Category: Health

  • MIL-OSI USA: Rep. Susan Wild Announces Over $200 Million for Pennsylvania to Help Households with Home Energy Costs

    Source: United States House of Representatives – Representative Susan Wild (PA-07)

    Today, Congresswoman Susan Wild announced that Pennsylvania has been awarded $207,342,959 in funding for the Low Income Home Energy Assistance Program (LIHEAP). This investment will help individuals and families with low incomes pay home heating costs this winter, as well as prevent energy shutoffs, weatherize homes to increase energy efficiency, and make minor energy-related home repairs.

    “LIHEAP is a critical part of protecting the health and safety of families across Pennsylvania while assisting them with their energy costs,” said Congresswoman Susan Wild. “I was proud to once again secure this funding for our community, and support families throughout the Greater Lehigh Valley so that they can stay warm and healthy this winter.”

    Pennsylvania was awarded a total of  $207,342,959:

    • $197,147,761 from the regular LIHEAP block grant funding.

    • $10,185,882 in Bipartisan Infrastructure Law funding for Fiscal Year 2025.

    This funding is administered through the Administration for Children and Families’ Office of Community Services at the U.S. Department of Health and Human Services.

    By helping reduce the costs of home heating, reconnecting energy services that have been disconnected, preventing energy shutoffs, and providing minor energy-related home repairs, LIHEAP helps make sure that families can meet their energy needs and stay safe in their homes — because maintaining safe indoor air temperatures is critical, particularly for households with older adults, children, and individuals with disabilities.

    Visit energyhelp.us to learn more about how to apply for LIHEAP and identify if you are eligible for assistance using the  LIHEAP Eligibility Tool  or call the hotline at 1-866-674-6327.

    ###

    MIL OSI USA News

  • MIL-OSI Security: It’s always Physical Therapy Month for this PTA at Naval Hospital Bremerton

    Source: United States Navy (Medical)

    Well before dawn on most days, there’s a solitary figure striding up the surrounding inclines which envelop Naval Hospital Bremerton.

    For Ed Gerlach, physical therapist assistant at NHB, the morning workout allows him to maintain physical – as well as mental – health to handle his daily workload assigned to NHB’s Physical Therapy Department.

    “As well as maintain the ability to do all of my hiking, kayaking, snowboarding and many other hobbies, as well as prevent and work on my own aches and pains, and be fully ready to assist my patients,” said Gerlach.

    With October designated as National Physical Therapy Month, Gerlach helps provide a wide array of physical therapy services for eligible patients. Last year, NHB’s Physical Therapy saw over 9,200 patients. As a physical therapist assistant, Gerlach works under supervision of a physical therapist in helping patients improve their mobility and function after injury and surgery. He also assists in evaluating, instructing and treating musculoskeletal ailments and disorders, and providing specifically designed routines to help clients recover, recuperate and rehabilitate.

    However, Gerlach knows there are some people who are unfamiliar with physical therapy and the associated benefits.

    “PT is just a good way to decrease and prevent pain, increase balance, and improve mobility which in the long term helps improve quality of life, including some mental health benefits such as helping to reduce stress and anxieties,” stressed Gerlach. “There are people who don’t work out regularly because of pain. PT is a good way to start a workout routine that will help identify the cause of the pain and target muscle group to help decrease pain and prevent future pains and injuries.”

    Some of the most common injuries which Gerlach and other members of PT usually deal with include helping patients with post operative healing from shoulder surgeries to foot and ankle surgeries, as well as chronic illnesses.

    “We care for patients on a daily basis who have suffered a traumatic injury or debilitating illness, and our clinic does really well help them recovery and rehab,” stated Gerlach, who has been working in NHB’s PT department for 10 years. For him, it’s been a decade of fulfillment.

    “Seeing people progress from not being able to move or lift a body part after a surgery to getting back out to doing the activities and hobbies that they love is gratifying,” Gerlach said. “Their appreciation in receiving help to personally improve their quality of life also helps me on a personal level by knowing I’ve made a difference in someone’s life for the better.”

    Yet it’s almost by chance that a self-described Army brat somehow ended up in the Pacific Northwest far removed from his original roots. Born in Texarkana, Texas, Gerlach moved to Heidelberg, Germany when only four months old and spent his next 14 years there.

    “However, if you were to see me on a Friday during any college sports season, you would know that I call Arkansas home which is where most of my family still lives and is where the original homestead is,” exclaimed Gerlach.

    By 1998 he was in Fayetteville, North Carolina, completed Pine Forest High School in 2002, followed by graduating from Fayetteville Technical Community College in 2007. Before starting his career in Navy Medicine Gerlach toiled for a local company as a traveling physical therapist assistant, commuting between six different clinics, “and getting paid mileage and lunch which was great for a recent college graduate new to the work force,” quipped Gerlach.

    Still, he sensed something was missing. A timely note from a former teacher informed him of a position open at Naval Hospital Camp Lejeune.

    “I hopped on the opportunity. Fast forward six years later from there. The wife and I decided to move in 2014 and Washington just happened to be the landing spot. She’s at Madigan Army Medical Center and I’ve been at NHB for ten years. Being from the military community, it’s just felt like home here. I have been around the military my whole life so being able to help out military families and help give back means a lot. I know the hardships that come along our lifestyle. And the best part is just how much fun it is meeting new people all the time and helping improve their quality of life,” shared Gerlach.

    The added bonus for Gerlach being at NHB is access to the surrounding wilderness featuring the Olympic Mountains to the west and the Cascade Range across Puget Sound. He takes off at every opportunity to explore.

    “There are so many awesome hiking, trekking, backpacking and camping adventures. But my all-time favorite would be the Enchantments Lakes [high elevation alpine lakes in the Cascades]. Nearly 20 miles of crystal blue lakes, depending on time of year blazing golden larches and a super fun ascent nearly 2,000 feet in just three-quarters of a mile,” related Gerlach.

    When asked to sum up his experience with Navy Medicine in one sentence, Gerlach replied, “It’s been awesome to be here the last 10 years and be able to be part of such an amazing core group of clinicians and co-workers.”

    Even when the mountains are calling.

    MIL Security OSI

  • MIL-OSI USA: Rep. Cuellar Celebrates Groundbreaking of New Gateway Barbara Fasken Healthcare Clinic in Laredo

    Source: United States House of Representatives – Congressman Henry Cuellar (TX-28)

    LAREDO, TX – Today, Congressman Henry Cuellar, Ph.D. (TX-28) celebrated the groundbreaking of the new Gateway Barbara Fasken Healthcare Clinic in Laredo, TX. 

    “Gateway clinics are the backbone of Laredo’s health system. I secured $1,997,000 in federal funding in FY23 for the new Barbara Fasken Healthcare Clinic in Laredo,” said Dr. Cuellar, a Senior Member of the House Appropriations Committee. “I will continue to help expand Gateway’s reach through federal funding and provide Laredo residents with the quality health care they need to live healthy, fulfilling lives. Thank you to Gateway CEO Elmo Lopez Jr, Gateway Board Chairman Lauro A. Garcia, Laredo Mayor Victor Trevino, Council Member Vanessa Perez, and Fasken Oil and Ranch General Manager Lynda James for being here today and for their work in supporting the health of Laredo residents.” 

    The new clinic will provide essential healthcare services including primary care and behavioral care for both adults and children. The clinic also plans to expand to provide dental care.  

    The clinic will expand Gateway’s reach and enhance their services, ensuring that everyone in the Laredo community, especially those who have historically been underserved, can access comprehensive, quality healthcare. This will be the second Gateway clinic west of Interstate 35 in Laredo that the Congressman has supported with federal funding. 

    Since 2021, Congressman Cuellar has secured more than $35.8 million in federal funding for Gateway clinics, a testament to his commitment to bringing healthcare to those who need it most.  

    The Congressman remains committed to securing federal funding to promote a healthier, more successful South Texas. 

    MIL OSI USA News

  • MIL-OSI USA: Press Release: FDIC Appoints Amanda J. Lavis as Director of Office of Equal Employment Opportunity

    Source: US Federal Deposit Insurance Corporation FDIC

    WASHINGTON – The Federal Deposit Insurance Corporation (FDIC) today announced its Board of Directors has approved the appointment of Amanda J. Lavis as Director of the agency’s new Office of Equal Employment Opportunity (OEEO).

    In June, the FDIC Board announced the creation of the OEEO to serve as a single point of entry for employee complaints of discrimination and retaliation.  In this role, Ms. Lavis will lead the OEEO’s work to intake, investigate, and report on complaints of employment discrimination within the FDIC workplace.  The OEEO, along with the agency’s new Office of Professional Conduct (OPC), will report directly to the FDIC Board.

    Ms.  Lavis was selected from among several highly qualified candidates after a competitive, nationwide public solicitation.  Most recently, she served as Chief Culture Officer for the U.S. Army Combat Capabilities Development Command (DEVCOM), where she was the primary EEO advisor to the Commanding General and executive leadership.

    She previously served as the State of Hawaii’s EEO Officer, serving as the primary EEO advisor to the Governor and Executive Branch.  As an attorney and partner at Rhoads & Sinon LLP, Ms. Lavis worked with financial institutions and other private and public sector clients on employment issues and all aspects of EEO compliance.

    Ms. Lavis has a Juris Doctor from the Villanova University School of Law, a Master of Business Administration from Shippensburg University, and a Bachelor of Science in International Business from Messiah University.

    # # #

    MEDIA CONTACT: 
    mediarequests@fdic.gov


    FDIC: PR-94-2024

    MIL OSI USA News

  • MIL-OSI USA: Attorney General Bonta Holds Beverly Hills Accountable for Preventing Reproductive Health Clinic from Opening, Failing to Protect California’s Constitutional Right to Abortion

    Source: US State of California

    Today’s first-of-its-kind stipulated judgment will ensure Beverly Hills comes into full compliance with the law and provides a benchmark for local governments to align with state reproductive healthcare laws

    The City to abide by robust injunctive measures including mandated training and reporting

    OAKLAND – California Attorney General Rob Bonta today announced the filing of a stipulated judgment with the City of Beverly Hills resolving allegations that the City violated the California Constitution, Article I, sections 1 and 1.1, and the Reproductive Privacy Act, Health and Safety Code. In September 2022, DuPont Clinic (Dupont), an abortion provider in Washington, D.C., sought to open a clinic in Beverly Hills, California. However, despite their public position of support for abortion rights, Beverly Hills officials actively implemented barriers, which prohibited Dupont from opening its reproductive health clinic in the City. Today’s stipulated judgment requires Beverly Hills to abide by robust injunctive measures including, among other things, requiring training about the state and federal protections for reproductive healthcare clinics and requiring reporting of compliance with the stipulated judgment to the Attorney General’s office.

    “At a time when access to abortion care is under attack across this nation, it is now more critical than ever to double down on our commitment to protect those seeking reproductive healthcare in our state,” said Attorney General Bonta. “It is troubling that, even here in California where access to reproductive healthcare is a constitutional right, Beverly Hills officials have taken actions reminiscent of those in extremist red states by illegally interfering with, and ultimately preventing a new reproductive healthcare clinic from opening. Today’s first-of-its kind agreement will ensure that the City abides by comprehensive training and education of reproductive healthcare laws. The agreement also serves as a benchmark for local governments to evaluate their healthcare policies and services, guaranteeing that they not only comply with the law, but also fulfill California’s broader commitment to reproductive healthcare access. At the California Department of Justice, we believe that reproductive healthcare is a fundamental right and will ensure that this right is upheld, free from political interference, and hold accountable those who break the law.” 

    In September 2022, Dupont signed a lease for a medical suite, owned and managed by Douglas Emmett, in Beverly Hills. DuPont spent $2.5 million to renovate the leased medical suite and applied for required City permits in early February 2023. Beginning in late 2022 and continuing into Spring 2023, anti-abortion protestors began to engage in protests outside and around the building and to lobby City officials against the opening of the DuPont clinic through objections at council meetings and private meetings. Through its investigation, DOJ found that the City unlawfully interfered with DuPont’s opening by improperly delaying the issuance of approved building permits and actively engaged in a pressure campaign against the property owner and manager Douglas Emmett, resulting in the termination of DuPont’s lease. For instance, City leadership, including the City Manager, Police Chief, City Attorney and the former Mayor, inaccurately claimed that a new DuPont Clinic would cause security threats against the building’s other tenants, going so far as to say that the building would be subject to violent protests, bomb threats, and “lone-wolf” active shooters. In fact, the City had no evidence or intelligence of any such threats. The City then claimed they would be so overwhelmed by this fictitious threat that they would be unable to provide resources to the landlord and building — threatening to abandon their sworn responsibility to uphold public safety. When these manipulation tactics didn’t work, City leadership threatened to send a letter from the Beverly Hills Police Department to all of Douglas Emmett’s other tenants in the building, warning them about the threats posed by the clinic, continuing to mount pressure until Douglas Emmett decided to end its contract with DuPont Clinic.

    The stipulated judgment is the result of the DOJ’s investigation highlighted above, and as part of the stipulated judgment, which is subject to court approval, enjoins the City from violating the California Constitution, Article I, sections 1 and 1.1, and the Reproductive Privacy Act, Health and Safety Code section 123460, and requires the City, among other things:

    • To procure or develop training materials that provide information about the California FACE Act, federal FACE Act, and California’s legal protections and access to all forms of reproductive healthcare, within 90 days after the stipulated judgment is entered.
    • To conduct comprehensive training for City employees about the state and federal protections for reproductive healthcare clinics within 150 days after the stipulated judgment is entered, and every two years thereafter.
    • To publicly post its training resources about state and federal protections for reproductive healthcare clinics.
    • To develop a complaint procedure for potential violations of state and federal laws protecting reproductive rights and reporting those complaints to DOJ.
    • To appoint a Reproductive Compliance Officer who will be responsible for developing the required training materials and ensuring that the relevant employees and elected officials receive the required training.
    • To annually report for the five-year reporting period the City’s compliance with the stipulated judgment.

    A copy of the complaint, stipulation for entry of judgment, and the court judgment are available here and here.

    MIL OSI USA News

  • MIL-OSI Global: Four ways Mohamed Al Fayed silenced whistleblowers in his organisation

    Source: The Conversation – UK – By Kate Kenny, Professor of Business and Society, University of Galway

    Mohamed Al Fayed owned the luxury goods department store Harrods from 1985 to 2010. Fred Duval/Shutterstock

    On the first anniversary of former Harrods owner Mohamed Al Fayed’s death, more than 20 women accused the billionaire of rape, sexual assault or harassment while they worked at his luxury department store. Many had been in their late teens and early twenties at the time.

    Since then, a further 65 women have come forward to the BBC with allegations dating back as far as 1977, and 40 people are reported to have contacted the police.

    How did Al Fayed silence potential whistleblowers for such a long time? I’ve researched whistleblowing in organisations for almost 15 years. Looking at the allegations made against him, four apparent strategies stand out as textbook examples of how leaders can suppress dissent to continue their terrible behaviour – even today.

    1. The organisation as a fortress

    As the chairman-owner of Harrods, Al Fayed could wander around its swanky shopping halls and oak-panelled offices as he pleased. And it appears he looked for women to target as he did so.

    Security guards had their role, in some cases reportedly turning a blind eye to distraught and dishevelled women leaving Al Fayed’s apartments and houses after attacks. HR people might likewise focus on recruiting certain women – like the security staff, they were just getting on with their work.

    That is the thing about bureaucracies, as philosophers from Hannah Arendt to Max Weber have highlighted. Staff are not responsible for the outcome. They just need to do their job.

    My research on whistleblowing in financial services shows clearly that the kind of blind rule-following many organisational roles require stops workers questioning the big picture and acting ethically by stepping in.

    2. Hi-tech surveillance

    The IRA bomb that exploded in Harrods’ car park in 1983 led to a top-notch system of surveillance being installed by its then owners.

    So, when Al Fayed bought the store two years later, his need for control was satisfied with cameras and recording systems. Eventually, everyone working at Harrods apparently knew about the system, which appears to have stopped them talking to each other about Al Fayed’s behaviour.

    Shockingly, the former Harrods owner appears to have extended this surveillance to the very bodies of the women he targeted. Doctors associated with the company were said to administer mandatory gynaecological examinations to female staff. Fayed was reportedly sent their test results. This meant he had eyes on his workers, bodies and all.

    Today, with things like social media and the ability to share large amounts of data rapidly, it is more difficult for organisations to keep information in-house. And so, we have seen a rapid growth in insider threat detection – using technology like keystroke monitoring, where every keystroke on a computer is tracked without the user’s knowledge, to identify potential leaks.

    A byproduct has been a “chill effect” on workers speaking out about wrongdoing they see in their organisations – something that has been highlighted by the UN as a problem for society.

    My research alongside other academics into whistleblowing in healthcare, engineering and government shows one thing clearly: if trust in the organisation is lacking and workers do not feel protected against potential reprisals, they stay silent. Overt surveillance deters disclosures of organisational abuses.

    Al Fayed was said to prowl Harrods on the hunt for women to target.
    DaLiu/Shutterstock

    3. Legal pressure

    The “non-disclosure agreement plus settlement payoff” tactic that Al Fayed employed with a number of Harrods staff was straight out of the Harvey Weinstein playbook. The disgraced film producer used non-disclosure agreements systematically to silence survivors.

    While non-disclosure agreements are not allowed to be used to stop workers reporting possible crimes or serious wrongdoings, a frightened 20-year-old is not likely to know this.

    In the case of Al Fayed, when Vanity Fair magazine published victims’ testimonies and allegations of serious criminality, his lawyers knew the solution. Keep the legal pressure on until the magazine settled.

    The use of legal tools to silence whistleblowers is one of the biggest concerns for researchers today. From “Slapp” suits – strategic lawsuits against public participation, filed against people who speak out – to inappropriate use of non-disclosure agreements, defensive organisations increasingly turn to the law in public whistleblowing cases. As analysis of the case of whistleblowers at the disgraced blood testing firm Theranos made clear, often the threat of legal action is enough to keep a worker silent.

    4. Dehumanise targets

    Al Fayed, we are told, would chuckle as he openly groped women. One woman reported his laughter after an attempted rape at his Villa Windsor in Paris, when he fell on the floor after she pushed him off.

    Most people would not find humour in such situations, unless they don’t see their victims as “real people”.

    But the likelihood of targets speaking out is, again, slim. A very young person told they are worthless, treated as such, and reminded of it regularly by colleagues and bosses, is not best placed to speak up. Our research with other survivors in work organisations shows how the experience of sexual violence and harassment can leave them vulnerable. They find disclosure of the abuse intolerable without empathetic and supportive colleagues.

    In an organisation designed to prevent workers discussing their concerns together – as Harrods appears to have been – the solidarity required to speak out and be protected through the collective is utterly absent.

    Harrods’ current owners have said they are “appalled” at the allegations, and the business has reached settlements with many of the people who have complained.

    When executing a campaign of “attack, isolate and silence”, money and influence can buy predators a lot of leeway, as other high-profile abusers like Weinstein and Jimmy Savile figured out. But the key thing is the organisation. With the right PR, surveillance, HR and lawyers to take legal action should stories get published, predators will be safe. The secret stays kept – until, one day, people have finally had enough.

    Kate Kenny 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. Four ways Mohamed Al Fayed silenced whistleblowers in his organisation – https://theconversation.com/four-ways-mohamed-al-fayed-silenced-whistleblowers-in-his-organisation-240936

    MIL OSI – Global Reports

  • MIL-OSI Global: How the state of our oceans is intrinsically linked to human health – new report

    Source: The Conversation – UK – By Edward H. Allison, Director of Science and Research, WorldFish, CGIAR System Organization

    eedafizie/Shutterstock, CC BY-NC-ND

    A new study published in the journal OneEarth explores how marine biodiversity conservation, human health and wellbeing are connected. The results suggest that marine protected areas can be good for both planet and people. These areas of the ocean are legally recognised by governments as being important for marine conservation. They are protected by putting limits on human activity within and around them.

    Once a government declares a marine protected area, you usually can’t live in it, fish, build a beach resort, start a fish farm or drill for oil in it. The rules vary from place to place, but the idea is to allow nature to flourish by limiting human activity as much as possible.

    With plans to expand ocean protection under the UN-endorsed biodiversity plan’s “30×30” target (which aims to protect 30% of the world’s land and oceans by 2030), it’s important to know how this will affect people as well as nature.

    The study was conducted by the conservation charity World Wide Fund for Nature, Harvard Institute of Public Health and Duke University’s marine laboratory. The team, led by marine conservation scientist Daniel Viana, reviewed all the scientific articles written since 1973 on marine protected areas and their impacts on people.

    They found that, for 234 marine protected areas across the world that have been closely monitored, more than 60% showed improvement in both nature conservation and human wellbeing.


    Swimming, sailing, even just building a sandcastle – the ocean benefits our physical and mental wellbeing. Curious about how a strong coastal connection helps drive marine conservation, scientists are diving in to investigate the power of blue health.

    This article is part of a series, Vitamin Sea, exploring how the ocean can be enhanced by our interaction with it.


    The study included marine protected areas that do allow “sustainable use” through managed and selective fishing activities. These are fishing methods, such as using a hook and line or a fish trap, that don’t cause physical damage to delicate habitats like coral reefs.

    The paper suggests that in most cases, investing in marine protected areas directly benefits the health and livelihoods of people who live near them. Increased harvests of fish and other aquatic foods, such as shellfish and seaweeds, are usually the source of the benefits. Fisherfolk’s incomes increase and community access to nutrient-rich aquatic food improves.

    Sustainably caught fish is a vital source of protein for so many people around the globe.
    M_Kaempfer/Shutterstock, CC BY-NC-ND



    Read more:
    Targets to save 30% of the ocean by 2030 aren’t being met, new report reveals


    The benefits of marine protection for fishing-based livelihoods are largest in small island states that have big marine protected areas, such as Bonnaire, Palau and the Cook Islands, where more than 95% of fish catches are associated with area-based conservation measures.

    Despite ample evidence that marine protection improved access to aquatic food, the authors found surprisingly few studies that directly measured the impact to human nutrition. Only three out of the 237 studies reviewed had studied how creating marine protected areas affected the diets of people living around them. Only one study, in the Philippines, made the link between diets and health outcomes, because, when access to fish in diets improved due to marine conservation, there were fewer stunted children from surrounding communities.

    Plenty more nutrients in the sea?

    Our continents and islands are surrounded by seas, lakes, rivers and floodplains that are populated by edible plants and animals rich in vitamins, minerals and fatty acids. These micronutrients from aquatic foods are highly bioavailable (easily absorbed by the body). If sustainably harvested and made available to nutritionally vulnerable people, they could prevent malnutrition among millions of coastal people.

    The new report has quantified the micronutrient contributions to human diets from the aquatic foods that flourish when marine protected areas are set up. It combines data on the nutrient composition of all the aquatic foods harvested in and around marine protected areas, with fish catch data from the surrounding areas.

    The existing marine protected area network supports 14% of the global supply of six key micronutrients from marine fishing. This is achieved by protecting only 8% of the world’s oceans. By allowing marine life to grow abundantly inside protected areas, nearby fish populations are replenished. So, by conserving marine wildlife, protected areas help to sustain fish and shellfish stocks.

    That means bigger catches, more income from fishing or tourism, and more food. More nutrients means better health. This applies both to marine protected areas with a strict no-take zone, where any form of fishing is banned, and those that allow regulated fishing.

    As populations increase, demand for aquatic food rises. Wild harvests are being supplemented by aquaculture and mariculture – these are freshwater and marine equivalents to growing crops and livestock on land. Over half of the aquatic foods consumed directly by humans are now produced from aquaculture, much of it in inland waters rather than the sea.

    But in many countries, particularly island and coastal nations in the developing world, harvesting wild food from marine ecosystems remains crucial to nourishing the over 3 billion people who get more than 15% of their animal source proteins from aquatic foods.

    Seafood is a rich source of vitamins, minerals and fatty acids.
    WhiteYura/Shutterstock, CC BY-NC-ND

    Despite their potential to address global micronutrient nutrition, aquatic foods have, until recently, been underrepresented in policies and programmes to end hunger and malnutrition. But with data on the nutritional composition of the world’s fish species now available, studies like this can advance an approach called “nutrition-sensitive fisheries and aquaculture”: Instead of fishing to maximise catch or profit, fisheries could be managed to optimise their contribution to human nutrition.

    Linking ocean conservation with human health is an exciting idea but there are gaps in the research. It’s not clear who benefits when income from tourism and fishing increases, or whether increased catches get to those that need it most. In the Maldives for example, more than 80% of reef fish are consumed by tourists, not locals.

    Trying to solve malnutrition with marine protected areas is going to be challenging. Many marine protected areas are not effectively managed. By contrast, 77% of catches from the world’s fisheries come from stocks that are managed sustainably, though they have little room for expansion to meet rising demand. Aquaculture can do that, but the sector is still moving towards sustainability.

    Many key threats to marine ecosystems and wild fisheries, such as climate change and pollution, are not effectively dealt with by local marine habitat protection alone. Despite these challenges, this study highlights that nature-human relationships can be regenerative, rather than exploitative.



    Don’t have time to read about climate change as much as you’d like?

    Get a weekly roundup in your inbox instead. Every Wednesday, The Conversation’s environment editor writes Imagine, a short email that goes a little deeper into just one climate issue. Join the 40,000+ readers who’ve subscribed so far.


    Edward H. Allison currently receives funding from Canada’s International Development Research Center AQUADAPT programme for work on climate adaptive nature-based aquaculture in South East Asia, from the UN Food and Agriculture Organization for work on Implementing ecosystem-based management in S and SE Asia arnd from the multi-donor Trust Fund to the Consultative Group on International Agricultural Research for work on aquatic food systems.

    ref. How the state of our oceans is intrinsically linked to human health – new report – https://theconversation.com/how-the-state-of-our-oceans-is-intrinsically-linked-to-human-health-new-report-242245

    MIL OSI – Global Reports

  • MIL-OSI USA: Reed Announces $24 Million in LIHEAP Aid to Help RIers Lower Home Energy Bills

    US Senate News:

    Source: United States Senator for Rhode Island Jack Reed
    WASHINGTON, DC – In an effort to help some of the nation’s most vulnerable households pay their home energy bills, the Biden-Harris Administration today released $3.71 billion for the Low-Income Home Energy Assistance Program (LIHEAP), including $24,063,792 for Rhode Island.  Even as the U.S. has become the largest oil producer in the world, colder winters in the Northeast mean the demand for LIHEAP is high.  The federally funded program is a crucial lifeline that helps low-income households and seniors on fixed incomes afford their energy bills, including those who use natural gas, propane, electricity, and home heating oil. 
    U.S. Senator Jack Reed, a leading member of the Senate Appropriations Committee and a Congressional champion for LIHEAP, cheered the release of funds and says it will allow states to provide funds to support income eligible households with utility costs.
    Earlier this month, Reed joined Senators Susan Collins (R-ME), Lisa Murkowski (R-AK) in leading a bipartisan call for the U.S. Department of Health and Human Services (HHS) to release LIHEAP funds as swiftly and at the highest level possible.
    “This federal funding will help keep vulnerable Rhode Islanders safe and healthy through targeted initiatives that lower utility bills.  It will ease the energy cost burden for low-income residents, who pay a higher proportion of household income to heat their homes when cold winter weather hits.  Nobody should have to choose between affording needed medication or having their heat turned off.  LIHEAP is a real lifeline that has proven to make a real positive difference for so many Rhode Islanders,” said Senator Reed, who helped provide a total of $4.1 billion for LIHEAP in fiscal year 2024, with $4 billion through appropriations and $100 million in Bipartisan Infrastructure Law funds. 
    Under the short-term “continuing resolution” funding package that President Biden signed into law in September, HHS is able to advance states’ funding equal to 90 percent of their FY24 allocation.
    Rhode Islanders wishing to apply for LIHEAP may go to the Rhode Island Department of Human Services website to get more information and links to an online application.  Or, Rhode Islanders may contact their local Community Action Agency.  Eligibility for LIHEAP is based on several factors, including income, household size, and the availability of resources.
    Nationwide, an estimated 5.1 million households received assistance with heating and cooling costs through LIHEAP in the last fiscal year.
    Older Americans on fixed incomes and those receiving Social Security Disability or SSI benefits are encouraged to apply as early as possible, but applications will be open to everyone through spring of 2025 — or until the funding is exhausted.

    MIL OSI USA News

  • MIL-OSI USA: Reed, Whitehouse, Amo, Smiley Highlight Federal Funding for City of Providence to Combat Opioid Crisis

    US Senate News:

    Source: United States Senator for Rhode Island Jack Reed
    PROVIDENCE, RI – U.S. Senators Jack Reed and Sheldon Whitehouse and Congressman Gabe Amo joined with Mayor Brett Smiley and SAMHSA Assistant Secretary for Mental Health and Substance Use Miriam Delphin-Rittmon to highlight a new $2.3 million federal First Responders – Comprehensive Addiction and Recovery Act (FR-CARA) grant to support the City’s comprehensive strategy to improve first responders’ ability to save lives.  Whitehouse authored CARA, which is the primary law guiding the federal response to the opioid epidemic.
    “To effectively combat the opioid crisis we must invest in coordinated strategies that ensure people can easily access help and support services.  Senator Whitehouse has been a tremendous leader on this issue in Congress and I’m proud to work alongside him and our colleagues in the delegation to deliver this federal funding for Providence.  This $2.3 million investment will help Providence’s first responders save lives and assist residents who are struggling with addiction,” said Reed. 
    “Rhode Islanders had a big hand in helping draft my CARA law, so it’s great to see this federal funding from CARA providing a big boost for Providence’s first responders, who are on the front lines every day responding to Rhode Island’s opioid epidemic,” said Whitehouse.  “I applaud Mayor Smiley’s efforts to combat the epidemic in our Capital City and help connect Rhode Islanders with the support they need to get on the noble road to recovery.  There is hopeful news that our efforts to save lives are working.”
    “The opioid epidemic has touched the lives of families in Rhode Island and across the country, and we need to ensure first responders are equipped with the resources they need to save lives and support those in recovery,” said Magaziner. “This federal funding will help reduce overdoses, expand access to lifesaving services and treatments, and build a safer, healthier Rhode Island.”
    “Thanks to champions like Senator Sheldon Whitehouse, overdose deaths in Rhode Island have been decreasing by twice the national average in recent years,” said Amo. “This federal grant for the Providence Overdose Prevention Project will support these efforts by uplifting the first responders and community members who play a vital role in the prevention, treatment, and recovery of opioid use disorder.”
    The City of Providence will use the federal funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) to advance the Providence Overdose Prevention Project, a comprehensive strategy to improve first responders’ ability to save lives.  The program increases the capacity of Emergency Medical Services staff and community members to use evidence-based practices to reduce overdoses and connect individuals with necessary supports.  The City will also work to reduce fatal overdoses through education and prevention programs and increase naloxone distribution within the community to help lower nonfatal overdose rates.
    “We’re thankful for the leadership and advocacy of our federal delegation in securing this vital funding through the Comprehensive Addiction and Recovery Act,” said Smiley. “This grant will strengthen Providence’s efforts to combat the opioid crisis by expanding life-saving resources for our first responders and connecting those in crisis to the support they need. By working together, we’re building a healthier, safer city for all.”
    “We commend the first responders who are committed to saving lives day and day out,” said Miriam E. Delphin-Rittmon, Ph.D., HHS Assistant Secretary for Mental Health and Substance Use and the leader of SAMHSA. “This funding will help Providence EMS connect those at highest risk of overdose to lifesaving services, including treatment, harm reduction services, and recovery supports.”
    Deaths from accidental overdoses decreased by 7.3 percent last year in Rhode Island, the first time in four years that the number had gone down, according to the Governor’s Overdose Task Force.  Rhode Island’s decrease in overdose deaths, from 436 in 2022 to 404 in 2023, was over twice the national average, with America experiencing a 3 percent decrease in 2023.  According to preliminary data from the Rhode Island Department of Health, 178 individuals died from accidental overdoses in the first nine months of this year, a significant decrease from the same point in 2023.

    MIL OSI USA News

  • MIL-OSI USA: USDA Builds on Actions to Protect Livestock and Public Health from H5N1 Avian Influenza

    Source: US National Invasive Species Information Center

    Press Release

    WASHINGTON, October 30, 2024 – The U.S. Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS) today announced the agency is planning to enhance testing and monitoring for H5N1, building on measures taken by USDA since the beginning of the avian influenza outbreak. In partnership with state veterinarians, USDA will implement a tiered strategy to collect milk samples to better assess where H5N1 is present, with the goal to better inform biosecurity and containment measures, as well as to inform state-led efforts to reduce risk to farm workers who may be in contact with animals infected with H5N1. 

    Since this disease was first detected in dairy cattle in March 2024, the USDA and state and federal partners have taken several steps to better understand the virus and work to eliminate it from dairy herds. In May 2024, USDA implemented a Federal Order to require the testing of cattle before interstate movement, which has helped to limit H5N1’s spread to new states; in the past 30 days, the number of states with known avian influenza detections in dairy herds has dropped from 14 to two. However, USDA believes that additional steps are needed to proactively support effective biosecurity measures, which are key for states and farmers to contain and eliminate H5N1 infections from their livestock. 

    USDA has precedent with successful bulk milk testing approaches, including the use of bulk milk testing to eradicate brucellosis from dairy herds. In addition, Colorado implemented statewide bulk milk testing after H5N1 was detected in dairy herds in two counties, and the most recent statewide testing has not detected any evidence of H5N1 in any herds in the state. In the coming weeks, USDA will work with regions and states that are ready to assist in expanding bulk milk testing.  

    USDA is working closely with state and private veterinary groups, which include practitioners who will play a vital role in carrying out this effort. USDA plans to first sample milk in bulk at the regional level, with additional testing at the farm level if necessary, until herds in an area are determined to be free of the virus.  USDA will continue to work with state and private veterinarians on the final details of implementation, and will share guidance documents soon. 

    USDA continues to emphasize to farmers nationwide that biosecurity is the best weapon against the spread of H5N1, and farms should practice good biosecurity even if the virus has not been detected in their state or vicinity. Data collected over the past seven months has shown that H5N1 can be transmitted on equipment, people, or other items that move from farm to farm, including between dairies and poultry facilities. USDA’s Federal Order, announced in April 2024, to require testing before cattle movement between states has helped limit the spread of H5N1 to only 14 states, but local and state efforts to enhance biosecurity measures are also important. USDA strongly encourages herd owners to participate in available producer support programs, which help to cover the cost such as biosecurity programming, PPE for employees, and veterinary care.  

    In addition, USDA continues to support the rapid development and timely approval of an H5N1 vaccine for dairy cows, in addition to other species. Two vaccine candidates for use in dairy cows are currently undergoing field trials.  

    USDA has consistently operated on a science-based, step-by-step approach informed by what it learns about this virus through its everyday work, research, and monitoring efforts, and this marks the next step in the escalation of the agency’s response. 

    Today, USDA and the Oregon Department of Agriculture also announced the first detection of H5N1 in swine in the United States, which was detected in a non-commercial farm operation in Oregon. More information that announcement can be found here.

    USDA scientists have worked closely with colleagues at the Centers for Disease Control and Prevention (CDC) and across the country and have not found any recent changes to the virus that increase the risk of transmission from animals to humans or between people. While cases among humans in direct contact with infected animals do continue to occur, partners at the CDC believe that the current risk to the public remains low. 

    As USDA takes additional steps to protect the health of livestock, the Department will continue to work closely with its federal partners at CDC to protect the health of people and FDA to protect the safety of the food supply. These collective, collaborative efforts have helped protect farmworkers and farmers, the health and welfare of livestock animals, and reaffirmed the safety of the nation’s food supply. The U.S. government remains committed to addressing this situation with urgency.  

    To learn more about USDA’s response to HPAI in dairy cattle, visit www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/livestock. 

    MIL OSI USA News

  • MIL-OSI USA: A Proclamation on National Lung Cancer Awareness Month,  2024

    US Senate News:

    Source: The White House
         Too many Americans know the pain of losing a loved one to lung cancer, the leading cause of cancer death in the United States.  During National Lung Cancer Awareness Month, we honor all those living with lung cancer and their loved ones.  We thank the researchers searching for answers and the medical professionals who are working tirelessly to care for those with lung cancer, and we recommit to ending cancer as we know it.
         Although scientists have made incredible breakthroughs that have improved prevention, detection, and treatment for cancer and saved lives, a lung cancer diagnosis can be terrifying.  This year, nearly 250,000 Americans will be diagnosed with the disease.  Treatment can be grueling.  Medical bills can cause concerns for the whole family.  And the flood of medical information directed toward patients and their caretakers can be overwhelming.  Too often, people feel lost and left behind, especially those who are disproportionately impacted by lung cancer — such as Black men, rural residents, and women under 50 years old.
         Cancer is personal to many families, including mine, so I made fighting cancer a top priority in my Administration.  The First Lady and I began by reigniting the Biden Cancer Moonshot, aiming to cut the cancer death rate by at least 50 percent over the next 25 years.  I also secured $4 billion in bipartisan funding and established the Advanced Research Projects Agency for Health to support scientists, innovators, and public health professionals in driving innovation to prevent, detect, and treat cancer and other life-threatening diseases.
         My Administration is also working around the clock to make cancer treatments more affordable and the treatment process more manageable for families.  We have saved millions of families $800 per year on their health insurance premiums by strengthening Medicaid and the Affordable Care Act.  Through my Inflation Reduction Act, we are capping total out-of-pocket prescription drug costs for Medicare beneficiaries at $2,000 per year, including for cancer drugs, which can cost many times that.  And for the first time ever, families fighting cancer can access patient navigation services that are fully paid for through Medicare, Medicaid, and private insurance — helping guide families through the diagnosis and treatment process and offering them much-needed support.
         My Administration is also committed to preventing cancer by tackling another driver of cancer deaths in this country:  smoking.  To ensure that Americans who want to quit have the support they need, the Department of Health and Human Services created a Framework to Support and Accelerate Smoking Cessation, setting goals and strategies to help our communities reduce smoking.  And the Centers for Disease Control and Prevention launched a $15 million program that will help increase awareness about smoking and options for services to help people quit.  For anyone looking to quit smoking, you can find resources at BeTobaccoFree.gov or smokefree.gov or by calling 877-44U-QUIT.
         My Administration is expanding early detection and screening services because an early diagnosis of lung cancer can save lives.  Together, Federal agencies, community health centers, and other partners are providing early detection knowledge and support services to underserved communities.  I encourage all Americans to talk to their doctors about lung cancer symptoms.
         During National Lung Cancer Awareness Month, we strengthen our commitment to standing by all those facing lung cancer and their families, and we ensure they have access to the care they need.  We also rededicate ourselves to spreading awareness about lung cancer and working to end cancer as we know it, in order to save more lives. 
         NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 2024 as National Lung Cancer Awareness Month.  I call upon the people of the United States to speak with their doctors and health care providers to learn more about lung cancer.  I encourage citizens, government agencies, private businesses, nonprofit organizations, the media, and other interested groups to increase awareness about what Americans can do to prevent, detect, and treat lung cancer.
         IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of October, in the year of our Lord two thousand twenty-four, and of the Independence of the United States of America the two hundred and forty-ninth.
                                   JOSEPH R. BIDEN JR.

    MIL OSI USA News

  • MIL-OSI USA: A Proclamation on National Adoption  Month

    US Senate News:

    Source: The White House
         Every child deserves to know the unconditional love of a permanent home.  During National Adoption Month, we honor all the wonderful families that grow through adoption, we remind our foster youth and adoptees that we are right by their side, and we rededicate ourselves to ensuring that every child has the opportunity to reach their full potential.
         More than 100,000 children are in our Nation’s foster care system awaiting the adoption that could offer them familial love, a lasting home, and a stable foundation for them to grow.  That is why I have called on the Congress to make the adoption tax credit fully refundable, lowering the cost of adoption and giving families and legal guardians some breathing room.  I have also called on the Congress to provide housing vouchers to all 20,000 youth exiting foster care annually — a key step in helping them secure stable housing during this difficult transition.  To further support kinship caregivers, the Department of Health and Human Services issued a final rule last year that requires States to provide them with the same level of financial support that other foster parents receive.  My Administration is also working to eliminate barriers LGBTQI+ families face in the adoption process and ensure LGBTQI+ foster youth grow up in safe and loving environments.  And through the expanded Military Parental Leave Program, we are giving service members more time to spend with their families after a child is born, adopted, or placed in their homes for long-term foster care.
         My Administration also remains committed to supporting youth who are aging out of foster care.  Since the beginning of my Administration, the Department of Housing and Urban Development has awarded over $60 million to provide over 4,000 vouchers to foster youth, helping them secure housing as they leave the foster care system.  And my Administration is working to ensure these youth can keep their SNAP benefits without work reporting requirements, easing a difficult transition period.  We have also been working to help foster youth stay in school and graduate, make the successful transition to postsecondary education, train for jobs, pay their bills, and get their lives off to a solid start.
         During National Adoption Month, we celebrate the love shared by adoptive families and professionals across our country.  And we honor the millions of adoptive and kinship families who have welcomed new family members into their loving homes.
         NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 2024 as National Adoption Month.  I encourage all Americans to honor this month by helping the children and youth in their communities secure their forever homes and find the love and connection that they need to thrive.
         IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of October, in the year of our Lord two thousand twenty-four, and of the Independence of the United States of America the two hundred and forty-ninth.
                                 JOSEPH R. BIDEN JR.

    MIL OSI USA News

  • MIL-OSI United Kingdom: expert reaction to study on sugar rationing in utero and early life reducing the risk of chronic disease in adulthood using post-WWII data

    Source: United Kingdom – Executive Government & Departments

    A study published in Science looks at sugar rationing in the first 1000 days of life and the risk of chronic disease in adulthood. 

    Dr Hilda Mulrooney, Reader in Nutrition and Health, London Metropolitan University, said:

    “This is a really interesting and timely paper, given the currently high intakes of sugar in the UK population, and prevalence of chronic disease including Type 2 diabetes and hypertension. 

    “The potential for diet in utero to impact on long-term health risks has long been recognised, and there are a number of plausible mechanisms to explain how these may occur. In this study, the authors used data from what could be considered a natural experiment – rationing in response to World War 2. By comparing individuals exposed and not exposed to sugar rationing in utero and in early childhood, a significant effect was seen. Those exposed to rationing had significantly lower risks of Type 2 diabetes (35% lower) and hypertension (20% lower), compared to those who did not. Early childhood was especially important; only a third of the increase in risk for both type 2 diabetes and hypertension was explained by in utero exposure. This highlights the potential for early childhood diet as a risk factor for chronic disease. Given the high levels of sugar in foods and drinks aimed at toddlers and young children, this is of concern.

    “The study cannot demonstrate causality; it is not possible from this sort of study design. Nonetheless it is a strong study, with several potential confounding factors taken into account and large numbers of participants (38,155 exposed to rationing and 22,028 not exposed to rationing). The groups were similar in relation to gender, race, family history of diabetes and cardiovascular disease (for which hypertension is a strong risk factor), and genetic scores calculated for obesity (which could confound for both type 2 diabetes and hypertension). In addition to sugar intakes immediately and markedly rising after rationing of sugar ended, risk of obesity was also significantly higher in those not exposed to rationing in utero and the first year of life, compared with those who were. 

    “This study inevitably has weaknesses, due to its type and reliance on historical data. Changes to sugar intakes were unlikely to be the only changes that occurred to participants at that time. The authors  took as many factors as they could into account and the message is clear – exposure to high intakes of added sugar in utero and early childhood is a significant risk factor for chronic disease. This suggests that action to reduce the sugar content of foods and drinks aimed at or attractive to children is needed. This  will not entirely reduce the risk, since diet in pregnancy is what enables in utero exposure – so action on all foods and drinks high in added sugar is needed. However this will have to be approached with care – simply replacing sugar with sweeteners will not enable the population to reduce their preference for sweet tastes.”

     

    Jerusa Brignardello, Lecturer in Dietetics & Nutrition, Oxford Brookes University, said:

    Does the press release accurately reflect the science?

    “Yes, the press release is aligned with the conclusions and findings to the study. This press release emphasises in the importance of the sugar restriction during the first 1000 days of life as an early dietary intervention for the reduction of hypertension and diabetes risk.”

    Is this good quality research?  Are the conclusions backed up by solid data?

    “This is an interesting retrospective piece of research that explores the consequences of early of sugar restriction during early life and comparing the effects of sugar consumption in the same age group after the rationing of food was lifted in the post-war UK. However, results should be interpreted with caution, as nutritional environments from the 1950s differ significantly from those of today.

    “The information was obtained from the UK- Biobank with 60183 participants. However, the Biobank cohort is not nationally representative of the population and tend to represent a part of the population that was healthier and wealthy. Nonetheless, the quasi-experimental design of the exposure conditions makes this study very rigorous to study the sugar exposure in humans.”

    How does this work fit with the existing evidence?

    “Current evidence suggests that early exposure to sugar during pregnancy and early life may impact neonatal metabolism, obesity risk, and taste perception, which may later influence food choices and the risk of other chronic diseases. This study supports the findings related to chronic diseases and contributes to the “fetal origins hypothesis” described by British physician and epidemiologist David Baker in the 90s.”

    Have the authors accounted for confounders?  Are there important limitations to be aware of?

    “Yes, the authors have worked on the limitations inherent in studying a cohort like this. It is important to be aware that food environments and dietary patterns in the 50s were very different compared to the current food environment. In addition, lifestyle during those years was not the same as today, and obesity was not considered for statistical purposes as a potential variable to study public health.

    “Therefore, the risk found in the UK-Biobank cohort that was exposed to sugar rationing may be different if that is compared to other populations given the differences in lifestyle, dietary habits, food environment, and obesity prevalence. Consequently, the extrapolation of the results presented in the work of Gracner et al. should be interpreted with caution, for example, if these results will be used to build machine learning models for risk predictions for the current population. However, these results contribute to the “Baker hypothesis” or “Fetal origins hypothesis” showing how a simple nutritional intervention as cutting sugar during this crucial period of pregnancy and early life affect in the reduction of risk of diabetes and hypertension in later life.”

    What are the implications in the real world?  Is there any overspeculation?

    “As mentioned previously, the food environment, lifestyle, and physical activity are very different from those in their 50s. Therefore, the results found in this research should be a call for attention for women in the stages of preconception, pregnancy, and parents of children in early life. In addition, this should reinforce the actions of policymakers for the promotion of low sugar intake during these critical life stages in parents and children. Finally, the food industry should consider reformulating products targeted at these groups in light of the evidence, prioritising the well-being of future generations.

    “I do not believe there is overspeculation in this article, as it has undergone peer review, meaning that multiple academics have evaluated the research, including its methodology, results, discussion, and conclusions.”

     

    Dr Katie Dalrymple Lecturer in Nutritional Sciences, Kings College London said:

    “This study provides further epidemiological evidence which supports the Developmental Origins of Health and Disease (DOHaD) hypothesis. DoHaD suggests that certain environmental influences during critical periods of growth and development during early life may have significant consequences on a child’s long-term health. Given the complexity of this research question, the study relies on observational data and an event study design to draw meaningful conclusions of the relationship between nutrition in early life and the development of chronic diseases. Whilst it is important to consider confounding factors which may have occurred between the exposure and the outcome and potential bias of the Biobank cohort, the results are consistent with existing DoHaD literature, and they support the notion of public health initiatives which focus on sugar reduction.”   

    Amanda Adler, Professor of Diabetic Medicine and Health Policy from the University of Oxford’s Radcliffe Department of Medicine said:

    “The investigators take advantage of the ‘natural experiment’ of post-war food rationing to test the theory that exposure to sugar rationing in utero and in early childhood prevents or delays the onset of type 2 diabetes and hypertension years later.

    “The investigators observed that people conceived during rationing indeed had lower rates of disease when compared to people conceived after rationing ended.

    “But, we still don’t really know if the children less likely to get diabetes later in life were indeed the ones not exposed to sugar in utero or after birth – even in a setting of rationing.

    “It may be that at the same time rationing ended and people consumed more sugar, they also changed other habits becoming, for example, less physically active.  So, this may have influenced in part their risk for diabetes later in life. 

    “It’s intriguing and entirely possible that a lower exposure to sugar in utero via the mother would lead to life-long benefits. 

    “This study is an open invitation to clinical trialist to clarify the ‘right’ levels of sugar to add to the diet for pregnant or lactating women, and for their infants.”

    Exposure to sugar rationing in the first 1000 days of life protected against chronic disease’ by Gracner et al. was published by AAAS in the journal Science at 18:00 UK time on Thursday 31st October.

    DOI: 10.1126/science.adn5421

    Declared interests

    Dr Hilda Mulrooney “In terms of conflicts, I am a committee member of the Obesity Group of the British Dietetic Association, a committee member of the European Specialist Dietitians Network for Obesity and a Council member for Public Health to the Nutrition Society. I am not paid by any of these organisations and not representing them in these comments.”

    Jerusa Brignardello “In 2013 I was awarded scholarships from Kraft Foods to attend to the Young Global Nutrition Leader in the International Unions of Nutrition Societies and International Nutrition Foundation. I worked as International Nutrition Consultant for the World Food Programme at United Nations in the Latin American and Caribbean Bureau between 2013 and 2014 . I have worked in Nutrigenomix which is a company for nutritional genetic testing based in Canada between 2012 and 2017. Also, as a clinical trial coordinator for Nestle Switzerland in 2010 and as consultant for Nestle Chile doing activities related to science communication in gut health topics in 2024. In 2018 I received a funding from the American Egg Board from USA to do research in food biomarkers, while I studied at Imperia College London- UK. I am not aware about significant industry funding in my department at Oxford Brookes University. I do not have any conflicts of interest related to this research for my own research.”

    Dr Katie Dalrymple “I worked for Danone for 4 years (2012-2016) before I did my PhD.”

    Amanda Adler “No conflicts of interest to declare.”

    MIL OSI United Kingdom

  • MIL-OSI Canada: Remarks by the Deputy Prime Minister on protecting reproductive freedom and covering essential health care costs

    Source: Government of Canada News

    Remarks by the Deputy Prime Minister on protecting reproductive freedom and covering essential health care costs

    October 29, 2024 – Ottawa, Ontario

    Check against delivery

    Good afternoon.

    I am going to start by talking about the Canadian economy. I will then discuss measures our government is taking to protect women’s reproductive freedom. And finally, I will provide an update on the Canada Health Transfer.

    Minister Ien will then speak in more detail about how we are protecting women’s reproductive freedom.

    Minister Holland will provide an update on dental care and pharmacare.

    Finally, Minister Duclos will go into greater detail about what today’s announcements mean for Canadians.

    So, let me start by talking just for a minute about the good economic news we have been receiving.

    Inflation was down to 1.6 per cent in September. That is a three-and-a-half year low. It means that for nine months in a row, inflation in Canada has been within the Bank of Canada’s target range.

    Thanks to that good news on inflation, we’ve now seen the Bank of Canada lowering rates four times in a row. The Bank of Canada is now the first central bank in the G7 to cut interest rates four times. I emphasize this because this is really important relief for Canadians and Canadian businesses—it means more money for your household, more money in your pocket, and it means real relief for Canadians who are looking ahead to renewing their mortgage.

    Wages have now outpaced inflation for 20 months in a row and in September, we had good jobs numbers, with 47,000 jobs created.

    Today, 1.4 million more people are working in Canada compared to before the pandemic. That is a 7.1 per cent increase in employment, which is the largest increase of any G7 country. And, in September, unemployment did actually move down to 6.5 per cent.

    The International Monetary Fund (IMF) published its World Economic Outlook last week. That Outlook showed Canada to have lower inflation than the U.S. since 2021 and across other advanced economies since 2022. The World Economic Outlook also projects Canada to have lower inflation than many peer economies going forward.  

    There is a lot more to do, but we are seeing solid progress.

    We know that now is not the time to pull back on support for Canadians. Now is not the time for cuts and austerity. Our government knows that we need to make investments in Canadians so that everyone in our great country has the tools they need to succeed.

    And that brings me to our first announcement.

    Every woman—every Canadian woman—must be free to make her own decisions about her own body. Every woman in Canada must have access to the health care she needs.

    Today, however, there are some anti-choice organizations that use misleading tactics to make it hard for women to make informed choices and to have access to the full range of reproductive care. That undermines a woman’s fundamental right to make her own reproductive decisions.

    What makes this particularly inappropriate is that many of these groups are benefiting from Canada’s tax incentives for charitable donations, which are among the most generous in the world.

    That’s wrong. And that’s why, today, Minister Ien has tabled a Notice of Ways and Means Motion in Parliament to fix this. Minister Ien will speak about her motion and why it matters in a few minutes.

    We are introducing this legislation to ensure that women who are seeking information about their health care options are not misled.

    And we are doing this to ensure that those who mislead Canadian women are not rewarded with subsidies from Canadian taxpayers.

    This announcement builds on other measures our government has taken to improve health care for Canadians, like the Canada Health Transfer.

    This month, our government transferred $4.34 billion for health care to provinces and territories.

    This year alone, provinces and territories are receiving $52.1 billion from the federal government through the Canada Health Transfer.

    That’s the equivalent of $1 billion a week, every week.

    This amount is going to provincial and territorial governments to support them in delivering health care to Canadians, no matter where they live.

    The $52.1 billion for 2024-25 is 62 per cent higher than in 2014-15, when our government was elected.

    This is part of our historic $200 billion,10-year plan to clear backlogs, improve primary care, cut wait times, and deliver the health care that people need and deserve.

    A fair and strong health care system is essential to ensuring fairness for every generation. That’s why the federal government is proud to be doing its part. No matter your age, your income, or your circumstances, every Canadian deserves to know that they will get the care and support they need. 

    Thank you very much.

    MIL OSI Canada News

  • MIL-OSI Canada: Government of Canada to provide an update on the Canadian Dental Care Plan

    Source: Government of Canada News

    The Minister of Citizens’ Services, the Honorable Terry Beech, will provide an update in Vancouver on the Canadian Dental Care Plan and its impact on Canadians.

    The Minister of Citizens’ Services, the Honourable Terry Beech, will provide an update in Vancouver on the Canadian Dental Care Plan and its impact on Canadians.

    Minister Beech will be accompanied by the Member of Parliament for Vancouver Centre, the Honourable Hedy Fry, and the Member of Parliament for Steveston–Richmond East, Parm Bains.

    A photo opportunity and media availability will follow the announcement.

    Please note that all details are subject to change. All times are local.

    Date :     Friday, November 1, 2024

    Time:     11:00 a.m. PDT

    Place :    Vancouver Community College
                    Downtown campus
                    Dental Clinic, Room 340
                    250 West Pender Street
                    Vancouver, British Columbia

    To register, contact media@hrsdc-rhdcc.gc.ca with your name and media outlet before 10:00 a.m. PDT on Friday, November 1, 2024.

    Teodor Gaspar
    Acting Director of Communications
    Office of the Minister of Citizens’ Services
    teodor.gaspar@hrsdc-rhdcc.gc.ca

    Matthew Kronberg
    Press Secretary
    Office of the Honourable Mark Holland
    Minister of Health
    matthew.kronberg@hc-sc.gc.ca

    MIL OSI Canada News

  • MIL-OSI New Zealand: Increased medicines access continues following budget boost

    Source: New Zealand Government

    Associate Health Minister with responsibility for Pharmac David Seymour is pleased to see further increased availability of medicines for Kiwis following the Government’s increased investment in Pharmac.

    “Pharmac operates independently, but it must work within the budget constraints set by the Government,” says Mr Seymour.

    “When this Government assumed office, New Zealanders were facing an uncertain future for medicine access. Pharmac had a $1.7 billion funding hole and had no new money to increase access for medicines.

    “It was a priority for this Government to fix that. We’ve allocated Pharmac its largest ever budget of $6.294 billion over four years, so that it can get on and do its job – negotiating the best deals for medicine for New Zealanders.

    “Tangible results continue to flow from our investment, with new cancer drugs, as well as other medicines, continuing to be made available. The early signs of Pharmac’s redirection remain positive, as expanding opportunities and access for patients and their families continue to be prioritised. 

    “Today is a positive day for cancer patients as access to treatments continue to flow from this government’s $604 million uplift. From today, an estimated 380 patients with metastatic colorectal cancer, located on the left side of the bowel, without genetic mutations, will be able to access cetuximab (branded as Erbitux) funded as a first and second-line treatment, in the first year of funding. 

    “The $604 million will also enable an estimated 120 patients with advanced renal cell carcinoma access to funded nivolumab (branded as Opdivo) as second line treatment in the first year of funding. 

    “Patients with blood and bone marrow cancer will be able to access funded bendamustine and pemetrexed will also be funded for any relevant use. 

    “Also funded from today are medicines for a range of non-cancer health conditions, such as schizophrenia, low iron levels, urinary tract infections, constipation, and severe psoriasis.

    “I’m pleased to see Pharmac’s responsiveness to the voices of patients and their families by expanding access to treatments based on feedback and the consultation process. 

    “This government is committed to a more adaptable and patient-centered approach to medicines access, as evidenced by these funding decisions and my acceptance of Patient Voice Aotearoa’s white paper last week.” 

    Note to editors: Pharmac is an independent Crown entity responsible for deciding which medicines and medical devices are funded in New Zealand. The recent funding uplift from the Government has enabled Pharmac to make these significant changes. Further details about the funding changes will be available on Pharmac’s website and through their communications channels.

    MIL OSI New Zealand News

  • MIL-OSI Global: Sudan’s civil war has left at least 62,000 dead by our estimate − but the true figure could be far higher

    Source: The Conversation – USA – By Sarah Elizabeth Scales, Post-Doctoral Researcher, Department of Environmental, Occupational, and Agricultural Health, University of Nebraska Medical Center

    The ongoing war in Sudan has often been overlooked amid higher-profile conflicts raging across multiple continents. Yet the lack of media and geopolitical attention to this 18-month-long conflict has not made its devastation in terms of human lives any less stark.

    Since fighting broke out in April 2023 between the Sudanese Armed Forces and the paramilitary Rapid Support Forces, both of which had been part of a power-sharing military government, the country has seen the displacement of more than 14 million people and the carving up of the country by geography and ideology.

    And while we may never know the exact death toll, the conflict in Sudan is certainly among the deadliest in the world today.

    As scholars of public health, conflict and human rights and Sudanese-American health workers, we are keenly aware of how fraught it can be to estimate mortality in war for a slew of practical and political reasons. But such estimates are of critical importance: They allow us to understand and compare conflicts, target humanitarian aid for those still at risk, trigger investigations of war crimes, bear witness to conflict and compel states and armed groups to intervene or change.

    The difficult work of counting the dead

    A profound humanitarian crisis is occurring in Sudan, characterized by ethnic cleansing, mass displacement, food scarcity and the spread of disease, complicated further by flooding in the northern states.

    Considering a death toll in such a conflict includes counting not only those who are killed as a direct result of violence – itself a difficult thing to determine in real time – but also those who have died by conflict-exacerbated factors, such as the absence of emergency care, the breakdown of vaccination programs and a lack of essential food and medicine. Estimating this latter death toll, called indirect mortality, presents its own challenge, as the definition itself varies among researchers.

    In congressional testimony, U.S. special envoy to Sudan Tom Perriello recognized the estimation challenges when noting there had been anywhere between 15,000 and 150,000 deaths in Sudan – an exceedingly wide range that was attributable, in part, to the complexity of determining indirect mortality.

    Armed Conflict Location and Event Data (ACLED), a nonprofit specializing in conflict-related data collection, has recorded an average of more than 1,200 direct conflict deaths per month in Sudan, with nearly 19,000 deaths in the first 15 months of the conflict. This figure is similar to the 20,000 deaths estimated by the Sudan Doctors Union and the 19,000 figure used by the Sudan Protection Cluster, a centralized group of U.N. agencies and NGOs that used World Health Organization data.

    ACLED sources its estimates of deaths from traditional media, reports from international NGOs and local observers, supplemented by new media such as verified Telegram and WhatsApp accounts. The Sudan Doctors Union, on the other hand, gives on-the-ground estimates of conflict deaths.

    When available, distinct data sources such as surveys, civil registers and official body counts can make an estimation more accurate. However, this data is often available only in retrospect, after the cessation of conflict. It is therefore critical to use both the available data and precedents from previous conflicts to capture a reasonable estimate of the human costs of an ongoing conflict.

    Internally displaced Sudanese children in Port Sudan, Sudan, on Jan. 3, 2024.
    Omer Erdem/Anadolu via Getty Images

    A 2010 article in The Lancet estimated that there are 2.3 indirect deaths for every direct conflict death, based on data from 24 small-scale surveys conducted in Darfur from 2003 to 2005. As such, using ACLED’s data of 18,916 direct deaths, we estimate that in the current Sudan conflict, there are an additional 43,507 indirect deaths – or more than 62,000 total deaths.

    We believe our estimate is very conservative. When estimating mortality in the ongoing conflict in Gaza, a different group of scholars, also writing in The Lancet, used a multiplier of four indirect deaths for every direct death to estimate the overall mortality there.

    Meanwhile, a report from the Geneva Declaration Secretariat showed an average of 5.8 indirect deaths for every direct death across 13 armed conflicts from 1974 to 2007.

    Using that latter multiplier, the number of indirect deaths in Sudan would jump to nearly 110,000 – meaning the total deaths in the region amount to 130,000 – double our estimate.

    This range is wide, but it acknowledges how difficult it can be to estimate indirect deaths and how they can vary significantly with the shape of a conflict.

    The Sudanese conflict in context

    For all the tremendous loss of life these numbers reflect, they surely underestimate the true human costs of the conflict.

    Sudan already had a fragile and underfunded health system before the fighting started. And compared with other ongoing conflicts such as in Gaza and Ukraine, there was already a more precarious baseline, with higher child mortality and lower life expectancy.

    Since the war in Sudan began, there have been consistent reports of mass killings, forced disappearances, sexual violence, deliberate blocking of food and medicine, and other forms of violence against civilians.

    Much of the violence is ethnically targeted, and the Darfur region – where a full-scale famine has been declared – has suffered disproportionately.

    The destruction of civilian infrastructure and interrupted aid mechanisms are preventing medicine, food, clean water and vaccinations from getting to in-need populations.

    Health care workers and facilities, not only in at-risk Darfur but also throughout the country, have been the target of attacks. Nearly 80% of medical facilities have been rendered inoperable. And at least 58 physicians have been killed, in addition to the many that were targeted in previous crises.

    Given the persistent targeting of health care systems and restricted access to humanitarian corridors, indirect deaths in Sudan are likely to grow as hospitals shut down, even in the capital Khartoum, due to bombardments, ground attacks and a lack of critical supplies.

    The costs for Sudanese children are especially alarming. Thirteen children die per day in Zamzam camp in North Darfur, according to Doctors Without Borders, mostly due to undernutrition and food scarcity.

    And nearly 800,000 Sudanese children will face severe, acute malnutrition through 2024, a condition that requires intensive care and supplemental nutrition merely to prevent death. Even before the conflict, children were severely threatened by a lack of access to care, including basic preventive care such as early immunization.

    Finally, the transmission of communicable diseases thrives in conflicts like the one in Sudan, where there has been widespread population displacement, malnutrition, limited water and sanitation, and lack of appropriate sheltering. In August, a cholera outbreak led to a spiking death rate of more than 31 deaths per 1,000 cholera cases. And instances of such disease effects are likely underestimates in a country lacking health care penetration and monitoring.

    The limitations of estimations

    The massive internal displacement of more than 14 million people in Sudan complicates the estimation of death tolls, as shifting populations make establishing baselines nearly impossible.

    Moreover, there is typically a dearth of official information collected and released during conflicts.

    So establishing a concrete estimate of the true impact of armed conflict often comes after the cessation of hostilities, when expert teams are able to conduct field studies.

    Even then, estimates will require assumptions about direct deaths, indirect-to-direct death ratio and the quality of existing data.

    But as scholars working at the intersection of public health and human rights, we believe such work, however imperfect, is necessary for the documentation of conflict – and its future prevention. And while there are many current global conflicts that require our urgent attention, the conflict in Sudan must not be lost in the mix.

    _Editor’s note: Israa Hassan, a physical medicine and rehabilitation resident at Texas Rehabilitation Hospital-Fort Worth and advocacy director at the Sudanese American Physicians Association, contributed to this article.

    Rohini J Haar receives funding from FCDO.

    Blake Erhardt-Ohren, Debarati Guha Sapir, Khidir Dalouk, and Sarah Elizabeth Scales do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. Sudan’s civil war has left at least 62,000 dead by our estimate − but the true figure could be far higher – https://theconversation.com/sudans-civil-war-has-left-at-least-62-000-dead-by-our-estimate-but-the-true-figure-could-be-far-higher-242073

    MIL OSI – Global Reports

  • MIL-OSI USA: Through Medical Education UConn Professor Helps Maintain Normalcy in War-Torn Ukraine

    Source: US State of Connecticut

    This fall in Lviv, Ukraine for three days over 250 Ukrainian health care professionals gathered together for a medical conference to take a master class in radiology and participate in hands-on training workshops.

    The conference held Sept. 25-27 was co-chaired by UConn School of Medicine professor and chair of Diagnostic Imaging & Therapeutics Dr. Leo Wolansky who also delivered several lectures.

    Dr. Leo Wolansky.

    “I am so impressed with the spirit of the Ukrainian people. They insist on keeping their lives normal. Hopefully, our resuming our in-person conference series, now in its twenty-eighth year, contributed a little bit to that normalcy,” says Wolansky.

    The three-day conference was also co-chaired by Dr.  Tetyana Yalynska. It was organized by Friends Of Radiology in Ukraine (FORUkraine), the Ukrainian Medical Association of North America (UMANA), and the Association of Radiologists of Ukraine (ARU), and was hosted by the First Territorial Medical Association of Lviv. Additional sponsorship came from Rotary, St. Paraskeva’s, Azaris, Ulrich, and Guerbet.

    This year’s event carries forward the FORUkraine conference series founded by Wolansky in 1996 at the Lviv Medical University (the Lviv Medical Institute). Since its inception, the conference series has been innovative using state-of-the-art education as a tool to promote the Ukrainian language. The purpose of the program is to teach Ukrainian-language based, state-of-the-art Diagnostic Imaging (Radiology).

    The long-standing in-person conference was interrupted for the last five years due to the COVID-19 crisis and followed by the war in Ukraine. Starting in 1998, Dr. Yuriy Ivaniv, head of post-graduate imaging education for the Lviv Oblast co-chaired the conferences with Wolansky and renamed it “Practical Questions in Contemporary Clinical Imaging.”  The conference series continued every one or two years from then till 2019 when the program joined forces with the ARU and the American Society of Neuroradiology and held a combined conference with the Ukrainian Congress of Radiology, with ARU President Yalynska co-chairing with Wolansky. This took place in Kyiv and Irpin, the only time the program deviated from its home in Lviv.

    Despite the war, several international imaging experts attended the event in-person in Ukraine to lecture. One of these was Dr. John (Ivan) Kachura, an Interventional Radiologist and professor of Medical Imaging at University of Toronto, who stated that he was impressed by the knowledge of Ukraine’s radiologists, but especially by their tremendous interest in the presented material. Also onsite was Dr. Andrew Dobrotwir, consultant radiologist from Melbourne, Australia, who lectured and also ran a hands-on workshop on Point Of Care Ultrasound (POCUS). Dobrotwir was accompanied by his sister-in-law, Teresa Lachowicz, who spoke at the conference about humanitarian work that she and Dobrotwir were carrying out including donations of POCUS equipment.

    Several international lecturers also virtually presented for the conference including Laura Oleaga, Amy Juliano, Diana Kaya, Andrew Loginsky, and Ivan Wolansky. In addition, virtual presentations came from UConn’s Jill Wruble, Sarah LaPierre, and Racquel Helsing. Several Ukrainian physicians also presented at the conference, including Nataliya Deresh, Igor Ivaniv, and others.

    Nataliya Motrynets, medical director of the host institution, presented about the hospital’s accomplishments, and also gave the faculty a tour of the facilities where many soldiers who have lost limbs in the war are being rehabilitated with cutting-edge prostheses.

    For Wolansky, a semiprofessional musician, a highlight of his trip to Ukraine was when he and his wife, Maria, met Dudaryk, Lviv’s internationally renowned boys choir, at Mass on the last day of the trip. The children’s choir had performed the refrain for Wolansky’s recent music video, helping draw attention to the plight of Ukraine’s children.

    Wolansky added, “Despite air alerts driving conference participants into the bomb shelter on two occasions, these brave Ukrainians insist that normal life must go on!”

    MIL OSI USA News

  • MIL-Evening Report: From eye exams to blood tests and surgery: how doctors use light to diagnose disease

    Source: The Conversation (Au and NZ) – By Matthew Griffith, Associate Professor and ARC Future Fellow and Director, UniSA Microscopy and Microanalysis Facilities, University of South Australia

    megaflopp/Shutterstock

    This is the next article in our ‘Light and health’ series, where we look at how light affects our physical and mental health in sometimes surprising ways. Read other articles in the series.


    You’re not feeling well. You’ve had a pounding headache all week, dizzy spells and have vomited up your past few meals.

    You visit your GP to get some answers and sit while they shine a light in your eyes, order a blood test and request some medical imaging.

    Everything your GP just did relies on light. These are just some of the optical technologies that have had an enormous impact in how we diagnose disease.

    1. On-the-spot tests

    Point-of-care diagnostics allow doctors to test patients on the spot and get answers in minutes, rather than sending samples to a lab for analysis.

    The “flashlight” your GP uses to view the inside of your eye (known as an ophthalmoscope) is a great example. This allows doctors to detect abnormal blood flow in the eye, deformations of the cornea (the outermost clear layer of the eye), or swollen optical discs (a round section at the back of the eye where the nerve link to the brain begins). Swollen discs are a sign of elevated pressure inside your head (or in the worst case, a brain tumour) that could be causing your headaches.

    The invention of lasers and LEDs has enabled many other miniaturised technologies to be provided at the bedside or clinic rather than in the lab.

    Pulse oximetry is a famous example, where a clip attached to your finger reports how well your blood is oxygenated. It does this by measuring the different responses of oxygenated and de-oxygenated blood to different colours of light.

    Pulse oximetry is used at hospitals (and sometimes at home) to monitor your respiratory and heart health. In hospitals, it is also a valuable tool for detecting heart defects in babies.

    See that clip on the patient’s finger? That’s a pulse oximeter, which relies on light to monitor respiratory and heart health.
    CGN089/Shutterstock

    2. Looking at molecules

    Now, back to that blood test. Analysing a small amount of your blood can diagnose many different diseases.

    A machine called an automated “full blood count analyser” tests for general markers of your health. This machine directs focused beams of light through blood samples held in small glass tubes. It counts the number of blood cells, determines their specific type, and reports the level of haemoglobin (the protein in red blood cells that distributes oxygen around your body). In minutes, this machine can provide a snapshot of your overall health.

    For more specific disease markers, blood serum is separated from the heavier cells by spinning in a rotating instrument called a centrifuge. The serum is then exposed to special chemical stains and enzyme assays that change colour depending on whether specific molecules, which may be the sign of a disease, are present.

    These colour changes can’t be detected with the naked eye. However, a light beam from an instrument called a spectrometer can detect tiny amounts of these substances in the blood and determine if the biomarkers for diseases are present, and at what levels.

    Light shines through the blood sample and tells us whether biomarkers for disease are present.
    angellodeco/Shutterstock

    3. Medical imaging

    Let’s re-visit those medical images your GP ordered. The development of fibre-optic technology, made famous for transforming high-speed digital communications (such as the NBN), allows light to get inside the body. The result? High-resolution optical imaging.

    A common example is an endoscope, where fibres with a tiny camera on the end are inserted into the body’s natural openings (such as your mouth or anus) to examine your gut or respiratory tracts.

    Surgeons can insert the same technology through tiny cuts to view the inside of the body on a video screen during laparoscopic surgery (also known as keyhole surgery) to diagnose and treat disease.

    Doctors can insert this flexible fibre-optic tube with a camera on the end into your body.
    Eduard Valentinov/Shutterstock

    How about the future?

    Progress in nanotechnology and a better understanding of the interactions of light with our tissues are leading to new light-based tools to help diagnose disease. These include:

    • nanomaterials (materials on an extremely small scale, many thousands of times smaller than the width of a human hair). These are being used in next-generation sensors and new diagnostic tests

    • wearable optical biosensors the size of your fingernail can be included in devices such as watches, contact lenses or finger wraps. These devices allow non-invasive measurements of sweat, tears and saliva, in real time

    • AI tools to analyse how blood serum scatters infrared light. This has allowed researchers to build a comprehensive database of scatter patterns to detect any cancer

    • a type of non-invasive imaging called optical coherence tomography for more detailed imaging of the eye, heart and skin

    • fibre optic technology to deliver a tiny microscope into the body on the tip of a needle.

    So the next time you’re at the GP and they perform (or order) some tests, chances are that at least one of those tests depend on light to help diagnose disease.

    Matthew Griffith receives funding from the National Health and Medical Research Council and the Australian Research council.

    ref. From eye exams to blood tests and surgery: how doctors use light to diagnose disease – https://theconversation.com/from-eye-exams-to-blood-tests-and-surgery-how-doctors-use-light-to-diagnose-disease-231379

    MIL OSI AnalysisEveningReport.nz

  • MIL-Evening Report: New data on violence against LGBTQ+ people makes ‘grim reading’ – and undermines NZ’s inclusive reputation

    Source: The Conversation (Au and NZ) – By Alexander Plum, Senior Research Fellow, Auckland University of Technology

    New Zealand is ranked the tenth most inclusive society by international legal standards, with a reputation for being forward-thinking and progressive – especially when it comes to the rights of sexually and gender-diverse individuals.

    But recent high-profile hate crimes against the LGBTQ+ community suggest we may not be as progressive as our global reputation suggests.

    The painting over of rainbow pedestrian crossings in Gisborne and Auckland might seem like comparatively minor crimes. But they highlight the insidious – and increasingly overt – nature of prejudice against the rainbow community.

    A major concern for members of this community is how easily this kind of prejudice spills over into criminal acts against them. And there are indications of a concerning trend. The number of reported hate crimes against transgender people rose by 42% between 2022 and 2023.

    This is backed by overseas research. According to a study from the United States, gay/lesbian and bisexual individuals are significantly more likely to be victims of violence than heterosexual men and women.

    But how do rates of violence and crime faced by LGBTQ+ individuals here compare to the general population in New Zealand? For the first time, our new research sheds light on crime victimisation rates among the LGBTQ+ population in New Zealand. It’s grim reading.

    High rates of crime victimisation

    Our research used data from the New Zealand Crime and Victims Survey (NZCVS).

    The NZCVS surveyed approximately 32,000 New Zealanders between 2018 to 2022. Participants were asked about their experiences with crime. The survey collected information on reported and non-reported offences, and asked the participants about their socio-demographic characteristics, including sexual orientation and gender identity.

    LGBTQ+ individuals include those whose sexual orientation is
    gay/lesbian, bisexual, or other, or when being gender diverse or when gender identity and biological sex differ (also called transgender).

    We found LGBTQ+ individuals were much more likely to be victims of crime than non-LGBTQ+ individuals.

    Almost half of LGBTQ+ respondents (46%) reported being a victim of at least one crime in the previous year, compared to a third of non-LGBTQ+ people (31%).




    Read more:
    NZ’s hate speech proposals need more detail and wider debate before they become law


    Members of the LGBTQ+ community were also much more likely to be a victim of crime more than once. According to the survey, approximately 22% of LGBTQ+ individuals experienced more than one victimisation in the previous year, compared with 11% of non-LGBTQ+ individuals.

    Two groups stood out in particular: bisexual individuals and transgender/gender-diverse people.

    One potential explanation for the crime rates against LGBTQ+ people is that they have higher-than-average risk factors that are unrelated to their sexual orientation or gender identity. For example, they are younger and have lower incomes on average.

    But our research refutes this explanation. Even after accounting for these other risk factors, the crime victimisation rates among LGBTQ+ individuals were much higher than among non-LGBTQ+ individuals.

    Motivating factors

    The NZCVS also collected information on the perceived motivation behind the crime. Response options included sexual orientation, sex or general discrimination.

    We found LGBTQ+ individuals were more likely to say the perceived reason for crime was their sexual orientation or their sex compared to non-LGBTQ+ individuals.

    The consequences of these offences were also more severe for LGBTQ+ individuals.

    They were more likely to suffer from physical injuries or need time off work. They were also more likely to feel less noticeable effects of the violence: lower life satisfaction and a greater sense of feeling unsafe.

    Living up to NZ’s inclusive reputation

    In the long term, understanding how victimisation affects LGBTQ+ individuals can help shape policies that are better tailored to prevent crime and support victims. This includes building greater awareness and knowledge in the sexual and family violence sectors to prevent and support affected rainbow communities.

    But until that happens, crime victimisation continues to disproportionately affect LGBTQ+ individuals. New Zealand needs to do something to close that gap.

    Our research highlights a serious gap between how New Zealand is perceived on the global stage (safe and inclusive), and the reality of life for our LGBTQ+ community (increasingly unsafe and threatened by intolerance).

    New Zealand’s laws must ensure crimes against people based on their sexual orientation and gender identity will not be tolerated. The ongoing review of the Human Rights Act is a step in the right direction but more needs to be done to explicitly protect trans, non-binary and intersex people against discrimination.


    The authors want to thank Tabby Besley for her feedback. Tabby is the managing director at InsideOut, which provides resources, workshops, consulting, advocacy and support for anything concerning rainbow communities


    Alexander Plum receives funding from the Ministry of Justice.

    Lee Zhuge receives funding from The Ministry of Justice of New Zealand.

    ref. New data on violence against LGBTQ+ people makes ‘grim reading’ – and undermines NZ’s inclusive reputation – https://theconversation.com/new-data-on-violence-against-lgbtq-people-makes-grim-reading-and-undermines-nzs-inclusive-reputation-239706

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI United Kingdom: Joint Statement on Behalf of Council Leader, Raymond Bremner, Convener, Bill Lobban and Leader of the Opposition, Alasdair Christie.

    Source: Scotland – Highland Council

    ‘Today Highland Council took an important step forward in its plans to sustain care provision in the Lochaber Area. In a confidential paper to council, various options were considered that could ensure that there is minimum disruption to residents of Moss Park Nursing Home.

    While there are a lot of sensitive matters still to deal with and no guarantees at this stage, there is now hope that a solution can be found by the partnership between Highland Council and NHS Highland.

    As there are still so many issues remaining unresolved, NHS Highland’s core team and its partners will continue to ensure that everyone is focused on the best interests and well-being of all residents.

    Further communications regarding progress on this important matter will be provided in due course, with communications with residents and families being our key priority.’

    31 Oct 2024

    MIL OSI United Kingdom

  • MIL-OSI United Kingdom: Lochaber Care Provision 

    Source: Scotland – Highland Council

    Members considered a report on Lochaber Care Provision at the meeting of the Highland Council on 31 October. 

    HC-One informed NHS Highland of their intention to close Moss Park Care Home on the 18 September 2024. A contractually standard notice period of 13 weeks was given.  

    Since that announcement, NHS Highland and The Highland Council have been working together to identify a solution to support the continuation of care in the area.  

    Work is ongoing at present to find an alternative solution to this closure, but in the interests of the welfare of residents, and with no such process concluded at this stage, the core team are actively planning, as a contingency, for the relocation of all residents. 

    Chair of the Council’s Health and Social Care Committee, Cllr David Fraser said: “We understand that this is a worrying time for residents, relatives and all involved, while we continue to pursue potential solutions for Mosspark residents.  

    “This is a challenging situation. Across Highland, our focus remains on working with NHS Highland in reducing delayed discharges and accelerating our work towards a new care model which would support people to live more independently for longer in their own communities and shifting the balance of care from acute to sustainable community provision.” 

    Further updates will be provided to all residents, staff, stakeholders, including the local community, once we have further information and progress will be reported to the Health, Social Care and Wellbeing Committee. 

    The report was discussed in private session due to the nature of sensitive and confidential information contained in the report. 

    MIL OSI United Kingdom

  • MIL-OSI USA: H.R. 5012, SHINE for Autumn Act of 2023

    Source: US Congressional Budget Office

    H.R. 5012 would authorize several activities of the Department of Health and Human Services (HHS) related to research on stillbirths. Specifically, the bill would authorize $6 million annually over the 2024-2028 period for HHS to make grants to states to conduct surveillance and collect data on the incidence of and risk factors for stillbirths. The bill would direct HHS to issue guidelines for that data collection. The bill also would authorize $3 million annually over the same period to establish a fellowship program that would provide training in perinatal autopsy pathology; fund research on data collection from fetal autopsies; and address challenges in education, research, and data collection concerning stillbirths. Finally, H.R. 5012 would require HHS to report to the Congress on the fellowship program’s progress and effectiveness. 

    MIL OSI USA News

  • MIL-OSI Europe: Highlights – Confirmation hearing of EU Commissioner-designate Olivér Várhelyi – Committee on the Environment, Public Health and Food Safety

    Source: European Parliament

    Olivér Várhelyi_0.png © European Commission

    On 6 November, the confirmation hearing of Commissioner-designate for Health and Animal Welfare, Olivér Várhelyi (Hungary) will take place.

    The confirmation hearing will be led jointly by the ENVI and AGRI Committees. ITRE Committee and SANT sub-Committee are also invited. The hearing is expected to last three hours from 18.30 to 21.30. As regards the topics in the remit of the ENVI Committee and following his replies to the written questions, the Commissioner-designate is expected to be further questioned on public health, in on the pharmaceutical reform, the access to medicinal products, EU research and competitiveness, and the fight against AMR. The Commissioner designate will also tackle food safety issues, such as the use of pesticides, animal diseases and food labelling, as well as issues related to animal welfare which are also under his portfolio. The confirmation hearing will be the basis for the coordinators of the committees responsible to assess whether the Commissioner-designate is qualified both to be a member of the College of Commissioners and to carry out the specific tasks assigned to him.

    MIL OSI Europe News

  • MIL-OSI Europe: Federal Councillor Baume-Schneider attends G20 Health Ministers’ Meeting in Brazil

    Source: Switzerland – Federal Administration in English

    Federal Councillor Elisabeth Baume-Schneider took part in the G20 Health Ministers’ Meeting in Rio de Janeiro today. Federal Councillor Baume-Schneider also represented Switzerland at the G20’s Joint Ministerial Meeting on Finance and Health. The meetings’ discussions focused in particular on the resilience of healthcare systems and on ensuring equitable access to medical products. The Head of the Federal Department of Home Affairs (FDHA) also took the opportunity to conduct bilateral discussions with several of her international counterparts. She will continue her stay in Brazil with a working visit devoted to both health and cultural issues between now and Saturday 2 November.

    MIL OSI Europe News

  • MIL-OSI Europe: Written question – Placing Ryplazim on the market in Europe – E-002234/2024

    Source: European Parliament

    23.10.2024

    Question for written answer  E-002234/2024
    to the Commission
    Rule 144
    Chiara Gemma (ECR), Sergio Berlato (ECR), Stefano Cavedagna (ECR), Alessandro Ciriani (ECR), Giovanni Crosetto (ECR), Elena Donazzan (ECR), Carlo Fidanza (ECR), Pietro Fiocchi (ECR), Alberico Gambino (ECR), Paolo Inselvini (ECR), Lara Magoni (ECR), Mario Mantovani (ECR), Giuseppe Milazzo (ECR), Denis Nesci (ECR), Michele Picaro (ECR), Daniele Polato (ECR), Nicola Procaccini (ECR), Ruggero Razza (ECR), Antonella Sberna (ECR), Marco Squarta (ECR), Francesco Torselli (ECR), Francesco Ventola (ECR), Mariateresa Vivaldini (ECR)

    Severe hypoplasminogenemia (HPG), or plasminogen deficiency type 1(PLGD-1) is a rare systemic disease characterised by abnormal extracellular fibrinolysis. It affects 0.02 in 10 000 people in the EU, usually manifesting in early childhood.

    There exists only one effective treatment, now available in the form of Ryplazim, an experimental drug already approved in 2019 by the US Food and Drug Administration and available on the American market since May 2024.

    The medicine was so successful that the manufacturer Kedrion received the prestigious Industry Innovation Award from the American National Organization for Rare Diseases (NORD).

    However, the adoption of Ryplazim has not yet been authorised by the European Medicines Agency (EMA), which in 2015 granted orphan designation to ProMetic BioTherapeutics Ltd for human plasminogen with opinion EU/3/15/1511.

    Not having the possibility of using Ryplazim in national healthcare systems means outdated therapies will be used instead.

    In view of the above:

    • 1.Was the Commission aware of this situation?
    • 2.What concrete steps does the Commission intend to take with regard to the EMA in order to ensure that people suffering from severe hypoplasminogenemia have safe access to life-saving medicines at the dosage necessary for treatment, even if experimental?

    Submitted: 23.10.2024

    MIL OSI Europe News

  • MIL-OSI Europe: Highlights – Joint ENVI-AGRI Confirmation hearing of EU Commissioner-designate Olivér Várhelyi – Committee on the Environment, Public Health and Food Safety

    Source: European Parliament

    Olivér Várhelyi_0.png © European Commission

    On 6 November, the confirmation hearing of Commissioner-designate for Health and Animal Welfare, Olivér Várhelyi (Hungary) will take place.

    The confirmation hearing will be led jointly by the ENVI and AGRI Committees. ITRE Committee and SANT sub-Committee are also invited. The hearing is expected to last three hours from 18.30 to 21.30. As regards the topics in the remit of the ENVI Committee and following his replies to the written questions, the Commissioner-designate is expected to be further questioned on public health, in on the pharmaceutical reform, the access to medicinal products, EU research and competitiveness, and the fight against AMR. The Commissioner designate will also tackle food safety issues, such as the use of pesticides, animal diseases and food labelling, as well as issues related to animal welfare which are also under his portfolio. The confirmation hearing will be the basis for the coordinators of the committees responsible to assess whether the Commissioner-designate is qualified both to be a member of the College of Commissioners and to carry out the specific tasks assigned to him.

    MIL OSI Europe News

  • MIL-OSI USA: Congressman Dan Goldman Pushes Coverage for Life-Saving Breast Cancer Screenings in All Health Insurance Plans

    Source: United States House of Representatives – Congressman Dan Goldman (NY-10)

    ‘Find it Early Act’ Would Require Insurance Providers to Cover Breast Cancer Detection Screenings at No Cost to Patients

     

    99 Percent of Women Who Receive Early Breast Cancer Diagnosis Survive

     

    Read the Bill Here

    Washington, DC – Congressman Dan Goldman (NY-10) joined Congresswoman Rosa DeLauro (CT-03) and Congressman Brian Fitzpatrick (PA-01) in introducing the bipartisan ‘Find it Early Act,’ which would ensure all health insurance plans cover screening and diagnostic breast imaging, including mammograms, ultrasounds, MRI’s, molecular imaging, and other technologies, with no cost-sharing.

    “For the over 250,000 American women diagnosed with breast cancer each year, new breast cancer detection technology can mean the difference between life or death,” Congressman Dan Goldman said. “The earlier a cancer is detected, the easier it is to beat. No one should be forced to pay out-of-pocket for these lifesaving screenings. During Breast Cancer Awareness Month, I am proud to join this bipartisan effort to improve access and coverage for breast cancer preventative care to save lives and reduce overall medical costs.”

    When women’s breast density, family history, or other factors require doctors to take additional breast cancer screens, the majority of women are forced to shoulder those costs out of pocket, potentially costing them over $1000. As a result, many women cannot afford screenings and choose to delay or forego additional tests, which can lead to later-stage diagnoses. The ‘Find It Early Act’ would ensure all health insurance plans cover screening, diagnostic mammograms, breast ultrasounds, and MRIs with no out-of-pocket costs. 

    Congressman Goldman is committed to expanding health care access in America.

    In May 2024, Goldman introduced the ‘Michelle Alyssa Go Act,’ which would expand access to psychiatric care by increasing the number of federal Medicaid-eligible in-patient psychiatric beds for individuals seeking treatment for mental health and substance use disorders. The legislation would additionally ensure the facilities ordering these beds meet nationally recognized, evidence-based standards of care.
    Additionally, Goldman cosponsored the ‘Reentry Act’ to empower states to restore access to health care for incarcerated individuals 30 days before their release. Restarting Medicaid benefits 30 days pre-release eases the ability of states to provide effective addiction treatment and services, allows for smoother transitions to community care, and reduces the risk of overdose deaths post-release.

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    MIL OSI USA News

  • MIL-OSI United Nations: Experts of the Committee against Torture Welcome Namibia’s Commitment to the Mandela and Bangkok Rules, Ask about Harmful Traditional Practices and Lengthy Pretrial Detention Periods

    Source: United Nations – Geneva

    The Committee against Torture today concluded its consideration of the third periodic report of Namibia, with Committee Experts welcoming the State’s commitment to the Nelson Mandela and Bangkok Rules, international norms on the treatment of prisoners, and raising questions about harmful traditional practices and lengthy pretrial detention periods.

    Erdogan Iscan, Country Rapporteur and Committee Expert, welcomed the commitment of the State party to complying with the Nelson Mandela Rules and the Bangkok Rules.

    Mr. Iscan raised the issue of traditional practices that were harmful to women and girls, including the ritual of Olufuko, which involved child marriage and sexual initiation rites.  Had the State party made progress in terms of awareness-raising as well as eliminating such practices?  What further steps had been taken to prevent and criminalise the practice of forced sterilisation?

    Jorge Contesse, Country Rapporteur and Committee Expert, said pretrial detention seemed to routinely exceed legal limits, with above 50 per cent of the prison population awaiting trial.  The low usage of alternatives to detention and an unaffordable bail system seemed to be contributing to the large backlog of cases of pretrial detainees.  What measures had been adopted to address these challenges?

    Introducing the report, Yvonne Dausab, Minister of Justice of Namibia and head of the delegation, said the Namibian correctional service included human rights instruments, including the Nelson Mandela Rules, in the curriculum at its Training College.  The service had undertaken measures to renovate all the country’s correctional facilities with the aim of improving the living conditions of offenders.

    Ms. Dausab said the Government continued to conduct awareness campaigns targeting traditional and religious leaders on positive gender roles and the elimination of harmful cultural practices.  The Childcare and Protection Act 2015 had measures to protect children from harmful cultural and religious practices, strictly prohibiting child marriage in all setups.

    The delegation said Olufuko had taken on a more cultural image and profile, as opposed to a platform for sexual initiation and child marriage.  That may have been the case in the past, but this had changed over the past 10 to 15 years.  Namibia had taken steps to ensure that acts of enforced sterilisation of individuals were not carried out.

    Pretrial detention could run for any time between six to 12 months, the delegation said, and courts could decide to withdraw charges before the six-month period based on available evidence.  The State party was working to strengthen community courts and establish small claims courts to address overcrowding in prisons and holding cells. Since the report was sent, there had also been parole releases and the President had pardoned some persons.

    In closing remarks, Claude Heller, Committee Chair, said that the Committee understood that the political context in Namibia was difficult.  The Committee would make efforts to provide the State party with relevant and achievable recommendations within its concluding observations.  The Committee was interested in maintaining an open dialogue with the State party through its follow-up mechanism.

    In her concluding remarks, Ms. Dausab said Namibia was committed to addressing all forms of torture and other cruel, inhuman or degrading treatment.  More needed to be done to prevent torture, including the enactment of specific legislation criminalising it.  The Committee’s recommendations would help to enhance mechanisms to prevent torture.

    The delegation of Namibia consisted of representatives from the Ministry of Justice; Ministry of Home Affairs, Immigration, Safety and Security; Namibia Correctional Service; and the Permanent Mission of Namibia to the United Nations Office at Geneva.

    The Committee will issue concluding observations on the report of Namibia at the end of its eighty-first session on 22 November.  Those, and other documents relating to the Committee’s work, including reports submitted by States parties, will be available on the session’s webpage.  Summaries of the public meetings of the Committee can be found here, and webcasts of the public meetings can be found here.

    The Committee will next meet in public on Tuesday, 5 November at 10 a.m. to begin its examination of the second periodic report of Thailand (CAT/C/THA/2).

    Report

    The Committee has before it the third periodic report of Namibia (CAT/C/NAM/3).

    Presentation of Report

    YVONNE DAUSAB, Minister of Justice of Namibia and head of the delegation, said

    Namibia had suffered a great loss at the beginning of the year when the third President, Dr. Hage Gottfried Geingob, a strong champion of human rights, passed away on 4 February 2024.  He was greatly missed.  Additionally, Namibia was currently going through a devastating drought which had impacted food security and economic development; the Government was navigating this climate-related crisis with the assistance of developmental partners. Namibia offered a sincere apology for the non-submission of the written responses to the list of issues.

    The torture bill remained under consideration following deliberations in the National Assembly.  The Convention was directly applicable and enforceable in Namibia without the ‘domestic’ legislation.  Article 144 had been used by Namibian courts which had cited United Nations Conventions in their judgments, making their provisions applicable directly in Namibia. The Namibian Constitution prohibited torture as well cruel, inhuman or degrading treatment or punishment, and the Criminal Procedure Act of 1977 criminalised murder as well as assault, including assault with intent to cause grievous bodily harm. 

    Members of the police force, correctional service and defence force accused of using excessive force were investigated under internal complaints units and those found to have acted outside the scope of what was reasonable in the circumstances were subjected to prosecution.  The Government had also been ordered to pay damages to complainants and their families in civil matters brought due to allegations of assault or use of excessive force by law enforcement officers. 

    The Namibian Constitution prohibited arbitrary arrest or detention and required that an arrested person be brought before a court within 48 hours after the arrest.  All police officials were trained and required to inform an accused person upon arrest of their rights, reasons for their arrest, and charges against them.  The Directorate of Legal Aid within the Ministry of Justice had appointed 69 in-house lawyers across the country to represent members of society who could not afford legal representation. 

    The Government had enhanced the independence of the Ombudsman by reforming the current Ombudsman Act 1990 to make provision for the Ombudsman’s Office to be established as a separate agency in the public service, with its own budget and accounting officer.  The Office of the Ombudsman had launched a training manual against torture for law enforcement agencies, and visited and inspected places of detention, police holding cells, and correctional facilities to monitor human rights compliance.

    Namibia continued to be marred by incidents of gender-based and sexual violence, including online child sexual exploitation.  The Government had developed a national plan of action on gender-based violence 2019-2023 to address the root causes and provide a well-coordinated approach to the prevention, response, monitoring and evaluation of gender-based violence initiatives.  Additionally, Namibia had established special courts for gender-based violence offences country-wide to provide a victim-friendly environment. 

    The Government continued to conduct awareness campaigns targeting traditional and religious leaders on positive gender roles and the elimination of harmful cultural practices.  Namibia had developed and implemented a national plan of action to address violence against children.  The Childcare and Protection Act 2015 had measures to protect children from harmful cultural and religious practices, strictly prohibiting child marriage in all setups. 

    The Ombudsman had been instrumental in ensuring that the Namibian police force was adequately trained on the ‘prevention of torture training manual for police officers.’ The Namibian police force also conducted ongoing workshops to train police officers on human rights.  The Namibian correctional service included human rights instruments in its curriculum, including the Nelson Mandela Rules, at the Namibian Correctional Service Training College.  The service had undertaken measures to renovate all of the country’s correctional facilities with the aim of improving the living conditions of offenders.  The implementation of the Namibian correctional service’s health policy had brought about significant changes in managing communicable diseases such as tuberculosis, HIV and hepatitis, as well as mental health support. 

    All asylum seekers went through a refugee status determination process and those who met the criteria were granted refugee status.  If an application for refugee status was unsuccessful, the applicant was advised they could appeal the decision to the Namibian Refugee Appeal Board. Namibia was implementing the national action plan on statelessness, and a national committee had been established. The review of the legislative framework, which was a key milestone, had begun. 

    The Police Act allowed police officials to be investigated for misconduct and human right violations, inclusive of torture.  Officials found guilty of acting outside the scope of their duties were subject to laid down procedures, including arraignment before a competent court. In Namibia, the State was represented by the Prosecutor General in criminal cases; therefore, the prosecution of all allegations of torture lay with the State.  Ms. Dausab concluded by stating that the Namibian Government remained committed to protecting and promoting human rights in the country. 

    Questions by Committee Experts 

    ERDOGAN ISCAN, Committee Expert and Rapporteur, said the Committee expressed its condolences for the death of Namibia’s third President earlier this year.  The State party did not reply to the list of issues adopted by the Committee and chose to submit a report in May 2021 under the traditional reporting procedure.

    The dialogue with the State party would be conducted against this background.

    Mr. Iscan called on Namibia to continue to support the treaty body system. 

    Had measures been taken to improve prison conditions in conformity with the Nelson Mandela Rules? Research indicated that the total prison population was close to 9,000 inmates, of which 54 per cent were pretrial detainees in police custody.  Occupancy level in the prison system was 75 per cent.  Could the Committee be updated on the current situation?  Could details be provided about the health policy and practice developed by the Namibian correctional service? 

    How many individuals were currently in pretrial detention?  What was the average length of pretrial detention and steps taken to reduce its use?  Could statistical data be provided on deaths in custody; investigations carried out into these deaths; and the number of police or prison staff who had been subjected to criminal or disciplinary punishment in cases involving death in custody? Had there been cases of inter-prisoner violence, and what had been measures implemented in such incidents?

    The Committee noted that corporal punishment was prohibited in schools by the Basic Education Act of 2020, but it still lacked an explicit prohibition in the home. What was the current status of the Correctional Service Act 2012 with respect to explicitly prohibiting corporal punishment following the Supreme Court’s judgment of 5 April 1991?  What steps were being taken to totally prohibit corporal punishment in all settings and develop campaigns for awareness raising?

    Could data on all complaints received by the Ombudsman and the number of complaints received by the Internal Investigation Directorate be provided?  How many of these complaints were investigated and how many resulted in disciplinary sanctions?  Had the perpetrators been punished with appropriate penalties commensurate with the gravity of the crime?  How many complaints had been received concerning sexual abuse and the exploitation of refugees by public officials or non-governmental workers at the Osire refugee camp?  Had these complaints been investigated and prosecuted and had victims obtained redress? 

    The Caprivi high treason trial ended in September 2015 and the Committee noted that about 30 persons were found guilty and sentenced to various imprisonment terms; 79 persons were found not guilty and released from custody.  Could

    information on investigations into or prosecutions of members of the Namibian police force regarding alleged acts of torture of suspected participants in the secession attempt in the Caprivi region in 1999 be provided?  What steps had been taken by the authorities to investigate reports of enforced disappearances in the context of the liberation struggle, including the disappearance of former members of the Southwest Africa People’s Organization?  Had alleged victims and their families obtained redress?

    Was the legislation on excessive use of force compatible with the Convention, as well as the basic principles on the use of force and firearms by law enforcement officials?  Were the reports of excessive use of force by law enforcement officers investigated promptly, effectively and impartially?  Were the perpetrators prosecuted and, if convicted, punished with commensurate penalties?  Were victims of violations remedied adequately?  The Committee had received allegations that members of the police force detained and sexually abused sex workers.  What was the State party’s response to these reports? 

    The Committee took note of the Joint Communication by a group of Special Procedure mandate holders, who examined the document which evaluated the “Joint Declaration by the Federal Republic of Germany and the Republic of Namibia: United in remembrance of our colonial past, united in our will to reconcile, united in our vision of the future”, dated June 2021, and developed observations in connection with international human rights law.  It was understood that follow-up negotiations were ongoing between Namibia and Germany.

    With respect to traditional practices that were harmful to women and girls, including the ritual of Olufuko, which involved child marriage and sexual initiation rites, had the State party made progress in terms of awareness-raising as well as eliminating such practices?  What further steps had been taken to prevent and criminalise the practice of forced sterilisation?  What measures were in place to ensure that all acts of violence that targeted persons on the basis of their sexual orientation or gender identity were properly and promptly investigated and prosecuted? 

    It was reported that the Supreme Court issued a ruling last year recognising the right of spouses of Namibian citizens to regularise their immigration status based on same-sex marriages.  Later, parliament passed legislation banning same-sex marriages.  If enacted, it could nullify the Supreme Court ruling.  What was the current status of this legislation? The Committee had received information that the High Court issued a decision on 21 June 2024, which declared the common law offences of sodomy and unnatural sexual offences unconstitutional. It seemed that the State party continued to criminalise same-sex relationships and the Government had lodged an appeal against this decision which was currently pending before the Supreme Court.  What was the current situation? 

    Could the State party clarify its policy, legislation and practice with respect to prisons, hospitals, schools and institutions that engaged in the care of children, older persons or persons with disabilities?  What was the legal permissibility and use of the measures such as seclusion, physical and chemical restraints, and other restrictive practices? Were net beds and cage beds used in psychiatric and social welfare institutions?  Did the Office of the Ombudsman have unrestricted access to monitor these institutions?  Had any progress been achieved in regard to protecting the human rights of older persons?

    The Committee noted the commitment of the State party to complying with the Nelson Mandela Rules and the Bangkok Rules.  Could the State party clarify its policy, legislation and practice with respect to solitary confinement?  What was the incommunicado detention regime in Namibia?  If the State party maintained this practice, under what circumstances was incommunicado detention authorised and what was the competent organ to authorise incommunicado detention?  Would the State party consider abolishing incommunicado detention? 

    Could Namibia comment on the status of the recommendation to ratify the Optional Protocol to the Convention, and other international instruments to which it was not a party?  Was there any update in this regard? 

    JORGE CONTESSE, Committee Expert and Rapporteur, said torture was currently not a specific criminal offence in Namibia and Namibian law did not expressly criminalise any other forms of cruel, inhuman or degrading treatment or punishment.  Could information be received on the status of the draft prevention of torture bill?  What amendments to the bill sought to bring it further into line with the State party’s obligations under the Convention, as previously recommended by the Committee, including provisions that criminalised the acquiescence and complicity of State officials, or officials acting in an official capacity, to acts of torture?  Were acts amounting to torture subject to a statute of limitations?  Were there any cases where Namibia had invoked the Convention directly before domestic courts? 

    What initiatives had been taken by the State party to enshrine in its legislation fundamental legal safeguards, in particular the right to have access to a lawyer, including the right to access free and effective legal aid; the right to receive a medical examination by an independent physician; the right for individuals, at the time of arrest, to be informed of their rights; the right to be brought promptly before a judge; the right to notify a person of one’s choice of one’s deprivation of liberty; and the obligation of the authorities to maintain detention registers at places of detention?  Were there any cases in which the authorities had failed to comply with these safeguards?  How many such complaints had been registered and what was their outcomes? 

    Were there any cases in which disciplinary measures were taken against officials found responsible for violations?  What complaints mechanisms were available to report violations, and how did they function in practice?  Could the State party specify the circumstances in which a right to counsel could be waived?

    The 2022 annual report of the Ombudsman described visitation and inspection of places of detention in Namibia, noting that some of the most appalling facilities had been closed.  When this happened, where were the detainees who had been held there sent?  What was the timetable for the cleaning and renovation of these facilities?  Pretrial detention seemed to routinely exceed legal limits, with above 50 per cent of the prison population awaiting trial.  In addition, the reported shortcomings in the criminal justice system, such as the significant delays between arrest and trial, the low usage of alternatives to detention, and an inaccessible and unaffordable bail system, seemed to be the contributing factors to the large backlog of cases of pretrial detainees.  What measures had been adopted to address these shortcomings and challenges?

    It was understood that the child justice bill, which had not yet been adopted, endorsed 14 years of age to be considered criminally responsible and abolished the common law presumption.  What was the status and content of the bill?  What measures were adopted to ensure that children were not detained in detention centres for adults?  The Committee understood that no legal provision authorised the Ombudsman to make unannounced visits to places of detention; would the new legislation provide the Ombudsman with such power? 

    Violence against women, including rape, domestic violence, sexual exploitation and abuse of children, and violence against women from indigenous communities, continued to be extremely high, and the root causes of such violence had not been adequately addressed.  According to the national gender-based violence baseline study, “most drivers of gender-based violence were relationship factors that were deeply entrenched within socio–cultural norms and escalated to societal level factors.” What concrete measures had the State party adopted to address these issues, including policies and plans to address ongoing challenges; the number of complaints of gender-based, domestic, or sexual violence received by the authorities; the number of investigations and prosecutions undertaken regarding gender-based, domestic or sexual violence; and the protection and support services available to victims?

    The recommendation to remove the crime of sodomy as a ground for entry refusal into Namibia remained unaddressed.  What measures would the State party adopt to address this and other pending concerns? Could data be provided on the number of asylum applications received during the period under review, the number of successful applications, and the number of asylum seekers whose applications were accepted because they had been tortured or might be tortured if returned to their country of origin? 

    What were the existing appeals mechanisms and other mechanisms in place to identify individuals in need of international protection?  What was the procedure followed when a person invoked this right? Were individuals facing expulsion informed of their right to seek asylum and appeal a deportation decision?  How many stateless persons were living in the country?  What measures were being taken by the State party to mitigate the risk of torture or ill treatment faced by stateless persons. 

    How many law enforcement officials, prison staff, military officers, investigators, judicial personnel and border guards had attended educational programmes which included instruction on the provisions of the Convention against Torture?  How were officers were trained on investigating and handling forms of prohibited ill treatment, like cruel, inhuman or degrading treatment?  To what extent was the Ombudsman responsible for training other law enforcement agencies on investigating torture claims?  What specific initiatives were in place to train officials to prevent the traumatisation of victims of torture or ill treatment.  What steps had been taken to improve methods of investigation, including training programmes on non-coercive interrogation techniques?  Had any training programmes been developed for judges, prosecutors, forensic doctors and medical personnel dealing with detained persons on detecting and documenting the physical and psychological signs of torture?

    Responses by the Delegation 

    The delegation said any international instrument that Namibia ratified became part of their system. Namibia took the work of the treaty bodies very seriously.  Namibia’s prison capacity across the country was around 5,400.  The bed capacity was around 4,700.  Since the report was sent, there had been parole releases, persons had completed their sentences, and the President had pardoned some persons. Pretrial detention could run for any time between six to 12 months.  There was no deliberate attempt on the part of the State to keep people in pretrial detention; the authorities were trying to clear them as quickly as possible to decongest prison facilities. 

    Namibia did not have inter-prison violence in the form that was premeditated, organised, or gang related.  There were isolated incidents of inter-prison fights which were dealt with quickly.  In the rare instances when these incidents occurred, the prisoners would be separated from each other.  Namibia had made a proposal to improve community service orders. 

    It was agreed that the Ombudsman needed to be extricated from the Ministry of Justice. However, there was no evidence that there had been any interference in the work of the Ombudsman.  The Ombudsman bill was ready to go before the National Assembly for Legislative Consultation, which would help with establishing the Office of the Ombudsman.  Currently in Namibia, the Ombudsman was at the level of a judge.  Whether there should be a fixed-term or the security of tenure of the Ombudsman was currently under debate.  Since his appointment, the Ombudsman had been quite vocal about his findings and his displeasure at the conditions of prisons.  The Ombudsman had unfettered access to those facilities; however, unannounced visits could be impractical.  Namibia was doing enough to ensure those institutions which had the mandate to investigate violations of human rights were able to be supported in their work. 

    There had been no prosecutions for prostitution or sex work in Namibia.  There was some fairly outdated legislation, but these laws had not been activated because the State did not feel they were consistent with the spirit of the Namibian Constitution.  Namibia was constantly working on reforming legislation which offended the values of the Constitution.

    The Joint Declaration was the result of an open and frank conversation in Namibia’s National Assembly, reflecting the gravity of the first genocide which took place in Namibia during the twentieth century. 

    Olufuko had taken on a more cultural image and profile, as opposed to a platform for sexual initiation and child marriage.  That may have been the case in the past, but this had changed over the past 10 to 15 years.  Namibia had taken steps to ensure that acts of enforced sterilisation of individuals were not carried out.  The discussion around the reform of abortion and sterilisation was ongoing.  Namibia was concerned about the number of cases of persons who identified as persons of the lesbian, gay, bisexual, transgender and intersex community, who had lost their lives.  However, the State could not say that these crimes happened specifically due to their sexual orientation.  All of those incidents of people who had been killed over the past few months were being investigated and prosecutions would take place. 

    Homosexuality in Namibia was not a crime. 

    Namibia had an excellent proposal for child justice.  The State had engaged in extensive consultation with and received feedback from the United Nations Children’s Fund.  Early next year, the child justice bill would be considered in the Assembly.  Children were kept in facilities separate from adults, and were provided with significant social support.  Gender-based violence was a concern for Namibia.  Every year, the State commemorated the 16 days of violence against women.  There was increasing collaboration between the State and civil society organizations to increase visibility.  The text and the language of legislation combatting rape had been strengthened in 2022, as had the domestic violence legislation. 

    Questions by Committee Experts 

    ERDOGAN ISCAN, Committee Expert and Rapporteur, said the Committee appreciated the fact that they had a high-level delegation here, headed by the Minister in the lead-up to the country’s elections, and wished Namibia all the best in their democratic elections.  The Committee needed information on the reflection of policy and legislation in practice, which was why statistical information was important. 

    Could the State party inform the Committee on the policies, legislation and practices on counter-terrorism measures?  It was a fundamental obligation of States to fight terrorism, while still respecting human rights and the rule of law. 

    Could information be provided on the legislative and executive measures under the state of emergency?  Did they comply with the absolute and non-derogable prohibition of torture? 

    JORGE CONTESSE, Committee Expert and Rapporteur, said it was necessary to have a specific crime which defined the contours of torture.  What were the requirements that members of parliament had, which resulted in seven years of there being no torture bill?  It seemed that the child justice bill moved down the minimum age of criminal responsibility to 12 years; how was this consistent with human rights law? 

    Responses by the Delegation

    The delegation said Namibia’s President could declare a state of emergency in situations where there were natural disasters or threats to the State.  At no time had the declaration of a state of emergency suspended the prohibition of torture or the protection of fundamental rights and freedoms.

    Persons who engaged in terrorist activities against Namibia inside or outside of the State could face life imprisonment.  Law enforcement agencies recently attended training on counterterrorism, which reinforced the obligation to protect human rights and the rule of law.

    The anti-torture bill included definitions of torture and other cruel, inhuman or degrading treatment that were in line with the Convention.  The bill included punishments of imprisonment of varying lengths for acts of torture and other cruel, inhuman or degrading treatment.

    The child justice bill had been developed after broad consultation with international partners. It set the age of criminal responsibility at 12 years, considering the domestic context.

    International human rights instruments ratified by the State were applicable directly before the courts, and the International Covenant on Civil and Political Rights had been applied in one case.

    The Refugee Recognition and Control Act called for compliance with due process regarding detention and expulsions of asylum seekers.  Asylum seekers could be represented by legal practitioners in appeals to detention and expulsion procedures.  Namibia respected the principle of non-refoulement.

    The Government was working to regularise the status of stateless persons.  Under the birth outreach programme, teams had been deployed to rural areas to facilitate birth registration.  Bills promoting civil registration, regularisation and statelessness determination were being considered in Parliament.  Namibia was exerting efforts to eradicate statelessness.

    The Namibian police had conducted investigations into alleged cases of enforced disappearance conducted by two individuals with Angolan citizenship.  These cases had been finalised.  A bill had been developed on the training of police and military officers.  Training was aligned with the Istanbul Protocol and developed skills in investigating allegations of torture and helping victims to access redress. Police officers could not question suspects before informing them of their rights.

    The Constitution prohibited corporal punishment and State legislation prohibited such punishment in school settings.  Schools were mandated to create mechanisms that allowed learners to report incidents of corporal punishment.  In August 2024, a teacher was relieved of his duties following reports of him engaging in corporal punishment of learners.  Parents and guardians needed to respect children’s right to dignity.

    The State party had established an appeal committee and set up regulations to prevent the abuse of legal aid resources.  There had been an increase in applications for legal aid this year, with the number of applications for legal aid having increased to more than 10,000.  Measures were in place to respond to this increase in applications.

    The Mental Health Act of 1973 was outdated and used language that was not consistent with the Convention on the Rights of Persons with Disabilities.  A new bill dealing with mental health had been proposed, which set regulations regarding the limited use of seclusion, coercive methods, and restraint of persons with disabilities, and promoted de-escalation techniques.  The bill called for coercive methods to be removed within two hours at most.  There was a clear prohibition of forced sterilisation of women with mental disabilities in the bill.  It was expected to be finalised next year.

    Questions by Committee Experts 

    ERDOGAN ISCAN, Committee Expert and Country Rapporteur, said that the State’s Constitution and legislation determined that statements made as a result of torture were inadmissible in a court of law.  Were there examples of court cases in which courts had found that evidence was inadmissible because it was obtained through torture?  Had there been investigations into allegations that evidence used in the Caprivi trials was obtained through torture?

    The Committee welcomed that the State party had accepted the simplified reporting procedure, which provided for improved cooperation between the State party and the Committee.  However, the State party had submitted its last report under the traditional procedure. Mr. Iscan called on the State party to submit its next report under the simplified procedure.

    The State party had failed to respond to the Committee’s previous concluding observations and the report on follow-up to concluding observations.  The Committee hoped that the State party would respond to the next concluding observations within the given timeframe.

    JORGE CONTESSE, Committee Expert and Country Rapporteur, said that the torture bill had been pending for a number of years.  The definition of torture within the proposed legislation was very good; it was identical to that of the Convention.  Were there any persons who had been specifically convicted of the crime of torture using the Convention?  It was critical that the anti-torture bill addressed the issues of the statute of limitations and universal jurisdiction.  Article eight of the bill addressed extraterritorial jurisdiction, not universal jurisdiction.

    There was a discrepancy between international human rights law and the child justice bill. What was the domestic context that prevented Namibia from setting the age of criminal responsibility at 14? 

    There was another discrepancy between Namibia’s law on refugee control and international human rights law, which defined the prohibition of non-refoulement as absolute. Why was refoulement allowed in certain circumstances?

    There was a lack of information provided by the State party on allegations of sexual assault by police officers against asylum seekers.  Asylum seekers reportedly lived in settlements with poor conditions. Could the delegation comment on these issues?

    Trafficking in persons reportedly remained prevalent in Namibia.  The rate of reported cases seemed very low, and there was limited progress in investigations and convictions for these cases, with only two convictions between 2014 and 2019.  What progress had been made in tackling trafficking in persons?

    How would the State party address challenges that prevented the Ombudsperson from making unannounced visits to places of detention?

    Another Committee Expert said unannounced inspections of places of detention were an international standard.  The State party needed to reconsider its position on this issue.  Were there time limits for pretrial detention?  It was very impressive that it had been deemed unconstitutional to implement solitary confinement.

    Responses by the Delegation

    The delegation said the State party noted the Committee’s comments regarding the simplified reporting procedure.  There were court cases in which evidence obtained through torture was deemed inadmissible.  In such cases, additional investigations were undertaken into the identified acts of torture.

    The State party also noted the Committee’s concerns and suggestions regarding the anti-torture bill.  Namibia wished to comply with international best practices regarding non-refoulement. Legislation on deportations intended to protect Namibia from external threats while respecting the principle of non-refoulement.

    All allegations of trafficking in persons were taken very seriously.  The judicial system was independent and competent, but had limited resources, which was influencing the rate at which trafficking cases were processed. The State party was exerting efforts to prevent trafficking in persons.

    Any allegations of sexual assault and crimes against the refugee community were investigated. The State party was not aware of allegations of poor conditions in asylum shelters; it would investigate any such allegations if it received them.

    Pretrial detention could be implemented for six to 12 months, and courts could decide to withdraw charges before the six-month period based on available evidence.  The State party was working to strengthen community courts and establish small claims courts to address overcrowding in prisons and holding cells.

    The delegation had taken note of the Committee’s comments regarding unannounced visits to places of detention.  There were no cases in which attempted unannounced visits had been blocked.  The State party would continue conversations on the age of criminal responsibility.

    The Constitutional Court had decided that the implementation of solitary confinement at one prison had been unconstitutional, however, the judgement had not made the implementation of solitary confinement unconstitutional in all contexts.  The imposition of solitary confinement needed to respect legal safeguards and the fundamental freedoms of those subjected to it.

    Questions by a Committee Expert 

    JORGE CONTESSE, Committee Expert and Country Rapporteur, asked if there were examples in which refugees or asylum seekers had threatened national sovereignty. What was the Refugee Control Act trying to address in this regard?  What were the reasons behind setting the age of criminal responsibility at 12?  The possibility of unannounced visits was an effective way to prevent torture and ill treatment in places of detention. Mr. Contesse called for such visits to be conducted.

    Responses by the Delegation

    The delegation said Namibia’s law on refugee control anticipated potential crimes committed by refugees and asylum seekers.  There had been no incidents thus far in which a refugee had threatened national security, but there needed to be a law in place to address such an act.  The domestic court system was sufficiently able to analyse the constitutionality of the Refugee Control Act.

    Concerns had been raised that increasing the age of criminal responsibility would make young children more likely to engage in criminal acts.  The State party noted the Committee’s discomfort regarding this legislation.

    The Ombudsperson was independent and had the opportunity to propose unannounced visits to places of detention.  It and all State actors, as well as civil society, had access to prisons in Namibia. Representatives of the African Union had written extensive reports on prison conditions, which helped the State party to improve these conditions.  Civilians had also taken the State to court concerning prison conditions.

    There were no examples of court cases in which findings of torture had been made, but there were cases in which crimes against humanity had been recognised.  The State party took on board the Committee’s concerns regarding the torture bill.

    Concluding Remarks 

    CLAUDE HELLER, Committee Chair, said that the Committee understood that the political context in Namibia was difficult.  It would make efforts to provide the State party with relevant and achievable recommendations within its concluding observations.  The Committee was interested in maintaining an open dialogue with the State party through its follow-up mechanism.  The dialogue had been rich and was conducted in a constructive spirit.

    YVONNE DAUSAB, Minister of Justice of Namibia and head of the delegation, said the State party had provided information on the efforts it had made to implement the Convention.  The Committee’s recommendations would help to enhance mechanisms to prevent torture. Namibia was committed to addressing all forms of torture and other cruel, inhuman or degrading treatment. More needed to be done to prevent torture, including the enactment of specific legislation criminalising it. The State party was committed to protecting the rights of its people, in consideration of the domestic context. Ms. Dausab closed by thanking the Committee and all who had contributed to the dialogue.

     

    Produced by the United Nations Information Service in Geneva for use of the media; 
    not an official record. English and French versions of our releases are different as they are the product of two separate coverage teams that work independently.

     

    CAT24.020E

    MIL OSI United Nations News

  • MIL-OSI USA: U.S. DEPARTMENT OF EDUCATION AWARDS OVER $4 MILLION TO BIBB & MUSCOGEE COUNTY SCHOOL DISTRICTS TO SUPPORT SCHOOL-BASED MENTAL HEALTH SERVICES

    Source: United States House of Representatives – Congressman Sanford D Bishop Jr (GA-02)

    MACON, Ga. – Congressman Sanford D. Bishop, Jr., (GA-02) a senior member of the House Appropriations Committee, is delighted to announce a federal award from the U.S. Department of Education totaling $4,567,325 to the Bibb County ($2,569,674) and Muscogee County ($1,997,651) School Districts. The School-Based Mental Health Grant Program provides public schools with the resources needed to hire and retain mental health professionals and create a safe environment for all students. 

    “When children in need of help are supported at school, behavior problems are less likely to occur and grades and test scores are more likely to improve,” said Congressman Bishop. “Georgia schools are places where every student should feel safe and cared for. That is why the School-Based Mental Health Grant Program exists – to make our schools safer by ensuring each student receives the care and attention they need and deserve.”

    “Receiving funding for our Built4Bibb School-Based Mental Health Services Program marks a transformative step for the Bibb County School District,” said Tajalyn Woodruff on behalf of Bibb County Schools. “This grant will enable us to improve the way we focus on the wellness of our students by increasing student access to mental health professionals while also developing a fully coordinated system of social emotional and behavioral supports for students within our schools.”

    “Mental health is truly a societal problem that extends to children as well. As educators, we must be concerned with the whole child, which includes their mental, social, and emotional well-being that can adversely impact their academic progress,” said Dr. David Lewis, Muscogee School Superintendent. “On behalf of the Muscogee County School District and the many students and families who will benefit, I am very grateful for the significant funding provided through this federal grant that will augment our district’s efforts through eleven additional social workers and a school psychologist focused on effective mental and behavioral interventions, support and services.” 

    The School-Based Mental Health Grant Program was made possible by the Fiscal Year 2024 federal government funding bill, which Congressman Bishop supported.

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    MIL OSI USA News