Two Russian cosmonauts and an American astronaut will remain aboard the International Space Station for an extra six months because of damage to their Russian spacecraft.

Sergey Prokopyev, Dmitry Petelin and Frank Rubio were set to end their six-month stay aboard the ISS in late March, but the Russian space agency Roscosmos said Tuesday the trio will have to remain on the orbital outpost until September.

The Soyuz MS-22 capsule that carried the crew to the ISS last September has been leaking coolant since mid-December, which both Roscosmos and the U.S. space agency NASA have blamed on a micrometeoroid, or space rock, that struck the capsule.

Russia had planned to send an unmanned Soyuz capsule to the ISS earlier this month to bring the crew home, but the launch of that spacecraft was postponed because a Russian Progress MS-21 cargo ship docked at the station was also leaking coolant. That leak has been blamed by officials on an “external impact.”

Prokopyev, Petelin and Rubio were joined on the ISS in October by four astronauts brought by a SpaceX capsule: two Americans, a Russian and a Japanese. The space station will become even more crowded next week when another four person crew, including an astronaut from the United Arab Emirates, is set to arrive.

Some information for this report came from Reuters and Agence France-Presse.
…

The U.N. in Malawi has launched an urgent appeal for aid to deal with the impact of a record cholera outbreak that has so far killed nearly 1,450 people and infected 45,000.  

Local health experts say if urgent action isn’t taken to scale up the response, the number of cases could double in the next few months.

The U.N. says the flash appeal seeks to raise $45.3 million to provide life-saving aid to thousands of people in Malawi devastated by the outbreak.

In a statement released Monday, the U.N. said the appeal aims to assist four million people in Malawi, including 56,000 refugees and asylum seekers who are at the highest risk in the outbreak.

The current outbreak started in March last year and has spread to all 29 districts of Malawi.

Rebecca Adda-Dontoh, the U.N. resident coordinator in Malawi, told reporters Monday that more assistance is needed to stop the outbreak.

“So much work has been done but a lot more needs to be done,” she said. “We have focused on health, we have focused on WASH (water, sanitation and hygiene). The two are very important but there are also other sectors like nutrition, protection and even logistics because we need to be able to move supplies from one point to the other.”

Adda-Dontoh said the needed assistance would complement what various donor partners have already contributed.

“The U.N. itself has mobilized already close to $10 million,” she said. “You heard the EU; you heard the U.K. here saying they had already contributed over 500,000 euros for the EU and also over 500,000 pounds for the U.K. Even the government of Malawi is on the ground and already contributed.”   

Local media have reported that Malawi needs an additional $40 million for its national plan on cholera response.

Cases of cholera in Malawi have increased since the beginning of January, worsening the country’s largest outbreak in the past two decades.

Malawian President Lazarus Chakwera said last week, when he launched a national anti-cholera campaign, that the country’s health facilities were recording between 500 to 600 cholera cases every day.

The U.N. said that health experts have warned that Malawi could record between 64,000 and 100,000 more cases of cholera within the next three months unless urgent action is taken to scale up the response.
…

When COVID-19 hit in 2020, Ghenya Grondin of Waltham, Massachusetts, was a postpartum doula – a person charged with helping young couples navigate the first weeks of their newborn child’s life at home.

Grondin, now aged 44, was infected with SARS-CoV-2 in mid-March of that year – before there were tests, before social distancing or masks, and many months before the medical community recognized long COVID as a complication of COVID-19.

She is part of a community of first-wave long-haulers who faced a new disease without a roadmap or support from the medical establishment.

Three years later, at least 65 million people worldwide are estimated to have long COVID, according to an evidence review published last month in Nature Reviews Microbiology. More than 200 symptoms have been linked to the syndrome – including extreme fatigue, difficulty thinking, headaches, dizziness when standing, sleep problems, chest pain, blood clots, immune dysregulation, and even diabetes.

There are no proven treatments but research is underway.

People infected later in the pandemic had the benefit of vaccination, which “protects at least to some degree” from long COVID, said Dr. Bruce Levy, a Harvard pulmonologist and a co-principal investigator of the National Institute of Health’s $1.15 billion U.S. RECOVER trial, which aims to characterize and find cures for the disease.

“The initial variant of the virus caused a more severe illness than we’re seeing currently in most patients,” he said.

According to the University of Washington’s Institute of Health Metrics and Evaluation, in the first two years of the pandemic women were twice as likely as men to develop long COVID, and 15% of all of those affected at three months continued to experience symptoms beyond 12 months.

An analysis of thousands of health records by the RECOVER trial found that non-Hispanic white women in wealthier areas were more likely than others to have a long COVID diagnosis. Researchers said that likely reflected disparities in access to health care, and suggests that many cases of long COVID among people of color are not being diagnosed.

Grondin grew concerned when she continued to have symptoms three months after her initial infection – but there was no name for it then.

“I just kept saying to my husband, something isn’t right,” she said.

Like her fellow long-haulers, she has experienced a host of symptoms, including fatigue, sleep apnea, pain, cognitive dysfunction, and in her case, a brain aneurysm. She described a frightening moment when she was driving a car with her toddler in the back and had a seizure that left her in the path of oncoming traffic.

She has since been diagnosed with long COVID and can no longer work.

“It just feels like a constant punch in the face,” said Grondin.

Scientists are still working out why some people infected with COVID develop long-term symptoms, but syndromes like this are not new. Other infections such as Lyme disease can result in long-term symptoms, many of which overlap with long COVID.

Leading theories of the root causes of long COVID include the virus or viral proteins remaining in the tissues of some individuals; the infection causing an autoimmune response; or the virus reactivating latent viruses, leading to inflammation that damages tissue.

Kate Porter, 38, of Beverly, Massachusetts, a project manager for a financial services company, believes she was infected on a flight back from Florida in late March of 2020.

She had daily fevers for seven months, muscle weakness, shortness of breath, and excruciating nerve pain.

“I don’t think people realize how brutal physically everything was,” she said. In one of her darker moments, Porter recalled, “I cried on the floor begging for something to take me peacefully. I’ve never been like that.”

Frustrated by the lack of answers from a list of 10 specialists she has seen, Porter has explored alternative medicine. “It has opened me up to other remedies,” she said.

Although her health is much improved now, she still suffers from near daily migraines and neck pain she fears may never go away.

Genie Stevens, 65, a director of climate education, got infected while traveling from her home in Santa Fe to Cape Cod in late March 2020 to visit her mother, and never left. “It completely upended my life,” she said.

She went to an emergency department seeking tests and was told there were none – the typical answer in the spring of 2020, when scientists were scrambling to understand the nature of the virus and tests were being rationed. She was sent home to manage on her own.

A lifelong practitioner of meditation, Stevens took solace there, finding it eased her symptoms.

Confined to her bed that spring, she focused on an ancient crabapple tree outside her room. “I watched every bud unfurl.”

Although largely recovered, Stevens still has flare-ups of brain fog, exhaustion and high-pitched ringing in her ears when she pushes too hard. “This is the astoundingly maddening part of the illness. I feel totally fine, and then bam.”
…

Two 16th-century sculptures, jewels of French Renaissance art, have been on display since 1908 at New York’s Metropolitan Museum of Art.

But thanks to modern technology and an unusual agreement, precise 3D copies will be made and installed in the French castle where the originals long resided.

The facsimiles plan is the fruit of a rare partnership between the Met, as the New York museum is known, and the Dordogne department in southwestern France.

The statues, both from the early 1500s and by an anonymous sculptor, represent Biblical scenes entitled “Entombment of Christ” and “Pieta With Donors.”

A tourism promotion agency in the Dordogne, Semitour, will be working with the Atelier of Fac-Similes Perigord (AFSP) to make the replicas over the coming months.

For nearly 400 years, the originals graced the chapel of the Biron chateau in the Dordogne.

Built on a strategic promontory, the sprawling fortress comprises buildings from different eras, including a dungeon dating to the 12th century.

Damaged and rebuilt repeatedly through the centuries, the chateau has belonged since 1978 to the Dordogne department, which declared it a historic monument, Dordogne president Germinal Peiro said during a visit to the Met.

Digital copy

The technology to be employed in copying the sculptures was described to AFP by Francis Rigenbach, who heads the Perigord atelier, and C. Griffith Mann, the Met’s medieval art curator.

Using 3D scanners to make digital images of the sculptures, artisans will be able to create replicas without having to move or disturb the monumental originals.

“By making a digital ‘cast,'” said Rigenbach, “we can employ non-invasive techniques” to produce identical copies.

He added that “90 percent of the artistic work” will involve reproducing signs of wear, such as the patina on the ageing marble originals — though both statues are considered exceptionally well-preserved.

The replicas, to be returned to their original spots in the Biron chapel, will cost around 350,000 euros ($375,000), Rigenbach added.

His atelier is famed for having copied the celebrated Lascaux cave — including its prehistoric wall art — for a museum in Montignac, in northern Perigord.

That allows visitors to feel as if they were visiting the cave itself, which was closed 60 years ago to avoid damage to the fragile site, said Sebastien Cailler, who manages the Biron chateau.

“And when you see these facsimile sculptures in Biron, you’ll surely feel the same emotion as if you were standing before the originals,” he told AFP in New York.

The two statues, whose value was recognized by historians and collectors in the late 18th century, were sold in 1907 by the last marquis of Biron to wealthy American banker John Pierpont Morgan, who was then president of the Met board.

In the 1950s, Dordogne and the Biron castle negotiated with the Met for four years in a vain effort to recover the statues.

In 2018, Perigord officials revived talks with the Met; four years later, technological tests were undertaken, and then on February 15, the agreement was signed in New York.

This type of unusual deal ensures that art works can exist in two places, Mann said, while adding that his museum, with its millions of annual visitors, “seems like the safest place to have the sculptures for their long-term preservation.”

 
…

United Nations members gather Monday in New York to resume efforts to forge a long-awaited and elusive treaty to safeguard the world’s marine biodiversity. 

Nearly two-thirds of the ocean lies outside national boundaries on the high seas where fragmented and unevenly enforced rules seek to minimize human impact. 

The goal of the U.N. meetings, running through March 3, is to produce a unified agreement for the conservation and sustainable use of those vast marine ecosystems. The talks, formally called the Intergovernmental Conference on Marine Biodiversity of Areas Beyond National Jurisdiction, resume negotiations suspended last fall without agreement on a final treaty. 

“The ocean is the life support system of our planet,” said Boris Worm, a marine biologist at Canada’s Dalhousie University. “For the longest time, we did not feel we had a large impact on the high seas. But that notion has changed with expansion of deep-sea fishing, mining, plastic pollution, climate change,” and other human disturbances, he said. 

The U.N. talks will focus on key questions, including: How should the boundaries of marine protected areas be drawn, and by whom? How should institutions assess the environmental impacts of commercial activities, such as shipping and mining? And who has the power to enforce rules? 

“This is our largest global commons,” said Nichola Clark, an oceans expert who follows the negotiations for the nonpartisan Pew Research Center in Washington. “We are optimistic that this upcoming round of negotiations will be the one to get a treaty over the finish line.” 

The aim of the talks is not to designate marine protected areas, but to establish a mechanism for doing so. 

“The goal is to set up a new body that would accept submissions for specific marine protected areas,” Clark said. 

Marine biologist Simon Ingram at the University of Plymouth in England says there’s an urgent need for an accord. 

“It’s a really pressing time for this — especially when you have things like deep-sea mining that could be a real threat to biodiversity before we’ve even been able to survey and understand what lives on the ocean floor,” Ingram said. 

Experts say that a global oceans treaty is needed to enforce the U.N. Biodiversity Conference’s recent pledge to protect 30% of the planet’s oceans, as well as its land, for conservation. 

“We need a legally binding framework that can enable countries to work together to actually achieve these goals they’ve agreed to,” said Jessica Battle, an expert on oceans governance at World Wide Fund for Nature 

U.S. Assistant Secretary of State for Oceans and International Environmental and Scientific Affairs Monica Medina said the treaty is a priority. 

“This agreement seeks to create, for the first time, a coordinated approach to establishing marine protected areas on the high seas,” she said. “It’s time to finish the job.” 

Officials, environmentalists and representatives of global industries that depend on the sea are also watching negotiations closely. 

Gemma Nelson, a lawyer from Samoa and an Ocean Voices fellow at the University of Edinburgh, said that small Pacific and Caribbean island countries were “especially vulnerable to global ocean issues,” such as pollution and climate change, which generally they did not cause nor have the resources to easily address. 

“Getting the traditional knowledge of local people and communities recognized as valid” is also essential to protect both ecosystems and the ways of life of Indigenous groups, she said. 

With nearly half the planet’s surface covered by high seas, the talks are of great importance, said Gladys Martínez de Lemos, executive director of the nonprofit Interamerican Association for Environmental Defense focusing on environmental issues across Latin America. 

“The treaty should be strong and ambitious, having the authority to establish high and fully protected areas in the high seas,” she said. “Half of the world is at stake these weeks at the United Nations.” 
…

The prospect of large-scale mining to extract valuable minerals from the depths of the Pacific Ocean, once a distant vision, has grown more real, raising alarms among the oceans’ most fervent defenders.

“I think this is a real and imminent risk,” Emma Wilson of the Deep Sea Conservation Coalition, an umbrella organization of environmental groups and scientific bodies, told AFP.

“There are plenty of stakeholders that are flagging the significant environmental risks.”

And the long-awaited treaty to protect the high seas, even if it is adopted in negotiations resuming on Monday, is unlikely to alleviate risks anytime soon: it will not take effect immediately and will have to come to terms with the International Seabed Authority (ISA).

That agency, established under the U.N. Convention on the Law of the Sea, has 167 member states.

It has authority over the ocean floors outside of member states’ Exclusive Economic Zones (which extend up to 200 nautical miles, or 370 kilometers, from coastlines).

But conservation groups say the ISA has two glaringly contradictory missions: protecting the sea floors under the high seas while organizing the activities of industries eager to mine untapped resources on the ocean floor.

For now, some 30 research centers and enterprises have been approved to explore — but not exploit — limited areas.

Mining activities are not supposed to begin before negotiators adopt a mining code, already under discussion for nearly a decade.

Making waves

But the small Pacific island nation of Nauru, impatient with the plodding pace of progress, made waves in June 2021 by invoking a clause allowing it to demand relevant rules be adopted within two years.

Once that deadline is reached, the government could request a mining contract for Nori (Nauru Ocean Resources), a subsidiary of Canada’s The Metals Company.

Nauru has offered what it called a “good faith” promise to hold off until after an ISA assembly in July, in hopes it will adopt a mining code.

“The only thing we need is rules and regulations in place so that people are all responsible actors,” Nauru’s ambassador to the ISA Margo Deiye told AFP.

But it is “very unlikely” that a code will be agreed by July, said Pradeep Singh, a sea law expert at the Research Institute for Sustainability, in Potsdam, Germany.

“There’s just too many items on the list that still need to be resolved,” he told AFP. Those items, he said, include the highly contentious issue of how profits from undersea mining would be shared, and how environmental impacts should be measured.

NGOs thus fear that Nori could obtain a mining contract without the protections provided by a mining code.

Conservation groups complain that ISA procedures are “obscure” and its leadership is “pro-extraction.”

The agency’s secretary-general, Michael Lodge, insists that those accusations have “absolutely no substance whatsoever.”

He noted that contracts are awarded by the ISA’s Council, not its secretariat.

“This is the only industry…that has been fully regulated before it starts,” he said, adding that the reason there is no undersea mining “anywhere in the world right now is because of the existence of the ISA.”

Target: 2024

Regardless, The Metals Company is making preparations.

“We’ll be ready, and aim to be in production by the end of 2024,” chief executive Gerard Barron told AFP.

He said the company plans to collect 1.3 million tons of material in its first year and up to 12 million tons by 2028, all “with the lightest set of impacts.”

Barron said tons of polymetallic nodules (rich in minerals such as manganese, nickel, cobalt, copper and rare earths), which had settled to the ocean floor over the centuries, could easily be scraped up.

This would occur in the so-called Clipperton Fracture Zone, where Nori in late 2022 conducted “historic” tests at a depth of four kilometers (2.4 miles).

But Jessica Battle of the WWF conservation group said it is not that simple. Companies might, for example, suck up matter several yards (meters) down, not just from the seabed surface.

“It’s a real problem to open up a new extractive frontier in a place where you know so little, with no regulations,” she told AFP. “It will be a disaster.”

Scientists and advocacy groups say mining could destroy habitats and species, some of them still unknown but possibly crucial to food chains; could disturb the ocean’s capacity to absorb human-emitted carbon dioxide; and could generate noises that might disrupt whales’ ability to communicate.

Moratorium calls

“The deep ocean is the least known part of the ocean,” said deep-sea biologist Lisa Levin of the Scripps Institution of Oceanography. “So change might take place without anybody ever seeing it.”

She has signed a petition calling for a moratorium on mining. Some companies and about a dozen countries support such a call, including France and Chile.

With its slogan, “A battery in a rock,” The Metals Company emphasizes the world’s need for metals used in electric-vehicle batteries; Nauru makes the same case.

But while island nations are among the first to feel the impact of global warming, Nauru says it can’t wait forever for the funds rich countries have promised to help it adapt to those impacts.

“We’re tired of waiting,” said Deiye, the Nauru ambassador.

And Lodge says people should keep the anti-extraction arguments in perspective.

Of the 54 percent of seabeds under ISA jurisdiction, he said, “less than half a percent is under exploration… and of that half a percent, less than one percent is likely ever to be exploited.”
…

The little-noticed program that led to a Chinese spy balloon drifting across the United States this month has been discussed in China’s state-controlled media for more than a decade in articles extolling its potential military applications.

The reports, dating back to at least 2011, focus on how best to exploit what is known as “near space” – that portion of the atmosphere that is too high for traditional aircraft to fly but too low for a satellite to remain in orbit. Those early articles may offer clues to the capabilities of the balloon shot down by a U.S. jet fighter on Feb. 4.

“In recent years, ‘near space’ has been discussed often in foreign media, with many military commentators pointing out that this is a special sphere that had been neglected by militaries but now has risen to hotspot status,” reads a July 5, 2011, article in the People’s Liberation Army Daily titled Near Space – A Strategic Asset That Ought Not to be Neglected.

The article quoted Zhang Dongjiang, a senior researcher at the Chinese Academy of Military Sciences, discussing the potential applications of flying objects designed for near space.

“This is an area sitting in between ‘air’ and ‘space’ where neither the theory of gravity nor Kepler’s Law is independently applicable, thus limiting the freedom of flight for both aircraft that are designed based on the theory of gravity and spacecraft that follow Kepler’s Law,” Zhang was quoted as saying.

He noted that near space lacks the atmospheric disturbances of aeronautical altitudes, such as turbulence, thunder and lightning, yet is cheaper and easier to reach than the altitudes where satellites can remain in orbit.

“At the same time,” he added, near space is “much higher than ‘sky,’ hence holding superb prospects and potential for intelligence collection, reconnaissance and surveillance, securing communication, as well as air and ground warfare.”

Zhang suggested that near space can be exploited with “high-dynamic” craft that travel faster than the speed of sound, such as hypersonic cruise vehicles and sub-orbital vehicles, which “can arrive at target with high speed, attack with both high speed and precision, [and] can be deployed repeatedly.”

But he said near space also can provide an environment for slower vehicles, which he called “low-dynamic” craft, such as stratospheric airships, high-altitude balloons and solar-powered unmanned vehicles.

These, he said, “are capable of carrying payloads capable of capturing light, infrared rays, multispectral, hyper-spectral, radar, and other info, which can then be used to increase battlefield sensory and knowledge capability, support military operations.”

They also “can carry various payloads aimed at electronic counter-battle, fulfilling the aim of electronic magnetic suppression and electronic magnetic attack on the battlefield, damage and destroy an adversary’s information systems.”

Four years after the PLA Daily article, images were published in the military pages of Global Times, a state-controlled outlet, of two small-scale stratospheric vehicles identified as KF13 and KF16.

The vehicles were developed by the Opto-Electronics Engineering Institute of Beijing Aeronautics and Aerospace University, China’s main aeronautical and aerospace research university, according to an explanatory note published alongside the model shown in the Global Times. The institution is now known as Beihang [Beijing-Aero] University.

The explanatory note said a key feature of the vehicles was their unmanned and remote-control dual capability. Work was being done in Beijing and Shanghai, as well as in Shanxi province, on seeing the vehicles evolve from concept to production, according to the October 2015 article.

Other images of near space objects that surfaced the same month featured variously shaped aircraft whose features and functions included high-functioning surface materials, emergency control mechanisms, precise flight control technology, high-efficiency propeller technology, high-efficiency solar technology and ground operation integration technology.

An image of a blimp-like near space flying object called the Yuan Meng, literally “fulfilling dream,” was also posted to the internet in October 2015. It was described as having a flying altitude of 20-24 kilometers, a flight duration of six months and a payload of 100-300 kilograms.

Rick Fisher, a senior fellow at the International Assessment and Strategy Center in Washington, told VOA that China’s interest in the exploitation of near space actually began long before the PLA Daily article.

“Since the late 1990s, the PLA has been devoting resources for research and development for preparing for combat in ‘near space,’ the zone just below Low Earth Orbit (LEO) that is less expensive to reach than LEO [itself], and offers stealth advantages, especially for hypersonic platforms,” he said in an exchange of emails.

In addition to round balloons such as the one shot down by U.S. aircraft on Feb. 4, he said, “the PLA is also developing much larger blimp or airship stratospheric balloons that have solar powered engines driving large propellers that enable greater maneuverability.”

Fisher said Chinese state-owned conglomerates such as China Aerospace Science and Industry Corporation (CASIC) “have full-fledged near space programs like their Tengyun to produce very high-altitude UAV and hypersonic vehicles” for the purpose of waging combat in near space.

Tengyun literally means “riding above clouds.”

In September 2016, Chinese official media reported that Project Tengyun, initiated by CASIC, was expected to be ready for a test flight in 2030. The so-called “air-spacecraft” is designed to serve as a “new-generation, repeat-use roundtrip flying object between air and space,” a deputy general manager of CASIC told the 2nd Commercial Aeronautical Summit Forum held in Wuhan that month.

Another four projects proposed by CASIC also bore the concept of “cloud” in their names: Feiyun, meaning “flying cloud,” focuses on communication relay; Xingyun, meaning “cloud on the move,” would enable users to send text or audio messages even “at the end of the earth or edge of the sky”; Hongyun, meaning rainbow cloud, would be able to launch 156 satellites in its first stage; and Kuaiyun, meaning “fast cloud,” would be tasked with formulating a near space spheric network.

While China’s openness about its near space ambitions may be debatable, the speed with which it has made advances in related R&D appears to be indisputable.

“Throughout my career that was focused on the PLA, I do not recall anything about the PLA having a balloon program, let alone to have balloons operating over U.S. territory,” U.S. Navy Captain (retired) James Fanell, who retired as [a former] director of intelligence for the U.S. Pacific Fleet in 2015, told VOA in a written interview.

U.S. official now say they are aware of at least 40 incidents, however, in which Chinese surveillance balloons have passed over countries on as many as five continents. Those presumably included an incident last December in which a high-altitude airship was photographed near the northern Philippine Island of Luzon bordering the South China Sea.

“The object would look to be a teardrop-shaped airship with four tail fins. It’s not entirely clear from the images whether it might have a translucent exterior or a metallic-like one,” wrote Joseph Trevithick, deputy editor of The War Zone, a specialized website dedicated to developments in military technology and international security.

“Overall, the apparent airship’s general shape has broad similarities to a number of high-altitude, long-endurance types that Chinese companies are known to have been working on,” he wrote, including “at least two uncrewed solar-powered designs, the Tian Hang and Yuan Meng, with external propulsion and other systems intended primarily for operations at stratospheric altitudes, both of which have reportedly been test flown at least once.”

Fisher said the United States would be well advised to emulate China in enhancing its capabilities in near space.

The American aerospace company Lockheed Martin “tested a technology demonstrator in 2011 [but] there has been no further development of operational stratospheric airships for the U.S.” since then, Fisher said.

“The PLA is correct to invest in stratosphere balloons and airships; the U.S. must do more to develop these assets as well.”
…

World health officials warn the war in Ukraine is taking a heavy toll on the mental health condition of millions of people, requiring an urgent increase in mental health and psychological support.

“An estimated almost 10 million people may currently have a mental health condition, of whom about 4 million may have conditions which are moderate or severe,” said Hans Kluge, World Health Organization regional director for Europe.

Speaking in the Ukrainian city of Zhytomyr, Kluge said he met Thursday with first lady Olena Zelenska, who summed up the prevailing situation in the country by telling him that “everyone in society has to become a psychologist.”

Managing the critical situation, he said, “requires an all-government and all-society effort.”

Data and evidence gathered by Ukraine’s Ministry of Health and WHO in recent months show the major priorities and challenges that need to be addressed are mental health, rehabilitation, and community access to health services.

The latest estimate by the U.N.’s Office of the High Commissioner for Human Rights finds more than 7,000 civilians have been killed and nearly 12,000 injured since Russia invaded Ukraine nearly one year ago.

Kluge said rehabilitation of victims of the war must not be delayed but made available now.

“We are doubling the support on rehabilitation,” he said, “including treatment for war-related injuries, which are often horrific for adults and children alike.”

The latest WHO needs assessment survey finds that one in 10 people express difficulty in accessing medicine for various reasons, including damaged or destroyed pharmacies and the unavailability of supplies. One-third of those surveyed said they could not afford to pay for the medicine they need.

The survey also highlighted the need to pay more attention to the treatment of people with non-communicable diseases. Kluge noted that 44% of those surveyed said they had difficulty receiving care for chronic conditions.

“The most common were cardiovascular diseases, notably hypertension, but also diabetes and kidney disease, and then, of course, there is routine immunization that is weak,” he said.

The carpet bombing of Ukrainian cities, missile strikes and artillery fire by Russian forces has put much of Ukraine’s health care system out of commission.

In a media interview a few days ago, Ukraine’s minister of health, Viktor Liashko, said 1,218 health care institutions have been damaged, including 540 hospitals, 173 of which were completely destroyed.

Kluge said the WHO has verified nearly 780 attacks on health care services, calling it “unforgivable.” He said, “Any attack on any health and health care is clearly a breach of international humanitarian law.”

Speaking from Poltava Oblast, Jarno Habicht, WHO representative for Ukraine, said the health system was functional depending on the region. For example, in areas regained from Russia, such as Bucha, Irpin and Kharkiv, “access to health care is more difficult.”

“Primary health care centers, which have been attacked — more than 780 attacks —need to be rebuilt. These centers need water, these centers need electricity, these centers need health care workers to come back,” he said.

There were, however, hopeful signs of recovery, Habicht added, noting that 20% of health facilities have been rebuilt by charities and private-sector investments.

“So, that means that the health system is also healing itself,” he said.

The U.N. refugee agency estimates more than 8 million Ukrainians have fled to neighboring European countries as refugees, and an estimated 7 million are displaced inside Ukraine.

Habicht also said the WHO’s latest “health survey shows that the internally displaced people have more barriers to access to care” than those who have left the country.

Overall, he said, Ukraine’s health system is under stress but working, and in regained areas, rebuilding infrastructure and attracting more health care workers is critical.

As the war enters its second year, he said, “We need new specialists, we need to do faster training for nurses as well for the doctors.

“We need more mental health specialists … and physiotherapists to ensure that children have enough support that they can move around, they can go to school, and their life can go on.”

Kluge, who is on his fifth visit to Ukraine within the past year, noted the need for continued international humanitarian support. “Unfortunately, after what I saw, I cannot tell that the impact of the war on the health of the people in this country is going to diminish.

“I am very concerned it will in the coming months actually increase,” he said.
…

Imagine if your dog or cat could use words to let you know when they’re angry, lonely or in pain. Well now they can, thanks to an innovative communication tool that’s helping them express themselves more effectively. VOA’s Julie Taboh has more.

Camera: Adam Greenbaum           

Produced by: Julie Taboh, Adam Greenbaum  
…

Avian flu has reached new corners of the globe and become endemic for the first time in some wild birds that transmit the virus to poultry, according to veterinarians and disease experts, who warn it is now a year-round problem.

Reuters spoke to more than 20 experts and farmers on four continents who said the prevalence of the virus in the wild signals that record outbreaks will not abate soon on poultry farms, ramping up threats to the world’s food supply. They warned that farmers must view the disease as a serious risk all year, instead of focusing prevention efforts during spring migration seasons for wild birds.

Outbreaks of the virus have widened in North and South America, Europe, Asia and Africa, undefeated by summer heat or winter cold snaps, since a strain arrived in the United States in early 2022 that was genetically similar to cases in Europe and Asia.

On Wednesday, Argentina and Uruguay each declared national sanitary emergencies after officials confirmed the countries’ first infections. Argentina found the virus in wild birds, while dead swans in Uruguay tested positive.

Egg prices set records after the disease last year wiped out tens of millions of laying hens, putting a staple source of cheap protein out of reach to some of the world’s poorest at a time the global economy is reeling from high inflation.

Wild birds are primarily responsible for spreading the virus, according to experts. Waterfowl like ducks can carry the disease without dying and introduce it to poultry through contaminated feces, saliva and other means.

Farmers’ best efforts to protect flocks are falling short.

In the United States, Rose Acre Farms, the country’s second-largest egg producer, lost about 1.5 million hens at a Guthrie County, Iowa, production site last year, even though anyone who entered barns was required to shower first to remove any trace of the virus, Chief Executive Marcus Rust said.

A company farm in Weld County, Colorado, was infected twice within about six months, killing more than 3 million chickens, Rust said. He thinks wind blew the virus in from nearby fields where geese defecated.

“We got nailed,” Rust said. “You just pull your hair out.”

The United States, Britain, France and Japan are among countries that have suffered record losses of poultry over the past year, leaving some farmers feeling helpless.

“Avian flu is occurring even in a new poultry farm with modern equipment and no windows, so all we could do now is ask God to avoid an outbreak,” said Shigeo Inaba, who raises chickens for meat in Ibaraki prefecture near Tokyo.

Poultry in the Northern Hemisphere were previously considered to be most at risk when wild birds are active during spring migration. Soaring levels of the virus in a broad range of waterfowl and other wild birds mean poultry now face high risks year round, experts said.

“It’s a new war,” said Bret Marsh, the state veterinarian in the U.S. state of Indiana. “It’s basically a 12-month vigil.”

In a sign the threat is expected to persist, Marsh is seeking funds from Indiana’s lawmakers to hire an additional poultry veterinarian and poultry health-specialist. Indiana lost more than 200,000 turkeys and other birds over the past year, while total U.S. deaths top 58 million birds, according to U.S. government data, surpassing the previous 2015 record.

The virus is usually deadly to poultry, and entire flocks are culled when even one bird tests positive.

Vaccinations are not a simple solution: they may reduce but not eliminate the threat from the virus, making it harder to detect its presence among a flock. Still, Mexico and the EU are among those vaccinating or considering shots.

Global problem

Wild birds have spread the disease farther and wider around the world than ever before, likely carrying record amounts of the virus, said Gregorio Torres, the head of the science department at the Paris-based World Organisation for Animal Health, an intergovernmental group and global authority on animal diseases. The virus changed from previous outbreaks to a form that is probably more transmissible, he told Reuters.

“The disease is here to stay at least in the short term,” Torres said.

Torres could not confirm the virus is endemic in wild birds worldwide, though other experts said it is endemic in certain birds in places like the United States.

While the virus can infect people, usually those who have contact with infected birds, the World Health Organization says the risk to humans is low.

The form of the virus circulating is infecting a broader range of wild birds than previous versions, including those that do not migrate long distances, said David Suarez, acting laboratory director of the U.S. government’s Southeast Poultry Research Laboratory in Georgia.

Such infections of “resident” birds are helping the virus to persist throughout the year when it didn’t previously, he said.

Black vultures, which inhabit the southern United States and previously avoided infections, are now among the species suffering, said David Stallknecht, director of the Southeastern Cooperative Wildlife Disease Study at the University of Georgia.

The virus has also infected mammals like foxes, bears and seals.

“We all have to believe in miracles,” Stallknecht said, “but I really can’t see a scenario where it’s going to disappear.”

Crossing borders

High virus levels in birds like blue-winged teal, ducks that migrate long distances, helped spread the virus to new parts of South America, Stallknecht said.

Countries including Peru, Ecuador and Bolivia in recent months reported their first cases.

Ecuador imposed a three-month animal-health emergency on Nov. 29, two days after its first case was detected, the country’s Ministry of Agriculture and Livestock said. So far, more than 1.1 million birds have died, the ministry said.

Infections in Uruguay and Bolivia put the disease close to top global chicken exporter Brazil, which has never confirmed a case. Brazilian Agriculture Minister Carlos Favaro said on Wednesday the country investigated three suspected cases, but test results came back negative.

“Everyone is focused on preventing the flu from reaching our country,” said Gian Carlos Zacchi, who raises chickens for processor Aurora in Chapecó in Brazil’s Santa Catarina state.

Some experts suspect climate change may be contributing to the global spread by altering wild birds’ habitats and migratory paths.

“The wild bird dynamics have shifted, and that’s allowed the viruses that live in them to shift as well,” said Carol Cardona, an avian flu expert and professor at the University of Minnesota.

Farmers are trying unusual tactics to protect poultry, with some using machines that make loud noises to scare off wild birds, experts said.

In Rhode Island, Eli Berkowitz, an egg producer and chief executive of Little Rhody Foods, sprayed the disinfectant Lysol on goose poop on a walkway of his farm in case it contained the virus. He also limits visitors to the farm, a more traditional precaution.

Berkowitz said he is bracing for March and April when migration season will pose an even greater risk to poultry.

“You’d better buckle up and hold on for your dear life,” he said.

 
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The confirmation of more bird flu cases in South America raised alarm bells in Brazil, which remains free of contagion even after its close neighbors Argentina and Uruguay confirmed cases there on Wednesday. 

In a press conference to discuss the global sanitary hazard, Brazilian Agriculture Minister Carlos Favaro said Brazil, the world’s biggest chicken exporter, would bolster measures to prevent outbreaks as the virus continued to spread. 

Until now, bird flu cases had been detected in commercial farms in Bolivia, which borders Brazil, and in Peru and Ecuador, Favaro said. 

On Wednesday, cases in wild birds were confirmed in Uruguay and Argentina, sparking a health emergency in both. 

In recent days, Brazil also investigated suspected cases of the highly pathogenic bird flu. 

The suspect cases occurred in wild birds in Rio Grande do Sul state, where many Brazilian meatpackers operate, and in domestic birds, ducks and chickens with bird flu symptoms in Amazonas state, according to the minister. 

None of the suspect cases turned out to be avian influenza, he said. 

Avian flu, which has reached new corners of the globe, has become endemic for the first time in some wild birds that transmit the virus to poultry, experts said. 

The virus has spurred import bans in some countries and pushed egg prices to record highs in some parts of the world. 

Brazil is home to some of the world’s biggest meatpackers. It has never registered a bird flu case. 

But since late last year, the Brazilian meat industry has been on high alert. Most of Brazil’s chicken processors operate in southern states, making the discoveries in Uruguay and Argentina worrisome. 

“It should be remembered that the situation in Uruguay (affecting wild birds) is an example of a case that would not suspend trade and exports of poultry products, in accordance with recommendations established by the World Organization for Animal Health,” Brazil’s meat lobby ABPA said in a statement. 

The Uruguayan government declared a state of national sanitary emergency after detecting bird flu in five dead black neck swans between the departments of Maldonado and Rocha. 

“It’s very important to isolate wild birds from domestic birds, especially sources of food and water,” Virginia Russi, a technician from the agriculture ministry of Uruguay told a news conference. 

Argentina’s Agriculture Secretary Juan Jose Bahillo also confirmed its first cases of bird flu in wild birds, leading it to declare a sanitary emergency and reinforce measures against the disease. 
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