Are Abortion Laws in Idaho Hurting Maternal Health Care?

In the United States, women’s access to legal abortion depends on where they live. The Western U.S. state of Idaho has some of the toughest laws against abortion, and that may be having an impact on women who are trying to have babies. Deborah Bloom has our story.  

Startup Firm Leads Kenya Into World of High-Tech Manufacturing

A three-year-old startup company is leading Kenya into the world of high-tech manufacturing, building a workforce capable of making semiconductors and nanotechnology products that operate modern devices from mobile phones to refrigerators. 

Anthony Githinji is the founder of Semiconductors Technologies Limited, or STL, located in Nyeri, about a three hours’ drive from Nairobi. 

He brought his know-how to Kenya from the United States, where he started work in 1997 on semiconductors — materials that conduct electricity and are used in thousands of products. 

He said the biggest barrier to entry in any high-tech business is finding a workforce with the right skills. In deciding to start a business in Kenya, his country of origin, Githinji said a meeting with the vice-chancellor of Dedan Kimathi University of Science and Technology, also known as DEKUT, was a game changer. 

“DEKUT and STL formed a partnership that allowed for us to engage STEM-related education and develop it, tool it and orient it toward our specific industry, which is the semiconductor and microchip space and so we started attaching students and having internships through STL, and it became very clear and very quickly that the level and caliber of the education system and the product of DEKUT, I believe most institutions of higher learning in Kenya are very high level,” Githinji said.

Female engineers

STL employs about 100 engineers, 70 percent of them women.

Irene Ngetich, a process engineer with a background in telecommunications and electrical engineering, graduated from DEKUT in 2019. She said she entered the STEM (Science, Technology, Engineering, and Mathematics) sector after reading an article recommended by her father about another woman in the field. 

“So, when I read through [it] … she mentioned that in her class there were only two ladies. Of course, I love doing challenging things; so that stood out for me,” she said.

Ngetich said the company’s goal is “to be the leading [computer] chip manufacturer in Africa.” 

Semiconductors are used in almost every sector of electronics. In consumer electronics, for example, they are used in microwave ovens, refrigerators, mobile phones, laptops, and video game consoles. 

Lorna Muturi, a mechatronics engineer who will be graduating from DEKUT this year, is just 22 years old, but already has been working at STL for two years.

“We build the semiconductor manufacturing machine within the plant and as a mechatronics engineer, I am involved in the automation of the system; [and] also involved in the diagnostics of the system in case there’s an issue,” she explained about her job.

Muturi said that at STL, she works with people who are comfortable with her and accept her as a woman engineer. Now she’s able to go out and inspire others to join the STEM field.

STL CEO Githinji said the company prides itself on being gender overbalanced on the female side. He said the company turned out that way because of an extremely vigilant human resource development program.

“What you see at STL, whether it’s deliberate or inadvertent, is the result of pretty rigorous attention to the human resource capacity of the individual. It so turns out that these young women in STEM at STL have a very compelling story to tell. They are extremely intelligent, they are doing exceptionally well, training very well and they are producing very well,” he told VOA.

He added, “We also do have a lot of young men who perform very well and are exceptional in what they do.”

Looking ahead

Githinji said the company is not profitable yet.

“We are still in the phase of building capacity, so there’s a lot of expense that sinks into creating that capacity,” he said. “The good news, though, is that we have customers, we have products, we have the view that these products are going to be more and more adaptable and compelling in the marketplace.”

The company is working to establish relationships with other universities in Kenya, such as Strathmore and University of Eldoret, as well as in Uganda and Rwanda.

Githinji said he has also established a foundation named after his mother and his mother-in-law, with a goal of empowering under-privileged girls through STEM. With partners, he has built a computer lab in a remote village near Mount Kenya with about 20 workstations so kids and their families can benefit. 

Lab-Grown Meat Industry Makes Progress but Faces Supply, Public Acceptance Hurdles

Singapore was the first country in the world to greenlight the sale of lab-grown meat, but even after nearly 2½ years, the fledgling industry is still struggling with supply issues and hurdles such as public acceptance, experts say.

Lab-grown or cultivated meat is meat grown in a lab by extracting cells from animals and growing the muscles to eventually have the texture, nutrition and taste of meat from real-life animals.

The product has long been touted as a potential solution to multiple issues, including burgeoning food insecurity brought by human-caused climate change, degrading soil and biodiversity, and a way to reduce greenhouse gas emissions from livestock.

Southeast Asia is at the forefront of the impact of climate change impacts, with recent heatwaves sweeping across the region and food security has become a priority in the region’s agenda. In land-scarce Singapore, the issue is even more acute where its citizens import 90% of the food they consume.

Turning to more sustainable meat is one of the city-state’s food strategies. Its so-called “30 by 30” goal aims to produce 30% of Singapore’s nutritional needs locally by 2030, and COVID-19’s impacts on food exports was another wake-up call for the country. Chicken rice is Singapore’s de-facto national dish, but its neighbor, Malaysia, banned its exports of chicken to Singapore last year due to a global feed shortage.

“We [Singapore] had to scramble to try and find chicken supplies from other countries,” Andre Huber, executive director of Huber’s Butchery and Bistro, the only restaurant in Singapore that serves cultivated chicken dishes, told VOA News.

“I think the government’s decision to try and grow some of our own produce … we don’t have land or animals roaming around. I think this [lab-grown chicken] can be grown in high rise buildings.”

Singapore gave its green light to the sale of lab-grown chicken in December 2020 but so far, the product from U.S. cultivated meat provider GOOD Meat is only available in Huber’s and remains in limited supply.

Asked why the supply of cultivated chicken remains limited after over two years of gaining approval, Jun Chong, GOOD Meat’s associate product developer said money has been an issue.

“It was after two years when we have enough fundings and investment of money, and then we started to build our own facility,” Chong said. “It’s slowly getting into place.”

The new facility Chong mentioned is set to become the largest cultivated meat production center in Asia when it opens later this year in Singapore’s Bedok town and will provide “tens of thousands of pounds of meat from cells,” according to a statement from GOOD Meat.

In addition to infrastructure, another controversy connected to cultivated meat is the use of fetal bovine serum, which is often made from killing cows when they are pregnant. A recent study showed that over 2 million bovine fetuses are used globally to produce around 800,000 liters of such serum, sparking ethical debates in the industry. The use of such serum also goes against the feature of lab-grown meat being slaughter-free.

Chong said GOOD Meat has just gained approval to use a new plant-based serum that will be able to replace the fetus bovine serum. He added that the firm will start using the new serum to grow the muscles of chicken meat after the Bedok facility starts operating.

Meanwhile, Alfredo Franco-Obregon, associate professor at the National University of Singapore, found a way to grow cell-based meat with a magnet that can potentially replace fetus bovine serum.

“We found that we are just as good as fetal bovine serum in sustaining muscle growth, which makes sense because these [meat] factors are coming from muscles, either from a fetus or in a dish,” he told VOA News in a video interview.

The muscle growth expert said if lab-grown meat can be scaled up, the inhumane livestock farms can hopefully be wiped out.

“You have to keep the animal alive for two years [before it’s ready to be made into meat], and it would be good if you could do it in a way that’s humane, but a lot of these systems aren’t very humane.”

Franco-Obregon added that while lab-grown meat cannot completely replace real meat, “there’s a way of improving … the livestock industry. It’s more efficient, less greenhouse emissions, higher productivity and cell-based meat will be a supplement. … We are going to run out of food. That’s the honest truth. And like it or not, we’re going to have to find alternatives, otherwise people will start to starve.”

Huang Dejian, deputy head of NUS’ Department of Food Science and Technology, echoed Franco-Obrego’s view. Huang pioneered extraction of plant-based cells to develop edible 3D-printed scaffolds to replace the current plastic scaffolds used in the production process.

“In a decade or two … maybe 50% of all the meat we found in our market is hybrid meat [lab-grown meat with animal cells and plant-based cells],” Huang told VOA.

Asked if lab-grown meat with many tech-heavy processes might involve more greenhouse gas emissions than traditional meat from livestock farms — as suggested by a preprint study at the University of California, Davis — Huang said, “I feel it’s unfair to calculate, you know, the footprint because it [the product] is too early. If you take advantage of technology to a level and the cost of production is lowered, it might also reduce the energy input and efficiency.”

Consumer acceptance of lab-grown meat could be a bigger challenge for the industry, he added, but he remained optimistic about the future of cultivated meat.

“A lot of the groundwork has already been laid. And we can see, I think in the next five years or so, people may be able to have a chance to taste [lab-grown meat]. The future to me is quite bright.”

UN Chief Considering Watchdog Agency for AI   

U.N. Secretary-General Antonio Guterres said Monday that he will appoint a scientific advisory body in the coming days that will include outside experts on artificial intelligence, and said he is open to the idea of creating a new U.N. agency that would focus on AI.

“I would be favorable to the idea that we could have an artificial intelligence agency, I would say, inspired by what the International Atomic Energy Agency is today,” Guterres said of the U.N. nuclear watchdog agency.

He said he does not have the authority to create an IAEA-like agency — that is up to the organization’s 193-member states. But he said it has been discussed and he would see it as a positive development.

“What is the advantage of the IAEA — it is a very solid, knowledge-based institution,” Guterres told reporters. “And at the same time, even if limited, it has some regulatory functions. So, I believe this is a model that could be very interesting.”

The Vienna-based IAEA is the focal point for international nuclear cooperation. It has developed international nuclear safety standards and is both watchdog and advisor on the peaceful use of nuclear energy.

There are growing concerns about the power of artificial intelligence and how it can be abused for negative and even deadly purposes, including from Geoffrey Hinton, who is the scientist known as “the godfather of AI.”

British Prime Minister Rishi Sunak announced last week plans for the UK to host the first major global summit on AI safety in the autumn.

Guterres said in terms of regulating AI, in an industry where things move very quickly, you can establish a set of norms one day, and it can be outdated the next. So, something that is more flexible is necessary.

“We need a process, a constant process of intervention of the different stakeholders, working together to permanently establish a number of soft law mechanisms, a number of — I would say — norms, codes of conduct and others,” he said.

Guterres said the scientific advisory body he will soon create will also include the chief scientists from the U.N. Educational, Scientific and Cultural Organization (UNESCO) and the International Telecommunication Union (ITU), which is a specialized U.N. agency related to information and telecommunication technology.

He said outside experts, including two from the AI sphere, would be a part of the advisory body.

He also announced plans for a digital compact he says would be a voluntary “code of conduct” that he hopes technology companies and governments will adhere to, with the aim of decreasing the spread of mis- and dis-information and hate speech to billions of people and making the internet a safer space.

“Its proposals are aimed at creating guardrails to help governments come together around guidelines that promote facts, while exposing conspiracies and lies, and safeguarding freedom of expression and information,” he said. “And to help tech companies navigate difficult ethical and legal issues and build business models based on a healthy information ecosystem.”

He said tech companies have done little to prevent their platforms from contributing to hate and violence, and he criticized governments for ignoring human rights and sometimes taking drastic measures, including sweeping internet shutdowns.

Guterres said he hopes to issue the code of conduct after discussions with member states and before the U.N. Summit of the Future, which is planned for September 2024.

Canadian Wildfires Shutter Sawmills, Drive Up Lumber Prices

Canada’s worst-ever spring wildfire season has forced its forestry industry to shutter sawmills, driving up lumber prices and setting production back for months just as housing construction has slowed due to higher costs and a tight labor market. 

Canada has the world’s third-largest forest area and is the second-largest softwood lumber producer, according to Canadian government estimates, making it a key supplier of a critical housing material. 

This year’s unprecedented fires have already consumed at least 4 million hectares, or 1% of Canada’s forest, according to the Forest Products Association of Canada (FPAC), an industry group. 

The fires are blazing through Alberta, British Columbia and Quebec, all provinces with active forestry industries. 

The fires have also forced thousands of people to evacuate their homes and blanketed cities with smoke as far away as Toronto, New York and Washington. 

Fires in British Columbia and Alberta have forced significant downtime at sawmills, and “ground zero” has now shifted to Quebec, FPAC CEO Derek Nighbor said. 

“It’s significant. Closing mills and having to restart them is a lot of work and that’s people who have to be laid off temporarily,” said Nighbor, who did not have an overall estimate of lost production. 

Chicago lumber futures for July delivery have climbed 7% since June 1. 

The unexpected disruption to the lumber industry risks further slowing new home construction, adding to Canada’s acute housing shortage. Investment in residential building construction, after adjusting for inflation, fell in March to its lowest level since June of 2020. 

Resolute Forest Products has temporarily shut four Quebec sawmills due to nearby fires and a related log shortage, Resolute Vice President Seth Kursman said. Workers were digging trenches near the facilities to suppress the fires. 

Kursman said it was premature to say if the company may need to declare force majeure – unexpected circumstances that prevent a business from meeting contract obligations – or could make up the lost production later in the year. The closed mills mainly produce softwood lumber for North American markets. 

Supply constraints 

Resolute has also paused harvesting activities in areas near fires. 

Long-term damage to forests will require up to eight weeks to assess once the fires abate, Nighbor said. 

“Is there anything that’s salvageable? Is it younger trees that have been taken out or is it 60-to-80-year-old trees, because that will impact future operations,” he said. 

Wildfires can temporarily boost lumber prices as supplies are constrained and buyers increase inventories, although prices tend to revert later in the year, RBC Capital Markets analyst Paul Quinn said in a note. 

Chantiers Chibougamau was forced to shut its Nordic Kraft pulp mill in Lebel-sur-Quevillon, Quebec after a fire spread within 500 meters (1,640 feet) of it, but it expects to resume production this week, company spokesperson Frederic Verreault said. 

Forest fires are partly a natural phenomenon, culling debris and creating new growth. But big blazes can also reduce timber supply for the long term, Quinn said. 

Nighbor said as Canada’s wildfires worsen, federal and provincial governments should allow for expanded tree harvesting, especially of older trees, to reduce fire risk. 

Prime Minister Justin Trudeau’s government has set a goal of protecting 30% of Canada’s lands by 2030. About 13% is currently protected, Nighbor said. 

“There’s this sense in some political circles that protecting trees is going to be some solution for (the) climate. We need to be looking (at forestry) through a fire lens,” he said. 

Forests can become more fire-resilient by thinning them of dying trees, prescribed burning and retaining tree species that are fire-resistant, said Michelle Ward, vice president at Canfor. The forestry company has not had to shut facilities due to fire. 

The government will continue to protect natural lands, but responsible forestry practices can also support fire resilience, said Keean Nembhard, a spokesperson for the Canadian natural resources department. 

Joe Foy, protected areas campaigner with the Wilderness Committee, an environmental group, said protecting communities from fire is better left to governments than forestry companies. 

“Unleashing forest companies to build hundreds of kilometers (of) more roads to do more clear-cutting results in a worse situation, not a better one,” Foy said.  

Can Russian Crude Ease Pakistan’s Economic Woes?

Pakistani authorities are touting the arrival of the first shipment of discounted Russian crude oil as “transformative,” however, analysts say the extent of relief it will bring the country’s crisis-riddled economy is not clear.  

Pakistan’s minister for petroleum, Musadik Malik, told the Reuters news agency that Islamabad paid Moscow for the cargo in yuan, the Chinese currency. The Pakistani government has so far not disclosed the price.

Announcing the arrival of the Russian vessel “Pure Point,” with a little more than 45,000 metric tons of crude oil, Pakistani Prime Minister Shehbaz Sharif said in a tweet Sunday night that the country was moving “one step at a time toward prosperity, economic growth and energy security and affordability.”

Authorities at the southern Karachi Port terminal began offloading the cargo Monday morning. Shariq Amin Farooqi, public relations officer for the Karachi Port Trust, told VOA the entire process would take 26 to 30 hours.  

Economic distress  

The discounted crude shipment comes at a time when import-dependent Pakistan faces a severe liquidity crunch. The country spends the biggest portion of its import funds, around $18 billion annually, on energy and fuel. 

According to recent central bank data, foreign exchange reserves were below $10 billion as of June 2, with the State Bank of Pakistan holding less than $4 billion – barely enough to cover a month of select imports.   

Pakistan has been teetering on the brink of default since last year. Its economy has grown at a rate of 0.29% in the fiscal year ending this month, according to government projections, while annual inflation reached a record high of almost 38% last month.  

Russian deal  

As part of what the government in Islamabad has called a “trial” shipment, Pakistan will receive a total of 100,000 metric tons of crude oil from Russia. The second shipment is expected in a few weeks.  

Islamabad began negotiating for discounted crude oil from Moscow last year in a bid to take advantage of the $60 per barrel price cap placed on Russian oil by the United States and its allies to deprive Moscow of funds in the wake of the war on Ukraine.

The deal was finalized in April after Pakistan’s minister for petroleum, Musadik Malik, led a delegation to Moscow late last year and a Russian delegation visited Islamabad in March to cement the details.   

The Pakistani government has so far not disclosed the payment method or the price at which it is acquiring crude from Moscow.

Dubai-based oil trading expert Ahmad Waqar told VOA that for the deal to truly ease Pakistan’s economic pain, it should include purchase on credit as Pakistan is strapped for cash.  

“In my opinion, right now, more than discount we need to get cargo on credit,” Waqar said.

Pakistan traditionally buys the bulk of its energy from Gulf countries with Saudi Arabia and the United Arab Emirates its top suppliers. While the Saudis have often supplied fuel on credit, Pakistan’s budget for the next fiscal year starting in July does not include any such facility from its Middle Eastern ally.  

Waqar said he believes the cost of getting cargo all the way from Russia via Oman, instead of from Gulf countries located nearby could also chip away at the possible benefit to Pakistan.    

“Russian cargoes are not as cheap as they used to be, let’s say, 10 months ago when India started buying from Russia…There was a different pricing level at the time. Since then, more international traders started buying and prices went up. It’s not possible to now say that ‘I can get Russian cargo very cheaply,’” Waqar said.  

In the past, petroleum minister Malik also tried to downplay the relief Russian oil could provide to Pakistanis at the pump, however, after the arrival of the cargo, local media quoted him saying Pakistanis will see a reduction in prices in a few weeks.  

How much usable fuel will be produced from the Russian crude is also not clear yet. Pakistan Refinery Limited, tasked with processing it, will submit a report to the government detailing the quality and quantity of the products.   

US approval  

Despite initial pushback from Washington, Pakistan’s neighbors China and India’s energy imports from Russia rose after the war in Ukraine began last year, with the latter seeing its purchases increase almost ten-fold since April 2022.  

Responding to Pakistan’s decision to purchase crude oil from Russia, the State Department in April said that it understood the demand for Russian energy and would not interfere in any country’s decision to buy from Moscow.  

“Countries will make their own sovereign decisions. We have never tried to keep Russian energy off the market,” said spokesperson Vedant Patel.    

The Pakistani ambassador to the U.S., Masood Khan, also dismissed concerns that the deal could damage already strained ties between Islamabad and Washington, saying U.S. officials had been consulted.   

“We have placed the first order for Russian oil, and this has been done in consultation with the United States government. There’s no misunderstanding between Washington and Islamabad on this count,” Khan told a gathering at the Washington-based Wilson Center in April.

Value of Zimbabwe’s Currency Keeps Plunging Despite Rescue Attempts

Zimbabwe’s central bank’s efforts to arrest the sharp depreciation of the country’s dollar seem to be failing as the currency took a nosedive and was trading Monday at more than 6000 against the U.S. dollar from about 2600 on the black-market – forcing prices up. Columbus Mavhunga reports from Harare where economists disagree on what the government should do.  

UK Hobbyist Stuns Math World With ‘Amazing’ New Shapes

David Smith, a retired print technician from the north of England, was pursuing his hobby of looking for interesting shapes when he stumbled onto one unlike any other in November.  

When Smith shared his shape with the world in March, excited fans printed it onto T-shirts, sewed it into quilts, crafted cookie cutters or used it to replace the hexagons on a soccer ball — some even made plans for tattoos.

The 13-sided polygon, which 64-year-old Smith called “the hat,” is the first single shape ever found that can completely cover an infinitely large flat surface without ever repeating the same pattern.

That makes it the first “einstein” — named after the German for “one stone” (ein stein), not the famed physicist — and solves a problem posed 60 years ago that some mathematicians had thought impossible.

After stunning the mathematics world, Smith — a hobbyist with no training who told AFP that he wasn’t great at math in school — then did it again.

While all agreed “the hat” was the first einstein, its mirror image was required one in seven times to ensure that a pattern never repeated.

But in a preprint study published online late last month, Smith and the three mathematicians who helped him confirm the discovery revealed a new shape — “the specter.”

It requires no mirror image, making it an even purer einstein.

‘It can be that easy’  

Craig Kaplan, a computer scientist at Canada’s Waterloo University, told AFP that it was “an amusing and almost ridiculous story — but wonderful.”

He said that Smith, a retired print technician who lives in Yorkshire’s East Riding, emailed him “out of the blue” in November.

Smith had found something “which did not play by his normal expectations for how shapes behave,” Kaplan said.

If you slotted a bunch of these cardboard shapes together on a table, you could keep building outwards without them ever settling into a regular pattern.

Using computer programs, Kaplan and two other mathematicians showed that the shape continued to do this across an infinite plane, making it the first einstein, or “aperiodic monotile.”

When they published their first preprint in March, among those inspired was Yoshiaki Araki. The Japanese tiling enthusiast made art using the hat and another aperiodic shape created by the team called “the turtle,” sometimes using flipped versions.

Smith was inspired back and started playing around with ways to avoid needing to flip his hat.  

Less than a week after their first paper came out, Smith emailed Kaplan a new shape.

Kaplan refused to believe it at first. “There’s no way it can be that easy,” he said.

But analysis confirmed that Tile (1,1) was a “non-reflective einstein,” Kaplan said.

Something still bugged them — while this tile could go on forever without repeating a pattern, this required an “artificial prohibition” against using a flipped shape, he said.

So, they added little notches or curves to the edges, ensuring that only the non-flipped version could be used, creating “the spectre.”

‘Hatfest’

Kaplan said both their papers had been submitted to peer-reviewed journals. But the world of mathematics did not wait to express its astonishment.

Marjorie Senechal, a mathematician at Smith College in the United States, told AFP the discoveries were “exciting, surprising and amazing.”

She said she expects the spectre and its relatives “will lead to a deeper understanding of order in nature and the nature of order.”

Doris Schattschneider, a mathematician at Moravian College in the U.S., said both shapes were “stunning.”

Even Nobel-winning mathematician Roger Penrose, whose previous best effort had narrowed the number of aperiodic tiles down to two in the 1970s, had not been sure such a thing was possible, Schattschneider said.

Penrose, 91, will be among those celebrating the new shapes during the two-day “Hatfest” event at Oxford University next month.  

All involved expressed amazement that the breakthrough was achieved by someone without training in math.

“The answer fell out of the sky and into the hands of an amateur — and I mean that in the best possible way, a lover of the subject who explores it outside of professional practice,” Kaplan said.

“This is the kind of thing that ought not to happen, but very happily for the history of science does happen occasionally, where a flash brings us the answer all at once.”

Dutch Minister Discusses Health Care in an Age of Longevity

Huge strides in life expectancy worldwide are bringing new challenges that come with increased longevity, the Dutch health minister told VOA this week.

“If you look at it from a global perspective, we’ve seen that over the past 25 years, on average we added more than five years of global life expectancy,” Ernst Kuipers, Dutch minister of health, welfare and sport, noted during a stop in Washington.

Looking at it another way, the former internist continued, “It actually means that for more than 20 years in a row, every week we added more than a day to the life expectancy of our world population. That is huge!”

Kuipers and a Dutch delegation co-led by the country’s minister of economy are in the U.S. to take part in a trade fair focused on international health and life sciences in Boston.

The Dutch are known to be the tallest people in the world and rank high in the world longevity list. Kuipers looked at the global picture when discussing the worldwide jump in life expectancy in the past quarter century.

While clean water supply, improved hygiene, sanitation conditions, access to vaccines, medicines and medical treatments have contributed to rising life expectancy in low-income countries, breakthroughs in many areas of life sciences have helped prolong life in higher-income countries, he pointed out.

“For example, new drugs in cancer treatment, newly developed interventions to treat cardiovascular diseases, and also improvement in public health.”

The good news about longevity aside, the former doctor pointed out some of the challenges that come with longer lifespans.

“We have an aging population [in the Netherlands], like in most places. People tend to get older, but they live longer usually with certain [health] conditions, with reduced mobility, etc., very similar to here,” Kuipers said.

Kuipers said his country is also experiencing a shortage in health care personnel, even as the number of working men and women affiliated with the health care industry takes up an increasing percentage of the workforce.

“If you look at the Netherlands, at the moment, one out of every six people with a job works in health care,” he said. That figure includes not just nurses or physicians, but also those serving the health care industry in human resources, finance and legal matters.

If the current pattern continues, one in five Dutch jobs will be related to health care by the year 2030, and that number will increase to one in four by the year 2040. Kuipers said this pattern will be very, very difficult, if not impossible, to sustain, “simply because we’re also going to need people in other areas of society.”

Given that health care is very labor intensive, Kuipers said governments and societies have no choice but to think of ways to meet the demands in a different, yet still effective way, to successfully cope with changing demographics.

In addition to the shortage of manpower, increased life expectancy also requires more money to care for the elderly, causing each country and government to think harder about budget priorities.

“Like the U.S., we have many burning issues, whether it’s energy transmission, preparation for climate change, infrastructure, you name it – the question of how to deliver and provide high-quality, good-access care to everyone while also limiting the increase in budget, that is very, very relevant, like it is here,” the Dutch minister said.

The Netherlands has universal health insurance and caps most people’s out of pocket expenses at 385 euros a year, a little more than 400 U.S. dollars a year.

“So far we [the country as a whole] can still afford this,” he said, “but it’s a continuous debate.”

The problem is especially acute in the case of certain very expensive drugs, the cost of which is increasing “very, very rapidly” and putting the “solidarity underlying our system” under pressure, the minister said.

He cited “orphan drugs,” which are needed by only a small number of people but are often a matter of life and death for those patients.

Kuipers and the Dutch delegation are among over 10,000 health science professionals and government officials from around the world who gathered in Boston this week to exchange ideas and find out the latest in health science at a biotech trade fair put together by the Biotechnology Innovation Organization.

Borrowers Worry as Pause on US Student Loan Payments Nears End

In a good month, Celina Chanthanouvong has about $200 left after rent, groceries and car insurance. That doesn’t factor in her student loans, which have been on hold since the start of the pandemic and are estimated to cost $300 a month. The pause in repayment has been a lifeline keeping the 25-year-old afloat. 

“I don’t even know where I would begin to budget that money,” said Chanthanouvong, who works in marketing in San Francisco. 

Now, after more than three years, the lifeline is being pulled away. 

More than 40 million Americans will be on the hook for federal student loan payments starting in late August under the terms of a debt ceiling deal approved by Congress last week. The Biden administration has been targeting that timeline for months, but the deal ends any hope of a further extension of the pause, which has been prolonged while the Supreme Court decides the president’s debt cancellation. 

Without cancellation, the Education Department predicts borrowers will fall behind on their loans at historic rates. Among the most vulnerable are those who finished college during the pandemic. Millions have never had to make a loan payment, and their bills will soon come amid soaring inflation and forecasts of economic recession. 

Advocates fear it will add a financial burden that younger borrowers can’t afford.

“I worry that we’re going to see levels of default of new graduates that we’ve never seen before,” said Natalia Abrams, president of the nonprofit Student Debt Crisis Center.

Chanthanouvong earned a bachelor’s in sociology from the University of California-Merced in 2019. She couldn’t find a job for a year, leaving her to rely on odd jobs for income. She found a full-time job last year, but at $70,000, her salary barely covers the cost of living in the Bay Area. 

“I’m not going out. I don’t buy Starbucks every day. I’m cooking at home,” she said. “And sometimes, I don’t even have $100 after everything.” 

Under President Joe Biden’s cancellation plan, Chanthanouvong would be eligible to get $20,000 of her debt erased, leaving her owing $5,000. But she isn’t banking on the relief. Instead, she invited her partner to move in and split rent. The financial pinch has them postponing or rethinking major life milestones. 

“My partner and I agreed, maybe we don’t want kids,” she said. “Not because we don’t want them, but because it would be financially irresponsible for us to bring a human being into this world.” 

Out of the more than 44 million federal student loan borrowers, about 7 million are below the age of 25, according to data from the Education Department. Their average loan balance is less than $14,000, lower than any other age group. 

Yet borrowers with lower balances are the most likely to default. It’s fueled by millions who drop out before graduating, along with others who graduate but struggle to find good jobs. Among those who defaulted in 2021, the median loan balance was $15,300, and the vast majority had balances under $40,000, according to the Federal Reserve Bank of New York.

Resuming student loan payments will cost U.S. consumers $18 billion a month, the investment firm Jefferies has estimated. The hit to household budgets is ill-timed for the overall economy, Jefferies says, because the United States is widely believed to be on the brink of a recession. 

Despite the student loan moratorium, Americans mostly didn’t bank their savings, according to Jefferies economist Thomas Simons. So they’ll likely have to cut back on other things — travel, restaurants — to fit resumed loan payments into their budgets. Belt-tightening could hurt an economy that relies heavily on consumer spending. 

Noshin Hoque graduated from Stony Brook University early in the pandemic with about $20,000 in federal student loans. Instead of testing the 2020 job market, she enrolled at a master’s program in social work at Columbia University, borrowing $34,000 more. 

With the payments paused, she felt a new level of financial security. She cut costs by living with her parents in New York City and her job at a nonprofit paid enough to save money and help her parents. 

She recalls splurging on a $110 polo shirt as a Father’s Day gift for her dad. 

“Being able to do stuff for my parents and having them experience that luxury with me has just been such a plus,” said Hoque, who works for Young Invincibles, a nonprofit that supports student debt cancellation. 

It gave her the comfort to enter a new stage of life. She got married to a recent medical school graduate, and they’re expecting their first child in November. At the same time, they’re bracing for the crush of loan payments, which will cost at least $400 a month combined. They hope to pay more to avoid interest, which is prohibited for them as practicing Muslims. 

To prepare, they stopped eating at restaurants. They canceled a vacation to Italy. Money they wanted to put toward their child’s education fund will go to their loans instead. 

“We’re back to square one of planning our finances,” she said. “I feel that so deeply.”

Even the logistics of making payments will be a hurdle for newer borrowers, said Rachel Rotunda, director of government relations at National Association of Student Financial Aid Administrators. They’ll need to find out who their loan servicers are, choose a repayment plan and learn to navigate the payment system. 

“The volume of borrowers going back on the system at the same time — this has never happened before,” Rotunda said. “It’s fair to say it’s going to be bumpy.”

The Education Department has promised to make the restart of payments as smooth as possible. In a statement, the agency said it will continue to push for Biden’s debt cancellation as a way to reduce borrowers’ debt load and ease the transition. 

For Beka Favela, 30, the payment pause provided independence. She earned a master’s in counseling last year, and her job as a therapist allowed her to move out of her parents’ house.

Without making payments on her $80,000 in student loans, she started saving. She bought furniture. She chipped away at credit card debt. But once the pause ends, she expects to pay about $500 a month. It will consume most of her disposable income, leaving little for surprise costs. If finances get tighter, she wonders if she’ll have to move back home.

“I don’t want to feel like I’m regressing in order to make ends meet,” said Favela, of Westmont, Illinois. “I just want to keep moving forward. I’m worried, is that going to be possible?” 

AI Chatbots Offer Comfort to the Bereaved

Staying in touch with a loved one after their death is the promise of several start-ups using the powers of artificial intelligence, though not without raising ethical questions.

Ryu Sun-yun sits in front of a microphone and a giant screen, where her husband, who died a few months earlier, appears.

“Sweetheart, it’s me,” the man on the screen tells her in a video demo. In tears, she answers him, and a semblance of conversation begins.

When Lee Byeong-hwal learned he had terminal cancer, the 76-year-old South Korean asked startup DeepBrain AI to create a digital replica using several hours of video.

“We don’t create new content” such as sentences that the deceased would have never uttered or at least written and validated during their lifetime, said Joseph Murphy, head of development at DeepBrain AI, about the “Rememory” program.

“I’ll call it a niche part of our business. It’s not a growth area for us,” he cautioned.

The idea is the same for StoryFile, a company that uses 92-year-old “Star Trek” actor William Shatner to market its site.

“Our approach is to capture the wonder of an individual, then use the AI tools,” said Stephen Smith, boss of StoryFile, which claims several thousand users of its Life service.

Entrepreneur Pratik Desai caused a stir a few months ago when he suggested people save audio or video of “your parents, elders and loved ones,” estimating that by “the end of this year” it would be possible to create an autonomous avatar of a deceased person, and that he was working on a project to this end.

The message posted on Twitter set off a storm, to the point that, a few days later, he denied being “a ghoul.”

“This is a very personal topic and I sincerely apologize for hurting people,” he said.

“It’s a very fine ethical area that we’re taking with great care,” Smith said.

After the death of her best friend in a car accident in 2015, Russian engineer Eugenia Kyuda, who emigrated to California, created a “chatbot” named Roman like her dead friend, which was fed with thousands of text messages he had sent to loved ones.

Two years later Kyuda launched Replika, which offers personalized conversational robots, among the most sophisticated on the market.

But despite the Roman precedent, Replika “is not a platform made to recreate a lost loved one,” a spokesperson, said.

Somnium Space, based in London, wants to create virtual clones while users are still alive so that they then can exist in a parallel universe after their death.

“It’s not for everyone,” CEO Artur Sychov conceded in a video posted on YouTube about his product, Live Forever, which he is announcing for the end of the year.

“Do I want to meet my grandfather who’s in AI? I don’t know. But those who want that will be able to,” he added.

Thanks to generative AI, the technology is there to allow avatars of departed loved ones to say things they never said when they were alive.

“I think these are philosophical challenges, not technical challenges,” said Murphy of DeepBrainAI.

“I would say that is a line right now that we do not plan on crossing, but who knows what the future holds?” he added.

“I think it can be helpful to interact with an AI version of a person in order to get closure — particularly in situations where grief was complicated by abuse or trauma,” Candi Cann, a professor at Baylor University who is currently researching this topic in South Korea.

Mari Dias, a professor of medical psychology at Johnson & Wales University, has asked many of her bereaved patients about virtual contact with their loved ones.

“The most common answer is ‘I don’t trust AI. I’m afraid it’s going to say something I’m not going to accept.’ … I get the impression that they think they don’t have control” over what the avatar does.

Apple, Defying the Times, Stays Quiet on AI

Resisting the hype, Apple defied most predictions this week and made no mention of artificial intelligence when it unveiled its latest slate of new products, including its Vision Pro mixed reality headset.

Generative AI has become the tech world’s biggest buzzword since Microsoft-backed OpenAI released ChatGPT late last year, revealing the capabilities of the emerging technology. 

ChatGPT opened the world’s eyes to the idea that computers can churn out complex, human-level content using simple prompts, giving amateurs the talents of tech geeks, artists or speechwriters. 

Apple has laid low as Microsoft and Google raced out announcements on how generative AI will revolutionize its products, from online search to word processing and retouching images.

During the recent earnings season, tech CEOs peppered mentions of AI into their every phrase, eager to reassure investors that they wouldn’t miss Silicon Valley’s next big chapter.

Apple has chosen to be much more discreet and, in its closely watched keynote address to the World Developers conference in California, never once mentioned AI specifically.

“Apple ghosts the generative AI revolution,” said a headline in Wired Magazine after the event. 

‘Not necessarily AI?’

Arguments vary on why Apple has chosen a more subtle approach. 

For one, Apple follows other critics who have long been wary of the catchall “AI” term believing that it is too vague and unhelpfully evokes dystopian nightmares of killer robots and human subjugation to machines. 

For this reason, some companies – including TikTok or Facebook’s Meta – roll out AI innovations, but without necessarily touting them as such. 

“We do integrate it into our products [but] people don’t necessarily think about it as AI,” Apple CEO Tim Cook told ABC News this week.

Indeed, AI was actually very much part of Apple’s annual jamboree on Monday, but it required a level of technical know-how to notice.

In one instance, Apple’s head of software said “on-device machine learning” would enhance autocorrect for iPhone messaging when he could have just as well said AI.

Apple’s autocorrect innovation drew giggles with the promise of iPhones no longer correcting common expletives.

“In those moments where you just want to type a ‘ducking’ word, well, the keyboard will learn it, too,” said Craig Federighi.

Autocorrect will also learn from your writing style, helping it guide suggestions, using AI technology similar to what powers ChatGPT.

In another example, a new iPhone app called Journal, an interactive diary, would use “on-device machine learning … to inspire your writing,” Apple said, again not referring to AI when other companies would have.

But AI will also play a major role in the Vision Pro headset when it is released next year, helping, for example, generate a user’s digital persona for video-conferencing.

‘Not much effort’

For some analysts, the non-mention of AI is an acknowledgement by Apple that it lost ground against rivals. 

“They haven’t put much effort into it,” independent tech analyst Rob Enderle told AFP. 

“I think they just kind of felt that AI was off into the future and it wasn’t anything surprising,” he added. 

The glitchy performance of Apple’s chatbot Siri, which was launched a decade ago, has also fed the feeling that the smartphone giant doesn’t get AI. 

“I think most people would agree that Apple lost its edge with Siri. That’s probably the most obvious way they fell behind,” said Insider Intelligence principal analyst Yory Wurmser. 

But Wurmser also insisted that Apple is primarily a device company and that AI, which is software, will always be “the means rather than the ends for a great user experience” on its premium devices.

In this vein, for analyst Dan Ives of Wedbush Securities, the release of Apple’s Vision Pro headset was in itself an AI play, even if it wasn’t explicitly spelled out that way.

“We continue to strongly believe this is the first step in a broader strategy for Apple to build out a generative AI driven app ecosystem” on the Vision Pro, he said. 

Russian Trade Rises Despite Sanctions, as NATO Member Turkey Offers ‘Critical Lifeline’

Despite Western attempts to stifle Russia’s economy through sanctions following its invasion of Ukraine last year, Russian trade volumes with dozens of countries have actually increased since the war began — with NATO member Turkey providing a “critical” economic lifeline for Moscow, according to an analysis by the Washington-based Atlantic Council.

The countries that have increased trade since the February 2022 invasion include several European Union and NATO members, according to the analysis.

“Such surges in trade, however, are not necessarily an indicator of support” for the war launched by Russian President Vladimir Putin, the report says. “Instead, it is more likely they are predominantly the result of companies — and countries — pursuing legal opportunities for cheaper exports and new gaps in the Russian market.”

China

It notes that China’s trade with Russia had already been increasing at an average annual rate of 23% over the past five years, excluding the impact of the COVID-19 pandemic in 2020. It said China’s trade with Russia has jumped by another 27% since the Ukraine invasion.

Other countries have seen a far greater increase in trade with Russia since February 2022.

“We see increases of trade across a range of different countries, with places like India and Greece, for example, importing cheap Russian oil at below market prices. And this is what’s causing the surge of trade there,” said Niels Graham, a co-author of the Atlantic Council report, in an interview this week with VOA.

“But we also see other countries like Turkey, for example, exporting a lot of electronics as well as chemical industrial goods to Russia to take advantage of the holes in the Russian market that have been caused by the sort of G7 statecraft response,” he said.

He said that Beijing is actually showing signs of “restraint” since Moscow’s invasion of Ukraine.

“China is certainly engaging with Russia, certainly increasing its trade overall, but doing so very much in line overwhelmingly with the red lines the West has drawn — for fear of Western retaliation against China, cutting it off from a much more important Western market,” Graham told VOA.

Russian Oil

India’s trade with Russia has soared by 250% since 2021, the biggest increase by far among Russia’s trading partners.

China and India imported record volumes of Russian oil in May, according to Reuters, totaling about 110 million barrels for the month. Analysts say the world’s two biggest buyers of Russian oil are capitalizing on discounted prices after the G7 group of rich nations imposed a price cap of $60 per barrel in December.

Washington has warned that Moscow is seeking to circumvent the price cap by using the Eastern Siberia Pacific Ocean pipeline along with ports in eastern Russia, where there may be less Western oversight of trading activities.

The West never intended to completely block Russia oil sales, said Graham.

“Doing so against an oil producer as large as Russia would have skyrocketed global oil prices, would have likely tipped the global economy into recession, and would have made a lot of countries angry against Western actions,” he said.

Turkish lifeline

The Atlantic Council report says NATO member Turkey also provides a vital lifeline for Russia’s economy, with trade volumes increasing by some 93% since the invasion.

It said Turkey has sold Russia sensitive material like integrated circuits and semiconductors which could be used in weapons systems.

“Although Turkish exports of electronic machinery, including critical integrated circuits, fell in the immediate aftermath of Russia’s full-scale invasion, they have since recovered and grown well beyond the pre-invasion average. From March 2022 to March 2023, Turkish electronic exports to Russia jumped by about 85%,” the Atlantic Council report said.

“To Ankara’s credit, following pressure from the Group of Seven [G7], Turkey has agreed to halt its transit of sanctioned goods to Russia,” the report added. “However, its trade with Russia remains a vital economic lifeline for its businesses as the country recovers and reconstructs from a devastating earthquake earlier this year.”

Turkey assured the European Union in March that it would no longer ship or transit goods to Russia that are subject to sanctions or export controls, according to an EU official quoted by Reuters.

Ankara has denied exporting goods to Russia that could have military applications.

El Nino Climate Pattern Now Underway, NOAA Reports

El Nino has officially returned and is likely to yield extreme weather later this year, from tropical cyclones spinning toward vulnerable Pacific islands to heavy rainfall in South America to drought in Australia. 

After three years of the La Nina climate pattern, which often lowers global temperatures slightly, the hotter El Nino is back in action, according to an advisory issued on Thursday by the U.S. National Oceanic and Atmospheric Administration’s Climate Prediction Center. 

El Nino is born out of unusually warm waters in the Eastern Pacific, near the coast of South America, and often accompanied by a slowing down or reversal of the easterly trade winds. 

“In May, weak El Nino conditions emerged as above-average sea surface temperatures strengthened across the equatorial Pacific Ocean,” the advisory said. 

The last time an El Nino was in place, in 2016, the world saw its hottest year on record. Coupled with warming from climate change, 2023 or 2024 could reach new highs. 

Declaring El Nino 

Most experts look to two agencies for confirmation that El Nino has kicked off — NOAA and Australia’s Bureau of Meteorology (BOM). The two agencies use different metrics for declaring El Nino, with the Australian definition slightly stricter. 

NOAA calls an El Nino when ocean temperatures in the eastern and central equatorial Pacific have been 0.5 Celsius (0.9 Fahrenheit) higher than normal for the preceding month, and has lasted or is expected to continue for another five consecutive, overlapping three-month periods. The agency also looks at a weakening of the trade winds and cloud cover. 

Australia’s BOM needs things to be hotter, with the key regions of eastern Pacific 0.8C (1.5F) warmer than average. 

On Tuesday, Australia issued their own bulletin, noting a 70% chance of El Nino developing this year. 

NOAA said there is a 56% chance that when this El Nino peaks in strength — normally during the Northern Hemisphere winter — it will be a strong event, meaning that Eastern Pacific sea surface temperatures are at least 1.5C higher than normal. 

This could yield more intense impacts — from droughts to cyclones — across the world. 

Still, impacts vary and El Ninos come in “two flavors,” said atmospheric scientist Marybeth Arcodia at Colorado State University. 

Those with their warmest waters near the west coast of South America are deemed Eastern Pacific events, such as the strong 1997-98 El Nino. The other arises in the Central Pacific, near the equator around Hawaii, as was the case in the most recent 2015-16 event. Weather anomalies can be more extreme depending on where waters are warmest, making things drier or wetter in certain regions. 

Some forecast models predict the 2023-24 winter to be a Central Pacific El Nino. 

Agriculture impacts 

Early signs of hot, dry weather caused by El Nino are threatening food producers across Asia, while American growers are counting on heavier summer rains from the weather phenomenon to alleviate the impact of severe drought.

The El Nino could lead to winter crop production falling 34% from record highs in Australia, and also impacting palm oil and rice production in Indonesia, Malaysia — which supply 80% of the world’s palm oil — and Thailand.

In India, a country that largely depends on the monsoon rains for its summer crop, impacts from El Nino could be offset by the Indian Ocean Dipole, or the Indian Nino, yet below normal rainfall was expected over north-western parts of the country. 

Pakistani Charities Burdened by Record Inflation

Pakistanis traditionally give generously to charity, but most avoid paying taxes. Now, charities are feeling the pressure as donations drop amid record-setting 38% inflation. Low tax collection, meanwhile, hurts economic growth, forcing more to rely on charities for survival.

Every day, thousands of Pakistanis come to one of the Saylani Welfare Trust’s free food distribution centers, spread across the country, for a hot meal.

Security guard Muhammad Khursheed is one of them.

He said if the free food from Saylani wasn’t available, he would be spending all his salary on just food.

With an annual inflation rate of almost 38% eating through people’s incomes, Saylani, one of Pakistan’s largest charities, is seeing a rise in daily demand for its free food but a drop in donations.

Suhail Ahamed is a regional manager with the charity.

He said that up until a few months ago, he used to get 30,000 pieces of bread made. Now the number has reached almost 42,000. Donations have reduced but Saylani has not cut down its work, he added.

Charitable giving is a big part of Pakistani culture. In a 2021 Gallup Pakistan survey, around 76% of the respondents said they had given money to help someone in the year before.

At the same time, the proportion of Pakistanis who pay taxes has always remained dismally low.

The country’s tax to GDP ratio is below 10%, meaning the government receives less than 10% of the size of the economy in taxes.

What most countries need to sustain economic growth, according to experts, is a tax to GDP ratio of at least 15%.

Economic researcher Ali Khizar says in Pakistan, huge sectors such as agriculture, trade, retail and real estate use political muscle to keep their taxes low.

“These sacred cows have presence in the parliament. These sacred cows have really strong lobby in the military establishment, and they are very much entrenched in those who are making the decisions,” he said.

A complicated taxation system, ineffective implementation, and lack of trust in the government also cause many to evade taxes.

Broadening the tax net and increasing collection are among the conditions for reviving a stalled 2019 International Monetary Fund bailout deal. However, authorities will likely miss the target.

With Pakistan teetering on the brink of default, and millions getting pushed into poverty because of the rising cost of food and fuel, pressure on charities like Saylani is growing, says regional manager Ahmed.

He said they are very worried that their work may stop but will try their best to prevent that from happening.     

U.S. East Coast Blanketed in Smoke From Canadian Wildfires

Schools across the U.S. East Coast canceled outdoor activities, airline traffic slowed, and millions of Americans were urged to stay indoors Wednesday as smoke from Canadian wildfires drifted south, blanketing cities in thick, yellow haze.

The U.S. National Weather Service issued air quality alerts for virtually the entire Atlantic seaboard. Health officials from Vermont to South Carolina and as far west as Ohio and Kansas warned residents that spending time outdoors could cause respiratory problems due to high levels of fine particulates in the atmosphere.

“It’s critical that Americans experiencing dangerous air pollution, especially those with health conditions, listen to local authorities to protect themselves and their families,” U.S. President Joe Biden said on Twitter.

U.S. private forecasting service AccuWeather said thick haze and soot extending from high elevations to ground level marked the worst outbreak of wildfire smoke to blanket the Northeastern U.S. in more than 20 years.

New York’s famous skyline, usually visible for miles, appeared to vanish in an otherworldly veil of smoke, which some residents said made them feel unwell.

“It makes breathing difficult,” Mohammed Abass said as he walked down Broadway in Manhattan. “I’ve been scheduled for a road test for driving, for my driving license today, and it was canceled.”

The smoky air was especially tough on people toiling outdoors, such as Chris Ricciardi, owner of Neighbor’s Envy Landscaping in Roxbury, New Jersey. He said he and his crew were curtailing work hours and wearing masks they used for heavy pollen.

“We don’t have the luxury to stop working,” he said. “We want to keep our exposure to the smoke to a minimum, but what can you really do about it?”

Angel Emmanuel Ramirez, 29, a fashion stylist at a Givenchy outlet in Manhattan, said he and fellow workers began feeling ill and closed up shop early when they realized the smell of smoke was permeating the store.

“It’s so intense, you would think the wildfire was happening right across the river, not up in Canada,” Ramirez said. New York Governor Kathy Hochul called the situation an “emergency crisis,” saying the air pollution index for parts of her state were eight times above normal.

Reduced visibility from the haze forced the Federal Aviation Administration to slow air traffic into the New York City area and Philadelphia from elsewhere on the East Coast and upper Midwest, with flight delays averaging about a half hour.

Schools up and down the East Coast called off outdoor activities, including sports, field trips and recesses.

A Broadway matinee of “Prima Facie” was halted after 10 minutes when actress Jodie Comer had difficulty breathing due to poor air quality. The show was restarted with understudy Dani Arlington going on for Comer in the role of Tessa, a production spokesperson said in a statement.

Even Major League Baseball was impacted, as the New York Yankees and the Philadelphia Phillies both postponed home games scheduled for Wednesday. A National Women’s Soccer League match in Harrison, New Jersey, was also rescheduled, as was a WNBA women’s basketball game in Brooklyn.

‘Unhealthy and ‘hazardous’

In some areas, the air quality index (AQI), which measures major pollutants including particulate matter produced by fires, was well above 400, according to Airnow, which sets 100 as “unhealthy” and 300 as “hazardous.”

At noon (1600 GMT), Bethlehem, Pennsylvania, was recording the nation’s worst air quality index, with an AQI reading of 410. Among major cities, New York had the highest AQI in the world on Wednesday afternoon at 342, about double the index for chronically polluted cities such as Dubai (168) and Delhi (164), according to IQAir.

Smoke drifting from Canada

Smoke billowed over the U.S. border from Canada, where hundreds of forest fires have scorched 3.8 million hectares and forced 120,000 people from their homes in an unusually early and intense start to the wildfire season.

The skies above New York and many other North American cities grew progressively hazier through Wednesday, with an eerie yellowish tinge filtering through the smoky canopy. The air smelled like burning wood.

Wildfire smoke has been linked with higher rates of heart attacks and strokes, increases in emergency room visits for asthma and other respiratory conditions, eye irritation, itchy skin and rashes, among other problems.

A Home Depot store in Manhattan sold out of air purifiers and masks. New York Road Runners canceled events intended to mark Global Running Day.

“This is not the day to train for a marathon or to do an outside event with your children,” New York Mayor Eric Adams advised. “If you are older or have heart or breathing problems or an older adult, you should remain inside.”

Pedestrians donned face masks in numbers that brought to mind the worst days of the coronavirus pandemic.

Tyrone Sylvester, 66, playing chess in Manhattan’s Union Square as he has on most days for 30 years, but wearing a mask, said he had never seen the city’s air quality so bad.

“When the sun looks like that,” he said, pointing out the bronze-like orb visible through the smoky sky, “we know something’s wrong. This is what global warming looks like.”

Poor air quality is likely to persist into the weekend, with a developing storm system expected to shift the smoke westward across the Great Lakes and deeper south through the Ohio Valley and into the mid-Atlantic region, AccuWeather said.

Newer Transplant Method Could Boost Number of Donor Hearts By 30%

Most transplanted hearts are from donors who are brain dead, but new research shows a different approach can be just as successful and boost the number of available organs.

It’s called donation after circulatory death, a method long used to recover kidneys and other organs but not more fragile hearts. Duke Health researchers said Wednesday that using those long-shunned hearts could allow possibly thousands more patients a chance at a lifesaving transplant — expanding the number of donor hearts by 30%.

“Honestly if we could snap our fingers and just get people to use this, I think it probably would go up even more than that,” said transplant surgeon Dr. Jacob Schroder of Duke University School of Medicine, who led the research. “This really should be standard of care.”

The usual method of organ donation occurs when doctors, through careful testing, determine someone has no brain function after a catastrophic injury — meaning they’re brain dead. The body is left on a ventilator that keeps the heart beating and organs oxygenated until they’re recovered and put on ice.

In contrast, donation after circulatory death occurs when someone has a nonsurvivable brain injury but, because all brain function hasn’t yet ceased, the family decides to withdraw life support and the heart stops. That means organs go without oxygen for a while before they can be recovered — and surgeons, worried the heart would be damaged, left it behind.

What’s changed: Now doctors can remove those hearts and put them in a machine that “reanimates” them, pumping through blood and nutrients as they’re transported –- and demonstrating if they work OK before the planned transplant.

Wednesday’s study, conducted at multiple hospitals around the country, involved 180 transplant recipients, half who received DCD hearts and half given hearts from brain-dead donors that were transported on ice.

Survival six months later was about the same –- 94% for the recipients of cardiac-death donations and 90% for those who got the usual hearts, the researchers reported in the New England Journal of Medicine.

The findings are exciting and show “the potential to increase fairness and equity in heart transplantation, allowing more persons with heart failure to have access to this lifesaving therapy,” transplant cardiologist Dr. Nancy Sweitzer of Washington University in St. Louis, who wasn’t involved with the study, wrote in an accompanying editorial.

Last year, 4,111 heart transplants were performed in the U.S., a record number but not nearly enough to meet the need. Hundreds of thousands of people suffer from advanced heart failure but many are never offered a transplant and still others die waiting for one.

Researchers in Australia and the U.K. first began trying DCD heart transplants about seven years ago. Duke pioneered the U.S. experiments in late 2019, one of about 20 U.S. hospitals now offering this method. Last year, there were 345 such heart transplants in the U.S., and 227 so far this year, according to the United Network for Organ Sharing.

In the Duke-led study, nearly 90% of the DCD hearts recovered wound up being transplanted, signaling that it’s worthwhile for more hospitals to start using the newer method.

Sweitzer noted that many would-be donors have severe brain injuries but don’t meet the criteria for brain death, meaning a lot of potentially usable hearts never get donated. But she also cautioned that there’s still more to learn, noting that the very sickest patients on the waiting list were less likely to receive DCD hearts in the study.

Schroder said most who received DCD hearts already had implanted heart pumps that made the transplant more difficult to perform, even if they weren’t ranked as high on the waiting list.

The study was funded by TransMedics, which makes the heart storage system.

Hawaii’s Kilauea Erupting Again After 3-Month Pause

Kilauea, one of the most active volcanoes in the world, began erupting Wednesday after a three-month pause, displaying spectacular fountains of mesmerizing, glowing lava that’s a safe distance from people and structures in a national park on the Big Island.

The U.S. Geological Survey’s Hawaiian Volcano Observatory said in a statement that a glow was detected in webcam images from Kilauea’s summit early in the morning, indicating that an eruption was occurring within the Halemaumau crater in the summit caldera.

The images show fissures at the base of the crater generating lava flows on the crater floor’s surface, the observatory said.

Before issuing the eruption notice, the observatory said increased earthquake activity and changes in the patterns of ground deformation at the summit started Tuesday night, indicating the movement of magma in the subsurface.

“We’re not seeing any signs of activity out on the rift zones right now,” said Mike Zoeller, a geologist with the observatory. “There’s no reason to expect this to transition into a rift eruption that would threaten any communities here on the island with lava flows or anything like that.”

All activity was within a closed area of Hawaii Volcanoes National Park.

“The lava this morning is all confined within … the summit caldera. So plenty of room for it still to produce more without threatening any homes or infrastructure,” said park spokesperson Jessica Ferracane. “So that’s the way we like our eruptions here.”

She said park officials are bracing for crowds to arrive because visitors can see the eruption from many overlooks.

“Kilauea overlook was spectacular this morning,” she said of the vast lava lake. “It was molten red lava. There’s several areas of pretty robust fountaining. It’s just really, really pretty.”

The lava lake, covering the crater floor over lava that remained from previous eruptions, measured about 150 hectares about 6 a.m., Zoeller said. It measured about 1,300 meters wide.

Word was getting out and parking lots were starting to fill up at the park, Ferracane said, adding that she expected long lines getting into the park by evening.

Since the park is open 24 hours a day, visitors can beat the crowds by visiting between 9 p.m. and sunrise, Ferracane said.

She reminded visitors to stay out of closed areas and remain on marked trails for safety reasons, including avoiding gases from the eruption.

Two small earthquakes jolted Janice Wei awake. As a volunteer photographer for the park who lives in the nearby town of Volcano, she was able to see fountains she estimated to be 46 meters high around 4:30 a.m.

The volcano’s alert level was raised to warning status and the aviation color code went to red as scientists evaluate the eruption and associated hazards.

Kilauea, Hawaii’s second largest volcano, erupted from September 2021 until last December. For about two weeks in December, Hawaii’s biggest volcano, Mauna Loa, also was erupting on Hawaii’s Big Island.

After a short pause, Kilauea began erupting again in January. That eruption lasted for 61 days, ending in March.

This eruption looks very similar, Zoeller said.

A 2018 Kilauea eruption destroyed more than 700 homes.

Before the major 2018 eruption, Kilauea had been erupting since 1983, and streams of lava occasionally covered farms and homes. During that time, the lava sometimes reached the ocean, causing dramatic interactions with the water. 

Explainer: Will COP28 Deliver a New Fund for Climate Loss and Damage?

As communities in countries rich and poor face soaring costs from extreme weather and rising seas, governments are grappling with how to set up a new fund to tackle “loss and damage” driven by global warming.

The topic was for years controversial at U.N. climate talks, as wealthy nations rejected demands for “compensation” for the impacts of their high share of the planet-heating emissions that are turbo-charging floods, droughts and storms around the world.

However, at the COP27 climate summit in Egypt last November, a group of 134 African, Asian and Latin American states and small island nations finally won agreement on a new fund that will pay to repair devastated property, or preserve cultural heritage before it disappears forever.

But the details of where the money will come from and how it will be disbursed were left to be worked out by this December’s COP28 conference in Dubai.

As mid-year U.N. climate talks got underway in Bonn in June, Saleemul Huq, director of the Dhaka-based International Centre for Climate Change and Development, called on the United Arab Emirates to declare its intention for COP28 — which it will host — to create the “Dubai Loss and Damage Fund.”

Here’s why the issue of “loss and damage” has grown in importance this past decade — and where the sticking points in finding finance to address it could lie.

What is climate change “loss and damage”?

“Loss and damage” refers to the physical and mental harm that happens to people and places when they are not prepared for climate-driven impacts, and are unable to adjust the way they live to protect themselves from longer-term shifts.

It can occur both from fast-moving weather disasters made stronger or more frequent by warming temperatures — such as floods or hurricanes — as well as from slower-developing stresses like persistent drought and sea levels creeping higher.

A large share of “loss and damage” can be measured in financial terms, like the cost of wrecked homes and infrastructure.

But there are other non-economic losses that are harder to quantify, such as graveyards and family photos being washed away, or Indigenous cultures that could disappear if a whole community must move because their land is no longer habitable.

A June 2022 report released by a forum of 55 climate-vulnerable countries — from Bangladesh to South Sudan — found they would have been 20% wealthier had it not been for climate change and the $525 billion in losses inflicted on them by shifts in temperature and rainfall over the past two decades.

Often the poorest people lack the means to recover what they have lost, particularly as aid fails to keep up with growing needs, as seen with last year’s huge floods in Pakistan or the drought that has left tens of millions hungry in the Horn of Africa.

What funding is on offer when loss and damage happens — and how can more be raised?

So far there has been very little money available apart from aid provided through the international humanitarian system to respond to disasters — which every year faces shortfalls.

A 2022 study by anti-poverty charity Oxfam found that aid needs in response to weather disasters had skyrocketed more than eightfold in the last 20 years.

But U.N.-coordinated humanitarian emergency appeals are, on average, only 60% funded.

“There is not enough money for humanitarian action — even to do the first-phase response [to disasters], never mind the preparedness, resilience [and] longer-term early recovery piece,” said Debbie Hillier, who manages flood resilience programs for Mercy Corps.

According to a 2018 study by researchers at the Basque Centre for Climate Change, the costs of loss and damage in low- and middle-income countries could reach between $290 billion and $580 billion a year by 2030.

But rich countries are already struggling to meet a goal to channel $100 billion annually to vulnerable countries for reducing emissions and adapting to climate change.

Some donor countries, including a few European nations, Canada and New Zealand, have already agreed to provide loss and damage funding to poorer nations – although so far, those pledges total only about $275 million.

Given this, climate justice activists have long argued for the need to find innovative sources for loss and damage funding, based on levies and taxation.

Those include a controversial proposal — backed by the U.N. chief — for rich governments to tax the windfall profits of fossil fuel companies.

Other ideas that have gained ground include levying a small fee on international flights – which contribute to climate-heating emissions – and a global tax on financial market transactions, which could be distributed by the new fund.

The most concrete loss and damage funding scheme so far, the “Global Shield Against Climate Risks”, aims to boost insurance coverage for vulnerable countries and communities, attracting about $200 million at its COP27 launch, largely from Germany.

It will expand initiatives — from subsidized insurance coverage to stronger social protection schemes and pre-approved disaster financing — that can swiftly channel support to disaster-hit poorer countries’ own contingency plans.

But many climate campaigners say insurance cannot be a lasting answer, with losses expected to soar and even become uninsurable as climate disasters intensify.

What are the obstacles to setting up a loss and damage fund?

A “Transitional Committee” is meeting regularly this year to work out the form and scope of the new loss and damage fund, and how to fill its coffers.

Observers say the discussions have progressed constructively — and are hoping this month’s Bonn climate talks will add political momentum. But there is disagreement on which parts of loss and damage finance should fall under the new fund’s remit.

Some countries, notably the United States, want the fund to focus tightly on two key areas less well-covered by humanitarian agencies — “slow onset” disasters, from desertification to islands sinking as seas rise, and “non-economic losses”.

That would also include support for communities — or even whole island nations — to relocate should they no longer be able to continue living in their current homes.

Climate justice campaigners and others, meanwhile, are pushing for the new fund to have a broader scope, which would include helping finance the humanitarian response to climate disasters as well as efforts to cover gaps, especially in terms of building resilience.

A report last month by the Zurich Flood Resilience Alliance outlined lessons learned by the aid sector that could help the new loss and damage fund operate effectively.

Its recommendations included a warning to donors not to re-label their humanitarian aid as loss and damage funding, and to find new sources of finance.

It also stressed the need to use existing systems to deliver aid on the ground fast, find ways to get funding to fragile and conflict-hit states, and work with local groups.

The key will be to agree on how loss and damage action can both benefit from — and amplify — the work already being done by humanitarian agencies to protect vulnerable communities, experts say.

“We can’t allow the accountability to be shifted outside the [U.N. climate] system — for a very simple reason: 90% of disasters we are facing today are climate-related,” said Harjeet Singh, head of global political strategy for Climate Action Network International.

“The loss and damage fund has to be the top-level mechanism that should have oversight on whether people are getting sufficient support or not.”

China’s Targeting of US Firms Politically Motivated, US Ambassador Says

The United States will push back on China’s targeting of American firms, which Washington considers politically motivated and unfair, U.S. Ambassador to China Nicholas Burns said on Wednesday.

Several U.S. companies have faced increased scrutiny in China in recent months, including U.S. memory chipmaker Micron Technology Inc, which China’s cyberspace regulator said in May would be barred from selling to operators of key infrastructure.  

Businesses groups have warned about the rise in China’s use of exit bans, pressure on foreign due diligence firms, and the vague wording of China’s new counterespionage law, which bans the transfer of any information related to national security and broadens the definition of spying.

Burns said five U.S. companies had been singled out by Chinese authorities in recent months: Micron, Deloitte, and consultancies Bain & Company, Capvision, and Mintz Group.

“It’s not happening to companies of other countries, but it is to ours,” Burns told a U.S. Global Leadership Coalition forum in Washington via video link from Beijing.

“It looks political in nature. It looks like payback from the Chinese perspective, and it’s wrong. And obviously we are going to resist this and we are going to push back,” Burns said.

Chinese leader Xi Jinping has emphasized national security since taking office in 2012 as suspicion of the U.S. and its allies grows, but that focus contrasts with Beijing’s message that it is opening up to overseas investment.

The Biden administration has pushed to boost engagement with China even as ties have deteriorated over disputes ranging from military activity in the South China Sea, Beijing’s human rights record, and technology competition.

Chinese officials complain that Washington has put hundreds of Chinese companies under various U.S. sanctions or on export ban lists.  

Burns said the U.S. was restricting American companies’ ability to sell technology such as advanced semiconductors to China so as to not give China’s military a “leg up.”  

“While we compete, it is important that we manage that competition so that it has limits and barriers, and it is always a peaceful competition,” Burns said.