A magnitude 6.0 earthquake shook Taiwan on Monday morning. There were no immediate reports of damage or injuries. 

The quake struck at 9:05 a.m. at a depth of 6.8 kilometers (4.2 miles) in Hualien county, halfway down the east coast of the island, Taiwan’s Central Weather Bureau said. 

It was felt across most of the island of 24 million people including to the north in Taipei, the capital. It was also felt across the Taiwan Strait in mainland China’s Fujian province, Chinese state broadcaster CCTV said.
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New York City is making a push to give city workers fired earlier this year for not getting the COVID-19 vaccine a chance to get their old jobs back — if they get fully vaccinated.

In February, Mayor Eric Adams fired more than 1,400 workers who failed to comply with the vaccine mandate put in place by his predecessor, Bill de Blasio.

Just short of 600 unvaccinated non-Department of Education workers are receiving a letter with details, and DOE employees are expected to receive a letter later in the summer, a city spokesperson said, adding that 97% of workers are vaccinated and that the goal has always been “vaccination rather than termination.”

The development was first reported by the New York Post.

It wasn’t clear how many workers would be affected and a timeline for returning to work was not disclosed.

The mandate required vaccinations as a workplace safety rule. In March, Adams was the target of criticism for exempting athletes and performers not based in New York City from the city’s vaccine mandate, while keeping the rule in place for private and public workers. 
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The U.S. on Saturday opened COVID-19 vaccines to infants, toddlers and preschoolers. The shots will become available next week, expanding the nation’s vaccination campaign to children as young as 6 months.

Advisers to the Centers for Disease Control and Prevention recommended the vaccines for the littlest children, and the final signoff came hours later from Dr. Rochelle Walensky, the agency’s director.

“We know millions of parents and caregivers are eager to get their young children vaccinated, and with today’s decision, they can,” Walensky said in a statement.

While the Food and Drug Administration approves vaccines, it’s the CDC that decides who should get them.

The shots offer young children protection from hospitalization, death and possible long-term complications that are still not clearly understood, the CDC’s advisory panel said.

The government has already been gearing up for the vaccine expansion, with millions of doses ordered for distribution to doctors, hospitals and community health clinics around the country.

Roughly 18 million kids will be eligible, but it remains to be seen how many will get the vaccines. Less than a third of children ages 5-11 have done so since vaccination opened to them last November.

Here are some things to know:

What kinds are available?

Two brands — Pfizer and Moderna — got the green light Friday from the FDA and Saturday from the CDC. The vaccines use the same technology but are being offered at different dose sizes and number of shots for the youngest kids.

Pfizer’s vaccine is for children 6 months to 4 years old. The dose is one-tenth of the adult dose, and three shots are needed. The first two are given three weeks apart, and the last at least two months later.

Moderna’s is two shots, each a quarter of its adult dose, given about four weeks apart for kids 6 months through 5 years old. The FDA also approved a third dose, at least a month after the second shot, for children with immune conditions that make them more vulnerable to serious illness.

How well do they work?

In studies, vaccinated youngsters developed levels of virus-fighting antibodies as strong as young adults, suggesting that the kid-size doses protect against coronavirus infections.

However, exactly how well they work is hard to pin down, especially when it comes to the Pfizer vaccine.

Two doses of Moderna appeared to be only about 40% effective at preventing milder infections at a time when the omicron variant was causing most COVID-19 illnesses. Pfizer presented study information suggesting the company saw 80% with its three shots. But the Pfizer data was so limited — and based on such a small number of cases — experts and federal officials say they don’t feel there is a reliable estimate yet.

Should my little one be vaccinated?

Yes, according to the CDC. While COVID-19 has been the most dangerous for older adults, younger people, including children, can also get very sick.

Hospitalizations surged during the omicron wave. Since the start of the pandemic, about 480 children under age 5 are counted among the nation’s more than 1 million COVID-19 deaths, according to federal data.

“It is worth vaccinating even though the number of deaths are relatively rare, because these deaths are preventable through vaccination,” said Dr. Matthew Daley, a Kaiser Permanente Colorado researcher who sits on the CDC’s advisory committee.

In a statement Saturday, President Joe Biden urged parents to get them for their young children as soon as possible.

Which vaccine should my child get?

Either one, said Dr. Peter Marks, the FDA’s vaccine chief.

“Whatever vaccine your health care provider, pediatrician has, that’s what I would give my child,’’ Marks said Friday.

The doses haven’t been tested against each other, so experts say there’s no way to tell if one is better.

One consideration: It takes roughly three months to complete the Pfizer three-shot series, but just one month for Moderna’s two shots. So, families eager to get children protected quickly might want Moderna.

Who’s giving the shots?

Pediatricians, other primary care physicians and children’s hospitals are planning to provide the vaccines. Limited drugstores will offer them for at least some of the under-5 group.

U.S. officials expect most shots to take place at pediatricians’ offices. Many parents may be more comfortable getting the vaccine for their kids at their regular doctor, White House COVID-19 coordinator Dr. Ashish Jha said. He predicted the pace of vaccination will be far slower than it was for older populations.

“We’re going see vaccinations ramp up over weeks and even potentially over a couple of months,” Jha said.

Can children get other vaccines at the same time?

It’s common for little kids to get more than one vaccine during a doctor’s visit.

In studies of the Moderna and Pfizer shots in infants and toddlers, other vaccinations were not given at the same time so there is no data on potential side effects when that happens.

But problems have not been identified in older children or adults when COVID-19 shots and other vaccinations were given together, and the CDC is advising that it’s safe for younger children as well.

What if my child recently had COVID-19?

About three-quarters of children of all ages are estimated to have been infected at some point. For older ages, the CDC has recommended vaccination anyway to lower the chances of reinfection.

Experts have noted re-infections among previously infected people and say the highest levels of protection occur in those who were both vaccinated and previously infected.

The CDC has said people may consider waiting about three months after an infection to be vaccinated.
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The World Health Organization is calling for a radical change in the treatment of mental health disorders, saying existing care systems are largely ineffective and often abusive. 

Nearly a billion people were living with a mental disorder in 2019. That number has grown, with new data showing conditions such as depression and anxiety increasing by more than 26 percent in the first year of the coronavirus pandemic.

The World Health Organization recently released its largest review of world mental health since the turn of the century. The report finds 14 percent, or one in seven adolescents, is suffering from a mental disorder. It says suicides account for one in 100 deaths, with 58 percent occurring before age 50.

Head of the WHO’s mental health unit, Mark Van Ommeren, says mental disorders are the leading cause of disability. He says depression and anxiety alone cost the world economy nearly $1 trillion a year in lost productivity. Despite the enormous socio-economic consequences, he says many people with mental health problems do not seek help for a variety of reasons.

“They fear the stigma of seeking help could be one reason. Another reason can be that they do not trust the services that are available because there has not been enough investment in it,” Van Ommeren said. “Third, it could be that they do not recognize the problem because their knowledge about mental health problems is limited.”

The WHO says only a small fraction of people in need have access to effective, affordable and quality mental health care. It says the gap between developed and developing countries is huge, noting 70 percent of people with psychosis are treated in richer countries, compared to 12 percent in poorer countries.

Van Ommeren says the current mental health care system is broken and must change. He says governments invest around two out of three dollars for mental health in large custodial psychiatric hospitals. He says that money would be better spent  on community-based mental health facilities because they are more accessible.

“It is less likely that there are human rights violations … the atmosphere in large hospitals easily becomes that the hospitals warehouse people with very severe problems,” Van Ommeren said. “In community settings with open doors, it is much less likely. Also, in community settings, many more people can easily be treated. The hospital has so much stigma around it that many people would never seek care there.”

The WHO says countries can provide better, more affordable treatment by strengthening community health services. It recommends integrating treatment into primary health care, in schools and in prisons. It says mental health should be covered by insurance plans.
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Weather disasters that happen more often because of climate change create conditions in which gender-based violence often spikes, according to new research.    

The study, published in the journal The Lancet Planetary Health, reviewed research from five continents and found increased violence against women and girls in the aftermath of floods, droughts, hurricanes and other extreme weather events that are becoming more frequent as the planet warms. Humanitarian organizations that respond to weather disasters should be aware of this troubling trend when planning their operations, the study authors said.  

“When we think of climate change effects, we think of some very drastic and very visual things, things like floods, disruptions of cities, supply chain disruptions — which are all very valid and very real risks of climate change,” said study author Sarah Savić Kallesøe, a public health researcher at Simon Fraser University in Canada. “But there are also some more veiled consequences that are not as easily visible or easily studied. And one of those things is gender-based violence.”  

The researchers scoured online databases to find studies on rape, sexual assault, child marriage and other forms of gender-based violence following extreme weather events.  

The initial search, based on broad keywords like “violence,” “women,” and “weather,” yielded more than 20,000 results, each of which Savić Kallesøe and her colleagues screened individually to determine whether they were relevant.  

Only 41 studies that assessed links between gender-based violence and extreme weather made the cut. The researchers then graded the robustness of each study’s methodology using standard rubrics for grading data quality. Although many of the papers were flawed and a few contradicted each other, most studies — especially the higher quality ones — reported a rise in gender-based violence following extreme weather, Savić Kallesøe said.  

For instance, one study found that new moms were more than eight times as likely to be beaten by their romantic partners after Hurricane Katrina if they had suffered storm damage than before the storm hit. Five studies of good or fair quality linked drought in sub-Saharan Africa to upticks in sexual and physical abuse by romantic partners, child marriage, dowry violence, and femicide.  

And interviews with survivors revealed that seeking disaster aid can make women more vulnerable: “The shelter is not safe for us. Young men come from seven or eight villages,” said one survivor to researchers following Cyclone Roanu in Bangladesh in 2016. “I feel frightened to stay in the shelters. I stay at my house rather than taking my teenage daughter to the shelters,” she added.

Lindsay Stark, a social epidemiologist at the Brown School of the Washington University in St. Louis, said the pattern “is something that those of us who are working in the humanitarian space know intrinsically, because we see it all the time. So, it is very nice to see this distillation of the evidence.”  

Savić Kallesøe emphasized that climate change itself doesn’t directly cause gender-based violence. Instead, she and her colleagues found that gender-based violence is “exacerbated by extreme weather events because it’s a type of coping strategy at the expense of women, girls, and sexual and gender minorities,” she said.  

Extreme weather can place people under enormous stress, displace them, force them into crowded relief camps, destroy their livelihoods, and expose them to strangers who might do them harm. Layered over the gender roles that often drive gender-based violence, these risk factors make women especially vulnerable. For instance, a family might marry off a daughter early to have one less mouth to feed after a flood, or a man stressed after a hurricane might snap and strike his wife.  

Researchers widely recognize that humanitarian crises, like conflict or forced migration, tend to expose women and girls to violence. That climate disasters would have similar consequences isn’t surprising, said Lori Heise, an expert on gender equity at the Johns Hopkins Bloomberg School of Public Health.  

However, the exact ways in which climate disasters lead to gender-based violence still aren’t clear from the data. Few high-quality studies are available — and almost no data has been collected on the challenges faced by LGBTQ people following extreme weather events. The new study highlights the need for more and better research and for humanitarian organizations to engage with women and girls in climate-stressed areas about how best to protect them when disaster strikes, Savić Kallesøe said.

“Gender-based violence is happening all the time, everywhere,” Stark said. “We need to be preventing gender-based violence now … and to understand that if we don’t act now, the situation is going to increase exponentially with the impending climate crisis that we all know is upon us.”
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More than 1,600 confirmed monkeypox cases and almost 1,500 suspected cases have been reported this year from seven countries where monkeypox has been detected for years and 32 newly affected countries, according to the World Health Organization director-general, Dr. Tedros Adhanom Ghebreyesus.

“Europe remains the epicenter of this escalating outbreak,” Dr. Hans Henri P. Kluge, WHO regional director for Europe, said, with “85% of the global total.”

WHO is convening an emergency meeting next week to discuss the mounting outbreak and whether the name of the disease should be changed.

A group of scientists said in a statement recently on virological.com, “In the context of the current global outbreak, continued reference to, and nomenclature of this virus being African is not only inaccurate but is also discriminatory and stigmatizing. The most obvious manifestation of this is the use of photos of African patients to depict the pox lesions in mainstream media in the global north. Recently, Foreign Press Association, Africa, issued a statement urging the global media to stop using images of African people to highlight the outbreak in Europe.”

Monkeypox, according to a description on WHO’s website, “is a zoonosis: a disease that is transmitted from animals to humans.”

Human-to-human transmission is limited, according to WHO, but can occur “through contact with bodily fluids, lesions on the skin or on internal mucosal surfaces, such as in the mouth or throat, respiratory droplets and contaminated objects.”
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People infected with the earliest version of the omicron variant of the coronavirus, first identified in South Africa in November, may be vulnerable to reinfection with later versions of omicron even if they have been vaccinated and boosted, new findings suggest.

Vaccinated patients with omicron BA.1 breakthrough infections developed antibodies that could neutralize that virus plus the original SARS-CoV-2 virus, but the omicron sublineages circulating now have mutations that allow them to evade those antibodies, researchers from China reported on Friday in Nature.

Omicron BA.2.12.1, which is now causing most of the infections in the United States, and omicron BA.5 and BA.4, which account for more than 21% of new U.S. cases, contain mutations not present in the BA.1 and BA.2 versions of omicron.

Those newer sublineages “notably evade the neutralizing antibodies elicited by SARS-CoV-2 infection and vaccination,” the researchers found in test-tube experiments.

The monoclonal antibody drugs bebtelovimab from Eli Lilly and cilgavimab, a component of AstraZeneca’s Evusheld, can still effectively neutralize BA.2.12.1 and BA.4/BA.5, the experiments also showed.

But vaccine boosters based on the BA.1 virus, such as those in development by Pfizer/BioNTech and Moderna, “may not achieve broad-spectrum protection against new omicron variants,” the researchers warned.

Previous research that has not yet undergone peer review has suggested that unvaccinated people infected with omicron are unlikely to develop immune responses that will protect them against other variants of the coronavirus.

“My personal bias is that while there may be some advantage to having an omicron-specific vaccine, I think it will be of marginal benefit over staying current with the existing vaccines and boosters,” said Dr. Onyema Ogbuagu, an infectious diseases researcher at Yale School of Medicine in New Haven, Connecticut, who was not involved in the new study.

“Despite immune evasion, the expectation can be that vaccines will still protect against serious disease,” Ogbuagu said. “If you’re due for a booster, get a booster. What we’ve learned clinically is that it’s most important to stay up to date with vaccines” to maintain high levels of COVID-19 antibodies circulating in the blood.

Adolfo Garcia-Sastre, a microbiology and infectious diseases researcher at the Icahn School of Medicine at Mount Sinai in New York City, suggested that better protection might be seen with vaccines that target multiple strains of the virus or with intranasal vaccines that would increase protection from infection and transmission by generating immunity in the lining of the nose, where the virus first enters.

Garcia-Sastre, who was not involved in the research, said by the time one variant-specific vaccine becomes available, a new variant may well have taken over.
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In marking the World Day to Combat Desertification and Drought, the United Nations is calling for better land management and regreening initiatives to tackle the twin disasters. 

Europe is struggling with an unusually early and intense heat wave, which has spread from North Africa. That has been preceded by a prolonged heat wave in India and Pakistan in March and April. 

Spokeswoman for the World Meteorological Organization, Clare Nullis, said European countries are experiencing scorching temperatures in mid-June that are more typical of those in July or August. She added that temperatures more than 10 degrees higher than average are combined with drought in many parts of Europe. 

“As a result of climate change, heat waves are starting earlier. They are becoming more frequent and more severe because of concentrations of greenhouse gases in the atmosphere, which are at record level,” Nullis said. “What we are witnessing today is, unfortunately, a foretaste of the future.” 

Heat waves can exacerbate drought and wildfires, and trigger desertification. Droughts are increasing in frequency and severity, the WMO says, adding that they have gone up by 29 percent since 2000, affecting 55 million people a year. 

The World Health Organization calls drought an urgent, global issue. It says droughts are getting more frequent and fiercer in all regions, affecting the health and well-being of millions of people. WHO spokeswoman Carla Drysdale said a particularly hard-hit region is the greater Horn of Africa. 

“In the past 10 years, the region has endured three severe droughts,” Drysdale said. “The frequency and severity of droughts in recent years, linked to the changing climate, has made it harder and harder for families to recover from these shocks. … Millions in the greater Horn of Africa are facing acute hunger.” 

U.N. agencies agree early action can avert a crisis, lessen the impact of drought, and reverse desertification. They say measures such as rainwater harvesting, drip irrigation systems, and crop engineering that increases resilience to dry conditions can ward off some of the worst effects of drought. 

They recommend better land management, tree planting and other regreening projects to combat desertification and restore the land to what it was. They also point to the Great Green Wall of the Sahel project in Africa, which has restored millions of hectares of land and created thousands of jobs, from Dakar, Senegal, to Djibouti. 

 
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Many people are trying to live more eco-friendly lives. But what about more eco-friendly deaths? For VOA, Svitlana Prystynska introduces us to the business of corpse composting. First, a caution: Some may find the subject matter disturbing.
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Abortion providers in some places where the procedure could be banned if the U.S. Supreme Court overturns Roe v. Wade are bracing for a ruling by halting scheduling for the procedure, transitioning staff to help patients travel to other states and creating networks of clinics that will span across regions of the country.

Planned Parenthood of Wisconsin, which operates three clinics that provide abortions in the state, is not scheduling the procedure beyond June 25 as it anticipates a late June decision reversing the landmark 1973 decision that guaranteed abortion rights nationwide. The organization in recent weeks has dedicated two staff members to help patients book appointments and figure out how to get to clinics.

Whether clinics in Wisconsin will be able to provide abortions, though, has turned into a day-to-day question.

“One of the hardest aspects of this is not knowing what day this decision will come down and what it will be,” said Michelle Velasquez, the director of legal advocacy and services at Planned Parenthood Wisconsin. “The unknown has been difficult.”

It’s a window into what abortion providers and access funds are planning in more than a dozen other states across the South and Midwest. In South Dakota this week, the state’s only abortion clinic, also operated by Planned Parenthood, announced it had “paused” scheduling abortions beyond the end of the month. In Oklahoma, providers already stopped the procedure after a law was enacted to ban it.

In Wisconsin, a law banning abortion has been on the books since 1849, but Roe v. Wade overrode it. While Roe’s fall would likely spark a legal tussle over whether it is valid, Planned Parenthood does not want to put its staff at risk of prosecution.

Velasquez said clinic staff wanted to provide abortions in Wisconsin up until the last minute it was legal, but also had to consider that scheduling appointments for dates when it could become illegal could create uncertainty and be “distressing” for patients.

Velasquez acknowledged that the Supreme Court could release its decision as soon as next week, even while Planned Parenthood has appointments on the books. She said if that happened, Planned Parenthood would help those patients book appointments for abortions in nearby states, such as Minnesota and Illinois. Patients could still get counseling, lab work and ultrasounds in Wisconsin in the meantime.

“We wouldn’t leave patients, like, ‘You’re on your own,'” Velasquez said.

“Even if we can’t provide the medications or we can’t do a procedure, we are absolutely able to help people find the care they need,” she added.

The strategy will inevitably put more pressure on providers in states in the region where abortion will still be legal, said Caitlyn Myers, an economics professor at Middlebury College who studies abortion access.

“As hundreds of thousands of women flood out of these states, it is going to enormously tax the resources of these providers,” she said. “I don’t think they are prepared for this huge influx.”

It comes as the number and rates of U.S. abortions is on the rise after a long decline. Abortions increased from 2017-20, according to figures from the Guttmacher Institute, a research group that supports abortion rights. It counted more than 930,000 abortions in the U.S. in 2020.

Clinics shuttering, like one did in Idaho recently, or halting scheduling show that a post-Roe reality has already arrived in many places. Myers said getting an appointment for an abortion may soon become “critical” across the country.
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