Somalia’s Hope for Debt Relief Under Threat, Experts Warn 

A renewed political dispute between the federal government of Somalia and the Puntland federal member state, and a failure of the fragile reforms to boost revenue collection and fiscal transparency, could endanger Somalia’s hope for full debt relief from the International Monetary Fund and other multilateral lenders by the end of the year, officials and experts warn.

“Strengthening fiscal transparency is a requirement for Somalia to secure not only debt forgiveness but also more loans from the International Monetary Fund,” said Hussein Abdikarim, Somalia’s former presidential adviser.

“If Somalia fails to continue the steady progress it has made so far on its financial reforms, it could lose hope of paring its debt to around $550 million from $5.2 billion by 2023,” he added.

In February 2020, the executive boards of the IMF and the World Bank announced that Somalia was eligible for debt relief following economic and institutional reforms.

In October 2022, the IMF said its staff reached a staff-level agreement with Somalia that would allow the release of $10 million to the East African country, once reviewed and approved by the board.

Economic and financial experts are concerned about challenges that could reverse the hard-earned gains of the poor and heavily indebted tiny horn of Africa Nation.

“Lack of competitive procurement, lack of agreement(s) between the levels of government and its federal member states on fiscal federalism, and lack of transparency in several oil and gas deals are the main current challenges that could jeopardize and hinder Somalia’s progress towards winning reliable financial credibility,” Hussein Siad, an independent economic consultant and Somalia’s former vice minister of finance, told VOA in a phone interview.

“A government cannot work without the necessary mechanisms to operate, including laws, regulations, manuals and trained or skilled staff members that can implement government policies,” Siad said.

The debt owed by Somalia to external creditors is estimated to be more than $5 billion. Somalia owes the single biggest debt — $1 billion — to the United States.

Countries that become eligible for the Heavily Indebted Poor Countries (HIPC) Initiative of the IMF and World Bank have to commit to economic and financial reforms, as well as poverty reduction and political stability.

Corruption

In response to the concerns, Somali President Hassan Sheikh Mohamud on Thursday signed a set of anti-corruption directives aimed at boosting the legitimacy and credibility of the country’s financial institutions, a government statement said.

In the early morning Cabinet meeting, Somalia’s Council of Ministers approved the anti-corruption directives before the president endorsed them.

Reading a statement, government spokesman Farhan Jimale said, “The key directives, eight in number, included combating corruption, fostering accountability, strengthening public financial management systems and meritocracy, as well as improving the efficiency and effectiveness of government institutions.”

The statement also said, “The announced steps seek to increase transparency and accountability through financial disclosures by public officials, enhanced enforcement capacity, and expanded merit-based recruitment.”

The IMF’s board is expected to review the staff-level agreement reached with Somalia in early December.

Mohamud has urged an immediate implementation of the directives.

In 2019, his predecessor, Mohamed Abdullahi Mohamed, signed the country’s anti-corruption bill into law, but critics say the implementation of the law has been a challenge.

The nonprofit Transparency International ranks Somalia as one of the most corrupt countries in the world.

In its 2022 Corruptions Perceptions Index, Transparency International put Somalia at the bottom, saying, “Along with constant violence, Somalia’s President Hassan Sheikh Mohamud dissolved two very important anti-corruption bodies with a ‘wave of the hand’ decree.”

According to Somalia’s Criminal Code, active and passive bribery, attempted corruption, extortion, bribing a foreign official and money laundering are crimes.

“The debt relief is a big hope for Somalia to reclaim its financial position within the international community and allows our country to rejoin global economy after a 30-year exile,” a senior government economist told VOA on the condition of anonymity because he was not authorized to speak.

The official said if corruption and unnecessary political disputes remain, Somalia will miss a golden opportunity to clear its debts.

Somalia’s outlook remained clouded, with GDP growth for 2022 projected at 1.9%, down from 2.9% in 2021, and inflation projected to reach 9% from 4.6% in 2021, the IMF said.

Political dispute

The concerns grew following tension over a long-simmering dispute between the leaders of the federal government of Somalia and the northeastern semi-autonomous region of Puntland.

For months, Puntland has been reluctant to collaborate with the federal government on national issues, including debt relief programs, accusing Mogadishu of refusing to share power and foreign aid with the regions in line with the country’s federal system.

The political dispute took a turn for the worse this week when the leaders exchanged strong verbal accusations.

Puntland President Said Abdullahi Deni on Tuesday accused Mohamud and Somali Prime Minister Hamza Abdi Barre of “attempting to destabilize the relatively stable region.”

“The president and his prime minister have agreed to refuse the Puntland democracy and its willingness to hold one man, one vote elections,” Deni told his supporters.

Deni’s accusations came a day after Barre accused Puntland of jeopardizing the country’s debt relief efforts.

“Somalia’s debt relief program is in danger because Puntland has been refusing to participate in national meetings on the issue,” Barre warned. “If this fails because of Puntland, it will be a black scar on Puntland’s history, and its leaders will be responsible.”

Stunning Mosaic of Baby Star Clusters Created From 1 Million Telescope Shots

Astronomers have created a stunning mosaic of baby star clusters hiding in our galactic backyard.

The montage, published Thursday, reveals five vast stellar nurseries less than 1,500 light-years away. A light-year is nearly 9.7 trillion kilometers.

To come up with their atlas, scientists pieced together more than 1 million images taken over five years by the European Southern Observatory in Chile. The observatory’s infrared survey telescope was able to peer through clouds of dust and discern infant stars.

“We can detect even the faintest sources of light, like stars far less massive than the sun, revealing objects that no one has ever seen before,” University of Vienna’s Stefan Meingast, the lead author, said in a statement.

The observations, conducted from 2017 to 2022, will help researchers better understand how stars evolve from dust, Meingast said.

The findings, appearing in the journal Astronomy and Astrophysics, complement observations by the European Space Agency’s star-mapping Gaia spacecraft, orbiting nearly 1.5 million kilometers away.

Gaia focuses on optical light, missing most of the objects obscured by cosmic dust, the researchers said.

WHO Declares Mpox No Longer Global Health Emergency

The World Health Organization on Thursday declared mpox — formerly known as monkeypox — no longer poses a global public health emergency.

At a briefing at agency headquarters in Geneva, WHO Director-General Tedros Adhanom Ghebreyesus said the organization’s emergency committee on mpox met and recommended the multi-country outbreak no longer represents a public health emergency of international concern, and that he accepted that recommendation.

One major factor in the decision Tedros cited was a nearly 90% drop in cases of the disease during the last three months compared to the previous three months.

The WHO chief credited the sharp drop in cases to the work of community organizations and public health authorities around the world. The United Nations-linked health body noted that organizational efforts to inform the public of the risks of mpox, encouraging and supporting behavior change, and advocating for access to tests, vaccines and treatments, were critical.

But Tedros warned mpox continues to pose significant public health challenges that require “a robust, proactive and sustainable response.” In fact, Wednesday the U.S. Centers for Disease Control and Prevention announced a new cluster of cases were reported in Chicago.

Symptoms of mpox often include a rash that may be located on hands, feet, chest, face, or mouth or near the genitals, as well as fever, chills, and fatigue.

The WHO reported 98% of cases are among men who have sex with other men and can be spread from person to person through sexual contact, kissing, hugging and through contaminated clothing, towels and bed sheets.

In his briefing, Tedros said the misinformed stigma that mpox is a “gay disease” had been a driving concern in managing the epidemic, adding that it continues to hamper access to care for the disease. A feared much larger backlash against the most affected communities with mpox has largely not materialized.

As the outbreak expanded late last year, a trend of racist and stigmatizing language online and in some communities toward the term “monkeypox” was reported to the WHO. After consultations with international experts, the agency adopted mpox as a new, preferred term for the disease.

Some information in this report came from The Associated Press, Reuters and Agence France Presse.

Insects, Butterflies Find Home in Museum’s New Wing 

A new wing of the American Museum of Natural History in New York City officially opened to the public in in early May. The futuristic space features new galleries including an insectarium, butterfly vivarium, floor-to-ceiling collections displays and more. Evgeny Maslov has the story, narrated by Anna Rice. Camera: Vladimir Badikov 

Viral Hepatitis Deaths Projected to Exceed HIV, TB, and Malaria Combined by 2040 

Health agencies warn that viral hepatitis could kill more people by 2040 than HIV, tuberculosis and malaria combined if it remains a neglected disease and efforts to fight it remain underfunded.  

 

The World Health Organization reports every year that viral hepatitis, a potentially life-threatening liver infection, affects more than 350 million people globally and kills more than a million. Ninety percent of these infections and deaths are in low- and middle-income countries. 

 

Despite a cure for hepatitis C and a vaccine for hepatitis B, campaigners for a world free of this dangerous and debilitating disease remain far off that mark. 

 

“Over the last 10 years, we have seen really remarkable progress in this journey to eliminate viral hepatitis,” said Oriel Fernandez, senior director of the Viral Hepatitis Global Program at the Clinton Health Access Initiative, or CHAI.

“We have the tools to prevent, diagnose and treat viral hepatitis,” she said. “Secondly, the price of hepatitis drugs and diagnostics has significantly fallen over the years.” 

 

For example, Fernandez noted that in 2018, CHAI supported the government of Rwanda to set the lowest price for WHO-approved hepatitis B treatment. 

“The total cost to cure a patient dropped by 96%, from over $2,500 per person to less than $80 per person cured. And this made the idea of elimination affordable for Rwanda and really established a benchmark price for all countries to aim for,” she said. 

Pledging conference

 

But funding to help poor countries pay for the treatments and vaccines to cure and eliminate this debilitating disease remains elusive. To address this issue, the Hepatitis Fund and CHAI will hold the first-ever pledging conference in Geneva next week.  

 

The conference hopes to raise $150 million to support countries that are committed to the elimination of viral hepatitis and have taken action to implement programs toward this end. Organizers cite Egypt, Rwanda, Georgia, India, Indonesia, Nigeria and Vietnam among other countries that have begun this process. 

 

Kenneth Kabagambe, who has been living in Uganda with hepatitis B since 2012, is the founding executive director of the National Organization for People Living with Hepatitis B. He said he started the organization to raise awareness of the disease and to shatter the myths that stigmatize people and discourage them from seeking help. 

 

“For example, there are issues to do with the myths and misconceptions, which actually are drawn from the lack of clear information about the transmission of hepatitis B and hepatitis C in the communities,” he said. “These actually have led to domestic violence in some families because people think that hepatitis B is just casually transmitted, which is not correct.”

Hepatitis B is spread through sexual transmission and through contact with the blood, open sores or body fluids from a person infected with the disease. The main mode of transmission, however, is from mother to child during birth and delivery.   

 

WHO reports that about 70% of hepatitis B infections worldwide occur in Africa, and 70% of those infected with the disease are children younger than 5.   

Birth doses

While vaccination is the best way to prevent hepatitis B, Fernandez noted that the first birth dose of this vaccine has very low coverage in Africa. 

 

“In 2021, only 17% of newborn babies in the WHO Africa region received a timely hepatitis B birth dose,” she said. “And only 14 of the countries in the region have policies for routine HB-dose vaccinations.”   

 

Fernandez said effective and affordable treatments are available for both hepatitis B and hepatitis C, which is largely spread through unsafe drug injections and is a particularly huge problem in countries in the Eastern Mediterranean and Central and Southeast Asian regions, as well as some countries in the Western Pacific. 

 

“I think the bottom line is we do have effective tools for prevention in the case of hepatitis C and B, and treatment in the case of a cure for hepatitis C,” she said. “They just have not been implemented effectively, and to do this, we need a surge in financing. It is not an insurmountable goal. Countries have shown that we can do this.” 

 

Conference organizers say that investing $6 billion annually to end hepatitis in 67 low- and middle-income countries would prevent the deaths of 4.5 million people by 2030.  

They add, “For every dollar spent on HBV [hepatitis B virus] elimination activities, there is a two to four times return on investment.”

DNA ‘Reference Guide’ Expanded to Reflect Human Diversity 

For two decades, scientists have been comparing every person’s full set of DNA they study to a template that relies mostly on genetic material from one man affectionately known as “the guy from Buffalo.”

But they’ve long known that this template for comparison, or “reference genome,” has serious limits because it doesn’t reflect the spectrum of human diversity.

“We need a really good understanding of the variations, the differences between human beings,” said genomics expert Benedict Paten of the University of California, Santa Cruz. “We’re missing out.”

Now, scientists are building a much more diverse reference that they call a “pangenome,” which so far includes the genetic material of 47 people from various places around the world. It’s the subject of four studies published Wednesday in the journals Nature and Nature Biotechnology. Scientists say it’s already teaching them new things about health and disease and should help patients down the road.

Paten said the new reference should help scientists understand more about what’s normal and what’s not. “It is only by understanding what common variation looks like that we’ll be able to say, ‘Oh, this big structural variation that affects this gene? Don’t worry about it,'” he said.

A human genome is the set of instructions to build and sustain a human being, and experts define a pangenome as a collection of whole genome sequences from many people that is designed to represent the genetic diversity of the human species. The pangenome is not a composite but a collection; scientists depict it as a rainbow of stacked genomes, compared with one line representing the older, single reference genome.

The Human Pangenome Project builds upon the first sequencing of a complete human genome, which was nearly completed more than two decades ago and finally finished last year. Paten, a pangenome study author and project leader, said 70% of that first reference genome came from an African American man with mixed African and European ancestry who answered an ad for volunteers in a Buffalo newspaper in 1997. About 30% came from a mix of around 20 people.

The pangenome contains material from 24 people of African ancestry, 16 from the Americas and the Caribbean, six from Asia and one from Europe.

Although any two people’s genomes are more than 99% identical, Paten said “it’s those differences that are the things that genetics and genomics is concerned with studying and understanding.”

It may take a while for patients to see concrete benefits from the research. But scientists said new insights should eventually make genetic testing more accurate, improve drug discovery and bolster personalized medicine, which uses someone’s unique genetic profile to guide decisions for preventing, diagnosing and treating disease.

“The Pangenome Project gives a more accurate representation of the genome of people from around the world,” and should help doctors better diagnose genetic conditions, said clinical genetics expert Dr. Wendy Chung at Columbia University, who was not involved in the research.

If someone has a variation in a certain gene, it could be compared to the rainbow of references.

Study author Evan Eichler of the University of Washington said researchers will also learn more about genes already linked to problems, such as one tied to cardiovascular disease in African Americans.

“Now that we can actually sequence that gene in its entirety and we can understand the variation in that gene, we can start to go back to unexplained cases of patients with coronary heart disease” and look at them in light of the new knowledge, he said.

University of Minnesota plant genetics expert Candice Hirsch, who wasn’t involved in the research but has closely followed the effort, said she expects many discoveries to flow from it. Until now, “we really have only been able to scratch the surface of understanding the genetics that underlies disease,” she said.

The consortium leading the research is part of the Human Genome Reference Program, which is funded by an arm of the U.S. National Institutes of Health.

The team is in the process of adding to the collection of reference genomes, with the goal of having sequences from 350 people by the middle of next year. Scientists are also hoping to work more with international partners, including those focusing on Indigenous populations.

“We’re in it for the long game,” Paten said.

Will Artificial Intelligence Take Away Jobs? Not Many for Now, Says Expert

The growing abilities of artificial intelligence have left many observers wondering how AI will impact people’s jobs and livelihoods. One expert in the field predicts it won’t have much effect, at least in the short term.  

The topic was a point of discussion at the annual TED conference held recently in Vancouver.   

In a world where students’ term papers can now be written by artificial intelligence, paintings can be drawn by merely uttering words and an AI-generated version of your favorite celebrity can appear on screen, the impact of this new technology is starting to be felt in societies and sparking both wonderment and concern.  

While artificial intelligence has yet to become pervasive in everyday life, the rumblings of what could be a looming economic earthquake are growing stronger.  

 

Gary Marcus is a professor emeritus of psychology and neural science at New York University who helped ride sharing company Uber adopt the rapidly developing technology. 

 

An author and host of the podcast “Humans versus Machines,” Marcus says AI’s economic impact is limited for now, although some jobs have already been threatened by the technology, such as commercial animators for electronic gaming. 

Speaking with VOA after a recent conference for TED, the non-profit devoting to spreading ideas, Marcus said jobs that require manual labor will be safe, for now.   

“We’re not going to see blue collar jobs replaced I think as quickly as some people had talked about.,” Marcus predicted. “So we still don’t have driverless cars, even though people have talked about that for years. Anybody that does something with their hands is probably safe right now. Because we don’t really know how to make robots that sophisticated when it comes to dealing with the real world.”          

Another TED speaker, Sal Khan, is the founder of Khanmigo, an artificial intelligence powered software designed to help educate children. He is optimistic about AI’s potential economic impact as a driver of wealth creation. 

“Will it cause mass dislocations in the job market? I actually don’t know the answer to that,” Khan said, adding that “It will create more wealth, more productivity.” 

The legal profession could be boosted by AI if the technology prompts litigation. Copyright attorneys could especially benefit. 

 

Tom Graham and his company, Metaphysic.ai, artificially recreate famous actors and athletes so they do not need to physically be in front of a camera or microphone in order to appear in films, TV shows or commercials.    

His company is behind the popular fake videos of actor Tom Cruise that have gone viral on social media. 

 

He says the legal system will play a role in protecting people from being recreated without their permission.  

Graham, who has a law degree from Harvard University, has applied to the U.S. Copyright Office to register the real-life version of himself.            

“We did that because you’re looking for legal institutions that exist today, that could give you some kind of protection or remedy,” Graham explained, “It’s just, if there’s no way to enforce it, then it’s not really a thing.”                                

Gary Marcus is urging the formation of an international organization to oversee and monitor artificial intelligence.   

He emphasized the need to “get a lot of smart people together, from the companies, from the government, but also scientists, philosophers, ethicists…” 

“I think it’s really important that we as a globe, think all these things through,” Marcus concluded, “And don’t just leave it to like 190 governments doing whatever random thing they do without really understanding the science.”     

The popular AI website ChatGPT has gained widespread attention in recent months but is not yet a moneymaker. Its parent company, OpenAI, lost more than $540 million in 2022.     

Chinese Woman Appeals in Fight for Right to Freeze her Eggs

An unmarried Chinese woman on Tuesday began her final appeal of a hospital’s denial of access to freeze her eggs five years ago in a landmark case of female reproductive rights in the country. 

Teresa Xu’s case has drawn broad coverage in China, including by some state media outlets, since she first brought her case to court in 2019. She lost her legal challenge last year at another Beijing court, which ruled the hospital did not violate her rights in its decision. 

The upcoming judgment will have strong implications for the lives of many unmarried women in China and the country’s demographic changes, especially after the world’s second-largest economy recorded its first population decline in decades. 

In China, the law does not explicitly ban unmarried people from services such as fertility treatments and simply states that a “husband and wife” can have up to three children. But hospitals and other institutions, in practice, implement the regulations in a way that requires people to present a marriage license. 

Xu, who wanted to preserve her eggs so she could have the option to bear children later, is one of those facing difficulties in accessing fertility treatment. 

In 2018, Xu, then 30 years old, had gone to a public hospital in Beijing to ask about freezing her eggs. But after an initial check-up, she was told she could not proceed without a marriage certificate. 

According to the judgment she received last year, the hospital argued that egg freezing poses certain health risks. It said that egg-freezing services were only available to women who could not get pregnant in the natural way, and not for healthy patients. 

But it also stated that delaying pregnancy could bring risks to the mother during pregnancy and “psychological and societal problems” if there is a large age gap between parents and their child. 

After Tuesday’s hearing, Xu told reporters that the denial constituted a violation of her right to bodily autonomy, and she chose to fight on because this matter is very important to single women. 

“I also have grown up a lot as the case evolves, I don’t want to give up easily,” she said. 

It is unclear when the court will hand down the judgment, she said. 

UN: Over 4.5 Million Women, Newborns Die From Preventable Causes Every Year

A report by leading United Nations agencies says global progress in reducing maternal and newborn deaths has stalled for nearly a decade largely due to underinvestment in providing the health care.

The report shows more than 4.5 million women and babies die every year in pregnancy, childbirth or the first weeks after birth — equivalent to one death every seven seconds — “mostly from preventable or treatable causes if proper care was available.”

Allisyn Moran, unit head for maternal health at the World Health Organization, said all the deaths have similar risk factors and causes.

While the trends pre-date the coronavirus pandemic, she said “COVID-19-related service disruptions and funding diversions, rising poverty and worsening humanitarian crises are intensifying pressures on already overstretched maternity and newborn health services.”

Since 2018, the report finds, more than three-quarters of all conflict-affected and sub-Saharan African countries report funding for maternal and newborn health has declined and that only one in 10 of more than 100 countries surveyed reported they had the money needed to implement their current plans.

Speaking in Cape Town, South Africa, the site of a major global conference on maternal health, Moran said that a lack of investment in primary health care risked lowering survival prospects.

“For instance, while prematurity is now the leading cause of all under-5 deaths globally, less than a third of countries report having sufficient newborn care units to treat small and sick babies,” she said. “Two-thirds of emergency childbirth facilities in sub-Saharan Africa lack essential resources like medicines and supplies, water, electricity or staffing for 24-hour care.”

Steven Lauwerier, UNICEF director of health, agreed with that assessment. Since the COVID-19 pandemic, he said “babies, children, and women who were already exposed to threats to their well-being, especially those living in fragile countries and emergencies, are facing the heaviest consequences of decreased spending and efforts on providing quality and accessible healthcare.”

The report, “Improving Maternal and Newborn Health and Survival and Reducing Stillbirth,” found that in sub-Saharan Africa and central and southern Asia, the regions with the greatest number of newborn and maternal deaths, fewer than 60 percent of women receive even four of the WHO’s recommended eight prenatal checks.

“The death of any woman or young girl during pregnancy or childbirth is a serious violation of their human rights,” said Julitta Onabanjo, director of the technical division at the U.N. Population Fund.  “It also reflects the urgent need to scale-up access to quality sexual and reproductive health services as part of universal health coverage and primary health care, especially in communities where maternal mortality rates have stagnated or even risen during recent years.”

The authors of the report agree that women and babies must have quality, affordable health care before, during and after childbirth, as well as access to family planning services to increase survival rates.

They add that “more skilled and motivated health workers, especially midwives, are needed, alongside essential medicine and supplies, safe water, and reliable electricity.”

The stated aim of health leaders from over 30 countries attending the week-long conference is to develop plans that accelerate progress where it is most needed.

Anshu Banerjee, the WHO director of maternal, newborn, child and adolescent health and aging, is in no doubt as to where that is. “Pregnant women and newborns continue to die at unacceptably high rates worldwide,” he said, “and the COVID-19 pandemic has created further setbacks to providing them with the healthcare they need.”

“If we wish to see different results, we must do things differently,” he said. “More and smarter investments in primary health care are needed now so that every woman and baby — no matter where they live — has the best chance of health and survival.”

Democratic, Republican Leaders to Meet on US Debt Limit Deadlock

U.S. President Joe Biden and the top Republican and Democrats in Congress are set to meet Tuesday at the White House amid an impasse about raising the country’s debt limit. 

Republicans House Speaker Kevin McCarthy and Senate Minority Leader Mitch McConnell will be joined by Democrats House Democratic leader Hakeem Jeffries and Senate Majority Leader Chuck Schumer as the group discusses the impending deadline to make sure the government can pay for spending it has already incurred. 

Republicans are insisting on spending cuts before they will agree to raise the debt ceiling, while Biden has said Congress has a duty to pay its bills and that the two issues should be addressed separately. 

SEE ALSO: A related video by VOA’s Patsy Widakuswara

U.S. Treasury Secretary Janet Yellen told lawmakers last week that the Treasury’s ability to pay all of the government’s bills could run short as early as June 1. 

She told CNBC on Monday there was a “very big gap” between the Democratic and Republican positions and warned that not raising the debt limit would bring “economic catastrophe.” 

Some information for this report came from The Associated Press, Agence France-Presse and Reuters 

Simple Measures Can Prevent a Million Baby Deaths a Year: Study

Providing simple and cheap healthcare measures to pregnant women — such as offering aspirin — could prevent more than a million babies from being stillborn or dying as newborns in developing countries every year, new research said on Tuesday.   

An international team of researchers also estimated that one quarter of the world’s babies are born either premature or underweight, adding that almost no progress is being made in this area.    

The researchers called for governments and organizations to ramp up the care women and babies receive during pregnancy and birth in 81 low- and middle-income countries.   

SEE ALSO: A related video by VOA’s Timothy Obiezu

Eight proven and easily implementable measures could prevent more than 565,000 stillbirths in these countries, according to a series of papers published in the Lancet journal.    

The measures included providing micronutrient, protein and energy supplements, low-dose aspirin, the hormone progesterone, education on the harms of smoking, and treatments for malaria, syphilis and bacteria in urine.   

If steroids were made available to pregnant women and doctors did not immediately clamp the umbilical cord, the deaths of more than 475,000 newborn babies could also be prevented, the research found.    

Implementing these changes would cost an estimated $1.1 billion, the researchers said.   

This is “a fraction of what other health programs receive”, said Per Ashorn, a lead study author and professor at Finland’s Tampere University.    

‘Shockingly’ common 

Another study author, Joy Lawn of the London School for Hygiene and Tropical Medicine, told AFP that the researchers used a new definition for babies born premature or underweight.   

She said the traditional way to determine a baby had a low birthweight — if it was born weighing under 2.5 kilograms — was “a bit randomly selected” by a Finnish doctor in 1919.   

 This “very blunt measure” has remained the benchmark for more than a century, despite plentiful evidence that “those babies are not all the same”, Lawn said.   

The researchers analyzed a database that included 160 million live births from 2000 to 2020 to work out how often babies are born “too soon and too small”, she said.   

“Quite shockingly, we found that this is much more common once you start to think about it in a more nuanced way.”   

The researchers estimated that 35.3 million — or one in four — of the babies born worldwide in 2020 were either premature or too small, classifying them under the new term “small vulnerable newborns.”   

While most of the babies were born in southern Asia and sub-Saharan Africa, Lawn emphasized that every country was affected.    

One reason progress has flatlined is that these problems tend “to be something that happens to families and women with less of a voice”, Lawn said.   

For example, pregnant African American women in the United States received a lower level of care than other groups, she added. 

Elon Musk and Tesla Break Ground on Massive Texas Lithium Refinery

Tesla Inc on Monday broke ground on a Texas lithium refinery that CEO Elon Musk said should produce enough of the battery metal to build about 1 million electric vehicles (EVs) by 2025, making it the largest North American processor of the material. 

The facility will push Tesla outside its core focus of building automobiles and into the complex area of lithium refining and processing, a step Musk said was necessary if the auto giant was to meet its ambitious EV sales targets. 

“As we look ahead a few years, a fundamental choke point in the advancement of electric vehicles is the availability of battery grade lithium,” Musk said at the ground-breaking ceremony on Monday, with dozers and other earth-moving equipment operating in the background. 

Musk said Tesla aimed to finish construction of the factory next year and then reach full production about a year later. 

The move will make Tesla the only major automaker in North America that will refine its own lithium. Currently, China dominates the processing of many critical minerals, including lithium. 

“Texas wants to be able to be self-reliant, not dependent upon any foreign hostile nation for what we need. We need lithium,” Texas Governor Greg Abbott said at the ceremony. 

Musk did not specify the volume of lithium the facility would process each year, although he said the automaker would continue to buy the metal from its vendors, which include Albemarle Corp and Livent Corp. 

“We intend to continue to use suppliers of lithium, so it’s not that Tesla will do all of it,” Musk said. 

Albemarle plans to build a lithium processing facility in South Carolina that will refine 100,000 tons of the metal each year, with construction slated to begin next year and the facility coming online sometime later this decade. 

Musk did not say where Tesla will source the rough form of lithium known as spodumene concentrate that will be processed at the facility, although Tesla has supply deals with Piedmont Lithium Inc and others. 

‘Clean operations’

Tesla said it would eschew the lithium industry’s conventional refining process, which relies on sulfuric acid and other strong chemicals, in favor of materials that were less harsh on the environment, such as soda ash. 

“You could live right in the middle of the refinery and not suffer any ill effect. So they’re very clean operations,” Musk said, although local media reports said some environmental advocates had raised concerns over the facility. 

Monday’s announcement was not the first time that Tesla has attempted to venture into lithium production. Musk in 2020 told shareholders that Tesla had secured rights to 10,000 acres in Nevada where it aimed to produce lithium from clay deposits, which had never been done before on a commercial scale. 

While Musk boasted that the company had developed a proprietary process to sustainably produce lithium from those Nevada clay deposits, Tesla has not yet deployed the process. 

Musk has urged entrepreneurs to enter the lithium refining business, saying it is like “minting money.” 

“We’re begging you. We don’t want to do it. Can someone please?” he said during a conference call last month. 

Tesla said last month a recent plunge in prices of lithium and other commodities would aid Tesla’s bruised margins in the second half of the year. 

The refinery is the latest expansion by Tesla into Texas after the company moved its headquarters there from California in 2021. Musk’s other companies, including SpaceX and The Boring Company, also have operations in Texas. 

SEE ALSO: A related video by VOA’s Arash Arabasadi

“We are proud that he calls Texas home,” Abbott said, saying Tesla and Musk are “Texas’s economic juggernauts.” 

Mexico Plans Expedition to Find Endangered Porpoises

Mexican officials and the conservation group Sea Shepherd said Monday that experts would set out in two ships in a bid to locate the few remaining vaquita marina, the world’s most endangered marine mammal. 

Mexico’s environment secretary said experts from the United States, Canada and Mexico will use binoculars, sighting devices and acoustic monitors to try to pinpoint the location of the tiny elusive porpoises. The species cannot be captured, held or bred in captivity. 

The trip will start Wednesday and run to May 26 in the Gulf of California, also known as the Sea of Cortez, the only place the vaquita lives. The group will travel in a Sea Shepherd vessel and a Mexican boat and try to sight vaquitas. As few as eight of the creatures are believed to remain. 

SEE ALSO: A related video by VOA’s Annika Hammerschlag

Illegal gillnet fishing traps and kills the vaquita. Fishermen set the nets to catch totoaba, a fish whose swim bladder is considered a delicacy in China and can fetch thousands of dollars per pound (0.45 kilograms). 

Sea Shepherd has been working in the Gulf alongside the Mexican navy to discourage illegal fishing in the one area where vaquitas were last seen. The area is known as the “zero tolerance” zone, and fishing is supposedly not allowed there. However, illegal fishing boats are regularly seen there, and so Mexico has been unable to completely stop them. 

Pritam Singh, Sea Shepherd’s chairman, said that a combination of patrols and the Mexican navy’s sinking of concrete blocks with hooks to snare illegal nets has reduced the number of hours that fishing boats spend in the restricted zone by 79% in 2022, compared with the previous year. 

Singh said that “the last 18 months have been incredibly impactful and encouraging,” while noting that “the road ahead for saving this species is long.” 

SEE ALSO: A related video by VOA’s Henry Wilkins

The last such sighting expedition in 2021 yielded probable sightings of between five and 13 vaquitas, a decline from the previous survey in 2019. The porpoises are so small and so elusive, and are usually seen from so far away, that it is hard for observers to be certain that they saw a vaquita, count how many they saw or determine whether they saw the same animal twice. 

Illegal fishing itself has impeded population calculations in the past. 

According to a report published in 2022, both the 2019 and 2021 surveys “were hindered by the presence of many illegal fishing boats with gillnets in the water. Some areas could not be surveyed at all on some days due to the density of illegal fishing.” 

The government’s protection efforts have been uneven, at best, and often face violent opposition from local fishermen. 

President Andrés Manuel López Obrador’s administration has largely declined to spend money to compensate fishermen for staying out of the vaquita refuge and not using gillnets, or to monitor the fishing boats or the areas they launch from. 

US, UAE: Climate Farming Fund Has Grown to $13 Billion

Funding for a global initiative aimed at creating more environmentally friendly and climate-resilient farming has grown to $13 billion, co-leaders the United States and the United Arab Emirates said Monday.

That money means the Agriculture Innovation Mission (AIM) for Climate, launched in 2021, now exceeds its $10 billion target for the COP28 climate talks, to be hosted by the UAE in November and December.

“Climate change continues to impact longstanding agricultural practices in every country and a strong global commitment is necessary to face the challenges of climate change head-on,” U.S. Secretary of Agriculture Tom Vilsack said in a statement.

Vilsack and his Emirati counterpart Mariam bint Mohammed Almheiri, the UAE Minister of Climate Change and Environment, are co-hosting an AIM for Climate Summit in Washington this week.

“I think the beauty of this is that of the $13 billion, $10 billion comes from the government and three billion is coming from the private sector,” said Almheiri.

Between a quarter and a third of global greenhouse emissions come from food systems, from factors like deforestation to make way for agricultural land, methane emissions from livestock, the energy costs associated with supply chains and energy used by consumers to store and prepare food.

At the same time, the changing climate is threatening food security across the world, as global warming increases the frequency of punishing heat waves, droughts and extreme weather events.

Projects underway include developing newer, greener fertilizers that use less fossil fuels to create, and returning to so-called “regenerative agriculture” practices that restore soil biodiversity, thus improving both yield and carbon sequestration while reducing the need for fertilization.

Artificial intelligence-enhanced tools meanwhile are being developed to take data from sources including satellites and ground sensors to then accurately estimate how carbon-rich any given plot of land is, which could help farmers boost soil health or enable the creation of a viable carbon offset market.

Also on the group’s agenda are efforts to adopt more efficient farming techniques and to switch to growing crops that require less water in some climate-impacted areas.

“Black farmers, Indigenous farmers, low-income farmers, they need access to this innovation as well,” former U.S. Vice President Al Gore and climate activist told the summit’s opening meeting.

U.S. climate envoy John Kerry, as well as ministers from Britain, the European Commission, Australia, Kenya, Mexico and Panama are all set to address the conference.

US Backs Study of Safe Injection Sites, Overdose Prevention

For the first time, the U.S. government will pay for a large study measuring whether overdoses can be prevented by so-called safe injection sites, places where people can use heroin and other illegal drugs and be revived if they take too much.

The grant provides more than $5 million over four years to New York University and Brown University to study two sites in New York City and one opening next year in Providence, Rhode Island.

Researchers hope to enroll 1,000 adult drug users to study the effectiveness of the sites to prevent overdoses, to estimate their costs and to gauge potential savings for the health care and criminal justice systems.

The universities announced the grant Monday. The money will not be used to operate the sites, the universities said.

With U.S. drug overdose deaths reaching nearly 107,000 in 2021, supporters contend safe injection sites, also called overdose preventions centers, can save lives and connect people with addiction treatment, mental health services and medical care.

Opponents worry the sites encourage drug use and that they will lead to the deterioration of surrounding neighborhoods.

“There is a lot of discussion about overdose prevention centers, but ultimately, we need data to see if they are working or not, and what impact they may have on the community,” said Dr. Nora Volkow, director of the National Institute on Drug Abuse, which awarded the grant.

Sites operate in 14 countries, including Canada, Australia and France, according to the Drug Policy Alliance, a group working for decriminalization and safe drug use policies.

In the U.S., New York City opened the first publicly recognized safe injection site in 2021, and Rhode Island became the first state to authorize them that year.

States including Colorado, Nevada and New Mexico have considered allowing them. The governors of California and Vermont vetoed bills allowing safe injection sites last year, and Pennsylvania’s Senate last week voted for a ban on them.

The grant marks another move by the Biden administration toward what is known as harm reduction, a strategy focused on preventing death and illness in drug users while helping them get care, as opposed to punishment.

The White House’s drug control strategy is the first to emphasize harm reduction, and the Justice Department has signaled it will allow safe injection sites.

In December, the National Institutes of Health established a harm reduction research network to study programs providing services and supplies, including naloxone, a drug that can reverse overdoses, and materials to test drugs for fentanyl, a powerful opioid driving record numbers of overdoses. The new study on safe injection sites will be part of that project.

Congress Eyes New Rules for Tech

Most Democrats and Republicans agree that the federal government should better regulate the biggest technology companies, particularly social media platforms. But there is little consensus on how it should be done. 

Concerns have skyrocketed about China’s ownership of TikTok, and parents have grown increasingly worried about what their children are seeing online. Lawmakers have introduced a slew of bipartisan bills, boosting hopes of compromise. But any effort to regulate the mammoth industry would face major obstacles as technology companies have fought interference. 

Noting that many young people are struggling, President Joe Biden said in his February State of the Union address that “it’s time” to pass bipartisan legislation to impose stricter limits on the collection of personal data and ban targeted advertising to children. 

“We must finally hold social media companies accountable for the experiment they are running on our children for profit,” Biden said.

A look at some of the areas of potential regulation: 

Children’s safety

Several House and Senate bills would try to make social media, and the internet in general, safer for children who will inevitably be online. Lawmakers cite numerous examples of teenagers who have taken their own lives after cyberbullying or have died engaging in dangerous behavior encouraged on social media. 

In the Senate, at least two bills are focused on children’s online safety. Legislation by Senators Richard Blumenthal, a Connecticut Democrat, and Marsha Blackburn, a Tennessee Republican, approved by the chamber’s Commerce Committee last year would require social media companies to be more transparent about their operations and enable child safety settings by default. Minors would have the option to disable addictive product features and algorithms that push certain content. 

The idea, the senators say, is that platforms should be “safe by design.” The legislation, which Blumenthal and Blackburn reintroduced last week, would also obligate social media companies to prevent certain dangers to minors — including promotion of suicide, disordered eating, substance abuse, sexual exploitation and other illegal behaviors. 

A second bill introduced last month by four senators — Democratic Senators Brian Schatz of Hawaii and Chris Murphy of Connecticut and Republican Senators Tom Cotton of Arkansas and Katie Britt of Alabama — would take a more aggressive approach, prohibiting children under 13 from using social media platforms and requiring parental consent for teenagers. It would also prohibit companies from recommending content through algorithms for users under 18.

Critics of the bills, including some civil rights groups and advocacy groups aligned with tech companies, say the proposals could threaten teens’ online privacy and prevent them from accessing content that could help them, such as resources for those considering suicide or grappling with their sexual and gender identity. 

“Lawmakers should focus on educating and empowering families to control their online experience,” said Carl Szabo of NetChoice, a group aligned with Meta, TikTok, Google and Amazon, among other companies. 

Data privacy 

Biden’s State of the Union remarks appeared to be a nod toward legislation by Senators Ed Markey, a Massachusetts Democrat, and Bill Cassidy, a Louisiana Republican, that would expand child privacy protections online, prohibiting companies from collecting personal data from younger teenagers and banning targeted advertising to children and teens. The bill, also reintroduced last week, would create an “eraser button” allowing parents and kids to eliminate personal data, when possible. 

A broader House effort would attempt to give adults as well as children more control over their data with what lawmakers call a “national privacy standard.” Legislation that passed the House Energy and Commerce Committee last year would try to minimize data collected and make it illegal to target ads to children, usurping state laws that have tried to put privacy restrictions in place. But the bill, which would have also given consumers more rights to sue over privacy violations, never reached the House floor. 

Prospects for the House legislation are unclear now that Republicans have the majority.

 

TikTok, China 

Lawmakers introduced a raft of bills to either ban TikTok or make it easier to ban it after a combative March House hearing in which lawmakers from both parties grilled TikTok CEO Shou Zi Chew over his company’s ties to China’s communist government, data security and harmful content on the app. 

Chew attempted to assure lawmakers that the hugely popular video-sharing app prioritizes user safety and should not be banned because of its Chinese connections. But the testimony gave new momentum to the efforts. 

Soon after the hearing, Missouri Senator Josh Hawley, a Republican, tried to force a Senate vote on legislation that would ban TikTok from operating in the United States. But he was blocked by a fellow Republican, Kentucky Senator Rand Paul, who said that a ban would violate the Constitution and anger the millions of voters who use the app. 

Another bill sponsored by Republican Senator Marco Rubio of Florida would, like Hawley’s bill, ban U.S. economic transactions with TikTok, but it would also create a new framework for the executive branch to block any foreign apps deemed hostile. His bill is co-sponsored by Representatives Raja Krishnamoorthi, an Illinois Democrat, and Mike Gallagher, a Wisconsin Republican. 

There is broad Senate support for bipartisan legislation sponsored by Senate Intelligence Committee Chairman Mark Warner, a Virginia Democrat, and South Dakota Senatpr John Thune, the No. 2 Senate Republican, that does not specifically call out TikTok but would give the Commerce Department power to review and potentially restrict foreign threats to technology platforms. 

The White House has signaled it would back that bill, but its prospects are uncertain. 

Artificial intelligence 

A newer question for Congress is whether lawmakers should move to regulate artificial intelligence as rapidly developing and potentially revolutionary products like AI chatbot ChatGPT begin to enter the marketplace and can in many ways mimic human behavior. 

Senate Democratic leader Chuck Schumer of New York has made the emerging technology a priority, arguing that the United States needs to stay ahead of China and other countries that are eyeing regulations on AI products. He has been working with AI experts and has released a general framework of what regulation could look like, including increased disclosure of the people and data involved in developing the technology, more transparency and explanation for how the bots arrive at responses.

The White House has been focused on the issue as well, with a recent announcement of a $140 million investment to establish seven new AI research institutes. Vice President Kamala Harris met Thursday with the heads of Google, Microsoft and other companies developing AI products.

Are Corporate Profits Driving Global Inflation?

As prices for food and goods remain high in many countries, some economists say the persistent inflation is partly due to corporate profit-seeking. VOA’s Veronica Balderas Iglesias has the details.

Social Stigma of Fentanyl Abuse Complicates Treatment

The U.S. Centers for Disease Control and Prevention says America’s leading cause of overdose deaths is synthetic opioids, mostly fentanyl, which can be up to 50 times stronger than heroin. U.S. law enforcement says illicit fentanyl is cheaply made from chemicals mostly coming from China, trafficked through Mexico, and then smuggled into the United States. VOA’s Natasha Mozgovaya looks at fentanyl in Washington state in a series that today explores how stigmas about fentanyl abuse complicate treatment for addicts.

Fentanyl Addiction Treatments Offer New Chances

The U.S. Centers for Disease Control and Prevention says America’s leading cause of overdose deaths is synthetic opioids, mostly fentanyl, which can be up to 50 times stronger than heroin. U.S. law enforcement says illicit fentanyl is cheaply made from chemicals mostly coming from China, trafficked through Mexico, and then smuggled into the United States, says U.S. law enforcement. VOA’s Natasha Mozgovaya looks at fentanyl in a series from the state of Washington that concludes by showing how breaking free from addiction can be a lifelong journey.

ASEAN Leaders to Tackle Regional Crises at Tropical Resort

A picturesque tourist destination will host crisis-weary Southeast Asian leaders with sun-splashed tropical islands, turquoise waters brimming with corals and manta rays, seafood feasts, and a hillside savannah crawling with Komodo dragons.

The sunshiny setting is a stark contrast to the seriousness of their agenda.

Indonesian President Joko Widodo picked the far-flung, rustic harbor town of Labuan Bajo as a laidback venue to discuss an agenda rife with contentious issues. These include the continuing bloody civil strife in Myanmar and the escalating territorial conflicts in the South China Sea between fellow leaders of the Association of Southeast Asian Nations.

The 10-nation regional bloc and its member states will meet for three days starting Tuesday, with the growing rivalry between the United States and China as a backdrop.

U.S. President Joe Biden has been reinforcing an arc of alliances in the Indo-Pacific region to better counter China over Taiwan and the long-seething territorial conflicts in the strategic South China Sea which involve four ASEAN members: Brunei, Malaysia, the Philippines and Vietnam. Indonesia, this year’s ASEAN chair, has also confronted Chinese fishing fleets and coast guard that have strayed into what Jakarta says was its internationally recognized exclusive economic zone in the gas-rich Natuna Sea.

Widodo, who’s in his final year on the world stage as he reaches the end of his two-term limit, said ASEAN aims to collaborate with any country to solve problems through dialogue.

That includes Myanmar where, two years after the military power grab that forced out Aung San Suu Kyi’s administration and sparked a bloody civil strife, ASEAN has failed to rein in the violence in its member state. A five-point peace plan by ASEAN leaders and the top Myanmar general, which calls for an immediate stop to killings and other violence and the start of a national dialogue, has been disregarded by Myanmar’s ruling military.

ASEAN stopped inviting Myanmar’s military leaders to its semiannual summits and would only allow non-political representatives to attend. Myanmar has protested the move.

In an additional concern involving Myanmar, Indonesian officials said Sunday that 20 of their nationals, who were trafficked into Myanmar and forced to perform cyber scams, had been freed from Myanmar’s Myawaddy township and brought to the Thai border over the weekend. During the summit, ASEAN leaders planned to express their concern over such human trafficking schemes in a joint statement, a draft copy of which was obtained by The Associated Press.

Indonesian Foreign Minister Retno Marsudi said her country, as ASEAN chair, has tackled the Myanmar crisis in a non-adversarial way.

“Colleagues certainly know that in the early stages of its leadership, Indonesia decided to take a non-megaphone diplomacy approach,” Marsudi said. “The aim is to provide space for the parties to build trust and for the parties to be more open in communicating.”

Widodo’s choice of a seaside venue with stunning sunrises and sunsets and the sound of birds chirping all day complements that approach.

The Indonesian leader also hoped the high-profile ASEAN summit would put Labuan Bajo and outlying islands, dotted with white-sand beaches and even a rare pink-sand beach, under the global tourism spotlight.

“This is a very good moment for us to host the ASEAN summit and showcase Labuan Bajo to the world,” said Indonesian President Joko Widodo, who flew in Sunday with his wife to a red-carpet welcome flanked by military honor guards and dancing villagers with flower-filled headwear.

But there are a few hitches.

The far-flung fishing town with only three traffic lights and about 6,000 residents is acutely short of hotels for ASEAN’s swarm of diplomats, delegates and journalists. Many had to arrange to share rooms.

Unlike the more popular Bali resort island or the bustling concrete jungle of a capital Jakarta, which has hosted international conclaves in upscale hotels and convention centers, Labuan Bajo is a far smaller town that a visitor could cross from end to end with a brisk two-hour walk. There are no public buses, and villagers mostly move around by walking, riding scooters or driving private cars.

A small team of local technicians with hard hats were flown in to lay cables and expand internet connections at the venues on short notice.

On Sunday, Labuan Bajo’s small airport was jampacked with visitors. Teams of diplomats and journalists arrived to welcome streamers announcing the upbeat summit motto, “ASEAN Matters: Epicentrum of Growth.”

Outside the airport named after the Komodo dragons, traffic quickly built up under the brutal noontime sun.

When the sun rose Monday morning, workers were still cementing some roadsides around the venues — a day before the summit opening.

Andre Kurniawan, who works at a dive center in Labuan Bajo, said the infrastructure developments would be a boon for Labuan Bajo villagers. “We were isolated from some areas before and now they are open and the areas are getting better. I hope that Labuan Bajo can be a better tourist town in the future,” he said.

Azril Azahari, chair of an association of Indonesian academic experts on tourism, told the AP that Labuan Bajo was not ready and apparently was chosen to host the summit on short notice. “The hotel facilities and the lodging have become a problem. There is a ship being used for accommodation and it’s not a lodging ship,” he said.

Welcoming visitors to her coffee shop ahead of the summit, Suti Ana said even though it wasn’t the best time for Labuan Bajo to host, ASEAN would boost local businesses. “But we cannot wait, so this is the time,” she said.

Choosing the small port town was not a bad idea, Azril said, if it came with adequate planning and government investments in infrastructure.

Located on the western tip of Flores island in southern Indonesia, Labuan Bajo, aside from its beaches and diving and snorkeling spots, has been better known as the gateway to the Komodo National Park — a UNESCO World Heritage site and the only place in the world where Komodo dragons, the world’s largest lizards, are found in the wild.

Environmentalists and tourism analysts fear that a wider public interest could put further stress on the already endangered Komodo dragons. Only about 3,300 were known to exist as of 2022.

“If more people come, sooner or later the Komodo dragons cannot breed in peace, this can be a problem,” Azahari said, citing longstanding fears that the Komodos could face extinction without full protection.

Despite the odds, Indonesian officials said they would do everything to successfully and safely host the ASEAN summit in Labuan Bajo.

“If there’s any commotion along the way, that will be a big stain on the nation’s dignity,” Edistasius Endi, the regent of Labuan Najo’s West Manggarai district, said in a statement.