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.

‘Garbage in, garbage out’: AI fails to debunk disinformation, study finds

Washington — When it comes to combating disinformation ahead of the U.S. presidential elections, artificial intelligence and chatbots are failing, a media research group has found.

The latest audit by the research group NewsGuard found that generative AI tools struggle to effectively respond to false narratives.

In its latest audit of 10 leading chatbots, compiled in September, NewsGuard found that AI will repeat misinformation 18% of the time and offer a nonresponse 38.33% of the time — leading to a “fail rate” of almost 40%, according to NewsGuard.

“These chatbots clearly struggle when it comes to handling prompt inquiries related to news and information,” said McKenzie Sadeghi, the audit’s author. “There’s a lot of sources out there, and the chatbots might not be able to discern between which ones are reliable versus which ones aren’t.”

NewsGuard has a database of false news narratives that circulate, encompassing global wars and U.S. politics, Sadeghi told VOA.

Every month, researchers feed trending false narratives into leading chatbots in three different forms: innocent user prompts, leading questions and “bad actor” prompts. From there, the researchers measure if AI repeats, fails to respond or debunks the claims.

AI repeats false narratives mostly in response to bad actor prompts, which mirror the tactics used by foreign influence campaigns to spread disinformation. Around 70% of the instances where AI repeated falsehoods were in response to bad actor prompts, as opposed to leading prompts or innocent user prompts.

Foreign influence campaigns are able to take advantage of such flaws, according to the Office of the Director of National Intelligence. Russia, Iran and China have used generative AI to “boost their respective U.S. election influence efforts,” according to an intelligence report released last month.

As an example of how easily AI chatbots can be misled, Sadeghi cited a NewsGuard study in June that found AI would repeat Russian disinformation if it “masqueraded” as coming from an American local news source.

From myths about migrants to falsehoods about FEMA, the spread of disinformation and misinformation has been a consistent theme throughout the 2024 election cycle.

“Misinformation isn’t new, but generative AI is definitely amplifying these patterns and behaviors,” Sejin Paik, an AI researcher at Georgetown University, told VOA.

Because the technology behind AI is constantly changing and evolving, it is often unable to detect erroneous information, Paik said. This leads to not only issues with the factuality of AI’s output, but also the consistency.

NewsGuard also found that two-thirds of “high quality” news sites block generative AI models from using their media coverage. As a result, AI often has to learn from lower-quality, misinformation-prone news sources, according to the watchdog.

This can be dangerous, experts say. Much of the non-paywalled media that AI trains on is either “propaganda” or “deliberate strategic communication,” media scholar Matt Jordan told VOA.

“AI doesn’t know anything: It doesn’t sift through knowledge, and it can’t evaluate claims,” Jordan, a media professor at Penn State, told VOA. “It just repeats based on huge numbers.”

AI has a tendency to repeat “bogus” news because statistically, it tends to be trained on skewed and biased information, he added. He called this a “garbage in, garbage out model.”

NewsGuard aims to set the standard for measuring accuracy and trustworthiness in the AI industry through monthly surveys, Sadeghi said.

The sector is growing fast, even as issues around disinformation are flagged. The generative AI industry has experienced monumental growth in the past few years. OpenAI’s ChatGPT currently reports 200 million weekly users, more than double from last year, according to Reuters.

The growth in popularity of these tools leads to another problem in their output, according to Anjana Susarla, a professor in Responsible AI at Michigan State University. Since there is such a high quantity of information going in — from users and external sources — it is hard to detect and stop the spread of misinformation.

Many users are still willing to believe the outputs of these chatbots are true, Susarla said.

“Sometimes, people can trust AI more than they trust human beings,” she told VOA.

The solution to this may be bipartisan regulation, she added. She hopes that the government will encourage social media platforms to regulate malicious misinformation.

Jordan, on the other hand, believes the solution is with media audiences.

“The antidote to misinformation is to trust in reporters and news outlets instead of AI,” he told VOA. “People sometimes think that it’s easier to trust a machine than it is to trust a person. But in this case, it’s just a machine spewing out what untrustworthy people have said.”

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.”

Microsoft to allow autonomous AI agent development starting next month

Microsoft will allow customers to build autonomous artificial intelligence agents starting in November, the software giant said on Monday, in its latest move to tap the booming technology.

The company is positioning autonomous agents — programs which require little human intervention unlike chatbots — as “apps for an AI-driven world,” capable of handling client inquiries, identifying sales leads and managing inventory.

Other big technology firms such as Salesforce have also touted the potential of such agents, tools that some analysts say could provide companies with an easier path to monetizing the billions of dollars they are pouring into AI.

Microsoft said its customers can use Copilot Studio – an application that requires little knowledge of computer code – to create autonomous agents in public preview from November. It is using several AI models developed in-house and by OpenAI for the agents.

The company is also introducing ten ready-for-use agents that can help with routine tasks ranging from managing supply chain to expense tracking and client communications.

In one demo, McKinsey & Co, which had early access to the tools, created an agent that can manage client inquires by checking interaction history, identifying the consultant for the task and scheduling a follow-up meeting.

“The idea is that Copilot [the company’s chatbot] is the user interface for AI,” Charles Lamanna, corporate vice president of business and industry Copilot at Microsoft, told Reuters.

“Every employee will have a Copilot, their personalized AI agent, and then they will use that Copilot to interface and interact with the sea of AI agents that will be out there.”

Tech giants are facing investor pressure to show returns on their significant AI investments. Microsoft’s shares fell 2.8% in the September quarter, underperforming the S&P 500, but remain more than 10% higher for the year.

Some concerns have risen in recent months about the pace of Copilot adoption, with research firm Gartner saying in August its survey of 152 IT organizations showed that the vast majority had not progressed their Copilot initiatives past the pilot stage.

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.

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. 

Tiny Caribbean island of Anguilla turns AI boom into digital gold mine

The artificial intelligence boom has benefited chatbot makers, computer scientists and Nvidia investors. It’s also providing an unusual windfall for Anguilla, a tiny island in the Caribbean.

ChatGPT’s debut nearly two years ago heralded the dawn of the AI age and kicked off a digital gold rush as companies scrambled to stake their own claims by acquiring websites that end in .ai.

That’s where Anguilla comes in. The British territory was allotted control of the .ai internet address in the 1990s. It was one of hundreds of obscure top-level domains assigned to individual countries and territories based on their names. While the domains are supposed to indicate a website has a link to a particular region or language, it’s not always a requirement.

Google uses google.ai to showcase its artificial intelligence services while Elon Musk uses x.ai as the homepage for his Grok AI chatbot. Startups like AI search engine Perplexity have also snapped up .ai web addresses, redirecting users from the .com version.

Anguilla’s earnings from web domain registration fees quadrupled last year to $32 million, fueled by the surging interest in AI. The income now accounts for about 20% of Anguilla’s total government revenue. Before the AI boom, it hovered at around 5%.

Anguilla’s government, which uses the gov.ai home page, collects a fee every time an .ai web address is renewed. The territory signed a deal Tuesday with a U.S. company to manage the domains amid explosive demand but the fees aren’t expected to change. It also gets paid when new addresses are registered and expired ones are sold off. Some sites have fetched tens of thousands of dollars.

The money directly boosts the economy of Anguilla, which is just 91 square kilometers and has a population of about 16,000. Blessed with coral reefs, clear waters and palm-fringed white sand beaches, the island is a haven for uber-wealthy tourists. Still, many residents are underprivileged, and tourism has been battered by the pandemic and, before that, a powerful hurricane.

Anguilla doesn’t have its own AI industry though Premier Ellis Webster hopes that one day it will become a hub for the technology. He said it was just luck that it was Anguilla, and not nearby Antigua, that was assigned the .ai domain in 1995 because both places had those letters in their names.

Webster said the money takes the pressure off government finances and helps fund key projects but cautioned that “we can’t rely on it solely.”

“You can’t predict how long this is going to last,” Webster said in an interview with the AP. “And so I don’t want to have our economy and our country and all our programs just based on this. And then all of a sudden there’s a new fad comes up in the next year or two, and then we are left now having to make significant expenditure cuts, removing programs.”

To help keep up with the explosive growth in domain registrations, Anguilla said Tuesday it’s signing a deal with a U.S.-based domain management company, Identity Digital, to help manage the effort. They said the agreement will mean more revenue for the government while improving the resilience and security of the web addresses.

Identity Digital, which also manages Australia’s .au domain, expects to migrate all .ai domain services to its systems by the start of next year, Identity Digital Chief Strategy Officer Ram Mohan said in an interview.

A local software entrepreneur had previously helped Anguilla set up its registry system decades earlier.

There are now more than 533,000 .ai web domains, an increase of more than 10-fold since 2018. The International Monetary Fund said in a May report that the earnings will help diversify the economy, “thus making it more resilient to external shocks.

Webster expects domain-related revenues to rise further and could even double this year from last year’s $32 million.

He said the money will finance the airport’s expansion, free medical care for senior citizens and completion of a vocational technology training center at Anguilla’s high school.

The income also provides “budget support” for other projects the government is eyeing, such as a national development fund it could quickly tap for hurricane recovery efforts. The island normally relies on assistance from its administrative power, Britain, which comes with conditions, Webster said.

Mohan said working with Identity Digital will also defend against cyber crooks trying to take advantage of the hype around artificial intelligence.

He cited the example of Tokelau, an island in the Pacific Ocean, whose .tk addresses became notoriously associated with spam and phishing after outsourcing its registry services.

“We worry about bad actors taking something, sticking a .ai to it, and then making it sound like they are much bigger or much better than what they really are,” Mohan said, adding that the company’s technology will quickly take down shady sites.

Another benefit is .AI websites will no longer need to connect to the government’s digital infrastructure through a single internet cable to the island, which leaves them vulnerable to digital bottlenecks or physical disruptions.

Now they’ll use the company’s servers distributed globally, which means it will be faster to access them because they’ll be closer to users.

“It goes from milliseconds to microseconds,” Mohan said.

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.

Polio crisis deepens as Pakistan reports new cases

ISLAMABAD — Pakistan said Saturday that two children in its southern Sindh province had been paralyzed by poliovirus, bringing the total number of cases nationwide to 39 for the year since March, when officials confirmed the first case.

The South Asian nation of around 240 million people reported six cases of paralytic poliovirus infections in 2023, following a period of more than a year without any documented cases, only to see the numbers rise again.

“Genetic sequencing of the cases is under way,” said a Pakistan polio eradication program statement Saturday while reporting the two new infections in Sindh. “The intense virus transmission and increase in polio cases are indicative of the harm that children suffer when they miss opportunities for vaccination.”

Pakistan and neighboring Afghanistan, with at least 20 cases this year, are the only two countries where the crippling disease is still endemic.

Pakistani officials are preparing to launch a nationwide vaccination campaign on October 28 to immunize more than 45 million children under 5 against the paralytic disease.

“It is critical for parents to open their doors to vaccinators during this drive and ensure that all children in their care receive two drops of the crucial oral polio vaccine to keep them protected from the devastating effects of polio,” the program emphasized in its Saturday statement.

Pakistan’s southwestern Balochistan province, which sits on the Afghan border, has reported 20 polio cases in 2024, while Sindh has detected 12 cases.

The Khyber Pakhtunkhwa province bordering Afghanistan has documented five paralytic poliovirus cases. Pakistan’s most populous Punjab province and the national capital, Islamabad, reported one case each.

The resurgence of poliovirus in Pakistan is blamed on boycotts of vaccination drives by parents in rural areas who allege the initiatives are a Western plot to sterilize Muslim children.

Anti-state militants in violence-hit districts bordering Afghanistan occasionally attack vaccinators and their police escorts, suspecting them of spying for the government. The violence has claimed the lives of dozens of security forces and vaccinators.

An independent monitoring board of the Global Polio Eradication Initiative noted in a report last month that more than 420,000 Pakistani children could not be inoculated in anti-polio campaigns in 2024.

The board reported more than 200 boycotts of the polio vaccination campaign in Khyber Pakhtunkhwa last year. “It is disturbing to realize that violence, insecurity, and boycotts are still as prevalent in Khyber Pakhtunkhwa as they were in 2023,” the report said.

It highlighted that residents in several impoverished districts of Pakistan also demanded electricity, gas supply, and road construction in return for getting their children vaccinated.

A representative for Pakistan’s Ministry of Health told a World Health Organization meeting in Doha, Qatar, earlier this week that polio eradication is the country’s “top priority,” and efforts have been intensified to halt virus transmission.

“Despite recent resurgence, a unified plan with provinces aims to stop polio transmission by 2025,” Safi Malik stated. “We’re focusing on quality campaigns, digital tracking of missed areas, and a strong Pakistan-Afghanistan collaboration for cross-border vaccinations,” he said. 

Southeast Asia bears brunt of US trade curbs on Uyghur forced labor

BANGKOK — Southeast Asia is bearing the mounting brunt of U.S. trade curbs aimed at stemming the forced labor of ethnic minority Uyghurs in China, with billions of dollars in blocked exports, the latest U.S. trade figures show.

Economists and human rights experts ascribe the heavy hit the region is taking to global supply chains shifting to reroute exports from China through Southeast Asia and to China’s persistent dominance in key commodities.

With both powerful forces at play, Southeast Asia is “caught in the middle,” Jayant Menon, a senior fellow at the ISEAS Yusof Ishak Institute in Singapore, told VOA.

The United States has detained $3.56 billion worth of imports in all since its Uyghur Forced Labor Prevention Act, or UFLPA, took effect in mid-2022, according to recent figures from U.S. Customs and Border Protection. Some 86% of those, more than $3 billion worth, arrived from Malaysia, Thailand and Vietnam. Only $395 million arrived directly from China.

The act forbids imports of any products made in whole or in part in China’s Xinjiang autonomous region, the Uyghurs’ historic homeland, presuming they have been made with forced labor. While many of the shipments are eventually allowed to enter the United States, the burden is on the importer to secure their release by proving the products are produced without forced labor, a process that can take months.

The United States and other governments have accused China of genocide over its treatment of the mostly Muslim Uyghurs for subjecting them to not only forced labor but mass surveillance and detention, religious persecution and forced sterilization — all denied by Beijing.

Xinjiang is a major source of some commodities crucial to the global supply chain, including 12% of the world’s aluminum, more than a third of the polysilicon for solar panels and 90% of the cotton produced by China, according to the Coalition to End Forced Labor in the Uyghur Region, a global network of rights groups.

Many of those supply chains now flow through Southeast Asia for reasons beyond just the UFLPA, said Nick Marro, principal Asia economist and global trade lead analyst for the Economist Intelligence Unit.

“For years, multinational companies — both Chinese and non-Chinese owned — have been pouring investment into Southeast Asia to construct supply chains aimed at dodging U.S. tariffs,” he told VOA.

While far from the only reason for the influx, he said, “shifting some production chains to Vietnam or Thailand, for example, can obfuscate whether a good might originally be produced in China.”

“This isn’t necessarily a fool-proof strategy,” Marro said. “U.S. trade authorities are very sensitive to illegal transshipments and other efforts aimed at circumventing U.S. duties. But for some supply chains, cracking down on these activities can be challenging — especially for products like cotton, which is notoriously difficult to trace.”

Evolving supply chains now require looking beyond exports arriving directly from China to catch what’s made there, said Menon, a former lead economist for trade with the Asian Development Bank.

“Increasingly there’s production and value addition in multiple countries,” he said. “Simply looking at goods that emanate from Xinjiang to the U.S. will not capture the intended objective.”

Of the slightly more than $3 billion worth of exports the United States has detained from Malaysia, Thailand and Vietnam because of the UFLPA, the vast majority, $2.96 billion, have been electronics, including solar panels.

Louisa Greve, global advocacy director for the Washington-based Uyghur Human Rights Project, ascribes that to the surge of investment from Chinese solar panel makers into Southeast Asia starting more than a decade ago.

“We don’t know of any Uyghurs working in Southeast Asia in solar, but we do know where the polysilicon has to come from. That’s the issue,” she told VOA. “It’s about the components.”

Greve added that the Southeast Asian countries and companies involved in importing and incorporating that polysilicon into the solar panels they help make and export also risk being complicit in the state-sponsored forced labor that goes into producing it in China.

“Thirty-five percent of the world’s polysilicon, or solar-grade polysilicon, is coming from China. It’s up to every manufacturer, like the plants that are actually making solar panels in Southeast Asia … to say, ‘We have to be responsible for the raw materials that we’re using,’” she said.

Menon asserted the UFLPA could benefit low-wage countries less tainted by forced labor than China by driving more business their way, but he said that Southeast Asia will still struggle to wean itself off Chinese supplies.

“China is still the hub or the center of ASEAN [Association of Southeast Asian Nations] supply chains. That hasn’t changed. There’s been some reconfiguration taking place, but by and large, China’s not going away,” he said.

Menon said that “blunt” trade tools like the act can also hurt the countries in the middle of those supply chains by driving existing production and investment away, leaving local workers with less work or fewer jobs.

“This [act] is quite a big move, quite a massive measure, and so I’d be surprised if it doesn’t have some impact in moving production around,” he said. “If you ban imports in this way, inevitably there will be some shifts that move production in a way that tries to circumvent those bans.”

Marro said the same pressures that drove companies to “de-risk” by moving production from China to Southeast Asia years ago could yet prove a “double-edged sword.” While the shift has boosted Southeast Asia’s economies, the costs may mount as the United States and others start taking a harder look at countries helping China evade their trade curbs.

Even with only 11 months of the 2024 fiscal year reported, U.S. customs figures show the UFLPA blocked more imports from Southeast Asia over the past year than the year before.

Marro said enforcement efforts were at a “very real risk” of picking up but added that geopolitics could also intervene.

“As much as U.S. officials want to crack down on Chinese tariff circumvention, there’s an equal effort to avoid isolating Southeast Asia when it comes to the U.S.’s increasingly hawkish strategy towards China,” he said. “This balancing act will characterize the future of U.S. policy to the region.”

Nigeria rolls out long-anticipated malaria vaccine

ABUJA, NIGERIA — Nigeria officially launched its malaria vaccination campaign this week to protect millions of children from the deadly disease, focusing heavily on high-risk states.

The first 846,000 doses of the R21 malaria vaccine arrived in Abuja, Nigeria, on Thursday, marking a milestone in efforts to eliminate malaria. According to the World Health Organization, the country accounts for about 27% of global malaria cases. In 2022, it recorded nearly 67 million infections and nearly 200,000 deaths, about 80% of the deaths occurring in children under age 5.

Dr. Muyi Aina, head of the National Primary Health Care Development Agency, said the initial rollout prioritizes high-risk regions.

“We expect another 140,000 or so to make a million doses in this first batch,” Aina said. “Every child, every person that is vaccinated, needs to get two doses. So, we know that that’s a limited number of people. So, we have prioritized the highest-burden locations in the country, Kebbi and Bayelsa.”

The government is covering part of the vaccine costs, with global vaccine group Gavi and international partners funding the rest.

Health Minister Muhammad Pate stressed that the vaccine will be administered to recipients at no charge.

“These vaccines are free for [the] population, but they cost resources,” he said.

Not everyone would be able to afford the vaccines, Pate said.

“The children of the poor in rural areas are the ones that may not be able to access them,” he said. “That’s why we’ve prioritized public financing in that regard, and we thank our partners for contributing toward it.”

Nigeria has improved vaccine logistics for hard-to-reach regions.

UNICEF’s chief of health in Nigeria, Dr. Eduardo Celades, expressed confidence in the country’s distribution capacity.

“Transportation and storage [are] a key issue,” he said. “How [can you] ensure that the cold chain has the integrity needed to keep safe the vaccines and to keep them effective? But we are confident that we know that we have the capacities.”

Malaria remains a complex challenge, requiring a mix of strategies such as mosquito control, better health care access and vaccine monitoring.

Malaria elimination strategic adviser Olugbenga Mokuolu said the vaccine complements traditional tools such as bed nets and treatments, offering children added protection.

“We know that no single tool offers 100% of the solution,” Mokuolu said. “That’s why we still talk about the combination of tools. But having the vaccine layering on it is very significant. … With the deployment of this vaccine, we will be conducting … an effectiveness study in order to note the rate of reoccurrence while on the vaccine.”

The WHO approved the RTS,S and R21 vaccines, with R21 showing 77% efficacy in trials. Other African countries, including Uganda and Burkina Faso, have begun vaccine distribution, reflecting the continent’s push to combat malaria.

Experts say the success of the malaria rollout depends on sustained engagement with local leaders and caregivers to ensure children complete their doses.

Aging farmers face extreme temperatures as they struggle to maintain Japan’s rice crop

KAMIMOMI, Japan — In the remote village of Kamimomi in Japan’s western Okayama prefecture, a small group of rice farmers began their most recent harvest in sweltering heat, two weeks sooner than usual.

The prefecture is called “the Land of Sunshine” because of its pleasant climate, but farmers working among the paddy fields and ancient rice terraces say that climate change is hurting the harvest of rice, long a cornerstone of Japan’s diet.

“Last year, an exceptional heat wave took the water out of the rice, which became small and thin,” rice farmer Joji Terasaka said. “So I am worried about that this year because it will be just as hot.”

This year Japan experienced its hottest July on record, with temperatures reaching 2.16 Celsius higher than average, according to the Japan Meteorological Agency. The globe has seen a 1.2 C rise in average temperature since preindustrial times, and scientists agree that warming needs to be capped at 1.5 C to stave off the worst effects of climate change. That includes even more powerful heat, storms and irreversible ice melt.

Last year, Japan recorded a poor rice harvest nationwide because of exceptionally hot weather. Ministry data showed the country’s private-sector rice inventory fell to 1.56 million tons in June, the lowest level since records began in 1999. Last year was the hottest on record globally, though it’s feared that this year may top it.

The drop in harvest in Japan was partly to blame for this year’s widespread summer rice shortage, according to officials. There were empty shelves in supermarkets, and some retailers are still enforcing purchase limits of one rice bag per customer.

“Perhaps people think that an increase of one degree Celsius in average temperature isn’t much. But it’s quite a big change for plants and crops,” says Yuji Masutomi, a researcher at the National Institute for Environmental Studies in Tsukuba, north of Tokyo.

Masutomi said the rising temperatures not only influence the growth cycle and yield of rice, but also hurt the quality of the grain.

When temperatures rise above 27 C, the buildup of starch inside rice grains is reduced. That causes the crop to take on a chalky appearance, and its value is reduced.

At least a fifth of rice farms have reported a drop in quality from rising temperatures, according to a farming ministry report last year.

“Not only is the appearance not good; people say the taste drops too,” Masutomi said.

For farmers in Kamimomi, there’s another problem with working under exceptional heat. The average age of agricultural workers in Japan is nearly 69, among the oldest in the world, and older people are especially vulnerable to heatstroke.

Toshimi Kaiami led a community project in Kamimomi that involved reviving some of the paddy fields abandoned because of the aging population.

“There are no longer any successors,” says Kaiami. “We are heading toward extinction.”

The community project divides labor among Kamimomi’s farmers. But preparations for the harvest coincided with the hottest months of the year — April to September.

“It takes a half year to produce rice. The heat and the work that we have to endure during that time is really tough,” said rice farmer Mitsumasa Sugimoto, 77.

To deal with climate change, the government is promoting the adoption of heat-resistant rice variants, including Sai no Kizuna, which was developed by a research center in Saitama prefecture, near Tokyo.

Research organizations around the world have worked to produce more resilient strains of essential food like rice while introducing more heat and drought resistant grains like sorghum or millet.

“Last year and this year have been extremely hot, but even in those conditions, Sai no Kizuna maintained a certain level of quality,” said Naoto Ohoka, who manages rice breeding at Saitama’s Agricultural Technology Research Center.

“Its other characteristic is that it is very delicious.”

The center cultivates more than a thousand types of rice strains, and through cross-pollination officials assess and select the best performers to develop new varieties.

Sai no Kizuna was developed in 2012 to better withstand heat, a trait that has become more widely recognized recently as Japan sees hotter summers. The strain also stands up well against typhoon wind and certain pests and diseases.

Researchers want to develop more resilient strains against heat as temperatures are projected to continue rising. Masutomi recommends that variants tolerant of temperatures up to 3 degrees Celsius higher should be introduced across Japan by the 2040s.

But it’s a long process. It can take up to 10 years to develop a new variant. Once it’s approved for the market, farmers must then be convinced to switch to the new strain.

The most widely grown variety is Koshihikari, which is less heat resistant. Even so, older farmers have shown a reluctance to switch to other varieties. Farming ministry data show that only around 15% of Japanese paddy fields have adopted heat resistance variants.

Pressure grows for nations to deliver on promised biodiversity targets at UN conference

Two years after reaching a historic biodiversity agreement, countries will gather next week to determine whether they are making progress on efforts to save Earth’s plant and animal life.

The agreement signed by 196 countries at the United Nations Biodiversity Conference calls for protecting 30% of land and water by 2030, known as 30 by 30. When the agreement was signed, 17% of terrestrial and 10% of marine areas were protected — which hasn’t changed significantly.

At the conference known as COP16, countries next will report on progress made toward the goals, and governments are expected to agree on mechanisms to assure the implementation of them, according to a European Parliament report.

The two-week meeting in Cali, Colombia, will also focus on efforts to raise hundreds of billions of dollars to protect nature by 2030 — with the payment of $20 billion for developing countries due next year. Twenty-three targets will be discussed including cutting food waste and preventing the introduction of invasive species.

Signs of progress hard to find

The nearly 200 countries are supposed to submit national plans ahead of the conference showing actions they are taking to meet the 30 by 30 goals. But as of this week, around 46% of countries have submitted targets and less than 15% submitted plans for reaching them. Australia has yet to submit its targets while India has not submitted a national plan. Brazil, which includes much of the Amazon rainforest, hasn’t submitted targets or a plan.

The United States, which is not party to the biodiversity convention, is not required to submit any plans. But the Biden administration has committed to protecting a third of American land and waters by 2030.

Some countries are expected to use the conference to unveil plans for creating or expanding protected areas and for how they’ll spend biodiversity funding. Canada, for example, has committed to spending $800 million on four Indigenous-led projects.

Conservation groups are concerned that more countries have not yet detailed their biodiversity goals and how to achieve them.

Bernadette Fischler Hooper, head of global advocacy for WWF International, called the commitments so far “disappointing.” WWF, which is tracking the progress, also found some plans lack actions to halt biodiversity loss, funding to support efforts and sufficient buy-in from across government.

“This is really, really getting close,” Hooper said. “There are some countries who can easily afford to update (their plans). There’s no reason why they didn’t do it … and there are countries that didn’t get the support they needed.”

Of the 91 countries that submitted targets, the convention’s secretariat found more than half had targets of protecting and conserving at least 30% of their terrestrial area and about a quarter had targets for 5% to 30%. For marine and coastal areas, more than one-third had a national target of 30% or more, and another third had targets between 5% and 30%.

But Astrid Schomaker, executive secretary of the Convention on Biological Diversity, said the small number of countries submitting plans isn’t surprising since governments first had to come up with targets and then develop action plans.

“These are complex processes that are meant to be a whole of government,” she said of the plans that require coordination and buy-in from ministries, business leaders and community stakeholders, as well as raising money. “That’s not happening overnight.”

Achieving these targets is especially critical to migratory species, more than 40% which a U.N. report found are declining.

“Birds do not recognize boundaries of a protected area and move according to their feeding and roosting needs,” said Jennifer George, who leads the Seoul-based East Asian-Australasian Flyway Partnership, a nonprofit focused on birds migrating between East Asia, Australia and New Zealand.

Funding crunch

Much like the U.N. climate talks, a big topic of debate at the biodiversity conference will be financing.

Poor countries pushed to include language requiring that $200 billion a year be raised by 2030 for biodiversity from a range of sources to fund the target-specific projects. Rich countries committed to providing developing countries $20 billion starting next year and gradually scaling that up to $30 billion by 2030.

The Organization for Economic Cooperation and Development reported in September that development finance for biodiversity more than doubled from 2015 to 2022. But when it comes to funding for this agreement, the world was still 23% short of the $20 billion goal.

Advocates said money will be critical since much of the biodiversity that needs protecting is in developing countries like those in Africa.

“There has been progress. Is there enough progress? No,” said Susan Lieberman, the vice president of international policy at Wildlife Conservation Society. “Some countries are taking it seriously and other countries are saying, ‘Oh we want to do this, but where’s the money?'”

More than 30 by 30

In addition to top-tier biodiversity targets, the conference will discuss a goal in the agreement to halt human-induced extinction of threatened species and, by 2050, to reduce extinction rates tenfold. The goal also calls for increasing the “abundance of native wild species” to healthy levels.

But conservationists say the goals lack specifics and hope details can be agreed upon at the meeting.

“Many of these other targets need to be nailed down and quantified, like stopping species extinctions,” said Duke University ecologist Stuart Pimm. “At the moment, they are terribly vague.”

Countries plan to showcase the role biodiversity plays in achieving climate mitigation goals and in health, especially preventing future pandemics.

The meeting will also consider adoption of a global mechanism for sharing of benefits from digital data from genetic material derived from plants, animals, bacteria and viruses. The materials are often used to developed commercial products like drugs — and the hope is that an agreement will ensure profits are shared equitably. 

Dense breasts can make it harder to spot cancer on a mammogram

When a woman has a mammogram, the most important finding is whether there’s any sign of breast cancer.

The second most important finding is whether her breasts are dense.

Since early September, a new U.S. rule requires mammography centers to inform women about their breast density — information that isn’t entirely new for some women because many states already had similar requirements.

Here’s what to know about why breast density is important.

Are dense breasts bad?

No, dense breasts are not bad. In fact, they’re quite normal. About 40% of women ages 40 and older have dense breasts.

Women of all sizes can have dense breasts. It has nothing to do with breast firmness. And it only matters in the world of breast cancer screening, said Dr. Ethan Cohen of MD Anderson Cancer Center in Houston.

With the new rule, “there are going to be a lot of questions to a lot of doctors and there’s going to be a lot of Googling, which is OK. But we want to make sure that people don’t panic,” Cohen said.

How is breast density determined?

Doctors who review mammograms have a system for classifying breast density.

There are four categories. The least dense category means the breasts are almost all fatty tissue. The most dense category means the breasts are mostly glandular and fibrous tissue.

Breasts are considered dense in two of the four categories: “heterogeneously dense” or “extremely dense.” The other two categories are considered not dense.

Dr. Brian Dontchos of the Seattle-based Fred Hutchinson Cancer Center said the classification can vary depending on the doctor reading the mammogram “because it’s somewhat subjective.”

Why am I being told I have dense breasts?

Two reasons: For one, dense breasts make it more difficult to see cancer on an X-ray image, which is what a mammogram is.

“The dense tissue looks white on a mammogram and cancer also looks white on a mammogram,” said Dr. Wendie Berg of the University of Pittsburgh School of Medicine and chief scientific adviser to DenseBreast-info.org. “It’s like trying to see a snowball in a blizzard.”

Second, women with dense breast tissue are at a slightly higher risk of developing breast cancer because cancers are more likely to arise in glandular and fibrous tissue.

Reassuringly, women with dense breasts are no more likely to die from breast cancer compared to other women.

What am I supposed to do?

If you find out you have dense breasts, talk to your doctor about your family history of breast cancer and whether you should have additional screening with ultrasound or MRI, said Dr. Georgia Spear of Endeavor Health/NorthShore University Health System in the Chicago area.

Researchers are studying better ways to detect cancer in women with dense breasts. So far, there’s not enough evidence for a broad recommendation for additional screening. The U.S. Preventive Services Task Force called for more research in this area when it updated its breast cancer screening recommendations earlier this year.

Do I still need a mammogram?

Yes, women with dense breasts should get regular mammograms, which is still the gold standard for finding cancer early. Age 40 is when mammograms should start for women, transgender men and nonbinary people at average risk.

“We don’t want to replace the mammogram,” Spear said. “We want to add to it by adding a specific other test.”

Will insurance cover additional screening?

For now, that depends on your insurance, although a bill has been introduced in Congress to require insurers to cover additional screening for women with dense breasts.

Additional screening can be expensive — from $250 to $1,000 out of pocket, so that’s a barrier for many women.

“Every woman should have equal opportunity to have their cancer found early when it’s easily treated,” Berg said. “That’s the bottom line.”

Drone maker DJI sues Pentagon over Chinese military listing

WASHINGTON — China-based DJI sued the U.S. Defense Department on Friday for adding the drone maker to a list of companies allegedly working with Beijing’s military, saying the designation is wrong and has caused the company significant financial harm.

DJI, the world’s largest drone manufacturer that sells more than half of all U.S. commercial drones, asked a U.S. District Judge in Washington to order its removal from the Pentagon list designating it as a “Chinese military company,” saying it “is neither owned nor controlled by the Chinese military.”

Being placed on the list represents a warning to U.S. entities and companies about the national security risks of conducting business with them.

DJI’s lawsuit says because of the Defense Department’s “unlawful and misguided decision” it has “lost business deals, been stigmatized as a national security threat, and been banned from contracting with multiple federal government agencies.”

The company added “U.S. and international customers have terminated existing contracts with DJI and refuse to enter into new ones.”

The Defense Department did not immediately respond to a request for comment.

DJI said on Friday it filed the lawsuit after the Defense Department did not engage with the company over the designation for more than 16 months, saying it “had no alternative other than to seek relief in federal court.”

Amid strained ties between the world’s two biggest economies, the updated list is one of numerous actions Washington has taken in recent years to highlight and restrict Chinese companies that it says may strengthen Beijing’s military.

Many major Chinese firms are on the list, including aviation company AVIC, memory chip maker YMTC, China Mobile 0941.HK, and energy company CNOOC.

In May, lidar manufacturer Hesai Group ZN80y.F filed a suit challenging the Pentagon’s Chinese military designation for the company. On Wednesday, the Pentagon removed Hesai from the list but said it will immediately relist the China-based firm on national security grounds.

DJI is facing growing pressure in the United States.

Earlier this week DJI told Reuters that Customs and Border Protection is stopping imports of some DJI drones from entering the United States, citing the Uyghur Forced Labor Prevention Act.

DJI said no forced labor is involved at any stage of its manufacturing.

U.S. lawmakers have repeatedly raised concerns that DJI drones pose data transmission, surveillance and national security risks, something the company rejects.

Last month, the U.S. House voted to bar new drones from DJI from operating in the U.S. The bill awaits U.S. Senate action. The Commerce Department said last month it is seeking comments on whether to impose restrictions on Chinese drones that would effectively ban them in the U.S. — similar to proposed Chinese vehicle restrictions. 

African port growth hindered by poor road, rail networks, report says

NAIROBI, KENYA — Africa has seen the capacity of its ports grow significantly over the years, but a report from the Africa Finance Corporation says the expansions, upgrades and investments have not led to better inland logistics and supply chains.

Since 2005, African ports have received an estimated $15 billion in investments, allowing them to accommodate larger ships and offload more cargo for transportation across the continent.

According to the African Development Bank, port development has led to increased traffic. Between 2011 and 2021, container units passing through African ports increased by nearly 50%, from 24.5 million to 35.8 million.

Gabriel Sounouvou, a Guinean specialist in logistics and supply chain management, said port investments have multiple benefits, including better integration with the global supply chain and a reduction in corruption.

“We cannot modernize the port without technology integration,” Sounouvou said. “So … when the government modernizes the port, they also create this transparency that reduces corruption.”

However, according to the Africa Finance Corporation’s 2024 report, “State of Africa’s Infrastructure,” the increased capacity at ports has yet to lead to an efficient logistical supply chain across the continent.

The researchers say African governments have neglected road and railway networks, which are unevenly distributed, of poor quality and underused, which limits their usefulness.

Sounouvou said bad roads make it hard to do business in Africa, especially outside coastal areas.

“Many road corridors are not good for trucks,” Sounouvou said, adding that trucks “can spend more than 10 days instead of three in landlocked countries.”

Jonas Aryee, head of Maritime Economics and International Trade Modules at Plymouth University in England, said human factors also make it difficult to transport goods across Africa.

“Some countries are still not opening up, and they’re protecting their local industries from those of their fellow African countries,” Aryee said.

“You will find several roadblocks — from police, from customs, from gendarmes — in many countries when goods are going through,” he said. “And it’s made the cost of doing business in Africa so high.”

The Africa Finance Corporation study shows the continent has 680,000 kilometers of paved roads, just 10% of the total found in India, which has a similar population but one-tenth the land area.

Experts say the roads connecting countries in Africa have remained in bad shape because countries have not formed a joint team to invest in, build and manage highways that could improve the free flow of goods and people.

While road networks remain underdeveloped in many African countries, the AFC report said port investments are expected to continue, with several new terminals confirmed for development in countries such as Angola, Benin, Cameroon, the Democratic Republic of Congo, Ghana and Ivory Coast.

Namibia hosts workshop on health care access to LGBTQ+ community

WINDHOEK, NAMIBIA — Namibians who are part of the LGBTQ+ community often find it difficult to get decent health care and many report discriminatory practices within the health care system.

For example, when 20-year-old Immanuel Uirab sought contraception at a health facility, the nurse on duty would not assist him.

“I don’t know if it’s the shorts I was wearing or you can generally just tell by looking at me that I am gay,” he said, “but then this particular nurse … came out and she was, like, ‘No, we don’t offer contraceptives for people who practice sodomy. We can’t do that for you. … You can go buy them if you want to use them in your private space, but we … won’t give them to you because our government does not support homosexuality.’”

A recent two-day training workshop facilitated by the group Our Equity Advocacy was aimed at encouraging health care practitioners in Namibia to not discriminate against sexual minorities.

Discrimination in health care services violates the right to health care and the human rights principles of equity, privacy and dignity, said the United Nation’s special rapporteur on the right to health, Dr. Tlaleng Mofokeng.

Mofokeng held a workshop last weekend in Windhoek where she trained health care practitioners and young people about the role of health care in human rights.

There are many opportunities in which health care workers “can take a seat at the table,” she said. “Not just in policymaking, but importantly in advocacy … also in understanding human rights.”

The executive director of Namibia’s Ministry of Health, Ben Nangombe, said that discrimination in health care based on sexual orientation is against the law and that practitioners who refuse health care to patients for any reason can lose their jobs.

“The official position [of the] government on this matter is that the Namibian government provides health care services to all Namibians who need it without any discrimination whatsoever,” he said.

One theme from last weekend’s workshop was the need for nurses to become agents of change and advocates for their patients.

Letlhogonolo Mokgoroane, a legal practitioner and health rights activist from South Africa who co-facilitated the workshop, said members of sexual minority groups in Africa often face intrusive questioning when they seek medical care.

“Let’s say you are going to a hospital or a clinic for a broken arm or a headache, some tummy ache, whatever,” Mokgoroane said. “What often happens is when you are trans or when you are gender nonconforming or when you are a member of the LGBTI community, immediately what happens is that the questions veer away from why you are actually there to really invasive and discriminatory questions, right? ‘I have a headache, why are you asking me about my sex life? … I have a headache, why are you asking me about my genitalia?’”

Mokgoroane said the issue can be addressed by training health care workers to affirm the gender of their patients when they treat them.

However, Mokgoroane expressed worry that the rise of anti-LGBTQ+ laws in Africa will further drive discriminatory practices in the health care system and undermine public health altogether.