Category: Health

  • MIL-OSI Asia-Pac: Two Days National Seminar cum Exhibition on Organic Farming

    Source: Government of India

    Two Days National Seminar cum Exhibition on Organic Farming

    Safe Food for Healthy Life

    Posted On: 19 MAR 2025 4:29PM by PIB Delhi

    A “Two Days National Seminar cum Exhibition on Organic Farming” was organized by the National Centre for Organic & Natural Farming (NCONF), Ghaziabad, on 18-19 March 2025 at Ghaziabad. The program and exhibition were inaugurated by the Chief Guest, Sh. K.M.S. Khalsa, Director (Finance) – Ministry of Agriculture & Farmers Welfare, Government of India, along with Dr. Gagnesh Sharma, Director, NCONF, and Dr. A.K. Yadav, Advisor, Ministry of Agriculture & Farmers Welfare, in the presence of Dr. Bharat Bhushan Tyagi, Padmashree, Sh. Gopal Bhai Sutariya from Bansi Gir Gaushala, Ahmedabad and officers from NCONF and RCONFs.

    The Chief Guest, Sh. K.M.S. Khalsa, in his deliberation, emphasized the significance of organic farming and its growing importance in today’s world. He assured support for the promotion and implementation of proposals related to Organic and Natural Farming will be considered on priority. On this instance “Manual of Organic Farming” and “Souvenir” were released.

    Dr. Gagnesh Sharma, Director of NCONF, delivered the keynote address. He outlined the current status and achievements of NCONF in the domain of Organic and Natural Farming. Dr. Sharma also discussed the importance of certification, organic input quality management, and highlighted the potential opportunities for marketing organic and natural products to help in boosting the income of farmer.

    Dr. A.K. Yadav shared insights on the status of organic farming in India and motivated farmers and stakeholders to participate in the production and processing of organic produce for both domestic and international markets. He stated, it would be helpful to strengthen farmers as well as nation’s economy.

    Padmashree Dr. Bharat Bhushan Tyagi spoke about the promotion of organic farming at the village as a cluster based approach. He emphasized moving beyond a cluster-based approach to improve the adaptability of organic farming and bring more land under organic certification.

    Sh. Gopal Bhai Sutariya focused on the importance of cow-based natural farming and its potential. He introduced the “Gaukripa Krishi” model, explaining how farmers can adopt natural and organic farming practices. He assured that this model would be available to all stakeholders free of cost.

    The two-day conference featured four sessions altogether eighteen deliberations covering key objectives related to organic farming. These sessions brought together policymakers, researchers, academia, progressive farmers, innovators, entrepreneurs, industries, and other stakeholders. They shared knowledge and experiences on enhancing the role of Farmers’ Producer Organizations (FPOs) and processor groups in sustainable agri-food systems. Discussions also included the use of innovative farmer-friendly technologies, certification, processing, and marketing of organic produce. On this occasion champion farmers across the country were felicitated. On this occasion 23 exhibitors across the country showcased their achievements and activities towards the promotion and creating awareness Organic and Natural Farming.    

    Officers from Regional Centres of Organic & Natural Farming (RCONFs) in Ghaziabad, Nagpur, Bengaluru, Bhubaneswar, and Imphal also participated in the event. More than 200 participants, including champion farmers from across the country, attended the program.

    The session concluded with a vote of thanks, acknowledging the valuable contributions of all speakers and participants.

    The session concluded with a vote of thanks, acknowledging the valuable contributions of all speakers and participants.

    *****

    MG/ KSR

    (Release ID: 2112796) Visitor Counter : 38

    Read this release in: Hindi

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: BUDDHIST DEVELOPMENT PLAN UNDER PMJVK IN LADAKH AND OTHER HIMALAYAN STATES

    Source: Government of India

    Sl. No.

    Project Name

    State/UT

    District

    1

    Construction of Monastic Hostel cum Classrooms, Pemayangste

    Sikkim BDP

    Gyalshing

    2

    Construction of Monastic School Hostel cum Classrooms, Enchey monastic school

    Sikkim BDP

    Gangtok

    3

    Construction of Monastic Hostel cum Classrooms Khatek Pema Choling Monsastic School Pakyong

    Sikkim BDP

    Pakyong

    4

    Construction of Monastic Hostel cum Classrooms, Ngadak Gumpa , Namchi

    Sikkim BDP

    Namchi

    5

    Extension of existing Monastic hostel cum classrooms, sicheytamang Gumpa

    Sikkim BDP

    Gangtok

    6

    Construction of Community Meditation centre cum Multi- purpose Hall at Karthok Gumpa, Karthok, Pakyong.

    Sikkim BDP

    Pakyong

    7

    Construction of Monastic Hostel cum Classrooms at Boomtar Gumpa, Namchi

    Sikkim BDP

    Namchi

    8

    Construction of Monastic Hostel cum Classrooms at Sangay Choeling Gumpa,, Teendahharey Bhasmey

    Sikkim BDP

    Pakyong

    9

    Construction of Monastic Hostel cum Classrooms at Phuntsok Choeling Gumpa, Lower Sreebadam

    Sikkim BDP

    Soreng

    10

    Construction of Gostel cum classroom at Sanga Choling Gumpa, Martam

    Sikkim BDP

    Gangtok

    11

    Construction of proposed Dr.BheemRaoAmbedkar (Buddhist) Community, Multi-purpose hall and Library at Ambedkar Colony, 1st/D.L.Road, Dehradun

    Uttarakhand BDP

    Dehradun

    12

    Multipurpose Hall For Buddhist Community At Lakhanwala, Vikas Nagar, Dehradun

    Uttarakhand BDP

    Dehradun

    13

    Construction Of Proposed Educational And Sports Hall At 40 Buddha Vihar, 2nd D.L Road, Dehradun.

    Uttarakhand BDP

    Dehradun

    14

    Construction of the School building, incorporating Science Lab, Computer Lab & main Indoor Stadium etc. for Duzingphotang Ufti, Zansakar. District Kargil, UT of Ladakh.

    CIBS BDP

    District Kargil, UT of Ladakh.

    15

    New Academic building for traditional course at Central Institute of
    Buddhist studies. Leh. UT of Ladakh

    CIBS BDP

    Leh. UT of Ladakh

    16

    Infrastructure Development of Nalanda School at Nafra, West Kameng District

    Arunachal Pradesh

    West Kameng

    17

    Infrastructure development of Monk Hostel cum prayer Hall at Mechuka Gonpa

    Arunachal Pradesh

    Mechuka

    18

    Development of Hostel and Training Facilities at Lhagon Jangchub Choeling Monastery, Tezu

    Arunachal Pradesh

    Tezu

    19

    Multipurpose Hall at Nakhu Village, Nafra, West Kameng District

    Arunachal Pradesh

    West Kameng

    20

    Infrastructure Development of Thupten Dhonag Wosel Dargeyling at Mandala, Dirang, West Kameng district

    Arunachal Pradesh

    West Kameng

    21

    Infrastructure Development at Thardhoe Norbuling at Lumla, Tawang District

    Arunachal Pradesh

    Tawang

    22

    Development of Shambala and Shagrila Mythical Religious site and development of Community Centre Gompa at Hoongla Village, Tawang Disctrict

    Arunachal Pradesh

    Tawang

    23

    Development of Meditation Hall & Public Facilities at Urgan Sangha ChhoelingGonpa, Holocbari, Jia,Lower Dibang Valley.

    Arunachal Pradesh

    Lower Dibang Valley

    24

    Extension of Nyomsa Monastery at Jang, Tawang Disctrict

    Arunachal Pradesh

    Tawang

    25

    C/o Monk Quarter cum Meditation Hall & Library for Pemaziling Monastery at Muchukha Shi Yoma, Arunchal Pradesh

    Arunachal Pradesh

    Shi Yoma

    26

    Construction of Sports Climbing Wall at Mountaineering Sub Centre Jispa

    Himachal Pradesh (BDP)

    L & S

    27

    Purchasing Equipment of Sports, Mountaineering  Rescue for Mountaineering Sub Centre Jispa

    Himachal Pradesh (BDP)

    L & S

    28

    Providing Winter Water Supply scheme for habitation of GP Gondhla

    Himachal Pradesh (BDP)

    L & S

    29

    Construction of Hostel Block (Boys & Girls at Mountaineering Sub Centre Jispa (Separate blocks)

    Himachal Pradesh (BDP)

    L & S

    30

    Solarization of Schools (60 Schools)

    Himachal Pradesh (BDP)

    L & S

    31

    Construction of community centre/one stop centre building at village Yournath (Guskiyar)

    Himachal Pradesh (BDP)

    L & S

    32

    Construction of Tourist Information centre cum stay facility and two trekker huts at Tingret in Miyar valley, Sub-Division Udaipur Distt. LahaulSpiti.

    Himachal Pradesh (BDP)

    L & S

    33

    Nature Interpretation Centre cum Nature Park at Sissu Sub-Division Keylong Distt. LahaulSpiti.

    Himachal Pradesh (BDP)

    L & S

    34

    Installation of Off-Grid Solar Power Plants at Mountaineering Sub Centre Jispa

    Himachal Pradesh (BDP)

    L & S

    35

    Installation of Off-Grid Solar Power Plants at Health Institution of CMO Keylong

    Himachal Pradesh (BDP)

    L & S

    36

    100 KW capacity solar power plant with Battery Energy Storage System at Kaza

    Himachal Pradesh (BDP)

    L & S

    37

    Examination cum training Center (200 eater Capacity)

    Ladakh

    Kargil

    38

    Const. of Training cum Examination center(200 seater capacity) at ITI Leh

    Ladakh

    Ladakh

    39

    Construction of 2 storey building for souvenir Shop at Leh-Mana

    CIBS BDP

    Leh. UT of Ladakh

    40

    Development of Infrastructure at Central Institute of Himalayan Culture Studies (CIHCS), Arunachal Pradesh

    CIHCS

    Arunachal Pradesh

    41

    Centre for Advanced studies in Buddhist Studies at the University of Delhi (MoU)

    DU

    New Delhi

    42

    3 storey for Department of Sowa Rigpa Medicine and Surgery
    (Traditional Ayurveda) with attached College

    CIBS BDP

    Leh. UT of Ladakh

    MIL OSI Asia Pacific News

  • MIL-OSI USA: Implantable Port Recall: Smiths Medical Removes ProPort Plastic Implantable Ports Due to Manufacturing Error that May Cause Separation

    Source: US Department of Health and Human Services – 3

    This recall involves removing certain devices from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it. 
    Affected Product 

    Item Number
    Product Name and Description
    UDI

    21-4153-24 

    ProPort (Plastic standard portal)
    1.9 mm PUR catheter – Kit

    10610586012563

    21-4155-24

    ProPort (Plastic standard portal)
    2.6 mm PUR catheter – Tray 

    10610586012594

    21-4165-24

    ProPort (Plastic standard portal)
    2.6 mm PUR catheter. Pre-assembled – Tray

    10610586012686

    21-4171-24   

    ProPort (Plastic Low-Profile portal)
    2.6 mm PUR catheter – Tray

    10610586012716

    21-4183-24   

    ProPort (Plastic Low-Profile portal)
    1.9 mm PUR catheter – Tray

     10610586012778

    21-4187-24

    ProPort (Plastic Low-Profile portal)
    2.8 mm Silicone catheter – Tray

    10610586012839

     Lots: See full list of affected devices below.

    What to Do  

    Do not use ProPort Implantable Plastic Port from affected lots.
    Monitor patients who already have implanted ProPort Implantable Ports for signs of any adverse events.

    On February 13, 2025, Smiths Medical sent all affected customers an Urgent Medical Device Recall letter recommending the following actions:
    For healthcare providers

    Follow the Instructions for Use:

    Monitor patients who have an implanted ProPort Implantable Port for signs of any adverse events.
    Make sure the housing and reservoir feel secure and stable when palpating the portal.

    Symptoms such as swelling, redness, or discomfort at the implant site may indicate leakage or system failure.

    For customers/distributors

    Stop use and distribution of affected product.
    Check inventory and quarantine all affected product.
    Return all affected product.
    Inform product users of the notification.
    Complete and return the response form attached to the letter to smithsmedical8171@sedgwick.com within 10 days of receipt, even if you do not have the affected product and/or product has already been used.
    If product was distributed to other facilities, notify anyone who may have received the product.

    Ask them to contact Sedgwick at 1-888-345-2656 to obtain a response form.

    Reason for Recall  
    Smiths Medical is recalling ProPort Plastic Implantable Ports due to a manufacturing defect that may cause the plastic port housing and port reservoir to separate before, during, or after implantation.
    The use of affected product may cause serious adverse health consequences, including complications from the delay or interruption of life-saving therapies, damage or scarring to skin or tissue surrounding the port from contact with leaking intravenous medications such as chemotherapy, air entering the bloodstream (air embolism), and death.  
    There have been two reported injuries. There have been no reports of death. 
    Device Use
    ProPort Plastic Implantable Ports are part of a system for accessing veins (venous access) that includes the plastic port, a silicone or polyurethane catheter, a catheter connector, a Port-A-Cath access needle, a blunt needle, and a vein pick. ProPort systems are used when patient therapy requires repeated venous access for injections, infusions, and/or blood samples.
    Contact Information  
    Customers in the U.S. with questions about this recall should contact Smiths Medical Customer Service at customerservice@icumed.com or 1-(800)-258-5361. 
    Full List of Affected Devices  
    Table 1: Affected Products

    Item Number
    Item Description
    UDI
    Lot Number

    21-4153-24 
    ProPort (Plastic standard portal)1.9 mm PUR catheter – Kit
    10610586012563
    4453603

    21-4155-24
    ProPort (Plastic standard portal)2.6 mm PUR catheter – Tray    
    10610586012594
    40578174221725392611939448333960347396809839884514027913408700042569394139520429148441464674295931417347443074734196758430747444475724449876446061960371446059285

    21-4165-24
    ProPort (Plastic standard portal)2.6 mm PUR catheter. Pre-assembled – Tray 
    10610586012686
    3984420423554342427874294897

    21-4171-24
    ProPort (Plastic Low-Profile portal)2.6 mm PUR catheter – Tray
    10610586012716
    396927541967684153873422778842323104136364423560039844213941279402260141485904276227424871843955124302980441544543074784420760432588044498774358053446062043580546013083

    21-4183-24
    ProPort (Plastic Low-Profile portal)1.9 mm PUR catheter – Tray
    10610586012778
    39160284256964416355660266514235601422172742486944256928

    21-4187-24
    ProPort (Plastic Low-Profile portal)2.8 mm Silicone catheter – Tray 
    10610586012839
    41967363922514

    Additional FDA Resources  

    FDA’s Enforcement Report

    Smiths Medical ProPort Plastic Venous Access System, Silicone Catheter, 2.87,,O.D. (8.4Fr) s 1.0mm I.D., REF 21-4150-24
    Smiths Medical ProPort Plastic Venous Access System, Silicone Catheter, 2.8mm (8.4Fr) O.D. x 1.0mm I.D., 9 Fr Introducer, REF 21-4151-24
    Smiths Medical ProPort Plastic Venous Access System, PolyFlow Polyurethane Catheter, 1.9mm O.D. (5.8 Fr) x 1.0mm I.D., REF 21-4152-24
    Smiths Medical ProPort Plastic Venous Access System, PolyFlow Polyurethane Catheter, 1.9mm (5.8Fr) O.D. x 1.0mm I.D., 6Fr Introducer, REF 21-4153-24
    Smiths Medical ProPort Plastic Venous Access System, PolyFlow Polyurethane Catheter, 2.6mm O.D. (7.8Fr) x 1.6mm I.D., REF 21-4155-24
    Smiths Medical ProPort Plastic Venous Access System, Pre-assembled with PolyFlow Polyurethane Catheter, 2.6mm (7.8Fr) O.D. x 1.6mm I.D., 8.6Fr Introducer, REF 21-4165-24
    Smiths Medical ProPort Plastic Venous Access System, PolyFlow Catheter, 2.6 (7.8Fr) O.D. x 1.6mm I.D., 8.5Fr Introducer, REF 21-4171-24
    Smiths Medical ProPort Plastic Venous Access System, Pre-assembled with PolyFlow Polyurethane Catheter, 2.6mm O.D. (7.8Fr) x 1.6mm I.D., REF 21-4172-24
    Smiths Medical ProPort Plastic Venous Access System, Pre-assembled with PolyFlow Polyurethane Catheter, 2.6mm (7.8Fr) O.D. x 1.6mm I.D., 8.5Fr Introducer, REF 21-4173-24
    Smiths Medical ProPort Plastic Venous Access System, Implantable Venous Access Systems, 82-24
    Smiths Medical ProPort Low Profile Plastic Venous Access System, PolyFlow Polyurethane Catheter, 1.9mm (5.8Fr) O.D. x 1.0mm., 6Fr Introducer, REF 21-4183-24
    Smiths Medical ProPort Low Profile Plastic Venous Access System, Silicone Catheter, 2.8mm (8.4Fr) O.D. x 1.0mm I.D., 9Fr Introducer, REF 21-4187-24

    Medical Device Recall Database

    Unique Device Identifier (UDI)
    The unique device identifier (UDI) helps identify individual medical devices sold in the United States from manufacturing through distribution to patient use. The UDI allows for more accurate reporting, reviewing, and analyzing of adverse event reports so that devices can be identified, and problems potentially corrected more quickly.

    How do I report a problem?
    Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program.  

    Content current as of:
    03/19/2025

    Regulated Product(s)

    MIL OSI USA News

  • MIL-OSI USA: Paws Off Xylitol; It’s Dangerous for Dogs

    Source: US Food and Drug Administration

    [embedded content]

    Español
    Your six-month-old puppy, Hoover, will eat anything that isn’t tied down. Like many dog owners, you know chocolate can be dangerous to your pooch. But you may not know that if Hoover sticks his nose in your handbag and eats a pack of sugarless chewing gum, the consequences could be deadly.
    Sugarless gum may contain xylitol, a class of sweetener known as sugar alcohol. Xylitol is present in many products and foods for human use, but can have devastating effects on your pet.
    If you think your dog may have eaten a product containing xylitol, call your vet, emergency clinic, or animal poison control center right away.
    Over the past several years, the Center for Veterinary Medicine at the U.S. Food and Drug Administration (FDA) has received several reports—many of which pertained to chewing gum—of dogs being poisoned by xylitol, according to Martine Hartogensis, a veterinarian at the FDA. The most recent report was related to “skinny” (sugar-free) ice cream.
    And you may have heard or read news stories about dogs that have died or become very ill after eating products containing xylitol , which also may be known as birch sugar or wood sugar.
    Other Foods Containing Xylitol
    Gum isn’t the only product containing xylitol. Slightly lower in calories than sugar, this sugar substitute is also often used to sweeten sugar-free candy, such as mints and chocolate bars, as well as sugar-free chewing gum. Other products that may contain xylitol include:

    breath mints
    baked goods
    cough syrup
    children’s and adult chewable vitamins
    mouthwash
    toothpaste
    some peanut and nut butters
    over-the-counter medicines
    dietary supplements
    sugar-free desserts, including “skinny” ice cream

    Xylitol can be used in baked goods, too, such as cakes, muffins, and pies — often because the baker is substituting another sweetener for sugar, as in products for people with diabetes. People can buy xylitol in bulk to bake sweet treats at home. In-store bakeries also are selling baked goods containing the sweetener. Some pediatric dentists also recommend xylitol-containing chewing gum for children, and these products could end up in a dog’s mouth by accident. It’s a good idea to keep all such products well out of your dog’s reach.
    Why is Xylitol Dangerous to Dogs, but Not People?
    In both people and dogs, the level of blood sugar is controlled by the release of insulin from the pancreas. In people, xylitol does not stimulate the release of insulin from the pancreas. However, it’s different in canines: When dogs eat something containing xylitol, the xylitol is more quickly absorbed into the bloodstream, and may result in a potent release of insulin from the pancreas.
    This rapid release of insulin may result in a rapid and profound decrease in the level of blood sugar (hypoglycemia), an effect that can occur within 10 to 60 minutes of eating the xylitol. Untreated, this hypoglycemia can quickly be life-threatening, Hartogensis says.
    A note to cat and ferret owners: Xylitol does not seem to be as dangerous for cats and other pets. Cats appear to be spared, at least in part, by their disdain for sweets. Ferret owners, however, should be careful, as ferrets have been known to develop low blood sugar and seizures, like dogs, after eating products containing xylitol.
    Symptoms to Look For in Your Dog

    Symptoms of xylitol poisoning in dogs include vomiting, followed by symptoms associated with the sudden lowering of your dog’s blood sugar, such as decreased activity, weakness, staggering, incoordination, collapse and seizures.
    If you think your dog has eaten xylitol, take him to your vet or an emergency animal hospital immediately, Hartogensis advises. Because hypoglycemia and other serious adverse effects may not occur in some cases for up to 12 to 24 hours, your dog may need to be hospitalized for medical monitoring.
    What Can You Do to Avoid Xylitol Poisoning in Your Dog?
    Dr. Hartogensis says, “Check the label for xylitol in the ingredients of products, especially ones that advertise as sugar-free or low sugar. If a product does contain xylitol, make sure your pet can’t get to it.” In addition:

    Keep products that contain xylitol (including those you don’t think of as food, such as toothpaste) well out of your dog’s reach. Remember that some dogs are adept at counter surfing.
    Only use pet toothpaste for pets, never human toothpaste.
    If you give your dog nut butter as a treat or as a vehicle for pills, check the label first to make sure it doesn’t contain xylitol.

    You Can Help the FDA by Reporting Safety Issues
    The FDA wants to know if your pet encounters safety issues with a product, and/or unanticipated harmful effects that you believe are related to a product.
    “Timely reporting of problems enables FDA to take prompt action,” Hartogensis says. Each report is evaluated to determine how serious the problem is and, if necessary, additional information may be requested from the person who filed the report.
    You can report problems related to both human and pet foods and treats at the Safety Reporting Portal.
    Want to spread the word about xylitol? Here’s a poster you can print out to give to your veterinarian or pet shop owner, or perhaps your child’s school.
    back to top

    MIL OSI USA News

  • MIL-OSI USA: Governor Newsom proclaims Developmental Disabilities Awareness Month

    Source: US State of California 2

    Mar 19, 2025

    Sacramento, California – Governor Gavin Newsom today issued a proclamation declaring March 2025, as Developmental Disabilities Awareness Month.

    The text of the proclamation and a copy can be found below:

    PROCLAMATION

    California is proud to join states around the country, raising awareness about the many ways in which people with intellectual and developmental disabilities contribute to strong, diverse communities across our state. This March, we shine a light on the work underway to drive the inclusion of people with intellectual and developmental disabilities and reaffirm our collective commitment to breaking down the barriers they face in connecting to the communities where they live.

    Over the last decade, California has worked to support people with intellectual and developmental disabilities such as Autism and Down Syndrome with the resources they need to live and thrive in the community. We are the only state that provides developmental services as an entitlement, and we prioritize home and community-based care – avoiding institutional settings. We’ve increased the rates for our direct service professionals to keep and attract the people who provide vital support. We’re also supporting strong career pathways for those with intellectual and developmental disabilities through investments in education, new laws encouraging earlier career planning, and ending sub-minimum wage as of this last January.

    This year, California’s Health and Human Services Agency (CalHHS) released a draft of the Master Plan for Developmental Services: A Community Driven Vision to leverage investments and strengthen quality, access, and sustainability for all consumers and families – no matter their demographic groups, geographic region, or socioeconomic status. The Master Plan recognizes that California’s developmental services system is deeply connected to other health and social systems. It seeks to create and strengthen bridges between critical systems across CalHHS and other systems and services, including education, housing, employment, transportation, and public safety.

    We are taking a whole-of-government approach, one driven by communities themselves and delivered in partnership with the private sector, to realize a more equitable, person-centered, and data-driven developmental services system. We’ll continue working across sectors and disciplines to ensure that all Californians with intellectual and developmental disabilities can thrive and contribute to all facets of life in their neighborhoods and communities. And this month, we also take the opportunity to celebrate the value and gifts that people with intellectual and developmental disabilities contribute to the Golden State.

    NOW THEREFORE I, GAVIN NEWSOM, Governor of the State of California, do hereby proclaim March 2025, as “Developmental Disabilities Awareness Month.”

    IN WITNESS WHEREOF I have hereunto set my hand and caused the Great Seal of the State of California to be affixed this 17th day of March 2025.

    GAVIN NEWSOM
    Governor of California

    ATTEST:
    SHIRLEY N. WEBER, Ph.D.
    Secretary of State

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  • MIL-OSI USA: California seizes over 650,000 fentanyl pills so far in 2025

    Source: US State of California 2

    Mar 19, 2025

    What you need to know: In the first two months of 2025, California National Guard’s Counter Drug Task Force has seized 1,045 pounds of illicit fentanyl with a street valuation of $6.8 million.

    SACRAMENTO – Continuing an enhanced focus in 2025 to combat the scourge of illegal fentanyl trafficking, in January and February, the California National Guard (CalGuard) has seized 1,045 pounds and more than 650,000 pills containing fentanyl, with a street valuation of more than $6.8 million. 

    Through their Counter Drug Task Force operations, the Cal Guard Task Force members have been strategically deployed statewide, including at ports of entry, to combat transnational criminal organizations and trafficking illegal narcotics like fentanyl, in support of federal, state, and local law enforcement partners.

    “By disrupting the trafficking of the 1,045 pounds of fentanyl so far this year, Cal Guard’s Counter Drug Task Force continues to save countless lives across our state. I cannot thank them enough for their support in keeping deadly fentanyl out of our communities.”

    Governor Gavin Newsom

    Service members helped confiscate 488 pounds of powder-laced fentanyl and 331,069 pills of this dangerous drug in February, adding to the efforts in January

    In addition, Cal Guard service members continue to transform drug prevention in elementary, middle, and high schools statewide through the Task Force’s Drug Demand Reduction Outreach program. Since October 2024, servicemembers visited 112 schools across the state and engaged with 57,442 students. By conducting in-person outreach and understanding students’ beliefs about their own health using a Health Belief Model, Cal Guard is implementing an impactful initiative in the fight against opioid abuse.

    Latest laboratory testing from the federal Drug Enforcement Agency indicates five out of 10 pills tested in 2024 contain a potentially deadly dose of fentanyl, which is down from seven of 10 pills in 2023.

    How we got here

    In 2024, Governor Newsom doubled down on the deployment of the Cal Guard’s Counterdrug Task Force by more than doubling the number of service members supporting fentanyl interdiction, and seizing other drugs, at California ports of entry to nearly 400. Fentanyl is primarily smuggled into the country by U.S. citizens through ports of entry. 

    Cal Guard’s coordinated drug interdiction efforts in the state are funded in part by California’s $60 million investment over four years to expand Cal Guard’s work to prevent drug trafficking by transnational criminal organizations. This adds to the Governor’s efforts to address fentanyl within California, including by cracking down on fentanyl in communities across the state, including San Francisco.
     

    Addressing the opioid crisis

    The state has launched various initiatives in recent years to combat illicit opioids through the Governor’s Master Plan for Tackling the Fentanyl and Opioid Crisis, which provides a comprehensive framework to support overdose prevention efforts, hold the opioid pharmaceutical industry accountable, crack down on drug trafficking, and raise awareness about the dangers of opioids like fentanyl.

    Recently, through funding designated by the Governor in the 2022-23 budget to develop the Fentanyl Enforcement Program, the Department of Justice recently announced a significant fentanyl bust worth $55 million and leading to the arrest of three major fentanyl traffickers. 

    The Campus Opioid Act, signed by Governor Newsom in 2022, requires that every public college campus in California distribute a federally approved opioid overdose reversal medication like naloxone, and include information about opioid overdoses in their orientation process. Building on this effort, the Governor last year signed AB 2429, requiring that fentanyl education be included in high school health classes starting in the 2026-27 school year.

    Serving as a one-stop tool for Californians seeking resources for prevention and treatment, the website opioids.ca.gov provides information on how California is working to hold Big Pharma and drug traffickers accountable in this crisis.

    The public education campaign Facts Fight Fentanyl informs Californians about the dangers of fentanyl and how to prevent overdoses and deaths. This effort will provide critical information about fentanyl and life-saving tools such as naloxone. 

    Through the Naloxone Distribution Project (NDP), over-the-counter CalRx®-branded naloxone is now available across the state. The CalRx®-branded over-the-counter (OTC) naloxone HCL nasal spray, 4 mg, is available for free to eligible organizations through the state and for sale for $24 per twin-pack through Amneal. Since 2018, there have been over 334,000 reversals reported from NDP naloxone since 2018.

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  • MIL-Evening Report: Figs, meat – and not too much sex. A good diet in ancient times was more than what you ate

    Source: The Conversation (Au and NZ) – By Konstantine Panegyres, Lecturer in Classics and Ancient History, The University of Western Australia

    The Feast of Acheloüs by Peter Paul Rubens and Jan Brueghel the Elder, ca. 1615 The Metropolitan Museum of Art

    In the modern world, we know good nutrition is essential for our health.

    Doctors in ancient Greece and Rome knew this too – in fact diet advice was a mainstay of medical practice and health routines. There were extensive and intricate discussions of how to regulate food and drink to stay healthy.

    Some of their ideas – such as eating fish and vegetables as a healthy way to lose weight – make sense today. But others may raise eyebrows, such a fig-only diet for Olympic athletes.

    So, what did diet and nutrition look like in ancient times? And is there anything we can learn today?

    An expansive diet

    In modern times, diet refers to food and drink. In ancient times, however, the idea of diet was more expansive.

    Our word “diet” comes from the ancient Greek word diaita. This could refer to what we eat and drink, but it could also refer to our lifestyle as a whole – including exercise, sleep, sex and other activities.

    When prescribing a diaita, ancient doctors did not just tell patients what to eat and drink. They also advised them on what sorts of other activities they should be doing, like exercising or even going to the theatre.

    For instance, in the sixth book of the Epidemics, a medical text written in the late fifth century BC, the author calls for moderation not just in what we eat and drink, but also in exercise, sleep and sex.

    Ancient doctors believed balance was important for health.

    Extreme dieting

    However, not all ancient texts advocate moderation. There are some extreme cases of dieting. For example, the historian Hegesander of Delphi (2nd century BC) wrote:

    Anchimolus and Moschus, who were sophistic teachers in Elis, drank nothing but water all their lives and ate nothing but figs, but were no less physically vigorous than anyone else. Their sweat, however, smelled so bad that everyone tried to avoid them in the baths.

    Some ancient athletes swore by a fig-only diet.
    Wikimedia Commons

    In the seventh century BC, athletic trainers also focused on diet as a way to improve their athletes’ physical condition. Trainers such as Iccus of Tarentum introduced strict diets for their athletes to try and gain a competitive edge.

    However, their methods were often questionable, according to today’s standards and our knowledge about nutrition.

    For example, the Olympic runner Chionis of Laconia apparently also had a strict diet of figs when he was training for his competitions. He won in his event at the Olympics in 668, 664, 660, and 656BC, a remarkable record. Other athletes, such as Eurymenes of Samos (sixth century BC), opted for a diet entirely comprised of meat.

    However, there is no evidence to show these restricted diets would have improved athletic performance – and would not be recommended today.

    The physician Galen.
    Pierre-Roch Vigneron/Wikimedia Commons

    An ancient doctor’s perspective

    Greek and Roman doctors could not conduct controlled trials as scientists do today.

    Nevertheless, they were keen observers of the effects of certain foods on their patients – and saw with their own eyes that a bad diet is not good for us.

    For example, the physician Galen of Pergamum (129-216AD) in his work Hygiene attributes his patients’ ill health to poor diet.

    He observed

    some who are continuously diseased, not due to the intrinsic constitution of the body, but through a bad regimen, or living an idle life, or working too hard, or being in error regarding the qualities, quantities or times of foods, or practicing some exercise that is harmful, or erring in regard to the amount of sleep, or excessive indulgence in sex, or needlessly tormenting themselves with grief and anxiety. Every year I see very many who are sick through such a cause.

    Galen thought hard about how certain foods and drinks affect our health and wrote various books on the subject, such as On the Powers of Foods.

    This work contains many anecdotes. For instance, one young man drank the juice of the scammony plant, “to cleanse his system” (presumably as a laxative). However

    five hours after the dose no evacuation had taken place, and he complained that his stomach felt compressed, his belly was heavy and swollen, consequently he was pale and anxious.

    Galen also recognised different diets affect people in different ways:

    some people are harmed and some are benefited by the same things and similarly with opposites. […] I know of some who immediately become sick, if they remain three days without exercise, and others who continue indefinitely without exercise and yet are healthy.

    Nutrition and balance

    Galen’s advice for overweight or obese patients may sound familiar: a “thinning” diet and a lot of fast running. So, exercise, combined with foods that fill you up but don’t make you gain weight.

    According to Galen this meant eating vegetables and fish and avoiding wheat, red meat, fruit and wine.

    A lot has changed in the world of diet and nutrition. We now have professional dietiticians and empirical methods to measure the nutritional values of foods.

    However in their broader definition of “diet”, ancient doctors identified something that remains as true today: the importance of eating well as part of a healthy lifestyle, one that takes care of body and mind and includes exercise, sleep and pleasure.

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

    ref. Figs, meat – and not too much sex. A good diet in ancient times was more than what you ate – https://theconversation.com/figs-meat-and-not-too-much-sex-a-good-diet-in-ancient-times-was-more-than-what-you-ate-249571

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Europe: OCEANIA/PAPUA NEW GUINEA – Resignation and succession of metropolitan archbishop of Mount Hagen

    Source: Agenzia Fides – MIL OSI

    Tuesday, 18 March 2025

    Vatican City (Agenzia Fides) – The Holy Father has accepted the resignation from the pastoral care of the metropolitan archdiocese of Mount Hagen, Papua New Guinea, presented by Archbishop Douglas William Young, S.V.D.He is succeeded by Archbishop Clement Papa, until now Coadjutor Archbishop of the same See.His Exc. Msgr. Clement Papa was born on 22 February 1971 in Mount Hagen, Western Highlands, (Papua New Guinea).He studied philosophy at the Good Shepherd Seminary in Maiwara, Madang, and, after a pastoral and spiritual experience, he studied theology at the Holy Spirit Seminary and the Catholic Theological Institute in Bomana, National Capital District. He was ordained a priest on 3 December 1999 for the Metropolitan Archdiocese of Mount Hagen.He has held the following positions and continued his studies: Assistant Parish Priest of Fatima (2000-2001); Parish Priest of Kol-Ambulua (2002-2003); Licentiate in Dogmatic Theology at the Pontifical Urbaniana University in Rome (2006); Chaplain at Holy Trinity Teachers College (2007); Dean of Studies at Good Shepherd Seminary in Mt. Hagen (2008); Doctorate in Theology at Melbourne College of Divinity (2021); Lecturer at Good Shepherd Seminary (2021); Rector of Good Shepherd Seminary (2011-2014; 2022); Member of the Finance Committee and Member of the Board of Trustees of the Archdiocese (2011-2014; 2023); since 2023 he has been the interim Director of the Spiritual Year at the Good Shepherd Seminary. (Agenzia Fides, 18/3/2025)
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  • MIL-OSI Africa: Motsoaledi urges all to help fight against ’silent killer’ TB

    Source: South Africa News Agency

    Minister of Health, Dr Aaron Motsoaledi, says Tuberculosis (TB) has resulted in more deaths than all other infectious diseases combined but receives less attention. 

    In 2023 alone, TB claimed over 56 000 deaths in South Africa, despite being a preventable and treatable disease. 

    The Minister emphasised the urgent need to tackle this public health crisis and announced that the soon-to-be-launched End TB campaign aims to reduce TB-related deaths by 41% by 2035.

    “TB is one of the oldest and deadliest diseases, yet it continues to be a silent killer,” said Motsoaledi on Wednesday. 

    “TB doesn’t make noise. And that’s the problem that we’re faced with. That’s why I’m saying we are faced with a very difficult job.” 

    The Minister called on everyone to act now to end this epidemic and save lives.

    The Minister’s remarks come as Chairperson of the South African National AIDS Council (SANAC), Deputy President Paul Mashatile, will deliver the keynote address at the national World TB Day commemorative event on Monday, 24 March 2025.

    World TB Day is commemorated annually on the 24th of March to raise public awareness about the global epidemic of TB and highlight efforts to eliminate the disease.

    During the event on Monday, the Deputy President will also launch the national End TB campaign in Gamalakhe Township, Ugu District, KwaZulu-Natal. 

    According to the Minister, the End TB initiative aims to test five million people for the disease, leveraging the success of HIV treatment strategies to control disease and prevent drug resistance.

    “When we say you want to test five million people, if one family member tested positive, we want to test the whole family. That’s what we are going to do.”

    He noted that this infectious disease has killed more people than all other infectious including Ebola, malaria, yellow fever, smallpox, HIV/AIDS, COVID-19, influenza, and mpox. 

    In addition, Motsoaledi emphasised several key elements of the campaign, including the need for those who test positive to receive immediate treatment to prevent further transmission.

    The Minister acknowledged the strong link between TB and HIV/AIDS and announced that the campaign will integrate the management of these two diseases, noting that TB kills 80% of people with HIV. 

    He highlighted the success of SANAC in bringing HIV/AIDS under control, observing the reduction in funerals over the past 15 years.

    He suggested changing the name of SANAC to the South African National AIDS and TB Council to reflect the co-infection.

    Meanwhile, he said the End TB campaign was a critical step in South Africa’s efforts to address the longstanding TB epidemic and improve the health and well-being of its citizens. 

    He also touched on the promising new M72/AS01E TB vaccine, funded by the Gates Foundation and Wellcome, with the trial being conducted by the Bill & Melinda Gates Medical Research Institute (Gates MRI), with preliminary results expected in 2027. 

    The Minister called on the media to be an ally in shaping public perceptions, creating awareness, and influencing action around the TB campaign. 

    He was of the view that by amplifying the message, the media can play a crucial role in mobilising communities to participate in the fight against TB.

    “We cannot succeed in this battle without the support and engagement of the media. 

    “Together, we can raise awareness, dispel misconceptions, and empower people to take action against this preventable disease,” he stressed. – SAnews.go.za

    MIL OSI Africa

  • MIL-OSI USA: As Measles Cases Spread, NYS Encourages Immunization

    Source: US State of New York

    Based on immunization registry data, the current statewide vaccination rate for babies up to two years old, excluding New York City, is 81.4 percent. This is the percent of children who have received at least one dose of the Measles-Mumps-Rubella (MMR) vaccines. However, actual vaccination coverage among school-age children is higher, typically around 90 percent.

    Individuals should receive two doses of the MMR vaccine to be protected. Those who aren’t sure about their immunization status should call their local health department or health care provider. Those who were born before 1957 have likely already been exposed to the virus and are immune. Those born between 1957 and 1971 should check with a doctor to ensure they’ve been properly immunized as vaccines administered during that time may not have been reliable.

    Those who travel abroad should make sure they are vaccinated for measles. Babies as young as 6 months can get an MMR if they are traveling abroad. The babies should get their MMRs on schedule and need a total of three MMRs.

    The State Health Department is monitoring the situation very carefully, along with the New York City Department of Health and Mental Hygiene. Local health departments in each county are prepared to investigate cases and distribute vaccines or other protective measures as needed.

    “As measles outbreaks occur at home and around the globe, it’s critical that New Yorkers take the necessary steps to get vaccinated, get educated and stave off the spread of this preventable disease — the safety of our communities depends on it.”

    Governor Hochul

    NYC Health Department Acting Commissioner Dr. Michelle Morse said, “To date, the NYC Health department has confirmed three unrelated cases of measles in New York City. Disease surveillance and outbreak response readiness is at the heart of our agency’s operations. Measles is highly contagious and can be deadly. We strongly encourage people who have not been vaccinated to get vaccinated and make sure your children have received the MMR (measles, mumps, rubella) vaccines. Vaccination not only protects the person who gets vaccinated, but also contributes to community protections by helping stop the spread of the disease and keeping infants and others who can’t be vaccinated safe.”

    State Senator Gustavo Rivera said, “The four reported cases of measles in New York State this year are not only concerning but also, a stern reminder that we must keep our recommended immunizations up to date. I want to thank Governor Hochul and Commissioner McDonald for launching a portal to provide support to health care providers who are our first line of defense when it comes to public health. Measles could pose serious health risks for those who contract it and are not protected so it is critical that we follow the science and don’t fall behind on immunizations.”

    Assemblymember Amy Paulin said, “The science is clear – the measles vaccine works. I encourage everyone to get vaccinated, and I appreciate Governor Hochul and State Health Commissioner McDonald’s efforts to provide New Yorkers and healthcare providers with the support, education, and resources for this lifesaving immunization.”

    Misinformation around vaccines has in recent years contributed to a rise in vaccine hesitancy, declining vaccination rates and a black market for fraudulent vaccination records. The Department takes an active role in combating vaccination fraud. This includes work by the Department’s Bureau of Investigations identifying, investigating, and seeking impactful enforcement actions against those who falsify vaccine records, as evidenced by several recent cases announced by the Department.

    Combating vaccine fraud is a collective effort that includes various stakeholders responsible for community health and safety. The Department works with schools to help them fulfill their responsibility of reviewing vaccination records for fraud. Additionally, the Department partners with the New York State Education Department, local health departments and school-nurse professional organizations around this critical effort. Moreover, the Department’s Bureau of Investigations, in particular, works to educate, engage and support police and prosecutors statewide regarding vaccination fraud, which under New York law is a felony-level criminal offense.

    Measles is a highly contagious, serious respiratory disease that causes rash and fever. In some cases, measles can reduce the immune system’s ability to fight other infections like pneumonia.

    Serious complications of measles include hospitalization, pneumonia, brain swelling and death. Long-term serious complications can also include  subacute sclerosing panencephalitis, a brain disease resulting from an earlier measles infection that can lead to permanent brain damage.

    People who are infected with measles often get “measles immune amnesia,” which causes their immune system to lose memory to fight other infections like pneumonia. In places like Africa, where measles is more common, this is the largest driver of mortality.

    Measles during pregnancy increases the risk of early labor, miscarriage and low birth weight infants.

    Measles is caused by a virus that is spread by coughing or sneezing into the air. Individuals can catch the disease by breathing in the virus or by touching a contaminated surface, then touching the eyes, nose, or mouth. Complications may include pneumonia, encephalitis, miscarriage, preterm birth, hospitalization and death.

    The incubation period for measles is up to 21 days. People who are exposed to measles should quarantine 21 days after exposure and those who test positive should isolate until four days after the rash appears.

    Symptoms for measles can include the following:

    7-14 days, and up to 21 days after a measles infection

    • High fever
    • Cough
    • Runny nose
    • Red, watery eyes

    3-5 days after symptoms begin, a rash occurs

    • The rash usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs and feet.
    • Small, raised bumps may also appear on top of the flat red spots.
    • The spots may become joined together as they spread from the head to the rest of the body.
    • When the rash appears, a person’s fever may spike to more than 104° Fahrenheit.

    A person with measles can pass it to others as soon as four days before a rash appears and as late as four days after the rash appears.

    MIL OSI USA News

  • MIL-OSI USA: Governor Launches Long Island Seafood Cuisine Trail

    Source: US State of New York

    overnor Kathy Hochul today announced the launch of the Long Island Seafood Cuisine Trail. Officially opened today, the South Shore Trail runs from Bay Shore to Montauk and is intended to drive business and tourism to locations proudly serving and selling locally raised and wild-caught, sustainably harvested fish and shellfish while promoting Long Island’s seafood industry. The Trail is a part of the State’s Blue Food Transformation initiative, first announced in the Governor’s 2024 State of the State proposal, which was created to reinvigorate New York’s aquaculture and wild-caught seafood industries and strengthen local food systems.

    “Long Island’s aquaculture and seafood industries are vital to New York’s agricultural economy – they create jobs, support a healthy environment, and provide New Yorkers with fresh, nutritious seafood,” Governor Hochul said. “The Long Island Seafood Cuisine Trails highlight the amazing fish and shellfish harvested locally, showcase our outstanding small businesses, and attract more visitors to this incredible region.”

    Long Island Seafood Cuisine Trails

    Today’s announcement was made at a special ribbon cutting ceremony at The Snapper Inn in Oakdale where State Agriculture Commissioner Richard A. Ball joined representatives from Cornell Cooperative Extension (CCE) of Suffolk County, state and local elected officials, local business owners, and other partners to unveil the first of two planned Long Island Seafood Cuisine Trails. The Snapper Inn is on the western end of the South Shore Trail, which will include 20 official locations and other points of interest to spotlight New York’s seafood industry, and drive visitors to businesses that serve and sell locally wild-caught, sustainably harvested fish and shellfish. The North Shore Trail, which will run from Oyster Bay to Greenport, is under development and slated to launch in the coming months.

    The event also featured a sneak peek of the forthcoming Long Island Seafood Cuisine Trail digital app, which will make it even easier for customers to discover Long Island establishments serving seafood-centric dishes. Currently under development, the app will guide customers to Long Island establishments where they can enjoy a fine local seafood meal, pick up a variety of oysters for a local oyster tasting, take-out a quick seafood lunch, or fillets from a local seafood shop to prepare a fish dinner at home. An online version of the app is available on the Long Island Seafood Trail website, and the mobile app is expected to be available on the Apple App Store and Google Play in the coming weeks.

    Visitors are encouraged to follow the trail for locations that are known to appreciate and celebrate the bounty of Long Island’s waters while boosting business and supporting local fishing communities. Regional points of interest and local events are also integrated into the app to support a full tourism experience. Visit the Seafood Trail page on the Local Fish website for more information.

    The Trail was created by CCE of Suffolk County’s Marine Program, in collaboration with the New York State Department of Agriculture and Markets (AGM). AGM additionally worked closely with the New York State Department of Transportation (DOT) on the designation of the trails. A list of trail stops is available on the AGM website.

    New York State Agriculture Commissioner Richard A. Ball said, “Long Island’s waters are abundant with fresh, delicious fish and shellfish, and our seafood industry works tirelessly in harvesting and raising these local delicacies. I encourage New Yorkers to visit any number of the many stops on the new Long Island Seafood Cuisine Trail to discover some delicious foods and help support our local aquaculture community.”

    Cornell Cooperative Extension Suffolk Executive Director Vanessa Lockel said, “The CCE Suffolk Marine Program plays a key role in preserving Long Island’s waterways through science, restoration, and education. We are proud to have partnered on the Long Island Seafood Cuisine Trail, a project that aligns with our mission by highlighting the region’s aquaculture and seafood industries—industries that are critical to both our economy and the health of our environment.”

    Seafood Processing Feasibility Study

    Also funded through the Governor’s Blue Food Transformation initiative, CCE of Suffolk County has engaged industry stakeholders and conducted research to define and mitigate challenges necessary to expand capacity for seafood processing on Long Island. The project examines operating models, locations, basic facility design, and capital budget as a baseline for standalone seafood processing facilities. A final draft report will be presented for industry feedback at the Long Island Seafood Summit this month.

    Inter-Agency Task Force

    In addition to the cuisine trails and feasibility study, the Governor also announced that AGM, the Department of Environmental Conservation, Empire State Development, Department of Health, New York Sea Grant, and other agencies involved in the production and marketing of seafood formed the New York State Seafood Interagency Workgroup. The group was tasked with evaluating and coordinating state policies and programs that impact aquaculture licensing, food safety, and economic development measures, and considering pathways for industry growth. The Workgroup’s final report is available online at the AGM website.

    New York State has a diverse sustainable wild-caught seafood industry and growing aquaculture industry that harvest a variety of products including finfish, kelp, and shellfish. Commercial fishermen on Long Island sustainably harvested over 16 million pounds of finfish in 2023, worth over $28 million dollars. Montauk, the state’s largest commercial fishing port, is 51st in the nation for wild-caught seafood based on poundage, and 53rd in the nation based on dollar value.

    From Long Island to the Finger Lakes, both small-scale and commercial-scale aquaculture operations grow fresh, safe, and sustainable seafood, and harvest wild-caught, sustainable fish. According to the most recent USDA Census of Agriculture, the aquaculture industry accounts for over 25 percent of farms on Long Island, with 155 operations in Suffolk County and 15 in Nassau County.​ Combined, the two counties generated over $14.5 million in sales in 2022.

    Department of Environmental Conservation Acting Commissioner Amanda Lefton said, “Thanks to Governor Hochul’s sustained support and protection of the South Shore’s irreplaceable marine habitat and resources, the Long Island Seafood Cuisine Trails initiative is gearing up to launch its first segment and celebrate the fantastic seafood associated with Long Island’s vibrant coastal culture and maritime traditions. DEC appreciates the work of our partners at the Department of Agriculture and Markets and their work to support local hatcheries, boosting the Long Island’s shellfish farming economy and complementing the State’s ongoing efforts to ensure the success of New York’s commercial fishing industry while protecting seafood for consumers.”

    New York State Department of Transportation Commissioner Marie Therese Dominguez said, “Long Island is one of the epicenters of New York’s internationally recognized food and beverage industry, with its world-renowned vineyards, rich farmlands and storied fishing history. The Long Island Seafood Cuisine Trail, which New York State DOT proudly supports, will enhance sustainable and healthy aquaculture and is a perfect way for South Shore residents and visitors to take in Long Island’s pristine beaches and native wildlife, while enjoying some of the most nutritious and delicious seafood anywhere in the world. See you on the Trail!”

    Empire State Development President, CEO and Commissioner Hope Knight said, “The new Long Island Seafood Cuisine Trail will showcase the world class culinary offerings available to residents and visitors alike across the South Shore. This will highlight the importance of the region’s aquaculture industry and introduce more people to the unique small businesses that are vital to local economies.”

    Long Island Farm Bureau Director Rob Carpenter said, “Commercial fishing and aquaculture are very important legacy industries on Long Island. Our fishermen, baymen, and oyster growers provide residents with some of the highest quality and most flavorful seafood found anywhere in the world. This seafood trail will help to promote the incredible restaurants, shops, and seafood products available right in our own backyard for residents to experience and enjoy.”

    Long Island Oyster Growers Association President Eric Koepele said, “If Dorothy hailed from Long Island, every oyster shell trail would skip Oz for a seafood paradise like The Snapper Inn—where local oysters are shining gems behind the curtain. I encourage visitors to check out more beautiful locations over the rainbow on the Long Island Seafood Cuisine Trail to sample the best of Long Island’s delicious, fresh, local oysters.”

    Long Island Commercial Fishing Association Executive Director Bonnie Brady said, “For far too long, consumers and visitors to Long Island had to be “in the know,” to find the local specials of the day from restaurants, seafood shops, and boat-to-table small businesses. Now with the app, anyone can find the freshest Long Island seafood meal, north or south, no matter which Fork they live on or are visiting!”

    Discover Long Island President and CEO Kristen Reynolds said, “Long Island’s rich maritime heritage and world-class seafood industry are key drivers of tourism and economic vitality for our region. As Long Island’s only accredited destination marketing organization with an audience of more than 10 million global viewers, we look forward to sharing this exciting new product, encouraging both locals and visitors to explore and support the small businesses, restaurants, and coastal communities that make our destination truly unique.”

    New York State Restaurant Association President and CEO Melissa Fleischut said, “With its vibrant culinary scene, Long Island is renowned for its outstanding restaurants, and we’re delighted to see Governor Hochul and other state leaders continue their support for local businesses across the state. The summer months are a peak time for tourism, making the launch of the Long Island Seafood Cuisine Trails especially timely. We are eager to see the positive impact this initiative will have on the region’s restaurant industry, driving both awareness and visitors to these local establishments.”

    State Senator Michelle Hinchey said, “Cuisine trails are roadmaps to some of the best local food New York has to offer, guiding people to delicious meals and products while supporting the small businesses that serve them. The launch of the Long Island Seafood Cuisine Trails adds a new layer to New York’s expanding food trail system and we were proud to move this initiative forward in last year’s budget. It’s exciting to see the trail come to fruition, knowing it will give locals and visitors the chance to try the freshest catches, explore new communities, and discover hidden gems along the way.”

    Assemblymember Donna Lupardo said, “I’m very pleased that the Long Island Seafood Cuisine Trail is up and running. We included the Blue Food Transformation Initiative in last year’s state budget to support New York’s aquaculture industry and initiatives like this. Cuisine Trails have proven to be very popular as they promote local food and farm businesses through agri-tourism. This new Trail and digital app will shine a spotlight on the locally raised and harvested fish and shellfish that Long Island is known for.”

    Assemblymember Jarett Gandolfo said, “Long Island’s seafood industry isn’t just a key part of our local economy, it’s part of who we are. From family-owned restaurants to hardworking fishermen, so many livelihoods depend on a thriving aquaculture industry. The launch of the Long Island Seafood Cuisine Trail is a great way to highlight and support these businesses while also giving residents and visitors the chance to experience the incredible seafood our waters provide. Investing in our local seafood industry means protecting jobs, strengthening Long Island’s tourism, and preserving a tradition that has been passed down for generations. I’m genuinely excited to see this take off and be able to see the positive impact it will have on our community.”

    Town of Islip Supervisor Angie Carpenter said, “Long Island’s waterways are one of our greatest natural resources, and initiatives like the Seafood Cuisine Trail not only celebrate our long-standing maritime heritage but also support the hardworking individuals who sustain our local seafood industry. Through our Town’s Shellfish Hatchery initiative, we are committed to protecting water quality, replenishing shellfish populations, and ensuring that locally harvested seafood remains a cornerstone of our economy and culture. I’m proud to stand alongside so many dedicated partners today as we continue working toward a thriving, sustainable future for Long Island.”

    The Blue Food Transformation Initiative was announced in the Governor’s 2024 State of the State proposal to increase consumer demand for local food and strengthen the local food system. The effort will include $5 million in infrastructure funding to bolster marine agriculture, promote a healthy natural environment, and provide New Yorkers with a nutritious source of locally grown seafood. These investments build on the Governor’s commitment to boost demand for New York agricultural products, bolster New York’s food supply chain, and ensure all New Yorkers can access fresh, local foods. This includes the Governor’s Executive Order 32 directing State agencies to increase the percentage of food sourced from New York farmers and producers to 30 percent of their total purchases within five years.

    New York State continues to prioritize increasing access to food for all New Yorkers and providing new markets for farmers through a number of programs and initiatives, including the enhanced FreshConnect Fresh2You initiative, the Farmers’ Market Nutrition Programs, the Urban Farms and Community Gardens Grants Programs, and more. The Department also administers the Nourish New York program, which is slated for an additional $5 million investment in the Governor’s proposed Executive Budget this year.

    The NYS 30 percent Initiative for schools, the State’s Farm-to-School program, and child nutrition programs administered by the State Education Department are focused on buying more local products from New York farmers and increasing healthy and nutritious local foods for New York school lunches.

    Additionally, the Governor is dedicating $50 million over five years to support regional cooking facilities that will facilitate the use of fresh New York State farm products in meal preparation for K-12 school children and a $10 million grant program to support the establishment of farm markets, supermarkets, food cooperatives, and other similar retail food stores, along with supporting infrastructure in underserved communities and regions of the State.

    Learn about the AGM’s programs and initiatives focused on providing new markets for farmers, increasing food access to underserved communities, and building healthier communities on the AGM website at the “Healthy Communities” page.

    MIL OSI USA News

  • MIL-OSI USA: Luján Joins Bipartisan Push to Deliver Combat-Injured Veterans Full Military Benefits

    US Senate News:

    Source: United States Senator Ben Ray Luján (D-New Mexico)

    Major Richard Star Act would provide combat-injured veterans with full earned disability compensation and retirement pay

    Española, N.M. – U.S. Senator Ben Ray Luján (D-N.M.) joined Senate Veterans’ Affairs Committee Ranking Member Richard Blumenthal (D-CT), U.S. Senators Mike Crapo (R-ID), Elizabeth Warren (D-Mass.), and Rick Scott (R-FL) to introduce S. 1032, the Major Richard Star Act—bipartisan legislation to provide combat-injured veteran retirees their full benefits.

    Currently, only veterans with disability ratings above 50 percent and more than 20 years of service are eligible to receive the full amount of their Department of Defense (DOD) retirement and Department of Veterans Affairs (VA) disability payments—leaving behind more than 50,000 combat-injured military retirees. The Senators’ Major Richard Star Act will fix this unjust policy for retired combat veteransproviding them their full VA disability and DOD retirement payments.

    “The men and women who risked their lives for our country and were injured in combat deserve the full benefits they have earned. Too many veterans have been left behind, and it’s far past time we correct this grave injustice,” said Senator Luján. “That’s why I am proud to stand with my colleagues working to fix the unjust veterans’ disability system.”

    “This measure corrects one of the deepest injustices in our present veterans’ disability system,” said Senator Blumenthal. “It is unacceptable that tens of thousands of combat-injured veterans are denied the full military benefits they earned. Our bipartisan bill will right this longstanding injustice and finally provide these military retirees who have already sacrificed so much their full VA disability and Defense Department retirement payments.”

    “The Major Richard Star Act corrects a severe injustice for combat-wounded veterans,” said Senator Crapo. “The support for this correction is clear.  Though the namesake of our legislation is no longer with us, I continue to press for its passage on behalf of the more than 50,000 veterans, including hundreds in Idaho, who stand to benefit.”  

    “Our veterans put their lives on the line for this country and it’s time our government gives them the full benefits they’ve earned,” said Senator Warren. “The Major Richard Star Act will ensure the federal government keeps its promise to our veterans by allowing them to collect both disability and retirement benefits they earned, even if combat injuries forced them to retire early.”

    “I am a proud veteran and the son of a World War II veteran, and I have immense respect for anyone who puts on the uniform to defend our nation,” said Senator Scott. “Our veterans are American heroes who have made countless sacrifices. The Major Richard Star Act ensures our veterans receive the full benefits they’ve earned through their service and sacrifice protecting our nation regardless of length of service. This legislation makes a critical change to treat our veterans fairly and support our nation’s heroes. I urge my colleagues to support its quick passage.”

    This bipartisan legislation is named in honor of Major Richard A. Star, a decorated war veteran who was forced to medically retire due to his combat-related injuries. Major Star sadly lost his battle with cancer on February 13, 2021. The legislation has 43 bipartisan cosponsors.

    The House companion version of this bill was introduced by Congressmen Gus Bilirakis (R-FL) and Raul Ruiz (D-CA), with 185 bipartisan cosponsors.

    The Senators’ bipartisan effort to provide combat-injured veterans their due benefits is supported by the Air Force Sergeants Association (AFSA), Air & Space Forces Association (AFA), American GI Forum, The American Legion,American Military Society,American Veterans (AMVETS), Armed Forces Retiree Association, Army Aviation Association of America (AAAA), Association of Military Surgeons of the United States (AMSUS), Association of the United States Army (AUSA), Association of the United States Navy (AUSN), Blinded Veterans Association (BVA), Burn Pits 360, Chief Warrant Officers Association of the US Coast Guard (CWOA), Commissioned Officers Association of the U.S. Public Health Service, Inc. (COA), Disabled American Veterans (DAV), Enlisted Association of the National Guard of the United States, Fleet Reserve Association (FRA), Heroes Athletic Association, Gold Star Wives of America (GSW), Iraq and Afghanistan Veterans of America (IAVA), Jewish War Veterans of the United States of America (JWV), K9s for Warriors, Marine Corps League (MCL), Marine Corps Reserve Association (MCRA), Military Chaplains Association of the United States of America (MCA), Military Officers Association of America (MOAA), Military Order of the Purple Heart (MOPH), Mission Roll Call, National Defense Committee, National Military Family Association (NMFA), Naval Enlisted Reserve Association (NERA), Non-Commissioned Officers Association (NCOA), Operation First Response, Paralyzed Veterans of America (PVA),Quality of Life Foundation, Reserve Organization of America (ROA), Stronghold Freedom Foundation, Tragedy Assistance Program for Survivors (TAPS), The Retired Enlisted Association (TREA), The Independence Fund (TIF), United States Army Warrant Officers Association (USAWOA), USCG Chief Petty Officers Association (CPOA), VetsFirst/United Spinal Association, Vietnam Veterans of America (VVA), Wounded Paw Project, Wounded Warrior Project (WWP).

    MIL OSI USA News

  • MIL-OSI USA: Murphy, Blumenthal, 45 Colleagues File Amicus Brief To Protect Access To Reproductive Health Care

    US Senate News:

    Source: United States Senator for Connecticut – Chris Murphy

    March 19, 2025

    HARTFORD—U.S. Senators Chris Murphy (D-Conn.), a member of the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP), and Richard Blumenthal (D-Conn.)  joined the Senate Democratic caucus in filing an amicus brief with the U.S. Supreme Court in support of protecting the right of millions of Americans to receive reproductive health care from the provider of their choosing. The case, Medina v. Planned Parenthood of South Atlantic, challenges South Carolina Governor Henry McMaster’s attempt to block in-state Medicaid program beneficiaries from accessing reproductive health care at the Planned Parenthood South Atlantic (PPSAT) affiliate’s health centers.
    The case is centered around whether individuals can privately enforce the “free-choice-of-provider provision” in the Medicaid statute, which gives Medicaid beneficiaries the right to choose among any qualified health care provider that agrees to participate in Medicaid. A loss at the Supreme Court would pave the way for states to arbitrarily exclude Planned Parenthood from the Medicaid program and deny tens of millions of Americans the ability to receive comprehensive, essential reproductive health care from the provider of their choosing.
    In their amicus brief, the senators argue that the plain text of the Medicaid statute and legislative history make clear that Congress enacted the free-choice-of-provider provision to provide any individual eligible for Medicaid with the right to choose among qualified health care and that Congress has provided beneficiaries the ability to enforce that right in court.
    “The right to select one’s own healthcare provider has been a core promise of the program ever since. And for decades, Congress has approved of — indeed, relied on — private enforcement in federal court as a critical means of protecting that right,” the senators wrote.
    The senators continued: “Limiting Medicaid beneficiaries’ access to healthcare providers who specialize in women’s health care — merely because they separately provide abortion services — limits their access to all healthcare and erects false barriers to care.”
    “Private enforcement enables Medicaid beneficiaries to hold states accountable when they accept federal taxpayer money while violating beneficiaries’ right to choose the providers on whom that money is spent. Without such individual enforcement, vital healthcare facilities shutter, leaving our least resourced without access to affordable or accessible healthcare,” the senators added.
    Close to 70% of Planned Parenthood’s health centers are located in communities with a shortage of primary care services and unmet health care needs. This makes them critical heath care access points for people across the country, providing a number of essential health care services from wellness exams, cancer screenings, contraception and more.
    “Congress intentionally established Medicaid beneficiaries’ right to receive health care services from the provider of their choice when it enacted the free-choice-of-provider provision nearly sixty years ago. That promise to Medicaid beneficiaries should be honored,” the senators concluded.
    U.S. Senators Patty Murray (D-Wash.), Chuck Schumer (D-N.Y.), Ron Wyden (D-Ore.), Martin Heinrich (D-N.M.), Angela Alsobrooks (D-Md.), Tammy Baldwin (D-Wis.), Michael Bennet (D-Colo.), Lisa Blunt Rochester (D-Del.), Cory Booker (D-N.J.), Maria Cantwell (D-Wash.), Chris Coons (D-Del.), Catherine Cortez Masto (D-Nev.), Tammy Duckworth (D-Ill.), Dick Durbin (D-Ill.), John Fetterman (D-Pa.), Ruben Gallego (D-Ariz.), Kirsten Gillibrand (D-N.Y.), Maggie Hassan (D-N.H.), John Hickenlooper (D-Colo.), Mazie Hirono (D-Hawaii), Tim Kaine (D-Va.), Mark Kelly (D-Ariz.), Andy Kim (D-N.J.), Angus King (I-Maine), Amy Klobuchar (D-Minn.), Ben Ray Luján (D-N.M.), Ed Markey (D-Mass.), Jeff Merkley (D-Ore.), Jon Ossoff (D-Ga.), Alex Padilla (D-Calif.), Gary Peters (D-Mich.), Jack Reed (D-R.I.), Jacky Rosen (D-Nev.), Bernie Sanders (I-Vt.), Brian Schatz (D-Hawaii), Adam Schiff (D-Calif.), Jeanne Shaheen (D-N.H.), Elissa Slotkin (D-Mich.), Tina Smith (D-Minn.), Chris Van Hollen (D-Md.), Mark Warner (D-Va.), Raphael Warnock (D-Ga.), Elizabeth Warren (D-Mass.), Peter Welch (D-Vt.), and Sheldon Whitehouse (D-R.I.) also joined the senators in filing the brief. 
    The senators’ amicus brief to the Supreme Court can be read in full HERE.

    MIL OSI USA News

  • MIL-OSI USA: Welch Discusses Attacks on Medicaid & Bipartisan Bill to Support Rural Access to Care in Brattleboro

    US Senate News:

    Source: United States Senator Peter Welch (D-Vermont)
    BRATTLEBORO, VT – On Wednesday, U.S. Senator Peter Welch (D-Vt.), a member of the Senate Finance Committee, toured the Brattleboro Memorial Hospital, where he discussed his new bipartisan bill to support rural health care providers, the Rural Hospital Support Act, and the impact of President Trump’s and Congressional Republicans’ proposed Medicaid cuts on Vermonters. 
    “Rural hospitals are in trouble—that’s true in Vermont and it’s true in Iowa. They need a lifeline like the bipartisan Rural Hospital Support Act, which will help keep the doors open for patients who rely on our rural health care providers every day,” said Senator Welch ahead of the tour.  
    Welch continued: “Medicaid is essential for patients and our rural hospitals in Vermont, and that’s true across America. Vermonters I speak with have a genuine fear for how this budget will hurt their access to care—I share that, and I’m pushing back on this appalling agenda. There should be bipartisan support to protect this essential service—not slash it.” 
    See photos from the event below:  
    Senator Welch has slammed President Trump and Congressional Republicans for their budget, which would slash Medicaid and increase health care costs for millions of seniors, children, veterans, people with disabilities, and people with chronic diseases like cancer—all to give tax handouts to the ultra-wealthy. 
    More than 157,000 Vermonters rely on Medicaid for their health coverage and access to care. Medicaid provides around 41% of children in Vermont with health care, and nearly 2,000 births per year are covered by Medicaid. More than 38,000 people with a disability in Vermont are covered by Medicaid. More than 60% of nursing home residents in Vermont rely on Medicaid to pay for the care in the nursing home. Every hospital in Vermont serves Medicaid beneficiaries. The Republican budget threatens to slash Medicaid funding by a third, which means 32,000 rural residents in Vermont could lose their coverage.  
    Nationally, nearly 80 million Americans rely on Medicaid or the Children’s Health Insurance Program. Medicaid covers nearly a quarter of Americans in rural areas. Medicaid pays for nearly half of all births in the U.S., covers nearly half of all of America’s children, provides care to 2 in 3 nursing home residents, and provides peace of mind to 17 million women of reproductive age. More than 15.5 million Americans with a disability are covered by Medicaid. This program is a lifeline for rural communities and our rural hospitals, and any cuts to this funding could result in hospitals closures in rural communities like VT and across the country. The Washington Post recently highlighted the impact of Medicaid cuts to rural hospitals and maternity care. The reporting highlighted widespread concerns from rural health leaders about the detrimental impact of the Republicans’ budget. 
    Senator Welch and Senator Chuck Grassley (R-Iowa) recently introduced the bipartisan Rural Hospital Support Act, legislation to prevent rural hospital closures by extending and modernizing critical Medicare programs. The bill would permanently extend the Medicare-Dependent Hospital (MDH) program to ensure eligible rural hospitals are reimbursed for their costs. The bill would also permanently extend the Low-Volume Hospital (LVH) program to level the playing field for rural hospitals whose operating costs often outpace their revenue.  Rural hospitals provide critical care for patients, many of whom rely on Medicare and Medicaid. These hospitals also serve as economic anchors – accounting for around 14% of total employment in rural areas.  
    Learn more about the Rural Hospital Support Act. 

    MIL OSI USA News

  • MIL-OSI United Kingdom: expert reaction to study of most popular ADHD TikTok content and associated perceptions of ADHD

    Source: United Kingdom – Executive Government & Departments

    A study published in PLOS One looks at ADHD TikTok content and its association with ADHD perception. 

    (From our colleagues at SMC Germany) Prof Kathrin Karsay, Assistant Professor for Entertainment Research, Department of Communication, University of Vienna, Austria, said:

    Evaluation of the study methodology

    “Pre-registration is to be positively mentioned in the sense of Open Science, as it makes the planning and execution of the study transparent in advance. The selection of the videos, on the other hand, is not representative, as it was not drawn from the population of available Tiktok videos. The chosen method of selecting the 100 most popular videos at a specific point in time with a newly created account is therefore not ideal. Under the circumstances, it is a pragmatic, but nevertheless legitimate, approach. Overall, the number of videos analyzed remains relatively low, especially considering that Tiktok users often consume many videos. Another critical point is that no information is available on coder training (training of the evaluators; editor’s note) and that an evaluation of inter-coder reliability is missing for all selected variables. This does not meet the typical standard for communication science studies, but it is not uncommon in studies outside the field.”

    Contextualization of the results

    “It is particularly noteworthy that the majority of the videos (93.9 percent) only address symptoms, while only a small minority of the videos discuss treatment options. Especially when it comes to health topics, social media is a central source of information and a place for exchange. At the same time, the algorithms favor those posts that generate a lot of interaction because they are particularly entertaining or emotional. It is therefore not surprising that the symptoms are not presented correctly or are exaggerated – similar findings already exist for other conditions, such as Tourette’s syndrome, epicondylitis (tendonitis at the elbow; editor’s note) or prostate cancer. On Tiktok, people with ADHD are often portrayed as lively, lovable and almost entertaining – a ‘cute disorder’ that is staged in short, humorous clips. Much of the content shows everyday situations and relies on self-irony and entertaining narratives. This creates a positive, sometimes trivializing, romanticized image of the disorder. It is also particularly interesting that the experts classified around two-thirds of the ADHD-related statements as normal human experiences. In other words, everyday situations are shown with which many people can identify, which can encourage self-diagnosis.”

    “This presentation can be explained, among other things, by the fact that content creators usually pursue monetary interests, as the study also shows. Half of all content creators advertise products on their profiles or ask for financial donations. This does not include sponsorships or marketing collaborations. Of course, influencers have an interest in their videos being seen by many and being considered personally relevant.”

    When asked how the results on the correlation between self-diagnosed ADHD, the extent of ADHD video consumption and the perception of the prevalence of ADHD can be explained: “Frequently consuming ADHD-related content attracts increased attention and draws focus to corresponding symptoms. Priming (improved processing of a stimulus due to it or a similar one having been presented previously; editor’s note) activates cognitive schemata that can lead people to identify more readily with these symptoms. In the long term, repeated exposure reinforces the impression that ADHD is particularly widespread, even if the actual prevalence is lower. Since the videos often stage common experiences as pathological symptoms, those affected are more likely to identify with the clinical picture. This results in a so-called ‘confirmation bias’: people tend to interpret, seek out, and remember information in a way that confirms their existing beliefs or hypotheses. This also fits with the study’s finding that participants with self-diagnosis significantly overestimate the prevalence of ADHD in the general population – far more than those with a formal ADHD diagnosis and those without ADHD. They also tend to rate videos with the lowest psychological ratings as more recommendable.”

     

    Practical implications

    “Those who already suspect they have ADHD perceive more matching symptoms in the videos and interpret them as confirmation. This can reinforce the belief in one’s own diagnosis without professional clarification. Constant consumption of such content can lead to overidentification: everyday difficulties are then possibly interpreted too quickly as symptoms. I would therefore recommend taking a critical look at the source of the information and considering professional diagnosis.”

    Dr Blandine French, Senior Research Fellow, School of Psychology and Institute of Mental Health, University of Nottingham, said:

    “Due to the recent nature of social media engagement on platforms such as TikTok, very few studies have been able to evaluate the impact it has. As mentioned by the authors, the huge rise of TikTok ADHD content has only been observed in the last 5 years and little has been published on this. In fact, ADHD fell within the 10 most -viewed health related hashtags on TikTok so we really need to understand more about its impact on those viewing this content.

    “It is therefore great to see a study starting to address this. This study is very well conducted, with a thorough analysis and robust findings. The rational for the way the study was conducted is sound, well designed and well explained.

    “One limitation of the study is that the majority of participants in the second study were females (669/843) which does not represent the ADHD general population (ratios of male to female vary from 1:4 male to 1:2) so we must be cautious in generalising the findings.

    “It would also have been useful to see more detail on what they defined as misinformation. The experts rated according to DSM-V diagnosis (attention, hyperactivity, impulsivity) which is a robust and scientific way of approaching content. However, we know that many things are linked with ADHD but not part of diagnostic symptoms (emotion dysregulation, sleep, social difficulties etc). Therefore, content that would have been rated as misinformation can be relevant (and authors acknowledge this) but would not be scored as such as they are not technically linked with ADHD in terms of strict diagnosis criteria. This nuance would have been good to include and reflect a more holistic approach and understanding of ADHD that is not solely based on criteria but still has significant evidence-based studies behind.

    “Overall, this paper has some important implications and offers a balanced view of the impact on social media. On one hand it supports how much young people rely on social media, the breadth of reach of this kind of content (over 500 million views) and that there are positives from viewing such videos (sense of community, greater understanding etc). But it also raises concern about viewers relying on this content as educational and support sources. The lack of nuance, evidence-base and reliability of these video is very high. Now this doesn’t mean that it is always bad, but it is to be taken with extreme caution.

    “The findings also show that the group more prone to highly rate or engage with these videos is the group that is self-diagnosed which is interesting but potentially worrying. The diagnosed group seemed better able to tell the difference between quality of information, while self-diagnosed were not as able to do so.

    “Therefore, if any person has seen this type of content on TikTok and thinks they may have ADHD, I would say that I am glad they might have found an answer to ongoing difficulties. But I would advise to do some further research from more reliable sources and evidence-based criteria. Social media can be a great source of support but shouldn’t be a place for diagnosis as it is not made for this. It should be used alongside other more reliable methods, sources, and information.”

    Prof Philip Asherson, Emeritus Professor of Neurodevelopmental Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, said:

    “The methodology is fair as an initial investigation of the association of Tik Tok use and content related to ADHD; and is well conducted. The first study investigates the content of the top 100 Tik Tok watched videos related to #ADHD. This is a reasonable approach to understand how specific the content is to ADHD, rather than mental health more broadly. The second study is limited primarily by the sole participation of psychology students, which suggests that the findings cannot be generalised to a general (unselected) population. Further research is therefore needed. The sample sizes are reasonable for an initial investigation. It is to be commended that the study design was lodged within the Open Science Framework, increasing the robustness of the study findings.  Agreement between psychologist ratings was good.

    “The findings on symptoms in the video are not entirely ‘incorrect’; but fit with my expectations. First it is important to recognise that the TikTok videos reflect personal experience and not that of professional trained mental health specialists. Also, that not all the symptoms commonly experienced by adults with ADHD are specified as specific criteria in DSM-5. Given that, around 49% of the videos were a good reflection of specific (DSM-5) symptoms. However, non-specific symptoms are also commonly seen in people with ADHD and are an independent source of impairment. The prime example of this is emotional dysregulation which is cited as an example of 42% reflecting transdiagnostic symptoms. The paper does not list all of the other transdiagnostic symptoms but other common symptoms include sleep problems (delayed sleep onset), and low self-esteem related to the impairments of ADHD are common as part of ADHD. Without a more detailed evaluation it is not clear that these ‘non-ADHD’ symptoms may also reflect other common aspects of ADHD which are not among the 18 specific DSM symptoms of ADHD. Note that emotional dysregulation is not specific to ADHD, but it is cited in DSM-5 as a common symptom that supports the diagnosis; and is a common part of the lived experience of most adults with ADHD. 

    “So, the other symptoms may not all be ‘incorrect’ but just not specific to ADHD. However, it is possible that this could lead some people to think they might have ADHD unless they also consider the full diagnostic criteria for ADHD (which is not included as an aim in these studies).

    “It is of interest that those with a formal diagnosis access Tik Tok most, followed by those with self-diagnosis. This suggests that the main driver of looking at Tik Tok videos of ADHD is to learn more about ADHD, rather than the videos leading to excess self-diagnosis.

    “A more subtle but essential point is that many ADHD symptoms are a continuous trait/dimension in the general population. So there is no clear boundary between those with clinically significant levels of ADHD symptoms and impairments, and those with higher than average levels of ADHD symptoms. Many people who do not meet full ADHD criteria may nevertheless struggle with some ADHD symptoms at times and seek information on better to manage this aspect of their lives. The videos are therefore of more general relevance than only adults meeting full ADHD criteria. Many self-diagnosed people may fall in this category.

    “It is also true that some people with other mental health problems may conclude they have ADHD, as the videos do not detail the full diagnostic criteria. This indicates the importance of an assessment that considers ADHD alongside other mental health disorders for those that seek help. Similarly, people with ADHD might consider they have an anxiety or mood disorder or personality disorder, when ADHD is the main problem. In general the non-expert Tik Tok videos are not generally specific to ADHD. However, they usually reflect common symptoms experienced by adults with ADHD.

    “The relationship between ADHD self-diagnosis, video consumption and perception of prevalence only indicates an association but there is no information on the causal relationship. It seems likely that having ADHD or symptoms of ADHD leads to increased TikTok use as one form of information, since those without ADHD consume the less (as expected). While a causal role of watching TikTok on self-diagnosis could be implied or play a role in some cases, this publication provides no information on the causal direction – so should not be interpreted in that way without further research.

    “Watching these videos may be helpful to people with ADHD to understand the experiences of ADHD they are having. However, it would be important to discuss this with other people with ADHD (ADHD user/support groups could be helpful here) and to seek professional advice.   

    “The conflict of interests and Tik Tok algorithms are a concern and might lead to over diagnosis in some cases – but overall the greater awareness of ADHD is a benefit.”  

    A double-edged hashtag: Evaluation of #ADHD-related TikTok content and its associations with perceptions of ADHD’ by Vasileia Karasavva et al. was published in PLOS One at 18:00 UK time on Wednesday 19th March.

    DOI: https://doi.org/10.1371/journal.pone.0319335

    Declared interests

    Prof Kathrin Karsay: “There are no conflicts of interest.”

    Dr Blandine French: Dr. BF reports personal fees and nonfinancial support from Takeda and Medice.

    Prof Philip Asherson: In the last 4 years, Asherson received payments for consultancy and/or educational talks from Takeda, Jannsen, Flynn Pharma, Medice and AGB Pharma, and royalties from PATOSS and Cambridge University. He is Honorary President of the UK Adult ADHD Network (UKAAN).

    For all other experts, no reply to our request for DOIs was received.

    MIL OSI United Kingdom

  • MIL-OSI USA: Attorney General Alan Wilson announces Murrells Inlet nurse charged with stealing drugs from patientsRead More

    Source: US State of South Carolina

    (COLUMBIA, S.C.) – South Carolina Attorney General Alan Wilson announced that his office’s Vulnerable Adults and Medicaid Provider Fraud unit (VAMPF) and the Department of Public Health’s Bureau of Drug Control have arrested Erin Homan, 34 years old, of Murrells Inlet, S.C., on two counts of Exploitation of a Vulnerable Adult {43-35-0085 (D)}, and two counts of Theft of a Controlled Substance, First Offense {44-53-0365(A). Homan was booked into the J. Reuben Long Detention Center on March 18, 2025.

    These charges stem from Homan’s conduct while employed as a Licensed Practical Nurse (LPN) at Angel Oak Nursing and Rehabilitation Center in Myrtle Beach on October 23, 2024. Investigators from VAMPF and the DPH Bureau of Drug Control allege that Homan, while performing her duties as an LPN, stole a quantity of Tramadol, a schedule IV controlled substance, belonging to two residents of the facility. It is further alleged that Homan unlawfully obtained the Tramadol for her own personal use and deprived the two vulnerable adult residents of their prescribed medication. 

    This case was referred to investigators by Angel Oak Nursing and Rehabilitation Center, which cooperated fully with investigators. This case will be prosecuted by the Attorney General’s Office.

    Exploitation of a Vulnerable Adult is a felony and, upon conviction, has a penalty of up to five years in prison, a fine of up to $5,000, or both. Theft of a Controlled Substance, First Offense, is a felony and, upon conviction, has a penalty of up to five years in prison, a fine of up to $5,000, or both.

    Pursuant to federal regulations, VAMPF has authority over Medicaid provider fraud; abuse and neglect of Medicaid beneficiaries in any setting; and the abuse, neglect, and exploitation of individuals residing in assisted living facilities or nursing homes. 

    Attorney General Wilson stressed all defendants are presumed innocent unless and until they are proven guilty in a court of law.

    The South Carolina Medicaid Fraud Control Unit, dba VAMPF, receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $2,889,252 for federal fiscal year 2025. The remaining 25 percent, totaling $963,084 for FFY 2025, is funded by South Carolina.

    MIL OSI USA News

  • MIL-OSI Global: Eight ways to reduce your stroke risk – no matter what age you are

    Source: The Conversation – UK – By Siobhan Mclernon, Senior Lecturer, Adult Nursing and co-lead, Ageing, Acute and Long Term Conditions. Member of Health and Well Being Research Center, London South Bank University

    Sarayut Sridee/Shutterstock

    As a nurse working in a neurocritical care, I witnessed the sudden and devastating effects of stroke on survivors and their carers.

    Following my nursing career, I became a researcher specialising in stroke. Knowledge of stroke risk factors in the general public is poor, so stroke prevention is a priority for public health.

    Stroke is a leading cause of death and disability in England – yet it is largely preventable. It’s often considered an older person’s illness but, although stroke risk does increase with age, it can happen at any time of life. In fact, stroke incidence is increasing among adults below the age of 55 years.

    Stroke risk factors that tend to be more common among older people – such as high blood pressure (hypertension), high cholesterol, obesity, diabetes, smoking, physical inactivity and poor diet – are increasingly found in younger people. Other lifestyle risks include heavy alcohol consumption or binge drinking and recreational drugs such as amphetamines, cocaine and heroin.




    Read more:
    Stroke: young people can have them too – here’s how to know if you’re at risk and what to look out for


    Some risk factors are not modifiable such as age, sex, ethnicity, family history of stroke, genetics and certain inherited conditions. Women, for example, are particularly susceptible to strokes – and women of all ages are more likely than men to die from a stroke.

    Stroke risks unique to women include pregnancy and some contraceptive pills (especially for smokers), as well as endometriosis, premature ovarian failure (before 40 years of age), early-onset menopause (before 45 years of age) and oestrogen for transgender women.

    Also, inherited vascular abnormalities such as cerebral aneurysms – a weakness in the artery wall – can increase the risk of haemorrhagic stroke.

    Some risk factors are social rather than biological, however. Studies have found that people with a lower income and education level are at a higher risk of having a stroke. This is due to a combination of factors. Unhealthy lifestyle habits, such as smoking, heavier drinking and lower physical activity levels are more common in people with lower incomes.




    Read more:
    Rising income inequalities are linked to unhealthy diets and loneliness


    However, research also shows that people with lower socioeconomic status are less likely to receive good quality healthcare than people with higher incomes.

    But, regardless of biological or social risk factors, there are things you can do – right now – to reduce your risk of having a stroke.

    Essential eight

    1. Stop smoking Smokers are more than twice as likely to have a stroke than non-smokers. Smoking causes damage to blood vessel walls, increases blood pressure and heart rate but reduces oxygen levels. Smoking also causes blood to become sticky, further increasing the risk of blood clots that can block blood vessels and cause a stroke.

    2. Keep blood pressure in check High blood pressure damages the walls of blood vessels, making them weaker and more prone to rupture or blockage. It can also cause blood clots to form, which can then travel to the brain and block blood flow, leading to a stroke. If you’re over 18 years of age, get your blood pressure checked regularly so, if you do show signs of developing high blood pressure, you can nip it in the bud and make appropriate changes to your lifestyle to help reduce your risk of stroke.

    3. Keep an eye on your cholesterol According to the UK Stroke Association your risk of a stroke is nearly three and a half times higher if you have both high cholesterol and high blood pressure. To lower cholesterol, aim to keep saturated fat – found in fatty meats, butter, cheese, and full-fat dairy – below 7% of your daily calories, stay active and maintain a healthy weight.




    Read more:
    How can I lower my cholesterol? Do supplements work? How about psyllium or probiotics?


    4. Watch your blood sugar High blood glucose levels are linked to an increased risk of stroke. This is because high blood sugar damages blood vessels, which can lead to blood clots that travel to the brain. To reduce blood glucose levels, try to take regular exercise, eat a balanced diet rich in fibre, drink enough water, maintain a healthy weight, and try to manage stress.

    5. Maintain a healthy weight Being overweight is one of the main risk factors for stroke. It is associated with almost one in five strokes, and increases your stroke risk by 22%. Being obese raises that risk by 64%. Carrying too much weight increases your risk of high blood pressure, heart disease, high cholesterol and type 2 diabetes, which all contribute to higher stroke risk.

    6. Follow a Mediterranean diet One way to eat a fibre-rich balanced diet and maintain a healthy weight is to follow a Mediterranean diet. This has been shown to reduce the risk of stroke, especially when supplemented with nuts and olive oil.

    7. Sleep well Try to to get seven to nine hours of sleep daily. Too little sleep can lead to high blood pressure, one of the most important modifiable risk factors for stroke. Too much sleep, however, is also associated with increased stroke risk, so try to stay as active as possible so you can sleep as well as possible.




    Read more:
    Exercise really can help you sleep better at night – here’s why that may be


    8. Stay active The NHS recommends that people should avoid prolonged sedentary behaviour and aim for at least 150 minutes of moderate intensity activity or 75 minutes of vigorous intensity activity a week. Exercise should be spread evenly over four to five days a week, or every day. Do strengthening activities, usually more than two days per week.

    The good news is that while the effects of stroke can be devastating and life-changing, it is largely preventable. Adopting these eight simple lifestyle changes can help to reduce stroke risk and optimise both heart and brain health.

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

    ref. Eight ways to reduce your stroke risk – no matter what age you are – https://theconversation.com/eight-ways-to-reduce-your-stroke-risk-no-matter-what-age-you-are-251524

    MIL OSI – Global Reports

  • MIL-OSI Global: US isn’t first country to dismantle its foreign aid office − here’s what happened after the UK killed its version of USAID

    Source: The Conversation – USA – By Sarah Stroup, Professor of Political Science; Director, Conflict Transformation Collaborative, Middlebury

    The U.S. and U.K. used to be major funders of global immunization programs for children. AP Photo/Sunday Alamba, File

    The Trump administration’s dismantling of the United States Agency for International Development is unconstitutional, a federal judge ruled on March 18, 2025. The court order to pause the agency’s shuttering came days after Secretary of State Marco Rubio said that 83% of its programs had been cut.

    USAID was created in 1961 as the lead agency for U.S. international development. Until recently, it funded health and humanitarian aid programs in more than 130 countries. Despite the administration’s claim of cost-cutting, USAID was a relatively small and economical operation. Its US$40 billion budget accounted for just 0.7% of annual federal spending. Congress also required regular reporting and evaluations on USAID, helping to ensure substantial oversight of how it spent its taxpayer dollars.

    USAID’s swift destruction has sent shock waves across the globe. But as a scholar of the global humanitarian aid sector and donor agencies, I know this assault on foreign aid is not unprecedented.

    In June 2020, Boris Johnson, then the prime minister of the United Kingdom, used similar claims of budget-tightening to effectively close the Department for International Development, Britain’s equivalent of USAID.

    A COVID merger

    Both the U.S. and British foreign aid programs have long prompted heated debates over the proper relationship between development, diplomacy and national security. The U.S. and Britain have long been among the top five providers of development assistance worldwide, and both USAID and DFID have played leading roles in the development community.

    Countries give foreign aid for both altruistic and self-interested reasons. Treating global diseases and addressing civil conflicts is a way for wealthy Western governments to limit threats that could destabilize their countries, as well as the rest of the world. It also burnishes their reputation and encourages cooperation with other governments.

    Scholars from across the political spectrum and around the world have questioned the general efficacy of foreign assistance, arguing that these programs are designed to serve the interests of donors, not the needs or recipients. Other development experts contend that foreign aid programs, while imperfect, have still made meaningful progress in improving health, education and freedoms.

    Britain’s DFID was created in 1997 as an independent, Cabinet-level department deliberately independent of partisan politics. It quickly developed a reputation as a model donor, even among skeptics of international aid.

    British Prime Minister Boris Johnson announced the DFiD merger in June 2020.
    AP Photo/Kirsty Wigglesworth, file

    For example, a staffer at the international medical charity Doctors without Borders told me in a 2006 interview that he had scoffed at the idea of a politics-free aid agency.

    Yet, he said, he had found DFID “relatively easier to work with” than other donors.

    “I have never heard of someone being told, as a result of accepting DFID funds, what to do, either explicitly or behind closed doors,” he told me.

    But its good reputation could not protect DFID. At the height of the COVID-19 pandemic, Johnson announced that DFID would merge with the Foreign Office, Britain’s equivalent of the State Department, to create a new government agency. By uniting aid and diplomacy, Johnson said, the new Foreign, Commonwealth and Development Office would get “maximum value for the British taxpayer,” and he cited the economic impact of COVID to justify his decision.

    Foreign aid dropped sharply after the merger, from 0.7% of Britain’s gross national income to 0.5% – a cut of about US$6 billion.

    Development professionals decried Johnson’s merger, arguing it could not have happened at a worse time, with the pandemic heightening the need for global health funding. And coming shortly after Brexit, Britain’s withdrawal from the European Union, DFID’s demise further called into question Britain’s commitment to global cooperation.

    Less money, less impact

    Five years later, it’s not clear that dismantling DFID has made British foreign aid more efficient or effective, as Johnson pledged.

    “We have seen evidence of where a more integrated approach has improved the organisation’s ability to respond to international crises and events, which has led to a better result,” reads one 2025 report by the U.K.’s National Audit Office.

    Two departments in one – but not twice the budget.
    Mike Kemp/In Pictures via Getty Images

    Yet, the auditors add, the British government has spent at least £24.7 million – US$32 million – to merge its aid and diplomacy offices, and it failed to track these costs. Nor did the leaders of the merger set out a clear vision for its new purpose.

    Britain’s slimmer new Foreign, Commonwealth and Development Office has also relinquished the U.K.’s past leadership in research and expertise, largely due to pay reductions and restrictions on hiring non-British nationals.

    From the outset, DFID had invested substantially in building expertise in global development, particularly in conflict-ridden states. In 2001, for example, it spent almost 5% of its budget – an unusually high amount – on research and policy analysis to design and assess its programs.

    DFID produced regular case studies of the projects it funded, which included getting Syrian refugee children back in school, building roads that help Rwandan farmers move their products to market, and providing health care after Pakistan’s 2010 floods.

    Given the “development expertise that was lost with the merger,” the U.K. government can no longer conduct “the kind of rigorous, long-term focus necessary to make a real impact,” said the Center for Global Development in a recent report.

    A 2022 study suggests that DFID’s dismantling was a fundamentally political move, “divorced from substantive analysis of policy or inter-institution relationships.”

    Britain’s new Prime Minister Keir Starmer, of the leftist Labour Party, initially promised to boost British foreign aid. But in early March 2025, he backtracked, announcing instead a further cut to foreign aid.

    By 2027, the U.K. government will spend just 0.3% of its budget on overseas aid. That’s roughly $11 billion less than before the merger in 2019.

    ‘Clear and easy target’

    USAID’s budget was much larger than DFID’s, and the administration apparently wants not to streamline U.S. foreign aid but halt it almost entirely. If this effort succeeds, it will have even more severe effects worldwide, at least in the immediate term.

    The global health programs administered by USAIDm which combat diseases such as HIV, tuberculosis and malaria, have received bipartisan and global praise. The PEPFAR program, which USAID helps administer, distributes antiretroviral drugs worldwide. It alone has saved 25 million lives over the past two decades, including the lives of 5.5 million babies born healthy to mothers with HIV.

    Development professionals tend to see independent government agencies such as USAID and DFID as better able to prioritize the needs of the poor because their programming is run separately from partisan policies.

    Yet standalone agencies are also more visible – and so more vulnerable to political targeting.

    DFID was a clear and easy target when Johnson began his pandemic-era budget-slashing. USAID is now suffering a similar fate.

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

    ref. US isn’t first country to dismantle its foreign aid office − here’s what happened after the UK killed its version of USAID – https://theconversation.com/us-isnt-first-country-to-dismantle-its-foreign-aid-office-heres-what-happened-after-the-uk-killed-its-version-of-usaid-250868

    MIL OSI – Global Reports

  • MIL-OSI Security: Three Venezuelans Sentenced to Prison for Possessing Fake Green Cards

    Source: Office of United States Attorneys

    Defendants Arrested During the Laken Riley Murder Investigation in Athens, Georgia

    ATHENS, Ga. – A Venezuelan man who entered the United States illegally and who admitted to possessing a fraudulent Green Ccard during the murder investigation of a 22-year-old nursing student was sentenced to serve 48 months in prison—above the federal sentencing guidelines—and to be deported along with his brother and a former roommate.

    Diego Jose Ibarra, aka “Gocho,” 29, was sentenced to serve a total of 48 months in prison after he pleaded guilty to two counts of possession of a fraudulent document on July 15, 2024. Argenis Ibarra, aka “Meny,” 25, of Venezuela, was sentenced to time served after he pleaded guilty to one count of possession of a fraudulent document on Dec. 10, 2024. Rosbeli Flores-Bello, aka “La Gorda,” 29, of Venezuela, was sentenced to time served after she pleaded guilty to one count of possession of a fraudulent document on Dec. 11, 2024.

    All three defendants are to be delivered to U.S. Immigration and Customs Enforcement (ICE) for deportation. Diego Ibarra will be placed in ICE custody at the conclusion of his federal prison sentence; Argenis Ibarra and Flores-Bello will be placed in ICE custody immediately. U.S. District Judge Tilman E. Self, III handed down the sentences on March 19 in Athens. There is no parole in the federal system.

    According to court documents and statements referenced in court, Homeland Security Investigations (HSI) was made aware of Deigo Ibarra’s undocumented presence in the United States on Feb. 23, 2024, during the murder investigation of Laken Hope Riley, who was kidnapped and brutally murdered on Feb. 22, 2024, during a morning run at the University of Georgia, where she previously attended as an undergraduate prior to transferring to the Augusta University College of Nursing. At the time, an Athens-Clarke County Police Department (ACCPD) officer approached Diego Ibarra because he matched the description of the primary suspect in the murder investigation, which was his brother, Jose Antonio Ibarra. Diego Ibarra gave the ACCPD officer a counterfeit U.S. Permanent Resident Card (also called a Green Card) as identification and was taken into custody. Jose Ibarra was convicted of Laken Riley’s murder on Nov. 20, 2024, in Athens-Clarke County Superior Court and is serving a life sentence.

    On April 30, 2023, Diego Ibarra illegally entered the United States, along with four other Venezuelan men, by crossing the border near the Ysleta station in El Paso, Texas. The men fled when approached by the United States Border Patrol (USBP) agents. Diego Ibarra resisted an agent’s efforts to detain him and grabbed the agent’s service radio, threw it into a nearby yard, and then attempted to bite the agent. Agents scuffled with him and another Venezuelan man for several minutes before the National Guard arrived and assisted in subduing both men. Diego Ibarra was taken to a local hospital after complaining of chest pains and pain in his back and leg, which he indicated to FBI agents he sustained from scaling and falling from the border fence during his illegal crossing. He admitted to illegally crossing the border, resisting arrest and attempting to avoid apprehension at any cost. He said his injuries were not from the fight with agents.

    According to information uncovered during the investigation and provided in multiple court documents, Diego Ibarra is likely affiliated with the Venezuelan gang Tren de Aragua (TdA), based on evidence including his multiple TdA tattoos and photos of him on social media making the TdA gang signs and wearing TdA clothing. Further investigation concluded that Diego Ibarra was previously removed from the United States to Mexico on April 3, 2023, after agents apprehended him illegally entering the United States near Eagle Pass, Texas. After the above incident on April 30, 2023, Diego Ibarra claimed asylum and fear of return to Venezuela. On May 11, 2023, ICE Enforcement and Removal Operations (ERO) placed him in the Alternatives to Detention (ATD) program, and he was released from immigration custody the following day. The ATD program required Diego Ibarra to wear a global positioning system (GPS) ankle monitoring device, and he was directed to report to New York, New York, pending asylum proceedings. He failed to report in New York as directed.

    On May 25, 2023, Diego Ibarra’s ankle monitor last “pinged” near Littleton, Colorado, and he cut it off at some point prior to his final arrest in Athens, Georgia. Diego Ibarra settled in Athens and was subsequently arrested three times by law enforcement: on Sept. 24, 2023, he was arrested by ACCPD for driving under the influence of alcohol and driving without a license; on Oct. 27, 2023, he was arrested by ACCPD for theft by shoplifting; and on Dec. 8, 2023, he was arrested by ACCPD for shoplifting and for an outstanding arrest warrant that was issued when he failed to appear in court for his DUI charge. In addition, ACCPD responded to a domestic incident involving Diego Ibarra and his girlfriend on Sept. 26, 2023. And, while in the custody of the U.S. Marshals Service and housed in the Butts County Detention Center, Ibarra caused “severe water damage” inside the jail when he damaged the fire sprinkler system in a jail cell block. On June 25, 2024, jail officers found Ibarra in possession of two improvised weapons: a sharpened sprinkler head with a make-shift grip and a pen wrapped in saran wrap.

    Co-defendants Argenis Ibarra (Diego and Jose Ibarra’s younger brother) and Flores-Bello (Deigo and Jose Ibarra’s roommate) admitted to possessing a fraudulent U.S. Permanent Resident Card in the names of Argenis Jose Ibarra Ibarra and Rodrianny Brito Brito respectively on Feb. 23, 2024. In addition, agents found counterfeit Social Security cards for Argenis Ibarra and Flores-Bello in the apartment they shared with Diego and Jose Ibarra.

    Investigators determined that Argenis Ibarra entered the United States illegally on April 3, 2023, near Eagle Pass, Texas, and the USBP returned him to Mexico. On April 30, 2023, the USBP encountered and arrested him near El Paso, Texas, and transported him to an ICE processing center in El Paso. Because the processing center lacked space, Ibarra was released on his own recognizance on May 4, 2023. Argenis submitted Form I-765 for Employment Authorization on Oct. 20, 2023, and Nov. 2, 2023, both of which were rejected.

    Flores-Bello illegally entered the United States on May 3, 2023, and was arrested by the USBP. She was transported to an ICE processing center in El Paso. On May 5, 2023, Flores-Bello was released on her own recognizance because the processing center lacked space. She provided a residential address in New York and was scheduled for immigration court there on Oct. 18, 2023. In Dec. 2023, she and Jose Ibarra, whom she met in New York, took a humanitarian flight from New York to Atlanta, Georgia. She settled in Athens and lived with the Ibarra brothers until Laken Riley was murdered.

    This case is part of Operation Take Back America, a nationwide initiative that marshals the full resources of the Department of Justice to repel the invasion of illegal immigration, achieve the total elimination of cartels and transnational criminal organizations (TCOs) and protect our communities from the perpetrators of violent crime. Operation Take Back America streamlines efforts and resources from the Department’s Organized Crime Drug Enforcement Task Forces (OCDETFs) and Project Safe Neighborhood (PSN).

    The case was investigated by Homeland Security Investigations (HSI) with critical assistance from FBI, GBI, Athens-Clarke County Police Department, University of Georgia Police Department and Clarke County Sheriff’s Office.

    Assistant U.S. Attorney Mike Morrison prosecuted the case for the Government

    MIL Security OSI

  • MIL-OSI Global: Eight ways to reduce your stroke risk – by an expert in vascular brain injury

    Source: The Conversation – UK – By Siobhan Mclernon, Senior Lecturer, Adult Nursing and co-lead, Ageing, Acute and Long Term Conditions. Member of Health and Well Being Research Center, London South Bank University

    Sarayut Sridee/Shutterstock

    As a nurse working in a neurocritical care, I witnessed the sudden and devastating effects of stroke on survivors and their carers.

    Following my nursing career, I became a researcher specialising in stroke. Knowledge of stroke risk factors in the general public is poor, so stroke prevention is a priority for public health.

    Stroke is a leading cause of death and disability in England – yet it is largely preventable. It’s often considered an older person’s illness but, although stroke risk does increase with age, it can happen at any time of life. In fact, stroke incidence is increasing among adults below the age of 55 years.

    Stroke risk factors that tend to be more common among older people – such as high blood pressure (hypertension), high cholesterol, obesity, diabetes, smoking, physical inactivity and poor diet – are increasingly found in younger people. Other lifestyle risks include heavy alcohol consumption or binge drinking and recreational drugs such as amphetamines, cocaine and heroin.




    Read more:
    Stroke: young people can have them too – here’s how to know if you’re at risk and what to look out for


    Some risk factors are not modifiable such as age, sex, ethnicity, family history of stroke, genetics and certain inherited conditions. Women, for example, are particularly susceptible to strokes – and women of all ages are more likely than men to die from a stroke.

    Stroke risks unique to women include pregnancy and some contraceptive pills (especially for smokers), as well as endometriosis, premature ovarian failure (before 40 years of age), early-onset menopause (before 45 years of age) and oestrogen for transgender women.

    Also, inherited vascular abnormalities such as cerebral aneurysms – a weakness in the artery wall – can increase the risk of haemorrhagic stroke.

    Some risk factors are social rather than biological, however. Studies have found that people with a lower income and education level are at a higher risk of having a stroke. This is due to a combination of factors. Unhealthy lifestyle habits, such as smoking, heavier drinking and lower physical activity levels are more common in people with lower incomes.




    Read more:
    Rising income inequalities are linked to unhealthy diets and loneliness


    However, research also shows that people with lower socioeconomic status are less likely to receive good quality healthcare than people with higher incomes.

    But, regardless of biological or social risk factors, there are things you can do – right now – to reduce your risk of having a stroke.

    Essential eight

    1. Stop smoking Smokers are more than twice as likely to have a stroke than non-smokers. Smoking causes damage to blood vessel walls, increases blood pressure and heart rate but reduces oxygen levels. Smoking also causes blood to become sticky, further increasing the risk of blood clots that can block blood vessels and cause a stroke.

    2. Keep blood pressure in check High blood pressure damages the walls of blood vessels, making them weaker and more prone to rupture or blockage. It can also cause blood clots to form, which can then travel to the brain and block blood flow, leading to a stroke. If you’re over 18 years of age, get your blood pressure checked regularly so, if you do show signs of developing high blood pressure, you can nip it in the bud and make appropriate changes to your lifestyle to help reduce your risk of stroke.

    3. Keep an eye on your cholesterol According to the UK Stroke Association your risk of a stroke is nearly three and a half times higher if you have both high cholesterol and high blood pressure. To lower cholesterol, aim to keep saturated fat – found in fatty meats, butter, cheese, and full-fat dairy – below 7% of your daily calories, stay active and maintain a healthy weight.




    Read more:
    How can I lower my cholesterol? Do supplements work? How about psyllium or probiotics?


    4. Watch your blood sugar High blood glucose levels are linked to an increased risk of stroke. This is because high blood sugar damages blood vessels, which can lead to blood clots that travel to the brain. To reduce blood glucose levels, try to take regular exercise, eat a balanced diet rich in fibre, drink enough water, maintain a healthy weight, and try to manage stress.

    5. Maintain a healthy weight Being overweight is one of the main risk factors for stroke. It is associated with almost one in five strokes, and increases your stroke risk by 22%. Being obese raises that risk by 64%. Carrying too much weight increases your risk of high blood pressure, heart disease, high cholesterol and type 2 diabetes, which all contribute to higher stroke risk.

    6. Follow a Mediterranean diet One way to eat a fibre-rich balanced diet and maintain a healthy weight is to follow a Mediterranean diet. This has been shown to reduce the risk of stroke, especially when supplemented with nuts and olive oil.

    7. Sleep well Try to to get seven to nine hours of sleep daily. Too little sleep can lead to high blood pressure, one of the most important modifiable risk factors for stroke. Too much sleep, however, is also associated with increased stroke risk, so try to stay as active as possible so you can sleep as well as possible.




    Read more:
    Exercise really can help you sleep better at night – here’s why that may be


    8. Stay active The NHS recommends that people should avoid prolonged sedentary behaviour and aim for at least 150 minutes of moderate intensity activity or 75 minutes of vigorous intensity activity a week. Exercise should be spread evenly over four to five days a week, or every day. Do strengthening activities, usually more than two days per week.

    The good news is that while the effects of stroke can be devastating and life-changing, it is largely preventable. Adopting these eight simple lifestyle changes can help to reduce stroke risk and optimise both heart and brain health.

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

    ref. Eight ways to reduce your stroke risk – by an expert in vascular brain injury – https://theconversation.com/eight-ways-to-reduce-your-stroke-risk-by-an-expert-in-vascular-brain-injury-251524

    MIL OSI – Global Reports

  • MIL-OSI United Kingdom: Sir John Oldham appointed to help make NHS fit for the future

    Source: United Kingdom – Executive Government & Departments

    News story

    Sir John Oldham appointed to help make NHS fit for the future

    Sir John Oldham is a GP by background and has very significant experience in the sphere of primary care, change management, and leading improvement programmes

    Sir John Oldham brings extensive experience of working in the health sector and will work on emerging policy to support the government on its ambition to deliver more care in the community.

    • Sir John Oldham has accepted a direct ministerial appointment to the Department of Health and Social Care.
    • Sir John will work closely with Secretary of State for Health and Social Care, Wes Streeting, to transform the health and care system and move to a Neighbourhood Health Service.

    Lord Darzi’s 2024 independent investigation of the NHS highlighted the urgent need to transform the health and care system and move to a Neighbourhood Health Service that delivers co-ordinated care closer to home, to create healthier communities, spot problems earlier, and support people to stay healthier and maintain their independence for longer. 

    Sir John is a GP by background and has very significant experience in the sphere of primary care, change management, and leading improvement programmes. He was National Clinical Lead for Quality and Productivity at the Department of Health from 2010-2013. This role has had responsibility for large scale change in the delivery of services to patients with long term conditions and redesigning the urgent care system. He has been a member of the Care Quality Commission and Chair of the Commission on Whole Person Care amongst other roles.

    The appointment is a paid role, which began on 2 December 2024 for a 12-month period. It is not a Civil Service appointment.

    Updates to this page

    Published 19 March 2025

    MIL OSI United Kingdom

  • MIL-OSI Canada: Government of Canada announces appointment to the Windsor-Detroit Bridge Authority Board of Directors

    Source: Government of Canada News

    Biography

    Marie Campagna – Chair, Board of Directors

    Marie Campagna has been a member of the WDBA Board of Directors since 2017 and has most recently served in the role of interim Chair since May 2024.

    Since retiring from her role as Chief Financial Officer (CFO) of Hotel Dieu Grace Healthcare, Ms. Campagna was appointed as an Executive in Residence at the University of Windsor’s Odette School of Business. She is a facilitator in the Chartered Professional Accountants of Ontario’s CFO of the Future program.

    Ms. Campagna holds several governance positions that include Board Chair of Essex Energy Corporation, Member of the LaSalle Police Board, Member of Assumption University, Member of Invest Windsor Essex, Past Chair of Transform Shared Services Organization, and a past Board Member of the Windsor-Essex Regional Chamber of Commerce. She also previously held many board and committee positions with Essex Power Corporation, CMA Ontario, and CMA Canada.

    Ms. Campagna holds an ICD.D designation from the Institute of Corporate Directors, a CPA designation, and is a Fellow and life member of the Chartered Professional Accountants of Ontario. She holds a Bachelor of Commerce degree and an MBA from the University of Windsor.  

    MIL OSI Canada News

  • MIL-OSI Global: Are mental health conditions overdiagnosed in the UK? Two experts go head to head

    Source: The Conversation – UK – By Joanna Moncrieff, Professor of Critical and Social Psychiatry, UCL

    Speaking on BBC One’s Sunday With Laura Kuenssberg, Wes Streeting, the UK health secretary, expressed concerns that some mental health conditions were overdiagnosed. The Conversation asked two experts to comment on Streeting’s claim. Is the health secretary right?

    Mental distress is under-diagnosed – but over-medicalised

    Susan McPherson, Professor in Psychology and Sociology, University of Essex

    A year ago, the UK’s then prime minister, the Conservative Rishi Sunak, announced “sick note culture” had gone too far. His work and pensions secretary claimed “mental health culture”, Mel Stride, had gone too far.

    These statements merged concern about affordability of disability benefits with ideas about overdiagnosis of mental illness. This appeared to be in response to a report from the Resolution Foundation, a thinktank.

    The report said that people in their 20s were more likely to be out of work than people in their 40s. The report attributed this to an increase in young people reporting mental distress (from 24% in 2000 to 34% in 2024).

    This was used by some journalists to support the idea of young people as work-shy snowflakes feigning mental illness, which angered many including disability activists, mental health campaigners and members of the opposition Labour party.

    A year on, the UK now has a Labour government. Wes Streeting, the secretary of state for health and social care, is facing criticism for appearing to echo conservative tropes. In an interview about government plans to reduce benefits for disabled people, he agreed that overdiagnosis accounts for an increase in people on benefits due to mental illness. This appears to mirror those media stereotypes about work-shy millennials.

    If that is what Streeting meant, then the evidence is not on his side. Ten years ago, a UK national survey of psychiatric symptoms found that a third of people whose psychological symptoms were severe enough to merit a diagnosis, did not have a diagnosis.

    More recent research using the UK Longitudinal Household Study grouped people according to whether they do or do not have a psychiatric diagnosis and whether they do or do not have psychological symptoms severe enough to merit a diagnosis. The study found 12 times as many people in the “undiagnosed distress” category (with severe symptoms but no diagnosis) than the overdiagnosed category.

    The study also identified significant inequalities. People living with a disability had nearly three times the risk of undiagnosed distress compared with people without a disability.

    Women had 1.5 times the risk of undiagnosed distress compared with men. Lesbian, gay or bisexual people were 1.4 times more likely to have undiagnosed distress compared with heterosexual people. People aged 16-24 had the highest risk compared with all other age groups.

    This all suggests inequalities in undiagnosed distress are a much bigger problem than overdiagnosis in the UK. Given that many forms of support in the UK depend on having a diagnosis, undiagnosed distress probably means people are not getting the support they need.

    However, Streeting also said that too many people “just aren’t getting the support they need. So if you can get that support to people much earlier, then you can help people to either stay in work or get back to work.”

    Given this nod towards prevention and the importance of non-medical support, it is conceivable that Streeting’s sentiment may have been about “over-medicalisation” of mental distress rather than overdiagnosis. The difference is important.

    The term “diagnosis” reflects a medical model of mental illness. Many would agree that the medical idea of “diagnose and treat” does not serve people with mental distress well. This is because there is a lot of evidence suggesting the underlying causes of mental distress are social, economic, environmental or a result of past trauma.

    If Streeting had said “over-medicalised”, he would have been in tune with a growing global concern about over-medicalisation and over-use of medication to treat mental distress, a position advocated by the UN and the World Health Organization.

    Despite UK guidelines recommending psychological treatments as first line interventions for depression, antidepressant prescribing has risen 46% over the last seven years with over 85 million prescriptions in 2022-23. This alongside an increase in long-term use of psychiatric medication with no reduction in mental distress at the population level. If Streeting had said “over-medicalised”, the evidence would have been on his side.

    A mental health diagnosis is just a label – and usually an unhelpful one

    Joanna Moncrieff, Professor of Critical and Social Psychiatry, UCL

    There has been a dramatic escalation in the number of people seeking treatment for mental health problems in recent years. In the year from April 2023 to 2024, 3.8 million people were in contact with mental health services in England alone, which is 40% higher than before the COVID pandemic. The figures include 1 million children. One in five 16-year-old girls is in contact with services.

    The statistics reveal a tendency to over-medicalise a variety of human problems that was supercharged by the pandemic and is likely to result in harmful effects on physical and mental health.

    What many people don’t realise about a mental health diagnosis is that it is nothing like the diagnosis of a physical condition. It doesn’t name an underlying biological state or process that can explain the symptoms someone is experiencing, as it does when someone gets a diagnosis of cancer or rheumatoid arthritis, for example.

    A mental health diagnosis doesn’t explain anything. It is simply a label that can be applied to a certain set of problems. The process by which this label is conferred is not scientific or objective and is influenced by commercial, professional and political interests.

    In most situations, giving people with mental health problems a diagnostic label is unhelpful. It convinces people they have a biological defect, it leads to ineffective and often harmful medical treatment, and most of the time, it misses the actual problems.

    Because getting a diagnosis implies you have a medical condition, it misleads people into thinking that they have an underlying biological abnormality, such as a chemical imbalance, even though there is no good evidence that mental disorders are caused by underlying brain or bodily dysfunctions. Research has shown this makes people pessimistic about their chances of recovery and less likely to improve.

    Being diagnosed often leads to being prescribed a psychiatric drug, such as an antidepressant. About 8.7 million people in England now take an antidepressant, half of them on a long-term basis.

    Prescriptions for other drugs, such as stimulants (prescribed for a diagnosis of ADHD), are also rising fast, even leading to medication shortages. Yet the evidence that any of these drugs improve people’s wellbeing or ability to function is minimal. Moreover, like all substances that alter our normal biological make-up, particularly those that interfere with brain function, they cause side-effects and health risks.

    Antidepressants can cause severe and prolonged withdrawal symptoms, sexual dysfunction (which may persist) and emotional numbing or apathy, among other unwanted effects. Stimulants can cause cardiovascular problems and neurological conditions. The widespread, unwarranted prescribing of these drugs will adversely affect the health of the population.

    Giving people a diagnosis can also obscure the nature of the person’s underlying problems and prevent these from being addressed.

    Mental health problems are often meaningful reactions to stressful circumstances, such as financial, housing and relationship problems and experiences of abuse, trauma, loneliness and lack of meaning. Reducing over-medicalisation doesn’t necessarily mean fewer services. What we need is different services that provide appropriate support for people’s actual problems, not treatment for medical labels.

    We also need ways to excuse people from responsibilities when necessary, without making them feel like they have to take on a “sick” role that implies they are forever ill and helpless.

    Much of today’s employment is poorly paid, insecure, boring, exploitative and pressurising. It shouldn’t surprise us that some people find it hard to endure. We need to improve working conditions for everyone, but we also need to support people who find these conditions especially challenging, without having to label them as sick.

    Joanna Moncrieff is or has been a co-investigator on grants funded by the UK’s National Institute of Health Research and the Australian government Medical Research Future Fund for studies exploring methods of antidepressant discontinuation. She is co-chair person of the Critical Psychiatry Network, an informal and unfunded group of psychiatrists

    Susan McPherson receives funding from NIHR Applied Research Collaboration East of England. She is affiliated with the Labour Party.

    ref. Are mental health conditions overdiagnosed in the UK? Two experts go head to head – https://theconversation.com/are-mental-health-conditions-overdiagnosed-in-the-uk-two-experts-go-head-to-head-252535

    MIL OSI – Global Reports

  • MIL-OSI Global: Why nicotine pouches may not be the best choice to help you to stop smoking

    Source: The Conversation – UK – By Dipa Kamdar, Senior Lecturer in Pharmacy Practice, Kingston University

    Evidence suggests that nicotine pouch use is becoming more popular Andrey_Popov/Shutterstock

    If you are trying to stop smoking, you may have heard of nicotine patches or gum to help reduce cravings. But how about nicotine pouches? Small, tobacco-free sachets containing a powder made up of nicotine, flavourings and other additives, nicotine patches are placed between the upper lip and gum to release a nicotine buzz without the damage to lungs.

    Nicotine pouches were first introduced to the UK market in 2019. Common brands in the UK include ZYN, Velo and Nordic Spirit. Nicotine pouches are similar to snus – loose tobacco in a pouch that is used in the same way as nicotine pouches. Although snus has been used for many years in Scandinavia, it was banned in the UK in 1992. Today’s generation of nicotine pouches are marketed as a way to get the benefits of nicotine without the harmful effects of cigarettes or vapes.

    So, are they a helpful tool for those trying to kick the habit?

    Nicotine replacement therapy

    Nicotine replacement therapy (NRT) is available to buy over-the-counter in the UK. Common brands include Nicorette and Niquitin. NRT comes in different forms such as patches, lozenges and chewing gum. Nicotine pouches haven’t been approved for use as NRT – so why are they becoming a popular alternative to smoking and vaping?

    Pouches are heavily marketed on social media and, unlike NRTs, they’re readily available from supermarkets and shops from as little as £5 per box. Social media influencers are sponsored to promote nicotine pouches as “clean”, discreet and convenient. They come in a wide range of flavours, from cinnamon to citrus, which attracts younger consumers.

    Recent research found that approximately 1% of adults and 1.2% of youths aged 11-18 years-old reported currently using nicotine pouches. However, over 5% of adults and more than 3% of youths said they had used these pouches at some point. Although these are relatively low figures, data shows nicotine pouches are becoming increasingly popular in the UK and US.

    Unlike NRT, nicotine pouches are classed as consumer products, so are not regulated by the Medicines and Healthcare products Regulatory Agency. Since they do not contain tobacco, nicotine pouches cannot be regulated by the Tobacco and Related Product Regulations either. This means there is no age restriction to buy them.

    Instead, nicotine pouches are governed by the General Product Safety Regulations, which means they are not regulated as stringently as NRT. Companies producing NRTs must apply for a marketing license because medicinal products have to undergo extensive testing to show they are safe and effective. This is not the case for nicotine pouches.

    ‘Healthy’ nicotine?

    Nicotine acts on receptors in the brain, releasing chemical messengers including the “happy hormone” dopamine. These chemical messengers are responsible for the pleasurable feelings and addictive behaviour that people often experience when using tobacco or nicotine products. The faster a drug is absorbed and activates brain receptors, the higher the addiction potential.

    Research shows that nicotine is released more slowly from pouches compared to cigarettes, so it may be less addictive than cigarettes. However, pouches can also vary in the amount of nicotine they contain – evidence shows some have very high levels, higher than cigarettes and NRT.

    Pouches can be marketed as a “clean” form of nicotine consumption – but, although they are smoke-free, they can contain other chemical ingredients such as pH adjusters like sodium carbonate, which allow nicotine to be absorbed in the mouth more easily. Pouches do not contain tobacco, which contains many chemicals and cancer-causing agents. However, nicotine on its own can still be harmful.

    Common side effects of nicotine pouch use include nausea, vomiting, headaches and heart palpitations. Nicotine causes the body to release of chemicals such as adrenaline and noradrenaline. Studies show increased levels of these can raise heart rate and blood pressure and the heart’s need for oxygen.

    Animal studies suggest that nicotine use during teenage years can cause long-term changes in the brain and behaviour as well as an increased likelihood of using other drugs, lower attention levels and mood problems.

    Young people have more nicotine receptors in the areas of the brain related to reward. This makes nicotine’s effects stronger in teenagers than in adults.

    Currently there is not enough evidence to confirm nicotine pouches are harmful to oral health but dentists are concerned about their potential effects. Last year, a review found that oral side effects include dry mouth, sore mouth, blisters on the gums and sometimes changes in the gum area – such as receding gumline – where the pouches were placed. This is similar to side effects of oral NRT. Unlike NRT, which is normally used for a three-month course, pouches may be used for longer – potentially raising the risk of side effects.

    Belgium and the Netherlands have banned nicotine pouches because of the potential risks. In the UK, the new Tobacco and Vapes bill will allow the government to regulate the use of nicotine pouches so that they can only be sold to people aged 18 and older. Advertising will be banned and the content and branding regulated.

    This could be a welcome move for those concerned that nicotine pouch brands are targeting young people who’ve never smoked. But, for current smokers looking for a product to help them quit, it might be wise to opt for the regulated NRTs – even if the flavours aren’t as appealing.

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

    ref. Why nicotine pouches may not be the best choice to help you to stop smoking – https://theconversation.com/why-nicotine-pouches-may-not-be-the-best-choice-to-help-you-to-stop-smoking-251856

    MIL OSI – Global Reports

  • MIL-OSI Global: Eight ways to reduce your stroke risk – no matter what your age you are

    Source: The Conversation – UK – By Siobhan Mclernon, Senior Lecturer, Adult Nursing and co-lead, Ageing, Acute and Long Term Conditions. Member of Health and Well Being Research Center, London South Bank University

    Sarayut Sridee/Shutterstock

    As a nurse working in a neurocritical care, I witnessed the sudden and devastating effects of stroke on survivors and their carers.

    Following my nursing career, I became a researcher specialising in stroke. Knowledge of stroke risk factors in the general public is poor, so stroke prevention is a priority for public health.

    Stroke is a leading cause of death and disability in England – yet it is largely preventable. It’s often considered an older person’s illness but, although stroke risk does increase with age, it can happen at any time of life. In fact, stroke incidence is increasing among adults below the age of 55 years.

    Stroke risk factors that tend to be more common among older people – such as high blood pressure (hypertension), high cholesterol, obesity, diabetes, smoking, physical inactivity and poor diet – are increasingly found in younger people. Other lifestyle risks include heavy alcohol consumption or binge drinking and recreational drugs such as amphetamines, cocaine and heroin.




    Read more:
    Stroke: young people can have them too – here’s how to know if you’re at risk and what to look out for


    Some risk factors are not modifiable such as age, sex, ethnicity, family history of stroke, genetics and certain inherited conditions. Women, for example, are particularly susceptible to strokes – and women of all ages are more likely than men to die from a stroke.

    Stroke risks unique to women include pregnancy and some contraceptive pills (especially for smokers), as well as endometriosis, premature ovarian failure (before 40 years of age), early-onset menopause (before 45 years of age) and oestrogen for transgender women.

    Also, inherited vascular abnormalities such as cerebral aneurysms – a weakness in the artery wall – can increase the risk of haemorrhagic stroke.

    Some risk factors are social rather than biological, however. Studies have found that people with a lower income and education level are at a higher risk of having a stroke. This is due to a combination of factors. Unhealthy lifestyle habits, such as smoking, heavier drinking and lower physical activity levels are more common in people with lower incomes.




    Read more:
    Rising income inequalities are linked to unhealthy diets and loneliness


    However, research also shows that people with lower socioeconomic status are less likely to receive good quality healthcare than people with higher incomes.

    But, regardless of biological or social risk factors, there are things you can do – right now – to reduce your risk of having a stroke.

    Essential eight

    1. Stop smoking Smokers are more than twice as likely to have a stroke than non-smokers. Smoking causes damage to blood vessel walls, increases blood pressure and heart rate but reduces oxygen levels. Smoking also causes blood to become sticky, further increasing the risk of blood clots that can block blood vessels and cause a stroke.

    2. Keep blood pressure in check High blood pressure damages the walls of blood vessels, making them weaker and more prone to rupture or blockage. It can also cause blood clots to form, which can then travel to the brain and block blood flow, leading to a stroke. If you’re over 18 years of age, get your blood pressure checked regularly so, if you do show signs of developing high blood pressure, you can nip it in the bud and make appropriate changes to your lifestyle to help reduce your risk of stroke.

    3. Keep an eye on your cholesterol According to the UK Stroke Association your risk of a stroke is nearly three and a half times higher if you have both high cholesterol and high blood pressure. To lower cholesterol, aim to keep saturated fat – found in fatty meats, butter, cheese, and full-fat dairy – below 7% of your daily calories, stay active and maintain a healthy weight.




    Read more:
    How can I lower my cholesterol? Do supplements work? How about psyllium or probiotics?


    4. Watch your blood sugar High blood glucose levels are linked to an increased risk of stroke. This is because high blood sugar damages blood vessels, which can lead to blood clots that travel to the brain. To reduce blood glucose levels, try to take regular exercise, eat a balanced diet rich in fibre, drink enough water, maintain a healthy weight, and try to manage stress.

    5. Maintain a healthy weight Being overweight is one of the main risk factors for stroke. It is associated with almost one in five strokes, and increases your stroke risk by 22%. Being obese raises that risk by 64%. Carrying too much weight increases your risk of high blood pressure, heart disease, high cholesterol and type 2 diabetes, which all contribute to higher stroke risk.

    6. Follow a Mediterranean diet One way to eat a fibre-rich balanced diet and maintain a healthy weight is to follow a Mediterranean diet. This has been shown to reduce the risk of stroke, especially when supplemented with nuts and olive oil.

    7. Sleep well Try to to get seven to nine hours of sleep daily. Too little sleep can lead to high blood pressure, one of the most important modifiable risk factors for stroke. Too much sleep, however, is also associated with increased stroke risk, so try to stay as active as possible so you can sleep as well as possible.




    Read more:
    Exercise really can help you sleep better at night – here’s why that may be


    8. Stay active The NHS recommends that people should avoid prolonged sedentary behaviour and aim for at least 150 minutes of moderate intensity activity or 75 minutes of vigorous intensity activity a week. Exercise should be spread evenly over four to five days a week, or every day. Do strengthening activities, usually more than two days per week.

    The good news is that while the effects of stroke can be devastating and life-changing, it is largely preventable. Adopting these eight simple lifestyle changes can help to reduce stroke risk and optimise both heart and brain health.

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

    ref. Eight ways to reduce your stroke risk – no matter what your age you are – https://theconversation.com/eight-ways-to-reduce-your-stroke-risk-no-matter-what-your-age-you-are-251524

    MIL OSI – Global Reports

  • MIL-OSI United Kingdom: Council support for Nip it in the Bud campaign

    Source: Northern Ireland – City of Derry

    Council support for Nip it in the Bud campaign

    19 March 2025

    Derry City and Strabane District Council has agreed to promote the Rural Communities Cancer Project aimed at tackling cancer inequalities and helping to raise awareness of cancer locally among those in rural areas, particularly the farming community.

    The Rural Communities Cancer Project is an initiative between The Farming Community Network (FCN) and Macmillan Cancer Support, to help raise awareness of cancer signs and symptoms among the community as part of the “Nip it in the Bud” campaign.

    Mayor of Derry City and Strabane District Council, Cllr Lilian Seenoi Barr said it was important that council supported this campaign and played its part in sharing information to assist farmers and people living in rural communities to get checked for early signs of cancer and to be aware of the level of support that is available.

    She said: “We understand that farmers and those living in rural communities may not prioritise their health for several reasons – because of the lack of time and close proximity or availability of services and as a result some of the signs and symptoms of cancer – such as prolonged pains, tiredness and fatigue – can be missed or overlooked. It is for this reason that Council has agreed to do what it can to help get the ‘Nip it in the Bud’ message out there and to encourage communities to get any symptoms checked. Council hope that’s its support of the campaign will encourage people in the rural areas of Derry and Strabane to be more familiar with the early signs of cancer, and to take the necessary steps to get checked and ‘nip it in the bud’.”

    Caitriona Crawford, National Manager (FCN Northern Ireland) of the Farming Community Network said: “Thank you to the Derry City and Strabane District Council for supporting our project and for helping us to get our message out to the community in the district. The support from the council and Mayor Cllr Lilian Seenoi Barr is instrumental in encouraging early detection and normalising conversations around cancer care and support. By working collaboratively across farming and rural communities, we can make a real difference in supporting people impacted by cancer.”

    The ‘Nip it in the Bud’ campaign provides a range of useful resources for agri-businesses, Ag Colleges, Young Farmers’ Clubs and others to download or circulate – some focused on specific cancers that farmers can be more at-risk of developing, such as skin cancer, prostate cancer or lung cancer.

    The ‘Nip it in the Bud’ campaign encourages early detection and making time to see the GP if someone notices a change in their health. The campaign is part of a UK-wide partnership between FCN and Macmillan Cancer Support. Throughout the campaign FCN is inviting farmers and people in rural communities who have been affected by cancer to share their stories.

    Mayor Barr also encouraged the public to take part in a new survey that hopes to better understand current cancer service provisions in rural areas, whilst recommending areas for improvement: https://www.surveymonkey.com/r/W9DQM5M

    MIL OSI United Kingdom

  • MIL-OSI USA: Governor Stein Announces 2025-2027 Budget Proposal to Keep North Carolina Strong

    Source: US State of North Carolina

    Headline: Governor Stein Announces 2025-2027 Budget Proposal to Keep North Carolina Strong

    Governor Stein Announces 2025-2027 Budget Proposal to Keep North Carolina Strong
    lsaito

    Raleigh, NC

    Today, Governor Josh Stein joined State Budget Director Kristin Walker to announce his 2025-2027 budget proposal to keep North Carolina strong. The Governor’s budget makes key investments in the economy, families, education, workforce, health care, and public safety to help ensure every North Carolinian has a shot at a brighter future.

    “North Carolina is strong because our people are strong, and we must work to maintain our strength so that future generations will continue to reap the benefits of our work,” said Governor Josh Stein. “My budget is balanced and puts kids and families – their job opportunities, their education, their wallets, their health and their safety – first.”

    Building A Strong Workforce

    Every North Carolinian deserves the opportunity to get a good-paying job or start a small business. The Governor’s budget expands job opportunities by investing in apprenticeship programs, providing free community college to students pursuing credentials in high-demand industries, and supporting people rejoining the workforce after incarceration. 

    Strengthening Families & Lowering Costs

    Too many North Carolinians are struggling to pay their bills as costs continue to climb, especially housing and child care. Governor Stein’s budget seeks to strengthen families and lower costs by expanding high-quality child care options and paying early childhood educators more, cutting taxes for middle class families, and building more homes. The budget’s targeted tax cuts will put more money back in people’s pockets and help offset the cost of child care and other basic necessities. 

    Improving Public Education

    Investing in North Carolina’s children is an investment in the state’s future. Governor Stein’s budget raises starting teacher pay to be the highest in the Southeast and rewards and retains teachers so that students have access to the best education. It also invests in student health by hiring more school nurses, counselors, and social workers and providing free breakfast in our public schools. It takes on school safety by upgrading school infrastructure and reduces the distraction of cell phones in classrooms. Finally, the Governor’s budget proposes a $4 billion bond to modernize old and outdated school buildings.

    Keeping North Carolinians Safe & Healthy

    Governor Stein is committed to keeping North Carolinians safe & healthy. The Governor’s budget addresses the shortage of law enforcement officers with raises for state law enforcement officers, particularly correctional officers and youth counselors. It also recommends investments that get deadly fentanyl off the street, solve cold sexual assault cases, and fund body cameras to produce objective evidence. Governor Stein’s budget strengthens the health of all North Carolinians by promoting affordable health care, supporting rural clinics, helping people who are struggling with substance use disorder, and ensuring people have clean air to breathe and clean water to drink.

    Promoting Fiscal Soundness & Operational Excellence

    Taxpayers deserve to know that their money is being well spent. The Governor’s budget establishes an IMPACT Center to improve efficiency and effectiveness of state programs so that we can achieve greater value for every tax dollar and ensure a simple, user-friendly experience for North Carolinians. It also recognizes that North Carolina’s needed investments are impossible with current pre-programmed tax breaks for corporations and wealthy individuals. Governor Stein’s budget proposes freezing current individual and corporate tax rates so that the state can keep up with its rapid population growth and avoid a fiscal cliff.

    Click here to read Governor Stein’s full budget proposal.  

    Mar 19, 2025

    MIL OSI USA News

  • MIL-OSI Asia-Pac: Hospital site usage explained

    Source: Hong Kong Information Services

    The Health Bureau today said at the present stage, the Government has no plan to use the King’s Park site for purposes other than for healthcare after the relocation of services at Queen Elizabeth Hospital (QEH) due to start from early 2026.

    It added that the Government will consider the site’s future healthcare use and development plan in the course of reviewing the Second Hospital Development Plan (HDP).

    In response to media enquiries on the QEH service relocation and the future use of the King’s Park site, the bureau said to dovetail with the implementation of the First HDP of the Hospital Authority (HA), the QEH services will be relocated to New Acute Hospital (NAH) at Kai Tak Development Area gradually from early 2026.

    By then, most of QEH’s clinical services, including the accident and emergency services, will be relocated to NAH; while the QEH Ambulatory Care Centre (Extension) will remain at the King’s Park site.

    Located in Central Kowloon, NAH will form a service network with a number of hospitals and the Ambulatory Care Centre (Extension) at QEH to provide comprehensive healthcare services to the residents in the community.

    The other hospitals involved in the new service network are: Our Lady of Maryknoll Hospital, Hong Kong Buddhist Hospital and Tung Wah Group of Hospitals Wong Tai Sin Hospital in Kowloon City District, and Kwong Wah Hospital, Kowloon Hospital and other hospitals in the Kowloon Central Cluster.

    The bureau noted that the HA has been maintaining close liaison with the Transport Department and other relevant departments about the various support to be provided for NAH.

    On public transport services, the TD will plan in advance the provision of appropriate public transport services taking into consideration the NAH project’s progress and anticipated completion date.

    The TD will also continue to closely monitor the area’s development, and adjust or strengthen the local public transport services based on actual circumstances, in order to further enhance the road traffic network in the NAH’s vicinity to meet passenger needs.

    Furthermore, the bureau is reviewing the Second HDP together with the HA, and there will be room for healthcare service development at the King’s Park site after the relocation of clinical services from QEH to NAH.

    Given the convenient geographical location, it will be a feasible option to consider the expansion of the ambulatory care services at the King’s Park site based on the demand of the population in Kowloon, it added.

    MIL OSI Asia Pacific News

  • MIL-OSI United Kingdom: Minister Kinnock speech at Pulse GP conference

    Source: United Kingdom – Government Statements

    Speech

    Minister Kinnock speech at Pulse GP conference

    Minister Stephen Kinnock spoke at the Pulse Live London Conference for GPs.

    Thank you very, very much indeed for that very kind welcome.

    It’s such an honour and a privilege to be here with you today, coming off the back of another quiet and uneventful week at the Department of Health and Social Care.

    So it’s really good to be with you today.

    Complexity – that’s a word and an idea that’s been on my mind a lot recently.

    And when you look at the agenda for these two days of pulse live – stimulating and hugely varied, it’s such an insight into the complexity that you face every day.

    As GPs, you don’t know who’s coming through the door with what and what it will ask of you.

    It’s your ability to deal with that complexity and the needs of the person in front of you that will largely define their experience of the health system.

    That responsibility and reality for you is so important to acknowledge and to honour.

    So really, I wanted to start by saying thank you.

    Thank you both as a representative of the government, but also just as a citizen of this country for everything that you do.

    And as we look at the transformation that our healthcare system needs, complexity is our reality.

    For some, it is the reason to say, no, we can’t change.

    It’s all too complex.

    It’s all too hard.

    But we know that the complexity of the challenge itself is a call to action.

    It’s a call to get started on the work that needs to be done, because delay only intensifies complexity.

    And it’s also because of the scale of the mess that we inherited. [Political content redacted].

    When we came into office last year, we were facing a primary care sector that was underfunded, understaffed and in crisis.

    A bizarre situation where people were looking for GPs and qualified GPs were looking for jobs, and GPs were spending far too much of their time – a fifth of their working hours – in the back office pushing paper due to poor communication with secondary care.

    So we are utterly committed to getting primary care back on its feet.

    For every GP and for all those who need their family doctor, within weeks of coming into office, we put in place just shy of £100 million to put a thousand more GPs onto the frontline.

    And in October we included GPs in the additional roles reimbursement scheme and practice.

    Nurses are going to be included from April.

    At the Autumn Budget, the Chancellor announced £100 million of capital for GP estate upgrades over the next financial year.

    And just before Christmas, we announced an additional £889 million, which was the biggest uplift to the GP contract in years.

    Now, as you all experience every day, the context of every decision matters, that we have made these choices in the context of the dire financial situation we found in July last year, hopefully tells you that we both understand the reality of general practice now, and that we are determined to change it.

    So why are we so determined?

    You’ve probably heard me or Wes talk about the three shifts that we need to make over the next ten years to make our health service fit for the future: from hospital to community, from sickness to prevention, and from analogue to digital.

    Well, GPs are pivotal to all of those three shifts.

    You sit at the heart of our NHS and you are its front door, but you’ve been neglected for far too long.

    When you ask people what their top priority for the NHS is, the chances are they’ll say, fix general practice.

    And from the Treasury’s point of view and the taxpayers’ point of view, a GP appointment costs around £40, whilst a visit to A&E costs up to £400.

    So it is perfectly sensible to prioritise primary care as a way to relieve pressure on those parts of the service that are struggling to cope.

    Now look, none of the problems in general practice are going to be fixed overnight.

    We’ve taken the important first steps to fix the broken door, and you should look at all of our decisions in the context of reversing the decade long cuts to GPs as a share of the NHS total budget, and we will be, for the first time in a very long time, reversing that trend.

    Our GPs are already going above and beyond, delivering more than ever, with over a million appointments a day last year, but with only a fraction more qualified GPs than there were in 2019.

    So that’s why it’s been so important for us to reset our relationship, and I’m proud of the progress that we’ve made together since July.

    Following extensive consultation and collaboration with the General Practitioners Committee of the BMA, the committee voted to accept the 25/26 GP contract, the first agreement in four years.

    I’d like to extend my appreciation to Dr Katie Bramall-Stainer and her team for the collaborative and constructive way in which they engaged in the recent contract consultation.

    We greatly appreciate their efforts and look forward to continuing this positive working relationship going into the future.

    This is a fair deal for patients, the profession and the public purse.

    And it’s the product of a relationship that’s built on dialogue, trust and respect.

    In place of strife, we see the 25/26 GP contract as an important first step in shifting the focus of healthcare out of the hospital and into the community, and towards rebuilding general practice.

    And today, we hope that GPs across the country can see our genuine intent to continue working together with GPs to build an NHS that is fit for the future.

    So I want this to be a conversation today, so not a lecture.

    So let me just quickly touch upon a few things that I hope will come up in our discussion.

    First, moving to a neighbourhood health service.

    I hope our investment and contract changes are the first steps towards broader reform.

    Primary care will be the foundation of the service with GPs at its heart.

    Second, bringing back the family doctor.

    The new contract will support practices to identify and prioritise patients who would benefit most from continuity of care, such as those with complex and long term conditions.

    And this was a pledge that was at the heart of our manifesto.

    Third, cutting bureaucracy.

    Back in October, we launched our Red Tape Challenge to bust bureaucracy between primary and secondary care.

    We also announced that we’re bringing NHS England back into the department, to scrap duplication and to give more power and tools to local leaders and systems so they can better deliver for their local communities.

    We’ve been listening closely to the sector, learning about what works and what needs to change, and we are removing 32 outdated indicators in the Quality Outcomes framework while prioritising key areas of prevention, such as cardiovascular disease.

    Fourth, integration – we are reinforcing collaboration between general practice and pharmacies by improving access to records for community pharmacists to give patients more coordination of care.

    Fifth, on waiting lists, we will invest up to £80 million supporting GPs to seek specialist advice before making referral, reducing unnecessary hospital visits and ensuring patients receive the right care at the right time.

    We could also touch on digital.

    The shift from analogue to digital must come with more online access for patients, providing parity with walk in and telephone access.

    These actions reflect our commitment to securing the long term sustainability of general practice as part of a wider transformation of the NHS.

    It is Change NHS.

    The development of a 10 Year Health Plan that we want to be shaped by as much expertise and lived experience as humanly possible.

    Change NHS is the biggest ever conversation about the NHS, with over 2,900 staff at workshops and events.

    This has been a collective effort and I want to take the opportunity to thank all of our partners for running 600 events in communities across the UK to ensure those whose voices often go unheard can have their say.

    We see GPs as the bedrock of the NHS and the 10 Year Health Plan.

    That’s why we’re engaging with GPs online and in person, and working with the BMA to promote these opportunities to its members.

    The 10 Year Health Plan represents a major opportunity for your profession to shape the next 50 years of health care in this country and beyond.

    We are seeking submissions until the 14th of April, so please make sure you’ve had your say.

    There’s still some time to provide your inputs and your insights.

    The relationship we want with the general practice profession is bigger than just one contract.

    It’s about partnership that can work through the complexity to create a system that works and delivers for the people that all of us serve.

    We will keep working with you, the BMA and the wider profession to shape the future of general practice.

    Moving towards a neighbourhood health service that focuses on prevention and proactive care.

    It’s why I’m so grateful to have the chance to be here and speak with you today.

    General practice is the front door of the NHS, so let’s fix it together. Thank you.

    Updates to this page

    Published 19 March 2025

    MIL OSI United Kingdom

  • MIL-OSI Global: Emergency alerts and news notifications can make us stressed and anxious — here’s what you can do to cope

    Source: The Conversation – Canada – By Indu Subramanian, Clinical Professor of Neurology, University of California, Los Angeles

    Emergency alerts may amplify distress in people who already have anxiety. (Shutterstock)

    When there’s a disaster, it’s helpful to know what’s going on — and know whether you’re truly at risk. But as essential as emergency alert systems are, they can leave many of us feeling anxious — even when the alert may be a false alarm or test.

    This is because emergency alerts, whether real or tests, can activate the same neural circuits involved in real danger. This can trigger stress, confusion and anxiety.

    Our nervous systems are constantly processing information from both our bodies and our environment, trying to distinguish between warnings that demand action and those that can be safely ignored.

    But over time, the stress associated with being on constant alert can have lasting effects on mental health. Chronic stress can contribute to the risk of developing anxiety disorders and depression, and even physical disorders such as heart disease. This is especially true for people who live in war-torn or natural disaster-prone areas.

    In people who already have anxiety, being unable to distinguish between real and perceived threats can be particularly debilitating. This can amplify their distress, making it difficult to navigate a world filled with both real and perceived threats.

    Similarly, neurological conditions such as migraines, Parkinson’s disease and Alzheimer’s disease can be exacerbated by chronic stress responses. This can lead to a worsening of symptoms and lower quality of life.

    The constant barrage of information we’re exposed to — from daily news alerts to “doomscrolling” on social media — highlights a broader challenge we all face: learning to navigate a world increasingly filled with real and perceived threats that can further exacerbate anxiety.

    Chronic anxiety can disrupt sleep and circadian function. This can lead to a downward cycle in which poor sleep and poor mood can worsen cognitive and physical function.

    People who are chronically anxious may also be at risk for loneliness and social isolation. And when people get lonely, they tend to fixate on threatening stimuli, which can further exacerbate anxiety and perpetuate a vicious cycle.

    The body’s interoceptive system — the brain’s ability to sense and interpret internal physiological signals — plays a crucial role in determining which environmental signals warrant our attention.

    This systems helps us detect when our heart is racing from actual danger, versus when it’s simply responding to stress or uncertainty. But when interoception is disrupted, as it often is during heightened anxiety states, distinguishing between true and false alarms becomes increasingly difficult.

    Nervous system support

    Thankfully, there are things we can do to help better support our nervous systems in making these critical distinctions.

    It’s helpful to be conscious and deliberate about what we expose ourselves to in our internal and external environment. Creating a daily schedule with set times for exercise, sleep and social connection can be effective. Practising mind-body approaches such as mindfulness, breath work, yoga and tai chi might also help to facilitate an inward focus. Sustaining this inward focus can help reset our interoceptive system.

    Spending time with friends and sharing your concerns with them can also be helpful when dealing with perceived threats. This can also enhance social connection, which can buffer stress. It can be very comforting to feel connected to others who are experiencing a similar trauma. Limiting time with people who increase your anxiety is also key.

    Stepping away from information streams might also help. Finding ways to temporarily turn off or physically separate from digital devices such as laptops, cellphones and smart-watches for set periods of time can effectively facilitate a break from media. This can allow our minds to settle and reset our attention on priorities that are meaningful to us.

    Spending time in nature or finding time for stillness in other ways, such as listening to calming music, can also helpful.

    A novel strategy that has recently been studied for reducing anxiety and resetting the interoceptive nervous system is flotation tank immersion, also known as float therapy or flotation-REST. This involves lying in a shallow bath of warm water filled with concentrated levels of Epsom salt. When combined with reduced visual and auditory stimulation, this is thought to enhance the body’s interoceptive signals.

    Float therapy may be helpful for mental health.
    (Shutterstock)

    Float therapy has been shown to quickly reduce anxiety and stress levels, increase relaxation and even lead to lasting improvements in body image.

    Ultimately, understanding the brain’s role in processing internal and external threats is vital to improving our mental and physical wellbeing.

    Using our interoceptive nervous system as a way of developing resilience involves learning to be proactive rather than reactive. Sensing when our body is getting the preliminary cues of anxiety or stress that can mount into full-blown disarray can help. Not reacting to these cues, and consciously and deliberately choosing alternative actions, can help to unwind the anxiety from these cues. This may also potentially even help us avoid an episode of panic.

    Being more in tune with our nervous system can help us better equip ourselves to face the challenges ahead — whether they’re true threats or false alarms.

    Sahib Khalsa receives funding from the National Institute of Mental Health. He is an associate editor of several journals, Biological Psychology and JMIR Mental Health. He is a board member of several nonprofit organizations, the International Society for Contemplative Research and the Float Research Collective, which are non-compensated positions.

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

    ref. Emergency alerts and news notifications can make us stressed and anxious — here’s what you can do to cope – https://theconversation.com/emergency-alerts-and-news-notifications-can-make-us-stressed-and-anxious-heres-what-you-can-do-to-cope-249112

    MIL OSI – Global Reports