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Category: Health

  • MIL-Evening Report: What’s the difference between medical abortion and surgical abortion?

    Source: The Conversation (Au and NZ) – By Lydia Mainey, Senior Nursing Lecturer, CQUniversity Australia

    PeopleImages.com – Yuri A/Shutterstock

    In Australia, around one in four people who are able to get pregnant will have a medical or surgical abortion in their lifetime.

    Both options are safe, legal and effective. The choice between them usually comes down to personal preference and availability.

    So, what’s the difference?

    What is a medical abortion?

    A medical abortion involves taking two types of tablets, sold together in Australia as MS2Step.

    The first tablet, mifepristone, stops the hormone progesterone, which is needed for pregnancy. This causes the lining of the uterus to break down and stops the embryo from growing.

    After taking mifepristone, you wait 36–48 hours before taking the second tablet, misoprostol. Misoprostol makes the cervix (the opening of the uterus) softer and starts contractions to expel the pregnancy.

    It’s normal to have strong pain and heavy bleeding with clots after taking misoprostol. Pain relief including ibuprofen and paracetamol can help.

    After two to six hours, the bleeding and pain usually become like a normal period, although this may last between two to six weeks.

    Haemorrhage after a medical abortion is rare (occurring in fewer than 1% of abortions). But you should seek help if bleeding remains heavy (if you soak two pads per hour for two consecutive hours) or if you have have signs of infection (such as a fever, increasing abdominal pain or smelly vaginal discharge).

    Do I have to go to hospital?

    It is legal to have a medical abortion outside of a hospital up to nine weeks of pregnancy.

    Depending on state or territory law, the medication can be prescribed by a qualified health-care provider such as a GP, nurse practitioner or endorsed midwife. These clinicians often work in GP surgeries or sexual and reproductive health clinics and they may use telehealth.

    Medical abortions also occur after nine weeks of pregnancy, but these are done in hospitals and overseen by doctors alongside nurses or midwives.

    Medical abortions after 20 weeks are done by taking medications to start early labour in a maternity unit. Often, medications are first given to stop the foetal heartbeat so it is not born alive. Then, other medications are given to manage pain.

    These types of abortions are very rare. They may be used when an obstacle has prevented someone accessing an abortion abortion earlier, continuing with the pregnancy is dangerous for the pregnant person’s health or if there is a serious problem with the foetus.

    Medical abortions in Australia involve taking two tablets, usually around two days apart.
    PeopleImages.com – Yuri A/Shutterstock

    What is a surgical abortion?

    Surgical abortions are performed in an operating unit, usually with sedation, so you will not remember the procedure. Surgical abortions are sometimes preferred over medical abortions because they are quicker. But the decision should be between you and your health-care provider.

    In the first 12–14 weeks of pregnancy, a surgical abortion takes less than 15 minutes and patients are usually discharged a few hours after the procedure.

    Medications may be given before surgery to soften and open the cervix and to ease pain. During the procedure, the cervix is gently stretched open and the contents of the uterus are removed with a small tube. This procedure is carried out by trained doctors with the assistance of nurses.

    Surgical abortions after 12–14 weeks are more complex and are performed by specially trained doctors. Similar to medical abortions, medications may be given first to stop the foetal heartbeat.

    It is normal to experience some cramping and bleeding after a surgical abortion, which can last about two weeks. However, like medical abortion, you should seek help for heavy bleeding or signs of infection.

    Do I need an ultrasound?

    It used to be common before an abortion to have an ultrasound scan to check how far along the pregnancy was and to make sure it was not ectopic (outside the uterus).

    However, this is no longer recommended in the early stages of pregnancy (up to 14 weeks) if it delays access to abortion. If the date of the last menstrual period is known and there are no other concerning symptoms, an ultrasound scan may not be necessary.

    This means people can access medical abortion much sooner, even from the first day of a missed period, without waiting for the embryo to be big enough to be seen on an ultrasound scan. This is called “very early medical abortion”.

    Before and after care

    Before having an abortion, a health-care provider will explain common side effects and when to seek urgent medical attention. For people who want it, many types of contraception can be started the day of abortion.

    Your health-care provider will help you understand your options, including whether you want to start contraception.
    PowerUp/Shutterstock

    Even though the success rate of medical abortion is very high (over 95%) it is routine to make sure the person is no longer pregnant.

    This is usually done two to three weeks after taking the first tablet mifepristone, either by a low-sensitivity urine pregnancy test (which you can do at home) or a blood test.

    In the rare case a medical abortion has not worked, a surgical abortion can be done.

    Sometimes after a medical or surgical abortion, tissue is left behind in the uterus. If this happens you may need another dose of misoprostol (the second tablet) or a surgical procedure to remove the tissue.

    Some people may also seek support-based counselling or peer support to help them work through the emotions that might accompany having an abortion.

    Understanding the differences and similarities between medical and surgical abortions can help individuals make informed decisions about their reproductive health.

    It’s important to speak with an unbiased health-care provider to discuss the best option for your circumstances and to ensure you receive the necessary follow-up care and support.

    Lydia Mainey is the co-chair of the Termination of Pregnancy Working Group, a subgroup of the Queensland Health Sexual Health Clinical Network. She has previously worked at MSI Australia, a non-profit which provides abortion, contraception and vasectomy services. Lydia was previously a member of the MSI Australia Technical Advisory Group.

    – ref. What’s the difference between medical abortion and surgical abortion? – https://theconversation.com/whats-the-difference-between-medical-abortion-and-surgical-abortion-249839

    MIL OSI Analysis – EveningReport.nz –

    February 25, 2025
  • MIL-Evening Report: Studies of Parkinson’s disease have long overlooked Pacific populations – our work shows why that must change

    Source: The Conversation (Au and NZ) – By Victor Dieriks, Research Fellow in Health Sciences, University of Auckland, Waipapa Taumata Rau

    Shutterstock/sfam_photo

    A form of Parkinson’s disease caused by mutations in a gene known as PINK1 has long been labelled rare. But our research shows it’s anything but – at least for some populations.

    Our meta-analysis revealed that people in specific Polynesian communities have a much higher rate of PINK1-linked Parkinson’s than expected. This finding reshapes not only our understanding of who is most at risk, but also how soon symptoms may appear and what that might mean for treatment and testing.

    Parkinson’s disease is often thought of as a single condition. In reality, it is better understood as a group of syndromes caused by different factors – genetic, environmental or a combination of both.

    These varying causes lead to differences in disease patterns, progression and subsequent diagnosis. Recognising this distinction is crucial as it paves the way for targeted interventions and may even help prevent the disease altogether.

    Why we focus on PINK1-linked Parkinson’s

    We became interested in this gene after a 2021 study highlighted five people of Samoan and Tongan descent living in New Zealand who shared the same PINK1 mutation.

    Previously, this mutation had been spotted only in a few more distant places –Malaysia, Guam and the Philippines. The fact it appeared in people from Samoan and Tongan backgrounds suggested a historical connection dating back to early Polynesian migrations.

    One person in 1,300 West Polynesians carries this mutation. This is a frequency well above what scientists usually classify as rare (below one in 2,200). This discovery means we may be overlooking entire communities in Parkinson’s research if we continue to assume PINK1-linked cases are uncommon.

    This world map shows people in some Polynesian communities have a much higher rate of PINK1-linked Parkinson’s than the global population.
    Eden Yin, CC BY-SA

    Traditional understanding says PINK1-linked Parkinson’s is both rare and typically strikes younger people, mostly in their 30s or 40s, if they inherit two faulty copies of the gene. In other words, it’s considered a recessive condition, needing two matching puzzle pieces before the disease can unfold.

    Our work challenges this view. We show that even one defective PINK1 gene can cause Parkinson’s at an average age of 43, much earlier than the typical onset after 65. That’s a significant departure from the standard belief that only people with two defective gene copies are at risk.

    Why this matters for people with the disease

    It’s not just genetics that challenge long-held views. Historically, PINK1-linked Parkinson’s was thought to lack some of the classic features of the disease, such as toxic clumps of alpha-synuclein protein.

    In typical Parkinson’s, alpha-synuclein builds up in the brain, forming sticky clumps known as Lewy bodies. Our results, contrary to prior beliefs, show that alpha-synuclein pathology is present in 87.5% of PINK1 cases. This finding opens up a promising new avenue for future treatment development.

    The biggest concern is early onset. PINK1-linked Parkinson’s can begin as early as 11 years old, although a more common starting point is around the mid-30s. This early onset means living longer with the disease, which can profoundly affect education, work opportunities and family life.

    Current treatments (such as levodopa, a precursor of dopamine) help manage symptoms, but they’re not designed to address the root cause. If we know someone has a PINK1 mutation, scientists and clinicians can explore therapies for specific genetic pathways, potentially delivering relief beyond symptom management.

    Sex differences add a layer of complexity

    In Parkinson’s, generally, men are at higher risk and tend to develop symptoms earlier. However, our findings suggest the opposite pattern for PINK1-linked cases. Particularly, women with two defective copies of the gene experience onset earlier than men.

    This highlights the need to consider sex-related factors in Parkinson’s research. Overlooking them risks missing key elements of the disease.

    Genetic testing could be a game-changer for PINK1-linked Parkinson’s. Because it often appears earlier, doctors may not recognise it immediately, especially if they are more familiar with the common, later-onset form of Parkinson’s.

    Early genetic testing could lead to a faster, more accurate diagnosis, allowing treatment to begin when interventions are most effective. It would help families understand how the disease is inherited, enabling relatives to get tested.

    In some cases, where appropriate and culturally acceptable, embryo screening may be considered to prevent the passing of the faulty gene.

    Knowing you have a PINK1 mutation could also make finding the right treatment more efficient. Instead of a lengthy trial-and-error process with different medications, doctors could use emerging therapies designed to target the underlying PINK1 mutation rather than relying on general Parkinson’s treatments meant for the broader population.

    Addressing research gaps

    These findings underscore how crucial it is to include diverse populations in health research.

    Many communities, such as those in Samoa, Tonga and other Pacific nations, have had little to no involvement in global Parkinson’s genetics studies. This has created gaps in knowledge and real-world consequences for people who may not receive timely or accurate diagnoses.

    Researchers, funding bodies and policymakers must prioritise projects beyond the usual focus on European or industrialised countries to ensure research findings and treatments are relevant to all affected populations.

    To better diagnose and treat Parkinson’s, we need a more inclusive approach. Recognising that PINK1-linked Parkinson’s is not as rare as previously thought – and that genetics, sex differences and cultural factors all play a role – allows us to improve care for everyone.

    By expanding genetic testing, refining treatments and ensuring research reflects the full spectrum of Parkinson’s, we can move closer to more precise diagnoses, targeted therapies and better support systems for all.

    Victor Dieriks receives funding from the Health Research Council Hercus Fellowship, the School of Medical Science, the University of Auckland and Te Tı̄ toki Mataora.

    Eden Paige Yin receives funding from the University of Auckland.

    – ref. Studies of Parkinson’s disease have long overlooked Pacific populations – our work shows why that must change – https://theconversation.com/studies-of-parkinsons-disease-have-long-overlooked-pacific-populations-our-work-shows-why-that-must-change-250366

    MIL OSI Analysis – EveningReport.nz –

    February 25, 2025
  • MIL-OSI USA: Gillibrand Applauds Restoration of WTCHP Staff Who Serve 9/11 First Responders

    US Senate News:

    Source: United States Senator for New York Kirsten Gillibrand
    U.S. Senator Kirsten Gillibrand applauded the reversal of terminations of World Trade Center Health Program staff. Senator Gillibrand and Senator Chuck Schumer had previously demanded that U.S. Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. take action to reverse these cuts, which stood to directly impact care for our 9/11 first responders and survivors.
    “I am glad that President Trump reversed the terminations of World Trade Center Health Program staff, who are absolutely critical to the health and well-being of 9/11 first responders and survivors,” said Senator Gillibrand. “However, the bottom line is that these firings should have never occurred in the first place, and they show how this haphazard approach by President Trump is hurting real people. In the coming weeks, Democrats and Republicans will work together to strengthen this program once and for all, and that effort should receive the same level of support from the White House.”
    The WTCHP provides medical monitoring and treatment for first responders and survivors diagnosed with 9/11-related health conditions, including many types of cancers, respiratory illnesses, and more.

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI Canada: Laying the foundation for compassionate intervention

    [. Alberta’s government has prioritized investments into treatment capacity with 11 recovery communities and the removal of financial barriers for those in need of treatment and recovery. Alberta has also established the gold standard for access to opioid agonist therapy through the Virtual Opioid Dependency Program. With significant progress on the model, Alberta is taking the next step to move forward with promised legislation, known as compassionate intervention.

    Alberta’s government is continuing its work to develop compassionate intervention legislation. If passed, that legislation would allow family members, guardians, health care professionals, police or peace officers to request an addiction treatment order for Albertans who are a danger to themselves or others due to their addiction or substance use.

    To provide proper health care for these patients with complex addiction needs, Alberta’s government is building two compassionate intervention centres, each with capacity for 150 beds. The Northern Alberta Compassionate Intervention Centre will be built in Edmonton and the Southern Alberta Compassionate Intervention Centre will be built in Calgary. Construction is expected to begin in 2026 and be completed in 2029.

    “For those suffering from addiction there are two paths – they can let their addiction destroy and take their life or they can enter recovery. Alberta’s government is committed to providing a recovery-oriented system of care to ensure that those suffering from addiction have the opportunity to rebuild their lives. That’s why we are introducing compassionate intervention as another tool in the Alberta Recovery Model. This upcoming legislation will help keep our communities safe while ensuring our most vulnerable can access much-needed recovery supports.”

    Danielle Smith, Premier

    “We cannot – and will not – stand by and let addiction destroy our families and communities. These new facilities show a strong commitment to delivering on our promise for compassionate intervention, ensuring families are no longer forced to watch their loved ones suffer from the deadly disease of addiction.”

    Dan Williams, Minister of Mental Health and Addiction

    Compassionate intervention is a made-in-Alberta strategy to address the addiction crisis, taking evidence-based models used in other jurisdictions and tailoring them to meet the unique needs of Albertans. Already, Alberta has seen significant progress with the creation of the Alberta Recovery Model. Alberta saw a 39 per cent decrease in the number of people losing their lives to opioid addiction over the first ten months of 2024 compared with the same period in 2023. In contrast, British Columbia saw only a 13 per cent decline between 2023 and 2024.

    The Northern and Southern Alberta Compassionate Intervention Centres would help to continue decreasing the number of lives lost to addiction. The centres would serve as multi-functional facilities where patients will access a full spectrum of mental health and addiction supports to address complex needs. They would include spaces for intake assessments, medically supported detox, counselling, individual and group therapy, and more.

    The goal is to provide stabilization, assessment and treatment so Albertans can successfully transition to community supports, such as a recovery community, to continue their recovery journey.

    “We value our partnership with Alberta’s government as we work to save lives and bring people into recovery. But with new, increasingly deadly drugs like methamphetamine and fentanyl, we can’t keep doing the same things and expect different results while people are dying. As Chief of Enoch Cree Nation, I support compassionate intervention and welcome investments that prioritize Indigenous culture and new approaches that truly meet the needs of our people.”

    Cody Thomas, chief, Enoch Cree Nation

    With an immediate need to provide compassionate intervention care, Alberta’s government is also exploring options to have temporary compassionate intervention beds more quickly available within existing facilities. 

    Under the upcoming legislation, individuals would need to meet specific criteria to be eligible for compassionate intervention assessment and treatment. Decisions would be made by an independent commission consisting of lawyers, physicians, and members of the public, which may include Indigenous elders. Treatment would be tailored to each patient’s needs and take place in a secure facility and in the community.

    “Tsuut’ina Nation is grateful for our relationship with the Ministry of Mental Health and Addiction. These new compassionate intervention centres are an important part of addressing the opioid addiction crisis. We are confident that these safe spaces, guided by elders and experts, will provide valuable support for individuals and families in need.”

    Roy Whitney, chief, Tsuut’ina Nation

    Safeguards would be built into the compassionate intervention legislation to ensure individual rights and freedoms are protected. Individuals would have access to legal support and the Health Advocate, and would retain the ability to appeal. Those who enter into compassionate intervention will undergo regular treatment reviews. Further details about compassionate intervention will be shared when legislation is introduced.

    “Today, I feel hopeful. I’m grateful for Alberta’s government because they have acknowledged the addiction crisis in Alberta and committed to proactive programs aimed at saving our loved ones. We must intervene to help people like my son reclaim their lives.”

    Amy Schiffner, mother of an adult suffering from addiction

    “This commitment to compassionate intervention is ensuring we bring as many people out of addiction as possible. It’s clear Alberta’s government is taking recovery seriously with significant investment into the delivery of compassionate intervention care.”

    Bruce Holstead, executive director, Fresh Start Recovery Centre

    “There is nothing more heart wrenching than families watching their loved one struggle with the illness of addiction. PEP Society welcomes this investment and action to establish compassionate intervention, and we look forward to having this resource to rebuild health and wellness in families across Alberta.”  

    Lerena Greig, executive director, Parents Empowering Parents (PEP) Society

    “We need to ask ourselves if it is better to leave someone to harm themselves with ongoing addiction or if we should compassionately intervene. The answer is obviously to intervene and do what we can to save someone’s life.”

    Earl Thiessen, executive director, Oxford House

    Advisory committees are being established to help guide and provide input on the implementation of compassionate intervention within the health system. Members will include representatives from Indigenous communities and families affected by addiction. Alberta’s government will also continue to consult with police and health professionals to establish a robust compassionate intervention system.

    Alberta’s government is making record investments and removing barriers to recovery-oriented supports for all Albertans. In addition to adding more than 10,000 new, publicly funded addiction treatment spaces, the province expanded access to the Virtual Opioid Dependency Program, which provides same-day access to life-saving treatment medication. Alberta’s government is also investing in 11 recovery communities, three of which are operational.

    Quick facts

    • Albertans struggling with opioid addiction can contact the Virtual Opioid Dependency Program (VODP) by calling 1-844-383-7688, seven days a week, from 6 a.m. to midnight daily. VODP provides same-day access to addiction medicine specialists. There is no waitlist.
    • Albertans can call 211 Alberta for information on services and supports in their community.

    Related information

    • Alberta Recovery Model

    Multimedia

    • Watch the news conference

    MIL OSI Canada News –

    February 25, 2025
  • MIL-OSI USA: New Poll Shows Massive Support for President Trump and His Agenda

    US Senate News:

    Source: The White House
    A new poll by Harvard CAPS-Harris reveals the majority of the country backs President Donald J. Trump and his actions to bring much-needed reforms that are making America great again.
    Americans overwhelmingly support President Trump’s agenda.
    81% support deporting criminal illegal immigrants.
    76% support a “full-scale effort to find and eliminate fraud and waste in government.”
    76% support closing the border with additional security and policies.
    69% support keeping men out of women’s sports.
    68% support government declaring there are only two genders.
    65% support ending race-based hiring in government.
    63% support “freezing and re-evaluating all foreign aid expenditures and the department that handled them.”
    61% support reciprocal tariffs.
    60% support direct U.S. negotiations with Russia to end the war in Ukraine.
    59% support cutting government spending already approved by Congress.
    57% support ending the ban on new offshore drilling.

    Most Americans approve of President Trump’s job performance — including pluralities of men, women, independents, and Americans who live in urban, suburban, and rural areas — while almost six-in-ten say he’s doing a better job than President Biden.
    Almost half of Americans believe the U.S. economy is “strong” under President Trump — the highest number since 2021 — while a plurality say his policies will make them “financially better off.”
    Americans are significantly more optimistic about the direction of the country, with those who say we’re on the right track up 14 points over last month.
    Americans strongly support President Trump’s effort to root out waste, fraud, and abuse in government.
    77% support a “full examination of all government expenditures.”
    72% agree there should be a government agency “focused on efficiency.”
    70% say government is “filled with waste, fraud, and inefficiency.”
    Two-thirds say Congress should join the “effort to reduce government expenditures.”

    Americans back President Trump’s action to protect American workers.
    61% support reciprocal tariffs.
    57% say tariffs are an “effective foreign and economic policy tool.”
    54% say tariffs will help get “concessions from other countries.”

    President Trump, Vice President JD Vance, Secretary of Health and Human Services Robert F. Kennedy, Jr., Director of National Intelligence Tulsi Gabbard, and Attorney General Pam Bondi all enjoy net positive favorability.

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: SCHUMER ANNOUNCES TRUMP & DOGE HEED HIS CALLS TO REVERSE BRUTAL CUTS TO 9/11 SURVIVOR HEALTH PROGRAM AND WILL REHIRE WORKERS

    US Senate News:

    Source: United States Senator for New York Charles E Schumer
    New York, N.Y. – Following his all-out push to protect 9/11 health research and the workers rashly fired from the World Trade Center Health Program, U.S. Senate Democratic Leader Chuck Schumer today released the following statement after DOGE, the CDC & the Trump Administration heeded his calls to restore the cuts and rehire the workers they fired, who provide critical care to 9/11 survivors and first responders:
    “Donald Trump and Elon Musk tried to cripple the 9/11 health fund and all they got was the ‘ole Brooklyn Salute. I made sure that President Trump, DOGE, and Secretary Kennedy heard us loud and clear: do not mess with our first responders and the healthcare of 9/11 survivors. This lifesaving program should have never been on the chopping block in the first place and so it makes sense that the Trump administration has done a complete about-face and heeded our calls to reverse these devastating cuts and rehire the dedicated staff of the World Trade Center Health Program. Today we saw what happens when New Yorkers fight back against disastrous job-killing decisions: Trump and Musk back off. When we say ‘Never Forget’ that means never wavering in our commitment to take care of those who answered the call on 9/11. I will continue to watch this issue like a hawk because the people who do this hard work and deserve these health funds are watching this back-and-forth with distrust and disgust. I will fight to make sure this program is protected from disruption and that no further cuts to staff or funding are made.” 

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: King Works to Give Maine People Access to Lower-Cost Prescription Drugs from Canada

    US Senate News:

    Source: United States Senator for Maine Angus King

    WASHINGTON, D.C. — U.S. Senator Angus King (I-ME) is cosponsoring bipartisan legislation that would allow Americans to save money by importing the same medications from pharmacies in Canada — for less. The Safe and Affordable Drugs from Canada Act would give Americans safe access to prescription drugs from Canada, which would help lower costs, increase access for consumers and positively impact the domestic market for consumers through increased competition.

    According the Kaiser Family Foundation (KFF), studies have shown that people in the United States often pay more for prescription drugs than in other developed countries. A 2024 report from the Department of Health and Human Services (DHHS) found that Canadian drug prices are roughly 44% of those in the United States. Canada’s drug prices are generally lower than those in the United States because the Canadian government has implemented various mechanisms to lower the cost of prescription drugs. Last year, Florida became the first state to gain authorization from the Food and Drug Administration (FDA) to import certain prescription drugs from Canada.

    “As we work to address the cost-of-living, making the prescription drug market more competitive is a simple way to help Americans — especially when we’re seeing our neighbors to the north enjoy lower out-of-pocket prices,” said Senator King. “The bipartisan Safe and Affordable Drugs From Canada Act would give Maine people the ability to purchase their prescriptions directly from pharmacies across the northern border at the market rate of a less expensive marketplace. This legislation is a commonsense step that will help Maine people save money and stay healthy.”

    In addition to Senator King, this legislation is cosponsored by Senators Amy Klobuchar (D-MN), Chuck Grassley (R-IA), Tammy Baldwin (D-WI), Jeff Merkley (D-OR), Jeanne Shaheen (D-NH), Peter Welch (D-VT) and Sheldon Whitehouse (D-RI).

    Senator King has been a leader in working to reduce prescription drug costs. He also recently cosponsored bipartisan legislation which would require price disclosures on advertisements for prescription drugs in order to inform patients who are considering certain medications after seeing television commercials. He previously introduced legislation to prohibit pharmaceutical drug manufacturers from claiming tax deductions for consumer advertising expenses. Most recently, Senator King introduced the Responsibility in Drug Advertising Act, which would prohibit direct-to-consumer (DTC) advertising of a new drug in the first three years after the drug receives Federal Drug Administration (FDA) approval.

    He has also supported a number of commonsense bills to drive down the costs of prescription medication in the United States including the historic Inflation Reduction Act. Thanks to the Inflation Reduction Act, insulin fees are capped at $35 per month, Medicare is able to negotiate drug prices, and a $2,000 yearly cap on out-of-pocket expenses has been instituted for Medicare recipients.

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: Booker Leads Senate Colleagues in Urging Secretary Rubio to Restore Critical Global Health Programs to Keep Americans Safe

    US Senate News:

    Source: United States Senator for New Jersey Cory Booker

    WASHINGTON, D.C. – Today, U.S. Senator Cory Booker (D-NJ), a member of the Senate Foreign Relations Committee, led 20 colleagues in calling on Secretary of State Marco Rubio to urgently restore funding for global health, development, and humanitarian programs. In the wake of the Trump administration’s abrupt termination of key foreign assistance programs and personnel without review, the letter highlights the national security imperatives of U.S. global health efforts, which keep Americans safe, strengthen U.S. leadership, and increase global stability.

    “The Trump Administration’s freeze on foreign assistance and opaque waiver process, coupled with the attempted dismantling of the U.S. Agency for International Development (USAID) has significantly weakened our ability to respond to emergencies, left gaps in disease surveillance, and undermined global partnerships— leaving a vacuum that our adversaries are eager to fill,” the Senators wrote.  

    The Senators expressed concern that without American global health programs, current outbreaks of infectious diseases like Ebola, Marburg Virus, and Bird Flu have the potential for spreading to U.S. soil. According to the Centers for Disease Control and Prevention (CDC), an infectious disease can spread from a remote village to a major city in the United States in as little as 36 hours. Additionally, the foreign assistance funding freeze has stopped critical Malaria interventions before peak transmission and paused many clinical trials and data collection endeavors that require continuous data collection. As a result, product development for desperately needed drugs and vaccines have been brought to a halt. 

    “The U.S. cannot afford to withdraw from the global stage. Weak health systems in already fragile regions create opportunities for infectious disease to spread unchecked, for extremist groups to gain influence, and for adversaries to expand their reach,” the Senators continued.

    The Senators warned Secretary Rubio that Russian leaders have publicly praised the decision to dismantle USAID, an agency that helps counter China’s efforts to expand its Belt and Road Initiative in Africa and Latin America. Additionally, China is already stepping in to fill the vacuum left by the United States at the World Health Organization.  

    “We urge you to reverse the damaging personnel actions at USAID, and swiftly restart U.S. investments in global health, development, and humanitarian aid—not just as a moral obligation, but as part of the necessary strategy to protect America’s national security. In the meantime, there must be a clear process to achieve and implement waivers for these critical programs… Restoring these investments and the professional staff with training and skillsets to implement these life-saving programs will strengthen global health security, reinforce our leadership on the world stage, and make us safer at home,” the Senators concluded.

    The letter is cosigned by U.S. Senators Richard Blumenthal (D-CT),  Tammy Duckworth (D-IL), Minority Whip Dick Durbin (D-IL), Chris Coons (D-DE), Martin Heinrich (D-NM), Tim Kaine (D-VA), Mark Kelly (D-AZ), Amy Klobuchar (D-MN), Ben Ray Lujan (D-NM), Ed Markey (D-MA), Chris Murphy (D-CT), Patty Murray (D-WA), Alex Padilla (D-CA), Jacky Rosen (D-NV), Bernie Sanders (I-VT), Brian Schatz (D-HI), Jeanne Shaheen (D-VT), Tina Smith (D-MN), Chris Van Hollen (D-MD), and Ron Wyden (D-OR). 

    To read the full text of the letter, click here.

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: PREPARED REMARKS: Sanders Opening Statement in Hearing to Consider Chavez-DeRemer Nomination

    US Senate News:

    Source: United States Senator for Vermont – Bernie Sanders

    WASHINGTON, Feb. 19 – Sen. Bernie Sanders (I-Vt.), Ranking Member of the Senate Committee on Health, Education, Labor, and Pensions (HELP), today delivered an opening statement at the committee’s hearing on the nomination of Lori Chavez-DeRemer to serve as Secretary of Labor. 

    Sanders’ remarks, as prepared for delivery, are below and can be watched here.

    Let me begin by thanking the Biden administration for being the most pro-worker administration in modern history of this country. 

    The mission of the Department of Labor is to “foster, promote, and develop the welfare of the wage-earners, job-seekers and retirees of the United States, improve working conditions, advance opportunities for profitable employment and assure work-related benefits and rights.” That is the mission of the Department of Labor, and it’s a mission that is more important now, in my view, that it has ever been. 

    Mr. Chairman, for the past 50 years, our economy has been doing extraordinarily well. Never done better for the people on top. Top 1%, right now, is enjoying wealth and power in a way that has never existed in the history of America. 

    We now have the absurd situation – the disgraceful situation – where three people, Mr. Musk, Mr. Zuckerberg and Mr. Bezos are now worth over $900 billion. That is more wealth than the bottom half of American society: 170 million people. Is that really what America is supposed to be about? 

    In America, we have more income and wealth inequality than we have ever had. Over 60% of our people, as we speak right here, 60% of Americans are living paycheck-to-paycheck. I grew up in a family living paycheck-to-paycheck. That ain’t easy. Stress level: enormous. People trying to find out how they are going to get health care, how they are going to pay their rent, how they’re going to feed their kids, which is one of the reasons working-class people live six years shorter lives than the people on top. 

    Given this reality, of an economy working well for the billionaire class but not for working families, we need a labor secretary who, in fact, is going to be a champion of working families – not be ambiguous about it, but stand up for the working families of our country. 

    We need a labor secretary who understands we must raise the minimum wage. Now, $7.25. Federal minimum wage. Anybody think that anyone anywhere in America can live on $7.25 an hour?

    We need a labor secretary who will work each and every day to make it easier, not harder, for workers to exercise their constitutional right to form a union and collectively bargain for better wages and working conditions. 

    We need a labor secretary who understands that we must end, once and for all, the disastrous right-to-work laws in 28 states by repealing section 14B of Taft-Harley.

    We need a labor secretary who understands we must end the international embarrassment of America being the only major country on Earth that does not guarantee paid family and medical leave, or paid sick days. Imagine that. Only major country on Earth that does not guarantee paid family medical leave. 

    We need a labor secretary who understands it is unacceptable that women earn 75 cents on the dollar compared to men. 

    So Ms. Chavez-DeRemer, I have reviewed your record, and in many respects, especially given the nature of the nominees that Mr. Trump has brought forth, it is very good. You’re one of the few Republican members of Congress who cosponsored the PRO Act and the Public Service Freedom to Negotiate Act, to make it easier for workers to form unions. 

    You have been a defender of union apprenticeship programs and you have fought to expand the concept of employee ownership – something I feel strongly about. Many unions have come out in support of your nomination, and that is an interesting development. I have spoken with you and union leaders who support your nomination. 

    But here is my concern: If you are confirmed, you will not only be in charge of enforcing more than 180 labor laws that are on the books today, you will be the president’s chief labor advisor. That is what you will be. 

    When it comes to labor policy, you will have to make a choice: Will you be a rubber stamp for the anti-worker agenda of Elon Musk, Jeff Bezos and other multi-billionaires who are blatantly anti-union? They don’t make any bones about it. Or will you stand with working families all over the country? 

    That is really the main issue. It’s not just your record. This is an unusual administration. In my view, we are moving toward an authoritarian society where one person has enormous power. Will you have the courage to say, Mr. President, that is unconstitutional, that is wrong, I will not stand with you. 

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: Education Nominee McMahon Tells Warren and Kim She “Wholeheartedly” Agrees with Trump’s Plan to Abolish Department of Education

    US Senate News:

    Source: United States Senator for Massachusetts – Elizabeth Warren
    February 24, 2025
    Text of Questions for the Record (PDF)
    Washington, D.C. – Today, U.S. Senators Elizabeth Warren (D-Mass.) and Andy Kim (D-N.J.), member of the Senate Committee on Health, Education, Labor, and Pensions, released responses to Committee questions for the record from Donald Trump’s pick for Secretary of Education, Linda McMahon, in which McMahon states that she “wholeheartedly” agrees with Trump’s plans to abolish the Department of Education (ED).
    “President Trump believes that the bureaucracy in Washington should be abolished so that we can return education to the states, where it belongs. I wholeheartedly support and agree with this mission,” wrote McMahon.
    This response was not the only troubling answer from Ms. McMahon. She also refused to commit to preserving ED’s role in carrying out any of its present responsibilities, including:
    Administering federal student aid
    Funding Career and Technical Education
    Funding HBCUs
    Protecting the civil rights of students
    Funding teacher training programs
    Monitoring student loan servicers
    Sponsoring academic research
    Notably, McMahon also appeared to support the Trump Administration’s funding freeze, which continues to cause chaos across the country, stating that “Every Administration has the right to review all funding obligations and ensure that funding is being distributed in a way that aligns with both Congressional intent and the priorities of the duly elected President of the United States.”
    “Linda McMahon has made herself clear: as Secretary of Education, she will do whatever Donald Trump asks her to do—including abolishing the entire department, which supports millions of students trying to receive an education,” said Senator Warren. “Confirming her as Education Secretary would be a disaster for students and teachers in all 50 states.”
    “Linda McMahon has made clear her top responsibility is complete and total loyalty to President Trump, including her openness to dissolve the very department she would be confirmed to run,” said Senator Kim. “As the administration’s illegal funding freeze threatens already scarce resources for schools and critical programs, her blind loyalty is dangerous. Instead of treating education as a public good that is a foundation for our society, the Trump administration is trying to demonize it and change it in ways that will leave many children vulnerable. We cannot let them.”

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: Governor Kehoe Appoints Associate Circuit Judge for 16th Judicial Circuit, Fills Caldwell County Public Administrator Vacancy

    Source: US State of Missouri

    FEBRUARY 21, 2025

    Jefferson City — Today, Governor Mike Kehoe appointed a new Associate Circuit Judge for the 16th Judicial Circuit and filled the Public Administrator vacancy in Caldwell County. 

    John G. Gromowsky, of Kansas City, was appointed as Associate Circuit Judge for Jackson County in the 16th Judicial Circuit. 
    Mr. Gromowsky is a seasoned attorney with extensive experience in both prosecution and defense. He is a graduate of the United States Military Academy at West Point and was commissioned as an infantry officer in the U.S. Army, where he served in several leadership roles, including a platoon leader and executive officer. Following his military service, he earned his Juris Doctor from DePaul University College of Law in Chicago. 
    Gromowsky began his legal career as a law clerk in Jackson County before serving in multiple roles in the Jackson County Prosecutor’s Office, including as a Drug Task Force Prosecutor, Community Prosecutor, and Violent Crimes Unit attorney. In private practice, he spent over 16 years as a defense lawyer, handling trial work and appeals, including cases before the U.S. Supreme Court. Active in his community, Mr. Gromowsky has served on public safety committees, coached youth sports, and held leadership positions within a local bar association. Mr. Gromowsky will fill the vacancy created by the appointment of Judge Lauren D. Barrett to the circuit court of the 16th Judicial Circuit. 

    Crystal McBrayer, of Kingston, was appointed as the Caldwell County Public Administrator.
    Ms. McBrayer is a longtime resident of Caldwell County and has experience in team leadership and community service. She is a graduate of Penny High School and currently works as a Sales Associate and team lead for Walmart. As Public Administrator, McBrayer will serve as the court-appointed guardian and conservator for individuals deemed incapacitated or disabled by the 43rd Judicial Circuit. She will also act as a personal representative for decedent estates and oversee the management of assets when no other responsible party is available.

    ###

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI United Nations: Human Rights ‘Oxygen of Humanity’, Critical to Sustainable Peace, Says Secretary-General

    Source: United Nations 4

    Following are UN Secretary-General António Guterres’ remarks to Human Rights Council, in New York today:

    We begin this session under the weight of a grim milestone — the third anniversary of the Russian Federation’s invasion of Ukraine, in violation of the Charter of the United Nations.  More than 12,600 civilians killed, with many more injured.  Entire communities reduced to rubble.  Hospitals and schools destroyed.  We must spare no effort to bring an end to this conflict, and to achieve a just and lasting peace in line with the UN Charter, international law and General Assembly resolutions.

    Conflicts like the war in Ukraine exact a heavy toll.  A toll on people.  A toll on fundamental principles like territorial integrity, sovereignty and the rule of law.  And a toll on the vital business of this Council.

    Without respect for human rights — civil, cultural, economic, political and social — sustainable peace is a pipedream.  And like this Council, human rights shine a light in the darkest places.

    Through your work, and the work of the High Commissioner’s Office around the world, you’re supporting brave human rights defenders risking persecution, detention and even death.  You’re working with Governments, civil society and others to strengthen action on human rights.  And you’re supporting investigations and accountability.

    Five years ago, we launched our Call to Action for Human Rights, embedding human rights across the work of the United Nations around the world in close cooperation with our partners.  I will continue supporting this important work, and the High Commissioner’s Office, as we fight for human rights everywhere.  We have our work cut out for us.

    Human rights are the oxygen of humanity.  But, one by one, human rights are being suffocated.  By autocrats, crushing opposition because they fear what a truly empowered people would do.  By a patriarchy that keeps girls out of school, and women at arm’s length from basic rights.  By wars and violence that strip populations of their right to food, water and education. By warmongers who thumb their nose at international law, international humanitarian law and the UN Charter.

    Human rights are being suffocated by the climate crisis.  And by a morally bankrupt global financial system that too often obstructs the path to greater equality and sustainable development.  By runaway technologies like artificial intelligence (AI) that hold great promise, but also the ability to violate human rights at the touch of a button.  By growing intolerance against entire groups — from Indigenous Peoples, to migrants and refugees, to the lesbian, gay, bisexual, transgender, queer, intersex and other identities (LGBTQI+) community, to persons with disabilities.  And by voices of division and anger who view human rights not as a boon to humanity, but as a barrier to the power, profit and control they seek.

    In short — human rights are on the ropes and being pummelled hard.  This represents a direct threat to all of the hard-won mechanisms and systems established over the last 80 years to protect and advance human rights.

    But, as the recently adopted Pact for the Future reminds us, human rights are, in fact, a source of solutions.  The Pact provides a playbook on how we can win the fight for human rights on several fronts.

    First — human rights through peace and peace through human rights.  Conflicts inflict human rights violations on a massive scale.  In the Occupied Palestinian Territory, violations of human rights have skyrocketed since the horrific Hamas attacks of 7 October 2023 and the intolerable levels of death and destruction in Gaza.

    And I am gravely concerned by the rising violence in the occupied West Bank by Israeli settlers and other violations, as well as calls for annexation. We are witnessing a precarious ceasefire.  We must avoid at all costs a resumption of hostilities.  The people in Gaza have already suffered too much.

    It’s time for a permanent ceasefire, the dignified release of all remaining hostages, irreversible progress towards a two-State solution, an end to the occupation and the establishment of an independent Palestinian State, with Gaza as an integral part.

    In Sudan, bloodshed, displacement and famine are engulfing the country.  The warring parties must take immediate action to protect civilians, uphold human rights, cease hostilities and forge peace.  And domestic and international human rights monitoring and investigation mechanisms should be permitted to document what is happening on the ground.

    In the Democratic Republic of the Congo, we see a deadly whirlwind of violence and horrifying human rights abuses, amplified by the recent M23 [23 March Movement] offensive, supported by the Rwandan Defence Forces. As more cities fall, the risk of a regional war rises.

    It’s time to silence the guns.  It’s time for diplomacy and dialogue.  The recent joint summit in the United Republic of Tanzania offered a way forward with a renewed call for an immediate ceasefire.  The sovereignty and territorial integrity of the Democratic Republic of the Congo must be respected.  The Congolese people deserve peace.

    In the Sahel, I call for a renewed regional dialogue to protect citizens from terrorism and systemic violations of human rights, and to create the conditions for sustainable development.

    In Myanmar, the situation has grown far worse in the four years since the military seized power and arbitrarily detained members of the democratically elected Government.  We need greater cooperation to bring an end to the hostilities and forge a path towards an inclusive democratic transition and a return to civilian rule, allowing for the safe return of the Rohingya refugees.

    And in Haiti, we are seeing massive human rights violations — including more than a million people displaced, and children facing a horrific increase in sexual violence and recruitment into gangs.  In the coming days, I will put forward proposals to the United Nations Security Council for greater stability and security for the people of Haiti — namely through an effective UN assistance mechanism to support the Multilateral Security Support mission, the national police and Haitian authorities.  A durable solution requires a political process — led and owned by the Haitian people — that restores democratic institutions through elections.

    The Pact for the Future calls for peace processes and approaches rooted in the Universal Declaration of Human Rights, international law and the UN Charter.  It proposes specific actions to prioritize conflict prevention, mediation, resolution and peacebuilding.  And it includes a commitment to tackle the root causes of conflict, which are so often enmeshed in denials of basic human needs and rights.

    Second — the Pact for the Future advances human rights through development.  The Sustainable Development Goals (SDGs) and human rights are fundamentally intertwined. They represent real human needs — health, food, water, education, decent work and social protection.

    With less than one fifth of the Goals on track, the Pact calls for a massive acceleration through an SDG Stimulus, reforming the global financial architecture, and taking meaningful action for countries drowning in debt.  This must include focused action to conquer the most widespread human rights abuse in history — inequality for women and girls.

    The Pact calls for investing in battling all forms of discrimination and violence against women and girls, and ensuring their meaningful participation and leadership across all walks of life.  And along with the Declaration on Future Generations, the Pact calls for supporting the rights and futures of young people through decent work, removing barriers for youth participation, and enhancing training.  And the Global Digital Compact calls on nations to champion young innovators, nurture entrepreneurial spirit and equip the next generation with digital literacy and skills. 

    Third — the Pact for the Future recognizes that the rule of law and human rights go hand-in-hand.  The rule of law, when founded on human rights, is an essential pillar of protection.  It shields the most vulnerable.  It’s the first line of defence against crime and corruption.  It supports fair, just and inclusive economies and societies.  It holds perpetrators of human rights atrocities to account.  It enables civic space for people to make their voices heard — and for journalists to carry out their essential work, free from interference or threats.  And it reaffirms the world’s commitment to equal access to justice, good governance and transparent and accountable institutions.

    Fourth — human rights through climate action.  Last year was the hottest on record — capping the hottest decade on record.  Rising heat, melting glaciers and hotter oceans are a recipe for disaster.  Floods, droughts, deadly storms, hunger, mass displacement — our war on nature is also a war on human rights.  We must choose a different path.

    I salute the many Member States who legally recognize the right to a healthy environment — and I call on all countries to do the same.  Governments must keep their promise to produce new, economy-wide national climate action plans this year, well ahead of thirtieth UN Climate Change Conference in Brazil.  Those plans must limit the rise in global temperature to 1.5°C — including by accelerating the global energy transition.

    We also need a surge in finance for climate action in developing countries, to adapt to global heating, slash emissions and accelerate the renewables revolution, which represents a massive economic opportunity. We must stand up to the misleading campaign of many in the fossil fuel industry and its enablers who are aiding and abetting this madness, while also protecting and defending those on the front lines of climate justice.

    And fifth — human rights through stronger, better governance of technology.  As fast-moving technologies expand into every aspect of our lives, I am deeply concerned about human rights being undermined.

    At its best, social media is a meeting ground for people to exchange ideas and spark respectful debate.  But, it can also be an arena of fiery combat and blatant ignorance. A place where the poisons of misinformation, disinformation, racism, misogyny and hate speech are not only tolerated — but often encouraged.  Verbal violence online can easily spill into physical violence in real life.

    Recent rollbacks on social media fact-checking and content moderation are reopening the floodgates to more hate, more threats and more violence.  Make no mistake.  These rollbacks will lead to less free speech, not more, as people become increasingly fearful to engage on these platforms.  Meanwhile, the great promise of AI is matched by limitless peril to undermine human autonomy, human identity, human control — and yes, human rights.

    In the face of these threats, the Global Digital Compact brings the world together to ensure that human rights are not sacrificed on the altar of technology.  This includes working with digital companies and policymakers to extend human rights to every corner of cyberspace — including a new focus on information integrity across digital platforms.

    The Global Principles for Information Integrity I launched last year will support and inform this work as we push for a more humane information ecosystem.

    The Global Digital Compact also includes the first universal agreement on the governance of AI that brings every country to the table and commitments on capacity-building, so all countries and people benefit from AI’s potential.  By investing in affordable Internet, digital literacy and infrastructure.  By helping developing countries use AI to grow small businesses, improve public services and connect communities to new markets.  And by placing human rights at the centre of AI-driven systems.

    The Pact’s decisions to create an Independent International Scientific Panel on AI and an ongoing Global Dialogue that ensure all countries have a voice in shaping its future are important steps forward.  We must implement them.

    We can help end the suffocation of human rights by breathing life into the Pact for the Future and the work of this Council.  Let’s do that together.  We don’t have a moment to lose.

    MIL OSI United Nations News –

    February 25, 2025
  • MIL-OSI Canada: Physician Retirement Fund Initiative

    Source: Government of Canada regional news

    The government will provide a new retirement benefit to doctors as part of ongoing efforts to expand recruitment and retention initiatives in Nova Scotia.

    The support is through annual contributions that doctors put toward their retirement savings. The Province’s contributions will be based on doctors’ years of service, full- or part-time status, and the amount they contribute to their preferred retirement savings option.

    “We’re competing with the rest of the world for doctors, and that requires a comprehensive approach to our recruitment and retention efforts, including long-term financial incentives,” said Premier Tim Houston. “This fund will apply to all doctors working in the province who provide patient care.”

    The retirement benefit is available to all full- and part-time doctors who are licensed to work in Nova Scotia and provide direct patient care or clinical services such as specialists in radiology and pathology.

    The amounts doctors can receive based on their years of service, as of December 31, are as follows:

    • five or fewer years of service – $5,000 annually; no savings contribution by the doctor is required
    • five to 15 years – up to $10,000 annually
    • more than 15 years – up to $15,000 annually.

    The Province’s contribution is based on full-time equivalency. Doctors who work part-time will have their hours prorated and contribution matched based on their full-time equivalency.

    Action for Health is the government’s plan to improve healthcare in Nova Scotia. A retirement fund for physicians supports Solution 1 in the plan, to become a magnet for health providers.


    Quotes:

    “This fund will be a powerful recruitment and retention tool for our province. It will help set Nova Scotia apart when recruiting new physicians while supporting the physicians who have already begun building their career and life in Nova Scotia.”
    — Dr. Gehad Gobran, President, Doctors Nova Scotia


    Quick Facts:

    • about 3,000 doctors across the province are eligible this year for the retirement fund
    • it is estimated that the retirement fund will cost about $22 million annually
    • between April and August, there have been 73 net new doctors recruited to Nova Scotia

    Additional Resources:

    Action for Health, the government’s plan to improve healthcare in Nova Scotia: https://novascotia.ca/actionforhealth/

    Mandate letter for the Minister of Health and Wellness: https://novascotia.ca/exec_council/letters-2021/ministerial-mandate-letter-2021-DHW.pdf


    Other than cropping, Communications Nova Scotia photos are not to be altered in any way.

    MIL OSI Canada News –

    February 25, 2025
  • MIL-OSI United Kingdom: Ministerial appointments: February 2025

    Source: United Kingdom – Executive Government & Departments

    Press release

    Ministerial appointments: February 2025

    The King has been pleased to approve the following appointments.

    The King has been pleased to approve the following appointments:

    • Ashley Dalton MP as a Parliamentary Under-Secretary of State in the Department of Health and Social Care. 

    • The Rt Hon. Douglas Alexander MP jointly as a Minister of State in the Cabinet Office, in addition to his role as Minister of State in the Department for Business and Trade.

    • Lord Moraes OBE as a Lord in Waiting (Government Whip).

    • Lord Wilson of Sedgefield as a Lord in Waiting (Government Whip).

     Andrew Gwynne MP has left the government.

    Lord Cryer has left the government.

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    MIL OSI United Kingdom –

    February 25, 2025
  • MIL-OSI United Nations: Breast cancer cases projected to rise by nearly 40 per cent by 2050, WHO warns

    Source: United Nations MIL OSI

    24 February 2025 Health

    Breast cancer cases are expected to increase by 38 percent globally by 2050, with annual deaths from the disease projected to rise by 68 percent, according to a new report from the International Agency for Research on Cancer (IARC), a specialised branch of the World Health Organization (WHO). 

    The findings, published in Nature Medicine on Monday, warn that if current trends continue, the world will see 3.2 million new breast cancer cases and 1.1 million related deaths each year by mid-century.

    The burden will be disproportionately felt in low- and middle-income countries, where access to early detection, treatment and care remains limited.

    “Every minute, four women are diagnosed with breast cancer worldwide and one woman dies from the disease, and these statistics are worsening,” said Dr. Joanne Kim, an IARC scientist and co-author of the report. 

    “Countries can mitigate or reverse these trends by adopting primary prevention policies, such as WHO’s recommended ‘best buys’ for noncommunicable disease prevention, and by investing in early detection and treatment,” she explained.

    A growing global burden 

    Breast cancer remains the most common cancer among women worldwide and the second most common cancer overall.

    In 2022 alone, an estimated 2.3 million new cases were diagnosed, with 670,000 deaths reported. However, the report highlights significant disparities across regions.

    The highest incidence rates were recorded in Australia, New Zealand, North America and Northern Europe, while the lowest rates were found in South-Central Asia and parts of Africa.

    Meanwhile, the highest mortality rates were reported in Melanesia, Polynesia and Western Africa, where limited access to healthcare contributes to poorer outcomes.

    The link between breast cancer survival and economic development is stark: in high-income countries, 83 percent of diagnosed women survive, whereas in low-income countries, more than half of women diagnosed with breast cancer die from it.

    Urgent need for action

    The WHO launched the Global Breast Cancer Initiative in 2021, aiming to reduce breast cancer mortality rates by 2.5 per cent per year, which could prevent 2.5 million deaths by 2040.

    The initiative focuses on early detection, timely diagnosis and access to quality treatment.

    Dr. Isabelle Soerjomataram, Deputy Head of IARC’s Cancer Surveillance Branch, emphasised the need for high-quality cancer data to drive better policies in lower-income regions.

    “Continued progress in early diagnosis and improved access to treatment are essential to address the global gap in breast cancer and ensure that the goal of reducing suffering and death from breast cancer is achieved by all countries worldwide,” she said.

    The path forward 

    The report underscores the importance of stronger health systems, increased funding for breast cancer screening and treatment, and the adoption of cost-effective prevention policies.

    With the projected rise in cases and deaths, the international community faces an urgent challenge – one that requires coordinated action to ensure millions of lives are not lost to a disease that is increasingly preventable and treatable. 

    MIL OSI United Nations News –

    February 25, 2025
  • MIL-OSI Canada: New Health Home Coming to Pictou County

    Source: Government of Canada regional news

    More people living in Pictou County will have access to primary healthcare when a new health home opens in the fall.

    The Pictou County Collaborative Learning and Health Home Centre in New Glasgow will also provide better training opportunities for healthcare professionals.

    “This health home is unlike any other in the province. It will actively train doctors, nurses and other primary healthcare clinicians and staff, while providing residents with better access to primary care,” said Premier Tim Houston. “Expanding training capacity for primary care providers is critical to the long-term success of our healthcare system.”

    Work on the new centre has started and will include:

    • space for an expanded Westville Medical Clinic, which will relocate to the new centre
    • patient and family-centred care provided by healthcare professionals who are actively learning and specializing in their fields
    • a learning hub for physicians, nurse practitioners, family practice nurses, dietitians, social workers physician assistants and more
    • opportunities for research, evaluation, innovation and community engagement.

    The Pictou County Collaborative Learning and Health Home Centre will welcome new primary care providers who will have capacity to provide care to more Nova Scotians.

    It will serve as a proof-of-concept model that will be evaluated to be expanded to other health homes across the province.


    Quotes:

    “The Pictou County Collaborative Learning and Health Home Centre will provide the primary care services, training, and innovation that are needed to ensure Nova Scotians have the full service access to primary care that they need and deserve.”
    — Dr. Brad MacDougall, family physician, Westville Medical Clinic


    Quick Facts:

    • the new centre’s address is 609 Westville Road Rd., New Glasgow
    • expanding the Westville Medical Clinic will take about 3,000 Nova Scotians off the Need a Family Practice Registry
    • a health home model of care is where patients receive comprehensive care from a team of healthcare professionals that could include doctors, nurse practitioners, dietitians, social workers or other healthcare professionals
    • there are 115 health homes across Nova Scotia

    Other than cropping, Province of Nova Scotia photos are not to be altered in any way.

    MIL OSI Canada News –

    February 25, 2025
  • MIL-OSI USA: Lyons Magnus Recalls Lyons ReadyCare and Sysco Imperial Frozen Supplemental Shakes

    Source: US State of Rhode Island

    The Rhode Island Department of Health (RIDOH) is advising consumers that Lyons Magnus is recalling 4 oz. Lyons ReadyCare and Sysco Imperial Frozen Supplemental Shakes due to the potential for the products to be contaminated with Listeria monocytogenes. This recall is being coordinated with the products’ manufacturer, Prairie Farms Dairy.

    Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

    Lyons Magnus handled distribution of the recalled products, which were manufactured and supplied to Lyons Magnus by Prairie Farms. The recalled products were distributed primarily to long-term care facilities and were not available for retail sale.

    The recalled products were distributed throughout the United States and packed in 4 oz. cartons under the Lyons ReadyCare and Sysco Imperial brand names. The top of the carton has printing that identifies the Lot Code and Best By Date for these products. A chart listing all recalled products is available (see below).

    There have been 38 illnesses associated with the strain of Listeria monocytogenes that may have contaminated these products, including 11 deaths. None of these illnesses or fatalities were in Rhode Island.

    Anyone who has a recalled product should discard that product.

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI Security: US Military Partners with El Salvador to Combat Animal Health Concerns

    Source: United States SOUTHERN COMMAND

    AHUACHAPAN, El Salvador  –  

    U.S. military personnel joined forces with Salvadoran authorities in two events aimed at tackling animal health and overpopulation in El Salvador. The initiatives saw participation from the U.S. Embassy in El Salvador and Joint Task Force-Bravo’s Army Force Battalion veterinarian team.

    On Feb. 19, a joint effort between the U.S. military and El Salvador’s Ministry of Agriculture saw the administration and distribution of more than 54,000 doses of ivermectin to local livestock. The initiative aims to curb the spread of vector-borne illnesses that threaten animal and human populations.

    “El Salvador has been proactive in confronting the issues presented by vector-borne illnesses,” said Lt. Col. Steven Pelham, Veterinary Preventive Medicine Officer Army Force Battalion. “The opportunity to work with the Ministry of Agriculture has been a true privilege. I am honored to have been able to train together and learn from each other, united by one cause.”

    Following the ivermectin distribution, Joint Task Force-Bravo hosted a veterinary readiness training exercise, or VETRETE, in Ahuachapan, El Salvador. The collaborative effort which included 33 individuals from City Hall, the Instituto de Bienestar Animal, Chivo Pets and Universidad Salvadoreña Alberto Masferrer provided free spaying and neutering services to approximately 300 animals.

    “This is truly a knowledge exchange where we learn from one another and become better together,” Pelham said. “It’s been a great collaboration where we have been able to pool our resources and pull off a remarkable event where we all benefit and are better for it.”

    The VETRETE provided U.S. military personnel with valuable experience in austere environments while simultaneously addressing the significant issue of animal overpopulation in El Salvador.

    “There is an overpopulation of animals across El Salvador, and this is a great start in addressing the issue head-on,” said Pamela Figueroa, an IBA representative who oversaw event coordination. “Most people can’t afford to pay for these basic procedures, which are essential to ensuring a healthy pet population.”

    U.S. Army Lt. Col. Carl Schreier, commander of Army Forces Battalion, concluded, “This has been a wonderful experience for JTF-Bravo and our personnel, who have not only become better at their jobs but have been able to fill a gap in a meaningful way. I look forward to the next one and the progress we make as a team.”

    MIL Security OSI –

    February 25, 2025
  • MIL-OSI Security: U.S. Military Launches LAMAT ‘25 to Strengthen Readiness, Global Partnerships

    Source: United States SOUTHERN COMMAND

    DAVIS-MONTHAN AIR FORCE BASE, Ariz.  –  

    A Global Health Engagement mission led by U.S. Air Forces Southern, is set to launch its third iteration encompassing four partner nations Feb. 24 – April 11, 2025.

    The Lesser Antilles Medical Assistance Team (LAMAT) 2025, led by AFSOUTH Surgeon General, will embed Air Force Reserve Command medical personnel within host nation hospitals and clinics across the Lesser Antilles region and Guyana. These Global Health Engagements enhance military readiness, strengthen partner nation healthcare systems, and foster resilience through expertise sharing and collaboration with local providers.

    “LAMAT is about building lasting partnerships through medical collaboration,” said Lt. Col. Aaron Goodrich, AFSOUTH deputy command surgeon and lead planner for LAMAT. “By working side-by-side with our host nation counterparts, we aim to enhance interoperability and strengthen our collective ability to respond to medical challenges, whether they stem from natural disasters, public health emergencies or everyday patient care.”

    The mission involves approximately 240 military personnel, including 180 medical professionals partnering with local providers to deliver specialized care and build a long-term healthcare capacity.

    Throughout the exercise, U.S. and partner nation medical professionals will focus on a range of specialties tailored to the specific needs of each location identified by the respective Ministries of Health. In Saint Lucia, teams will focus on vascular, oral surgeries, and general surgery and anesthesia including mass casualty response knowledge exchanges. While in Saint Vincent and the Grenadines, the focus will shift to primary care, vascular, ENT, neurology and anesthesia.

    The mission will then shift to Saint Kitts and Nevis, where teams will collaborate with local hospitals on emergency medicine, diabetes education and audiology procedures. Finally, in Guyana, medical personnel will collaborate on dental, emergency medicine and ophthalmology.

    “This is a newer way of doing global health engagement,” said Col. Brian Gavitt, AFSOUTH command surgeon. “Instead of setting up a tent in competition with healthcare systems, each one of these missions in LAMAT were requested by the country. The Ministry of Health reached out and said, ‘Can you come and do something?’ We are tailoring what capabilities we bring to their needs.

    “This is operationally relevant readiness,” Gavitt added. “We are leveraging our readiness requirements to build resilience in an area that struggles with natural disasters. We’re not just filling a few cavities—we’re fixing medical equipment, enhancing capabilities and improving healthcare infrastructure in meaningful ways.”

    Government and healthcare leaders in the participating nations have welcomed the initiative, recognizing its long-term impact on healthcare capacity and crisis response.

    “The Ministry of Health (MOH), St Kitts & Nevis thank the AFSOUTH for the successful execution of the LAMAT Mission in 2024,” said Dr. Hazel Laws, St Kitts & Nevis Ministry of Health chief medical officer. “The visiting team of doctors, dentists, nurses and allied health professionals conducted approximately 2,261 procedures and over 1,300 patients benefited from the health services offered in collaboration with local health personnel. Almost 200 persons benefited from hearing aids allowing them to better appreciate their environment. Overall, the National Health System was strengthened through knowledge transfer and acquisition of medical supplies and equipment.”

    “On behalf of the MOH and Government of St. Kitts & Nevis, I extend profound thanks to the AFSOUTH for this collaborative effort. We look forward to the implementation of the LAMAT 2025 mission which we anticipate will impact more persons.”

    LAMAT is part of AFSOUTH’s broader commitment to regional security cooperation and humanitarian assistance, reinforcing the ability of partner nations to respond to public health emergencies and natural disasters.

    The kickoff ceremony in Saint Lucia will mark the official start of the mission, with medical operations set to begin immediately after.

    “This exercise is more than just medial readiness—it’s about building lasting partnerships and strengthening healthcare systems across the region,” said Gavitt. “By embedding our teams within host nation facilities, we are able to exchange knowledge, improve interoperability, and enhance readiness on both sides. Medical readiness isn’t just about preparing for conflict; it’s about ensuring we can respond effectively to humanitarian crises, pandemics and natural disasters.”

    The dual-purpose mission not only helps local healthcare systems but also prepares U.S. military personnel for real-world deployment scenarios. LAMAT 25 offers unique hands-on training opportunities for reservists and active-duty service members, particularly in treating tropical diseases and operating in austere conditions.

    “Our reserve components are coming down to accomplish skills that they don’t get in their regular duties,” Gavitt added. “This mission ensures they are ready to deploy to any location if needed in the future.”

    By partnering with host-nation physicians, they can enhance medical capabilities while reducing the burden on local healthcare systems.

    “If we bring a provider to work alongside yours, side-by-side for two weeks just doing that piece develops a skill set that endures,” Gavitt said. “Once you’re a practicing physician, you don’t get a whole lot of time to learn new skills, so what we can do is pair folks up, work together, and develop new expertise that will benefit these communities long after we leave.”

    Beyond direct patient care, biomedical equipment repair technicians (BMET) are also deployed as part of LAMAT ‘25 to repair critical hospital equipment, restoring functionality to facilities that may struggle with outdated or broken machinery.

    One key success from a past mission was in Guyana, where U.S. personnel trained local youth to become medical equipment repair technicians.

    “That kind of impact endures far beyond the mission itself. When we went on the site survey, we found they had developed their skills, and now they have four or five guys who are repair technicians,” Goodrich said. “That’s the kind of lasting impact we aim for.”

    LAMAT ‘25 also reinforces U.S. commitment to partner nations, particularly in regions vulnerable to natural disasters and health crises.

    For the first time, medical readiness will be tracked in real-time using the Medical Currency Application for Readiness Tracking (MCART). The system allows AFRC medical personnel to log procedures performed, patient care data, and skills acquired, ensuring their experiences contribute to future deployment qualifications.

    A live dashboard will provide ongoing updates, detailing the number of patients treated, medical equipment repaired, and training hours completed—an instrumental tool in assessing the mission’s impact and guiding future engagements.

    “You’ll be able to look in real-time,” Goodrich said. “There’s a value calculated from these things, the number of hours worked, and readiness requirements by type and provider. This information will be essential for tracking the effectiveness of LAMAT 25.”

    All involved agree LAMAT ‘25 is a win-win scenario, benefiting both U.S. military personnel and partner nations. The mission enhances medical readiness and strengthens partnerships while improving healthcare infrastructure in underserved areas.

    For more information about this global health engagement, visit the LAMAT DVIDS Page, https://www.dvidshub.net/feature/LAMAT25.

    MIL Security OSI –

    February 25, 2025
  • MIL-OSI Global: Africa relies too heavily on foreign aid for health – 4 ways to fix this

    Source: The Conversation – Africa – By Francisca Mutapi, Professor in Global Health Infection and Immunity. and co-Director of the Global Health Academy, University of Edinburgh

    There’s been a global trend in the reduction of aid to Africa since 2018. Donors are shifting their funding priorities in response to domestic and international agendas. Germany, France and Norway, for instance, have all reduced their aid to Africa in the past five years. And, in 2020, the UK government reduced its Overseas Development Aid from 0.7% of gross national income to 0.5%.

    Many health services across the African continent rely heavily on overseas aid to provide essential care. International funding supports everything from vaccines and HIV treatment to maternal health programmes.

    Cuts to aid, particularly unilateral ones, can have widespread implications. For instance, about 72 million people missed out on treatment for neglected tropical diseases between 2021 and 2022 due to UK aid cuts.

    The freeze of US aid to Africa in January 2025 is the latest in this trend. It’s already having significant and wide-ranging impacts across the African continent. For example, vaccination campaigns for polio eradication and HIV/Aids treatment through the President’s Emergency Plan for AIDS Relief (Pepfar) have been stopped. This puts millions of lives at risk. In South Africa alone, the cut of Pepfar’s US$400 million a year to HIV programmes risks patients defaulting on treatment, infection rates going up and eventually a rise in deaths.

    President Donald Trump’s actions have highlighted Africa’s reliance on foreign aid for health funding. I’m a global health expert who sits on various funding and advisory boards, including those of the World Health Organization (WHO), the UK government and boards of global resource mobilisation organisations. I am well aware of the competing funding priorities for international funders and have long advocated for local, sustainable health funding mechanisms.

    Long-term strategies to reduce aid dependency are critical. Breaking away from this current funding status requires concerted efforts building on proven best practice.




    Read more:
    How nonprofits abroad can fill gaps when the US government cuts off foreign aid


    Country-leadership and ownership

    African countries currently face the unique challenge of simultaneously dealing with high rates of communicable diseases, such as malaria and HIV/Aids, and rising levels of non-communicable diseases, such as cardiovascular diseases and diabetes.

    But Africa’s health systems are not sufficiently resourced. They’re not able to provide appropriate, accessible and affordable healthcare to address these challenges.

    African governments spend less than 10% of their GDP on health, amounting to capital expenditure of US$4.5 billion. This falls short of the estimated US$26 billion annual investment needed to meet evolving health needs.

    Aid goes towards filling this funding gap. For example, in 2021, half of sub-Saharan African countries relied on external financing, such as grants and loans, for more than one-third of their health expenditures.

    Foreign aid has helped. But it clearly leaves African countries vulnerable to the political mood swings among funders.

    It also leads to loss of self-determination in terms of health priorities as, ultimately, the funder determines the health priorities. This is one reason why many programmes in Africa focus on a single disease, such as HIV. This leads to poorly integrated health services. For instance health workers or services are channelled into managing a single disease.

    New, underutilised financing options

    The current trajectory of reduced aid to Africa is likely to continue. Global aid is being directed to other challenges, such as conflict and illegal immigration.

    The continent cannot continue on the same path while hoping for different outcomes. Africa needs to grow a range of immediately available domestic financing options. Many of these are underutilised and include:

    1.) Diversifying domestic resource mobilisation. This should include commodity taxation to fund health. For instance, tobacco taxes which are currently underutilised in Africa.

    Zimbabwe offers a successful example. It has bridged donor resource gaps through its 3% Aids levy (started in 1999). Imposed on both individual and corporate incomes, it funds domestic HIV/Aids prevention, care and treatment programmes.

    Nigeria’s another country that’s taken initiative, prioritising domestic budget allocation to health. It recently absorbed the 28,000 healthworkers formerly paid by USAid. This demonstrates that domestic health financing in Africa is possible.

    2.) More private-public partnerships. Formed between local and international philanthropies or institutions, these can bridge financing gaps.

    One successful example is the 2015 health service provision partnership between the Kenyan government and GE Healthcare. GE Healthcare provides radiography equipment and services which the government pays for over time. This allows the government to budget and plan healthcare expenditure over several years.

    3.) Promotion of regional integration to boost local production. This will reduce the need for aid-funded imported medical products.

    For instance, the African Union’s harmonised Africa Medicines Authority registration facility creates a single continental market for medicines. This supports local producers and exporters, by allowing them to operate on a larger scale. It also makes production and distribution more cost-effective. Finally, it reduces the reliance on imported medicines, strengthening Africa’s pharmaceutical industry.

    4.) Leverage development finance institutions. These are specialised financial organisations – such as the Africa Development Bank, African Export-Import Bank and the Development Bank of Southern Africa. They can provide capital and expertise to projects deemed too risky for traditional investors. This includes support for health financing for infrastructure development, private sector development for small and medium-sized enterprises and the regional integration.

    One transformative initiative is the AfricInvest investment platform. With support from development finance institutions in the US and Europe, AfricInvest has raised over US$100 million for health investment in Africa. It has funded at least 45 dialysis facilities in Africa, delivering over 130,000 dialysis sessions annually, primarily to remote and underserved communities all at affordable costs.

    A combination of these approaches at national, regional and continental level will accelerate Africa’s withdrawal from aid dependency.

    Francisca Mutapi receives funding from the Aspen Global Innovation Programme, Scottish Funding Council funding to the University of Edinburgh, Academy of Medical Sciences, British Academy and the Royal Society. Francisca Mutapi is the Deputy Director of the Tackling Infections to Benefit Africa (TIBA) Partnership and Deputy Board Chair of Uniting to Combat NTDS. She sits on the UK Foreign, Commonwealth & Development Office (FCDO) and WHO Africa Regional Director’s Scientific Advisory Groups.

    – ref. Africa relies too heavily on foreign aid for health – 4 ways to fix this – https://theconversation.com/africa-relies-too-heavily-on-foreign-aid-for-health-4-ways-to-fix-this-249886

    MIL OSI – Global Reports –

    February 25, 2025
  • MIL-OSI Africa: Africa relies too heavily on foreign aid for health – 4 ways to fix this

    Source: The Conversation – Africa – By Francisca Mutapi, Professor in Global Health Infection and Immunity. and co-Director of the Global Health Academy, University of Edinburgh

    There’s been a global trend in the reduction of aid to Africa since 2018. Donors are shifting their funding priorities in response to domestic and international agendas. Germany, France and Norway, for instance, have all reduced their aid to Africa in the past five years. And, in 2020, the UK government reduced its Overseas Development Aid from 0.7% of gross national income to 0.5%.

    Many health services across the African continent rely heavily on overseas aid to provide essential care. International funding supports everything from vaccines and HIV treatment to maternal health programmes.

    Cuts to aid, particularly unilateral ones, can have widespread implications. For instance, about 72 million people missed out on treatment for neglected tropical diseases between 2021 and 2022 due to UK aid cuts.

    The freeze of US aid to Africa in January 2025 is the latest in this trend. It’s already having significant and wide-ranging impacts across the African continent. For example, vaccination campaigns for polio eradication and HIV/Aids treatment through the President’s Emergency Plan for AIDS Relief (Pepfar) have been stopped. This puts millions of lives at risk. In South Africa alone, the cut of Pepfar’s US$400 million a year to HIV programmes risks patients defaulting on treatment, infection rates going up and eventually a rise in deaths.

    President Donald Trump’s actions have highlighted Africa’s reliance on foreign aid for health funding. I’m a global health expert who sits on various funding and advisory boards, including those of the World Health Organization (WHO), the UK government and boards of global resource mobilisation organisations. I am well aware of the competing funding priorities for international funders and have long advocated for local, sustainable health funding mechanisms.

    Long-term strategies to reduce aid dependency are critical. Breaking away from this current funding status requires concerted efforts building on proven best practice.


    Read more: How nonprofits abroad can fill gaps when the US government cuts off foreign aid


    Country-leadership and ownership

    African countries currently face the unique challenge of simultaneously dealing with high rates of communicable diseases, such as malaria and HIV/Aids, and rising levels of non-communicable diseases, such as cardiovascular diseases and diabetes.

    But Africa’s health systems are not sufficiently resourced. They’re not able to provide appropriate, accessible and affordable healthcare to address these challenges.

    African governments spend less than 10% of their GDP on health, amounting to capital expenditure of US$4.5 billion. This falls short of the estimated US$26 billion annual investment needed to meet evolving health needs.

    Aid goes towards filling this funding gap. For example, in 2021, half of sub-Saharan African countries relied on external financing, such as grants and loans, for more than one-third of their health expenditures.

    Foreign aid has helped. But it clearly leaves African countries vulnerable to the political mood swings among funders.

    It also leads to loss of self-determination in terms of health priorities as, ultimately, the funder determines the health priorities. This is one reason why many programmes in Africa focus on a single disease, such as HIV. This leads to poorly integrated health services. For instance health workers or services are channelled into managing a single disease.

    New, underutilised financing options

    The current trajectory of reduced aid to Africa is likely to continue. Global aid is being directed to other challenges, such as conflict and illegal immigration.

    The continent cannot continue on the same path while hoping for different outcomes. Africa needs to grow a range of immediately available domestic financing options. Many of these are underutilised and include:

    1.) Diversifying domestic resource mobilisation. This should include commodity taxation to fund health. For instance, tobacco taxes which are currently underutilised in Africa.

    Zimbabwe offers a successful example. It has bridged donor resource gaps through its 3% Aids levy (started in 1999). Imposed on both individual and corporate incomes, it funds domestic HIV/Aids prevention, care and treatment programmes.

    Nigeria’s another country that’s taken initiative, prioritising domestic budget allocation to health. It recently absorbed the 28,000 healthworkers formerly paid by USAid. This demonstrates that domestic health financing in Africa is possible.

    2.) More private-public partnerships. Formed between local and international philanthropies or institutions, these can bridge financing gaps.

    One successful example is the 2015 health service provision partnership between the Kenyan government and GE Healthcare. GE Healthcare provides radiography equipment and services which the government pays for over time. This allows the government to budget and plan healthcare expenditure over several years.

    3.) Promotion of regional integration to boost local production. This will reduce the need for aid-funded imported medical products.

    For instance, the African Union’s harmonised Africa Medicines Authority registration facility creates a single continental market for medicines. This supports local producers and exporters, by allowing them to operate on a larger scale. It also makes production and distribution more cost-effective. Finally, it reduces the reliance on imported medicines, strengthening Africa’s pharmaceutical industry.

    4.) Leverage development finance institutions. These are specialised financial organisations – such as the Africa Development Bank, African Export-Import Bank and the Development Bank of Southern Africa. They can provide capital and expertise to projects deemed too risky for traditional investors. This includes support for health financing for infrastructure development, private sector development for small and medium-sized enterprises and the regional integration.

    One transformative initiative is the AfricInvest investment platform. With support from development finance institutions in the US and Europe, AfricInvest has raised over US$100 million for health investment in Africa. It has funded at least 45 dialysis facilities in Africa, delivering over 130,000 dialysis sessions annually, primarily to remote and underserved communities all at affordable costs.

    A combination of these approaches at national, regional and continental level will accelerate Africa’s withdrawal from aid dependency.

    – Africa relies too heavily on foreign aid for health – 4 ways to fix this
    – https://theconversation.com/africa-relies-too-heavily-on-foreign-aid-for-health-4-ways-to-fix-this-249886

    MIL OSI Africa –

    February 25, 2025
  • MIL-OSI Canada: Province Contributes $6.5 Million To Ronald Mcdonald House In Regina

    Source: Government of Canada regional news

    Released on February 24, 2025

    Saskatchewan Families with Sick Kids to Benefit From Home-Away-From-Home

    Today, the Government of Saskatchewan announced $6.5 million in funding to Ronald McDonald House Charities (RMHC). The funding will go toward the building of the first ever Ronald McDonald House in Regina.  

    “I am thrilled that Saskatchewan families will now have the option of staying at a Ronald McDonald Home when they come to Regina seeking medical care for their children,” Health Minister Jeremy Cockrill said. “At a very stressful time in their lives, families will know they can rely on an affordable place where they feel welcome and cared for, while their child is undergoing medical treatment.” 

    The Ronald McDonald Home in Regina will provide a “home-away-from-home” for families whose children are undergoing treatments at nearby health care facilities. The design includes 20 bedrooms, a children’s playroom, outdoor play space and communal kitchen.

    “The government’s financial support to the house in this province is a historic moment for RMHC – SK and Saskatchewan families,” RMHC Saskatchewan Chief Executive Officer Tammy Forrester said. “We are beyond thrilled that this first ever provincial government contribution, into keeping families together during their child’s critical health care journey, will enable RMHC – SK to provide wrap around Family Centered Care. The capital investment will ensure that all Saskatchewan families will receive the support they need when they need it the most.”

    The new facility will be built on the corner of Scarth Street and 15th Avenue, keeping the facility centrally located and close to the Regina General Hospital.

    Families across the province have stayed at the Ronald McDonald House in Saskatoon. The Slobodian family have experienced firsthand what the home offers. 

    “Ronald McDonald House does not make the family’s journey easy, but it does make it easier,” Craig Slobodian said. “The Saskatoon House has helped many Saskatchewan families with mental and financial support. Adding a house in Regina will help more Saskatchewan families.”

    Ronald McDonald House Charities Saskatchewan was founded in 1985. RHMC currently operates two programs in Saskatchewan with Ronald McDonald House in Saskatoon and Family Room in Prince Albert. Approximately 29,800 Saskatchewan families have been served by these programs. 

    Construction of the Ronald McDonald House Charities Regina will begin March 2025 and is expected to be completed in early 2027. 

    This chapter in family care excellence reflects government’s dedication to ensuring all Saskatchewan residents have access to compassionate care and essential support services.

    -30-

    For more information, contact:

    MIL OSI Canada News –

    February 25, 2025
  • MIL-OSI Global: The quest to extend human life is both fascinating and fraught with moral peril

    Source: The Conversation – USA – By Richard Gunderman, Chancellor’s Professor of Medicine, Liberal Arts, and Philanthropy, Indiana University

    Tech entrepreneur Bryan Johnson has made it his life’s mission to delay aging and death. Netflix

    “Who wants to live forever?” Freddie Mercury mournfully asks in Queen’s 1986 song of the same name.

    The answer: Quite a few people – so much so that life extension has long been a cottage industry.

    As a physician and scholar in the medical humanities, I’ve found the quest to expand the human lifespan both fascinating and fraught with moral peril.

    During the 1970s and 80s, for example, The Merv Griffin Show featured one guest 32 times – life extension expert Durk Pearson, who generated more fan mail than any guest except Elizabeth Taylor. In 1982, he and his partner, Sandy Shaw, published the book “Life Extension: A Practical Scientific Approach,” which became a No. 1 New York Times bestseller and sold over 2 million copies. One specific recommendation involved taking choline and vitamin B5 in order to reduce cognitive decline, combat high blood pressure and reduce the buildup of toxic metabolic byproducts.

    Last year, Pearson died at 82, and Shaw died in 2022 at 79.

    The 1982 book by Durk Pearson and Sandy Shaw, ‘Life Extension: A Practical Scientific Approach,’ has sold millions of copies.
    Amazon

    No one can say for sure whether these life extension experts died sooner or later than they would have had they eschewed many of these supplements and instead simply exercised and ate a balanced diet. But I can say that they did not live much longer than many similarly well-off people in their cohort.

    Still, their dream of staying forever young is alive and well.

    Consider tech entrepreneur Bryan Johnson’s “Project Blueprint,” a life-extension effort that inspired the 2025 Netflix documentary “Don’t Die: The Man Who Wants to Live Forever.” His program has included building a home laboratory, taking more than 100 pills each day and undergoing blood plasma transfusions, at least one of which came from his son.

    And Johnson is not alone. Among the big names investing big bucks to prolong their lives are Amazon founder Jeff Bezos, Google founders Sergei Brin and Larry Page, and Oracle’s Larry Ellison. One approach involves taking senolytics – drugs that target cells that may drive the aging process, though more research is needed to determine their safety and efficacy. Another is human growth hormone, which has long been touted as an anti-aging mechanism in ad campaigns that feature remarkably fit older people. (“How does this 69-year-old doctor have the body of a 30-year-old?” reads one web ad).

    These billionaires may reason that, because of their wealth, they have more to live for than ordinary folks. They may also share more prosaic motivations, such as a fear of growing old and dying.

    But underlying such desires is an equally important ethical – and, for some, spiritual – reality.

    Quality versus quantity

    Is it a good thing, morally speaking, to wish to live forever? Might there be aspects of aging and even death that are both good for the world and good for individuals?

    Cicero’s “On Aging” offers some insights. In fact, the ancient Roman statesman and philosopher noted that writing about it helped him to find peace with the vexations of growing old.

    In the text, Cicero outlines and responds to four common complaints about aging: It takes us away from managing our affairs, impairs bodily vigor, deprives us of sensual gratifications and brings us to the verge of death.

    To the charge that aging takes us away from managing our affairs, Cicero asks us to imagine a ship. Only the young climb the masts, run to and fro on the gangways, and bail the hold. But it is among the older and more experienced members of the crew that we find the captain who commands the ship. Rome’s supreme council was called the Senate, from the Latin for “elder,” and it is to those rich in years that we look most often for wisdom.

    Cicero was keen to distinguish between quantity and quality of life.
    Crisfotolux/iStock via Getty Images Plus

    As to whether aging impairs bodily vigor, Cicero claimed that strength and speed are less related to age than discipline. Many older people who take care of themselves are in better shape than the young, and he gives examples of people who maintained their vigor well into their later years. He argued that those who remain physically fit do a great deal to sustain their mental powers, a notion supported by modern science.

    Cicero reminds readers that these same pleasures of eating and drinking often lead people astray. Instead, people, as they age, can better appreciate the pleasures of mind and character. A great dinner becomes characterized less by what’s on the plate or the attractiveness of a dining partner than the quality of conversation and fellowship.

    While death remains an inevitable consequence of aging, Cicero distinguishes between quality and quantity of life. He writes that it is better to live well than to live long, and for those who are living well, death appears as natural as birth. Those who want to live forever have forgotten their place in the cosmos, which does not revolve around any single person or even species.

    Those of a more spiritual bent might find themselves drawn to the Scottish poet George MacDonald, who wrote: “Age is not all decay; it is the ripening, the swelling of the fresh life within, that withers and bursts the husk.”

    Embracing the circle of life

    What if the dreams of the life extension gurus were realized? Would the world be a better place?

    Would the extra good that a longer-lived Einstein could have accomplished be balanced or even exceeded by the harm of a Stalin who remained healthy and vigorous for decades beyond his death?

    At some point, preserving indefinitely the lives of those now living would mean less room for those who do not yet exist.

    Pearson and Shaw appeared on many other television programs in the 1970s and 1980s. During one such segment on “The Mike Douglas Show,” Pearson declared: “By the time you are 60, your immune function is perhaps one-fifth what it was when you were younger. Yet you can achieve a remarkable restoration simply by taking nutrients that you can get at a pharmacy or health food store.”

    For Pearson, life extension was a biomedical challenge, an effort more centered on engineering the self rather than the world.

    Despite making a living as life extension gurus, Durk Pearson, right, and Sandy Shaw didn’t live much longer than most Americans.

    Yet I would argue that the real challenge in human life is not to live longer, but to help others; adding extra years should be seen not as the goal but a byproduct of the pursuit of goodness.

    In the words of Susan B. Anthony: “The older I get, the greater power I seem to have to help the world; I am like a snowball – the further I am rolled, the more I gain.”

    Richard Gunderman 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. The quest to extend human life is both fascinating and fraught with moral peril – https://theconversation.com/the-quest-to-extend-human-life-is-both-fascinating-and-fraught-with-moral-peril-249430

    MIL OSI – Global Reports –

    February 25, 2025
  • MIL-OSI Global: Rising house prices don’t just make it harder to become a homeowner – they also widen the racial wealth gap

    Source: The Conversation – USA – By Joe LaBriola, Research Assistant Professor, Survey Research Center, University of Michigan

    Homeownership – long a cornerstone of the “the American dream” – is increasingly out of reach for the average American. Over the past four decades, U.S. house prices have risen by 75% in real terms, pushing the costs of homeownership for the typical first-time homebuyer to a record high. At the same time, these rising prices have significantly boosted the wealth of existing homeowners.

    As a sociologist who studies inequality in America through the lens of housing, I’ve spent the past few years looking into how rising house prices have affected the wealth gap between white and Black households, which has widened significantly over the past four decades. White families had about US$90,000 more wealth – in 2021 dollars – than their Black counterparts in 1984, an alarmingly wide gap. But by 2021, the gap had widened to almost $160,000.

    My recent peer-reviewed research, published in the journal Social Problems, found that the rise in house prices between 1984 and 2021 accounted for most of this widening gap. Using data from the University of Michigan’s Panel Study of Income Dynamics, which tracks a nationally representative group of American families over time, I explored how homeowners’ wealth trajectories would have differed if they hadn’t benefited from rising house prices.

    I found that housing market appreciation widened the median wealth gap between white and Black households by nearly $50,000 between 1984 and 2021. Given that home prices have continued to rise since 2021, it’s fair to assume that this gap has widened further over the past few years.

    Why a rising tide doesn’t lift all boats

    I also investigated why rising house prices widened the wealth gap by so much. The most important cause is the long-standing disparity in homeownership rates. White households had a homeownership rate of 74% at the end of 2021, compared with only 43% for Black households. As a result, they were much more likely to have benefited from rising home values, which directly increased their home equity.

    White homeowners also tend to own more expensive homes than Black homeowners. While this is a less important factor, it means that they saw greater absolute gains in home equity than Black homeowners from the same percentage rise in the housing market.

    However, I also found an interesting exception: Black homeowners benefited more from neighborhood-level housing market trends. One possible explanation is that the gentrification of Black neighborhoods in recent decades led to outsize housing market appreciation in these neighborhoods – which disproportionately boosted the home equity of existing Black homeowners.

    The impact of history – and ideas for the future

    I became interested in housing and wealth inequality when I attended graduate school in the San Francisco Bay Area, one of the least affordable housing markets in the world. Many homeowners who had bought their homes in the 1970s for tens of thousands of dollars were now sitting on millions of dollars in home equity. Meanwhile, buying a home in this area seemed out of reach for all but the highest-earning families, effectively locking renters out of the wealth-building effects of rising house prices.

    My curiosity about rising house prices led me to explore how they shape wealth inequality – not just between homeowners and renters, but also between racial groups. The more I read, the more I learned about the many legal, political and social barriers that have kept Black families from becoming homeowners.

    These include exclusionary zoning policies and racial covenants that locked Black families out of many neighborhoods, reduced access to mortgage lending in historically Black neighborhoods, and persistent hiring and workplace discrimination that have kept Black families from accumulating wealth.

    Addressing these inequities will require thoughtful policy solutions. As a sociologist studying these issues, I have some recommendations on contemporary policies that can increase access to homeownership for less affluent households. Given racial disparities in wealth, these policies would also help to reduce racial gaps in homeownership:

    • Reform local housing regulations: By easing restrictions on housing development, cities can help alleviate the housing shortage that’s helping to drive up home prices. Austin, Texas, is an example of a city that has successfully curbed rising home prices by dramatically increasing its housing construction. Lower house prices would then allow a greater range of families to own homes.

    • Implement land value taxes: Traditional property taxes can discourage residential development because landowners pay higher taxes after they develop their land. In contrast, land value taxes are only assessed on the value of the land, which encourages landowners to put their land to the most productive use. Over time, land value taxes would lead to greater residential development in areas that need it most, which would then reduce upward pressures on house prices.

    • Subsidize homeownership: While using federal funds to subsidize homeownership would come with the risk of inflating prices, this could help more low-income households enter and maintain homeownership and thereby benefit from future housing market appreciation.

    Future directions for research

    I am currently extending this work in several directions. In collaboration with Ohio State University sociologist Chinyere Agbai and Stone Center for Inequality Dynamics Student Associate Nils Neumann, I am examining how the home mortgage interest deduction has affected the wealth gap between white and Black households over time. Introduced in 1913, this deduction is one of the largest tax breaks available to American households, but Black households are much less likely than white households to benefit from it, in part due to lower rates of homeownership.

    Our preliminary findings suggest the home mortgage interest deduction has substantially widened the wealth gap between white and Black households over the past several decades.

    I’m also investigating the role of parental wealth in helping children buy homes in increasingly unaffordable housing markets. My findings suggest that young homebuyers in expensive areas come from much wealthier backgrounds and receive more financial assistance when buying their homes than first-time homebuyers in other neighborhoods. I also found that family help makes young adults substantially more likely to become first-time homeowners.

    If Americans want to work toward creating a more equitable society, understanding the connections between housing, wealth and racial inequality is an important place to start.

    In conducting this research, Joe LaBriola received support from the James M. and Cathleen D. Stone Center for Inequality Dynamics at the University of Michigan, the National Science Foundation, the National Institutes of Health, the UC Berkeley Opportunity Lab, the Horowitz Foundation for Social Policy, and the UC Berkeley Institute for Governmental Studies.

    – ref. Rising house prices don’t just make it harder to become a homeowner – they also widen the racial wealth gap – https://theconversation.com/rising-house-prices-dont-just-make-it-harder-to-become-a-homeowner-they-also-widen-the-racial-wealth-gap-250020

    MIL OSI – Global Reports –

    February 25, 2025
  • MIL-OSI United Kingdom: expert reaction to Apple pulling data protection tool for UK users

    Source: United Kingdom – Executive Government & Departments

    February 21, 2025

    Scientists comment on Apple removing their advanced data protection tool for UK users. 

    Dr Rameez Asif, Associate Professor of Cyber and Blockchain, University of East Anglia, said:

    “iCloud users are the most affected by this news, as the removal of Advanced Data Protection (ADP) weakens the encryption for their cloud-stored data.”

    “Apple has announced that it will remove its Advanced Data Protection (ADP) feature in the UK due to new regulations that would require tech companies to provide government access to encrypted data. This move comes in response to the Investigatory Powers Act (IPA) 2016, which the UK government is seeking to amend, further tightening rules on end-to-end encryption and requiring companies to notify authorities of any security feature changes before rolling them out.

    “Apple’s ADP is its highest level of iCloud encryption, offering end-to-end encryption for iCloud backups, photos, and more, meaning that not even application layer Apple can access the data. The UK government’s demand for access to such encrypted user data has led Apple to pre-emptively withdraw the feature from UK users rather than compromise its security policies.”

    How significant is the removal of this data protection tool?

    “The removal of Apple’s Advanced Data Protection (ADP) in the UK is highly significant, as it weakens the strongest level of encryption available to iCloud users, making their backups, photos, and sensitive data more vulnerable to government access and potential cyber threats. This move highlights the growing tension between user privacy and government surveillance, setting a precedent that could influence other countries to demand similar access. It also raises concerns about digital sovereignty, as companies may choose to limit security features in regions with restrictive laws rather than compromise global encryption standards.”

    Are there other data protection in place that protects UK populations data on apple devices?

    “Yes, despite the removal of Advanced Data Protection (ADP) in the UK, Apple still implements several robust security and privacy measures on its devices. End-to-end encryption remains in place for sensitive data such as iMessage, FaceTime, Health data, passwords stored in iCloud Keychain, and Apple Pay transactions. Additionally, on-device encryption ensures that data stored locally on iPhones, iPads, and Macs is protected by user passcodes and biometric authentication (Face ID/Touch ID). Apple’s App Tracking Transparency (ATT) and Privacy Labels provide users with greater control over app data collection.”

    What does this mean for security of our data on apple devices in the UK / how much less secure is our data now?

    “The removal of Advanced Data Protection (ADP) in the UK reduces the overall security of data stored in iCloud, as it removes end-to-end encryption for iCloud backups, photos, and other cloud-based data. Without this protection, Apple can be compelled to comply with government demands for access to user data, potentially making it more vulnerable to surveillance or unauthorized access. However, local data stored on devices (such as messages, contacts, and health information) is still protected by on-device encryption and remains secure, as long as the user has strong passcodes and biometric authentication enabled. While this change affects cloud-stored data, device-level security and other privacy measures like App Tracking Transparency still offer significant protections, but overall, users in the UK face slightly diminished data privacy compared to other regions with ADP still active.”

    Does the idea the UK Government suggests of a “backdoor” in encryption really work because surely it undermines the whole idea behind end-to-end encryption?

    “The concept of a “backdoor” in encryption, as suggested by some governments, undermines the very foundation of end-to-end encryption by intentionally introducing a method for third parties, such as law enforcement, to access encrypted data. While the idea is that a backdoor would allow authorized access to encrypted content when necessary, it inherently creates vulnerabilities, as any method that can be used by one party can potentially be exploited by malicious actors. This weakens the security of the system and increases the risk of unauthorised access, either through hacking or misuse.”

     

    Dr Junade Ali, Fellow at the Institution of Engineering and Technology (IET) and cyber security expert, said:

    “It’s important to remember that the most useful built-in cybersecurity tools remain available to Apple users. This development largely affects UK Apple device users who require the most significant levels of protection for data stored in Apple’s iCloud service.

    “However, users should be aware that other features like ‘Stolen Device Protection’ mode (protection where someone steals your device and knows your password) and ‘Lockdown’ mode (an extreme protection mode for those under the most sophisticated threats) still appear to be available. These are the built-in tools which are most useful to Apple device users who need higher levels of protection.

    “At the Institution of Engineering and Technology, we recommend basic steps for most users which can radically reduce the risk of most cyberattacks. This includes using a password manager to generate long, unique passwords for each website, using Two-Factor Authentication to generate login codes, installing the latest updates and backing up key data. 

    “Cybersecurity tools, like almost any form of engineering, can be used for good as well as bad. Addressing the challenges posed by technological development requires policy makers, engineers and society to work together. In isolation, policy solutions or technical solutions will never suffice.”

     

    Professor Oli Buckley, a Professor in Cyber Security at Loughborough University, said:

    “Apple removing their Advanced Data Protection (ADP) in the UK is a significant move because it takes away the strongest form of security on iCloud, which offered true end-to-end encryption. This meant that not even Apple had any means of viewing your files and photos.

    “There is still encryption on Apple devices, things like iMessage and other on-device data encryption still exist, but now data specifically stored in iCloud (which has a huge number of users) will be accessible to Apple and potentially government agencies through legal requests.

    “Whenever a ‘backdoor’ exists for one purpose, like law enforcement, there’s always a risk it will be exploited for more malicious purposes. A key factor of end-to-end encryption is that only the communicating parties have the ability to decrypt the content and introducing any special access not only weakens trust in the system, it can also provide an attack vector for cybercriminals.

    “Ultimately, once a door exists, it’s only a matter of time before it’s found and used maliciously. Removing ADP is not just a symbolic concession but a practical weakening of iCloud security for UK users.”

    Prof Alan Woodward, Visiting Professor of Computing, University of Surrey, said:

    What is the protection tool being removed and what is its function?

    “The extra protection that Apple have added is rather like End to End Encryption where only the participants in a dialogue have the ability to decrypt messages.  In the case of iCloud only the user had the keys: Apple did not.  Previously, and for those who have not opted in to the feature, Apple could also read whatever you placed or backed up to the iCloud. Apple have now said that they are removing the option to use this extra security for UK users only.”

     

    How significant is the removal of this data protection tool?

    “It is very significant for anyone interested in security and privacy.  By trying to mandate to Apple that they withdraw this security option globally the UK government have succeeded in weakening security in one corner of the Internet for UK based users.  It was naive of the UK government to think telling Apple what to do globally would work: the UK users now have the worst of all worlds.”

    Are there other data protection in place that protects UK populations data on apple devices?

    “All the other security features previously on Apple devices remain.  All that is being removed is the ability to secure data in the iCloud so that only the user can access it.”

    What does this mean for security of our data on apple devices in the UK / how much less secure is our data now?

    “Users data is no less secure on the devices.  This applies only to the iCloud.  However, anyone who wants to ensure the long term security an privacy of their data will not be using the iCloud.  What users do need to be aware of is that some data on your mobile device can be backed up to the iCloud, including iMessages.  Users will need to ensure this is not enabled if they do not want their data in the iCloud.”

    Does the idea the UK Government suggests of a “backdoor” in encryption really work because surely it undermines the whole idea behind end-to-end encryption?

    “Ever since the Encryption Debate began security professionals have said that if you weaken encryption (or security in general) for your enemies you also do so for your friends. What the UK government is weakened the security of the corner of the Internet, in spectacular fashion, for the UK users alone.  What has been done is not so much a back door as it is removing the door altogether.  Apple had put this feature in place precisely because they knew that users did not like the idea that if compelled to do so Apple could read their iCloud data. Hence, ADP meant that only the user could access their won data.  The UK government has caused UL users to take a step backward so that Apple could once again be required to read the iCloud data.”

    Declared interests

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

    MIL OSI United Kingdom –

    February 25, 2025
  • MIL-OSI Global: As Pennsylvania inches toward legalizing recreational cannabis, lawmakers propose selling it in state-owned dispensaries similar to state liquor stores

    Source: The Conversation – USA – By Daniel J. Mallinson, Associate Professor of Public Policy and Administration, Penn State

    Advocates believe Pennsylvania and Hawaii may be the next fronts in recreational cannabis legalization. Spencer Platt/Getty Images

    After a long, largely successful march over 25 years to liberalize cannabis laws in the United States, the movement had a tough election in 2024.

    Legalization ballot measures failed in Florida, North Dakota and South Dakota. In Arkansas, votes on legalization were not even counted due to litigation over the measure. The only successful measures – passed in Nebraska – are also on hold due to litigation.

    Federally, many of President Donald Trump’s nominees in key posts at the Department of Health and Human Services, Department of Justice and Drug Enforcement Administration have made strong anti-cannabis statements. This may not bode well for the effort started by President Joe Biden to reschedule marijuana as a less dangerous drug.

    So, what is the future of cannabis legalization in the United States?

    As political scientist Lee Hannah and I argued in our 2024 book “Green Rush,” the states are central to the story of cannabis legalization in the United States.

    In fact, advocates are looking to places such as Pennsylvania and Hawaii in 2025 as the next fronts in recreational legalization.

    Let’s zoom in on Pennsylvania.

    Pennsylvania is a middling adopter

    Pennsylvania is following about the same trajectory with adult-use recreational legalization as it did with medical marijuana. It is not an innovator but also not a laggard.

    When Pennsylvania adopted medical marijuana in 2016, 23 states had already done so.

    The political environment is very different in 2025 than 2016, however, which raises the difficulty of passing a bill that makes recreational marijuana use legal, even in a state where legalization is popular.

    In 2016, Pennsylvania’s General Assembly was controlled completely by Republicans, and the governor was a Democrat. Now, the Democrats hold a single-seat majority in the House that erodes every time there is a vacancy. Republicans still control the Senate, and Democrat Josh Shapiro is the governor.

    A major key to medical cannabis legalization passing in 2016 was Republican state Sen. Mike Folmer’s advocacy within his caucus. Without a Republican champion, it may not have passed.

    For legalization of recreational cannabis, state Sen. Dan Laughlin has been the clear Republican champion. He has been working with Democratic state Sen. Sharif Street of Philadelphia to build support and find a policy design that works for Republicans and Democrats.

    But Republican Senate leadership has remained cool to the idea. Senate President Pro Tempore Kim Ward is not a supporter and has been pushing the governor to get more involved.

    “If (Shapiro) wants something done, he needs to lead on it,” Ward said. “He can’t throw an idea out there, which he did last year, and say, ‘Let the legislature figure it out, I’ll sign it.’”

    Expected revenues likely to fall short

    For his part, Shapiro has included projected revenues from legalization in his budget proposals since assuming office in 2023.

    This year, he projected an even greater first-year haul – US$536 million – if recreational cannabis is legalized. This estimate includes revenue from initial licensing fees.

    The assumptions going into these projections aren’t clear. And while cannabis legalization has been lucrative for state revenues in other places, revenues often fall short of what was projected during legalization debates.

    Importantly, Pennsylvania is now nearly surrounded by states with legal recreational cannabis. That includes New York, New Jersey, Delaware, Maryland and Ohio, but not West Virginia.

    It is no secret that, in the words of Shapiro, “Pennsylvanians who want to buy cannabis are just driving across the border to one of our neighbors.”

    Research on how ideas and policies spread makes clear the intense pressure that comes as a state’s neighbors adopt a policy, especially one with major economic ramifications.

    But pressure does not determine the result. The internal politics of a state can still block a policy from being adopted.

    State-owned cannabis stores

    The biggest challenge for legalization in Pennsylvania will be navigating those internal political dynamics – especially finding a compromise that can be supported by both Democrats and Republicans.

    Public safety is often raised as a concern during legalization debates. To counter this point, Democrats in the state House have proposed selling legal cannabis in state-owned stores, just like how liquor and some wine is sold in Pennsylvania now.

    The Pennsylvania Liquor Control Board operates nearly 600 Fine Wine & Good Spirits stores across the state.
    Paul Weaver/SOPA Images/LightRocket via Getty Images

    No other states do this, and it puts the state on potentially very slippery ground with the federal government, which still considers cannabis to be completely prohibited. State-run stores mean that states are providing a banned substance directly to citizens. That is a significant step further than creating an infrastructure to regulate private entities that are breaking federal law.

    Moreover, there has been a decades-long effort in Pennsylvania by conservatives to privatize the state liquor stores. It seems odd that Republicans would support using that model to create a recreational cannabis market.

    If privately owned but government-regulated dispensaries are used, there is significant debate among cannabis policy experts as to whether it is wise to give existing medical dispensaries first dibs on recreational licenses. Doing so allows states to open their recreational programs very quickly.

    The drawback, however, is that large, multistate operators such as Trulieve, which runs dispensaries in several states, are positioned to gain a significant share of the market. This is why the industry supports the approach to initial licensing. Legalization advocates such as Shaleen Title, however, are very concerned about the development of a “Big Cannabis” that resembles Big Tobacco, with oligopoly control by a few large companies.

    Social equity is another challenge facing recreational legalization that was not a major factor in medical. In short, social equity is about ensuring members of marginalized communities that were previously targets of the War on Drugs somehow benefit from the cannabis industry now that it is legal. While the issue was central to recreational legalization debates in neighboring New York and New Jersey, there’s been little public discussion of this particular facet of Pennsylvania’s proposed legalization plans.

    While a middling adopter of medical cannabis, Pennsylvania’s program also had important innovations in research and social equity that influenced legislators in other states. Whatever happens in the commonwealth around recreational cannabis may well do so again, especially as fewer states have the option of adopting recreational cannabis via the ballot.

    Finding a legislative solution to these thorny issues in a divided government could thus push legalization forward. Or the recent winds against legalization could stall the effort in Pennsylvania, at least for now.

    Read more of our stories about Philadelphia and Pennsylvania.

    Daniel J. Mallinson 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. As Pennsylvania inches toward legalizing recreational cannabis, lawmakers propose selling it in state-owned dispensaries similar to state liquor stores – https://theconversation.com/as-pennsylvania-inches-toward-legalizing-recreational-cannabis-lawmakers-propose-selling-it-in-state-owned-dispensaries-similar-to-state-liquor-stores-250368

    MIL OSI – Global Reports –

    February 25, 2025
  • MIL-OSI Global: The murder rate in Venezuela has fallen − but both Trump and Maduro are wrong about why

    Source: The Conversation – USA – By Rebecca Hanson, Assistant Professor of Latin American Studies, Sociology and Criminology, University of Florida

    Members of government-backed militias take part in a march in Caracas, Venezuela, on Jan. 7, 2025. AP Photo/Matias Delacroix

    The body of former Venezuelan army officer Ronald Ojeda was found on Feb. 19, 2024, in a suitcase buried under 5 feet of concrete. Ojeda, accused by Venezuela of plotting against the government, had gone missing nine days earlier, when men dressed as police broke into his apartment in the Chilean capital of Santiago and dragged him away.

    Following a yearlong investigation, authorities in Chile have now pointed the finger at the Venezuelan gang Tren de Aragua, claiming members carried out the assassination at the behest of that country’s president, Nicolás Maduro.

    It comes as the relationship between Maduro’s government and criminal gangs is under increased scrutiny, both among regional governments in Latin America and in the United States.

    Conservative media outlets in the U.S. and right-leaning groups such as the Heritage Foundation have accused Maduro of sending gang members into the U.S. to destabilize the country.

    President Donald Trump has even suggested that Maduro successfully reduced crime by exporting gang members to the U.S. “Crime is down in Venezuela by 67% because they’re taking their gangs and their criminals and depositing them very nicely into the United States,” he told supporters in April 2024.

    According to data from the Venezuelan Ministry of Health, shared with me by scholar of Venezuelan politics Dorothy Kronick, homicide rates have indeed come down in recent years. And this trend is confirmed by the Venezuelan Observatory of Violence.

    The fall in homicide rates has coincided with Maduro successfully consolidating his authoritarian rule in Venezuela. And explanations of the drop in crime tend to imply that it is the result of the government co-opting and controlling gangs. Some observers have even referred to Venezuela as a “narcostate,” suggesting that drug trafficking in the country is an organized venture between top officials and criminal groups.

    I have studied crime, violence and policing in Venezuela since 2011 and know that this narrative is at best oversimplistic, at worst outright mistruth. As I explore in my new book, “Policing the Revolution: The Transformation of Coercive Power and Venezuela’s Security Landscape During Chavismo,” the case of Venezuela is not one of government control over criminal groups. Rather, it is characterized by an unstable and volatile relationship between the government and multiple competing armed actors, including gangs and the police.

    Violent, but becoming less so

    Falling homicide rates should not mask the fact that Venezuela is still plagued by violence. Since the mid-2000s it has been ranked as one of the most violent countries in the world.

    Former President Hugo Chávez was never able to get a handle on crime, particularly violent crime, which increased exponentially under his government. The trend continued during Maduro’s first years in office after Chávez’s death in 2013.

    However, all available evidence suggests that Venezuela’s homicide rate has declined since reaching a peak in 2016 – by around 42%.

    But there’s no evidence this is because the government is “offshoring” criminals.

    Maduro’s own explanation for this decline portrays the government as handily controlling criminals by means of incredibly lethal police raids carried out between 2015 and 2019. In short, Maduro claims that the police have effectively “wiped out” criminal groups.

    Competing police forces …

    But rather than “wiping out” criminal organizations, the Maduro government has instead maintained volatile relationships with many armed groups, including gangs, nonstate paramilitary groups and even the country’s own police forces.

    These relationships have produced significant conflict and dysfunction within state institutions. This is clear when looking at institutions presumed to be synonymous with state control, such as the police.

    Chávez’s and Maduro’s governments put more police and soldiers in the streets. They created security institutions, such as the Policía Nacional Bolivariana, or Bolivarian National Police.

    However, rapid growth of the security apparatus, amid competing approaches, has generated more conflict than coordination.

    Police officers and police reformers I interviewed referred to state security policies and the changes they produced as akin to Frankenstein’s monster – an aberration rapidly outpacing the creator’s ability to control it.

    What they mean is the government had created new security institutions so quickly that it is unable to supervise and control them. As one former police officer and Chavista politician told me: “Our challenge now is how to manage the monster we created.”

    Members of the National Guard take part in an anti-gang security operation in Caracas on July 13, 2015.
    Federico Parra/AFP via Getty Images

    State policies have also generated significant distrust between the police and the government, and among different police forces.

    This distrust has even resulted in police forces coming to blows with each other in the streets on multiple occasions. On Feb. 19, 2020, a section of the Prados del Este highway in Caracas was shut down as officers from Venezuela’s National Police and the country’s investigative police brandished weapons, shoving, punching and wrestling each other to the ground.

    … cooperating gangs

    It is, as such, highly unlikely that falling homicide rates are the result of policing. Indeed, I interviewed over 200 police officers while conducting research for my book, and most believed that the government’s policing initiatives contributed to crime and violence rather than reducing it.

    A more plausible explanation for falling homicide figures is that Maduro’s policies have resulted in more consolidated relationships between criminal groups themselves.

    Maduro’s government has built relationships with gangs, but this doesn’t necessarily imply control over them. Since 2013 the government has negotiated pacts with some of the country’s largest gangs, including a gang confederation led by the infamous El Koki in Caracas and the Belén gang in the state of Miranda.

    The government agreed to tolerate illicit activities within certain areas and prohibit police from entering gang territory. In exchange, gangs agreed to reduce killings and other highly visible crimes such as kidnapping. As my book and previous research with Verónica Zubillaga, Francisco Sánchez and Leonard Gómez shows, these pacts allowed gangs to consolidate control over territory and illicit markets.

    Gangs also negotiated agreements among themselves in case the government pacts fell through. For example, they agreed to divide territory and markets to avoid future conflict and share resources such as weapons and ammunition. This produced less conflict between gangs and less disruption in illicit markets, resulting in fewer homicides.

    When pacts have ruptured in the past, the spectacularly violent confrontations that ensued between gangs and the police have shown gangs’ capacity to resist government intervention. Still, the overall effect of pacts and gang consolidation has been a reduction in homicides.

    As one neighbor living in gang territory put it: “Before, gangs confronted each other; they killed each other. Now they don’t. Now they are growing.”

    ‘Mother of all infuriations’

    Relationships between the government and various nonstate armed groups, including gangs, have generated enormous discontent within police forces.

    As one police officer explained in an interview, these pacts represented the “mother of all infuriations.” For many officers, the goverment’s pacts with other armed groups is tantamount to its sponsorship of criminal activities.

    And this discontent has produced sporadic violent confrontations. Even when government-gang pacts are in place, the government has been unable to keep police forces from entering gang territory and engaging in deadly shootouts.

    Certainly from the outside, it may look like Maduro’s government has co-opted gangs for political purposes. And with the U.S. government adding Tren de Aragua to its list of global terrorist groups, that could put Venezuela in danger of being labeled a “state sponsor of terrorism.”

    However, the Ojeda case in Chile should not be taken as evidence that stable and strong ties exist between Maduro’s government and criminal groups – at least not yet.

    Instead, authoritarian survival in Venezuela for now seems to depend on volatile relationships between multiple and competing armed groups that collaborate temporarily with the government when their diverse interests overlap.

    Rebecca Hanson 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. The murder rate in Venezuela has fallen − but both Trump and Maduro are wrong about why – https://theconversation.com/the-murder-rate-in-venezuela-has-fallen-but-both-trump-and-maduro-are-wrong-about-why-249230

    MIL OSI – Global Reports –

    February 25, 2025
  • MIL-OSI USA: UConn Study Shows Tagatose May Combat Antibiotic-Resistant C. difficile Infections

    Source: US State of Connecticut

    A new UConn study reveals that tagatose, a plant-based sugar alternative, shows promise in mitigating Clostridioides difficile (C. difficile) infection, particularly those resistant to antibiotics. A pilot study conducted in a mouse model suggests that tagatose could offer a novel nutraceutical approach to combat this growing public health threat.

    C. difficile is a leading cause of hospital-acquired infections, with strains increasingly exhibiting antibiotic resistance. Current treatments often involve broad-spectrum antibiotics, which can further disrupt the gut microbiome, exacerbating the infection cycle. This has created an urgent need for alternative strategies.

    The UConn study, led by Kumar Venkitanarayanan, PhD, associate dean for research and graduate studies at the College of Agriculture, Health and Natural Resources (CAHNR), investigated the effect of tagatose supplementation on C. difficile infection in mice. The results demonstrated that tagatose consumption not only proved safe for animals but also significantly reduced infection symptoms and severity.

    “Our research indicates that tagatose has the potential to reduce C. difficile infection through multiple mechanisms,” says Venkitanarayanan. “Its prebiotic properties appear to promote a healthier gut microbiome, while preliminary evidence suggests it may also inhibit the production of bacterial toxins. This dual action could be particularly valuable in addressing antibiotic-resistant strains.”

    Tagatose is a naturally occurring monosaccharide found in small quantities in some fruits and grains. It is approximately 92% as sweet as sucrose but with a significantly lower caloric value and glycemic index. Tagatose has been FDA approved for over 20 years and is used as a low-calorie sweetener in various food products. It also has NutraStrong™ prebiotic verified certification.

    Bonumose, Inc., an enzyme solutions company with a scalable process for producing high-purity, plant-based tagatose, is collaborating with UConn and exploring the commercial potential of UConn’s research.

    The study was conducted under a sponsored research agreement, which was successfully negotiated with the support of UConn’s Technology Commercialization Services. As a result of this collaboration, Bonumose currently holds an option license to the technology.

    “We are very excited about the outcomes of this sponsored research,” says Amit Kumar, PhD. “We believe these results will play a crucial role in advancing the development of this technology, bringing it closer to real-world impact.”

    The UConn study adds to a growing body of evidence supporting the prebiotic and health-promoting properties of tagatose.

    “The data from this UConn study supports what we already know about tagatose and gut health. Tagatose has the rare ability to not only feed good bacteria in the gut but to also inhibit the toxins produced by harmful bacteria,” says Karen Weikel, PhD, vice president of regulatory & nutrition at Bonumose.

    Further research is planned to investigate the specific mechanisms of action and to evaluate its efficacy in clinical trials.

    “The affordability and accessibility of tagatose make it a promising candidate for a nutraceutical intervention. We are committed to exploring tagatose’s full potential in addressing C. difficile and other related health challenges. UConn’s research reinforces the significance of tagatose not only as a benign and delicious replacement for sugar in food production, but also as an ingredient with beneficial health effects,” Ed Rogers, Bonumose CEO.

    This work relates to CAHNR’s Strategic Vision area focused on Enhancing Health and Well-Being Locally, Nationally, and Globally.

    Follow UConn CAHNR on social media

    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI USA: Virus vs. Bacteria: Phages Prove Effective at Killing Pathogens in Milk

    Source: US State of Connecticut

    Dennis D’Amico, associate professor of animal science, has demonstrated that bacteriophages can effectively reduce the amount of common foodborne pathogens in milk.

    Bacteriophages are viruses that infect bacteria. Some phages follow a lytic life cycle where they inject their DNA into the host cell and hijack its mechanisms to reproduce. When the number of phages grows too large, the cell will burst, killing the bacteria. The released phages will continue to self-propagate, seeking out more and more of their target bacteria to infect and kill. Then, once they have used up all the bacteria, they will simply die off.

    Each bacteriophage is highly specific and will only target one genus or one species, and in some cases, only one strain of a bacteria.

    “If you have a target like a foodborne pathogen – like E. coli – there are phages that will really only infect E. coli,” says D’Amico. “So, any good bacteria in your gut and in your food will be unaffected, and your human cells will be completely unaffected.”

    Bacteriophages are an organic anti-bacterial option that has no impact on the color, flavor, or texture of the food.

    “The reception for the use of phages from producers is very high because it’s a natural approach,” says D’Amico, who also has an appointment with UConn Extension to share his expertise with communities.

    D’Amico looked at a series of commercially available bacteriophages that target the most common dairy-borne pathogens: Listeria, Salmonella, and E. coli to see how effective they were in destroying these bacteria in milk and cheese.

    Each of the products D’Amico evaluated were a mixture of phages that target certain pathogenic species or strains.

    “You do a big mix of these phages with the hope that you’ll cover all the strains that you might encounter in your food product,” D’Amico says.

    D’Amico saw significant reductions in pathogen counts in pasteurized milk. These effects were observable within a few hours and held steady for a week.

    Listeria counts decreased by a factor of 10,000 compared to the control. For E. coli it was a bit more complicated, as some strains decreased by only a factor of five, while others decreased by 100 times.

    These findings were published in Food Microbiology.

    In raw milk, the phages did not reduce counts of Listeria or E. coli. In fact, phage counts decreased.

    This is because the heat used in pasteurization changes the shape of the proteins that would otherwise interfere with the phage’s activity. In raw milk, these proteins bind to the phages and prevent them from reaching their bacterial targets.

    Salmonella, however, was a different story. The phages successfully reduced that pathogen’s count in both pasteurized and raw milk.

    In pasteurized milk, the phages reduced pathogen counts by a factor of 200-1,500. In raw milk, the reductions were more modest but still significant at 13 to nearly 200 times. These findings were also published in Food Microbiology.

    D’Amico did not observe significant reductions in either gouda (a semihard, aged cheese) or queso fresco (a soft, fresh cheese).

    “Cheese is the act of turning a liquid to a solid,” D’Amico says. “Those phages are now trapped in a spot, and the bacteria are trapped in a spot, and their ability to find each other is greatly reduced. So, we saw a major reduction in their effectiveness during the cheese making process.”

    However, there were modest reductions in pathogen counts compared to the control in the cheese samples treated with the phages.

    “If you step back, there was a mild effect if you add the phage during the cheese-making process and that difference between treatment and control holds throughout the whole period,” D’Amico says. “Our goal would be to increase the impact during the cheesemaking process because it would probably maintain its effectiveness through the storage period.”

    The major limitation for using bacteriophages to combat dairy pathogens remains the cost.

    D’Amico had to add 1,000,000 times as many phages as pathogen to see these results in milk.

    Given that the phage products are relatively expensive, this is a significant barrier to their widespread application, especially for smaller producers.

    “There were a million times more phages than bacteria,” D’Amico says. “It doesn’t matter from a human health standpoint, or a product quality standpoint, but from a wallet standpoint you have to add quite a bit of this product to get the effect we observed.”

    This work relates to CAHNR’s Strategic Vision area focused on Enhancing Health and Well-Being Locally, Nationally, and Globally and Ensuring a Vibrant and Sustainable Agricultural Industry and Food Supply.

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    MIL OSI USA News –

    February 25, 2025
  • MIL-OSI Africa: World Health Organization (WHO) commits to enhancing Nigeria’s capacity to tackle influenza threat

    Source: Africa Press Organisation – English (2) – Report:

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    Following an alert of a highly pathogenic avian Influenza (H5N1) outbreak in poultry, commonly known as bird flu, in Kano state,  the World Health Organization ( WHO) has stepped up its support to the Government of Nigeria to prevent transmission of the virus to humans. While the virus spreads rapidly among birds, it also has the potential to infect mammals, including humans. It poses a significant threat to both animal and public health.

    Overview of the outbreak 

    The virus primarily affects poultry but can also infect humans who come in direct contact with the infected live or dead birds or contaminated environments, such as saliva, nasal discharges, and faeces, which contain high toxins.

    Preventive measures against bird flu include biosecurity measures in poultry farms and live bird markets, avoiding contact with sick birds, proper hygiene, surveillance, and early reporting of outbreaks. Other states aside, Kano has reported cases of bird flu among poultry.

    At the time of writing this report, there has been no human infection from the disease. 

    WHO collaborative support to the outbreak

    To prevent transmission to humans, WHO team in Kano state leverage the State One Health Technical Working Group (TWG) and Influenza TWG to coordinate an interagency response to the situation. 

    The One Health and Influenza TWGs comprises inter-agency members, including the Ministries of Health, Veterinary/ Agriculture, and  Environment. 

    The World Health Organization (WHO), in collaboration with the Nigeria Centre for Disease Control (NCDC), has supported the establishment of 10 National Influenza Sentinel Surveillance (NISS) sites, including Aminu Kano Teaching Hospital (AKTH) and nine other hospitals across Nigeria’s six Geopolitical zones. In 2024, 814 samples were collected from these sites and transported to the National Reference Laboratory in Abuja for respiratory virus testing, in line with the Global Influenza Surveillance and Response System (GISRS).

    “To help with the response in Kano State, WHO provided over 100 PPE kits. These kits included 1,000 gloves, 500 aprons, 500 face shields, 20 rain boots, and other items. These kits protect healthcare workers and other personnel on the field from exposure to the virus, ensuring their safety while they manage and contain the outbreak.

    WHO also supplied laboratory materials for collecting samples from people showing symptoms of flu-like illnesses or severe respiratory infections,” explained Dr Mayana Abubakar, WHO  Kano State Coordinator. 

    Dr Mayana mentioned that in 2024, WHO helped train over 100 health workers from the NISS sites on preparing for and responding to pandemic influenza. This training aimed to improve surveillance, response, and close monitoring of human contacts for early intervention. 

    Dr Ibrahim Aliyu Gano, Director of Public Health and Disease Control, Kano State Ministry of Health, applauding WHO’s support, said, “ We appreciate WHO’s steadfast support in helping us tackle this outbreak. Their donation and timely intervention help protect lives and contain the transmission of the disease.

    As of 25 January 2025, Kano, Nigeria, reported six confirmed  HPAI cases and 4,470 suspected cases of bird flu. So far, there has been no human infection from 15 specimens tested from 20 suspected cases while awaiting the result of five samples. 

    The WHO Country Representative, Dr Walter Kazadi Mulombo, has assured that with the existing national capacity, which has been built over the period and from the previous bird flu emergencies experience, “we could swiftly scale up the efforts. WHO is committed to working with Nigerian authorities and partners to ensure that measures are in place for effective and rapid actions to mitigate transmission to humans”, he added.

    Distributed by APO Group on behalf of World Health Organization (WHO) – Nigeria.

    MIL OSI Africa –

    February 25, 2025
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