Day: March 19, 2023

The white-colored humanoid “Garmi” does not look much different from a typical robot — it stands on a platform with wheels and is equipped with a black screen on which two blue circles acting as eyes are attached.

But retired German doctor Guenter Steinebach, 78, said: “For me, this robot is a dream.”

Not only is Garmi able to perform diagnostics on patients, it can also provide care and treatment for them. Or at least, that is the plan.

Garmi is a product of a new sector called geriatronics, a discipline that taps advanced technologies like robotics, IT and 3D technology for geriatrics, gerontology and nursing.

About a dozen scientists built Garmi with the help of medical practitioners like Steinebach at the Munich Institute of Robotics and Machine Intelligence.

Part of the Technical University of Munich, the institute based its unit specializing in geriatronics in Garmisch-Partenkirchen, a ski resort that is home to one of the highest proportion of elderly people in Germany.

Europe’s most populous country is itself one of the world’s most rapidly ageing societies.

With the number of people needing care growing quickly and an estimated 670,000 carer posts to go unfilled in Germany by 2050, the researchers are racing to conceive robots that can take over some of the tasks carried out today by nurses, carers and doctors.

“We have ATMs where we can get cash today. We can imagine that one day, based on the same model, people can come to get their medical examination in a kind of technology hub,” said Abdeldjallil Naceri, 43, the lead scientist of the lab.

Doctors could then evaluate the results of the robot’s diagnostics from a distance, something that could be particularly valuable for people living in remote communities.

Alternatively the machine could offer a more personalized service at home or in a care home — by serving meals, opening a bottle of water, calling for help in case of a fall or organizing a video call with family and friends.

‘We must get there’

In the Garmisch laboratory, Steinebach sat down at a table equipped with three screens and a joystick as he got ready to test the robot’s progress.

At the other end of the room, a researcher designated as a test model took his spot in front of Garmi, which poses a stethoscope on his chest — an action directed by Steinebach from afar via the joystick.

Medical data immediately appear on the doctor’s screen.

“Imagine if I had had that in my old practice,” Steinebach said, while moving the joystick.

Besides the retired doctor, other medical practitioners also visit the lab regularly to offer their ideas and feedback on the robot.

“It’s like a three-year-old child. We have to teach it everything,” Naceri said.

It’s anyone’s guess when Garmi might be ready on a commercial scale.

But Naceri is convinced that “we must get there, the statistics are clear that it is urgent.”

“From 2030, we must be able to integrate this kind of technology in our society.”

Question of trust

And if it is indeed deployed one day, residents of the Sankt Vinzenz retirement home in Garmisch, a partner of the project, will likely see Garmi whizzing down the corridors.

Just thinking about it made Mrs Rohrer, a 74-year-old resident at the home, smile.

“There are things that a robot can do, for example, serve a drink or bring meals,” she said as Eva Pioskowik, the director of the home, did her nails.

Pioskowik, who battles with staffing shortages on a daily basis, said she did not expect the robot to take the place of health workers.

“But it could allow our staff to spend a bit more time with the residents,” she said.

For Naceri’s team, one of the major challenges is not technological, medical or financial.

Rather, it remains to be seen if most patients will accept the robot.

“They need to trust the robot,” he said. “They need to be able to use it like we use a smartphone today.”
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The U.N.’s premiere global body fighting for gender equality on Saturday called for wide-ranging efforts to close the gap between men and women in today’s technology-driven world and urged zero tolerance for gender-based violence and harassment online.

In a document approved by consensus after all-night negotiations at the end of a two-week meeting, the Commission on the Status of Women expressed grave concern at the interrelation between offline and online violence, harassment and discrimination against women and girls — and it condemned the increase in these acts.

It called for a significant increase in investments by the public and private sector to bridge the gender digital divide. It also called for the removal of barriers to equal access to digital technology for all women and girls, and new policies and programs to achieve gender parity in emerging scientific and technological fields.

Sima Bahous, executive director of UN Women, an entity of the United Nations focusing on gender equality and the empowerment, called the document “game-changing” in promoting a blueprint for a more equal and connected world for women and girls. The challenge now, she said, is for governments, the private sector, civil society and young people to turn the blueprint “into reality for all women and girls.”

At the start of the commission’s two-week meeting, U.N. Secretary-General Antonio Guterres said its focus was very timely because women and girls are being left behind as technology races ahead.

“Three billion people are still unconnected to the internet, the majority of them women and girls in developing countries, [and] in least developed countries just 19% of women are online,” Guterres said. “Globally, girls and women make up just one-third of students in science, technology, engineering and mathematics” and men outnumber women two to one in the tech industry.

Bahous told the opening meeting that “the digital divide has become the new face of gender inequality,” with 259 million more men than women online last year. She also cited a survey of female journalists from 125 countries that found three-quarters had experienced online harassment in the course of their work and a third had engaged in self-censorship in response.

The “agreed conclusions” document adopted Saturday by the 45-member commission calls for equal quality education for women and girls in science, technology, engineering, mathematics, information and communications technology, and digital literacy so they can thrive in the rapidly changing world.

During lengthy negotiations on the document, which has 93 paragraphs, U.N. diplomats said language on women’s rights was challenged by Russia, Indonesia, Malaysia and the Holy See and human rights language was also challenged by those countries as well as Cuba and China. There were also intense debates over language on gender-based violence facilitated by technology, they said, speaking on condition of anonymity because negotiations were closed.

The final document reaffirms the 1995 Beijing platform adopted by 189 countries which said for the first time in a U.N. document, that women’s human rights include the right to control and decide “on matters relating to their sexuality, including their sexual and reproductive health, free of discrimination, coercion and violence.”

The final issue blocking consensus was Pakistan’s insistence on adding a reference to “foreign occupation” to the document, and Israel’s strong opposition, diplomats said. The reference was not included and before the document’s adoption Pakistan’s representative expressed regret that the needs and priorities of women belonging to developing countries and facing humanitarian crisis including foreign occupation were not included.
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Brazilian federal agents aboard three helicopters descended on an illegal mining site on Tuesday in the Amazon rainforest. They were met with gunfire, and the shooters escaped, leaving behind an increasingly familiar find for authorities: Starlink internet units.

Starlink, a division of Elon Musk’s SpaceX, has almost 4,000 low-orbit satellites across the skies, connecting people in remote corners of the Amazon and providing a crucial advantage to Ukrainian forces on the battlefield. The lightweight, high-speed internet system has also proved a new and valuable tool for Brazil’s illegal miners, with reliable service for coordinating logistics, receiving advance warning of law enforcement raids and making payments without flying back to the city.

Agents from the Brazilian environment agency’s special inspection group and the federal highway police rapid response group on Tuesday found one Starlink terminal up and running next to a pit, an officer who participated in the raid told The Associated Press. He spoke on condition of anonymity over concerns for his personal safety.

They also seized mercury, gold and ammunition, and destroyed fuel and other equipment used by miners in an area known as Ouro Mil, controlled by Brazil´s most feared criminal organization, known as the First Command of the Capital, according to federal investigations.

Since taking office this year, President Luiz Inácio Lula da Silva has sought to crack down on environmental violations, particularly illegal mining in Yanomami land, Brazil’s largest Indigenous territory. In recent years, an estimated 20,000 prospectors contaminated vital waterways with mercury used to separate gold. They have disrupted traditional Indigenous life, brought disease and caused widespread famine.

The environment agency, known as Ibama, has seized seven Starlink terminals in Yanomami land over the past five weeks, the agency’s press office said.

Illegal miners have long used satellite internet to communicate and coordinate, but until now that entailed sending a technician, usually by plane, to install a heavy, fixed antenna that cannot be carried off when mining sites move or are raided. And the connection was slow and unstable, especially on rainy days.

Starlink – which first became available in Brazil last year and has spread rapidly – solved those problems. Installation is do-it-yourself, the equipment works even on the move, speed is as fast as in Brazil´s large cities and it works during storms.

Starlink has long viewed the Amazon as an opportunity. That was underscored by Musk’s visit to Brazil last May, when he met with then-President Jair Bolsonaro.

“Super excited to be in Brazil for launch of Starlink for 19,000 unconnected schools in rural areas & environmental monitoring of Amazon,” Musk tweeted at the time.

That project with the government hasn’t advanced, however. SpaceX and the communications ministry haven’t signed any contract, and only three terminals were installed in Amazon schools for a 12-month trial period, the ministry’s press office said in an emailed response to questions.

Nevertheless, Starlink has taken off in the region and begun ushering in change.

In Atalaia do Norte, on the western reaches of the Brazilian Amazon near the borders with Peru and Colombia, Rubeney de Castro Alves installed Starlink at his hotel in December. Now, he can make bank transfers and conduct video calls. He even started bingeing Netflix.

“There are so many new things to watch that I’m not even sleeping,” Alves said, chuckling.

His son once flew all the way to Manaus, the state capital 1,140 kilometers (708 miles) away, just to negotiate with a group of tourists via conference call. Today, internet at his 11-room hotel in Atalaia do Norte is more reliable than in Manaus, and he bought a second terminal for his tour boat to enable communications on its 10-day voyages, Alves said.

With high demand for internet, dozens of the riverside town’s 21,000 residents flock to Alves’ hotel each day. Its balcony is a meeting point for teenagers who spend hours playing online games on their phones.

“It made a revolution in our city,” Alves said.

A world away, in Ukraine, Starlink has yielded advantages on the battlefield in its war with Russia.

Ukraine has received some 24,000 Starlink terminals that allow continued internet in the most vulnerable regions of the southeast even amid ongoing Russian shelling. In large Ukrainian cities, authorities have set up “points of resilience” that offer free internet along with hot beverages.

The benefits of connectivity were immediately apparent to bad actors in the Amazon, Hugo Loss, operations coordinator for Brazil´s environment agency, told the AP in a phone interview.

“This technology is extremely fast and really improves the ability to manage an illegal mine,” Loss said. “You can manage hundreds of mining sites without ever setting foot in one.”

Another official with the environment agency told AP it is just beginning to expel miners from the Yanomami territory and the spread of Starlink has complicated that mission. The official spoke on condition of anonymity because of concerns about personal safety.

An unauthorized reseller of Starlink in Boa Vista, the gateway for travel into Yanomami territory, has been marketing the units in a WhatsApp group for illegal miners and promising same-day delivery. Her price for a terminal is $1,600— six times what Alves pays for service at his little hotel in Atalaia do Norte. Others are selling the Starlink terminals on Facebook groups for illegal miners, like one called “Fanatics for Prospecting.”

As lawbreakers have gained access to superior internet service, authorities have started using Starlink themselves. Federal agents installed a terminal at a new checkpoint on the Uraricoera River – an important corridor for miners entering Yanomami territory. The official who informed the AP about the Tuesday raid used Starlink to send photos and even heavy video files of their operation.

Brazil’s environment agency told the AP via email that it, along with other federal bodies, is studying how to block Starlink’s signal in illegal mining areas, calling it crucial to stopping the activity.

The AP emailed James Gleeson, SpaceX’s Communications Director, questions about Starlink’s presence in Brazil and its use by illegal miners in remote areas, but received no response.
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Barbara Washington is a lifelong resident of Convent, Louisiana, a town of fewer than 500 residents along the Mississippi River that has been hit hard by cancer.

“One, two, three, four, five, six, seven … about eight,” she told VOA, counting the number of people on her street who have died from cancer in recent years. “And my sister died from lung cancer at just 57 years old. She didn’t smoke. She just worked at one of the chemical plants at night.”

Convent is in the southeastern part of the state, part of a corridor surrounded by chemical plants.

U.S. first lady Jill Biden’s recent visit to the nearby city of New Orleans highlighted the region’s dubious distinction of having some of the highest cancer rates in the nation. It’s a scourge the Biden administration aims to combat with an ambitious effort to cut America’s cancer death rate by at least 50% over the next 25 years.

“It’s a problem in southeast Louisiana, but it’s really a statewide problem,” said Joe Ramos, director and chief executive officer of the Louisiana Cancer Research Center (LCRC). “Louisiana is consistently among the worst-hit by cancer in the nation. We’re always among the bottom five states as far as the number of people diagnosed with cancer, as well as, unfortunately, the number of people who die from it.”

Ramos said carcinogenic pollutants in the air are undoubtedly a part of the problem, but that behavioral factors such as smoking, drinking and obesity also contribute to the state’s above-average cancer rate.

“This is a complicated problem,” he told VOA. “But the president’s focus on the issue underscores how important that coming together to find a solution is for the people of this state and this country.”

Many causes

Convent is part of what is known as Cancer Alley, a 136-kilometer stretch along the Mississippi River between New Orleans and Baton Rouge that contains more than 200 petrochemical plants and refineries.

The area is vital for America’s industrial needs, accounting for 25% of the country’s petrochemical production. But local residents can’t help but think about the human costs involved.

“This was such a beautiful place to grow up,” said Myrtle Felton, another Convent resident, recalling her childhood here in the 1960s. “It was so clean, and you could grow a garden and play outside for as long as your parents would let you.

“Nowadays, you wake up in the morning, and you find chemical residue from the surrounding factories covering your car and damaging it,” she said. “You find the side of your house is discolored yellow. Your roof, too. Pollution is billowing out from the factories, and it’s scary because you can’t help thinking that you’re breathing this stuff. It’s best not to go outside some days.”

Not everyone is convinced, however, that petrochemical plants are to blame for Louisiana’s high prevalence of cancer. Senator Bill Cassidy, a medical doctor and a Republican from Louisiana, pushed back against this assertion.

“We have a higher incidence of cigarette smoking, of obesity, of certain viral infections and other things which increase the incidence of cancer in our state,” he told New Orleans’ Times-Picayune in 2021.

“So, whenever you speak of Cancer Alley … you have to do what is called a regression analysis to separate out those factors,” Cassidy added, “and several others that could be an alternative, and a more typical explanation for why some folks may have cancer. When you do that, the amount of cancer which is left unexplained is pretty marginal.”

Comprehensive solutions required

In a study published last year, Tulane University’s Environmental Law Clinic estimated that high levels of toxic air pollution were responsible for 85 cancer cases each year in Louisiana.

The study also found that neighborhoods with higher poverty levels were most susceptible to living with higher levels of toxic air pollution. Poorer neighborhoods with the most toxic air had an average annual cancer rate of 502 cases per 100,000 people, compared with the state average of 480.3 cases per 100,000 residents.

Those defending the right of the industrial plants to operate so close to residents say the correlation between the plants and cancer isn’t as conclusive as factors such as obesity and smoking.

Kim Terrell, lead author of the Tulane clinic’s study, however, insists focusing on one cause of cancer over another is counterproductive.

“To me, it’s like saying that drinking and driving kills more people than texting and driving,” she told VOA. “Who cares? Neither is a good idea, and both should be stopped. Similarly, there are a lot of different risk factors for cancer, and if we’re going to improve health outcomes in our state, we have to tackle all of those risk factors and not just focus on one at a time.”

Cancer Moonshot

That’s what the Biden administration aims to do through the Cancer Moonshot, an initiative Joe Biden first championed as vice president in 2016 to supercharge America’s fight against cancer.

Biden, who lost his son Beau to brain cancer in 2015, proposed $2.8 billion in new Cancer Moonshot funding in his 2024 federal budget submitted to Congress this month. Among the many projects the Moonshot would fund are efforts to better understand how environmental factors affect cancer risks, boost cancer screening, decrease preventable cancers, better support patients and caregivers, and augment cutting-edge cancer research.

While Republicans, who control the House of Representatives, declared Biden’s budget “dead on arrival,” federal efforts to combat deadly diseases from Alzheimer’s to cancer have long garnered bipartisan support.

“Everyone who wants to be a part of this fight has a place,” said LCRC director Ramos. “It’s going to take academia, the public sector, the private sector — all of us working together on a variety of solutions at once.”

Moving forward

Nearly 2 million new cancer cases are expected to be diagnosed in the United States this year, with more than 600,000 deaths. A disproportionate number of diagnoses and deaths will occur in Louisiana, where Jill Biden last week committed to “building a world where cancer is not a death sentence.”

“I think the first lady’s visit to Louisiana last week is an indication of the administration’s continued commitment to cancer research,” said Erik Flemington, a professor of cancer research at the Tulane University School of Medicine, a partner in LCRC, “and I think it shows their appreciation for the importance of reaching parts of the country that are more highly impacted by cancer.”

But Louisiana isn’t only highly impacted. It’s also a state that many believe is poised to make big advances in the fight against cancer.

“The Louisiana Cancer Research Center — and I like to call it Louisiana’s Cancer Research Center — is embedded in the community at so many different points,” Ramos told VOA. “We’re engaged in clinical trials in communities across the state because we want to understand exactly what our communities are going through and how best to help them survive and thrive.”

He added, “Our physical center is also in the heart of the biomedical center where our faculty can create startup companies and work with existing private companies to develop more effective diagnostics and therapeutics.”

Ramos believes the LCRC will have a big role in achieving Biden’s ambitious Moonshot goals.

That would be important news for Louisianans like Washington and Felton, who, through activist organizations such as Inclusive Louisiana seek to draw attention to the devastating impact of cancer on their communities.

“Our health is all we have,” Washington told VOA. “We need help lowering the risk of cancer in our communities. Finding a cure is important, yes, but so is putting a moratorium on any new chemical plant trying to come to our community, and having our government regulate any plant that’s already here. This is our life we’re talking about, and it matters.”
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