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Category: Health

  • MIL-OSI USA: Congressman Valadao Reintroduces Legislation to Improve Local Response to Public Health Threats

    Source: United States House of Representatives – Congressman David G. Valadao (California)

    WASHINGTON – Congressman David Valadao (CA-22) joined Congressman Jim Costa (CA-21) to introduce the Safety Training for Officers on Public (STOP) Health Threats Act. This bipartisan bill equips local law enforcement with the tools and training necessary to recognize and respond to public health threats arising from building code violations. This includes illegal and unsafe facilities like the biological lab discovered in Reedley, California in 2023.

    “Keeping our communities safe means making sure local law enforcement has the tools required to quickly identify serious public health threats,” said Congressman Valadao. “The STOP Health Threats Act takes important steps to help officers recognize dangerous situations—like the illegal Reedley lab—before they put their lives at risk. I’m proud to join Rep. Costa in introducing this bipartisan bill to strengthen public safety and protect our families.”

    “When dangerous, unregulated labs can operate undetected in small towns like Reedley, it’s not just a local issue—it’s a national public health risk,” said Rep. Costa. “This isn’t just about one lab; it’s about making sure no town has to face a threat like this alone. The STOP Health Threats Act gives law enforcement the training they need to identify these risks and act swiftly. It’s about prevention, safety, and making sure every officer has the tools to protect their community.”

    Background:

    In 2023, code enforcement officer Jessalyn Harper uncovered an illegal lab in Reedley, CA. This lab was storing hazardous biological materials in violation of numerous building and health codes, contained infectious agents like COVID-19 and HIV, and was operating without oversight—posing a significant threat to public health.

    Across the country, unsafe, unregulated, and unsanitary buildings and materials often go unchecked due to limited specialized training for law enforcement, especially in rural areas with limited resources. These unchecked violations can trigger disease outbreaks and long-term health risks.

    The STOP Health Threats Act would:

    • Empower local governments by directing the U.S. Secretary of Health and Human Services (HHS) to provide grants for training law enforcement officers to recognize and respond to public health threats caused by building code violations.
    • Promote collaboration with public health departments and nonprofits.
    • Support the development of tailored training programs.
    • Prioritize funding for communities where serious threats have been identified.

    Read the full bill here.

    ###

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI Global: Reform enters local government for the first time with UK mayoral election wins

    Source: The Conversation – UK – By Alex Nurse, Reader in Urban Planning, University of Liverpool

    The UK now has two regional mayors representing the Reform party, following English local elections on May 1. This is the first time anyone from the party has held a government position at any level.

    Andrea Jenkyns, formerly a Conservative government minister, is now the mayor of Greater Lincolnshire following an election win on May 1. She becomes the first Reform and Luke Campbell is now mayor of Hull and East Yorkshire. Both are new mayoralities, created as part of the government’s developing devolution plans.

    The creation of more mayoralties meant that, perhaps inevitably, the near-monopoly that Labour held on mayors after the 2024 local elections has ended. But with an unproven track record, it’s reasonable to ask what we might expect from the new reform mayors as they take office.

    Since the first devolution deals were signed back in 2014, English devolution has always been about the ability of local governments to convince Westminster to let go of power. The result has been that devolution deals have varied in strength across the country.

    In broad terms, city regions have tended to get more powers, while others get slightly less. This means that not every new regional (also known as metro) mayor will be a budding Andy Burnham – though in practice most can expect to have core powers of housing, transport and education. Over time we have seen how the existing mayors have sought to inhabit those powers in their own way, and bring about their own priorities.

    So, we now wait to see what that means for the new mayors as they take power. We already know that Jenkyns’ election manifesto touched upon the key powers the mayor will hold (transport, education and the economy) but her agenda on these was painted only in the broadest of brush strokes.

    For example, there were promises to upgrade major roads, and to secure more funding for transport – although achieving both would require a willing Labour government to play nice. More realistic promises include more frequent buses which better serve parts of what is a large rural area, and creating skills bodies to work with local employers.


    Want more politics coverage from academic experts? Every week, we bring you informed analysis of developments in government and fact check the claims being made.

    Sign up for our weekly politics newsletter, delivered every Friday.


    Elsewhere, however, the manifesto delved into the realm of memes and bogeymen. For example, Jenkyns has proposed creating “DOGE Lincolnshire”, mirroring Elon Musk’s Department of Government Efficiency in the US.

    This promises to cut government waste and “ensure efficiency”. Yet, given the combined authority she heads was only constituted in February, it’s not quite clear what inefficiencies Jenkyns is referring to.

    Another pledge is to push back against net zero – something that Reform seems to be using as their protest lodestar now that Brexit is no longer fertile feeding ground. Here, the policies seem to be to fight against national government policy on net-zero rather than anything really specific.

    Playing nicely with central government

    A regional mayor’s fate often hinges on their ability to interact effectively with central government – either by trying to secure concessions from it, or resisting it. Here, it will be very interesting to watch how Jenkyns, Campbell and the new Conservative mayor of Cambridge and Peterborough, Paul Bristow, assimilate.

    They are now members of the Council of the Regions – which for the last 12 months has been largely a cosy cabal of Labour mayors (and Tory Ben Houchen).

    How will Reform mayors – and Jenkyns in particular do business with the others? She is known as a disruptor so it could change the dynamic significantly.

    English local government is littered with examples of national government visiting retribution on local authorities for perceived transgressions. For example, most famously, Margaret Thatcher’s government abolished the Metropolitan Councils in 1986 for getting a bit too big for their boots. While there is no suggestion that will happen this time, current devolution deals are heavily premised on trust and ability to work with government.

    The other issue will be how what started as a protest party deals with the minutiae of governing. Mario Cuomo, a former governor of New York, once famously said that you campaign in poetry and govern in prose. Sometimes, however, local government can be about the grammar – dealing with those minor details.

    I remember interviewing a local councillor who once told me most of the time people want to talk about dog poo and bins. Equally, things like potholes are shown to be what residents want to see fixed.

    From now on, Jenkyns and other reform-led councils will have a record that they will have to defend. Ultimately, while a manifesto that is half-built on memes might grab attention on election day, it probably isn’t going to make the buses run on time.

    Alex Nurse receives funding from the ESRC.

    – ref. Reform enters local government for the first time with UK mayoral election wins – https://theconversation.com/reform-enters-local-government-for-the-first-time-with-uk-mayoral-election-wins-255731

    MIL OSI – Global Reports –

    May 3, 2025
  • MIL-OSI Canada: The month of May brings a pair of inspiring new docs to nfb.ca: Saturday, by Jessica Hall, and Incandescence, by Nova Ami and Velcrow Ripper. Plus, special programming to mark Asian Heritage Month, and more.

    Source: Government of Canada News (2)

    May 1, 2025 – Montreal – National Film Board of Canada (NFB)

    Continue to Stream Canadian in May on nfb.ca! This month, explore two new documentaries from Yukon and British Columbia. Each in its own way offers an inspiring perspective:

    • In Saturday, by Jessica Hall, the filmmaker explores the joyful, creative life of her sister, who has an intellectual disability.
    • Incandescence, by Nova Ami and Velcrow Ripper, leads us to a new understanding of massive wildfires, a worldwide challenge.

    May is also Asian Heritage Month in Canada, which will be celebrated with a rich themed channel. The NFB wants to highlight the importance of sharing the distinctive stories and important contributions of people from Asian communities across the country. This is all the more crucial in the wake of the terrible attack on Vancouver’s Filipino-Canadian community on April 26, Lapu-Lapu Day.

    In addition, a blog post in conjunction with Mental Health Week (May 5–11) will explore animation filmmakers’ perspectives on the subject.

    Is Montreal on your itinerary? Starting Thursday, May 8, stop by the Alanis Obomsawin Theatre in the Quartier des Spectacles to enjoy a few gems from the NFB’s collection on the big screen, at the Hello Film! series. Free films, first-come, first-wowed!

    Remember, nfb.ca is home to more than 7,000 streaming films and a collection of over 100 interactive works.

    NEW ONLINE RELEASES

    Starting May 16

    Saturday by Jessica Hall (2025, NFB)
    Documentary (13 min 8 s) / Press kit

    • Filmmaker Jessica Hall’s sister Katherine manages her intellectual disability by leading an independent, creative and joyful life. Saturday documents her story. An inspiring tribute to a daughter and mother’s close and supportive relationship.
    • The film has been screened at a number of Canadian festivals, including the Available Light Film Festivalin Whitehorse, where it was shot.

    Starting May 26

    Incandescence by Nova Ami and Velcrow Ripper (2024, NFB)
    Documentary (105 min 22 s) / Press kit

    • Wildfires are burning with increasing intensity around the world. Following the rhythms of the seasons, the film is an immersive cinematic experience, weaving on-the-ground footage with extraordinary stories of survival and adaptation that transform our understanding of wildfire. From the flightpath of bees to an osprey’s aerial perspective, floating over the landscape: the Earth comes back.
    • The doc has been selected for festivals in Canada and the US, including the Santa Barbara International Film Festival. This spring, it played at sold-out screenings across British Columbia.
    • Incandescence will be shown in Montreal on Thursday, May 22,* as part of the Hello Film! series at the NFB’s Alanis Obomsawin Theatre.

    SPECIAL PROGRAMMING
    THEMED CHANNEL AND BLOG POSTS

     Marking Asian Heritage Month

    Channel: Asian-Canadian Perspectives

    Watch close to 30 NFB animated films and documentaries that centre around Asian communities and stories told from Asian perspectives. The selection includes Eisha Marjara’s Am I the skinniest person you’ve ever seen?, which won the prestigious Betty Youson Award for Best Canadian Short Documentary at the Hot Docs Canadian International Documentary Festival.

    Celebrating the NFB’s 86th anniversary

    • English Collection Curator Camilo Martín-Flórez is publishing a new blog post on April 30.

    Marking Mental Health Week (May 5–11)

    • French Collection Curator Marc St-Pierre will publish the blog post “An Animated Journey into Mental Health,” available soon.

    HELLO FILM! – FREE SCREENINGS IN MONTREAL

    Free admission (reservations required)

    Details: events.nfb.ca/hello-film-free-screenings-at-the-nfb

    Each of the films below will be preceded by a short to open the program.

    • Marking Asian Heritage Month

      Thursday, May 8, 2025, 7 p.m.:

      The Apology by Tiffany Hsiung (104 min)

      The film follows three former “comfort women” who were among the 200,000 girls and young women kidnapped and forced into military sexual slavery by the Imperial Japanese Army during World War II.

    • Marking the International Day of Families

      Thursday, May 15, 2025, 7 p.m.:

      Seguridad by Tamara Segura (76 min)

      Once dubbed “Cuba’s youngest soldier” in a militia publicity stunt, Tamara Segura uncovers family secrets and portrays her troubled relationship with her father.

    • Looking ahead to Father’s Day in June

      Thursday, May 29, 2025, 7 p.m.:

      Sons by Justin Simms (70 min)

      As Donald Trump is elected to a first term in 2016, a first-time dad wrestles with traditional methods of raising boys. How do we teach our boys to become better men?

    The Hello Film! series will continue through July 31, with more films to discover or rediscover.

    To get to the NFB’s Alanis Obomsawin Theatre

    1500 Balmoral Street
    Montreal
    Place-des-Arts Metro

    Accessible to persons with reduced mobility.

    – 30 –

    Media Relations

    Jennifer Mair
    NFB Publicist
    C.: 416-436-0105
    j.mair@nfb.ca | @NFB_Jennifer

    Katja De Bock
    NFB Publicist
    C.: 778-628-4890
    k.debock@nfb.ca | @NFB_Katja

    Lily Robert
    Director, Communications and Public Affairs, NFB
    C.: 514-296-8261
    l.robert@nfb.ca

    Stay Connected

    Online Screening Room: nfb.ca
    NFB Facebook | NFB Twitter | NFB Instagram | NFB Blog | NFB YouTube | NFB Vimeo
    Curator’s perspective | Director’s notes

    About the NFB

    MIL OSI Canada News –

    May 3, 2025
  • MIL-OSI Asia-Pac: Healthcare facility incident probed

    Source: Hong Kong Information Services

    The Government has set up an inter-departmental team to ensure cases concerning the recent suspected closure of a private healthcare facility are handled as soon as possible and people affected by it are provided with assistance.

    The dedicated team comprises representatives from the Security Bureau, the Commerce & Economic Development Bureau, the Customs & Excise Department, Police, the Department of Health and the Consumer Council.

    The Department of Health said that the parents of children affected by the incident that have been registered with Maternal & Child Health Centres (MCHCs) may make an appointment by calling the registered MCHCs for advice on the vaccinations the children need to receive.

    For a small number of children who have not been registered with MCHCs, parents may call 2125 1188, which will operate from tomorrow from 9am to 5pm daily until further notice. Parents can also send emails or messages to 6170 8006 for enquiries.

    Meanwhile, the Customs & Excise Department is conducting investigations into offences under the Trade Descriptions Ordinance regarding unfair trade practices. If there is any violation of the ordinance, Customs will take enforcement action.

    As at 4pm today, Customs and Police received 312 reports and the Consumer Council received 157 complaints on the incident. The Consumer Council urges those responsible for the private healthcare facilities to provide an explanation as soon as possible to address consumers’ concerns. Consumers can call the council’s hotline at 2929 2222 if in doubt.

    Members of the public may report any suspected violation of the ordinance to Customs on the 24-hour hotline 182 8080, email its crime-reporting account or fill out an online form.

    MIL OSI Asia Pacific News –

    May 3, 2025
  • MIL-OSI Global: Reform enters government for the first time with mayoral election wins

    Source: The Conversation – UK – By Alex Nurse, Reader in Urban Planning, University of Liverpool

    The UK now has two regional mayors representing the Reform party, following English local elections on May 1. This is the first time anyone from the party has held a government position at any level.

    Andrea Jenkyns, formerly a Conservative government minister, is now the mayor of Greater Lincolnshire following an election win on May 1. She becomes the first Reform and Luke Campbell is now mayor of Hull and East Yorkshire. Both are new mayoralities, created as part of the government’s developing devolution plans.

    The creation of more mayoralties meant that, perhaps inevitably, the near-monopoly that Labour held on mayors after the 2024 local elections has ended. But with an unproven track record, it’s reasonable to ask what we might expect from the new reform mayors as they take office.

    Since the first devolution deals were signed back in 2014, English devolution has always been about the ability of local governments to convince Westminster to let go of power. The result has been that devolution deals have varied in strength across the country.

    In broad terms, city regions have tended to get more powers, while others get slightly less. This means that not every new regional (also known as metro) mayor will be a budding Andy Burnham – though in practice most can expect to have core powers of housing, transport and education. Over time we have seen how the existing mayors have sought to inhabit those powers in their own way, and bring about their own priorities.

    So, we now wait to see what that means for the new mayors as they take power. We already know that Jenkyns’ election manifesto touched upon the key powers the mayor will hold (transport, education and the economy) but her agenda on these was painted only in the broadest of brush strokes.

    For example, there were promises to upgrade major roads, and to secure more funding for transport – although achieving both would require a willing Labour government to play nice. More realistic promises include more frequent buses which better serve parts of what is a large rural area, and creating skills bodies to work with local employers.


    Want more politics coverage from academic experts? Every week, we bring you informed analysis of developments in government and fact check the claims being made.

    Sign up for our weekly politics newsletter, delivered every Friday.


    Elsewhere, however, the manifesto delved into the realm of memes and bogeymen. For example, Jenkyns has proposed creating “DOGE Lincolnshire”, mirroring Elon Musk’s Department of Government Efficiency in the US.

    This promises to cut government waste and “ensure efficiency”. Yet, given the combined authority she heads was only constituted in February, it’s not quite clear what inefficiencies Jenkyns is referring to.

    Another pledge is to push back against net zero – something that Reform seems to be using as their protest lodestar now that Brexit is no longer fertile feeding ground. Here, the policies seem to be to fight against national government policy on net-zero rather than anything really specific.

    Playing nicely with central government

    A regional mayor’s fate often hinges on their ability to interact effectively with central government – either by trying to secure concessions from it, or resisting it. Here, it will be very interesting to watch how Jenkyns, Campbell and the new Conservative mayor of Cambridge and Peterborough, Paul Bristow, assimilate.

    They are now members of the Council of the Regions – which for the last 12 months has been largely a cosy cabal of Labour mayors (and Tory Ben Houchen).

    How will Reform mayors – and Jenkyns in particular do business with the others? She is known as a disruptor so it could change the dynamic significantly.

    English local government is littered with examples of national government visiting retribution on local authorities for perceived transgressions. For example, most famously, Margaret Thatcher’s government abolished the Metropolitan Councils in 1986 for getting a bit too big for their boots. While there is no suggestion that will happen this time, current devolution deals are heavily premised on trust and ability to work with government.

    The other issue will be how what started as a protest party deals with the minutiae of governing. Mario Cuomo, a former governor of New York, once famously said that you campaign in poetry and govern in prose. Sometimes, however, local government can be about the grammar – dealing with those minor details.

    I remember interviewing a local councillor who once told me most of the time people want to talk about dog poo and bins. Equally, things like potholes are shown to be what residents want to see fixed.

    From now on, Jenkyns and other reform-led councils will have a record that they will have to defend. Ultimately, while a manifesto that is half-built on memes might grab attention on election day, it probably isn’t going to make the buses run on time.

    Alex Nurse receives funding from the ESRC.

    – ref. Reform enters government for the first time with mayoral election wins – https://theconversation.com/reform-enters-government-for-the-first-time-with-mayoral-election-wins-255731

    MIL OSI – Global Reports –

    May 3, 2025
  • MIL-OSI USA: Louisiana Nurse Practitioner Convicted of $2M Medicare Fraud

    Source: US State of California

    A federal jury convicted a Louisiana nurse practitioner yesterday for her role in an over $2 million health care fraud scheme.

    According to court documents and evidence presented at trial, Shanone Chatman-Ashley, 45, of Opelousas, was a nurse practitioner and enrolled provider with Medicare. Chatman-Ashley worked as an independent contractor for companies that purportedly provided telehealth services to Medicare beneficiaries. As part of the scheme, the defendant caused the submission of false and fraudulent claims to Medicare for medically unnecessary durable medical equipment (DME). Chatman-Ashley routinely ordered knee braces, suspension sleeves, and other types of DME for patients who had not been examined by her or another medical provider. Chatman-Ashley concealed the scheme by signing documentation falsely certifying that she had consulted with the beneficiaries and personally conducted assessments of them. From 2017 to 2019, the defendant signed more than 1,000 orders for medically unnecessary DME, causing over $2 million in fraudulent Medicare claims and over $1 million in reimbursements. In exchange for the orders, Chatman-Ashley received kickbacks and bribes from the telehealth services companies.

    “Today, a Louisiana jury convicted Shanone Chatman-Ashley of health care fraud for brazenly cheating Medicare out of its limited resources,” said Matthew R. Galeotti, the Head of the Justice Department’s Criminal Division. “Dishonest medical practitioners put significant strain on our health care system and reduce the quality of patient care. The Department of Justice will not tolerate medical professionals who fraudulently enrich themselves at the expense of American taxpayers. I thank the prosecutors and our law enforcement partners who worked tirelessly on this case in the pursuit of justice.”

    “This defendant not only defrauded the Medicare Program but went against everything the medical profession stands for, which is a promise to provide ethical and responsible patient care,” said U.S. Attorney Alexander C. Van Hook for the Western District of Louisiana. “She took advantage of beneficiaries who were elderly and handicapped to order items for them that were not medically necessary. This office is committed to continuing to work with our federal partners to stop this type of fraud in the Western District of Louisiana.”

    “Illegal kickback payments undermine and corrupt the medical decision-making process,” said Special Agent in Charge Jason E. Meadows of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “Both the payer and recipient of kickbacks benefit from these schemes, but it’s ultimately the taxpayers who foot the bill.  HHS-OIG will continue collaborating with law enforcement and prosecutors to protect the Medicare trust fund that millions of Americans depend on.”

    Chatman-Ashley was convicted of five counts of health care fraud. She is scheduled to be sentenced on July 31 and faces a maximum penalty of 10 years in prison on each count. A federal judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

    HHS-OIG investigated the case.

    Trial Attorney Kelly Z. Walters of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Danny Siefker for the Western District of Louisiana are prosecuting the case.

    The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI USA: Schatz: Proposed HHS Testing Plan To Withhold Vaccines From Select Kids, Families Risks Lives, Mirrors Immoral Tuskegee Experiment

    US Senate News:

    Source: United States Senator for Hawaii Brian Schatz
    WASHINGTON – Following reports that the U.S. Department of Health and Human Services (HHS), led by Secretary Robert F. Kennedy, Jr., would radically change testing vaccines by introducing placebo testing, including for well-researched diseases like measles and polio, U.S. Senator Brian Schatz (D-Hawai‘i) spoke out on the Senate floor, warning that the new move would risk lives and threaten public health.
    In his remarks, Schatz compared the new HHS plan to the unethical Tuskegee Experiment which began in 1932 by the U.S. Public Health Service. The study withheld treatment from hundreds of African American men to observe the effects of the disease. The first person to raise the alarm about the cruelty of the experiment in 1965 was Schatz’s father, Dr. Irv Schatz.
    “It means that they would take a bunch of kids, divide them into two groups, and give some of the kids the vaccine for rubella and mumps or polio, and then they would take the other half and give them a placebo – dummy vaccine that doesn’t work. It’s not supposed to work,” said Senator Schatz. “Let me tell you something about my father. My father was the only doctor on the record for the first couple of years after the Tuskegee Experiments on African American men, in which they withheld lifesaving medicine from hundreds of African American men, believing that they were expendable, to ‘observe the disease process.’ What they are contemplating – and I don’t know how serious this is – but what they’re contemplating is that at scale with children.”
    Schatz has repeatedly warned against Secretary Kennedy’s views and record, highlighting his pivotal role in causing a measles outbreak in Samoa in 2019, which resulted in over 5,700 people getting infected and 83 people – mostly young children – dying.
    The full text of his remarks can be found below. Video is available here.
    Yesterday, the Health Secretary, RFK Jr., announced that the Department would subject all new vaccines, including vaccines for children and vaccines for well-researched diseases like measles and polio to placebo testing.
    So what does that mean? It means that they would take a bunch of kids, divide them into two groups, and give some of the kids the vaccine for rubella and mumps or polio, and then they would take the other half and give them a placebo. A dummy vaccine that doesn’t work. It’s not supposed to work. And then they would study how the kids fared, to let the disease process continue. Let me tell you something about my father. My father was the only doctor on the record for the first couple of years after the Tuskegee experiments on African American men, in which they withheld lifesaving medicine from hundreds of African American men, believing that they were expendable, to “observe the disease process.” What they are contemplating –and I don’t know how serious this is – but what they’re contemplating is that at scale with children.
    I am hoping that the department clarifies today that’s not what they meant. That is fake news. But as of now, they are contemplating population wide experiments on children. To see how the disease process progresses. There should be a hundred United States senators opposed to that, and I pray that they back off of this by the end of the day.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI USA: WTAS: Stakeholders Applaud Ciscomani’s Efforts to Protect Medicaid

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

    “I cannot, and will not, support any legislation that reduces Medicaid benefits for vulnerable populations the program was intended to serve, like the working poor, individuals with disabilities, single mothers, and the elderly.”

    WASHINGTON, D.C. — Local and national stakeholders are praising U.S. Congressman Juan Ciscomani for his efforts to protect Medicaid and ensure that vulnerable populations, like the working poor, single mothers, the elderly, continue to receive the benefits they depend on. 

    Recently, Ciscomani and 12 Republican colleagues sent a letter to House Republican leadership and Energy and Commerce Committee Chairman Brett Guthrie making it clear that they will not vote for legislation that reduces Medicaid coverage for those who need it. You can read the full letter here. 

    “Medicaid benefits are a lifeline for our vulnerable populations, and I am committed to continue working to ensure these individuals are able to access the healthcare and support they need,” said Ciscomani. “While I support targeted reforms to fix flaws in the program, improve the delivery of care, and reduce the rate of improper payments, I cannot, and will not, support any legislation that reduces Medicaid benefits for vulnerable populations the program was intended to serve, like the working poor, individuals with disabilities, single mothers, and the elderly.” 

    This effort builds upon a previous letter Ciscomani sent to Speaker Mike Johnson making it clear that slashing or underfunding Medicaid, “would have serious consequences, particularly in rural and predominantly Hispanic communities where hospitals and nursing homes are already struggling to keep their doors open.” 

    This effort is supported by a number of local and national stakeholders including: El Rio Health, Banner Health, United Cerebral Palsy of Southern Arizona (UCPSA), Chiricahua Community Health Centers, Carondelet Health Network, the Arizona Association of Providers for People with Disabilities, the National Medical Association, Advocates for Community Health, the American Cancer Society in Arizona, the Federation of American Hospitals, American Health Care Association, America’s Essential Hospitals, the American Network of Community Options and Resources (ANCOR), the Arc of Tucson, and Advocates for Community Health. 

    WHAT THEY ARE SAYING 

    Clint Kuntz, Chief Executive Officer of El Rio Health: “We applaud Congressman Juan Ciscomani for taking action in support of preserving Medicaid coverage.  Medicaid is a vital lifeline for millions of Americans and even small cuts to this program could cause catastrophic effects for both the physical and economic health of our local communities. As a Community Health Center, El Rio Health is proud to serve these patients every day and ensure they receive the care they need to live healthy, productive lives.” 

    Amy Perry, President and Chief Executive Officer of Banner Health: “The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s version of Medicaid, is essential for millions of Arizonans to access high quality healthcare. Today, AHCCCS covers 26% of the state’s population, and proposed cuts to this program threaten access to care. This includes infants, children, pregnant women, the elderly, disabled, veterans, and the working poor. Reducing federal funding will leave our vulnerable community members without support and hospitals, rural care sites, and other critical access providers in peril.” 

    Dr. Cindy Mars, PhD, Chief Executive Officer of UCPSA: “At UCPSA, we are encouraged by Representative Ciscomani’s support in opposing cuts to Medicaid. His action demonstrates a clear understanding of the essential role Medicaid plays in ensuring that individuals with disabilities can live with dignity and independence in their communities. We appreciate his commitment to protecting the services that uplift families and sustain the workforce that cares for our most vulnerable.” 

    Rhonda Murray, Chief Operating Officer of UCPSA: “The health, independence, and very futures of people with disabilities depend on the strength of Medicaid. Cutting it would have heartbreaking and irreversible consequences. We thank Representative Ciscomani for standing up for our communities and ask him to continue his support to protect Medicaid and the people who rely on it every day.” 

    Dr. Virginia Caine, President of the National Medical Association: “Medicaid helps to ensure that hospitals and other healthcare providers can serve those in need. The National Medical Association believes it is important not to sacrifice the health and dignity of our most vulnerable neighbors. Doing so could negatively impact health outcomes, including mortality rates, and management of chronic diseases. We are in full support of Medicaid and advocate for its continued use.” 

    Chiricahua Community Health Centers: “Congressman Juan Ciscomani once again showed courage by signing onto a second letter calling for the protection of Medicaid. It builds on his earlier advocacy with the Congressional Hispanic Conference and signals meaningful leadership. But this fight isn’t over. We’re counting on Congressman Ciscomani to keep standing strong for the health of Arizona’s families by protecting Medicaid – health insurance that not only supports those who qualify but additionally supports the entire structure of rural healthcare access.” 

    Carondelet Health Network: “We appreciate Congressman Ciscomani’s work to oppose cuts to the Medicaid program that would harm constituents, providers, and Arizona’s economy. He signed onto a letter to House Leadership making it clear that he will not vote in favor of legislation that reduces Medicaid benefits. We appreciated the opportunity to discuss the impact of cuts to the Medicaid program and for his leadership on this critical issue.” 

    The American Cancer Society in Arizona: “Thank you Rep. Ciscomani for publicly stating the importance of Medicaid for your constituents and people nationwide in your letter to House leadership. Medicaid is a lifeline for cancer patients and all those at risk of developing this disease.” 

    The Arc of Tucson: “Thank you Rep. Ciscomani for your courageous stand, along with twelve other members of the U.S. House of Representatives, by writing a letter urging Congress to protect Medicaid during budget negotiations. We commend these leaders for their commitment to protecting Medicaid.” 

    ANCOR: “ANCOR appreciates Representative Ciscomani’s leadership in speaking out at this crucial time as cuts to Medicaid threaten the ability of people with disabilities to remain in their homes and communities. We are grateful to the Congressman for his firm commitment to protecting Medicaid from cuts that would have harmful impacts on our communities, families, and the provider network that supports people with disabilities through critical long-term services and supports.” 

    The Federation of American Hospitals: “Thank you, Rep. Ciscomani, for your commitment to protecting coverage and access to healthcare for your 207,131 constituents on Medicaid and the millions more seniors, children, and people with disabilities who rely on the program.” 

    American Health Care Association: “Thank you to the twelve Republicans who are standing up for seniors and our most vulnerable on Medicaid, especially those in nursing homes. In a new letter, they draw a red line – protect Medicaid or risk losing support for the reconciliation bill.” 

    ### 

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI USA: Sens. Wicker, Merkley Introduce Bipartisan Nurse Corps Tax Parity Act

    US Senate News:

    Source: United States Senator for Mississippi Roger Wicker
    WASHINGTON – U.S. Senators Roger Wicker, R-Miss., and Jeff Merkley, D-Ore., Co-Chairs of the Senate Nursing Caucus, introduced the Nurse Corps Tax Parity Act. This legislation would ensure that nurses in the federal Nurse Corps do not need to pay income tax on their student loan repayments and scholarships.
    “Nurses are essential to the U.S. health care system,” said Senator Wicker. “The nationwide shortage of nurses has made clear just how vital having skilled and hardworking health care professionals is to keeping our country running, especially in rural Mississippi. The Nurse Corps Tax Parity Act would expand opportunity and affordability for America’s future nurses by removing the tax for Nurse Corps student loan repayments.”
    “As the husband of a nurse, I know frontline nurses are the backbone of our communities, helping patients and families through both joyous and challenging times,” said Senator Merkley. “Nurse Corps members build healthier communities in the areas of greatest need, but these heroes are unfairly taxed in ways other health professionals are not. The bipartisan Nurse Corps Tax Parity Act ends this unjust disparity and ensures nurses receive the fair treatment they deserve.” 
    “Every nurse who chooses to serve in an underserved community is making a powerful commitment—to patients, to equity, and to the future of health care. The reintroduction of the Nurse Corps Tax Parity Act is a meaningful step toward recognizing that commitment. Removing this unfair tax burden honors the selfless work of nurses and helps ensure that more of them can afford to answer the call to care where they are needed most. We’re grateful to lawmakers for standing with nurses and supporting a stronger, more equitable health system,” said Jennifer Mensik Kennedy, PhD, MBA, RN, NEA-BC, FAAN, President, American Nurses Association.
    “As we strive to address our nation’s healthcare needs, particularly in critical shortage facilities, health professional shortage areas, and medically underserved regions, supporting the nursing workforce is essential,” said Dr. Deborah Trautman, President and CEO of the American Association of Colleges of Nursing. “This bipartisan legislation is a strong step forward and underscores the value the Nurse Corps has on meeting patient needs across the country.”
    The National Health Service Corps (NHSC) and the Nurse Corps are programs administered by the Health Resources and Services Administration (HRSA) aimed at delivering critical health care services in underserved areas. Both corps programs offer scholarships and loan repayment for health care providers in exchange for service in these areas. Though the NHSC and Nurse Corps tout similar missions and programming offerings, NHSC scholarships and loan repayment programs are not subject to federal income tax, while those from Nurse Corps are.
    Click here to view the full text of the legislation.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI Security: Security News: Louisiana Nurse Practitioner Convicted of $2M Medicare Fraud

    Source: United States Department of Justice 2

    A federal jury convicted a Louisiana nurse practitioner yesterday for her role in an over $2 million health care fraud scheme.

    According to court documents and evidence presented at trial, Shanone Chatman-Ashley, 45, of Opelousas, was a nurse practitioner and enrolled provider with Medicare. Chatman-Ashley worked as an independent contractor for companies that purportedly provided telehealth services to Medicare beneficiaries. As part of the scheme, the defendant caused the submission of false and fraudulent claims to Medicare for medically unnecessary durable medical equipment (DME). Chatman-Ashley routinely ordered knee braces, suspension sleeves, and other types of DME for patients who had not been examined by her or another medical provider. Chatman-Ashley concealed the scheme by signing documentation falsely certifying that she had consulted with the beneficiaries and personally conducted assessments of them. From 2017 to 2019, the defendant signed more than 1,000 orders for medically unnecessary DME, causing over $2 million in fraudulent Medicare claims and over $1 million in reimbursements. In exchange for the orders, Chatman-Ashley received kickbacks and bribes from the telehealth services companies.

    “Today, a Louisiana jury convicted Shanone Chatman-Ashley of health care fraud for brazenly cheating Medicare out of its limited resources,” said Matthew R. Galeotti, the Head of the Justice Department’s Criminal Division. “Dishonest medical practitioners put significant strain on our health care system and reduce the quality of patient care. The Department of Justice will not tolerate medical professionals who fraudulently enrich themselves at the expense of American taxpayers. I thank the prosecutors and our law enforcement partners who worked tirelessly on this case in the pursuit of justice.”

    “This defendant not only defrauded the Medicare Program but went against everything the medical profession stands for, which is a promise to provide ethical and responsible patient care,” said U.S. Attorney Alexander C. Van Hook for the Western District of Louisiana. “She took advantage of beneficiaries who were elderly and handicapped to order items for them that were not medically necessary. This office is committed to continuing to work with our federal partners to stop this type of fraud in the Western District of Louisiana.”

    “Illegal kickback payments undermine and corrupt the medical decision-making process,” said Special Agent in Charge Jason E. Meadows of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “Both the payer and recipient of kickbacks benefit from these schemes, but it’s ultimately the taxpayers who foot the bill.  HHS-OIG will continue collaborating with law enforcement and prosecutors to protect the Medicare trust fund that millions of Americans depend on.”

    Chatman-Ashley was convicted of five counts of health care fraud. She is scheduled to be sentenced on July 31 and faces a maximum penalty of 10 years in prison on each count. A federal judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

    HHS-OIG investigated the case.

    Trial Attorney Kelly Z. Walters of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Danny Siefker for the Western District of Louisiana are prosecuting the case.

    The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

    MIL Security OSI –

    May 3, 2025
  • MIL-OSI Security: Louisiana Nurse Practitioner Convicted of $2M Medicare Fraud

    Source: United States Attorneys General 1

    A federal jury convicted a Louisiana nurse practitioner yesterday for her role in an over $2 million health care fraud scheme.

    According to court documents and evidence presented at trial, Shanone Chatman-Ashley, 45, of Opelousas, was a nurse practitioner and enrolled provider with Medicare. Chatman-Ashley worked as an independent contractor for companies that purportedly provided telehealth services to Medicare beneficiaries. As part of the scheme, the defendant caused the submission of false and fraudulent claims to Medicare for medically unnecessary durable medical equipment (DME). Chatman-Ashley routinely ordered knee braces, suspension sleeves, and other types of DME for patients who had not been examined by her or another medical provider. Chatman-Ashley concealed the scheme by signing documentation falsely certifying that she had consulted with the beneficiaries and personally conducted assessments of them. From 2017 to 2019, the defendant signed more than 1,000 orders for medically unnecessary DME, causing over $2 million in fraudulent Medicare claims and over $1 million in reimbursements. In exchange for the orders, Chatman-Ashley received kickbacks and bribes from the telehealth services companies.

    “Today, a Louisiana jury convicted Shanone Chatman-Ashley of health care fraud for brazenly cheating Medicare out of its limited resources,” said Matthew R. Galeotti, the Head of the Justice Department’s Criminal Division. “Dishonest medical practitioners put significant strain on our health care system and reduce the quality of patient care. The Department of Justice will not tolerate medical professionals who fraudulently enrich themselves at the expense of American taxpayers. I thank the prosecutors and our law enforcement partners who worked tirelessly on this case in the pursuit of justice.”

    “This defendant not only defrauded the Medicare Program but went against everything the medical profession stands for, which is a promise to provide ethical and responsible patient care,” said U.S. Attorney Alexander C. Van Hook for the Western District of Louisiana. “She took advantage of beneficiaries who were elderly and handicapped to order items for them that were not medically necessary. This office is committed to continuing to work with our federal partners to stop this type of fraud in the Western District of Louisiana.”

    “Illegal kickback payments undermine and corrupt the medical decision-making process,” said Special Agent in Charge Jason E. Meadows of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “Both the payer and recipient of kickbacks benefit from these schemes, but it’s ultimately the taxpayers who foot the bill.  HHS-OIG will continue collaborating with law enforcement and prosecutors to protect the Medicare trust fund that millions of Americans depend on.”

    Chatman-Ashley was convicted of five counts of health care fraud. She is scheduled to be sentenced on July 31 and faces a maximum penalty of 10 years in prison on each count. A federal judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

    HHS-OIG investigated the case.

    Trial Attorney Kelly Z. Walters of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Danny Siefker for the Western District of Louisiana are prosecuting the case.

    The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.

    MIL Security OSI –

    May 3, 2025
  • MIL-OSI Canada: The CBSA reminds private boaters of reporting requirements

    Source: Government of Canada News

    May 2, 2025
    Ottawa, Ontario

    With boating season fast approaching, the Canada Border Services Agency (CBSA) reminds all private boaters of their entry and reporting obligations when navigating Canadian waters or entering Canada by boat. Understanding the reporting requirements will help keep our borders secured and ensure an enjoyable season on the water.

    Tips for boaters entering Canada:

    • Know before you go. Before lifting anchor, be sure to review the CBSA’s Reporting requirements for private boaters. All travellers entering Canada by boat must report to the CBSA without delay. Requirements vary depending on your itinerary, your nationality and number of passengers onboard.
    • Making stops along the way? If you enter Canadian waters for a day and make no stops before leaving Canadian waters, you are not required to present yourself to CBSA. However you must report to the CBSA, if you:
      • land on Canadian soil
      • anchor, moor or come alongside another boat while in Canadian waters
      • disembark or embark people or goods in Canada
    • If you are a foreign national, you must be admissible under the Immigration and Refugee Protection Act.
    • All passengers onboard, regardless of their nationality, should have acceptable identification, such as a passport, CANPASS authorization or NEXUS card.
    • Canadian boaters returning to Canada: If you leave and re-enter Canadian waters, you are not required to present yourself and report your goods to the CBSA if you:
      • did not land outside Canada and did not anchor, moor or make contact with another conveyance while outside of Canadian waters
      • did not embark or disembark any people or goods while outside Canada
    • Surtaxes on certain US goods. If you’ve purchased goods in the U.S. and are bringing them into Canada, you may have to pay a 25% surtax in addition to regular duties and taxes. The lists of these products are on the Department of Finance website: products surtaxed as of March 4 and as of March 13. For residents of Canada, this surtax applies only to goods exceeding your personal exemptions limit. Visit the CBSA website for more details on how these surtaxes apply at the border.
    • Where do I declare? Most private boaters have two ways to report to the CBSA:
    • Exceptionally, private vessels carrying 30 or more passengers must seek clearance at a designated marine reporting site, and in writing, to advise the local CBSA office of the intention to clear at least 72 hours before arrival.
    • Failure to report to the CBSA, even if it is to refuel, may result in detention, seizure or forfeiture of the boat and/or monetary penalties. The minimum fine for failing to report to the CBSA upon entry to Canada is $1,000.
    • Know what’s onboard. Restricted and prohibited goods include, but are not limited to, firearms and ammunition and weapons; food, plants, animals and related products; explosives and fireworks. You must report these goods to the CBSA and obtain the necessary permits, even if the goods meet the conditions for a reporting exception.
    • Planning to fish in Canadian waters? You can bring your tackle box, but some fishing bait is not permitted to be brought into Canada for personal use and may be seized at the border.
    • If you’re bringing your own boat into Canada, make sure to clean, drain, and dry it before you arrive, otherwise, it may not be permitted entry into Canada until it is fully decontaminated. Learn more on decontamination : Import Prohibitions and Requirements for Commercial Importers of Aquatic Species and for Travellers Under the Aquatic Invasive Species Regulations.
    • Cannabis: Don’t bring it in. Don’t take it out. Bringing cannabis across the border in any form, including oils containing tetrahydrocannabinol (THC) or cannabidiol (CBD), without a permit or exemption authorized by Health Canada is a serious criminal offence, despite the legalization of cannabis in Canada. A medical prescription from a doctor does not count as Health Canada authorization.
    • NEXUS members can call the NEXUS Telephone Reporting Centre at 1-866-99-NEXUS. For more information on NEXUS reporting procedures, visit How to use NEXUS to enter Canada.

    MIL OSI Canada News –

    May 3, 2025
  • MIL-OSI USA: A Call for New Research in the Area of Nutritional Standards in SNAP

    Source: US Congressional Budget Office

    The Supplemental Nutrition Assistance Program (SNAP) provides benefits that help eligible low-income households purchase food. Most enrolled households supplement SNAP benefits with personal funds (Tiehen, Newman, and Kirlin 2017). The Congressional Budget Office estimates that in 2025, an average of 42.5 million people will receive SNAP benefits each month, with an average monthly benefit of $188 per recipient (CBO 2025).

    SNAP benefits can be used to buy many foods, although some items, such as hot prepared meals, are excluded. Lawmakers have asked CBO how adding nutritional standards to SNAP might affect the federal budget. Such standards would restrict purchases of foods linked to poor health outcomes, such as sugar-sweetened beverages, using SNAP benefits. New research would help the agency assess their budgetary effects.

    How Would Nutritional Standards in SNAP Affect the Federal Budget?

    To assess the budgetary effects of adding nutritional standards to SNAP, CBO would estimate:

    • The costs of implementing the policy,
    • Any offsetting savings resulting from the improved health of SNAP recipients, and
    • Any savings from reduced participation in the program.

    Estimating savings from improved health requires evidence about changes in food purchases and consumption and how those changes affect diet quality, health outcomes, and spending on health care. The federal budgetary effects would depend on SNAP recipients’ health insurance coverage and federal subsidies for that coverage. Although CBO’s cost estimates focus on a 10-year period, the agency would, if practicable, assess longer-term budgetary effects.

    To gather that evidence, the agency examined two main types of research: randomized controlled trials (RCTs) and simulation models specific to the SNAP population. In CBO’s assessment, that research literature has limitations stemming from the relatively small number of existing studies and from differences in conclusions among studies that have used different methodological approaches.

    CBO also reviewed the literature on how taxes on sugar-sweetened beverages affect food consumption, health, and health care spending. If restrictions on SNAP purchases effectively raise the prices of targeted items, people may respond much as they do to those taxes. Although other interventions also aim to reduce the consumption of unhealthy foods, CBO focused on sugar-sweetened beverage taxes because of the strength and depth of the evidence in that area.

    What Have RCTs Found About the Effects of Nutritional Standards in SNAP or Similar Programs on Diet Quality?

    In CBO’s assessment, the evidence on how SNAP beneficiaries would respond to restrictions on items that are eligible for purchase with SNAP benefits is unclear. Two RCTs found that restrictions on sugary foods alone did not improve the diets of low-income households receiving SNAP-like benefits (Harnack and others 2024; Harnack and others 2016). The lack of an effect may have been due to recipients’ use of their own funds to buy restricted items or their substitution of similar foods.

    Those studies also examined the combined effects of restrictions and incentives (that is, additional funds for the purchase of healthier foods), with mixed results. The 2016 study showed improved diet quality, but the 2024 study found no improvement. Methodological differences could explain those inconsistent findings.

    Direct evidence that incentives can improve food consumption among SNAP recipients has come from the Healthy Incentives Pilot, a 2011 RCT involving a large group of SNAP recipients. In that study, participants who received an additional 30 cents for every SNAP dollar spent on certain fruits and vegetables consumed about 25 percent more of those items daily than participants who received standard SNAP benefits (Bartlett and others 2014).

    What Do Simulation Models Suggest About the Effects of Nutritional Standards in SNAP on Health and Health Care Spending?

    Diet quality can affect health. For certain populations, such as people with diet-related chronic diseases, dietary improvements can have clear benefits in the near term (see, for example, Estruch and others 2018; Appel and others 1997). For other populations, such as children, some evidence suggests that improvements in diet quality, including lower exposure to sugar, can improve health over the longer term (Gracner, Boone, and Gertler 2024; Gertler and Gracner 2022).

    Three simulation studies have estimated how nutritional restrictions in SNAP would affect health and health care spending (Choi, Wright, and Bleich 2021; Mozaffarian and others 2018; Basu and others 2014). Those studies modeled how SNAP recipients would change their consumption behavior in response to changes in program rules, accounting for the fact that recipients often shift some spending between SNAP benefits and personal funds when SNAP policies change. The studies linked the projected changes in consumption to expected health outcomes and health care costs, using evidence from prior research.

    Findings from those simulation studies suggest that restricting purchases of sugar-sweetened beverages with SNAP dollars would improve health outcomes. One study found that restrictions would lead to lower obesity rates and lower incidence of type 2 diabetes (Basu and others 2014). Another suggested that restrictions would reduce cases of cardiovascular disease and health care spending (Mozaffarian and others 2018). The third study found that restricting purchases of sugar-sweetened beverages would reduce dental cavities among children, but the effects on obesity would vary depending on food substitutions (Choi, Wright, and Bleich 2021).

    Two of those three studies also modeled the effects of incentives alone, with mixed results: One found that incentives on their own would not change health outcomes (Basu and others 2014), whereas the other found that incentives would lead to improvements in health and reductions in health care spending (Mozaffarian and others 2018).

    What Have Research Studies Found About the Effects of Sugar-Sweetened Beverage Taxes on Health?

    Eight cities or areas in the United States have imposed taxes on sugar-sweetened beverages (World Bank 2023). There is substantial evidence showing that taxes reduce sales of such beverages but limited evidence linking those reductions in sales to improvements in health (Hoffer and Macumber-Rosin 2025; Cawley and Frisvold 2023). Improvements in health may be limited because people substitute the taxed beverages with other high-calorie products or travel to areas without such taxes to purchase them (Hoffer and Macumber-Rosin 2025; Cawley and others 2019).

    SNAP participants may respond to restrictions on unhealthy food purchases similarly to how consumers react to sugar-sweetened beverage taxes—by reducing consumption—if they perceive those restrictions as price increases. That perception depends on whether participants view SNAP benefits as equivalent to cash. If they do, they may simply use cash to buy restricted items. But people often treat SNAP benefits and cash differently (Hastings and Shapiro 2018). In that case, restrictions may effectively raise the perceived cost of targeted products, decreasing their consumption.

    What New Research Would Be Especially Useful?

    Additional research on how nutritional standards affect SNAP recipients’ food choices, health outcomes, and health care spending would help CBO provide more complete information to the Congress. Key areas that would benefit the agency’s analysis include the effects of the consumption of specific foods on overall diet quality; the extent to which changes in diet alone affect health, when many factors influence health; differences in policy effects among subgroups of people (based on age or prevalence of chronic conditions); and the near- and long-term implications of nutritional standards for health and health care spending. Research on how SNAP enrollment changes in response to nutritional standards is also needed. Restrictions could make the program less desirable, potentially reducing enrollment. Evidence on such changes in enrollment would help CBO estimate the effects on the program’s costs. And additional evidence on how participants substitute between SNAP benefits and cash would further inform the agency’s projections of the likely effects of nutritional standards in the program.

    Different study designs could help fill those gaps:

    • New RCTs would be valuable. Ideally, studies would randomly assign SNAP benefits with and without nutritional standards to large numbers of recipients across geographic areas, track purchases of food with SNAP benefits and with personal funds, and collect information on consumption. Linking that information to health metrics, health care spending, disability claims, and employment records would allow CBO to examine a wide range of near- and long-term outcomes.
    • Studies using simulation models could illustrate the sensitivity of results to different inputs and assumptions. CBO would also benefit from reviewing the code underlying those models.
    • Natural experiments, in which policy changes subject some people to an intervention but not others, would also be useful. Those studies would compare outcomes in areas where nutritional standards are adopted with outcomes in similar areas where they are not adopted.

    Because each design has strengths and limitations, those different designs are complementary. For example, RCTs are considered ideal for isolating the effects of an intervention, but their relevance can be limited by small sample sizes, short time frames, and high attrition rates. Simulation models can use survey data to assess larger samples over longer time frames, but they require simplification of complex behavioral and physiological mechanisms and are dependent on the quality of inputs and assumptions. A mix of designs would therefore strengthen the evidence base.

    Noelia Duchovny is an analyst in CBO’s Health Analysis Division. This blog post includes contributions from the following CBO staff: Susan Yeh Beyer, Elizabeth Cove Delisle, Jennifer Gray, Tamara Hayford, Rebecca Heller, Jeffrey Kling, Aditi Sen, Emily Stern, Julie Topoleski, Chapin White, and Heidi Williams (a consultant to CBO).

    As part of the legislative process, CBO supplies the Congress with cost estimates for legislation, economic and budget projections, and other economic assessments. Information from the research community is an important element of CBO’s analyses. This is the 11th in a series of blog posts discussing research that would enhance the quality of the information that CBO uses in its work. (Earlier posts in the series discussed the need for new research in the areas of energy and the environment, finance, health, hepatitis C, labor, macroeconomics, national security, new drug development, obesity, and taxes and transfers.) Please send comments to communications@cbo.gov.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI USA: NCDHHS and Hazel Health Kick-Off Partnership to Provide More Than 400,000 North Carolina K-12 Students with Virtual Mental Health Services

    Source: US State of North Carolina

    Headline: NCDHHS and Hazel Health Kick-Off Partnership to Provide More Than 400,000 North Carolina K-12 Students with Virtual Mental Health Services

    NCDHHS and Hazel Health Kick-Off Partnership to Provide More Than 400,000 North Carolina K-12 Students with Virtual Mental Health Services
    hejones1
    Thu, 05/01/2025 – 14:44

    The North Carolina Department of Health and Human Services (NCDHHS), Harnett County Schools and Hazel Health are gathering on Wednesday, May 7, to officially kick off their partnership that will bring virtual mental health care services to over 400,000 of North Carolina’s K-12 student population. 

    Any student who is enrolled within participating districts can access one of Hazel’s on-staff, licensed therapists before, during and after the school day. Hazel services are also available to students throughout the summer break.

    Services are live at Harnett County Schools and Durham Public Schools, with more districts to be added in the coming weeks.

    This initiative, supported through an investment by UnitedHealthcare, is part of a broader effort announced last year to provide virtual school-centered mental health care for up to one million students across select states nationwide. Read more about the official partnership in NCDHHS’ news release.

    More than 1 in 3 high school students in North Carolina have reported feeling sad or hopeless, along with almost 1 in 3 middle school students. While there are early signs signaling improvement, the numbers still paint a grim picture of the health and well-being of our nation’s youngest generation.

    Speakers include: Dr. Dev Sangvai, Secretary, NCDHHS 
                                            Stacie Forrest, Child Behavioral Health Unit Manager, Division of Child and Family Well-Being (DCFW), NCDHHS
                                            W. Brooks Matthews, Superintendent, Harnett County Schools
                                            Jermaine H. White, III, Ed.S., Assistant Superintendent, Student Support Services, Harnett County Schools
                                            Anita Bachmann, CEO, UnitedHealthcare Community Plan of North Carolina
                                            Kevin Winters, VP of Strategic Growth, Hazel Health

    Date: Wednesday, May 7
                 2 – 3 p.m.  

    Location: Lillington – Shawtown Elementary School
                         855 Old US Hwy 421
                         Lillington, NC 27546
                         (Google Map)

    Members of the Hazel team will be on site to provide a walk through of how students are able to access Hazel services through the end of the 2024-25 school year and throughout the summer.

    To learn more or to request b-roll or photos of the event, please reach out to Liz Austin at elizabethaustin@hazel.co or call (203) 339-2992. 

    ###

    About Hazel Health: 
    Hazel Health is the nation’s largest and most trusted provider of school-based telehealth. By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to pediatric healthcare. Today, Hazel’s licensed providers deliver teletherapy and virtual care (in school or at home) to over five million K-12 students, regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life.

    May 1, 2025

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI United Nations: 2 May 2025 Feature story OpenTeleRehab: a success story of inclusive telerehabilitation

    Source: World Health Organisation

    In 2022, the World Health Organization (WHO) and the International Telecommunication Union (ITU) introduced the Global standard for accessibility of telehealth services.

    Following the release, Humanity & Inclusion, an international non-governmental organization committed to inclusion and a non-state actor in official relations with WHO, upgraded its telerehabilitation platform OpenTeleRehab to align with these standards, making it one of the first known applications.

    Importance of accessibility in rehabilitation services

    Rehabilitation is an essential part of universal health coverage. An estimated 2.6 billion people currently live with a health condition that may benefit from rehabilitation services, but this need is largely unmet.

    With the COVID-19 pandemic precipitating the development of telehealth services, it provided a critical opportunity for rehabilitation service providers to think of ways they can optimize their reach and design services that meaningfully include and benefit everyone, such as persons with disabilities. 

    Key improvements in OpenTeleRehab

    Since its launch in 2021, OpenTeleRehab has reached over 1000 users worldwide. In its original design, the telerehabilitation platform included accessibility features, but significant refinements were needed to meet the WHO-ITU Global standard for accessibility of telehealth services.

    In February 2025, a software developer identified and tested several areas for improvements before release, such as:

    • Enhancing compatibility with assistive devices

    Telehealth platforms are often not compatible with assistive devices that persons with disabilities may use, such as screen readers and Braille keyboards. Compatibility with other devices is greatly improved by making sure that every part of the OpenTeleRehab interface is properly labeled and navigable. With this upgrade, mobile screen readers now function seamlessly and dynamic text scaling allows users to adjust font size without disrupting usability.

    • Improving visual accessibility

    The visual features of telehealth platforms can significantly improve accessibility for many persons with disabilities, especially those with a vision impairment. In the OpenTeleRehab upgrade, the platform’s color contrast was optimized and a high-contrast mode was introduced. Furthermore, the screen magnification was enhanced, allowing users to scale the interface without distortion.

    • Augmenting communication accessibility

    Features such as text-to-speech and captioning improve the communication accessibility of telehealth platforms for many persons with a sensory, learning or language difficulty. In OpenTeleRehab’s first release, the text-to-speech functionality was limited to exercise instructions. The upgrade provided an opportunity to extend this functionality to the entire patient mobile app. Automated multilingual captions were also added to improve accessibility for users who are deaf or hard of hearing.

    • Simplifying navigation and access to help

    Clear interfaces that are easy to navigate can enhance accessibility for all users. But more than an enjoyable aspect, it is an essential component of the digital experience for persons with disabilities, especially those with a learning difficulty, anxiety disorder, or mobility impairment.

    The OpenTeleRehab navigation was streamlined by restructuring content to reduce unnecessary scrolling and introducing “Next” and “Previous” buttons. These features benefit users with motor impairments. Additionally, a new Help/Contact section displaying therapist and clinic phone numbers was also added to improve user support.

    Illustration 1: Implementation of auto captions for online calls

    Illustration 2: Harmonized display when the font size is set to a maximum

    Illustration 3: Creation of an easily accessible “Help/Contact” button

    Key challenges in implementing accessibility standards

    Bringing OpenTeleRehab in line with the WHO-ITU accessibility standards was a process that was not without its challenges. The main challenges that had to be overcome during the platform upgrade included:

    • Snowball effect when fixing a dynamic digital environment

    Redesigning the user interface to meet accessibility requirements led to unexpected complications that had to be addressed. For example, increasing text size initially caused overlaps with other interface elements, which required extensive work to fix. Manual corrections also had to be performed to scale elements properly following changes. Content that is dynamically generated proved particularly difficult to trace, requiring additional customisation and meticulous adjustments.

    • Limited access to a range of test tools and assistive devices

    One significant drawback was the limited range of accessibility test tools available to the software developer, which frequently prioritized the requirements of users with a vision impairment over those with motor or cognitive impairments. Moreover, possibilities to conduct compatibility tests were hampered by the lack of access to some assistive technologies, such as Braille keyboards.

    • Identifying quality captioning services

    Selecting an accurate, multilingual, and open-source real-time captioning service proved to be another challenge. Many options that were trialled were either too slow, lacked language support, or were incompatible with specific web browsers.

    • Repeated testing

    The most resource-intensive aspect of the platform upgrade was undeniably the act of performing accessibility tests. Each change required evaluation with multiple assistive devices to ensure compatibility. Resolving issues that automated tools could not detect made the process time-consuming and labor-intensive.

    Key lessons learned

    Accessibility should be a core design principle, not an afterthought. Retrofitting accessibility provided far more challenging than designing it from the start.

    Martin Jacobs / Rehabilitation and innovation policy development officer, Humanity & Inclusion

    One of the key lessons learned was that accessibility should be a core design principle, not an afterthought. Retrofitting accessibility, even if limited to specific features, into an existing user interface proved to be far more challenging than designing it from the start. By integrating the WHO-ITU accessibility standards from the beginning, development teams can significantly reduce work while enhancing usability.

    Another crucial lesson was the importance of involving persons with disabilities in initial design, testing and feedback. Developers and testers, despite their best efforts, may not fully understand the real-world needs of users with disabilities. Engaging individuals with disabilities from the beginning of the development process can help identify critical accessibility issues, ensuring a more inclusive and user-friendly experience – for patients and health practitioners alike.

    By improving its accessibility, OpenTeleRehab has evolved into a more inclusive telerehabilitation solution. Humanity & Inclusion remains committed to further accessibility enhancements and sharing insights with the global community.

    “,”datePublished”:”2025-05-02T12:00:00.0000000+00:00″,”image”:”https://cdn.who.int/media/images/default-source/2021-dha-images/opentelerehab.png?sfvrsn=698d08ad_1″,”publisher”:{“@type”:”Organization”,”name”:”World Health Organization: WHO”,”logo”:{“@type”:”ImageObject”,”url”:”https://www.who.int/Images/SchemaOrg/schemaOrgLogo.jpg”,”width”:250,”height”:60}},”dateModified”:”2025-05-02T12:00:00.0000000+00:00″,”mainEntityOfPage”:”https://www.who.int/news/item/02-05-2025-opentelerehab-a-success-story-of-inclusive-telerehabilitation”,”@context”:”http://schema.org”,”@type”:”NewsArticle”};
    ]]>

    MIL OSI United Nations News –

    May 3, 2025
  • MIL-OSI USA: Gov. Pillen Announces Chief Bryan Waugh to Lead Nebraska State Patrol

    Source: US State of Nebraska

    . Pillen Announces Chief Bryan Waugh to Lead Nebraska State Patrol

     

    LINCOLN, NE – Today, Governor Jim Pillen announced his appointment of Chief Bryan Waugh as the next superintendent for the Nebraska State Patrol. He will assume his duties on June 2. Waugh replaces Colonel John Bolduc, who is retiring on May 4.

    Wauch is the 19th superintendent to oversee the agency, consisting of more than 700 public servants, of which over 400 are sworn officers. For the past six years, he has been the police chief in Kearney.

    “Chief Waugh brings over 30 years of law enforcement experience, marked by innovation, collaboration, and a public servant’s heart,” said Gov. Pillen. “As Kearney’s chief for six years, he has led a growing department, managed a $13 million budget, achieved accreditation, and launched programs like the Mental Health Co-Responder Initiative and a citywide license plate reader system that sparked a statewide effort. His leadership during the 2019 flood kept Kearney safe while strengthening community trust. I am confident we’ve chosen the right person to lead the Patrol and build on its 88-year-old legacy.”

    Four candidates were interviewed for the leadership position. Lt. Governor Joe Kelly noted that all were highly qualified.

    “It’s encouraging to know that there are many good law enforcement officers in Nebraska capable of fulfilling a role like this,” he said.  

    Speaking about Waugh in particular, the Lt. Governor said he was very impressed with his experience interacting with federal, state and local government.

    “You have to be able to play across the field with everybody in law enforcement. Bryan is someone who can reach across those lines and bring everyone together.”

    Senator Stan Clouse, who hired Waugh in 2019 when he was Kearney’s mayor, joked that today felt like a proud dad moment.

    “The things that Bryan brought to our city are incredible. What stands out to me most is his professionalism. You can see that in the officers he hired and in the culture that he changed. We are going to miss him in Kearney, and I think the state will be very pleased with the leadership role that Bryan is taking on. He understands policing.”

    Originally from West Virginia, Waugh served four years of active duty as a U.S. Air Force security police/law enforcement specialist at Offutt Air Force Base. He had two tours of duty in Southeast Asia during Operation Desert Shield and Operation Southern Watch/Enduring Freedom. He has nearly 32 combined years of law enforcement experience, serving 21 years with the La Vista Police Department, prior to making the move to Kearney.

    Waugh holds multiple law enforcement certifications, including through the FBI. He is president of the Police Chiefs Association in Nebraska. Waugh earned his master’s degree in administrative leadership from the University of Oklahoma.

    “I am incredibly humbled, proud, and honored by the faith Governor Pillen has placed in me to become the 19th colonel of the Nebraska State Patrol. This storied organization’s professional men and women are first-class, dedicated, committed, and driven toward providing the highest level of public safety and professional services for the entire state of Nebraska,” said Waugh.

    At today’s announcement, Gov. Pillen also took time to highlight the service of Col. Bolduc, who has reached the Patrol’s mandatory retirement age of 60. He has been superintendent since 2017. Gov. Pillen thanked Bolduc “on behalf of every Nebraskan.”

    Acknowledging the Governor’s appreciation, Col. Bolduc remarked that it had been an incredible honor to serve as colonel for the State Patrol.

    “I’m proud of the work our team has done and the constant effort our troopers, investigators, and professional staff put forth every day to serve Nebraskans. As this chapter of the agency closes and a new one begins under Chief Waugh’s leadership, I have no doubt that our team will remain dedicated to providing excellent public service and our shared mission to keep Nebraska safe.”

    “I am eager, motivated, and committed to leading our premier law enforcement organization into the future,” said Waugh. “With enthusiasm, integrity, care, and a strong vision to strengthen our ranks, leverage technology, broaden efficiencies, build on our successes, and embrace our challenges I look forward to getting started. We will honor the past, live in the present, and reimagine our future, together.”

    Until Waugh begins his new position in June, Gov. Pillen has appointed Lt. Colonel Jeff Roby to serve as the interim superintendent for the Patrol.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI Europe: The Atlantic Council hosted French Minister for Europe and Foreign Affairs Jean-Noël Barrot on Europe and the new world order.

    Source: France-Diplomatie – Ministry of Foreign Affairs and International Development

    Frederick Kempe: Good afternoon to those joining us in our headquarters, our relatively new global headquarters here in Washington today. Good evening to those watching online from Europe and the globe, to everyone joining us from throughout the world. My name is Frederick Kempe. I’m President and CEO of the Atlantic Council, and I’m delighted to welcome you to Atlantic Council Front Days. This is our premier platform for global leaders. And it’s an honor to host today the Minister for Europe and Foreign Affairs of the French Republic, Jean-Noël Barrot. Today’s discussion turns our attention to one of the most enduring and consequential bilateral relationships in U.S. history.

    In the nearly two and a half centuries since France became the first country to formalize diplomatic relations with the newly born United States. Next year, Mr. Minister, is the anniversary of the revolution here. France became the first country to formalize diplomatic relations with the newly born United States. Since that time, this pillar of the transatlantic relationship has seen moments of triumph and moments of trial. From Lafayette and Washington to the beaches of Normandy, the United States, and France have forged partnership unlike any other based on common values in history. However, this relationship goes beyond just sentiment. At each major inflection point in recent history, our countries have stood together, not just because of friendship, but because of shared interests. And now, facing a war on European soil, basing an unfolding trade war, potentially rapidly evolving technological disruptions, and more, the United States and France must consider how to recalibrate and perhaps how to reinvent its partnership and the broader Atlantic alliance with it in order to achieve our common goals of security, prosperity, and freedom.

    As we think through how best to address these challenges, we are delighted to welcome Minister Barrot for today’s event and on the occasion of his first visit to the United States in his current role. The Minister has held numerous positions in the French government, including most recently Minister Delegate for Europe and then Minister Delegate for Digital Affairs, making him well-placed to share the French perspective on the political dynamics at the EU level as well as critical issues of digital and tech policy, and it may help in these times also to be a policy. Minister, welcome to the Atlantic Council. Before we begin let me just say to our audience that we will be taking questions. First, the Minister will make some opening comments Then I will join him on the stage and ask a few questions and then turn to the audience for questions. For those in person, we’ll have a microphone to pass around. For those online, please go to askac.org, askac.org to send your question in virtually. Minister Barrot, it’s always a pleasure to have someone speak at the end of meetings in Washington instead of the beginning of the meetings in Washington. So we look very much forward to your attention.

    Jean-Noël Barrot : Thank you very much, Mr. President. Hello, everyone. One week from now, on May 8th, we mark an important anniversary, the 80th anniversary of the end of World War II in Europe. This was the starting point of an extraordinary endeavor, a formidable building, a building of rule-based international order, a building of multilateralism. Who was the architect of this formidable building? Well, the architect of this building were the United States of America. They did not do this out of charity. They did this as out of enlightened self-interest. They collected substantial dividends from multilateralism throughout the eight decades that have just passed by. The dividends of multilateralism. Think about security. Thanks to the nonproliferation treaty, we collectively have avoided a raise to the nuclear bomb that would have caused so much instability and raised the cost of defense for all our countries.

    NATO has allowed the US, alongside its European partners, to ensure security in the North Atlantic, but also to offer major investment opportunities for its defense industry. Think about trade. WTO has allowed the US economy to grow, has allowed US services to thrive, digital services, financial services around the world. Think about currency. The Bretton Woods framework has made the dollar a global reserve currency. What does it mean to be a global reserve currency? It means that everyone wants to hold it. So that the yields on your treasury bonds are the lowest on earth. And even more than that, when there is a crisis, even when there is a crisis in the US, people rush to buy your treasury bonds, and the cost of borrowing goes down. This exorbitant privilege, as a French president coined it, is part of the dividends of multilateralism that the US brought to the world and that they also benefited from.

    This formidable building, the building of multilateralism, was designed 80 years ago for a unipolar world, where a benevolent hegemon, the United States of America, was the guarantor of rule-based international order. A world in which US leadership was unchallenged, untested. But eight years later, indeed, the world has changed. It has become multipolar, US leadership is challenged, And sometimes multilateralism seems powerless or unfit for power. And therefore, and gradually, a temptation arises for the US to perhaps let go of multilateralism, quit multilateralism, to pull back, to restrain it. This is our choice that belongs to the American people. But this would be a major shift, a major shift for the US, who would not be able to collect the dividends of multilateralism any longer, a major shift for the world, because the multilateralism will survive whether or not the US quits multilateralism. And so someone will fill the void starting with China, which was already getting ready to step up and to become the new hegemon of this new era of multilateralism, in the case where the US would decide to let them play this role.

    Now there is another route, there is an alternative route. Rather than quitting multilateralism, reshaping it, adjusting it, making it fit for the 21st century. The first step, and this is a difficult step, is accepting to share the power. in order not to lose it altogether. This means reforming the UN and its Security Council, reforming the financial infrastructure to make space for big emerging countries and share the burden with them, but also hold them responsible because they have part of the burden to share in handling the global issues and challenges. The second step when building multilateral for a multipolar world is to be ready to build coalitions of the willing to overcome obstruction in multilateral forum like the UN Security Council when they arise. It’s not because something won’t happen at the UN, at the IMF, or the World Bank, that you cannot design a coalition of the willing with willing and able countries in order to overcome this obstruction. This is the new era of multilateralism. This is the route that Europe is willing to take and that Europe is hoping to take alongside the United States of America.

    One week from now, we’ll celebrate another anniversary, not on May 8th, but on May 9th, the 75th anniversary of the birth of Europe. On May 9th of 1950, my distant predecessor, Robert Schuman, woke up in a country, France, that was five years past World War II, where tensions were rising with the neighbor and rival, Germany. Germany was recovering from the war faster than France was. And so what was the tendency in Paris on that day, in that year? Well, the tendency was protectionism, was raising tariffs, raising barriers to prevent Germans from thriving and fully recovered. And so Robert Schuman, as he was heading to the Council of Ministers, he had this crazy idea in mind to put in common steel and coal across France and Germany, swimming against the tide to favor cooperation over confrontation. At the Council of Ministers, he barely mentioned his initiative for his prime minister not to prevent him from announcing it. And at 6 p.m., in a one-minute and 30-second speech, he made this unilateral offer to create the European steel and coal community and make the foundation of a multilateral, cooperative European Union. So you see, when times are hard, and when the tendency is to restrain, pull back, raise barriers, Those visionary men that brought us prosperity and that brought us peace in the European continent, they swung against the tide and offered innovative models for cooperation. So let us find inspiration in the great work of these visionary people. Thank you very much.

    Frederick Kempe : I feel that was a very important statement and I’m gonna start with that. You see by the audience and standing room only that there was a lot of interest in this conversation and what you had to say : 75th anniversary of the birth of Europe, the 80th anniversary of the E.A., all next weekend, we’re calling attention to that. And it seemed really to be a call to your American allies and to the current administration to stay the course on multilateralism and transatlantic engagement, et cetera. So, A, do you intend to do that? And it’s no accident that no one in this audience who’s following the news, everyone knows that there are doubts right now in the transatlantic stream. Not all of them do I share, but I just wonder if you could give us a little bit more of the context of your statement.

    Jean-Noël Barrot : Well, we deeply care about the world-based international model of multilateralism. So I spent two days in New York at the Security Council as we were wrapping up our presence. You know, 15 members of the Security Council, they get one month’s presidency every 15 months. And so we try and make the most of your months-long presence. And to give you a sense of what our commitment is, I am, we are very committed to the three fundamental missions of the United Nations, peace and security, human rights, sustainable development. That’s why we had three bottom security meetings, Ukraine, Middle East, but also non-proliferation, in a closed-door Security Council meeting that was on proliferation. that was first convened in 15 years, or last convened in 15 years, 15 years ago. On human rights, we brought together, mentioning coalitions of the wing, international humanitarian law is under attack, let’s say. And we brought together countries from all around the world, east, south, west, and north, in a coalition of the willing to support politically and better implement in practice the rules of international humanitarian law. And then third, on sustainable development, we took this opportunity to bring together the countries that are the most committed, like we are, to the preservation of oceans, 40 days ahead of the third United Nations Conference on Oceans that will take place in Nice, south of France, and that is aimed to be the equivalent for ocean as what the Paris Accord has been for carbon emissions. So we’re very ambitious with this event as many countries as possible to rally some of the key deliverables of these countries. And so I decided I would spend some time at the UN talking about that.

    So we think this is the right way to go, adjusting multilateralism to make it more efficient in the multi-border world that we’re living in. And I hear that the new leadership in the US is considering what its course of action is going to be. And I think amongst friends that are actually oldest friends, we owe each other an honest discussion on what we see our common interest to be. And I think that was the sense of my introductory remarks. Thank you so much.

    Frederick Kempe : And I think you’ve seen a signal of commitment today, I think, toward the United Nations with the nomination of National Security Advisor Mike Walz to be the UN ambassador, so also an interesting piece of news. Speaking of news, you have had meetings here. We do have media, French, US, other here, and I wonder whether you could tell us your perspective on what do you take away from the conversations, Secretary Rubio, others, anything specific that we can take away from that? And then in that context, as you’re looking at what your greatest challenges are, what were the priorities in your conversations with U.S. leadership?

    Jean-Noël Barrot : Well, I mentioned the 9th of May and 75th anniversary of this declaration by Robert Truman. This year will be Ukraine, because I think a very important, significant chunk of our future, and I’m not talking about the future of Europeans only, depends on how this war of aggression is going to end. So we’ll be with my fellow European ministers of foreign affairs there to express our support to Ukraine and our willingness for this war to end in accordance with the UN Charter international rule. So that was clearly an important topic that I discussed with the US leadership at the State Department as well as Capitol Hill. But we also discussed Middle East, where France and the US have been leading the efforts to put an end to the war that was basically destroying Lebanon eight months ago. We managed to broker a ceasefire five months ago to monitor the ceasefire through a joint mechanism. We managed to bring the conditions for the end of the political crisis with the election of President Joseph Aoun. that then appointed the government, that is now at work trying to implement reforms that are long due in Lebanon. And we want to do the same thing, same food for cooperation in Syria, where this, after overturning the dictatorship of Bashar al-Assad, there is an opportunity to build a strong sovereign country that will be a source of stability rather than instability for the region. I cannot let aside Gaza and the Israel-Palestinian conflict, where again, we converge on the necessity to bring back stability and peace to the region. We have praised the Arab accord logic, and we’re working in the same direction, bringing peace to the region. Muslim and Arabic countries in the region and Israel towards security architecture that would ensure the security of all peace and stability. We also discussed Africa, where the U.S. made a breakthrough in handling or in sort of moving towards a cessation of hostilities in the Great Lakes regions in the east of the Democratic Republic of Congo, where the second worst humanitarian crisis is happening right now. This is good. And after they were received or they were hosted by the Department of State, a few days ago, the DRC and Rwanda gathered in Qatar with France and with the United States. So as you can see, some of the major, major issues, major crises. France and the U.S. are working together in order to find the right solution. Sometimes it isn’t we. Sometimes we don’t start from the same point, but look at Lebanon. It’s because of our complementarity, because of different history in the region, because of the different nature of our partnership, relationship, friendship with the stakeholders of that crisis that we were able.

    Frederick Kempe : Thank you for that answer. Let’s start with Ukraine. News yesterday about critical minerals deal with Ukraine almost more interested in the political side of this than the economic side of this. Talking to Ukrainian officials over the last few months, they’ve been concerned that the U.S. gone more from being an actual partner of Ukraine in trying to counter Russian threat and the Russian attack, and more of an arbitrator, more of a moderator. This critical mineral deal, if you read the language of it, suggests a little bit of a change of direction. And I just wonder, and that is an area where France and the U.S. have not always been entirely singing from the same song sheet. What did you hear during your trip there? How do you assess this new agreement and its political meaning?

    Jean-Noël Barrot : Well, I think it’s a very good agreement. I think it’s a very good agreement for Ukraine and also for the U.S. But I also think that it tells us something very important about what’s happening right now. Let’s go back to the Oval Office when President Zelensky was there. What was the expectation by President Trump with respect to Ukraine? Well, actually, there were two expectations. Ceasefire and sign of a new deal. Since then, on March 9, in Jeddah, Saudi Arabia, Ukraine accepted a comprehensive ceasefire. And yesterday night, they agreed to a mineral deal with the United States of America. They’ve done their part of the job. They’ve walked their part of the talk. But in the meantime, we haven’t seen Vladimir Putin send any signal, any sign of his willingness to comply with the requests of President Trump, to the very contrary. So let’s face it, right now, the main obstacle to peace is Vladimir Putin. So what I found very interesting in my meetings here in Washington is the efforts, the commendable efforts by Senator Lindsey Graham, who put together a massive package of sanctions that he collected bipartisan support for, with almost 70 senators now signing the bill which is aimed at threatening Russia into accepting a ceasefire, or else those sanctions will apply. And here again, we agree that we will try to coordinate because we, Europeans, are in the process of putting together the 17th sanction package that we are going to try, on substance and timing, to coordinate with Senator Graham’s own package. That was, perhaps, a bit of a long answer. But in summary, it’s good news that this deal was struck. It’s good news that the US, and I heard Secretary Besant express what he had in mind, the US was considering deep economic cooperation with Ukraine. It goes in the right direction. It’s the right course that they should, that should be taken.

    Frederick Kempe : And Secretary Bessent also said this is meant to be a signal to Putin. You see this as well.

    Jean-Noël Barrot : Yeah, put together this deal. The package by Lindsey Graham, who last time I checked is not a political adversary of President Trump, as well as the pressure that Europe is building up on Russia. And you get, the sense of the variant, it’s now basically Putin’s fault if we don’t yet have a ceasefire in the world.

    Frederick Kempe : So in recent discussions with US envoy Steve Witkoff, what divergences existed between France and the United States? And how do you hope to close those divergences? I guess part of this has to do with European troops, American backstop, but it also gets to the conditions behind a peace deal.

    Jean-Noël Barrot : If Ukraine was to capitulate, this would have long-lasting, wide-ranging consequences for the entire world. because it would basically replace rule-based international order by the law of the strongest. It would create massive incentives for countries around the world that that have border issues with their neighbors to consider that they can invade, that they can use military threats or force to obtain territorial concessions. This would be major, and this would be very costly for all of us, at least for responsible powers like the US and France that tend to get involved when there are issues around the world. When we would see issues exploding all around, it would be a major threat. In addition to that, should Ukraine capitulate after Ukraine has agreed to let go of its nuclear weapons in exchange for security guarantees. This will send the signal that the only ultimate security guarantee is the possession of nuclear weapons. And there we have a nuclear proliferation crisis, which again raises global instability at levels that we haven’t seen for the past 80 years, and will increase the cost massively of security in the US, security in Europe. And I think this view is shared between the U.S. and France. But of course, there is one difference between the perspective of the U.S. and the European perspective of this crisis, which is that our own security is at stake because we are neighbors of Russia or because we don’t want to be neighbors of this Russia that is now spending 40% of its budget on its military spending, 10% of its GDP, that just conscribed 160,000 additional soldiers, the largest conscription in 14 years. I’ve heard many, many times Russia say that they don’t want NATO at their borders. Well, we don’t want this Russia at our borders either. And that’s why we are so serious about what’s happening and about how the war will end. And that’s why we’ve been insisting so much about the security guarantees. And I think our message went through. And I think the US are counting on us to build the security arrangements such that when the peace deal is struck, that we can provide those security arrangements in order for the peace to be lasting and durable. But I think it’s well understood, and I’ve heard President Trump, but also officials from the US, clearly saying that of course they want this peace to be lasting, and of course this means that there is security guarantee.

    Frederick Kempe : And can it work without an American backstop where you’re getting closer to a conversation about that? Or, alternatively, is this critical minerals deal a security guarantee in a different form?

    Jean-Noël Barrot : So you should put things in two perspectives. We have been supporters of the Euro-Atlantic integration of Ukraine. Namely, we said that we were open to extend an invitation, a NATO invitation to Ukraine. We understand that NATO members, not all NATO members, agree with our view, so we have to find an alternative path. The sense of this coalition of the able of the willing that France and the UK has been putting together in order to design those security arrangements. This is ongoing work. This starts with making the Ukrainian army strong enough to be able to deter any further aggression by Russia, but it also very likely means some form of military capacity as a second layer of sanction or guarantee. When those detailed discussions will have been wrapped up, they’re currently ongoing, it will appear whether or not and how much any contribution or backstop by the US is needed. It’s possible that it is needed. Why? Well, because as far as Europeans are concerned, we’ve been working. We’ve been working and planning for our defense. It’s a little bit different for France, the UK, and Poland. But for the rest of European armies, we’ve been working within NATO. So if you’re going to work on a security arrangement outside of NATO framework, then at some point, you might need some kind of NATO-like enablers or make items that are going to make sure that the security arrangements are robust. But that being said, in the same way, do we understand that the US have decided that they will likely reduce their commitment to. We also understand that they are counting on us to bear the burden of providing the security arrangements. But we also need to be honest with them once we’ve done our homework. If there are pieces of these security arrangements that cannot be found outside of US contribution, we’ll just be honest.

    Frederick Kempe : Thank you so much. The one thing you didn’t mention in your opening comments is you didn’t talk about tariffs. You knew I was going to say that. And I wondered if it came up at all in your discussions. And also, I wonder if you could talk a little bit about what this 90-day pause gives a potential for an agreement. What sort of agreement can you imagine, or what is the direction of agreement with the European Union and the United States? How concerned are you about the tariffs driving a more lasting wedge across the Atlantic?

    Jean-Noël Barrot : Well, the good thing when you’re a foreign minister or an FF minister from France is that you’re not in France working tariffs. That being said, you’re allowed to have your own view on things. And indeed, as an economist, I have to say, otherwise I would be a traitor to my profession, that tariffs are not a good idea. President Trump wants to bring jobs back to America, and this is a perfectly legitimate ambition. In fact, we have the same in Europe. We want to bring jobs back to Europe. But tariffs are probably not the best way to achieve this objective. Tariffs are a tax on our economy. It’s a tax on the middle class. And it will make us Europeans, as well as Americans, poor. We do have research on what happened during the last trade war, the 2018 trade war. What happened? Well, the effect on the economy on this side of the Atlantic was limited. It’s basically a $7 billion loss, $7 billion loss on the economy. That’s not big. But it led to a massive transfer from the US consumer, middle class, of $50 billion. So the loss for the US consumer of $50 billion transferred to producers, $9 billion, to the government, $35 billion. And the rest is what’s lost for the US economy. So it’s a mild loss. But it’s a massive transfer from the US consumers to the US government. That’s what happened last time around. And those numbers are small because the trade war at the time was very big. Multiply this by 10. And you’ll get the kind of effects that you’re going to see on European economies, U.S. economies, and so on. So our hope is to reach the same type of outcome that we got the last time around. The U.S. retaliated, we retaliated, and then at some point we suspended those who lifted those tariffs. It was not the same administration that did it, but still, those tariffs were lifted. And I really hope that we get to this objective because, again, we’re very closely intertwined economies, so we have a lot to lose, but we have major rivals, adversaries, competitors that are going to benefit massively from this framework if we sort of choose confrontation over cooperation.

    Frederick Kempe : So let me ask one more follow-up there, and then I’ll go to the audience. On the tariffs, didn’t you raise this issue when you were here, when you are the foreign minister, but it is a political as well as an economic issue. And did you get any indications of what direction ?

    Jean-Noël Barrot : Well, the good thing about being Marco Rubio is that you’re not in charge of terrorists either. But when we met in NATO, I told him that if there was only one positive aspect of those tariffs, is that by lowering GDPs, it would allow us to reach our NATO targets.

    First question from an author and journalist : We see re-entering a phase, a new intensive phase of big power rivalry with the United States retreating from security commitments in Europe, Russian military militarizing its society and having designs on other neighbors besides Ukraine and China seeking economic domination of the world. President Macron has spoken often about the need for Europe to achieve greater strategic autonomy. Do you think Europe should seek to constitute a fourth bloc, even at the risk of putting greater space with its principal ally, the United States? And a quick follow-up, you spoke about the need to share power in a multilateral context. In terms of UN Security Council reform, is France prepared to fold its seat into the European Union presence, or would you also agree to the idea of expanding the Security Council to have 10 to 12 nations? Thank you.

    Jean-Noël Barrot : So you mentioned Russia. You mentioned the four months. That was your first question. I wouldn’t go Russia a block. Russia has a GDP that is 20 times smaller than the EU. I wouldn’t call that a block. Russia is a big country geographically. It is one of the winning nations of the Second World War. So, there are a number of consequences coming with that, including the permanent seat of the Security Council. But I wouldn’t call Russia a block. And we don’t see ourselves, when we speak about strategic autonomy, we don’t see ourselves as entering into a logic of blocks or spheres of influence and stuff like that. We remain committed to multilateralism, rule-based international world order, balance. The only thing is that in a more brutal world, if you want to be heard and be respected, when you’re upholding the values that Europe and the EU upholding, freedom, democracy, free speech and so on, you’re going to need to be much stronger, much less dependent on other regions. And so we see our strategic autonomy as a way to defend the model, which is an open model, which is a balanced model, which is a multilateral model of governance for the world. And we see a lot of appetite for this approach, because since those trade wars started, we cannot count the number of countries that are knocking at EU’s door to strike a trade deal or even to become a candidate. And it’s not only Iceland and Norway that seem to be interested. I heard that on this side of the Atlantic, there are people considering. And you know that there is one geographical criteria. But I just want to mention that even though it’s a very, very, very, very tiny island in the middle of the Atlantic Ocean, no one lives there. I think it’s like 20 meters long. But this island is split between Canada and Denmark, which gives Canada an actual border with the European Union. And the second question is about… I went quickly because I was told that we should not be long in the introduction of those conversations, but I really think that if we want to adjust those institutions, Security Council and so on, To the new era, we need to accept that others have grown over the past 18 years and they need to be represented, but they also need to take their responsibility. Some of them are no longer developing countries. They are actual major economies, major powers. So they should have a seat at the table, but they should also behave as major powers. So what’s our position? Our position is a permanent seat of the Security Council for India, Germany, Japan, Brazil, and two African countries with all associated priorities. This is what we want for the reform of the Security Council. But we also want the same kind of thing to happen with international financial institutions. And this is the spirit of what President Macron has called the Paris Act, or the Act for the People and the Planet, where the ideal is reform. No country in the south should have to choose between fighting against poverty and fighting against climate change. So it should be more balanced, more equal, equitable funding for southern countries. But those emerging countries from the South that are now developed economies should also bear their responsibilities with respect to the least developed countries, the poorest countries. Because right now, some of them are sort of bunching with the least advanced countries sort of take their responsibility with respect to the poor countries. So that’s the spirit in which we’re pushing. And in fact, I had a meeting dedicated to security council reform on Monday in New York with some of the African countries that were working on it.

    Frederick Kempe : Thank you for that good answer. While we’re open, we’ve got a lot of questions now. I saw this gentleman first. and then we’ll go, I’ll figure it out, we’ll figure it out. Anyone here that wants to, there we go, that’s what I’m gonna do next. There we go, please.

    Second question : In context with President Macron’s call to Prime Minister Modi of India in solidarity after the terror attack in Palgakush, India, do you see a justifiable response by India against this attack as another roadblock to ensuring the India-Middle East Corridor gets off the ground. Of course, it was set back after the Israel-Hamas war. And did that conversation come up in your discussion with Secretary Rubio today? And if not, then what do we need to do collectively as the international community to make sure this gets off the ground?

    Jean-Noël Barrot : Thank you, so President Macron has been in touch with Prime Minister Modi, I have been in touch two times with my fellow foreign minister from India. We expressed solidarity. We hope tensions not to escalate and I heard Secretary Rubio call Pakistan to formally recognize the terrorist nature of this attack and to condemn it in the strongest possible way. And I would happily join this call to Pakistan to recognize the terrorist nature of what happened. And we’ll keep in touch with Marco Rubio, but also with my fellow minister David Lamb from Great Britain, UK, and my Indian colleague, in order to ensure or to try and avoid procrastination in the region.

    Third question : Good afternoon, journalist from the French newspaper Le Monde. I have two questions, the first one regarding security guarantees for Ukraine. For months, France supported the idea of the deployment of some international monitoring force in Ukraine, but with a very strong American security guarantees. The Trump administration doesn’t seem to see eye to eye on this. They’re not inclined to offer any sort of serious security guarantees, so what’s the plan B? Have you given up on this two-fold idea or not? And the second question regarding Iran, there are currently very important discussions between the Trump administration directly and indirect with the Iranian representatives. For a very long time, France was in favor of putting on the table as well with Iran the ballistic issue. It doesn’t seem the case at all right now. The Trump administration is basically considering a sort of GCPOA revisited or maybe an interim agreement. So what’s your view exactly on the current discussions? Thank you.

    Jean-Noël Barrot : So on the first question, let me just clarify, because I think it’s important that everyone gets this right. There are two things. First, there is a ceasefire, and a ceasefire needs to be monitored. And the coalition of the able and willing put together by France and the UK have been working on proposals so that at the minute the ceasefire is broken, that the US have in their hands, because there will be that sort of origins of the ceasefire, solutions for this ceasefire to be monitored. And this might involve some European capacity just to check what’s happening in the line of contact and to be able to attribute violations. So that’s one thing. But the ceasefire is only one step towards what’s our end goal, which is a full-fledged peace treaty or peace agreement. This peace agreement that the Ukrainians and Russians will be discussing, but that was President Trump’s intuition, this discussion cannot happen while the war is happening in Ukraine. That’s why he did a ceasefire for the discussion. It will end up with discussions on territories and a discussion on security. And with the same question of the coalition of willing, we’re working on this second piece, which is security guarantee. But security guarantee has nothing to do with monitoring the ceasefire. Security guarantee is deterrence against any further aggression. How do you do that? As I was saying earlier, the first layer is to porcupine the Ukrainian army for it to be deterrent enough for anyone to try and invade. But then you probably have other layers, so military capacity deployed in Ukraine or around Ukraine, and that’s what we’re working on, and when the moment is right, we get to the Americans and ask them or tell them what is it we need for this security guarantee. And we’re working on this, and we’re confident, and again, as I was saying, I’ve heard President Trump in several occasions speak in a way that shows that he understands the importance of the security terms. And then on Iran, a very important topic that I should have mentioned in response to your first question, Mr. President, because this is a topic in which we’ve been coordinating with Marco Rubio from day one. We are supporting, encouraging the discussion that the U.S. opened with Iran. Why? Because Iran is posing a major threat to our security interests. Because we France, Marseille are within reach. And because our partners, close partners, in the region are also within reach. So we are very serious about this question. But we believe that there is no other route, no other path, and a diplomatic path to solve this issue. That there is no military solution to this issue and that any form of military attempt to solve this issue will have very large costs that we would not like to bear. So, in order for this discussion to be as successful as possible, we’ve been coordinating with the US on a substance and timing. substance because our teams have been working for the last few months ahead from the expiration of the GCP area, the nuclear agreement that was struck 10 years ago and that is expiring in the fall. So we were getting ready for this expiration a clear idea of indeed what might be a robust and protected field for us, and this would include indeed some of the ballistic components, but also the regional activities components. And the substance is sort of at the disposal of U.S. negotiators because it’s for free and there is no copyright. But we’re also coordinated on timing because we will not hesitate to reapply all the sanctions that we lifted in 10 years ago when GCPOA was struck. In the case where the IAEA confirms that Iran has violated its obligations under GCPOA, and if it happens that by the summer we will have a protected frontier that is sufficiently protected of our security interests.

    Frederick Kempe : So this has got to be the last question. I really apologize to others, but I saw that gentleman’s hand approach right through the middle. So, no, no. Yes, thank you. Yes. Thank you.

    Last question from a student from Sciences Po : I’d like to know what’s your opinion what’s your take on how france will balance its relationship with the U.S. and at the same time with China in light of the fact that France needs new partners and also in light of the fact that President Trump openly asked European leaders to direct ties with the PRC. Thank you.

    Frederick Kempe : And since this is the last question, let me add to it on the terror front because You know, in your conversations here, and you’ve spoken before about the relationship between the European Union and China on the trade front, does this terror policy drive Europe more into the hands of trade and economic relationships with China? And if you believe that, have you said that to your interlocutors here watching during your visit?

    Jean-Noël Barrot : I mean, it’s obvious, no? Whether you want it or not, look at one and read economic research. The numbers I quoted earlier are from a paper in the Portal Reform of Economics called the Returns to Protection. It’s the last paper on the 2018 trade war, last economic paper, research paper. But anyway, I will tell you that what happened last time is that during the 2018 trade war, it’s not like suddenly factories moved from one country to another. It was a reshuffling of international trade. So you’re going to see a lot of reshuffling. You mentioned, or you recall what I said, on China and filling the void. Listen to Chinese officials’ speeches now. And again, we take all of this with lots of grains of salt, but my colleague, Wang Li, now in all his speeches, he’s saying how much he cares about multilateralism. And I’m sure… No, seriously. And he will, I mean, I’m pretty sure that they will consider filling the void at the World Health Organization. I’m pretty sure that they will, anytime they will see some pullback, they will try to step in. Because they have two, there are two possible strategies. Either the U.S. are there, filling the void, then they will try to build sort of formats outside of the established formats that we’ve seen them do or they will see U.S. pull back and they will try fill the void. Now, what’s our relationship with China? As far as Europe is concerned. Again, we’re lucid. We’re not blind. And so we think there can be a trade agenda with China. So that’s some of the issues that we’ve are sold, which is not quite the case now. We’ve also had our trade war with China these past few years, with us sanctioning Chinese EVs and then sanctioning European cognac and armagnac. So this is dear to our hearts. And of course, it’s going to be difficult to engage into a natural trade agenda until those sort of contentious issues are solved. Then we can. But of course, our discussion cannot only touch upon trade. And when China is supporting Russia’s war on Russia, when China is on the side of DPRK, on the side of Iran, proliferating countries that are threatening this non-proliferation treaty and sort of the global stability, it’s difficult to build trust. If China was to establish a sort of trusted relationship with European countries, it will have to show also that it takes our security interests into account. Otherwise, it might be challenging.

    Frederick Kempe : Thank you. Do you have your answer? Yes, Fred, thank you. So, look, this, Minister Barrot, on behalf of the audience, on behalf of the Atlantic Council, thank you for three things. First of all, for your visit to the United States, a very timely visit, a very crucial moment. Second of all, for taking so much time with us at the Atlantic Council and talking so frankly and clearly in your opening statement and in this fascinating engagement, and then most of all for our enduring alliance. Thank you so much.

    MIL OSI Europe News –

    May 3, 2025
  • MIL-OSI Security: Nurse Practitioner from Opelousas Convicted of Medicare Fraud by Federal Jury

    Source: Office of United States Attorneys

    LAFAYETTE, La. – A federal jury in Lafayette has convicted Shanone Chatman-Ashley, 45, of Opelousas, a Nurse Practitioner, for her role in an over $2 million health care fraud scheme, announced Acting United States Attorney Alexander C. Van Hook. United States District Judge David C. Joseph presided over the four-day trial.  

    Chatman-Ashley was indicted in December 2023 and charged with five counts of health care fraud related to her involvement in the scheme to defraud the Medicare Program.  Testimony and court documents introduced at trial this week established that Chatman-Ashley was enrolled as a nurse practitioner provider with Medicare. She worked as an independent contractor for companies that purportedly provided telehealth services to Medicare beneficiaries. Chatman-Ashley routinely ordered knee braces, suspension sleeves, and other types of durable medical equipment for beneficiaries who she had not examined and who had not been examined by another medical provider. For example, evidence produced at trial showed that Chatman-Ashley ordered a left knee brace for a beneficiary whose left leg had been amputated. The defendant concealed the scheme by signing documentation falsely certifying that she had consulted with the beneficiaries and personally conducted assessments of them. 

    From 2017 to 2019, Chatman-Ashley signed more than 1,000 orders for unnecessary medical equipment, causing over $2 million in fraudulent Medicare claims and over $1 million in reimbursements. In exchange for the orders, Chatman-Ashley received kickbacks and bribes from the companies she contracted with. 

    “This defendant not only defrauded the Medicare Program but went against everything the medical profession stands for which is a promise to provide ethical and responsible patient care,” said U.S. Attorney Alexander C. Van Hook. “She took advantage of beneficiaries who were elderly and handicapped to order items for them that were not medically necessary. This office is committed to continuing to work with our federal partners to stop this type of fraud in the Western District of Louisiana.”

    “Illegal kickback payments undermine and corrupt the medical decision-making process,” said Jason E. Meadows, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “Both the payer and recipient of kickbacks benefit from these schemes, but it’s ultimately the taxpayers who foot the bill.  HHS-OIG will continue collaborating with law enforcement and prosecutors to protect the Medicare trust fund that millions of Americans depend on.”

    Chatman-Ashley faces a maximum penalty of up to 10 years in prison on each health care fraud count.  Her sentencing hearing has been set for July 31, 2025, at 10 a.m.

    The case was investigated by the Department of Health and Human Services – Office of Inspector General and prosecuted by Assistant United States Attorney Danny Siefker of the Western District of Louisiana and Trial Attorney Kelly Z. Walters of the Department of Justice’s Fraud Section of the Criminal Division.

    # # #

    MIL Security OSI –

    May 3, 2025
  • MIL-OSI Global: The Women’s Health Initiative has shaped women’s health for over 30 years, but its future is uncertain

    Source: The Conversation – USA – By Jean Wactawski-Wende, Professor of Public Health and Health Professions, University at Buffalo

    Women make up more than 50% of the population, yet before the 1990s they were largely excluded from health and medical research studies.

    To try to help correct this imbalance, in 1991 the National Institutes of Health launched a massive, long-term study called the Women’s Health Initiative, which is still running today. It is the largest, longest and most comprehensive study on women’s health ever conducted in the U.S. It also is one of the most productive studies in history, with more than 2,400 published scientific papers in leading medical journals.

    On April 20, 2025, the Department of Health and Human Services told the study’s lead investigators it plans to terminate much of the program’s funding and discontinue its regional center contracts. On April 24, after pushback from the medical community, HHS officials said the funding had been reinstated. But the reversal was never officially confirmed, so the study’s lead investigators – including me – remain concerned about its future.

    I am a public health researcher who has studied chronic disease prevention in women for nearly 40 years. I have been centrally involved with the Women’s Health Initiative since its inception and currently co-direct one of its four regional centers at the University at Buffalo.

    The project’s findings have shaped clinical practice, prevention strategies and public health policies across the U.S. and the world, particularly for older women. In my view, its loss would be a devastating blow to women’s health.

    An imperative to invest in women’s health

    The Women’s Health Initiative was established in response to a growing realization that very little medical research existed to inform health care that was specifically relevant to women. In the U.S. in the 1970s, for example, almost 40% of postmenopausal women were taking estrogen, but no large clinical trials had studied the risks and benefits. In 1985 an NIH task force outlined the need for long-term research on women’s health.

    Launched by Bernadine Healy, the first woman to serve as director of the NIH, the Women’s Health Initiative aimed to study ways to prevent heart disease, cancer and osteoporosis.

    About 42,000 women ages 78 to 108 remain active participants in the Women’s Health Initiative.
    Frazao Studio Latino/E+ via Getty Images

    Between 1993 and 1998, the project enrolled 161,808 postmenopausal women ages 50 to 79 to participate in four randomized clinical trials. Two of them investigated how menopausal hormone therapy affects the risk of heart disease, breast cancer, hip fractures and cognition. Another examined the effects of a low-fat, high-fiber diet on breast and colorectal cancers as well as heart disease. The fourth looked at whether taking calcium plus vitamin D supplements helps prevent hip fractures and colorectal cancer.

    Women could participate in just one or in multiple trials. More than 90,000 also took part in a long-term observational study that used medical records and surveys to probe the link between risk factors and disease outcomes over time.

    Clarifying the effects of hormone therapy

    Some of the most important findings from the Women’s Health Initiative addressed the effects of menopausal hormone therapy.

    The hormone therapy trial testing a combination of estrogen and progesterone was set to run until 2005. However, it was terminated early, in 2002, when results showed an increased risk in heart disease, stroke, blood clotting disorders and breast cancer, as well as cognitive decline and dementia. The trial of estrogen alone also raised safety concerns, though both types of therapy reduced the risk of bone fractures.

    After these findings were reported, menopausal hormone therapy prescriptions dropped sharply in the U.S. and worldwide. One study estimated that the decreased use of estrogen and progesterone therapy between 2002 and 2012 prevented as many as 126,000 breast cancer cases and 76,000 cardiovascular disease cases – and saved the U.S. an estimated US$35 billion in direct medical costs.

    Reanalyses of data from these studies over the past decade have provided a more nuanced clinical picture for safely using menopausal hormone therapy. They showed that the timing of treatment matters, and that when taken before age 60 or within 10 years of menopause, hormones have more limited risk.

    Defining clinical practice

    Although the Women’s Health Initiative’s four original clinical trials ended by 2005, researchers have continued to follow participants, collect new data and launch spinoff studies that shape health recommendations for women over 65.

    Almost a decade ago, for example, research at my institution and others found in a study of 6,500 women ages 63 to 99 that just 30 minutes of low to moderate physical activity was enough to significantly boost their health. The study led to changes in national public health guidelines. Subsequent studies are continuing to explore how physical activity affects aging and whether being less sedentary can protect women against heart disease.

    Bone health and preventing fractures have also been a major focus of the Women’s Health Initiative, with research helping to establish guidelines for osteoporosis screening and investigating the link between dietary protein intake and bone health.

    One of the Women’s Health Initiative’s biggest yields is its vast repository of health data collected annually from tens of thousands of women over more than 30 years. The data consists of survey responses on topics such as diet, physical activity and family history; information on major health outcomes such as heart disease, diabetes, cancer and cause of death, verified using medical records; and a trove of biological samples, including 5 million blood vials and genetic information from 50,000 participants.

    The Women’s Health Initiative set out to prevent heart disease, cancer and osteoporosis in menopausal women.

    Any researcher can access this repository to explore associations between blood biomarkers, disease outcomes, genes, lifestyle factors and other health features. More than 300 such studies are investigating health outcomes related to stroke, cancer, diabetes, eye diseases, mental health, physical frailty and more. Thirty are currently running.

    What does the future hold?

    In addition to data amassed by the Women’s Health Initiative until now, about 42,000 participants from all 50 states, now ages 78 to 108, are still actively contributing to the study. This cohort is a rare treasure: Very few studies have collected such detailed, long-term information on a broad group of women of this age. Meanwhile, the demographic of older women is growing quickly.

    Continuing to shed light on aging, disease risk and prevention in this population is vital. The questions guiding the project’s ongoing and planned research directly address the chronic diseases that Health Secretary Robert F. Kennedy Jr. has announced as national priorities.

    So I hope that the Women’s Health Initiative can continue to generate discoveries that support women’s health well into the future.

    Jean Wactawski-Wende receives funding from the NIH.

    – ref. The Women’s Health Initiative has shaped women’s health for over 30 years, but its future is uncertain – https://theconversation.com/the-womens-health-initiative-has-shaped-womens-health-for-over-30-years-but-its-future-is-uncertain-255311

    MIL OSI – Global Reports –

    May 3, 2025
  • MIL-OSI Global: A Michigan research professor explains how NIH funding works − and what it means to suddenly lose a grant

    Source: The Conversation – USA – By Brady Thomas West, Research Professor of Survey and Data Science, University of Michigan

    Demonstrators protest funding cuts outside of the U.S. National Institutes of Health in Bethesda, Md., on March 8, 2025. Michael Mathes/AFP via Getty Images

    In its first 100 days, the Trump administration has terminated more than US$2 billion in federal grants, according to a public source database compiled by the scientific community, and it is proposing additional cuts that would reduce the $47 billion budget of the U.S. National Institutes of Health, also known as the NIH, by nearly half.

    The effects of these cuts are being felt at top-tier public research institutions such as the University of Michigan. In fiscal year 2024, of the $2 billion in total research expenditures at the university, $1.2 billion came in through federal research grants, with $762 million from NIH alone.

    Brady West is a research professor at the University of Michigan who has been writing federal grant proposals for more than two decades. The Conversation U.S. spoke with him about what these cuts could mean for the university and scientific research in the U.S. going forward.

    This article is adapted from an interview Brady gave for the May 1 episode of The Conversation Weekly podcast.

    The University of Michigan’s research arm includes “soft money” institutes. What does that mean?

    Brady West: A soft money institute is one where the salaries are entirely funded by the research grants and contracts that they’re able to obtain. This is the case for most of the research arm of the University of Michigan, which includes the Institute for Social Research where I work. The university sets the salary amounts for these positions, and the people filling them − whether faculty, staff or graduate students − have to raise the money to fund their salary.

    Teaching faculty, on the other hand, usually are paid from general university funds, which might come in from sources such as tuition, rather than grant funding.

    What is involved in applying for a grant from a federal institution like NIH?

    West: In my experience, it’s an extremely competitive and stressful process.

    On average, I would estimate that it takes about a year to craft a research proposal from scratch. Applicants do background research, look at all the relevant work that has already been done in the field, summarize the articles that they’ve written, and sometimes do initial preliminary studies. They have to sell their research as connected to past work but still innovative, something that will move the science forward.

    Meanwhile, they’re working with a team of research administrators, whose jobs at the university are funded by soft money, on things like creating a budget and determining what sort of supplies, equipment and additional personnel will be required for the research project. These administrators also help the applicant format and submit the proposal.

    How does NIH determine what proposals receive funding?

    West: Every proposal submitted to NIH gets reviewed by a panel of experts in that particular field, so your peers are the ones reviewing your proposal and deciding whether it should be considered for funding.

    Each panel is tasked with reviewing and scoring multiple proposals. About half of the proposals receive scores that do not warrant additional discussion for funding. The rest are scrutinized line by line.

    Those with the best scores, based on their merits as well as agency budgets and priorities, are ultimately awarded grants. All applicants are sent the reviewers’ comments, and those not receiving funding may revise their proposal and resubmit. In my experience, few applications get funded the first time they are submitted, and most go through at least one round of revisions.

    I’ve found it generally takes about two years from the time you start writing a proposal to the time that you get funded.

    When did you learn that NIH and other federal grants were being rescinded at the University of Michigan?

    West: The first notice I received was in mid-February of 2025. I was wrapping up a federally funded study where we were looking at different ways of measuring sexual identity in surveys. That study was funded by a $160,000 grant from NIH.

    I received a notice from administrators for the National Center for Health Statistics – part of the Centers for Disease Control and Prevention – that maintains the data I was working with. The email said my work was being reviewed for compliance with the president’s executive orders and would be paused.

    The email Brady received from the National Center for Health Statistics, terminating his access to the secure data he’d been using for his NIH-funded research study.
    courtesy of Brady Thomas West, CC BY

    I was lucky, because that particular grant was set to end at the end of February, so the project was nearly finished, and the paper was already written.

    And then over the following weeks, it was like a waterfall. I started hearing from colleagues who were working on grants related to climate change, vaccination, vaccine hesitancy, sexual identity, gender identity, DEI – all of the work related to that, I just heard story after story of these grants being ended on the spot.

    What does this mean for the researchers who lost their funding? What will they do now?

    West: These terminations put jobs at risk – not only the research faculty, but also the teams who were working on these projects and the administrators who helped format and submit the grants.

    One of my Ph.D. students received an email from NIH that simply said his grant has been terminated. So his source of support as a graduate student at the University of Michigan was gone in an instant.

    The University of Michigan has developed a new research funding program where you can apply for support if you’ve had your grant terminated, and your local department can help share the costs. My student is waiting to hear if he will receive some of that funding. This is a welcome development, but only a short-term solution to this problem.

    So right now, everybody’s pivoting. Your first thought is, how can I write a proposal that’s not going to have certain keywords in it? And that’s just not a good way to do science.

    The University of Michigan is committed to doing the best possible science, but it’s going to require some adaptation in terms of how to think about the proposal process. And, honestly, for the immediate future, part of being a scientist in the U.S. is getting a firm understanding of what the current administration wants to fund.

    Are you or your colleagues considering leaving the university?

    West: That’s the million-dollar question. Do you decide to pack up your family and move to a different country? Do you shift to private industry? Do you wait it out for the next administration and hope that things swing back in a direction that’s going to support the kind of work that you’re doing? Those are the kinds of career decisions that people have to think about.

    Is the U.S. going to lose a lot of top-tier faculty at top-tier universities like the University of Michigan because of what’s going on? That’s a significant concern.

    Read more of our stories about Michigan.

    Brady Thomas West has received funding from the U.S. National Institutes of Health, the American Heart Association, the U.S. Department of Agriculture and National Science Foundation.

    – ref. A Michigan research professor explains how NIH funding works − and what it means to suddenly lose a grant – https://theconversation.com/a-michigan-research-professor-explains-how-nih-funding-works-and-what-it-means-to-suddenly-lose-a-grant-255082

    MIL OSI – Global Reports –

    May 3, 2025
  • MIL-OSI Asia-Pac: More institutions join voucher plan

    Source: Hong Kong Information Services

    The Elderly Health Care Voucher Greater Bay Area Pilot Scheme has been extended to include 12 additional medical institutions in the Greater Bay Area (GBA), bringing the number of pilot medical institutions under the scheme to 19 and covering all the nine Mainland cities in the GBA, the Government announced today.

    Together with the two existing service points operated by the University of Hong Kong-Shenzhen Hospital, a total of 21 service points in the bay area will be allowed to use Elderly Health Care Vouchers (EHCVs), benefitting more than 1.78 million eligible Hong Kong seniors.

    The newly-added 12 medical institutions are Tier III Class A hospitals, providing integrated healthcare services, including dental.

    Secretary for Health Prof Lo Chung-mau said the service points of the pilot scheme are meticulously planned to extend to GBA cities not yet covered in the scheme, namely Zhuhai, Foshan, Huizhou, Jiangmen and Zhaoqing as well as to set up additional service points in the GBA cities that are already covered.

    The extension also includes Chinese medicine hospitals for the first time to provide eligible seniors with additional choices in healthcare services, he added.

    The service scope eligible for claims for the EHCVs at medical institutions under the pilot scheme will be largely the same. The arrangements for shared use of EHCVs between spouses and the EHCV Pilot Reward Scheme are also applicable.

    Eligible people have to register with the eHealth system. The “Cross-boundary Health Record” and “Personal Folder” functions of the eHealth mobile application will also be applicable to the medical institutions under the scheme to offer convenience for Hong Kong citizens to self-carry their electronic health records for cross-boundary uses.

    Call 2838 2311 for enquiries on the EHVS. 

    MIL OSI Asia Pacific News –

    May 3, 2025
  • MIL-OSI USA: CAHNR’s Class of 2025

    Source: US State of Connecticut

    On May 10 and 12, 2025, the College of Agriculture, Health and Natural Resources (CAHNR) and the Ratcliffe Hicks School of Agriculture will recognize graduates as they meet a major academic milestone.

    Learn about a few of the nearly 600 stellar students who will soon become CAHNR alumni.

    Bendy Al Zaatini, Allied Health Sciences

    Hometown: Waterbury, CT

    Why UConn? Throughout the chaos of the pandemic, I was positive that staying at home while simultaneously building my community at UConn Waterbury would be the right way to start my journey as an undergraduate student at the prestigious school. I was surprised by the number of resources that are available to students. There is always help when needed and many different pathways to achieve success.

    Why your major? I am an Allied Health Sciences major, and I was drawn to it because of the different career opportunities that fall under this major. My plan after graduation is to receive my second bachelor’s degree through CEIN, the accelerated nursing program with UConn, starting January 2026.

    Advice for incoming students? Stay busy, make your presence known, and make sure that everything you are involved in benefits you in different ways. Throughout your many involvements, never forget that you are a student first and prioritize your grades above all else.

    Benjamin Angus, Agricultural and Resource Economics

    Hometown: Avon, CT

    Why UConn? I have been a UConn fan my entire life, so for me it was a no brainer. Coming to Gampel as a kid or tailgating at Rentschler, UConn sports for me wasn’t a hobby, it was a lifestyle.

    Why your major? I am a double major in Environmental Science and Natural Resource Economics. I am eager to join the fight against climate change and am looking forward to wherever that takes me. It is the most pressing issue of our time. After graduation, I am exercising my Covid year and coming back to UConn to get my Masters in Applied Resource Economics. After that, who knows? Wherever the wind takes me.

    Advice for incoming students? When you sit down in class on the first day, talk to the person next to you. Learn their name, get their number, ask them their life story – just put yourself out there and I promise you will meet some incredible human beings. Also, bundle up on a clear winter night and walk to the top of Horsebarn Hill. No one ever looks at the stars in the winter, they are breathtaking.

    Matt Antunes, Plant Science and Landscape Architecture

    Hometown: Smithfield, RI

    Why UConn? UConn was a top ranked school in my choices for college, and I felt like I would get the best education for my major. I felt at home in my time at UConn with the friends and connections I made throughout my four years here.

    Why your major? Plant Science (Sustainable Plant and Soil Systems) – with a turfgrass concentration. I always had a love for turf from a young age. Beginning with just mowing my home lawn as a teenager to eventually building a small putting green, I found I was always around turfgrass systems in my summers. I plan on continuing my education here as a graduate student studying turfgrass pathology, and I plan on working in the golf course industry as an assistant superintendent and hopefully a superintendent down the road.

    Advice for incoming students? Go to a UConn sporting event (especially basketball even if you’re not into it). The energy and atmosphere are unmatched to any other sporting event I’ve been to in my lifetime.

    Jillian Bowen, Pathobiology and Veterinary Science

    Hometown: Trumbull, CT

    Why UConn? The academics were the main draw for me. As an R1 institution, I knew that UConn had a lot of research opportunities, and that really drew me in.

    Why your major? My major is Pathobiology, or disease biology. I attended an agricultural high school and was a member of Future Farmers of America, so I already had an interest in animal science, but the pandemic was definitely a big factor in stimulating my interest in infectious diseases. Pathobiology is a perfect combination of those interests! After graduation, I am planning to attend UConn’s Master of Public Health program with a concentration in epidemiology.

    Advice for incoming students? Variety is the spice of life, so don’t be afraid to try something completely different – learn how to breakdance! Join an improv group! Start a book club! The world is your oyster.

    John-Henry Burke, Natural Resources and the Environment

    Hometown: Suffield, CT

    Why UConn? I chose UConn because I thought it offered the best ‘bang for my buck.’ You get an incredibly large institution with a large number of resources and a diverse array of opportunities for a price that is much more affordable than other schools.

    Why your major? I’m an Environmental Science major with a concentration in Sustainable Systems and a minor in Political Science and a minor in Environmental Economics and Policy. I was drawn to environmental science after taking a class in high school where I learned about climate change, plastic pollution, species extinction, and other threats facing our planet. I’m going to law school in the fall, and I would like to ultimately go into environmental law to advance environmental policy and protect natural areas.

    Top UConn memories? One of the best parts of my UConn experience has been playing in the UConn Marching Band, where I served as Vice President. I’ve met so many amazing people through the band and accomplished a level of musicality I would’ve never imagined possible. Some notable UCMB performances were playing at a New England Patriots game and two Bowl games (Fenway and Myrtle Beach)!

    Christian Carmona, Plant Science and Landscape Architecture

    Hometown: Stamford, CT

    Why UConn? I chose UConn because it helped me the most financially and it was not as far away from my house as others were.

    Why your major? My major is Landscape Architecture, and what drew me to it was that it was a form of architecture I had never heard of before. I was eager to try it out, and it gave me the opportunity to be creative and design spaces for communities. I hope to continue my education and pursue a master’s in architecture.

    Advice for incoming students? Be open minded and ready to learn. You are here for a reason so stay focused on your goals and do not take anything for granted.

    Laura Centanni, Animal Science

    Hometown: Haworth, NJ

    Why UConn? I was leaning towards UConn due to the diversity of species in our barns on campus; however, what tipped the scales in the end was the mascot!

    Why your major? My major is Animal science. I have had a passion for animals and service for as long as I can remember, and I am pursuing my passion of becoming a veterinarian through animal science here at UConn. I have already received my first few acceptances to vet school! Wherever I choose, I know that UConn prepared me well.

    Advice for incoming students? Expand your comfort zone. Let it get so big that nothing is outside of it. UConn is one of the safest environments to explore that you will ever have, so take advantage of it!

    Jessica Harris, Allied Health Sciences

    Hometown: Mansfield, MA

    Why UConn? When it was time for me to look at colleges, I was excited to apply to UConn as is but I also discovered that CAHNR offered the major I was interested in, Allied Health Sciences, as part of the New England Regional Tuition Program. This made UConn such an easy choice for me because of its well-known academic excellence and affordability as an out of state school.

    Why your major? I applied into UConn as an AHS major, because it would allow me to do my prerequisite courses to apply to physical therapy school, but I soon learned that it was not the right path for me. Luckily, AHS is such an adaptable major, intended to cater to your career interests, that I was able to stay on track despite changing paths, and ended up finding exactly what I wanted to do: UConn’s CEIN program.

    Top UConn memories? Going to the UConn Dairy Bar, and 2023 when we won the Men’s National Basketball Championship for the first time in a while.

    Sungwan Kim, Kinesiology

    Hometown: Gyeongju, Republic of Korea

    Why UConn?UConn was my one and only choice because the research topics of my Ph.D. advisor, Dr. Neal Glaviano, perfectly align with my interests. Additionally, the collaborative research culture at UConn offers a unique opportunity to work with leading experts and engage in interdisciplinary projects, further enhancing my professional development.

    Why your major? I am completing my PhD in Exercise Science. Working clinically as a certified athletic trainer, I witnessed firsthand the significant impact that orthopedic conditions have on individuals’ lives. This experience motivated me to investigate how musculoskeletal injuries or pain affect physical and psychological well-being and to explore optimal treatment strategies for rehabilitation and recovery. After graduation, I will start my postdoctoral research fellowship at Boston Children’s Hospital and Harvard Medical School.

    Top UConn memories? One thing everyone should do during their time at UConn is take advantage of the Recreation Center. Whether it’s lifting weights, playing sports, or just taking a break after a long day, it’s a great place to stay active and recharge!

    Gramos Medjolli, Kinesiology

    Hometown: Korça, Albania

    Why UConn? I had heard a lot of great things about UConn from a few people I knew, and I learned what an excellent institution it is. In fact, UConn was the only university I applied to—it was UConn or nothing! I thought to myself, if it’s meant to be, it will be. And it was! At the time, I was living in Germany and already practicing as a physical therapist.

    Why your major? My grandpa always said, “The flowing water always stays fresh.” That’s why I decided to pursue the Doctor of Physical Therapy program at UConn, even after already being a licensed PT in Albania and Germany. I wanted to be the best version of myself in my profession because I love what I do. I truly believe physical therapy is one of the best jobs someone can have. If you’re not making someone else’s life better, then you’re wasting your time. I also want to advocate for the field of physical therapy and create things that will benefit the community.

    Advice for incoming students? Don’t stress too much in advance. He who suffers before it’s necessary will suffer more than necessary. You won’t remember how many hours you studied, but you will remember the beautiful moments and adventures you experienced.

    Yasmin Rosewell, Agricultural and Resource Economics

    Hometown: Las Vegas, NV

    Why UConn? I chose UConn because of its diverse and upbeat environment. The student body is heavily involved in the sports teams, clubs, and educational opportunities the school has to offer.

    Why your major? Economics of Sustainable Development and Management. I was drawn to this because I enjoyed the business aspects of the major, but the department was so involved in the students’ learning and offered great connections and opportunities to learn through different outlets. As an athlete, all of my professors within the department were extremely supportive and accommodating of my absences during the season, and that helped me succeed and learn the material without being overly stressed. After graduation, I plan to travel and then move to New York City and pursue a career in logistics.

    Advice for incoming students? Everyone on this campus is truly rooting for each other. The sense of comradery is one of a kind and the students and staff of UConn are encouraging, inclusive, and collaborative. So be bold. Don’t be afraid to be amazing. There is a place here for everyone and you will find yours. There are always people behind you and in your corner.

    Sydney Seldon, Natural Resources and the Environment

    Hometown: Harker Heights, TX

    Why UConn? I originally came to UConn to play on one of the athletic teams here but when that didn’t work out, I was launched into a time of self-discovery, which unleashed a deeper purpose and passion for spiritual formation and sustainability (both social and environmental).

    Why your major? My major is unique – Environmental Science and an Individualized Major in Sustainable Communities with a Minor in Sustainable Community Food Systems. After graduation, I’ll be joining staff with the Navigators, an international, interdenominational Christian ministry, and walking alongside students as they explore faith and spirituality.

    Advice for incoming students? Be courageous. College brings with it a host of new experiences and opportunities to grow so surrender to it. Allow yourself to be challenged and molded into not only a committed learner, but also a committed individual. Allow your conceptions about the world and yourself to be challenged. Find people who gracefully love you and push you to be the best version of yourself, so that out of that, you can contribute to being a positive influence in the world around you.

    Noah Sneed, Pathobiology and Veterinary Science, Animal Science

    Hometown: Natick, MA

    Why UConn? I chose UConn because of the opportunities for hands-on learning, as well as their extensive commitment to academia and research as an R1 university.

    Why your major? I came into college as an animal science major who was planning on going to veterinary school. I was drawn to it because I have always loved animals, and I was so excited to be able to get hands-on experience working with horses, pigs, sheep, chickens, and of course cows. I was drawn to pathobiology because I realized that further than just administering vaccinations, I was interested in how they worked and the process to make them. I was able to join a pathology research lab on campus, and it has been such an enriching experience. After graduation, I am taking two gap years before medical school. I will be working full time as an EMT in the Boston area, as well as completing a Post-Baccalaureate program at the Tufts Graduate School of Biomedical Sciences.

    Advice for incoming students? Everyone should go to a men’s and women’s basketball game at Gampel Pavilion and sit in the student section. I have never felt so much pride for my school before; it is truly an amazing experience.

    Mingda Sun, Nutritional Sciences

    Hometown: Farmington, CT

    Why UConn? I chose UConn because I am from Connecticut, and did not want to go to school too far away from home. I also chose UConn because it has a strong nutrition and pre-medical program, which were areas of study I wanted to pursue. Moreover, UConn is a large school with students of many different backgrounds, and I felt like it was a place where I could belong and find a community of friends.

    Why your major? I am a nutrition major with a minor in Spanish. I am passionate about how nutrition relates to health and the human body and have worked in numerous community health and public health initiatives as an undergraduate that are related to nutrition and disease prevention. Learning different languages is something I enjoy and believe is an important skill for connecting with patients and populations as a future health care professional. After graduation, I plan to attend medical school and become a doctor!

    Advice for incoming students? Do not be afraid to reach out for support, mentorship, or guidance when you need it. If you have an idea or a passion that you want to pursue, there are faculty and students at UConn who are willing to help you. Don’t be afraid to take the initiative for your own learning!

    Matt Syrotiak, Animal Science

    Hometown: Bethlehem, CT

    Why UConn? I spent a great deal of time here at UConn through 4-H activities and high school FFA competitions. It’s safe to say that the Storrs campus was familiar to me from early on, despite my family having never been and never attending college themselves. While it was the campus and familiarity that drew me to UConn, it was the community of students, faculty, and staff that made me stay.

    Why your major? My major is Animal Science, and I was drawn to it thanks to my involvement with the UConn Extension 4-H program where I worked on my dairy goat project. Through working with my goats, I gained a greater interest in the field, and it was reinforced by my time in agriscience classes throughout high school. UConn was the perfect fit to continue my work in animal science thanks to the proximity of the barns on campus and emphasis of hands-on class work. After graduation, I’ll serve as State 4-H Program Coordinator with UConn Extension, and create meaningful connections for 4-H youth, volunteers, and educators to increase the reach of the college and its community.

    Advice for incoming students? The connections that you gain through being a part of the UConn community are critical to future success whether its classmates, educators, or alumni. You never know when those people will make a new appearance in your life.

    Jonathan Vasquez Garcia, Nutritional Sciences

    Hometown: Willimantic, CT

    Why UConn? Ever since I was little, I was always part of various programs associated with UConn, and when I came to campus, I felt that this school was my calling.

    Why your major? I originally wanted to become a nurse. However, during my fall semester of sophomore year, I took my first nutrition class, where I gained valuable insight into the role of a registered dietitian. Ultimately, I changed my major to pursue a path aligned with my newfound passion for nutrition and sought out experiences that would deepen my understanding of the field. After graduation, I plan to pursue a master’s in clinical nutrition and complete my dietetic internship to become a registered dietitian. Eventually, I plan to work in a clinical setting to further gain foundational knowledge.

    Advice for incoming students? My advice is to have fun and take advantage of all the resources UConn has to offer. And you should diversify your social network; you never know who you will meet.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI Security: Call for Abstracts Deadline Extended: Conference on Radiation Protection in Medicine — X Ray Vision

    Source: International Atomic Energy Agency – IAEA

    (Graphic: P. Gregory/IAEA)

    The deadline to submit abstracts for scientific posters for the IAEA’s International Conference on Radiation Protection in Medicine — X Ray Vision to be hosted in Vienna, Austria from 8 t0 12 December 2025, has been extended to 30 May 2025.   

    The conference, co-sponsored by the World Health Organization and the Pan American Health Organization, will extend on the achievements of previous IAEA conferences on the topic held in 2012 and 2017 focusing on the radiation protection and safety of patients and health professionals undergoing or using radiation to diagnose and treat health conditions.

    The latest research shows that about 4.2 billion medical radiological examinations are performed each year, and this number continues to grow: for example, more computed tomography (CT) scanners are being installed in clinics around the world to replace conventional X ray procedures, while in nuclear medicine therapy, there is increasing use of radionuclides for treating metastatic cancer cells. In addition, an estimated 6.2 million courses of radiation therapy treatment are performed each year. New medical radiation technology and procedures continue to be developed. 

    “The conference will review significant global developments in the radiation protection of patients and health professionals taking into account current trends and advances in medical radiation technology and procedures,” said Hildegarde Vandenhove, Director of the IAEA Division of Radiation, Transport and Waste Safety.  

    “By bringing together experts in the field we aim to identify future challenges and opportunities so that we can all benefit from the latest technologies in the safest possible way,” added Vandenhove.  

    MIL Security OSI –

    May 3, 2025
  • MIL-OSI Global: Children in military families face unique psychological challenges, and the barriers to getting help add to the strain

    Source: The Conversation – USA – By Ian H. Stanley, Associate Professor of Emergency Medicine & Clinical Psychologist, University of Colorado Anschutz Medical Campus

    Military kids tend to drink more and have more depression than nonmilitary peers. kail9/E+ via Getty Images

    “When one person joins the military, the whole family serves.”

    The origin of this statement is unknown, but it captures the reality that military families confront in 2025. One member’s service shapes the lives of the entire family.

    Here’s a look at the numbers: More than 2 million Americans serve in the U.S. military. About 1.3 million are on active duty, nearly half of them are married, and just over one-third have children. Many of the rest are otherwise partnered, or they live with extended family members.

    These military families encounter unique psychological stressors. Frequent relocations disrupt a spouse’s job, a child’s schooling, and family routines. Deployments and the constant threat of war may strain relationships. For dual-military couples, these pressures are compounded. For them, prolonged separation and increased child care needs are even more common.

    We are a clinical psychologist and a clinical trauma epidemiologist. Both of us are at the University of Colorado Center for COMBAT Research, where one of our core missions is to improve the psychological health of these families through education, innovation and high-impact research.

    When a military parent is deployed, some kids react with irritability and aggression.

    Depression, alcohol and suicidal thoughts

    Most military families demonstrate remarkable resilience and lead happy, healthy, and productive lives. For so many of them, being part of a military family and serving their country is a source of great pride and honor.

    But numerous studies show that military children are also more likely to face a range of psychological issues than their nonmilitary peers. They experience more depression and drink more alcohol; they are more likely to attempt suicide; and when a military parent is wounded, they are more likely to express suicidal thoughts. What’s more, from 2011 to 2022, the suicide death rate for children and spouses in military families slightly increased.

    Military families can take a simple step to stop at least some of these tragedies – by securely storing personally owned firearms, particularly when a child is in the home. This is recommended by the Department of Defense, Department of Veterans Affairs, as well as firearm trade associations and firearm businesses.

    Word seems to be getting out: Research shows military-connected youth with mental health challenges are less likely than peers to carry guns.

    For many military families, financial stress is a top concern.

    Overcoming barriers

    All this is happening at a time of unprecedented challenges for military families. The U.S. military is enhancing warfighter readiness; increased training requirements may take service members away from home for weeks to months at a time, adding to family stress. What’s more, future military conflicts will likely mean longer deployments.

    One barrier to getting psychological help is the stigma surrounding mental health. The military promotes a culture of self-reliance and resiliency under pressure – and for good reasons. But for many military families, seeking help is seen as a sign of weakness. Admitting to having struggles is often perceived as vulnerability, and some military members think asking for help may harm their career. Some of these ethos appear to extend to family members as well.

    The Defense Department, along with several nonprofits, has made significant efforts not only to decrease stigma, but also increase services that foster psychological health. Research shows existing programs do help. This includes free services from Military OneSource, Military and Family Life Counseling, Families OverComing Under Stress and 4-H Military Partnership. But despite what appears to be an abundance of these programs, many military members and their families are still unaware they exist or have difficulty accessing them.

    Children from military families are more likely than peers to serve in the military. That means protecting their psychological well-being at an early age may ultimately translate to a stronger military in the next generation. Expanding youth- and family-focused programs is an investment, not only in these families, but in the future of the nation.

    Ian H. Stanley receives funding from the U.S. Department of Defense, USAA/Face the Fight Foundation, and the Patient-Centered Outcomes Research Institute. He is affiliated with the Scientific Advisory Board for Face the Fight.

    Anne Ritter receives funding from the U.S. Department of Defense.

    – ref. Children in military families face unique psychological challenges, and the barriers to getting help add to the strain – https://theconversation.com/children-in-military-families-face-unique-psychological-challenges-and-the-barriers-to-getting-help-add-to-the-strain-251989

    MIL OSI – Global Reports –

    May 3, 2025
  • MIL-OSI United Kingdom: Dame Angela McLean’s speech at the Royal Institution

    Source: United Kingdom – Executive Government & Departments

    Speech

    Dame Angela McLean’s speech at the Royal Institution

    This is a draft text of the speech ‘Discourse: The future of engineering biology’ delivered by Government Chief Scientific Adviser Professor Dame Angela McLean at The Royal Institution on 25 April 2025.

    I want to start by asking you all to think about how you got here tonight.

    I don’t mean in some philosophical sense; that kind of question is better left to other speakers. I mean literally: how did you make your way, here, to the Royal Institution?

    If you’re anything like me, you relied on Google Maps to show you the way (although I may be obliged to say “Other providers are available”). Perhaps you also used your phone to pay for the bus or Tube.

    If you’re joining us online – hello to you all! – you’ll be watching on a phone, tablet or laptop. So, one way or another, most of us made it here thanks to 1 of these devices.

    Now I want you to think about the battery in your phone. Chances are it’s a lithium-ion battery. And if you came in an electric car or bus, you would also have depended on a lithium-ion battery.

    The advantage of lithium-ion batteries compared to traditional alkaline batteries – the kind you may still put in the back of your TV remote – is that they can provide more energy and are rechargeable. People old enough to have depended entirely on alkaline batteries for many more devices besides the TV remote will remember the frustration when they ran out of power – and trying to cobble together another set of batteries to get them working again. Our phones may go dead, but it’s simple and convenient to recharge them.

    But there is a downside, namely all the metals that go into making these modern batteries and electrical products, including lithium, cobalt and other rare earth elements.

    Getting hold of these metals is hard. Most are currently extracted and purified from compounds in rocks, a process which can be very energy-intensive as well as very polluting.

    Recycling and reusing these same metals is also hard.

    This is the periodic table of the elements created by Dmitri Mendeleev, first published in 1869 and subsequently presented right here at the Royal Institution some 20 years later.

    How many elements do you think are used in electronic products?

    Electronic products can contain up to 60 different elements – around 52 of them metals (those are the elements highlighted in blue on the slide) – and we currently rely on inefficient and environmentally damaging methods to isolate and recycle individual metals.

    Indeed, many electronic items cannot be recycled. They simply go to landfill. This is already a serious issue and it’s 1 that will only get worse as global demand for electronics increases.

    Well, what if I told you that researchers here in the UK have identified naturally occurring bacteria, which have the ability to extract and recycle metals from this sort of waste?

    Hats off to anyone in the audience familiar with the strain of bacteria called Shewanella oneidensis MR-1, which can remove manganese from lithium-ion batteries. Or the bacteria Desulfovibrio alaskensis, which is capable of precipitating cobalt out from a mixture of the different metals and chemicals in lithium-ion batteries.

    I’m only aware of these bacteria thanks to amazing research taking place in the UK, including by Louise Horsfall’s group at the University of Edinburgh. Louise’s team have been collaborating with researchers from across the country as part of the ReLib project, which stands for the reuse and recycling of lithium-ion batteries.

    Actually, 1 of the funders for this project is the Faraday Institution, the UK’s flagship battery research programme named for the great Michael Faraday whose desk is in front of me.

    On his desk I have a few items to use to help explain battery recycling.

    Louise’s team have primarily been focused on recycling metals from large lithium-ion batteries used in electric vehicles. However, they can be pretty large – too large for me to bring here tonight. Nevertheless, many of you will know what a lithium-ion battery looks like from your phone – and the science behind how we can recycle these batteries is no different.

    Once lithium-ion batteries reach the end of their life they can be disassembled and shredded using mechanical methods to produce this. In this case, the shredded material has come from part of the battery called the cathode, which contains lots of the metals we want to recycle.

    Once we’ve dissolved this shredded material using chemical or biological methods, we get this solution here… called metal leachate. This contains the useful metals we’re interested in and it’s at this point that we introduce the bacteria I mentioned earlier.

    The bacteria collect and excrete specific metals as tiny nanoparticles which we can recover to give us something like this… which is manganese that Louise’s team has produced in the way I’ve just described from this exact process! We can then use this manganese to build new batteries or other devices.

    You might be wondering what do we do with what’s left behind in the leachate solution. Well, after the bacteria have done their work we are left with this biobrine which is rich in lithium – and resembles what you might find in lithium deposits in South America. This too can be used to make new batteries.

    And I’m not just talking about using a few types of microorganism to improve the extraction and recycling of 1 or 2 metals. There appear to be lots of different microbes out there capable of extracting different metals. Indeed, it’s possible that the bacteria have evolved this capability in a way that detoxifies their own environment, collecting up and excreting harmful metals and so not being poisoned.

    So if we use combinations of these bacteria and we tweak the characteristics of these strains, we can increase the efficiency with which metals are purified and recycled from waste.

    That word tweaking is important and it doesn’t do justice to the science involved. What we’re really talking about is engineering existing microbes to extract and recycle metals.

    Extracting metals from the ground is a hugely expensive and damaging process. It looks rather like this:

    What you can see on the bottom part of this slide is an open cast manganese mine.

    And once we’re finished with products needing such metals, we throw them away. The top part of this slide shows a landfill site after a fire. There have been reports of lithium-ion batteries causing fires at landfill sites across the world.

    With engineering biology, we only need to remove metals from the ground once; thereafter they can become part of a genuine circular economy through continual re-use.

    We use physics, chemistry and engineering to get them out of the ground but then we can and should use biology and engineering to keep recycling them.

    And this is just 1 example of what is within our grasp thanks to the power and potential of the scientific field called engineering biology.

    I’m speaking about engineering biology this evening because I believe it could be the most significant branch of science for decades to come.

    I want to explain why I think that’s the case – and to share my excitement about this field for 2 main reasons.

    The first is that the science and engineering involved in this field is, frankly, beautiful.

    The second – and more important – reason is that both current and future applications will make a huge difference to the everyday lives of people in the UK and across the world.

    I’m here to try to convince you of both these things, but if I can convince you of only 1, I want it to be the latter.

    I’m really keen for people to recognise that the scientists and engineers in this field are working to  produce solutions that most, if not all, of us can agree are necessary… urgently necessary even.

    To kick off, I ought to say that – as Government Chief Scientific Adviser – my role is to advise the Prime Minister and the Government on all matters related to science, technology and engineering.

    The job – and the advice – is a mixture of proactive and reactive work. It covers everything from providing scientific and technical advice during a national emergency to explaining the risks and opportunities around emerging technologies like artificial intelligence and engineering biology.

    Now, in getting to grips with the promise of engineering biology, I did have a little bit of a head start.

    I am a mathematical biologist by background. My own research focused on using mathematical models to improve our understanding of the evolution and spread of infections like measles and HIV.

    I don’t, however, have any background in engineering, nor in biochemistry. So I have had to get up to speed over the past few years.

    At this point let me explain what engineering biology actually is.

    Engineering biology involves applying engineering to biological processes in order to bend biology to our will.

    In other words, it’s the practice of using ideas and tools taken from engineering to design and modify living organisms or biological systems.

    Using tools and ideas developed over recent decades, the goal is to develop new materials and energy sources; to improve animal, plant and human health; to address environmental issues in new and sustainable ways.

    What we’re talking about is the ability to harness and control biology predictably, repeatably and – I’ve said this already – usefully. Sometimes that will mean working with what’s already available in nature; at other times, it will involve genetic modification techniques.

    Let me unpack some of this a bit further.

    Firstly, on the engineering side. Here, I want to start with the design-build-test-learn cycle – DBTL for short.

    This approach has been central to product development in engineering disciplines for some time. It drives continuous refinement and innovation, making research and development faster and more efficient.

    In engineering biology, design-build-test-learn is brought to bear on biological processes – by which I mean the activities occurring within living organisms.

    Image of the design-build-test-learn cycle. Each element is located in a different quarter and all 4 quarters make up a circle.

    Essentially, I’m talking about designing something biological – like a version of a cell, or it could be a biological process (such as cell division) or a genetically-engineered system…

    Then building it, maybe in the lab…

    Then testing it to see how well it works…

    Before finally, and perhaps most importantly, learning from what did and didn’t work and then feeding the lessons into another round of design, making improvements again and again around this cycle, towards an end goal.

    This looks like being a more efficient way of recycling metals, to use the case study I gave at the start.

    And why is this approach necessary? Well, because living organisms are highly complex, with many different parts and networks of interactions between those parts.

    One could argue that physical or chemical systems are a bit more straightforward, more predictable, more easily quantifiable. We’ve been using this design-build-test-learn process to bend chemistry and physics to our will for more than a century – very successfully.

    The complex and often unpredictable nature of biological systems means we need to work through multiple permutations to get to a desired outcome – and that’s where the engineering in engineering biology comes in.

    If we can get this approach right – and I’m going to offer some further examples later showing where we already are – then we have the power to systematically develop biological systems to meet some of the biggest challenges we face.

    Let me be more definitive. If the nineteenth century was chemistry’s golden age, and the twentieth century was the same thing for physics, I believe the twenty-first century should be the golden age for biology.

    Why am I so optimistic?

    This century can belong to biology because of a series of extraordinary advances in scientific understanding.

    Where to begin? Of course, we have spent thousands of years modifying the living world.

    But I’m not going to go all the way back to the domestication of wild crops. I’m not even going back to Darwin and Mendel.

    Instead I’ll start with Watson, Crick and Wilkins – as well as the often overlooked Rosalind Franklin; 3 of the 4 received a Nobel Prize in 1962. By determining the structure of DNA, they discovered what we can call the language of biology.

    Understanding the structure of DNA opened the door to reading this complex language, then editing it, then actually writing it ourselves.

    Our ability to read DNA took a big step forward thanks to Walter Gilbert and Fred Sanger, who shared half of the 1980 Nobel Prize in Chemistry. Gilbert and Sanger did lots of work to understand the building blocks of DNA – the nucleotide alphabet of biology, if you like.

    The next game-changer was in 1983 when an American biochemist, Kary Mullis, developed something called the Polymerase Chain Reaction. Better known as PCR, it is a laboratory technique that’s used to make copies of particular pieces of DNA. Think of it as a photocopier for DNA.

    The technique lets scientists easily – and cheaply – create many millions of copies of DNA segments from very small original amounts – and that makes reading the DNA in a sample possible even if it is only there in tiny amounts.

    You will all have become familiar with PCR during the Covid pandemic, when it was used to make many copies of the viral genetic material to allow reliable diagnosis of a Covid infection. That was the test where you did a swab, popped it in a test tube and then sent it away in the post. It was particularly important early on, before we had home testing kits.    

    The invention of PCR also earned a share of the 1993 Nobel Prize in Chemistry – that’s DNA Nobel number 3.

    Fast forward 10 years to 2003 and the completion of the Human Genome Project. Researchers across the world spent some 13 years cataloguing the precise sequence of all the DNA in the cells of a human being. It was a huge effort and that first whole genome sequence of a human cost an estimated £2.5 billion.

    Thankfully – but also remarkably – sequencing technology has come on leaps and bounds over the past 20 years. Now, it is possible to sequence the same amount of DNA analysed by the Human Genome Project in a single day – and for just a few hundred pounds! We’ve even developed pocket-sized machines which are capable of reading DNA in real-time.

    In fact, I have 1 here: a portable sequencing device made by Oxford Nanopore. You simply add your sample into the middle here – this contains the sensor that will help to read the DNA sequence of your sample. Then simply close the lid and press go. And the results are delivered straight to your laptop via a USB-C cable which plugs into the end here.

    This is useful for situations where we can’t send off a sample for analysis and wait days for the results – if, say, we’re urgently trying to identify the cause of an infection in some far-flung corner of the world.

    So… we’ve learned to amplify DNA using PCR and we’ve learned to read DNA – fast – using rapid sequencing technologies.

    We’ve also started learning – and do emphasise “started” – to accurately and precisely “edit” DNA.

    Previously, when we wanted to do this, the methods were somewhat cruder – such as gene guns, which were used to literally fire DNA into cells.

    We now have tools like CRISPR-Cas9 (another Nobel prize-winning technology developed by Emmanuelle Charpentier and Jennifer Doudna), and we can now take a targeted portion of DNA and change it very accurately in specific places. Some people have compared CRISPR to using a pair of genetic scissors.

    Some of you might be wondering whether engineering biology is any different from another common term: synthetic biology. They are often applied interchangeably, although different countries interpret them in different ways.

    The way I see it, synthetic biology refers to tools like CRISPR, used to design and build new biological components. Engineering biology is taking these tools – with or without genetic modification – and using the DBTL cycle to apply these tools at scale to find solutions to problems in the world around us.

    There are still challenges with the accuracy of such tools, but the possibilities are vast.

    We know that certain diseases are caused by mutations in a single gene. Sickle cell disease, for example, is caused by mutations in the beta-globin gene, resulting in red blood cells which are misshapen. As a result, these red cells don’t flow around the body as well as they should. This can cause those affected – roughly 17,500 people in the UK – to suffer from anaemia as well as complications like terrible pain and organ damage.

    In the past, the only treatment was to rely on regular blood transfusions or a bone marrow transplant, neither of which comes without risks or complications. However, researchers have been using CRISPR to precisely edit the gene responsible for sickle cell with great success – so much so that, in January this year, the treatment was approved for use in the NHS as the world’s first gene-editing treatment for blood disorders.

    And this is just 1 of many gene-editing clinical trials going on right now, including treatments for liver disease, heart disease and some cancers.

    The possibilities are not confined to human diseases. We can use these genetic scissors to develop crops that are better at withstanding drought and more resistant to insects, so we don’t have to rely so much on pesticides.

    And it’s these tools that are being used to modify the bacteria designed for metal recycling that I spoke about at the start.

    Now, it would be remiss of me to talk about the tools of the future without mentioning AI and the transformative impacts it could have.

    A prime example is the challenge of understanding and predicting how proteins fold up intricately and precisely in all of our cells. Decoding this process is something scientists have been trying to achieve for decades.

    And in 2018, DeepMind came along with its AI model AlphaFold. AlphaFold has since been used to calculate the structure of hundreds of millions of proteins. And, yes, it earned the UK’s Demis Hassabis a share of last year’s Nobel prize in chemistry.

    Timeline starting with images of James Watson, Francis Crick, Maurice Wilkins and Rosalind Franklin above the year 1962. Images of Walter Gilbert and Frederick Sanger are next to the year 1980. Image of Kary Mullis is next to the year 1993. Images of Emmanuelle Charpentier and Jennifer Doudna are below the year 2020 and an image of Demis Hassabis is below the year 2024.

    All that’s missing on my timeline now is the capacity to design a new protein from scratch de novo. That will bring us into the realm of being able to write the language of biology – designing and printing a sequence of synthetic DNA to produce a protein with the properties that we want, from scratch.

    I’ve just been talking about how technologies such as AI, and tools such as CRISPR, are helping to broaden the range of biological powers at our disposal and increase our ability to design and optimise biological systems.

    And all this comes with valid concerns about risks. An example which springs to my mind was when scientists in Australia created a version of a mouse virus back in 2001 that instead of causing the normal mild symptoms, killed all of the mice within nine days. They were conducting some innocent genetic engineering research to try and make a mouse contraceptive vaccine for pest control and inadvertently found a way of creating a much more deadly version of the mousepox virus. Unsurprisingly, this made quite a splash in the media – although I think it was good that such a story was not buried.

    The point I want to make is that we must develop the right practices and regulation so that we ensure that research is carried out safely and responsibly but we do not stifle innovation.

    We refer to this as “responsible innovation” and it is 1 of the pillars of our government vision for engineering biology. That has given rise to new guidance on which genetic sequences people should be allowed to order for their research – welcome progress.

    Having the UK take a lead in this kind of responsible innovation – where we are thinking carefully about the desired benefits of our research as well as about how to avoid negative impacts – lets us manage the risks and harness the wealth of opportunities that engineering biology can offer.

    There are also other challenges to overcome. What’s standing in the way of us exploiting engineering biology for good? I won’t dwell for long on this, because you’re here to hear about science, not policy – but it is important to talk about the barriers.

    We’ve already spoken about proper regulation for engineering biology. We also need to have proper ways of funding the basic research that drives this wonderful new technology and also the application of that research that lets us solve real-world problems. Then there’s also the task of making more people aware of the potential for progress here.

    But a key area for me – and also a common issue across all areas of science and technology – is making sure we have the right skills in our future workforce to perform the future jobs that come with new technologies.

    The skill set for engineering biology is particularly broad: the field is a combination many different skill-sets and mindsets. Mostly we train people either to become biologists or to become engineers, and for this technology we need people who can think with both those mindsets. So we need to think about a pipeline which starts in schools, with children getting the right grounding in key subjects – and children also hearing about the exciting careers they can pursue through developing and using the technologies I’ve talked about.

    I think it’s vital that we don’t think exclusively about technical skills: communication skills are extremely important too. It’s a wonderful thing to do pioneering, cutting-edge research but we also need to be able to explain what that’s about and why people should want it.

    So far, I’ve told you a bit about what engineering biology is and how we’ve got to this point, poised for biological century. I’ve also talked a bit about risks and challenges, but I think it’s now time to delve further into the applications that I think are so inspiring.

    Today, I launched a report called “Engineering Biology Aspirations”. It’s our attempt to share our excitement about the possibilities that this technology opens up – and we want to share it with everyone, my colleagues inside government and also much more widely.

    It contains case studies, written by UK-based experts, that illustrate some of the diverse problems we can address using engineering biology. Microbial metal extraction is 1 of them. I want to highlight some others during the rest of this talk – and to recognise some of the amazing research taking place in the UK.

    One of the reasons that I commissioned the report is that all too often, when someone mentions engineering biology or synthetic biology, the examples will involve vaccines or medicines.

    Of course those are fantastic, important applications: with the Covid pandemic such a fresh memory, we are all acutely aware of the life-saving importance of rapid and effective vaccine production. And I’m in awe of those researchers who can edit the gene that causes sickle cell disease.

    But I want to make sure that we also shine a light on the true breadth of opportunities that engineering biology presents, not only in health, but across agriculture, materials, chemicals, energy, defence.

    So, let’s shift gear and think about the fashion industry. Unlike metal recycling, it’s a sector familiar to all of us. We all buy and wear clothes, but we don’t often stop to think about where they’ve come from, how they’ve been made, and at what cost to the environment.

    Putting aside issues around workforce conditions and waste, the fashion industry is 1 of the world’s largest polluters, responsible for up to 8 per cent of carbon emissions globally…

    Not to mention the pollution generated in the form of clothing and textiles dumped in landfills, like this 1 in Bangladesh, never to biodegrade.

    At the same time, 1/5 of the pollution of clean water around the world is caused by dyeing and treating textiles.

    And there’s also growing awareness of the environmental damage caused by the microfibres shed by polyester clothing.

    So it’s no surprise that plenty of researchers and companies here in the UK and beyond are seeking inspiration from biological processes to make new materials that don’t rely on fossil fuels or on animal products such as leather.

    You may have been wondering why there are bottled drinks and a handbag beside each other on the Faraday desk. Well, they’re made of essentially the same material.

    The process of making both items starts with microbes that naturally produce a material called nanocellulose.

    In the case of Mogu Mogu – a coconut water drink you might find in your local supermarket – the nanocellulose is responsible for the lumps of jelly you can see in this bowl. 

    It is a polymer produced through fermentation – the same process used to make beer.

    Now, 1 company I visited last year is called Modern Synthesis, based in South London and founded by Jen Keane and Ben Reeve. They’re aiming to develop scalable solutions to meet the fashion industry’s need for high-performing, versatile materials that don’t pollute the planet.

    Modern Synthesis make nanocellulose fibres and then combine them with textiles such as cotton or linen to create new composites. These are then finished with natural coatings like waxes and oils to improve performance and to enhance look and feel, which are of course critical to customers. The result is this handbag!

    Image of black, biologically derived material

    And on the slide behind me, you can see in more detail the fibres that make up the handbag. These miniscule nanocellulose fibres are actually really, really strong – 8 times stronger than stainless steel relative to weight!

    Modern Synthesis is just 1 example of a pioneering UK company making waves in this area. Another example is Solena Materials who are using AI to help design completely new materials from scratch, including fibres that are effective at absorbing energy. This makes them relevant for the military and the police, who need blast-, ballistic- and stab-proof clothing. As the ex-Chief Scientific Adviser for the Ministry of Defence, it’s great to see engineering biology applications offering benefits for defence.

    Developing new materials like these can significantly reduce greenhouse gas emissions compared to traditional material production. This includes minimising the environmental impacts of raising livestock for leather or the energy-intensive processes involved in creating synthetic textiles such as polyesters and nylons. Better still, these materials can be designed for biodegradability, getting away from the big problem of plastic pollution.

    Allow me to quote from our report for a second: “Imagine a world where every piece of your clothing has minimal cost to the environment, with zero waste going to landfills. Even if a piece of clothing is accidentally discarded into the environment, it safely biodegrades to leave no trace of its existence. This is the future of fashion, and engineering biology is helping to make it happen.”

    Let me move now to another pervasive problem: inefficiencies in food production. Most of you will be aware that fertilisers are used by farmers across the world to supply nitrogen to their crops. Without fertilisers, yields suffer.

    But there are 2 problems. First, the process for making nitrogen fertilisers is very energy-intensive. It’s responsible for between 1 and 2% of the entire world’s energy use – and generates matching CO2 emissions. Second, using fertilisers has considerable environmental impacts, releasing further greenhouse gas emissions and damaging waterways thanks to fertiliser runoff from fields.

    This slide shows excessive algae growth – a common impact of fertiliser runoff – in the River Wantsum in Kent.

    Currently, farmers across the world use more than 200 million tonnes of chemical fertilisers every year.

    Diagram showing molecules of nitrogen and hydrogen converted into molecules of ammonia, with a chemical equilibrium sign betweem ammonia and molecules of nitrogen that combine with molecules of hydrogen

    Now, this ability to produce nitrogen at scale – via the Haber-Bosch process – was without question the most important chemical breakthrough of the 20th century. The reaction that underpins this industrial process is shown behind me – converting nitrogen and hydrogen into ammonia, which is commonly used in fertilisers. It was discovered by Fritz Haber. Over half the global population depends for survival on foods fertilised using industrial production of nitrogen. But for the reasons I’ve outlined, we do need to do better.   

    So how can engineering biology help?

    What if we could engineer cereals crops to absorb their own nitrogen from the environment, without relying on fertilisers? We call that “fixing” nitrogen.

    There are actually examples of this happening in nature. There are bacteria in the soil called rhizobia which are particularly good at fixing nitrogen; in fact, they convert nitrogen gas from the atmosphere into ammonia – which is precisely the form of nitrogen that plants need. Legumes such as peas, clover and lupins attract these rhizobia bacteria to live in their roots – in small structures called nodules. In return for a steady supply of ammonia, the plant houses and feeds the bacteria, forming an ideal symbiotic relationship.

    Behind me is an illustration of a plant with root nodules… but in classic Blue Peter style, here are a couple I grew earlier!

    This clover plant from my lawn has nodules on its roots – but, because they are a bit tiny, I have also brought a photo of the same plant.

    For these sort of plants, we can already coat their seeds with rhizobia and achieve increases in yields. And we can even go a step further by adding the bacteria directly to fields in a process called soil inoculation.

    But the trouble with cereal crops like wheat, barley and maize is that they don’t have those root nodules and nor do they produce the special signalling chemicals that legumes use to attract bacteria.

    Image showing a clover plant with roots that have small circular nodules on them in the bottom left-hand corner and a sweet-corn plant with roots without nodules in the top right-hand corner

    Here is another plant that I’ve brought in from my garden. This 1 is sweet-corn, a variety of maize and a major cereal crop worldwide. You can see its roots here on the top part of the slide… no nodules! These kinds of crops do not set up this kind of symbiotic relationship with nitrogen-fixing bacteria.

    So what researchers, like Phil Poole at the University of Oxford, are doing is trying to engineer a new generation of fertiliser-free crops, drawing on plant genetics, biochemistry and soil ecology.

    One approach, given what I’ve just described, is to engineer cereals to form nodules on their roots that can host nitrogen-fixing bacteria.

    The UK is leading the way on this – Oxford and Cambridge universities have major programmes backed by investment from our research councils and from the Gates Foundation. In fact, the teams involved work together as part of a larger collaboration, and have recently made some significant advances, engineering barley to form nodule-like structures and engineering barley roots to release the chemical signal rhizopine that prompts rhizobia to start fixing nitrogen.

    The design-build-test-learn cycle I described earlier is a part of this research. All of the progress made so far has built on round after round of modifying, testing and redesigning organisms.

    There are still many hurdles to overcome, both from a technical perspective and societally; genetic modification of crops is a very sensitive issue. But the value of the prize here is large, and I think scientists should not be shy about describing it.

    Imagine a world where humanity’s main source of carbohydrates – cereal crops like wheat and barley – are able to generate their own nitrogen fertiliser.

    We could tackle global food shortages on a much more sustainable basis and at the same solve 1 of the most urgent climate challenges, consigning industrially-produced nitrogen to the past.

    Now, let’s just think about crops in a further context, because harvesting doesn’t have to be the end of their engineering biology journey!

    At the start of this talk, I name-dropped a couple of bacterial strains in relation to metal recycling. Well the biologist in me can’t help but tell you another 1 – this time being a type of bacteria called Halomonas.

    Researchers like Nigel Scrutton up at the University of Manchester, are engineering these bacteria to act as efficient factories for converting food waste into fuel via fermentation. When I say factories, I’m not talking about the massive industrial sites we would normally associate with fuel production.

    This photo is of Fawley oil refinery in Hampshire.

    Diagram showing drawings representing bacteria, food waste feedstock, a cylinder that produces fuel and container. The diagram shows that the result of feeding bacteria and food waste feedstock is fermentation that then produces fuel, which can be housed in a portable and scalable container

    By contrast, these fuel-producing bacteria can be housed in different-sized containers like the ones on this slide – some of them not too dissimilar to shipping containers.

    The beauty of this technology, therefore, is that it is inherently portable and scaleable to meet demand – with transformative implications for remote areas of the world where energy infrastructure can be scarce. And crucially, these are cleaner, fossil-free fuels that can be used to power homes, businesses, even aircraft.

    Let’s focus on that last application for a second. At the moment, the aviation industry relies almost completely on kerosene-based fuels, which account for a staggering 3% of global CO2 emissions.

    Burning fossil fuels is generally accepted as the main cause of global warming, so it is essential that we find ways to transition to sustainable sources of energy.

    Engineering biology solutions like Nigel’s can therefore play a significant role in creating a future without fossil fuels. One of the benefits of using bacteria to turn waste into useful fuels is that this can create another circular economy in which we no longer need to extract and burn more and more harmful fossil fuels; instead we recycle the carbon we already have.

    Personally, I think the environmental benefits are reason enough to get excited by this technology. But 1 of the great benefits of bacteria-fuel factories is how portable they are! In other words, they remove the need for large-scale bioreactor infrastructure.

    Imagine a world where clean fuels could be produced locally and on demand – including in all those remote and sparsely populated regions which currently struggle to access the fuels they require.

    Now, I argued just a moment ago that I want to convince people that engineering biology is about so much more than vaccines and medicines – and I hope that I’ve surprised at least some of you with the breadth of the examples I’ve described so far.

    But I do have 1 example from medicine that is just too fascinating to leave out, and that’s research into laboratory-grown blood.

    Why would we need such a product?

    Currently, the world relies almost entirely on human blood donations to treat disease and for emergency medicine. In many countries, including the UK, donation rates fluctuate, and shortages can happen. On top of that, donated blood has a limited shelf life. It is challenging to store and challenging to distribute. When you consider the fact that some countries don’t have the infrastructure to deliver blood products safely, or think about conflict or humanitarian emergencies, the problems associated with donated blood become even clearer.

    There are a few more issues too. It can be very difficult to source some rare blood types. And although blood services of course use screening to avoid known pathogens, there is always a risk of new ones arising, and being passed on to patients who receive blood transfusions.

    For all these reasons, finding new ways to produce blood would be another game changer, and, once more engineering biology can help us.

    Researchers, like Ash Toye at the University of Bristol, are exploring the possibility of banking unlimited supplies of red blood cells, either by transforming stem cells or genetically reprogramming donated precursor blood cells.

    What you can see on the screen is a beautiful illustration by artist Claudia Stocker, which provides a visualisation of CRISPR – the “genetic scissors” technology I mentioned earlier – being used here to edit the genetic material of the precursor cells that will go on to become red blood cells.

    The part of the image to focus on is the centre of the slide and specifically the spiral spools of DNA emanating from the big blue circle in the middle – the cell that will eventually give rise to the red blood cells around the outside of the slide. The little blue doughnuts represent the CRISPR technology in action, actively and precisely editing the DNA as we have instructed it to do.

    This editing can enable us to produce precursor cells that can grow and divide indefinitely in a controlled environment, giving us unlimited blood supplies.

    The Bristol team pioneering this research has been working closely with NHS Blood and Transplant and other partners in a ground-breaking clinical trial called RESTORE – RESTORE being the acronym for REcovery and survival of STem cell Originated REd cells.

    It’s the first time in the world that red blood cells grown in a laboratory have been given to another person as part of a trial into blood transfusion – you might have seen media coverage of this programme, which has attracted interest from all over the world. The trial should produce further results by the end of this year or early next.

    In the future, we could go a step further and use CRISPR to delete the genes responsible for blood groups, and – in doing so – create “universal” blood that would be invaluable in providing blood transfusions for individuals with rarer blood types.

    Image of a table containing the combinations of blood types of a donor and a recipient that match each other and ones that do not. The matches are highlighted in purple and the mismatches in red

    This slide is a brief reminder of the complexities around ensuring blood compatibility between donors and recipients. Only the combinations in purple are suitable.

    The prospects here are again tantalising. Imagine a world where no patient dies due to a lack of compatible blood following an accident or during surgery. Where safe blood is available on demand, can be stored for longer and is free of disease transmission risks.

    So there are all these amazing opportunities, which you can tell I love talking about!

    We’ve covered a fair bit of ground about engineering biology: not just historically but geographically, in universities and companies, and across a range of applications.

    I’m so proud that our country can lay claim to so much ingenuity. Microbial metal recycling from Edinburgh. Biosynthetic fuels from Manchester. Lab-grown blood from Bristol. Nitrogen-fixing cereals from Oxford.  And nanocellulose-based materials from right here in London.

    I want to end, though on a broader point concerning emerging technologies such as engineering biology and others besides.

    Earlier, you heard me talk about risks and challenges, including the need for responsible innovation.

    Another challenge – though – is about how we, as a society, talk about science and technology in general.

    Clearly, 1 of my aims this evening has been to raise awareness of engineering biology.

    But it strikes me that we’re living through a period where public engagement around science is getting harder.

    That’s not just because of the unprecedented volumes of misinformation circulating around us.

    We now live in a less paternalistic society – which is surely a good thing – it is no longer enough for scientists to tell people what’s good for them and expect them to toe the line. Instead, we know we need to have a proper, well-informed debate about these issues.

    Clearly, it would be possible for the promise of engineering biology to be compromised by public opposition. We need to listen to public concerns – really listen! – and understand that if we don’t respond to those concerns people will be perfectly within their rights to not support, or actively block, the engineering biology advances that we’re trying to create.

    There is a lot of work to do here. I don’t think we can ever be finished listening to the public.

    Essentially, the technologies we’re developing in engineering biology need to offer solutions to problems that people actually care about.

    Health, nutrition, climate, the environment, sustainability, global equity. I know that these are problems that billions of people care about.

    I hope I’ve persuaded you that when it comes to these problems, engineering biology can provide solutions.

    Image of the front cover of the ‘Engineering Biology Aspirations’ report on the left-hand side and a QR code to the webpage with the report on the right-hand side

    Thank you for listening – do read our report; here it is – and thank you to the Royal Institution for asking me to speak in this 200th anniversary year for discourses.

    Read the Engineering Biology Aspirations report.

    Updates to this page

    Published 2 May 2025

    MIL OSI United Kingdom –

    May 3, 2025
  • MIL-OSI United Nations: 30 April 2025 Departmental update Restoring balance: Traditional Medicine at the World Health Summit Regional Meeting 2025

    Source: World Health Organisation

    The next World Health Organization (WHO) Traditional Medicine Global Summit, 2–4 December 2025, was unveiled during a keynote plenary session at the World Health Summit Regional Meeting 2025 in New Delhi, India, on 25 April. The session, organized by the WHO Global Traditional Medicine Centre, brought together government ministers, private sector directors, scientists and United Nations leaders to explore how combining ancient wisdom and modern science can expand access to safe, effective and people-centred Traditional Medicine (TM) and strengthen global health equity.

    Stewards of a collective future

    Delhi-based broadcaster Rini Simon Khanna opened the session, entitled: “ Restoring balance: Scaling up access to evidence-based traditional medicine for health and well-being”. She emphasized that the audience had gathered as “stewards of a collective future in health”, with TM serving as “a bridge connecting ancestral knowledge and modern science”. Prataprao Jadhav, India’s Minister of State for the Ministry of Ayush, addressed the gathering via pre-recorded video, stressing the need to integrate traditional knowledge with modern health systems in response to global challenges. The Minister took the opportunity to introduce the second WHO Traditional Medicine Global Summit, to be held in December 2025, and encouraged people to continue the dialogue at the Summit and “be a part of this shared journey towards global health harmony”.

    An evolving global health system

    Dr Rajesh Kotecha, Secretary and Vice-Minister, Ministry of Ayush, opened the panel discussion, telling participants, “TM is not just a thing of the past, it is a living, evolving component of many health systems around the globe”, offering relevance and promise in delivering affordable, accessible, people-centred care.

    The first panellist, Drungtsho Dorji Gyeltshen, Traditional Medicine Physician at National Traditional Medicine Hospital, Bhutan, showcased how the country’s traditional system of health care, Sowa-Rigpa, is accessible to rural and hard-to-reach communities and offers trusted, free and culturally relevant care. Sowa-Rigpa plays a key role in Bhutan’s Gross National Happiness, which is aligned to four pillars: good governance, social and economic development, preservation and promotion of culture, and environmental conservation.

    Global strategy for TM

    Dr Saima Wazed, Regional Director for WHO South East Asia Regional Office, explained how the draft WHO Global Strategy for Traditional Medicine, 2025–2034 (scheduled for discussion at the Seventy-eighth World Health Assembly) will support WHO Member States in integrating TM into primary health care. She stressed the need to develop evidence-based programmes to reduce misinformation, for greater confidence in TM. She also highlighted the need for culturally reflective policies and regulatory bodies, communicated in understandable language.

    The role of evidence

    Aditya Burman, Non-Executive Director of Dabur India, emphasized the need to shift from anecdotal to evidence-based TM, just as biomedicine did. He added, “We hear anecdotal a little too much when it comes to TM, and we’d like to change that”. When discussing how to drive future growth in the TM sector, Mr Burman said, “It’s not about shouting louder [about the benefits of TM], it’s about allowing the other side to be receptive – building effective products and proving their effectiveness in a globally understood language”.

    Professor Georg Seifert, a Senior Lecturer in Paediatrics at Charité – Universitätsmedizin Berlin, Germany, built on this point by explaining that more research is urgently needed, particularly on TM’s cost-effectiveness and sustainability. He also noted that integration of TM and biomedicine requires trust between those working in both systems, which grows from transparency about the strengths and limitations of TM. Professor Seifert also remarked on cross-cultural collaboration: “I can envisage a global network of integrative clinical centres that aid a diverse care model using rigorous but flexible methods, tailored to cultural and therapeutic contexts”, he said.

    Voices of youth

    Tanushree Jain, Chair of Public Health at the International Pharmaceutical Students’ Federation and member of the WHO Youth Council, discussed the generational shift in young people’s attitudes towards wellness, which includes preventive practices that incorporate ethics and sustainability. She highlighted that young people want to see TM validated through science and integrated safely in modern care. “When traditional knowledge is adapted with rigour and relevance, it earns our trust”, she stated.

    Digital tools like mobile health apps and fitness trackers are making traditional practices more accessible to youth and driving behaviour change. When these tools are engaging, educational, inclusive and sustainable, they empower young people to integrate personalized holistic care into their daily lives.

    Bridging the gap between science and policy

    Dr Soumya Swaminathan, former Chief Scientist at WHO and Chair of MS Swaminathan Research Foundation, stated, “No system of medicine has the answer to everything, and this is why we need to think about integrative medicine”. She stressed that there are currently different terms and diagnostic systems in use by traditional healers and allopathic doctors. She explained that to bridge the gap between science and policy, culturally significant practices need to be evaluated and integrated using robust, context-sensitive scientific methods, with a common language and vocabulary. Dr Swaminathan also highlighted the importance of harnessing the opportunities presented by modern tools, such as AI for diagnostics, through a multidisciplinary approach.

    The future of TM

    Dr Rajesh Kotecha asked each of the panellists one final question: “Looking ahead to the next five years, what is the one thing that is needed most for TM to advance the health and well-being of all?”

    • Drungtsho Dorji Gyeltshen said that establishing Bhutan as a centre of excellence, and focusing on sustainable and innovative practices will preserve and promote Sowa-Rigpa, ensuring it remains relevant, accessible and contributes to global health;
    • Dr Saima Wazed emphasized bringing data and knowledge together from global TM practices in a standardized format, so they can be shared on a global platform;
    • Aditya Burman noted that it is important to ensure TM becomes part of the mainstream vocabulary, suggesting inclusion on medical TV shows and films, to show that TM is not a niche “out there” idea;
    • Professor Georg Seifert said that he sees big potential in preventive medicine and integrated health care models, but strong evidence and good business models are needed to show cost-effectiveness;
    • Tanushree Jain highlighted establishing evidence in scientific research and using that to build trust in TM;
    • Dr Soumya Swaminathan stressed that this is the time to come together to bring the disciplines together, to not fight over which one is better, but to develop the science and communicate it effectively to people, for the best person-centred care.

     

    The session concluded with a question-and-answer session with the audience. One participant said that, as an editor at The Lancet medical journal, they noted a lack of submissions and publications on TM. They highlighted the need to bring TM to the global stage, through high-quality journal articles and clinical trials, for people to have trust. The panellists suggested some challenges, such as language or cultural understanding, as well as constructive feedback, such as the need for greater outreach or funding programmes. Dr Swaminathan added that there is also an evidence feedback loop – if the right research has not been published in the literature, then it is difficult to validate findings, as per publication policies, and suggested journals like The Lancet help create publishing opportunities for TM research.

    Restoring balance

    In his closing video address, Dr Tedros Adhanom Ghebreyesus, WHO Director-General, reminded the audience that TM is as old as humanity itself and that for hundreds of millions of people, TM is just medicine. Through GTMC, WHO is supporting research to harness the power of these ancient practices.

    Moderator Rini Simon Khanna remarked that this is “not the conclusion of our conversation but the beginning of a shared journey”, which is as much about restoring balance within ourselves, our communities, the health system and our relationship with the natural world. That journey continues at the second WHO Global Traditional Medicine Summit in December. The summit video was unveiled, which sets out how the next Summit will help unlock the full potential of TM. The Summit offers not just a space for dialogue, but a call to action to explore how the nexus of TM and modern science can restore balance and well-being for people and our planet. Ms Khanna closed, “Restoring balance is not just a policy goal, it is a personal and planetary commitment.

    MIL OSI United Nations News –

    May 3, 2025
  • MIL-OSI USA: Meta-Analysis Links Intimate Partner Violence Among Sexual Minority Men to Mental Health Outcomes

    Source: US State of Connecticut

    Sexual minority men on the receiving end of intimate partner violence also have worse mental health outcomes including depression, suicide ideation, and suicide attempts, according to a new meta-analysis by UConn professor Chenglin Hong.

    “Looking at the larger context, intimate partner violence as a public health issue is still under-studied among men, particularly sexual minority men,” Hong says. “It’s usually considered under the heterosexual umbrella: men as perpetrators, women as victims or survivors. But the issue affects sexual minority men just as much, or more, as heterosexual women.”

    Hong’s meta-analysis “The Associations Between Intimate Partner Violence and Mental Health Outcomes Among Sexual Minority Men: A Systematic Review and Meta-Analysis” looked at 22 studies on the topic conducted between 2003 and 2022, both in the U.S. and around the world, including China and the United Kingdom.

    Published in January by the academic journal Trauma, Violence, and Abuse, it marks the first of its kind in more than a decade, with the prior meta-analysis on the topic conducted in 2014.

    Among his findings, Hong determined that sexual minority men experiencing intimate partner violence are almost 3x more likely to have suicide ideation or attempts, compared to sexual minority men who didn’t experience such violence.

    “Men in general experience higher rates of suicide-related outcomes, but they often don’t seek mental health services due to stigmas around masculinity,” Hong explains. “But those who experience intimate partner violence may be even more limited. For example, they might be scared to see a provider because their partners may find out.”

    The meta-study, which Hong says was not funded but purely volunteer work, included a team of researchers across the country from institutions including Washington University in St. Louis, UC Davis, Michigan, UCLA, and Penn State.

    At the end of the study, Hong makes several recommendations, including incorporating intimate partner violence screening as a standard part of healthcare and mental health assessments for men.

    “I’m a social worker,” Hong says. “A lot of the time, when we work with clients and refer them to different agencies, there are logistics: transportation, insurance issues. So the idea here is how to optimize integrated care by providing health care, mental health care, and intimate partner violence services in the same setting.”

    If Hong’s proposed changes become more widespread, hopefully such issues of intimate male-male partner violence can dramatically decreased.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI USA: Meeting the Needs of Early Childhood Educators with Critical New Resources, Supporting the Social and Emotional Development of Very Young Children

    Source: US State of Connecticut

    In preparing young children for kindergarten, it is as important to nurture their social and emotional skills as it is to develop their academic knowledge and skills. The Pyramid Model for Social Emotional Competence in Infants and Young Children is a widely used evidence-based framework that guides early childhood educators in supporting healthy social emotional development of all children, and address challenging behaviors that arise. A new Practice Guide was developed to support childcare workers and pre-K teachers as they grow their skills in the Pyramid Model.

    The model takes a tiered public health approach by providing universal guidance for use with all children in the classroom to promote wellness, targeted guidance for those who may need additional support, and intensive interventions to address persistent, challenging behavior. Teachers utilizing the Pyramid Model have overwhelmingly reported that students in their classrooms show improved social and emotional skills. The Pyramid Model supports adults within a range of early learning environments including childcare, Head Start programs, and public pre-K. The new practice guide provides teachers with ongoing support to successfully bring the Pyramid Model practices into their classrooms and see improved outcomes in their students.

    Professionals in the early childhood field generally have access to training in the Pyramid Model, however opportunities for more advanced skill building in the model are harder to come by. Individualized coaching to support implementation of the model with fidelity is hard to access and to fund.  “The goal of our guide is to bridge that gap for the early care and education workforce by offering them concrete strategies and opportunities to embed Pyramid Model practices within daily classroom interactions with all students. The guide helps them be their own coach,” says Kate Sweeney, Co-Director of Innovations Institute’s Parent, Infant, and Early Childhood team.

    The practice guide provides additional resources and recommendations that are critical for teachers utilizing Pyramid Model practices in their classrooms and learning to think differently about how they address challenging behaviors. The guide — freely available through an interactive website with downloadable pdfs in English and Spanish (https://pyramidmodelpracticeguide.org/) — is designed for childcare providers and classroom teachers to embed Pyramid Model practices in current classroom routines, schedules, and curricula. The guide is also useful and relevant to administrators, coaches, Infant and Early Childhood Mental Health Consultants–all working with and supporting classroom educators.

    “We are thrilled to offer this practice guide as a free, accessible resource to further support educators across the country as they work to build healthy social and emotional skills among young children and ensure they have the behavioral skills necessary to be successful in kindergarten and beyond.”  Margo Candelaria, PhD, Co-Director, Parent, Infant & Early Childhood, Innovations Institute.

    The Parent, Infant, and Early Childhood team at Innovations Institute supports workforce development by providing high quality, relevant, and translational training and coaching, technical assistance, facilitation, consulting, implementation support, and research and evaluation. We also provide policy analysis, systems design and financing, data-driven strategic planning, and quality improvement for systems and programs serving young children and their families.

    The Johns Hopkins University School of Education, together with Innovations Institute at the University of Connecticut School of Social Work, received a Maryland Rebuilds grant to build the Pyramid Model Practice Guide. The Maryland Rebuilds grant program at the Maryland State Department of Education (MSDE) issued funds from the American Rescue Plan Act for projects to strengthen and support early childhood education throughout the State and beyond and bolster school-readiness for very young children.

    MIL OSI USA News –

    May 3, 2025
  • MIL-OSI Australia: Call for information – Aggravated robbery – Katherine

    Source: Northern Territory Police and Fire Services

    The Northern Territory Police Force is calling for information in relation to an aggravated robbery in Katherine yesterday.

    About 11:30am, police received reports of a group of youths allegedly robbing an elderly woman who was getting in her vehicle on Railway Terrace. The victim’s bag was stolen and she was assaulted at the time of the incident. She suffered minor injuries and self-presented at Katherine Regional Hospital for treatment.

    Katherine police have carriage of the investigation.

    Anyone with information in relation to the incident, particularly anyone with dash cam footage from within the area at the time, to contact police on 131 444 and reference job number NTP2500045006. You can anonymously report via Crime Stoppers on 1800 333 000.

    MIL OSI News –

    May 2, 2025
  • MIL-OSI Australia: Charges – Aggravated assault – Katherine

    Source: Northern Territory Police and Fire Services

    The Northern Territory Police Force has charged a 20-year-old female for aggravated assault on an infant in Katherine yesterday.

    About 5:15pm, police received reports of an assault on an infant at a residence in Katherine.

    Upon attendance, police observed the infant in the care of another adult and the 20-year-old female was taken into custody. She has since been charged with Aggravated assault and Choking, Strangling or Suffocating in a domestic relationship. and is remanded to appear in Katherine Local Court today.

    The infant has been conveyed to Royal Darwin Hospital for medical treatment.

    MIL OSI News –

    May 2, 2025
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