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Snakebite victims in Southern Africa struggle to get antivenom

Snakebites are classified as a neglected tropical disease by the World Health Organization. In South Africa and other countries in the region, there are numerous barriers to getting the antivenom necessary to save limbs and lives. But scientists are working to make antivenom cheaper, safer and easier to produce. Kate Bartlett reports from Johannesburg. Camera: Zaheer Cassim

Polio strikes as misinformation fuels vaccine refusal in Pakistan and Afghanistan

The naturally occurring form of polio remains active in only two countries in the world: Pakistan and Afghanistan. Over 50 cases of so-called wild polio have been confirmed in the region this year despite continuing efforts to eradicate the disease. This report comes from both sides of the border, narrated by Bezhan Hamdard.

Boeing reports $6 billion quarterly loss ahead of vote by union workers who have crippled production 

EVERETT, Wash. — Boeing reported a loss of more than $6 billion in the third quarter and immediately turned its attention to union workers who will vote Wednesday whether to accept a company contract offer or continue their crippling strike, which has dragged on for nearly six weeks.  

New CEO Kelly Ortberg laid out his plan to turn Boeing around after years of heavy losses and damage to its reputation.  

In remarks he planned to deliver later Wednesday to investors, Ortberg said Boeing needs “a fundamental culture change in the company.” To accomplish that, he said, company leaders need to spend more time on factory floors to know what is going on and “prevent the festering of issues and work better together to identify, fix, and understand root cause.”  

Ortberg repeated that he wants to “reset” management’s relationship with labor “so we don’t become so disconnected in the future.” He expressed hope that machinists will vote to approve the company’s latest contract offer and end their strike.  

“It will take time to return Boeing to its former legacy, but with the right focus and culture, we can be an iconic company and aerospace leader once again,” he said.  

The strike is an early test for Ortberg, a Boeing outsider who became CEO in August.  

Ortberg has already announced large-scale layoffs and a plan to raise enough cash to avoid a bankruptcy filing. He needs to convince federal regulators that Boeing is fixing its safety culture and is ready to boost production of the 737 Max — a crucial step to bring in much-needed cash.  

Boeing can’t produce any new 737s, however, until it ends the strike by 33,000 machinists that has shut down assembly plants in the Seattle area.  

Ortberg has “got a lot on his plate, but he probably is laser-focused on getting this negotiation completed. That’s the closest alligator to the boat,” said Tony Bancroft, portfolio manager at Gabelli Funds, a Boeing investor.  

Boeing hasn’t had a profitable year since 2018, and the situation is about to get worse before it gets better.  

Boeing said Wednesday that it lost $6.17 billion in the period ended Sept. 30, with an adjusted loss of $10.44 per share. Analysts polled by Zacks Investment Research were calling for a loss of $10.34 per share.  

Revenue totaled $17.84 billion, matching Wall Street estimates.  

Shares were flat before the opening bell.  

Investors will be looking for Ortberg to project calm, determination and urgency as he presides over an earnings call for the first time since he ran Rockwell Collins, a maker of avionics and flight controls for airline and military planes, in the last decade.  

The biggest news of the day, however, is likely to come Wednesday evening, when the International Association of Machinists and Aerospace Workers reveals whether striking workers are ready to go back to their jobs.  

They will vote at union halls in the Seattle area and elsewhere on a Boeing offer that includes pay raises of 35% over four years, $7,000 ratification bonuses, and the retention of performance bonuses that Boeing wanted to eliminate.  

Boeing has held firm in resisting a union demand to restore the traditional pension plan that was frozen a decade ago. However, older workers would get a slight increase in their monthly pension payouts.  

At a picket line outside Boeing’s factory in Everett, Washington, some machinists encouraged colleagues to vote no.  

“The pension should have been the top priority. We all said that was our top priority, along with wage,” said Larry Best, a customer-quality coordinator with 38 years at Boeing. “Now is the prime opportunity in a prime time to get our pension back, and we all need to stay out and dig our heels in.”  

Best also thinks the pay increase should be 40% over three years to offset a long stretch of stagnant wages, now combined with high inflation.  

“You can see we got a great turnout today. I’m pretty sure that they don’t like the contract because that’s why I’m here,” said another picketer, Bartley Stokes Sr., who started working at Boeing in 1978. “We’re out here in force, and we’re going to show our solidarity and stick with our union brothers and sisters and vote this thing down because they can do better.”

E. coli outbreak tied to McDonald’s Quarter Pounder kills 1, sickens dozens in US

One person died and dozens fell ill from E. coli infections linked to McDonald’s Quarter Pounder hamburgers in 10 states, led by Colorado, where 26 people were sickened, the U.S. Centers for Disease Control said on Tuesday.

The E. coli outbreak, linked to one of McDonald’s most popular menu items, has sickened 49 people and sent 10 to the hospital, officials say.

The strain involved, E. coli O157:H7, can cause serious illness and was the source of a 1993 outbreak that killed four children who ate undercooked hamburgers at Jack in the Box restaurants.

Shares of the world’s largest fast-food chain were down about 6% in extended trading. A livestock trader said the outbreak also could pressure U.S. cattle futures on Wednesday by threatening demand for beef.

Everyone interviewed as part of an investigation into the outbreak has reported eating at McDonald’s before their illness started, and most mentioned eating a Quarter Pounder hamburger, according to the CDC.

The specific ingredient linked to the illness has not been identified but investigators are focused on fresh, slivered onions and fresh beef patties, the CDC said.

Most of the illnesses were reported in Colorado and Nebraska.

“The initial findings from the investigation indicate that a subset of illnesses may be linked to slivered onions used in the Quarter Pounder and sourced by a single supplier that serves three distribution centers,” McDonald’s North America Chief Supply Chain Officer Cesar Piña said in a statement.

McDonald’s has proactively removed the slivered onions and beef patties used for the Quarter Pounder hamburgers from stores in the affected states while the investigation continues, the company informed the CDC.

U.S. food safety attorney Bill Marler, who represented a victim in the Jack in the Box outbreak, said more cases of illness could surface. Onions have been linked to prior E. coli O157:H7 outbreaks, he said.

According to Marler, a founder of Marler Clark in Seattle, beef contamination is less common due to food safety measures. “You’d have to have multiple restaurants under-cooking the meat,” he said.

McDonald’s is temporarily removing the Quarter Pounder from restaurants in the impacted areas, including Colorado, Kansas, Utah and Wyoming, it said in a statement, adding it was working with suppliers to replenish supply in the coming week.

Symptoms for E. coli include severe stomach cramps, diarrhea and vomiting. Most people who suffer an infection will start feeling sick three to four days after eating or drinking something that contains the bacteria, Colorado’s public health department said. However, illnesses can start anywhere from one to 10 days after exposure, the department added.

In 2015, burrito chain Chipotle saw its sales battered and reputation hit due to E.coli outbreaks in several states. That outbreak was linked to a different strain of E. coli that typically causes less severe illness than E. coli O157:H7.

In addition to Colorado, the CDC said small clusters of a few people fell ill after eating a Quarter Pounder in Nebraska, Utah and Wyoming. Kansas, Missouri, Oregon, Iowa, Wisconsin and Montana had one illness apiece.

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Ethiopia begins selling stakes in state-owned company

Ethiopia’s state-owned telecommunications company has started selling shares to the public, in a move aimed at establishing a new national stock market and giving Ethiopians a stake in the company, one of the country’s largest and most profitable.

Ethio Telecom will be the first company listed on the new Ethiopian Securities Exchange, or ESX, which is set to begin operating in November. It will be the country’s first stock market since the 1970s.

Ethiopia Prime Minister Abiy Ahmed said last Wednesday that the 130-year-old Ethio Telecom is offering 10% of its shares to the public, 100 million shares in all.

Investors, who must be Ethiopian nationals, can buy up to 3,333 shares of the company at a price of 300 birr, or about $2.50 per share.  

CEO Frehiwot Tamiru said the company will now be called Ethio Telecom PLC.

“Today marks a significant milestone as we launch the sale of Ethio Telecom shares, an essential step in our ongoing journey from political revolution to evolution over the past six years,” Abiy said in a post on X.

He said offering the shares lays “the groundwork for Ethiopia’s stock market and expanding access to ownership in one of the nation’s leading state-owned enterprises, which has now evolved into a share company.”

Ethiopia, once a communist country aligned with the Soviet Union, has gradually allowed greater foreign investment and has slowly privatized state companies, though the government still owns and controls key banking, telecom and transportation firms.

Not everyone sees the sale of Ethio Telecom shares as a sure winner for the Ethiopian public. Ethiopian economist and the executive director of Initiative Africa, Kibur Gena, is concerned that only wealthy Ethiopians will be able to invest in the company.

“This raises questions, in my opinion, of fairness and inclusivity,” he said.  “Such a move might provide, of course, immediate financial benefits to the government; it could also perpetuate inequalities in wealth distribution and restrict, of course, broader public participation in national assets.”

Kibur argues that this approach to privatization could lead to a “deeper wealth gap” and make it harder for the majority of Ethiopians to gain access to economic opportunities.’

“This would certainly contradict the principles of economic equity, which many argue that, when you sell public assets or public resources, they should be distributed more widely to ensure that economic benefits reach marginalized or less affluent groups.”

Ethio Telecom sees it differently.  To help ensure that the share sale is inclusive, investors can buy as few as 33 shares, purchasable for 9,900 birr ($82), according to a company post on Facebook.

However, many Ethiopians don’t even earn $82 in a month, according to World Bank data.

Asked why the privatization of state companies have been slow in Ethiopia, Kibur said it can be seen as a “pragmatic strategy to protect national development goals” and “maintain economic sovereignty.”

“In many ways, privatization may eventually happen and it is happening,’’ he said. ‘’Many economists would argue that it should be done gradually with strong regulatory frameworks in place so that it can ensure that it contributes to long-term development and social stability rather than short-term market efficiency.”

Abiy said Ethio Telecom generated about $829 million in revenue and $239 million in profit during 2023, noting the amount is the most income generated for the state, compared to all other domestic and foreign companies operating in Ethiopia, including commercial banks, combined.

“We are doing this so that people could have confidence in it and join the stock market but it would have continued to be profitable even if we didn’t sell shares,” the prime minister said.

Abiy hinted the government may offer more stakes for sale.

“The sale of shares that we started with Ethio Telecom may continue with Ethiopian Airlines, with hotels and other sectors,” he said.

This story originated in VOA’s Horn of Africa Service. 

Polio resurfaces in Ivory Coast, threatening country’s children

Health officials say there have been six cases of polio reported in Ivory Coast in 2023, and one so far this year. It doesn’t seem like many, but any polio cases are cause for concern among health officials trying to completely eradicate the disease.  VOA’s Yassin Ciyow reports from Abidjan, in this story narrated by Anthony LaBruto. (Camera: Yassin Ciyow )

IMF’s economic view: A brighter outlook for US but still-tepid global growth 

Washington — The International Monetary Fund on Tuesday upgraded its economic outlook for the United States this year, while lowering its expectations for growth in Europe and China. It left its forecast for global growth unchanged at a relatively lackluster 3.2% for 2024. 

The IMF expects the U.S. economy — the world’s largest — to expand 2.8% this year, down slightly from 2.9% in 2023 but an improvement on the 2.6% it had forecast for 2024 back in July. Growth in the United States has been led by strong consumer spending, fueled by healthy gains in inflation-adjusted wages. 

Next year, though, the IMF expects the U.S. economy to decelerate to 2.2% growth. With a new presidential administration and Congress in place, the IMF envisions the nation’s job market losing some momentum in 2025 as the government begins seeking to curb huge budget deficits by slowing spending, raising taxes or some combination of both. 

The IMF, a 190-nation lending organization, works to promote economic growth and financial stability and reduce global poverty. In its latest forecast, it expects China’s economic growth to slow from 5.2% last year to 4.8% this year and 4.5% in 2025. The world’s No. 2 economy has been hobbled by a collapse in its housing market and by weak consumer confidence — problems only partly offset by strong exports. 

The 20 European countries that share the euro currency are collectively expected to eke out 0.8% growth this year, twice the 2023 expansion of 0.4% but a slight downgrade from the 0.9% the IMF had forecast three months ago for 2024. The German economy, hurt by a slump in manufacturing and real estate, isn’t expected to grow at all this year. 

Worldwide inflation has been cooling — from 6.7% in 2023 to a forecast 5.8% this year and 4.3% in 2025. It’s falling even faster in the world’s wealthy countries, from 4.6% last year to a forecast 2.6% this year and 2% — the target range for most major central banks — in 2025. The progress against inflation has allowed the Fed and the European Central Bank to finally reduce rates after they had aggressively raised them to combat the post-COVID-19 inflation surge. 

But just as lower borrowing costs aid the world’s economies, the IMF warned, the need to contain enormous government deficits will likely put a brake on growth. The overall world economy is expected to grow 3.2% in both 2024 and 2025, down a tick from 3.3% last year. That’s an unimpressive standard: From 2000 through 2019, before the pandemic upended economic activity, global growth had averaged 3.8% a year. 

The IMF also continues to express concern that geopolitical tension, including antagonism between the United States and China, could make world trade less efficient. The concern is that more countries would increasingly do business with their allies instead of seeking the lowest-priced or best-made foreign goods. Still, global trade, measured by volume, is expected to grow 3.1% this year and 3.4% in 2025, improving on 2023’s anemic 0.8% increase. 

India’s economy is expected to 7% this year and 6.5% in 2025. While still strong, that pace would be down from 8.2% growth last year, a result of consumers slowing their spending after a post-pandemic boom. 

The IMF predicts that Japan’s economy, hurt by production problems in the auto industry and a slowdown in tourism, will expand by a meager 0.3% this year before accelerating to 1.1% growth in 2025. 

The United Kingdom is projected to register 1.1% growth this year, up from a dismal 0.3% in 2023, with falling interest rates helping spur stronger consumer spending.

Lower-priced new cars are gaining popularity, and not just for cash-poor buyers

Detroit — Had she wanted to, Michelle Chumley could have afforded a pricey new SUV loaded with options. But when it came time to replace her Chevrolet Blazer SUV, for which she’d paid about $40,000 three years ago, Chumley chose something smaller. And less costly.  

With her purchase of a Chevrolet Trax compact SUV in June, Chumley joined a rising number of buyers who have made vehicles in the below-average $20,000-to-$30,000 range the fastest-growing segment of the nation’s new-auto market.  

“I just don’t need that big vehicle and to be paying all of that gas money,” said Chumley, a 56-year-old nurse who lives outside Oxford, Ohio, near Cincinnati.  

Across the industry, auto analysts say, an “affordability shift” is taking root. The trend is being led by people who feel they can no longer afford a new vehicle that would cost them roughly today’s average selling price of more than $47,000 — a jump of more than 20% from the pre-pandemic average.  

To buy a new car at that price, an average buyer would have to spend $737 a month, if financed at today’s average loan rate of 7.1%, for just under six years before the vehicle would be paid off, according to Edmunds.com, an auto research and pricing site. For many, that is financially out of reach.  

Yet there are other buyers who, like Chumley, could manage the financial burden but have decided it just isn’t worth the cost. And the trend is forcing America’s automakers to reassess their sales and production strategies. With buyers confronting inflated prices and still-high loan rates, sales of new U.S. autos rose only 1% through September over the same period last year. If the trend toward lower-priced vehicles proves a lasting one, more generous discounts could lead to lower average auto prices and slowing industry profits.  

“Consumers are becoming more prudent as they face economic uncertainty, still-high interest rates and vehicle prices that remain elevated,” said Kevin Roberts, director of market intelligence at CarGurus, an automotive shopping site. “This year, all of the growth is happening in what we would consider the more affordable price buckets.”  

Under pressure to unload their more expensive models, automakers have been lowering the sales prices on many such vehicles, largely by offering steeper discounts. In the past year, the average incentive per auto has nearly doubled, to $1,812, according to Edmunds. General Motors has said it expects its average selling price to drop 1.5% in the second half of the year.  

Through September, Roberts has calculated, new-vehicle sales to individual buyers, excluding sales to rental companies and other commercial fleets, are up 7%. Of that growth, 43% came in the $20,000-to-$30,000 price range — the largest share for that price category in at least four years. (For used vehicles, the shift is even more pronounced: 59% sales growth in the $15,000-to-$20,000 price range over that period.)  

Sales of compact and subcompact cars and SUVs from mainstream auto brands are growing faster than in any year since 2018, according to data from Cox Automotive.  

The sales gains for affordable vehicles is, in some ways, a return to a pattern that existed before the pandemic. As recently as 2018, compact and subcompact vehicles — typically among the most popular moderately priced vehicles — had accounted for nearly 35% of the nation’s new vehicle sales.  

The proportion started to fall in 2020, when the pandemic caused a global shortage of computer chips that forced automakers to slow production and allocate scarce semiconductors to more expensive trucks and large SUVs. As buyers increasingly embraced those higher-priced vehicles, the companies posted robust earnings growth.  

In the meantime, they deemed profit margins for lower-prices cars too meager to justify significant production of them. By 2022, the market share of compact and subcompact vehicles had dropped below 30%.  

This year, that share has rebounded to nearly 34% and rising. Sales of compact sedans were up 16.7% through September from 12 months earlier. By contrast, CarGurus said, big pickups rose just under 6%. Sales of large SUVs are barely up at all — less than 1%.  

Ford’s F-Series truck remains the top-selling vehicle in the United States this year, as it has been for nearly a half-century, followed by the Chevrolet Silverado. But Stellantis’ Ram pickup, typically No. 3, dropped to sixth place, outpaced by several less expensive small SUVs: the Toyota RAV4, the Honda CR-V and the Tesla Model Y (with a $7,500 U.S. tax credit).  

The move in buyer sentiment toward affordability came fast this year, catching many automakers off guard, with too-few vehicles available in lower price ranges. One reason for the shift, analysts say, is that many buyers who are willing to plunk down nearly $50,000 for a new vehicle had already done so in the past few years. People who are less able — or less willing — to spend that much had in many cases held on to their existing vehicles for years. The time had come for them to replace them. And most of them seem disinclined to spend more than they have to.  

With loan rates still high and average auto insurance prices up a whopping 38% in the past two years, “the public just wants to be a little more frugal about it,” said Keith McCluskey, CEO of the dealership where Chumley bought her Trax.  

Roberts of CarGurus noted that even many higher-income buyers are choosing smaller, lower-priced vehicles, in some cases because of uncertainties over the economy and the impending presidential election.  

The shift has left some automakers overstocked with too many pricier trucks and SUVs. Some, like Stellantis, which makes Chrysler, Jeep and Ram vehicles, have warned that the shift will eat into their profitability this year.  

At General Motors’ Chevrolet brand, executives had foreseen the shift away from “uber expensive” vehicles and were prepared with the redesigned Trax, which came out in the spring of 2023, noted Mike MacPhee, director of Chevrolet sales operations.  

Trax sales in the U.S. so far this year are up 130%, making it the nation’s top-selling subcompact SUV.  

“We’re basically doubling our (Trax) sales volume from last year,” MacPhee said.   

How long the preference for lower-priced vehicles may last is unclear. Charlie Chesbrough, chief economist for Cox Automotive, notes that the succession of expected interest rates cuts by the Federal Rates should eventually lead to lower auto loan rates, thereby making larger vehicles more affordable.  

“The trends will probably start to change if these interest rates start coming down,” Chesbrough predicted. “We’ll see consumers start moving into these larger vehicles.” 

New mpox variant detected in Germany 

Berlin — An infection with the new mpox variant clade 1b has been detected in Germany for the first time, the Robert Koch Institute health authority said on Tuesday.  

The infection occurred abroad and was detected last Friday, the institute said, adding that it did not see an increased risk for Germany but was “monitoring the situation very closely.”  

Mpox, a viral disease related to smallpox that causes fever, body aches, swollen lymph nodes and a rash that forms into blisters, has two main subtypes — clade 1 and clade 2.  

From May 2022, clade 2 spread around the world, mostly affecting gay and bisexual men in Europe and the United States. In July 2022, the WHO declared an international public health emergency, its highest level of alarm over the spread.  

Vaccination and awareness drives in many countries helped stem the number of worldwide cases and the WHO lifted the emergency in May 2023 after reporting 140 deaths out of roughly 87,400 cases.  

But this year, a new epidemic has broken out in the Democratic Republic of Congo.  

As well as clade 1, which mainly affects children, a new strain emerged in the DRC, called clade 1b.  

Clade 1b cases have also been recorded in nearby Burundi, Kenya, Rwanda and Uganda — none of which had previously detected mpox. The WHO declared another international emergency in August.

China unveils first diagnosis guidelines to battle escalating obesity crisis

HONG KONG — China’s National Health Commission (NHC) published its first set of guidelines to standardize the diagnosis and treatment of obesity, with more than half of China’s adults already overweight and obese, and the rate expected to keep rising.

The guidelines, made public on October 17, come as China experiences an upward morbidity trend of its overweight and obese population. The rate of overweight or obese people could reach 65.3% by 2030, the NHC said.

“Obesity has become a major public health issue in China, ranking as the sixth leading risk factor for death and disability in the country,” the guidelines said.

China is facing a twin challenge that feeds its weight problem: In a modernizing economy underpinned by technological innovation, more jobs have become static or desk-bound, while a prolonged slowdown in growth is forcing people to adopt cheaper, unhealthy diets.

Job stress, long work hours and poor diets are growing high-risk factors in the cities, while in rural areas, agriculture work is becoming less physically demanding and inadequate healthcare is leading to poor screening and treatment of weight problems, doctors and academics say.

The guidelines provide guidance and regulations including in clinical nutrition, surgical treatment, behavioral and psychological intervention, and exercise intervention for obesity, Zhang Zhongtao, director of the guideline drafting committee and deputy head of Beijing Friendship Hospital, told the official Xinhua news agency.

China’s NHC and 15 other government departments in July launched public awareness efforts to fight obesity. The campaign, set to last for three years, is built around eight slogans: “lifelong commitment, active monitoring, a balanced diet, physical activity, good sleep, reasonable targets and family action.”

Health guidelines were distributed to primary and secondary schools in July urging regular screening, daily exercise, hiring nutritionists and implementing healthy eating habits – including lowering salt, oil and sugar.

Obesity in China is an “unintended consequence of improving living standards in the country,” Xinhua said, after China struggled for centuries to feed its population and under-nourishment was a genuine concern for many families before the reform and opening-up in the late 1970s.

French government takes new blows over deal to sell painkiller maker to US fund

Paris — French drugmaker Sanofi’s confirmation that it will sell a controlling stake in its consumer health unit to a U.S. investment fund sparked a new political backlash Monday, stoked by fears the deal marks a loss of sovereignty over key medications.  

Paris “must block the sale” using powers to protect strategic sectors, Manuel Bompard, a senior lawmaker in the hard-left France Unbowed (LFI) party, told the TF1 broadcaster.  

Politicians and unions have torn into Sanofi’s proposed 16-billion-euro ($17.4 billion) deal with U.S. investment fund CD&R for a controlling stake in Opella.  

The subsidiary makes household-name drugs including Doliprane branded paracetamol  whose yellow boxes dominate the French market.  

Under pressure, Prime Minister Michel Barnier’s minority government said it had secured a two-percent stake in Opella for public investment bank Bpifrance and “extremely strong” guarantees against job cuts and offshoring.  

Opella employs over 11,000 workers and operates in 100 countries.  

Sanofi said it is the third-largest business worldwide in the market for over-the-counter medicines, vitamins and supplements.  

CD&R — which has a battery of investments in France — would help build Opella into a “French-headquartered, global consumer healthcare champion,” the pharma giant said in a statement.  

‘Just words’

But with memories of drug shortages during and since the Covid-19 pandemic still raw for many, critics say the defenses are too weak.

A small stake “won’t give the French state a say in strategic decisions” at Opella, said Bompard, whose LFI dominates a left alliance that is the largest opposition group against Barnier and President Emmanuel Macron.  

Thomas Portes, also of the LFI, posted on X that the government had offered “no guarantees, just words.”  

Economy Minister Antoine Armand said a contract between CD&R, Sanofi and the government included maintaining production sites, research and development and Opella’s official headquarters in France, as well as investing at least 70 million euros over five years.  

It covers “keeping up a minimum production volume for Opella’s sensitive products in France,” Armand added, including Doliprane, digestive medication Lanzor and Aspegic branded aspirin.  

There would be financial penalties for closing French production sites, laying off workers or failing to buy from French suppliers.  

That includes Seqens, a company re-establishing production in France of Doliprane’s active ingredient paracetamol.  

“Workers are not at all reassured by the latest developments,” said Johann Nicolas, a CGT union representative at Opella’s Doliprane plant in Lisieux, northern France.  

He added that a picket had throttled production there from around 1.3 million boxes of the drug per day to around 265,000.  

The proposed protections in the deal have also failed to win over even some in the government camp.  

Monday’s guarantees “do not at all indicate a commitment for the long term, whether on investment, supply or jobs,” Charles Rodwell, a lawmaker in Macron’s EPR party who has closely followed the case, told AFP.  

He vowed “painstaking” parliamentary surveillance of government action over the deal including measures to “block” the sale if ministers fall short.

Brand loyalty

Macron said last week that “the government has the instruments needed to protect France” from any unwanted “capital ownership.”  

Emotion over the Opella sales is closely linked to Doliprane.  

Boxes of the non-opioid analgesic against mild to moderate pain and fever often line entire pharmacy walls.  

The drug comes in many doses — from 100 mg for babies to 1,000 mg for adults — and in tablet, capsule, suppository and liquid forms.  

It is so ubiquitous that French people call any paracetamol product Doliprane, even when made by a different manufacturer.  

Sanofi, among the world’s top 12 health care companies, says the planned spinoff is part of a strategy to focus less on over-the-counter medication and more on innovative medicines and vaccines, including for polio, influenza and meningitis.

Should minimum wage be lower for workers who get tipped? Two states are set to decide

Mel Nichols, a 37-year-old bartender in Phoenix, Arizona, takes home anywhere from $30 to $50 an hour with tips included. But the uncertainty of how much she’s going to make on a daily basis is a constant source of stress.

“For every good day, there’s three bad days,” said Nichols, who has been in the service industry since she was a teenager. “You have no security when it comes to knowing how much you’re going to make.”

That uncertainty exists largely because federal labor law allows businesses to pay tipped workers, like food servers, bartenders and bellhops, less than the minimum wage as long as customer tips make up the difference. Voters in Arizona and Massachusetts will decide in November whether it’s good policy to continue to let employers pass some of their labor costs to consumers.

The ballot measures reflect an accelerating debate over the so-called subminimum wage, which advocates say is essential to the sustainability of the service industry and detractors say pushes the cost of labor off employers’ shoulders and leads to the exploitation of workers.

The amount tipped workers make varies by state. Fourteen states pay the federal minimum, or just above $2 an hour for tipped workers and $7 an hour for non-tipped workers.

Arizona employers can pay their tipped workers $3 less hourly than other workers. Under current rates, that means tipped workers’ base pay is $11.35 an hour.

Voters will decide whether to approve a measure backed by state Republicans and the Arizona Restaurant Association to change the minimum for tipped workers to 25% less than the regular minimum wage as long as their pay with tips is $2 above that minimum.

The hourly minimum wage in Arizona is currently $14.35 and increases yearly according to inflation.

Voters in Massachusetts are being asked to eliminate the tiered minimum-wage system.

There, voters will decide on a measure to incrementally increase the state’s tipped worker wage — currently $6.75 per hour — until it meets the regular minimum wage by January 2029. The measure was put forward by One Fair Wage, a not-for-profit that works to end the subminimum wage.

If voters approve the measure, the Bay State would join seven states that currently have a single minimum wage. Michigan will soon join that group after an August state Supreme Court ruling initiated a phase-out of the subminimum wage.

“When you’re not making the money that you should be making to pay your bills, it becomes hard on you,” said James Ford, a longtime Detroit-based hospitality worker. ”[The ruling] makes me think we’re moving forward.”

Other states have wage measures on the ballot. In California, voters will choose whether to raise the hourly minimum wage from $16 to $18 by 2026 in what would be the highest statewide minimum wage in the country. Measures in Alaska and Missouri would gradually raise minimum wages to $15 an hour while also requiring paid sick leave.

In the last two years, Washington, D.C., and Chicago also have started to eliminate the subminimum wage.

Employers must ensure that workers get the full minimum if they don’t make that much with tips. But they don’t always comply with federal labor law. One in 10 restaurants and bars investigated nationally by the U.S. Labor Department between 2010 and 2019 violated a provision of the Fair Labor Standards Act, resulting in the establishments paying $113.9 million in back wages.

The issue disproportionately affects women, who make up about 47% of the U.S. workforce but nearly 70% of those who work in tipped professions, according to an AP analysis of U.S. Census data.

In Arizona, Republican state Sen. J.D. Mesnard, the sponsor of Proposition 138, said the measure is a win for both businesses and lower-wage workers.

“The employer is protected in the sense that they can preserve this lower base, knowing that there are going to be tips on top of it,” Mesnard said. “The tipped worker is guaranteed to make more than minimum wage, which is more than they’re guaranteed today.”

Nichols doesn’t support it.

“It would reduce my hourly, and anything that reduces my hourly is not something that I want to lean into,” she said. “I don’t believe that business owners need any more cuts in labor costs.”

Proposition 138 was initially put forward as a response to a ballot measure pushed by One Fair Wage that would create a single minimum wage of $18, but the group abandoned the effort after threats of litigation from the restaurant association over how it collected signatures.

Instead, One Fair Wage will focus on trying to pass a wage hike in the Legislature. Democratic State Rep. Mariana Sandoval said she hopes her party in November can flip the Legislature, where Republicans hold a one-seat majority in both chambers.

After working for tips for more than 20 years, server Lindsay Ruck, who works at a restaurant at Phoenix Sky Harbor International Airport, said she’s faced her fair share of belligerent customers. But because their tips make up such a significant part of her pay — approximately $60 an hour — she’s hesitant to stand up to them.

To Ruck, higher base pay — not less — is called for.

“I think that there should be just a single minimum wage and then people should get tipped on top of that,” Ruck said.

The National Restaurant Association and its state affiliates warn of reduced hours, lower employment and menu price hikes if employers can’t rely on tips to pay their workers. That’s why Dan Piacquadio, a co-owner of Harold’s Cave Creek Corral restaurant outside Phoenix, is hoping voters pass Proposition 138.

“This is just a way to protect our current system that’s been there for 20 years and protect restaurant owners, keep restaurants affordable, and most importantly, keep very good pay for all tipped workers,” Piacquadio said.

Between 2012 and 2019, the number of restaurants and people employed at those restaurants grew at a faster clip in the seven states that have a single minimum wage compared to states that pay the federal minimum tipped wage, according to labor economist Sylvia Allegretto.

“We are sitting here in a state that has a $16 minimum wage,” Allegretto said from Oakland, California, where she works at the left-leaning Center for Economic and Policy Research. “No subminimum wage, and we’ve got a thriving restaurant industry.”

Environmental delegates gather in Colombia for a conference on dwindling global biodiversity

Bogota, Colombia — Global environmental leaders gather Monday in Cali, Colombia to assess the world’s plummeting biodiversity levels and commitments by countries to protect plants, animals and critical habitats.

The two-week United Nations Biodiversity Conference, or COP16, is a follow-up to the 2022 Montreal meetings where 196 countries signed a historic global treaty to protect biodiversity.

The accord includes 23 measures to halt and reverse nature loss, including putting 30% of the planet and 30% of degraded ecosystems under protection by 2030.

In opening remarks on Sunday, Colombia’s environment minister and COP16 president Susana Muhamad said the conference is an opportunity “to collect the experience that has passed through this planet from all civilizations, from all cultures, from all knowledge … to generate livable, relatively stable conditions for a new society that will be forged in the light of the crisis.”

A real threat to biodiversity loss

All evidence shows a dramatic decline in species abundance and distribution, said Linda Krueger, director of biodiversity at The Nature Conservancy.

“A lot of wild species have less room to live, and they’re declining in numbers,” Krueger said. “And we also see rising extinction rates. Things that we haven’t even discovered yet are blinking out.”

The world is experiencing its largest loss of life since the dinosaurs, with around 1 million plant and animal species now threatened with extinction, according to the United Nations Environment Programme.

In the Amazon rainforest, threats to biodiversity include the expansion of the agricultural frontier and road networks, deforestation, forest fires and drought, says Andrew Miller, advocacy director at Amazon Watch, an organization that protects the rainforest.

“You put all of that together and it’s a real threat to biodiversity,” Miller said.

Global wildlife populations have plunged on average by 73% in 50 years, according to the WWF and the Zoological Society of London biennial Living Planet report this month.

The report said Latin America and the Caribbean saw 95% average declines in recorded wildlife populations.

Indigenous communities key to biodiversity protection

Indigenous people are on the front lines of protecting biodiversity and fighting against climate change, putting their lives at great risk, said Miller of Amazon Watch.

“A lot of discourse has been given about the voices of local communities … Indigenous peoples really playing a key role,” he said. “So that’s one of the things that we’ll be looking for at COP16.”

Indigenous peoples hold the solutions to combat the climate change and biodiversity crises, said Laura Rico, campaign director at Avaaz, a global activism nonprofit.

“They’re who have been taking care of the land, healing the land through their governance systems, their care systems and their ways of life,” she said. “So … it’s fundamental that the COP recognizes, promotes and encourages the legalization of their territories.”

In Colombia’s capital, Bogota, the head of an Amazon Indigenous organization said the region’s Indigenous people have been preparing for months for COP16.

“This is a great opportunity to make the impact that we need to demonstrate to all the actors that come from other countries the importance of Indigenous peoples for the world,” said José Mendez, secretary of the National Organization of the Indigenous Peoples of the Amazon.

“It’s no secret to anyone that we … are at risk right now,” he said. “The effects that we are currently experiencing due to climate change, the droughts that the country is experiencing, the Amazon River has never gone through a drought like the current one. … This is causing many species to become extinct.”

Nature can recover

Environment minister Muhamad told local media this month that one of the conference’s main objectives is to deliver the message that “biodiversity is as important, complementary and indispensable as the energy transition and decarbonization.”

Part of Colombia’s first ever leftist government, Muhamad cautioned last year’s World Economic Forum about the risks of continuing an extractive economy that ignores the social and environmental consequences of natural resource exploitation.

Since the 2022 Montreal conference, “progress has been too slow”, says Eva Zabey, executive director of the coalition Business for Nature.

“There’s been some progress,” she said. “But the headline message is the implementation of the global biodiversity framework is too slow and we need to scale and speed up.”

“COP16 comes at an absolutely critical moment for us to move from targets setting to real actions on the ground,” Zabey said.

Although biodiversity declines are grim, some environmentalists believe a reversal is possible. “We’ve had some very successful species reintroductions and we’ve saved species when we really focus on what is causing their decline,” said The Nature Conservancy’s Krueger.

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WHO urges Rwanda to see off Marburg outbreak

Geneva — The WHO chief on Sunday urged Rwanda to keep up its fightback against Marburg, as the country battles an outbreak of one of the world’s deadliest viruses.  

There have been 62 confirmed cases and 15 deaths in the outbreak, which was first announced in late September.  

No new cases have been detected in the last six days and 44 people have recovered from infection.  

Tedros Adhanom Ghebreyesus, the head of the World Health Organization, visited Rwanda to see the outbreak response for himself and hailed the country’s handling of the situation.  

“We’re pleased to see that there have been no new cases in the past six days, and we hope that remains the case,” he told a press conference in the capital Kigali.  

“But we are dealing with one of the world’s most dangerous viruses, and continued vigilance is essential.  

“Enhanced surveillance, contact tracing and infection prevention and control measures must continue at scale until the outbreak is declared over.”  

Such a declaration can only be made after 42 days — two consecutive incubation periods — without a new confirmed case.  

Marburg is transmitted to humans from fruit bats, and is part of the filovirus family that includes Ebola.  

With a fatality rate of up to 88 percent, Marburg’s highly infectious hemorrhagic fever is often accompanied by bleeding and organ failure.   

However, the case fatality rate in this outbreak has been held down at 24 percent.   

On Saturday, Tedros visited the treatment center where the remaining patients are being looked after.  

“Two of the patients we met had experienced all of the symptoms of Marburg, including multiple organ failure, but they were put on life support, they were successfully intubated and extubated, and are now recovering,” he said.  

“We believe this is the first time patients with Marburg virus have been extubated in Africa. These patients would have died in previous outbreaks.”  

There are currently no officially approved vaccines nor approved antiviral treatments, but potential treatments, including blood products, immune and drug therapies are being evaluated.  

A vaccination program using a trial vaccine was launched in Rwanda earlier this month. 

Broke Argentine province counters austerity cuts with new currency

LA RIOJA, Argentina — They look like cash, fit into wallets like cash and the governor promises they’ll be treated like cash.

But these brightly colored banknotes aren’t pesos, the depreciating national currency of Argentina, or U.S. dollars, everyone’s money of choice here.

They are chachos, a new emergency tender invented by the left-wing populist governor of La Rioja, a province in the country’s northwest that went broke when far-right President Javier Milei slashed federal budget transfers to provinces as part of an unprecedented austerity program.

“Who would have imagined that one day I’d find myself wishing I’d gotten pesos?” said Lucia Vera, a music teacher emerging from a gymnasium packed with state workers waiting to get their monthly bonus of chachos worth 50,000 pesos (about $40).

Across La Rioja’s capital, “Chachos accepted here” decals now appear on the windows of everything from chain supermarkets and gas stations to upscale restaurants and hair salons. The local government guarantees a 1-to-1 exchange rate with pesos, and accepts chachos for tax payments and utilities bills.

But there’s a catch. Chachos can’t be used outside La Rioja, and only registered businesses can swap chachos for pesos at a few government exchange points.

“I need real money,” said Adriana Parcas, a 22-year-old street vendor who pays her suppliers in pesos, after turning down two customers in a row who asked if they could buy her perfumes with chachos.

The bills bear the face of Ángel Vicente “Chacho” Peñaloza, the caudillo, or strongman, famed for defending La Rioja in a 19th-century battle against national authorities in Buenos Aires. A QR code on the banknote links to a website denouncing Milei for refusing to transfer La Rioja its fair share of federal funds.

After entering office in December 2023, Milei swiftly imposed his shock therapy in a bid to reverse decades of budget-busting populism that ran up Argentina’s monumental deficits. The cuts squeezed all of Argentina’s 23 provinces but boiled over into a full-blown crisis in La Rioja, where the public payroll accounts for two-thirds of registered workers and the federal government’s redistributed taxes cover some 90% of the provincial budget.

With just 384,600 people and little industry beyond walnuts and olives, La Rioja received more discretionary federal funds than any other last year except Buenos Aires, home to 17.6 million people. Yet the province’s poverty rate tops 66% — the result, critics say, of a patronage system long used to placate interest groups at the expense of efficiency.

While Milei’s reforms forced other provinces to tighten their belts and lay off thousands of employees, Governor Ricardo Quintela — an ambitious power broker in Argentina’s long-dominant Peronist movement and one of Milei’s fiercest critics — refused to absorb the strife of austerity.

“I’m not going to take food from the people of La Rioja to pay the debt that the government owes us,” Quintela told The Associated Press, portraying his chacho-printing plan as a daring stand against 10 months of crumbling wages, rising unemployment and deepening misery under Milei.

La Rioja defaulted on its debts in February and August. A New York federal judge ordered the province to pay American and British bondholders nearly $40 million in damages in September. Argentina’s Supreme Court is taking up the case of the province’s refusal to charge consumers sky-high prices for electricity after Milei’s removal of subsidies.

“There’s an alternative path to the cruelty of policies that the president is applying,” Quintela said.

He appeared confident, speaking as Milei’s approval ratings dipped below 50% for the first time since the radical economist came to power.

But as Milei and his allies tell it, Quintela’s alternative offers little more than a return to Argentina’s habitual Peronist preserve of reckless spending — and insolvency — that delivered the unmitigated crisis that his government inherited.

“You were used to having your tie fastened for you and your shoes polished, but now, you’ve got to tie the knot yourself,” Eduardo Serenellini, press secretary of Milei’s office, snapped at La Rioja business leaders on a recent visit to the province. “When you run out of cash, you run out cash.”

Serenellini picked up a chacho note, then flicked it away like lint.

Gov. Quintela’s gambit in the remote province has had little effect on Argentina’s federal finances, but that could change if more cash-strapped provinces catch on, as happened during Argentina’s terrible financial crisis of 2001, when a similarly brutal austerity scheme sent over a dozen provinces scrambling to print their own parallel currencies.

Unlike two decades ago, when former President Néstor Kirchner, a Peronist, put an end to the chaos by redeeming “patacones,” “cecacores” and “boncanfores” for pesos, President Milei has ruled out a bailout for La Rioja.

“We will not be accomplices to irresponsible people,” Milei warned in a recent interview with Argentine TV channel Todo Noticias. But the libertarian purist added that he couldn’t stop La Rioja from doing what it pleased, considering that Argentina’s constitution allows for such desperate financial workarounds.

The chacho hit the streets in August after La Rioja’s legislature approved plans to run off $22.5 billion pesos worth of the currency to help cover up to 30% of public sector salaries.

With La Rioja’s average income sinking below $200 per month and stores shuttering for lack of business, authorities doled out 8.4 billion pesos worth of the scrip in monthly bonuses in August and September, an effort to help workers cope with Argentina’s 230% annual inflation and spur the stricken local economy.

To encourage the chacho’s use, authorities promise to pay interest of 17% on bills held to maturity on December 31.

“The closer we get to the expiration date, the more we’ll see public confidence in the chacho increase,” said provincial treasurer adviser Carlos Nardillo Giraud.

Most state workers interviewed in the many chacho lines spilling onto La Rioja’s sidewalks last month said they wanted to get rid of the bills as quickly as possible.

“Now the chacho is an alternative, an option for people who can’t make it to the end of the month,” said 30-year-old physics teacher Daniela Parra, mounting her boyfriend’s motorcycle with arms full of chachos, ready to spend them all in one go at the supermarket. “Who knows what will it be next month?”

On the streets, merchants said they felt locked in a catch-22.

Rejecting chachos meant turning away customers with new spending power in a deep recession. But accepting chachos meant filling cash registers with money that’s worthless to foreign suppliers and already changing hands at a discount to pesos on the street.

“They’ve formed a system where you’re forced to depend on the state for everything,” said Juan Keulian, the director of La Rioja’s Center for Commerce and Industry. “There’s no choice in a place like this.”

Whooping cough is at a decade-high level in US

MILWAUKEE — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

Kidney transplants are safe between people with HIV, US study shows 

People with HIV can safely receive donated kidneys from deceased donors with the virus, according to a large study that comes as the U.S. government moves to expand the practice. That could shorten the wait for organs for all, regardless of HIV status.

The new study, published Wednesday in the New England Journal of Medicine, looked at 198 kidney transplants performed across the U.S. Researchers found similar results whether the donated organ came from a person with or without the AIDS virus.

Last month, the Department of Health and Human Services proposed a rule change that would allow these types of kidney and liver transplants outside research studies. A final rule would apply to both living and deceased donors. If approved, it could take effect in the coming year.

Participants in the study were HIV positive, had kidney failure and agreed to receive an organ from either an HIV-positive deceased donor or an HIV-negative deceased donor, whichever kidney became available first.

Similar survival rates

Researchers followed the organ recipients for up to four years. They compared the half who received kidneys from HIV-positive donors to those whose kidneys came from donors without HIV.

Both groups had similarly high rates of overall survival and low rates of organ rejection. Virus levels rose for 13 patients in the HIV donor group and for four in the other group, mostly tied to patients failing to take HIV medications consistently, and in all cases returned to very low or undetectable levels.

“This demonstrates the safety and the fantastic outcomes that we’re seeing from these transplants,” said study co-author Dr. Dorry Segev of NYU Langone Health.

In 2010, surgeons in South Africa provided the first evidence that using HIV-positive donor organs was safe in people with HIV. But the practice wasn’t allowed in the United States until 2013 when the government lifted a ban and allowed research studies, at the urging of Segev. At first, the studies were with deceased donors. Then in 2019, Segev and others at Johns Hopkins University in Baltimore performed the world’s first kidney transplant from a living donor with HIV to an HIV-positive recipient.

All told, 500 transplants of kidneys and livers from HIV-positive donors have been done in the U.S.

‘A win-win’

People with HIV have been actively discouraged from signing up to be organ donors by stigma and outdated state laws and policies criminalizing organ donation for people with HIV, said Carrie Foote, a sociology professor at Indiana University in Indianapolis.

“Not only can we help those of us living with this disease, but we free up more organs in the entire organ pool so that those who don’t have HIV can get an organ faster,” said Foote, who is HIV positive and a registered organ donor. “It’s a win-win for everyone.”

More than 90,000 people are on the waiting list for kidney transplants, according to the U.S. Organ Procurement and Transplantation Network. In 2022, more than 4,000 people died waiting for kidneys.

In an editorial in the journal, Dr. Elmi Muller of Stellenbosch University in South Africa predicted the new study will have “far-reaching effects in many countries that do not perform transplantations with these organs.”

“Above all, we have taken yet another step toward fairness and equality for persons living with HIV,” wrote Muller, who pioneered the practice.