The blood thinner Eliquis and popular diabetes treatments including Jardiance are among the first drugs that will be targeted for price negotiations in an effort to cut Medicare costs.

President Joe Biden’s administration on Tuesday released a list of 10 drugs for which the federal government will take an unprecedented step: negotiating drug prices directly with the manufacturer.

The move is expected to cut costs for some patients but faces litigation from the drugmakers and heavy criticism from Republican lawmakers. It’s also a centerpiece of the Democratic president’s reelection pitch as he seeks a second term in office by touting his work to lower costs for Americans at a time when the country has struggled with inflation.

The diabetes treatments Jardiance from Eli Lilly and Co. and Merck’s Januvia made the list, along with Amgen’s autoimmune disease treatment Enbrel. Other drugs include Entresto from Novartis, which is used to treat heart failure.

“For many Americans, the cost of one drug is the difference between life and death, dignity and dependence, hope and fear,” Biden said in a statement. “That is why we will continue the fight to lower healthcare costs — and we will not stop until we finish the job.”

Biden plans to deliver a speech on health care costs from the White House later Tuesday. He’ll be joined by Vice President Kamala Harris.

The drugs on the list announced Tuesday accounted for more than $50 billion in Medicare prescription drug costs between June 1, 2022, and May 31, according to the Centers for Medicare and Medicaid Services, or CMS.

Medicare spent about $10 billion in 2020 on Eliquis, according to AARP research. The drug treats blood clots in the legs and lungs and reduces the risk of stroke in people with an irregular heartbeat called atrial fibrillation.

The announcement is a significant step under the Inflation Reduction Act, which Biden signed last year. The law requires the federal government for the first time to start negotiating directly with companies about the prices they charge for some of Medicare’s most expensive drugs.

More than 52 million people who either are 65 or older or have certain severe disabilities or illnesses get prescription drug coverage through Medicare’s Part D program, according to CMS.

About 9% of Medicare beneficiaries age 65 and older said in 2021 that they did not fill a prescription or skipped a drug dose due to cost, according to research by the Commonwealth Fund, which studies health care issues.

The agency aims to negotiate the lowest maximum fair price for drugs on the list released Tuesday. That could help some patients who have coverage but still face big bills such as high deductible payments when they get a prescription.

Currently, pharmacy benefit managers that run Medicare prescription plans negotiate rebates off a drug’s price. Those rebates sometimes help reduce premiums customers pay for coverage. But they may not change what a patient spends at the pharmacy counter.

The new drug price negotiations aim “to basically make drugs more affordable while also still allowing for profits to be made,” said Gretchen Jacobson, who researches Medicare issues at Commonwealth.

Drug companies that refuse to be a part of the new negotiation process will be heavily taxed.

The pharmaceutical industry has been gearing up for months to fight these rules. Already, the plan faces several lawsuits, including complaints filed by drugmakers Merck and Bristol-Myers Squibb and a key lobbying group, the Pharmaceutical Research and Manufacturers of America, or PhRMA.

PhRMA said in a federal court complaint filed earlier this year that the act forces drugmakers to agree to a “government-dictated price” under the threat of a heavy tax and gives too much price-setting authority to the U.S. Department of Health and Human Services.

PhRMA representatives also have said pharmacy benefit managers can still restrict access to drugs with negotiated prices by moving the drugs to a tier of their formulary — a list of covered drugs — that would require higher out-of-pocket payments. Pharmacy benefit managers also could require patients to try other drugs first or seek approval before a prescription can be covered.

Republican lawmakers also have blasted the Biden administration for its plan, saying companies might pull back on introducing new drugs that could be subjected to future haggling. They’ve also questioned whether the government knows enough to suggest prices for drugs.

CMS will start its negotiations on drugs for which it spends the most money. The drugs also must be ones that don’t have generic competitors and are approved by the Food and Drug Administration.

CMS plans to meet this fall with drugmakers that have a drug on its list, and government officials say they also plan to hold patient-focused listening sessions. By February 2024, the government will make its first offer on a maximum fair price and then give drugmakers time to respond.

Any negotiated prices won’t take hold until 2026. More drugs could be added to the program in the coming years.
…

An 8-centimeter worm has been found alive in the brain of a woman in Australia, and researchers say it is the first time the parasite has ever been discovered in humans.

The worm was extracted from the patient’s brain during surgery in the Australian capital, Canberra, in June 2022.

The extraordinary case has been documented in the latest edition of the journal Emerging Infectious Diseases.

The red 8-centimeter-long worm was alive and wriggling when it was pulled from the patient’s brain.  Scientists believe it could’ve been there for up to two months before it was extracted.  

Sanjaya Senanayake, an associate professor of medicine at the Australian National University and an infectious disease physician at Canberra Hospital was one of the researchers involved in the case.

He described to VOA the moment the surgeon made the unexpected discovery.

“She and everyone (in) that operating theatre got the shock of their life when she took some forceps to pick up an abnormality and the abnormality turned out to be a wriggling, live 8-centimeter light red worm,” he said.  “Even if you take away the yuk factor, this is a new infection never documented before in a human being.” 

The 64-year-old Australian patient had complained of stomach pains, diarrhea and depression.  She was admitted to the hospital in January 2021.  A scan later revealed an abnormality in her brain. 

In June 2022, she underwent a biopsy at Canberra Hospital, and the parasite was found. 

Senanayake warns that the case highlights the increased danger of diseases and infections being passed from animals to people.

“These new infections are appearing and most of them have come from the animal world and entered the human world, and this is another one of them, and just shows as a human population burgeons, we move closer and encroach on animal habitats,” he said. “That domestic, wild animal, wild flora and human interaction is going to lead to more of these novel infections appearing.” 

The research team suspects larvae, or juvenile parasites, were also present in other organs in the woman’s body, including the lungs and liver. 

The research team included scientists and infectious diseases, immunology and neurosurgical doctors from the Australian National University, CSIRO, the national science agency, the University of Melbourne and the University of Sydney.

The patient is reported to be recovering well.

The roundworm is usually found in carpet pythons, which are common in Australia.  It’s thought the non-venomous snake might have shed the parasite via its feces into grass or plants touched by the patient in the Australian state of New South Wales.
…

Poland has filed legal challenges attempting to annul three of the European Union’s main climate change policies, which the Polish government argues would worsen social inequality, document published on Monday showed.

The legal actions, brought by Warsaw to the EU Court of Justice in July, target policies including a law agreed this year which will ban the sale of new CO2-emitting cars in the EU from 2035.

“The contested regulation imposes excessive burdens connected with the transition towards zero-emission mobility on European citizens, especially those who are less well off, as well as on the European automotive companies sector,” Poland said in its challenge, which the European Commission published on Monday.

A second EU policy setting national emissions-cutting targets “threatens Poland’s energy security”, while a third law to reform the EU carbon market may reduce coal mining jobs and increase social inequality, Poland said.

Poland produces around 70% of its power from coal.

The government wants all three laws annulled. Each was passed by a reinforced majority of EU member states, but Poland said they should have been passed with unanimous approval given the impact they could have on countries’ energy mixes.

The European Commission did not immediately respond to a request for comment.

The EU has among the most ambitious climate change policies in the world, and has urged governments to use EU money to help vulnerable communities invest in clean energy to bring down bills and cut health-harming air pollution.

A 17.5 billion euro EU “just transition fund” is designed to support communities affected by the shift away from fossil fuels, notably with help for retraining workers.

The biggest share of that fund is earmarked for Poland. But Brussels has warned that the Polish government’s plans to extend the life of a coal mine in Turow until 2040 could mean the region cannot access the money.
…

All children are entitled to a clean and healthy environment, a UN committee said for the first time on Monday, bolstering young people’s arguments for suing authorities over the ravages of climate change.

Issuing a fresh interpretation of an important international rights treaty, the United Nations watchdog determined that it guarantees children the right to a healthy environment.

And this, it said, means countries are obliged to combat things like pollution and climate change.

“States must ensure a clean, healthy and sustainable environment in order to respect, protect and fulfil children’s rights,” the Committee on the Rights of the Child said.

“Environmental degradation, including the consequences of the climate crisis, adversely affects the enjoyment of these rights.”

Tasked with monitoring implementation of the Convention on the Rights of the Child, the panel’s 18 independent experts provided a new interpretation of the treaty, which counts nearly all the world’s countries as parties.

The fresh analysis comes just weeks after a landmark court ruling in Montana in favor of a group of youths who accused the western U.S. state of breaching their rights to a clean environment.

The ruling found that a state law preventing consideration of greenhouse gas impacts when issuing fossil fuel development permits violated those rights.

That followed several other recent high-profile lawsuits, including the youngsters who won a case against the Colombian government over deforestation, and the children who secured a ruling ordering a strengthening of Germany’s carbon emissions law.

And the UN committee itself heard a case in 2021 brought by Greta Thunberg and 15 other young climate activists, in which it determined that countries bear cross-border responsibility for the harmful impact of climate change.

Holding states accountable

The new analysis could provide a new and powerful tool for young people seeking to bring such cases, committee chair Ann Skelton told AFP.

“Children themselves can use this instrument to encourage states to do the right thing, and ultimately to help to hold them accountable,” she said.

The new guidance, she said, “is of great and far-reaching legal significance.”

The 1989 convention does not explicitly spell out the rights of children to a clean, healthy and sustainable environment — but the committee argued the right was implicit and directly linked to a long line of guaranteed rights, including the right to life, survival and development.

“The extent and magnitude of the triple planetary crisis, comprising the climate emergency, the collapse of biodiversity and pervasive pollution, is an urgent and systemic threat to children’s rights globally,” the UN committee said in its so-called general comment.

To reach its conclusions, the panel said it had consulted with governments, civil society and especially children.

More than 16,000 children of all ages across 121 countries provided comments, describing the negative effects of environmental degradation and climate change on their lives and communities.

“Our voices matter, and they deserve to be listened to,” said a 17-year-old climate and child rights activist from India, named only as Kartik.

The new committee guidance “will help us understand and exercise our rights in the face of the environmental and climate crisis,” he said in a statement.

The committee’s findings are far-reaching, determining that the convention prohibits states from causing environmental harms that violate children’s rights.

“States must ensure that children’s voices are brought to the table when big decisions are being made,” Skelton said, adding that countries also needed to “make sure that businesses are toeing the line.”

Going forward, the committee could be called upon to determine if countries were properly regulating commercial activities in this area.

The convention also requires countries to work to reduce emissions and “mitigate climate change in order to fulfil their obligations”, the committee said, stressing children’s rights to protest against practices harming the environment.

Skelton said the committee had been inspired by children stepping up and “taking on the obligation to protect the environment, for themselves, but also for future generations.”
…

A group of Japanese and Peruvian archaeologists have discovered the 3,000-year-old tomb of a priest alongside ceramic offerings in northern Peru. 

“We have recently discovered the tomb of a 3,000-year-old figure at the Pacopampa archaeological site,” in the Cajamarca region, 900 kilometers (560 miles) north of Lima, archaeologist Juan Pablo Villanueva told AFP Saturday.  

“He is one of the first priests in the Andes to have a series of offerings,” the researcher said, adding that “the funerary context is intact.” 

The body, its lower extremities partially flexed, was oriented from south to north. On the western side of the tomb were small spherical ceramic bowls, a carved bone spatula and other offerings.  

Two seals were also found, one with designs of an anthropomorphic face and the other with that of a jaguar.  

The body and the offerings were covered by at least six layers of ash and earth. The tomb is circular, three meters in diameter and one meter deep (10 feet by 3.3 feet).  

Powerful leaders 

“The find is extremely important because he is one of the first priests to begin to control the temples in the country’s northern Andes,” Japanese archaeologist Yuji Seki, who has been working at the site for 18 years, told AFP.  

Researchers estimate that the priest lived around 1,000 B.C.  

Seki said the find helped demonstrate that even that long ago, “powerful leaders had appeared in the Andes.”  

In September 2022, the same group of archaeologists had discovered the tomb, more than 3,000 years old, of a man they called the “Priest of the Pututos,” along with musical instruments made of seashells.  

Pututos or pututus are conch-like shells that the inhabitants of ancient Peru could use to make trumpet-like sounds.  

The Pacopampa site, at an altitude of 2,500 meters (8,200 feet), includes nine monumental ceremonial buildings of carved and polished stone. 

Other burials found in the same site include those of the “Lady of Pacopampa,” found in 2009, and of two “Jaguar Serpent priests,” discovered in 2015. 

They are estimated to date from around 700 to 600 years B.C. 

Archaeologists from the National Museum of Ethnology in Japan and from Peru’s National University of San Marcos participate in the work in Pacopampa.  
…

Santos Brizuela spent more than two decades laboring outdoors, persisting despite a bout of heatstroke while cutting sugarcane in Mexico and chronic laryngitis from repeated exposure to the hot sun while on various other jobs.

But last summer, while on a construction crew in Las Vegas, he reached his breaking point. Exposure to the sun made his head ache immediately. He lost much of his appetite.

Now at a maintenance job, Brizuela, 47, is able to take breaks. There are flyers on the walls with best practices for staying healthy — protections he had not been afforded before.

“Sometimes as a worker you ask your employer for protection or for health and safety related needs, and they don’t listen or follow,” he said in Spanish through an interpreter.

A historic heat wave that began blasting the Southwest and other parts of the country this summer is shining a spotlight on one of the harshest, yet least-addressed effects of U.S. climate change: the rising deaths and injuries of people who work in extreme heat, whether inside warehouses and kitchens or outside under the blazing sun. Many of them are migrants in low-wage jobs.

State and federal governments have long implemented federal procedures for environmental risks exacerbated by climate change, namely drought, flood and wildfires. But extreme heat protections have generally lagged with “no owner” in state and federal governments, said Ladd Keith, an assistant professor of planning with the University of Arizona.

“In some ways, we have a very long way to catch up to the governance gap in treating the heat as a true climate hazard,” Keith said.

There is no federal heat standard in the U.S. despite an ongoing push from President Joe Biden’s administration to establish one. Most of the hottest U.S. states currently have no heat-specific standards either.

Instead, workers in many states who are exposed to extreme heat are ostensibly protected by what is known as the “general duty clause,” which requires employers to mitigate hazards that could cause serious injury or death. The clause permits state authorities to inspect work sites for violations, and many do, but there are no consistent benchmarks for determining what constitutes a serious heat hazard.

“What’s unsafe isn’t always clear,” said Juanita Constible, a senior advocate from the National Resources Defense Council who tracks extreme heat policy. “Without a specific heat standard, it makes it more challenging for regulators to decide, ‘OK, this employer’s breaking the law or not.’”

Many states are adopting their own versions of a federal “emphasis” program increasing inspections to ensure employers offer water, shade and breaks, but citations and enforcement still must go through the general duty clause.

Extreme heat is notably absent from the list of disasters to which the Federal Emergency Management Agency can respond. And while regional floodplain managers are common throughout the country, there are only three newly created “chief heat officer” positions to coordinate extreme heat planning, in Miami-Dade County, Phoenix and Los Angeles.

Federal experts have recommended extreme heat protections since 1972, but it wasn’t until 1997 and 2006, respectively, that Minnesota and California adopted the first statewide protections. For a long time, those states were the exception, with only a scattering of others joining them throughout the early 2000s.

But as heat waves become longer and hotter, the tide is starting to change.

“There are a lot of positive movements that give me some hope,” Keith said.

Colorado strengthened existing rules last year to require regular rest and meal breaks in extreme heat and cold and provide water and shade breaks when temperatures hit 26.7 degrees Celsius. Washington state last month updated 15-year-old heat safety standards to lower the temperature at which cool-down breaks and other protections are required. Oregon, which adopted temporary heat protection rules in 2021, made them permanent last year.

Several other states are considering similar laws or regulations.

Arizona Gov. Katie Hobbs recently announced new regulations through the heat emphasis program and declared a state of emergency over extreme heat, allowing the state to reimburse various government entities for funds spent on providing relief from high temperatures.

Nevada also adopted a version of the heat emphasis program. But a separate bill that would define what constitutes extreme heat and require employers to provide protections ultimately failed in the final month of the legislative session.

The measure faltered even after the temperature threshold for those protections was increased from 35 degrees Celsius to 40.5 degrees Celsius. Democratic lawmakers in Nevada are now trying to pass those protections through a regulatory process before next summer.

The Biden administration introduced new regulations in 2021 that would develop heat safety standards and strengthen required protective measures for most at-risk private sector workers, but the mandates are likely subject to several more years of review. A group of Democratic U.S. Congress members introduced a bill last month that would effectively speed up the process by legislating heat standards.

The guidelines would apply to all 50 states and include private sector and select federal workers but leave most other public sector workers uncovered. Differing conditions across states and potential discrepancies in how the federal law would be implemented make consistent state standards crucial, Constible said.

For now, protections for those workers are largely at the discretion of individual employers.

Eleazar Castellanos, who trains workers on dealing with extreme heat at Arriba Las Vegas, a nonprofit supporting migrant and low-wage employees, said he experienced two types of employers during his 20 years of working construction.

“The first version is the employer that makes sure that their workers do have access to water, shade and rest,” he said in Spanish through an interpreter. “And the second type of employer is the kind who threatens workers with consequences for asking for those kinds of preventative measures.”

Heat protection laws have faced steady industry opposition, including chambers of commerce and other business associations. They say a blanket mandate would be too difficult to implement across such a wide range of industries.

“We are always concerned about a one-size-fits-all bill like this,” Tray Abney, a lobbyist for the National Federation of Independent Businesses, told Nevada legislators.

Opinions vary on why the Nevada bill failed after passing the Senate on party lines.| Some say it was a victim of partisan politics. Others say there were too many bills competing for attention in a session that meets for just four months every other year.

“It all comes down to the dollar,” said Vince Saavedra, secretary-treasurer and lobbyist for Southern Nevada Building Trades. “But I’ll challenge anybody to go work outside with any of these people, and then tell me that we don’t need these regs.”
…

Rajee Narinesingh faced struggles throughout her life as a transgender woman, from workplace discrimination to the lasting effects of black market injections that scarred her face and caused chronic infections.

In spite of the roadblocks, the 56-year-old Florida actress and activist has seen growing acceptance since she first came out decades ago.

“If you see older transgender people, it shows the younger community that it’s possible I can have a life. I can live to an older age,” she said. “So I think that’s a very important thing.”

Now, as a wave of state laws enacted this year limit transgender people’s rights, Narinesingh has new uncertainty about her own future as she ages.

“Every now and then I have this thought, like, oh my God, if I end up in a nursing home, how are they going to treat me?” Narinesingh said.

Most of the new state laws have focused attention on trans youth, with at least 22 states banning or restricting gender-affirming care for minors.

For many transgender seniors, it’s brought new fears to their plans for retirement and old age. They already face gaps in health care and nursing home facilities properly trained to meet their needs. That’s likely to be compounded by restrictions to transgender health care that have already blocked some adults’ access to treatments in Florida and sparked concerns the laws will expand to other states.

Transgender adults say they’re worried about finding welcoming spaces to live in their later years.

“I have friends that have retired and they’ve decided to move to retirement communities. And then, little by little, they’ve found that they’re not welcome there,” said Morgan Mayfaire, a transgender man and the executive director of TransSOCIAL, a Florida support and advocacy group.

Discrimination can range from being denied housing to being misgendered and struggling to get nursing homes to acknowledge their visitation rights.

“In order to be welcome there, they have to go into the closet and deny who they are,” Mayfaire said.

About 171,000 of the more than 1.3 million transgender adults in the United States are aged 65 and older, according to numbers compiled by the Williams Institute at the UCLA School of Law.

The growing population has brought more services such as nursing homes and assisted living centers that are geared toward serving the LGBTQ community, although such facilities remain uncommon. They include Stonewall Gardens, a 24-apartment assisted living center that opened in Palm Springs, California, in 2015.

The center’s staff are required to go through sensitivity training to help make the center a more welcoming environment for residents, said interim executive director Lauren Kabakoff Vincent. The training is key for making a more accepting environment for transgender residents and making them feel more at home.

“Do you really want to be moving into a place where you have to explain yourself and have to go through it over and over?” Vincent said. “It’s exhausting, and so I think being able to be in a comfortable environment is important.”

SAGE, which advocates on behalf of LGBTQ seniors, offers training to nursing homes and other elder care providers. The group trained more than 46,000 staff at 576 organizations around the country in the most recent fiscal year. But the group said that represents just a fraction of the elder care facilities around the country.

“We have a long way to go in terms of getting to the point where nursing homes, assisted living and other long-term care providers are prepared for and ready to provide appropriate and welcoming care to trans elders,” said Michael Adams, SAGE’s CEO.

The gap concerns Tiffany Arieagus, 71, an acclaimed drag performer in south Florida who also works in social services for SunServe, an LGBTQ nonprofit.

“I just am going on my 71 years on this earth and walking in the civil rights march with my mother at age 6 and then marching for gay rights,” Arieagus said. “I’ve been blessed enough to see so many changes being made in the world. And then now I’m having to see these wonderful progressions going backwards.”

A handful of states, including Massachusetts and California, have in recent years enacted laws to ensure that LGBTQ seniors have equal access to programs for aging populations and requiring training on how to serve that community.

The push for restrictions on access to health care has brought uncertainty in other states. Florida’s ban on gender-affirming care for minors also includes restrictions that make it difficult, if not impossible, for many adults to get treatment.

SAGE has seen a spike in the number of calls to its hotline following the wave of anti-transgender laws, and Adams said about 40% of them have come from trans seniors primarily in conservative parts of the country worried about the new restrictions.

The limits have prompted some trans adults to leave the state for care, with some turning to crowdfunding appeals for help. But for many trans seniors, such a move isn’t as easy.

“You have the general fear, fear that is leading clinicians being concerned and perhaps stepping away from offering care, fear of trans elders of who is a safe clinician to go to,” said Dan Stewart, associate director of the Human Rights Campaign’s Aging Equality Project.

Florida’s law has already created obstacles for Andrea Montanez, LGBTQ immigration organizer at Hope CommUnity Center near Orlando, Florida. Montanez, 57, said her prescription for hormone therapy was initially denied after the restrictions were signed. Montanez, who has been speaking out at Florida Medical Board meetings about the impact of the new state law, said she’s worried about what it will be mean as she approaches retirement.

“I hope I have a happy retirement, but health care is a big problem,” said Montanez, who was eventually able to get her prescription filled.

For Tatiana Williams, 51, the restrictions are stirring painful memories of a time when she and other transgender people had to rely on dangerous and illegal sources for gender-affirming medical care. Now the executive director of the Transinclusive Group in Wilton Manors, Florida, Williams remembers being hospitalized for a collapsed lung after receiving black market silicone injections for her breasts.

“What we don’t want is the community resorting to going back to that,” Williams said.

Still, older transgender adults say they see hope in how their generation is working with younger trans people to speak out against the wave of the restrictions.

“The community’s going to take care of itself. It’s as simple as that. We’re going to find ways to take care of ourselves and we’re going to survive this,” Mayfaire of TransSOCIAL said. “And as far as trans youth panicking over this, look to your elders.”
…

Fish auction prices at a port south of the Fukushima Daiichi nuclear power plant were mixed amid uncertainty over how seafood consumers will respond to the release of treated and diluted radioactive wastewater into the ocean.

The plant, which was damaged in the 2011 earthquake and tsunami, began sending the treated water into the Pacific on Thursday despite protests at home and in nearby countries that are adding political and diplomatic pressures to the economic worries.

Hideaki Igari, a middleman at the Numanouchi fishing port, said the price of larger flounder, Fukushima’s signature fish known as Joban-mono, was more than 10% lower at the Friday morning auction, the first since the water release began. Prices of some average-size flounder rose, but presumably because of a limited catch, Igari said.

It was a relatively calm market reaction to the water release. But, Igari said, “we still have to see how it goes next week.”

The decadeslong release has been strongly opposed by fishing groups and criticized by neighboring countries. China immediately banned imports of seafood from Japan in response, adding to worries in the fisheries community and related businesses.

In Seoul on Saturday, thousands of South Koreans took to the streets to condemn the release of wastewater and to criticize the South Korean government for endorsing the plan. The protesters called on Japan to store radioactive water in tanks instead of releasing it into the Pacific Ocean.

A citizens’ radiation testing center in Japan said it’s getting inquiries and expects more people might bring in food, water and other samples as radiation data is now a key barometer for what to eat.

Japanese fishing groups fear the release will do more harm to the reputation of seafood from the Fukushima area. They are still striving to repair the damage to their businesses from the meltdown at the power plant after the earthquake and tsunami.

“We now have this water after all these years of struggle when the fish market price is finally becoming stable,” Igari said after Friday’s auction. “Fisheries people fear that prices of the fish they catch for their living may crash again and worry about their future living.”

The Japanese government and the plant’s operator, Tokyo Electric Power Company Holdings, say the water must be released to make way for the facility’s decommissioning and to prevent accidental leaks of insufficiently treated water. Much of tank-held water still contains radioactive materials exceeding releasable levels.

Some wastewater at the plant is recycled as coolant after treatment, and the rest is stored in around 1,000 tanks, which are filled to 98% of their 1.37-million-ton capacity. The tanks cover much of the complex and must be cleared out to make room for new facilities needed for the decommissioning process, officials say.

Authorities say the wastewater after treatment and dilution is safer than international standards require, and that its environmental impact will be negligible. On Friday, the first seawater samples collected after the release were significantly below the legally releasable levels, the power company said.

But, having suffered a series of accidental and intended releases of contaminated water from the plant early in the disaster, hard feelings and distrust of the government and TEPCO run deep in Fukushima — especially in the fishing community.

TEPCO says the release will take 30 years, or until the end of the plant decommissioning. People fear that could mean a tough future for youths in the fishing town, where many businesses are family-run.

Fukushima’s current catch is only about one-fifth its pre-disaster level because of a decline in the number of fishers and decreased catch sizes.

The government has allocated 80 billion yen ($550 million) to support fisheries and seafood processing, and to combat potential reputation damage by sponsoring campaigns to promote Fukushima’s Joban-mono and processed seafood. TEPCO has promised to deal with reputational damage claims, and those hurt by China’s export ban.

Tetsu Nozaki, head of the Fukushima prefectural fisheries cooperatives, said in a statement that worries of the fishing community will continue for as long as the water is released.

“Our only wish is to continue fishing for generations in our hometown, like we used to before the accident,” Nozaki said.

Fish prices largely depend on the sentiment of wholesalers and consumers in the Tokyo region, where large portions of the Fukushima catch goes.

At the Friday auction at the Numanouchi port, the price for flounder was down from its usual level of about 3,500 yen ($24) per kilogram to around 3,000 yen ($20), said Igari, the middleman.

“I suspect the result is because of the start of the treated water release from the Fukushima Daiichi and fear about its impact,” he said.

Igari said the discharge is discouraging but hopes careful testing can prove the safety of their fish.

“From the consumers’ point of view about food safety at home, I think the best barometer is data,” he said.

At Mother’s Radiation Lab Fukushima in Iwaki, a citizens’ testing center known as Tarachine, tests were being conducted on water samples, including on tritium levels for seawater that the lab collected from just off the Fukushima Daiichi plant before the release.

Lab director Ai Kimura said anyone can bring in food, water or even soil, though the lab has big backlogs because testing take time.

She joined the lab after regretting she might not have fully protected her daughters because of the lack of information and knowledge earlier in the disaster. She says having independent test results is important not because of distrust of government data, but because “we learned over the past 12 years the importance of testing in order to get data” on what mothers want to know for serving safe and healthy food to their children and families.

Kimura said people have different views about safety — some are fine with government standards; others want them to be as close to zero as possible.

“It’s very difficult to make everyone feel safe. … That’s why we conduct testing so we can visualize data on food from different places and help people have more options to make a decision,” she said.

Kimura said the lab’s testing has shown Fukushima fish to be safe over the past few years, and she happily eats local fish.

“It’s totally fine to eat fish that does not contain radiation,” she said.

But now the treated wastewater release will bring new questions, she said.

Aeon, a major supermarket chain that has been testing cesium and iodine levels in fish, announced plans to also test for tritium, a radionuclide inseparable from water.

Katsumasa Okawa, a fish store and restaurant operator who was at one of his four shops Thursday, said customers were sparse after the plant started its final steps of the treated water release at 1 p.m. and media reports covered the development.

But on Friday, he said, his Yamako seafood restaurant next to Iwaki’s main train station seemed to be doing business as usual, with customers coming in and out during lunchtime.

Okawa said he’s been looking forward to the wastewater draining as a big step toward decommissioning the nuclear plant.

“I feel more at ease thinking those tanks will finally go away,” he said.
…

Mystery hunters converged on a Scottish lake on Saturday to look for signs of the mythical Loch Ness Monster.

The Loch Ness Center said researchers would seek evidence of Nessie using thermal-imaging drones, infrared cameras and a hydrophone to detect underwater sounds in the lake’s murky waters. The two-day event is being billed as the biggest survey of the lake in 50 years and includes volunteers scanning the water from boats and the lakeshore, with others around the world joining in with webcams.

Alan McKenna of the Loch Ness Center said the aim was “to inspire a new generation of Loch Ness enthusiasts.”

McKenna told BBC radio the searchers were “looking for breaks in the surface and asking volunteers to record all manner of natural behavior on the loch.”

“Not every ripple or wave is a beastie. Some of those can be explained, but there are a handful that cannot,” he said.

The Loch Ness Center is at the former Drumnadrochit Hotel, where the modern-day Nessie legend began. In 1933, manager Aldie Mackay reported spotting a “water beast” in the mountain-fringed loch, the largest body of freshwater by volume in the United Kingdom and at up to 750 feet (230 meters) one of the deepest.

The story kicked off an enduring worldwide fascination with finding the elusive monster, spawning hoaxes and hundreds of eyewitness accounts. Numerous theories have been put forward over the years, including that the creature may have been a prehistoric marine reptile, giant eels, a sturgeon or even an escaped circus elephant.

Many believe the sightings are pranks or can be explained by floating logs or strong winds, but the legend is a boon for tourism in the picturesque Scottish Highlands region.

Such skepticism did not deter volunteers like Craig Gallifrey.

“I believe there is something in the loch,” he said, though he is open-minded about what it is. “I do think that there’s got to be something that’s fueling the speculation.”

He said that whatever the outcome of the weekend search, “the legend will continue.”

“I think it’s just the imagination of something being in the largest body of water in the U.K.. … There’s a lot more stories,” he said. “There’s still other things, although they’ve not been proven. There’s still something quite special about the loch.”
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In a desperate measure to stop students from taking their own lives, authorities in the western Indian city of Kota — the country’s famous academic coaching hub — have directed all local hostels, guest houses and other accommodation facilities to install specially designed spring-fitted ceiling fans in rooms.

The directive from the authorities came on Aug. 16, a day after an 18-year-old student at a test training school in Kota hanged himself from a ceiling fan in his room. It was the 22nd such suicide by a student in the city this year — the highest yearly toll since 2015.

The chief minister of Rajasthan, where Kota is located, held an emergency meeting this week and set up a committee comprising senior government officials, representatives from coaching schools, parents and doctors to address the issue of suicide by the students in Kota.

“We cannot allow the suicide cases to spike further. We do not want to see young students commit suicide,” said Ashok Gehlot, the chief minister. “The committee will investigate why the suicides are taking place and suggest ways to put a halt to these suicides.”

In the past decade in Kota, more than 150 students who were preparing to sit for entrance exams for engineering and medical colleges died by suicide. In most cases, they hanged themselves from the ceiling fans.

The spring-fitted fans that authorities have ordered to be fitted in the accommodations of students are designed to uncoil and lower the moment a load of more than 20 kilograms (44 pounds) is attached to them, making it impossible for someone to commit suicide by hanging from them.

When the spring uncoils, a sensor activates an alarm to alert people in the surroundings.

Spring-fitted fans

The police chief of Kota said the civil administration and the police have been jointly trying their best to curb student suicides in the city. 

“After the [chief minister] held the meeting with senior officials on the issue, we have directed all hostels, guest houses and other places, where the coaching-school students stay in Kota, to attach the special spring and alarm-fitted devices to all ceiling fans,” Sharad Chaudhary, the Kota police superintendent, told VOA. “We have also directed our police forces to visit all accommodation facilities of the students and make sure that devices have been installed.

“With the help of these spring- and alarm-fitted devices, we are aiming to put a halt at least to those suicides taking place by hanging from the ceiling fans,” he said.  

There are about 6,075 engineering and upwards of 600 medical colleges in India, where millions of students seek admission annually, usually after taking entrance tests such as the Joint Entrance Examination and National Eligibility cum Entrance Test.

Competition among the students to do well on the exams is tough. Kota is known for its 150 coaching centers, where over 200,000 students from across the country come every year, sign up for different courses and prepare for the entrance exams.

These students, mostly from middle-class families, stay in hostels and guest houses.

Over the past decade, Kota has often been in the news for suicides by coaching-school students.

‘Improper parenting’

Experts say that some students take extreme steps, such as attempting suicide, after being unable to cope with the pressure.

Dr. Neena Vijayvargiya, a Kota-based psychiatrist dealing with the mental health issues of many Kota coaching schools’ students, told VOA that in “99% of these suicide cases,” improper parenting was found to be the main factor driving the students to take the extreme step.

“Parents continue to pressure the students that they have to enter the top colleges, and that is the only goal for them,” she said. “The students fear facing their parents and society should they not get admission to top colleges.”

According to Vijayvargiya, every student, while depressed, may provide hints to their parents over the course of weeks or months.

Police chief Chaudhary said that parents can play a key role in checking the crisis.

“We are in the process of setting up a separate committee involving mostly the parents of the students to monitor the issue,” he said. “Also, we have decided to conduct a mandatory psychological assessment process for all students enrolled at the coaching schools, at regular intervals.”

Vijayvargiya urged parents not to pressure students to gain admission into the top colleges and to teach their children that “the failure to meet such targets does not mean the end of the world.”
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When members of the marine mammal team from the International Fund for Animal Welfare rush to a Cape Cod beach to help a stranded dolphin or porpoise, they have no choice but to treat the endangered animal on site and then immediately release it.

That is about to change.

The organization, which protects animals worldwide, is opening a first-of-its-kind short-term dolphin hospital on Cape Cod this month that it hopes will not only improve survivability rates, but also enhance the research it has developed over 25 years.

Stranded marine mammals are stressed, in shock and dehydrated, said Brian Sharp, director of the rescue team. Simply caring for them at the scene is often not enough. They need additional diagnostics, treatment and recovery time.

“With this ICU for dolphins, we’ll be able to get them treatment that’s needed, then be able to release them quickly,” he said.

While there are marine mammal rehabilitation centers that can take care of animals for months or even years, the goal of this facility is to release them back into the ocean within four days, he said.

“This is the first time that this has been attempted before,” Sharp said.

There are more live marine mammal strandings on Cape Cod than anywhere else in the world, Sharp said. The welfare fund has responded to more than 400 live stranded dolphins, whales and porpoises in the region in the past five years alone, the organization said in a news release.

Cape Cod is a good habitat for dolphins, but a risky one. Its geography — it is basically a hook-shaped spit of sand jutting into the ocean — can make dolphin navigation difficult, and 12-foot tides can quickly expose a mile of beach.

The 4,200-square-foot (390-square-meter) Dolphin Rescue Center is in a renovated retail space in downtown Orleans.

It includes an 1,800-square-foot (167-square-meter) rehabilitation area with two treatment pools 15 feet (4.3 meters) across and a veterinary laboratory. The public will not be permitted to have direct contact with the animals being a cared for, but there is also an education center where visitors will be able to watch the recovering animals on a monitor.

Staffed by four full-time workers, it is equipped to provide round-the-clock care. It will start by treating one animal at a time, but the goal is to eventually treat multiple animals simultaneously.

The privately funded center has been federally inspected and expects to open by the end of the month, Sharp said.

“We want to take what we learn here and share it nationally, internationally,” he said.
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Health authorities in Bangladesh are wrestling with a surge in dengue fever cases as monsoon rains batter the densely populated country.

According to a World Health Organization report issued this month, “The higher incidence of dengue is taking place in the context of an unusual episodic amount of rainfall, combined with high temperatures and high humidity, which have resulted in an increased mosquito population throughout Bangladesh.”

Almost 90,000 cases of the mosquito-borne viral illness had been reported his year through Aug. 15, according to government figures.

Researchers and public health experts say  the true numbers are much higher. By mid-August, at least 426 people – 81 of whom were age 18 or younger – had died of the fever, according to the Directorate General of Health Services, making this the deadliest year since the first recorded epidemic in 2000.

There are four strains of dengue, including the most life-threatening, hemorrhagic dengue. However, only patients with severe symptoms end up in hospitals, where the government collects data.

Last year, 62,098 dengue cases were recorded in Bangladesh, with 281 deaths.

The dengue virus is transmitted through the bite of infected female Aedes mosquitoes, which also transmit chikungunya, yellow fever and Zika infection and is a recurring problem in Bangladesh during the monsoon season. However, this year’s outbreak has been particularly severe, with the number of cases skyrocketing across urban and rural areas alike.

“We have noticed the disease has changed its characteristics, and so do the mosquitos too. They’ve adapted and become more stronger and prevalent. And now we see that dengue is not an ‘urban,’ problem anymore, the government database now records cases from every corner of the country,” Dr. M.H. Chowdhury Lenin, a physician and public health expert told VOA.

According to Lenin, “Dengue has been present in Bangladesh for over two decades now, and as we now know, dengue mosquitoes had mutations and they are now resistant to the usual insecticide or repellents that we use. So our existing measures are unable to curb the spread of the Aedes mosquitoes.”

Lenin warned the situation could get worse in the coming weeks, as monsoons are likely to intensify, with more rainfall and dengue hospitalizations and deaths. Monsoons in Bangladesh usually surge in August and September, continuing through early October.

“We need to have orchestrated efforts to minimize the fatalities. Dengue is not new in Bangladesh, and as a tropical country, we have to live with such diseases. However, we failed to build a multisectoral approach to prevent this disease from becoming a big public health nightmare,” Lenin added.

This year’s surge in cases has significantly strained Bangladesh’s already fragile health care system, which is plagued by mismanagement and corruption. Hospitals are grappling with the influx of patients, many of whom are suffering severe symptoms of dengue, such as high fever, intense headache, joint and muscle pain, and in severe cases, internal bleeding.

“Health sector in Bangladesh is inundated under corruption and mismanagement. It was nakedly visible during the COVID-19 outbreak. Politicization and commercial interests are the most important causes behind the destruction to this sector,” Sharif Jamil, a prominent Dhaka-based social and environmental activist, wrote in a WhatsApp message.

“The failure to manage dengue spreading across the country is evident now that it is causing casualties in the urban areas in the periphery beyond the city areas.”

Government officials aim to apply the lessons learned from managing the COVID-19 pandemic, when state-run and private hospitals nationwide increased bed capacity, provision of intensive care, and emergency medical preparations.

Dr. Robed Amin, the Directorate General of Health Services line director in the noncommunicable disease control program, said the directorate is hopeful the COVID-era measures will improve the fight against dengue.

“As we have noticed, dengue isn’t just an urban problem anymore. It’s rampant in the entire country. And with the monsoon rain of August and September, the cases will likely to go up. During the COVID pandemic, we strengthened our entire health care network across the country, so I am hopeful most of the severe cases will be able to be managed locally, and not everyone will have to flock to Dhaka or other big cities with better hospitals,” Amin told VOA.

As most of the cases are reported from urban and suburban areas, experts and activists also blame unplanned urbanization and lackluster response from the authorities for the dengue outbreak.

Kabirul Bashar, an entomologist at Dhaka’s Jahangirnagar University, told VOA unplanned construction and lack of awareness helped dengue to become widespread in every corner of the country.

“Climate change is definitely a factor, but there are other man-made factors that are driving the disease. Not only in Dhaka, but even outside the capital, city-centric economic developments drive the rapid construction of high-rise business centers, hotels, and apartments in the urban areas,” he said.

“The entire country has become big construction zones marked by stagnant water on concrete surfaces after rainfall, and potentially breeding Aedes mosquito.”

Bashar said official “anti-mosquito drives” during the monsoon are inadequate to fight the current dengue outbreak, especially because over time and with climate change the mosquitoes have evolved and adapted and have become immune to the repellents used against them.

Activist Jamil said he believes future dengue outbreaks are preventable with a timely and coordinated approach and proper urban planning, among other things.

“A proper urban planning will include people and experts in the planning and implementation processes. If we can engage and empower people meaningfully, community leaders will come forward to work with the local government representatives and administrators to make their own areas safe from dengue outbreaks,” Jamil told VOA.

Bangladesh’s best hope could be a cost-effective vaccine. The International Centre for Diarrhoeal Disease Research, Bangladesh, is leading a clinical trial in Bangladesh for a promising single-dose vaccine created by the U.S. National Institutes of Health, University of Vermont Vaccine Testing Center, and Johns Hopkins University, according to a recent article in the medical journal The Lancet.

Meanwhile, the suffering of the people affected by the disease is mounting.

Saleha, whose name was provided to VOA by her husband, is a 43-year-old patient in the dengue ward of the state-run Shaheed Suhrawardy Medical College and Hospital and was diagnosed with dengue fever almost a week ago. Her husband said the conditions require her to be put in intensive care, but the hospital is already at capacity, and the family is not able to afford private hospital expenses.

“Her platelets count dropped as low as 13,000,” said the husband, who did not give his name. A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. In addition, he said, her blood pressure fell to critically low levels.

“At this stage, doctors said she needs intensive care support, but there are no beds available in ICU,” he said. 
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