Day: April 15, 2023

A man in Chile is infected with a bird flu that has concerning mutations, but the threat to people from the virus remains low, U.S. health officials said Friday.

Past animal studies suggest these mutations could cause the virus to be more harmful or spread more easily, health officials said. But they also said there is no evidence that the mutations would make it easier for it to take root in a person’s upper lungs — a development that would raise concerns about it spreading among people.

The mutations do not change public health officials’ assessment of the overall risk to people from the H5N1 virus, which “continues to be low,” said Vivien Dugan of the Centers for Disease Control and Prevention.

The mutations, which have appeared only in the one hospitalized patient, may have occurred after the man got sick, CDC officials said. There’s no evidence that the mutated virus spread to other people, mixed with other flu viruses, or developed the ability to fight off current medicines or evade vaccines, agency officials said.

Such genetic changes have been seen in past bird flu infections.

“Nevertheless, it’s important to continue to look carefully at every instance of human infection,” Dugan said. “We need to remain vigilant for changes that would make these viruses more dangerous to people.”

Threat first identified in 1997

This type of flu, called Type A H5N1, was first identified as a threat to people during a 1997 outbreak in Hong Kong, when visitors to live poultry markets caught it.

Sporadic outbreaks have followed, and more than 450 people have died in the past two decades from bird flu infections, according to the World Health Organization. Most infected people got it directly from birds.

As bird flu hits other species, however, scientists fear the virus could evolve to spread more easily among people. And it has been spreading widely to birds and animals in scores of countries.

Millions of chickens dead

In the U.S., it has recently been detected in wild birds in every state, as well as in commercial poultry operations and backyard flocks. Since the beginning of last year, tens of millions of chickens have died of the virus or been killed to stop outbreaks from spreading, one of the reasons cited for soaring U.S. egg prices.

The new lab analysis looked at the virus found in the lungs of a 53-year-old man living in Chile’s Antofagasta region. It may be that he became infected through contact with sick or dead birds or infected sea lions, according to a WHO summary of the case.

The man was healthy and had not traveled recently. On March 13, he started getting a cough, sore throat and hoarseness, the WHO said.

His symptoms worsened and eventually he was sent to an intensive care unit and treated with antiviral medicines and antibiotics. He is still hospitalized and being monitored, CDC officials said.

Genetic sequencing this week revealed the two concerning mutations. Chilean and American health officials have been working together on the investigation.

Andrew Pekosz, a flu researcher at Johns Hopkins University, said he hasn’t seen the preliminary analysis of the Chilean patient’s infection.

“When these viruses get into humans, there’s a likelihood that they start to adapt to grow better in us,” and this is a sign that is happening, he said.

There are three or four kinds of mutations that would need to be seen in a H5N1 virus “before that would really raise the alarm signal that something is happening of concern,” he added.
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For 35 years, the Emsland nuclear power plant in northwestern Germany has reliably provided millions of homes with electricity and many with well-paid jobs in what was once an agricultural backwater.

Now, it and the country’s two other remaining nuclear plants are being shut down. Germany long ago decided to phase out both fossil fuels and nuclear power over concerns that neither is a sustainable source of energy.

The final countdown Saturday — delayed for several months over feared energy shortages because of the Ukraine war — is seen with relief by Germans who have campaigned against nuclear power.

Yet with energy prices stubbornly high and climate change a growing concern, some in the country and abroad are branding the move reckless. As Germany closes nuclear stations, other governments in Europe have announced plans to build new ones or have backtracked on commitments to shut down existing plants.

“The Emsland nuclear power plant has indeed contributed significantly to the economic development of this region,” says Albert Stegemann, a dairy farmer and lawmaker for the opposition Christian Democrats who represents the nearby town of Lingen and surrounding areas in the federal parliament.

Unlike some of his conservative colleagues, Stegemann isn’t worried the lights will go out in Germany when the three reactors — Emsland, Neckarwestheim II and Isar II — are switched off for good. The closure of three other plants in late 2021 reduced nuclear’s share of electricity produced in Germany to about 5% but didn’t result in any blackouts.

The 47-year-old is also realistic about the lack of support the technology has among German voters, though he insists the vast majority of people in Lingen supported the plant.

“In the long term, nuclear power is certainly not the technology of the future. But at this time it would have been good to be able to rely on it,” he said.

Against the backdrop of the Russian attack on Ukraine and the challenges of climate change “it would have been wise to think about (delaying the shutdown) another one, two or three years,” Stegemann said.

“Politicians need to adjust to changed circumstances,” he added. “And I accuse the government of not doing that at all.”

Similar concerns have been raised in other quarters.

“Right now, existing nuclear plants are a critical source of carbon-free baseload energy,” said Peter Fox-Penner, previously a senior official at the U.S. Department of Energy and now with the Boston University Institute for Sustainable Energy. “Energy efficiency, wind, and solar energy will soon become dominant sources, but in the meantime, it is wisest to continue to run existing nuclear,” as long as safety is the priority, he said.

The government of German Chancellor Olaf Scholz has made clear, however, that a further extension isn’t in the cards.

“Nuclear power remains a risky technology, and in the end, the risks can’t be controlled even in a high-tech country like Germany,” Environment Minister Steffi Lemke said at a news conference ahead of the shutdown.

She cited the disaster at Japan’s Fukushima atomic power plant in 2011, when a tsunami knocked out the power supply leading to a catastrophic meltdown, evoking memories of the 1986 disaster at Chernobyl that remains a pivotal event for Germany’s anti-nuclear movement.

While Lemke’s environmentalist Green party is most closely linked to that movement, it was former Chancellor Angela Merkel — then leader of Stegemann’s Christian Democrats — who pulled the plug on atomic energy in Germany following Fukushima. The decision led to a greater reliance on fossil fuels that has kept Germany’s greenhouse gas emissions stubbornly high compared to neighbors such as atom-friendly France.

At Lingen’s modern town hall, Mayor Dieter Krone said there are mixed feelings about the imminent nuclear shutdown, which will be marked with a small, closed-doors ceremony inside the plant.

“For the staff, it will be a moment of sadness” he said, noting that Emsland has safely produced electricity for Germany and its neighbors for decades. “On the other hand, it’s the start of a new era because we want to get into hydrogen.”

For the past 12 years, Krone and others have worked to convince public and private partners to invest in what they hope will be a key green fuel of the future. The region already produces more renewable energy than it consumes and aims to become a hub for hydrogen production using wind and solar power in the coming years.

“We have the big advantage that all the infrastructure, the networks, are there,” he said.

One of the world’s biggest clean hydrogen production facilities is due to begin operating in Lingen this fall. Some of it will be used to make “green steel,” a vital step if Europe’s biggest economy wants to become carbon neutral by 2045.

“I believe we are going to become the biggest and most significant location in Germany for hydrogen,” Krone said. “As such, I do think we can say this is a kind of blueprint for development.”

Critics have warned that without nuclear power, Germany will have to rely on dirty coal and gas plants for energy during periods of overcast but calm weather — a condition for which Germans have even coined a new term, Dunkelflaute.

The government has dismissed such concerns, arguing that thanks to Europe’s integrated electricity network, Germany can import energy when needed while remaining a net exporter.

Lemke has brushed aside suggestions that Germany’s no-nuclear policy will hamper efforts to cut the country’s emissions.

“The expansion of renewables remains the cheaper and in particular faster path if we want to achieve the climate goals,” she told reporters in Berlin earlier this month, pointing to significant delays and cost overruns in the construction of nuclear power plants elsewhere in Europe.

Meanwhile, the price of installing solar and wind energy has dropped significantly in recent years, a trend that is expected to continue.

Back in Lingen, activist Alexander Vent of the anti-nuclear group AgIEL says the shutdown isn’t the end of the road for their efforts.

“We want to stop and commemorate this day. Of course it’s a reason to celebrate,” he said. “But for us it’s basically a milestone that’s been reached. We now need to look forward because we see there’s still a lot left to do.”

Campaigners like Vent have now shifted their focus to nearby facilities that process nuclear fuel for reactors elsewhere in Europe.

“We need to stop enriching uranium,” he said. “We need to stop producing fuel rods for all the nuclear plants outside Germany.”
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A trio of health care bills enshrining access in Colorado to abortion and gender-affirming procedures and medications became law Friday as the Democrat-led state tries to make itself a safe haven for its neighbors, whose Republican leaders are restricting care. 

The main goal of the legislation signed by Democratic Governor Jared Polis is to ensure people in surrounding states and beyond can go to Colorado to have an abortion, begin puberty blockers or receive gender-affirming surgery without fear of prosecution. Bordering states of Wyoming and Oklahoma have passed abortion bans and Utah has severely restricted transgender care for minors. 

Many states with abortion or transgender care bans are also criminalizing traveling to states for the purpose of accessing legal health care. 

The contradicting laws are setting the stage for interstate disputes comparable to the patchwork of same-sex marriage laws that existed until 2015, or the 19th-century legal conflict over whether fugitive enslaved people in free states remained the property of slaveholders when they escaped. 

The governor’s office was packed with lawmakers, advocates and health care providers, many of them women, for a ceremony with a celebratory feel that resembled a rally at times with loud applause and call-and-response chants. 

“We see you and in Colorado, we’ve got your back,” Democratic state Senator Julie Gonzalez said during the ceremony. 

With the new laws, Colorado joins Illinois as a progressive place offering reproductive rights to residents of conservative states. Illinois abortion clinics now serve people living in a 2,900-kilometer (1,800-mile) stretch of 11 Southern states that have largely banned abortion. 

Florida, temporarily a haven for abortion seekers in those states, outlawed abortions after six weeks. The bill, signed by Republican Governor Ron DeSantis on Friday in a closed-door ceremony, doesn’t go into effect right away. 

California and New York are considering similar bills, with the U.S. Supreme Court having knocked down Roe. v. Wade, putting abortion laws in the hands of state legislatures. 

Colorado’s southern neighbor, New Mexico, is also controlled by Democrats and passed a similar abortion protection bill earlier this year. It legally shields those who seek abortions or gender-affirming care, and those who provide the treatments, from interstate investigations. 

Ashley Blinkhorn, a graduate student and activist who testified in favor of the Colorado bills during legislative hearings, said they would help people across the country, including possibly her recently married friends in their 30s and her queer friends in her former homes of Texas and Florida. 

“It’s a real comfort to know that Colorado … will provide health care to them if they visit or if they move here,” she said. 

Visits to Colorado’s abortion clinics have increased by about a third since the Supreme Court ruling, and wait times for an appointment have increased from one or two days up to three weeks, according to state lawmakers. They also expect an increase in wait times for gender-affirming care. 

Colorado House Minority Leader Mike Lynch said he feared the legislation would make Colorado an abortion destination that will attract “the vulnerable, the indigent and frightened minors from all over the country” and said the package of laws does not protect choice. 

“They deny a new mother the choice to consider alternative options other than to end her pregnancy,” Lynch, a Republican from Wellington, said in a statement. 

Karen Middleton, president of Cobalt Advocates, a Denver-based organization that pushes for abortion access, said most of the women traveling to Colorado since the Supreme Court ruling have come from Texas and Wyoming. The organization spent $220,000 to help women get access to abortion in Colorado last year, most of them from other states, up from $6,000 in 2021, she said. 

Polis added the first layer of abortion protection a year ago, signing an executive order that bars state agencies from cooperating with out-of-state investigations regarding reproductive health care. One of the bills he signed Friday codifies that order into law. Like the New Mexico law, it blocks court summonses, subpoenas and search warrants from states that decide to prosecute someone for having an abortion. 

Colorado’s abortion law extends the protections to transgender patients dodging restrictions in their own states. Gender-affirming health care has been available for decades, but some states have recently barred minors from accessing it, even with parental consent. Hospitals in some of those states say gender-affirming surgeries are rarely recommended for minors anyway. Puberty blockers are more common. 

Conservative states are pushing back. Idaho passed a bill that outlaws providing a minor with abortion pills and helping them leave the state to terminate a pregnancy without their parents’ consent. 

The Colorado law comes as medication abortions are in limbo across the U.S. and mail-order prescriptions of a crucial abortion drug are virtually banned pending the outcome of a federal court case. 

Also on Friday, Polis signed a measure that outlaws “deceptive practices” by anti-abortion centers, which are known to market themselves as abortion clinics but don’t actually offer the procedure. Instead, they attempt to persuade patients to not terminate their pregnancies. The bill also prohibits sites from offering what’s called an abortion pill reversal — an unproven practice to reverse a medical abortion. 

A third bill signed Friday requires large employers to offer coverage for the total cost of an abortion, with an exception for those who object on religious grounds. It exempts public employees because Colorado’s constitution forbids the use of public funds for abortions.
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