a country where close to 240 million people still have no access to electrical power.

Solar power — including the use of small local grids — is likely to be a big part of the push, with 60 percent of new connections expected to be to renewable power, according to a report by the International Energy Agency.

Stable Power, More Contracts

In a clearing in an acacia plantation, the more than 140 solar panels that make up the Kamlapur mini-grid are being cleaned early in the morning.

The 36-kilowatt plant, set up by the for-profit OMC Power Private Ltd.(formerly Omnigrid Micropower Company) in 2015, distributes solar energy over 2.4 kilometers of power lines to 70 households, two telecommunications towers, the clothing manufacturing unit and several other small businesses.

Solar mini-grids usually rely on one or two large users of power — often mobile phone towers — to provide a stable base revenue for the system. But as solar electricity becomes available in areas beyond the traditional grid, power-hungry small businesses are emerging that could become anchor users.

Kamlapur’s garment factory, for instance, consumes 10 kilowatts of power each day — the same as the telecom towers, said Ketan Bhatt, an OMC official in Uttar Pradesh state.

The state in 2016 became India’s first to put in place a mini-grid policy, recognizing private solar companies as legitimate players in India’s push to get power to all.

Company owners, in turn, say solar mini-grids — which can be more reliable than the unstable grid power their competitors rely on — is giving them a business advantage.

“Because the power supply is steady, we are regularly able to deliver on contract deadlines, which in turn enhances our reputation to bag more contracts,” said Mohammad Riyaz, who set up the Kamlapur garment unit in 2016.

Rohit Chandra, a co-founder of OMC, said he was seeing many solar power users moving beyond simply buying power for home lighting and appliances. Now, he said, they are harnessing solar energy for profit.

“We see barbers installing televisions and fans in their shops to attract more customers. Carpenters buy electric saws and wood polishers, fruit sellers are adding electric juicers. Health centers and dispensaries are coming up in underserved villages too,” Chandra said in a telephone interview.

“People are now continuously climbing,” he said.

Sangeeta Singh, of the Uttar Pradesh New and Renewable Energy Development Agency, said rural villagers “are willing to pay for assured, customized hours of supply, even at a higher price.”

“The myth that rural consumers will not pay for electricity is now demolished,” added Jaideep Mukherji, the CEO of Smart Power India (SPI). “Over the last two years we’ve discovered not only do rural consumers pay for the electricity, 93 percent pay on time.”

SPI is backed by the the U.S.-based Rockefeller Foundation’s $75 million Smart Power for Rural Development initiative, which aims to get power the “last mile” to users without it in India, Myanmar and sub-Saharan Africa.

SPI works with seven private mini-grid operators, including OMC, in Uttar Pradesh, Bihar and Jharkhand — some of India’s least electrified states — to boost demand for solar mini-grid power and help develop rural economies.

The aim is both to improve life for poor people in power-hungry regions and help make sure solar mini-grid power is financially feasible for its operators, Mukherji said.

Chandra, of OMC, said that, on average, after supplying reliable power for a year, “we see around 30 micro-enterprises come up in each village.”

Though most are expansions of existing businesses, some are new ventures — such as a new water purifying plant in Kamlapur.

Sanskrit language teacher Aparna Mishra has just invested 400,000 rupees ($6,240) to set up a reverse osmosis water purifier.

Starting later this month, 100 customers — including schools, hotels and homes in the area — will begin receiving 20-liter refillable jars of water, dropped off at their doorstep, the entrepreneur said.

Mishra’s two-year target is to produce 3,000 liters of clean water a day, delivered over a 12-km radius from the 5-kilowatt plant.

“If villagers can understand the link between good health and clean drinking water from my plant, that itself is the biggest return on my investment,” the 26-year-old told the Thomson Reuters Foundation.

An assessment of Smart Power India villages at the end of 2016 found that after two years of access to mini-grid power, small businesses using it had increased their monthly income by 13 percent.

A Price Too High?

While Smart Power India is reaching a growing share of communities without electricity, a 2017 study by the International Center for Research on Women found that large numbers of women and poor families still lack access to clean energy, even in areas where it is available.

For some of them, the cost of private mini-grid power is a deterrent to using it.

Riyaz’s clothing factory, for instance, pays 25 rupees (39 cents) for each kilowatt of the 10 kilowatts of power it uses each day — well above the 11 to 17 rupees that rural users of grid power pay.

“The electricity bill pinches,” the 45-year-old tailor said.

Chandra, of OMC, admitted that “on the face of it, our charges for reliable power might look high.”

But grid power users in Uttar Pradesh must pay a minimum monthly fee of 1,000 rupees, he said. With many small solar businesses — such as phone recharging — using less power, and even larger businesses often saving energy by using efficient machines, solar mini-grid power can come out cheaper, he said.

Surgical Infections More Common in Low-Income Countries, Study Finds

Surgeries in low-income countries had higher rates of infections than those in higher-income countries, according to a new study published in The Lancet Infectious Diseases.

The authors said their report provided a starting point for making surgery safer.

Infections at the site of surgery are the most common complications after operations. These infections raise the cost of procedures that are already expensive. And they often make recovery longer and more painful.

The study looked at more than 12,000 gastrointestinal surgeries at 343 hospitals in 66 countries.

Marked difference

Overall, about one in 10 patients developed a surgical site infection. But in low-income countries, that rate rose to nearly one in four.

That’s after taking into account factors such as the patient’s health, the type of surgery and the condition being treated.

Other elements that could have been behind the difference included the kinds of facilities available in low-income countries, or how long it took to get patients to a hospital, said study co-author Ewen Harrison at the University of Edinburgh.

“If you’re in rural sub-Saharan Africa and you’re run over by a car, it may be a number of days before you can get to a hospital,” he said. “During that time, infection can get into wounds.”

Drug resistance

Another component could have been the availability of effective antibiotics, Harrison said.

Antibiotics were nearly always given before surgery to prevent infection. But overall, about one in five surgical site infections were resistant to these antibiotics. The rate was higher in low-income countries — one in three — but the authors cautioned that they did not have enough data to draw firm conclusions.

Resistance generally develops faster the more antibiotics are used. The study noted that hospitals in low-income countries gave patients more antibiotics than elsewhere, both before and after surgery.

“That may be completely appropriate if the patients are needing the antibiotics,” Harrison said. “But that may also be an area where unnecessary use of antibiotics could be reduced in order to reduce drug resistance.”

The authors’ next plan is to test different skin-cleaning techniques, antibiotic-impregnated stitches, and other simple, low-cost methods to reduce surgical site infections in low-income countries.

More than 1,500 health care providers took part in the research. Harrison said the study organizers “crowdsourced” their participants, using social media to recruit young surgeons-in-training around the world.

“They are really the driving force behind the change that we hope to happen,” he said.

US Postal Service Enters Digital, Virtual, Augmented Worlds to Attract Customers

Even though the U.S. Postal Service delivers about 46 percent of the world’s total mail, competition is getting tougher every day. The post office is turning to technology to stay current. VOA’s Elizabeth Lee shows how the USPS is using virtual and augmented realities, along with email, to attract business.

US Social Media Firms Step Up Help on Security Efforts, Intelligence Leaders Say

Leaders of U.S. national security and law enforcement agencies said Tuesday the U.S. private sector has been helpful in efforts to keep the country safe.

While the leaders did not name companies, industry sectors or what specific help has been provided, they did discuss the challenges of monitoring social media.

The comments may reflect a shift in what law enforcement has seen as the technology industry’s adversarial approach when it comes to fighting crimes and addressing national security issues.

The most notable example of this tension was support by tech industry groups for Apple’s battle with law enforcement over breaking the encryption of an iPhone used by the man who killed 14 people in the 2015 terrorist attack in San Bernardino, California.

‘Forward-leaning engagement’

At a Senate Intelligence Committee hearing Tuesday, Dan Coats, director of National Intelligence, said the U.S. government has received more support from those in the private sector “who are beginning to recognize ever more the issues that are faced with the material that comes through their processes.”

Christopher Wray, director of the Federal Bureau of Investigation, referred to the help from the private sector as a “more forward-leaning engagement.”

“So, it’s teamwork within the intelligence community and then partnership with the private sector, which is, I think, the other big change I’ve noticed — is a lot more forward-leaning engagement with the private sector in terms of trying to share information and raise awareness on their end,” said Wray, also speaking at the hearing.

“Because at the end of the day, we can’t fully police social media, so we have to work with them so that they can police themselves a little bit better as well,” Wray added.

Gates: Be careful of arrogance

Separately, Bill Gates, the co-founder of Microsoft, said in an interview that tech firms need to be careful of being too arrogant when working in realms outside their businesses or they’ll face the kind of government intervention his firm experienced in its antitrust dispute.

“The tech companies have to be careful that they’re not trying to think their view is more important than the government’s view, or than the government being able to function in some key areas,” said Gates in an interview with Axios.

Gates cited Apple’s iPhone battle with the government, criticizing “their view that even a clear mass-murdering criminal’s communication should never be available to the government.”

“There’s no question of ability,” he said about unlocking the iPhone. “It’s the question of willingness.”

He also cited companies’ “enthusiasm about making financial transactions anonymous and invisible.”

Microsoft’s consent decree with the U.S. Justice Department came to an end in 2011, a result of the government’s settlement with the software giant in its antitrust case.

Remarks on Trump administration

On Tuesday, Gates and his wife, Melinda, issued their foundation’s annual letter.

In terms of the Trump administration, Gates wrote that while “we disagree with this administration more than the others we’ve met with, we believe it’s still important to work together whenever possible. We keep talking to them because if the U.S. cuts back on its investments abroad, people in other countries will die, and Americans will be worse off.”

Melinda Gates wrote that the president is a role model of “American values in the world.” She continued, “I wish our president would treat people, and especially women, with more respect when he speaks and tweets.”