Day: July 15, 2023

The U.K.’s oldest medical union Saturday hit out at government plans to increase the amount migrant workers pay to use the state health care service, to cover public-sector wage increases.  

Prime Minister Rishi Sunak’s government this week approved recommendations to boost wages of teachers, doctors and police by between 5.0 to 7.0 percent.  

Sunak ruled out tax increases or government borrowing to fund the raise but instead said hikes in the Immigration Health Surcharge (IHS) and visa fees would raise $1.3 billion.  

Doctors in Unite, which represents junior doctors, general practitioners and hospital consultants, said it was “appalled” at the move, as it would see migrants pay double to use the National Health Service (NHS).  

Most employees in the U.K. have National Insurance contributions deducted at the source on their salaries, which pays for the National Health Service, as well as state pension and unemployment schemes. 

“Just like other workers, migrants contribute to NHS funding through general taxation. Doubling the NHS surcharge to over $1,570 per year is an unjust additional penalty,” Doctors in Unite said.  

“Migrants are effectively ‘taxed twice’ to access the same service,” it added, calling the move “immoral and divisive.”  

The IHS, initially brought in to prevent “medical tourism,” is now paid by most migrants under tighter post-Brexit entry rules. 

It is paid per person in addition to visa fees for stays of more than six months.  

Over-18s pay $817 per year while students and under-18s pay $615 per year.  

The government has proposed raising the IHS for adults to $1,355, and $1,016 at the reduced rate. 

Work and visit visas will go up by 15 percent, while the cost of student and leave-to-remain visas among others will rise by at least 20 percent.  

Net migration in the U.K. hit a record 606,000 in 2022, according to official figures released in May, heaping pressure on the government, which has pledged to cut dependency on foreign labor.  

Sunak has described legal immigration levels as “too high,” and is separately battling record levels of asylum claims from migrants crossing the Channel in small boats.  

Critics warn the IHS increases — paid for by individuals or their companies — could worsen under-staffing in many sectors, and prompt high-skilled workers and students to go elsewhere. 

Migrant and refugee charity Praxis has accused ministers of treating people born outside the U.K. as “cash cows” at a time when they were struggling to repay already high visa renewal fees. 

The genomics research center The Wellcome Sanger Institute said it spent more than $393,000 in immigration fees for its employees in 2022. 

“These proposed increases create further barriers for global talent… and will have a detrimental effect on [the] U.K. and global science,” said head of policy Sarion Bowers. 
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United Nations agencies said Friday that millions of Sudanese cannot obtain treatment for emergency and chronic health conditions because fighting has brought the country’s fragile health system to near total collapse.   

The U.N. Office for the Coordination of Humanitarian Affairs said in a statement violence and “shortages of supplies, damage or occupation of facilities and assaults on medical staff” are having a devastating impact on people’s lives and on their ability to access health care. 

The World Health Organization has said that some 50 attacks on health care facilities have caused 10 deaths and 21 injuries since fighting began between the Sudanese armed forces and paramilitary Rapid Support Forces three months ago. 

“Ongoing violence, rampant insecurity, repeated attacks on health, and limited access to essential health supplies, are putting the people of Sudan in a life-or-death situation, with no immediate political solution in sight,” Rick Brennan, emergency director for the WHO’s regional office for the Eastern Mediterranean said.  

Speaking from Cairo, Brennan said the violence has had a huge impact on access to the most basic health care, including treatment of such common infections as pneumonia and diarrhea, trauma treatment, and obstetric care.   

He said the conflict is preventing people with chronic conditions, such as diabetes and hypertension from getting treatment.   

“Patients who have been receiving dialysis for kidney failure and treatment for cancer are facing a sudden cessation of their treatment, with life-threatening consequences,” he said. 

He said disrupted access to those services is risking the lives of 8,000 people, including 240 children who need regular dialysis sessions.  He said many of an estimated 49,000 Sudanese cancer patients could die “without restoration of access to their cancer care.” 

He said lack of access to health care is raising the risk of malaria, measles, dengue, and cholera outbreaks.  The dangers, he said, are particularly acute with the onset of the rainy season. 

“The delivery of health care across the entire country is limited by shortage of supplies, lack of health workers and functioning health facilities, and logistic constraints due to insecurity and roadblocks by militias,” he said. 

The World Health Organization estimates 11 million people in Sudan need urgent health assistance, but few health facilities still are functioning.   Brennan said that between two-thirds and 80% of hospitals are not functioning and “in West Darfur, only one hospital is operational, but only partially.” 

Despite the ongoing insecurity and bureaucratic impediments, he said the WHO was working with local health authorities and U.N. agencies, including UNICEF and the U.N. Population Fund, to provide health care. 

For example, he said more than 170 tons of medical supplies have been delivered to hospitals and therapeutic treatments have been provided for more than 100,000 severely malnourished children. 

He said the WHO and and the U.N. Population Fund were working to provide women and girls access to sexual, reproductive, and maternal health care.   

He added that survivors of sexual and gender-based violence, which reportedly “is widespread in this conflict, as it is in so many conflicts,” were receiving medical and psychosocial support. 

“But the reality is that there are large proportions of the population to whom we do not have access, especially in Khartoum, Darfur and Kordofan,” he said. 

“Therefore, together with our U.N. partners, we are exploring all options to expand our operations, including through cross-border assistance.” 
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Visitors to Las Vegas on Friday stepped out momentarily to snap photos and were hit by blast-furnace air. But most will spend their vacations in a vastly different climate — at casinos where the chilly air conditioning might require a light sweater.

Meanwhile, emergency room doctors were witnessing another world, as dehydrated construction workers, passed-out elderly residents and others suffered in an intense heat wave threatening to break the city’s all-time record high of 47.2 degrees Celsius this weekend.

Few places in the scorching Southwest demonstrate the surreal contrast between indoor and outdoor life like Las Vegas, a neon-lit city rich with resorts, casinos, swimming pools, indoor nightclubs and shopping. Tens of millions of others across California and the Southwest, were also scrambling for ways to stay cool and safe from the dangers of extreme heat.

“We’ve been talking about this building heat wave for a week now, and now the most intense period is beginning,” the National Weather Service wrote Friday.

Nearly a third of Americans were under extreme heat advisories, watches and warnings. The blistering heat wave was forecast to get worse this weekend for Nevada, Arizona and California, where desert temperatures were predicted to soar in parts past 48.8 degrees Celsius during the day and remain above 32.2 C overnight.

Sergio Cajamarca, his family and their dog, Max, were among those who lined up to pose for photos in front of the city’s iconic “Welcome to Fabulous Las Vegas” sign. The temperature before noon already topped 37.8 C.

“I like the city, especially at night. It’s just the heat,” said Cajamarca, 46, an electrician from Brooklyn Park, Minnesota.

His daughter, Kathy Zhagui, 20, offered her recipe for relief: “Probably just water, ice cream, staying inside.”

Meteorologists in Las Vegas warned people not to underestimate the danger. “This heatwave is NOT typical desert heat due to its long duration, extreme daytime temperatures, & warm nights. Everyone needs to take this heat seriously, including those who live in the desert,” the National Weather Service in Las Vegas said in a tweet.

Phoenix marked the city’s 15th consecutive day of 43.3 degrees Celsius or higher temperatures on Friday, hitting 46.6 degrees Celsius by late afternoon, and putting it on track to beat the longest measured stretch of such heat. The record is 18 days, recorded in 1974.

“This weekend there will be some of the most serious and hot conditions we’ve ever seen,” said David Hondula the city’s chief heat officer. “I think that it’s a time for maximum community vigilance.”

The heat was expected to continue well into next week as a high pressure dome moves west from Texas.

“We’re getting a lot of heat-related illness now, a lot of dehydration, heat exhaustion,” said Dr. Ashkan Morim, who works in the ER at Dignity Health Siena Hospital in suburban Henderson.

Morim said he has treated tourists this week who spent too long drinking by pools and became severely dehydrated; a stranded hiker who needed liters of fluids to regain his strength; and a man in his 70s who fell and was stuck for seven hours in his home until help arrived. The man kept his home thermostat at 26.7 C, concerned about his electric bill with air conditioning operating constantly to combat high nighttime temperatures.

Regional health officials in Las Vegas launched a new database Thursday to report “heat-caused” and “heat-related” deaths in the city and surrounding Clark County from April to October.

The Southern Nevada Health District said seven people have died since April 11, and a total of 152 deaths last year were determined to be heat-related.

Besides casinos, air-conditioned public libraries, police station lobbies and other places from Texas to California planned to be open to the public to offer relief at least for part of the day. In New Mexico’s largest city of Albuquerque, splash pads will be open for extended hours and many public pools were offering free admission. In Boise, Idaho, churches and other nonprofit groups were offering water, sunscreen and shelter.

Temperatures closer to the Pacific coast were less severe, but still made for a sweaty day on picket lines in the Los Angeles area where actors joined screenwriters in strikes against producers.

In Sacramento, the California State Fair kicked off with organizers canceling planned horseracing events due to concerns for animal safety.

Employers were reminded that outdoor workers must receive water, shade and regular breaks to cool off.

Pet owners were urged to keep their animals mostly inside. “Dogs are more susceptible to heat stroke and can literally die within minutes. Please leave them at home in the air conditioning,” David Szymanski, park superintendent for Santa Monica Mountains National Recreation Area, said in a statement.

Meanwhile, the wildfire season was ramping up amid the hot, dry conditions with a series of blazes erupting across California this week, Wade Crowfoot, secretary of the Natural Resources Agency, said at a media briefing.

Global climate change is “supercharging” heat waves, Crowfoot added.

Firefighters in Riverside County, southeast of Los Angeles, were battling multiple brush fires that started Friday afternoon.

Stefan Gligorevic, a software engineer from Lancaster, Pennsylvania visiting Las Vegas for the first time said he planned to stay hydrated and not let it ruin his vacation.

“Cold beer and probably a walk through the resorts. You take advantage of the shade when you can,” Gligorevic said. “Yeah, definitely.”
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The chief executives of Intel Corp and Qualcomm Inc are planning to visit Washington next week to discuss China policy, according to two sources familiar with the matter.

The executives plan to hold meetings with U.S. officials to talk about market conditions, export controls and other matters affecting their businesses, one of the sources said. It was not immediately clear whom the executives would meet.

Intel and Qualcomm declined to comment, and officials at the White House did not immediately return a request for comment.

The sources said other semiconductor CEOs may also be in Washington next week. The sources declined to be named because they were not authorized to speak to the media.  

U.S. officials are considering tightening export rules affecting high-performance computing chips and shipments to Huawei Technologies Co Ltd, sources told Reuters in June. The rules would respectively affect Intel, which is preparing a new artificial intelligence chip that could be shipped to China, and Qualcomm, which has a license to sell chips to Huawei.

The Biden administration last October issued a sweeping set of rules designed to freeze China’s semiconductor industry in place while the U.S. pours billions of dollars in subsidies into its own chip industry.

The possible rule tightening would hit Nvidia particularly hard. The company’s strong position in the AI chip market helped boost its worth to $1 trillion earlier this year.

The chip industry has been warmly received in Washington in recent years as lawmakers and the White House work to shift more production to the U.S. and its allies, and away from China. Intel CEO Pat Gelsinger and Qualcomm CEO Cristiano Amon have met often with government officials.

Next week’s meetings, which one of the sources said could include joint sessions between executives and U.S. officials, come as Nvidia Corp NVDA.O and other chip companies fear a permanent loss of sales for an industry with large amounts of business in China while tensions escalate between Washington and Beijing.

One of the sources familiar with the matter said the executives’ goals for the meetings would be to ensure that government officials understand the possible impact of any further tightening of rules around what chips can be sold to China.

Many U.S. chip firms get more than one-fifth of their revenue from China, and industry executives have argued that reducing those sales would cut into profits that they reinvest into research and development.
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