Category: Health

  • MIL-Evening Report: ‘Do not eat’: what’s in those little desiccant sachets and how do they work?

    Source: The Conversation (Au and NZ) – By Kamil Zuber, Senior Industry Research Fellow, Future Industries Institute, University of South Australia

    towfiqu ahamed/Getty Images

    When you buy a new electronic appliance, shoes, medicines or even some food items, you often find a small paper sachet with the warning: “silica gel, do not eat”.

    What exactly is it, is it toxic, and can you use it for anything?

    The importance of desiccants

    That little sachet is a desiccant – a type of material that removes excess moisture from the air.

    It’s important during the transport and storage of a wide range of products because we can’t always control the environment. Humid conditions can cause damage through corrosion, decay, the growth of mould and microorganisms.

    This is why manufacturers include sachets with desiccants to make sure you receive the goods in pristine condition.

    The most common desiccant is silica gel. The small, hard and translucent beads are made of silicon dioxide (like most sands or quartz) – a hydrophilic or water-loving material. Importantly, the beads are porous on the nano-scale, with pore sizes only 15 times larger than the radius of their atoms.

    Silica gel looks somewhat like a sponge when viewed with scanning electron microscopy.
    Trabelsi et al. (2009), CC BY-NC-ND

    These pores have a capillary effect, meaning they condense and draw moisture into the bead similar to how trees transport water through the channelled structures in wood.

    In addition, sponge-like porosity makes their surface area very large. A single gram of silica gel can have an area of up to 700 square metres – almost four tennis courts – making them exceptionally efficient at capturing and storing water.

    Is silica gel toxic?

    The “do not eat” warning is easily the most prominent text on silica gel sachets.

    According to health professionals, most silica beads found in these sachets are non-toxic and don’t present the same risk as silica dust, for example. They mainly pose a choking hazard, which is good enough reason to keep them away from children and pets.

    However, if silica gel is accidentally ingested, it’s still recommended to contact health professionals to determine the best course of action.

    Some variants of silica gel contain a moisture-sensitive dye. One particular variant, based on cobalt chloride, is blue when the desiccant is dry and turns pink when saturated with moisture. While the dye is toxic, in desiccant pellets it is present only in a small amount – approximately 1% of the total weight.

    Indicating silica gel with cobalt chloride – ‘fresh’ on the left, ‘used’ on the right.
    Reza Rio/Shutterstock

    Desiccants come in other forms, too

    Apart from silica gel, a number of other materials are used as moisture absorbers and desiccants. These are zeolites, activated alumina and activated carbon – materials engineered to be highly porous.

    Another desiccant type you’ll often see in moisture absorbers for larger areas like pantries or wardrobes is calcium chloride. It typically comes in a box filled with powder or crystals found in most hardware stores, and is a type of salt.

    Kitchen salt – sodium chloride – attracts water and easily becomes lumpy. Calcium chloride works in the same way, but has an even stronger hygroscopic effect and “traps” the water through a hydration reaction. Once the salt is saturated, you’ll see liquid separating in the container.

    Closet and pantry dehumidifiers like this one typically contain calcium chloride which binds water.
    Healthy Happy/Shutterstock

    I found something that doesn’t seem to be silica gel – what is it?

    Some food items such as tortilla wraps, noodles, beef jerky, and some medicines and vitamins contain slightly different sachets, labelled “oxygen absorbers”.

    These small packets don’t contain desiccants. Instead, they have chemical compounds that “scavenge” or bond oxygen.

    Their purpose is similar to desiccants – they extend the shelf life of food products and sensitive chemicals such as medicines. But they do so by directly preventing oxidation. When some foods are exposed to oxygen, their chemical composition changes and can lead to decay (apples turning brown when cut is an example of oxidation).

    There is a whole range of compounds used as oxygen absorbers. These chemicals have a stronger affinity to oxygen than the protected substance. They range from simple compounds such as iron which “rusts” by using up oxygen, to more complex such as plastic films that work when exposed to light.

    Some of the sachets in your products are oxygen absorbers, not desiccants – but they may look similar.
    Sergio Yoneda/Shutterstock

    Can I reuse a desiccant?

    Although desiccants and dehumidifiers are considered disposable, you can relatively easily reuse them.

    To “recharge” or dehydrate silica gel, you can place it in an oven at approximately 115–125°C for 2–3 hours, although you shouldn’t do this if it’s in a plastic sachet that could melt in the heat.

    Interestingly, due to how they bind water, some desiccants require temperatures well above the boiling point of water to dehydrate (for example, calcium chloride hydrates completely dehydrate at 200°C).

    After dehydration, silica gel sachets may be useful for drying small electronic items (like your phone after you accidentally dropped it into water), keeping your camera dry, or preventing your family photos and old films from sticking to each other.

    This is a good alternative to the questionable method of using uncooked rice, as silica gel doesn’t decompose and won’t leave starch residues on your things.

    Kamil Zuber does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. ‘Do not eat’: what’s in those little desiccant sachets and how do they work? – https://theconversation.com/do-not-eat-whats-in-those-little-desiccant-sachets-and-how-do-they-work-258398

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI USA: Majority Witnesses from PSI Hearing Submit Hundreds of Studies, Thousands of Citations Documenting COVID-19 Vaccine Adverse Events

    US Senate News:

    Source: United States Senator for Wisconsin Ron Johnson

    Minority witness submits 19 pro-COVID-19 vaccine citations after official hearing record closed 

    WASHINGTON – On Thursday, June 5, 2025, the official record closed for the Permanent Subcommittee on Investigations’ hearing entitled, “The Corruption of Science and Federal Health Agencies: How Health Officials Downplayed and Hid Myocarditis and Other Adverse Events Associated with the COVID-19 Vaccines.” Prior to its closure, the Majority’s witnesses submitted hundreds of documents — including peer-reviewed studies — and thousands of citations about COVID-19 vaccine adverse events to accompany their testimonies. These records provide substantial support for the witnesses’ claims regarding the serious health risks associated with the COVID-19 vaccines. 

    At the Subcommittee’s May 21, 2025 hearing, Chairman Ron Johnson (R-WI) released a Majority staff interim report and over 2,400 pages of records detailing the failure of Biden health officials to properly warn the public of the risks of myocarditis and related heart inflammation conditions following mRNA COVID-19 vaccination. The hearing featured testimony from Dr. Peter McCullough, Dr. Jordan Vaughn, Dr. James Thorp, Dr. Joel Wallskog, and Mr. Aaron Siri, all of whom were invited by Chairman Johnson to speak about COVID-19 vaccine adverse events.

    “Any of you who have cited some study or some opinion back it up, and we’ll include it in the hearing record. We’ll have this hearing record [] stay open for 15 days. So, I’m really encouraging people, send me that science,” Chairman Johnson stated to all witnesses at the hearing.

    Later, Chairman Johnson told Hawaii Governor Josh Green, the Minority’s witness at the hearing, “I’m begging you, please provide the studies, the citations that prove that the injection actually reduced severity of symptoms, prevented deaths. Give us those studies, so we can throw those into the hearing record and compare them to other studies[.]” Governor Green responded, “It will not be difficult, Senator, there’s so many.”

    In addition to the 33 pages Governor Green enclosed in his written statement for the hearing, Governor Green submitted 19 links to studies and articles to support his claims about the safety and efficacy of the COVID-19 vaccines. The governor’s submission to the record was made one week after the hearing record officially closed.   

    Chairman Johnson allowed Governor Green’s late submission to be included in the official record so that the public can compare the evidence that the governor presented in support of the COVID-19 vaccines to the multitude of documentation indicating the clear health risks associated with the injections.

    Documents and citations that the Majority’s witnesses entered into the record can be viewed here. Governor Green’s submission to the record can be viewed here.

    A video showing Chairman Johnson asking witnesses for citations can be viewed here. 

    MIL OSI USA News

  • MIL-OSI New Zealand: BLOOMBERG PHILANTHROPIES NAMES 50 GLOBAL FINALISTS IN 2025 MAYORS CHALLENGE Including Lower Hutt

    Source: Bloomberg Philanthropies

    Finalists from 33 countries will receive $50,000 and support to test breakthrough ideas for improving life in cities – In January 2026, 25 winning cities will receive $1 million each to bring their idea to life.

    New York, NY – (June 25, 2025) – Bloomberg Philanthropies today announced the 50 finalists of its latest Mayors Challenge, a competition to spur local government innovation that improves lives in cities around the world. The sixth Challenge elevates municipalities that have proposed the boldest ideas to bolster essential municipal services.

    From Boise to Belfast, Ansan to Addis Ababa, Toronto to Taipei, the 50 finalists, selected from more than 630 applications, hail from 33 countries and represent over 80 million residents. Their ideas aim to increase public transit ridership, lower household energy costs, expand urban green space, speed service response, strengthen sanitation, improve youth safety, safeguard water supply, and more.

    Each finalist city will receive $50,000 to prototype their idea. They will also participate in Bloomberg Philanthropies’ Ideas Camp in July to hone and test their concepts with feedback from experts and fellow peers. In January 2026, the 25 city halls with the most promising ideas will each be awarded $1 million and operational assistance to bring their proposals to life.

    “Local government is where people meet policy—and where government improves lives and builds trust,” said James Anderson, who leads the Government Innovation program at Bloomberg Philanthropies. “That’s why municipal innovation isn’t about grand gestures—it’s about solving hard problems under pressure, often with imperfect tools and finite resources. These Mayors Challenge finalists stand out because they’re not just thinking creatively—they’re designing solutions that reckon with the complexity of implementation and the urgency of their residents’ needs. Their proposals reflect a new standard for public sector achievement: ambitious, yes, but also grounded, disciplined, and ripe for real impact.”

    The 630 ideas submitted to the Mayors Challenge reflect some of the greatest public service challenges facing cities today—as well as the creativity that animates local governments across the globe. A third of U.S. and Canada applicants, for example, devised solutions addressing housing and shelter. Nearly half of the applicants from Africa proposed upgrades to waste collection and management. One out of five applicants from the Asia-Pacific region focused on cleaner water, air, and infrastructure, and 22 percent of European applicants sought ways to reduce poverty or enhance social inclusion.

    The 50 finalist ideas were selected for their originality, potential for impact, and credible vision for delivery. Artificial intelligence was featured in the plans of a number of finalists, including South Bend, Indiana, which envisioned a cutting-edge 311 system that anticipates complaints for non-emergency issues, such as potholes, allowing officials to address problems before a resident report. More analog innovations also rose to the top: In Yonkers, New York, city officials proposed a powerful new hyper-local civic brigade to help older neighbors age happily and healthfully in place.

    The 50 finalist cities are:

    • Abha, Saudi Arabia
    • Addis Ababa, Ethiopia
    • Ansan, South Korea
    • As-Salt, Jordan
    • Barcelona, Spain
    • Beaverton, U.S
    • Beira, Mozambique
    • Belfast, United Kingdom
    • Benin City, Nigeria
    • Boise, U.S.
    • Boston, U.S.
    • Budapest, Hungary
    • Cap-Haïtien, Haiti
    • Cape Town, South Africa
    • Cartagena, Colombia
    • Cauayan, Philippines
    • Choma, Zambia
    • Cuenca, Ecuador
    • Detroit, U.S.
    • Fez, Morocco
    • Fukuoka, Japan
    • Ghaziabad, India
    • Ghent, Belgium
    • Greater Visakhapatnam Municipal Corporation, India
    • Helsinki, Finland
    • Honolulu, U.S.
    • Kanifing, Gambia
    • Kyiv, Ukraine
    • Lafayette, U.S.
    • Lower Hutt, New Zealand
    • Maceió, Brazil
    • Marseille, France
    • Medellín, Colombia
    • Mexico City, Mexico
    • Naga, Philippines
    • Ndola, Zambia
    • Netanya, Israel
    • Nouakchott, Mauritania
    • Pasig, Philippines
    • Rio de Janeiro, Brazil
    • San Francisco, U.S.
    • Seattle, U.S.
    • Seoul, South Korea
    • Sialkot, Pakistan
    • South Bend, U.S.
    • Surabaya, Indonesia
    • Taipei, Taiwan
    • Toronto, Canada
    • Turku, Finland
    • Yonkers, U.S.

    In this round of the Bloomberg Philanthropies Mayors Challenge, more funding will be distributed and more cities will be assisted than in the previous five Challenges which each selected between five to 15 winners. 

    “Local government and mayors’ offices are the beating heart of innovation and change in our urban environments,” said Professor Lesley Lokko OBE, Founder and Chair of the African Futures Institute and 2025 Mayors Challenge advisory committee member. “It has been an honour to join Bloomberg Philanthropies’ advisory committee for the organization’s sixth Mayors Challenge, an initiative dedicated to empowering and supporting city makers around the world. I look forward to working with these 50 finalists as they advance in this extraordinary competition—strengthening their ideas which each represent the inventiveness citizens everywhere should expect from their governments—and the future of what municipal delivery has the power and potential to be.”

    “For more than a decade, Bloomberg Philanthropies has provided unprecedented support to drive local government innovation in cities across the country and around the world,” said Admiral Michael G. Mullen, President & CEO of MGM Consulting and 2025 Mayors Challenge advisory committee member. “The organization’s sixth Mayors Challenge will invest in the future of urban delivery from the ground floor of communities—and I am thrilled to join its advisory committee and work with these finalist cities on accelerating their ideas – from safeguarding water supply to carving out community spaces to integrating AI to improve student routes, and more.”

    The new Mayors Challenge builds on more than 10 years of work led by Bloomberg Philanthropies to discover, nurture, and drive innovation in cities. The awards to date across five previous rounds of competition have provided 38 winning cities with funding and technical assistance to realize their ideas for addressing civic issues. By supporting the replication of the most successful winning ideas, Bloomberg Philanthropies has expanded the impact of the Mayors Challenge to 337 other cities globally, reaching over 100 million residents around the world.

    “Bloomberg Philanthropies has provided invaluable support for cities to develop and implement innovative solutions that improve the lives of residents in ways they can feel,” said Mayor Mike Duggan of Detroit, Michigan. “Detroit is honored to be among the 50 municipalities selected from over 630 applications for the organization’s Mayors Challenge. As a finalist, we will work with renowned experts and peers to advance our proposal to create a powerful, single entry that connects currently scattered information – such as inspection dates, taxes, and utilities – on all 400,000 Detroit properties to revolutionize how owners can access this vital information, as well as how our city plans and provides its most essential services.”

    “Seoul is honored to be selected as one of the 50 finalists for the Bloomberg Philanthropies Mayors Challenge competition,” said Mayor Oh Se-hoon of Seoul, South Korea. “As a finalist, we will further our proposal to launch powerful educational campaigns and new support systems that will protect youth safety and prevent online child exploitation through the development of an AI-based mobile app that detects risks and alerts parents – while working alongside other cities to set a new standard for the future of urban policy.”

    “City halls deliver the most fundamental public services—from reliable public transport to affordable housing, clean water, sustainable environments, emergency response, and more,” said Mayor Gergely Karácsony of Budapest, Hungary. “Recognizing their potential and reach, the Bloomberg Philanthropies Mayors Challenge rewards and equips those with the most inventive ideas to lead transformations of the essential programs their communities rely on. We are honored that Budapest is one of the 50 finalists selected to further our idea to build a city-run food processing plant that can turn surplus fruits and vegetables from local markets into nutritious meals for schools and senior homes.”

    “It is an honor to be selected as a finalist for the Bloomberg Philanthropies Mayors Challenge,” said Mayor Sunita Dayal of Ghaziabad, India. “As we pursue our idea to improve our environment alongside bolstering our workforce – converting organic waste into white rooftop paint and compost to cool homes, green parks, and lower emissions while providing new job opportunities – we have a unique opportunity to incubate innovation that will move our communities forward.” 

    “Thank you to Bloomberg Philanthropies for seeing our vision to improve the quality of life for seniors across our city,” said Mayor Mike Spano of Yonkers, New York. “We are honored to be among 50 finalists selected for the prestigious global Mayors Challenge competition. As a finalist, we will look to create a fully sustainable model for community engagement – marshaling public and private partners as well as residents and students – coupled with innovative technology and tools to enable many more to age safely and gracefully in place.” 

    With the expansion of the Bloomberg Cities Idea Exchange, future Mayors Challenge-winning ideas and other locally led solutions supported by Bloomberg Philanthropies will have new potential to scale—serving as models and catalysts for how governments solve problems across the globe. 

    To learn more about the 50 finalist proposals, visit mayorschallenge.bloomberg.org

    About Bloomberg Philanthropies:
    Bloomberg Philanthropies invests in 700 cities and 150 countries around the world to ensure better, longer lives for the greatest number of people. The organization focuses on creating lasting change in five key areas: the Arts, Education, Environment, Government Innovation, and Public Health. Bloomberg Philanthropies encompasses all of Michael R. Bloomberg’s giving, including his foundation, corporate, and personal philanthropy as well as Bloomberg Associates, a philanthropic consultancy that advises cities around the world. In 2024, Bloomberg Philanthropies distributed $3.7 billion. For more information, please visit bloomberg.org,

    MIL OSI New Zealand News

  • MIL-OSI China: Pan-Asia Pacific Regional Congress on Military Medicine opens in Beijing 2025-06-26 08:44:38 Themed “Innovation, Cooperation, Development, Together for a Shared Future,” the event features discussions and exchanges on innovations in health services and administration, improvements in combat casualty care, and other topics.

    Source: People’s Republic of China – Ministry of National Defense

      BEIJING, June 25 (Xinhua) — The sixth Pan-Asia Pacific Regional Congress on Military Medicine opened on Wednesday in Beijing, bringing together the heads of military health departments and medical experts from more than 20 countries, as well as representatives of five international organizations, including the United Nations, the World Health Organization and the International Committee of Military Medicine.

      Themed “Innovation, Cooperation, Development, Together for a Shared Future,” the event features discussions and exchanges on innovations in health services and administration, improvements in combat casualty care, and other topics.

      The congress aims to enhance regional public health security capabilities, collaboratively promote pragmatic cooperation and innovative development in military medicine, and promote the construction of a global community of health for all.

      It also features exhibitions related to combat casualty care, training injury prevention, traditional medicine, and medical equipment.

      The medical equipment exhibition zone highlights dual-use technologies and equipment, while other sections make use of interactive demonstrations and immersive experiences to showcase the Chinese military’s medical capabilities and traditional medicine expertise. 

    loading…

    MIL OSI China News

  • MIL-OSI: Electronic Health Records (EHR) Market Valued at USD 33.45 Billion in 2024, Set to Grow at 4.59% CAGR Through 2032 | AnalystView Market Insights

    Source: GlobeNewswire (MIL-OSI)

    San Francisco, USA, June 25, 2025 (GLOBE NEWSWIRE) — The Electronic Health Records (EHR) market was valued at USD 33,451.20 million in 2024 and is projected to grow at a CAGR of 4.59% from 2025 to 2032. This growth is driven by the global shift toward digital healthcare infrastructure, government mandates for record standardization, and the rising demand for efficient patient data management across hospitals, clinics, and ambulatory care centers. EHR systems are digital versions of a patient’s paper chart, offering real-time, patient-centered records that make information instantly and securely available to authorized users. They are critical for improving coordination between care providers, minimizing medical errors, and enhancing overall clinical outcomes.

    Government initiatives worldwide are playing a key role in promoting EHR adoption. Programs such as the U.S. HITECH Act, the EU’s digital health transformation goals, and India’s Ayushman Bharat Digital Mission are pushing healthcare providers toward digitization. At the same time, the rise of value-based care, telehealth, and mobile health applications has increased the need for interoperable and cloud-based EHR systems. The market is witnessing significant technological advancements, including integration with AI, predictive analytics, and mobile platforms, which enable better clinical decision-making and patient engagement. However, challenges such as high implementation costs, data privacy concerns, and interoperability issues between different systems remain key hurdles, particularly in emerging markets.

    North America dominates the global EHR market, backed by strong digital infrastructure and initiatives like the U.S. HITECH Act, which allocated over $35 billion to promote EHR adoption. Meanwhile, Asia-Pacific is emerging as the fastest-growing region, fueled by rising healthcare investments—India’s health budget rose 13% in 2023—and national digitization drives like China’s “Healthy China 2030.” Supportive policies, growing urbanization, and expanding patient volumes are accelerating EHR integration across the region, attracting global players and investors alike.

    Unlock in-depth insights and forecasts – Get your FREE sample report of the EHR market today: https://analystviewmarketinsights.com/request_sample/AV4020

    Key Players- Detailed Competitive Insights

    • Cerner Corporation
    • GE Healthcare
    • Veradigm LLC
    • Epic Systems Corporation
    • eClinicalWorks
    • Greenway Health, LLC
    • NextGen Healthcare, Inc.
    • Medical Information Technology, Inc.
    • CPSI
    • AdvancedMD, Inc.
    • Allscripts Healthcare Solutions
    • MEDHOST
    • Athenahealth
    • McKesson Corporation
    • Siemens Healthineers
    • Oracle Corporation

    Market Dynamics

    Drivers

    1. Government Mandates and Incentives: Many countries are accelerating Electronic Health Records (EHR) adoption through targeted policies. In the U.S., CMS’s Promoting Interoperability Program ties Medicare reimbursements to EHR usage. Germany’s Hospital Future Act allocated €4.3 billion for digital upgrades, while Australia’s My Health Record achieved over 90% population coverage. India’s Ayushman Bharat Digital Mission aims to create a unified health ID system, promoting seamless data exchange. These initiatives are driving global healthcare digitalization and fostering integrated patient care systems.
    2. Rising Demand for Streamlined Healthcare Delivery: For example, Mayo Clinic uses integrated EHRs to reduce duplication, streamline workflows, and access real-time patient data—cutting documentation time and improving care coordination across departments and specialties. 
    3. Growth in Telehealth and Remote Monitoring: The global shift toward telemedicine post-COVID-19 has increased the need for centralized digital records that can be accessed remotely. This trend is pushing both public and private healthcare providers to invest in cloud-based and interoperable EHR systems.
    4. Data-Driven Decision Making in Healthcare: As data becomes a core asset in personalized medicine and value-based care models, EHRs serve as critical repositories of patient history, lab reports, medications, and imaging data.

    Challenges

    • High Implementation and Maintenance Costs: The cost of deploying EHR software, training staff, and maintaining IT infrastructure can be prohibitive for small healthcare facilities, especially in developing nations.
    • Interoperability and Data Security Concerns: Although EHRs are designed to improve information sharing, achieving true interoperability across different systems remains a challenge. Moreover, the sensitive nature of health data makes security and compliance with data protection regulations (like HIPAA and GDPR) a critical issue.

    Opportunities

    • Integration with AI and analytics in EHRs enables predictive insights—such as Mount Sinai Hospital using AI models within EHRs to identify sepsis risk early, improving response time and patient outcomes. This innovation is driving demand for intelligent, data-driven systems.
    • Mobile and Cloud-Based EHRs: The adoption of mobile health apps and cloud platforms enables real-time access to health data, especially beneficial in rural and underserved regions.

    Regional Insights

    North America

    North America holds 42.50% of the global EHR market, driven by the U.S.’s early adoption and digital health funding. Epic Systems powers major hospital networks like Kaiser Permanente, while Canada’s Infoway initiative accelerates EHR integration, ensuring secure, interoperable data across provinces.

    Europe

    Europe is a mature yet fragmented market for EHRs. Countries like Germany, the UK, and the Netherlands are progressing well in EHR integration, while others lag due to privacy concerns and inconsistent digital policies. The EU’s push toward unified health records under the European Health Data Space initiative could streamline EHR adoption across member states.

    Asia-Pacific

    The Asia-Pacific region is projected to witness the fastest growth during the forecast period. Rapid urbanization, increased healthcare spending, and the digitalization efforts in countries like India, China, and Australia are major contributors. Government-backed programs such as India’s Ayushman Bharat Digital Mission and China’s Smart Healthcare initiative are significantly driving EHR deployment.

    Latin America & Middle East

    Both regions are gradually embracing EHR systems. Brazil, Saudi Arabia, and the UAE have initiated digital health reforms. However, budget constraints and a lack of infrastructure remain key barriers. International partnerships and private investments are expected to unlock growth potential in these markets.

    TABLE OF CONTENT

    1. Electronic Health Records Market Overview
    1.1. Study Scope
    1.2. Market Estimation Years
    2. Executive Summary
    2.1. Market Snippet
    2.1.1. Electronic Health Records Market Snippet By Product
    2.1.2. Electronic Health Records Market Snippet By Type
    2.1.3. Electronic Health Records Market Snippet By Business Model
    2.1.4. Electronic Health Records Market Snippet By Application
    2.1.5. Electronic Health Records Market Snippet By End Use
    2.1.6. Electronic Health Records Market Snippet by Country
    2.1.7. Electronic Health Records Market Snippet by Region
    2.2. Competitive Insights
    3. Electronic Health Records Key Market Trends
    3.1. Electronic Health Records Market Drivers
    3.1.1. Impact Analysis of Market Drivers
    3.2. Electronic Health Records Market Restraints
    3.2.1. Impact Analysis of Market Restraints
    3.3. Electronic Health Records Market Opportunities
    3.4. Electronic Health Records Market Future Trends
    4. Electronic Health Records Industry Study
    4.1. PEST Analysis
    4.2. Porter’s Five Forces Analysis
    4.3. Growth Prospect Mapping
    4.4. Regulatory Framework Analysis
    5. Electronic Health Records Market: Impact of Escalating Geopolitical Tensions
    5.1. Impact of COVID-19 Pandemic
    5.2. Impact of Russia-Ukraine War
    5.3. Impact of Middle East Conflicts
    6. Electronic Health Records Market Landscape
    6.1. Electronic Health Records Market Share Analysis, 2024
    6.2. Breakdown Data, by Key Manufacturer
    6.2.1. Established Players’ Analysis
    6.2.2. Emerging Players’ Analysis
    7. Electronic Health Records Market – By Product
    7.1. Overview
    7.1.1. Segment Share Analysis, By Product, 2024 & 2032 (%)
    7.1.2. On-premises
    7.1.3. Web & Cloud-Based EHR
    8. Electronic Health Records Market – By Type
    8.1. Overview
    8.1.1. Segment Share Analysis, By Type, 2024 & 2032 (%)
    8.1.2. Acute
    8.1.3. Outpatient
    8.1.4. Post Acute
    9. Electronic Health Records Market – By Business Model
    9.1. Overview
    9.1.1. Segment Share Analysis, By Business Model, 2024 & 2032 (%)
    9.1.2. Licensed Software
    9.1.3. Technology Resale
    9.1.4. Subscriptions
    9.1.5. Professional Services
    9.1.6. Others
    10. Electronic Health Records Market – By Application
    10.1. Overview
    10.1.1. Segment Share Analysis, By Application, 2024 & 2032 (%)
    10.1.2. Cardiology
    10.1.3. Neurology
    10.1.4. Radiology ………

    Reasons to Invest in the EHR Market

    1. Essential Role in Modern Healthcare Systems
      EHRs are no longer optional but a fundamental part of modern healthcare. As hospitals strive to improve patient care, safety, and efficiency, EHRs serve as a backbone for digital health ecosystems.
    2. Regulatory Push and Compliance Standards
      Investment in compliant EHR systems helps healthcare providers align with stringent data protection laws while avoiding penalties and securing patient trust.
    3. Increasing Healthcare Expenditure
      Globally, healthcare budgets are expanding. A significant portion is being directed toward digital infrastructure, making EHR vendors prime beneficiaries of government and institutional funding.
    4. Rising Adoption of Cloud and AI Technologies
      EHR vendors integrating cloud capabilities and AI features offer enhanced scalability, analytics, and patient engagement. These smart EHRs are more future-proof and attractive to investors.
    5. Long-Term Cost Benefits for Healthcare Providers
      Despite initial costs, EHR systems lead to long-term savings by reducing administrative workload, avoiding duplication of tests, and minimizing errors.

    Future Outlook

    The Electronic Health Records (EHR) market is poised for a tech-driven evolution, with AI integration, cloud-based platforms, and interoperability leading the way. By 2032, real-time data exchange, as seen in the U.K.’s NHS Federated Data Platform and India’s Ayushman Bharat Digital Mission, will become standard.

    Growing cybersecurity investments and patient-centric innovations are redefining EHR functionality. With global healthcare systems embracing value-based care, the market is set for intelligent, adaptive, and patient-connected growth worldwide.

    Discover the Full Study : https://analystviewmarketinsights.com/reports/report-highlight-electronic-health-records-market

    Explore More Research Titles in the Healthcare Category by AnalystView Market Insights:

    The MIL Network

  • MIL-OSI USA: Congresswoman Kim Schrier (WA-08) Blasts RFK Jr. For Lying to a Sitting Senator, the American People About His Dismantling of the Advisory Committee on Immunization Practices (ACIP), Vaccine Efficacy and Safety

    Source: United States House of Representatives – Congresswoman Kim Schrier, M.D. (WA-08)

    WASHINGTON, DC – Just hours ago, at the Energy and Commerce Health Subcommittee hearing, Congresswoman Kim Schrier, M.D. (WA-08) – the first pediatrician elected to Congress and co-chair of the Congressional Doctors Caucus – blasted Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. for lying to Senator Bill Cassidy (R-LA) and the American people about his dismantling of the Advisory Committee on Immunization Practices (ACIP) and his undermining of vaccine efficacy and safety.

    “I just want to tell you that for most of us sitting here right now, we believe Senator Cassidy more than we trust you when it comes to vaccinations. It sounds to me like you gave him the answer he needed to hear in order to get his confirmation vote, and then as soon as you were Secretary, you turned around and did whatever you wanted – you fired all 17 members [of ACIP],” said Congresswoman Kim Schrier. “Mr. Secretary, you are now on the record – you lied to Senator Cassidy, you have lied to the American people, you have lied to parents about vaccines for 20 years, and I also want to be clear that I will lay all responsibility for every death from a vaccine-preventable at your feet.”

    To watch Congresswoman Schrier’s full remarks, click here.

    ###

    MIL OSI USA News

  • MIL-OSI USA: Golden statement on the third anniversary of Dobbs v. Jackson’s Women’s Health Organization

    Source: United States House of Representatives – Congressman Jared Golden (ME-02)

    WASHINGTON — Congressman Jared Golden (ME-02) released the following statement on the third anniversary of Dobbs v. Jackson Women’s Health Organization, the Supreme Court decision that overturned Roe v. Wade, allowing individual states to outlaw abortion services:

    “Each day that passes without the federal protections enshrined by Roe v. Wade is an affront to women’s freedom,” Golden said. “Millions of women have lost autonomy over their own bodies, and millions more would be harmed by the extreme anti-choice agenda being driven across the country. I reject those efforts, and will continue to support efforts to restore reproductive freedom to every single American woman.”

    Golden has been a champion of reproductive freedom throughout his time in Congress, and is an original cosponsor of two new bills that were reintroduced today. The Women’s Health Protection Act would enshrine abortion rights for patients and providers and create a federal prohibition against medically unnecessary restrictions on abortion, while the Ensuring Women’s Right to Reproductive Freedom Act would outlaw any restrictions on women traveling across state lines to access abortion services. Golden also helped introduce the Right to Contraception Act earlier this year to establish statutory protections for contraceptives.

    When the Dobbs decision was released by the Supreme Court, Golden called it a “grave mistake” and added that Congress should codify the Roe and Casey v. Planned Parenthood frameworks into federal statute.

    ###

    MIL OSI USA News

  • MIL-OSI Economics: The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education and productivity. Thanks to Y Combinator for having me at AI Startup School.

    Source: Microsoft

    Headline: The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education and productivity. Thanks to Y Combinator for having me at AI Startup School.

    The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education, and productivity. Thanks to Y Combinator for having me at AI Startup School. 

    Transcript

    If there’s one lesson history is thought of is that if you’re going to use energy, you better have social permission to use energy. So that means you’ve got to make sure that the output of this AI is socially useful. If we really are not creating social surplus, economic surplus as measured by countries and communities, we just can’t consume energy. And so that to me is the bigger thing. Like everybody’s today hot and bothered about, OK, what do I do about energy production, I think. The real question in the next 5 years is we’ve got to produce enough products that are creating great value, which I’m very confident of, by the way, in healthcare and education in in productivity. So there’s many, many domains. But that’s the real challenge for us as a tech industry is to prove unequivocally that what we have created is showing up in real stats. That is not just an AGI or AI benchmark. The hope is that this will show up. And sort of the real things that you sort of interact with on a daily basis that 100%, you know, you go use your, you get a mortgage loan and instead of, you know, beautiful three months or two months of waiting around and you don’t know if you’re going to get approved or, you know, there’s just so many things that are important parts of your life that, you know, get drowned in paperwork or bureaucracy that those things could potentially go away. 100% Think healthcare like in the United States. What is it 1819% of our cost? Healthcare and a lot of it, like everybody talks about the magical drug, blah, blah, blah, except all of the cost is in workflow. And so if you really take something like a simple thing like discharge the amount that you take the back end of an EMR system with a just a, an LLM and a prompt, that itself is going to save so much time and money and energy that it would sort of pay for itself.

    MIL OSI Economics

  • MIL-OSI Economics: The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education and productivity. Thanks to Y Combinator for having me at AI Startup School.

    Source: Microsoft

    Headline: The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education and productivity. Thanks to Y Combinator for having me at AI Startup School.

    The real benchmark for AI progress is whether it makes a real difference in people’s lives — in healthcare, education, and productivity. Thanks to Y Combinator for having me at AI Startup School. 

    Transcript

    If there’s one lesson history is thought of is that if you’re going to use energy, you better have social permission to use energy. So that means you’ve got to make sure that the output of this AI is socially useful. If we really are not creating social surplus, economic surplus as measured by countries and communities, we just can’t consume energy. And so that to me is the bigger thing. Like everybody’s today hot and bothered about, OK, what do I do about energy production, I think. The real question in the next 5 years is we’ve got to produce enough products that are creating great value, which I’m very confident of, by the way, in healthcare and education in in productivity. So there’s many, many domains. But that’s the real challenge for us as a tech industry is to prove unequivocally that what we have created is showing up in real stats. That is not just an AGI or AI benchmark. The hope is that this will show up. And sort of the real things that you sort of interact with on a daily basis that 100%, you know, you go use your, you get a mortgage loan and instead of, you know, beautiful three months or two months of waiting around and you don’t know if you’re going to get approved or, you know, there’s just so many things that are important parts of your life that, you know, get drowned in paperwork or bureaucracy that those things could potentially go away. 100% Think healthcare like in the United States. What is it 1819% of our cost? Healthcare and a lot of it, like everybody talks about the magical drug, blah, blah, blah, except all of the cost is in workflow. And so if you really take something like a simple thing like discharge the amount that you take the back end of an EMR system with a just a, an LLM and a prompt, that itself is going to save so much time and money and energy that it would sort of pay for itself.

    MIL OSI Economics

  • MIL-OSI China: Pan-Asia Pacific Regional Congress on Military Medicine opens in Beijing

    Source: People’s Republic of China – State Council News

    BEIJING, June 25 — The sixth Pan-Asia Pacific Regional Congress on Military Medicine opened on Wednesday in Beijing, bringing together the heads of military health departments and medical experts from more than 20 countries, as well as representatives of five international organizations, including the United Nations, the World Health Organization and the International Committee of Military Medicine.

    Themed “Innovation, Cooperation, Development, Together for a Shared Future,” the event features discussions and exchanges on innovations in health services and administration, improvements in combat casualty care, and other topics.

    The congress aims to enhance regional public health security capabilities, collaboratively promote pragmatic cooperation and innovative development in military medicine, and promote the construction of a global community of health for all.

    It also features exhibitions related to combat casualty care, training injury prevention, traditional medicine, and medical equipment.

    The medical equipment exhibition zone highlights dual-use technologies and equipment, while other sections make use of interactive demonstrations and immersive experiences to showcase the Chinese military’s medical capabilities and traditional medicine expertise.

    MIL OSI China News

  • MIL-OSI USA: Kilwins Quality Confections, LLC. Issues Allergy Alert on Undeclared Pecans in Mocha Truffles

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    June 25, 2025
    FDA Publish Date:
    June 25, 2025
    Product Type:
    Food & Beverages
    Reason for Announcement:

    Recall Reason Description
    Undeclared pecans

    Company Name:
    Kilwins Quality Confections, LLC
    Brand Name:

    Brand Name(s)
    Kilwins

    Product Description:

    Product Description
    Mocha Truffles

    Company Announcement
    Kilwins Quality Confections, LLC., of Petoskey, Michigan, is voluntarily recalling Mocha Truffles because they may contain undeclared pecans. People who have an allergy or severe sensitivity to pecans run the risk of serious or life-threatening allergic reaction if they consume these products.
    The recalled Mocha Truffles were distributed by Kilwins Quality Confections, LLC., and may have been sold at nine (9) Kilwins retail stores in the following cities: Orange Beach, AL, located at 4751 Main St, Unit F113; Coral Springs, FL; Vero Beach, FL; Winter Park, FL; Thomasville, GA; Annapolis, MD; Portsmouth, NH; Wilmington, NC, located at 16 Market St; and Alexandria, VA.
    The recalled product was possibly sold at these nine Kilwins retail locations from April 28, 2025 through May 30, 2025.
    The affected product is typically sold out of the chocolate display cases in stores. It may also be packaged by the stores into any of the following retail packages:

    4564 Family Assortment 9 oz
    4565 Family Assortment 14 oz
    4566 Family Assortment 28 oz
    4567 Family Assortment 42 oz
    4574 Truffle Assortment 5 oz
    43109 Truffle Assortment 8 oz
    43110 Mocha Truffles 75 oz
    44121 Truffle Assortment 75 oz

    The numbers listed before the product names would appear below the barcode on the back of the package.
    No illnesses have been reported to date in connection with this product.
    The recall was initiated after it was discovered that a product containing pecans was distributed in packaging that did not reveal the presence of pecans.
    Consumers who have purchased this product within the above time frame are urged to return the product to any Kilwins location for a full refund or dispose of the affected product. Consumers with questions may contact Kilwins Quality Confections, LLC. at 231-347-3800 Monday through Friday from 9am EST through 4:30pm EST.

    Company Contact Information

    Consumers:
    Kilwins Quality Confections, LLC
    231-347-3800

    Product Photos

    Content current as of:
    06/25/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News

  • MIL-OSI USA: Hoyer Leads Hospital Roundtable to Highlight Damage of Trump’s Cuts to Medicaid and Health Care Services

    Source: United States House of Representatives – Congressman Steny H Hoyer (MD-05)

    PRINCE FREDERICK, MD — As part of House Democrats’ Save Our Hospitals Week of Action, Congressman Steny H. Hoyer (MD-05) hosted a roundtable with doctors, medical professionals, and hospitals to discuss the implications of Trump and House Republicans’ cuts to Medicaid and health care services. Congressman Hoyer and roundtable participants highlighted how nearly 17 million Americans stand to lose their health care coverage and millions more will pay higher premiums, copays, and deductibles under the reconciliation bill that House Republicans passed. Experts predict over 21,000 people in the MD-05 alone will lose coverage by 2034 because of this bill. That includes over 8,000 people losing ACA coverage and 13,000 losing Medicaid coverage in MD-05.

    The discussion took place at the Calvert Health Medical Center in Calvert County. Participants included the CalvertHealth Medical Center, Maryland Department of Health, Maryland Hospital Association, MedStar St. Mary’s Hospital, MedStar Southern Maryland Hospital Center, Luminis Health Doctors Community Medical Center, and the University of Maryland Medical System.

    “Donald Trump and his Republican allies in Congress are laser focused on making health care unaffordable for millions of Americans in order to give a tax break to the wealthiest 0.1% of Americans,” Congressman Hoyer said. “As Trump’s administration decimates federal health care services and fires the federal employees providing those services, more pain will befall Maryland households. Seniors might have to ration medications; families with disabled children may have to forgo treatment; hospitals will be squeezed; and the number of uninsured Americans will rise. That’s why I will not stop working to protect Americans’ access to quality, affordable health care.”

    “The Maryland Department of Health was proud to join Congressman Hoyer to hear directly from hospitals on how changes at the federal level will impact Maryland’s health care delivery system. Maryland has been a national model for innovation and population health improvement, paving the way for other states to learn from our system that has both improved health and reduced overall health care costs,” said Ryan Moran, Deputy Secretary of Healthcare Financing and Medicaid Director, Maryland Department of Health.

    MIL OSI USA News

  • MIL-OSI USA: García, Ocasio-Cortez, DeGette Send Letter Urging HHS Secretary Kennedy to Immediately Cease Sharing Non-citizen Medicaid Data with Immigration Enforcement Officials

    Source: United States House of Representatives – Representative Jesús Chuy García (IL-04)

    WASHINGTON, D.C. – Today, Representatives Jesús “Chuy” García (IL-04), Alexandria Ocasio-Cortez (NY-14), and Diana DeGette (CO-01), who serves as ranking member for the Subcommittee on Health on the Energy and Commerce Committee, led 28 colleagues in a letter to Department of Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. regarding the reported sharing of non-citizen Medicaid enrollee data with the Department of Homeland Security (DHS) for immigration enforcement purposes.

    “We write to urge CMS to immediately cease any data sharing with DHS and to direct DHS to destroy any individually identifiable health information transmitted by CMS to DHS,” wrote the lawmakers. “We are particularly concerned that these latest actions will have a chilling effect and jeopardize access to services for those who rely on Medicaid and other public programs for lifesaving care, including the 5.5 million U.S. citizen children in mixed status families.”

    Reporting from the Associated Press (AP) details new efforts by the Trump administration to access and share the private, personally identifiable information of individuals residing in the U.S. According to the AP, top advisors at HHS ordered the release of Medicaid enrollees’ sensitive personal information to DHS despite nonpartisan expert officials’ reported concerns that sharing such data would raise considerable ethical concerns and could violate federal law, including the Social Security Act and the Privacy Act of 1974.

    At the end of the letter, the lawmakers posed the following questions: 

    1. Please detail any and all communication with state Medicaid officials regarding the Trump administration’s efforts to obtain this data, including the exact information requested from state Medicaid agencies subject to the audit described in “SUBJECT: Ending Taxpayer Subsidization of Open Borders.”13 In addition: 

      a. Please include the parameters outlining for which Medicaid applicants or enrollees CMS requested information (i.e., did CMS obtain data specifically on individuals for whom emergency Medicaid payments were made to hospitals, individuals who received statefunded health benefits, individuals who are lawfully present and eligible for Medicaid and/or Children’s Health Insurance Program benefits);

      b. Please specify if such requested information included personally identifiable information such as name and address and, if so, what such information; and c. 

      c. As of the date of your response, please specify which states have provided such information as well as which states have received inquiries.

    2. Please provide copies of any data sharing agreements between CMS and any state for which CMS has provided data to DHS.
    3. What, if any, data was requested from HHS by DHS and for what purpose?

      a. On what date did DHS request such data?

    4. What, if any, data was shared by HHS with DHS and in what format?   
    5. What legal authority, if any, is CMS citing for the release of this personally identifiable information to DHS?
    6. Please share the below correspondence:

      a. Any and all communication from HHS and CMS to DHS regarding the transfer of this data.

      b. Any and all communication within HHS about sharing this data, including the memo prepared by CMS staff detailing their objections to the sharing of personal information of non-citizen enrollees.

    7. Did HHS and DHS enter into a data sharing agreement or any other memorandum of understanding pertaining to the use of Medicaid data or resources for the purposes of immigration enforcement? If so, please provide a copy of that agreement. If not, please explain why the agencies did not enter into a data sharing agreement or other memorandum and describe what, if any, policies and practices are in place regarding the storage, retrievability, access controls, retention, and disposal of the data, as required by the Privacy Act of 1974.

    They requested that Secretary Kennedy provide written responses by no later than Monday, July 21, 2025.

    In addition to Reps. García, Ocasio-Cortez, and DeGette, the letter was signed by Reps. Nanette Barragán (CA-44), Suzanne Bonamici (OR-01), Joaquin Castro (TX-20), Sheila Cherfilus-McCormick (FL-20), Emanuel Cleaver (MO-05), Danny K. Davis (IL-07), Maxine Dexter (OR-03), Debbie Dingell (MI-06), Adriano Espaillat (NY-13), Cleo Fields (LA-06), Robert Garcia (CA-42), Robin Kelly (IL-02), Raja Krishnamoorthi (IL-08), Doris Matsui (CA-07), James McGovern (MA-02), Gregory Meeks (NY-05), Seth Moulton (MA-06), Jerrold Nadler (NY-12), Eleanor Norton (DC), Delia Ramirez (IL-03), Emily Randall (WA-06), Jan Schakowsky (IL-09), Rashida Tlaib (MI-12), Jill Tokuda (HI-02), Norma Torres (CA-35), Ritchie Torres (NY-15), Lori Trahan (MA-03) and Nydia Velázquez (NY-07). 

    The full text of the letter can be found here.

    MIL OSI USA News

  • MIL-OSI New Zealand: Police seek footage of night market assaults

    Source: New Zealand Police

    Police is seeking additional footage as part of the investigation into an alleged stabbing at the Pakuranga Night Markets.

    Counties Manukau Police charged a 23-year-old man over the incident, who has been remanded in custody to reappear in court next month.

    “We are aware a number of people filmed the violent assault taking place on Saturday evening,” Counties Manukau East Area Investigations Manager, Detective Senior Sergeant Dean Batey says.

    “While we are not seeking anyone else in connection with the incident, this footage will be beneficial as part of the prosecution phase.”

    Please contact Police if you have footage to provide.

    You can update Police online now or call 105 using the reference number 250621/0744.

    Meanwhile, Detective Senior Sergeant Batey says both victims are continuing to make a recovery after their ordeals.

    “Police will be speaking with both victims further, and we can advise they are both in a stable condition in Middlemore Hospital.”

    ENDS.

    Jarred Williamson/NZ Police

    MIL OSI New Zealand News

  • MIL-OSI USA: Bipartisan, Bicameral Health Leaders Introduce Bill to Strengthen Veteran Health Care & Stop Waste

    Source: United States House of Representatives – Congressman Lloyd Doggett (D-TX)

    Contact: Alexis.Torres@mail.house.gov

    Washington, D.C. — Today, U.S. Representatives Lloyd Doggett (D-TX), Ranking Member of the House Ways & Means Health Subcommittee, Greg Murphy, M.D. (R-NC), member of the House Ways & Means Health Subcommittee, Mark Takano (D-CA), Ranking Member of the House Veterans’ Affairs Committee, David Schweikert (R-AZ), Chair of the House Ways & Means Oversight Subcommittee, John Joyce, M.D. (R-PA), member of the House Energy & Commerce Health Subcommittee, along with Senators Elizabeth Warren (D-MA), member of the Senate Finance Health Subcommittee, Bill Cassidy, M.D. (R-LA), Chair of the Senate Health, Education, Labor, and Pensions Committee, and Richard Blumenthal (D-CT), Ranking Member of the Senate Veterans’ Affairs Committee, introduced the bicameral Guarantee Utilization of All Reimbursements for Delivery of (GUARD) Veterans’ Health Care Act.

    The legislation will permit the Veterans Health Administration (VHA) to recoup health care costs for dually enrolled veterans in private insurance Medicare Advantage (MA) and Medicare Prescription Drug (Part D) plans. Thereby removing a longstanding statutory loophole that results in taxpayers paying twice for veterans’ health care while private insurers profit and resources are diverted away from the VHA. 

    “Big health insurers have found a nifty way to make an estimated $357 billion profit off veterans and taxpayers: they collect premiums, but taxpayers cover the cost of care. These wasted double payments mean veterans are missing out on critical resources that could be reinvested in delivering more and better care at the VA, such as hiring more providers, purchasing medical equipment, surgical supplies, and devices, and expanding available services at VA clinics,” said Rep. Doggett. “To obtain genuine savings and improve veterans’ health, Congress and the Administration must tackle the insurance lobby. Taxpayers, our veterans, and those at the VA dedicated to serving them deserve better.”

    “It’s a mistake to let Medicare Advantage plans exploit a costly loophole and pocket taxpayer money at the expense of veteran care,” said Sen. Warren. “Instead of ripping away health care from millions of Americans, Congress should crack down on the genuine waste, fraud, and abuse in Medicare Advantage.”

    “Our veterans deserve to receive accessible, high-quality care, and their benefits are meant to cover the services they receive, not line the pockets of insurers who double-dip in the process,” said Rep. Murphy. “For too long, inefficiencies within the system have resulted in a lack of coordinated benefits for veterans dually enrolled with Medicare Advantage and can result in excess payments to insurance companies. I’m proud to join the effort to close the loophole that has allowed insurers who provide Medicare Advantage and Medicare Part D supplemental plans to receive duplicative Medicare payments while the Veterans Health Administration foots the bill.”

    “Insurance companies are capitalizing on a loophole that allows them to make billions of dollars off the backs of veterans while taxpayers are paying twice—both in the form of Medicare’s monthly payments to the insurers, which happen regardless of whether veteran enrollees are using the Medicare plans’ benefits, and in our annual appropriations to the Veterans Health Administration,” said Rep. Takano. “I look forward to ending this predatory practice with the help of Senator Warren, Senator Cassidy, Senator Blumenthal, Representative Doggett, Representative Murphy, Representative Schweikert, and Representative Joyce, and reinvesting these funds into VA’s healthcare system.”

    “Congress must modernize Medicare Advantage and Close the loopholes that allow Medicare Advantage insurers to bill for veteran care they didn’t provide,” said Rep. Schweikert. “From 2018 to 2021, these duplicative payments earned insurers an estimated $44 billion, just a fraction of what companies in this $450 billion-a-year industry have extracted. There is more to uncover and much more to fix. Now is the time to realign incentives in favor of patients.”

    “For too long, private insurers have shaken down the government and taxpayers for care veterans receive at VA hospitals,” said Sen. Blumenthal. “This legislation gives VA the power to claw back these payments and use those funds to provide more quality health care to those who served.” 

    For years, a loophole has allowed MA insurers to pocket billions in taxpayer money through upfront fixed payments from the Centers for Medicare and Medicaid Services for enrolled veterans, despite some veterans never using their benefits, and the VHA shouldering most costs for those who do. As a result, taxpayers are paying twice for the same services, and veterans are losing critical resources that could be reinvested in improving and expanding veterans’ health care. Recognizing the opportunity to profit, insurers deploy disingenuous marketing practices to entice more enrollees for their own lucrative benefits. From 2011 to 2020, dual enrollment in MA plans grew by 63%.

    The GUARD Veterans’ Health Care Act would save American taxpayers an estimated $12.1 billion in a single year, and $357 billion over a decade, by allowing VHA to recover payments for any health care items or services provided to veterans dually-enrolled in an MA or Part D plan. The bill also strengthens VHA’s ability to recover payment from third party insurers for care furnished to veterans.

    Endorsing organizations include the American Federation of Government Employees (AFGE), National Committee to Protect Social Security and Medicare, Medicare Rights Center, Center for Medicare Advocacy, Justice in Aging, National Nurses United (NNU), Public Citizen, and American Economic Liberties Project.

    View the bill text here, and a one-page fact sheet here.

    A 10-year savings estimate from the Center for Advancing Health Policy through Research (CAHPR) is here.

    MIL OSI USA News

  • MIL-OSI USA: Hawley, Hassan, Kelly Reintroduce Bipartisan Bill to Strengthen Rural Hospital Cybersecurity

    US Senate News:

    Source: United States Senator Josh Hawley (R-Mo)

    Wednesday, June 25, 2025

    Today, U.S. Senators Josh Hawley (R-Mo.), Maggie Hassan (D-N.H.), and Mark Kelly (D-Ariz.) reintroduced the Rural Hospital Cybersecurity Enhancement Act, which directs the Department of Health and Human Services (HHS) to develop a comprehensive strategy to address the growing need for skilled cybersecurity professionals in rural hospitals. The strategy aims to improve cybersecurity preparedness and create a robust workforce to protect vulnerable critical infrastructure—rural hospitals—from cyber threats. This legislation unanimously passed out of a Senate committee last Congress.
    “Nearly half of the hospitals in my state are rural. I grew up in a town of 4,000 people—I have lived this firsthand,” said Senator Hawley. “Congress must take action to shore up the ability of small-town hospitals to protect working Americans’ health records from debilitating cyberattacks.”
    “Cyberattacks on hospitals can put at risk people’s medical information, and also sometimes shut the hospital down as it recovers, putting lifesaving care at risk,” said Senator Hassan. “This bipartisan legislation is an important step toward ensuring that rural hospitals have the resources, tools, and training that they need to keep patients safe and protect hospitals from attacks from cybercriminals.”
    “Rural hospitals are on the frontlines of care for so many Arizonans, but too often they’re underfunded and overexposed to cyber threats that can jeopardize patient safety. We saw this firsthand in Yuma, where a ransomware attack disrupted operations and put hundreds of thousands of patients at risk,” said Senator Kelly. “We are giving rural hospitals the tools and workforce they need to strengthen their security and keep delivering care, especially as they navigate new digital reporting requirements.”
    Unlike larger urban hospitals, rural hospitals often have little to no full-time cybersecurity personnel and are particularly exposed to cyberattacks. Vulnerabilities in rural hospitals’ cybersecurity defenses can also be used as entry points to disrupt larger healthcare systems, potentially compromising the sensitive medical and personal data of hundreds of thousands of American patients at once. The Rural Hospital Cybersecurity Enhancement Act would require HHS to:
    Develop a comprehensive rural hospital cybersecurity workforce development strategy that, at a minimum, considers public-private partnerships, development of curricula and training resources, and policy recommendations.
    Make available instructional materials for rural hospitals to train staff on fundamental cybersecurity measures.
    Report annually to congressional committees with updates regarding the strategy and any programs that have been implemented pursuant to the strategy.
    Read the bill text here.

    MIL OSI USA News

  • MIL-OSI USA: Rosen, Colleagues Demand Trump Administration to Reverse Decision to End Policy on Emergency Reproductive Care

    US Senate News:

    Source: United States Senator Jacky Rosen (D-NV)
    The Trump Administration’s Decision To End Guidance That Reaffirmed Access To Abortion Care In Emergency Situations Will Put Women’s Lives In Jeopardy
    WASHINGTON, DC – Following the three-year anniversary of the Dobbs decision overturning Roe v. Wade, U.S. Senator Jacky Rosen (D-NV) joined a group of Senators in a letter demanding the Trump Administration to overturn its recent decision to end guidance that reaffirmed hospitals’ responsibility to provide medically-necessary emergency abortions. In 1986, Congress enacted the Emergency Medical Emergency Medical Treatment and Active Labor Act (EMTALA) to require Medicare-participating hospitals to provide necessary life-saving treatment for any individual—including pregnant women—experiencing emergency medical conditions. However, since the conservative majority on the Supreme Court handed down the Dobbs decision, more than twenty states have passed laws to ban or severely restrict access to abortion, disrupting decades of certainty for hospitals regarding their legal obligation to provide necessary emergency abortion care under federal law.
    “While EMTALA remains binding federal law, the rescission will create further confusion for hospitals and providers, especially in states with abortion bans, and will result in medically-necessary care being withheld from pregnant patients in crisis,” wrote the lawmakers. “When doctors are forced to navigate the complex legal interplay of state abortion bans and federal EMTALA protections, pregnant people experience care delays and may receive substandard care.”
    “This abrupt decision will further the chaos and confusion that hospitals, physicians, and patients have experienced since the Dobbs decision and will result in negative and deadly consequences for women and families across the United States,” the lawmakers concluded.
    The full letter can be found HERE.
    Senator Rosen has been a fighter for women’s reproductive rights, taking action to safeguard access to essential health care for women. This week, she helped introduce the Women’s Health Protection Act to enshrine Roe protections in federal law and restore women’s reproductive freedom. Earlier this year, Senator Rosen joined Senate colleagues in introducing the Right to Contraception Act, aimed at federally guaranteeing the right to obtain and use contraceptives and shielding providers who prescribe and offer them. 

    MIL OSI USA News

  • MIL-OSI USA: Peters Joins Colleagues in Introducing Legislation to Restore and Protect Americans’ Right to Abortion Nationwide As We Mark 3rd Anniversary of Supreme Court Overturning Roe V. Wade

    US Senate News:

    Source: United States Senator for Michigan Gary Peters
    WASHINGTON, D.C. – U.S. Senator Gary Peters (MI) joined his colleagues in introducing the Women’s Health Protection Act of 2025, legislation to guarantee access to abortion across the country and restore the right to reproductive health care for millions of Americans. The bill was introduced on the third anniversary of the U.S. Supreme Court repealing Roe v. Wade, a decision that stripped Americans’ access to vital health care and denied many women the freedom to make their own, private health care decisions. 
    “Three years ago, the conservative majority of the Supreme Court took away the constitutional right to abortion, stripping access to reproductive health care from millions of Americans and putting countless women’s lives in danger,” said Senator Peters. “It’s unacceptable that women today have fewer rights than their mothers and grandmothers did. The Women’s Health Protection Act would restore the fundamental right to choose, and ensure that women in every state can make private, personal health care decisions, without interference from politicians and judges.” 
    As a result of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, millions of Americans are being denied or delayed access to necessary and potentially life-saving treatment, including for ectopic pregnancies and miscarriage management, because of new legal risks to patients and providers. The harms caused by these abortion restrictions fall heaviest on populations that already experience inequities, including people with low incomes, people of color, immigrants, young people, people with disabilities, and those living in rural and other medically underserved areas. Since the Dobbs decision, 19 [SB1] [FB2] states have banned abortion or severely restricted women from being able to access the procedure, leaving one in three[SB3] [FB4]  American women without access to safe, legal abortion care. [FB5] 
    While Michiganders voted in November 2022 to enshrine the right to an abortion in the state’s constitution, the Women’s Health Protection Act would establish federal rights for patients and providers to protect access to an abortion and create protections against medically unnecessary restrictions that undermine Americans’ access to health care.
    Specifically, the Women’s Health Protection Act would:
    Prohibit states from imposing restrictions that jeopardize access to abortion earlier in pregnancy, including many of the state-level restrictions in place prior to Dobbs, such as arbitrary waiting periods, medically unnecessary mandatory ultrasounds, or requirements to provide medically inaccurate information.
    Ensure that later in pregnancy, states cannot limit access to abortion if it would jeopardize the life or health of the mother.
    Protect the ability to travel out of state for an abortion, which has become increasingly common in recent years.
    Peters has been a strong advocate for protecting access to essential reproductive health care and the right of all Americans to make health care decisions privately with their doctors and family. Last year, Peters spoke on the Senate floor to urge his colleagues to support the Access to Family Building Act, legislation Peters cosponsored that would protect IVF treatment. Peters also spoke on the Senate floor in support of the Right to Contraception Act, legislation Peters cosponsored that would guarantee the right to access contraceptives. Peters also joined his colleagues last Congress in introducing the Women’s Health Protection Act of 2023. 

    MIL OSI USA News

  • MIL-OSI USA: Rep. Sherrill and Harshbarger Reintroduce Bipartisan Bill to Modernize Prescription Information

    Source: United States House of Representatives – Congresswoman Mikie Sherrill (NJ-11)

    WASHINGTON, D.C. – Today, U.S. Representatives Mikie Sherrill (NJ-11) and Diana Harshbarger (TN-01) reintroduced the bipartisan Prescription Information Modernization Act, legislation designed to update how prescribing information (PI) is distributed to pharmacists and physicians. This long-overdue reform would allow the Food and Drug Administration (FDA) to finalize a proposed rule permitting drug manufacturers to send prescribing information electronically instead of on printed paper — a change that would improve patient safety and reduce waste.

    “I’m focused on improving our healthcare system to ensure healthcare providers are able to provide the best possible care to patients,” said Rep. Sherrill. “Under outdated rules, providers are prohibited from receiving prescribing information for medications digitally. This legislation would finally modernize our system, allowing pharmacists to access real-time updates on prescription medications that will ensure they can dispense medicines to patients safely while reducing waste at the same time.” 

    “Pharmacists and physicians deserve timely, accurate data when making decisions that impact patient health, not pages of printed material that often arrive late and are immediately discarded,” said Rep. Harshbarger. “This bipartisan bill is a practical update that empowers healthcare professionals with real-time digital access, cuts waste, and ensures patients are receiving the most up-to-date information. Thank you to my colleague, Representative Sherrill for working with me to bring prescribing information into the 21st century.”

    Currently, prescribing information — detailed technical documents intended for healthcare providers, not patients — must be printed and distributed on paper. These documents average 45 pages per prescription and are often bulky, outdated, and discarded soon after arrival. This outdated system, established in 1962, creates significant waste and environmental harm, with roughly 90 billion sheets of paper printed annually to comply with the mandate.

    In 2014, the FDA proposed a rule to allow electronic distribution of prescribing information, but Congress has blocked the rule’s finalization through appropriations riders, forcing providers to continue receiving paper copies that are often outdated as it takes up to 8 to 12 months from printing to shipment of the information. This legislation would give providers the choice of how they receive prescribing information and allow them to opt for digital delivery that offers real-time updates — improving patient care and reducing environmental waste.

    This legislation has drawn support from leading pharmacy and healthcare advocacy organizations, including the Alliance to Modernize Prescribing Information (AMPI) and the following groups: Academy of Managed Care Pharmacy (AMCP), Allergy & Asthma Network, American Pharmacists Association, AmGen, Asthma and Allergy Foundation of America, Association for Accessible Medicines, Beyond Type 1, Biotechnology Innovation Organization, BioNJ, BioUtah, Boomer Esiason Foundation, Environmental Paper Network, Georgia Bio, Healthcare Distribution Alliance, HealthCare Institute of New Jersey, LUNGevity Foundation, Lupin, Maryland Tech Council, MassBio, McKesson, National Association of Chain Drug Stores, National Consumers League, National Grange, NewYorkBIO, North Carolina Biosciences Organization, Texas Healthcare and Biosciences Institute, and Zero Cancer.

    Additional sponsors of this legislation include Reps. David Valadao (R-CA), Don Davis (D-NC), Ken Calvert (R-CA), Scott Peters (D-CA), Julia Letlow (R-LA), Deborah Ross (D-NC), Brad Schneider (D-IL), Steve Womack (R-AR), and Paul Tonko (D-NY).

    ###

    MIL OSI USA News

  • MIL-OSI Analysis: A preservative removed from childhood vaccines 20 years ago is still causing controversy today − a drug safety expert explains

    Source: The Conversation – USA – By Terri Levien, Professor of Pharmacy, Washington State University

    A discredited study published in 1989 first alleged a link between thimerosal and autism. Flavio Coelho/Moment via Getty Images

    An expert committee that advises the Centers for Disease Control and Prevention on vaccines is meeting for the first time since Health Secretary Robert F. Kennedy Jr. abruptly replaced the committee’s 17 members with eight hand-picked ones on June 11, 2025.

    The committee, called the Advisory Committee on Immunization Practices, generally discusses and votes on recommendations for specific vaccines. For this meeting, taking place June 25-26, 2025, vaccines for COVID-19, human papillomavirus, influenza and other infectious diseases were on the schedule. According to an updated agenda, however, the committee is now also scheduled to hear a presentation on a chemical called thimerosal and to vote on proposed recommendations regarding its use in influenza vaccines.

    Public health experts have raised concerns about the presentation, noting that anti-vaccine advocates continue to promote confusion regarding the purported health risks of thimerosal despite extensive research demonstrating its safety.

    I’m a pharmacist and expert on drug information with 35 years of experience critically evaluating the safety and effectiveness of medications in clinical trials. No evidence supports the idea that thimerosal, used as a preservative in vaccines, is unsafe or carries any health risks.

    What is thimerosal?

    Thimerosal, also known as thiomersal, is a preservative that has been used in some drug products since the 1930s because it prevents contamination by killing microbes and preventing their growth.

    In the human body, thimerosal is metabolized, or changed, to ethylmercury, an organic derivative of mercury. Studies in infants have shown that ethylmercury is quickly eliminated from the blood.

    Even though thimerosal is no longer used in childhood vaccines, many parents still worry about whether it can harm their kids.

    Ethylmercury is sometimes confused with methylmercury. Methylmercury is known to be toxic and is associated with many negative effects on brain development even at low exposure. Environmental researchers identified the neurotoxic effects of mercury in children in the 1970s, primarily resulting from exposure to methylmercury in fish. In the 1990s, the Environmental Protection Agency and the Food and Drug Administration established limits for maximum recommended exposure to methylmercury, especially for children, pregnant women and women of childbearing age.

    Why is thimerosal controversial?

    Fears about the safety of thimerosal in vaccines spread for two reasons.

    First, in 1998, a now discredited report was published in a major medical journal called The Lancet. In it, a British doctor named Andrew Wakefield described eight children who developed autism after receiving the MMR vaccine, which protects against measles, mumps and rubella. However, the patients were not compared with a control group that was vaccinated, so it was impossible to draw conclusions about the vaccine’s effects. Also, the data report was later found to be falsified. And the MMR vaccine that children received in that report never contained thimerosal.

    Second, the federal guidelines on exposure limits for the toxic substance methylmercury came out about the same time as the Wakefield study’s publication. During that period, autism was becoming more widely recognized as a developmental condition, and its rates of diagnosis were rising. People who believed Wakefield’s results conflated methylmercury and ethylmercury and promoted the unfounded idea that ethylmercury in vaccines from thimerosal were driving the rising rates of autism.

    The Wakefield study was retracted in 2010, and Wakefield was found guilty of dishonesty and flouting ethics protocols by the U.K. General Medical Council, as well as stripped of his medical license. Subsequent studies have not shown a relationship between the MMR vaccine and autism, but despite the absence of evidence, the idea took hold and has proven difficult to dislodge.

    The Wakefield study severely damaged many parents’ faith in the MMR vaccine, even though its results were eventually shown to be fraudulent.
    Peter Dazeley/The Image Bank, Getty Images

    Have scientists tested whether thimerosal is safe?

    No unbiased research to date has identified toxicity caused by ethylmercury in vaccines or a link between the substance and autism or other developmental concerns – and not from lack of looking.

    A 1999 review conducted by the Food and Drug Administration in response to federal guidelines on limiting mercury exposure found no evidence of harm from thimerosal as a vaccine preservative other than rare allergic reactions. Even so, as a precautionary measure in response to concerns about exposure to mercury in infants, the American Academy of Pediatrics and the U.S. Public Health Service issued a joint statement in 1999 recommending removal of thimerosal from vaccines.

    At that time, just one childhood vaccine was available only in a version that contained thimerosal as an ingredient. This was a vaccine called DTP, for diphtheria, tetanus and pertussis. Other childhood vaccines were either available only in formulations without thimerosal or could be obtained in versions that did not contain it.

    By 2001, U.S. manufacturers had removed thimerosal from almost all vaccines – and from all vaccines in the childhood vaccination schedule.

    In 2004, the U.S. Institute of Medicine Immunization Safety Review Committee reviewed over 200 scientific studies and concluded there is no causal relationship between thimerosal-containing vaccines and autism. Additional well-conducted studies reviewed independently by the CDC and by the FDA did not find a link between thimerosal-containing vaccines and autism or neuropsychological delays.

    How is thimerosal used today?

    In the U.S., most vaccines are now available in single-dose vials or syringes. Thimerosal is found only in multidose vials that are used to supply vaccines for large-scale immunization efforts – specifically, in a small number of influenza vaccines. It is not added to modern childhood vaccines, and people who get a flu vaccine can avoid it by requesting a vaccine supplied in a single-dose vial or syringe.

    Thimerosal is still used in vaccines in some other countries to ensure continued availability of necessary vaccines. The World Health Organization continues to affirm that there is no evidence of toxicity in infants, children or adults exposed to thimerosal-containing vaccines.

    Terri Levien does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. A preservative removed from childhood vaccines 20 years ago is still causing controversy today − a drug safety expert explains – https://theconversation.com/a-preservative-removed-from-childhood-vaccines-20-years-ago-is-still-causing-controversy-today-a-drug-safety-expert-explains-259442

    MIL OSI Analysis

  • MIL-OSI Analysis: A preservative removed from childhood vaccines 20 years ago is still causing controversy today − a drug safety expert explains

    Source: The Conversation – USA – By Terri Levien, Professor of Pharmacy, Washington State University

    A discredited study published in 1989 first alleged a link between thimerosal and autism. Flavio Coelho/Moment via Getty Images

    An expert committee that advises the Centers for Disease Control and Prevention on vaccines is meeting for the first time since Health Secretary Robert F. Kennedy Jr. abruptly replaced the committee’s 17 members with eight hand-picked ones on June 11, 2025.

    The committee, called the Advisory Committee on Immunization Practices, generally discusses and votes on recommendations for specific vaccines. For this meeting, taking place June 25-26, 2025, vaccines for COVID-19, human papillomavirus, influenza and other infectious diseases were on the schedule. According to an updated agenda, however, the committee is now also scheduled to hear a presentation on a chemical called thimerosal and to vote on proposed recommendations regarding its use in influenza vaccines.

    Public health experts have raised concerns about the presentation, noting that anti-vaccine advocates continue to promote confusion regarding the purported health risks of thimerosal despite extensive research demonstrating its safety.

    I’m a pharmacist and expert on drug information with 35 years of experience critically evaluating the safety and effectiveness of medications in clinical trials. No evidence supports the idea that thimerosal, used as a preservative in vaccines, is unsafe or carries any health risks.

    What is thimerosal?

    Thimerosal, also known as thiomersal, is a preservative that has been used in some drug products since the 1930s because it prevents contamination by killing microbes and preventing their growth.

    In the human body, thimerosal is metabolized, or changed, to ethylmercury, an organic derivative of mercury. Studies in infants have shown that ethylmercury is quickly eliminated from the blood.

    Even though thimerosal is no longer used in childhood vaccines, many parents still worry about whether it can harm their kids.

    Ethylmercury is sometimes confused with methylmercury. Methylmercury is known to be toxic and is associated with many negative effects on brain development even at low exposure. Environmental researchers identified the neurotoxic effects of mercury in children in the 1970s, primarily resulting from exposure to methylmercury in fish. In the 1990s, the Environmental Protection Agency and the Food and Drug Administration established limits for maximum recommended exposure to methylmercury, especially for children, pregnant women and women of childbearing age.

    Why is thimerosal controversial?

    Fears about the safety of thimerosal in vaccines spread for two reasons.

    First, in 1998, a now discredited report was published in a major medical journal called The Lancet. In it, a British doctor named Andrew Wakefield described eight children who developed autism after receiving the MMR vaccine, which protects against measles, mumps and rubella. However, the patients were not compared with a control group that was vaccinated, so it was impossible to draw conclusions about the vaccine’s effects. Also, the data report was later found to be falsified. And the MMR vaccine that children received in that report never contained thimerosal.

    Second, the federal guidelines on exposure limits for the toxic substance methylmercury came out about the same time as the Wakefield study’s publication. During that period, autism was becoming more widely recognized as a developmental condition, and its rates of diagnosis were rising. People who believed Wakefield’s results conflated methylmercury and ethylmercury and promoted the unfounded idea that ethylmercury in vaccines from thimerosal were driving the rising rates of autism.

    The Wakefield study was retracted in 2010, and Wakefield was found guilty of dishonesty and flouting ethics protocols by the U.K. General Medical Council, as well as stripped of his medical license. Subsequent studies have not shown a relationship between the MMR vaccine and autism, but despite the absence of evidence, the idea took hold and has proven difficult to dislodge.

    The Wakefield study severely damaged many parents’ faith in the MMR vaccine, even though its results were eventually shown to be fraudulent.
    Peter Dazeley/The Image Bank, Getty Images

    Have scientists tested whether thimerosal is safe?

    No unbiased research to date has identified toxicity caused by ethylmercury in vaccines or a link between the substance and autism or other developmental concerns – and not from lack of looking.

    A 1999 review conducted by the Food and Drug Administration in response to federal guidelines on limiting mercury exposure found no evidence of harm from thimerosal as a vaccine preservative other than rare allergic reactions. Even so, as a precautionary measure in response to concerns about exposure to mercury in infants, the American Academy of Pediatrics and the U.S. Public Health Service issued a joint statement in 1999 recommending removal of thimerosal from vaccines.

    At that time, just one childhood vaccine was available only in a version that contained thimerosal as an ingredient. This was a vaccine called DTP, for diphtheria, tetanus and pertussis. Other childhood vaccines were either available only in formulations without thimerosal or could be obtained in versions that did not contain it.

    By 2001, U.S. manufacturers had removed thimerosal from almost all vaccines – and from all vaccines in the childhood vaccination schedule.

    In 2004, the U.S. Institute of Medicine Immunization Safety Review Committee reviewed over 200 scientific studies and concluded there is no causal relationship between thimerosal-containing vaccines and autism. Additional well-conducted studies reviewed independently by the CDC and by the FDA did not find a link between thimerosal-containing vaccines and autism or neuropsychological delays.

    How is thimerosal used today?

    In the U.S., most vaccines are now available in single-dose vials or syringes. Thimerosal is found only in multidose vials that are used to supply vaccines for large-scale immunization efforts – specifically, in a small number of influenza vaccines. It is not added to modern childhood vaccines, and people who get a flu vaccine can avoid it by requesting a vaccine supplied in a single-dose vial or syringe.

    Thimerosal is still used in vaccines in some other countries to ensure continued availability of necessary vaccines. The World Health Organization continues to affirm that there is no evidence of toxicity in infants, children or adults exposed to thimerosal-containing vaccines.

    Terri Levien does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. A preservative removed from childhood vaccines 20 years ago is still causing controversy today − a drug safety expert explains – https://theconversation.com/a-preservative-removed-from-childhood-vaccines-20-years-ago-is-still-causing-controversy-today-a-drug-safety-expert-explains-259442

    MIL OSI Analysis

  • MIL-OSI USA: Wyden, Hirono Demand Answers on Trump Rescinding Emergency Reproductive Care Guidance

    US Senate News:

    Source: United States Senator Ron Wyden (D-Ore)

    June 25, 2025

    Washington, D.C. – U.S. Senators Ron Wyden, D-Ore., and Mazie K. Hirono, D-Hawai’i, today demanded answers from the Trump Administration about its decision to rescind Biden-era guidance that reaffirmed the obligation of hospitals to provide life-saving, emergency abortion care under the Emergency Medical Treatment and Labor Act (EMTALA).

    Passed into law in 1986, EMTALA requires any hospital receiving Medicare funding to provide necessary stabilizing treatment for any individuals experiencing a medical emergency, including abortion care. The law clearly mandates that hospitals offer abortion care in cases where it is deemed medically necessary to prevent serious harm to patients.

    However, since the Supreme Court handed down the disastrous Dobbs decision three years ago, more than 20 states have passed laws to ban or severely restrict access to abortion, creating chaos and confusion over conflicting state and federal laws and resulting in countless women being denied lifesaving care – despite an obligation by hospitals to provide necessary emergency abortion care under federal law, no matter which state they operate.

    “While EMTALA remains binding federal law, the rescission will create further confusion for hospitals and providers, especially in states with abortion bans, and will result in medically-necessary care being withheld from pregnant patients in crisis,” wrote the lawmakers in their letter to Department of Health and Human Services Secretary Robert F. Kennedy, Jr. and Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz. “When doctors are forced to navigate the complex legal interplay of state abortion bans and federal EMTALA protections, pregnant people experience care delays and may receive substandard care.”

    The senators asserted that by rescinding this guidance, HHS has further complicated how hospitals and doctors navigate existing health care law, needlessly putting pregnant women at severe risk of harm, medical complications, lasting health consequences, and even preventable death.  

    “This abrupt decision will further the chaos and confusion that hospitals, physicians, and patients have experienced since the Dobbs decision and will result in negative and deadly consequences for women and families across the United States,” the lawmakers concluded. 

    In addition to Wyden and Hirono, the letter was signed by Senators Amy Klobuchar, D-Minn., Lisa Blunt Rochester, D-Del., Tammy Duckworth,D-Ill., Elizabeth Warren, D-Mass., Angela Alsobrooks, D-Md, Maria Cantwell, D-Wash., Tina Smith, D-Minn., and Jacky Rosen, D-Nev.

    Wyden has been a longtime advocate in the Senate for upholding abortion access, including the federal protections granted under EMTALA.  In December 2024, Wyden released the results of an investigation into eight hospitals that delayed or denied reproductive care in violation of EMTALA. In March, he condemned Donald Trump’s Department of Justice for dropping a case brought by the Biden administration that challenged Idaho’s extreme abortion ban. 

    The full text of the letter is here.

    MIL OSI USA News

  • MIL-OSI USA: On Third Anniversary of Roe Being Overturned, Merkley and Wyden Join Bill to Restore Abortion Access Nationwide

    US Senate News:

    Source: United States Senator Ron Wyden (D-Ore)

    June 25, 2025

    Women’s Health Protection Act comes as Trump and Congressional Republicans move to restrict a woman’s right to choose and toward a national abortion ban

    WASHINGTON, D.C. – On the third anniversary of the U.S. Supreme Court overturning Roe v. Wade, Oregon’s U.S. Senators Jeff Merkley and Ron Wyden joined the entire Senate Democratic caucus in introducing the Women’s Health Protection Act of 2025, legislation to guarantee access to abortion everywhere across the country and restore the right to comprehensive reproductive health care for millions of Americans. 

    The bill’s introduction comes as the Trump Administration further attacks reproductive freedom and Congressional Republicans barrel ahead with a bill that defunds Planned Parenthood. Put together, Trump and Congressional Republicans’ assault on Americans’ reproductive rights is ripping away millions of women’s access to abortion care and right to control their bodies.

    “Politicians have no place in the exam room,” said Merkley. “The freedom to be in control of your own body is an essential freedom. Here in America, everyone should have the same right to make medical decisions about their own body, and to access the care they need—including reproductive care—free from political interference. The Women’s Health Protection Act codifies Roe v. Wade into law and protects access to the full scope of reproductive health care.”

    “Three years after gutting Roe, Donald Trump and Republicans across the country aren’t slowing down on their efforts to strip women of the right to make their own health care decisions,” said Wyden. “This bill will take the much-needed step of codifying reproductive health care protections under Roe once and for all, and stop Republicans in their crusade to put a politician in every exam room and bedroom in America. I am proud to join my Democratic colleagues in making sure every woman in red and blue states alike once again has the right to choose their future.”

    President Trump appointed the Supreme Court Justices who ruled in the Dobbs v. Jackson Women’s Health Organization case to overturn Roe v. Wade and nearly 50 years of precedent. Since the Dobbs decision, 19 states have banned abortion or severely restricted women from being able to access the procedure, leaving one in three American women without access to safe, legal abortion care. Additionally, state legislatures across the country have introduced hundreds of bills to codify medically unnecessary restrictions that limit access to abortion care. 

    In his second term, President Trump has continued to relentlessly attack reproductive rights, including freezing Title X funding for clinics that offer reproductive care, cutting Biden-era emergency abortion protections, pardoning anti-abortion extremists, and fighting to defund Planned Parenthood. Additionally, the House-passed Republican budget bill kicks 16 million people off their health insurance and defunds Planned Parenthood—threatening the closure of 200 health centers across the country and putting access to vital reproductive care for millions of families at risk.

    The Women’s Health Protection Act of 2025 creates federal rights for patients and providers to protect abortion access. Specifically, the Women’s Health Protection Act of 2025 would:

    • Prohibit states from imposing restrictions that jeopardize access to abortion earlier in pregnancy, including many of the state-level restrictions in place prior to?Dobbs, such as arbitrary waiting periods, medically unnecessary mandatory ultrasounds, or requirements to provide medically inaccurate information.
    • Ensure that later in pregnancy, states cannot limit access to abortion if it would jeopardize the life or health of the mother.
    • Protect the ability to travel out of state for an abortion, which has become increasingly common in recent years.

    Merkley and Wyden are cosponsors of the Women’s Health Protection Act of 2025, which is led in the Senate by U.S. Senators Tammy Baldwin (D-WI), Richard Blumenthal (D-CT), and Patty Murray (D-WA). The legislation is supported by the entire Democratic caucus, including Leader Chuck Schumer (D-NY) and Senators Angela Alsobrooks (D-MD), Michael Bennet (D-CO), Lisa Blunt Rochester (D- DE) Cory Booker (D-NJ), Maria Cantwell (D-WA), Chris Coons (D-DE), Catherine Cortez Masto (D-NV), Tammy Duckworth (D-IL), Dick Durbin (D-IL), John Fetterman (D-PA), Ruben Gallego (D-AZ), Kirsten Gillibrand (D-NY), Maggie Hassan (D-NH), Martin Heinrich (D-NM), John Hickenlooper (D-CO), Mazie Hirono (D-HI), Tim Kaine (D-VA), Mark Kelly (D-AZ), Andy Kim (D-NJ), Angus King (I-ME), Amy Klobuchar (D-MN), Ben Ray Luján (D-NM), Ed Markey (D-MA), Chris Murphy (D-CT), Jon Ossoff (D-GA), Alex Padilla (D-CA), Gary Peters (D-MI), Jack Reed (D-RI), Jacky Rosen (D-NV), Bernie Sanders (I-VT), Brian Schatz (D-HI), Adam Schiff (D-CA), Jeanne Shaheen (D-NH), Elissa Slotkin (D-MI), Tina Smith (D-MN), Chris Van Hollen (D-MD), Mark Warner (D-VA), Raphael Warnock (D-GA), Elizabeth Warren (D-MA), Peter Welch (D-VT), and Sheldon Whitehouse (D-RI).

    Full text of the bill is available by clicking here. A one-pager on the bill is available by clicking here.

    MIL OSI USA News

  • MIL-OSI USA: Sens. Warner & Kaine Introduce Bill to Protect Access to Reproductive Health Care

    US Senate News:

    Source: United States Senator for Commonwealth of Virginia Mark R Warner

    WASHINGTON—Yesterday, on the third anniversary of the Supreme Court overturning Roe v. Wade, U.S. Senator Mark R. Warner and Senator Tim Kaine, a member of the Senate, Health, Education and Labor (HELP) Committee, joined Senators Tammy Baldwin (D-WI), Richard Blumenthal (D-CT), and Patty Murray (D-WA) in introducing the Women’s Health Protection Act, legislation to guarantee access to abortion care across the country. The bill’s introduction comes as the Trump Administration and Republicans continue to attack reproductive freedom. Virginia is the last southern state where abortion is still legal, and Virginia has seen an increase in demand for abortions after other states have passed laws restricting access.

    “In the three years since Roe v. Wade was overturned, we’ve seen the consequences unfold in real time: women denied lifesaving care, doctors forced to navigate confusing and dangerous legal gray areas, and families left to deal with the fallout. Decisions about pregnancy should be made between a woman and her doctor, not by politicians,” said Sen. Warner. “This bill would once and for all restore the constitutional right to abortion, permanently making it safe and legal nationwide.”

    “Three years ago, the Supreme Court took away Americans’ ability to access reproductive health care, and since then, we’ve seen the tragic impacts of this decision for women across the country,” said Sen. Kaine. “I’m proud to be joining my colleagues in introducing this legislation to protect access to abortion nationwide and restore Americans’ freedom to make their own health care decisions.”

    Since the Dobbs decision, 19 states have banned abortion or severely restricted women from being able to access the procedure, leaving one in three American women without access to safe, legal abortion care. Additionally, state legislatures across the country have introduced hundreds of bills to include medically unnecessary restrictions that limit access to abortion care. In his second term, President Trump has continued to attack reproductive rights, including freezing Title X funding for clinics that offer reproductive care, cutting Biden-era emergency abortion protections, and fighting to defund Planned Parenthood. Additionally, the House-passed Republican budget bill kicks 16 million people off their health insurance and defunds Planned Parenthood, threatening the closure of 200 health centers across the country and putting access to vital reproductive care for millions of families at risk.

    The Women’s Health Protection Act guarantees the right to access an abortion—and the right of an abortion provider to deliver these services—free from medically unnecessary restrictions that interfere with a patient’s individual choice or the provider-patient relationship. The bill also protects the ability to travel out of state for an abortion, which has become increasingly common in recent years.

    Following the Dobbs decision, Sens. Warner and Kaine have strongly advocated for legislation to protect Americans’ access to reproductive health care. The senators cosponsored legislation to protect the right of women to travel across state lines for abortion services and help protect medical providers from being punished for providing patients with this care.

    In addition to Sens. Warner, Kaine, Baldwin, Blumenthal, and Murray, the Women’s Health Protection Act is cosponsored by Leader Chuck Schumer (D-NY) and Senators Angela Alsobrooks (D-MD), Michael Bennet (D-CO), Lisa Blunt Rochester (D-DE), Cory Booker (D-NJ), Maria Cantwell (D-WA), Chris Coons (D-DE), Catherine Cortez Masto (D-NV), Tammy Duckworth (D-IL), Dick Durbin (D-IL), John Fetterman (D-PA), Ruben Gallego (D-AZ), Kirsten Gillibrand (D-NY), Maggie Hassan (D-NH), Martin Heinrich (D-NM), John Hickenlooper (D-CO), Mazie Hirono (D-HI), Mark Kelly (D-AZ), Andy Kim (D-NJ), Angus King (I-ME), Amy Klobuchar (D-MN), Ben Ray Luján (D-NM), Ed Markey (D-MA), Jeff Merkley (D-OR), Chris Murphy (D-CT), Jon Ossoff (D-GA), Alex Padilla (D-CA), Gary Peters (D-MI), Jack Reed (D-RI), Jacky Rosen (D-NV), Bernie Sanders (I-VT), Brian Schatz (D-HI), Adam Schiff (D-CA), Jeanne Shaheen (D-NH), Elissa Slotkin (D-MI), Tina Smith (D-MN), Chris Van Hollen (D-MD), Reverend Raphael Warnock (D-GA), Elizabeth Warren (D-MA), Peter Welch (D-VT), Sheldon Whitehouse (D-RI), and Ron Wyden (D-OR).

    Full text of the legislation is available here.

    MIL OSI USA News

  • MIL-Evening Report: Yes, Victoria’s efforts to wean households off gas have been dialled back. But it’s still real progress

    Source: The Conversation (Au and NZ) – By Trivess Moore, Associate Professor in Property, Construction and Project Management, RMIT University

    MirageC/Getty

    On the question of gas, Victoria’s government faces pressure from many directions.

    The Bass Strait wells supplying Australia’s most gas-dependent state are running dry. Gas prices shot up in 2020 and have stayed high. Natural gas is mainly methane, a potent greenhouse gas.

    But weaning more than two million gas-using households off the fossil fuel is hard. The gas lobby pushed back against proposed changes, as did the Victorian Chamber of Commerce and Industry, while resistance from some stakeholders led to a backdown on plans to phase out gas cooktops.

    That’s why the government’s decision to introduce most of the proposed changes is good news. Early plans to require dead gas heaters to be replaced with electric are gone for private housing. But from 2027, new homes have to be all-electric, while landlords will have to replace defunct gas appliances with electric and have ceiling insulation. The move will cut energy bills and accelerate the shift away from gas.

    How did we get here?

    This week’s announcement comes after lengthy consultation on changes first proposed in 2021.

    Some early responses have been supportive, though the gas industry isn’t happy, claiming the reforms will restrict customer choice and cost households more.

    Premier Jacinta Allan pitched the announcement as a way to reserve dwindling and more expensive gas supplies for industry, stating:

    by 2029, these reforms will unlock just under 12 petajoules of gas every year […] by 2035, they’ll deliver 44 PJ annually – enough to meet 85% of Victoria’s forecast industrial demand.

    What are the main changes?

    From January 2027, all newly built homes have to be all-electric. This closes a loophole in existing rules where the all-electric rule only applied to new houses requiring a planning permit.

    When a gas hot water system reaches end of life in an existing house, it will have to be replaced with an efficient electric alternative from March 2027.

    The news is even better for the rental sector.

    In 2021, the state government introduced minimum requirements for rentals. These are now being upgraded to include improved energy efficiency.

    From March 2027, new energy efficiency rules will apply to rentals and public housing, including:

    • gas hot water systems and heaters must be replaced with efficient heat pumps at end of life

    • at the start of a new lease, the rental must have draught proofing, ceiling insulation installed with a minimum R5.0 rating when there is no insulation already, and an efficient electric cooling system in the main living area.

    To help households transition, all upgrades are covered under the Victorian Energy Upgrades program which will help reduce capital costs.

    These plans are welcome. They will cut household energy bills and help meet wider sustainability goals.

    As any Victorian who has sweltered over summer or frozen through winter knows, many of the state’s houses are not great on thermal performance. Most existing homes were built before the introduction of minimum standards in the early 2000s.

    Older homes are also more likely to present health risks such as mould and damp.

    Old gas hot water units in Victoria can be repaired, but replacements will have to be electric from 2027.
    Rusty Todaro/Shutterstock

    Trade-offs proved necessary

    During the consultation period, the Victorian government floated even more ambitious plans, such as requiring all households to replace dead gas heaters with efficient electric options.

    The government originally explored making electric induction cooktops mandatory in new builds. These plans didn’t get through, potentially because of the attachment some householders feel to their gas heaters and cooktops, as we found in our research.

    The state government looks to have decided not to let perfect be the enemy of the good. Better to make significant improvements even with some trade-offs.

    When the market isn’t enough

    Policymakers usually prefer the market to find solutions rather than requiring change through regulations.

    This isn’t always possible. Here, Victoria’s gas supply challenges, subpar housing stock and the pressing need to act on climate change means regulatory nudges are needed.

    Could the government’s changes trigger a backlash? It’s possible, especially if the changes are framed as an added cost to landlords and their tenants. All-electric households are cheaper to run, but it costs money upfront to replace appliances. Waiting until an appliance’s end of life and providing upgrade subsidies will help reduce the cost impact. High gas-users save more – a Melbourne household quitting gas would save almost A$14,000 over ten years.

    18 months until launch

    The first of these changes will be in place in just 18 months.

    Schemes such as this have to be structured carefully. To ensure they work as well as possible for renters in particular, we suggest measures to avoid unintended consequences, such as means-testing any subsidy schemes to avoid leaving out lower-income households.

    We found many householders cannot access reliable information on retrofits and don’t always trust the skills and information given by tradespeople. This is why it’s vital to have accessible, independent, accurate and trustworthy support in understanding how best to replace gas appliances with electric – and how to assess tradie qualifications.

    The government’s decision to exempt rentals with existing ceiling insulation means rentals with old or compacted insulation will miss out.

    Victoria should instead look to the Australian Capital Territory, which mandates installation of new R5.0 insulation if existing insulation isn’t at least R2.

    The government must also ensure renters don’t carry the upfront cost of the upgrades in higher rent. In Sweden, rent increases linked to energy efficiency upgrades were banned.

    For the public to take to these changes, the government must ensure communication is clear and early and that any financial support is adequate and targeted to those most in need.

    Trivess Moore has received funding from various organisations including the Australian Research Council, Australian Housing and Urban Research Institute, Victorian government and various industry partners. He is a trustee of the Fuel Poverty Research Network.

    Nicola Willand has received funding for research from various organisations, including the Australian Research Council, the Victorian state government, the Lord Mayor’s Charitable Foundation, the Future Fuels Collaborative Research Centre, the National Health and Medical Research Council, Energy Consumers Australia and the British Academy. She is a trustee of the Fuel Poverty Research Network charity and affiliated with the Australian Institute of Architects.

    Sarah Robertson has received funding from various organisations, including the Australian Research Council, Australian Housing and Urban Research Institute, Victorian state government, Lord Mayor’s Charitable Foundation, and VicHealth. She is a Steering Committee member for Future Earth Australia.

    ref. Yes, Victoria’s efforts to wean households off gas have been dialled back. But it’s still real progress – https://theconversation.com/yes-victorias-efforts-to-wean-households-off-gas-have-been-dialled-back-but-its-still-real-progress-259695

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Canada: Putting Alberta-made businesses on the map

    Alberta is a province where locally made businesses can reach their full potential and become known through international markets. Across the world, Alberta is recognized as a trusted trade partner thanks to its high-quality services and products and hard-working entrepreneurs. To help small- and medium-sized businesses continue to grow, Alberta’s government is investing in the Trade Accelerator Program (TAP), which empowers them to increase their exports and revenue, while also creating new jobs for Albertans.

    In 2017, TAP was established nationally and Calgary Economic Development started administering the program within Alberta in 2018. Since its creation, TAP has helped more than 550 companies in Alberta receive the knowledge, mentorship and resources they need to help their businesses grow and reach international markets.

    Through a new $2.8-million investment, Alberta’s government is ensuring Calgary Economic Development has the resources it needs to continue delivering TAP for another five years, which is expected to help up to 650 more companies.

    “Increasing trade is a priority for our government, which is why we are helping small- and medium-sized businesses grow. More than ever, we need to diversify our global trade and give businesses the tools they need to succeed. In return, Alberta will see more jobs, more investment and a stronger economy with programs like this.”

    Joseph Schow, Minister of Jobs, Economy, Trade and Immigration

    “With global markets shifting rapidly, Alberta’s small- and medium-sized businesses need every advantage to stay ahead. This support from the Government of Alberta invests in entrepreneurs’ big ideas and helps ensure that local businesses can access the tools and expertise they need to scale globally. Stronger trade capacity means stronger businesses – and a stronger, more resilient Alberta.”

    Brad Parry, president and CEO, Calgary Economic Development

    In addition to the continued operation of TAP, this funding will also facilitate the creation of a new program from Calgary Economic Development called “Levelling Up.” This program will launch in 2026 and will include additional sector- and market-specific trade programming to support businesses in their complex global market expansion needs. “Levelling Up” will also include the ongoing Global Trade Classroom Series along with online resources. It is a program designed for companies who have participated in TAP, with targeted trade support for entering more complex markets.

    “Calgary Economic Development and the Government of Alberta have been pivotal in accelerating naturemary’s growth, innovation and global reach. Their support empowers us to thrive, create jobs and elevate pain relief and wellness from Alberta to the world.”

    Kapil Kalra, president & co-founder, naturemary, (TAP alumni) 

    Companies like naturemary, Rok Water, Knead Technologies and Zeno Renewables began in Alberta as small businesses but received training and support through TAP. Now these companies, like many others, have grown to receive recognition and business in markets around the world.

    Alberta’s government remains focused on continuing to build a resilient and diversified economy that is better positioned to withstand external shocks and ensure long-term prosperity.

    Quick facts

    • TAP supports businesses across Alberta through provincewide delivery, with past sessions hosted in Calgary, Edmonton, Red Deer, Grand Prairie, Canmore, Lethbridge and Medicine Hat.
    • The program is open to any Alberta-based company and businesses can attend sessions in any region.
    • Upcoming TAP cohorts across Alberta include:
      • Calgary, Sept. 9 – Oct. 22
      • Red Deer, Oct. 15 – Nov.20
      • Edmonton, Nov. 4 – Dec. 10

    Related information

    • Trade Accelerator Program
    • Alberta Export Expansion Program
    • Government of Alberta mission calendar

    MIL OSI Canada News

  • MIL-OSI Canada: New Mental Health Group Home for Youth Opens in Prince Albert

    Source: Government of Canada regional news

    Released on June 25, 2025

    Today, the Government of Saskatchewan and Prince Albert Outreach celebrated the grand opening of Peggy’s Compass Home, a new mental health group home for youth in Prince Albert. The government is providing $800,000 in annual operating funding for the five-space home that will support youth ages 12-18 who are experiencing mental health and addictions challenges.  

    “Group homes like Peggy’s Compass Home help children and youth in crisis get the support they need close to home,” Social Services Minister Terry Jenson said. “This new group home will provide a safe, stable environment for young people to heal, grow, and access the mental health and addictions services they need to move forward.” 

    The opening of this home fulfills the 2023-24 Provincial Budget commitment to develop three mental health group homes with a $2.4 million investment. Peggy’s Compass in Prince Albert is the third home to open following EGADZ’s Garden of Hope in Saskatoon and Joe and Irene’s Home operated by Eagle Heart Centre in Regina. Each home is jointly funded by the ministries of Social Services and Health, with each ministry contributing $400,000 annually toward operational costs. 

    “I am happy to see an overall expansion of mental health care for youth through the important work that will be done at Peggy’s Compass Home,” Mental Health and Addictions Minister Lori Carr said. “By increasing our capacity to offer treatment and specialized care to address addictions and mental health challenges, we are helping youth lead healthier lives.” 

    Referrals for youth with chronic mental health and/or addictions issues to this facility will be made through a partnership with the Saskatchewan Health Authority and the Ministry of Social Services.  

    The local Youth Advisory Team collaborated with Prince Albert Outreach to develop programming for the group home using a youth-centered approach. Youth will have input into the programming, their goals and case plans and day-to-day programming. A multidisciplinary team will offer 24/7 mental health, addictions and cultural services.  

    “Today marks the beginning of a safe, supportive home for youth – Peggy’s Compass Home,” PA Outreach Program Executive Director Bill Chow said. “It honours our founder Peggy Rubin’s legacy of tireless dedication to guiding young people toward opportunity and hope. By investing in youth today, we are helping to build a stronger, brighter future for our community.” 

    The Ministry of Social Services partners with Prince Albert Outreach to provide various youth and family support initiatives including cultural services, outreach, court advocacy, a drop-in centre and additional youth-focused support services. 

    For more information about Prince Albert Outreach, visit: www.princealbertoutreach.com.

    -30-

    For more information, contact:

    MIL OSI Canada News

  • MIL-Evening Report: 500,000 Australians live with mental illness but don’t qualify for the NDIS. A damning new report says they need more support

    Source: The Conversation (Au and NZ) – By Sebastian Rosenberg, Associate Professor, Health Research Institute, University of Canberra, and Brain and Mind Centre, University of Sydney

    stellalevi/Getty

    Half a million Australians are living with moderate to severe mental illness, but they don’t qualify for the National Disability Insurance Scheme (NDIS) and cannot access the support they need.

    In a damning report released on Tuesday, the Productivity Commission says addressing this gap must be an urgent priority for all governments.

    The commission is currently reviewing the Mental Health and Suicide Prevention Agreements, signed by the federal government and each state and territory. They aim to improve the community’s mental health and reduce suicide.

    The commission has found little progress, calling the agreements “not fit for purpose”.

    So, how did we get here? And what should happen next?

    More than a lack of funding

    In 1992, the year of Australia’s first national mental health policy, 7.25% of the total health budget was allocated to mental health. In 2022-23, it was still only 7.31%.

    Yet, mental health and drug and alcohol issues account for nearly 15% of Australia’s total burden of disease. While mental health remains woefully underfunded, it is hard to expect much change.

    However, the commission’s main criticism isn’t about funding – it’s about the fragmented way mental health is tackled and the failure of federal and state governments to work together.

    While the agreements may have set out “what to do”, the report says they have failed to describe how change should happen.

    This lack of specific objectives, goals and targets has prevented national mental health reform at the scale required.

    Psychosocial supports

    The report says addressing the lack of psychosocial supports outside the NDIS – a gap that affects 500,000 Australians – must be an urgent priority for states, territories and the federal government.

    Psychosocial supports are non-clinical services for people experiencing mental illness that enable them to live independently and safely in the community.

    For decades, community and charitable organisations have provided these support services in Australia. They can connect people with mental illness to health, housing, employment, education or other community services. This helps people socialise and maintain relationships and daily living skills.

    There is already very strong Australian evidence that psychosocial support services can help people recover from even severe mental illness, improve their quality of life, provide earlier intervention and reduce the burden on hospital-based mental health care.

    Yet, Australia has never adequately funded psychosocial care.

    In 1992, these services received just under 2% of total spending on mental health by the states and territories. In 2022-23, it was 6%.

    The ‘missing middle’

    The lack of psychosocial services, and of community-based mental health care more broadly, is one of the key gaps in Australia’s existing mental health system, giving rise to the term “the missing middle”. This describes people with needs too complex for primary care (such as general practice), but not urgent enough to warrant hospital admission.

    The introduction of the NDIS failed to arrest this gap – and may have made it worse. The scheme was only ever designed to provide support to 64,000 Australians with the most severe, enduring, psychosocial disability.

    In providing funds to set up the NDIS, the federal government, in fact, closed some psychosocial programs it had only recently begun, such as Partners in Recovery and Personal Helpers and Mentors. State and territory funding for psychosocial services was already extremely limited, but they, too, withdrew some community-based supports.

    The neglect of psychosocial services fits into a broader pattern that affects all community mental health services because responsibility for mental health is split.

    The federal government manages primary mental health services, mostly provided by GPs and psychologists under Medicare. Meanwhile, state and territory governments focus on hospital-based, emergency, acute inpatient and outpatient services.

    Currently, nobody is responsible for community mental health care. No wonder these “secondary” services, both clinical and psychosocial, have failed to flourish.

    What’s next?

    The Productivity Commission’s interim report rightly recommends Australia urgently address this gap in psychosocial care.

    Governments are now considering a “foundational supports” funding stream, which would provide psychosocial services for people outside the NDIS.

    However, in 2020, the Productivity Commission found our mental health system to be fragmented and disorganised. Just adding one more funding stream or program to this environment probably won’t help.

    Before considering who funds what, real mental health reform should be based on a clear map that lays out how our mental health system should be organised and the respective role of medical, clinical and psychosocial care in that system.

    Where does the evidence indicate people should go for care? What services should they receive? And what should happen next if their mental health improves or declines?

    This kind of system-wide map can guide investments and prioritise reform, region by region. This would properly put the person, not the funders, at the centre of care.

    If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.

    Sebastian Rosenberg does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    ref. 500,000 Australians live with mental illness but don’t qualify for the NDIS. A damning new report says they need more support – https://theconversation.com/500-000-australians-live-with-mental-illness-but-dont-qualify-for-the-ndis-a-damning-new-report-says-they-need-more-support-259549

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI United Nations: Experts of the Committee on the Elimination of Discrimination against Women Commend San Marino on Aligning Citizenship Rights with International Standards, Ask about Temporary Special Measures and Incentives to Encourage Female Employment

    Source: United Nations – Geneva

    The Committee on the Elimination of Discrimination against Women today concluded its consideration of the combined first to fifth periodic reports of San Marino, with Committee Experts commending the State party on ensuring equal transmission of citizenship for maternal and paternal lines, while raising questions on temporary special measures and incentives to promote female employment.

    One Committee Expert commended the State party for the efforts and improvements made to align citizenship rights of a small landlocked nation with international standards, ensuring that the rules for transmission of citizenship for maternal and paternal lines were now aligned.

    A Committee Expert asked what kind of temporary special measures were already implemented in legislation and in the judicial branch?  What temporary special measures had been adopted in the area of parity to achieve increased representation of women?  Were there any examples of positive discrimination for women in fields such as the military?  Another Expert said there was an ongoing debate in the country about how to enforce the political participation of women in San Marino.  How did San Marino plan to achieve parity in public life. 

    One Committee Expert asked what was being done to facilitate women’s return to employment? Was there a wage gap?  Could more information be provided regarding measures to increase work life balance and incentivise employers to employ women? 

    On temporary special measures, the delegation said measures to guarantee women’s political life in the country were linked to two laws.  Women made up 50 per cent of the public administration.  Women’s representation within the judiciary was fully granted; a few years ago, the President of the San Marino court was a woman. San Marino did not intend to use the instrument of quotas again, as the results did not justify its existence, and the quotas were intended to be a temporary measure. 

    The delegation said San Marino had been providing incentives for female employment for several years, including that employers would pay less tax for female workers. As of 2025, the labour force in San Marino was better balanced, with the gender gap reduced.  If a female worker had a child and wished to return to work, she could transform her contract into one that was parttime.  This was a key provision which would help women balance their professional and private lives. 

    Introducing the report, Marcello Beccari, Permanent Representative of San Marino to the United Nations Office at Geneva, said significant progress had been made to combat gender-based violence in recent years.  On 29 October 2024, the Congress of State adopted delegated decree no. 161 on amendments to law no. 97 of 20 June 2008 – prevention and repression of violence against women and gender violence – and subsequent amendments and to the Criminal Code, which aimed to ensure a more effective system of prevention, protection and support for victims of violence.  In particular, the definition of violence against women and gender-based violence was rephrased.  The Authority for Equal Opportunities was responsible for keeping and disseminating data on gender-based violence.

    In closing remarks, Mr. Beccari thanked the Committee for the dialogue which had enabled the State to review the legislation and all areas where discrimination against women could occur.  The institutions of San Marino were actively engaged in the implementation of the Convention.

    In her closing remarks, Marianne Mikko, Committee Vice-Chair, thanked the delegation of San Marino for the constructive dialogue, which had provided further insight on the situation of women in the country. 

    The delegation of San Marino was comprised of representatives of the Ministry of Justice; the Ministry of Employment; the Department of Foreign Affairs; the Department of Institutional and Internal Affairs; the Department of Health and Social Security; the Department of Education and Culture; the Office of the French Border; the Single Court; the Gendarmerie Corp; the Office for Gender Violence and Minors; the Authority for Equal Opportunities; and the Permanent Mission of San Marino to the United Nations Office at Geneva.

    The Committee on the Elimination of Discrimination against Women’s ninety-first session is being held from 16 June to 4 July.  All documents relating to the Committee’s work, including reports submitted by States parties, can be found on the session’s webpage.  Meeting summary releases can be found here.  The webcast of the Committee’s public meetings can be accessed via the UN Web TV webpage.

    The Committee will next meet at 10 a.m. on Thursday, 26 June to begin its consideration of the fifth periodic report of Chad (CEDAW/C/TCD/5).

    Report

    The Committee has before it the the combined initial to fifth periodic reports of San Marino (CEDAW/C/SMR/1-5).

    Presentation of Report

    MARCELLO BECCARI, Permanent Representative of San Marino to the United Nations Office at Geneva, said the ratification of the Convention in 2003 had been long-awaited by San Marino society, in light of the undeniable steps forward that the country had made since the 1960s.  Unfortunately, women’s rights in San Marino had been denied for centuries: women had had, de jure and de facto, a position inferior to that of men.  San Marino women exercised their voting right for the first time only in 1964, and it was only in 1974 that they could be elected in the general elections and become members of the San Marino Parliament. 

    At the end of the 1990s, a serious discrimination experienced by San Marino women persisted: only men could transmit San Marino citizenship, which made it impossible for the children of a San Marino woman to become San Marino citizens if the father was not a San Marino citizen.  This discrimination was finally eliminated in 2000.  It was only at this time that the country aligned its legal system with the requirements of the Convention. 

    Significant progress had been made to combat gender-based violence in recent years. On 29 October 2024, the Congress of State adopted delegated decree no. 161 on amendments to law no. 97 of 20 June 2008 – prevention and repression of violence against women and gender violence – and subsequent amendments and to the Criminal Code, which aimed to ensure a more effective system of prevention, protection and support for victims of violence.  In particular, the definition of violence against women and gender-based violence was rephrased.  The Authority for Equal Opportunities was responsible for keeping and disseminating data on gender-based violence.  The data was provided by all the institutions that come into contact with women victims of violence, including the courts, the mental health service and the counselling centre, the Minors’ Protection Service, and all three police forces. 

    San Marino authorities recently implemented comprehensive policies with the adoption of two national plans for the prevention of gender-based violence, including all competent institutional and civil society actors: the comprehensive national plan to combat violence against women 2024–2026, and the multi-year national plan on the elimination of violence and harassment and discrimination in the world of work to implement International Labour Organization Convention no.190 on the elimination of violence and harassment in the world of work.  The 24-hour on-call service of Social Workers and Psychologists was introduced and regulated, and the Emergency Centre was set up, where victims, including those with children, could receive psychosocial, health and legal assistance. 

    Every year on the occasion of the International Day for the Elimination of Violence against Women, San Marino organised numerous meetings and initiatives to raise awareness, including a recent media campaign “the new languages of violence”.  The University of San Marino organised compulsory vocational training courses annually for a wide range of professionals, including magistrates, police forces, professional associations, socio-health services, school staff and family mediators.  The University also actively collaborated with schools to foster an innovative and inclusive educational approach.

    An initiative speared by civil society, the law regulating civil registered partnerships (law no. 147 of 20 November 2018), allowed same-sex couples to obtain a form of legal recognition of their relationship equivalent to marriage. Another action which originated from civil society was the Referendum for the decriminalisation and legalisation of the voluntary termination of pregnancy in February 2021.  One year after the historic overwhelming result which saw more than 77 per cent of San Marino citizens vote in favour of decriminalising abortion, the San Marino Parliament approved law no. 147 of 7 September 2022 regulating voluntary termination of pregnancy.  This law contained the necessary amendments to the Criminal Code for both the decriminalisation of the act and the protection of the procedure.

    Despite the progress that had been made in recent years, some challenges persisted in San Marino in the area of elimination of discrimination against women, particularly when it came to eliminating gender stereotypes.  Mr. Beccari said he would ensure the dialogue was open, useful and fruitful. 

    Questions by a Committee Expert

    ERIKA SCHLÄPPI, Committee Expert and Country Rapporteur, said this was the first report submitted by the State party.  It was regretful that no reports had been received from civil society. Were the Convention’s provisions directly applicable in San Marino?  Were they referred to in practice in the courts?  What had been done to raise the visibility of the Convention?  Were there any plans to revise article 4 paragraph 1 of the San Marino Constitution to include other forms of discrimination, including gender identity?  Were there plans to introduce a body of laws preventing discrimination in the private and public spheres?  How did the San Marino authorities integrate a gender perspective in the legislative process? 

    What legal procedures could women currently use for submitting complaints about discriminatory acts?  What were the possible barriers for women to make use of existing legal remedies?  How were judges and lawyers trained to ensure gender equality in administrative procedures?  The Committee was concerned about the lack of disaggregated data in San Marino.  It was welcomed that authorities were considering taking measures to improve the data collections system.  What were the plans to improve data collection in the areas of gender equality? What were the timelines?  Did the State plan to enact a comprehensive law to prohibit discrimination?   

    Responses by the Delegation 

     

    The delegation said civil society organizations were informed about the drafting report and had several opportunities to get in touch.  Work had been carried out on the report with the San Marino Union for Women. Women’s rights were a topic close to the heart of San Marino citizens.  The Authority for Equal Opportunities conducted important work on the issue of violence against women.  The data on cases of violence was quite thorough.  San Marino was going through a process to join the European Union and it was hoped that once they had joined, a body on data gathering could be established. Data gathering was currently a weak point for the State and they would appreciate any specific advice from the Committee in this regard. 

    Work was underway to create a statistical body, and in the meantime, an office was charged with data collection and gathering.  Article 4 contained a list of protections which was not exhaustive.  This was to simplify the way such protection was worded. The Convention was fully applicable to San Marino’s legal body.  The State had signed the Istanbul Convention.  Women who were victims of violence could directly submit a complaint to the police, which would be passed on to the court.  There were nine police brigades which controlled the whole territory in San Marino, and there was an office dedicated to gender-based violence against minors.  A complaint could be received by the main police station, and victims needed to be informed of their rights.  Personnel of the gender-based violence office attended a three-week training course, in collaboration with the Italian police. 

    Data was gathered by the Authority on Equal Opportunities on gender-based violence and violence against minors, as well as discrimination in the world of work.  A new office, the Office of Statistics, was being created, which would act as a house for data, and would be used to answer questions from international bodies.  The State was striving to have data collected by all different agencies, including the police forces, to have a global vision on the issue.   

    While direct reference to the Convention was not that common, the legal framework of the State fully supported the provisions of the Convention. 

    Questions by Committee Experts

    A Committee Expert said San Marino had demonstrated a commitment to promoting gender equality through several institutional frameworks, including the Commission for Equal Opportunities, which addressed a broad range of discrimination, including gender, disability and sexual orientation.  Could the State party clarify the mandate and resource allocations for the Commission and the Authority for Equal Opportunities?  What were the responsibilities of each body? How were they coordinated?  How were gender perspectives currently integrated into public policy?  The Authority for Equal Opportunities managed a fund for victim support.  Could updated information be provided on human and financial resources available for the bodies responsible for gender equality? Were steps being taken to ensure sustainability in line with their growing mandates? 

    San Marino had a vibrant civil society, with groups including the San Marino Union for Women contributing to reforms.  How were women’s organizations formally included in the development and monitoring of gender equality policies?  What measures were taken to ensure the participation of civil society organizations in national platforms?  Could an update be provided on the process and timeline for establishing a national human rights institution?  How would it ensure compliance with the Paris Principles?

    Another Expert asked what kind of temporary special measures were already implemented in legislation and in the judicial branch?  What temporary special measures had been adopted in the area of parity to achieve increased representation of women?  Were there any examples of positive discrimination for women in fields such as the military? 

    Responses by the Delegation 

    The delegation said there needed to be a radical mind shift within San Marino society. Education at schools and universities played a key role in this regard.  If men felt they had a right to discriminate against women, it meant they were not being educated properly.  This applied to other challenges, including racism and intolerance towards minorities. 

    Work was being done to create an Office of the Ombudsman in San Marino.  The office was expected to be operational in 2026.  The key elements of the office, including monitoring, combatting discrimination, complaints mechanisms, and mediation, among others, had already been identified.  The Ombudsman would have an independent budget and would have a six-year mandate. 

    The State endorsed civil society organizations in fighting gender-based violence and discrimination.  A petition called for the creation of mechanisms to combat discrimination.  A register was being developed for civil society organizations active in the field of women’s rights to facilitate work with these organizations.  San Marino was a small State and its services were fully adequate.  The victims’ reception centre had a 24/7 hotline which provided assistance. 

    A decree had set norms for the employment of specific roles, with incentives for the employment of women.  In April 2025, the gap between men and women was significantly reduced, highlighting the effectiveness of these norms. 

    San Marino was in the process of developing an independent human rights commission, in line with the Paris Principles. The bill would come into force in 2025 and become operative in 2026. 

    Questions by Committee Experts

    An Expert asked how the effectiveness of training was being assessed?  What complaints mechanisms existed for discrimination against minority women?  Why was psychological harm not considered to be a criminal case?  Had the campaigns targeting men been assessed?  Was the State considering covering witnesses? Did judges, lawyers and law enforcement receive mandatory training in this regard?

    It was welcomed that the State provided services, including shelters for victims of violence.  Could women with disabilities and migrant women have access to these services?  Were there enough of these services?  What economic, labour and housing initiatives were provided for victims?  How many judicial sentences regarding gender-based violence had been handed down?  What period of time elapsed between the complaint and the finalised sentence? What public funds did civil society organizations currently receive when they provided assistance and support to victims?  How many victims of violence and their children had received reparation?  What kind of reparation did they receive?

    Another Committee Expert said the strong demand for foreign labour in the State created opportunities for trafficking.  The State party had reported that no investigations had been launched to date regarding trafficking cases.  When was the State party expecting to finalise work on the national action plan on trafficking?  What funds would be allocated to ensure its success?  How would the State party ensure that all relevant stakeholders were up to speed concerning their role in the fight against trafficking?  What steps was the State party taking to put in place national procedures and mechanisms to ensure the referral of trafficking victims?  Several sectors of the economy had been identified as being susceptible to trafficking, including domestic work.  Was the State party planning to follow the recommendation to raise awareness of the risk of trafficking among the general public?  Was the State party planning to decriminalise sex work?

    Responses by the Delegation 

     

    The delegation said San Marino was carrying out activities to improve its expertise in the area of trafficking.  The State currently had no cases directly relating to human trafficking, demonstrating the phenomenon was limited in the country, possibly due to its limited size, as well as the control and efficacy of law enforcement agencies.  The national strategy for combatting trafficking was currently being drafted.  Since trafficking cases were non-existent in San Marino, it was unlikely the topic would be addressed extensively in training courses, but it would be mentioned. The anti-violence network included magistrates and representatives of the legal system and law enforcement agencies. 

    Since the visit of the Council of Europe Group of Experts on Action against Trafficking in Human Beings to San Marino, there had been no indication of risks or cases reported. Work was carried out in collaboration with the Italian State in terms of training opportunities, and new modules were being designed for labour inspectors.  The Labour Inspectorate carried out direct interviews with the home carers and had reported no issues in this regard.  The State would continue to remain vigilant about trafficking, particularly for high-risk sectors, but at present this risk was not prevalent.

    Psychological violence was included in the decree of 2024, which addressed domestic violence against women.  It was defined as any intentional behaviour which impacted the psychological integrity of women.  In 2024, there were four orders of protection enacted by the judge.  Parliament recently adopted a law regarding the duration of trial, which would ensure an improvement in the duration of cases pertaining to violence. 

    Over the last year, training had been dedicated to preventive action against discrimination. The State had a duty to punish perpetrators, and to ensure their rehabilitation.  The union contract had been signed for the 24-hour availability of social servants, for cases of discrimination or violence.  A protocol was in place with the authorities and Order of Psychologists, where psychologists received a financial contribution for completing mandatory training for victims of violence. 

    The State had a list of pro-bono lawyers who could assist victims, but were also working on a specific agreement with the Bar Association, to ensure that victims had legal assistance.  This assistance would be entirely covered by the Authority of Equal Opportunities.  A project was underway to support women victims of violence who did not have access to an income.  Two years ago, a training module was created for journalists to raise awareness about gender stereotypes in the media, with work carried out directly with the Association of Journalists.

    A new emergency centre was created in 2024 and had been operating 24/7, welcoming women victims of violence and their children, as well as unaccompanied minors.   

    Questions by Committee Experts

    An Expert said the crime of trafficking affected all countries; was size of the country considered an acceptable excuse for the lack of trafficking cases? 

    A Committee Expert said there was an ongoing debate in the country about how to enforce the political participation of women in San Marino.  How did San Marino plan to achieve parity in public life.  How did the State party explain the low representation of women in the cabinet?  Were there legal or policy measures in place to ensure the representation of women? What would be done to increase the number of women in leading positions in the public administration and the judiciary? 

    One Committee Expert commended the State party for the efforts and improvements made to align citizenship rights of a small landlocked nation with international standards, ensuring that the rules for transmission of citizenship for maternal and paternal lines were now aligned.  The Committee also welcomed the approval concerning the “amendment on citizenship” to remove the obligations for applicants to renounce their existing citizenship.  However, it was regretful that there was no data in the report enabling the Committee to assess the impact of these acts.  It was also concerning that San Marino was yet to ratify key conventions relating to stateless persons. 

    What was the number of women who had obtained citizenship through naturalisation compared to men?  Was the State party considering abolishing the requirement of the interdiction of dual citizenship?  What support mechanism were in place to ensure eligible individuals were able to access the right to San Marino citizenship?

    Responses by the Delegation

    The delegation said approximately 50 per cent of the San Marino population lived abroad. Until the year 2000, San Marino citizenship could only be transmitted through the paternal line.  Those who held San Marino citizenship could hold others as well.  The obligation to renounce other nationalities was linked to the naturalisation process.

    Some diplomats believed there were in fact too many women in the diplomatic core, as there had been significant progress in this regard.  Measures to guarantee women’s political life in the country were linked to two laws.  Women made up 50 per cent of the public administration.  Women’s representation within the judiciary was fully granted; a few years ago, the President of the San Marino court was a woman.  San Marino did not intend to use the instrument of quotas again, as the results did not justify its existence, and the quotas were intended to be a temporary measure.  Instead, the State had introduced a cultural mind shift through better awareness raising.  Measures had been introduced to support families, to allow all citizens to participate in the life of the country. 

    The judiciary had strong female representation, with six female representatives.  The coordinator for the civil administrative sector was a woman.   Psychical criteria had been adjusted for entering the gendarmerie corps, meaning there were new female recruits.  In 2025, 25 per cent of officers within the gendarmerie where female, which was a common trend across all law enforcement agencies.  Women had been able to ascend within law enforcement agencies, with women colonels responsible for several units. 

    Questions by a Committee Expert

    A Committee Expert said the Committee commended the State party for achieving literacy rates for both women and men at a rate of 100 per cent.  Was the education system full inclusive to migrant girls and girls with disabilities?  The Committee congratulated the State party for ensuring that equality and inclusion started from primary school.  How did San Marino’s schools directly address topics of human rights, gender stereotypes, racism and gender equality?  Were human rights and gender equality issues explicitly addressed in education curricula? What were the specific recommendations made to prevent cyber bullying against women and girls?  Could sex disaggregated data be provided regarding access to financial aid for students? 

    Responses by the Delegation

    The delegation said San Marino had two dedicated decrees related to education, including for students with learning disabilities.  There were training courses for teachers to ensure they could provide support to students with disabilities and deal with individual cases. Indications were introduced in all San Marino institutions, from kindergarten to secondary school.  Even at university level, courses offered to students related to gender-based violence and racial discrimination.  The curriculum of schools included specific projects for awareness raising.  This initiative was also passed on to families involved in this approach. 

    On 5 July, an exhibition entitled “Open Dreams” would open, gathering works of elementary and secondary school students, created during school projects relating to human rights and gender parity.  This exhibition would be open to the San Marino people and was part of the United Nations Educational, Scientific and Cultural Organization celebration for education for peace. 

    Questions by a Committee Expert

    A Committee Expert said the Committee appreciated policies aimed at better integrating women into the labour force, including the one focusing on women over 50.  However, it was concerning that women were underrepresented in the labour market, but overrepresented in part time jobs. Around 95 per cent of those dismissed during the COVID-19 pandemic were women.  Could the State party provide disaggregated statistical data on the employment of women? Why were women the majority of those who lost their employment in the pandemic?  What was done to facilitate their return to employment?  Was there a wage gap?  Could more information be provided regarding measures to increase work life balance and incentivise employers to employ women? 

    What percentage of fathers had benefitted from parental leave since its introduction? What measures were taken to strengthen childcare and support services?  What was being done to strengthen the monitoring of labour conditions of vulnerable groups?  What measures were being taken to combat sexual harassment in the workplace?  What was being done to increase the low numbers of women in leadership positions in the private sector?  Was there a specific law prohibiting sexual harassment in the workplace? 

    Responses by the Delegation

    The delegation said in San Marino law, selection of an individual for employment was based on merit and the candidate’s skillset.  San Marino’s labour market was fully open, meaning employers were free to make their selection specific to the profile they were looking for.  The labour inspectorate would then provide opportunities for the unemployed.  San Marino had been providing incentives for female employment for several years, including that employers would pay less tax for female workers. 

    As of 2025, the labour force in San Marino was better balanced, with the gender gap reduced. If a female worker had a child and wished to return to work, she could transform her contract into one that was part-time.  There were fiscal incentives for employers who were ready to hear needs of their female workers.  This part time contract was valid for the first three years of the child’s life and could be extended for an additional three years.  This was a key provision which would help women balance their professional and private lives.  There were no distinctions in the area of training and lifelong learning between men and women. 

    San Marino had adopted the International Labour Organization convention on workplace discrimination, and the State had adopted a national action plan in this regard. There were several types of paternal leave.  The San Marino legal system encouraged fathers to request permission to accompany children to the doctor and for other needs.  The legal system also provided for parental leave for foster children. 

    Discriminatory acts in San Marino were punishable under the law.  If this occurred in a work environment, the sentence would be further strengthened.  There were harsher punishments for sexual violence when it occurred in a work environment. 

     

    Questions by a Committee Expert

    A Committee Expert asked what the State party was doing to ensure the right of minorities to health?  What were the current challenges faced by the Women’s Health Centre?  How was its sustainability guaranteed?  What measures were taken to ensure sexual and reproductive health, as well as modern, free and low-cost contraceptive measures, especially for more disadvantaged groups?  How was appropriate information provided on how to access appropriate gynaecological and obstetric care? 

    Forced sterilisation was sanctioned under the Penal Code but could be authorised on the grounds of psycho-social disability.  What measures would be taken to combat this harmful practice?  Had changes been made to the Penal Code which recognised exceptions to the general prohibition of abortion, including incest and rape?  How many women had access to legal abortion in 2023 and 2024?  What steps were being taken by the State party to have a team to support female victims of gender violence?  How were women’s needs in mental health being taken into account? 

    Responses by the Delegation

    The delegation said the law to support families included rights for mothers, fathers, natural and adopted children.  For years, the Women’s Health Centre had been working to support women, including counselling them.  This was a dedicated body which fought to protect women, their children, and families. The Centre offered counselling for women and couples, providing them with information and contraceptives. Activities in schools were tailored depending on the age of the pupils. 

    The Constitutional Court in San Marino had issued a ruling on the desire to de-penalise abortion, reflecting the mind shift already present in society.  Screenings for cancer risks were directly managed by the San Marino hospital.  The Women’s Health Centre was tasked with prevention and monitoring of such risks. There was no forced sterilisation in the country.  Close monitoring of contraception occurred under the supervision of medical personnel. 

    A series of events were organised in schools dedicated to sexuality, which were optional for elementary school pupils and mandatory for older pupils.  The content of these events differed depending on the age of the students.  Training courses had been developed to raise awareness among younger populations about sexual health.  These interventions had been favourably welcomed by San Marino households.  In 2023, a new hub providing psychological support was opened, accessible to all pupils.  Mental health support was available through the hub.  Adolescents and young people could freely access the human papillomavirus vaccine. 

    Questions by a Committee Expert

    A Committee Expert congratulated the State party on law no. 158 of 2022, which provided a regulatory framework for the protection and support of women who went through pregnancy and postpartum in conditions of psychological, economic and social discomfort, as well as single pregnant women, and single parent families.  How many single pregnant women and single-parent families had benefited since the adoption of the law in November 2022? 

    Had the State party considered instituting surveillance and monitoring mechanisms to specifically track progress in inclusive social security systems?  What laws and policies had been implemented to promote women’s entrepreneurship, access to economic assets, and business ownership?  Were there government-led programmes that provided support to women entrepreneurs? Were there training or capacity building initiatives in key sectors like financial technology, e-commerce, digital technologies, artificial intelligence, and robotics, where women remained underrepresented?  What actions were being taken to increase the number of women in leadership roles within sports and cultural institutions? 

    Responses by the Delegation 

    The delegation said a new law provided favourable conditions for both male and female entrepreneurs.  More and more women were opting for activities in the e-commerce space.  Employers and employees could have access to the family allowance.  This was provided by the State to better support childcare.  Law 158 from 2022 supported pregnant women and single parent families.  The State was currently considering a reform bill which resulted in further allowances to support households with young children, particularly new fathers, to close the gap between men and women in the household. 

    In 2024, there were 22 cases of voluntary abortion in the country.  The San Marino Olympic Committee promoted equality.  In 2024, the University of San Marino organised a day focusing on sports and disability, using sports as a tool for inclusion and equality.  This special day was open to all sports operators and coaches in the country to raise awareness regarding inclusion and combatting all kinds of discrimination in sports. 

    Questions by Committee Experts

    A Committee Expert said around five per cent of the State resided in rural areas, being predominantly involved in agriculture or domestic work.  Could information on the social conditions of rural women in San Marino be provided?  San Marino had 258 migrant workers employed in the private sector as caregivers or badanti. The Committee noted with satisfaction the establishment of the one stop shop set up to provide assistance to these badanti.  What was currently being done to prevent violence against badanti? 

    What measures were in place to ensure inclusive employment for women with disabilities? Since June 2019, discrimination on the ground of gender identity was expressly banned in San Marino.  What steps were being taken to recognise same sex marriage for citizens? 

    A Committee Expert asked for more information on forced sterilisation which had been imposed on women with disabilities over the past five years, possibly authorised by a legal guardian? 

    Responses by the Delegation 

    The delegation said it was difficult to distinguish between urban and rural areas in San Marino. All people living in San Marino enjoyed universal health coverage.  A desk had been organised for badanti to answer questions and deal with issues affecting them, and for families who wished to benefit from their services. There was no discrimination towards badanti in the country; efforts were made to protect their work. 

    Questions by a Committee Expert

    A Committee Expert welcomed the law which allowed a judge to order the removal of the aggressor in cases of gender-based violence, among other initiatives.  How did the courts deal with custody and the visiting rights of parents?  How were the best interests of a child taken into account from a gender perspective? How many children had been able to receive their mothers surname since 2016?  What mechanisms existed to provide oversight for family mediation procedures and ensure the Convention standards were respected? 

    Responses by the Delegation 

    The delegation said the interests of minors were always protected when it came to custody matters.  Judges would take into account the circumstance of violence within the household. When it came to separation between the parents, mediation was ruled out if there was violence within the household. 

    Closing Remarks

    MARCELLO BECCARI, Permanent Representative of San Marino to the United Nations Office at Geneva and head of the delegation, thanked the Committee for the dialogue which had enabled the State to review the legislation and all areas where discrimination against women could occur.  The institutions of San Marino were actively engaged in the implementation of the Convention.  The recommendations by the Committee would be carefully considered.

    MARIANNE MIKKO, Committee Vice-Chair, thanked the delegation of San Marino for the constructive dialogue, which had provided further insight on the situation of women in the country.  

    ___________

    Produced by the United Nations Information Service in Geneva for use of the media; 
    not an official record. English and French versions of our releases are different as they are the product of two separate coverage teams that work independently.

     

    CEDAW25.017E

    MIL OSI United Nations News

  • MIL-OSI United Nations: In Dialogue with Kazakhstan, Experts of the Human Rights Committee Commend the Abolition of the Death Penalty, Ask about Excessive Use of Force during 2022 Demonstrations and Internet Censorship

    Source: United Nations – Geneva

    The Human Rights Committee today concluded its consideration of the third periodic report of Kazakhstan on how it implements the provisions of the International Covenant on Civil and Political Rights, with Committee Experts commending the State’s abolition of the death penalty, and raising issues concerning excessive use of force by law enforcement officials during demonstrations in January 2022 and internet censorship.

    Changrok Soh, Committee Chairperson, and other Committee Experts commended Kazakhstan for its abolition of the death penalty and ratification of the Second Optional Protocol to the Covenant.

    A Committee Expert cited reports of excessive use of force during demonstrations in January 2022 that resulted in the deaths of several peaceful protesters.  Investigations into these incidents were reportedly insufficient. What measures would the State party take to hold perpetrators to account, and provide adequate remedies to victims and their families?

    Another Committee Expert said Kazakhstan had not amended legislation allowing the Prosecutor General to shut down websites without court approval.  Provisions designed to protect children from cyberbullying were reportedly misused to censor and restrict information, as were internet blackouts. Could the delegation comment on these issues?

    Botagoz Zhaxelekova, Vice-Minister of Justice of Kazakhstan and head of the delegation, said that, as part of national action plans, systemic efforts had been made to enhance human rights protections.  These included the ratification of the Second Optional Protocol, aimed at the abolition of the death penalty, without reservations.  Kazakhstan was currently working with countries in Central Asia and Mongolia to make the region the first death penalty-free zone.

    In the ensuing discussion, the delegation said that the 2022 incident was a mass uprising that led to numerous injuries to law enforcement officials.  Investigations had been initiated into the incident, with nine officials sentenced for the excessive use of arms.  Monitoring visits had led to the release of around 400 people who were arbitrarily detained.

    On internet censorship, the delegation said this year, around 1,000 warning letters were issued to website operators calling for illegal content to be removed.  If it was removed, the site was not blocked.  Internet services could only be suspended in emergency situations and when there was an extreme threat to public safety, such as during the January 2022 events.  The 2023 law on online platforms was based on the European Union’s digital services act. It was geared toward the liberalisation of the online sphere.

    Ms. Zhaxelekova, in concluding remarks, thanked the Committee for the constructive dialogue, and all those who had facilitated the dialogue.  The Committee’s recommendations would be considered by the State and incorporated into future human rights action plans, she said.

    In his concluding remarks, Mr. Soh said the delegation had engaged actively in the dialogue, which had addressed judicial independence, the prohibition of torture, and the rights of vulnerable groups, among other topics.  The Committee expressed particular concern regarding the lack of accountability for the January 2022 events and restrictions on civil society and freedom of assembly.  It hoped that the dialogue would translate into increased protection of civil and political rights in Kazakhstan.

    The delegation of Kazakhstan was made up of representatives of the Ministry of Labour and Social Protection of the Population; Ministry of Culture and Information; Ministry of Education; Ministry of Foreign Affairs; Ministry of Internal Affairs; Ministry of Justice; Court Administration; Anti-Corruption Agency; Prosecutor General’s Office; and the Permanent Mission of Kazakhstan to the United Nations Office at Geneva.

    The Human Rights Committee’s one hundred and forty-fourth session is being held from 23 June to 17 July 2025.  All the documents relating to the Committee’s work, including reports submitted by States parties, can be found on the session’s webpage.  Meeting summary releases can be found here.  The webcast of the Committee’s public meetings can be accessed via the UN Web TV webpage.

    The Committee will next meet in public at 3 p.m. on Thursday, 26 June to begin its consideration of the initial report of Guinea Bissau (CCPR/C/GNB/1).

    Report

    The Committee has before it the third periodic report of Kazakhstan (CCPR/C/KAZ/3).

    Presentation of the Report

    BOTAGOZ ZHAXELEKOVA, Vice-Minister of Justice of Kazakhstan and head of the delegation, said international obligations were an integral part of Kazakhstan’s national legal system.  The provisions of the Covenant took precedence over national legislation, and the State’s primary priority was the protection of citizens’ rights.

    During the reporting period, the State made far-reaching reforms aiming to consolidate democracy and build a just Kazakhstan. In 2022, constitutional reforms reinforced human rights protections for all Kazakh citizens, moving the State from a super-Presidential form of Government to a Presidential Republic with a strengthened Parliament.  The President could now serve only a single seven-year term and could not seek re-election. Rural mayors were now directly elected, and regional authorities had been granted greater autonomy. 

    The role of the lower house of Parliament in forming the Government had been strengthened – Parliament’s consent was now required for the appointment of the Prime Minister and other members of the Government.  The lower house was also empowered to hear reports from the Government, including on human rights issues.

    In addition, the registration process for political parties had been simplified; the electoral process had been improved; and the registration threshold had been reduced fourfold, from 20,000 to 5,000 members.  For the first time, six political parties, including opposition parties, were represented in the lower house.  Nearly half of the members of Parliament had been newly elected, including independent candidates.  A 30 per cent quota for women, youth, and persons with disabilities was introduced for the allocation of party list mandates.  The Mazhilis (lower house of Parliament) now included 18 women, six persons with disabilities, and eight individuals under the age of 35.

    The Constitutional Court had been re-established as a key mechanism for protecting rights and freedoms.  All citizens could appeal to it free of charge, and interpretation services were available.  To date, the Court had issued over 500 rulings and 71 final decisions.  In 20 per cent of reviewed cases, legal provisions were found to be unconstitutional.

    Constitutional law had expanded the powers of the Human Rights Commissioner, who could now directly address the President, both chambers of Parliament, and the Government with proposals to improve human rights mechanisms and initiate systemic legislative measures.  The Ombudsman was empowered to file lawsuits to defend the rights of an unlimited number of individuals, access all penal institutions freely, interview any person, and intervene in cases of rights violations. Regional Ombudspersons for the rights of children and for socially vulnerable groups had also been appointed across the country.

    Extensive work had been carried out in the field of lawmaking.  Laws adopted during the reporting period included the law on peaceful assemblies, which introduced a notification-based system for assemblies; a law decriminalising defamation; a law granting citizens and civil society organizations the right to oversee Government and quasi-public entities; a law obliging the Government to respond to petitions that received more than 50,000 signatures; a law expanding journalists’ rights to access and disseminate information; and the Social Code, which guaranteed equality and the inadmissibility of discrimination in all areas of life and increased State social benefits by 15 per cent. 

    Other laws adopted included a law aimed at protecting victims of domestic violence, which led to the annual number of crimes against women decreasing by 2.5 times; legislation increasing penalties for crimes against the sexual integrity of children; a law granting public monitoring commissions and the national preventive mechanism unrestricted access to all closed facilities in the country without prior notice and establishing criminal liability for cruel and inhuman treatment; and a law on combatting human trafficking.

    As a result of preventive measures, the number of registered torture cases had declined each year.  In 2024, the number fell by 40 per cent.  Since 2020, a Compensation Fund for Victims of Torture had been operating, and over the past five years, more than 3,000 compensation payments had been made.

    Kazakhstan was also taking measures to protect its citizens abroad.  From 2019 to 2021, the country carried out special operations repatriating 754 individuals from Syria, including 526 children and citizens of neighbouring countries.  All children received passports and women were supported to return to a normal life.

    As part of national action plans, systemic efforts had been made to enhance human rights protections.  A total of 94 actions had been planned, more than 75 per cent of which had already been implemented.  These included the ratification of the Second Optional Protocol to the Covenant, aimed at the abolition of the death penalty, without reservations.  This commitment was also enshrined in the Constitution.  Kazakhstan was currently working with countries in Central Asia and Mongolia to make the region the first death penalty-free zone.  In 2023, Kazakhstan also ratified two Optional Protocols: one to the Convention on the Rights of the Child and another to the Convention on the Rights of Persons with Disabilities. 

    To ensure the effective implementation of decisions and requests from United Nations committees, a working group was established in 2022.  It included representatives from the main State authorities.  Kazakhstan had responded positively to decisions on individual communications by United Nations committees, including through the payment of compensation in the cases of Gerasimov, Bayramov and Malykhin. 

    The State party had also incorporated the recommendations of the United Nations High Commissioner Volker Türk, who visited Kazakhstan in 2023, into a comprehensive action plan on human rights and the rule of law.  The action plan focused on protecting the rights of women, children, and persons with disabilities; combatting domestic violence; strengthening labour rights; and safeguarding freedom of association.

    The Government has been actively engaging with civil society on all major reforms.  One notable example of this engagement was the “Dialogue Platform for the Human Dimension” under the Ministry of Foreign Affairs.  Since 2013, more than 50 meetings had been held, and their outcomes were reflected in three human rights action plans, including recently adopted laws on combatting human trafficking, the criminalisation of domestic violence, and the fight against torture.

    Questions by Committee Experts

    A Committee Expert said the Committee welcomed Kazakhstan’s abolition of the death penalty and its ratification of the Second Optional Protocol in 2022, as well as the strengthening of the Constitutional Court in 2023 and the establishment of several mechanisms and institutions.  The Committee had, in recent years, issued a substantial number of Views concluding violations of the Covenant by the State party, but had received disturbing information that most of these had not been followed up.  Would the State party extend the mandate of the interagency working group, which was tasked with analysing these Views?  What measures had been taken to give full effect to the Committee’s recommendations?  How were members of the judiciary trained on international procedures?

    The adoption of the international treaties act enhanced the role of international treaties in the national legal order. Did the Covenant have direct effect? The Committee welcomed national plans related to human rights.  How effective had implementation of these plans been?  Domestic courts had assessed a substantial number of cases involving the Covenant.  Had these courts directly implemented the Covenant?  Was training on the Covenant for the judiciary compulsory?  How was the public educated on the Committee’s work?

    The Committee welcomed that the Human Rights Commission’s mandate had been expanded but noted that it had “B” status since 2012. Had the State worked to have it accredited with “A” status?  What were the obstacles in this regard?  How did the State party guarantee a transparent and independent procedure for appointing members of the Commission?  How did the Commissioner monitor the implementation of the Covenant?  Could the Commissioner be held accountable for inaction?  The State party had invested in the national preventive mechanism against torture, but this institution depended on the Human Rights Commission to carry out its operations and reportedly needed to announce visits to places of detention in advance.  How would the State party strengthen the mechanism?

    Another Committee Expert welcomed the significant changes to the national framework, including the establishment of the national Anti-Corruption Agency.  There were concerns about the influence of public officials over this institution. What measures were in place to ensure the independence of the Agency?  Media reportedly faced political pressure when reporting on corruption, with some having been imprisoned.  What measures were in place to protect media personnel investigating corruption?

    The law on countering extremism included a vague definition of “extremism” that allowed for arbitrary interpretation.  Would this definition be revised?  Were media personnel pressured to expose colleagues’ actions to reduce sentences against them?  Did the State party plan to remove people convicted of non-violent crimes from the list of people accused of financing terrorism?  Which objective standards were used in courts to define extremist activities?  The Committee called for statistics on persons tried for extremist crimes.

    The Committee welcomed legal safeguards against surgical sterilisation, but was concerned about uneven access to contraception and high rates of teenage pregnancy.  What steps had been taken to expand access to affordable contraceptives and family planning programmes?  The Committee was concerned by reports of forced sterilisation and abortion, particularly targeting persons with disabilities, and gender stereotypes embedded in school curricula.  What measures were in place to address these issues and develop adequate sexual and reproductive health education?

    A Committee Expert said that demonstrations in December 2011 resulted in the deaths and injuries of civilians, and reported torture and other cruel, inhuman or degrading treatment of individuals put under trial related to these protests.  Investigations into these incidents and many alleged perpetrators of human rights violations were reportedly insufficient.  What measures would the State party take to hold perpetrators to account, and provide adequate remedies to victims and their families?  How many investigations had been carried out thus far and what convictions had been handed down?

    The Committee welcomed measures taken to address the high suicide rate in detention centres, but this high rate reportedly persisted.  What further measures were planned to reduce the suicide rate and to investigate all deaths in custody?

    One Committee Expert said that the State party’s laws on discrimination did not address all forms of discrimination included in the Covenant, despite high levels of discrimination against certain groups in the State party.  Efforts to revise anti-discrimination laws seemed to have stalled.  Was there a plan to revive these?

    The Committee welcomed the State party’s efforts to promote the rights of persons with disabilities.  Would it remove discriminatory language in its laws related to persons with disabilities?

    In 2020, the Dungan community experienced ethnic violence resulting in deaths, injuries, property damage, and the displacement of thousands of community members.  Law enforcement authorities reportedly ignored these incidents, delaying investigations and prosecutions.  What progress had been made in setting up a reconciliation committee and in providing remedies to victims?

    There were credible reports of violence and discrimination targeting lesbian, gay, bisexual, transgender and intersex individuals. Why had organizations of lesbian, gay, bisexual, transgender and intersex persons been denied formal registration and the right to peaceful assembly?  The Kazakhstan Union of Parents had submitted a petition seeking to ban “propaganda” related to lesbian, gay, bisexual, transgender and intersex persons.  How had the Government responded to this petition?  Public funding had been removed from gender reassignment surgery and the minimum age for such procedures had been raised to 21.  How would the Government support persons who sought such surgery?

    Another Committee Expert welcomed that Kazakhstan’s law prohibited gender-based discrimination, but expressed concern that women accounted for only 27 per cent of the Mazhilis, and had limited representation in decision-making positions in public and private bodies.  There was a major salary gap between men and women, and the law did not ensure equal pay for equal work.  What measures had the State party taken to ensure substantive equality between men and women and to address discrimination in access to education, land and property rights?  How did the State party promote women’s representation in decision-making bodies and managerial roles?  What measures were in place to address the gender pay gap?

    The Committee welcomed that the State party had financed gender equality initiatives, but noted that the gender equality strategy had been replaced with the gender and family policy.  The 2009 law on domestic violence was limited to violence by immediate family members.  What legislative and other measures had been taken to combat violence against women and girls?  How had the State party tackled the rise in domestic violence observed during the COVID-19 pandemic?  How was it addressing issues such as forced and early marriages and ensuring a victim-centred approach to investigations and prosecutions? 

    Stigma surrounded reporting of cases of domestic and gender-based violence and police were reportedly reluctant to act on such cases. How did the State party encourage reporting of violence by victims, ensure adequate funding for victim support services, and collect data on complaints, investigations and sentences? What measures were in place to strengthen awareness raising campaigns on violence against women targeting public officials and civil society?

    Responses by the Delegation

    The delegation said the Covenant was directly applicable in Kazakhstan and took precedence over domestic legislation. Over the past eight years, over 7,000 decisions were handed down by the courts that referenced the Covenant. Training seminars on Covenant rights were held for members of the judiciary.  The Government had made good progress on the human rights action plan, having implemented around 75 action points thus far, including actions promoting gender equality and women’s representation in decision-making bodies, as well as the investigation of torture.

    The Ombudsperson’s status was enshrined in the Constitution.  It did not report to Government bodies and had immunity in carrying out its activities. Its financial independence was guaranteed and it had direct access to all Government bodies.  In 2023, the Ombudsperson representatives carried out more than 700 monitoring visits and issued over 600 recommendations, some 70 per cent of which were implemented.  An assessment of institutional capacity was carried out in 2023 by the Human Rights Commissioner towards its accreditation with “A” status by the Global Alliance of National Human Rights Institutions.

    The independent national preventive mechanism consisted of 126 members, a large percentage of whom were representatives of non-governmental organizations.  They were elected through a transparent process by the coordination council.  The Ombudsperson was working on improving the professional knowledge of the mechanism’s members.  Its annual budget was spent exclusively on its needs.  It had unlimited access to all detention centres in the country and did not need prior permission to conduct visits.

    The Anti-Corruption Agency was independent. It had held several high-level officials accountable for corruption and had seized several millions of dollars in assets from those officials, investing those assets directly in Government programmes such as school construction projects.  The Agency provided free consultations with citizens periodically and worked with citizen volunteers who monitored corruption.

    The State ensured the safety of journalists who investigated corruption, providing all assistance necessary to those journalists. Journalists had broad rights to receive answers to their questions from public officials and to attend public events.

    The concepts of “extremism” and “terrorism” defined in national legislation and the Constitution were in line with those of international law.  The State party welcomed the Committee’s recommendations for improving these laws. All inclusions in the list of organizations linked to terrorism financing were based on the sentences of judges.  Around 1,000 persons had been removed from the list after review, including persons already serving sentences under the Criminal Code and persons found to have given up extremist views.

    Kazakhstan’s Health Code guaranteed the right to reproductive healthcare.  Women had the right not to be subjected to forced abortions or sterilisation and had access to all sexual and reproductive health services.  Gynaecologists determined whether terminations of pregnancy were necessary.  Minors could seek terminations with the written permission of their parents. Family planning and contraception services were provided by the State.  Medical, out-patient and in-patient services had been established in rural areas – 308 medical facilities had been built last year. Events were held that promoted reproductive health and aimed to prevent the spread of sexually transmitted diseases and unwanted pregnancies.  Increased access to maternal health services had led to a reduction in maternal mortality and the number of abortions.

    The Prosecutor’s Office had conducted investigations into the events of December 2011, as had monitoring bodies from the United Nations.  The Government had allowed representatives of non-governmental organizations and the media to attend trials related to these events.  Some 1,100 witness testimonies were conducted as part of investigations, which led to the sentencing of 13 officials.  All persons who had been arrested were now released. Investigations found that there was no evidence of torture and other cruel, inhuman or degrading treatment of arrested persons by public officials.  One official had been charged with granting officers permission to use lethal firearms, which led to the death of 12 persons.  These victims’ families had been granted damages by the courts.

    Discrimination was not allowed on grounds of sex, ethnicity, race, status, property or religion, among other characteristics. The State party had created a committee promoting inter-ethnic harmony, which had developed guidelines on access to legal remedies for victims of discrimination and recommendations for improving legislation on discrimination. 

    All citizens were equal before the law and no person could be subject to discrimination based on sexual orientation and gender identity.  Members of the lesbian, gay, bisexual, transgender and intersex community had access to all fundamental rights.  The State party had agreed to conduct research on the impact of propaganda related to lesbian, gay, bisexual, transgender and intersex persons in response to the petition it had received.  Sex changes were regulated by domestic law; persons aged 21 or over with legal capacity had the right to change their sex.

    Some 87 persons had been convicted for having taking part in mass unrest in 2020 affecting the Dungan community, damaging property and obstructing the actions of the police.  All victims had had their property restored.

    The law on persons with disabilities granted persons with category two disabilities priority access to public housing. National standards were in place that supported access to infrastructure and services for persons with disabilities. The accessibility level of buildings was mapped by the State party, and more than 124,000 buildings had been adapted to promote accessibility.

    In April 2024, a law was adopted that aimed to protect women and girls from violence.  There was criminal liability for battery and bodily harm.  Police were obliged to investigate all suspected cases of domestic violence, even when there was no report.  The punishment for sexual violence had been increased to up to life imprisonment.  Forced marriage was punished with up to 10 years imprisonment.  Measures were in place to ensure that victims could file complaints.  The Government funded a specific unit on combatting domestic violence and provided training to officials on responding to domestic violence.  Courts issued restraining orders and instructions relating to behaviour in domestic violence cases as required.  Mobile units responded in a timely manner to reports of violence; they had worked with more than 100,000 families.

    The share of women in local assemblies was 22.7 per cent. There were three women ministers and eight women vice-ministers, and the Chief Justice of the Constitutional Court was a woman.  Some 53 per cent of judges were women.  The State party was working actively to ensure that the quota of 30 per cent female candidates was respected.

    The ideology of the gender equality strategy had not changed.  The State party was working with United Nations agencies to promote gender-sensitive budgeting and establish bodies within ministries with gender-related mandates.

    Around 15 per cent of senior public officials were women. Since 2018, some 7,000 women had served in military operations and 15 Kazakh women had served in United Nations peacekeeping roles.  Equal pay for equal work for men and women was enshrined in the Constitution. Discrimination on any grounds was not allowed.  The Labour Code prohibited discrimination on the grounds of gender.  Women who felt they had been discriminated against could turn to the courts to seek remedies.

    Follow-Up Questions by Committee Experts

    A Committee Expert welcomed that the procedure for follow-up on Views had led to legal changes and the payment of compensation to victims.  The Expert also welcomed efforts made by the State party to inform the public about the Committee’s work.  Another Committee Expert welcomed measures promoting access to registration for civil society organizations.  One Committee Expert commended the participation of 15 Kazakh women in United Nations peacekeeping operations, and the increasing number of women in the Ministry of Foreign Affairs.

    CHANGROK SOH, Committee Chairperson, said he was impressed by the abolition of the death penalty and progress in improving the representation of women, but noted that there were still issues that needed to be addressed.

    Committee Experts asked follow-up questions on how the State party promoted the independence of the Ombudsperson, despite the President’s role in appointing its members; investigations into individual cases of killings and claims of torture occurring during December 2011 protests and reparations provided to victims’ families, and whether an official public apology had been issued for these human rights violations; whether the State party would formally recognise the right of lesbian, gay, bisexual, transgender and intersex persons to protection from discrimination; details on planned revisions to discrimination legislation; the status of research into propaganda related to lesbian, gay, bisexual, transgender and intersex persons; whether a law on gender-based harassment would be promulgated soon; and resistance to laws on violence against women from conservative segments of society.

    Responses by the Delegation

    The delegation said the national preventive mechanism carried out more than 500 monitoring visits per year.  It had issued more than 16,000 recommendations to institutions as of 2020, of which 44 per cent had been implemented.

    An investigation was carried out into events related to December 2011 protests.  There was no evidence of the acts of torture that were alleged, preventing judicial investigation of those allegations.  The investigations into the murder of 12 individuals and the injury of six determined that arms were used with unlawful intent, inflicting grievous bodily harm, but not necessarily murder.  One official had refused to provide medical care to an injured person and was sentenced to five years imprisonment.

    Issues related to discrimination legislation and the petition on propaganda related to lesbian, gay, bisexual, transgender and intersex persons would be considered once research into these issues was completed. Civil society was invited to join discussions related to the petition and other Government measures.

    National legislation allowed for liability for various forms of harassment.  Last year, changes were brought to the Criminal Code banning sexual activity with minors under age 16.  The Government was assessing the effectiveness of current legislation on gender-based violence, which would be revised in 2027.

    The 2022 constitutional law on the Human Rights Commissioner expanded the powers of the Ombudsperson and the mandate of the Human Rights Commissioner.  The findings of the visits of the national preventive mechanism were published in its annual report.  As a result of its findings, disciplinary actions had been taken against over 440 officials.  In addition to the national preventive mechanism, members of Parliament, judges, prosecutors and the Commissioner for the Rights of the Child could also visit places of detention without prior authorisation. 

    The Ombudsperson could participate in discussions on national reports for human rights treaty bodies.  They had not exercised their right to appeal to the Constitutional Court, as they had been able to address all complaints they had received through other legal recourses.  This did not indicate a refusal to exercise this authority.

    The Labour Code prohibited discrimination against women and regulated workers’ rights to respect and dignity. Employers were obliged to ensure safe and healthy working conditions.  Workers could submit complaints of workplace harassment to the Workplace Ethics Committee or to the police.

    There were 170 suicides in prisons between 2017 and 2024.  For each case, an investigation was carried out to determine the causes, and around 150 officials had been sanctioned for not fulfilling their care duties. Training was provided to prison guards on identifying at-risk inmates and preventing suicides, and to prisoners on promoting self-confidence and preparing for release.  Several additional measures had been implemented in prisons to prevent suicides.

    Questions by Committee Experts

    A Committee Expert said the State party did not have a specific law on the use of force and firearms by officials.  Did it plan to enact such a law that was in line with international standards?  There were allegations of excessive use of force during January 2022 protests, which had led to the death of several peaceful protesters.  Did the State party plan to conduct thorough, independent investigations into these allegations, hold perpetrators to account, and provide adequate remedies for victims?  The mass detention of protesters reportedly led to disappearances, and detainees had been denied access to lawyers and medical care.  What further steps would the State party take to ensure that all detainees were informed of their rights, provided access to a lawyer and medical treatment, and to investigate all allegations of mistreatment of detainees and hold those responsible accountable?

    Peaceful assemblies held without advanced authorisation were typically dispersed by authorities, with demonstrators arrested. How would the State party bring its administrative detention practices in line with international standards? Courts had a high rate of extending pre-trial detention.  How did the State party ensure that pre-trial detention was used only as a last resort, and in line with international standards?

    Another Committee Expert said that the State party had not sufficiently responded to the Committee’s previous recommendation to align legal definitions of torture with those of the Convention against Torture. Despite the high number of torture cases, few effective punishments were imposed on perpetrators, and some persons who reported torture were punished for the crime of reporting false information. What steps had been taken to bring the definition of torture in the Criminal Code in line with international standards and ensure timely investigations?  How many complaints of torture had been filed, legal proceedings launched, and officials punished?

    Kazakhstan had not amended legislation allowing the Prosecutor General to shut down websites without court approval. Provisions designed to protect children from cyberbullying were reportedly misused to censor and restrict information, as were internet blackouts.  Could the delegation comment on these issues?  Laws adopted in 2023 and 2024 expanded State control over free speech, resulting in politically motivated trials against journalists and political opposition figures.  What steps had been taken to fully decriminalise defamation?  Could the State party provide statistics on detentions of journalists and human rights defenders?  What had the working group on the protection of human rights defenders achieved?

    A Committee Expert commended steps to transfer prison health services from the Ministry of Internal Affairs to the Ministry of Health.  How was the State party supporting drug-dependent inmates and working to ensure the availability of sufficient medical equipment in prisons?  Were medical staff trained in detecting torture? Military schools were excluded from the mandate of the national preventive mechanism.  Did the State party intend to address this?

    The Committee was concerned that the right to conscientious objection to military services was not defined in law.  Were there plans to define this in law and establish an alternative to military service?  What steps had been taken to revise religious law to ensure full compliance with the Covenant?  The Committee was concerned by reports that some individuals had been imprisoned for engaging in non-violent religious expression.  How did the State party ensure that persons were not detained solely for expressing religious beliefs?

    What steps had been taken to remove complex registration requirements for non-governmental organizations and trade unions, and to prevent excessive State control of the activities of those organizations?

    Minorities continued to face discrimination and limited access to decision-making positions.  What was the legal and administrative framework covering political parties?  What steps had been taken to promote the effective participation of members of the Roma community in political life?

    One Committee Expert commended the State party for the 2024 law on combatting trafficking in persons and the amendment to article 128 of the Criminal Code.  How did the State party ensure the effective implementation of these reforms? There were reports of a lack of training for labour inspectors on trafficking.  How were inspectors trained to detect trafficking?  How did the State party ensure that the cases of all potential trafficking victims were assessed before deportation, and that all migrant children were properly registered and documented?  The Committee welcomed efforts to enhance trafficking penalties, but was concerned that trafficking offences were often not appropriately classified, leading to lower penalties.  Would this be addressed?

    There was no de facto procedure for processing asylum applications and authorities were reportedly reluctant to grant asylum to persons of Russian or Uzbek nationality.  Reportedly, migrants had been detained without being given access to legal representation.  Was the State party addressing these issues?  How did it ensure protection against refoulement?  Individuals were required to renounce their citizenship to apply for Kazakh nationality.  Would the State revise this law to prevent the risk of statelessness?

    What State services were provided to victims of domestic violence, including children?  Could children obtain these services independently of their parents? The Committee was concerned that the State party had not prohibited all forms of corporal punishment.  Would this be done?  Could children file complaints of mistreatment with the Human Rights Commissioner?  Workers at an orphanage had been caught on video beating children.  How was the State party working to prevent such abuse and promoting the foster family system?  Children born outside of medical institutions to undocumented parents did not receive birth certificates.  Would the State party address this issue?

    Another Committee Expert asked how the State party guaranteed the independence of Supreme Court judge candidates, who were nominated by the President, and of lawyers?  There were reports of corruption throughout the judicial system. How was the State fighting this? Had any judicial officials been found guilty of corruption?  Attorneys were not automatically appointed to suspects, and did not always get access to all case files.  How would this be addressed?  How were suspects made aware of their rights?  How did the State party prevent cases being unduly declared “secret”?  What percentage of court cases were now solely held online?  How did the State ensure proper proceedings in online cases?

    To what extent were spontaneous assemblies possible in Kazakhstan?  How did the State party ensure that notification procedures did not create delays or restrictions preventing assemblies?  Could people appeal restrictions on assemblies?  Foreigners were prohibited from participating in assemblies.  How did the State party ensure that foreigners’ assembly rights were respected?

    Responses by the Delegation

    The delegation said that in cases of mass violence, the State had the authority to use force to ensure public security.  The 2022 incident was a mass uprising that led to numerous injuries to law enforcement officials.  Investigations had been initiated into the incident, with nine officials sentenced for the excessive use of arms.  Changing the law on the excessive use of force was unnecessary, as the law functioned effectively.  All persons affected by violence related to this incident were provided with appropriate medical assistance, including detainees. Monitoring visits had led to the release of around 400 people who were arbitrarily detained.  There were 29 minors who had been detained after carrying out serious offences; they had since been released.

    There were 1,500 peaceful assemblies organised legally between 2017 and 2024.  Some 400 planned demonstrations had been cancelled because authorities had responded to complaints before the demonstration was held.  Some 1,000 demonstrations held during the reporting period were deemed unlawful as protesters had failed to respect notification deadlines or to correctly submit notification documents.  The State party continued to inform the public about notification procedures; this had led to a two-fold decrease in the number of illegal assemblies between 2022 and 2024.  Organisers of such assemblies were brought to court only in exceptional circumstances; in most cases, they were issued fines or warnings.  Law enforcement bodies needed to provide alternative proposals if the location for a planned demonstration was already being used by another event.

    As of 2019, exemption from liability for torture was not possible in Kazakhstan, nor were suspended sentences for perpetrators of torture.  There were 40,000 video cameras placed in detention centres to prevent torture. There had been a downward trend in the number of torture cases reported, from around 800 in 2019 to around 100 in 2024. More than 200 officials had been convicted of torture offences, and no officials found guilty of torture had received amnesties.  Housing and compensation payments were provided to the families of victims of torture. The State party intended to increase the amount of compensation provided to victims of torture ten-fold.

    This year, around 1,000 warning letters were issued to website operators calling for illegal content to be removed.  If it was removed, the site was not blocked. Internet services could only be suspended in emergency situations and when there was an extreme threat to public safety, such as during the January 2022 events.  The 2023 law on online platforms was based on the European Union’s digital services act.  It was geared toward the liberalisation of the online sphere.

    Defamation had been downgraded to an administrative offence.  There had been a downward trend in the number of cases of defamation in recent years. In 2024, only four cases of spreading misinformation were registered.  Journalists and activists were not prosecuted for defaming public officials.  Persons could not be charged for defaming public or private institutions.

    All persons who entered prisons were provided with a medical assessment.  Detainees requiring specialised assistance were brought to outpatient clinics, and they were isolated when they showed symptoms of contagious diseases.  Legal amendments were made to allow detainees with serious diseases to serve their sentences in appropriate facilities or to have their sentences commuted.

    Over the past few years, there had been an increase in religious practitioners and missionaries, and a decrease in the number of people fined for religious activities.  In the first quarter of this year, only 46 people had been fined. Kazakhstan recognised the right to practice and disseminate religion.  Only persons who practiced religion for financial or extremist purposes were sanctioned.  Legislation on religion was in line with the Covenant.  Members of religious institutions could be released from the obligation to carry out military service.

    Kazakhstan was a multi-ethnic State.  It had a special quota for members of the Senate who were representatives of different ethnic groups.  There were no limitations on the political participation of ethnic groups.

    The national preventive mechanism operated under the Ombudsperson, but maintained operational independence.  Work was underway to expand the national preventive mechanism’s mandate to include facilities under the aegis of the Ministry of Defence.  A draft law on the national preventive mechanism was currently under discussion with State authorities.

    In 2023, the State adopted a law reducing the number of members needed to form a public association to three.  There were no restrictions on organizations receiving foreign funding.  To date, 543 trade unions had been registered.  Political parties’ activities could be restricted when they threatened public order, but such restrictions were temporary.  Liquidation of political parties could only be forced by a court order.

    A law on combatting trafficking in persons was introduced in 2024, which aimed to bring the State’s mechanisms for combatting trafficking in line with international standards, and to increase identification and support for victims.  New offences had been established linked to trafficking, including related to procuring a minor for prostitution and online trafficking. Some 170 labour inspections had been held thus far this year.  These had led to the identification of trafficking victims and the disbanding of organised crime groups, the members of which were held criminally liable. Over 190 victims had been identified and punishments of up to 20 years imprisonment were issued to perpetrators.

    Legislation on refugees and asylum seekers was in line with international law.  Kazakhstan abided by the principle of non-refoulement.  Refugees had the right to seek medical assistance and education, and could apply for permanent or temporary residence in the State. Kazakhstan did not permit the extradition of individuals whose asylum requests were under consideration. Individuals had the right to appeal extradition requests to the Supreme Court.  Kazakhstan was a party to the Shanghai Convention on Combatting Terrorism, Separatism and Extremism, which included provisions specifying that signatories needed to respect international norms related to non-refoulement.

    Only citizens could participate in demonstrations in Kazakhstan; foreigners and stateless persons could not.  However, they could pursue other means to lodge complaints with the State.  Police did not monitor whether demonstrators were foreigners or not.

    The Judicial Office provided free legal assistance to persons involved in court cases.  Many court cases took place online.  Artificial intelligence helped judges to automate routine cases, allowing for the analysis of millions of cases and for the maintenance of judicial standards.  Court materials were provided in accessible formats.

    The State party had revised the judiciary’s financing model, allowing the judicial administrative body to set the budget. This had led to a large increase in the judicial budget.  There were sanctions imposed for judges who engaged in corrupt practices.  Cases of corruption were assessed by a judicial panel.

    Follow-Up Questions by Committee Experts

    Committee Experts asked follow-up questions on criteria used to determine whether to send warning letters to citizens regarding online content; alternatives to residential care facilities being developed; plans to prohibit corporal punishment; whether spontaneous protests were possible; whether persons who did not respect notification laws were restricted from filing future notifications; how the judiciary ensured that artificial intelligence was used in a safe manner that protected citizens’ rights; whether the Government intended to abolish the registry of organizations with foreign funding sources; and planned reforms to the registration process for non-governmental organizations.

    Responses by the Delegation

    The delegation said there was a specialised structure that monitored the information space and detected violations of Kazakh law.  When violations were detected, warning letters were sent to offending parties, often through social network operators, that explained why the content was illegal and needed to be removed.

    The State paid particular attention to the rights of children.  New legislation discouraged corporal punishment.  The number of beatings of children recorded by the State had been falling year-on-year; last year, there were only 250 cases.  Thorough investigations were carried out into complaints of corporal punishment in residential homes.  Video surveillance tools were installed in schools and kindergartens.  There was a hotline for reporting violence and providing consultations to children.

    There was no plan to amend the registry of organizations funded by foreign sources, which was developed in line with international principles.  The State party did not plan to develop a bill on foreign agents.

    All judicial services that used artificial intelligence had been assessed in terms of their implications on security.  They were implemented by the judiciary independently.  The State party had implemented use of electronic monitoring bracelets in around 1,000 cases as an alternative to pre-trial detention.

    Closing Remarks

    BOTAGOZ ZHAXELEKOVA, Vice-Minister of Justice of Kazakhstan and head of the delegation, expressed gratitude to the Committee for the constructive dialogue, and to all those who had facilitated the dialogue.  The State party welcomed the 22 alternative reports submitted by Kazakh civil society organizations, which it had reviewed carefully.  The Committee’s recommendations would be considered by the State and incorporated into future human rights action plans.  The State party thanked the Committee for its contributions to human rights in Kazakhstan and around the world.

    CHANGROK SOH, Committee Chairperson, expressed sincere gratitude to all those who contributed to the constructive dialogue. The delegation had engaged actively in the dialogue, which had addressed judicial independence, the prohibition of torture, the right to peaceful assembly, and the rights of vulnerable groups, among other topics.  The Committee expressed particular concern regarding the lack of accountability for the January 2022 events and restrictions on civil society and freedom of assembly.  It hoped that the dialogue would translate into increased protection of civil and political rights in Kazakhstan.

    ___________

    Produced by the United Nations Information Service in Geneva for use of the media; 
    not an official record. English and French versions of our releases are different as they are the product of two separate coverage teams that work independently.

     

     

    CCPR25.010E

    MIL OSI United Nations News