Category: Health

  • MIL-OSI USA: Compost Reimbursement Program Releases $427,000 to Assist Agricultural Operations

    Source: US State of Hawaii

    Compost Reimbursement Program Releases $427,000 to Assist Agricultural Operations

    Posted on May 6, 2025 in Main

    May 6, 2025
    NR25-10

    HONOLULU – The Hawai‘i Department of Agriculture (HDOA) Compost Reimbursement Program for Fiscal Year 2025 has completed disbursements totaling $427,670 to 24 Hawai‘i agricultural operations for the purchase and transport of compost in Hawai‘i. Of the 24 businesses, 14 were farming and 10 were landscaping operations, with an average reimbursement of about $17,820 each.

    Governor Josh Green, M.D., released $400,000 for the program in August 2024, from funds appropriated by the 2024 state Legislature (Act 231) for programs to control invasive species. HDOA added another $27,670 from department funds toward the program.

    “For many agricultural operations, compost is a necessary element and a major expense,” said Sharon Hurd, chairperson of the Hawai‘i Department of Agriculture. “Helping to defray some of the cost to purchase compost and also to transport it really helps out the growers.”

    The program reimbursed agricultural operations up to 50% of the cost of compost purchased between July 1, 2024 and May 1, 2025, including the cost of transportation. The reimbursements were not to exceed $50,000 per qualified applicant. The program also required that the compost be purchased from a certified processor, retailer or wholesalers licensed to do business in Hawai‘i. In addition, certified processors were limited to those companies regulated by the Hawai‘i Department of Health Solid Waste Management Program, which helps to ensure that the compost does not harbor pests, such as the coconut rhinoceros beetle and other invasive species.

    The 2025 legislative session included a bill that would continue the reimbursement program in 2026. The funding level is still pending.

    # # #

    MIL OSI USA News

  • MIL-OSI USA: Gov. Pillen Announces Appointments to Boards and Commissions

    Source: US State of Nebraska

    . Pillen Announces Appointments to Boards and Commissions

    LINCOLN, NE – Governor Jim Pillen is announcing appointments made to boards and commissions December 31, 2024, through March 31, 2025.

    The list of current board and commission openings can be found on the Governor’s website (https://governor.nebraska.gov/board-comm-req), along with instructions on completing an application.

    Advisory Committee on Aging
    Ira Nathan, Omaha 
    Marilyn Alber, Blue Hill 
    Alma Varela, Hastings 
    Gloria Aron, Lincoln 
    Richard Brandow, Laurel 
    Linda Schweitzer, Comstock

    Aeronautics Commission
    Edward Dunn, Grant

    Board of Early Childhood Education Endowment 
    Rony Ortega, South Sioux City 
    Eric Buchanan, Lincoln

    Board of Landscape Architects
    Dennis Bryers, Omaha

    Board of Public Roads Classifications and Standards
    Bathan Sorben, Waverly 
    Kyle Anderson, Valley

    Capitol Commission 
    John Wightman, Jr

    Crime Commission – Nebraska
    Aaron Hanson, Omaha

    Coalition for Juvenile Justice
    Steve Solorio, Lincoln 
    Erika Schwarting, Omaha 
    Lincoln Arneal, Lincoln 
    Ingrid Gansebom, Osmond 
    Adama Sawadogo, Omaha 
    Candice Novak, Omaha 
    Denise Mathei, Hastings 
    Jorge Garcia, Milford

    Commission on African American Affairs 
    Terri Crawford, Omaha 
    Ted Lampkin, Omaha 
    Jo Anna LeFlore-Ejike, Omaha 
    Johnny Nesbit, Omaha

    Commission for Deaf & Hard of Hearing 
    Roy Christensen, Lincoln

    Committee on Pacific Conflict 
    Jason Jackson, Lincoln

    Interstate Compact for Adult Offender Supervision 
    Greg London, Papillion

    Nebraska Game and Parks Commission 
    Stephen D. Mossman, Lincoln 
    Kurt Arganbright, Valentine 
    Lisa Roskens, Omaha

    Nebraska Investment Council 
    Brian Christensen, Columbus

    Nebraska Oil and Gas Conservation 
    Steve Mattoon, Sidney

    Nebraska Real Property Appraiser Board 
    Adam Batie, Kearney

    Nebraska State Historical Society Board 
    Jacquelyn Morrison, Papillion

    Nuclear and Hydrogen Industry Work Group 
    Lenette Sprunk, Columbus

    Power Review Board 
    Dennis Grennan, Columbus

    Public Employees Retirement Board 
    Jacob Curtiss, Waverly

    Rural Health Advisory Committee 
    Diva Wilson, MD, Papillion

    State Board of Landscape Architects 
    Dennis Bryers, Omaha

    State Colleges Board of Trustees 
    Connie Edmond, Lincoln 
    Robert Engles, Auburn

    State Electrical Board 
    James Brummer 
    Tyler Ritz, Kearney

    State Fair Board 
    Anna Castner Wightman, Omaha

    State Records Board 
    Jason Jackson, Lincoln

    Tourism Commission
    Courtney Dentlinger, Norfolk
    David Wolf, Scottsbluff
    David Fudge, North Platte
    Paul Younes, Kearney
    Debra Kelly, O’Niell
    Rachel Kreikemeier, Beatrice

    MIL OSI USA News

  • MIL-OSI Europe: Highlights – Exchange of views with Emer Cooke, Executive Director of European Medicines Agency – Committee on Public Health

    Source: European Parliament

    On 14 May, SANT Members will have an annual exchange of views with Ms Emer Cooke, Executive Director of the European Medicines Agency (EMA), who will present the latest development of the agency.

    EMA protects public and animal health in EU Member States, as well as the countries of the European Economic Area, by ensuring that all medicines available on the EU market are safe, effective and of high quality.

    MIL OSI Europe News

  • MIL-OSI Europe: Highlights – Exchange of views with Pamela Rendi-Wagner, Director of the ECDC – Committee on Public Health

    Source: European Parliament

    On 14 May, Members of the SANT committee will hold an exchange of Views with Pamela Rendi-Wagner, Director of the European Centre for Disease Prevention and Control (ECDC).

    ECDC works to prevent threats to human health from disease outbreaks and to react quickly and effectively to minimise their impact. ECDC operates dedicated surveillance networks, provides scientific opinions, operates the early warning and response system and provides scientific and technical assistance and training.

    MIL OSI Europe News

  • MIL-OSI Europe: Written question – Supporting the development and standardisation of dementia registries across the EU – E-001733/2025

    Source: European Parliament

    Question for written answer  E-001733/2025
    to the Commission
    Rule 144
    Hilde Vautmans (Renew)

    The use and operation of patient registries for people living with dementia vary considerably across Member States – some have detailed registries of people diagnosed with the condition and others have little aggregated data on people living with the condition.

    Such registries can be vital in planning and providing care and support services for people living with dementia and serve as a tool for determining effective public health interventions, including across primary, secondary and tertiary prevention.

    Given this disparity and the opportunity for added value by the EU’s health and digital programmes:

    • 1.What work is the Commission undertaking to use programmes such as EU4Health, or other relevant funding streams, to support Member States in developing their own national dementia registries?
    • 2.Furthermore, does the Commission envisage developing resources and dedicated support for initiatives, similar to what it supports through the European Network of Cancer Registries[1], to support the standardisation and interoperability of dementia registries between Member States?
    • 3.At European level, does the Commission intend to develop an equivalent to the ‘European Cancer Inequalities Registry’[2] for dementia?

    Submitted: 30.4.2025

    • [1] https://www.encr.eu/.
    • [2] https://cancer-inequalities.jrc.ec.europa.eu/.
    Last updated: 6 May 2025

    MIL OSI Europe News

  • MIL-OSI Russia: Eight killed, 35 wounded, two missing after Indian missile strikes on six Pakistani targets

    Translation. Region: Russian Federal

    Source: People’s Republic of China in Russian – People’s Republic of China in Russian –

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

    ISLAMABAD, May 7 (Xinhua) — At least eight civilians, including a child, were killed, 35 others were injured and two were missing after India fired missiles at six targets in Pakistan, including areas in Pakistan-administered Kashmir, on Wednesday morning, Inter-Services Public Relations (ISPR) chief Lieutenant General Ahmed Sharif Chaudhry said in a video message.

    According to him, India carried out 24 strikes on six civilian targets.

    A.Sh. Choudhry noted that as a result of the Indian strikes, four mosques were destroyed, several residential buildings and a hospital were seriously damaged.

    The missiles were fired at targets in Bahawalpur, Sialkot, Shakargarh and Shekhupura districts of Pakistan’s eastern Punjab province and Muzaffarabad and Kotli districts in Pakistan-controlled Kashmir.

    The ISPR chief said Pakistan Air Force fighter jets were in the air and ensured the country’s airspace was safe, adding that the missiles were fired from Indian airspace.

    “Let me be clear: Pakistan will respond to this [attack] at a time and place it deems appropriate. This provocation will not go unanswered,” he said.

    Hospitals in all affected areas have declared a state of emergency. Pakistan has closed its airspace for 48 hours and suspended educational institutions in Punjab.

    A.Sh. Choudhry said Pakistan Air Force and Army are responding effectively to Indian attack.

    The country’s Defence Minister Khawaja Asif said Pakistan had shot down five Indian fighter jets and three drones.

    Earlier, Pakistan’s Foreign Ministry strongly condemned India’s missile strikes early Wednesday morning on civilian targets in the country, including areas in Pakistan-controlled Kashmir, calling it an unprovoked and naked act of aggression.

    The Foreign Ministry said the Indian Air Force had targeted civilian areas in Pakistan, killing civilians including women and children.

    The ministry condemned the airstrikes as a “blatant violation of the UN Charter, international law and established norms of interstate relations” and warned that India’s actions posed a serious threat to regional stability and commercial air travel.

    “India’s reckless actions have brought two nuclear-armed states closer to a major conflict,” the Pakistani Foreign Ministry said, stressing that Pakistan reserves the right to respond “at a time and place it deems appropriate.”

    Condemning India’s attacks on civilians, Pakistani President Asif Ali Zardari said the country would give a decisive and befitting response to Indian aggression.

    “Indian provocations will be met with full force and unwavering commitment to defend Pakistan’s sovereignty and territorial integrity,” the president said.

    Prime Minister Shahbaz Sharif strongly condemned the airstrikes, saying: “Pakistan has every right to respond to this act of war imposed by India and a suitable response has already been given.”

    “The entire nation stands behind our armed forces. The morale and spirit of the entire Pakistani nation is high,” the prime minister added, promising that the enemy would never succeed in carrying out its evil designs. -0-

    MIL OSI Russia News

  • MIL-OSI United Kingdom: Get together for good mental health

    Source: City of Wolverhampton

    The theme this year is ‘community’ and celebrates the communities and networks that help people to thrive and to nurture good mental health.

    Councillor Jasbir Jaspal, the City of Wolverhampton Council’s Cabinet Member for Adults and Wellbeing, said: “Our city has lots of strong and supportive communities. Whether it’s sports, crafts, walking or meeting for coffee, these community groups help us feel connected. They give us a place to belong, support us when things are hard, and give us a sense of purpose.

    “We can all play a part in creating that kind of environment – whether it’s checking on a friend or simply starting a conversation. It’s so important that we create a safe space to talk about mental health with no shame or stigma attached.

    “One way the council will be getting involved is by taking part in ‘Wear It Green’ day on Thursday 15 May. We’ll be lighting up the Civic Centre atrium lights in green to show our support for mental health and that it’s ok to reach out and ask for help.

    “There are also a number of other events taking place across the city this Mental Health Awareness Week, and I would urge everyone to get involved.”

    City libraries offer a range of regular community groups, including:

    • Monday 12 May – Relaxed Reading Group at Wednesfield Library, 5.30pm to 6.30pm
    • Tuesday 13 May – Relaxed Reading Group at Bob Jones Community Hub, 6pm to 7pm
    • Wednesday 14 May – board games at Tettenhall Library, 2.30pm to 4.30pm
    • Thursday 15 May – local history group at Bilston Library, 11am to 12.30pm
    • Thursday 15 May – City Walking Tour starting from Central Library, 2pm to 3pm
    • Friday 16 May – Relaxed Reading Group at Low Hill library, 3.30pm to 4.30pm.

    And Wolves Foundation will be inviting people to meet local mental health services and find out about support available at a special event at North Bank Bar, Molineux Stadium from 3pm to 7pm on Thursday 15 May.

    Meanwhile, people who are having a difficult time or are worried about someone else are being reminded they are not alone – there are lots of options for support:

    • For self-care, the NHS Every Mind Matters website, provides a range of tools and advice on how people can look after their wellbeing and support those around them.
    • People who need someone to talk to are encouraged to call SANE on 0300 304 7000 (4.30pm to 10.30pm), Samaritans on 116 123 (24 hours), Rethink Mental Illness on 0300 5000 927 (Monday to Friday, 9.30am to 4pm) or Mind on 0300 123 3393.
    • Anyone who needs urgent help with their mental health should call NHS 111 and select option 2 to be connected to mental health support, or text 07860 025281.
    • Wolverhampton Sanctuary Hub offers out of hours support. Book a face to face appointment by calling freephone 0808 802 2288, texting 07860 065168 or emailing wolverhamptonsanctuaryhub@rethink.org.
    • NHS Talking Therapies offers brief psychological therapy for people experiencing common mental health problems including anxiety, depression, stress and low mood – visit Wolverhampton Talking Therapies.
    • Hub of Hope offers a wide range of local support in your community – visit Hub of Hope.

    Remember too, that your GP is there to help you with your mental health as well as your physical health.

    MIL OSI United Kingdom

  • MIL-OSI USA: Pappas Receives Award for His Commitment to Increasing Access to Health Care, Supporting Nurses

    Source: United States House of Representatives – Congressman Chris Pappas (D-NH)

    This week Congressman Chris Pappas (NH-01) received the National Health Leadership Award from the American Association of Nurse Anesthetists (AANA) for his advocacy on behalf of nurses, as well as his support for increasing access to health care, expanded tuition assistance for aspiring nurses, and the bipartisan Improving Care and Access to Nurses (I CAN) Act.

    The bipartisan I CAN Act would increase health care access, improve quality of care, and lower costs by removing the remaining barriers imposed by the federal government in the Medicare and Medicaid programs that prevent Advanced Practice Registered Nurses (APRNs) from practicing the full scope of their education and clinical training to the level that is approved in the state where they practice.

    “Nurses in New Hampshire and across the country continue to answer the call and serve our communities and provide patients with the highest level of care,” said Congressman Pappas. “I’m committed to continuing to support their work in Congress by strengthening nursing workforce development, increasing tuition assistance for aspiring nurses, and more. Passing the I CAN Act would allow nurses to provide care in settings consistent with their training and ensure those services are covered by Medicaid, increasing health care access, reducing wait times, and lowering costs. I’m honored to receive this award and will continue to advocate for our CRNAs and all health care workers.”

    “Through his leadership, Representative Pappas continues to be a champion for patients’ access, including veterans, to healthcare,” said AANA President Jan Setnor, MSN, CRNA, Col. (Ret), USAFR, NC. “He understands the important role CRNAs play in delivering quality, safe anesthesia care and has taken a leadership role on critical healthcare issues. Patients and veterans are unable to access timely anesthesia care. Representative Pappas knows care can’t wait and it is time to cut the red tape.”

    BACKGROUND:

    APRNs are nurses prepared at the master’s or doctoral level to provide primary, acute, chronic, and specialty care to patients of all ages and backgrounds, in all settings. Their qualifications enable them to treat and diagnose illnesses, advise the public on health issues, manage chronic disease, order and interpret diagnostic tests, prescribe medication, and direct non-pharmacologic treatments for their patients. Over 40 years of vigorous, peer-reviewed research has verified the safety, quality, satisfaction, and cost-effectiveness of APRN care. This has led the National Academy of Sciences to call for the removal of laws, regulations, and policies that prevent APRNs from providing the full scope of health care services they are educated and trained to provide. 

    Currently, several federal statutes and regulations, as well as certain state practice acts and institutional rules, require physician oversight and limit APRN practice. These barriers reduce access to care, create disruptions in care, increase the cost of care, and undermine efforts to improve the quality of care. Specifically, the I CAN Act would remove remaining barriers in the Medicare and Medicaid programs that prevent APRNs from practicing to the full extent of their education and clinical training. Importantly, this bill does not expand scope of practice or impede upon state law. Rather, the bill would simply ensure that the federal government honors state laws, including New Hampshire state law, ensuring that Medicare and Medicaid patients living in states where nurses have already been granted full practice authority are permitted to choose to seek care from a nurse practitioner.

    MIL OSI USA News

  • MIL-OSI USA: Rep. Frankel Leads Effort to Safeguard Aging Veterans from Dangerous Falls

    Source: United States House of Representatives – Congresswoman Lois Frankel (FL-21)

    Washington, D.C. – Today, Representative Lois Frankel (FL-22) introduced the SAFE STEPS for Veterans Act, a bipartisan bill designed to help older Veterans avoid dangerous and costly falls. The legislation would require the Veterans Health Administration (VHA) to maintain an Office of Falls Prevention and establish a dedicated falls prevention coordinator. It also launches a pilot program to integrate falls prevention services into VA home modification efforts and mandates risk assessments to identify Veterans most vulnerable to falling.

    “Falls are the number one cause of injury for Americans over 65, and for our aging Veterans—many of whom face additional health challenges—they can be especially dangerous and costly,” said Rep. Frankel. “This bipartisan bill will help the VA take smart, proactive steps to prevent falls before they happen. For the thousands of senior Veterans in South Florida and across the country, it means a better chance to live safely, independently, and with dignity. We owe our Veterans nothing less.”

    Veterans tend to experience more chronic health conditions than non-Veterans, putting them at greater risk for falls that often result in serious injury, hospitalization, or long-term disability. Falls are the leading cause of injury and injury-related death among adults over age 65, with approximately 1 million fall-related hospitalizations annually. They cost the U.S. healthcare system an estimated $80 billion per year—a steep increase from $50 billion just a few years ago.

    Common causes of falls include lower body weakness, balance and vision issues, vitamin D deficiency, use of certain medications, hearing loss, and home hazards. Preventing falls requires a comprehensive approach—including routine screenings, coordinated care, community-based prevention programs, and safe home environments.

    The SAFE STEPS for Veterans Act would:

    • Maintain an Office of Falls Prevention and establish a falls prevention coordinator within the Veterans Health Administration;
    • Direct the falls prevention coordinator to collaborate with the National Institutes of Health (NIH) to develop evidence-based, Veteran-specific research on falls prevention;
    • Require a comprehensive report on the Department’s Falls Prevention Initiatives;
    • Improve Safe Patient Handling Transfer Techniques to ensure safe movement for injured or paralyzed Veterans;
    • Create a pilot program to integrate falls prevention into VA home modification grant programs; and
    • Establish a Falls Assessment and Fall Prevention Service to identify at-risk Veterans and ensure care plans are tailored to their needs.

    The legislation is endorsed by Disabled American Veterans (DAV), the American Physical Therapy Association (APTA), and AARP.

    The full text of the SAFE STEPS for Veterans Act can be found here.

    ###

    MIL OSI USA News

  • MIL-OSI USA: Brownley Demands Up-or-Down Vote to Protect Medicaid and Food Assistance

    Source: United States House of Representatives – Julia Brownley (D-CA)

  • MIL-OSI New Zealand: MSF – Israel’s New INGO Registration Measures Are a Grave Threat to Humanitarian Operations and International Law – 55 Organisations Say

     Source: Médecins Sans Frontières (MSF) – Doctors Without Borders

    The undersigned 55 organisations operating in Israel and the occupied Palestinian territory (oPt) call for urgent action from the international community against new Israeli registration rules for international NGOs. Based on vague, broad, politicised, and open-ended criteria, these rules appear designed to assert control over independent humanitarian, development and peacebuilding operations, silence advocacy grounded in international humanitarian and human rights law, and further entrench Israeli control and de facto annexation of the occupied Palestinian territory.

    For over a year and a half, humanitarian organisations have continued operating despite unprecedented constraints. In 2024, they reached millions of people across the oPt with essential services – from food and water to mobile clinics, legal aid, and education. The new registration rules now threaten to shut this work down. These measures go beyond routine policy. They mark a serious escalation in restrictions on humanitarian and civic space and risk setting a dangerous precedent.

    Under the new provisions, INGOs already registered in Israel may face de-registration, while new applicants risk rejection based on arbitrary, politicised allegations, such as “delegitimising Israel” or expressing support for accountability for Israeli violations of international law. Other disqualifiers include public support for a boycott of Israel within the past seven years (by staff, a partner, board member, or founder) or failure to meet exhaustive reporting requirements. By framing humanitarian and human rights advocacy as a threat to the state, Israeli authorities can shut out organisations merely for speaking out about conditions they witness on the ground, forcing INGOs to choose between delivering aid and promoting respect for the protections owed to affected people.

    INGOs are further required to submit complete staff lists and other sensitive information about staff and their families to Israel when applying for registration. In a context where humanitarian and healthcare workers are routinely subject to harassment, detention, and direct attacks, this raises serious protection concerns.

    These new rules are part of a broader, long-term crackdown on humanitarian and civic space, marked by heightened surveillance and attacks, and a series of actions that restrict humanitarian access, compromise staff safety, and undermine core principles of humanitarian action. They are not isolated but part of a wider pattern that includes:

    Blocking or delaying aid through arbitrary bureaucratic restrictions, logistical obstacles, and complete sieges, denying essential lifesaving supplies to Palestinians.
    Killing more than 400 humanitarian workers in Gaza, injuring and detaining countless others, and repeatedly attacking marked and notified humanitarian premises, facilities or convoys.
    Passing legislation aimed at curtailing the operations of UNRWA, the largest provider of essential services for Palestinians.
    Advancing legislation to impose a tax of up to 80 per cent on foreign government funding to Israeli NGOs, while barring them from seeking recourse through the Israeli court system – including organisations that serve as partners for INGOs to deliver assistance and uphold protections in communities facing displacement, demolitions, or settler violence.
    Suspending work visas for international staff and revoking permits for Palestinians residing in the West Bank to access Jerusalem, severely disrupting operations.

    And now, making INGO registration conditional on political and ideological alignment, undermining the neutrality, impartiality and independence of humanitarian actors.

    Under international humanitarian law, occupying powers are obligated to facilitate impartial humanitarian assistance and ensure the welfare of the protected population. Any attempt to condition humanitarian access on political alignment or penalise organisations for fulfilling their mandate risks breaching this framework. The International Court of Justice (ICJ) ordered Israel to allow unimpeded delivery of humanitarian aid to Gaza in three legally binding provisional measures orders in 2024. Yet, these new rules expand and institutionalise existing barriers to aid.

    We call on States, donors, and the international community to:

    • Use all possible means to protect humanitarian operations from measures that compromise neutrality, independence, and access – including staff list requirements, political vetting, and vague revocation clauses.
    • Take concrete political and diplomatic action beyond statements of concern to ensure unhindered humanitarian access and prevent the erosion of principled aid delivery.
    • Support INGOs and Palestinian and Israeli civil society organisations through legal assistance, diplomatic support, and flexible funding to help mitigate legal, financial, and reputational risks. Donors must defend principled humanitarian and human rights work.

    The undersigned 55 organisations stress that engagement with the registration process to preserve critical humanitarian operations should not be misinterpreted as endorsement of these measures.

    These 55 organisations remain committed to the delivery of humanitarian aid, along with development and peacebuilding services and activities that are independent, impartial, and based on need, in full accordance with international law and the humanitarian principles derived from it. INGOs stand ready to engage with Israeli authorities in good faith on administrative processes but cannot accept measures that penalise principled humanitarian work or expose staff to retaliation. These measures not only undermine assistance in the oPt but also set a dangerous precedent for humanitarian operations globally.

    1. Act Church of Sweden
    2. ActionAid
    3. Alianza / ActionAid Spain (ApS/AAS)
    4. American Friends Service Committee (AFSC)
    5. Anera
    6. Asamblea de Cooperación Por la Paz (ACPP)
    7. Asociación Paz con Dignidad
    8. CARE International
    9. CESVI
    10. Children Not Numbers
    11. Christian Aid
    12. CIDSE – International family of Catholic social justice organisations
    13. Cooperazione Internazionale Sud Sud (CISS)
    14. COSPE
    15. DanChurchAid (DCA)
    16. Danish House in Palestine
    17. Diakonia
    18. Diakonie Katastrophenhilfe
    19. forumZFD
    20. Global Communities
    21. HEKS/EPER
    22. Humanity First UK
    23. Humanity & Inclusion – Handicap International
    24. IM Swedish Development Partner
    25. International Media Support (IMS)
    26. Islamic Relief Worldwide
    27. Japan International Volunteer Center (JVC)
    28. KURVE Wustrow
    29. MedGlobal
    30. Mennonite Central Committee (MCC)
    31. Médecins du Monde (MdM) France
    32. Médecins du Monde (MdM) Spain
    33. Médecins du Monde (MdM) Switzerland
    34. Médecins Sans Frontières (MSF)
    35. medico international
    36. Middle East Children’s Alliance (MECA)
    37. Movement for Peace (MPDL)
    38. Muslim Aid
    39. Norwegian Church Aid (NCA)
    40. Norwegian People’s Aid (NPA)
    41. Norwegian Refugee Council (NRC)
    42. Oxfam
    43. Pax Christi International
    44. Plan International
    45. Polish Medical Mission Association (PMM)
    46. Première Urgence Internationale (PUI)
    47. Relief International (RI)
    48. Save the Children International (SCI)
    49. Secours Islamique France (SIF)
    50. Terre des Hommes (Tdh) Italia
    51. Terre des Hommes (Tdh) Lausanne
    52. The Center for Mind-Body Medicine
    53. War Child
    54. Weltfriedensdienst e.V. (world peace service)
    55. West Bank Protection Consortium (WBPC).

    MSF is an international, medical, humanitarian organisation that delivers medical care to people in need, regardless of their origin, religion, or political affiliation. MSF has been working in Haiti for over 30 years, offering general healthcare, trauma care, burn wound care, maternity care, and care for survivors of sexual violence. MSF Australia was established in 1995 and is one of 24 international MSF sections committed to delivering medical humanitarian assistance to people in crisis. In 2022, more than 120 project staff from Australia and New Zealand worked with MSF on assignment overseas. MSF delivers medical care based on need alone and operates independently of government, religion or economic influence and irrespective of race, religion or gender. For more information visit msf.org.au  

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: University Research – Vape shops cluster around schools – UoA

    Source: University of Auckland (UoA)

    Almost half of New Zealand schools are within a short walking distance of a specialist vape retailer, despite a law aimed at preventing vape stores near schools.

    Embargoed to NZT 1201AM Wednesday 7 May: Almost half of schools across Aotearoa New Zealand have a specialist vape store within a 10-minute walk, despite recent legislation aimed at preventing this.

    New research, which overlays vape stores on school locations, shows 44 percent of schools have a vape store within a one-kilometre radius and 13 percent have a dedicated store within 300 metres.

    “That means a lot of our young people are getting multiple exposures on a daily basis to vape stores and vape marketing, to the attractive window displays and to the omnipresence of vaping, as a constantly available and easy thing to engage with,” says Ronan Payinda, a fourth-year medical student at Waipapa Taumata Rau, University of Auckland, who led the study.

    Payinda says he saw the explosion of vaping while he was at school in Northland and felt that, as a society, Aotearoa New Zealand was failing to grapple with its potentially serious health effects.

    Since 2020, it has been illegal to sell vapes to people under 18.

    However, in 2021, more than a quarter (26 percent) of secondary school students reported having vaped in the previous week.

    In 2023, the government passed legislation banning specialist vape stores from opening within 300 metres of schools and marae: however, existing vape shops were allowed to continue operating.

    The law was a response to reports of teens, parents, schools and teachers struggling with the epidemic of vaping.

    Payinda says this study, published today [NZT 7 May] in the Australian and New Zealand Journal of Public Health shows that stronger regulations are needed. Read the study. [Goes live 7 May, PDF available]

    “We are not putting the right protections in place to ensure that a whole new generation of young people aren’t chained to addictions for the rest of their lives,” Payinda says.

    The study looked only at specialist vape stores, whereas corner stores, petrol stations and other outlets, which sell a more limited range of vapes, are more popular with young people who reported no great difficulty making the illegal purchases.

    Further, the researchers found inequity in the location of vape stores.

    “We stratified these results by the level of deprivation of each community and found that there was a strong association between the level of poverty a community was suffering and the proximity of the vape stores to their schools.

    Among the most affluent fifth of schools, seven percent had a specialist vape store within a 300-metre radius. Among the poorest quintile, 40 percent of schools had a specialist vape store within 300 metres.

    Research in the US has found exposure to e-cigarette marketing via retail stores increases the likelihood of vape use among middle and high-school students.

    The long-term health effects of youth vaping are not yet known, but strong associations are emerging, Payinda says.

    The American Heart Association (AHA) says, in a statement, vapes can impair sleep quality, may affect mental health and may lead to nicotine dependence.

    Available studies suggest adolescents who vape may have lower lung function and be susceptible to respiratory diseases, such as asthma, chronic bronchitis and pneumonia.

    Smoking cigarettes can lead to heart disease. So, while comparable long-term data for vaping are lacking, the AHA report raises concerns about the possibility of heart disease in later years.

    The number of stores selling vapes within one kilometre of schools shows there is a need for more rigorous vaping policy, Payinda says.

    “We need to implement regulations to prevent young people from not just being exposed to vaping products but also accessing them and becoming addicted to them in the long term,” Payinda says. “We need to get more serious about protecting our young people.”

    About the Australian and New Zealand Journal of Public Health
    “Vape shops on the way to school: geographical analysis of the proximity of Specialist Vape Retailers to New Zealand schools” will be published in the Australian and New Zealand Journal of Public Health at 12:01am 7 May 2025.
    Please credit the Australian and New Zealand Journal of Public Health as the source of the research. 
    The Journal is the official publication of the Public Health Association of Australia.
    All articles are open access and can be found here: https://www.journals.elsevier.com/australian-and-new-zealand-journal-of-public-health

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Parliament Hansard Report – Tuesday, 6 May 2025 – Volume 783 – 001467

    Source: Govt’s austerity Budget to cause real harm in communities

    Question No. 8—Health

    8. Hon Dr AYESHA VERRALL (Labour) to the Minister of Health: Is his first priority as Health Minister still “focusing Health New Zealand on delivering the basics and achieving targets”; if so, why have wait times for first specialist assessment and elective treatments worsened?

    Hon SIMEON BROWN (Minister of Health): Yes, you cannot manage what you don’t measure, and that’s why this Government reinstated health targets: to drive accountability and ensure access to timely, quality healthcare. Too many New Zealanders are waiting too long for first specialist assessments and elective treatments, and addressing this is a priority. Wait-lists have been growing over several years. Despite an increase in elective procedures and first specialist assessments being completed last year, the rate at which people were being referred on to wait-lists continues to outpace the rate at which people were receiving treatment or being seen. However, I’m pleased to inform the member that Health New Zealand advises me that the number of patients waiting for a first specialist assessment in the week ending 13 April has reduced by over 8,000 since the first week of January.

    Hon Dr Ayesha Verrall: How can he expect others to be accountable for targets, if he doesn’t own up that there has been a 6 percent deterioration in first specialist assessments, and a 3 percent deterioration in elective treatments since the change of Government?

    Hon SIMEON BROWN: If we’re going to talk about percentages, we could talk about the 6,500 percent increase in the number of people waiting more than four months for a first specialist assessment when that party was in Government; or we could talk about the 2,500 percent increase in the number of people waiting for an elective treatment more than four months, while that party was in Government. The wait-list ballooned. We’ve put in place targets. Now we’re focusing the system on delivery so that people can get the healthcare they need in a timely and quality manner.

    Hon Dr Ayesha Verrall: Who does he expect to do the additional procedures, when Health New Zealand’s last quarterly workforce report shows 310 fewer nurses and 47 fewer doctors employed in our health system?

    Hon SIMEON BROWN: There are more doctors and more nurses working at Health New Zealand than in 2023. We’re investing in front-line services and we’re focusing on ensuring that we treat the patients and get the timely and quality access to healthcare that is needed. As I said in my primary answer, I’m pleased to inform the member that Health New Zealand advises me that the number of patients waiting for a first specialist assessment in the week ending 13 April has reduced by over 8,000 since the first week of January. That is progress. Because of the huge wait-list that we inherited, it’s going to take time to deliver. I’m focused on delivery.

    Hon Dr Ayesha Verrall: Does he stand by his statement “There is no such thing as a hiring freeze.”, or does he accept that official statistics now show hiring has been frozen?

    Hon SIMEON BROWN: There are more doctors and more nurses working at Health New Zealand today than there were in 2023. We’re investing in front-line health workforces and we’re focusing on delivery. We’re investing $16.68 billion over three Budgets, so we can invest in the front-line services that New Zealanders need.

    Rt Hon Winston Peters: Could the Minister confirm that with the last three answers on the statistical improvements that he gave in those answers, the primary question, or the questioner, was demonstrably, deliberately false?

    Hon SIMEON BROWN: We’re focused on delivery. We’re focused on outcomes. We have more doctors and more nurses working at Health New Zealand today than in 2023. We’re focused on outcomes. As I said in my primary answer, 8,000 fewer people are waiting on the first specialist assessment wait-list for the week ending 13 April than in the first week of January. That’s progress. We inherited massive wait-lists which ballooned under the previous Government, and we are focused on getting patients the care they need.

    Hon Dr Ayesha Verrall: Why did he try to blame senior doctors for longer waits for treatment, when it is his Government’s hiring freeze that means New Zealanders are going without the care they need?

    Hon SIMEON BROWN: I was very clear when it came to the union deciding to go on strike that they should have put the offer that was presented to them a week prior to the strike to their members to vote on, rather than going on a strike which has caused 4,300 elective treatments or first specialist assessments to be delayed. That’s unacceptable. We must put patients first.

    Debbie Ngarewa-Packer: Supplementary.

    SPEAKER: Question No. 9—just waiting for a bit of quiet.

    Debbie Ngarewa-Packer: Supplementary.

    SPEAKER: Oh, supplementary. Debbie Ngarewa-Packer.

    Debbie Ngarewa-Packer: Thank you. How does the ministry’s decision to remove ethnicity as a factor in wait-times align with his targets to reduce wait-times when Māori are still waiting longer for treatment than non-Māori?

    Hon SIMEON BROWN: Our Government is very clear: we are focusing on need and we’re focusing on making sure that we are ensuring that patients get the treatment they need in a timely and quality manner, and that applies to all New Zealanders.

    Debbie Ngarewa-Packer: Point of order. That was a mischaracterisation of the actual question. The question, which is an equity-based, policy-based, needs-based—

    Hon Judith Collins: Just ask the question.

    Debbie Ngarewa-Packer:—addresses Māori and Pacific Islanders, and there wasn’t actually an answer in that—thanks, Judith.

    SPEAKER: Well, the Minister could say the same thing again if he likes.

    Hon SIMEON BROWN: The Government is focusing the health system to treat people based on the needs that they have and ensuring that all New Zealanders can get the access to timely and quality healthcare.

    Debbie Ngarewa-Packer: Supplementary.

    Rt Hon Winston Peters: Supplementary question.

    SPEAKER: Supplementary—Debbie Ngarewa-Packer.

    Rt Hon Winston Peters: How did that go?

    SPEAKER: Because she was faster off her feet.

    Rt Hon Winston Peters: No, she wasn’t.

    SPEAKER: Yes, she was. I’m pretty sure. Debbie Ngarewa-Packer—it was like a blur; you could hardly see it.

    Debbie Ngarewa-Packer: Thank you. How will proposed cuts to Māori and Pacific health and immunisation providers, many of whom serve high needs and hard to reach whānau, achieve his target to increase immunisation rates for children to 95 percent at 24 months?

    Hon SIMEON BROWN: Well, this Government is very much focused on delivering on the basis of need. We continue to invest in providers who serve a variety of communities to ensure that we are reaching out into Māori and Pacific communities so that we can meet those targets. But as I said in the previous answer, we are focusing healthcare delivery on the basis of need so that all New Zealanders can access timely and quality healthcare.

    Rt Hon Winston Peters: Can I ask the Minister as to why on earth he hasn’t consulted with Ayesha Verrall, who’s an absolute expert on medical waiting lists and endless delays?

    SPEAKER: No. Is there another question?

    Debbie Ngarewa-Packer: Yes. How does his decision to cancel bowel cancer screening for Māori and Pasifika from the age of 50 align with his target of faster cancer treatment for 90 percent of patients when these groups have the highest rates of bowel cancer in the country with 18 percent of cases diagnosed under the age of 50?

    Hon SIMEON BROWN: Well, we’re focusing on, as I said, healthcare delivered on the basis of need. We are lowering the age for all New Zealanders to be able to access bowel cancer screening to the age of 58. We are also making targeted investments to target those communities—Māori, Pasifika, Asian communities—where they have lower bowel cancer screening rates, to lift those rates so that we can save as many lives as possible.

    MIL OSI New Zealand News

  • MIL-OSI United Kingdom: John Swinney’s Programme for Government speech

    Source: Scottish National Party

    Presiding Officer,

    Tomorrow will mark one year since I was honoured to be elected as the First Minister of this country that I love.

    I spoke then of my ambition to create a vibrant economy in every part of our country, my determination to tackle the challenges faced by our beloved National Health Service, and my hope that we can come together as a Parliament, and as a country, to focus on solutions rather than allowing our disagreements to dominate.

    Over the past year, amidst real challenges, amidst deep uncertainty on the global stage, progress has been made. In ways big and small, a corner is being turned. This is a government that is working hard and determined to get Scotland on track for success.

    That progress has been evident in the way we do our business here in our Parliament. The fact that four parties were able to come together, to negotiate in good faith, and pass a budget that delivers record funding for our National Health Service, is testament to what is possible.

    Today’s Programme for Government is presented in that same spirit. It contains many of the fruits of our budget process – with elements within it that are there only because of the co-operation of other parties.

    But this is also a programme by an SNP government, a government that cares deeply about Scotland, a government that has total confidence in Scotland’s ability to rise to any challenge and to weather any storm.

    Presiding Officer, before I turn to those elements that are in the Programme for Government, I want to talk about some measures that are not included.

    With a year to go until the end of this parliament, there are clearly, limits on the amount of legislation we can present. This government – and I personally – remain entirely committed to tackling misogynistic abuse against women. Regrettably I do not believe there is sufficient parliamentary time to make progress through a standalone Bill which I would plan to bring forward at the start of the next Parliament. We will however take the action we can in this Parliament by adding sex as a protected characteristic to existing hate crimes legislation to protect women and girls and by taking further steps in our policy, to tackle unacceptable abuse of women and girls in our society.

    Conversion Practices that seek to change or suppress a person’s sexual orientation or gender identity are harmful and abusive. Over this coming year, we will seek to work with the United Kingdom government to deliver a legislative ban across England, Wales and Scotland. But if agreement is not possible, we will publish legislation in the first year of the next parliamentary term. Members of the LGBTQI+ community should have no doubt that we will work with them to protect and to defend their rights.

    Times are tough, presiding oofficer and times are changing, in ways that I know bring real anxiety to our citizens, real fear to many in our business community. But my promise to the people of Scotland is that amidst the uncertainty there is one thing they can be sure of: this is a government that will always seek to do what is best for Scotland. As First Minister, I will always put the needs and interests, the hopes and dreams of the people of Scotland first.

    When I became First Minister a year ago, I heard loud and clear people’s concerns about the health of Scotland’s NHS.

    They would tell me about their many positive experiences of high-quality care from the dedicated staff in the NHS, experiences of treatment and care that are, invariably, world class. But they also spoke of difficulties accessing that care. Waiting times that were unacceptable, adding to anxiety. Systems that they felt did not put patients first.

    Presiding officer, there are many issues that compete on a daily basis for the attention of a First Minister, but what could be more important than our National Health Service?

    So I am proud that the £30 million that we committed has not just delivered the 64,000 additional NHS appointments and procedures between April 2024 and the end of January 2025 that we promised, but over 40,000 more than planned. An extra 105,000 vital, additional appointments and procedures that are helping to reduce waiting lists and waiting times. We have met the children and adolescents’ mental health waiting time standards, with over 90 per cent now seen within 18 weeks of their referral.

    More cancer patients are now treated faster. Compared with a decade ago, 16 per cent more patients receive care within the 31-day standard and 11 per cent more within the 62-day standard.

    Statistics, yes, but behind each one a person who has received the sort of reliable and effective care from the National Health Service that they deserve.

    Progress, yes, but with a very clear understanding that there is more, much more to do.

    And that is why a renewed and stronger NHS is at the very heart of this Programme for Government.

    Getting our NHS on track is about reform that is fundamentally patient-centred, it is about investment, and it’s about increasing productivity and capacity.

    This approach makes it possible for us to deliver more than 150,000 extra appointments and procedures in 2025-26.  

    The additional investment secured through the Scottish budget will enable us to expand specialist regional centres; technology will mean more efficient use of operating theatres. The result, a 50 per cent increase in the number of surgical procedures we can deliver compared with last year. 

    There will be a renewed focus on cancer diagnosis and treatment, targeted investment so that health boards can clear backlogs and substantially improve waiting times.

    Presiding officer, I could spend the whole statement just talking about the steps we are taking to access the National Health Service, but before moving on, I will highlight one other area that I know is of particular concern for many people.  

    While many people’s experience of their GP is excellent, for many others there is deep frustration over the difficulty making appointments and what has been described as the 8am lottery.

    This is of central importance to me. That is why we are acting to reduce pressure and increase capacity in the system, so that it is easier for people to get the care that they need, when they need it.

    That includes in the year ahead a further expansion of Pharmacy First services – with pharmacies being the right first port of call for many ailments.  

    But it also means the delivery of an extra 100,000 appointments in GP surgeries focused on key risk factors such as high blood pressure, high cholesterol, obesity and smoking.  

    This year, primary care, including GPs, is receiving a bigger share of new NHS funding, and we are committed to not only increasing GP numbers but protecting Scotland’s advantage which means substantially more GPs per head in Scotland compared to elsewhere in the United Kingdom.

    Presiding officer, members across the chamber will know that, alongside the NHS, our constituents are also deeply exercised by the ongoing cost-of-living crisis. We have experienced a decade and more of financial insecurity, higher prices and squeezed real incomes. Life feels substantially tougher for very many of those that we serve.

    The economy means jobs, growth and investment, and I will talk about all of these elements.  

    But above all, the economy is about people’s quality of life, it is about their own household budget, their ability to pay the bills.  

    This Scottish government will always do what it can to deliver the best deal for the people of Scotland. In concrete terms that means a commitment to keep Council Tax bills – already over 30 per cent lower on average in Scotland than in England – substantially lower than elsewhere in the UK.

    Water bills – already 20 per cent lower than in England – will remain lower, as will income tax for the majority of workers in Scotland.  

    Prescriptions will continue to be free here in Scotland.

    Eye appointments, free. 

    Bus travel for young, disabled and older people in Scotland – free.  

    Scotland will continue to pay no tuition fees.   

    Parents will continue to benefit from a package of early learning and childcare worth more than £6000 for every eligible child.  

    Free school meals, which save the average family £400 per child per year, will be expanded, and more breakfast clubs introduced.  

    Together, this is my cost-of-living guarantee. A package that year on year delivers savings for the people of Scotland, a package that exists nowhere else in the United Kingdom.  

    And, Presiding Officer, it is a package of cost-of-living support that we are always looking to enhance where we can.  

    That is why we took the decision in the budget to restore a winter fuel payment for Scottish pensioners, with the poorest receiving the most. Those payments will be made this year.   

    And it is why we are committed to doing even more.

    Last year, in the face of severe budget pressures, we took the difficult decision to end the peak fares pilot on our railways.

    But now, given the work that we have done to get Scotland’s finances in a stronger position, and hearing also the calls from commuters, from climate activists and from the business community, I can confirm that, from the 1st of September this year, peak rail fares in Scotland will be scrapped for good.  

    A decision that will put more money in people’s pockets and mean less CO2 is pumped into our skies.   

    Once again, tens of thousands of Scots saving money.  

    Once again, a better deal for people because they live in Scotland.  

    Better for Scots because there is a government that always strives for what is best for Scotland.  

    Alongside the cost-of-living pressures – the consequence of a series of body blows from austerity and Brexit to the spike in inflation and energy costs that followed Russia’s 2022 invasion of Ukraine – new threats are emerging that have the potential to cause extensive damage to the Scottish economy.  

    Tariffs will impact directly on many Scottish exporters to the United States, while a US recession and a global trade war, will have effects direct and indirect on almost every sector of our economy. 

    Presiding officer, this Programme for Government has been published earlier than usual, in part because it allows a clear year of delivery on the NHS and other public services, delivery in those areas that matter in the day-to-day lives of our citizens. But it is also being published now because of the scale of the looming economic challenge that we face.   

    For the sake of Scottish jobs, for the sake of protecting people’s quality of life, we are taking new steps, accelerating action, to ensure Scotland’s economy is better placed to ride the economic storms.  

    Members will see the detailed and extensive section on the economy in the Programme for Government document, with action on planning reform, skills, housing investment, support for our rural economy including our vital food and drink sector, promotion of Scotland the brand and more. But I want to highlight three particular initiatives designed to respond directly and specifically to the challenges we now face.  

    First, working with Scottish Development International across their 34 international offices, we will deliver a new 6-point Export Plan, to enable Scottish exporters to diversify and to grow markets. This includes:  

    • more support for SME’s to participate in trade missions in both established and emerging markets; 
    • additional grant funding to help companies unlock specific, targeted international growth; and, 
    • bespoke support in key sectors – technology, life sciences, renewables and hydrogen – to maximise international opportunities.

    Second, to enable emerging Scottish companies to grow, we will create a new Proof of Concept fund, with a focus on supporting the commercialisation of research projects with significant economic potential. We will deliver an improved Ecosystem fund to further enhance Scotland’s already effective start-up environment, including action to transform the number of women who start and scale up businesses.

    We must not forget, even amidst the gathering clouds, that Scotland is an innovative nation, and that opportunities exist which can deliver real and significant benefits now and in the future. This government will prepare for the challenges but we also seek to position Scotland to make the most of the many and significant economic opportunities that still exist.   

    Third, we will deepen our commitment to a just transition and an industrial future for Scotland. As members will be aware, the Deputy First Minister is actively engaging with potential investors to ensure a green industrial future for the Grangemouth site. A key element in the success of this work is the development of carbon capture in Scotland, which is why it is now vital that the UK government provides support not only to carbon capture projects in England, but also to the Acorn project in Scotland’s northeast.

    The Scottish Government has previously committed up to £80 million to make this happen if the UK Government, in turn, made the commitments necessary for the project to progress. Given the importance of this project for the Scottish economy, given its place at the very heart of the green reindustrialisation that is my ambition, and I trust the ambition of all parties in this chamber, my government is now willing, as part of a wider package of investment in industrial transformation, to remove that cap and increase the amount of Scottish funding that is available to make Acorn a reality should the project be given the go ahead by the United Kingdom Government. 

    I know that many in this chamber share my concern that Scotland is little more than an afterthought to a UK government that is willing to invest in a supercomputer in the southeast of England, weeks after cancelling the supercomputer for Edinburgh. A UK government that moved heaven and earth to save Scunthorpe but will not do the same for Grangemouth. Perhaps with swift action from the UK Government to support Acorn, which in turn will help us deliver the future that Grangemouth deserves, the Prime Minister will do the right thing by Grangemouth.

    Presiding officer, working to deliver a stronger NHS, giving the people of Scotland the best cost-of-living support of any part of the UK, and action to protect Scotland’s economy and maximise our economic potential in the face of global challenges, this is a government with what is best for Scotland at its heart.  

    Since becoming First Minister last year, I have sought to focus government efforts on four central priorities.   

    We seek a wealthier Scotland, higher standards of living for the people of Scotland, with action to grow Scotland’s economy.

    A fairer Scotland, with Scotland’s growing wealth shared more fairly so that we can remove the scourge of child poverty in our land.  

    A greener Scotland, with action to maximize the benefits felt by the people of Scotland from our renewable energy wealth, benefits in terms of lower bills and well-paid jobs, and action to reduce emissions and protect and restore our stunning natural environment.  

    And we seek public services that meet, and indeed exceed, the expectations of the people of Scotland. Have no doubt, many already do. But where action is needed to reform and renew, this government will take it.   

    Progress for Scotland underpins each of our priorities and is at the heart of everything we will do.   

    I want a Scotland that we can be proud of, a Scotland that is the best it can possibly be. 

    That ambition is what gets me up every single morning.  

    And, at the very heart of that, is the eradication of child poverty. 

    Last year, when I presented my Programme for Government, I referred to the eradication of child poverty as the moral compass of my government.  It remains so. It will until there is no single child left in poverty in Scotland.   

    It is also, I said, the greatest investment in our country’s future that we can possibly make. 

    And in these times of cost-of-living pressures, that investment becomes ever more important, for these things disproportionately hurt our society’s poorest.   

    That is why, over the course of this Parliament, we increased the Scottish Child Payment from the original proposal that was put to us of a £5 payment to £27.15 and created a broader package of family payments which can be worth roughly £25,000 by age 16.  

    Our policies are making a difference. On average, the lowest income households with children are estimated to be £2,600 a year better off this year as result of Scottish Government policies. By 2029-30 it is expected to grow to an average of £3,700.

    The proportion of children living in relative poverty has reached its lowest level since 2014-15, and Scotland is making deeper, quicker progress here than in the rest of the UK.

    And while the Joseph Rowntree Foundation predicts child poverty will rise in other parts of the UK by 2029, policies such as our Scottish Child Payment, and our commitment to end the cruel two-child limit, “are behind Scotland bucking the trend”.

    But if we want to truly eradicate child poverty in Scotland, we must go further, and I recognise that. We are taking the steps to lift the two-child limit and remain on track to deliver this measure to lift more children out of poverty next April.

    It is also about making sure that public services are more joined up in their response, more family- and person-centred, so that vulnerable families receive the focused help they need rather than simply the help that is available.  

    And, in the coming year, we will consult on, develop, and publish a Tackling Child Poverty Delivery Plan for 2026-31 – outlining the actions we will take with our partners for low-income families across Scotland to keep us on the journey to meet our poverty reduction targets for 2030. I can assure members that this will focus on reducing household costs, boosting incomes through social security, and helping more people into fair and sustainable jobs. All of which play a central part in tackling not only the symptoms but the root causes of poverty in our society.  

    Presiding officer,  

    There is always much more that we are doing than can be mentioned in a short parliamentary statement. 

    I would encourage members, and their constituents, to read the Programme for Government with care.  

    They will see our ongoing commitment to achieving net zero by 2045. Action to maximize the environmental and economic benefits from our vast renewable energy wealth. Steps to decarbonise heating and further decarbonise our transport network.  

    To give just one example, I am proud that we have achieved our target of installing 6,000 public charge points for electric vehicles – 2 years ahead of schedule. But more is needed, which is why, in the year ahead, we will introduce a new rural and island EV infrastructure grant, supporting our commitment to approximately 24,000 additional public electric vehicle charge points by 2030.  

    They will notice the priority we are giving to the ABCs of education, with action in partnership with local government, parents, carers, pupils and schools, to raise attainment and address problems of attendance, to tackle head on behavioural challenges in our classrooms and reform the curriculum so that young Scots are fully equipped to meet the challenges and seize the opportunities of this new age.  

    There is action to help regenerate our town centres.  

    Investment in thousands of new homes.  

    Record funding for the culture sector.  

    New protections for renters.  

    Expansion of dental provision.  

    A focus on additional support needs in our schools and much, much more.  

    Presiding officer, it is a Programme for Government, but also a programme for a better Scotland.   

    A programme for a stronger NHS, for a more resilient Scotland, for a wealthier Scotland.  

    Centred on delivery, providing hope, it is a programme that seeks what is best for Scotland, a Programme for Government that gets our nation on track for success. 

    MIL OSI United Kingdom

  • MIL-OSI Canada: Saskatchewan Expands RSV Immunization Program for Infants

    Source: Government of Canada regional news

    Released on May 6, 2025

    The province is changing its approach to infant Respiratory Syncytial Virus (RSV) immunization to include all infants born one month before and during RSV season, which typically runs annually from October 1 to March 31. Under this new plan, with parental consent, every baby born in Saskatchewan during this time will be eligible to receive a publicly funded immunization in hospital at the time of birth. 

    “Expanding our RSV immunization program marks a significant step forward in protecting the health of our youngest residents,” Health Minister Jeremy Cockrill said. “By making this protection universal during RSV season, we are helping to reduce severe outcomes in babies, ease pressure on both emergency departments and inpatient pediatric beds during respiratory season, as well as support the overall capacity of our health system. This investment reflects our commitment to giving Saskatchewan families greater peace of mind and a healthier start for their children.”

    RSV infects the lungs causing pneumonia or bronchiolitis and can lead to emergency room visits and hospitalization. RSV bronchiolitis is one of the most common reasons for hospitalization of infants worldwide and has a significant impact on caregivers and families. Premature babies and infants with chronic heart or lung disease are at the highest risk of developing severe infections and death.

    “We know our smallest patients are often our most vulnerable during the winter months when respiratory illness season is most prominent,” Saskatchewan Health Authority Head of Pediatrics Provincial Department Dr. Terry Klassen said. “The Saskatchewan Health Authority applauds the Government of Saskatchewan for responding to the Public Health Agency of Canada’s National Advisory Committee on Immunization’s (NACI) recommendation and expanding the availability of RSV immunizations for newborns as an additional opportunity to protect infants against severe RSV disease.”

    The previous program, based on recommendations from the Canadian Paediatric Society (CPS), targeted only high-risk children during their first and second RSV seasons using a multi-dose immunization. The new immunization (Beyfortis) requires only a single dose which will cover the infant in their first RSV season. This will also be given to some high-risk infants in their second season.

    “The children of Saskatchewan will benefit greatly from our all-infant RSV immunization strategy,” SHA’s Maternal and Children’s Programs Executive Director Kim Woycik said. “The impact of this initiative will help protect our youngest and most vulnerable patients from severe lung infections, as well as ease capacity pressures on our emergency rooms and pediatric units during respiratory season. The RSV immunization program will help spare many parents the distress of seeing their child be hospitalized.” 

    Broader immunity can reduce severe outcomes in infants, helping to protect health system capacity by easing pressure on services and reducing the pediatric hospitalizations typically experienced during respiratory season.

    RSV immunization should be considered for all infants born during their first RSV season, and for those with increased risk during their second season. For additional information on RSV immunization, it is best to discuss with your prenatal care team, maternal health care providers while in hospital, or contact your primary health care provider.

    For more information, visit: saskatchewan.ca/government/health-care-administration-and-provider-resources/treatment-procedures-and-guidelines/public-health-issues/respiratory-illnesses/RSV-Infant-Immunization-Program.

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    For more information, contact:

    MIL OSI Canada News

  • MIL-OSI USA: Crapo Statement at HHS Nominations Hearing

    US Senate News:

    Source: United States Senator for Idaho Mike Crapo

    Washington, D.C.–U.S. Senate Finance Committee Chairman Mike Crapo (R-Idaho) delivered the following remarks at a hearing to consider James O’Neill to be Deputy Secretary of the U.S. Department of Health and Human Services (HHS) and Gary Andres to be an Assistant Secretary of HHS. 

    As prepared for delivery:

    “Today, we meet to consider the nominations of Mr. Jim O’Neill to serve as Deputy Secretary of the U.S. Department of Health and Human Services (HHS) and Mr. Gary Andres to serve as the Department’s Assistant Secretary for Legislation.  Congratulations on your nominations.

    “Thank you, both, for meeting with bipartisan members and our staff throughout this process.  These conversations have provided us the opportunity to highlight our priorities and learn more about how each of you would approach your roles at HHS.

    “During the hearings for Secretary Kennedy and Centers for Medicare and Medicaid Services (CMS) Administrator Oz, I noted the size and scope of the Department, as well as the importance of the programs it oversees to millions of Americans.

    “If confirmed, you will play an integral role in managing the Department, coordinating and communicating across often-siloed agencies and with Capitol Hill.

    “In many ways, our health care system reflects a bureaucratic, disjointed Department.  Well-intended programs and initiatives can be conflicting, confusing and, in practice, ineffective.

    “While this dynamic presents significant challenges, it also offers opportunities for transformative solutions that benefit patients, providers, innovators and taxpayers.

    “Much like HHS, patients are best-served when our health care system functions as a team, relying on a variety of provider perspectives and talents to deliver patient-centered, high-quality outcomes.  By rethinking the outdated strategy of late-stage, symptom-based care, we can address the underlying causes of chronic conditions that drive up costs for patients and taxpayers.

    “Having previously served at the Department, Mr. O’Neill understands the multifaceted nature of HHS and the importance of internal collaboration to accomplishing shared goals.  If confirmed, he will have cross-cutting insight into the efforts of each division within the Department, allowing him to integrate effective actions to make our health care system more proactive.

    “Mr. Andres is a veteran of Capitol Hill and has a deep understanding of how to implement a successful legislative agenda.  I am confident he will be an asset to Congress as we seek input on the development of legislation and updates on departmental actions.

    “Americans deserve a transparent, responsive health care system that empowers consumer choice, drives competition-spurring innovation and rewards values.  This Committee has taken bipartisan steps to achieve these goals by acting to reform our prescription drug supply chain, fix our broken clinician payment system and expand access to mental health in rural areas, including through telehealth. 

    “If confirmed, I look forward to continuing those efforts with each of you.

    “Thank you, both, for your willingness to serve.”

    MIL OSI USA News

  • MIL-OSI Global: AI therapy may help with mental health, but innovation should never outpace ethics

    Source: The Conversation – UK – By Ben Bond, PhD Candidate in Digital Psychiatry, RCSI University of Medicine and Health Sciences

    Pavlova Yuliia/Shutterstock

    Mental health services around the world are stretched thinner than ever. Long wait times, barriers to accessing care and rising rates of depression and anxiety have made it harder for people to get timely help.

    As a result, governments and healthcare providers are looking for new ways to address this problem. One emerging solution is the use of AI chatbots for mental health care.

    A recent study explored whether a new type of AI chatbot, named Therabot, could treat people with mental illness effectively. The findings were promising: not only did participants with clinically significant symptoms of depression and anxiety benefit, those at high-risk for eating disorders also showed improvement. While early, this study may represent a pivotal moment in the integration of AI into mental health care.

    AI mental health chatbots are not new – tools like Woebot and Wysa have already been released to the public and studied for years. These platforms follow rules based on a user’s input to produce a predefined approved response.

    What makes Therabot different is that it uses generative AI – a technique where a program learns from existing data to create new content in response to a prompt. Consequently, Therabot can produce novel responses based on a user’s input like other popular chatbots such as ChatGPT, allowing for a more dynamic and personalised interaction.

    This isn’t the first time generative AI has been examined in a mental health setting. In 2024, researchers in Portugal conducted a study where ChatGPT was offered as an additional component of treatment for psychiatric inpatients.

    The research findings showed that just three to six sessions with ChatGPT led to a significantly greater improvement in quality of life than standard therapy, medication and other supportive treatments alone.

    Together, these studies suggest that both general and specialised generative AI chatbots hold real potential for use in psychiatric care. But there are some serious limitations to keep in mind. For example, the ChatGPT study involved only 12 participants – far too few to draw firm conclusions.

    In the Therabot study, participants were recruited through a Meta Ads campaign, likely skewing the sample toward tech-savvy people who may already be open to using AI. This could have inflated the chatbot’s effectiveness and engagement levels.

    Ethics and Exclusion

    Beyond methodological concerns, there are critical safety and ethical issues to address. One of the most pressing is whether generative AI could worsen symptoms in people with severe mental illnesses, particularly psychosis.

    A 2023 article warned that generative AI’s lifelike responses, combined with the most people’s limited understanding of how these systems work, might feed into delusional thinking. Perhaps for this reason, both the Therabot and ChatGPT studies excluded participants with psychotic symptoms.

    But excluding these people also raises questions of equity. People with severe mental illness often face cognitive challenges – such as disorganised thinking or poor attention – that might make it difficult to engage with digital tools.

    Ironically, these are the people who may benefit the most from accessible, innovative interventions. If generative AI tools are only suitable for people with strong communication skills and high digital literacy, then their usefulness in clinical populations may be limited.

    There’s also the possibility of AI “hallucinations” – a known flaw that occurs when a chatbot confidently makes things up – like inventing a source, quoting a nonexistent study, or giving an incorrect explanation. In the context of mental health, AI hallucinations aren’t just inconvenient, they can be dangerous.

    Imagine a chatbot misinterpreting a prompt and validating someone’s plan to self-harm, or offering advice that unintentionally reinforces harmful behaviour. While the studies on Therabot and ChatGPT included safeguards – such as clinical oversight and professional input during development – many commercial AI mental health tools do not offer the same protections.

    That’s what makes these early findings both exciting and cautionary. Yes, AI chatbots might offer a low-cost way to support more people at once, but only if we fully address their limitations.

    Effective implementation will require more robust research with larger and more diverse populations, greater transparency about how models are trained and constant human oversight to ensure safety. Regulators must also step in to guide the ethical use of AI in clinical settings.

    With careful, patient-centred research and strong guardrails in place, generative AI could become a valuable ally in addressing the global mental health crisis – but only if we move forward responsibly.

    Ben Bond receives funding from Research Ireland.

    ref. AI therapy may help with mental health, but innovation should never outpace ethics – https://theconversation.com/ai-therapy-may-help-with-mental-health-but-innovation-should-never-outpace-ethics-255090

    MIL OSI – Global Reports

  • MIL-OSI Global: Are kids resilient? Societies and families need to offer supports and relationships to nurture resilience

    Source: The Conversation – Canada – By Elena Merenda, Assistant Program Head of Early Childhood Studies, University of Guelph-Humber

    “Kids are resilient.” You have heard this before, right? You might have even said it, with the best of intentions.

    Resilience sometimes seems like a buzzword and is used in ill-defined ways. If adults praise children’s resilience without addressing their needs, this leaves children vulnerable to harm.

    Resilience doesn’t mean being unaffected by adversity — it means having the tools, relationships and supports to cope with it.

    Part of my role as a child development specialist with expertise in therapeutic play, as well childhood loss and grief, is consulting work with families and educators. I see children acting out in classrooms, withdrawing at home or having difficulties processing and regulating emotions and behaviours. Finding the right supports for a child often means many things.

    Offering children the environments and relationships that build resilience includes:

    In the everyday, children need adults who are well enough to care for them and present enough to notice their struggles.

    Many families with deep needs

    The 2024 National Report Card on Child and Family Poverty from Campaign 2000, a network of organizations committed to ending child and family poverty in Canada, reveals that in 2022, nearly one in five children were growing up in poverty.

    The child poverty rate rose by two and a half percentage points from the previous year, representing the largest annual increase in child poverty on record. Lone-parent households, most of them led by women, are disproportionately affected, with one in five relying on social assistance.




    Read more:
    Child poverty is on the rise in Canada, putting over 1 million kids at risk of life-long negative effects


    As financial insecurity deepens and government supports like the Canada Child Benefit lose their effectiveness due to high costs of living, parents are under formidable financial pressure that impacts their parenting capacity and personal wellness.

    Mental health gaps

    Mental Health Research Canada’s 2023 report, Exploring the Mental Health Landscape of Canadian Parents, reveals that younger parents, especially those under 30, are facing self-reported elevated levels of anxiety and depression since the end of the COVID-19 pandemic.

    The data also suggests that parents of children under two years of age are more likely to receive a new mental health diagnosis, likely due to decreased contact with health-care providers during the pandemic.

    What happens when parents are overwhelmed? Children feel it, and they need support to bounce back from it.

    The pressures parents face are not isolated. In a 2025 study on the perceptions of kindergarten, Grade 1 and Grade 2 educators in Ontario regarding their students’ developmental and academic skills and their own mental health during the 2021 to 2022 school year, teachers reported increased anxiety and slower developmental progress in children.




    Read more:
    From full-day learning to 30 minutes daily: The effects of school closures on kindergarteners


    Healthy development can’t be taken for granted

    If we only skim headlines that children displayed resilient capacities during the pandemic without looking deeper at how the pandemic also impeded healthy development, we are missing the full picture.

    It is only through longitudinal study — examining how kids are doing across time — that we’ll be able to fully understand impacts. For example, data from the Canadian Health Survey on Children and Youth shows about one in five youth who felt their mental health was good in 2019 no longer felt that way four years later.




    Read more:
    Pandemic babies’ developmental milestones: Not as bad as we feared, but not as good as before


    The 2023 Raising Canada Report, based on research conducted by researchers at the University of Calgary and McGill University and published by the non-profit organization Children First Canada, reports on violence, poverty, mental health struggles and online sexual exploitation affecting Canadian children.

    The report reveals there were 40 child homicides in 2022, and rates of hospital visits for self-harm and suicide attempts among youth have doubled over the past decade.

    These alarming reports suggest many families and children are struggling, lacking the resources they need to process their experiences and heal.

    Building your child’s and your own resilience

    Parental burnout is real — and compassion for oneself is the first step in supporting children.

    A few minutes of undistracted time with your child matters.
    (Shutterstock)

    Here are a few strategies parents can try to use, even when worn down:

    Focus on connection. A few minutes of undistracted time with your child — reading a book, going for a walk or simply talking without a phone nearby — builds connection and safety. When children feel a sense of safety and connection with their parent, they are more likely to share their thoughts and emotions. When children feel safe enough to verbalize their emotions, they are more inclined to process challenging times.

    Name and normalize emotions. Help your child build emotional vocabulary by labelling feelings for them in your day-to-day interactions. Saying things like “I noticed you looked frustrated when your Lego broke. That’s OK. It’s hard when things don’t go as planned” helps children to learn how to identify and name their emotions which is the first step in taming emotions.

    Model self-regulation, and when you feel overwhelmed, label your feelings. Try saying, “I’m feeling really worried right now, so I’m going to take a few deep breaths.” This teaches children that big feelings are a normal human experience. It also models for children healthy coping strategies.

    Ask for help and accept support. Parenting shouldn’t be done alone. Ask for help. Find a community of like-minded parents who can talk through big and small moments with you. Let your child see that it’s OK to ask for help — this is how you build resilience.

    Elena Merenda 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. Are kids resilient? Societies and families need to offer supports and relationships to nurture resilience – https://theconversation.com/are-kids-resilient-societies-and-families-need-to-offer-supports-and-relationships-to-nurture-resilience-253789

    MIL OSI – Global Reports

  • MIL-OSI Global: Aspartame: the artificial sweetener is calorie-free but not risk-free – a nutritionist explains

    Source: The Conversation – UK – By Hazel Flight, Programme Lead Nutrition and Health, Edge Hill University

    Roman Samborskyi/Shutterstock

    Sugar — sweet, satisfying, and everywhere. From fresh fruit and honey to processed table sugar and drinks, it sneaks into nearly everything we eat. While delicious, sugar delivers what nutritionists call “empty calories” — energy without any essential nutrients. And with overconsumption linked to obesity, type 2 diabetes, heart disease and dental problems, it’s no wonder health authorities are urging us to cut back.

    The World Health Organization (WHO) recommends limiting added sugar to less than 10% of daily calorie intake, while the BMJ suggests even lower: no more than six teaspoons (25g) per day for women and nine teaspoons (38g) for men.

    In response, many people are turning to non-nutritive sweeteners — sugar alternatives that deliver sweetness without the calories. These include popular options like aspartame, sucralose, stevia and monk fruit extract. Found in many diet drinks, sugar-free snacks and low-calorie foods, these sweeteners are designed to help manage weight and blood sugar levels.

    But not all that tastes sweet is sweet in effect. Let’s zoom in on one of the most controversial sugar substitutes: aspartame.

    Aspartame is an artificial sweetener that was discovered in 1965 and is 180–200 times sweeter than sugar. It was first regulated by the US Food and Drug Administration (FDA) in 1974 and approved for use in dry foods in 1981. Today, it’s estimated to be found in over 6,000 food and drink products and 600 pharmaceutical items.

    Aspartame was initially embraced as a tool to help reduce obesity and support diabetics, offering a sweet fix without the sugar spike. But despite decades of use, its safety is still the subject of intense scientific and public debate.

    Potential benefits

    Aspartame has a similar taste to sugar, albeit much more intense, but comes with almost no calories, making it attractive for those who’re weight-conscious. With obesity rates soaring globally, even small calorie savings can matter.

    Aspartame does not raise blood glucose levels, making it a preferred choice for those managing type 2 diabetes. However, other research has found potential associations with metabolic syndrome and diabetes risk, suggesting that aspartame should be used as part of a controlled diet rather than a straight swap for sugar.

    While assessments suggest that aspartame is safe within current intake guidelines, concerns persist.

    Potential risks

    Some people may experience side-effects like headaches, dizziness, or mood changes. There’s emerging evidence linking aspartame to neurodegeneration, strokes and even dementia.

    Aspartame can increase levels of phenylalanine and aspartic acid in the brain, which is a serious concern for people with phenylketonuria (PKU), a rare inherited disorder where the body cannot break down phenylalanine. This causes it to accumulate in the blood and brain, potentially leading to brain damage. People with PKU must avoid aspartame completely.

    One study reported symptoms after consuming aspartame including irritability, migraines, anxiety and insomnia, especially with excessive consumption.

    In 2023, the International Agency for Research on Cancer (IARC) classified aspartame) as “possibly carcinogenic”, though it remains approved for consumption within existing safety limits. Some studies suggest a link to cancer, but conclusions remain mixed.




    Read more:
    Aspartame: popular sweetener could be classified as a possible carcinogen by WHO – but there’s no cause for panic


    It’s also advised that pregnant women avoid aspartame, as research suggests it may affect the placenta’s structure and function.

    Artificial sweeteners, despite being calorie-free, may trick the brain into craving more sweetness. This could lead to increased appetite and weight gain rather than weight loss. In fact, several studies have found a positive correlation between artificial sweetener use and obesity.

    Gut health matters

    Emerging evidence suggests that aspartame and other sweeteners may disrupt the gut microbiome, the community of bacteria that play a key role in digestion, immunity and even mood. This disruption can negatively affect digestive health and immune function, potentially increasing the risk of infections and other health issues.




    Read more:
    Artificial sweetener could harm your gut and the microbes that live there – new study


    Aspartame may offer a tempting sugar-free fix, but it’s not without its risks. The World Health Organization advises against using non-sugar sweeteners for weight control and research continues to reveal complex links between aspartame and chronic diseases, from neurological issues to gut health concerns.

    Hazel Flight 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. Aspartame: the artificial sweetener is calorie-free but not risk-free – a nutritionist explains – https://theconversation.com/aspartame-the-artificial-sweetener-is-calorie-free-but-not-risk-free-a-nutritionist-explains-254318

    MIL OSI – Global Reports

  • MIL-OSI USA: Congresswoman Tenney Introduces the No Subsidies for Gender Transition Procedures Act

    Source: United States House of Representatives – Congresswoman Claudia Tenney (NY-22)

    Washington, DC – Congresswoman Claudia Tenney (NY-24), U.S. Senator Roger Marshall, M.D. (R-Kansas), and Congressman Dan Crenshaw (TX-2) introduced the No Subsidies for Gender Transition Procedures Act to prohibit taxpayer funding for gender transition procedures covered by Medicaid, Medicare, the Children’s Health Insurance Program, and the Affordable Care Act. 

    The bill would also deny the medical expense tax deduction for gender transition procedures. Eliminating federal spending on these procedures could save American taxpayers $200 million. Currently, 25 states and Washington, D.C. have Medicaid policies that explicitly cover transgender-related health care. Additionally, over 276,000 of the 1.3 million transgender adults in the U.S. are enrolled in Medicaid, highlighting the potential fiscal impact of these coverage policies.

    “Taxpayers should never be forced to fund dangerous and irreversible gender transition surgeries. The No Subsidies for Gender Transition Procedures Act sets a sweeping precedent by applying to both adults and minors and applying to as many federal funding streams as possible,” said Congresswoman Tenney. “This will ensure that regardless of the age of the individual looking to mutilate themself, the American taxpayer will not be forced to subsidize it. We are working to ensure that not a dime of federal funds can be used to pay for gender transition procedures.”

    “Americans overwhelmingly agree that hard-earned taxpayer dollars should not go toward paying for harmful gender transition procedures,” said Senator Marshall. “This legislation delivers on President Trump’s promise, eliminates taxpayer-funded transgender procedures on both minors and adults, and defends our nation’s values. As the reconciliation process continues, I urge my colleagues to support this commonsense legislation and ensure it is included in the One, Big, Beautiful Bill.” 

    “Taxpayers shouldn’t fund dangerous, ideological experiments,” said Congressman Crenshaw. “This is about protecting vulnerable Americans from irreversible harm dressed up as ‘care.’ Health care should be based on science, not activism.”

    ###

    MIL OSI USA News

  • MIL-OSI USA: Cornyn, Whitehouse, Colleagues Introduce Bill to Equip Law Enforcement with Trauma Kits

    US Senate News:

    Source: United States Senator for Texas John Cornyn
    WASHINGTON – U.S. Senators John Cornyn (R-TX), Sheldon Whitehouse (D-RI), Thom Tillis (R-NC), Chris Coons (D-DE), Mike Rounds (R-SD), and Dick Durbin (D-IL) introduced the Improving Police Critical Aid for Responding to Emergencies (CARE) Act, which would equip law enforcement officers with quality trauma kits so they can respond immediately if a civilian or fellow officer experiences a traumatic injury during a call:
    “When responding to medical emergencies, time and access to the right tools can mean the difference between life and death,” said Sen. Cornyn. “This legislation would equip law enforcement officers with high-quality trauma kits to prevent deaths due to blood loss and give patients the best chance of survival.”
    “Police officers serve on the frontlines in their communities every day, and they are often first on the scene in medical emergencies,” said Sen. Whitehouse. “Our bipartisan legislation would provide officers in the field with emergency trauma kits, and fund standardized training to allow them to better protect the public and save lives.”
    “As a strong supporter of our brave men and women in law enforcement, I am proud to co-introduce the Improving Police CARE Act which would equip them with the tools they need to keep our communities safe,” said Sen. Tillis. “Ensuring law enforcement officers have effective trauma kits will save countless law enforcement and civilian lives.”
    “Our nation’s law enforcement officers keep our communities safe, and they deserve the resources they need to do just that,” said Sen. Coons. “As co-chair of the Senate Law Enforcement Caucus, I know that this bipartisan, commonsense legislation will ensure that police officers have trauma kits they need in order to save lives.”
    Background:
    Trauma kits play a vital role in preventing deaths due to blood loss. Between 30-40% of trauma-related deaths are caused by hemorrhaging, or uncontrolled bleeding, with 33-56% of them occurring before the patient arrives at the hospital. During the Iraq and Afghanistan conflicts, tourniquets and tourniquet training were widely adopted by the military for their lifesaving potential in combat. This practice has since been embraced in civilian populations given its clear survival benefit. In fact, one study found that patient survival was six times more likely when a tourniquet was used, underscoring the critical need for timely bleeding control. This is especially true in rural areas where the average EMS response time is typically double that in urban areas. Having access to a trauma kit and early bleeding control can help bridge this gap and mean the difference between life and death.
    The effectiveness of a law enforcement trauma kit program depends in part on the contents and the quality of the kits. Medical professionals recommend that a kit include bleeding control supplies like tourniquets, bandages, non-latex gloves, scissors, and instructions. However, there is enormous variation in the products available on the market.
    The Improving Police Critical Aid for Responding to Emergencies (CARE) Act would:
    Establish baseline standards in consultation with law enforcement and medical professionals for trauma kits purchased using grant funding under the Edward Byrne Memorial Justice Assistance Grant (JAG);
    And require the development of optional best practices that law enforcement agencies can adapt for training law enforcement officers to use trauma kits and for deployment and maintenance of the kits in vehicles and government facilities.
    The legislation is endorsed by the National Association of Police Organizations (NAPO), International Association of Chiefs of Police (IACP), Major County Sheriffs of America (MCSA), Federal Law Enforcement Officers Association (FLEOA), NYPD Sergeants Benevolent Association (SBA), National Fraternal Order of Police (FOP), the Society of Trauma Nurses, the American College of Surgeons (ACS), and the American Trauma Society.

    MIL OSI USA News

  • MIL-OSI Canada: One Case of Measles Found in HRM

    Source: Government of Canada regional news

    Nova Scotia has its first case of measles in 2025, found in Halifax Regional Municipality.

    The case involves a Nova Scotian who travelled outside Canada. The person had received one dose of vaccine, but people generally need two to be fully vaccinated.

    There are measles outbreaks around the globe, including in other provinces and the United States. The last case in Nova Scotia was in 2023 and also travel-related.

    Measles is a highly contagious disease that can lead to serious consequences, including death. It is spread when an infected person breathes, coughs or sneezes. Measles is rare in Nova Scotia because it is preventable by getting vaccinated and is part of routine childhood immunizations. The vaccine, which is free, is safe and very effective at providing lifelong protection.

    There is no treatment for measles.

    “Measles is not an illness to take lightly,” said Dr. Robert Strang, Nova Scotia’s Chief Medical Officer of Health. “It is highly contagious and lingers for hours in a location after an infected person leaves. I highly recommend people check their vaccination status and get vaccinated if needed. Measles vaccines are safe, effective and have been protecting us for decades.”

    People born 1970 to 1995 were offered one dose of measles vaccine as children, and if they have not had a second dose, they should get one now. Those born in 1996 or later were offered two doses of measles vaccine but should get fully vaccinated now if they missed one or both doses.

    Public Health also recommends infants six to 11 months of age receive a single dose of measles vaccine if they are travelling outside of Canada. People born in 1969 or earlier are generally considered immune but can consider receiving a single dose of measles vaccine if travelling outside of Canada.

    There is no risk in getting the vaccine for people who have received it previously.

    People can receive vaccinations from their routine vaccine provider, including family doctor, nurse practitioner, primary care pharmacist, public health office and special measles clinics.

    Measles has an incubation period of seven to 21 days after infection. Initial symptoms of measles include:

    • fever
    • cough
    • runny nose
    • red, watery eyes
    • small, white spots may appear inside the mouth and throat two to three days after symptoms begin.

    More severe cases of measles may result in pneumonia, ear infections, swelling of the brain, blindness and death.

    More information about measles and special measles clinics for immunization is available at: https://www.nshealth.ca/public-health/infectious-diseases/measles


    Quick Facts:

    • complications from measles can include respiratory failure, inflammation and swelling of the brain, blindness, deafness and brain injury
    • over the last month, more than 2,000 people have received the vaccine in Nova Scotia Health measles clinics

    Additional Resources:

    Health Canada information on measles: https://www.canada.ca/en/public-health/services/diseases/measles.html


    MIL OSI Canada News

  • MIL-OSI United Kingdom: expert reaction to trial of online dialectical behavioural theory for emotion dysregulation in people with chronic pain

    Source: United Kingdom – Executive Government & Departments

    Results from a trial published in JAMA Network Open looks at online dialectical behavioural theory for emotion dysregulation in people with chronic pain.

    Dr Whitney Scott, Senior Lecturer in Clinical Health Psychology, IoPPN, King’s College London, said:

    “This is an interesting trial that further highlights the importance of psychologically-based treatments to support the well-being of people with persistent pain. The online delivery format builds on a growing trend towards digital therapeutics to address significant challenges with treatment accessibility.

    “This is a relatively small trial that provides support for a larger study. It’s great to see that a larger trial is planned which can help to further understand the impact of the intervention, including in the longer-term. At present, while promising, there is a limit to what we can conclude from this study in terms of its impacts on future practice.

     “If the larger trial shows similar results, this will add to an established body of evidence showing the efficacy of psychologically-based treatments for people with pain. For example, there is already moderate quality evidence from a number of randomized-controlled trials (RCTs) that cognitive-behavioural therapy (CBT) improves distress in people with pain when compared to treatment as usual. The current RCT also uses a treatment as usual control group.

     “It’s also important to say that the iDBT-Pain treatment overlaps with elements of traditional CBT and other cognitive-behavioural approaches (mindfulness-based stress reduction, ACT). These treatments have already been widely studied and used in clinical practice to support people with persistent pain to respond more effectively to emotions. So, iDBT very much builds on the tools we already have to support people with pain.

     “The study reported good effects for emotion dysregulation, depression, and pain intensity that were maintained at 21-week follow-up. However, effects for anxiety and sleep problems were not maintained. No significant improvements were observed for pain interference with daily life. This is another key outcome in the pain field and one that is often the target of cognitive-behavioural treatments for people with persistent pain.

     “The online delivery format has the potential to increase accessibility for many people. However, this may not be true for everyone. It’s plausible that people with very high levels of emotion dysregulation, the key target of this intervention, may struggle with the remote format and may need an in-person format. Notably, people with ‘personality disorders’ were excluded which may represent individuals that particularly struggle with emotion dysregulation.”

     

    Dr Franziska Denk, Reader in Neuroscience, King’s College London, said:

    To my mind, this paper will not significantly change our understanding of how to treat people with pain.

    “It has faced the same challenge faced by almost all behavioural intervention trials: how to placebo control effectively.

    “As it was carried out, this study ends up comparing apples and oranges: in the treatment group, we have people who are being listened to, affirmed and guided by medical professionals and their peers as part of an intensive 8-week treatment programme; in the ‘placebo’ group, we have people to whom nothing happens (as that is what ‘treatment in the community’ basically means). Obviously, the ones who are being cared for actively will fare better.

     

    Online Dialectical Behavioral Therapy for Emotion Dysregulation in People
    With Chronic Pain
    ’ by Nell Norman-Nott et al. was published in JAMA Network Open at 16:00 UK time on Tuesday 6th May. 

     

    DOI: 10.1001/jamanetworkopen.2025.6908

     

     

    Declared interests

    Dr Whitney Scott:I have received research funding from the International Association for the Study of Pain and National Institute for Health and Care Research for projects investigating online delivery of psychological treatment (specifically acceptance and commitment therapy) for people with persistent pain. I have received funds for travel to conferences where I have presented on some of this work. I also provide teaching on psychosocial aspects of persistent pain management as part of my paid employment.

    Dr Franziska Denk: I have no conflicts in relation to this paper.

    MIL OSI United Kingdom

  • MIL-OSI USA: FDA Announces Expanded Use of Unannounced Inspections at Foreign Manufacturing Facilities

    Source: US Department of Health and Human Services – 3

    For Immediate Release:
    May 06, 2025

    Today, the U.S. Food and Drug Administration announced its intent to expand the use of unannounced inspections at foreign manufacturing facilities that produce foods, essential medicines, and other medical products intended for American consumers and patients. This change builds upon the agency’s Office of Inspection and Investigations Foreign Unannounced Inspection Pilot program in India and China and aims to ensure that foreign companies will receive the same level of regulatory oversight and scrutiny as domestic companies.  
    “For too long, foreign companies have enjoyed a double standard—given advanced notice before facility inspections, while American manufacturers are held to rigorous standards with no such warning. That ends today. This is a key step for the FDA as part of a broader strategy to get foreign inspections back on track,” said FDA Commissioner Martin A. Makary, M.D, M.P.H.  
    In addition, the FDA will evaluate the agency’s policies and practices for improvements to the foreign inspection program to ensure that the FDA is the gold standard for regulatory oversight. These changes will include clarifying policies for FDA investigators to refuse travel accommodations from regulated industry including lodging and transportation arrangements (taxi, limousine, and for-hire vehicle transit), to maintain the integrity of the oversight process.
    The FDA conducts approximately 12,000 domestic inspections and 3,000 foreign inspections each year in more than 90 countries. While U.S. manufacturers undergo frequent, unannounced inspections, foreign firms have often had weeks to prepare, undermining the integrity of the oversight process. Despite the advanced warning that foreign firms receive, the FDA still found serious deficiencies more than twice as often than during domestic inspections.  
    Only in specific programs and cases are the FDA’s domestic inspections pre-announced to assure that appropriate records and personnel will be available during the inspection. But regulated companies do not have the authority to negotiate the day or time of the inspection— nor should foreign companies have the capability to do so either. With this shift, the FDA is further ensuring that every product entering the U.S. is safe, legitimate, and honestly made. Unannounced inspections will also help expose bad actors—those who falsify records or conceal violations—before they can put American lives at risk. The FDA is authorized to take regulatory action against any firm that seeks to delay, deny, or limit an inspection, or refuses to permit entry for an unannounced drug or device inspection.
    “The FDA’s rigorous, science-based global inspections of manufacturing facilities ensure that the food and drug products that enter the U.S. marketplace, and the homes of American consumers, are safe, trusted, and accessible,” said FDA Assistant Commissioner for Inspections and Investigations Michael Rogers. “These inspections provide real-time evidence and insights that are essential for making fact-based regulatory decisions to protect public health.”
    The FDA’s global inspections generate real-time intelligence that strengthens enforcement and keeps American families safe. Every inspection goes through a classification assignment process to enable an appropriate regulatory response. Even inspections that yield a “No Action Indicated” provide important regulatory intelligence that strengthens the safety net for American consumers.   This expanded approach marks a new era in FDA enforcement—stronger, smarter, and unapologetically in support the public health and safety of Americans. For more information about FDA inspections, visit the Inspections Database Frequently Asked Questions and Inspections Yield Valuable Results, Regardless of Classification.
    ###

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    MIL OSI USA News

  • MIL-OSI USA: Miller-Meeks, Dean Introduce Bipartisan Bill to Protect Healthcare Workers

    Source: United States House of Representatives – Representative Mariannette Miller-Meeks’ (IA-02)

    WASHINGTON, D.C. — Representatives Mariannette Miller-Meeks (R-IA) and Madeleine Dean (D-PA) have introduced H.R. 3178, the Save Healthcare Workers Act, a bipartisan bill that would create federal penalties for individuals who knowingly and intentionally assault or intimidate hospital employees. Modeled after existing protections for flight crews and airport staff, the bill is aimed at addressing the rising violence facing healthcare professionals across the country.

    “As a physician, I know how important it is to ensure hospital personnel feel safe to provide quality care for their patients. With rising rates of violence in healthcare settings, burnout, and stress, it is critical we do all we can to improve workplace quality for healthcare professionals,” said Dr. Miller-Meeks. “The Save Healthcare Workers Act will advance legal protections to discourage such violence in America’s hospitals. I thank Rep. Dean for joining me in introducing this bill to protect hospital employees across Iowa and America.”

    “Healthcare workers devote their lives to our well-being — yet hospital employees face more and more incidents of violence in the workplace with no federal protections in place,” said Rep. Dean. “The legal penalties in the Save Healthcare Workers Act already exist for other workforces, like commercial flight crews, and extending these protections to hospital employees is simply the right thing to do. I’m grateful to work with Dr. Miller-Meeks on our bipartisan bill to ensure safety for our healthcare workers.”

    Background:

    In recent years, healthcare workers—especially those in hospitals—have reported increased incidents of violence and harassment that disrupt patient care and worsen stress and burnout in an already strained profession. Despite these trends, there is currently no federal law that protects hospital employees from targeted assault or intimidation.

    The bill includes protections for patients who may be mentally incapacitated due to illness or substance use and does not penalize individuals acting without intent.

    The Save Healthcare Workers Act is endorsed by major healthcare and hospital organizations, including the American Hospital Association, American College of Emergency Physicians, Emergency Nurses Association, and America’s Essential Hospitals.

    Read the full text of the bill here.

    MIL OSI USA News

  • MIL-OSI USA: Mfume Joins Letter Demanding Back Education Dollars Cut by Trump

    Source: United States House of Representatives – Congressman Kweisi Mfume (MD-07)

    WASHINGTON, DC – As reported today in The Washington Post, Congressman Kweisi Mfume (D-Md.-07) joined a letter demanding that the Trump Administration release the $98 million promised for education funding in the state and urging the Department to work with the delegation to ensure Maryland receives this vital funding. This letter was led by Senator Angela Alsobrooks (D-Md.) with the Maryland Democratic Delegation – U.S. Senator Chris Van Hollen and Representatives Steny Hoyer, Jamie Raskin, Glenn Ivey, Sarah Elfreth, April McClain Delaney, and Johnny Olszewski (all D-Md.) also signing on in support. 

    “Earlier this year, [Secretary McMahon testified that the President] wants to ‘return education to the states where it belongs.’ We believe that approving Maryland’s application for late liquidation of relief funds would do just that. We appreciate your offer to conduct a thorough review of the ESSER funds rescinded from Maryland and look forward to reaching a resolution in the best interest of the more than 860,000 students in our state who are depending on these Congressionally appropriated funds,” said the lawmakers. 

    “We stand ready to partner with the Department in ensuring the disbursement of this key funding to Maryland,” continued the lawmakers. 

    You can read the full letter to Secretary McMahon here or below:

    Dear Secretary McMahon:

    We write with deep concern regarding the Department of Education’s (the Department) recent letter to State Chiefs of Education, which modified the time period for states to liquidate obligations under the Education Stabilization Fund. The loss of these dollars would be catastrophic for the state of Maryland and its students. We appreciate the fact that the Department did leave an opportunity open for collaboration with states, affording them the chance to appeal for an extension to the liquidation period on a project-specific basis. As such, the Maryland State Department of Education (MSDE) has applied for an extension. We strongly support MSDE’s application and urge the Department to approve MSDE’s requests for full reimbursement.

    As you know, on January 22, 2025 – after President Trump was sworn into office – the Department approved MDSE’s late liquidation plan for American Rescue Plan (ARP) funds through March 28, 2026. Similarly, on March 17, 2025, the Department approved a late liquidation plan for the Coronavirus Response and Relief Supplemental Appropriations Act (CRRSA) from MSDE through March 31, 2025. Yet on March 28, 2025, the MSDE received notice from the Department that the liquidation period for all pandemic recovery resources authorized in the Elementary and Secondary School Emergency Relief (ESSER) fund was rescinded. This sudden reversal has caused a great deal of confusion and would hinder Maryland’s efforts to address pandemic learning loss.

    The impact of this reversal by the Department will indeed be devastating for Maryland schools. Pandemic relief funds were set to go towards capital projects including school heating, ventilation, and air-conditioning repair and replacement that have been delayed because of supply chain and construction issues, as well as new curricula and instructional materials that Maryland Local Education Agencies (LEAs) are still awaiting.

    As such, Maryland has submitted a late liquidation request to the Department for $98,706,860, which includes $42 million spent by LEAs that have not been submitted to the State for reimbursement, as well as $56.7 million remaining to liquidate. The remaining funding is obligated toward projects to provide temporary housing and mental health support for students experiencing homelessness; community school mental health services; tutoring and technology for students; professional development for staff; Grow Your Own projects, including tuition reimbursement programs for staff to attain teacher certifications; the replacement of older and non-working windows and doors; restroom repairs; and security camera updates to keep students safe. 

    MSDE and the state’s LEAs have utilized ESSER funds to recover reading scores, sustainably address the teacher shortages exacerbated by the pandemic, support student mental and emotional health, and fortify other key ingredients in learning. The state’s reapplication in compliance with the Department’s guidance issued on March 28, 2025, also includes key details of our educational systems’ efforts to modernize classroom infrastructure to mitigate the threat of infectious diseases. 

    We proudly represent a state that places tremendous emphasis on high-quality education and MSDE’s implementation of federal funds is fundamental to that mission. We urge the Department to approve MSDE’s latest reapplication for late liquidation of this vital funding. Like students across the country, the COVID-19 pandemic set young Marylanders back substantially on key metrics of student achievement. As your office has noted, recent National Assessment of Educational Progress (NAEP) results have revealed that “gaps are growing between higher-performing and lower-performing students.” Further, chronic absenteeism still is too high with the latest data indicating “a majority of students still attended schools with 20% or higher levels of chronic absence… in stark contrast to 2019, when slightly over a quarter of schools experienced such high levels of chronic absence.” Years after the COVID-19 pandemic, our schools and communities still have much work to do to help students recover.

    Again, we want to continue to be collaborative and work together to improve Maryland schools. As you noted in your testimony to the Senate Health, Education, Labor and Pensions Committee earlier this year, President Trump wants to “return education to the states where it belongs.” We believe that approving Maryland’s application for late liquidation of relief funds would do just that. We appreciate your offer to conduct a thorough review of the ESSER funds rescinded from Maryland and look forward to reaching a resolution in the best interest of the more than 860,000 students in our state who are depending on these Congressionally appropriated funds. 

    We welcome a further conversation between the Department and the Maryland Congressional delegation on this process and would be happy to help support engagements between the Department and MSDE. We stand ready to partner with the Department in ensuring the disbursement of this key funding to Maryland.

    Sincerely, 

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    MIL OSI USA News

  • MIL-OSI USA: Ciscomani Hosts Department of Labor Secretary Lori Chavez-DeRemer in Tucson

    Source: United States House of Representatives – Congressman Juan Ciscomani (Arizona)

    Ciscomani, Chavez-DeRemer Visit Pima Community College and Attend Roundtable with the Arizona Builders Alliance 

    TUCSON, AZ — U.S. Congressman Juan Ciscomani yesterday hosted Labor Secretary Lori Chavez-DeRemer in Tucson to tour successful job training programs at Pima Community College and discuss collaborative efforts to build a stronger workforce pipeline. 

    “I can’t say enough how important community colleges are in workforce development,” Secretary Chavez-DeRemer said. “They are critical.” 

    At Ciscomani’s alma mater, the congressman and Secretary Chavez-DeRemer got a first-hand glimpse of state-of-the-art programs that train students in automotive technology, advanced manufacturing and construction trades.  

    Ciscomani, Secretary Chavez-DeRemer visit Pima Community College 

    “No matter where I go throughout the district, one of the top issues I hear is about workforce and the importance of workforce development,” Ciscomani told Pima Community College administrators and business leaders. “Community colleges are essential institutions that train and equip the workers of tomorrow with the tools and knowledge they need to thrive as productive members of the workforce. Institutions like this are vital, and I am proud to host Secretary Chavez-DeRemer at my alma mater.” 

    The discussion included Pima Community Chancellor Dr. Jeffrey Nasse, Joe Snell, President and CEO of the Chamber of Southern Arizona, Acting Provost and Vice Chancellor of Workforce Development and Innovation Ian Roark and local business leaders.  

    “We’re honored to welcome Secretary of Labor Lori Chavez-DeRemer and Congressman Juan Ciscomani to Pima Community College today,” said Pima Community College Chancellor Nasse. “Their visit underscores the critical importance of workforce development and validates the work PCC is doing every day with our industry partners. At Pima, it’s all about building real pathways to good jobs—and we do that by working hand-in-hand with employers and with key partners like the Chamber of Southern Arizona to grow a strong, regional workforce ecosystem.”   

    Ciscomani and the secretary then joined a roundtable discussion with members of the Arizona Builders Alliance to identify ways to address the workforce shortage for skilled construction workers and promote policies that reduce unnecessary red-tape and empower workers and businesses.  

    “You’re building Arizona. You’re building this country,” Ciscomani said. “The current shortage of skilled construction workers is driving costs higher and causing project delays. Secretary Chavez-DeRemer and I are focused on promoting and expanding education programs that bolster the workforce of skilled construction workers, support high-demand, well paying jobs, and support the vital construction industry.”  

    Ciscomani, Secretary Chavez-DeRemer attend roundtable hosted by the Arizona Builders Alliance 

    “I am incredibly grateful to my good friend, Secretary Lori Chavez-DeRemer for her leadership, commitment to empowering our workers, support for workforce development efforts, and for taking the time to meet with educators, business leaders, and employees in my district,” said Ciscomani. “Secretary Chavez-DeRemer is a fantastic partner, and I look forward to continuing working with her to deliver on our promise to America’s workforce.” 

    Secretary Chavez-DeRemer’s visit to Arizona was the sixth stop on her “America at Work” nationwide listening tour. She is a former congresswoman and mayor who was sworn in as the nation’s 30th Labor Secretary on March 11, 2025. 

    “With strong growth in the construction industry thanks to President Trump, it’s critical the Labor Department continues our mission to upskill American workers by partnering with local leaders to fill these in-demand jobs,” said Secretary Chavez-DeRemer. “I enjoyed learning firsthand how educators and businesses in Tucson have developed pathways to successful, good-paying careers in construction and building trades. Thank you to my friend Congressman Ciscomani for showcasing these achievements and explaining the challenges facing Arizona’s 6th District. I look forward to collaborating on workforce solutions that continue growing our economy.” 

    Background:

    • Below is legislation Ciscomani has introduced to incentivize construction of affordable housing and develop and fund workforce development programs in community colleges:
      • In the 118th Congress, Ciscomani introduced the Grants for Resources in Occupational Workforce Training for Healthcare (GROWTH) Act (H.R. 6078) to provide additional funding to nursing programs at community colleges in order to address the national nursing workforce shortage.
      • In the 118th Congress, the Congressman introduced the Speeding Up Production of Essential Residences (SUPER) Demonstration Act (H.R. 9195) to utilize unused COVID-19 funds to create and fund a pilot program designed to reduce construction times by removing unnecessary regulatory requirements facing developers, which would in turn incentivize more private-sector investment.   
      • In February 2025, Ciscomani reintroduced the Creating Opportunities for New Skills Training at Rural and Underserved Colleges and Trade Schools (CONSTRUCTS) Act (H.R. 1055) to fund and develop residential construction education and certification program at community colleges, junior colleges, and trade schools.    

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    MIL OSI USA News

  • MIL-OSI United Kingdom: Investment in Derby’s SEND provision moves into next phase

    Source: City of Derby

    Derby City Council has set out proposals to improve and expand educational provision in Derby for children and young people with Special Educational Needs and Disabilities (SEND). 

    A programme of work is underway to create 400 additional specialist places in the city’s schools over the next two years, with an investment of £20m approved in 2024 via the SEND and Alternative Provision Sufficiency and Capital Investment Programme.

    Locally and nationally, the SEND system is experiencing increasing demand and is under significant pressure as the cost of provision outstrips funding provided by the Government. 

    Providing more places within the city will mean more children will access vital education within their own community, alongside their peers and close to their families, reducing the need for placements outside the area.

    The SEND and Alternative Provision Sufficiency and Capital Investment Programme, approved by Cabinet members last August, focuses on enhancing the learning environment at existing schools while also expanding their capacity for pupils with SEND.

    Four key schemes will be discussed at the upcoming Cabinet meeting on Wednesday 14 May. They are:

    • Increasing specialist places at St Andrew’s Academy
    • Upgrading Kingsmead School’s Wisgreaves Road site and creating a more inclusive environment
    • Enhancing play spaces and the overall environment at YMCA Stepping Stones Nursery
    • Developing a new entrance to Central Nursery School to improve safety and accessibility

    Councillor Paul Hezelgrave, Derby City Council Cabinet Member for Children, Young People and Skills, said:

    This programme supports children with additional needs to access the right support at the right time.

    These proposals will increase and improve the quality and quantity of provision within the city, creating greater opportunities for those young people to have access to school settings, with appropriate support, within their local communities, leading to more positive learning outcomes.

    MIL OSI United Kingdom

  • MIL-OSI USA: Attorney General James Sues to Block Trump Administration’s Dangerous Dismantling of Health and Human Services Department

    Source: US State of New York

    EW YORK – New York Attorney General Letitia James today led a coalition of 19 other attorneys general in filing a lawsuit challenging the Trump administration’s unconstitutional dismantling of the U.S. Department of Health and Human Services (HHS). Since taking office, Secretary Robert F. Kennedy, Jr. and the Trump administration have fired thousands of federal health workers, shuttered life-saving programs, and abandoned states to face mounting health crises without federal support. Last month, the administration escalated its attack on the department, launching a reckless, irrational, and dangerous restructuring that, in a single day, erased decades of public health progress and left HHS unable to execute many of its most vital functions. Attorney General James and the coalition argue that Secretary Kennedy and the Trump administration have robbed HHS of the resources necessary to effectively serve the American people and will be asking the court to halt the dismantling before even more lives are put at risk.

    “This administration is not streamlining the federal government; they are sabotaging it and all of us,” said Attorney General James. “When you fire the scientists who research infectious diseases, silence the doctors who care for pregnant patients, and shut down the programs that help firefighters and miners breathe or children thrive, you are not making America healthy – you are putting countless lives at risk.”

    On March 27, Secretary Kennedy revealed a dramatic restructuring of HHS as part of the president’s “Department of Government Efficiency” (DOGE) initiative. The secretary announced that the department’s 28 agencies would be collapsed into 15, with many surviving offices shuffled or split apart. He also announced mass firings, slashing the department’s headcount from 85,000 to 65,000. On April 1, 10,000 employees were locked out of their work email, laptops, and offices without warning. Many only learned they had been terminated when they arrived at work to find their badges deactivated. In a matter of hours, critical HHS operations ground to a halt. Experiments were abandoned, trainings canceled, site visits postponed, and labs shuttered.

    Attorney General James and the coalition assert the impacts of this restructuring have been immediate and disastrous. Programs serving children and low-income families have been particularly devastated. With HHS regional offices shut down and grant funding frozen, Head Start centers are at risk of closing, depriving children of early education and foster families of critical support. Programs aiding children with disabilities, youth experiencing homelessness, and preschool development have been left in limbo. The administration also fired staff responsible for maintaining the federal poverty guidelines, which states rely on to determine eligibility for food assistance like the Supplemental Nutrition Assistance Program (SNAP), housing support, Medicaid, and Temporary Assistance for Needy Families (TANF). The entire team running the Low-Income Home Energy Assistance Program (LIHEAP) was terminated, a reckless decision amid extreme weather and rising energy costs.

    Mental health and substance use services have been completely gutted as a result of the administration’s restructuring. The administration fired hundreds of employees working on mental health and addiction treatment, including half of the entire workforce at the Substance Abuse and Mental Health Services Administration (SAMHSA), and closed all ten SAMHSA regional offices. The 988 Suicide and Crisis Lifeline team was slashed, and the National Survey on Drug Use and Health was halted, blinding policymakers to trends amid an escalating overdose crisis. Even the nation’s tobacco prevention agency was dismantled, despite tobacco-related deaths remaining the leading cause of preventable death in the U.S.

    The damage extends to reproductive health, disability services, and the fight against HIV and AIDS. Pregnant people and newborns have been put at risk after the Centers for Disease Control and Prevention’s (CDC) entire maternal health team was fired, collapsing the nation’s maternal mortality monitoring efforts. The federal fertility tracking program was shut down, stripping families of crucial information on access to IVF and family planning services. Sexual assault and domestic violence prevention efforts have been impacted, with much of the CDC Division of Violence Prevention reportedly fired or placed on leave. Sweeping layoffs at the Administration for Community Living (ACL) stand to devastate services for individuals with disabilities. The nation’s HIV/AIDS response has been undermined with expert scientists fired, prevention initiatives eliminated, and decades of hard-won progress undone in a matter of days.

    The World Trade Center Health Program (WTCHP), which provides life-saving care to more than 137,000 9/11 first responders and survivors, faces the loss of the physicians needed to certify new cancer diagnoses. Workers across the country, from nurses to construction crews, risk losing reliable access to N95 masks following the closure of the nation’s only federal mask approval laboratory. Several CDC labs tracking infectious diseases – including measles – were shuttered, paralyzing federal disease surveillance. In the absence of federal leadership, New York’s state lab is now scrambling to fill the void, as it is one of the only remaining labs in the nation with the ability to test for many rare diseases and complex sexually transmitted infections (STIs).

    Attorney General James and the coalition argue that this chaos and devastation are not just collateral damage, but the administration’s intended result. They allege the Trump administration has violated hundreds of laws, bypassed congressional authority, and trampled the constitutional separation of powers, ignoring laws that Congress enacted to protect public health and taking reckless action without regard for the consequences. Secretary Kennedy even publicly acknowledged he rejected a case-by-case review of terminations, saying he feared it would cost “political momentum.” As Attorney General James and the coalition write in the lawsuit, “the terminations and reorganizations happened quickly, but the consequences are severe, complicated, drawn-out, and potentially irreversible.”

    “The disastrous cuts to the WTC Health Program are placing in peril the lives of every first responder and survivor that relies on this health care program to stay alive,” said Gary Smiley, 9/11 First Responder and WTC Liaison for FDNY EMS Local 2507. “Every day there is doubt in these responders’ and survivors’ lives as to what will come next in their health battle. The Trump administration, by slashing research grants and proposals for new and emerging conditions to the bone, leaves them hopeless and Forgotten. The psychological impacts on these members are reprehensible. This is exactly the opposite of what this nation promised to each and every one of them: To Never Forget.”

    “Last month, the federal government suddenly closed five regional Head Start offices, including the one that serves New York. Providers were left scrambling, unable to contact anyone, and worried for the families who rely on them. Recertification applications are unresolved, and uncertainty about payments and the future of Head Start have caused a sense of panic among child care providers,” said Susan Stamler, Executive Director of United Neighborhood Houses. “The shrinking of HHS is clearly having devastating impacts on our neighborhoods and families. Jeopardizing child care is no way to help working parents. We stand proudly with Attorney General James as she fights to protect our communities and ensure every child has the care they deserve.”

    “The dismantling of Medicaid and the erasure of maternal health infrastructure reveal a devastating truth—mothers and babies are not a priority in this nation,” said Chanel Porchia-Albert, Founder and CEO of Ancient Song Doula Services. “In one of the wealthiest, most industrialized countries, we rank among the worst for maternal outcomes. If we do not invest now in data, programs, and policies rooted in equity and upliftment, we will bear the generational cost of this neglect. Maternal health must be a bipartisan priority—because the future of our communities depends on it.”

    “In 2024 alone, Housing Works has provided primary care to nearly 10,000 patients—70% covered by Medicaid or Duals,” said Anthony Feliciano, VP of Community Mobilization at Housing Works. “The Trump administration’s reckless dismantling of HHS directly threatens our ability to serve these communities. From HIV services to substance use support, this attack on public health infrastructure abandons the most vulnerable people in our state. These devastating cuts jeopardize decades of progress toward ending the HIV epidemic—an effort that is not only about public health, but about justice and dignity for our communities. Ending the epidemic is how we serve our people, and we refuse to allow this administration to turn its back on them.”

    Attorney General James and the coalition are urging the court to immediately halt the Trump administration’s unlawful dismantling of HHS and to require the restoration of critical health programs to protect the health and well-being of people nationwide.

    Joining Attorney General James in this lawsuit are the attorneys general of Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maine, Michigan, Maryland, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont, Washington, Wisconsin, and the District of Columbia.

    MIL OSI USA News

  • MIL-OSI Africa: African women at higher risk of pre-eclampsia – a dangerous pregnancy complication

    Source: The Conversation – Africa – By Annettee Nakimuli, Associate Professor of Obstetrics and Gynecology, Makerere University

    Pre-eclampsia is a danger to pregnant women. It’s a complication characterised by high blood pressure and organ damage, arising during the second half of pregnancy, in labour or in the first week after delivery.

    It plays a major role in about 16% of the deaths of pregnant women in sub-Saharan Africa.

    And it’s on the rise: between 2010 and 2018, the incidence of pre-eclampsia in Africa jumped by around 20%.

    Pre-eclampsia usually occurs in young mothers during a first pregnancy. Girls under the age of 18 years are most at risk. The probability that a 15-year-old girl will die from complications of pregnancy is one in 150 in developing countries, versus one in 3,800 in developed countries, according to the World Health Organization.

    Not only does pre-eclampsia pose a serious health threat to women, it also harms babies. It contributes to stillbirth, preterm birth and low birth weight.

    Yet we still do not know enough about pre-eclampsia. This gap has driven my research into the disease.

    I conducted the first genetic case-control study on pre-eclampsia among African women in comparison to European women over a decade ago for my PhD research.

    My work revealed that both African and European populations have a gene (KIR AA genotype) that increases the chance of pre-eclampsia. However, African women are at greater risk of pre-eclampsia than other racial groups. This is because they’re more at risk of carrying a fetus with a C2-type HLA-C gene from the father. African populations have a higher frequency of this gene, which raises the likelihood of risky mother-fetus combinations.

    An additional finding from my research is that genetic protection from pre-eclampsia works differently across populations – and African populations carry unique protective genes. However, even with these additional protections, African women are at greater risk of developing severe pre-eclampsia due to the other challenges, like access to healthcare and socio-economic constraints.

    There’s inequality in the treatment of the condition too. In my experience, wealthier and better-educated African women often receive the necessary diagnosis and treatment. Poorer and less-educated African women too often do not.

    Pre-eclampsia research, especially in Africa, requires a lot more funding, as does broader research related to the maternal health of African women.

    Pre-eclampsia in Uganda

    Around 287,000 women worldwide die during pregnancy and childbirth every year. Shockingly, 70% of these are African women.

    Most of these deaths are preventable. For example, around 10% are the result of high blood pressure-related conditions during pregnancy.

    Uganda’s Ministry of Health recorded in 2023 that out of 1,276 maternal deaths reported, 16% were associated with high blood pressure.

    Hospitals are being overwhelmed by patients with the illness. For example, Kawempe National Referral Hospital in Kampala receives around 150 patients with the condition every month. It has set up a special ward to treat them.

    The maternal mortality rate (death due to complications from pregnancy or childbirth) in Uganda is 284 per 100,000 live births. In Australia it is 2.94. The neonatal mortality rate (death during the first 28 completed days of life) is 19 per 1,000 live births in Uganda against 2.37 in Australia. Infant mortality (death before a child turns one) is 31 per 1,000 live births in Uganda versus 3.7 in Australia, according to the WHO’s Global Health Observatory.

    This stark contrast highlights an enormous gap in care that the two countries’ pregnant mothers and babies receive.

    Part of the problem in Uganda, as in many developing countries, is persistent challenges in healthcare infrastructure. There are shortages of healthcare workers, medical supplies and facilities, particularly in the rural areas.

    Early detection is key

    As a clinician and researcher working at the centre of Uganda’s healthcare system, I witness mothers arriving at hospitals already in a critical condition, with limited options to treat the complications associated with pre-eclampsia. It is heartbreaking.

    The condition is both preventable and treatable if caught early. My research focuses on identifying biological signs of the likelihood of complications during pregnancy, using data analysis informed by Artificial Intelligence.

    These predictive biomarkers, as they are called, enable us to categorise patients based on their risk levels and identify those most likely to benefit from specific treatments or preventive measures.

    The precise causes of pre-eclampsia are not certain, but factors beyond genetics are thought to be problems with the immune system and inadequate development of the placenta. But much of what researchers know comes from work done in high-income countries, often with a limited sample size of African women.

    Consequently, the findings may not apply directly to the genetics of sub-Saharan African women. My research addresses this knowledge gap.

    Building on my findings about genetic determinants, I am leading a research team at Makerere University to design interventions tailored to specific prevention and treatment strategies for African populations.

    Raising pre-eclampsia awareness

    Research alone is not enough. There is an urgent need to bridge the gap between research and practice.

    During my fieldwork, I have witnessed first-hand how many Ugandan women are not aware of pre-eclampsia’s warning signs and miss out on vital prenatal care. These warning signs often include headache, disturbances with vision, upper pain in the right side of the abdomen and swelling of the legs.

    But we can develop screening algorithms so that healthcare professionals can rapidly diagnose women at higher risk early in their pregnancy. Timely intervention, including specific treatment and plans for delivery, would reduce the risk of adverse outcomes for both mother and baby.

    In my capacity as a national pre-eclampsia champion appointed by Uganda’s Ministry of Health, I am spearheading initiatives to raise awareness and improve access to maternal healthcare services.

    Through community outreach programmes and educational campaigns, we want to empower all women, rich and poor, with knowledge about the condition and encourage them to seek medical assistance at an early stage.

    More resources must be allocated to genetics research to realise our goals of prevention, early detection, diagnosis and treatment of pre-eclampsia and its associated complications.

    This investment will drive the development of predictive technology for precise diagnosis, and enable timely intervention for at-risk mothers.

    Moreover, investigating the genetic roots of pre-eclampsia could lead to novel therapies that reduce the need for costly medical procedures or prolonged care for those affected.

    This would reduce the strain on already overburdened African healthcare systems.

    – African women at higher risk of pre-eclampsia – a dangerous pregnancy complication
    – https://theconversation.com/african-women-at-higher-risk-of-pre-eclampsia-a-dangerous-pregnancy-complication-249222

    MIL OSI Africa