Category: Silicon Valley

Burkina Faso’s health ministry has declared a dengue fever epidemic amid the deadliest outbreak in years. More than 200 people have died, and new cases are rising sharply.

There have been 50,478 suspected cases and 214 deaths of the mosquito-borne illness this year, the ministry said in a statement released on Wednesday, mostly in the urban centers of the capital, Ouagadougou, and Bobo Dioulasso. It said about 20% of the cases and deaths were recorded last week alone.

Dengue kills an estimated 20,000 people worldwide each year. Rates of the disease have risen eightfold since 2000, driven largely by climate change, the increased movement of people and urbanization.

The World Health Organization this month warned that the disease would become a major threat in new parts of Africa as warmer temperatures create conditions for the mosquitoes carrying the infection to spread.

Dengue is spread by infected Aedes aegypti mosquitoes. Symptoms include fever, muscle pain, nausea and rashes. Lack of treatment or misdiagnosis, common in poverty-stricken countries such as Burkina Faso where health care is spotty, increase the chance of death.

Burkina Faso’s outbreak dwarfs other African outbreaks in recent years. According to figures from the Africa Centers for Disease Control and Prevention, dengue killed 18 people in Burkina Faso in 2017 and 15 in 2016.

The health ministry said that it was providing free rapid diagnostic tests and had organized spraying of insecticide in public places to counter the spread.
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The EU announced probes Thursday into Facebook owner Meta and TikTok, seeking more details on the measures they have taken to stop the spread of “illegal content and disinformation” after the Hamas attack on Israel.

The European Commission said it had sent formal requests for information to Meta and TikTok respectively in what is a first procedure launched under the EU’s new law on digital content.

The EU launched a similar probe into billionaire mogul Elon Musk’s social media platform X, formerly Twitter, last week.

The commission said the request to Meta related “to the dissemination and amplification of illegal content and disinformation” around the Hamas-Israel conflict.

In a separate statement, it said it wanted to know more about TikTok’s efforts against “the spreading of terrorist and violent content and hate speech”.

The EU’s executive arm added that it wanted more information from Meta on its “mitigation measures to protect the integrity of elections”.

Meta and TikTok have until October 25 to respond, with a deadline of November 8 for less urgent aspects of the demand for information.

The commission said it also sought more details about how TikTok was complying with rules on protecting minors online.

The European Union has built a powerful armory to challenge the power of big tech with its landmark Digital Services Act (DSA) and a sister law, the Digital Markets Act, that hits internet giants with tough new curbs on how they do business.

The EU’s fight against disinformation has intensified since Moscow’s invasion of Ukraine last year and Russian attempts to sway European public opinion.

The issue has gained further urgency after Hamas’ assault on October 7 on Israel and the aftermath which sparked a wave of violent images that flooded the platforms.

The DSA came into effect for “very large” platforms, including Meta and TikTok, that have more than 45 million monthly European users in August.

The DSA bans illegal online content under threat of fines running as high as six percent of a company’s global turnover.

The EU’s top tech enforcer, Thierry Breton, sent warning letters to tech CEOs including Meta’s Mark Zuckerberg, TikTok’s Shou Zi Chew and Sundar Pichai of YouTube owner Alphabet.

Growing EU fears

Breton, EU internal market commissioner, told the executives to crack down on illegal content following Hamas’ attack.

Meta said last week that it was putting special resources towards cracking down on illegal and problematic content related to the Hamas-Israel conflict.

On Wednesday, Breton expressed his fears over the impact of disinformation on the EU.

“The widespread dissemination of illegal content and disinformation… carries a clear risk of stigmatization of certain communities, destabilization of our democratic structures, not to mention the exposure of our children to violent content,” he said.

AFP fact-checkers have found several posts on Facebook, TikTok and X promoting a fake White House document purporting to allocate $8 billion in military assistance to Israel.

And several platforms have had users passing off material from other conflicts, or even from video games, as footage from Israel or Gaza.

Since the EU’s tougher action on digital behemoths, some companies, including Meta, are exploring whether to offer a paid-for version of their services in the European Union.
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Australian researchers say they have produced the most comprehensive view of the history of the universe to date. An Australian National University team says their study offers new ideas about how the universe might have started.

The research team says the study’s aim was to understand the origins of all the objects in the universe.

The U.S. space agency, NASA, says the universe “includes all of space, and all the matter and energy that space contains. It even includes time itself and, of course, it includes you.”

NASA adds that “the Milky Way is but one of billions of galaxies in the observable universe — all of them, including our own, are thought to have supermassive black holes at their centers.”

The Australian team says it has created the most comprehensive chart ever created of the history of the universe.

The lead author is honorary associate professor Charley Lineweaver. He said that when the universe began 13.8 billion years ago in a hot big bang, there were no objects, such as protons, atoms, people, planets, stars or galaxies.

The authors say the charts provide new ideas about how the universe came into being.

The first shows temperature and density of the universe as it expanded and cooled. The second plots the mass and size of all objects in the universe. The ANU researchers say the study suggests the universe may have started as what is known as an instanton, which has a specific size and mass, rather than a singularity, which they say is a hypothetical point of infinite density and temperature. Put simply, this would mean that at its beginning the universe may have been finite, and not infinite, in size. This is important because researchers say that what lies beyond the boundary of the universe is “also a major mystery.”

Lineweaver told VOA that mapping the universe will boost our understanding of it.

“When you extrapolate in so many different ways it gives you just a lay of the land that I just think is a beautiful way of understanding the universe,” he said. “If there is one way to understand the Big Bang it started out hot and dense and it got cooler and less dense, and as it did that particles and objects of all kinds condensed out of this hot, dense background. And understanding that is something that we should all make an attempt to do that because that is probably the most profound underlying theme of the history of the universe.”

Lineweaver also said he believes that research into the origins of the universe could help to answer some fundamental scientific questions about life beyond Earth.

“How did we get here? So, I am kind of semi-obsessed with the big picture of life on Earth and what it means and whether we are alone or not and so I have been writing quite a few things about that,” he said. “The basic idea is, well, if we can figure out how we got here, maybe we can make better guesses about whether other life forms have evolved elsewhere.”

The Australian National University study is published in the latest issue of The American Journal of Physics. 
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U.N. inspectors took samples from a fish market near the Fukushima nuclear power plant on Thursday following the release of wastewater from the wrecked facility in August.

China and Russia have banned Japanese seafood imports since the discharge began but Japan says it is safe, a view backed so far by the International Atomic Energy Agency (IAEA).

Some 540 Olympic swimming pools worth of water have been collected since a tsunami sent three reactors at Fukushima-Daiichi into meltdown in 2011 in one of the world’s worst nuclear disasters.

Japan says that the water has been filtered by its special ALPS technology of radioactive substances — except tritium — and diluted with seawater.

Japan says tests have shown that tritium levels are within safe limits.

The IAEA team comprising scientists from China, South Korea and Canada were collecting fish, water and sediment samples this week to verify Japan’s findings.

Paul McGinnity, a member of the mission, told reporters that the aim was “to ascertain whether the Japanese labs are measuring and analyzing properly” tritium levels.

“Tritium is the concern because tritium levels as you know are relatively high because it is not removed by the ALPS process,” McGinnity said.

“I can say that we don’t expect to see any change (in tritium levels), certainly in the fish. We do expect to see a small rise in levels of tritium in seawater samples very close to the discharge point. But otherwise, we don’t. We expect to find levels that are very similar to what we measured last year.”

Samples will be sent back to labs in the team members’ home countries for independent review, and the IAEA will evaluate and publish those results.

Russia this week followed its ally China in banning Japanese seafood imports, although it buys relatively small volumes.

Japan, which has called China’s ban politically motivated, said Moscow’s move was an “unjust” step “without any scientific basis.”

The water release is aimed at making space to begin removing the highly dangerous radioactive fuel and rubble from the wrecked reactors.
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As the war drags on, some severely injured Ukrainians who received medical help abroad are returning home. Yana Stepanenko and her mother have resettled in Lviv after a year of treatment and rehabilitation in the U.S. Omelyan Oshchudlyak has the story. Camera: Yuriy  Dankevych      
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A reedy pipe and a high-pitched trill duet against the backdrop of a low-pitched insect drone. Their symphony is the sound of a forest and is monitored by scientists to gauge biodiversity.

The recording from the forest in Ecuador is part of new research looking at how artificial intelligence could track animal life in recovering habitats.

When scientists want to measure reforestation, they can survey large tracts of land with tools like satellite and lidar.

But determining how fast and abundantly wildlife is returning to an area presents a more difficult challenge — sometimes requiring an expert to sift through sound recordings and pick out animal calls.

Jorg Muller, a professor and field ornithologist at University of Wurzburg Biocenter, wondered if there was a different way.

“I saw the gap that we need, particularly in the tropics, better methods to quantify the huge diversity… to improve conservation actions,” he told AFP.

He turned to bioacoustics, which uses sound to learn more about animal life and habitats.

It is a long-standing research tool, but more recently is being paired with computer learning to process large amounts of data more quickly.

Muller and his team recorded audio at sites in Ecuador’s Choco region ranging from recently abandoned cacao plantations and pastures to agricultural land recovering from use to old-growth forests.

They first had experts listen to the recordings and pick out birds, mammals and amphibians.

Then, they carried out an acoustic index analysis, which gives a measure of biodiversity based on broad metrics from a soundscape, like volume and frequency of noises.

Finally, they ran two weeks of recordings through an AI-assisted computer program trained to distinguish 75 bird calls.

More recordings needed

The program was able to pick out the calls on which it was trained in a consistent way, but could it correctly identify the relative biodiversity of each location?

To check this, the team used two baselines: one from the experts who listened to the audio recordings, and a second based on insect samples from each location, which offer a proxy for biodiversity.

While the library of available sounds to train the AI model meant it could only identify a quarter of the bird calls the experts could, it was still able to correctly gauge biodiversity levels in each location, the study said.

“Our results show that soundscape analysis is a powerful tool to monitor the recovery of faunal communities in hyperdiverse tropical forest,” said the research published Tuesday in the journal Nature Communications.

“Soundscape diversity can be quantified in a cost-effective and robust way across the full gradient from active agriculture to recovering and old-growth forests,” it added.

There are still shortcomings, including a paucity of animal sounds on which to train AI models.

And the approach can only capture species that announce their presence.

“Of course (there is) no information on plants or silent animals. However, birds and amphibians are very sensitive to ecological integrity, they are a very good surrogate,” Muller told AFP.

He believes the tool could become increasingly useful given the current push for “biodiversity credits” — a way of monetizing the protection of animals in their natural habitat.

“Being able to directly quantify biodiversity, rather than relying on proxies such as growing trees, encourages and allows external assessment of conservation actions, and promotes transparency,” the study said.

 
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A clinical trial is recruiting thousands of volunteers — including a large number of Black women who face disparities in breast cancer death rates — to try to find out.

People like Carole Stovall, a psychologist in Washington, D.C., have signed up for the study to help answer the question.

“We all need a mammogram anyway, so why not do it with a study that allows the scientists to understand more and move closer to finding better treatments and ways of maybe even preventing it?” Stovall said.

The underrepresentation of women and minorities in research is a long-simmering issue affecting health problems including Alzheimer’s disease, stroke and COVID-19. Trials without diversity lead to gaps in understanding of how new treatments work for all people.

“Until we get more Black women into clinical trials, we can’t change the science. And we need better science for Black bodies,” said Ricki Fairley, a breast cancer survivor and advocate who is working on the issue.

Black women are 40% more likely to die from breast cancer than white women and tend to be diagnosed younger. But it’s not clear whether 3D mammography is better for them, said Dr. Worta McCaskill-Stevens of the National Cancer Institute.

“Are there populations for whom this might be important to have early diagnosis?” asked McCaskill-Stevens. “Or is it harmful,” causing too many false alarms or unneeded follow-up tests and treatments?

McCaskill-Stevens, who is Black, leads NCI’s efforts to boost access to cancer research in minority and rural communities. She has joined the study herself.

The newer 3D technique has been around for a decade, but there’s never been conclusive evidence that it’s better than 2D at detecting advanced cancers. The screening technique combines multiple pictures of the breast taken from different angles to create a 3D-like image. Both 3D and 2D mammograms compress the breast and use low doses of radiation.

Prior studies suggest that 3D finds more cancers than 2D, but catching more cancers doesn’t necessarily mean more lives saved. Some cancers missed by standard screening may not progress or need treatment. Previous studies did not randomly assign patients to a screening method, the gold standard for research.

The notion “that if it’s new, it’s shiny, then it’s better,” isn’t necessarily true, McCaskill-Stevens said. “Until we have the evidence to support that, then we need well-designed randomized trials.”

The trial has enrolled nearly 93,000 women so far with a goal of 128,000. The NCI-funded study is now running in Canada, South Korea, Peru, Argentina, Italy and 32 U.S. states. A site in Thailand will soon begin enrolling patients.

“We added more international sites to enhance the trial’s diversity, particularly for Hispanic and Asian women,” said Dr. Etta Pisano, who leads the study.

Overall, 42% of participants are Hispanic. As recruiting continues, enrolling Black women and other women of color will “absolutely” continue as a priority, Pisano said.

Participants are randomly assigned to either 2D or 3D mammograms and are followed for several years. The number of advanced cancers detected by the two methods will be compared.

At the U.S. study sites, 21% of study participants are Black women — that’s higher than a typical cancer treatment study, in which 9% of participants are Black, McCaskill-Stevens said.

The University of North Carolina has signed up more Black women than any other study site. Nearly a quarter of the nearly 3,000 women enrolled at UNC’s two locations are Black.

“Women in North Carolina want to take part in something that’s bigger than them,” said Dr. Cherie Kuzmiak, who leads the UNC arm of the study. “They want this active role in helping determine the future of health care for women.”

In Washington, D.C., word of mouth has led to successful recruiting.

A chance encounter at her hair salon persuaded Stovall to join the research. While waiting for a hair appointment, she met Georgetown University cancer researcher Lucile Adams-Campbell. The two, both Black, started chatting.

“She explained how important it was to get women of color into the program,” said Stovall, who jumped at the chance to catch up on her mammograms after the COVID-19 pandemic delayed screening for her and thousands of others.

For Stovall, there was a personal reason to join the research. Her sister recently completed treatment for triple negative breast cancer, an aggressive type that affects Black women at higher rates than white women.

Women ages 45 to 74 without a personal history of breast cancer are eligible for the study, which launched in 2017. Many women also are providing blood and cheek swab samples for a database that will be mined for insights.

“It’s a dream that people had since the beginning of screening that we wouldn’t fit everybody into the same box,” Pisano said. The study’s findings could “reduce disparities if we’re successful, assuming people have access to care.”

Stovall, 72, had a brief scare when her mammogram, the traditional 2D type, showed something suspicious. A biopsy ruled out cancer.

“I was extremely relieved,” Stovall said. “Everybody I know has heard from me about the need for them to go get a mammogram.”
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Four-day work weeks improved Spanish workers’ health several ways, such as by lowering stress while reducing fuel emissions and benefiting children, a pilot program showed on Tuesday. 

The coastal city of Valencia — Spain’s third largest with more than 800,000 inhabitants — scheduled local holidays to fall on four consecutive Mondays between April 10 and May 7 this year. The project affected 360,000 workers. 

Many participants used the long weekends to develop healthier habits such as practicing sport, resting and eating homemade food, according to an independent commission of health and social science experts that evaluated the program. 

The data showed an improvement in self-perceived health status, lower stress levels and better feelings regarding tiredness, happiness, mood and personal satisfaction, it added. 

A drop in the use of motor vehicles led to better air quality on the four Mondays during the program’s period, as less nitrogen dioxide was emitted, according to the city’s daily emissions measurements. 

However, smokers and drinkers increased their overall use of tobacco and alcohol, it said.

More time for hobbies, leisure

A high percentage of those surveyed said they were more likely to read, study, watch films and pursue hobbies such as  photography, music or painting, the commission said. It did not specify the percentage. 

Children benefited the most, thanks to improved work-life balance enjoyed by their parents, the commission found. 

Retail sales down

While the hospitality and tourism sectors served more customers during extended weekends, retailers reported a decrease in sales and emergency medical services may have been overextended as more healthcare workers took time off, the report said. 

The project was designed by the left-wing Compromis coalition of progressive, green and regionalist parties, which ruled the city at the time. 

Last year, the Spanish government launched a similar two-year project focused on small and medium-sized industrial companies nationwide. 
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The U.S. Commerce Department on Tuesday tightened its export controls to keep China from acquiring advanced computer chips that it could use to help develop hypersonic missiles and artificial intelligence.

Commerce Secretary Gina Raimondo said the new controls are “intended to protect technologies that have clear national security or human rights implications.”   

The new controls could increase tensions between the United States, the world’s biggest economy, and No. 2 China. In recent talks over several months with high-ranking U.S. officials, Beijing had appealed for “concrete actions” from Washington to improve relations between the two countries, although U.S. officials warned that the new export rules were in the offing.

Raimondo told reporters, “The vast majority of [the sale of] semiconductors [to China] will remain unrestricted. But when we identify national security or human rights threats, we will act decisively and in concert with our allies.”

The Commerce Department said the new restrictions came after consultations with U.S. chip manufacturers and conducting technological analyses.

The new controls allow the monitoring of the sale of chips that could still be used for military aims, even if they might not specifically meet the thresholds for trade limitations. The U.S. said chip exports can also be restricted to companies headquartered in Macao, a Chinese territory, or other countries under a U.S. arms embargo, to prevent them from circumventing the controls and providing chips to China.

The updated restrictions, an expansion of export controls announced last year, also make it more difficult for China to manufacture advanced chips abroad. The list of manufacturing equipment that falls under the export controls has also been expanded, among other changes to the policy.

China protested last year’s export controls, viewing the design and manufacture of high-level semiconductors as essential for its economic growth. Raimondo has said the limits on these chips are not designed to impair China’s economy.  

Chinese government officials are scheduled to go to San Francisco in November for the Asia-Pacific Economic Cooperation summit.

U.S. President Joe Biden has suggested he could meet on the sidelines of the summit with Chinese President Xi Jinping, though a meeting has yet to be confirmed. The two leaders met last year following the Group of 20 summit in Bali, Indonesia, shortly after the export controls were announced.

Some material in this report came from The Associated Press.
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Artificial Intelligence is being used to create musical “deepfakes” – songs that sound like one artist but were made by a computer. Deana Mitchell brings us the story of one artist who is engaging with machine learning to create new kinds of music.
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A technology, innovation and entrepreneurship summit sparked imaginations in Ethiopia last week. The inaugural Enkopa summit — a collaboration between the Ethiopian Ministry of Labor and Skills and other partners — brought in speakers and exhibitors from across the world to Addis Ababa to discuss technology, innovation and entrepreneurship.

Speaking at the two-day event, Ethiopian State Minister of Labor and Skills Nigussu Tilahun emphasized the important role of the government in clearing a path for job creation in the country.

Nigussu said government’s role in building the entrepreneurship ecosystem is to create and facilitate a conducive environment for it.

The event, which was October 12 and 13, had 150 speakers from sectors like fintech, health care and agriculture.

Feven Tsehaye, founder and CEO of Chakka Origins — which sources natural ingredients in biodiversity hotspots — said land management is crucial to the work the company does in Ethiopia.

She said working with small holder farmers is essential.

“It makes sense to work with them and more efficiently utilizing their space instead of engaging in land clearing or displacing people,” Feven said.

Sessions during the two-day summit also explored the role of AI in agriculture, and sustainable farming in Ethiopia.

Abrhame Endrias leads Lersha, which provides digital services to farmers. He said making technology accessible to farmers encourages tech adoption.

Lersha provides climate and pest control advisories, farming inputs and options for mechanization.

Abrhame said Lersha translates information into local languages so farmers can understand the information and make decisions. The information comes to the farmers via text message.

While Lersha focuses on small holder famers, there were startups at the summit that focused on Ethiopia’s commercial farmers.

Semegn Tadesse, CEO of ARMADA AgriTech, said working with commercial farmers promises to deliver a more radical change.

“If you want to show progress, here is a big room for improvement in commercial farmers,” Semegn said. “They are also underserved even though they have financial capacity.”

The summit, funded by the United Nations Development Program, and other partners is expected to be held every year.
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Foreigners who live in Italy will be able to use the national health service after paying a $2,109 annual fee, the government said Monday. 

The charge, part of the 2024 budget adopted by the cabinet, will apply only to citizens from outside the European Union, the economy ministry said in a statement.  

The ministry said there would be an unspecified discount for those with legal residency papers, as well as for foreign students and au pairs.  

It was not immediately clear how far the reform would change the current system, which already foresees payments for some categories of foreigners. 

Giordana Pallone of the Cgil trade union told the Adnkronos news agency the reform risked falling foul of the Italian constitution, which guarantees free medical care for the poor.  

“We’ll now have to wait to see how the law is written, because as it is reported today, it has no value or basis compared to the system and regulations that we have,” she said.  

Foreign workers, job seekers, asylum-seekers and unaccompanied minors currently have access to free health care, like Italian nationals.  

Other foreigners with legal residency, such as diplomats and students, can join the Italian health service voluntarily, for a variable fee. 

For students, for example, the charge is capped around $150 per year, while for others it depends on their annual income and can go up to more than $2,950.  

Last month, Italy’s right-wing government sparked controversy by decreeing that migrants would have to pay more than $5,200 to avoid detention while their request for protection was being processed. 
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Settlement talks have collapsed between Facebook’s parent company Meta and Kenyan content moderators over a lawsuit alleging unfair dismissal, a tech rights group working with the moderators said on Monday. 

The 184 moderators sued Meta and two subcontractors earlier this year after they said they lost their jobs with one of the subcontractors, Sama, for organizing a union. They said they were then blacklisted from applying for the same roles at a second firm, Majorel, after Facebook changed contractors. 

In August, the court asked the parties to hold out-of-court settlement talks and said the case would proceed if those failed. 

British tech rights group Foxglove said in a statement on Monday that the negotiations had broken down, accusing Meta and Sama of making “very little attempt to address core issues raised by the petitioners.” 

“The respondents were buying time and not being genuine. We kept waiting for them to participate … only for them to keep asking for an extension of time and then come back every time to refuse to take accountability,” the statement quoted Mercy Mutemi, a lawyer for the plaintiffs, as saying. 

Sama said it was disappointed the mediation had failed and would not comment further on the case. 

“We have been successful in coming to a mutually agreed resolution with about 60 moderators outside of the mediation process, demonstrating our commitment and willingness to find an amicable, beneficial solution,” it said in a statement, adding it was fully complying with all court orders. 

Meta declined to comment. There was no immediate comment from Majorel. 

Meta has previously responded to allegations of a poor working environment in Kenya by saying it requires partners to provide industry-leading conditions. 

Sama has said it has always followed Kenyan law and provided mental health services to its employees. In August, Majorel said it does not comment on matters involving pending or active litigation. 

The moderators also allege that Meta is trying to terminate their contracts in defiance of an earlier court order. A hearing on their petition to find Meta and Sama in contempt of court is scheduled for October 31, Foxglove said. 

Meta has also been sued in Kenya by a former moderator over accusations of poor working conditions at Sama, and by two Ethiopian researchers and a rights institute, which accuse it of letting violent and hateful posts from Ethiopia flourish on Facebook.

In response, Meta said last December that hate speech and incitement to violence were against the rules of its Facebook and Instagram platforms. 
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All About America explores American culture, politics, trends, history, ideals and places of interest.

West Virginia (41%), Louisiana (40.1%) and Oklahoma (40%) are the states with the fattest populations in the nation, laying claim to the highest proportion of adults with a body mass index (BMI) of 40% or greater, according to the Centers for Disease Control and Prevention (CDC).

“The latest data from CDC is looking grim,” says Jamie Bussel of Robert Wood Johnson Foundation, a health-based philanthropic organization. “Twenty-two states had an adult obesity rate at or above 35%. And that was up from 19 states the year before. And when we look back a decade ago, no states had an adult obesity rate at or above 35%. So yes, clearly, when you look at the numbers, they’re not going in the right direction.”

In addition to West Virginia, Louisiana and Oklahoma, the 22 states with an obesity rate of 35% or higher are Alabama, Arkansas, Delaware, Georgia, Indiana, Iowa, Kansas, Kentucky, Mississippi, Missouri, Nebraska, North Dakota, Ohio, South Carolina, South Dakota, Tennessee, Texas, Virginia and Wisconsin.

The highest prevalence of obesity can be found in the Midwest and South, followed by the Northeast and the West. Obesity rates trended higher among Blacks, Hispanics, Native Americans and Alaska natives.

Every U.S. state had an obesity rate of at least 20%. The CDC calls additional support for obesity prevention and treatment “an urgent priority.”

“Obesity is a disease caused by many factors, including eating patterns, physical activity levels, sleep routines, genetics and certain medications,” said Karen Hacker, director of CDC’s National Center for Chronic Disease Prevention and Health Promotion, in a press release. “This means that there is no one size fits all approach. However, we know the key strategies that work include addressing the underlying social determinants of health such as access to healthcare, healthy and affordable food, and safe places for physical activity.”

Bussel says more robust federal food programs are necessary to help families living in poverty.

“In February of 2023, the USDA proposed updates to the school meals to align them with a diet that was [in line with] the latest dietary guidelines, and some of those changes include limits on added sugar, reductions in sodium levels, etc.,” she says. “We believe that those types of changes are really important changes that could improve students’ health and diet quality.”

There have also been changes to the WIC program, a federally funded supplemental nutrition program for women, infants and children, aimed at filling key nutritional gaps.

“A year ago in November, the USDA proposed updates to the WIC food package that will aim to help families purchase more nutritious foods,” Bussel says. “So again, these are federal-level policies that we believe are really important in helping ensure that all kids and families can thrive and be healthy and access good, high-quality food.”

Sheldon Jacobson, a professor of computer science at the University of Illinois, has studied obesity and says the government should invest more in public transportation to get people moving.

“We are such an automobile-centric society. We build our communities centered around suburbs,” he says. “We focus on driving rather than bicycling or walking or even public transportation and, as a result, that basically contributes to the fact that this inactivity is forcing people to gain weight, whether we like it or not, because we do less.”

The states and U.S. territories with the lowest rates of obesity are the District of Columbia (24.3%), Colorado (25%), Hawaii (25.9%) and Vermont (26.8%).
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Rite Aid Corp filed for Chapter 11 bankruptcy on Sunday, as it comes under pressure from lawsuits alleging that the drugstore chain helped fuel the opioid crisis in the United States.

Rite Aid listed estimated assets and liabilities in the range of $1 billion to $10 billion in a court filing with the U.S. Bankruptcy Court for the District of New Jersey.

Philadelphia, Pennsylvania-based Rite Aid operates more than 2,000 retail stores across 17 states in the U.S., although it is much smaller than its rivals such as Walgreens Boots Alliance and CVS Health.

Along with other pharmacy chains, it has been named a defendant in lawsuits that alleged they helped fuel the opioid crisis in the United States.

The U.S. Department of Justice in March sued Rite Aid, accusing the pharmacy chain of missing “red flags” as it illegally filled hundreds of thousands of prescriptions for controlled substances, including opioids.

More than 900,000 people have died of drug overdoses in the U.S. since 1999, with opioids playing an outsized role, according to data from the U.S. Centers for Disease Control and Prevention.

 
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The medicine in the diabetes drug Mounjaro helped people with obesity or who are overweight lose at least a quarter of their body weight, or about 27 kilograms (60 pounds) on average, when combined with intensive diet and exercise, a new study shows.

By comparison, a group of people who also dieted and exercised, but then received dummy shots, lost weight initially but then regained some, researchers reported Sunday in the journal Nature Medicine.

“This study says that if you lose weight before you start the drug, you can then add a lot more weight loss after,” said Dr. Thomas Wadden, a University of Pennsylvania obesity researcher and psychology professor who led the study.

The results, which were also presented Sunday at a medical conference, confirm that the drug made by Eli Lilly & Company has the potential to be one of the most powerful medical treatments for obesity to date, outside experts said.

“Any way you slice it, it’s a quarter of your total body weight,” said Dr. Caroline Apovian, who treats obesity at Brigham and Women’s Hospital and wasn’t involved in the study.

The injected drug, tirzepatide, was approved in the U.S. in May 2022 to treat diabetes. Sold as Mounjaro, it has been used “off-label” to treat obesity, joining a frenzy of demand for diabetes and weight-loss medications including Ozempic and Wegovy, made by Novo Nordisk.

All the drugs, which carry retail price tags of $900 a month or more, have been in shortage for months.

Tirzepatide targets two hormones that kick in after people eat to regulate appetite and the feeling of fullness communicated between the gut and the brain. Semaglutide, the drug used in Ozempic and Wegovy, targets one of those hormones.

The new study, which was funded by Eli Lilly, enrolled about 800 people who had obesity or were overweight with a weight-related health complication — but not diabetes. On average, study participants weighed about 109.5 kilograms (241 pounds) to start and had a body-mass index — a common measure of obesity — of about 38.

After three months of intensive diet and exercise, more than 200 participants left the trial, either because they failed to lose enough weight or for other reasons. The remaining nearly 600 people were randomized to receive tirzepatide or a placebo via weekly injections for about 16 months. Nearly 500 people completed the study.

Participants in both groups lost about 7% of their body weight, or almost 8 kilograms, ( 17 pounds) during the diet-and-exercise phase. Those who received the drug went on to lose an additional 18.4% of initial body weight, or about 20 kilograms (44 pounds) more, on average. Those who received the dummy shots regained about 2.5% of their initial weight, or 2.7 kilograms 6 pounds).

Overall, about 88% of those taking tirzepatide lost 5% or more of their body weight during the trial, compared with almost 17% of those taking placebo. Nearly 29% of those taking the drug lost at least a quarter of their body weight, compared with just over 1% of those taking placebo.

That’s higher than the results for semaglutide and similar to the results seen with bariatric surgery, said Apovian.

“We’re doing a medical gastric bypass,” she said.

Side effects including nausea, diarrhea and constipation were reported more frequently in people taking the drug than those taking the placebo. They were mostly mild to moderate and occurred primarily as the dose of the drug was escalated, the study found. More than 10% of those taking the drug discontinued the study because of side effects, compared with about 2% of those on placebo.

Lilly is expected to publish the results soon of another study that the firm says shows similar high rates of weight loss. The U.S. Food and Drug Administration has granted the company a fast-track review of the drug to treat obesity, which Eli Lilly may sell under a different brand name. A decision is expected by the end of the year.
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Paul Lane uses his mouth, cheek and chin to push buttons and guide his virtual car around the Gran Turismo racetrack on the PlayStation 5. It’s how he’s been playing for the past 23 years, after a car accident left him unable to use his fingers.

Playing video games has long been a challenge for people with disabilities, chiefly because the standard controllers for the PlayStation, Xbox or Nintendo can be difficult, or even impossible, to maneuver for people with limited mobility. And losing the ability to play the games doesn’t just mean the loss of a favorite pastime, it can also exacerbate social isolation in a community already experiencing it at a far higher rate than the general population.

As part of the gaming industry’s efforts to address the problem, Sony has developed the Access controller for the PlayStation, working with input from Lane and other accessibility consultants. Its the latest addition to the accessible-controller market, whose contributors range from Microsoft to startups and even hobbyists with 3D printers.

“I was big into sports before my injury,” said Cesar Flores, 30, who uses a wheelchair since a car accident eight years ago and also consulted Sony on the controller. “I wrestled in high school, played football. I lifted a lot of weights, all these little things. And even though I can still train in certain ways, there are physical things that I can’t do anymore. And when I play video games, it reminds me that I’m still human. It reminds me that I’m still one of the guys.”

Putting the traditional controller aside, Lane, 52, switches to the Access. It’s a round, customizable gadget that can rest on a table or wheelchair tray and can be configured in myriad ways, depending on what the user needs. That includes switching buttons and thumbsticks, programming special controls and pairing two controllers to be used as one. Lane’s Gran Turismo car zooms around a digital track as he guides it with the back of his hand on the controller.

“I game kind of weird, so it’s comfortable for me to be able to use both of my hands when I game,” he said. “So I need to position the controllers away enough so that I can be able to to use them without clunking into each other. Being able to maneuver the controllers has been awesome, but also the fact that this controller can come out of the box and ready to work.”

Lane and other gamers have been working with Sony since 2018 to help design the Access controller. The idea was to create something that could be configured to work for people with a broad range of needs, rather than focusing on any particular disability.

“Show me a person with multiple sclerosis and I’ll show you a person who can be hard of hearing, I can show someone who has a visual impairment or a motor impairment,” said Mark Barlet, founder and executive director of the nonprofit AbleGamers. “So thinking on the label of a disability is not the approach to take. It’s about the experience that players need to bridge that gap between a game and a controller that’s not designed for their unique presentation in the world.”

Barlet said his organization, which helped both Sony and Microsoft with their accessible controllers, has been advocating for gamers with disabilities for nearly two decades. With the advent of social media, gamers themselves have been able to amplify the message and address creators directly in forums that did not exist before.

“The last five years I have seen the game accessibility movement go from indie studios working on some features to triple-A games being able to be played by people who identify as blind,” he said. “In five years, it’s been breathtaking.”

Microsoft, in a statement, said it was encouraged by the positive reaction to its Xbox Adaptive controller when it was released in 2018 and that it is “heartening to see others in the industry apply a similar approach to include more players in their work through a focus on accessibility.”

The Access controller will go on sale worldwide on Dec. 6 and cost $90 in the U.S.

Alvin Daniel, a senior technical program manager at PlayStation, said the device was designed with three principles in mind to make it “broadly applicable” to as many players as possible. First, the player does not have to hold the controller to use it. It can lay flat on a table, wheelchair tray or be mounted on a tripod, for instance. It was important for it to fit on a wheelchair tray, since once something falls off the tray, it might be impossible for the player to pick it up without help. It also had to be durable for this same reason — so it would survive being run over by a wheelchair, for example.

Second, it’s much easier to press the buttons than on a standard controller. It’s a kit, so it comes with button caps in different sizes, shapes and textures so people can experiment with reconfiguring it the way it works best for them. The third is the thumbsticks, which can also be configured depending on what works for the person using it.

Because it can be used with far less agility and strength than the standard PlayStation controller, the Access could also be a gamechanger for an emerging population: aging gamers suffering from arthritis and other limiting ailments.

“The last time I checked, the average age of a gamers was in their forties,” Daniel said. “And I have every expectation, speaking for myself, that they’ll want to continue to game, as I’ll want to continue to game, because it’s entertainment for us.”

After his accident, Lane stopped gaming for seven years. For someone who began playing video games as a young child on the Magnavox Odyssey — released in 1972 — “it was a void” in his life, he said.

Starting again, even with the limitations of a standard game controller, felt like being reunited with a “long-lost friend.”

“Just the the social impact of gaming really changed my life. It gave me a a brighter disposition,” Lane said. He noted the social isolation that often results when people who were once able-bodied become disabled.

“Everything changes,” he said. “And the more you take away from us, the more isolated we become. Having gaming and having an opportunity to game at a very high level, to be able to do it again, it is like a reunion, (like losing) a close companion and being able to reunite with that person again.”
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In what Guatemalan authorities described as a national security incident, hackers affiliated with the activist group Anonymous disabled multiple government webpages Saturday.

The attacks were in support of demonstrations led by Indigenous organizations in the Central American country.

For almost two weeks, demonstrators have been calling for the resignation of Guatemalan Attorney General Consuelo Porras, saying she has tried to undermine the popular vote that made progressive Bernardo Arévalo the president-elect.

Posting on the social media website X, formerly known as Twitter, hackers under the handle @AnonGTReloaded announced, “This October 14 #Anonymous will attack the Government of Guatemala, but this time we do not come alone.”

The hackers targeted government webpages with floods of automated traffic until they crashed, a technique known as distributed denial-of-service attacks.

Webpages for Guatemala’s judicial branch, Department of Agriculture and the General Secretary of the president were targeted, among others. Some pages were quickly reinstated, but others remained down.

Guatemalan authorities said the hacking was a matter of “national security” and they are responding.

The attacks come after 13 days of protests and road closures. Thousands of Indigenous people have demanded that Porras and prosecutors Rafael Curruchiche and Cinthia Monterroso, as well as Judge Fredy Orellana, all resign, accusing them of endangering the country’s democracy.

Demonstrators maintain that after Arévalo’s victory in the August runoff election, Porras mounted an undemocratic challenge against Arévalo, his left-wing Seed Movement party and electoral authorities.

A representative of Anonymous involved in the cyberattack, who agreed to talk about the hacking only if not identified to avoid legal repercussions, said, “Everything we do is to support humanity and, now in Guatemala, in support of the people who are in the streets, fighting against corruption and impunity.”

Also on Saturday morning, Miguel Martínez, former official and personal friend of current President Alejandro Giammattei, was surrounded by a throng of protesters as security officers escorted him from a Mass in Antigua, Guatemala.

In footage posted on social media, protesters appeared to accuse Martínez of corruption. He is not currently known to be under investigation by the prosecutor’s office.
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