Category: Health

  • MIL-OSI Video: Ahead of the Threat Podcast: Episode Seven – Paul Proctor

    Source: Federal Bureau of Investigation (FBI) (video statements)

    Paul Proctor, a Gartner analyst for 20 years, joins the show to discuss practical approaches businesses can apply to make cybersecurity more effective. Through thousands of hours of outreach, Proctor sees a broken system that can improve with better communication and partnership between executives and chief information security officers to create strategies based on ‘outcome-driven metrics.’ One example is identifying the cost to return systems online in a specific time frame following a breach, while understanding that cutting funds to that effort jeopardizes the timeline. Hosts Bryan Vorndran, assistant director of the FBI’s Cyber Division, and Jamil Farshchi, FBI strategic engagement advisor, discuss the importance of cybersecurity ‘fundamentals’ and how measured approaches can lead to more success in a field more complicated than many think. Commenting on current events in the ‘Top Three’ segment, Vorndran and Farshchi highlight DeepSeek AI, the new updates to United HealthGroup’s breach, and new reporting requirements for critical infrastructure cyber incidents (Cyber Incident Reporting for Critical Infrastructure Act, or CIRCIA). Listen to Ahead of the Threat episodes, read the transcripts, and find related material at fbi.gov/aheadofthethreat.
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    https://www.youtube.com/watch?v=LeqMuWC_SW0

    MIL OSI Video

  • MIL-OSI USA: NCDHHS Announces First Pediatric Flu Deaths of 2024-25 Season, Urges Vaccination for Children Ages 6 Months and Older

    Source: US State of North Carolina

    Headline: NCDHHS Announces First Pediatric Flu Deaths of 2024-25 Season, Urges Vaccination for Children Ages 6 Months and Older

    NCDHHS Announces First Pediatric Flu Deaths of 2024-25 Season, Urges Vaccination for Children Ages 6 Months and Older
    jwerner

    The North Carolina Department of Health and Human Services is reporting two pediatric flu-related deaths, the first for the 2024-2025 flu season. One child in the Eastern region and another in the Central region of the state recently died due to complications of influenza. To protect both families’ privacy, additional information will not be released about these cases.

    “We at the North Carolina Department of Health and Human Services extend our deepest sympathies to the families of these children,” said State Epidemiologist Zack Moore, M.D, MPH. “This is a sad reminder that seasonal influenza can be serious and, in some cases, even fatal. If you or your loved ones have not received the flu vaccine this season, please consider doing so to help protect your family and those around you.”

    North Carolina has seen a rise in flu cases in recent weeks in combination with continued COVID-19 activity, and 171 adult flu-associated deaths have already been reported in North Carolina this season. NCDHHS tracks influenza, COVID-19, RSV and other respiratory viruses that may be circulating and publishes data weekly on the Respiratory Virus Surveillance Dashboard.

    Flu vaccinations are especially important for children who are at higher risk of developing severe disease or complications, including those younger than 5 years old, especially under 2 years, or those with chronic health conditions like asthma, diabetes or a weakened immune system. 

    The CDC recommends all children ages 6 months and older receive a seasonal flu vaccine and an updated COVID-19 vaccine. Parents should also talk with their health care provider about options to protect infants from severe RSV disease, including vaccines for pregnant women during weeks 32 through 36 of pregnancy.

    Early testing and treatment with an antiviral drug can also help prevent flu and COVID-19 infections from becoming more serious in children. Antiviral treatment works best if started soon after symptoms begin.

    In addition to vaccines and treatment, everyone should take the following preventive actions to protect themselves and their loved ones against respiratory viruses:

    • Regularly wash your hands with soap and water or use an alcohol-based cleaner or sanitizer to prevent the spread of viruses to others
    • Avoid touching your eyes, nose and mouth
    • Clean and disinfect frequently touched surfaces and objects that may be contaminated
    • Cover coughs and sneezes with a tissue and then discard the tissue promptly
    • Stay home when sick, except to seek medical care or testing, and take steps to avoid spreading infection to others in your home, including:
      • Staying in a separate room from other household members, if possible
      • Using a separate bathroom, if possible
      • Avoiding contact with other members of the household and pets
      • Not sharing personal household items, like cups, towels and utensils
      • Wearing a mask when around other people

    For more information on respiratory viruses, including how to access vaccines, testing and treatment in your community, visit vaccines.gov/en, flu.ncdhhs.gov or covid.19.ncdhhs.gov. 

    El Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS, por sus siglas en inglés) informa sobre dos muertes pediátricas relacionadas con la influenza (gripe), la primera de la temporada de 2024-2025. Un niño en la región oriental y otro en la región central del estado murieron recientemente debido a complicaciones de la influenza. Para proteger la privacidad de ambas familias, no se divulgará información adicional sobre estos casos.

    “En el Departamento de Salud y Servicios Humanos de Carolina del Norte expresamos nuestro más sincero pésame a las familias de estos niños”, dijo el epidemiólogo estatal Zack Moore, MD, MPH. “Este es un triste recordatorio de que la influenza estacional (gripe estacional) puede ser grave y, en algunos casos, incluso mortal. Si usted o sus seres queridos no han recibido la vacuna contra la influenza esta temporada, considere hacerlo para ayudar a proteger a su familia y a quienes lo rodean”.

    Carolina del Norte ha visto un aumento en los casos de gripe en las últimas semanas en combinación con la continua actividad de COVID-19, y ya se han reportado 171 muertes asociadas a la gripe en adultos en Carolina del Norte esta temporada. NCDHHS rastrea la influenza, COVID-19, virus sincitial respiratorio (VSR) y otros virus respiratorios que pueden estar circulando y publica datos semanalmente en el Tablero de control de vigilancia de virus respiratorios.

    Las vacunas contra la gripe son especialmente importantes para los niños que corren un mayor riesgo de desarrollar enfermedades o complicaciones graves, incluidos los menores de 5 años, especialmente los menores de 2 años, o aquellos con afecciones crónicas de salud como asma, diabetes o un sistema inmunitario debilitado.

    Los CDC recomiendan que todos los niños de 6 meses o más reciban una vacuna contra la gripe estacional y una vacuna actualizada contra COVID-19. Los padres también deben hablar con su proveedor de atención médica sobre las opciones para proteger a los bebés de la enfermedad grave por VSR, incluidas las vacunas para mujeres embarazadas durante las semanas 32 a 36 del embarazo.

    Las pruebas y el tratamiento tempranos con un medicamento antiviral también pueden ayudar a prevenir que la gripe y las infecciones por COVID-19 se vuelvan más graves en los niños. El tratamiento antiviral funciona mejor si se inicia poco después de que comiencen los síntomas.

    Además de las vacunas y el tratamiento, todos deben tomar las siguientes medidas preventivas para protegerse a sí mismos y a sus seres queridos contra los virus respiratorios:

    • Lávese las manos regularmente con agua y jabón o use un limpiador o desinfectante a base de alcohol para evitar la propagación de virus a otras personas
    • Evite tocarse los ojos, la nariz y la boca
    • Limpie y desinfecte las superficies y los objetos que podrían estar contaminados.
    • Cubra la tos y los estornudos con un pañuelo de papel y luego deseche el pañuelo de papel rápidamente
    • Quédese en casa cuando esté enfermo, excepto para buscar atención médica o pruebas, y tome medidas para evitar transmitir la infección a otras personas en su hogar, como:
      • Alojarse en una habitación separada de otros miembros del hogar, si es posible
      • Usar un baño separado, si es posible
      • Evitar el contacto con otros miembros del hogar y mascotas
      • No compartir artículos personales de uso doméstico, como tazas, toallas y utensilios
      • Usar una mascarilla cuando esté cerca de otras personas

    Para obtener más información sobre los virus respiratorios, incluido cómo acceder a las vacunas, las pruebas y el tratamiento en su comunidad, visite  vaccines.gov/en, flu.ncdhhs.gov o covid.19.ncdhhs.gov.

    Feb 12, 2025

    MIL OSI USA News

  • MIL-OSI Global: Many Canadian households are being shortchanged from retrofit programs — this needs to change

    Source: The Conversation – Canada – By Kareman Yassin, Assistant Professor, Hitotsubashi University

    Canada has set an ambitious goal to reduce greenhouse gas emissions by 45 to 50 per cent below 2005 levels. This puts pressure on the residential and commercial building sector, which is responsible for about 18 per cent of national greenhouse gas emissions, to help meet this target.

    Since most of Canada’s 16 million homes are expected to still be in use by 2050, the path to net-zero requires upgrading existing homes, not just constructing new net-zero ones.

    To address this, retrofit programs that improve home energy efficiency have become one of Canada’s main strategies to cut emissions in the housing sector. These programs focus on upgrades like air sealing, enhanced insulation, upgrading heating and cooling systems and installing energy-efficient windows and doors.

    But do these programs deliver on their promises of lower bills and reduced carbon emissions? Our recent study, forthcoming in Energy Economics, examined the outcomes of the federal ecoENERGY home retrofit program, a predecessor to the Greener Homes Initiative.

    Our findings shed light on where the program succeeded, where it fell short and what this all means for Canadian families and policymakers moving forward.

    Real-world energy savings

    Our study analyzed a decade of monthly electricity and natural gas consumption data from Medicine Hat, Alta., where residents participated in the federal ecoENERGY retrofit program that was in place between 2008 to 2012.

    We found that households undertaking comprehensive envelope retrofits — which includes insulation and air sealing — reduced their total energy use by an average of 25 per cent per household. Natural gas usage dropped by 35 per cent on average for these same households, and these savings lasted for at least 10 years after the retrofit.

    This suggests that such retrofits hold promise for meaningful, long-lasting energy reductions, especially for home heating, which makes up a large part of residential energy use in Canada.

    However, our study found that homes achieved only about 60 per cent of the predicted savings projected in pre-retrofit estimates. While measures like air sealing and attic and wall insulation were relatively effective, other upgrades, such as basement insulation and energy-efficient windows, showed zero effect on energy use.

    This gap between projected and actual savings suggests that the estimates shown to households during pre-retrofit audits might be overestimating the benefits. This could leave families with lower-than-expected savings on their energy bills after making significant financial investments. These findings align with similar studies in the United States and Europe, where realized energy savings hover at around 60 per cent of pre-retrofit projections.

    Despite this gap, there are promising opportunities for low-cost, high-return investments. Our research suggests that relatively cheap measures like air sealing generate high returns. Adopting electric heat pumps and fuel switching also show promise for delivering both energy savings and reductions in greenhouse gas emissions.

    The need for broader participation

    Our study also revealed significant gaps in program access and the distribution of benefits. Although the ecoENERGY program was available to all Canadian households, participation was highest among families of mid-valued houses.

    Participation among families in lower-valued houses was disappointingly low: about four per cent of the families in lowest-valued houses took part, even though they stood to benefit the most from reduced energy bills. Homes in our study saw bill savings ranging from eight to 17 per cent, based on a comparison of their actual consumption before and after the retrofit. The highest savings were observed in homes with assessed values of $100,000.

    Middle-valued homes with the highest retrofit program participant rate tended to save the least amount of money; this group had average gas bill reductions of approximately 10.5 per cent.

    The maximum amount that could be claimed under the ecoENERGY program was $5,000, yet the average rebate received was $1,100. This disparity not only limited the program’s potential to reduce emissions on a large scale, but also means Canada’s current approach to energy retrofits may be missing an opportunity to improve energy affordability for those who need it most.

    Room for improvement

    Energy-saving retrofits have significant potential, but current prediction models often overestimate the savings homeowners can achieve. Improving these models could allow homeowners to make better-informed choices, leading to greater efficiency and improved household welfare.

    Upfront costs also remain a significant barrier, particularly for lower-income families. Many cannot afford the upfront expenses associated with retrofitting their homes. Expanded financial support, such as rebates or no-interest loans, may provide much-needed support necessary to allow more households to participate, and more research is needed to evaluate how best to incentivize household participation.

    Another major challenge is a lack of awareness. Many Canadians are unaware of the benefits of deep retrofits. Public awareness campaigns, possibly delivered in collaboration with community organizations, may also help educate homeowners on the long-term value of retrofits and make the process more accessible and appealing.

    Our project is the first in Canada to use detailed household-level data to assess energy savings from retrofits in houses of various values. We were able to achieve this through partnerships between academia, utilities and the federal government. Such collaborations are crucial for advancing research that informs effective policies and programs.

    As Canada advances toward net-zero emissions by 2050, energy-efficient housing should remain central to its climate strategy. Achieving sustainable progress in this area will require retrofit programs that deliver on their promises by enhancing household welfare, addressing energy affordability and ensuring continued public support.

    Maya Papineau receives funding from Social Sciences and Humanities Research Council and the National Science and Engineering Research Council and the National Research Council of Canada.

    Nicholas Rivers receives funding from the Social Sciences and Humanities Research Council and the National Science and Engineering Research Council. He is affiliated with the Canadian Climate Institute.

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

    ref. Many Canadian households are being shortchanged from retrofit programs — this needs to change – https://theconversation.com/many-canadian-households-are-being-shortchanged-from-retrofit-programs-this-needs-to-change-236388

    MIL OSI – Global Reports

  • MIL-OSI Global: Is Keir Starmer the new Elvis? How celebrity endorsements can shape public health

    Source: The Conversation – UK – By Ivo Vlaev, Professor of Behavioural Science, Warwick Business School, University of Warwick

    Sir Keir Starmer has become the first sitting UK prime minister to publicly take an HIV test to reduce stigma around Aids and encourage more people to get tested.

    There are historical parallels. In 1956, when Elvis Presley, at the height of his fame, was filmed receiving his polio vaccine on US television.

    Do these high-profile gestures really change attitudes and behaviour, or are they just headline-grabbing stunts?

    A closer look at the behavioural science behind celebrity endorsements suggests that, under the right conditions, public demonstrations by famous figures can indeed shift social norms, reduce stigma and influence health outcomes. However, the effects depend a lot on the credibility of the endorser, the authenticity of the act and the presence of sustained, follow-up campaigns.

    Elvis Presley’s polio jab is one of the most iconic examples of celebrity-led health campaigns. But many other well-known figures have encouraged the public to adopt protective health measures, from actors promoting annual flu jabs to footballers advocating organ donation drives.

    The premise is that a celebrity’s endorsement can normalise certain behaviour by tapping into the principles of “social learning theory”, particularly observational learning. That is, when we see someone we admire or trust do something, we are more likely to follow suit.

    In the 1950s, polio was a serious threat, capable of causing paralysis or death. After witnessing Elvis roll up his sleeve on national television, many teenagers – previously sceptical or apathetic – became far more willing to accept the polio vaccine. That event is now hailed as a masterclass in leveraging popular culture to address a public health crisis.

    A masterclass in leveraging popular culture.

    A cornerstone of behavioural science is the recognition that who delivers a message can be as important as – or sometimes more important than – what the message contains. The so-called “messenger effect” highlights how we are often more persuaded by people we perceive to be credible, relatable or high status.

    In the case of Elvis, he was already idolised by millions. He was the perfect conduit to promote vaccination among teenagers who might otherwise dismiss appeals from older authority figures.

    Starmer occupies a different kind of influence. Supporters of the Labour party may see him as a trustworthy figure, while others could be sceptical of a politician’s motives. This underscores a key aspect of the messenger effect: if a large segment of the target audience views the figure as partisan or self-serving, the endorsement can backfire or simply fail to register.

    Another powerful effect identified in behavioural science is social norms – our shared understandings of what is typical or appropriate – which strongly influence whether we take certain actions.

    Stigma around HIV remains a major barrier to testing and treatment. Even though medical advances have changed the landscape of HIV/Aids care, many people still fear the societal consequences of a positive diagnosis. According to the UK Health Security Agency, around 5,000 people in the UK are unaware they are living with HIV, partly because they hesitate to test in the first place.

    By publicly taking an HIV test, Starmer aimed to shift perceptions and normalise testing. In terms of social identity theory, seeing a prominent figure within the national community – especially one involved in shaping policies – undergo testing can communicate that “people like us” view HIV testing as a routine, responsible health measure. This may be particularly powerful for people who identify politically with Starmer or who respect his leadership position.

    Despite the potential of celebrity or high-profile endorsements, behavioural science also points to authenticity as a vital ingredient. Audiences are more likely to change their behaviour if they believe the celebrity genuinely cares about the issue rather than simply seeking publicity. If endorsements are perceived as insincere or politically opportunistic, their effect can be muted or even counterproductive.

    In Elvis’s case, he was known for engaging with young fans and had a track record of public good works, which helped bolster the sense that his polio vaccination was done for more than just a publicity boost.

    For Starmer, sustaining the momentum beyond a single test – through continued advocacy, support of free testing programmes, and visibility in HIV-awareness campaigns – could reinforce the perception of a real commitment rather than a fleeting photo opportunity.

    Nudges

    Behavioural scientists also often talk about “nudges” – small interventions that change people’s choices without forbidding options or significantly changing incentives. A celebrity endorsement can serve as a nudge by making a desirable health behaviour (like getting tested) more top-of-mind or socially acceptable.

    However, historically, Elvis’s vaccination was not a standalone act. It was part of a broader public health strategy involving schools, local campaigns and continued outreach. Those elements ensured that once people were motivated to get the polio jab, they could do so easily.

    For HIV testing, the same principle applies: visible leadership from Starmer may spark initial interest, but practical measures – such as pop-up testing centres, free home-test kits and confidential testing support – are vital to maintain engagement.

    Is Keir Starmer the new Elvis? In reality, the two scenarios differ in time and context. A 21st-century political leader raising awareness about HIV testing in the UK operates within a more complex media landscape than a 1950s rock ’n’ roll icon on American primetime television. Yet, there is a parallel: both used their public status to tackle a widespread health concern, hoping to overcome stigma and promote an important preventative measure.

    Ultimately, celebrity moments can open the door, but only a sustained, evidence-based strategy will keep it open – and encourage people to walk through.

    Anyone in England can order a free and confidential HIV test from www.freetesting.hiv to do the test at home.

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

    ref. Is Keir Starmer the new Elvis? How celebrity endorsements can shape public health – https://theconversation.com/is-keir-starmer-the-new-elvis-how-celebrity-endorsements-can-shape-public-health-249643

    MIL OSI – Global Reports

  • MIL-OSI Global: Education for peace: the effort to teach children how to rebuild societies after WWII

    Source: The Conversation – France – By Camille Mahé, Maîtresse de conférences en histoire, Université de Strasbourg

    While the first world war and the Spanish civil war had already drawn children in Europe and beyond into the orbit of conflict, the second world war marked a pivotal period in how young people have experienced the horrors of war.

    During the 1940s, children faced unprecedented mobilisation and violence. From bombings and massacres to forced displacement and genocide, the impact was staggering. Millions of children were directly affected by these atrocities, while countless others endured the indirect consequences: shortages, family separations and grief.

    In the aftermath of the war, childhood experts such as pediatricians, psychologists and nutritionists, as well as political leaders and humanitarian workers, feared for this potentially “lost generation”. With recognition of the vulnerability of children as a social group, there was a transnational push to implement protective measures. This shared awareness led to milestones such as the establishment of the United Nations International Children’s Emergency Fund (UNICEF) in December 1946 and, later, the adoption of the Declaration of the Rights of the Child.

    The period from 1939 to 1949 not only highlighted the need to protect children worldwide, but also underscored their importance in building a peaceful future. As detailed in La Seconde Guerre mondiale des enfants (The second world war of children), published in September 2024 by Presses Universitaires de France, children embodied hope for postwar nations. They were seen not only as victims of war but also as active participants in shaping a peaceful world.

    Schools as foundations of reconstruction

    After 1945, schools became central to Europe’s social reconstruction. Seen as spaces of socialisation that included nearly all children, schools were viewed as critical for rebuilding society. Some measures mirrored those introduced after the first world war. Children, particularly those aged 6 to 14 (the typical age for compulsory education in Europe), were tasked with preserving the memory of fallen soldiers, resistance fighters and civilian victims. They cleaned and adorned graves, attended public ceremonies and paid homage to the dead.

    However, postwar education went further. In some countries, particularly those that formerly had authoritarian or totalitarian regimes such as Italy and Germany, school curricula underwent significant transformation. Lessons on democratic governance and peaceful figures were either reinforced or reintroduced, and history classes began emphasising cultural, political and economic exchanges between nations. These reforms aimed to counteract the nationalist ideologies that had fuelled war and division.

    Unlike the post-WWI era, the years after 1945 saw efforts to strengthen ties between nations by fostering connections among their youngest citizens. Programs promoting international school exchanges flourished. French students corresponded with Canadian peers, British children sent books to Germans and Swedish students traveled to Belgium.

    Germany hosted one of the most ambitious programs: the US-led “World Friendship Among Children Program”. This initiative included pen-pal projects, student travel and even the symbolic adoption of war orphans by classrooms. The program also established the “World Friendship Council of the Future”, where young people proposed initiatives for international dialogue, mimicking the operations of newly formed organisations such as the United Nations, UNESCO (United Nations Educational, Scientific and Cultural Organization) and the World Health Organization.

    It was also in Germany that Houses of America, or Youth Centres, were established. While the goal was to offer children sports and cultural activities, they were primarily seen by Americans as tools of soft power and political instruments to (re)educate youth about the principles of democracy.

    Active pedagogy for European education

    Indeed, after 1945, educating children for peace also meant educating them about democracy. Across Western Europe, teaching methods inspired by progressive education movements – championed by figures such as Maria Montessori, Ovide Decroly and John Dewey – became widespread.

    For educational leaders, merely teaching democratic principles wasn’t enough: children needed to practice them. Classrooms became miniature societies where students elected class representatives, voted on school matters and debated everyday and political issues. This active engagement aimed to cultivate civic responsibility and critical thinking.

    Some postwar experiments went further. Communities of children or “children’s republics” emerged across Europe to provide homes for children who had lost their homes and parents. While their primary mission was humanitarian, these communities were also intended to form the foundations of new, peaceful societies. Self-governance was central to their goal of preparation for active citizenship. In the Repubblica dei Ragazzi (boys’ republic) in Santa Marinella, near Rome, children ran their own court, deliberative assembly and union.

    Ideological differences

    While schools are indeed the cornerstone of global peacebuilding, debates about fostering peace go beyond the classroom to encompass all aspects of children’s lives. This includes the private sphere, as evidenced by numerous transnational legislative efforts to ban violent comic books and war-themed toys, which are accused of inciting aggression in children and thus threatening a peaceful future.

    This surge of post-WWII initiatives underscores the fact that educating for peace and democracy was a European – if not global – project. However, its interpretation varied depending on country and region. In France, West Germany and Italy, the project was rooted in liberal ideals; in Eastern Europe, it reflected a different understanding of democracy.


    In the West, the focus was on the individual, with boys and girls assigned traditional, gendered roles: girls were encouraged to become future mothers, while boys were groomed to be workers contributing to economic growth. In contrast, the Eastern model emphasised collective values within a socialist framework, promoting more egalitarian relationships between boys and girls, albeit in service of political objectives.

    Regardless of ideological differences, these post-1945 initiatives left a lasting legacy. Their influence can still be seen today in school activities such as student elections and class trips, which continue to echo the democratic ideals of that era.

    Camille Mahé ne travaille pas, ne conseille pas, ne possède pas de parts, ne reçoit pas de fonds d’une organisation qui pourrait tirer profit de cet article, et n’a déclaré aucune autre affiliation que son organisme de recherche.

    ref. Education for peace: the effort to teach children how to rebuild societies after WWII – https://theconversation.com/education-for-peace-the-effort-to-teach-children-how-to-rebuild-societies-after-wwii-246087

    MIL OSI – Global Reports

  • MIL-OSI Global: M23’s capture of Goma is the latest chapter in eastern Congo’s long-running war

    Source: The Conversation – Canada – By Evelyn Namakula Mayanja, Assistant Professor, Interdisciplinary Studies, Carleton University

    At a recent summit in Dar Es Salaam, Tanzania, leaders of eight African states released a statement calling for an immediate and unconditional ceasefire in the Democratic Republic of Congo (DRC).

    The statement comes after a flareup in fighting in eastern DRC that has killed hundred and wounded thousands.

    On Jan. 31, 2025 the rebel group known as the March 23 Movement (M23) captured the city of Goma in the eastern DRC. At a news conference, Corneille Nangaa, leader of the Congo River Alliance that includes M23, declared that they were there to stay and would march to the DRC’s capital of Kinshasa.

    The World Health Organization reported 900 bodies had been recovered from the streets of Goma, with about 3,000 people injured and thousands forced to flee. The Congolese government said that it had started burying more than 2,000 people and thousands had been displaced.

    On Feb. 4, 2025, the Congo River Alliance declared a ceasefire. This isn’t the first time M23 attacked Goma and then declared a ceasefire. The renewed violence is the latest in a long-running conflict in the region that has grown to involve local militias, regional countries and foreign companies seeking to exploit Congo’s mineral wealth.

    What is M23?

    M23 is an armed group made up predominantly of ethnic Tutsis. It emerged as an offshoot of the National Congress for the Defence of the People (CNDP), which disbanded in March 2009 after the Goma peace agreement. The agreement stipulated the integration of CNDP soldiers into Congo’s military and police, while its political wing would be recognized as an political party.

    However, a faction within the CNDP disapproved of the Goma agreement and created a militia group in 2012 that came to be known as M23. A United Nations group has said senior government officials from Rwanda and Uganda have provided M23 with weapons, intelligence and military support.

    Multiple reports from the UN Group of Experts on the DRC have noted Rwanda’s and Uganda’s support for M23 and other militias such as the Alliance of the Democratic Forces for the Liberation of the Congo Zaire, the Congolese Rally for Democracy and the CNDP.

    The roots of the conflict lie in the history of Belgium’s colonial rule of the region that pitted the Tutsi and Hutu ethnic groups against each other. In 1956, ethnic tensions in Rwanda forced many Tutsis to seek refuge in Congo (then Zaire), Uganda, Tanzania and beyond.

    Tutsis who fled to Congo and Uganda were not accorded full citizenship rights, and this led to resentment.

    In the mid-1990s, Rwandan President Paul Kagame and Ugandan President Yoweri Museveni collaborated with Congolese rebel leader Laurent-Désiré Kabila to create the AFDL. The group waged the First Congo War from October 1996 to May 1997 that ended with the overthrow of the DRC’s long-time ruler, Mobutu Sese Seko. Kabila became president.

    Kagame and Museveni fought along with Congolese Tutsis to assert their citizenship once the war ended. However, when Kabila turned against his backers, it led to the waged Second Congo War from 1998 to 2003, with Rwandan and Ugandan-backed militas fighting against the DRC government.

    M23 claims that it wants to defend the interests of Congolese Tutsis, and to protect them against the Congo government and the Democratic Forces for the Liberation of Rwanda (FDLR).

    The FDLR was implicated in orchestrating the 1994 Rwandan genocide that killed 800,000 people, most of whom were Tutsi. The FDLR has been based in eastern Congo since 1996, after the Rwandan Patriotic Front, led by Kagame and others, pushed them out of Rwanda.

    Fear of the FDLR was one of the drivers for the First Congo War. In a recent interview with CNN, Kagame said:

    “If you want to ask me, is there a problem in Congo that concerns Rwanda? And that Rwanda would do anything to protect itself? I’d say 100 per cent.”

    Control of minerals

    Before the fall of Goma in February 2025, M23 captured mineral-rich areas like Rubaya, the largest coltan mine in the Great Lakes region; Kasika and Walikale, where there are numerous gold mines; Numbi, which is rich with tin, tungsten, tantalum and gold; and Minova, which is a trade hub.

    In December 2024, a UN expert group noted that M23 exported about 150 tonnes of coltan to Rwanda, and was involved with Rwanda’s production, leading to “the largest contamination of mineral supply chain.”

    One of the central dynamics of this conflict is the control and profit from natural resources. The DRC is rich in minerals and metals needed around the world, including the critical minerals used in the technology and renewable energy industries.

    The World Bank has noted that the “DRC is endowed with exceptional mineral resources.” However, administration of the sector is dysfunctional and handicapped by insufficient institutional capacity.

    This problem is exacerbated by the interference of neighbouring countries, foreign corporations and their international backers who destabilize the DRC to balkanize and control resources.

    The way forward

    Ending the M23 insurgency requires taking Tutsi citizenship seriously. Politics researcher Filip Reyntjens has argued that any peaceful transition in the DRC needed to take regional countries seriously. He emphasized:

    “By turning a blind eye to Rwanda’s hegemonic claims in eastern Congo, the future stability of the region remains in doubt. Rwanda may once again, in the not too distant future, become the focal point of regional violence.”

    A factor contributing to the violence is the lack of measures to ensure ceasefires are respected by different parties engaged in conflicts. In addition, armed groups and their backers have not been effectively prosecuted. A 2010 UN mapping report describes 617 alleged war crimes, crimes against humanity and human rights between March 1993 and June 2003. No perpetrators have never been prosecuted.

    Furthermore, there must be strong international efforts to prevent conflict minerals from getting into international supply chains. M23 and other militias smuggle Congo’s minerals through regional neighbours, where they are considered conflict-free.

    Tech giants that rely on these minerals must do more to scrutinize where they come from. Equally, all of us, as consumers of products made from the DRC’s minerals, must demand accountability.




    Read more:
    Overcoming racism depends on respect for every person’s dignity


    It’s usually only men who participate in such talks. Women, who endure the brutality of sexual violence and other human rights violations, must be represented in peace and security talks.

    In his 2018 Nobel Peace Prize acceptance speech, Congolese physician and human rights activist Dr. Dennis Mukwege noted that:

    “What is the world waiting for before taking this into account? There is no lasting peace without justice. Yet, justice in not negotiable. Let us have the courage to take a critical and impartial look at what has been going on for too long in the Great Lakes region.”

    To effectively respond to the plight of the people of eastern Congo will take more than situational and short-term intervention. National, regional and international parties must negotiate peaceful and just access to minerals. Peace and security in Congo will happen when sectarian and partisan politics is replaced with commitment to democracy, sovereignty and peoples’ well-being.

    Evelyn Namakula Mayanja receives funding from the Social Sciences and Humanities Research Council Canada and Carleton University.

    ref. M23’s capture of Goma is the latest chapter in eastern Congo’s long-running war – https://theconversation.com/m23s-capture-of-goma-is-the-latest-chapter-in-eastern-congos-long-running-war-248833

    MIL OSI – Global Reports

  • MIL-OSI United Kingdom: Gozetotide approved for the treatment of prostate cancer

    Source: United Kingdom – Executive Government & Departments

    Gozetotide binds to the cancer cells with prostate-specific membrane antigen (PSMA) on their surface, making them visible during the PET scan.

    The Medicines and Healthcare products Regulatory Agency (MHRA) has today, 12 February 2025, approved gozetotide (brand name Illuccix) to be used in a type of medical imaging procedure called a Position Emission Tomography (PET) scan which is used to detect specific types of cancer cells in adults with prostate cancer.

    Gozetotide binds to the cancer cells with prostate-specific membrane antigen (PSMA) on their surface, making them visible during the PET scan.

    This gives healthcare professionals valuable information about the disease to help inform treatment options.

    The pharmaceutical form of this medicine is administered as one solution for injection.

    Julian Beach, MHRA Interim Executive Director of Healthcare Quality and Access, said:

    “Patient safety is our top priority, which is why I am pleased to confirm approval of gozetotide to detect specific types of cancer cells in adults with prostate cancer.

    “We’re assured that the appropriate regulatory standards of safety, quality and effectiveness for the approval of this new formulation have been met.

    “As with all products, we will keep its safety under close review.”

    A number of pivotal and supportive studies from the literature were presented to demonstrate efficacy and safety in the proposed indication, which are summarised in the Summary of Product Characteristics (SmPC). 

    Like all medicines, this medicine can cause side effects, although not everybody gets them.

    Some of the potential side effects include a temporarily increased blood level of a digestive enzyme (amylase), constipation, feeling weak, and warmth where the injection site is given.

    For the full list of all side effects reported with this medicine, see Section 4 of the Patient Information Leaflet (PIL) or the SmPC available on the MHRA website.

    Anyone who suspects they are having a side effect from this medicine are encouraged to talk to their doctor, pharmacist or nurse and report it directly to the MHRA Yellow Card scheme, either through the website (https://yellowcard.mhra.gov.uk/) or by searching the Google Play or Apple App stores for MHRA Yellow Card.   

     ENDS   

    Notes to editors   

    • The new marketing authorisation was granted on 12 February 2025 to TELIX PHARMACEUTICALS (UK) LIMITED

    • This product was submitted and approved via a national procedure. 

    • More information can be found in the Summary of Product Characteristics and Patient Information leaflets which will be published on the MHRA Products website within 7 days of approval. 

    • The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating all medicines and medical devices in the UK by ensuring they work and are acceptably safe.  All our work is underpinned by robust and fact-based judgements to ensure that the benefits justify any risks. 

    • The MHRA is an executive agency of the Department of Health and Social Care. 

    For media enquiries, please contact the newscentre@mhra.gov.uk, or call on 020 3080 7651.

    Updates to this page

    Published 12 February 2025

    MIL OSI United Kingdom

  • MIL-OSI United Kingdom: Consultation launched to define Liverpool’s 15-year economic vision

    Source: City of Liverpool

    A public consultation has been launched asking businesses and residents to comment on a vision to grow Liverpool’s multi-billion-pound economy over the next 15 years.

    The Inclusive Economic Growth Strategy will set the framework for growth up to 2040 and the eight-week consultation, hosted by Liverpool City Council, aims to inform the development of the resulting action plan.

    The vision for Liverpool 2040 is to create a strong and inclusive economy that leaves no one behind.

    The strategy focuses on strengthening foundations to build a fairer, more prosperous, and sustainable city that creates opportunities for a good life for all its residents.

    The draft strategy focuses on several key themes, including:

    • Strengthening key sectors to drive growth, innovation, investment and productivity
      Key sectors include: Health & Life Sciences, Creative and Digital industries, Advanced Manufacturing and Maritime.
    • Build a vibrant, productive and resilient business base
    • Ensure access to skills development, employment opportunities and career building
    • Place people at the heart of growth activity and supporting aspirations and networks

    Several public engagement events will be staged over the coming months to gather views from the public. People can also go online at www.liverpool.gov.uk/growthstrategyconsultation to find out more and give their feedback.

    Liverpool currently powers a £16.7 billion economy, with over 14,000 businesses and around 230,000 people in employment.

    However, significant challenges remain, including low productivity and investment, financial pressures on public services, inequality of opportunity in some communities, and health challenges.

    In light of these challenges, the Council, which recently submitted a New Town bid to Government to regenerate a huge part of North Liverpool, is committed to supporting businesses and residents. Delivering an inclusive economy a core pillar for Liverpool’s Strategic Partnership plan for 2040.

    This draft inclusive growth strategy will also complement other key aims such as the city’s Net Zero commitment, the actions outlined in the 2040 Health of the City report as well as the Council’s Local Plan, Housing Plan and Transport Plan.

    To further underline the Council’s commitment, since June 2023, its Business Support Service has provided advice and guidance to over 1,000 Liverpool businesses and supported 300+ residents with direct advice on starting up a new business.

    The Adult Learning and Skills team has also supported over 4,500 residents to develop essential workplace skills, and the Ways to Work team has supported 1,708 economically inactive and unemployed residents with employment and skills services.

    Councillor Nick Small, Liverpool City Council’s Cabinet Member for Development and Growth, said: “This draft Inclusive Economic Growth Strategy is a vital piece of work and one which will come to define the conditions that support our businesses to grow.

    “Feedback to this draft strategy is crucial, it needs to reflects the views and needs of our businesses, non-profit organizations, charities, and voluntary organization – be it education, transport, housing or digital connectivity.

    “We also want to hear residents’ views to ensure we create a strong, relevant and deliverable strategy, one that will inform the initiatives, interventions and investment into the infrastructure the city needs to underpin our future economy.

    “All of this feedback will help us strengthen the strategy, ensure we deliver the right action for economic growth, and best placing us to build inclusivity so residents and communities thrive.”

    Councillor Lila Bennett, Liverpool City Council’s Cabinet Member for Employment, Educational Attainment and Skills, said “The success of this strategy will be deeply rooted in the strength and diversity of our partnerships and our collective commitment and action. All our partners have a key role in driving economic growth and ensuring benefits are felt across all communities.

    “We also want our partners, including the business community, to embrace and deliver for our residents by realising opportunities and addressing challenges, from climate change to AI, to train and upskill their workforce to be ready for the economy of the future.”

    MIL OSI United Kingdom

  • MIL-OSI Australia: CSL Behring’s Gene Therapy HEMGENIX® (etranacogene dezaparvovec-drlb) Four Years Post-Infusion Data Continue to Show Sustained Efficacy and Safety in Adults with Hemophilia B

    Source: CLS Limited

    CSL Behring’s Gene Therapy HEMGENIX® (etranacogene dezaparvovec-drlb) Four Years Post-Infusion Data Continue to Show Sustained Efficacy and Safety in Adults with Hemophilia B

    • 94 percent of patients eliminated factor IX prophylaxis and remained free of continuous prophylaxis through four years post-treatment
    • Mean factor IX activity levels were sustained at near normal levels of 37% through four years post-treatment, reinforcing the efficacy of HEMGENIX in the treatment of hemophilia B
    • Phase 3 HOPE-B data showed that a one-time treatment with HEMGENIX provided long-term bleed protection as mean adjusted annualized bleeding rate (ABR) for all bleeds was reduced by approximately 90% from lead-in as compared to year four

    KING OF PRUSSIA, Pa., Feb. 7, 2025 /PRNewswire/ — Global biotechnology leader CSL (ASX:CSL; USOTC:CSLLY) today announced the four-year results from the pivotal HOPE-B study confirming the long-term durability and safety of a one-time infusion of HEMGENIX® (etranacogene dezaparvovec-drlb) for adults living with hemophilia B. In an oral presentation at the 18th Annual Congress of the European Association for Haemophilia and Allied Disorders (EAHAD), data showed that through four years, HEMGENIX continues to deliver elevated and sustained factor IX activity levels, can offer long-term and greater bleed protection compared to prophylactic treatment, can eliminate the need for routine factor IX prophylaxis, and maintains a favorable safety profile. Approved in 2022 by the U.S. Food and Drug Administration (FDA), HEMGENIX is the first gene therapy for the treatment of adults with hemophilia B who currently use factor IX prophylaxis therapy, or have current or historical life-threatening bleeding, or have repeated, serious spontaneous bleeding episodes. It is also the only approved gene therapy for hemophilia B that can treat adult patients with and without AAV5 neutralizing antibodies thereby providing the potential for a greater number of eligible patients to be treated.

    “Hemophilia B can cause spontaneous bleeds into the joints, resulting in extreme pain and progressive, arthritis-like damage, which can lead to permanent physical debility,” said Steven Pipe, MD, Professor of Pediatrics and Pathology, Laurence A. Boxer Research Professor of Pediatrics and Communicable Diseases, Pediatric Medical Director, Hemophilia and Coagulation Disorders Program Director, Special Coagulation Laboratory University of Michigan. “These results underscore the ability of HEMGENIX to offer long-term bleed protection with a one-time treatment, resulting in dramatic decreases in all annual bleed rates, including joint bleeds, and sustained independence from regular prophylactic infusions.”

    In the Phase III, open-label, single-dose, single-arm HOPE-B trial, 54 adult male participants with severe or moderately severe hemophilia B, with or without preexisting AAV5 neutralizing antibodies, were infused with a single dose of HEMGENIX. Of the 54 participants who received HEMGENIX, 51 completed four years of follow-up. HEMGENIX produced mean factor IX levels of 41.5 IU/dL (n=50) at year one, 36.7 IU/dL (n=50) at year two, 38.6 IU/dL (n=48) at year three and 37.4 IU/dL (n=47) at year four post-infusion. In addition, mean adjusted annualized bleeding rate (ABR) for all bleeds was reduced by approximately 90% from lead-in (4.16, n=54) as compared to year four (0.40, n=51). Furthermore, joint bleeds were reduced from a mean ABR of 2.34 at lead-in to 0.09 during year four. In year four, 94% of patients remained free of continuous prophylaxis treatment. No patients returned to continuous prophylaxis between year three and year four.

    There were no serious adverse events related to treatment with HEMGENIX. HEMGENIX was generally well-tolerated, with a total of 96 treatment-related adverse events (AEs), 92 (96%) of which occurred in the first six months post-treatment. The most common adverse events were an increase in alanine transaminase (ALT), for which nine (16.7%) participants received supportive care with reactive corticosteroids for a mean duration of 81.4 days (standard deviation: 28.6; range: 51-130 days).

    “These data continue to instill confidence in the clinical benefits of HEMGENIX, highlighting the remarkable impact of this one-time treatment to reduce the frequency of bleeds in people with hemophilia B and improve quality of life by alleviating the burden of ongoing factor IX prophylactic treatment,” said Andres Brainsky, Vice President R&D Hematology at CSL. “CSL is committed to continuing to provide ongoing data analyses of HEMGENIX, ensuring that healthcare providers and patients have the necessary information to make informed decisions about treatment options. We are proud to continue to provide life-changing treatment options to the hemophilia community.” 

    The multi-year clinical development of HEMGENIX was led by uniQure (Nasdaq: QURE) and sponsorship of the clinical trials transitioned to CSL after it licensed global rights to commercialize the treatment. Additionally, CSL established a post-marketing registry, which will be informative to all stakeholders and will generate additional evidence on the long-term safety, efficacy, and durability of gene therapy. HEMGENIX has also been granted conditional marketing authorization by the European Commission (EC) for the European Union and European Economic Area, the UK’s Medicines and Healthcare products Regulatory Agency (MHRA), as well as authorization by Health Canada, Switzerland’s Swissmedic and provisional approval by Australia’s Therapeutic Goods Administration (TGA).

    For more information on HEMGENIX, please visit www.Hemgenix.com.

    About the Pivotal HOPE-B Trial
    The pivotal Phase III HOPE-B trial is an ongoing, multinational, open-label, single-arm study to evaluate the safety and efficacy of HEMGENIX. Fifty-four adult hemophilia B patients classified as having moderately severe to severe hemophilia B and requiring prophylactic factor IX replacement therapy were enrolled in a prospective, six-month or longer observational period during which time they continued to use their current standard of care therapy to establish a baseline Annual Bleeding Rate (ABR). After at least the six-month lead-in period, patients received a single intravenous administration of HEMGENIX at a 2×10^13 gc/kg dose. Patients were not excluded from the trial based on pre-existing neutralizing antibodies (NAbs) to AAV5.

    A total of 54 patients received a single dose of HEMGENIX in the pivotal trial, with 51 patients completing at least four years of follow-up. The primary endpoint in the pivotal HOPE-B study was ABR 52 weeks after achievement of stable factor IX expression (months 7 to 18) compared with the six-month lead-in period. For this endpoint, ABR was measured from month seven to month 18 after infusion, ensuring the observation period represented a steady-state factor IX transgene expression. Secondary endpoints included assessment of factor IX activity.

    No serious treatment-related adverse reactions were reported. One death resulting from urosepsis and cardiogenic shock in a 77-year-old patient at 65 weeks following dosing was considered unrelated to treatment by investigators and the sponsor company. A serious adverse event of hepatocellular carcinoma was determined to be unrelated to treatment with HEMGENIX by independent molecular tumor characterization and vector integration analysis. No inhibitors to factor IX were reported. 

    About Hemophilia B
    Hemophilia B is a life-threatening rare disease caused by a mutation on the F9 gene, resulting in low levels of functional clotting factor IX. People with the condition are particularly vulnerable to bleeds in their joints, muscles, and internal organs, leading to pain, swelling, and joint damage. Treatments for moderate to severe hemophilia B typically include life-long prophylactic infusions of factor IX to temporarily replace or supplement low levels of the blood-clotting factor.

    About HEMGENIX®
    HEMGENIX is a gene therapy that reduces the rate of abnormal bleeding in eligible people with hemophilia B by enabling the body to continuously produce factor IX, the deficient protein in hemophilia B. It uses AAV5, a non-infectious viral vector, called an adeno-associated virus (AAV). The AAV5 vector carries the Padua gene variant of Factor IX (FIX-Padua) to the target cells in the liver, generating factor IX proteins that are 5x-8x more active than normal. These genetic instructions remain in the target cells, but generally do not become a part of a person’s own DNA. Once delivered, the new genetic instructions allow the cellular machinery to produce stable levels of factor IX.

    Important Safety Information (ISI)

    What is HEMGENIX®?
    HEMGENIX®, etranacogene dezaparvovec-drlb, is a one-time gene therapy for the treatment of adults with hemophilia B who:

    • Currently use Factor IX prophylaxis therapy, or
    • Have current or historical life-threatening bleeding, or
    • Have repeated, serious spontaneous bleeding episodes.

    HEMGENIX is administered as a single intravenous infusion and can be administered only once.

    What medical testing can I expect to be given before and after administration of HEMGENIX?
    To determine your eligibility to receive HEMGENIX, you will be tested for Factor IX inhibitors. If this test result is positive, a retest will be performed 2 weeks later. If both tests are positive for Factor IX inhibitors, your doctor will not administer HEMGENIX to you. If, after administration of HEMGENIX, increased Factor IX activity is not achieved, or bleeding is not controlled, a post-dose test for Factor IX inhibitors will be performed.

    HEMGENIX may lead to elevations of liver enzymes in the blood; therefore, ultrasound and other testing will be performed to check on liver health before HEMGENIX can be administered. Following administration of HEMGENIX, your doctor will monitor your liver enzyme levels weekly for at least 3 months. If you have preexisting risk factors for liver cancer, regular liver health testing will continue for 5 years post-administration. Treatment for elevated liver enzymes could include corticosteroids.

    What were the most common side effects of HEMGENIX in clinical trials?
    In clinical trials for HEMGENIX, the most common side effects reported in more than 5% of patients were liver enzyme elevations, headache, elevated levels of a certain blood enzyme, flu-like symptoms, infusion-related reactions, fatigue, nausea, and feeling unwell. These are not the only side effects possible. Tell your healthcare provider about any side effect you may experience.

    What should I watch for during infusion with HEMGENIX?
    Your doctor will monitor you for infusion-related reactions during administration of HEMGENIX, as well as for at least 3 hours after the infusion is complete. Symptoms may include chest tightness, headaches, abdominal pain, lightheadedness, flu-like symptoms, shivering, flushing, rash, and elevated blood pressure. If an infusion-related reaction occurs, the doctor may slow or stop the HEMGENIX infusion, resuming at a lower infusion rate once symptoms resolve.

    What should I avoid after receiving HEMGENIX?
    Small amounts of HEMGENIX may be present in your blood, semen, and other excreted/secreted materials, and it is not known how long this continues. You should not donate blood, organs, tissues, or cells for transplantation after receiving HEMGENIX.

    Please see full prescribing information for HEMGENIX.

    You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

    You can also report side effects to CSL Behring’s Pharmacovigilance Department at 1-866-915-6958. 

    About CSL
    CSL (ASX:CSL; USOTC:CSLLY) is a global biotechnology company with a dynamic portfolio of lifesaving medicines, including those that treat haemophilia and immune deficiencies, vaccines to prevent influenza, and therapies in iron deficiency and nephrology. Since our start in 1916, we have been driven by our promise to save lives using the latest technologies. Today, CSL – including our three businesses: CSL Behring, CSL Seqirus and CSL Vifor – provides lifesaving products to patients in more than 100 countries and employs 32,000 people. Our unique combination of commercial strength, R&D focus and operational excellence enables us to identify, develop and deliver innovations so our patients can live life to the fullest. For inspiring stories about the promise of biotechnology, visit CSL.com/Vita and follow us on Twitter.com/CSL.

    For more information about CSL, visit CSL.com.

    Media Contacts
    Etanjalie Ayala, CSL Behring
    Mobile: +1 610 297 1069
    Email: etanjalie.ayala@cslbehring.com

    Stephanie Fuchs, CSL Behring
    Mobile: +49 151 58438860
    Email: Stephanie.Fuchs@cslbehring.com

    SOURCE CSL Behring

    MIL OSI News

  • MIL-OSI: Exploring Molecular Switches Application In Modern Therapeutics Download Report

    Source: GlobeNewswire (MIL-OSI)

    Delhi, Feb. 12, 2025 (GLOBE NEWSWIRE) — Molecular switches are integral to cellular function, dictating key processes such as gene expression, signal transduction, and cellular response to stimuli. These switches operate by undergoing conformational changes in response to specific signals, which may involve the binding of small molecules, ions, or even other proteins. By toggling between an “on” and “off” state, molecular switches ensure that cellular functions are executed with precision. When these switches are deregulated, they can result in various diseases, including cancer, metabolic disorders, and autoimmune conditions. As a result, targeting these molecular switches has become an area of immense therapeutic interest.

    Molecular Switches As Therapeutic Targets, Drug Development, Drug Delivery Mechanism and Application By Indications Insight 2025 Research Insights:

    • Top 20 Drugs Sales Targeting Molecular Switches: 2022, 2023 and 2024
    • Molecular Switches Significance In Regenerative Medicine and Nanomedicine
    • Molecular Switches Significance In Drug Delivery and Release
    • Molecular Switches Significance As Therapeutic Targets
    • Molecular Switches In Cancer Therapeutics: Breast Cancer, Prostate Cancer, Lung Cancer, Colorectal Cancer, Gastric Cancer
    • Molecular Switches In Neurological Disorder: Parkinson’s Disease, Alzheimer’s Disease, Multiple Sclerosis
    • Molecular Switches In Autoimmune and Inflammatory Disorder: Diabetes, Arthritis, Lupus, Psoriasis

    Download Insight: https://www.kuickresearch.com/report-molecular-switches-cell-signaling-molecular-switches-applications

    One particularly compelling molecular switch is the Notch signaling pathway, which plays a crucial role in cell differentiation and proliferation. This pathway functions through the binding of ligands to the Notch receptor on the cell surface. Upon activation, the Notch receptor undergoes proteolytic cleavage, releasing its intracellular domain, which translocates to the nucleus to influence gene expression. Dysregulation of Notch signaling is often observed in cancers, particularly in hematological malignancies like T-cell acute lymphoblastic leukemia. In these cases, aberrant activation of Notch signaling leads to unchecked cell proliferation. As a result, drugs targeting Notch receptors or their downstream effectors are currently under investigation for cancer treatment, offering a promising strategy for the development of targeted therapies.

    Another important molecular switch is the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway, which is involved in mediating immune responses, hematopoiesis, and inflammation. In certain autoimmune disorders such as rheumatoid arthritis and psoriasis, the JAK/STAT pathway becomes hyperactivated, leading to chronic inflammation and tissue damage. JAK inhibitors, such as tofacitinib, have already shown effectiveness in treating these conditions by blocking the overactive signaling. The ability to inhibit the activation of JAK proteins represents a precise way to control aberrant immune responses. As research into JAK inhibitors expands, there may be even broader applications in treating diseases like inflammatory bowel disease and certain types of cancer.

    In addition to kinase and receptor-based switches, molecular switches involved in the regulation of apoptosis, or programmed cell death, offer another compelling avenue for therapeutic intervention. The BCL-2 family of proteins, which regulate the intrinsic apoptotic pathway, represents a class of switches that determine whether a cell survives or undergoes programmed cell death. Overexpression of anti-apoptotic proteins like BCL-2 is frequently seen in cancers, allowing tumor cells to evade death despite DNA damage or other cellular stress. By inhibiting BCL-2 with small molecules like venetoclax, researchers have made significant strides in treating hematologic cancers, particularly chronic lymphocytic leukemia (CLL). This drug’s ability to reactivate the apoptotic pathway in cancer cells demonstrates how targeting molecular switches can reverse disease-promoting cellular processes.

    The commercial landscape for therapies targeting molecular switches continues to expand. With the increasing recognition of their role in disease pathology, the pharmaceutical industry is heavily invested in developing drugs that can specifically target these switches. Drug pipelines are filled with promising candidates, and many of these are now undergoing clinical trials to evaluate their effectiveness in treating a variety of diseases. However, challenges remain in developing drugs that are not only effective but also selective, as off-target effects can lead to adverse outcomes. The development of more precise drug delivery mechanisms, such as nanoparticles or biologics, may help overcome some of these hurdles.

    Moreover, resistance to these targeted therapies is an emerging concern. Just as cancers can develop resistance to traditional chemotherapy, they can also evolve resistance to targeted therapies aimed at molecular switches. In some cases, mutations in the target protein or bypass mechanisms can render these therapies ineffective. To combat resistance, combination therapies that target multiple molecular switches or pathways are being explored. This multi-pronged approach may enhance treatment efficacy and reduce the likelihood of resistance developing.

    Despite these challenges, the therapeutic potential of molecular switches remains vast. As research continues to uncover the complex roles that these switches play in disease progression, new and innovative treatments will likely emerge, offering more effective and personalized options for patients. The future of molecular switch-based therapies looks promising, with the potential to address a wide range of conditions, from cancers to autoimmune disorders and beyond. As the field progresses, it may redefine the way we approach disease treatment and pave the way for a new era of precision medicine.

    The MIL Network

  • MIL-OSI Economics: Samsung Brings Irregular Heart Rhythm Notification and Sleep Apnea Features to Galaxy Watch in South Africa

    Source: Samsung

    Samsung Electronics recently announced that two health feature updates on its Galaxy Watch line-up are now available for the South African market. The Irregular Heart Rhythm Notification (IHRN) and Sleep Apnea detection features, accessible through the Samsung Health Monitor app, provide Galaxy Watch users with enhanced tools to manage their cardiovascular health more effectively. These software updates, which went live on January 13, 2025, are part of Samsung’s ongoing commitment to improving health monitoring capabilities through wearable technology.
     

     
    The IHRN feature is designed to detect irregular heart rhythms suggestive of atrial fibrillation (AFib), a condition that can lead to severe health complications if left undiagnosed. By continuously monitoring and recording heart rhythms, this feature offers users a better understanding of their heart health. Alongside the IHRN, the Samsung Health Monitor app also allows Galaxy Watch users to monitor their blood pressure and perform on-demand electrocardiogram (ECG) tests, giving a comprehensive view of their cardiovascular health from the convenience of their wrist.
     
    Following its approval by the Korean Ministry of Food and Drug Safety (MFDS) in 2023, the IHRN feature has already been rolled out in various global markets. South Africa is one of the latest regions to benefit from this advancement.
     
    In addition to the IHRN feature, the new Sleep Apnea detection tool offers users the ability to identify early signs of obstructive sleep apnea, a common but serious sleep disorder that often goes undiagnosed. According to the South African Society for Sleep and Health, 26% of adults in South Africa are affected by sleep apnea, a condition that can lead to severe health risks such as high blood pressure, heart disease, and stroke.
     
    Both features, integrated into the Samsung Health Monitor app, further enhance Galaxy Watch’s ability to support users in managing their overall health. These tools are part of Samsung’s larger initiative to provide consumers with the technology they need to easily manage and take control of their health and well-being. Initially available on the Galaxy Watch Ultra, Watch7, Watch6 Classic, and Watch FE, the features will be expanded to previous editions in the near future.
     
    As one of the leaders in wearable health technology, Samsung continues to bring cutting-edge features to its devices, making it easier for users to track and maintain their health and wellness with greater confidence.

    MIL OSI Economics

  • MIL-OSI United Kingdom: expert reaction to study looking at once-weekly semaglutide in adults with alcohol use disorder

    Source: United Kingdom – Executive Government & Departments

    A study published in JAMA Psychiatry looks at the use of semaglutide in adults with alcohol use disorder. 

    Dr Riccardo De Giorgi, Clinical Lecturer at the Department of Psychiatry, University of Oxford, said:

    “There has been much sensation (and even more noise) about GLP-1 drugs such as semaglutide in the medical field, especially regarding mental health.  However, their potential use as a mechanistically novel treatment for addiction is perhaps one of the most promising research avenues.  This investigator-initiated phase 2 randomised, placebo-controlled trial was small (48 people) but sound and well-designed.  It looked at several outcomes of importance to alcohol misuse. It represents, at present, the most robust and yet preliminary piece of evidence suggesting that these medications may indeed be useful for the care of people with alcohol use disorder – an extremely disabling condition. Semaglutide appeared to be safe and well-tolerated, though it should be noted that the administered dose was not large (0.5mg) and it was given over a relatively short period of time (8 weeks). This is the kind of study of which we need to see more if we are to see progress in this key research area.”

    Prof Matt Field, Professor of Psychology, University of Sheffield, said:

    “Some recent research suggests that semaglutide can reduce alcohol consumption in people with alcohol use disorders.  Those studies were observational, which means it is difficult to attribute the reduction in alcohol consumption to semaglutide rather than to confounding factors.  The present study overcomes these limitations by randomising adults with alcohol use disorder to receive weekly injections of either low-dose semaglutide or placebo over 9 weeks.  Participants recorded how much alcohol they drank over this period, and they also completed laboratory sessions at the beginning and end of the study period in which they could consume alcoholic drinks.  The research team found that, compared to the placebo group, the group who had received semaglutide drank significantly less alcohol in the lab.  Furthermore, although the semaglutide and placebo groups did not differ in how often they drank alcohol during the study period (outside the lab), on days when they did drink alcohol the semaglutide group drank less alcohol than the placebo group.

    “Overall, this randomised study goes beyond previous observational studies which tended to look at people who were prescribed semaglutide for other reasons (usually diabetes) and evaluate how the drug affected their alcohol consumption.  With those types of observational studies, it is difficult to know if any effects on alcohol consumption were attributable to the drug or to confounding factors.  This study overcomes those limitations by demonstrating, for the first time, a causal effect of semaglutide on the amount of alcohol that people drink.  This study will hopefully serve as a springboard for further research.  Furthermore, the nature of the semaglutide effect (reducing the amount of alcohol consumed, whilst having no effect on the number of days that people drank alcohol) is consistent with the idea that semagludide reduces the reward or pleasure that people get from drinking alcohol, which is why they drink less.

    “Some limitations of the study include the characteristics of the sample, who were not seeking treatment and were not motivated to reduce their alcohol consumption or stop drinking.  Most new treatments for alcohol use disorder are evaluated in people who ask for treatment because they want help to stop drinking altogether or reduce their drinking, so it will be important to test the effects of semaglutide on people with these characteristics.  A cautionary tale is that, when promising medications are tested in people with alcohol use disorder who are trying to cut down their drinking, we often see a large placebo response (i.e. a reduction in drinking among people taking placebo), which can obscure any additional effect of the drug.  Other considerations are that participants in this study had a body mass index (BMI) of at least 23, and most had a BMI of 30 or higher (which is in the obese range).  It will be important to establish if semaglutide can also reduce alcohol consumption in people who are not obese, particularly given that many people who seek treatment for alcohol problems are underweight.  This study had a small sample size and a short follow-up period, so it will be important to see if the effects of semaglutide are maintained over a longer time period, and, crucially, what happens when people stop taking the medication.  It will also be important to consider if and how semaglutide can be incorporated into conventional treatment for alcohol use disorder which might include detoxification, counselling or talking therapies, other types of medications, and involvement with mutual aid groups such as alcoholics anonymous.”

    Once-Weekly Semaglutide in Adults With Alcohol Use Disorder: A Randomized Clinical Trial’ by Christian S. Hendershot et al. was published in JAMA Psychiatry at 16:00 UK time on Wednesday 12 February 2025. 

    DOI: 10.1001/jamapsychiatry.2024.4789

    Declared interests

    Dr Riccardo De Giorgi: “I am supported by the NIHR Oxford Health Biomedical Research Centre and currently conduct research on GLP-1 medications (NIHR OH BRC funded; no industry or any other kind of funding).”

    Prof Matt Field: “I have no conflicts of interest to declare.”

    MIL OSI United Kingdom

  • MIL-OSI Global: Trump and South Africa: what is white victimhood, and how is it linked to white supremacy?

    Source: The Conversation – Africa – By Nicky Falkof, Professor, University of the Witwatersrand

    American president Donald Trump has issued an executive order to withdraw aid from South Africa. He was reacting to what he has called the South African government’s plan to “seize ethnic minority Afrikaners’ agricultural property without compensation”. Afrikaners are an ethnic and linguistic community of white South Africans whose home language is Afrikaans.

    Trump’s outrage is based on a misinterpretation of a new law – the Expropriation Act which came into effect in January 2025.

    Trump’s action, amplified by provocative comments from billionaire Elon Musk, has reignited debate about the concept of “white victimhood”. We asked Nicky Falkof, who has researched the idea of white victimhood, for her insights.

    What does ‘white victimhood’ mean?

    White victimhood refers to a powerful set of beliefs that treats white people as special and different, but also as uniquely at risk. Within this narrative white people see themselves, and are sometimes seen by others, as extraordinary victims, whose exposure to violence or vulnerability is more concerning and important than anyone else’s.

    White victimhood is usually speculative. It relates not to actual events that have happened, but to white people’s feelings of being threatened or unsafe. Entire political agendas develop around the idea that white people must be protected because they face exceptional threats, which are not being taken seriously by a contemporary world order that fails to value whiteness.

    This is by no means particular to South Africa; we see it wherever whiteness is predominant. Indeed, ideas about white victimhood play a significant role in the popularity of Trump, whose call to “make America great again” harks back to an idealised past where white people (particularly men) could easily dominate the nation, the workplace and the home.




    Read more:
    Donald Trump, white victimhood and the South African far-right


    The South African case is important because it plays a central role in global white supremacist claims. These mythologies claim that white South Africans, specifically Afrikaners, are the canary in the coalmine: that the alleged oppression they are facing is a blueprint for what will happen to all white people if they don’t “fight back”.

    What is its history?

    We can trace this idea back to the start of the colonial project. In 1660 Dutch East India Company administrator Jan van Riebeeck planted a hedge of bitter almond shrubs to separate his trading station from the rest of South Africa’s Cape. This hedge was part of a defensive barrier intended to keep indigenous people out of the Dutch trading post, which had been built on top of ancient Khoikhoi grazing routes.

    On a practical level, van Riebeeck’s hedge was meant to shield Dutch settlers and livestock from Khoikhoi raiders. On a philosophical level, the hedge situated the invaders as the “real” victims, who desperately needed protection from the violence and wildness of Africa. The bitter almond hedge is still seen as an enduring symbol of white supremacy in the country.




    Read more:
    Racism in South Africa: why the ANC has failed to dismantle patterns of white privilege


    This early paranoia and securitisation has had a significant effect on white South African culture and anxiety. White people who can afford to do so barricade themselves in gated communities and boomed-off suburban streets, behind high walls topped with razor wire, on the assumption that they are the primary victims of South Africa’s crime rate.

    In what ways has victimhood been used over the centuries or decades?

    Ideas about white victimhood have played a role in many of South Africa’s most influential social formations.

    The 1930s saw a major panic around “poor whites”, which led to commissions of inquiry, upliftment programmes and other attempts at social engineering. The people and institutions behind these initiatives weren’t concerned about poverty in South Africa in general, even though it was becoming more of a problem as the population urbanised. Their only interest was in poverty among white people, drawing on the assumption that it’s wrong or abnormal for white people to be poor, and that this needed to be urgently remedied.




    Read more:
    Afrikaner identity in post-apartheid South Africa remains stuck in whiteness


    These moves were not simply about philanthropy and offering better life chances to poor people; they were about protecting the boundaries of whiteness. Poor whites were seen as a threat to the establishment because they proved that whiteness wasn’t inherently superior.

    More recently, the victimhood narrative has been a central part of the panic around farm murders and claims of “white genocide”, an old idea that has been popularised and spread online.

    Rural violence is a huge problem in South Africa that deserves a strong response. But white people are far from its only casualties. Indeed, violent crime affects pretty much everyone in South Africa. When the deaths of white people are explained as part of a targeted genocide undertaken on the basis of race, the message is that they matter more than the deaths of everyone else.




    Read more:
    Damon Galgut’s Booker-winning novel probes white South Africa and the land issue


    Again, this suggests a kind of naturalisation of violence and harm. When terrible things happen to other people they simply happen and are not remarked on. It’s only when white people are affected that they become a pressing issue.

    Has it helped white South Africans? Has it been effective as a mobilising tool?

    White victimhood, like the racial anxiety it is part of, is not good for white people. It doesn’t keep them safer or help them to live better lives.

    That said, it’s been quite effective as a mobilising tool. The apartheid-era National Party was skilled at using white fear for political gain. Its communications constantly played on white fears of the swart gevaar, the “black danger”, which encapsulated the powerful belief that whites were more at risk from black people than vice versa, despite all evidence to the contrary.




    Read more:
    Violent crime in South Africa happens mostly in a few hotspots: police resources should focus there – criminologist


    Similarly, contemporary organisations like the Afrikaner “minority rights” pressure group AfriForum and the Afrikaans trade union Solidarity activate and manipulate white people’s senses of extraordinary victimhood. This drives them further into a defensive position, where everything from farm murders and road name changes to the National Health Insurance bill is designed to attack them personally.

    White support for these kinds of organisations and the political positions they espouse, whether overtly or covertly, is at least in part driven by the effective manipulation of white victimhood.

    How effective is it still?

    It remains disturbingly powerful. The architecture of white supremacy depends on the idea that white people are extraordinary victims. This is the driving notion beneath the great replacement theory, a far-right conspiracy theory claiming that Jews and non-white foreigners are plotting to “replace” whites. It also underpins violent reactions to the global migration crisis and the rise of populism in the north.




    Read more:
    What’s behind violence in South Africa: a sociologist’s perspective


    I don’t think it’s going too far to say that whiteness as a social construction is intrinsically tied to victimhood. The idea that whiteness actually makes people more rather than less vulnerable is likely to remain a central part of white people’s collective psychic imaginary for some time.

    Nicky Falkof receives funding from the South African National Research Foundation.

    ref. Trump and South Africa: what is white victimhood, and how is it linked to white supremacy? – https://theconversation.com/trump-and-south-africa-what-is-white-victimhood-and-how-is-it-linked-to-white-supremacy-249648

    MIL OSI – Global Reports

  • MIL-OSI Global: Trump White House’s disengagement from HIV/AIDS response could have lethal consequences

    Source: The Conversation – Canada – By Yolaine Frossard de Saugy, PhD Candidate, International Relations, McGill University

    With the endless stream of announcements, reversals, measures and countermeasures coming from the new administration of United States President Donald Trump, it has become difficult to make sense of what is just noise or opening negotiation offers and what constitutes actual policy change.

    Unfortunately, in the case of the global response against HIV/AIDS, it seems the attacks go beyond bluster.

    The methods used in the fight against HIV/AIDS have long been disputed, but overall commitment to the response was one of the few deeply bipartisan endeavours left, until now. Undercutting this decades-long consensus would mean endangering millions of lives.

    U.S. role in global HIV/AIDS response

    As a PhD candidate in international relations working on the politics of the response to HIV/AIDS, I am very aware of the central role that the U.S. has played in building and sustaining a global response to the epidemic in the past 25 years.

    The U.S. is the largest provider of funds for HIV/AIDS programs worldwide. It does so mainly through the bilateral President’s Emergency Program for AIDS Relief (PEPFAR) as well as through its contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria. Overall U.S. funding for global AIDS reached $7 billion in 2020, 2021 and 2022. PEPFAR alone is estimated to provide treatment to 20 million people.

    The U.S. is also a fundamental participant in HIV/AIDS research, including through the work of the Centers for Disease Control (CDC) and the National Institutes of Health (NIH), as well as USAID.

    All of this involvement has already been dangerously jeopardized by the actions taken by the White House since Trump took office for his second term.

    Many activities of the CDC and NIH have been halted. Funding for PEPFAR was caught in the freeze on foreign aid announced in January. Though an exemption was later made and the order has since been blocked by a federal judge, it has already forced recipients of aid to lay off personnel and close clinics and programs in places like Kenya and South Africa.

    USAID, the primary implementer of bilateral HIV/AIDS funds, is at risk of being dismantled.

    Current changes

    The chaos wrought by these measures has impacted the response to HIV/AIDS in deep ways, even if they may be contested or reversed by the courts and Congress.

    The uncertainty in itself is damaging for programs that need reliable funding and long-term planning, not to mention the clinical trials that have been brutally interrupted. What’s more, there are indications the Trump administration and other Republicans have abandoned the longstanding commitment to the response itself, which may lead to irreparable damage.

    American involvement in the global response to HIV/AIDS has long been shaped by domestic politics. Most notably, PEPFAR’s first rounds of funding were deeply constrained by the views of George W. Bush’s evangelical constituency, including in its focus on abstinence as prevention and denial of funding for sex workers.

    But the overall commitment to fighting HIV/AIDS had enjoyed bipartisan support for over two decades. Even during the first Trump administration, the U.S. maintained its involvement, though this was also due to Congress’s resistance to the White House’s attempts at reducing funding.

    There are indications that things might be different this time. Entire pages on HIV/AIDS have disappeared from government websites.

    The Heritage Foundation, the conservative think-tank behind the potential blueprint for Trump’s government known as Project 2025, has referred to HIV/AIDS as a lifestyle disease, like tobacco consumption. This language is reminiscent of the 1980s playbook of opponents on AIDS action and negates both the nature of the epidemic and the realities of those who live with the virus, casting doubts on the need to engage meaningfully with the response.

    Most ominously, the last reauthorization of PEPFAR in 2024 was limited to one year instead of the customary five, as some Republican representatives sought to end it altogether. This means the entire program is to be re-examined this March with no guarantee of how the debates will unfold, especially in the current climate.




    Read more:
    As the United States disavows the World Health Organization, Canada must double down on its support


    Ultimately most will depend on Congress, including the amount pledged by the U.S. to the Global Fund at its replenishment conference sometime this year.

    Its decisions will be the real test of the depth of change on this matter, though everything that has unfolded so far hints at a far-reaching shattering of the consensus. If conservative Republicans maintain their pressure on PEPFAR, the program could be significantly diminished, and it is unlikely that a White House that withdrew from the World Health Organization on day one will act decisively to save it or insist on a sustained contribution to the Global Fund.

    Consequences of U.S. disengagement

    The consequences of a U.S. retreat from the global response to HIV/AIDS would be immense.

    In the short-term, millions of people would lose access to the treatment they depend on for their survival. In the long term, shrinking American funding would undermine health systems around the world and risk the resurgence of the pandemic and the rise of resistant virus strains.

    This would jeopardize 40 years of progress, returning us to a time when AIDS was considered a key security risk and threat to development.

    Even if funding is maintained, all of this shows that for the next few years the U.S. is unlikely to be reliable. This means others will have to take up the leadership to ensure the worst-case scenario is avoided.

    Among these, Canada could have a crucial role to play. It has long been a key entity in its own right — the seventh largest contributor to the Global Fund — though Ottawa has remained discreet in this area so far. Washington’s withdrawal from the field may force it to step into a more visible role and contribute to reframe Canada’s international involvement.

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

    ref. Trump White House’s disengagement from HIV/AIDS response could have lethal consequences – https://theconversation.com/trump-white-houses-disengagement-from-hiv-aids-response-could-have-lethal-consequences-249261

    MIL OSI – Global Reports

  • MIL-OSI Africa: Trump and South Africa: what is white victimhood, and how is it linked to white supremacy?

    Source: The Conversation – Africa – By Nicky Falkof, Professor, University of the Witwatersrand

    American president Donald Trump has issued an executive order to withdraw aid from South Africa. He was reacting to what he has called the South African government’s plan to “seize ethnic minority Afrikaners’ agricultural property without compensation”. Afrikaners are an ethnic and linguistic community of white South Africans whose home language is Afrikaans.

    Trump’s outrage is based on a misinterpretation of a new law – the Expropriation Act which came into effect in January 2025.

    Trump’s action, amplified by provocative comments from billionaire Elon Musk, has reignited debate about the concept of “white victimhood”. We asked Nicky Falkof, who has researched the idea of white victimhood, for her insights.

    What does ‘white victimhood’ mean?

    White victimhood refers to a powerful set of beliefs that treats white people as special and different, but also as uniquely at risk. Within this narrative white people see themselves, and are sometimes seen by others, as extraordinary victims, whose exposure to violence or vulnerability is more concerning and important than anyone else’s.

    White victimhood is usually speculative. It relates not to actual events that have happened, but to white people’s feelings of being threatened or unsafe. Entire political agendas develop around the idea that white people must be protected because they face exceptional threats, which are not being taken seriously by a contemporary world order that fails to value whiteness.

    This is by no means particular to South Africa; we see it wherever whiteness is predominant. Indeed, ideas about white victimhood play a significant role in the popularity of Trump, whose call to “make America great again” harks back to an idealised past where white people (particularly men) could easily dominate the nation, the workplace and the home.


    Read more: Donald Trump, white victimhood and the South African far-right


    The South African case is important because it plays a central role in global white supremacist claims. These mythologies claim that white South Africans, specifically Afrikaners, are the canary in the coalmine: that the alleged oppression they are facing is a blueprint for what will happen to all white people if they don’t “fight back”.

    What is its history?

    We can trace this idea back to the start of the colonial project. In 1660 Dutch East India Company administrator Jan van Riebeeck planted a hedge of bitter almond shrubs to separate his trading station from the rest of South Africa’s Cape. This hedge was part of a defensive barrier intended to keep indigenous people out of the Dutch trading post, which had been built on top of ancient Khoikhoi grazing routes.

    On a practical level, van Riebeeck’s hedge was meant to shield Dutch settlers and livestock from Khoikhoi raiders. On a philosophical level, the hedge situated the invaders as the “real” victims, who desperately needed protection from the violence and wildness of Africa. The bitter almond hedge is still seen as an enduring symbol of white supremacy in the country.


    Read more: Racism in South Africa: why the ANC has failed to dismantle patterns of white privilege


    This early paranoia and securitisation has had a significant effect on white South African culture and anxiety. White people who can afford to do so barricade themselves in gated communities and boomed-off suburban streets, behind high walls topped with razor wire, on the assumption that they are the primary victims of South Africa’s crime rate.

    In what ways has victimhood been used over the centuries or decades?

    Ideas about white victimhood have played a role in many of South Africa’s most influential social formations.

    The 1930s saw a major panic around “poor whites”, which led to commissions of inquiry, upliftment programmes and other attempts at social engineering. The people and institutions behind these initiatives weren’t concerned about poverty in South Africa in general, even though it was becoming more of a problem as the population urbanised. Their only interest was in poverty among white people, drawing on the assumption that it’s wrong or abnormal for white people to be poor, and that this needed to be urgently remedied.


    Read more: Afrikaner identity in post-apartheid South Africa remains stuck in whiteness


    These moves were not simply about philanthropy and offering better life chances to poor people; they were about protecting the boundaries of whiteness. Poor whites were seen as a threat to the establishment because they proved that whiteness wasn’t inherently superior.

    More recently, the victimhood narrative has been a central part of the panic around farm murders and claims of “white genocide”, an old idea that has been popularised and spread online.

    Farmers and supporters protest against farm murders outside the South African parliament in 2020. Jacques Stander/Gallo Images via Getty Images

    Rural violence is a huge problem in South Africa that deserves a strong response. But white people are far from its only casualties. Indeed, violent crime affects pretty much everyone in South Africa. When the deaths of white people are explained as part of a targeted genocide undertaken on the basis of race, the message is that they matter more than the deaths of everyone else.


    Read more: Damon Galgut’s Booker-winning novel probes white South Africa and the land issue


    Again, this suggests a kind of naturalisation of violence and harm. When terrible things happen to other people they simply happen and are not remarked on. It’s only when white people are affected that they become a pressing issue.

    Has it helped white South Africans? Has it been effective as a mobilising tool?

    White victimhood, like the racial anxiety it is part of, is not good for white people. It doesn’t keep them safer or help them to live better lives.

    That said, it’s been quite effective as a mobilising tool. The apartheid-era National Party was skilled at using white fear for political gain. Its communications constantly played on white fears of the swart gevaar, the “black danger”, which encapsulated the powerful belief that whites were more at risk from black people than vice versa, despite all evidence to the contrary.


    Read more: Violent crime in South Africa happens mostly in a few hotspots: police resources should focus there – criminologist


    Similarly, contemporary organisations like the Afrikaner “minority rights” pressure group AfriForum and the Afrikaans trade union Solidarity activate and manipulate white people’s senses of extraordinary victimhood. This drives them further into a defensive position, where everything from farm murders and road name changes to the National Health Insurance bill is designed to attack them personally.

    White support for these kinds of organisations and the political positions they espouse, whether overtly or covertly, is at least in part driven by the effective manipulation of white victimhood.

    How effective is it still?

    It remains disturbingly powerful. The architecture of white supremacy depends on the idea that white people are extraordinary victims. This is the driving notion beneath the great replacement theory, a far-right conspiracy theory claiming that Jews and non-white foreigners are plotting to “replace” whites. It also underpins violent reactions to the global migration crisis and the rise of populism in the north.


    Read more: What’s behind violence in South Africa: a sociologist’s perspective


    I don’t think it’s going too far to say that whiteness as a social construction is intrinsically tied to victimhood. The idea that whiteness actually makes people more rather than less vulnerable is likely to remain a central part of white people’s collective psychic imaginary for some time.

    – Trump and South Africa: what is white victimhood, and how is it linked to white supremacy?
    – https://theconversation.com/trump-and-south-africa-what-is-white-victimhood-and-how-is-it-linked-to-white-supremacy-249648

    MIL OSI Africa

  • MIL-OSI Canada: $1.5 Million in Charitable Gaming Grants Paid to Community Groups Across Saskatchewan

    Source: Government of Canada regional news

    Released on February 12, 2025

    Lotteries and Gaming Saskatchewan (LGS) provided $1.5 million in charitable gaming grants in the third quarter of 2024-25, benefiting more than 700 groups and organizations across the province.

    “These grants help charitable and nonprofit groups provide a variety of programs and services across our province – everything from animal rescue to youth sports to arts and culture, and so much more,” Minister Responsible for LGS Jeremy Harrison said. “Nearly 2,500 groups and organizations qualified for a charitable gaming grant last year, and this year we have been encouraging even more groups to apply.”

    The Jim Pattison Children’s Hospital Foundation is one of the recipients of the grants, helping to fund their important work in support of pediatric and maternal health services.

    “Charitable gaming grants make a meaningful difference for families in Saskatchewan,” Jim Pattison Children’s Hospital Foundation CEO Troy Davies said. “These funds help ensure children and moms-to-be have access to family-centred programs, world-class equipment and innovative technology at Jim Pattison Children’s Hospital and across the province.”

    Groups in about 200 Saskatchewan communities received a charitable gaming grant in the third quarter of 2024-25, with more than $431,000 going to groups in Regina and more than $280,000 to groups in Saskatoon.

    Other regions across the province also received funding, including:

    • Yorkton, Melville and area – more than $103,000
    • Swift Current and area – more than $102,000
    • Weyburn, Estevan and area – more than $94,000
    • Prince Albert and area- more than $30,000
    • Meadow Lake and area – more than $29,000
    • Humboldt, Melfort and area – more than $21,000

    These quarterly grants are paid to groups and organizations in good standing that conduct licensed charitable gaming activities such as bingos, raffles, breakopen ticket sales, Texas hold ’em poker tournaments and Monte Carlo events. The grants are equal to 25 per cent of the net revenue raised by each charitable event, up to a maximum of $100,000 per group or organization annually.

    The amount of each grant paid by LGS to each charity is calculated by the Saskatchewan Liquor and Gaming Authority (SLGA) based on financial reports and other information submitted by the group or organization. Groups can apply through SLGA’s charitable gaming licensing process here. (https://www.slga.com/permits-and-licences/charitable-gaming).

    -30-

    For more information, contact:

    MIL OSI Canada News

  • MIL-OSI New Zealand: PSA takes urgent legal action to stop damaging cuts to jobs & services at Health NZ

    Source: PSA

     Files three legal actions with Employment Relations Authority
     Seeks orders to stop Govt sacking thousands of health workers
    The PSA has filed legal proceedings to stop the gutting of Health New Zealand Te Whatu Ora on the grounds that it has breached employment law and other agreements.
    Health NZ is cutting thousands of roles across the health system. The proceedings, filed with the Employment Relations Authority (ERA), are focused on planned cuts to roles at Health NZ’s Data and Digital Directorate, the National Public Health Service and the Pacific Health Directorate.
    “This litigation is aimed at stopping these rushed and damaging cuts, which will endanger the lives of patients, and see thousands of dedicated health workers lose their jobs,” said Fleur Fitzsimons, Acting National Secretary for the Public Service Association for Te Pūkenga Here Tikanga Mahi.
    “The PSA will leave no stone unturned in trying to stop dangerous health cuts and job losses.
    “This has all been about saving dollars, not saving lives. It’s disgraceful. That’s why we are asking the Employment Relations Authority to urgently hear our case.
    “The legal proceedings are on the basis that the proposed changes are grossly substandard, contain basic inaccuracies and pay little regard to the health and safety implications of the proposals on workers and patients.”
    The proceedings ask the ERA to issue a compliance order stopping the dismissals based on breaches of:
    – obligations under collective agreements,
    – the Employment Relations Act,
     The code of good faith in public health (which places stronger obligations on employers to work with unions and focus on patient safety)
    – the Healthy Workplaces Agreement and
    – Te Mauri o Rongo The Health Charter which all set out how heath the health system must be run including how health workers are treated.
    “Health NZ Te Whatu Ora is obliged to ensure health workers are valued, respected and supported and that patient safety is paramount. These have been breached through a succession of poorly planned and executed restructures.
    “For example, the Health Charter states a priority for Health NZ of ‘caring for the people who care for the people’, and that ‘every worker is treated with respect and dignity’.
    “The proposed slashing of 47% of the workforce at the Data and Digital Directorate exposes how poor the process has been. Health NZ failed to provide workers with adequate reasons for the cuts and to properly listen to them in the rush to deliver the savings the Government demanded.”
    For example, the legal action over Data and Digital states that Health NZ;
    – ‘had no adequate knowledge and had paid insufficient regard to the health and safety consequences of the proposals for both employees and patients.
    – overlooked or ignored the considerable increase in clinical risk which would follow the introduction of their proposals’.
    “Ultimately the Government must take the blame for forcing Health NZ Te Whatu Ora to make these reckless changes to fund tax cuts. Lives will be lost unless these cuts are stopped.”
    The ERA action follows the PSA last week asking the Privacy Commissioner to urgently investigate Health NZ’s plan to gut the Data and Digital Directorate, which threatens the security of sensitive patient data.
    “The PSA urges the Government to reverse the cuts before long term damage is done to the quality of patient care. The stakes are too high.”

    MIL OSI New Zealand News

  • MIL-OSI Security: Stephenville — Bay St. George RCMP stops vehicle and formulates grounds of drug impairment, driver refuses blood sample

    Source: Royal Canadian Mounted Police

    A 29-year-old man is facing a criminal charge following a traffic stop that was conducted by Bay St. George RCMP on February 11, 2025.

    Shortly before midnight last night, Bay St. George RCMP stopped a vehicle on Main Street in Stephenville and suspected that the driver was impaired by a drug. Police observed a quantity of cannabis inside the vehicle, near the driver. The man initially refused to exit the vehicle. He was provided a demand to complete roadside sobriety testing and performed poorly. The driver was arrested for drug impaired operation and was provided a demand for blood samples. He was transported to the Sir Thomas Roddick Hospital in Stephenville and refused to comply with the demand.

    He now faces a charge of refusing to comply with a blood demand. The man is set to appear in court on April 7, 2025. His licence was suspended and the vehicle as seized and impounded.

    Refusing to comply with a demand issued as part of an impaired driving investigation is a criminal offence. If convicted, a charge of refusing to comply with a demand carries the same penalty as a conviction for a charge of impaired operation.

    MIL Security OSI

  • MIL-OSI USA: Peters and Young Lead Bipartisan Legislation to Extend Federal Funding and Protections for the Great Lakes

    US Senate News:

    Source: United States Senator for Michigan Gary Peters

    WASHINGTON, DC – U.S. Senators Gary Peters (D-MI) and Todd Young (R-IN) are leading bipartisan legislation to extend federal funding and protections for the Great Lakes. The senators introduced the Great Lakes Restoration Initiative Act of 2025 to reauthorize the Great Lakes Restoration Initiative (GLRI) through 2031 and increase the program’s annual authorized funding levels from $475 million to $500 million. The GLRI is the most significant investment ever made to restore and protect the Great Lakes. The GLRI combines federal and nonfederal efforts to stop the spread of carp and other invasive species, restore coastline and habitats connecting streams and rivers, clean up environmentally damaged Areas of Concern, and prevent future contamination. While providing vital support for these efforts, the GLRI also helps ensure we can address new and emerging threats to the Great Lakes.  

    “The Great Lakes are a national treasure and central to our economy, environment, and way of life in Michigan. Since its creation, the Great Lakes Restoration Initiative has made significant headway in cleaning up Areas of Concern, protecting vital habitats, and restoring coastlines around the Great Lakes Basin,” said Senator Peters. “This bipartisan legislation will provide GLRI with the resources needed to build on that success and help protect and preserve the Great Lakes for future generations of Michiganders. I’m proud to again help lead the charge to strengthen this essential program.” 

    “The Great Lakes are an important part of Indiana’s ecosystem and economy,” said Senator Young. “The Great Lakes Restoration Initiative is a results-driven program that addresses the most serious issues threatening the wellbeing of the Great Lakes basin, including toxic substances, pollution, debris, and invasive species. Reauthorizing this program will continue to protect and preserve these lakes for generations to come.”   

    The Great Lakes Restoration Initiative Act of 2025 is cosponsored by U.S. Senators Amy Klobuchar (D-MN), Bernie Moreno (R-OH), Tammy Baldwin (D-WI), Jon Husted (R-OH), Dick Durbin (D-IL), Tina Smith (D-MN), Kirsten Gillibrand (D-NY), John Fetterman (D-PA), Elissa Slotkin (D-MI), Chuck Schumer (D-NY), and Tammy Duckworth (D-IL).

    Since its inception, the GLRI has spurred tremendous progress throughout the Great Lakes region including nearly half of a million acres of habitat protected, restored, or enhanced, a five-fold increase in the successful cleanup and delisting of Areas of Concern, a ten-fold increase in the remediation of environmental and public health impairments, and reducing the threat of harmful algal blooms. The GLRI’s efforts have also resulted in economic returns of more than 3 to 1 across the region. 

    “The simple fact is the GLRI funds critical projects that make life better for the millions of Americans that depend on the Great Lakes. It also delivers a positive economic return on the government’s investment in cleaner water and healthier communities. Senator Peters and Senator Young along with other Great Lakes senators have our gratitude for introducing this important bill,” said Joel Brammeier, Alliance for the Great Lakes President and CEO. 

    “The GLRI is a landmark program that is making significant progress in restoring the waters, ecosystems, economies, and communities that make up the Great Lakes region,” said Erika Jensen, Executive Director of the Great Lakes Commission. “The Great Lakes Commission applauds Senators Peters and Young for introducing this important legislation, which will safeguard the economic and environmental health of the Great Lakes region for generations to come.” 

    “This bill is a winner for millions of people in the region,” said Laura Rubin, Director of the Healing Our Waters-Great Lakes Coalition. “We thank Sens. Gary Peters and Todd Young for their bipartisan leadership and commitment to tackle the serious threats to our region’s drinking water, public health, jobs, and quality of life. Federal investments to restore the Great Lakes have been producing results, but serious threats remain. We look forward to working with the Great Lakes congressional delegation to pass this bipartisan bill that supports common sense solutions. If we scale back investments now, the problems will only get worse and more expensive to solve.” 

    “The Great Lakes Restoration Initiative provides critical investments in the health of the Great Lakes and the communities and businesses that rely on clean water. Communities across the region realize the lasting benefits of clean and healthy lakes, which attract visitors, create jobs, and sustain the Great Lakes way of life,” said Peter Laing, Great Lakes Business Network Co-Chair.  

    The Great Lakes Restoration Initiative Act of 2025 enjoys broad support from Great Lakes advocates, including the Council of Great Lakes Governors, Great Lakes Fishery Commission, American Great Lakes Ports Association, Great Lakes and St. Lawrence Cities Initiative, American Sportfishing Association, Ducks Unlimited, Trout Unlimited, Congressional Sportsmen’s Foundation, League of Conservation Voters, National Wildlife Federation, Sierra Club, National Parks Conservation Association, Theodore Roosevelt Conservation Partnership, National Audubon Society – Great Lakes, Environmental Law & Policy Center, MI League of Conservation Voters, Save the Dunes, Citizens Campaign for the Environment, Clean Wisconsin, Ohio Environmental Council, Western Reserve Land Conservancy, and Minnesota Environmental Partnership.

    MIL OSI USA News

  • MIL-OSI United Nations: 12 February 2025 Departmental update Global convening to empower digital health transformation built on robust foundations

    Source: World Health Organisation

    On the sidelines of the World Summit on the Information Society +20 High-Level Event 27–31 May 2024, the Global Initiative on Digital Health convened global stakeholders governing, supporting and implementing digital health transformation for a multistakeholder dialogue in Geneva, Switzerland, from 28–29 May 2024. 

    WHO Director-General Dr Tedros Adhanom Ghebreyesus provided opening remarks at the World Summit on the Information Society +20 High-Level Event, alongside other global leaders, setting the stage for this significant event. 

    This first global convening of the Global Initiative on Digital Health was co-hosted by the Global Initiative on Digital Health, the Brazil G20 Presidency under the framework of the World Summit of the Information Society (WSIS) and Action line C7: E-Health. The event commenced with remarks from: 

    • Dr Alain Labrique, Director, Department of Digital Health and Innovation, World Health Organization
    • Ms Ana Estela Haddad, Secretary of Information and Digital Health of the Brazilian Ministry of Health
    • Ms Rachel Toku-Appiah, Director, Policy, Advocacy and Communication, Africa, Bill and Melinda Gates Foundation
    • Ms Monique Vledder, Head for Health, Nutrition and Population, World Bank
    • Mr Tomas Lamanauskas, Deputy Secretary-General, the International Telecommunications Union.

    Participants included representatives from over 60 countries and 150 organizations across ministries of health and Information Communication and Technology, government agencies, bilateral agencies, philanthropic organizations, academia, civil society, private sector and technologists. Through both in-person and online participation – enabled with support from the International Telecommunication Union – participants shared their experiences and lessons learned with standards-based and country-led development of digital health architecture.​  

    The discussions focused on several critical topics, including: 

    • the role of digitalization in health financing and the need for digital public infrastructure in the health sector;
    • policy legislation and regulations that enable digital health adoption, data sharing and interoperability standards; 
    • the impact of internet connectivity and bandwidth, level of digital literacy and data governance on national digital governance; 
    • what constitutes a good digital health investment and how to track this;  
    • the opportunities for government-to-government collaboration to strengthen national governance of digital health transformation; 
    • the opportunity for public private partnerships for resilient digital health; and 
    • how to measure progress on the Global Strategy on Digital Health. 

    Key milestones included kick-off of the development of the WHO-ITU Digital Public Infrastructure Reference Architecture​ for Digital Health Transformation and the launch of data collection for the Global Digital Health Monitor and Complementary Report ​focused on the WHO Africa Region through a collaboration between WHO and Africa CDC. 

    The second GIDH global convening will be held at the end of May in Geneva, Switzerland. Visit the GIDH webpage for updates and information on how to get involved. 

    MIL OSI United Nations News

  • MIL-OSI: Lender.Market Unveils AI Financial Advisor V2.0: The Ultimate Funding Solution for Construction, Dentistry, Healthcare, and More

    Source: GlobeNewswire (MIL-OSI)

    JERSEY CITY, N.J., Feb. 12, 2025 (GLOBE NEWSWIRE) — Lender.Market, a leader in AI-driven lending solutions, is excited to announce the launch of AI Financial Advisor V2.0, a groundbreaking upgrade to its intelligent funding platform. Designed for construction companies, dental practices, healthcare providers, and small businesses, this next-generation AI tool streamlines financial analysis, optimizes loan matching, and empowers businesses with smarter, faster, and more customized funding solutions.

    What’s New in AI Financial Advisor V2.0?

    Industry-Specific Funding Recommendations AI tailors financial strategies for construction, dentistry, healthcare, and other capital-intensive industries.

    Instant Bank Statement Analysis Processes multiple bank statements in seconds, reviewing debits, credits, revenue trends, and cash flow.

    AI-Optimized Loan Matching Identifies the best funding options based on business performance, financial health, and industry benchmarks.

    Real-Time Financial Advice Offers strategies to improve cash flow, optimize spending, and secure funding with manageable repayment plans.

    Stronger AI Accuracy & Speed Upgraded algorithms provide deeper insights and more precise funding recommendations than ever before.

    Transforming Access to Capital for Key Industries

    1. Construction Secure project funding quickly for materials, labor, and equipment with AI-driven financial insights that align with construction business loans.
    2. Dentistry: Get tailored financing for new equipment, office expansion, or practice acquisition, with AI analyzing patient volume and revenue streams find multiple Dentistry business loans.
    3. Healthcare: Medical professionals can access funding for clinic upgrades, urgent care expansion, or telehealth services, ensuring smooth financial operations.
    4. Small Businesses & Beyond: From startups to established enterprises, AI Financial Advisor V2.0 provides custom financial strategies to support sustainable growth.

    Investor Opportunities: Join the Future of AI-Powered Finance

    As Lender.Market continues to revolutionize AI-driven lending, the company is actively seeking strategic investors to accelerate its expansion into new markets. With its proven AI technology and growing demand for industry-specific funding solutions, Lender.Market presents an exciting investment opportunity in the future of AI-powered finance.

    See the full project on our investor relations page

    Exclusive Launch Event

    Lender.Market will host a virtual and in-person launch event to showcase AI Financial Advisor V2.0, including a live demo and insights from industry experts. Register today at Contact lender market lender.market to secure your spot!

    About Lender.Market

    Lender.Market is an AI-driven lending platform that simplifies and accelerates business financing. By leveraging advanced AI algorithms, it provides real-time financial analysis, industry-specific funding solutions, and customized loan matching for businesses across various industries.

    Experience AI Financial Advisor V2.0 today at Apply lender market.

    For media inquiries, please contact:

    Name: Eli Ofel
    Email: eli@lender.market
    Phone: 732 808-3305
    Business Name: Lender Market
    Eli ofel Founder and CEO also founder and chairman of leaa health
    Lender market – lending platform

    Disclaimer: This content is provided by the Lender.Market. The statements, views, and opinions expressed in this column are solely those of the content provider. The information shared in this press release is not a solicitation for investment, nor is it intended as investment, financial, or trading advice. It is strongly recommended that you conduct thorough research and consult with a professional financial advisor before making any investment or trading decisions. Please conduct your own research and invest at your own risk.

    The MIL Network

  • MIL-OSI United Kingdom: Public urged to be vigilant as Mpox cases rise

    Source: City of Liverpool

    Liverpool City Council and its health partners are urging people to stay alert to the risk of Mpox cases, following a recent rise in cases in the Northwest.  

    Mpox is a viral infection which spreads through close contact, including intimate or sexual contact, or contact with contaminated materials, such as bed sheets or towels. 

    Like many viral diseases, Mpox has different types which are also referred to as ‘clades’.  

    Clade II Mpox has been present in the UK since 2022 and continues to this day.  Clade I Mpox was previously only reported in parts of Central Africa, but there is now increasing transmission in several countries in east and central Africa, and cases have been reported in countries outside of the African continent, including a small number detected in the UK. 

    Find a list of countries which have been affected here  

    The chances of infection remain low however, people should be aware of the symptoms in order to avoid transmission.

    Symptoms include: 

    • A skin rash with blisters, spots or ulcers that can appear anywhere on the body. 
    • Fever 
    • Headaches, backache, and muscle aches 
    • Joint pains 
    • Swollen glands 
    • Shivering (chills)  
    • Exhaustion or fatigue  

    After contracting Mpox a rash will usually appear 1 to 5 days after a fever, headache or other symptoms. It often begins on the face, then spreads to other parts of the body. The number of sores can range. 

    Find out who is most at risk of contracting Mpox here.

    Health officials advise that individuals at risk, especially those who have recently travelled to affected countries, should monitor for symptoms such as spots, blisters, or ulcers. If symptoms develop, isolate at home and contact NHS 111 for guidance.

    Please contact a clinic if you have a rash with blisters, or any abnormal bleeding, and have:

    • Been in close contact, including sexual contact, with someone who has or might have Mpox in the past 3 weeks.
    • Had 1 or more new sexual partners in the past 3 weeks.

    You can contact your local sexual health clinic for further information and to see if you’re eligible for vaccination: 

    Axess Sexual Health – https://www.axess.clinic/ 000 323 1300 

    For more information and guidance, please visit https://ukhsa.blog.gov.uk/category/mpox/ 

    Or https://www.gov.uk/guidance/monkeypox 

    Councillor Harry Doyle, Cabinet Member for Culture, Health and Wellbeing said: “We have made excellent progress tackling Mpox in the UK since the outbreak was first identified in May 2022.  

    “In Liverpool we kept cases to a minimum by ensuring that we supported people with information around symptoms, where to go for support and vaccination, and remaining vigilant.”  

    MIL OSI United Kingdom

  • MIL-OSI Global: Sofas that self-assemble when you heat them up? How 4D printing could transform manufacturing

    Source: The Conversation – UK – By Mahdi Bodaghi, Associate Professor of Smart Materials & Manufacturing, Nottingham Trent University

    Flat-pack, but not as we know it. This is an AI image created by OpenAI’s Dall-E., CC BY-SA

    Imagine buying a flat sheet from a furniture store that changes into a sofa when you heat it with a hairdryer. Or consider the value of a stent that precisely expands inside a patient’s artery, adapting to their unique anatomy.

    Welcome to 4D printing, a frontier in material and manufacturing science that has been rapidly expanding over the past decade. While 3D printing has captured global attention for its ability to create objects layer by layer, 4D printing adds the element of time.

    It involves 3D-printing adaptable objects from materials such as polymers or alloys that can bend, twist or transform entirely when they come into contact with heat or moisture. By moving beyond the constrictions of static designs, it opens up remarkable possibilities in areas such as medicine, aerospace, robotics and construction.

    I was recently the lead author on a comprehensive report published in the journal of Smart Materials and Structures, charting the advances and challenges in this field. We outlined this industry’s potential, offering a vision of a future where smart materials redefine design and manufacturing.

    Here are some more of the main fields in which 4D printing could be transformative:

    1. Healthcare

    Like the stent I mentioned earlier, 4D printing raises the possibility of creating implants and prosthetics that adapt to patients’ needs in real time. Research teams working on these innovations include the Biomet4D project, coordinated by the IMDEA Materials Institute in Madrid, which is developing smart, biodegradable metallic implants for people with seriously damaged or defective bones. The implants can change shape and expand as the bone grows, supporting it much more effectively than a static implant.

    Another area of focus is smarter ways to give patients drugs. For example, a team of researchers based at China’s Jilin University have created 4D-printed hydrogel capsules whose outer structure stays intact inside a patient’s body until it reaches a particular temperature, such as when there is an infection, meaning the drug only takes effect when it’s required. This could be useful in situations where it’s beneficial to release a drug into a patient’s body at exactly the right time and location.

    2. Robotics and wearables

    Integrating 4D materials into robotics and wearable devices enables them to adjust their functionality in response to their environment. For instance, researchers at Harvard University’s Wyss Institute have developed self-folding robotic devices based on insights from origami that change shape when exposed to heat. One potential application could involve sending these devices to carry out tasks in environments that are difficult to reach, such as in deep seas or oceans.

    Similarly, scientists at Deakin University in Australia are researching 4D-printing robotic joints with variable stiffness that can help with rehabilitation. For example, an arm could get stiffer when the user tries to pick something up, making it easier for them to lift it.

    3. Exploring the cosmos

    In the extreme conditions of space, adaptability is critical, so again there’s a role for 4D-printed materials. For instance, Nasa’s Jet Propulsion Laboratory uses 4D-printed metallic space fabrics.

    These can fold, change shape and adapt to varying thermal and mechanical environments. This makes them suitable for a wide range of space applications, including shielding spacecraft from meteorites, insulating against extreme temperatures and conforming to uneven terrain on Jupiter’s smallest moon, the icy Europa.

    Challenges and opportunities

    The current capabilities of 4D printing are nothing short of remarkable, yet the field still faces significant challenges. While we can now create materials that transform with precision, there’s still more research required to ensure they’re biologically safe and durable for the long term.

    Also, scaling up production to meet industrial demands, particularly for high-resolution designs or nanoscale structures, requires not just new techniques but also new ways of thinking about manufacturing. Cost is another barrier – specialised materials and processes can often prove too expensive at present for widespread use.

    And yet, the promise of 4D printing is tantalising. One of the big attractions is in sustainability. From water pipes that adjust flow rates to buildings that self-regulate carbon dioxide levels, 4D printing creates the potential for adaptive systems that help in this area. A prime example is the Solar Gate, developed by the University of Stuttgart’s Institute for Computational Design and Construction.

    Inspired by the way that pine cones open in response to sunlight, the gate consists of a series of 4D-printed cellulose flaps that can be installed into buildings to open and close in response to certain levels of humidity and temperature. They curl upwards in winter to allow heat in, and flatten in the summer to block direct sunlight. It demonstrates how a building can be made more energy efficient without relying on an external source of power for, say, air conditioning.

    Meanwhile, artificial intelligence is already accelerating progress by optimising the design and behaviour of 4D-printed objects. It is helping researchers to have more precise control over how these smart materials respond under different conditions, without having to rely so much on trial and error.

    This is still a young industry, with limited venture capital investment and a workforce that is only beginning to take shape. But as more research institutions and companies recognise its potential, the pace of innovation should quicken. According to one report, the sector is due to grow at around 35% a year over the next five years.

    We are now developing structures that recover or change their shape on demand at the 4D materials and printing laboratory at Nottingham Trent University and the 4D Printing Society. For example, we’ve already 4D-printed medical stents that can self-expand in response to body temperature (see images below).


    Nottingam Trent University, CC BY-SA

    We’re also developing materials for boat fenders and car bumpers whose shape can be restored by adding heat, as a way of removing dents, as well as shape-adaptive finger splints for broken bones, and self-assembling, extra-comfortable furniture.

    So, the next time you marvel at the capabilities of 3D printing, remember: the future lies in 4D printing, where materials come alive and redefine the possibilities of tomorrow.

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

    ref. Sofas that self-assemble when you heat them up? How 4D printing could transform manufacturing – https://theconversation.com/sofas-that-self-assemble-when-you-heat-them-up-how-4d-printing-could-transform-manufacturing-246899

    MIL OSI – Global Reports

  • MIL-OSI United Kingdom: Avian Influenza Housing Measures Expanded

    Source: United Kingdom – Executive Government & Departments

    Housing measures for birds announced in Herefordshire, Worcestershire, Cheshire, Merseyside and Lancashire

    In response to increased findings of highly pathogenic avian influenza (’bird flu’) in wild birds and new cases in poultry and kept birds, coupled with heightened risk levels, the Avian Influenza housing measures are being extended to mitigate the risk of further outbreaks of the disease.

    This means that from midnight (00:01) on Sunday 16th February keepers in Herefordshire, Worcestershire, Cheshire, Merseyside and Lancashire must house their birds and continue to follow the strictest security as required by the Avian Influenza Prevention Zone (AIPZ)

    This in addition to those housing measures already in place across East Riding of Yorkshire, City of Kingston Upon Hull, Lincolnshire, Norfolk, Suffolk, Shropshire, York and North Yorkshire.

    An AIPZ mandating enhanced biosecurity but without mandatory housing remains in place across all other areas of England (mandatory housing still applies in any 3km Protection Zone surrounding an infected premises). Bird gatherings across the UK are also now restricted and must not take place.

    The AIPZ measures apply to all bird keepers whether they have pet birds, commercial flocks or just a few birds in a backyard flock and are essential to protecting flocks from avian influenza.

    UK Chief Veterinary Officer, Christine Middlemiss said:

    Following the continued increasing number of bird flu cases across England, particularly in areas of concentrated poultry farming, we are now extending housing measures further.

    Bird keepers are reminded to continue remaining vigilant to any signs of disease, check which requirements apply to them while continuing to exercise robust biosecurity measures and ensure you report suspected disease immediately to the Animal and Plant Health Agency.

    The AIPZs will be in place until further notice and will be kept under regular review as part of the government’s work to monitor and manage the risks of avian influenza.

    Keepers are encouraged to take action to prevent bird flu and stop it spreading. Be vigilant for signs of disease and report it to keep your birds safe

    Check if you’re in a bird flu disease zone on the map and check details  of the restrictions and gov.uk/birdflu for further advice and information.

    Updates to this page

    Published 12 February 2025

    MIL OSI United Kingdom

  • MIL-OSI Economics: New holistic Apple Health Study launches today in the Research app

    Source: Apple

    Headline: New holistic Apple Health Study launches today in the Research app

    February 12, 2025

    UPDATE

    New holistic Apple Health Study launches today in the Research app

    The collaboration with Brigham and Women’s Hospital takes a complete approach to understanding how data can predict, detect, and manage health and wellbeing

    Today, Apple is launching the Apple Health Study, which aims to further understand how technology — including iPhone, Apple Watch, and AirPods — can play a role in advancing and improving physical health, mental health, and overall wellbeing. Available in the Research app, the study will also explore relationships between various areas of health, such as mental health’s impact on heart rate, or how sleep can influence exercise. The study is being conducted in collaboration with Brigham and Women’s Hospital, a leading research hospital and a major teaching affiliate of Harvard Medical School.

    “We’ve only just begun to scratch the surface of how technology can improve our understanding of human health,” said Calum MacRae, M.D., Ph.D., a cardiologist, Professor of Medicine at Harvard Medical School, and principal investigator of the Apple Health Study at Brigham and Women’s Hospital. “We are excited to be part of the Apple Health Study, as it will continue to explore connections across different areas of health using technology that so many people carry with them every day.”

    In medical research, discoveries are often limited by the number of participants who can be recruited, the amount of data that can be captured, and the duration of a given study — but Apple devices expand the possibilities. The Apple Health Study builds on learnings from the Apple Women’s Health Study, the Apple Hearing Study, and the Apple Heart and Movement Study, which combined have more than 350,000 participants across the U.S.

    This new longitudinal, virtual study aims to understand how data from technology — including Apple and third-party devices — can be used to predict, detect, monitor, and manage changes in participants’ health. Additionally, researchers will explore connections across different areas of health. The study spans a number of health and disease areas, including activity, aging, cardiovascular health, circulatory health, cognition, hearing, menstrual health, mental health, metabolic health, mobility, neurologic health, respiratory health, sleep, and more.

    “Research and validation are part of the foundation of all of our work in health, supporting the innovative features we bring to our users across devices,” said Sumbul Desai, M.D., Apple’s vice president of Health. “The valuable insights we’ve gained since launching the Research app have allowed us to bring innovative new tools to our users — including the Vitals app on Apple Watch and Walking Steadiness on iPhone — and surface new insights in areas of health that have long been undervalued, like menstrual and hearing health. We’re thrilled to bring forward the Apple Health Study, which will only accelerate our understanding of health and technology across the human body, both physically and mentally.”

    The Apple Health Study is designed to explore changes in health and how technology can help identify important insights for future product development. When one aspect of a person’s health changes, their body can emit a signal, either physically or emotionally. Changes in health can affect one or more parts of the body, and others may affect wellbeing overall, so helping to identify these changes earlier can help offer a more proactive approach to health. For example, early detection of a change in hearing health could reduce the risk for cognitive decline.

    The Apple Health Study is currently open for enrollment through the Research app for participants who live in the U.S., meet the minimum age requirements, and complete the informed consent process.

    The Research app democratizes how medical research is conducted by bringing together academic medical institutions, healthcare organizations, and the Apple products users already make a part of their everyday life.1 Participation is voluntary, and participants choose which data types they’d like to share with researchers, and are able to stop sharing at any time. Apple does not have access to identifying information, such as contact information that participants provide through the Research app. Participants can withdraw from any study at any time, ending future data collection.

    1. The Apple Health Study is available in version 6.0 of the Research app, on iPhone models compatible with iOS 16 or later.

    Press Contacts

    Zaina Khachadourian

    Apple

    zkhachadourian@apple.com

    Apple Media Helpline

    media.help@apple.com

    MIL OSI Economics

  • MIL-OSI Global: Address science misinformation not by repeating the facts, but by building conversation and community

    Source: The Conversation – USA – By Anne Toomey, Associate Professor of Environmental Studies and Science, Pace University

    Using communication strategies that tap into people’s social networks can help agencies combat misinformation. arthobbit/iStock via Getty Images Plus

    Misinformation about scientific topics, including falsehoods such as vaccines cause autism and climate change being an entirely natural phenomenon, is an issue scientists have been discussing more and more. Widespread misinformation can lead to confusion about public health and environmental issues and can hinder those working to solve societal problems.

    As an environmental social scientist who researches how science can have an impact on society, I seek effective ways to address misinformation.

    There are many approaches that can work to some extent: for example, counteracting erroneous information with statements about scientific topics based on quality research that convey that the majority of experts agree, and “inoculating” people by preparing them to spot the fallacies in misinformation before they are first exposed to it.

    But one of the most important ways to counteract misinformation is less about the facts and more about how those facts move within social networks and communities. In other words, it’s not enough for science to be right – it has to be accepted within people’s social circles to have any meaningful impact.

    Can facts change minds?

    Most people tend to assume that their knowledge and ideas are based on a rational, objective analysis of information. And that’s sometimes the case – if it’s snowing outside, people don’t insist that it’s sunny and warm, no matter how much they might like it to be.

    Similarly, if a person comes across some novel fact in the news, such as the discovery of a new type of plant in the Amazon, they might just absorb that information and go about their day.

    But rationality and the ability to embrace new information goes out the window when it comes up against ideas that challenge one’s preexisting worldviews or social identities. Such information can feel like a personal attack, leading the body to release cortisol, a hormone associated with stress. So, certain facts can feel threatening or offensive.

    Sometimes, people accept new information without much thought. But when new information challenges their existing beliefs, they may double down on their point of view.

    Compounding what is happening in the brain is what’s happening in people’s communities. Humans are social animals who turn to others they trust to help them understand what’s what. People are attuned to what is considered normal or acceptable in their social environments, so if their social group holds a particular belief, they are more likely to adopt that belief too.

    One’s cultural and political identities often dictate how they interpret the same information, leading to disagreements even when presented with the same evidence.

    These cultural identities explain why, for example, research finds that science-skeptical behaviors, such as vaccine hesitancy and climate denialism, tend to cluster in social and geographical pockets. In these pockets, people’s skepticism is reinforced by others with similar beliefs in their social network. In such cases, providing more evidence on a certain topic won’t help, and it may even result in people digging in their heels deeper to deny the evidence.

    So if facts don’t necessarily change minds, what will?

    Leveraging community networks

    Recent research provides a solution for scientists and agencies hoping to correct misinformation: Rather than fighting against humans’ social nature, work with it.

    When people see trusted individuals within their social networks holding a certain belief, that belief becomes more credible and easier to adopt. Leveraging those community connections can allow new ideas to gain traction.

    One great example of using social networks to fight misinformation is how polio was eradicated in India. In 2009, India was the polio epicenter of the world, home to half of the world’s cases. These cases were largely clustered in vaccine-hesitant regions of the country. But by 2011, only two years later, India had only one case, and the country formally celebrated the eradication of polio in 2014.

    How did India go from having half of the world’s cases to just one case in under two years?

    Public health agencies asked volunteers from within vaccine-resistant communities to go on a listening campaign and become ambassadors for the vaccine. The volunteers were trained in interpersonal communication skills and tasked with spending time with parents. They built trust and rapport through regular visits.

    Because the volunteers were known within the communities, they were able to make headway where health workers from urban areas had not. As they established rapport, hesitant parents shared their concerns, which typically went beyond polio to include other health issues.

    Over time, more and more parents decided to vaccinate their children, until there was a tipping point and vaccination became a social norm. Perhaps most notably, the campaign led to full routine immunization rates in some high-risk regions of the country.

    A medical volunteer administers polio immunization drops to a child in India, years after the country’s last reported polio case.
    AP Photo/Rajesh Kumar Singh

    India’s incredible success emphasizes the importance of personal interactions for changing minds, which means moving beyond simply presenting the facts. Building trust, listening to concerns and engaging with communities in a meaningful way were integral to India’s eradication of polio.

    The power of conversations

    Another example of using the power of social networks to talk about controversial science topics comes from a method called deep canvassing. Deep canvassing is a unique communication method that involves going door to door to have conversations with members of the public.

    But unlike traditional canvassing, which often focuses on rallying existing supporters, deep canvassing deliberately seeks to engage with those who hold different viewpoints, focusing efforts in communities where the topic is controversial.

    In deep canvassing, canvassers seek to have longer and more in-depth conversations, to share perspectives and relate with the residents they’re visiting.
    AP Photo/Greg Wahl-Stephens

    Canvassers are trained to ask questions to better understand the other person’s experiences and perspectives on the issue, and then they share their own personal stories. This helps to create a human connection, where both parties feel heard and respected. This connection can help to reduce the negative emotions that may emerge when someone is challenged to rethink their beliefs.

    One notable example of deep canvassing in action is the work of Neighbours United, an environmental nonprofit in Canada. They used a deep-canvassing approach to engage people in conversations about climate change.

    They piloted the method in a rural, conservative community called Trail, home to one of the largest zinc and lead smelters in the world. Prior efforts to engage community members hadn’t had much of an effect, as taking action on climate change was largely seen as being in conflict with how many people made their living.

    But the deep-canvassing method worked. Going door to door, the canvassers listened to residents’ concerns, shared their own stories about the impact of climate change and highlighted local environmental successes.

    As a result, 1 in 3 residents shifted their views about the importance of taking action to address climate change. This broad community support led the City Council to vote to transition to 100% renewable energy by 2050.

    Sociologist Anthony Giddens described interpersonal interactions between experts, such as doctors or scientists, and the public as access points. He argued that these points are vital for maintaining trust in governmental and scientific institutions, such as the Centers for Disease Control and Prevention or the Environmental Protection Agency.

    These face-to-face interactions with experts can help people see them as kind, warm and professional, which can lead to trust.

    These examples show that creating support for attitudes and behaviors based on science requires more than just presenting facts. It requires creating meaningful dialogue between skeptical groups and scientific messengers. It’s also a reminder that while social networks may serve to propagate misinformation, they can also be an important tool for addressing it.

    Anne Toomey 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. Address science misinformation not by repeating the facts, but by building conversation and community – https://theconversation.com/address-science-misinformation-not-by-repeating-the-facts-but-by-building-conversation-and-community-249121

    MIL OSI – Global Reports

  • MIL-OSI Africa: Donald Trump’s war on global governance: lessons from the past on how to fight back

    Source: The Conversation – Africa – By Danny Bradlow, Professor/Senior Research Fellow, Centre for Advancement of Scholarship, University of Pretoria

    US president Donald Trump’s recent actions seem designed to reassert American power and demonstrate that it is still the dominant global power and is capable of bullying weaker nations into following America’s lead.

    He has shown contempt for international collaboration by withdrawing from the UN climate negotiations and the World Health Organization. His officials have also indicated that they will not participate in upcoming G20 meetings because he does not like the policies of South Africa, the G20 president for 2025.

    In addition, he’s shown a lack of concern for international solidarity by halting US aid programmes and by undermining efforts to keep businesses honest. He has demonstrated his contempt for allies by imposing tariffs on their exports.

    These actions demand a response from the rest of the international community that mitigates the risk to the well-being of people and planet and the effective management of global affairs.

    My research on global economic governance suggests that history can offer some guidance on how to shape an effective response.

    Such a response should be based on a realistic assessment of the configuration of global forces. It should seek to build tactical coalitions between state and non-state actors in both the global south and the global north who can agree on clear and limited objectives.

    The following three historical lessons help explain this point.

    Cautionary lessons

    The first lesson is about the dangers of being overoptimistic in assessing the potential for change.

    In the late 1960s and early 1970s, the US was confronting defeat in the war in Vietnam, high inflation and domestic unrest, including the assassination of leading politicians and the murder of protesting students.

    The US was also losing confidence in its ability to sustain the international monetary order it had established at the Bretton Woods conference in 1944.

    In addition, the countries of the global south were calling for a new international economic order that was more responsive to their needs. Given the concerns about the political and economic situation in the US and the relative strength of the Soviet bloc at the time, this seemed a realistic demand.

    In August 1971, President Richard Nixon, without any international consultations, launched what became known as the Nixon Shock. He broke the link between gold and the US dollar, thereby ending the international monetary system established in 1944. He also imposed a 10% surcharge on all imports into the US.

    When America’s European allies protested and sought to create a reformed version of the old monetary order, US treasury secretary John Connolly informed them that the dollar was

    our currency but your problem.

    Over the course of the 1970s, US allies in western Europe, Asia and all countries that participated in the old Bretton Woods system were forced to accept what the US preferred: a market-based international monetary system in which the US dollar became the dominant currency.

    The US, along with its allies in the global north, also defeated the calls for a new international economic order and imposed their neo-liberal economic order on the world.

    The second cautionary lesson highlights the importance of building robust tactical coalitions. In 1969, the International Monetary Fund member states agreed to authorise the IMF to create special drawing rights, the IMF’s unique reserve asset. At the time, many IMF developing country member states advocated establishing a link between development and the special drawing rights. This would enable those countries most in need of additional resources to access more than their proportionate share of special drawing rights to fund their development.

    All developing countries supported this demand. But they couldn’t agree on how to do it. The rich countries were able to exploit these differences and defeat the proposed link between the special drawing rights and development. As a result, the special drawing rights are now distributed to all IMF member states according to their quotas in the IMF. This means that most allocations go to the rich countries who do not need them and have no obligation to share them with developing countries.

    A third lesson arises from the successful Jubilee 2000 campaign to forgive the debts of low-income developing countries experiencing debt crises. This campaign, supported by a secretariat in the United Kingdom, eventually involved:

    • civil society organisations and activists in 40 countries

    • a petition signed by 21 million people

    • governments in both creditor and debtor countries.

    These efforts resulted in the cancellation of the debts of 35 developing countries. These debts, totalling about US$100 billion, were owed primarily to bilateral and multilateral official creditors.

    They were also a demonstration of the political power that can be generated by the combined actions of civil society organisations and governments in both rich and poor countries. They can force the most powerful and wealthy institutions and individuals in the world to accept actions that, while requiring them to make affordable sacrifices, benefit low-income countries and potentially poor communities within those states.

    What conclusions should be drawn?

    We shouldn’t under-estimate the power of the US or the determination of the MAGA movement to use that power. However, their power is not absolute. It is constrained by the relative decline in US power as countries such as China and India gain economic and political strength. In addition, there are now mechanisms for international cooperation, such as the G20, where states can coordinate their actions and gain tactical victories that are meaningful to people and planet.

    But gaining such victories will require the following:

    Firstly, the formation of tactical coalitions that include states from both the global south and the global north. If these states cooperate around limited and shared objectives they can counter the vested interests around the world that support Trump’s objectives.

    Secondly, a special kind of public-private partnership in which states and non-state actors set aside their differences and agree to cooperate to achieve limited shared objectives. Neither states alone nor civil society groups alone were able to defeat the vested interests that opposed debt relief in the late 1990s. Working together they were able to defeat powerful creditor interests and gain debt relief for the poorest states.

    Thirdly, this special partnership will only be possible if there’s general agreement on both the diagnosis of the problem and on the general contours of the solution. This was the case with the debt issue in the 1990s.

    There are good candidates for such collaborative actions. For example, many states and non-state actors agree that international financial institutions need to be reformed and made more responsive to the needs of those member states that actually use their services but lack voice and vote in their governance. The institutions also need to be more accountable to those affected by their policies and practices. They also agree that large corporations and financial institutions should pay their fair share of taxes and should be environmentally and socially responsible.

    The urgency of the challenges facing the global community demands that the world begin countering Trump as soon as possible. South Africa as the current chair of the G20 has a special responsibility to ensure that this year the G20, together with its engagement groups, acts creatively and responsibly in relation to people and planet.

    – Donald Trump’s war on global governance: lessons from the past on how to fight back
    – https://theconversation.com/donald-trumps-war-on-global-governance-lessons-from-the-past-on-how-to-fight-back-249666

    MIL OSI Africa

  • MIL-OSI Africa: The African Medical Centre of Excellence (AMCE) Unveils Construction Milestones as June 2025 Launch Approaches

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

    ABUJA, Nigeria, February 12, 2025/APO Group/ —

    The African Medical Centre of Excellence (AMCE), a groundbreaking tertiary medical institution spearheaded by African Export-Import Bank (Afreximbank) (www.Afreximbank.com) in partnership with King’s College Hospital, London, hosted a high-level stakeholder and media tour to showcase major construction milestones and reaffirm its commitment to revolutionising healthcare in Africa by building a world-class medical city ahead of its highly anticipated June 2025 launch. 

    A distinguished delegation, led by Prof. Benedict Oramah, President of Afreximbank & AMCE Board Chairman, alongside AMCE Board Members, top Nigerian government officials—including Deputy President of the Senate of Nigeria, Senator Barau Jibrin; Secretary to the Government of the Federation, Senator George Akume; Mrs. Toyin Saraki, Founder-President of Wellbeing Foundation Africa and wife of the former Senate President and former First Lady of Kwara State; and Senator Asuquo Ekpenyong and  Kabiru Rabiu, Group Executive Director, BUA Group—as well as leading corporate CEOs and executives, gathered for an exclusive walkthrough of AMCE’s rapidly progressing construction site. 

    Attendees received firsthand updates on key project milestones and explored the hospital’s state-of-the-art medical infrastructure and technology. They also gained insights into the significant progress toward completion, including the final stages of interior tiling, vinyl flooring installation, lift system integration, and external infrastructure development. 

    With the hospital’s launch set for June 2025, AMCE Abuja which will deliver comprehensive services in oncology, haematology, cardiovascular care, and general healthcare continues to make remarkable progress. As of February 2025, all civil and structural works have been completed, with rigorous quality assurance and control measures ensuring the highest construction standards. External roadworks and infrastructure services are also advancing, marking a crucial phase in the project’s finalisation. 

    The visit reaffirmed a shared commitment to AMCE’s transformative mission and vision—delivering world-class medical care, reducing medical tourism, and positioning Nigeria as a leading hub for specialised healthcare in Africa. 

    Commenting on the progress, Prof Benedict Oramah, President and Chairman of the Board of Directors of both Afreximbank and AMCE, stated: “The Africa Medical Centre of Excellence (AMCE) represents a defining moment in Africa’s pursuit of self-sufficiency in healthcare. For too long, our continent has borne the heavy burden of non-communicable diseases, capital flight from medical tourism, and the exodus of skilled professionals seeking opportunities abroad. AMCE is set to change that narrative. 

    By delivering world-class, lifesaving care to over 350,000 patients within its first five years, this facility will ensure that quality healthcare is no longer a privilege reserved for those who can afford to travel overseas. It will create 3,000 jobs, stimulate Intra-African trade in medical services, and strengthen critical supply chains in pharmaceuticals and healthcare delivery. Most importantly, it will help Nigeria retain the over $1.1 billion lost annually to outbound medical tourism, redirecting those resources towards strengthening our own systems. 

    He further stated: This initiative is more than an investment in infrastructure—it is an investment in Africa’s future. Through strategic partnerships with governments, international stakeholders, and the private sector, we are demonstrating that Africa has both the ambition and the capability to provide world-class healthcare for its people. The AMCE is not just a medical facility; it is a statement of intent, a symbol of progress, and a beacon of hope for a healthier, more self-reliant continent.” 

    Speaking at the event, Brian Deaver, Chief Executive Officer of AMCE, highlighted the hospital’s impact: “The Africa Medical Centre of Excellence is not just a hospital—it is a bold step toward reshaping the future of specialised healthcare in Africa. By integrating cutting-edge medical technologies, pioneering research, and world-class training, AMCE is creating a sustainable healthcare ecosystem that will set new standards for medical excellence across the continent. 

    This facility is more than a response to Africa’s healthcare challenges—it is a proactive investment in the well-being of millions. From early diagnostics to advanced treatment and long-term disease management, AMCE will provide a seamless continuum of care that improves patient outcomes, strengthens medical expertise, and retains talent that might otherwise seek opportunities abroad. 

    As we move closer to our launch, our focus remains unwavering: building a centre of excellence that not only delivers life-saving care but also drives economic growth, supports local innovation, and reinforces Nigeria’s position as a leading destination for specialised medical treatment. Through strategic partnerships and state-of-the-art infrastructure, we are not just treating diseases—we are transforming healthcare delivery for generations to come.” 

    Senator Barau Jibrin, Deputy Senate President: “The Africa Medical Centre of Excellence represents a transformative leap for healthcare in Nigeria and across the continent. Witnessing the rapid progress of this project reaffirms our commitment to fostering world-class medical infrastructure that will provide accessible and high-quality care for all. The Government of Nigeria remains dedicated to supporting initiatives that strengthen our healthcare system and enhance the well-being of our people.” 

    Senator George Akume, Secretary to the Government of the Federation: “Healthcare is the backbone of national development, and the Africa Medical Centre of Excellence is a shining example of what strategic investment and collaboration can achieve. This project will not only position Nigeria as a hub for cutting-edge medical services but also create jobs and drive innovation in the sector. The government is proud to support such a visionary initiative that will serve generations to come.” 

    As AMCE prepares to open its doors, the vision for a world-class medical ecosystem continues to take shape. The full development of the AMCE Campus will further solidify its role as a centre of excellence in healthcare, education, and research. Future phases will include a second 350-bed hospital facility, a medical and nursing school, a medical and sciences foundation, a dedicated medical office suite and research centre, as well as medical residences and a medical lodge to support patients and healthcare professionals alike. 

    With this expansion, AMCE is not only addressing Africa’s immediate healthcare needs but also building a sustainable foundation for medical innovation, talent development, and long-term health security. By fostering world-class training, cutting-edge research, and comprehensive patient care, AMCE is shaping the future of specialised healthcare in Africa—ensuring that the continent’s brightest medical minds and most complex cases can be treated at home. 

    MIL OSI Africa

  • MIL-OSI Global: How much does scientific progress cost? Without government dollars for research infrastructure, breakthroughs become improbable

    Source: The Conversation – USA – By Aliasger K. Salem, Bighley Chair and Professor of Pharmaceutical Sciences, University of Iowa

    America may not maintain its position as a global leader in biomedical research without federal support. Sean Gladwell/Moment via Getty Images

    Biomedical research in the U.S. is world-class in part because of a long-standing partnership between universities and the federal government.

    On Feb. 7, 2025, the U.S. National Institutes of Health issued a policy that could weaken the position of the United States as a global leader in scientific innovation by slashing funds to the infrastructure that allows universities and other institutions to conduct research in the first place.

    Universities across the nation carry out research on behalf of the federal government. Central to this partnership is federal grant funding, which is awarded through a rigorous review process. These grants are the lifeblood of biomedical research in the U.S.

    When you think of the costs of scientific research, you might picture the people who conduct the research, and the materials and lab equipment they use. But these don’t encompass all the essential components of research. Every scientific and medical breakthrough also depends on laboratory facilities; heating, air conditioning, ventilation and electricity; and personnel to ensure research is conducted securely and in accordance with federal regulations.

    These critical indirect costs of research are both substantial and unavoidable, not least because it can be very expensive to build, maintain and equip space to conduct research at the frontiers of knowledge. The NIH stated that it spent more than US$35 billion on grants in the 2023 fiscal year, which went to more than 300,000 researchers at more than 2,500 universities, medical schools and other kinds of research institutions across the nation. Approximately $9 billion of this funding was allocated to indirect costs.

    NIH grants have supported the direct costs of my own scientific research on developing treatments for conditions ranging from cancer to eye diseases. I would be unable to carry out my research without the support of the indirect costs the NIH plans to cut.

    What are indirect costs?

    Indirect costs, also known as facilities and administration costs, or overhead, are funds provided to institutions to cover expenses that are not directly tied to specific research projects but are essential for their execution. Unlike direct costs, which cover salaries, supplies and experiments, indirect costs support the overall research environment, ensuring that scientists have the necessary resources to conduct their work effectively.

    Indirect costs include maintaining optimal laboratory spaces, specialized facilities providing services like imaging and gene analysis, high-speed computing, research security, patient and personnel safety, hazardous waste disposal, utilities, equipment maintenance, administrative support, regulatory compliance, information technology services, and maintenance staff to clean and supply labs and facilities.

    Academic institutions conduct research on behalf of the federal government.

    Research institutions that receive federal grants must comply with the rules and regulations established by the U.S. Office of Management and Budget. These guidelines dictate the indirect cost rates of each institution.

    Institutions submit proposals to federal agencies that outline the costs associated with maintaining research infrastructure. The cost allocation division of the Department of Health and Human Services reviews these proposals to ensure compliance with federal policies.

    Indirect rates can range from 15% to 70%, with the specific level depending on the research and infrastructure needs of an institution.

    Typically, institutions undergo an exacting process to renegotiate their indirect rates every four years, factoring in components such as general, departmental and program administration, building and equipment depreciation, interest, operations and maintenance, and library expenses. Universities need to carefully justify these cost components to ensure the sustainability of research infrastructure and compliance with federal requirements.

    Notably, indirect costs from grants do not cover the full cost of carrying out research at universities. In 2023, colleges and universities contributed approximately $27 billion of their own funding, such as money from their endowments, to support research. This included $6.8 billion in indirect costs that the federal government did not reimburse.

    Slashing vital research funding

    In its February announcement, the National Institutes of Health declared that it would no longer determine indirect costs rates based on the needs of each institution. Instead, it would issue a standard indirect cost rate of 15% across all grants. The rationale given by the agency for the cap is to “ensure that as many funds as possible go towards direct scientific research costs rather than administrative overhead.”

    It notably comes after the Trump administration and Elon Musk have sought to slash federal spending, with Musk criticizing indirect cost rates as “a ripoff.”

    A standard 15% rate would significantly affect an institution’s ability to maintain its research infrastructure. For example, if a university had a 50% indirect cost rate in 2024, it would receive $150,000 for a $100,000 grant, with $50,000 allocated to indirect costs. With the new NIH cap, this would drop to $115,000, with only $15,000 for indirect costs.

    The scale of this cut in research support becomes apparent at the state level, with harms to both red and blue states. For example, Texas institutions would face a reduction of over $310 million, and institutions in Iowa a reduction of nearly $37 million. California would lose more than $800 million, and Washington over $178 million.

    Research has both indirect and direct costs – and both are essential.
    David Ryder/Stringer via Getty Images News

    The NIH compared the new 15% cap to the indirect cost rates that foundations typically set for institutions of higher education. It pointed to the 10% rate granted by the Bill & Melinda Gates Foundation and Smith Richardson Foundation, the 12% rate of the Gordon and Betty Moore Foundation and Robert Wood Johnson Foundation, and the 15% rate of the Carnegie Corporation of New York, Chan Zuckerberg Initiative, John Templeton Foundation, Packard Foundation, and Rockefeller Foundation.

    However, many researchers and funders have criticized this claim as misleading. A spokesperson for the Gates Foundation has previously stated that the listed rate does not reflect how the organization allocates its funds. Universities have pointed out that they often accept foundation grants with low or zero overhead rates because these grants constitute a relatively small portion of their funding and are often spent on early-stage faculty whose careers need additional support.

    In addition, it is only because NIH grants cover a significant portion of their overhead costs that research institutions are able to accept foundation grants with such low indirect rates.

    Biomedical researchers respond

    Scientists and researchers responded to the NIH announcement with deep concern about the negative effects these funding cuts would have on biomedical research in the United States.

    The Council on Governmental Relations, which monitors federal policy for major universities and medical research centers, stated that “America’s competitors will relish this self-inflicted wound,” urging the NIH to “rescind this dangerous policy before its harms are felt by Americans.”

    The president and CEO of the Association of American Medical Colleges stated that the NIH policy would “diminish the nation’s research capacity, slowing scientific progress and depriving patients, families, and communities across the country of new treatments, diagnostics and preventative interventions.”

    Research institutions, scientific societies, advocacy groups and lawmakers from both major political parties have pushed back against the 15% cap on indirect costs, urging NIH leadership to reconsider its policy.

    Soon after the attorneys general of 22 states filed lawsuits challenging the policy, a federal judge issued a temporary pause in those states until lifted by the court.

    Scientists expect the long-term effects of these funding cuts to significantly damage U.S. biomedical research. As the debate over federal support to academic research institutions unfolds, how institutions adapt and whether the NIH reconsiders its approach will determine the future of scientific research in the United States.

    Aliasger K. Salem receives funding from the National Institutes of Health. He serves on the Executive Board of the American Association for Pharmaceutical Scientists.

    ref. How much does scientific progress cost? Without government dollars for research infrastructure, breakthroughs become improbable – https://theconversation.com/how-much-does-scientific-progress-cost-without-government-dollars-for-research-infrastructure-breakthroughs-become-improbable-249566

    MIL OSI – Global Reports

  • MIL-OSI Global: Donald Trump’s war on global governance: lessons from the past on how to fight back

    Source: The Conversation – Africa – By Danny Bradlow, Professor/Senior Research Fellow, Centre for Advancement of Scholarship, University of Pretoria

    US president Donald Trump’s recent actions seem designed to reassert American power and demonstrate that it is still the dominant global power and is capable of bullying weaker nations into following America’s lead.

    He has shown contempt for international collaboration by withdrawing from the UN climate negotiations and the World Health Organization. His officials have also indicated that they will not participate in upcoming G20 meetings because he does not like the policies of South Africa, the G20 president for 2025.

    In addition, he’s shown a lack of concern for international solidarity by halting US aid programmes and by undermining efforts to keep businesses honest. He has demonstrated his contempt for allies by imposing tariffs on their exports.

    These actions demand a response from the rest of the international community that mitigates the risk to the well-being of people and planet and the effective management of global affairs.

    My research on global economic governance suggests that history can offer some guidance on how to shape an effective response.

    Such a response should be based on a realistic assessment of the configuration of global forces. It should seek to build tactical coalitions between state and non-state actors in both the global south and the global north who can agree on clear and limited objectives.

    The following three historical lessons help explain this point.

    Cautionary lessons

    The first lesson is about the dangers of being overoptimistic in assessing the potential for change.

    In the late 1960s and early 1970s, the US was confronting defeat in the war in Vietnam, high inflation and domestic unrest, including the assassination of leading politicians and the murder of protesting students.

    The US was also losing confidence in its ability to sustain the international monetary order it had established at the Bretton Woods conference in 1944.

    In addition, the countries of the global south were calling for a new international economic order that was more responsive to their needs. Given the concerns about the political and economic situation in the US and the relative strength of the Soviet bloc at the time, this seemed a realistic demand.

    In August 1971, President Richard Nixon, without any international consultations, launched what became known as the Nixon Shock. He broke the link between gold and the US dollar, thereby ending the international monetary system established in 1944. He also imposed a 10% surcharge on all imports into the US.

    When America’s European allies protested and sought to create a reformed version of the old monetary order, US treasury secretary John Connolly informed them that the dollar was

    our currency but your problem.

    Over the course of the 1970s, US allies in western Europe, Asia and all countries that participated in the old Bretton Woods system were forced to accept what the US preferred: a market-based international monetary system in which the US dollar became the dominant currency.

    The US, along with its allies in the global north, also defeated the calls for a new international economic order and imposed their neo-liberal economic order on the world.

    The second cautionary lesson highlights the importance of building robust tactical coalitions. In 1969, the International Monetary Fund member states agreed to authorise the IMF to create special drawing rights, the IMF’s unique reserve asset. At the time, many IMF developing country member states advocated establishing a link between development and the special drawing rights. This would enable those countries most in need of additional resources to access more than their proportionate share of special drawing rights to fund their development.

    All developing countries supported this demand. But they couldn’t agree on how to do it. The rich countries were able to exploit these differences and defeat the proposed link between the special drawing rights and development. As a result, the special drawing rights are now distributed to all IMF member states according to their quotas in the IMF. This means that most allocations go to the rich countries who do not need them and have no obligation to share them with developing countries.

    A third lesson arises from the successful Jubilee 2000 campaign to forgive the debts of low-income developing countries experiencing debt crises. This campaign, supported by a secretariat in the United Kingdom, eventually involved:

    • civil society organisations and activists in 40 countries

    • a petition signed by 21 million people

    • governments in both creditor and debtor countries.

    These efforts resulted in the cancellation of the debts of 35 developing countries. These debts, totalling about US$100 billion, were owed primarily to bilateral and multilateral official creditors.

    They were also a demonstration of the political power that can be generated by the combined actions of civil society organisations and governments in both rich and poor countries. They can force the most powerful and wealthy institutions and individuals in the world to accept actions that, while requiring them to make affordable sacrifices, benefit low-income countries and potentially poor communities within those states.

    What conclusions should be drawn?

    We shouldn’t under-estimate the power of the US or the determination of the MAGA movement to use that power. However, their power is not absolute. It is constrained by the relative decline in US power as countries such as China and India gain economic and political strength. In addition, there are now mechanisms for international cooperation, such as the G20, where states can coordinate their actions and gain tactical victories that are meaningful to people and planet.

    But gaining such victories will require the following:

    Firstly, the formation of tactical coalitions that include states from both the global south and the global north. If these states cooperate around limited and shared objectives they can counter the vested interests around the world that support Trump’s objectives.

    Secondly, a special kind of public-private partnership in which states and non-state actors set aside their differences and agree to cooperate to achieve limited shared objectives. Neither states alone nor civil society groups alone were able to defeat the vested interests that opposed debt relief in the late 1990s. Working together they were able to defeat powerful creditor interests and gain debt relief for the poorest states.

    Thirdly, this special partnership will only be possible if there’s general agreement on both the diagnosis of the problem and on the general contours of the solution. This was the case with the debt issue in the 1990s.

    There are good candidates for such collaborative actions. For example, many states and non-state actors agree that international financial institutions need to be reformed and made more responsive to the needs of those member states that actually use their services but lack voice and vote in their governance. The institutions also need to be more accountable to those affected by their policies and practices. They also agree that large corporations and financial institutions should pay their fair share of taxes and should be environmentally and socially responsible.

    The urgency of the challenges facing the global community demands that the world begin countering Trump as soon as possible. South Africa as the current chair of the G20 has a special responsibility to ensure that this year the G20, together with its engagement groups, acts creatively and responsibly in relation to people and planet.

    Danny Bradlow, in addition to his position at the University of Pretoria, is an advisor to the South African Institute of International Affairs on G20 issues and is a co-chair of the T20 Taskforce on the Financing of Sustainable Development.

    ref. Donald Trump’s war on global governance: lessons from the past on how to fight back – https://theconversation.com/donald-trumps-war-on-global-governance-lessons-from-the-past-on-how-to-fight-back-249666

    MIL OSI – Global Reports