WASHINGTON — Hackers who breached UnitedHealth’s tech unit in February potentially stole data from a third of Americans, the largest U.S. health insurer’s CEO told a congressional committee on Wednesday.

Two congressional panels grilled CEO Andrew Witty about the cyberattack on the company’s Change Healthcare unit, which processes around 50% of all medical claims in the U.S.

The breach has caused widespread disruptions in claims processing, impacting patients and providers across the country.

Witty fielded heated questions from House Energy and Commerce Committee members about the company’s failure to prevent the breach and contain its fallout.

Pressed for details on the data compromised, Witty said protected health information and personally identifiable information pertaining to “maybe a third” of Americans was stolen.

“We continue to investigate the amount of data involved here,” he added. “We do think it’s going to be substantial.”

The cybercriminal gang AlphV hacked into Change on Feb. 12 using stolen login credentials on an older server that did not have multifactor authentication, Witty said.

“It was … a platform which had only recently become part of the company was in the process of being upgraded,” Witty said, referring to UnitedHealth’s $13 billion acquisition of Change in 2022.

The platform also did not have the security measures prescribed in a joint alert issued by the FBI and U.S. cyber and health officials in December 2023 to specifically warn about AlphV, or BlackCat, targeting healthcare organizations.

UnitedHealth paid the gang around $22 million in bitcoin as ransom, Witty said, adding that however there was no guarantee that the breached data was secure and could not still be leaked. Another hacking group claiming to be an offshoot of AlphV said last month it had a copy of the data, though the company has not verified that claim.

The Senate Finance Committee probed the outsized influence of UnitedHealth – which has a market capitalization of $445 billion and annual revenue of $372 billion – on American health care. But Witty said the company’s problems were not a threat to the broader economy.

Senator Bill Cassidy said senators on the panel “would have to ask, is the dominant role of United too dominant because it is into everything and messing up United messes up everybody?”

“My point is, the size of United becomes a it’s almost a too big to fail and sure, because if it fails, it’s going to bring down far more than it ordinarily would,” Cassidy said.

Witty said in response, “I don’t believe it is because actually despite our size, for example, we have no hospitals in America, we do not own any drug manufacturers.”

Yet, Change processes medical claims for around 900,000 physicians, 33,000 pharmacies, 5,500 hospitals and 600 laboratories in the U.S.

U.S. military members’ data was also stolen in the hack, Witty revealed, without saying how many of them were impacted.

Senate Finance Committee Chairman Ron Wyden called the hack a national security threat.

“I believe the bigger the company, the bigger the responsibility to protect its systems from hackers. UHG was a big target long before it was hacked,” he added.

“UnitedHealth Group has not revealed how many patients’ private medical records were stolen, how many providers went without reimbursement, and how many seniors are unable to pick up their prescriptions as a result of the hack,” said Wyden.

In letters to both congressional committees, the American Hospital Association said an internal survey of its members found that 94% of hospitals reported damage to cash flow, and more than half reported “significant or serious” financial damage due to Change’s inability to process claims.

Similarly, 90% of respondents to an American Medical Association survey of doctors said they continue to lose revenue because of the hack, according to the group’s written testimony to the Senate Finance Committee.
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The U.S. state of Florida has a new law banning most abortions after six weeks of pregnancy. In this presidential campaign, Donald Trump is defending the right of states to regulate reproductive rights. Joe Biden says that decentralized authority threatens women’s lives. VOA correspondent Scott Stearns has the story
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London — Climate change will cut the average income of people around the world by one-fifth by 2050, according to a new report published in the journal Nature by the Potsdam Institute for Climate Impact Research.

As many parts of the world experience extreme weather, the global impacts of a changing climate are set to cost $38 trillion a year by the middle of the century, the report warns — a reduction in the world’s average income of some 19%.

The losses are already locked in, independent of future emission choices, the report says.

Maximilian Kotz, co-author of the report, told VOA there is little the world can do to mitigate the impact.

“What we find is that over the next 25 to 30 years, impacts on the economy are consistent across different emissions scenarios, regardless of whether we enter a high-emission or low-emission world,” he said.

Climate change, and especially higher temperatures, have been shown to impact worker productivity, said Kotz.

“That’s then going to be manifest across numerous different industries — although it’s particularly strong, those impacts, when workers are outdoors, so in contexts like manufacturing sectors,” he said. “And then, we also know that impacts on agricultural productivity are very strong from again, particularly high temperatures.”

The research looked at climate and economic data from the past 40 years from more than 1,600 regions across the world and used it to assess future impacts. Those least responsible for global emissions are likely to be worst hit.

“Committed losses are projected for all regions except those at very high latitudes, at which reductions in temperature variability bring benefits. The largest losses are committed at lower latitudes in regions with lower cumulative historical emissions and lower present-day income,” the report said.

The authors conclude that tackling climate change would be far cheaper than putting up with the economic damage and estimate the cost of reducing greenhouse gas emissions would be just one-sixth of the $38 trillion impact of climate change by 2050.

The research is likely to underestimate the total economic impact of climate change.

“Important channels such as impacts from heatwaves, sea-level rise, tropical cyclones and tipping points, as well as non-market damages such as those to ecosystems and human health, are not considered in these estimates,” the report said.
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The average income of people around the world will be cut by one-fifth because of climate change by the middle of the century, according to a new report by Germany’s Potsdam Institute for Climate Impact Research, published in the journal Nature. Henry Ridgwell has more.
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BEIJING — The first scientist to publish a sequence of the COVID-19 virus in China said he was allowed back into his lab after he spent days locked outside, sitting in protest.

Zhang Yongzhen wrote in an online post on Wednesday, just past midnight, that the medical center that hosts his lab had “tentatively agreed” to allow him and his team to return and continue their research for the time being.

“Now, team members can enter and leave the laboratory freely,” Zhang wrote in a post on Weibo, a Chinese social media platform. He added that he is negotiating a plan to relocate the lab in a way that doesn’t disrupt his team’s work with the Shanghai Public Health Clinical Center, which hosts Zhang’s lab.

Zhang and his team were suddenly told they had to leave their lab for renovations on Thursday, setting off the dispute, he said in an earlier post that was later deleted. On Sunday, Zhang began a sit-in protest outside his lab after he found he was locked out, a sign of continuing pressure on Chinese scientists conducting research on the coronavirus.

Zhang sat outside on flattened cardboard in drizzling rain, and members of his team unfurled a banner that read “Resume normal scientific research work,” pictures posted online show. News of the protest spread widely on Chinese social media, putting pressure on local authorities.

In an online statement Monday, the Shanghai Public Health Clinical Center said that Zhang’s lab was closed for “safety reasons” while being renovated. It added that it had provided Zhang’s team an alternative laboratory space.

But Zhang responded the same day his team wasn’t offered an alternative until after they were notified of their eviction, and the lab offered didn’t meet safety standards for conducting their research, leaving his team in limbo.

Zhang’s dispute with his host institution was the latest in a series of setbacks, demotions and ousters since the virologist published the sequence in January 2020 without state approval.

Beijing has sought to control information related to the virus since it first emerged. An Associated Press investigation found that the government froze domestic and international efforts to trace it from the first weeks of the outbreak. These days, labs are closed, collaborations shattered, foreign scientists forced out and some Chinese researchers barred from leaving the country.

Zhang’s ordeal started when he and his team decoded the virus on Jan. 5, 2020, and wrote an internal notice warning Chinese authorities of its potential to spread — but did not make the sequence public. The next day, Zhang’s lab was ordered to close temporarily by China’s top health official, and Zhang came under pressure from authorities.

Foreign scientists soon learned that Zhang and other Chinese scientists had deciphered the virus and called on China to release the sequence. Zhang published it on Jan. 11, 2020, despite a lack of permission from Chinese health officials.

Sequencing a virus is key to the development of test kits, disease control measures and vaccinations. The virus eventually spread to every corner of the world, triggering a pandemic that disrupted lives and commerce, prompted widespread lockdowns and killed millions of people.

Zhang was awarded prizes overseas in recognition for his work. But health officials removed him from a post at the Chinese Center for Disease Control and Prevention and barred him from collaborating with some of his former partners, hindering his research.

Still, Zhang retains support from some in the government. Though some of Zhang’s online posts were deleted, his sit-in protest was reported widely in China’s state-controlled media, indicating divisions within the Chinese government on how to deal with Zhang and his team.

“Thank you to my online followers and people from all walks of life for your concern and strong support over the past few days!” Zhang wrote in his post Wednesday.
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Washington — A majority of Americans believe that China uses TikTok to shape U.S. public opinion, according to a Reuters/Ipsos poll conducted as Washington moves closer to potentially banning the Chinese-owned short-video app.

Some 58% of respondents to the two-day poll, which closed on Tuesday, agreed with a statement that the Chinese government uses TikTok, which is owned by China’s ByteDance, to “influence American public opinion.” Some 13% disagreed, and the rest were unsure or didn’t answer the question. Republicans were more likely than Democrats to see China as using the app to affect U.S. opinions.

TikTok says it has spent more than $1.5 billion on data security efforts and would not share data on its 170 million U.S. users with the Chinese government. The company told Congress last year that it does “not promote or remove content at the request of the Chinese government.”

TikTok did not immediately respond to a request for comment.

President Joe Biden last week signed legislation giving ByteDance 270 days to divest TikTok’s U.S. assets or face a ban.

TikTok has vowed to challenge the ban as a violation of the protections of free expression enshrined in the First Amendment of the U.S. Constitution, and TikTok users are expected to again take legal action. A U.S. judge in Montana in November blocked a state ban on TikTok, citing free-speech concerns.

The Reuters/Ipsos poll found 50% of Americans supported banning TikTok, while 32% opposed a ban and the rest were unsure. The poll only surveyed U.S. adults and doesn’t reflect the views of people under age 18, who make up a significant portion of TikTok’s users in the United States. About six in 10 poll respondents aged 40 and older supported a ban, compared with about four in 10 aged 18-39.

The poll showed 46% of Americans agreed with a statement that China is using the app to “spy on everyday Americas,” an allegation Beijing has denied.

The app is ubiquitous in America. Even Biden’s re-election campaign is using it as a tool to win over voters ahead of the Nov. 5 presidential election. Biden’s rival, Republican Donald Trump, who has criticized a potential ban and is the majority owner of the company that operates his social media app Truth Social, has not joined.

A majority of Americans, 60%, said it was inappropriate for U.S. political candidates to use TikTok to promote their campaigns.

Biden’s signing of the law sets a Jan. 19 deadline for a sale — one day before his term is set to expire — but he could extend the deadline by three months if he determines that ByteDance is making progress on divesting the app.

The poll, which was conducted online, gathered responses from 1,022 U.S. adults nationwide and had a margin of error of about 3 percentage points.
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Mai Mahiu, Kenya — Kenyan President William Ruto on Tuesday deployed the military to evacuate everyone living in flood-prone areas in a nation where 171 people have been killed since March by torrential rains. 

Seasonal rains, amplified by the El Nino weather pattern, have devastated the East African nation, with floodwaters engulfing villages and threatening to unleash even more damage in the weeks to come. 

In the worst incident, which killed nearly 50 villagers, a makeshift dam burst in the Rift Valley before dawn Monday, sending a torrent of water and mud gushing down a hill and swallowing everything in its path. 

The tragedy in Kamuchiri village, Nakuru county, was the deadliest episode in the country since the start of the March-May rainy season. 

Ruto, who visited the victims of the Kamuchiri deluge after chairing a Cabinet meeting in Nairobi, said his government had drawn up a map of neighborhoods at risk of flooding. 

“The military has been mobilized, the national youth service has been mobilized, all security agencies have been mobilized to assist citizens in such areas to evacuate to avoid any dangers of loss of lives,” he said. 

People living in the affected areas will have 48 hours to move, he said. 

“The forecast is that rain is going to continue, and the likelihood of flooding and people losing lives is real. Therefore, we must take preemptive action,” Ruto said. 

“It is not a time for guesswork, we are better off safe than sorry.” 

The Kamuchiri disaster — which killed at least 48 people dead — cut off a road, uprooted trees and destroyed homes and vehicles. Some 26 people were hospitalized, Ruto said, with fears the death toll could rise as search and rescue operations continued. 

The Cabinet warned that two dams — Masinga and Kiambere — both less than 200 kilometers (125 miles) northeast of the capital, had “reached historic highs,” portending disaster for those downstream.  

“While the government encourages voluntary evacuation, all those who remain within the areas affected by the directive will be relocated forcibly in the interest of their safety,” a statement said. 

Monday’s tragedy came six years after a dam accident at Solai, also in Nakuru county, killed 48 people, sending millions of liters of muddy water raging through homes and destroying power lines. 

The May 2018 disaster involving a private reservoir on a coffee estate also followed weeks of torrential rains that sparked deadly floods and mudslides. 

Opposition politicians and lobby groups have accused Ruto’s government of being unprepared and slow to respond to the crisis despite weather warnings, demanding that it declare the floods a national disaster. 

Kenya’s main opposition leader, Raila Odinga, said Tuesday the authorities had failed to make “advance contingency plans” for the extreme weather. 

“The government has been talking big on climate change, yet when the menace comes in full force, we have been caught unprepared,” he said. “We have therefore been reduced to planning, searching and rescuing at the same time.” 

Environment Minister Soipan Tuya told a press briefing in Nairobi that the government was stepping up efforts to be better prepared for such events. 

“We continue to focus on the need to invest in early warning systems that prepare our population — days, weeks and months ahead of extreme weather events, such as the heavy rainfall we’re experiencing.”  

The international community, including the United Nations and African Union Commission chief Moussa Faki Mahamat, have sent condolences and pledged solidarity with the affected families. 

The weather has also left a trail of destruction in neighboring Tanzania, where at least 155 people have been killed in flooding and landslides. 

Late last year, more than 300 people died in rains and floods in Kenya, Somalia and Ethiopia, just as the region was trying to recover from its worst drought in four decades. 

El Nino is a naturally occurring climate pattern typically associated with increased heat worldwide, leading to drought in some parts of the world and heavy rains elsewhere. 
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geneva — Countries trying to negotiate a new global agreement on combating future pandemics began bridging their differences Monday, but they’re racing against time to seal a deal. 

The 194 nations in the World Health Organization are back at its Geneva headquarters for one last round of negotiations, after a two-year effort to secure a landmark accord on pandemic prevention, preparedness and response overran last month’s deadline.  

Issued with a new, slimmed-down draft text that kicks some of the tougher topics down the road, countries began going through its 37 articles in turn.  

However, the handful of articles opened Monday were still being negotiated as the day’s session was ending, with side discussion groups trying to come up with solutions.  

“It’s going as was to be expected. Most member states indicated that with this new text we are on the right track, but at the same time there are still a lot of things that need to be addressed,” talks co-chair Roland Driece told AFP.  

“The process is very time-consuming, and time is our biggest enemy,” the Dutch health diplomat said. “There are outstanding issues which are complicated — but time is not our friend.” 

Sting of COVID 

The goal of the talks, which last 12 hours a day and run until May 10, is to get an agreement ready for adoption at the WHO’s annual assembly of member states, which starts May 27.  

In December 2021, the raw sting of COVID-19 — which shredded economies, crippled health systems and killed millions — motivated countries to seek a binding framework of commitments aimed at preventing another such disaster.  

But big differences quickly emerged on how to go about it.  

The main disputes revolve around access and equity: access to pathogens detected within countries; access to pandemic-fighting products such as vaccines produced from that knowledge; and equitable distribution of not only counterpandemic tests, treatments and vaccinations but the means to produce them.

The new draft focuses on setting up the basic framework and pushes some of the trickier details into further talks running into 2026, notably on how the planned WHO Pathogen Access and Benefit-Sharing (PABS) System will work in practice.  

Clash of narratives   

One senior figure in the negotiations said there was a positive spirit, but that needed to be translated into “concrete action.” Another said the talks were “in the swing now,” with movement expected Tuesday.  

Nongovernmental organizations following the talks at WHO headquarters said it was difficult to read how they were progressing.  

“We’re witnessing a clash of narratives: We are either near the collapse, or the light at the end of the tunnel,” Jaume Vidal, senior policy adviser with Health Action International, told AFP.  

“I was convinced that the situation was worse than it seems,” Vidal said. “Discussions are taking place — that’s already a step forward — but we’re still missing some specific steps. We need public commitments on some of the articles.” 

African unity 

Alongside the African group, the Group for Equity bloc of countries is trying to ensure developing nations are not cut adrift again when it comes to accessing vaccines, tests and treatments. 

African Union health ministers released a statement Monday committing to getting “legal certainty for both users and providers” from the PABS system.  

“Africa stands ready to play its part and commits to engage actively in the ongoing negotiations,” the ministers said, following a meeting in Addis Ababa. 

They called for an international financing mechanism with explicit new, sustainable and increased funding from developed countries for pandemic preparedness and response. 

Indonesia has been a key player in the Group for Equity. 

Wiku Adisasmito, one of Indonesia’s lead negotiators at the Geneva talks, said both parts of the PABS system — having quick access to detected pathogens, and sharing the resulting benefits, such as vaccines — needed to be on an equal footing. 

“That’s key, not only for Indonesia but for most developing countries,” he told AFP. 

“All countries are not equal in terms of capacity, and the pathogens are only coming from hot spots,” he said, explaining that developing countries needed financial support to ramp up their surveillance for emerging dangerous pathogens in animals and the environment. 

If the talks needed an even greater reminder of urgency, the WHO has raised  alarm in recent weeks about the exponential growth of H5N1 bird flu, with concerns about what could happen if it starts being transmitted between humans. 
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Not only is climate change responsible for sea level rise and extreme weather events, but a new peer-reviewed study signals it may also impact global timekeeping. VOA’s Veronica Balderas Iglesias has the details.
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LAGOS, Nigeria — When a small number of cases of locally transmitted malaria were found in the United States last year, it was a reminder that climate change is reviving or migrating the threat of some diseases. But across the African continent malaria has never left, killing or sickening millions of people.

Take Funmilayo Kotun, a 66-year-old resident of Makoko, an informal neighborhood in Nigeria’s Lagos city. Its ponds of dirty water provide favorable breeding conditions for malaria-spreading mosquitoes. Kotun can’t afford insecticide-treated bed nets that cost between $7 and $21 each, much less antimalarial medications or treatment.

For World Malaria Day on Thursday, here is what you need to know about the situation in Africa:

Malaria is still widespread

The malaria parasite mostly spreads to people via infected mosquitoes and can cause symptoms including fever, headaches and chills. It mostly affects children under 5 and pregnant women.

Vaccine efforts are still in early stages: Cameroon this year became the first country to routinely give children a new malaria vaccine, which is only about 30% effective and doesn’t stop transmission. A second vaccine was recently approved. On Thursday, WHO announced that three African countries — Benin, Liberia and Sierra Leone — were rolling out vaccine programs for millions of children.

Cases of resistance to antimalarial drugs and insecticides are increasing, while funding by governments and donors for innovation is slowing.

Living conditions play a role, with crowded neighborhoods, stagnant water, poor sanitation and lack of access to treatment and prevention materials all issues in many areas. And an invasive species of mosquito previously seen mostly in India and the Persian Gulf is a new concern.

A growing problem

Globally, malaria cases are on the rise. Infections increased from 233 million in 2019 to 249 million in 85 countries in 2022. Malaria deaths rose from 576,000 in 2019 to 608,000 in 2022, according to the World Health Organization.

Of the 12 countries that carry about 70% of the global burden of malaria, 11 are in Africa and the other is India. Children under 5 constituted 80% of the 580,000 malaria deaths recorded in Africa in 2022.

COVID-19 hurt progress

The fight against malaria saw some progress in areas such as rapid diagnostic tests, vaccines and new bed nets meant to counter insecticide resistance, but the COVID-19 pandemic and a shift in focus and funding set back efforts.

A study published in Tropical Medicine and Infectious Disease last year said COVID-19-induced lockdowns led to disruptions at 30% of rural community health service points across Africa. Malaria cases started spiking again, breaking a downward trend between 2000 and 2019.

That downward trend could soon return, according to the WHO.

A warming world and new frontiers

Africa is “at the sharp end of climate change,” and the increasing frequency of extreme weather events causes havoc in efforts to combat malaria in low- and middle-income regions, Peter Sands, the executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, warned in December.

In 2023, the WHO’s World Malaria Report included a chapter on the link between malaria and climate change for the first time, highlighting its significance as a potential risk multiplier. Scientists worry that people living in areas once inhospitable to mosquitoes, including the slopes of Mount Kilimanjaro and the mountains of eastern Ethiopia, could be exposed.

In Zimbabwe, which has recorded some of its hottest days in decades, malaria transmission periods have extended in some districts, “and this shift has been attributed to climate change,” said Dr. Precious Andifasi, a WHO technical officer for malaria in Zimbabwe.
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washington — About one-quarter of U.S. adults age 50 and older who are not yet retired say they expect to never retire, and 70% are concerned about prices rising faster than their income, an AARP survey finds.

About 1 in 4 have no retirement savings, according to research released Wednesday by the organization that shows how a graying America is worrying more and more about how to make ends meet even as economists and policymakers say the U.S. economy has all but achieved a soft landing after two years of record inflation.

Everyday expenses and housing costs, including rent and mortgage payments, are the biggest reasons why people are unable to save for retirement.

The data will matter this election year as Democratic President Joe Biden and Republican rival Donald Trump are trying to win support from older Americans, who traditionally turn out in high numbers, with their policy proposals.

Everyday expenses hamper saving

The AARP’s study, based on interviews completed with more than 8,000 people in coordination with the NORC Center for Public Affairs Research, finds that one-third of older adults with credit card debt carry a balance of more than $10,000 and 12% have a balance of $20,000 or more. Additionally, 37% are worried about meeting basic living costs such as food and housing.

“Far too many people lack access to retirement savings options and this, coupled with higher prices, is making it increasingly hard for people to choose when to retire,” said Indira Venkateswaran, AARP’s senior vice president of research. “Everyday expenses continue to be the top barrier to saving more for retirement, and some older Americans say that they never expect to retire.”

The share of people 50 and older who say they do not expect to retire has remained steady. It was 23% in January 2022 and 24% that July, according to the study, which is conducted twice a year.

“We are seeing an expansion of older workers staying in the workforce,” said David John, senior strategic policy advisor at the AARP Public Policy Institute. He said this is in part because older workers “don’t have sufficient retirement savings. It’s a problem and its likely to continue as we go forward.”

In the AARP survey, 33% of respondents 50 and older believe their finances will be better in a year.

Based on the 2022 congressional elections, census data released Tuesday shows that voters 65 and older made up 30.4% of all voters, while Gen Z and millennials accounted for 11.7%.

Biden has tried to court older voters by regularly promoting a $35 price cap on insulin for people on Medicare. He trumpets Medicare’s powers to negotiate directly with drugmakers on the cost of prescription medications.

Trump, in an interview with CNBC in March, indicated he would be open to cuts to Social Security and Medicare. The former president said “there is a lot you can do in terms of entitlements, in terms of cutting.”

Karoline Leavitt, press secretary for Trump’s campaign, said in a statement to The Associated Press on Tuesday that Trump “will continue to strongly protect Social Security and Medicare in his second term.”

Candidates court senior voters

A looming issue that will affect Americans’ ability to retire is the financial health of Social Security and Medicare.

The latest annual report from the program’s trustees says the financial safety nets for millions of older Americans will run short of money to pay full benefits within the next decade.

Medicare, the government-sponsored health insurance that covers 65 million older and disabled people, will be unable to pay full benefits for inpatient hospital visits and nursing home stays by 2031, the report forecast. And just two years later, Social Security will not have enough cash on hand to pay out full benefits to its 66 million retirees.

An AP-NORC poll from March 2023 found that most U.S. adults are opposed to proposals that would cut into Medicare or Social Security benefits, and a majority support raising taxes on the nation’s highest earners to keep Medicare running as is.
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