Month: December 2022

With Ukraine scrambling to keep communication lines open during the war, an army of engineers from the country’s phone companies has mobilized to help the public and policymakers stay in touch during repeated Russian missile and drone strikes.

The engineers, who typically go unseen and unsung in peacetime, often work around the clock to maintain or restore phone service, sometimes braving minefields to do so. After Russian strikes took out the electricity that cellphone towers usually run on, they revved up generators to keep the towers on.

“I know our guys – my colleagues – are very exhausted, but they’re motivated by the fact that we are doing an important thing,” Yuriy Dugnist, an engineer with Ukrainian telecommunications company Kyivstar, said after crunching through 15 centimeters of fresh snow to reach a fenced-in mobile phone tower on the western fringe of Kyiv, the capital.

Dugrist and his coworkers offered a glimpse of their new daily routines, which involve using an app on their own phones to monitor which of the scores of phone towers in the capital area were receiving electricity, either during breaks from the controlled blackouts being used to conserve energy or from the generators that kick in to provide backup power.

One entry ominously read, in English, “Low Fuel.”

Stopping off at a service station before their rounds, the team members filled up eight 20-liter jerrycans with diesel fuel for a vast tank under a generator that relays power up a 50-meter cell tower in a suburban village that has had no electricity for days.

It’s one of many Ukrainian towns that have had intermittent power, or none at all, in the wake of multiple rounds of devastating Russian strikes in recent weeks targeting the country’s infrastructure – power plants in particular.

Kyivstar is the largest of Ukraine’s three main mobile phone companies, with some 26 million customers – or the equivalent of about two-thirds of the country’s population before Russia’s Feb. 24 invasion drove millions of people abroad, even if many have since returned.

The diesel generators were installed at the foot of the cell phone towers since long before the invasion, but they were rarely needed. Many Western countries have offered up similar generators and transformers to help Ukraine keep electricity running as well as possible after Russia’s blitz.

After emergency blackouts prompted by a round of Russian strikes on Nov. 23, Kyivstar deployed 15 teams of engineers simultaneously and called in “all our reserves” to troubleshoot the 2,500 mobile stations in their service area, Dugrist said.

He recalled rushing to the site of a destroyed cell tower when Russian forces pulled out of Irpin, a suburb northwest of Kyiv, earlier this year and getting there before Ukrainian minesweepers had arrived to give the all-clear signal.

The strain the war is putting on Ukraine’s mobile phone networks has reportedly driven up prices for satellite phone alternatives like Elon Musk’s Starlink system, which Ukraine’s military has used during the conflict, now in its 10th month.

After widespread infrastructure strikes last week, Ukrainian President Volodymyr Zelenskyy convened top officials to discuss the restoration work and supplies needed to safeguard the country’s energy and communication systems.

“Special attention is paid to the communication system,” he said, adding that no matter what the Russia has in mind, “we must maintain communication.”
…

Cities across China further unwound COVID restrictions Friday, loosening testing and quarantine rules in the wake of nationwide protests calling for an end to lockdowns and greater political freedoms.

Anger and frustration with China’s hardline pandemic response spilled out onto the streets last weekend in widespread demonstrations not seen in decades.

In the wake of the unrest across China, a number of cities have begun loosening COVID-19 restrictions, such as moving away from daily mass testing requirements, a tedious mainstay of life under Beijing’s stringent zero-COVID policy.

At the same time, authorities are continuing to seek to contain protests with heavy security on the streets, online censorship in full force, and surveillance of the population heightened.

As of Friday, the southwestern metropolis of Chengdu will no longer require a recent negative test result to enter public places or ride the metro, instead only requiring a green health code confirming they have not travelled to a “high risk” area.

In Beijing, health authorities called Thursday on hospitals not to deny treatment to people without a negative PCR test taken within 48 hours.

In January, a pregnant woman in the city of Xi’an miscarried after being refused hospital entry for not having a PCR test result.

China has seen a string of deaths after treatment was delayed by COVID restrictions, including the recent death of a 4-month-old baby who was stuck in quarantine with her father.

Those cases became a rallying cry during the protests, with a viral post listing the names of those who died because of alleged negligence linked to the pandemic response.

Many other cities with virus outbreaks are allowing restaurants, shopping malls and even schools to reopen, in a clear departure from previous tough lockdown rules.

In northwestern Urumqi, where a fire that killed 10 people was the spark for the anti-lockdown protests, authorities announced Friday that supermarkets, hotels, restaurants, and ski resorts would gradually be opened.

The city of over 4 million residents endured one of China’s longest lockdowns, with some areas shut in early August.

Home quarantine

An analysis by state-run newspaper People’s Daily on Friday quoted a number of health experts supporting local government moves to allow positive cases to quarantine at home.

The shift would be a marked departure from current rules, which require that they be held in government facilities.

The southern factory hub of Dongguan on Thursday said that those who meet “specific conditions” should be allowed to quarantine at home. It did not specify what those conditions would be.

The southern tech hub Shenzhen rolled out a similar policy Wednesday.

Central government officials have also signaled that a broader relaxation of zero-COVID policy could be in the works.

Speaking at the National Health Commission Wednesday, Vice Premier Sun Chunlan said the omicron variant was weakening and vaccination rates were improving, according to the state-run Xinhua news agency.

A central figure behind Beijing’s pandemic response, Sun said this “new situation” required “new tasks.”

She made no mention of zero-COVID in those remarks or in another meeting Thursday, suggesting the approach, which has disrupted the economy and daily life, might soon be relaxed.
…

Former NBA star Jeremy Lin, who plays for a Chinese team, was fined 10,000 yuan ($1,400) for “inappropriate remarks” on social media about quarantine facilities ahead of a game, China’s professional league announced Friday, as the government tries to stop protests against anti-virus controls that are among the world’s most stringent.

Also Friday, more cities eased restrictions, allowing shopping malls, supermarkets and other businesses to reopen following protests last weekend in Shanghai and other areas in which some crowds called for President Xi Jinping to resign. Urumqi in the northwest, site of a deadly fire that triggered the protests, announced supermarkets and other businesses were reopening.

Lin, who plays for the Loong Lions Basketball Club, made “inappropriate remarks about quarantine hotel-related facilities” where the team stayed Wednesday ahead of a game, the China Basketball Association announced. It said that “caused adverse effects on the league and the competition area.”

The ruling Communist Party is trying to crush criticism of the human cost and disruption of its “zero-COVID” strategy, which has confined millions of people to their homes. Protesters have been detained and photos and videos of events deleted from Chinese social media. Police fanned out across Shanghai, Beijing and other cities to try to prevent additional protests.

The CBA gave no details of Lin’s comments and there was no sign of them on his account on the popular Sina Weibo platform.

The Shanghai news outlet The Paper reported Lin posted a video complaining about hotel workout facilities in the city of Zhuji, south of Shanghai in Zhejiang province, ahead of games next week.

“Can you believe this is a weight room?” Lin was quoted as saying. “What kind of garbage is this?” The Paper said the video was deleted after “the situation was clarified” that the hotel was only for a brief stay required by regulations.

A representative of Vision China Entertainment, which says on its website it represents Lin, didn’t immediately respond to a request for comment. Phone calls to Loong Lions Basketball Club headquarters in the southern city of Guangzhou weren’t answered.

Lin, born in California to parents from Taiwan, was the first NBA player of Chinese or Taiwanese descent.

He played for California’s Golden State Warriors in 2010 before joining the New York Knicks in the 2011-12 season. He became the first Asian American to win an NBA championship with the Toronto Raptors in 2019. He played for the Beijing Ducks in 2019 before joining the Loong Lions.

On Friday, there were no signs of more protests.

The government reported 34,980 infections found in the past 24 hours, including 30,702 with no symptoms.

China’s case numbers are low, but “zero-COVID” aims to isolate every infected person. That has led local officials to suspend access to neighborhoods and close schools, shops and offices. Manufacturers including the biggest iPhone factory in central China use “closed-loop” management, which requires employees to live at their workplace without outside contact.

Demonstrations erupted Nov. 25 after a fire in an Urumqi apartment building killed at least 10 people.

That set off angry questions online about whether firefighters or victims trying to escape were blocked by locked doors or other anti-virus controls. Authorities denied that, but the deaths became a focus of public frustration.

Xi’s government has promised to reduce the cost and disruption of controls but says it will stick with “zero-COVID.” Health experts and economists expect it so stay in place at least until mid-2023 and possibly into 2024 while millions of older people are vaccinated in preparation for lifting controls that keep most visitors out of China.

Urumqi will “further increase efforts to resume production and commerce” by reopening hotels, restaurants, large supermarkets and ski resorts, the official newspaper Guangming Daily reported on its website, citing Sui Rong, a member of the Municipal Committee.

Elsewhere, the northern city of Hohhot in the Inner Mongolia region restarted bus service and allowed restaurants and small businesses to reopen, according to state media. Jinzhou in the northeast lifted curbs on movement and allowed businesses to reopen.

On Thursday, the metropolis of Guangzhou in the south, the biggest hotspot in the latest infection spike, allowed supermarkets and restaurants to reopen.

Other major cities including Shijiazhuang in the north and Chengdu in the southwest restarted bus and subway service and allowed businesses to reopen.
…

In the highly conservative country of Pakistan, AIDS patients often face discrimination that keeps them from disclosing their diagnosis. Hundreds of HIV cases reported in Sindh Province in 2019 included children. That region was recently devastated by floods, making access to health care for HIV patients even more difficult. VOA’s Sidra Dar reports from Sindh Province, in this report narrated by Asadullah Khalid.
Camera: Muhammad Khalil
…

The Environmental Protection Agency on Thursday proposed increasing the amount of ethanol and other biofuels that must be blended into the nation’s fuel supplies over the next three years, a move welcomed by renewable fuel and farm groups but condemned by environmentalists and oil industry groups.

“This proposal supports low-carbon renewable fuels and seeks public input on ways to strengthen the program,” EPA Administrator Michael S. Regan said in a statement. “With this proposal, EPA seeks to provide consumers with more options while diversifying our nation’s energy mix.”

The proposal also includes new incentives to encourage the use of biogas from farms and landfills, and renewable biomass such as wood to generate electricity to charge electric vehicles. It’s the first time the EPA has set biofuel targets on its own instead of using numbers from Congress. The agency opened a public comment period and will hold a hearing in January.

Goal includes reducing fuel prices

The goal of the existing Renewable Fuel Standard is to reduce carbon emissions that contribute to climate change, expand the country’s fuel supply, strengthen energy security and reduce fuel prices for consumers. Ethanol is a key part of the economy in many Midwestern states, consuming about 40% of the nation’s corn supply.

But environmentalists argue it’s a net ecological and climate detriment because growing all that corn fosters unsustainable farming practices, while the oil industry says ethanol mandates constrain free market forces and limit consumer choice, and that higher blends can damage older vehicles.

Geoff Cooper, president and CEO of the Renewable Fuels Association, told reporters on a conference call that the EPA’s plan creates a “clear pathway for sustainable growth for our industry when it comes to the production and use of low-carbon fuels like ethanol.” He said it also bolsters the industry’s push for year-round sales of gasoline with a 15% ethanol blend, as well as sales of the 85% ethanol blend E85.

“As the administration is working to address climate change, we’ve long known that biofuels will play an important role in reducing greenhouse gases while having the added benefit of providing expanded opportunities for farmers,” National Farmers Union President Rob Larew said in a statement.

Climate campaigner calls plan ‘toxic’

Environmental groups said the plan offers false solutions to climate change.

“This is a toxic plan directly at odds with the Biden Administration’s commitment to Environmental Justice,” Sarah Lutz, climate campaigner at Friends of the Earth, said in a statement. “Charging electric vehicles with forests and factory farms should be a non-starter.”

Geoff Moody, senior vice president of the American Fuel & Petrochemical Manufacturers, said the Renewable Fuel Standard was meant to be a liquid fuels program, not an electric vehicle program. He urged the EPA to go back as it develops the final rule and reject “yet another massive regulatory subsidy for electric vehicle manufacturers.”

The EPA proposes to set the total target for all kinds of renewable fuels at 20.82 billion gallons for 2023, including 15 billion gallons from corn ethanol.

The target would grow to 22.68 billion gallons for 2025, including 15.25 billion gallons of corn ethanol. The plan also calls for growth in cellulosic biofuels — which are made from fibrous plant materials — biomass-based diesel and other advanced biofuels.

Republican Senator Chuck Grassley of Iowa, which is the top corn and ethanol producing state in the United States, said in a statement that the EPA should have gone further to require even more use of advanced biofuels to move freight, which he said would help lower prices for consumer goods.

Cooper said there’s probably no way to meet the proposed higher targets without more use of E15 and E85 instead of the conventional 10% ethanol mix. That makes it important to eliminate regulations that block summertime sales of E15, he said.

So, he predicted, the EPA’s proposal should bolster prospects for legislation introduced this week by Democratic U.S. Senator Amy Klobuchar of Minnesota and GOP Senator Deb Fischer of Nebraska to allow year-round sales of E15 nationwide. E15 sales are usually prohibited between June 1 and September 15 because of concerns that it adds to smog in high temperatures.

Eight Midwestern governors asked the EPA in April to allow year-round sales of E15 in their states. But Cooper said the new bill would provide a “nationwide fix” that even the American Petroleum Institute considers preferable to the current patchwork of temporary waivers and ad hoc solutions.
…

Tech billionaire Elon Musk said his Neuralink company is seeking permission to test its brain implant in people soon.

In a “show and tell” presentation livestreamed Wednesday night, Musk said his team is in the process of asking U.S. regulators to allow them to test the device. He said he thinks the company should be able to put the implant in a human brain as part of a clinical trial in about six months, though that timeline is far from certain.

Musk’s Neuralink is one of many groups working on linking brains to computers, efforts aimed at helping treat brain disorders, overcoming brain injuries and other applications.

The field dates to the 1960s, said Rajesh Rao, co-director of the Center for Neurotechnology at the University of Washington. “But it really took off in the ’90s. And more recently we’ve seen lots of advances, especially in the area of communication brain computer interfaces.”

Rao, who watched Musk’s presentation online, said he doesn’t think Neuralink is ahead of the pack in terms of brain-computer interface achievements. “But … they are quite ahead in terms of the actual hardware in the devices,” he said.

The Neuralink device is about the size of a large coin and is designed to be implanted in the skull, with ultra-thin wires going directly into the brain. Musk said the first two applications in people would be restoring vision and helping people with little or no ability to operate their muscles rapidly use digital devices.

He said he also envisions that in someone with a broken neck, signals from the brain could be bridged to Neuralink devices in the spinal cord.

“We’re confident there are no physical limitations to enabling full body functionality,” said Musk, who recently took over Twitter and is the CEO of Tesla and SpaceX.

In experiments by other teams, implanted sensors have let paralyzed people use brain signals to operate computers and move robotic arms. In a 2018 study in the journal PLOS ONE, three participants with paralysis below the neck affecting all of their limbs used an experimental brain-computer interface being tested by the consortium BrainGate. The interface records neural activity from a small sensor in the brain to navigate things like email and apps.

A recent study in the journal Nature, by scientists at the Swiss research center NeuroRestore, identified a type of neuron activated by electrical stimulation of the spinal cord, allowing nine patients with chronic spinal cord injury to walk again.

Researchers have also been working on brain and machine interfaces for restoring vision. Rao said some companies have developed retinal implants, but Musk’s announcement suggested his team would use signals directly targeting the brain’s visual cortex, an approach that some academic groups are also pursuing, “with limited success.”

Neuralink did not immediately respond to an email to the press office. Dr. Jaimie Henderson, a neurosurgery professor at Stanford University who is an adviser for Neuralink, said one way Neuralink is different from some other devices is that it has the ability to reach into deeper layers of the brain. But he added: “There are lots of different systems that have lots of different advantages.”
…

Cameroonian health workers and people with HIV marched for World AIDS Day on December 1, calling for access to treatment for patients in conflict areas.

About half a million Cameroonians have HIV, and at least 1,000 live in troubled western regions and the border with Nigeria. The protesters urged Cameroon’s military, separatists, and militants to allow all HIV patients access to needed treatment.

Marie Chantal Awoulbe, who belongs to the Cameroon Network of Adolescents and Positive Youths, which encourages those with AIDS to get regular treatment, took part in the protest and World AIDS Day activities at Chantal Biya International Research Centre in Yaounde. The center carries out research on AIDS, and supports programs to treat and support vulnerable people with HIV.

Awoulbe said her network is asking both armed groups and government troops to stop deaths among people with AIDS where there are armed conflicts by allowing the patients access to regular treatment.

Cameroon’s public health ministry says similar protests and activities to encourage free screening took place in 70 hospitals, with at least 30 hospital workers and people with AIDS taking part at each of the hospitals.

The Cameroon government accuses separatists in the country’s west of attacking hospitals and abducting health care workers. Activists also accuse government troops of attacking and arresting hospital staff suspected of treating civilians the military believes are either fighters or sympathize with separatists.

In April, medical aid group Doctors Without Borders suspended work in Cameroon’s troubled Southwest region to protest the rearrest of four of its staff members. Authorities accused the staffers of cooperating with regional separatists, but the organization denied it.

Medical staff members say intimidation and abduction of health workers, and ceaseless battles between government troops and separatist fighters make it impossible for medical supplies to reach the troubled English-speaking regions.

Twenty-eight-year-old Betrand Lemfon said he and several dozen people with AIDS moved from Jakiri, an English-speaking northwestern town, to Bafoussam, a French-speaking commercial city. He said he and others with the disease were afraid of dying in Jakiri because they did not have access to regular treatment.

“There are a lot of persons out there who are in need of medications, so if we could have the opportunity and chance for medications to always reach every interior part of the North-West region, South-West region who are hit by the crisis, it will help the adolescents, young persons and children living with HIV to take their ARVs [antiretroviral medicines] and stay healthy,” he said.

Lemfon spoke via the messaging app WhatsApp from Bafoussam.

Cameroon’s military says it will protect all health workers and civilians in the troubled regions.

The government says the number of people with the disease in Cameroon has decreased from about 970,000 in 2010 to 500,000 in 2021.

Health officials say the decline is due to increasing awareness of the disease and its consequences. The government says sexual behavior is changing, with the number of people using condoms or abstaining from sex increasing.

Honorine Tatah, a government official in charge of AIDS control in Cameroon, said unlike in 2020 when there was resistance due to lack of awareness, many more civilians now accept systematic screening for HIV.

“During antenatal care, a woman is screened for a number of diseases including hepatitis B, HIV and if you are tested positive, you are eligible for treatment and that treatment will reduce the chances of a child getting infected with HIV. The treatment is free of charge,” Tatah said.

World AIDS Day was the first international day for global health, starting in 1988. It allows people all over the world to join in the battle against HIV, to support those with HIV, and to remember those who have died from an AIDS-related illness.
…

NASA’s uber-expensive test dummy moon mission exceeds expectations. Plus, a lunar flashlight’s frosty mission, and a state visit to NASA headquarters. VOA’s Arash Arabasadi brings us The Week in Space.
…

In October, Zimbabwe became to first African country to approve the use of the injectable HIV prevention drug known as cabotegravir. As Columbus Mavhunga reports from Harare, Zimbabwe, many are eager for the drug to become available. Videography by Blessing Chigwenhembe.
…

A new, long-lasting drug could be a game-changer for preventing HIV infections, experts say.

Advocates are hopeful that those who need it most in low- and middle-income countries will not have to wait for it as long as they have for previous HIV drugs. But questions remain about access and price.

The drug is called cabotegravir and is delivered as a shot once every other month. In clinical trials, it did a better job at preventing infection than another option — a pill taken once a day.

The bimonthly injection seems to be an easier treatment regimen to stick to than daily pills, according to Mitchell Warren, executive director of AVAC, an HIV prevention advocacy organization.

“If you can take a pill every day, that’s great. But if you can’t, we see a lot of people who start [taking the pills] who don’t continue,” he said.

Aside from the inconvenience, there can be a stigma attached to taking the pills, Warren said. The drugs for prevention, called pre-exposure prophylaxis, or PrEP, are the same as the drugs used to treat HIV infection.

“If you’re a young person and your parents find your pill bottle, they say, ‘Why are you taking this pill? Are you HIV infected?’ And the young person may say, ‘No, I’m protecting myself,'” Warren said. “And they say, ‘Well, why are you having sex?'”

Long-lasting drugs like cabotegravir or another new product, a once-a-month vaginal ring, offer patients more choices, he added.

About 1.5 million people were newly infected with HIV in 2021, according to the World Health Organization, about 60% of them in Africa.

Uganda and Zimbabwe approved cabotegravir for PrEP earlier this year. They are the first countries in sub-Saharan Africa to do so.

These approvals come less than a year after the U.S. Food and Drug Administration authorized it.

That’s progress, Warren said. FDA approved PrEP pills in 2012, but “it took three years before any African regulatory agency approved it. So, we’ve already seen a condensing of that timeline.”

Cabotegravir costs $22,000 per year in the United States. ViiV Healthcare, the company that makes the drug, has not officially announced what it will cost in low- and middle-income countries, but it is expected to be much lower. Some aid groups have indicated that ViiV will offer the drug at $250 per year.

“The problem is that actually that won’t be really affordable for countries who need to roll it out and scale up,” said Jessica Burry, a pharmacist with humanitarian group Doctors without Borders.

PrEP pills cost about $54 per year, Warren said.

“The hope is that early in 2023, we can see a price point that is much closer to that 54 [dollars] than to the 250 [dollars],” he said. “Hopefully, in the $100 range per year.”

ViiV said it is working with the U.N.-backed Medicines Patent Pool to allow generic manufacturers to produce cabotegravir at a lower price for low- and middle-income countries.

ViiV said cabotegravir is more complicated to manufacture than most HIV drugs. No generic manufacturers have been selected yet. Once they are, it will take about three to five years before a generic version is on the market.

The company has filed for regulatory approval in 11 countries so far. Burry says there should be more.

“If they’re going to be the only supplier for the next four or five years until generics are available, then they really need to step up to the plate and actually file, register and get that drug available,” she said.

Demand for the drug is unclear. PrEP pills have been slow to catch on.

About 845,000 people in more than 50 countries took them in 2020, but the United Nations was aiming for 3 million by that time.

“We don’t have a ton of PrEP users, so if you’re ViiV, you’re looking at a very small market,” Warren said.

Warren said providers and advocates need to help grow that market. They need to do a better job connecting people at risk with programs that offer PrEP, he added.

“Some of the early PrEP programs began with us thinking that if you just bought the product, people would magically show up,” he said.

Warren hopes to change that as part of a coalition that includes ViiV, the Bill and Melinda Gates Foundation, the World Health Organization and others.

“There’s a huge effort in this coalition to bring in civil society from day one, and the communities that this product is meant to help and support,” he said.

The slow uptake means PrEP has not yet shown that it can make much of a real-world impact, Warren noted. He hopes to see research programs launch next year to find the best ways to reach the communities most at risk and lower infection rates.

“If we can’t show that in the next three years, then we don’t necessarily need all these generic manufacturers, because there will not be a market for this product,” he said.
…

The United States is pushing to regain its position as a center for semiconductor manufacturing and research as part of a Biden administration plan to make the nation less reliant on supply chains in Asia. VOA’s Michelle Quinn reports from the Southwest state of Arizona on competition for billions of dollars in federal funding to bolster domestic chip manufacturing. Additional videographer: Levi Stallings
…