Day: February 13, 2025

BALTIMORE — A federal judge on Thursday temporarily blocked President Donald Trump’s recent executive order aimed at restricting gender-affirming health care for transgender people under age 19.

The judge’s ruling came after a lawsuit was filed earlier this month on behalf of families with transgender or nonbinary children who allege their health care has been compromised by the president’s order. A national group for family of LGBTQ+ people and a doctors organization are also plaintiffs in the court challenge, one of many lawsuits opposing one of the many executive orders Trump has issued.

Judge Brendan Hurson, who was nominated by former President Joe Biden, granted the plaintiffs’ request for a temporary restraining order following a hearing in federal court in Baltimore. The ruling, in effect for 14 days, essentially puts Trump’s directive on hold while the case proceeds. The restraining order could also be extended.

Shortly after taking office, Trump signed an executive order directing federally run insurance programs to exclude coverage for gender-affirming care. That includes Medicaid, which covers such services in some states, and TRICARE for military families. Trump’s order also called on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.

The lawsuit includes several accounts from families of appointments being canceled as medical institutions react to the new directive.

Attorneys for the plaintiffs argue Trump’s executive order is “unlawful and unconstitutional” because it seeks to withhold federal funds previously authorized by Congress and because it violates anti-discrimination laws while infringing on the rights of parents.

Like legal challenges to state bans on gender-affirming care, the lawsuit also alleges the policy is discriminatory because it allows federal funds to cover the same treatments when they’re not used for gender transition.

Some hospitals immediately paused gender-affirming care, including prescriptions for puberty blockers and hormone therapy, while they assess how the order affects them.

Trump’s approach on the issue represents an abrupt change from the Biden administration, which sought to explicitly extend civil rights protections to transgender people. Trump has used strong language in opposing gender-affirming care, asserting falsely that “medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex.”

Major medical groups such as the American Medical Association and the American Academy of Pediatrics support access to gender-affirming care.

Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive puberty blockers or hormones. Surgery is extremely rare for minors.
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NEW YORK — A new study shows that bird flu has silently spread from animals to some veterinarians.

The study published Thursday by the Centers for Disease Control and Prevention echoes two smaller ones that detected evidence of infection in previously undiagnosed farmworkers. In those studies, several of the infected workers remembered having symptoms of H5N1 bird flu, while none of the veterinarians in the new paper recalled any such symptoms.

The new study is more evidence that the official U.S. tally of confirmed human bird flu infections — 68 in the last year — is likely a significant undercount, said Dr. Gregory Gray, an infectious-disease researcher at the University of Texas Medical Branch in Galveston.

“This means that people are being infected, likely due to their occupational exposures, and not developing signs of illness and therefore not seeking medical care,” Gray said.

He said it shows that officials cannot fully understand bird flu transmission by only tracking people who go to medical clinics with symptoms.

Evidence of antibodies

CDC researchers went to an American Association of Bovine Practitioners veterinary conference in September 2024 in Columbus, Ohio. They recruited 150 vets from 46 states to fill out a questionnaire and agree to have their blood drawn. None said they had suffered red eyes or other symptoms associated with bird flu.

Testing found three of the vets, or 2%, had evidence of antibodies to H5N1 infection. All three worked with dairy cattle, as well as other animals. None had worked with a herd known to be infected, although one had worked with a flock of infected poultry.

Gray and some colleagues did a study last year of 14 dairy farmworkers and found that two, or 14%, had evidence of past infections. Both had experienced symptoms but were never diagnosed.

Another study published last year by the CDC checked 115 dairy workers. The researchers found that eight of them, or 7%, had evidence in their blood of recent infection. Half recalled feeling ill.

The studies were far too small to use as a basis to provide a solid estimate of how many undiagnosed human infections are out there, Gray said. But even just a very small percentage could translate to hundreds or thousands of Americans who were infected while working with animals, he noted.

That’s not necessarily a reason to be alarmed, said Jacqueline Nolting, an Ohio State University researcher who helped CDC with the latest study.

Available studies suggest people who are infected mount antibody responses and may develop natural immunity, which is “good news,” she said.

However, if the virus changes or mutates to start making people very sick, or to start spreading easily from person to person, that would be “a completely different story,” Nolting said.

Caution around sick birds 

The H5N1 bird flu has been spreading widely among wild birds, poultry, cows and other animals. Its escalating presence in the environment increases the chances people will be exposed and potentially catch it, officials have said.

Right now, the risk to the public is low, the CDC says. But officials continue to urge people who have contact with sick or dead birds to take precautions, including wearing respiratory and eye protection and gloves when handling poultry.

“No one’s really questioning that the virus has been moving around the country more than has been reported,” said Keith Poulsen, director of the Wisconsin Veterinary Diagnostic Laboratory. 

He said he expected to see stepped-up information reminding veterinarians across the country to protect themselves with gloves, masks and other equipment to halt infection.
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At this week’s Artificial Intelligence Action Summit in Paris, world leaders and technologists gathered to discuss the rapidly evolving field of generative artificial intelligence. Many are eager to join the global AI race, while others are proceeding with caution. Tina Trinh reports.
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WASHINGTON — The U.S. Senate on Thursday confirmed Robert F. Kennedy Jr. as President Donald Trump’s health secretary, putting the prominent vaccine skeptic in control of $1.7 trillion in federal spending, vaccine recommendations and food safety as well as health insurance programs for roughly half the country.

Republicans fell in line behind Trump despite hesitancy over Kennedy’s views on vaccines, voting 52-48 to elevate the scion of one of America’s most storied political — and Democratic — families to secretary of the Health and Human Services Department.

Republican Senator Mitch McConnell, who had polio as a child, was the only “no” vote among Republicans, mirroring his stands against Trump’s picks for the Pentagon chief and director of national intelligence. All Democrats opposed Kennedy.

The GOP has largely embraced Kennedy’s vision to “Make America Healthy Again” by directing the public health agencies to focus on chronic diseases such as obesity.

Kennedy, 71, whose name and family tragedies have put him in the national spotlight since he was a child, has earned a formidable following with his populist and sometimes extreme views on food, chemicals and vaccines.

His audience only grew during the COVID-19 pandemic, when Kennedy devoted much of his time to a nonprofit that sued vaccine makers and harnessed social media campaigns to erode trust in vaccines as well as the government agencies that promote them.

With Trump’s backing, Kennedy insisted he was “uniquely positioned” to revive trust in those public health agencies, which include the Food and Drug Administration, the Centers for Disease Control and Prevention, and the National Institutes for Health.

Last week, Senator Thom Tillis, a Republican, said he hoped Kennedy “goes wild” in reining in health care costs and improving Americans’ health. But before agreeing to support Kennedy, potential holdout Senator Bill Cassidy, a Republican a doctor who leads the Senate Health, Education, Labor and Pensions Committee, required assurances that Kennedy would not make changes to existing vaccine recommendations.

During Senate hearings, Democrats tried to prod Kennedy to deny a long-discredited theory that vaccines cause autism. Some lawmakers also raised alarms about Kennedy financially benefiting from changing vaccine guidelines or weakening federal lawsuit protections against vaccine makers.

Kennedy made more than $850,000 last year from an arrangement referring clients to a law firm that has sued the makers of Gardasil, a human papillomavirus vaccine that protects against cervical cancer. If confirmed as health secretary, he promised to reroute fees collected from the arrangement to his son.

Kennedy will take over the agency amid a massive federal government shakeup, led by billionaire Elon Musk, that has shut off — even if temporarily — billions of taxpayer dollars in public health funding and left thousands of federal workers unsure about their jobs.

On Friday, the NIH announced it would cap billions of dollars for medical research given to universities and hospitals to develop treatments for diseases such as cancer and Alzheimer’s.

Kennedy, too, has called for a staffing overhaul at the NIH, FDA and CDC. Last year, he promised to fire 600 employees at the NIH, the nation’s largest funder of biomedical research.
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LONDON — Work to give 21st-century London yet another skyscraper has uncovered traces — in fact chunks — of the city’s origins almost 2,000 years ago. 

Archaeologists exploring the site of a planned 32-story office tower announced Thursday that they have unearthed the remains of a Roman basilica that once stood at the heart of the city known as Londinium. 

Excavations in the basement of a building slated to be demolished for the tower at 85 Gracechurch St. uncovered flint, brick and ragstone walls and foundations, up to 1 meter (over 3 feet) wide, 4 meters (13 feet) deep and two millennia old. 

Sophie Jackson of Museum of London Archaeology called it “one of the most significant discoveries” in years in London’s oldest quarter, the City – the square-mile financial district where modern glass high-rises stand atop the remnants of Victorian, medieval and even earlier structures. 

What’s been uncovered are the foundations of a two-story building, almost as big as an Olympic swimming pool. It was constructed between 78 and 84 A.D., about three decades after Roman troops invaded Britain and some 20 years after forces of the Celtic warrior queen Boudicca sacked the fledgling settlement. 

The basilica was part of the forum — the social, political and commercial heart of Roman London — where people went to shop, mingle, seek justice and hear the latest edicts from political leaders. The newly discovered remains are believed to form part of the tribunal, a raised area of the forum where politicians and officials made decisions about the city’s governance. 

It’s the “beating heart of the city,” said Andrew Henderson-Schwartz, head of public impact at Museum of London Archaeology. “It kind of towers above the city. And so it’s a real symbol of Roman power and authority. 

“We’re talking about the early stages of London here, but it’s a real sign of investment in the city, even in its early infancy,” he said. 

Developer Hertshten Properties, which owns the site and has planning permission for a new office tower, has agreed to incorporate the remains into its plans and put them on display in a visitor center. 

Henderson-Schwartz said the extent of the “absolutely massive” foundations discovered in several test pits suggests an “extraordinary” level of preservation. 

Further digging could answer intriguing questions, including why the original forum was only used for 20 years before being replaced by a much larger one, which remained in use until the collapse of Roman rule in Britain three centuries later. Items such as writing tablets, styluses, and even ancient trash could give glimpses into the daily lives of Roman Londoners. 

Property developers in Britain routinely have to consult archaeologists as part of their planning process, a practice that has uncovered finds from Saxon jewelry to medieval ice skates to the skeletons of 14th-century plague victims. 

The latest discovery adds to the scant traces of Roman London that can be seen around the city, including a section of ancient wall, a portion of amphitheater beneath the Guildhall and a temple to the god Mithras which lies incongruously under the modern headquarters of information company Bloomberg. 

“We do have these little windows into Roman London that are all over the city,” Henderson-Schwartz said. “But this is really in some ways the site that connects them all together. This is the heart of Rome in London, where all the decisions were made.” 
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Seoul — As a high school junior in the Maryland suburbs of Washington, Daneel Kutsenko never gave much thought to China.

Last month, though, as the U.S. government prepared to ban TikTok – citing national security concerns about its Chinese ownership – Kutsenko downloaded RedNote, another Chinese video-sharing app, which he felt gave him a new perspective on China.

“It just seems like people who live their life and have fun,” Kutsenko told VOA of RedNote, which reportedly attracted hundreds of thousands of U.S. users in the leadup to the now-paused TikTok ban.

Kutsenko’s move is part of a larger trend. Even as U.S. policymakers grow louder in their warnings about Chinese-owned apps, they have become a central part of American life.

TikTok, owned by China’s ByteDance, boasts 170 million U.S. users. China’s AI chatbot DeepSeek surged to the top of Apple’s App Store rankings, including those in the United States, for several days after its release last month.

Another major shift has come in online shopping, where Americans are flocking to digital Chinese marketplaces such as Temu and Shein in search of ultra-low prices on clothes, home goods, and other items.

According to a 2024 survey by Omnisend, an e-commerce marketing company, 70% of Americans shopped on Chinese platforms during the past year, with 20% doing so at least once a week.

Multifaceted threat

U.S. officials warn that Chinese apps pose a broad range of threats – whether to national security, privacy, human rights, or the economy.

TikTok has been the biggest target. Members of Congress attempting to ban the app cited concerns that China’s government could use TikTok as an intelligence-gathering tool or manipulate its algorithms to push narratives favorable to Beijing.

Meanwhile, Chinese commerce apps face scrutiny for their rock-bottom prices, which raise concerns about ethical sourcing and potential links to forced labor, Sari Arho Havrén, an associate fellow at the Royal United Services Institute, a London-based research organization, said in an email conversation with VOA.

“It raises questions of how sustainably these products are made,” Havrén, who focuses on China’s foreign policy and great power competition, said. Moreover, he said, “the pricing simply kills local manufacturers and businesses.”

Many U.S. policymakers also warn Chinese apps pose greater privacy risks, since Chinese law requires companies to share data with the government on request.

‘Curiosity and defiance’

Still, a growing number of Americans appear unfazed. Many young people in particular seem to shrug off the privacy concerns, arguing that their personal data is already widely exposed.

“They could get all the data they want. And anyway, I’m 16 – what are they going to find? Oh my gosh, he goes to school? There’s not much,” Kutsenko said.

Ivy Yang, an expert on U.S.-China digital interaction, told VOA many young Americans also find it unlikely that they would ever be caught up in a Chinese national security investigation.

“What they’re chasing is a dopamine peak. They’re not thinking about whether or not the dance videos or the cat tax pictures they swipe on RedNote are going to be a national security threat,” Yang, who founded the New York-based consulting company Wavelet Strategy, said.

Yang said the TikTok ban backlash and surge in RedNote downloads may reflect a shift in how young Americans see China – not just as a geopolitical rival, but as a source of apps they use in daily life.

She also attributes their skepticism to a broader cultural mindset – one shaped by a mix of curiosity, defiance, and a growing distrust of institutions, including conventional media.

Jeremy Goldkorn, a longtime analyst of U.S.-China digital trends and an editorial fellow at the online magazine ChinaFile, said growing disillusionment with America’s political turmoil and economic uncertainty has intensified these shifts.

“It makes it much more difficult for, particularly, young people to get worked up about what China’s doing when they feel so horrified about their own country,” Goldkorn said during a recent episode of the Sinica podcast, which focuses on current affairs in China.

Polling reflects this divide. A 2024 Pew survey found 81% of Americans view China unfavorably, but younger adults are less critical – only 27% of those under 30 have strongly negative views, compared to 61% of those 65 and older.

Digital barrier

While Chinese apps are expanding in the United States, in many ways the digital divide remains as impenetrable as ever.

China blocks nearly all major Western platforms and tightly controls its own apps, while the U.S. weighs new restrictions on Chinese tech.

Though President Donald Trump paused the TikTok ban, his administration has signaled broader efforts to curb China’s tech influence.

Trump officials have hinted they could take steps to regulate DeepSeek, the Chinese digital chatbot.

The Trump administration also recently signaled it intends to close a trade loophole that lets Chinese retailers bypass import duties and customs checks.

Broader challenges

Even as Washington debates how to handle the rise of Chinese apps, some analysts say the conversation risks obscuring the deeper issue of the broader role of social media itself.

Rogier Creemers, a specialist in digital governance at Leiden University, told VOA that while Chinese apps may raise valid concerns for Western countries, they are just one part of a larger, unaddressed problem.

“There’s a whole range of social ills that emerge from these social media that I think are far more important than anything the Chinese Communist Party could do,” he said, pointing to issues like digital addiction, declining attention spans, and the way social media amplifies misinformation and political unseriousness.

“And that would apply whether these apps are Chinese-owned or American-owned or Tajikistani-owned, as far as I’m concerned,” he added.

The United States, Creemer said, has taken a more hands-off approach to regulating online platforms, in part due to strong free speech protections and pushback by the tech industry.

Apps or influence?

For millions of Americans, the bigger debates about China and digital influence barely register when they open TikTok.

Kutsenko said neither he nor his friends have strong opinions about U.S.-China tensions. They just wanted an alternative to TikTok – one that felt fun, familiar, and easy to use.

It’s a sign that while policymakers see Chinese apps as part of a growing tech rivalry, for many Americans they’re just another way to scroll, shop, and stay entertained, no matter where they come from.
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