Category: Silicon Valley

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Mumbai, India — A batch of toxic illegal alcohol in India has killed at least 34 people with more than 100 others rushed to hospital, Tamil Nadu state officials told reporters Thursday.

The deadly mix of locally brewed arrack drink was laced with poisonous methanol, chief minister M.K. Stalin said, the Press Trust of India news agency reported.

Stalin said arrests have been made over the deaths and warned such crimes “ruin society and will be suppressed with an iron fist,” according to a statement from his office.

Hundreds of people die every year in India from cheap alcohol made in backstreet distilleries.

In order to increase its potency the liquor is often spiked with methanol which can cause blindness, liver damage and death.

In the Tamil Nadu case, more than 100 people were hospitalized according to M.S. Prasanth, top government official in the state’s Kallakurichi district, quoted by Indian media.

State governor R.N. Ravi was “deeply shocked” at the deaths, adding that “many more victims are in serious condition battling for (their) lives,” writing on social media platform X.

Tamil Nadu is not a dry state, but liquor traded on the black market comes at a lower price than alcohol sold legally.

Selling and consuming liquor is prohibited in several other parts of India, further driving the thriving black market for potent and sometimes lethal backstreet moonshine.

Last year, poisonous alcohol killed at least 27 people in one sitting in the eastern Indian state of Bihar, while in 2022, at least 42 people died in Gujarat.
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LONDON — Global fossil fuel consumption and energy emissions hit all-time highs in 2023, even as fossil fuels’ share of the global energy mix decreased slightly on the year, the industry’s Statistical Review of World Energy report said on Thursday.

Growing demand for fossil fuel despite the scaling up of renewables could be a sticking point for the transition to lower carbon energy as global temperature increases reach 1.5C (2.7F), the threshold beyond which scientists say impacts such as temperature rise, drought and flooding will become more extreme.

“We hope that this report will help governments, world leaders and analysts move forward, clear-eyed about the challenge that lies ahead,” Romain Debarre of consultancy Kearney said.

Last year was the first full year of rerouted Russian energy flows away from the West following Moscow’s invasion of Ukraine in 2022, and also the first full year without major movement restrictions linked to the COVID-19 pandemic.

Overall global primary energy consumption hit an all-time high of 620 Exajoules, the report said. (An Exajoule is equal to 1018 joules.) Emissions exceeded 40 metric gigatons of CO2 for the first time, the report said.

“In a year where we have seen the contribution of renewables reaching a new record high, ever increasing global energy demand means the share coming from fossil fuels has remained virtually unchanged,” Simon Virley of consultancy KPMG said.

The report recorded shifting trends in fossil fuel use in different regions. In Europe, for example, the fossil fuel share of energy fell below 70% for the first time since the industrial revolution.

“In advanced economies, we observe signs of demand for fossil fuels peaking, contrasting with economies in the Global South for whom economic development and improvements in quality of life continue to drive fossil growth,” Energy Institute Chief Executive Nick Wayth said.

The Energy Institute, together with consultancies KPMG and Kearney, has published the annual report since 2023. They took over from BP last year, which had authored the report, a benchmark for energy professionals, since the 1950s.

Fossil fuel accounted for almost all demand growth in India in 2023, the report said, while in China fossil fuel use rose 6% to a new high.

But China also accounted for over half of global additions in renewable energy generation last year.

“China adding more renewables than the rest of the world put together is remarkable,” KPMG’s Virley told reporters.
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Two years ago this month, the U.S. Supreme Court reversed its 1973 ruling that legalized abortion. Now, abortion looms as a major issue in this year’s elections. VOA’s senior Washington correspondent Carolyn Presutti looks at how the issue is charging the presidential campaign.
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Washington — China aims to mark a new milestone in space exploration next week when its Chang’e-6 probe is expected to return to Earth from the far side of the moon with rock and soil samples.

Scientists involved in the project say the probe is likely to bring back a “treasure trove” of material that will shed light on the differences between the front and back of Earth’s satellite.

James Head is an American planetary scientist and professor of Earth, Environmental and Planetary Sciences at Brown University.  He has 15 years of experience in cooperating with the Chinese scientific community and participated in the research for the Chang’e-6 lunar landing.

He told VOA in a video interview that the samples brought back by Chang’e-6 from the far side of the moon will be “a treasure chest of fragments of materials, all of which are going to tell us something about why the moon is different on the near side and the far side. It’s just amazing.”

“It’s going to be an international treasure trove of information for space planetary scientists,” he added.

The strength of China’s space science and technology, demonstrated by the Chang’e series of lunar exploration projects, has also attracted the participation of other countries.

The European Space Agency, France, Italy, and Pakistan responded to the “Chang’e-6 Mission International Payload Cooperation Opportunity Announcement” released by the China National Space Administration in 2019.

They were selected to carry out exploration on the lunar surface and lunar orbit.

Head said, “Not every country has the ability to launch rockets to the moon. So, if you can use your capability, then that’s a big deal for international relationships for the countries — essentially the way they’re perceived in the world.”

The mission, which comes 55 years after the U.S. first sent humans to the moon, has attracted the attention and participation of European and American scientists.  However, it also comes at a time when geopolitical tensions are pulling Russia and China closer together to counter Western democracies.  Analysts worry that our lunar exploration and space research are quickly being divided into two camps as well.

As China makes significant progress in its lunar program, it is also actively courting other countries to form a parallel alliance with the U.S.-led lunar exploration program.

China and Russia have been planning to cooperate in building the International Lunar Research Station (ILRS) since 2021. On June 12, Russian President Vladimir Putin signed a law approving the cooperation agreement signed by Russia and China last year on the joint construction of the ILRS.

Countries currently participating in the ILRS initiative also include Venezuela, Pakistan, South Africa, Azerbaijan, Belarus, Nicaragua and a university in the United Arab Emirates.

Namrata Goswami, lecturer in space policy and international relations at the Thunderbird School of Global Management at Arizona State University, told VOA, “They’re (China is) actually changing the narrative to tell nations that want to collaborate with them, that their station is like a strategic high ground, and nations that actually collaborate with China will benefit from this particular focus, which is space resource utilization, and they have stated that officially now.”

The Chinese government has said it adheres to the peaceful use of space, but Western analysts have questioned China’s motives for developing the moon.

Todd Harrison, a senior fellow at the American Enterprise Institute, told VOA in an email, “China tends to have a more mercantilist view of the moon that aligns with its authoritarian form of government, which is in stark contrast to the open, transparent, and free market approach of the United States and its partners.”

China has even proposed establishing an Earth-Moon space economic zone and has drawn up a roadmap for it with an annual “total output value of more than US$10 trillion” by around 2050.

Harrison said, “China’s main partner for its lunar research base is Russia, and they have managed to attract a handful of other nations to join them, most of which have no significant space capabilities or financial resources to contribute.”

In contrast, NASA and the U.S. State Department jointly launched the Artemis Accords in 2020, reaching a multilateral arrangement with more than 30 countries, including Australia, Canada, Japan, the United Kingdom, France, and Italy, stipulating the principles of civil exploration and cooperation among the contracting parties in outer space.

Neither China nor Russia have joined the agreement initiated by the U.S. Dmitry Rogozin, former head of Russia’s space agency, Roscosmos, even said that the Artemis Accords were “illegal” and not in compliance with international law.

“You do see a very clear strategic alignment structure forming, also very long-term clear ambitions as to what each coalition is hoping to do,” said Goswami.

Experts say the lunar exploration race of China and Russia versus the U.S. is about more than just resource extraction.

Harrison said, “This is really about setting precedent for how space commerce will be conducted and establishing norms of behavior for activities on the moon. A key component of this race is building international partnerships with shared values and a shared understanding of how the lunar economy should work for the benefit of all. In this respect, China has fallen behind the United States and the free world.”

For the European Space Agency, the Chang’e-6 may be their last lunar exploration experiment in cooperation with China, according to an interview posted on the website SpaceNews.

“For the moment there are no decisions to continue the cooperation on the Chang’e-7 or -8,” Karl Bergquist, ESA’s international relations administrator, he told SpaceNews.

China plans its next lunar probes in the Chang’e series around 2026 and from 2028.

Bergquist also told SpaceNews the ESA will not be involved in the China-led ILRS.

“ESA will not cooperate on ILRS as this is a Sino-Russian initiative and space cooperation with Russia is at present under embargo,” he said.

Since Russia invaded Ukraine in 2022, the European Union, together with the U.S., has imposed embargoes and sanctions on several Russian industries, including a technical embargo on the Russian space industry. The European Space Agency has also terminated its planned lunar exploration project with Russia.

Meanwhile, China has stepped-up its space cooperation with Russia, including allowing Moscow Power Engineering Institute to open a branch at its newest spaceport on southern Hainan Island.

Europe and China’s space technology cooperation will continue at least until the Chang’e-6 probe lands back on Earth. The ESA is offering ground support for the return flight from its Maspalomas space station in Gran Canaria island in Spain.

The probe is scheduled to land at a site in Inner Mongolia around June 25.  
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New Delhi — Days after Prime Minister Narendra Modi began his third term in office, India and the United States agreed to strengthen cooperation in high technology areas during a visit by White House national security adviser Jake Sullivan to New Delhi.

Sullivan met Modi, the Indian foreign minister and his Indian counterpart during the visit that reaffirmed both countries will pursue closer ties.

“India is committed to further strengthen the India-US comprehensive global strategic partnership for global good,” Modi wrote on X after meeting Sullivan on Monday.

The main focus of Sullivan’s visit was to hold discussion with Indian National Security Adviser Ajit Doval on a landmark initiative launched by the two countries in January last year to collaborate more closely in high-technology areas including defense, semiconductors, 5G wireless networks and artificial intelligence.

The initiative, launched with an eye to countering China, marks a significant push in tightening the strategic partnership between the two countries.

“The visit by Sullivan in the early days of Modi’s new administration signals that the U.S. wants to maintain the momentum in the high technology partnership between the two countries,” according to Manoj Joshi, Distinguished Fellow at the Observer Research Foundation in New Delhi.

A joint fact sheet by the two countries following Sullivan’s meeting with Doval said that they launched a new strategic semiconductor partnership between U.S. and Indian companies for precision-guided ammunition and other national security-focused electronics platforms.

They also agreed to co-invest in a lithium resource project in South America and a rare earths deposit in Africa “to diversify critical mineral supply chains” and discussed possible co-production of land warfare systems, according to the fact sheet.

Growing the domestic defense manufacturing sector remains a top focus for the Modi administration as it looks to lower its dependence on imported arms. Although India has diversified its imports of military equipment, it is still heavily reliant on Russia.

For India, the technology initiative is a top priority as it looks to strengthen the country’s security and build its capabilities in high technology areas.

“India wants to become one of the leading countries in cutting edge technologies and it is of great benefit for New Delhi to partner the U.S. which is the leader in these areas,” said Joshi. “The idea is to get into co-production, co-development, innovation and attract American companies to set up bases here.”

Sullivan also met Indian foreign minister Subrahmanyan Jaishankar, who has been retained as the external affairs minister in Modi’s new administration, signaling a continuation in the country’s foreign policy. “Confident that India-US strategic partnership will continue to advance strongly in our new term,” Jaishankar wrote on X.

In Washington, White House National Security Communications Advisor John Kirby told reporters Monday that India and the U.S. “share a unique bond of friendship and Mr. Sullivan’s trip to India will further deepen the already strong U.S.-India partnership to create a safer and more prosperous Indo-Pacific.”

New Delhi’s ties with Washington have expanded in recent years amid mutual concerns in both countries about an assertive China — India’s military standoff with Beijing along their disputed Himalayan borders remains unresolved four years after a clash between their troops.

As Sullivan visited India, an Indian national, Nikhil Gupta, charged with trying to hire a hitman to assassinate a Sikh separatist leader in the U.S., appeared in court in New York Monday following his extradition from the Czech Republic. The alleged plan was foiled.

Allegations by U.S. prosecutors of the involvement of an Indian government official in the plot to kill Gurpatwant Singh Pannun, a dual US-Canadian citizen, have raised concerns about a strain in bilateral ties.

The U.S. allegations followed accusations leveled by Canada in September of involvement of Indian nationals in the killing of a Canadian Sikh leader.

India, which views Sikh separatist groups overseas as security threats, has denied its involvement in both the killing in Canada and the alleged plot in the U.S. But it said it has set up an inquiry committee to examine the information provided by Washington.

Analysts in New Delhi say ties are unlikely to be adversely impacted by the alleged murder plot. “The U.S. is quite pragmatic on these matters. They are continuing to stress that ties with India are important, so I don’t think a failed conspiracy will derail ties,” Joshi said.
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SYDNEY — A new technology that allows smartphones to identify strokes far quicker than existing methods has been developed by researchers in Australia.

The new technology uses artificial intelligence as it scans a patient’s face for symmetry and certain muscle movements, which are called action units. People who have suffered a stroke often have one side of their face looking different from the other.  

The biomedical engineers at Melbourne’s RMIT University say the smartphone technology can detect facial asymmetry, potentially identifying strokes within seconds – much sooner and more precisely than current technologies.

Professor Dinesh Kumar, who led the research team, explained to Australian Broadcasting Corp. how the AI-driven device works.

“It takes a video of a person who is doing a smile, and the model determines whether this particular smile is indicative of (a) person who has had a stroke,” Kumar said. “We then inform the paramedic or the clinician who is aware of the very high risk of this person having a stroke and, thus, can be treated immediately.”

Strokes affect millions of people around the world.  They occur when the supply of blood to part of the brain is interrupted or reduced, which stops brain tissue from receiving oxygen and nutrients.  Experts say that if treatment is delayed by even a few minutes, the brain can suffer permanent damage. 

Symptoms of stroke include confusion, speech impairments and reduced facial expressions.

The RMIT team reports that the smartphone tool has an accuracy rating of 82% for detecting stroke. They stress that it would not replace comprehensive medical diagnostic tests for stroke, but instead would guide initial treatment by first responders by quickly identifying patients who need urgent care.  

The Australian study, which was a collaboration with São Paulo State University in Brazil, is published in the journal, Computer Methods and Programs in Biomedicine.
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PORTLAND, Maine — The deadly implosion of an experimental submersible en route to the deep-sea grave of the Titanic last June has not dulled the desire for further ocean exploration, despite lingering questions about the disaster.

Tuesday marks one year since the Titan vanished on its way to the historic wreckage site in the North Atlantic Ocean. After a five-day search that captured attention around the world, authorities said the vessel had been destroyed and all five people on board had died.

Concerns have been raised about whether the Titan was destined for disaster because of its unconventional design and its creator’s refusal to submit to independent checks that are standard in the industry. The U.S. Coast Guard quickly convened a high-level investigation into what happened, but officials said the inquiry is taking longer than the initial 12-month time frame, and a planned public hearing to discuss their findings won’t happen for at least another two months.

Meanwhile, deep-sea exploration continues. The Georgia-based company that owns the salvage rights to the Titanic plans to visit the sunken ocean liner in July using remotely operated vehicles, and a real estate billionaire from Ohio has said he plans a voyage to the shipwreck in a two-person submersible in 2026.

The Titan dove southeast of Newfoundland. The Transportation Safety Board of Canada said Monday that there are other submersibles operating within Canadian waters, some of which are not registered with the country or any other.

Numerous ocean explorers told The Associated Press they are confident undersea exploration can continue safely in a post-Titan world.

“It’s been a desire of the scientific community to get down into the ocean,” said Greg Stone, a veteran ocean explorer and friend of Titan operator Stockton Rush, who died in the implosion. “I have not noticed any difference in the desire to go into the ocean, exploring.”

OceanGate, a company co-founded by Rush that owned the submersible, suspended operations in early July following the implosion. A spokesperson for the company declined to comment.

David Concannon, a former adviser to OceanGate, said he will mark the anniversary privately with a group of people who were involved with the company or the submersible’s expeditions over the years, including scientists, volunteers and mission specialists. Many of them, including those who were on the Titan support ship Polar Prince, have not been interviewed by the Coast Guard, he said.

“The fact is, they are isolated and in a liminal space,” he said in an email last week. “Stockton Rush has been vilified and so has everyone associated with OceanGate. I wasn’t even there and I have gotten death threats. We support each other and just wait to be interviewed. The world has moved on … but the families and those most affected are still living with this tragedy every day.”

The Titan had been chronicling the Titanic’s decay and the underwater ecosystem around the sunken ocean liner in yearly voyages since 2021.

The craft made its last dive on June 18, 2023, a Sunday morning, and lost contact with its support vessel about two hours later. When it was reported overdue that afternoon, rescuers rushed ships, planes and other equipment to the area, about 700 kilometers south of St. John’s, Newfoundland.

The U.S. Navy notified the Coast Guard that day of an anomaly in its acoustic data that was “consistent with an implosion or explosion” at the time communications between the Polar Prince and the Titan were lost, a senior Navy official later told The Associated Press. The official spoke on condition of anonymity to discuss sensitive technology.

Any sliver of hope that remained for finding the crew alive was wiped away on June 22, when the Coast Guard announced that debris had been found near the Titanic on the ocean floor. Authorities have since recovered the submersible’s intact endcap, debris and presumed human remains from the site.

In addition to Rush, the implosion killed two members of a prominent Pakistani family, Shahzada Dawood and his son Suleman Dawood; British adventurer Hamish Harding; and Titanic expert Paul-Henri Nargeolet.

Harding and Nargeolet were members of The Explorers Club, a professional society dedicated to research, exploration and resource conservation.

“Then, as now, it hit us on a personal level very deeply,” the group’s president, Richard Garriott, said in an interview last week. “We knew not only all the people involved, but even all the previous divers, support teams, people working on all these vessels — those were all either members of this club or well within our network.”

Garriott believes even if the Titan hadn’t imploded, the correct rescue equipment didn’t get to the site fast enough. The tragedy caught everyone from the Coast Guard to the ships on-site off guard, underscoring the importance of developing detailed search and rescue plans ahead of any expedition, he said. His organization has since created a task force to help others do just that.

“That’s what we’ve been trying to really correct, to make sure that we know exactly who to call and exactly what materials need to be mustered,” he said.
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BRUSSELS — European Union countries approved a flagship policy to restore damaged nature on Monday, after months of delay, making it the first green law to pass since European Parliament elections this month. 

The nature restoration law is among the EU’s biggest environmental policies, requiring member states to introduce measures restoring nature on a fifth of their land and sea by 2030. 

EU countries’ environment ministers backed the policy at a meeting in Luxembourg, meaning it can now pass into law. 

The vote was held after Austria’s environment minister, Leonore Gewessler of the Greens, defied her conservative coalition partners by pledging to back the policy — giving it just enough support to pass. 

“I know I will face opposition in Austria on this, but I am convinced that this is the time to adopt this law,” Gewessler told reporters. 

The policy aims to reverse the decline of Europe’s natural habitats — 81% of which are classed as being in poor health — and includes specific targets, for example to restore peat lands so they can absorb CO2 emissions. 

The move by Austria’s minister angered Chancellor Karl Nehammer’s conservative People’s Party, which opposes the law. The OVP minister for EU affairs, Karoline Edtstadler, said Gewessler’s vote in favor would be unconstitutional. 

Belgium, which holds the EU’s rotating presidency and chairs meetings of ministers, said the Austrian government dispute would not affect the legality of the EU ministers’ vote. 

EU countries and the European Parliament negotiated a deal on the law last year but it has come under fire from some governments in recent months amid protests by farmers angry at costly EU regulations. 

Finland, Hungary, Italy, the Netherlands, Poland and Sweden voted against the law on Monday. Belgium abstained. 

EU countries had planned to approve the policy in March but called off the vote after Hungary unexpectedly withdrew its support, wiping out the slim majority in favor. 

Countries including the Netherlands had raised concerns the policy would slow the expansion of wind farms and other economic activities, while Poland on Monday said the policy lacked a plan for how nature protection would be funded.
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chicago, illinois — Vacationing in Chicago this week from Europe, Jelle den Burger and Nirusa Naguleswaran grabbed a bite at the Dog House Grill: a classic Italian beef sandwich for him, grilled cheese for her. 

Both think the way their genders lined up with their food choices was no coincidence. Women, said Naguleswaran, are simply more likely to ditch meat, and to care about how their diet affects the environment and other people. 

“I don’t want to put it in the wrong way, that male people feel attacked,” said Naguleswaran, of Netherlands, laughing. She said she used to love eating meat, but giving it up for climate reasons was more important to her. “We just have it in our nature to care about others.” 

Now, scientists can say more confidently than ever that gender and meat-eating preferences are linked. A paper out in Nature Scientific Reports this week shows that the difference is nearly universal across cultures — and that it’s even more pronounced in countries that are more developed. 

Researchers already knew men in some countries ate more meat than women did. And they knew that people in wealthier countries ate more meat overall. But the latest findings suggest that when men and women have the social and financial freedom to make choices about their diets, they diverge from each other even more, with men eating more meat and women eating less. 

That’s important because about 20% of planet-warming global greenhouse gas emissions come from animal-based food products, according to earlier research from the University of Illinois. The researchers behind the new report think their findings could fine-tune efforts to persuade people to eat less meat and dairy. 

“Anything that one could do to reduce meat consumption in men would have a greater impact, on average, than among women,” said Christopher Hopwood, a professor of psychology at the University of Zurich and one of the authors of the paper. The work drew on surveys funded by Mercy for Animals, a nonprofit dedicated to ending animal agriculture. Hopwood said he is not affiliated with the organization and is not an advocate. 

Researchers ask what thousands eat

The researchers asked over 28,000 people in 23 countries on four continents how much of various types of food they ate every day, then calculated the average land animal consumption by gender identity in each country. They used the United Nations Human Development Index, which measures health, education and standard of living, to rank how “developed” each country was, and also looked at the Global Gender Gap Index, a scale of gender equality published by the World Economic Forum. 

They found that, with three exceptions — China, India and Indonesia — gender differences in meat consumption were higher in countries with higher development and gender equality scores. 

The large number and cultural diversity of people surveyed is “a real strength of this,” said Daniel Rosenfeld, a social psychologist at UCLA who studies eating behavior and moral psychology and was not involved in the study. 

The study did not answer the question of why men tend to eat more meat, but scientists have some theories. One is that evolutionarily, women may have been hormonally hardwired to avoid meat that could possibly have been contaminated, affecting pregnancy, whereas men may have sought out meat proteins given their history as hunters in some societies. 

But even the idea of men as hunters is intertwined with culture, Rosenfeld said. That’s a good example of another theory, which is that societal norms shape gender identity from an early age and thus how people decide to fill their plates. 

‘I’m going to eat more’

Rosenfeld, who said he stopped eating meat about 10 years ago, said his own experience hanging out in college “as a guy hanging out with other guy friends” illustrated the cultural pressure for men to eat meat. “If they’re all eating meats and I decide not to,” he said, “it can disrupt the natural flow of social situations.” 

The same cultural factors that shape gender influence how people respond to new information, said Carolyn Semmler, a professor of psychology at the University of Adelaide in Australia who also studies meat eating and social factors such as gender. Semmler was not involved in this study. In some of her past work, she’s studied cognitive dissonance around eating meat. 

In those cases, she said, women presented with information about poor animal welfare in the livestock industry were more likely to say they would reduce their meat consumption. But men tended to go the other direction, she said. 

“One participant said to me, ‘I think you guys are trying to get me to eat less meat, so I’m going to eat more,'” she said. 

Semmler said meat can be important to masculine identity, noting for example the popular notion of men at the grill. And she said presenting eating less meat as a moral cause can be a sensitive issue. Still, she said, people should be aware of how their food choices affect the planet. 

But she and Hopwood acknowledged how difficult it is to change behavior. 

“Men are a tough nut to crack,” Hopwood said. 

Jose Lopez, another diner at the Dog House Grill, said he thought men should eat less meat but said that in general he has observed otherwise. 

“We’re carnivores,” he said. “Men eat like savages.” 
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NAIROBI, Kenya — Piles of firewood surrounded Jane Muthoni in her kitchen made of iron sheets. The roof, walls and wooden pillars were covered in soot. As she blew on the flame for tea, the 65-year-old was engulfed in smoke.

“I’ve used firewood all my life,” she said. “Sometimes I usually cough from inhaling the smoke, and my eyes itch, but there’s nothing I can do about it. I don’t have money to even buy charcoal.”

She was unaware of the lasting toll on her health. But experts are.

Respiratory diseases have been the most prevalent diseases in Kenya for the past several years and are on the rise, according to government authorities, with 19.6 million reported cases last year.

Burning biomass such as firewood is the largest contributor to those diseases, said Evans Amukoye, a scientist with the Kenya Medical Research Institute’s respiratory diseases research center.

“One can have itchy eyes, coughs while inhaling the smoke, and for serious cases like chronic obstructive pulmonary disease, you find that you cannot walk as your lungs have become tight,” Amukoye said. The disease is caused by indoor or outdoor air pollution or smoking.

Data from Kenya’s health ministry shows that chronic obstructive pulmonary disease is responsible for 1.7% of deaths in the country.

People in low-income areas are diagnosed with respiratory diseases later in life compared to middle-class people in urban areas with better awareness and access to health care, Amukoye said.

Families in informal neighborhoods and rural areas are the most affected as most people rely on firewood or fossil fuels for cooking. Women hunched over a smoking fire at stalls for tea or snacks is a common sight in the capital, Nairobi, and beyond.

The government’s 2022 Demographic and Health Survey showed a high dependence on traditional fuels for cooking in Kenya. The number of households relying on biomass like firewood increased from 4.7 million to 6.7 million between 2020 and 2022.

Economist Abraham Muriu said he believes the increase in Kenyans using firewood is a result of economic shocks caused by reduced incomes during the COVID pandemic and ongoing high inflation.

“Firewood is readily available and the most accessible fossil fuel, especially in rural areas,” Muriu said.

He said more Kenyans in urban areas have likely resorted to using firewood or charcoal, too, as prices and taxes rise. Blackened sacks of charcoal are openly on sale at some Nairobi intersections, and the hunt for firewood across the country is constant.

Mercy Letting, 33, a businesswoman in Nairobi’s Kasarani neighborhood was using charcoal to make meals for customers in the first six months after opening her restaurant early last year. With time, it affected her health.

“I am asthmatic, so whenever I used charcoal to cook the smoke would always trigger an attack, forcing me to spend part of my daily earnings on medication. This happened five times,” she said.

She found it expensive, spending 4,500 Kenyan shillings ($33) per month to buy a sack of charcoal. “I eventually had to buy an ‘eco-friendly’ cooker, which has been great for my health and good for business.” It requires less charcoal.

Letting also bought an induction burner, which she said is faster in cooking and more efficient as she spends only 50 Kenyan shillings ($0.38) per day on electricity.

Although companies pursue “clean cooking” options, high prices remain an obstacle to many Kenyans.

“If we want to deliver a truly clean and efficient solution to users across Africa, it needs to be affordable for them,” said Chris McKinney, the chief commercial officer at BURN Manufacturing, which describes itself as a “modern cookstove” company based on the outskirts of Nairobi.

“This has been the key barrier to scaling for us,” he said.
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HONOLULU — Ki’inaniokalani Kahoʻohanohano longed for a deeper connection to her Native Hawaiian ancestors and culture as she prepared to give birth to her first child at home on the north shore of Maui in 2003.

But generations of colonialist suppression had eroded many Hawaiian traditions, and it was hard to find information on how the islands’ Indigenous people honored pregnancy or childbirth. Nor could she find a Native Hawaiian midwife.

That experience led Kahoʻohanohano — now a mother of five — to become a Native Hawaiian midwife herself, a role in which she spent years helping to deliver as many as three babies a month, receiving them in a traditional cloth made of woven bark and uttering sacred, tremorous chants as she welcomed them into the world.

Her quest to preserve tradition also led her into a downtown Honolulu courtroom this week, where she and others are seeking to block a state law that they say endangers their ability to continue serving pregnant women who hope for such customary Native Hawaiian births.

“To be able to have our babies in the places and in the ways of our kupuna, our ancestors, is very vital,” she testified. “To me, the point of what we do is to be able to return birth home to these places.”

Lawmakers enacted a midwife licensure law in 2019, finding that the “improper practice of midwifery poses a significant risk of harm to the mother or newborn, and may result in death.” Violations are punishable by up to a year in jail, plus thousands of dollars in criminal and civil fines.

The measure requires anyone who provides “assessment, monitoring, and care” during pregnancy, labor, childbirth and during the postpartum period to be licensed. The women’s lawsuit says that would include a wide range of people, including midwives, doulas, lactation consultants, and even family and friends of the new mother.

Until last summer, the law provided an exception for “birth attendants,” which allowed Kahoʻohanohano to continue practicing Native Hawaiian birth customs. With that exception now expired, however, she and others face the licensing requirements — which, they say, include costly programs only available out of state or online that don’t align with Hawaiian culture and beliefs.

In 2022, the average cost of an accredited midwifery program was $6,200 to $6,900 a year, according to court documents filed by the state.

Attorneys for the state argued in a court filing that the law “undoubtedly serves a compelling interest in protecting pregnant persons from receiving ill-advice from untrained individuals.”

State Deputy Attorney General Isaac Ickes told Judge Shirley Kawamura that the law doesn’t outlaw Native Hawaiian midwifery or homebirths, but that requiring a license reduces the risks of harm or death.

The dispute is the latest in a long history of debate about how and whether Hawaii should regulate the practice of traditional healing arts that dates to well before the islands became the 50th state in 1959. Those arts were banished or severely restricted for much of the 20th century, but the Hawaiian Indigenous rights movement of the 1970s renewed interest in the customary ways.

Hawaii eventually adopted a system where councils versed in Native Hawaiian healing certify traditional practitioners, though those suing say their efforts to form such a council for midwifery have failed.

Practicing midwifery without a license, meanwhile, was banned until 1998 — when, lawmakers say, they inadvertently decriminalized it when they altered the regulation of nurse-midwives, something the 2019 law sought to remedy.

Among the nine plaintiffs are women who seek traditional births and argue that the new licensing requirement violates their right of privacy and reproductive autonomy under Hawaii’s Constitution. They are represented by the Center for Reproductive Rights and the Native Hawaiian Legal Corporation.

“For pregnant people whose own family may no longer hold the knowledge of the ceremonial and sacred aspects of birth, a midwife trained in Native Hawaiian traditional and customary birthing practices can be an invaluable, culturally informed health care provider,” the lawsuit states.

When Kahoʻohanohano was unable to find a Native Hawaiian midwife to attend the birth of her first child, she turned instead to a Native American one, who was open to incorporating traditional Hawaiian aspects that Kahoʻohanohano gleaned from her elders.

She surrounded herself with Hawaiian cultural practitioners focusing on pule, or prayer, and lomilomi, a traditional massage with physical and spiritual elements. It all helped ease her three days of labor, she said. And then, “two pushes and pau” — done — the boy was born.

The births of her five children in various Maui communities, Kahoʻohanohano said, were her “greatest teachers” in herself becoming one of the very few midwives who know about Native Hawaiian birthing practices.

She is believed to be the first person in a century to give birth on her husband’s ancestral lands in Kahakuloa, a remote west Maui valley of mostly Native Hawaiians, where her daughter was born in 2015. The community is at least 40 minutes along winding roads to the island’s only hospital.

Kahoʻohanohano testified about helping low-risk pregnant women and identifying instances where she transferred someone to receive care at the hospital but said she’s never experienced any emergency situations.

Among the other plaintiffs are midwives she has helped train and women she has aided through birth. Makalani Franco-Francis testified that she learned about customary birth practices from Kahoʻohanohano, including how to receive a newborn in kapa, or traditional cloth, and cultural protocols for a placenta, including taking it to the ocean or burying it to connect a newborn to its ancestral lands.

The law has halted her education, Franco-Francis said. She testified that she’s not interested in resuming her midwifery education through out-of-state or online programs.

“It’s not in alignment with our cultural practices, and it’s also a financial obligation,” she said.

The judge heard testimony through the week. It’s not clear how soon a ruling might come.
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