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Category: Health

  • MIL-Evening Report: Confusing for doctors, inequitable for patients: why Australia’s medicinal cannabis system needs urgent reform

    Source: The Conversation (Au and NZ) – By Christine Mary Hallinan, Senior Research Fellow, Department of General Practice and Primary Care, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne

    Vanessa Nunes/Getty Images

    In 2024 alone, Australia’s medicines regulator, the Therapeutic Goods Administration (TGA), authorised at least 979,000 prescription applications for medicinal cannabis through its specialised access pathways.

    These “specialised access” mechanisms were originally designed for occasional, case-by-case use of unapproved drugs. But they have become mainstream.

    As more and more people receive medicinal cannabis prescriptions, we’re left with a system that is misaligned with its original purpose.

    The current prescribing landscape for medicinal cannabis is confusing for doctors, inequitable for patients, and difficult to regulate.

    The Australian Health Practitioner Regulation Agency (Ahpra) recently announced it’s going to crack down on unsafe prescribing. But this doesn’t go far enough. The system needs urgent reform.

    What is medicinal cannabis used for?

    Medicinal cannabis was legalised in Australia in 2016. Products come in different forms including oils, liquids, capsules, gels (which can be applied to the skin), dried flower (which can be inhaled using a vapouriser) and gummies.

    Key ingredients include THC (tetrahydrocannabinol) and CBD (cannabidiol). THC is the main psychoactive compound in cannabis, and is responsible if a “high” is experienced.

    When it was first legalised, medicinal cannabis was intended for patients with complex needs and severe, treatment-resistant conditions.

    The TGA clearly indicated medicinal cannabis should not be considered a first-line treatment for any condition, and should be administered with a “start low, go slow” dosage approach.

    Patients for whom it might be deemed appropriate included those receiving palliative care, or suffering with intractable epilepsy, multiple sclerosis, nausea and vomiting from chemotherapy, or chronic pain unresponsive to standard care.

    But over time, prescribing has expanded well beyond these cases. Today, most medicinal cannabis prescriptions are given for relatively common conditions such as chronic pain, anxiety and sleep disorders.

    What does the evidence say?

    The evidence remains inconsistent. Chronic pain – the most common reason medicinal cannabis is prescribed in Australia – offers a key example.

    According to a recent TGA review, some randomised trials suggest medicinal cannabis may help a subset of patients achieve moderate reductions in pain. However, many studies are small, of variable quality, and don’t account for long-term effects.

    And like all medicines, medicinal cannabis carries risks. Products containing THC have been linked to side-effects such as sedation, dizziness and cognitive impairment.

    While generally better tolerated, CBD is not risk-free. For example, both CBD and THC can interact with certain medications, heightening the likelihood of adverse effects.

    Access over evidence

    In Australia, approved medicines undergo rigorous clinical testing before they’re registered. Drug manufacturers’ applications to the TGA normally include detailed data on efficacy as well as long-term safety monitoring and quality controls.

    But driven by patient advocacy, political responsiveness, and commercial momentum, medicinal cannabis has come to reflect a different model.

    Most medicinal cannabis products – bar two which have TGA approval – lack the evidence demonstrating safety, quality and efficacy required of registered pharmaceuticals.

    In other words, the majority are not subject to the rigorous trials or data standards required for formal registration with the TGA’s Australian Register of Therapeutic Goods.

    For many doctors, whose prescribing has traditionally been guided by strong trial data and rigorous regulatory review, this doesn’t sit well.

    Doctors are often flying blind

    While companies can legally sell cannabis products via access schemes without investing in clinical research, doctors are expected to prescribe without consistent information on what works, for whom, and at what dose.

    The TGA oversees access pathways but is neither resourced nor mandated to provide clinical oversight or direct support to prescribers, leaving many clinicians to navigate the system alone.

    Prescriptions are frequently granted via telehealth and posted to patients.

    Growing concerns have emerged that some care models – particularly high-volume telehealth services – are prioritising patient throughput over clinical judgment, and not spending enough time with patients.

    For example, Ahpra reported eight practitioners issued more than 10,000 medicinal cannabis scripts in a six-month period, while one appeared to have issued in excess of 17,000.

    The surge in prescribing has been further shaped by active marketing from some cannabis companies, outpacing the development of coordinated clinical guidance and safety monitoring infrastructure.

    Many people who get a script for medicinal cannabis do so via telehealth.
    Geber86/Shutterstock

    Access and affordability: a system failing patients

    Some people, including those living in rural and remote areas, can find it difficult to navigate medicinal cannabis prescribing processes. This can be due to limited digital access and fewer opportunities for follow-up with a local GP. These challenges make it harder for people to make informed decisions about their care.

    Cost is also a major issue, particularly where bulk billing is unavailable or multiple consultations are needed. This is on top of the cost of the products.

    One of the two TGA-approved medicinal cannabis products, Sativex, used to treat muscle stiffness in multiple sclerosis, is not currently subsidised by the Pharmaceutical Benefits Scheme. This means patients pay the full cost, which ranges between A$700 and $800 for a 6–8 week supply.



    Read more:
    We looked at 54 medicinal cannabis websites to see if they followed the rules. Here’s what we found

    What needs to change?

    Australia’s medicinal cannabis system is based on a fragmented evidence base and a fast-growing market operating with limited visibility into how products are used or evaluated. Addressing these challenges will require coordinated reform across multiple fronts.

    1. Capture real-world data

    Most urgently, we need robust, real-world data. To deliver safe and equitable care, we must know how medicinal cannabis is being prescribed, for what conditions, under what circumstances, and with what outcomes.

    Without this, we cannot answer the most basic questions about clinical benefits or track adverse events.

    Real-world data, such as de-identified health information from clinics, could help inform better clinical and policy decisions.

    2. Build a national accreditation model

    Australia needs a national prescriber accreditation model for medicinal cannabis, developed in collaboration with clinicians, regulators and professional bodies.

    Such a model would help ensure prescribing is clinically appropriate, evidence-informed, and consistent with evolving standards of care. In practice, this would mean health professionals would need to complete specific training before prescribing medicinal cannabis.

    This approach is not without precedent. For example, some health professionals must undergo immuniser accreditation before they can administer vaccines independently.

    3. Tackle inequity

    Finally, we must confront persistent access inequities. That includes exploring government subsidies for TGA-approved medicinal cannabis products. No one should have to choose between financial hardship and safe access.

    Dr Christine Hallinan, Senior Reseach Fellow, conducted research on the pharmacovigilance of medicinal cannabis at the University of Melbourne as part of the Pharmacovigilance theme within the Australian Centre for Cannabinoid Clinical and Research Excellence (ACRE), which was funded by the National Health and Medical Research Council (NHMRC) through the Centre of Research Excellence (CRE) scheme. She served as an Associate Investigator on ACRE from 2017 to 2023. Christine Hallinan is also a member of an Expert Roundtable on medicinal cannabis, chaired by Ian Freckelton AO KC and facilitated by Montu. The Roundtable brings together experts from medicine, law, research, and policy to contribute recommendations for a more evidence-based and fit-for-purpose regulatory framework. These roles are disclosed in the interest of transparency and do not influence the content or conclusions of this work.

    – ref. Confusing for doctors, inequitable for patients: why Australia’s medicinal cannabis system needs urgent reform – https://theconversation.com/confusing-for-doctors-inequitable-for-patients-why-australias-medicinal-cannabis-system-needs-urgent-reform-257249

    MIL OSI Analysis – EveningReport.nz –

  • MIL-OSI Australia: Rescue operation – Ellery Creek

    Source: Northern Territory Police and Fire Services

    A 64-year-old hiker has been rescued from near Ellery Creek after NT police received notification from a satellite distress alerting device yesterday evening.

    Around 7:15pm, the Joint Rescue Coordination Centre (JRCC) contacted the Northern Territory Police Force (NTPF) after it received a distress message from near Ellery Creek. The 64-year-old man had suffered a medical incident while hiking in a group of experienced bushwalkers about 12km north of Ellery Big Hole.

    The group had established camp and requested urgent medical assistance and extraction of the man.

    The Search and Rescue Section (SRS) was deployed and established a recovery plan. The group was able to stay in contact with emergency service personnel via satellite messaging throughout the evening.

    The recovery team, consisting of NTPF, St John Ambulance, and Parks and Wildlife Rangers accessed the location via 4WD and a 2km hike, and reached the victim around 2am.

    He was extracted via stretcher and was conveyed to Alice Springs Hospital in a stable condition.

    SRS Sergeant Karl von Minden said, “Being able to communicate with the group throughout the rescue operation was crucial to the successful recovery, and I commend them for being adequately prepared for their hike.

    “I also want to acknowledge and thank our police members, St John Ambulance personnel, and the rangers involved for their professionalism in executing a safe rescue in very cold conditions overnight.

    “The positive outcome of this rescue is testament to all parties, and a timely reminder to anyone thinking of exploring the Territory to ensure you are travelling with enough food and water, and are equipped with a PLB, EPIRB, or satellite communication device for those unforeseeable circumstance.”

    MIL OSI News –

  • India Signs Long-Term Fertilizer Supply Agreements with Saudi Arabia During Minister JP Nadda’s Visit

    Source: Government of India

    Source: Government of India (4)

    Union Minister for Health and Family Welfare and Chemicals and Fertilizers JP Nadda concluded his three-day visit to Saudi Arabia, securing crucial agreements that will significantly enhance India’s fertilizer supply chain and strengthen bilateral cooperation in health and pharmaceutical sectors.

    The visit, which took place from July 11-13 in Dammam and Riyadh, focused primarily on enhancing bilateral cooperation between India and Saudi Arabia in chemicals and fertilizers. Nadda led a high-level delegation that included the Secretary and other senior officials from the Department of Fertilizers and Ministry of External Affairs.

    During discussions with Saudi Minister of Industry and Mineral Resources Bandar bin Ibrahim Al Khorayef in Riyadh, both ministers witnessed the signing of long-term agreements between Maaden and Indian companies including IPL, KRIBHCO, and CIL. These agreements will supply an enhanced 3.1 million metric tons of Diammonium Phosphate fertilizer per annum for five years from 2025-26 onwards, with provision for further extension of five years with mutual consent.

    The agreements represent a substantial increase from current supply levels. India’s imports of DAP fertilizer from Saudi Arabia totaled 1.9 million metric tons in 2024-25, reflecting a 17 percent increase over the 1.6 million metric tons imported during FY 2023-24. The new agreements will boost this supply to 3.1 million metric tons from the upcoming fiscal year.

    Both sides emphasized their commitment to broadening bilateral relations to include other key fertilizers such as Urea along with DAP, aiming to further ensure India’s fertilizer security. Discussions also covered facilitating mutual investments, with focus on exploring opportunities for Indian Public Sector Undertakings to invest in the Saudi fertilizer sector and reciprocal Saudi investments in India.

    The ministers deliberated on avenues for collaborative research, particularly in developing India-specific customized and alternative fertilizers to enhance agricultural productivity and sustainability. A joint team has been established led by Secretary Fertilizer on the Indian side and the Vice Minister for Mining Affairs in the Ministry of Industry and Mineral Resources on the Saudi side to explore long-term collaboration in this sector.

    Nadda also held a bilateral meeting with Prince Abdulaziz bin Salman Al Saud, Minister of Energy and co-chair of the Economy and Investment Committee of the Strategic Partnership Council between India and Saudi Arabia, to discuss ways to enhance economic partnership between the two countries. The Prince hosted a lunch in honor of the Union Minister.

    In the health sector, Nadda met with Abdulaziz Al-Rumaih, Saudi Vice Minister of Health, in Riyadh to discuss enhancing cooperation in medical services, health care, pharmaceuticals, digital health solutions, and knowledge exchange. They noted the significance of the bilateral MoU on Health signed during Prime Minister Narendra Modi’s recent state visit to Saudi Arabia.

    The delegation visited Maaden facilities at Ras Al Khair and toured the Phosphate production plant. They were received by Hassan Al Ali, Chairman of Maaden Phosphate, and other senior officials. India represents a key export destination for fertilizers from Saudi Arabia, with Maaden being the leading company in this sector in the Kingdom.

    The successful conclusion of Nadda’s visit underscored the strong economic ties between India and Saudi Arabia, particularly in fertilizers, while opening new avenues for cooperation in health and pharmaceutical sectors. The long-term fertilizer agreements are expected to provide greater supply security for India’s agricultural sector and strengthen the strategic partnership between the two nations.

  • MIL-OSI New Zealand: Childhood immunisation rates continue to climb

    Source: New Zealand Government

    New figures released today show childhood immunisation rates at 24 months continue to rise, reflecting the Government’s strong commitment to improving health outcomes for Kiwi children, Health Minister Simeon Brown says.

    “Protecting children from preventable illnesses like measles and whooping cough is a priority, so it’s heartening to see more children across the country now fully immunised,” Mr Brown says.

    National coverage at 24 months has climbed to 79.3 per cent in the third quarter of 2024/25 – up 2.4 percentage points compared to the same quarter last year.

    “These results show that our clear focus on health targets, combined with the efforts of our frontline workforce, is delivering real improvements for children.”

    The gains have been widespread across the country, with several districts showing strong improvement compared to the last quarter.

    “Auckland lifted its coverage by 5.7 percentage points, Counties Manukau by 5.5, and Lakes by 5.2. Capital and Coast rose by 4.4 points, while Whanganui achieved a 5.8-point gain.”

    The South Island also recorded excellent progress.

    “Nelson Marlborough saw a 5.2-point increase, and South Canterbury delivered a remarkable 12.1-point gain this quarter.”

    Mr Brown says the rise in immunisation coverage is especially important following the recent cases of measles in Wairarapa.

    “These cases are a timely reminder of why staying on top of immunisations is so important. Measles is highly infectious, and vaccination remains the most effective way to protect our children and communities.

    “Every additional child immunised lowers the chance of outbreaks, helping to keep our families, schools, and communities safe and healthy.

    “Childhood immunisations are a key priority for this Government. We want to see 95 per cent of children fully immunised by 2030, and we know GPs play a critical role in achieving that,” Mr Brown says.

    “That’s why this Government has introduced performance payments for GP clinics that lift childhood immunisation rates by up to ten percentage points, or reach 95 per cent of their enrolled population – with partial payments for partial achievement.”

    Mr Brown says the Government is backing local services and frontline staff to keep building momentum.

    “Putting patients first means giving every child the healthiest possible start to life. We’re continuing to invest in community outreach, local services, and the workforce needed to lift immunisation coverage even further.

    “There’s still more work to do, but this latest data shows we’re heading in the right direction,” Mr Brown says.

    MIL OSI New Zealand News –

  • Israeli missile hits Gaza children collecting water, IDF blames malfunction

    Source: Government of India

    Source: Government of India (4)

    At least eight Palestinians, most of them children, were killed and more than a dozen were wounded in central Gaza when they went to collect water on Sunday, local officials said, in an Israeli strike which the military said missed its target.

    The Israeli military said the missile had intended to hit an Islamic Jihad militant in the area but that a malfunction had caused it to fall “dozens of metres from the target”.

    “The IDF regrets any harm to uninvolved civilians,” it said in a statement, adding that the incident was under review.

    The strike hit a water distribution point in Nuseirat refugee camp, killing six children and injuring 17 others, said Ahmed Abu Saifan, an emergency physician at Al-Awda Hospital.

    Water shortages in Gaza have worsened sharply in recent weeks, with fuel shortages causing desalination and sanitation facilities to close, making people dependent on collection centres where they can fill up their plastic containers.

    Hours later, 12 people were killed by an Israeli strike on a market in Gaza City, including a prominent hospital consultant, Ahmad Qandil, Palestinian media reported. The Israeli military did not immediately comment on the attack.

    Gaza’s health ministry said on Sunday that more than 58,000 people had been killed since the start of the war between Israel and Hamas in October 2023, with 139 people added to the death toll over the past 24 hours.

    The ministry does not distinguish between civilians and fighters in its tally, but says over half of those killed are women and children.

    CEASEFIRE?

    U.S. President Donald Trump’s Middle East envoy Steve Witkoff said on Sunday that he was “hopeful” on Gaza ceasefire negotiations underway in Qatar.

    He told reporters in Teterboro, New Jersey, that he planned to meet senior Qatari officials on the sidelines of the FIFA Club World Cup final.

    However, negotiations aimed at securing a ceasefire have been stalling, with the two sides divided over the extent of an eventual Israeli withdrawal from the Palestinian enclave, Palestinian and Israeli sources said at the weekend.

    Israeli Prime Minister Benjamin Netanyahu was set to convene ministers late on Sunday to discuss the latest developments in the talks, an Israeli official said.

    The indirect talks over a U.S. proposal for a 60-day ceasefire are being held in Doha, but optimism that surfaced last week of a looming deal has largely faded, with both sides accusing each other of intransigence.

    Netanyahu in a video he posted on Telegram on Sunday said Israel would not back down from its core demands – releasing all the hostages still in Gaza, destroying Hamas and ensuring Gaza will never again be a threat to Israel.

    The war began on October 7, 2023, when Hamas-led militants stormed into Israel, killing about 1,200 people and taking 251 hostages into Gaza. At least 20 of the remaining 50 hostages there are believed to still be alive.

    Families of hostages gathered outside Netanyahu’s office in Jerusalem to call for a deal.

    “The overwhelming majority of the people of Israel have spoken loudly and clearly. We want to do a deal, even at the cost of ending this war, and we want to do it now,” said Jon Polin, whose son Hersh Goldberg-Polin was held hostage by Hamas in a Gaza tunnel and slain by his captors in August 2024.

    Netanyahu and his ministers were also set to discuss a plan on Sunday to move hundreds of thousands of Gazans to the southern area of Rafah, in what Israeli Defence Minister Israel Katz has described as a new “humanitarian city” but which would be likely to draw international criticism for forced displacement.

    An Israeli source briefed on discussions in Israel said that the plan was to establish the complex in Rafah during the ceasefire, if it is reached.

    On Saturday, a Palestinian source familiar with the truce talks said that Hamas rejected withdrawal maps which Israel proposed, because they would leave around 40% of the territory under Israeli control, including all of Rafah.

    Israel’s campaign against Hamas has displaced almost the entire population of more than 2 million people, but Gazans say nowhere is safe in the coastal enclave.

    Early on Sunday morning, a missile hit a house in Gaza City where a family had moved after receiving an evacuation order from their home in the southern outskirts.

    “My aunt, her husband and the children, are gone. What is the fault of the children who died in an ugly bloody massacre at dawn?” said Anas Matar, standing in the rubble of the building.

    (Reuters)

  • MIL-Evening Report: How much salt is OK in drinking water? Without limits, Australia’s health gap widens in remote and regional areas

    Source: The Conversation (Au and NZ) – By Juliette Crowther, Researcher in Food Policy, George Institute for Global Health

    Andrew Merry/Getty

    Most Australians consume far too much sodium, mostly in the form of salt (sodium chloride) in the food they eat.

    The National Health and Medical Research Council recommends no more than 2,000 milligrams of sodium a day, roughly one teaspoon of salt.

    Yet the average Australian consumes nearly twice that.

    In some regional and remote communities, salty drinking water is quietly adding to this problem – yet sodium levels in tap water are often overlooked.

    Our new research reviewed 197 countries and shows when drinking water standards for sodium exist, they’re usually based on taste, not health.

    Most follow guidance from the World Health Organization (WHO) which, in its global campaign to lower sodium intake, has focused on diet but largely ignored drinking water.

    Salty water is an overlooked health risk

    Excess sodium is a major risk factor for high blood pressure and cardiovascular diseases, such as heart attacks and stroke. These are leading causes of death and disability across the world.

    In 2013, these health risks led the WHO to set a global target to reduce sodium intake by 30% by 2025. The WHO has since extended this to 2030, due to slow progress.

    Public health efforts to reduce sodium (salt) have focused mainly on food, not drinking water. This is because most tap water contains low sodium levels (usually below 20mg per litre).

    But some natural water sources contain excessively high sodium. In Australia, this mainly affects remote and rural communities.

    Evidence suggests it’s a growing issue, compounded by climate change, rising sea levels, more frequent storms, prolonged droughts, and human activities, including over extraction of groundwater and agricultural runoff.

    What does the WHO say about water?

    The WHO’s recommended threshold for sodium in water – no more than 200mg/L – is based on how water tastes (palatability), not what is safe for health.

    Worryingly, the WHO recommendations about drinking water are based on an outdated 2003 report that found evidence linking sodium with high blood pressure was lacking.

    Convincing evidence has since confirmed that higher sodium intake is directly related to increased blood pressure.

    The WHO updated its dietary guidelines for sodium in 2012 to reflect these health risks. But water guidelines have not changed.

    What our new research shows

    Our new research, published in recent weeks, reviewed guidelines for sodium in drinking water in 197 countries.

    It found 20% of countries – home to 30% of the world’s population – have no sodium limit in drinking water.

    Among the 132 countries that do, most (92%) follow WHO guidelines.

    Our research found only 12 countries cited health reasons for setting sodium limits, and just two of these set stricter limits than WHO guidelines.

    This means across the world, most drinking standards for sodium continue to be guided by taste, not health.

    Palatability is highly subjective. Just as some people enjoy salty chips and others find them overpowering, sensitivity to sodium in water varies.

    In contrast, the health risks of too much salt are clear.

    What do Australia’s guidelines say?

    Australia’s drinking water guidelines include a non-mandatory sodium limit of 180mg/L, also based on taste.

    But this is still too high to protect health.

    Drinking two litres of water at this concentration in one day would mean having 360mg of sodium – almost one-fifth of the recommended maximum. This is equivalent to eating a large bag of sea-salt popcorn.

    While the guidelines do recommend that people with high blood pressure drink water with less than 20mg/L sodium, there is no clear plan for how this can be achieved equitably, especially when the alternative is expensive bottled water.

    Water inequity in Walgett

    The consequences of this policy gap are stark in places such as Walgett, a remote town in north-western New South Wales with a high Aboriginal population (almost 50%).

    In 2018, when the local river ran dry, the town switched to bore water. Residents immediately noticed the water was slimy and undrinkable.

    Local Aboriginal community controlled organisations asked researchers from the University of New South Wales to test the water. This revealed sodium levels over 300mg/L.

    In 2020, the New South Wales government eventually installed a desalination plant, but due to issues managing waste, it was decommissioned a few months later.

    Today, Walgett still lacks a long-term solution to provide drinking water with low levels of sodium.

    Water inequality is health inequality

    Walgett isn’t an isolated case. Many inland and remote towns, often with high Aboriginal populations, rely on rivers and bore water increasingly affected by drought and agricultural overuse.

    This inequity in access to safe drinking water worsens the health gap.

    Indigenous Australians already face higher rates of high blood pressure, cardiovascular disease, and chronic kidney disease – all worsened by excess sodium.

    In places such as Walgett, where some people report spending as much as A$50 a week on bottled water, families are forced to choose between safe hydration and essentials such as food or medicine.

    Without mandatory health-based limits, these communities have no way to compel authorities to make their water safe.

    Safe drinking water is a human right

    In 2023, the European Union mandated legally binding drinking water standards in all member states.

    Although still based on the outdated 200mg/L taste threshold, this legal framework gives communities a basis to advocate for safer water – something Australia currently lacks.

    A sodium limit closer to the United States Environmental Protection Agency guideline of 30–60mg/L would better align with health advice.

    Without enforceable, health-based limits, Australia risks falling behind on its commitments to the sodium reduction targets and sustainable development goals set by the United Nations.

    No one should have to fight for safe drinking water. If we want to protect our most vulnerable communities, water policy must catch up with science and public health priorities.

    We would like to thank all of the authors of the paper, and the Yuwaya Ngarra-li, a community-led partnership between the Dharriwaa Elders Groups in Walgett and the University of New South Wales.

    This research was funded by the National Health and Medical Research Council. The George Institute’s Food Policy Group is a World Health Organization Collaborating Centre on Population Salt Reduction. Juliette Crowther has no other conflicts of interest to declare.

    Jacqui Webster receives salary funding from a National Health and Medical Research Council (NHMRC) Investigator Grant (#2018015) and DFAT. Jacqui Webster is Chief Investigator on the NHMRC Ideas grant (#2003862) that this research is funded through.

    – ref. How much salt is OK in drinking water? Without limits, Australia’s health gap widens in remote and regional areas – https://theconversation.com/how-much-salt-is-ok-in-drinking-water-without-limits-australias-health-gap-widens-in-remote-and-regional-areas-260496

    MIL OSI Analysis – EveningReport.nz –

  • MIL-OSI Russia: A project-analytical session of the Institute of Medicine and Medical Technologies was held at NSU

    Translation. Region: Russian Federal

    Source: Novosibirsk State University –

    An important disclaimer is at the bottom of this article.

    A two-day project-analytical session was held at Novosibirsk State University Institute of Medicine and Medical Technologies NSU. It was attended by the heads of the IMMT NSU, including curators of educational programs, as well as representatives of other leading medical universities of our country – Sechenov University and the Siberian State Medical University (SSMU). The goal of the event was to determine the main directions of the transformation of medical education at NSU taking into account modern trends.

    — We discussed how the structure of medical education should be changed so that it corresponds to strategic changes in higher education as a whole. First of all, this is a trend towards personalization, when each student has their own development trajectory; the second important point is to provide the maximum possible number of practical skills that are in demand in practical activities and the pharmaceutical industry, so that students already during their studies know how to work in the future. For example, they have skills in working with modern systems that are used in healthcare, such as electronic document management, technologies based on artificial intelligence. Another point: curricula should be flexible, constantly updated, updated and developed, this will allow students to understand modern methods of treatment, therapy, diagnostics. At the same time, it is important to find a balance between classical education, fundamental knowledge and special subjects that are aimed specifically at training doctors. After all, the specificity of the university is that we train not just doctors, but medical researchers, said Mikhail Khvostov, acting dean of the faculty of medical cybernetics and pharmacy at the Institute of Medicine and Medical Technologies of NSU.

    The session included a plenary part, when nine experts made presentations. First, the university team presented key information about the current status of medical education at NSU. Yulia Samoylova, professor, director of the IMMT NSU, told about the history of the emergence of medical care at the university, gave an overview of what is happening now, focused on what scientific, technological and educational projects the Institute is engaged in and what are the prospects for the future. Then the heads of the areas of “Medical Care”, “Medical Cybernetics” and “Psychology” spoke about their programs. The speech of Dmitry Kudlai, director of innovative development programs at NSU, was devoted to the use of artificial intelligence in education in general and in industrial pharmacy in particular. Irina Sergeeva, director of the Center for Postgraduate Medical Education at NSU, spoke about the features of residency programs.

    The presentations by external experts – Victoria Kovalevskaya, a representative of Sechenov University, and Inessa Yakimovich, Dean of the Faculty of Medicine at Siberian State Medical University – were devoted to new models of medical education. Then there was work in small groups, when the participants had to define the key elements of the future model of medical education at NSU.

    Among the main areas for development identified as a result of the session are the introduction of individual trajectories in medical education; training students and teachers to use modern information systems, artificial intelligence, both in education and in medicine.

    — The response to modern trends in the industry was the launch of a new educational program at our Institute — medical cybernetics. This is a science that is developing at the intersection of biology, medicine and information technology. We are currently in the midst of an admissions campaign; and we see that the direction is in demand, there is great interest in it. Thus, we made the right choice by introducing a new direction, and this is important, since cybernetics should contribute to the introduction of digitalization of healthcare and help doctors make better diagnoses and treat people more effectively, which is one of the priorities in the modern world, — emphasized Yulia Samoylova, Director of the IMMT NSU.

    The project-analytical session held at NSU is an introductory one and opens a series of events that will be aimed at modernizing medical education and developing a unified strategy for its development in the near future, including taking into account the infrastructure of the new campus and involving the entire university staff in the work.

    Please note: This information is raw content obtained directly from the source of the information. It is an accurate report of what the source claims and does not necessarily reflect the position of MIL-OSI or its clients.

    .

    MIL OSI Russia News –

  • MIL-OSI Australia: Aggravated assault – Roper Gulf Region

    Source: Northern Territory Police and Fire Services

    The Northern Territory Police Force is investigating an aggravated assault incident in a community in the Roper Gulf Region on Saturday.

    About 1am, the Joint Emergency Services Communication Centre received reports of a 35-year-old female being speared through the abdomen throughout a large disturbance.

    The female was conveyed to Royal Darwin Hospital by Careflight in a stable condition with non-life-threatening injuries.

    Investigations remain ongoing to understand the circumstances of the incident and identify the alleged offender.

    The Central Division has carriage.

    MIL OSI News –

  • MIL-OSI Australia: Historic day for equality as plasma donation rules change

    Source: Northern Territory Police and Fire Services

    As part of ACT Government’s ‘One Government, One Voice’ program, we are transitioning this website across to our . You can access everything you need through this website while it’s happening.

    Released 14/07/2025

    The ACT Government has today welcomed the lifting of restrictions on plasma donations, with gay and bisexual men and transgender women now eligible to donate plasma under new inclusive rules.

    From today, most sexual activity-based deferrals that previously excluded many LGBTIQA+ people from donating plasma will be removed, a milestone moment in the journey toward equity in Australia’s healthcare system.

    Lifeblood has also been progressing changes to blood donation eligibility, with the Therapeutic Goods Administration (TGA) approving a submission to remove gender-based sexual activity rules for blood and platelets, expected next year.

    Chris Steel MLA, a long-time advocate for blood donation reform, will mark the occasion by donating plasma at the Lifeblood’s Civic Donor Centre.

    “Today we are no longer being treated differently because of who we are or who we love,” Minister Steel said.

    “Like thousands of other Australians, the LGBTIQIA+ community have been ready and willing to roll up our sleeves to safely contribute to the blood supply, and now we can.

    “This is a win for equality, for evidence-based policy, and for public health.

    “I hope these changes encourage everyone who can to consider donating.”

    Minister for Health Rachel Stephen-Smith said the change comes at a critical time for Australia’s health system.

    “Plasma is the most in-demand blood product in the country, with rising demand for lifesaving treatments across Australia,” Minister Stephen-Smith said.

    “Opening up donation to more Australians not only strengthens the blood and plasma supply, it also sends a strong signal that our donation system is based on safety, science and fairness.”

    “This change reflects the ACT Government’s longstanding commitment to inclusion and health equity, and I commend Australian Red Cross Lifeblood and the Therapeutic Goods Administration for delivering this important reform.”

    Canberra is also leading the way when it comes to plasma donation. On a per capita basis, Canberra’s plasma donors are the most generous in the country, ahead of every other capital city.

    Today’s change means people previously excluded from plasma donation, including gay and bisexual men, sex workers, people on PrEP, and more, can now donate, provided they meet standard eligibility criteria.

    These changes are expected to allow an additional 24,000 Australians to donate and enable 95,000 more plasma donations every year.

    Australians are encouraged to consider donating plasma. To check eligibility or book a donation, visit www.lifeblood.com.au or call 13 14 95.

    – Statement ends –

    Chris Steel, MLA | Rachel Stephen-Smith, MLA | Media Releases

    «ACT Government Media Releases | «Minister Media Releases

    MIL OSI News –

  • MIL-OSI Analysis: When disasters fall out of the public eye, survivors continue to suffer – a rehabilitation professional explains how sustained mental health support is critical to recovery

    Source: The Conversation – USA (3) – By Lee Ann Rawlins Williams, Clinical Assistant Professor of Education, Health and Behavior Studies, University of North Dakota

    In Kerrville, Texas, Leighton Sterling watches the rushing floodwaters along the Guadalupe River on July 4, 2025. Eric Vryn via Getty Images News

    The devastating losses from the historic flooding in Texas Hill Country on July 4, 2025, are still coming into grim focus, with 121 deaths confirmed and more than 100 still missing as of July 10.

    As emergency responders focus on clearing debris and searching for victims, a less visible and slower disaster has been unfolding: the need for ongoing mental health support long after headlines fade.

    This phase is no less critical than restoring power or rebuilding bridges. Disasters destabilize emotional well-being, leaving distress, prolonged recovery and long-term impacts in their wake long after the event is over.

    Without sustained emotional support, people and communities face heightened risks of prolonged trauma and stalled recovery.

    As an educator and practitioner focused on disability and rehabilitation, I explore the intersection of disaster recovery and the impact of disasters on mental health. Both my research and that of others underscore the vital importance of support systems that not only help people cope in the immediate aftermath of a disaster but also facilitate long-term healing over the months and years that follow – especially for vulnerable populations like children, older adults and people with disabilities.

    The emotional toll of disasters

    Natural disasters disrupt routines, displace families and challenge people’s sense of control and security. In the immediate aftermath, survivors often experience shock, grief, anxiety and sleep disturbances. Often these symptoms may evolve into chronic stress, depression, post-traumatic stress disorder or a combination of these conditions.

    A 2022 study found that Texans who experienced two or more disasters within a five-year span had significantly poorer mental health, as reflected by lower scores on standardized psychological assessments, which highlights the cumulative toll repeated disasters can have on mental well-being.

    After Hurricane Katrina ravaged New Orleans in 2005, nearly a third of survivors continued to experience poor mental health years later.

    And reports following Hurricane Maria in Puerto Rico in 2017 revealed surging rates of anxiety, depression and suicidal thoughts, especially in areas where services remained unavailable for extended periods of time.

    There are actionable ways to make a difference in the recovery process.

    Strained recovery systems

    Disaster response understandably focuses on immediate needs like rescue operations, providing post-disaster housing and repairing damaged infrastructure. In addition, short-term mental health supports such as mobile health clinics are often provided in the immediate aftermath of a disaster.

    However, although emergency services are deployed quickly after a disaster, long-term mental health support is often delayed or under-resourced, leaving many people without continued care during the recovery period, especially in remote or rural communities, exposing deep structural gaps in how recovery systems are designed.

    One year after Hurricane Harvey devastated parts of Texas in 2017, more than 90% of Gulf Coast residents reported ongoing stress related to housing instability, financial hardship or displacement. Yet less than 10% of people stated that they or someone in their household had used mental health services following the disaster.

    Hurricane Helene in 2024 similarly tested the resilience of rural mental health networks in western North Carolina. The storm damaged roads and bridges, schools and even local clinics.

    This prompted a news organization, North Carolina Health News, to warn of rising “trauma, stress and isolation” among residents as providers scrambled to offer free counseling despite legal barriers stemming from licensing requirements to provide counseling across state borders. State health officials activated community crisis centers and helplines, while mobile mental health teams were dispatched from Tennessee to help those impacted by the disaster. However, state representatives stressed that without long-term investment, these critical supports risk being one-off responses.

    These events serve as a powerful reminder that while roads and buildings can often be restored quickly, emotional recovery is a slower, more complex process. Truly rebuilding requires treating mental health with the same urgency as physical infrastructure. This requires investing in strong mental health recovery systems, supporting local clinics, sustaining provider networks and integrating emotional care into recovery plans from the start.

    In Hunt, Texas, Gov. Greg Abbott speaks to volunteers and community members during a news conference on July 8, 2025.
    Brandon Bell via Getty Images News

    Finding mental health support following a disaster

    Lessons learned from previous disasters and an abundance of research show how sustained mental health supports can help people recover and build resilience.

    These six lessons are particularly helpful for finding needed mental health support following a disaster:

    • If you’re feeling overwhelmed after a disaster, you’re not alone, and help is available. Free and confidential support is offered through resources like the Disaster Distress Helpline (1-800-985-5990 or text TalkWithUs to 66746), which connects you to trained counselors 24/7.

    • Many communities offer local mental health crisis lines or walk-in centers that remain active well after the disaster passes. Check your county or state health department’s website for updated listings and information.

    • Even if physical offices are closed, many clinics now offer virtual counseling or can connect you with therapists and medication refills remotely. If you’ve seen someone before, ask if they’re still available by phone or video.

    • After major disasters, states often deploy mobile health clinics that include mental health services to shelters, churches or schools. These temporary services are free and open to the public.

    • If someone you care about is struggling, help them connect with resources in the community. Share hotline numbers, offer to help make an appointment or just let them know it’s OK to ask for support. Many people don’t realize that help is available, or they think it’s only for more “serious” problems. It’s not.

    • Mental health support doesn’t always arrive right away. Keep an eye on local news, school updates or health department alerts for new services that may become available in the weeks or months after a disaster.

    Disasters don’t just damage buildings; they disrupt lives in lasting ways.

    While emotional recovery takes time, support is available. Staying informed and sharing resources with others can help ensure that the road to recovery isn’t traveled alone.

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

    – ref. When disasters fall out of the public eye, survivors continue to suffer – a rehabilitation professional explains how sustained mental health support is critical to recovery – https://theconversation.com/when-disasters-fall-out-of-the-public-eye-survivors-continue-to-suffer-a-rehabilitation-professional-explains-how-sustained-mental-health-support-is-critical-to-recovery-260781

    MIL OSI Analysis –

  • MIL-OSI Analysis: When disasters fall out of the public eye, survivors continue to suffer – a rehabilitation professional explains how sustained mental health support is critical to recovery

    Source: The Conversation – USA (3) – By Lee Ann Rawlins Williams, Clinical Assistant Professor of Education, Health and Behavior Studies, University of North Dakota

    In Kerrville, Texas, Leighton Sterling watches the rushing floodwaters along the Guadalupe River on July 4, 2025. Eric Vryn via Getty Images News

    The devastating losses from the historic flooding in Texas Hill Country on July 4, 2025, are still coming into grim focus, with 121 deaths confirmed and more than 100 still missing as of July 10.

    As emergency responders focus on clearing debris and searching for victims, a less visible and slower disaster has been unfolding: the need for ongoing mental health support long after headlines fade.

    This phase is no less critical than restoring power or rebuilding bridges. Disasters destabilize emotional well-being, leaving distress, prolonged recovery and long-term impacts in their wake long after the event is over.

    Without sustained emotional support, people and communities face heightened risks of prolonged trauma and stalled recovery.

    As an educator and practitioner focused on disability and rehabilitation, I explore the intersection of disaster recovery and the impact of disasters on mental health. Both my research and that of others underscore the vital importance of support systems that not only help people cope in the immediate aftermath of a disaster but also facilitate long-term healing over the months and years that follow – especially for vulnerable populations like children, older adults and people with disabilities.

    The emotional toll of disasters

    Natural disasters disrupt routines, displace families and challenge people’s sense of control and security. In the immediate aftermath, survivors often experience shock, grief, anxiety and sleep disturbances. Often these symptoms may evolve into chronic stress, depression, post-traumatic stress disorder or a combination of these conditions.

    A 2022 study found that Texans who experienced two or more disasters within a five-year span had significantly poorer mental health, as reflected by lower scores on standardized psychological assessments, which highlights the cumulative toll repeated disasters can have on mental well-being.

    After Hurricane Katrina ravaged New Orleans in 2005, nearly a third of survivors continued to experience poor mental health years later.

    And reports following Hurricane Maria in Puerto Rico in 2017 revealed surging rates of anxiety, depression and suicidal thoughts, especially in areas where services remained unavailable for extended periods of time.

    There are actionable ways to make a difference in the recovery process.

    Strained recovery systems

    Disaster response understandably focuses on immediate needs like rescue operations, providing post-disaster housing and repairing damaged infrastructure. In addition, short-term mental health supports such as mobile health clinics are often provided in the immediate aftermath of a disaster.

    However, although emergency services are deployed quickly after a disaster, long-term mental health support is often delayed or under-resourced, leaving many people without continued care during the recovery period, especially in remote or rural communities, exposing deep structural gaps in how recovery systems are designed.

    One year after Hurricane Harvey devastated parts of Texas in 2017, more than 90% of Gulf Coast residents reported ongoing stress related to housing instability, financial hardship or displacement. Yet less than 10% of people stated that they or someone in their household had used mental health services following the disaster.

    Hurricane Helene in 2024 similarly tested the resilience of rural mental health networks in western North Carolina. The storm damaged roads and bridges, schools and even local clinics.

    This prompted a news organization, North Carolina Health News, to warn of rising “trauma, stress and isolation” among residents as providers scrambled to offer free counseling despite legal barriers stemming from licensing requirements to provide counseling across state borders. State health officials activated community crisis centers and helplines, while mobile mental health teams were dispatched from Tennessee to help those impacted by the disaster. However, state representatives stressed that without long-term investment, these critical supports risk being one-off responses.

    These events serve as a powerful reminder that while roads and buildings can often be restored quickly, emotional recovery is a slower, more complex process. Truly rebuilding requires treating mental health with the same urgency as physical infrastructure. This requires investing in strong mental health recovery systems, supporting local clinics, sustaining provider networks and integrating emotional care into recovery plans from the start.

    In Hunt, Texas, Gov. Greg Abbott speaks to volunteers and community members during a news conference on July 8, 2025.
    Brandon Bell via Getty Images News

    Finding mental health support following a disaster

    Lessons learned from previous disasters and an abundance of research show how sustained mental health supports can help people recover and build resilience.

    These six lessons are particularly helpful for finding needed mental health support following a disaster:

    • If you’re feeling overwhelmed after a disaster, you’re not alone, and help is available. Free and confidential support is offered through resources like the Disaster Distress Helpline (1-800-985-5990 or text TalkWithUs to 66746), which connects you to trained counselors 24/7.

    • Many communities offer local mental health crisis lines or walk-in centers that remain active well after the disaster passes. Check your county or state health department’s website for updated listings and information.

    • Even if physical offices are closed, many clinics now offer virtual counseling or can connect you with therapists and medication refills remotely. If you’ve seen someone before, ask if they’re still available by phone or video.

    • After major disasters, states often deploy mobile health clinics that include mental health services to shelters, churches or schools. These temporary services are free and open to the public.

    • If someone you care about is struggling, help them connect with resources in the community. Share hotline numbers, offer to help make an appointment or just let them know it’s OK to ask for support. Many people don’t realize that help is available, or they think it’s only for more “serious” problems. It’s not.

    • Mental health support doesn’t always arrive right away. Keep an eye on local news, school updates or health department alerts for new services that may become available in the weeks or months after a disaster.

    Disasters don’t just damage buildings; they disrupt lives in lasting ways.

    While emotional recovery takes time, support is available. Staying informed and sharing resources with others can help ensure that the road to recovery isn’t traveled alone.

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

    – ref. When disasters fall out of the public eye, survivors continue to suffer – a rehabilitation professional explains how sustained mental health support is critical to recovery – https://theconversation.com/when-disasters-fall-out-of-the-public-eye-survivors-continue-to-suffer-a-rehabilitation-professional-explains-how-sustained-mental-health-support-is-critical-to-recovery-260781

    MIL OSI Analysis –

  • MIL-OSI USA News: Presidential Message on the Anniversary of the Tragedy in Butler, Pennsylvania

    Source: US Whitehouse

    One year ago today, at 6:11 pm—eight minutes after taking the stage on the grounds of Butler Farms to address thousands of Americans gathered at a campaign rally—rifle fire broke out, and an assassin’s bullet came within a quarter inch of ending my life and silencing our movement to restore American greatness.  Yet, by the hand of providence and the grace of Almighty God, my life was spared.  As we commemorate one year since the harrowing events of July 13, 2024, we reaffirm that the American spirit has and will always triumph over forces of evil and destruction.

    Those who carry scars from that July evening defended our Republic during one of our Nation’s darkest hours—running to the injured amid chaos and uncertainty to provide comfort and lifesaving care.  Doctors and first responders rushed to help the wounded, rallygoers guided their fellow citizens to safety, and patriots raised their fists in the air in an outpouring of support and national pride.  These men and women arrived at the rally grounds as ordinary Americans, but left as heroes.  They represent the very best of our Nation, and we are forever indebted for their kindness and compassion.

    However, one name stands above all for selfless service and ultimate sacrifice on that fateful day.  The world will never forget the tragic loss of Corey Comperatore, a firefighter, veteran, and devoted husband and father.  When gunfire erupted, Corey did not hesitate to protect his wife and two daughters.  He died a hero, and we are eternally grateful for his inspiring love, valor, and faithfulness.

    It remains my firm conviction that God alone saved me that day for a righteous purpose: to restore our beloved Republic to greatness and to rescue our Nation from those who seek its ruin.  One year after the attempt on my life in Butler, our country is in the midst of a new Golden Age.  History will remember the would-be assassin for his cowardice and failure, but the magnificent legacy of the heroes of July 13, 2024, will forever be etched upon the heart of our Nation.  Today, we pay tribute to their spirit of love, unity, and resilience—and we proclaim with one voice the epic battle cry that has reverberated all across the world: “Fight, fight, fight!”

    MIL OSI USA News –

  • MIL-OSI United Kingdom: Trade win unlocks £250 million for British firms in Vietnam

    Source: United Kingdom – Government Statements

    Press release

    Trade win unlocks £250 million for British firms in Vietnam

    Trade win unlocks £250 million in exports for British pharmaceutical firms in Vietnam.

    Trade win unlocks £250 million in exports for British pharmaceutical firms in Vietnam

    • Major pharmaceutical trade barrier with Vietnam removed as bilateral trade increased by £1.2 billion in current prices to £8.1 billion in 2024 in boost to UK economy
    • Pharmaceutical sectors given boost making it faster and cheaper to sell UK medicines to Vietnam
    • Trade Strategy in action as UK continues to eye fast deals across the globe for key industries to create jobs and boost innovation as part of our Plan for Change

    British pharmaceutical companies are set to gain up to £250 million over the next five years as part of a Vietnamese law change that makes it easier to sell UK-made medicines to the country.

    The announcement comes ahead of the latest Joint Economic and Trade Committee (JETCO) today [14 July] co-chaired by Trade Minister Douglas Alexander and Vice Minister Nguyen Hoang Long.

    The meeting aims to deepen trade ties – which have risen to more than £8 billion – and remove barriers for UK businesses in key sectors like healthcare, finance, and clean energy – which will boost growth to deliver for working people as part of the Plan for Change.

    It follows the launch of the UK’s landmark Trade Strategy which aims to secure more nimble deals while promoting sectors like financial services and renewable energy which drive the most economic growth.

    Thanks to UK government efforts, Vietnam has changed its laws to streamline the registration of new medicines and vaccines, now recognising approvals from trusted international regulators such as the UK’s Medicines and Healthcare products Regulatory Agency (MHRA).

    It opens to the door to more commercial opportunities for UK companies who can avoid time-consuming paperwork and expensive legal processes if their products have been approved in the last five years by the MHRA, making it cheaper, quicker and easier to sell products to Vietnam.

    The JETCO will reflect the UK’s goal of deepening ties with fast-growing economies in Asia while supporting key sectors like life sciences, education, and green energy – core pillars of the UK’s Industrial Strategy.

    Renewable energy will be on today’s agenda as both countries pledge to work together to support the development of Vietnam’s renewable energy sector, particularly around offshore wind, with the industry in the UK forecast to support 100,000 jobs by 2030.

    Trade Minister Douglas Alexander said:

    Vietnam is today a dynamic, fast-growing economy.

    The removal of pharmaceutical barriers with one of our closest trading partners in Asia is a boost for the UK pharmaceutical industry and proof our Industrial and Trade Strategies are already delivering.

    The UK is committed to strengthening its relationship with Vietnam, which is witnessing rapid economic growth and fast becoming a major global manufacturing base for electronics, textiles, and renewable energy.

    Discussions will also celebrate the good news for our world-leading financial services sector as the government commits support for Vietnam to design its first International Finance Centre in Ho Chi Minh City which is expected to streamline regulations and encourage international investments, making it simpler for British firms to trade with Vietnam.

    The swift removal of pharmaceutical barriers and progress on financial and energy collaborations with Vietnam demonstrates the government is securing quick wins through nimble, targeted interventions and delivering on the key ambitions of the newly launched Trade Strategy.

    Miles Celic OBE, Chief Executive Officer, TheCityUK, said:

    There is great potential for British firms and other international investors in Vietnam; it is a rapidly growing market with increasing demand for sophisticated financial products. There are also mutual benefits to be gained through sharing expertise in areas such as green finance, innovation, and digital transformation.

     We’ve been working closely with the UK Government and British Embassy in Hanoi and Ho Chi Minh City to help lay the groundwork for the development of an international financial and business centre in Ho Chi Minh City and Da Nang and are very supportive of the government’s commitment to support its creation and its contribution to Vietnam’s economic growth and net-zero agenda.

    Annex

    Notes on analysis

    The £250m over five-year figure is a mid-point of a range of £100m – £400m. The DBT methodology to value market access barriers can be found here:

    https://www.gov.uk/government/publications/methodologies-for-valuing-market-access-barriers

    Sources:

    https://www.gov.uk/government/publications/renewable-technologies-future-job-estimates-methodology/job-estimates-for-wind-generation-by-2030-methodology-note

    2025-06-19 Vietnam – UK Trade and Investment Factsheet

    Updates to this page

    Published 14 July 2025

    MIL OSI United Kingdom –

  • MIL-Evening Report: ‘You become a target’: research shows why many people who experience racism don’t report it

    Source: The Conversation (Au and NZ) – By Mario Peucker, Associate Professor and Principal Research Fellow, Institute for Sustainable Industries and Liveable Cities, Victoria University

    The way racism manifests itself may have changed over time, but it remains a persistent problem in Australia.

    The 2024 Reconciliation Barometer found a significant increase in racism against First Nations people. Antisemitism and Islamophobia have also been on the rise.

    Many other migrant communities and their Australian-born descendants continue to face racial discrimination, abuse and systemic marginalisation.

    And yet the true picture of racism in Australia is hard to determine, as a lot of racism goes unreported. Our soon to be published research reveals people often don’t know how to come forward, are scared of negative consequences, or simply don’t think anything would change if they did report it.

    Unheard voices

    The silencing of those who have experienced racism manifests in various ways, including the sceptical, at times hostile public reactions to those who speak out publicly.

    But our research, funded by VicHealth and accepted for publication by the journal Ethnic and Racial Studies, analysed how inadequate formal reporting pathways can mean people don’t come forward about their experiences.

    We conducted a survey of more than 700 people, then focus groups with almost 160 people. In total, we examined the experiences of 859 Victorian adults from culturally or racially marginalised communities.

    The vast majority of them – 76% of the survey respondents – had experienced racism in Australia, across many areas of life. These experiences happened at work, in shopping centres, on public transport and on the streets. Some also encountered racism in schools, healthcare, housing, online or when dealing with police.

    But crucially, only 15.5% of them had ever reported any such incident to an organisation.

    Unsurprisingly, one of the reasons why people do not report is that many are not aware of existing reporting options, for example through the federal or states’ human rights commissions.

    For 75.2% of survey respondents, not knowing where and how to report was a key barrier. The only place most people knew about was the police, which was often not seen as appropriate unless the incident involved physical violence.

    Moreover, trust in an effective response by police was generally low. A Muslim woman in one of the focus groups said:

    the biggest reason [for not reporting] is probably not knowing. The obvious is the police station, but then, well, many of us already feel that police won’t do much. But what else is out there?

    High cost, low reward

    An even bigger obstacle is that reporting racism was commonly considered high-cost, but low-reward. Most participants (83.2%) were deterred by the conviction that the process was taking too much time and effort.

    As one Asian-Australian participant stated:

    I imagine the reporting to be a long process. Do I want to go through the process, especially as a migrant. You ask yourself: is it life and death? If not, let me just get on with my day.

    Many highlighted concerns they would not be taken seriously (75.9%) or that reporting would have negative consequences for them or their children (72.8%). They were also concerned about how reporting could negatively affect their career, treatment at school or even their legal resident status.

    An African-Australian man said:

    You know you’re gonna be a double victim. Let’s say at your workplace, if you report racism, straight away […] you become a target.

    No accountability

    These factors shape the discouraging perspective that reporting is a high-cost action.

    But what makes it even worse is the very common conviction, expressed by 90.6% of survey respondents, that “nothing would change” even if they were to report, and that there was no accountability for racist behaviour.

    A Somali-born mother, whose daughter was called a racist slur by her teacher, complained to the school principal, but “he didn’t do anything”. She said her kids and their friends “all agreed that no one would do anything about this”. She said:

    They have this belief that if they make a complaint, it will not go anywhere. They all said the same thing: If you go somewhere, no one will care.

    Another survey participant said reporting racism would have to be worth the effort:

    We need to know that the mental and emotional sacrifice of reporting will be worth it, that it will result in an outcome. Why would I report racism if nothing will be done?

    ‘Don’t rock the boat’

    In addition, there are other psychological factors at play.

    Of those surveyed, 70.1% explained they refrain from reporting because they don’t want to “cause trouble”. In the focus groups, participants often spoke about not wanting to “rock the boat” or refraining from “talking bad, talking about racism because they might hate us”.

    Similarly, others are so determined to “blend in” they feel they have to accept racism. A Chinese-Australian participant explained her community wouldn’t complain because:

    we want to, and try to, fit in. And we have come to accept a little bit of tough treatment.

    Even protecting the perpetrators of racism from harm was described by some as a reason for not reporting:

    I thought by reporting I would hurt her [the perpetrator], and in our culture, we should not be hurting another person.

    What can be done?

    Our research shows racism often goes undetected and unreported due to systemic and cultural barriers. As a result, injustice remains unchallenged and normalised.

    But communities are finding alternative ways of speaking out against racism, often outside formal reporting channels.

    Following our research, for example, three local community-led anti-racism support networks have been set up in parts of Victoria to complement the existing support and reporting system.

    These networks provide trusted and culturally safe spaces and support to those who face racism. They have started to systematically document racism, working towards local evidence that can be used to raise awareness and inform targeted anti-racism actions in the future.

    Networks like these could be introduced around the country to give people more options to come forward.

    We won’t be able to properly address racism while those experiencing it think they won’t be listened to. We all need to ensure racist incidents are taken seriously, responded to promptly and that people are heard.

    Mario Peucker receives funding from the Victorian Government and VicHealth.

    Franka Vaughan receives funding from VicHealth

    Jo Doley received funding from VicHealth.

    Tom Clark receives funding from VicHealth.

    – ref. ‘You become a target’: research shows why many people who experience racism don’t report it – https://theconversation.com/you-become-a-target-research-shows-why-many-people-who-experience-racism-dont-report-it-260092

    MIL OSI Analysis – EveningReport.nz –

  • MIL-OSI USA: Read More (Rep. Steube and Sen. Moody Introduce Stop GAPS Act)

    Source: United States House of Representatives – Congressman Greg Steube (FL-17)

    July 13, 2025 | Press ReleasesWASHINGTON —  U.S. Representative Greg Steube (R-Fla.) this week introduced the House companion bill to the Stop Government Abandonment and Placement Scandals Act of 2025 (Stop GAPS Act), first introduced this Congress by Senator Ashley Moody (R-Fla.). The Stop GAPS Act will reform the Office of Refugee Resettlement (ORR) under the Department of Health and Human Services to protect unaccompanied migrant children who arrive in the United States.“It’s no secret that the Biden administration’s open border policies were an abject disaster. Not only did they allow for a migrant invasion, but a red carpet was rolled out for dangerous criminals to prey on vulnerable youth,” said Rep. Steube. “Among the many victims of Biden’s border crisis were tens of thousands of unaccompanied migrant children who were misplaced or lost after being processed through the Office of Refugee Resettlement.Current law allows the ORR to place unaccompanied children with any adult or entity seeking custody. No responsible parent would ever leave their child with a random stranger, and neither should the federal government. The Stop GAPS Act builds upon the Trump administration’s success at securing the border by requiring the ORR to work with state and local authorities to guarantee safe and proper vetting of all individuals and entities before granting them custody of any unaccompanied child.”“We’re incredibly proud of the provisions we have already passed in the One Big Beautiful Bill to protect children but there is more to be done,” said Senator Moody. “The Biden administration did historic damage to our country’s immigration and national security structures, putting our nation and unaccompanied children at risk, and turning federal agencies into middlemen for mass human trafficking operations. As Florida’s Attorney General, I fought constantly in court to stop the intentional destruction of our border and trafficking of minors. We will continue to work with President Trump to not only reverse the failures of the Biden administration but ensure that it can never happen again. I’m grateful to Representative Steube for fighting alongside me on this important issue.”Background:

    In the March 20, 2024, Committee on Ways and Means hearing, Rep. Steube questioned then-HHS Secretary Xavier Becerra about the ORR’s process for finding placements and shelter for unaccompanied migrant children. Of the more than 100 questions submitted by the committee, Rep. Steube’s ORR question was one of only two questions Becerra declined to answer.
    In the Third Presentment of the Twenty-First Statewide Grand Jury in Florida, it was revealed that:

    The Biden DOJ received thousands of allegations of sexual abuse related to unaccompanied minors processed through the ORR.
    Under the Biden administration, the ORR permitted individuals with criminal records, no citizenship, and who refused a background check from receiving custody of unaccompanied children.
    Over the course of ten months in 2021, the ORR lost contact with nearly 20,000 unaccompanied children.
    Under the Biden ORR, case managers failed to perform home studies on more than 95% of placements of unaccompanied children.
    Grand jury testimony revealed unaccompanied children were placed in the custody of convicted felons and homes with multiple unknown male occupants.

    Read the full bill here.

    MIL OSI USA News –

  • MIL-OSI Video: High-Level Political Forum 2025 – Opening | United Nations

    Source: United Nations (video statements)

    The HLPF will be held from Monday, 14 July, to Wednesday, 23 July 2025, under the auspices of the Economic and Social Council.

    Opening
    Unlocking means of implementation: Mobilizing financing and STI for the SDGs (Townhall meeting)

    -How can countries and stakeholders advance a coherent framework for financing the SDGs? 
    -What are the key outcomes from the 4th International Conference on Financing for Development (FfD4) which can be addressed in the short-term?
    -How can promising science and technology solutions for the SDGs be scaled up? 
    -What innovative examples were highlighted at the 10th Multi-Stakeholder Forum on STI for the SDGs?

    —

    The High-level Political Forum on Sustainable Development (HLPF) will be held from Monday, 14 July, to Wednesday, 23 July 2025, under the auspices of the Economic and Social Council. This includes the three-day ministerial segment of the forum from Monday, 21 July, to Wednesday, 23 July 2025, as part of the High-level Segment of ECOSOC.

    The theme of the HLPF will be “Advancing sustainable, inclusive, science- and evidence-based solutions for the 2030 Agenda for Sustainable Development and its Sustainable Development Goals for leaving no one behind”

    Five Sustainable Development Goals would be the focus of HLPF 2025 

    SDG 3 – Good Health and Well-Being
    SDG 5 – Gender Equality
    SDG 8 – Decent Work and Economic Growth
    SDG 14 – Life Below Water
    SDG 17 – Partnerships for the Goals

    The 2025 HLPF is expected to bring together ministerial and high-level representatives of governments, as well as a wide range of expertise and stakeholders, including heads of UN entities, academics and other experts, and representatives of major groups and other stakeholders. 

    37 countries will present a Voluntary National Reviews (VNR) at the 2025 HLPF: Angola, Bahamas, Bangladesh, Belarus, Bhutan, Bulgaria, Czech Republic, Dominican Republic, El Salvador, Eswatini, Ethiopia, Finland, Gambia, Germany, Ghana, Guatemala, India, Indonesia, Iraq, Israel, Japan, Kazakhstan, Kyrgyzstan, Lesotho, Malaysia, Malta, Micronesia, Nigeria, Papua New Guinea, Philippines, Qatar, Saint Lucia, Seychelles, South Africa, Sudan, Suriname, Thailand.  

    Watch in 6 UN official languages: https://webtv.un.org/en/asset/k1f/k1fv876o81

    https://www.youtube.com/watch?v=8FEcMRkKdGw

    MIL OSI Video –

  • MIL-OSI USA: LLK Trading Inc. Recalls “Needle Mushrooms” Because of Possible Health Risk

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    July 11, 2025
    FDA Publish Date:
    July 13, 2025
    Product Type:
    Food & Beverages
    Reason for Announcement:

    Recall Reason Description
    Potential Foodborne Illness – Listeria monocytogenes

    Company Name:
    LLK TRADING INC.
    Brand Name:

    Brand Name(s)
    LLK TRADING INC.

    Product Description:

    Product Description
    Needle mushroom

    Company Announcement
    LLK TRADING INC. of Linden, NJ, is recalling its 200g packages of “Needle Mushrooms” because it has the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women. The recalled “Needle Mushrooms” were distributed to Bally Produce Corp. located at 4900 Maspeth Ave, Maspeth, NY 11378, and was sold to DATANG SUPERMARKET INC.
    The product comes in a 200 gram, clear plastic packaging on the top and blue (non-transparent) on the bottom.
    No illnesses have been reported to date in connection with this problem.
    The potential for contamination was noted after routine testing by the FDA revealed the presence of Listeria monocytogenes in the package they sampled. 
    Vending of the product has been suspended while FDA and the company continues their investigation as to the source of the contamination.
    Consumers who have purchased the 200 gram packages of “Needle Mushrooms” are urged not to consume the products and to return them to the place of purchase for a full refund. Consumers with questions may contact the company Monday to Friday 9:30am to 3:00pm (EST) at (908)-290-3061.

    Company Contact Information

    Consumers:
    LLK Trading Inc.
    (908)-290-3061

    Media:
    Ashley LIU
    (908)-209-3061

    Product Photos

    Content current as of:
    07/13/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News –

  • MIL-OSI USA: LLK Trading Inc. Recalls “Needle Mushrooms” Because of Possible Health Risk

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    July 11, 2025
    FDA Publish Date:
    July 13, 2025
    Product Type:
    Food & Beverages
    Reason for Announcement:

    Recall Reason Description
    Potential Foodborne Illness – Listeria monocytogenes

    Company Name:
    LLK TRADING INC.
    Brand Name:

    Brand Name(s)
    LLK TRADING INC.

    Product Description:

    Product Description
    Needle mushroom

    Company Announcement
    LLK TRADING INC. of Linden, NJ, is recalling its 200g packages of “Needle Mushrooms” because it has the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women. The recalled “Needle Mushrooms” were distributed to Bally Produce Corp. located at 4900 Maspeth Ave, Maspeth, NY 11378, and was sold to DATANG SUPERMARKET INC.
    The product comes in a 200 gram, clear plastic packaging on the top and blue (non-transparent) on the bottom.
    No illnesses have been reported to date in connection with this problem.
    The potential for contamination was noted after routine testing by the FDA revealed the presence of Listeria monocytogenes in the package they sampled. 
    Vending of the product has been suspended while FDA and the company continues their investigation as to the source of the contamination.
    Consumers who have purchased the 200 gram packages of “Needle Mushrooms” are urged not to consume the products and to return them to the place of purchase for a full refund. Consumers with questions may contact the company Monday to Friday 9:30am to 3:00pm (EST) at (908)-290-3061.

    Company Contact Information

    Consumers:
    LLK Trading Inc.
    (908)-290-3061

    Media:
    Ashley LIU
    (908)-209-3061

    Product Photos

    Content current as of:
    07/13/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News –

  • MIL-OSI Analysis: Want more orgasms? Choose a woman partner

    Source: The Conversation – Canada – By Caroline Pukall, Professor, Department of Psychology, Queen’s University, Ontario

    Being partnered with a woman is associated with an orgasm advantage. (Pexels/Cottonbro)

    The orgasm gap — the consistent finding that men who have sex with women have more frequent orgasms than women who have sex with men — has been shown in study after study of cisgender, heterosexual participants.

    The gap is a big one: Based on a recent Canadian study, approximately 60 per cent of women and 90 per cent of men reported reaching orgasm in their most recent sexual encounter.

    In sexually diverse samples (samples that also include women who have sex with women and men who have sex with men), the pattern becomes more nuanced but still supports a gendered orgasm gap.

    Research has shown that women who have sex with women have a more equal frequency of orgasms within their partnership.
    (Pexels/Ketut Subiyanto)

    Research has shown that the gap in orgasm frequency is reduced (in other words, there is more equal orgasm frequency) in women who have sex with women (about 75 per cent), and this rate is significantly higher than in women who have sex with men (about 62 per cent). However, men as a group — regardless of who they were having sex with — still had significantly higher orgasm frequency (85 per cent) than women overall (63 per cent). Women are orgasm-disadvantaged overall and especially when they have sex with men.

    Mind the gap

    How far-reaching is the orgasm gap and what factors might be standing in the way of orgasms for all? We — a team of researchers and science journalists from the podcast Science Vs — examined orgasm frequency in a large diverse sample that included sexual (such as lesbian) and gender (such as trans) minorities and majorities, as well as racialized participants (there were no significant results with analyses focused on sexual orientation or race).

    The good news? We found that many people overall were having lots of orgasms — about two-thirds reported having orgasms almost or every time they engaged sexually.

    The not-so-great news? The orgasm gap persisted: cis men overall reported the highest orgasm frequency compared to women and gender minorities (who did not differ significantly from each other). In addition, we found that participants of all genders who engaged sexually with women reported significantly more frequent orgasms than those who engaged sexually with men. So being partnered with a woman is associated with an orgasm advantage.

    More not-so-great news was that about 17 per cent of participants reported almost never or never having orgasms during sex and that there were many factors preventing orgasms in participants. For cis women, psychological barriers — such as insecurities, mental health struggles and distractions — were prominent, as were sexual obstacles (like not receiving adequate stimulation), difficulties inherent in having orgasms (for example, they take too long and require too much effort) and not knowing why orgasms are difficult for them to have.

    Closing the gap

    So why does the orgasm gap exist and persist? One main reason is that broad sociocultural norms prioritize men’s sexual pleasure over women’s. Indeed, these norms develop from the traditional (heterosexual, western) sexual script that defines the end of sexual activity as male orgasm; importantly, women’s adherence to this script has been associated with lower sexual satisfaction.

    Women’s own degree of familiarity with their partner has also been shown to be critical in narrowing the gap.
    (Unsplash/Jonathan Borba)

    Another is that mainstream media feeds into narratives of sexual expectations based on gender, such that portrayals of women who do not have orgasms are much more — even readily — acceptable than portrayals of orgasmless men. This inequality is played out in sexual encounters, perpetuating the gap and contributing to complacency in addressing it.

    But there is hope: Heterosexual men’s motivation to bring their partner to orgasm and their intentional incorporation of sexual activities that increase the chance of orgasm for their partner — such as clitoral stimulation and oral sex — can help narrow (and even eradicate!) the gap. Women’s own degree of familiarity with their partner has also been shown to be help narrow the gap. Higher familiarity (think of a long-term situationship as opposed to a casual hookup) was associated with higher orgasm frequency.

    The simple act of prioritizing women’s orgasm — captured with an easy-to-remember phrase of “she comes first” — may be all that is needed to substantially narrow the orgasm gap.

    Caroline Pukall receives funding from the Canadian Institutes of Health Research, the International Society for the Study of Women’s Sexual Health, and Queen’s University.

    – ref. Want more orgasms? Choose a woman partner – https://theconversation.com/want-more-orgasms-choose-a-woman-partner-259655

    MIL OSI Analysis –

  • MIL-OSI Africa: Agriculture lifts Brazilian live poultry and poultry products restrictions

    Source: Government of South Africa

    Import restrictions on live poultry and poultry products from Brazil have been lifted.

    This after what the Department of Agriculture describes as “extensive engagements” between South African and Brazilian veterinary authorities.

    “This follows the confirmation that the outbreak of Highly Pathogenic Avian Influenza [HPAI], first detected on 15 May 2025 in a breeder establishment located in the municipality of Montenegro, a state of Rio Grande do Sul in Brazil, has been contained and eradicated. 

    “The stamping out measures were applied in accordance with the relevant standards set by the World Organisation for Animal Health [WOAH], and the affected premises were depopulated and disinfected. The 28-day waiting period after stamping out was observed, with the self-declaration of freedom effective from 18 June 2025,” the department said in a statement.

    The department revealed that a bilateral technical meeting was held with the South American nation’s veterinary authority, during which an agreement was reached on the “revised Veterinary Health Certificate (VHC), confirming that Brazil is free of HPAI”.

    “The positive outcome is a direct result of the dedicated efforts of our officials. With this resolution, imports can resume, which will significantly contribute to enhancing food security for all citizens,” Agriculture Minister John Steenhuisen said. 

    The department warned, however, that as a precautionary measure, “products packed in their final packaging between 1 May and 18 June 2025 temporarily remain restricted”.

    “This is in line with risk mitigation standards to ensure the continued safety of our animal health status and trade partners.

    “The Department of Agriculture remains vigilant and will continue to monitor the situation. The lifting of the suspension may be reviewed should new information emerge indicating the outbreak spreading to other areas within Brazil.

    “Minister Steenhuisen emphasised that this development underlines the department’s commitment to science-based decision making and the importance of maintaining open, transparent and technically sound channels of communication between trading partners,” the statement concluded. – SAnews.gov.za

    MIL OSI Africa –

  • MIL-OSI Africa: Vaccination against cholera brings hope to more than 2 million Angolans

    Source: APO – Report:

    .

    A new round of the oral vaccination campaign against cholera was officially launched this Saturday in the municipality of Cafunfo, Lunda Norte province, an initiative of the Angolan government, through the Ministry of Health, with the support of GAVI – Global Alliance for Vaccines, the World Health Organization (WHO), UNICEF, the European Union and other partners in the health sector.

    The campaign plans to vaccinate more than 2 million people in the most affected municipalities in the provinces of Cabinda, Kwanza Sul, Huíla, Lunda Norte, Namibe and Zaire – regions where there is currently active transmission of the disease.

    The campaign started simultaneously in all the provinces covered, with teams on the ground starting vaccination activities at fixed posts and through door-to-door visits.

    At the launch, the Minister of Health, Dr. Sílvia Lutucuta, called on everyone to get involved: “Everyone has to take part in this war against cholera, we’re almost there, there’s just a little bit left and if we all work together we’ll be able to get rid of cholera in Angola.”

    The minister also highlighted the strengthening of the response capacity thanks to the support of partners: “Through our partners, we managed to get around 1 million vaccines in the first and second rounds. Now we’ve got 2 million vaccines that will allow us to increase coverage and protect even more people.”

    The vaccine used in this round is Euvichol-S, an oral, single-dose vaccine donated by Gavi and distributed via the international mechanism coordinated by the International Coordination Group (ICG). The campaign involves 942 vaccination teams, made up of vaccinators, mobilizers and supervisors, who will work at fixed posts and also through door-to-door visits.

    All people aged one year and over will be vaccinated, as part of an integrated response that includes epidemiological surveillance, access to drinking water, sanitation, risk communication and case management.

    During the ceremony, the WHO Representative in Angola, Dr. Indrajit Hazarika, highlighted the role of the vaccine in protecting communities, but recalled that it must be complemented by other structural measures: “The oral vaccine is a strong tool in our hands, in each campaign we stop the transmission of cholera by reinforcing the vital shield of protection for communities. But the vaccine alone is not enough, we must remain vigilant. The fight against cholera is also about sustainable investment in water, sanitation and hygiene. Only in this way will we cut cholera in the long term.”

    In the beneficiary neighborhoods, the mood is hopeful. After months of fear and uncertainty, the arrival of the vaccine represents a concrete response and essential protection, especially for the most vulnerable families.

    Verónica Domingos Ferreira, who lives in the municipality of Kikombo, Kwanza Sul, was one of the people vaccinated. After seeing her neighbors fall ill months ago, she decided to seek information and protect her family. Today, she is relieved: “I’m very grateful. Today I got vaccinated and I vaccinated my children. This vaccine is a blessing. Now I feel that my family is better protected.”

    With actions like this, Angola is strengthening its capacity to respond to outbreaks and reaffirming its commitment to the health and dignity of its communities. The campaign will continue in the coming days, with calls for the active participation of the entire population.

    – on behalf of World Health Organization (WHO) – Angola.

    MIL OSI Africa –

  • MIL-OSI Africa: President Mahama inaugurates committee for University of Ghana Medical Centre (UGMC) transfer to University of Ghana

    Source: APO


    .

    President John Dramani Mahama has inaugurated a committee tasked with overseeing the transfer of the University of Ghana Medical Centre (UGMC) from the Ministry of Health to the University of Ghana.

    The inauguration fulfils a key commitment by President Mahama to strengthen the links between the nation’s leading teaching hospital and its premier university.

    Named the Transitional Management Committee, the body is co-chaired by two distinguished Ghanaians: Professor Aaron Lawson, a seasoned academic and former Provost of the College of Health Sciences at the University of Ghana, and Professor Mutawakilu Iddrissu, a Neurosurgeon at the Department of Surgery, Korle-Bu Teaching Hospital.

    The committee has been given a comprehensive mandate to guide the transition process. Its key responsibilities include:

    1. Conducting a comprehensive review of the legal mandates, operational structures, and academic frameworks of both UGMC and the University of Ghana Medical School.
    2. Developing integration guidelines to ensure coherence between UGMC’s clinical mandates and the university’s teaching and research mandates.
    3. Designing a practical roadmap with clear timelines and a communication plan for stakeholders.
    4. Facilitating all necessary legal and administrative processes for the seamless transfer and integration.
    5. Identifying potential challenges, particularly in funding, staffing, and resource allocation, and proposing sustainable solutions.
    6. Establishing a transition secretariat to provide operational and logistical support.
    7. Reviewing expressions of interest for partnership by international health care institutions.
    8. Submitting a comprehensive report to the President of the Republic within three months from the date of inauguration.

    President Mahama emphasised the significance of the committee’s work, urging the members to “work diligently with a sense of historic responsibility,” adding, “You’re laying the foundation for a legacy of health care and medical education excellence. You’re building a bridge between the past and the future.”

    The President described the UGMC as currently “a beacon of excellence, a world-class medical institution with a national mandate.”

    He noted that the Centre “hosts the largest digitised medical simulation and training centre in West Africa,” which has “the potential to provide cutting-edge training for healthcare professionals across the West African sub-region.”

    Built during President Mahama’s first term in office at a cost of $271 million and commissioned before he handed over power, the University of Ghana Medical Centre is a quaternary health facility.

    It provides specialised care in numerous areas, including urology, ophthalmology, ear, nose and throat, cardiology, dermatology, neurology, and interventional radiology for cancers.

    The facility also boasts amenities such as a medical hotel for clients, assisted reproductive technology services for fertility solutions, and a helipad for airlifting emergency cases.

    Distributed by APO Group on behalf of The Presidency, Republic of Ghana.

    MIL OSI Africa –

  • MIL-OSI Analysis: Guineafowl can outsmart extreme temperatures: we spent a year finding out how

    Source: The Conversation – Africa (2) – By Johann van Niekerk, Doctor, Department of Environmental Sciences, University of South Africa

    Have you ever wondered how wild birds cope with baking hot afternoons and freezing cold mornings? Our new study has taken a close look at one of Africa’s most familiar birds – the helmeted guineafowl – and uncovered surprising answers about how they deal with extreme temperatures.

    The helmeted guineafowl (Numida meleagris) is a common sight across sub-Saharan Africa’s savannas and semi-arid regions. They are instantly recognisable with their spotted plumage, bony helmet, bare blue head, and loud cackling calls. These birds are famously social, often seen roaming in noisy flocks.

    Helmeted guineafowl can endure air temperatures from -4°C up to 40°C in South Africa.

    The idea that animals huddle to stay warm – known as social thermoregulation – is well documented in mammals and birds like penguins. This theory proposes that animals huddle together to conserve heat in cold conditions, but is this what guineafowl are doing?

    Together with colleagues in Spain, we set out to find the answer because understanding whether birds group to keep warm or for other reasons helps ecologists uncover the true drivers of social behaviour. This can also inform how species will respond to changing climates and help guide conservation strategies.

    We studied a wild population of guineafowl in South Africa’s Madikwe Game Reserve, a protected area near the Botswana border. It’s known for its sharp daily temperature fluctuations during winter, with cold, frosty mornings dropping to 0°C and sweltering afternoons reaching up to 40°C.

    To spy on the birds without disturbing them, we set up a live-streaming webcam at a busy waterhole, recording their behaviour over an entire year. We watched how group size, body posture and daily routines shifted with the seasons and weather.

    What we found was striking.

    Our study challenges some common assumptions about how animals survive in extreme climates. Guineafowl don’t rely on cuddling for warmth like some penguins and some species of monkeys. Rather, they use behaviour – adjusting posture, timing their activity and changing group sizes according to food and safety needs – to navigate life’s temperature extremes.

    This strategy may help them cope with the growing unpredictability of climate.

    When they get together, it’s to exploit a food patch and nurture their offspring within close-knit social groups while foraging, or to fend off predators during coordinated mobbing behaviour.

    What we found

    The evidence we gathered shows that the guineafowl did not form bigger groups when temperatures dropped. There was no evidence they huddled together to stay warm. Even at night, when they roosted in trees, they perched in small family units – just two or three birds per branch.

    Our findings suggest that the reason guineafowl form groups has more to do with food and safety.

    During the dry winter months, when seeds and vegetation are scarce, the birds form large foraging flocks to help find food and stay safe from predators. More eyes mean better chances of spotting danger. This supports the widely recognised “many eyes” hypothesis, which shows that individuals in larger groups benefit from improved predator detection. But once the rains return and food becomes more plentiful and spread out, the guineafowl split into pairs or small groups to focus on breeding.

    While group size wasn’t tied to temperature, the birds used clever body postures to handle both heat and cold. On chilly mornings below 17°C, they puffed out their collar feathers and tucked their bare necks deep into their bodies, creating a rounded, fluffy ball that trapped heat.

    On warmer days, they stood tall with their necks fully extended, legs exposed, and feathers sleek to release excess heat. When temperatures soared above 30°C, they opened their beaks to pant, spread their wings slightly away from their bodies, and exposed bare skin to cool off, much as a dog pants on a hot day.

    One of the most delightful behaviours observed was “sunning”. On frosty winter mornings, guineafowl would fly down from their roosts and stand facing the rising sun, fluffing their feathers and soaking up warmth before starting their day. It’s a simple, effective way to heat up after a cold night.

    Another surprise was how rarely the birds drank water. Despite living in a dry environment, only about 2% of observed guineafowl visits were to the waterhole. In wet seasons, they likely get most of their moisture from eating green plants and insects. In the cold, dry season, when food is drier, drinking increased slightly, but still far less than expected.

    They drank even less when it was both hot and windy, possibly because the noise of the wind makes it harder to detect predators when standing out in the open. Avoiding water during hot periods is usual among helmeted guineafowl, which typically avoid exposing themselves during peak heat due to increased predation risk and the physiological stress of extreme temperatures. Most galliforms (gamebirds) and terrestrial species favour early morning or late afternoon activity patterns, limiting mid-day exposure.

    Every evening, the flock gathered at the same familiar “launching pad” near the waterhole and flew into nearby trees to roost. But once again, warmth wasn’t the reason for this behaviour. They roosted to avoid ground predators, not to share body heat. I have seen them for many years going into trees when predators or dogs chase them, unlike spurfowl and francolin just flying further on.

    Why insights are useful

    This research carries important lessons for understanding animal adaptation. Rather than relying on group warmth, guineafowl show how behavioural flexibility, adjusting posture, timing and habitat use, can buffer them against harsh conditions. It highlights how survival depends not just on temperature or water availability, but on having access to diverse habitat types: open grasslands for foraging and trees or dense bush for roosting and safety.

    As climates shift and ecosystems change, understanding how animals like guineafowl cope with extremes will be crucial for conservation planning.

    Johann van Niekerk 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. Guineafowl can outsmart extreme temperatures: we spent a year finding out how – https://theconversation.com/guineafowl-can-outsmart-extreme-temperatures-we-spent-a-year-finding-out-how-260439

    MIL OSI Analysis –

  • MIL-OSI Africa: Guineafowl can outsmart extreme temperatures: we spent a year finding out how

    Source: The Conversation – Africa – By Johann van Niekerk, Doctor, Department of Environmental Sciences, University of South Africa

    Have you ever wondered how wild birds cope with baking hot afternoons and freezing cold mornings? Our new study has taken a close look at one of Africa’s most familiar birds – the helmeted guineafowl – and uncovered surprising answers about how they deal with extreme temperatures.

    The helmeted guineafowl (Numida meleagris) is a common sight across sub-Saharan Africa’s savannas and semi-arid regions. They are instantly recognisable with their spotted plumage, bony helmet, bare blue head, and loud cackling calls. These birds are famously social, often seen roaming in noisy flocks.

    Helmeted guineafowl can endure air temperatures from -4°C up to 40°C in South Africa.

    The idea that animals huddle to stay warm – known as social thermoregulation – is well documented in mammals and birds like penguins. This theory proposes that animals huddle together to conserve heat in cold conditions, but is this what guineafowl are doing?

    Together with colleagues in Spain, we set out to find the answer because understanding whether birds group to keep warm or for other reasons helps ecologists uncover the true drivers of social behaviour. This can also inform how species will respond to changing climates and help guide conservation strategies.

    We studied a wild population of guineafowl in South Africa’s Madikwe Game Reserve, a protected area near the Botswana border. It’s known for its sharp daily temperature fluctuations during winter, with cold, frosty mornings dropping to 0°C and sweltering afternoons reaching up to 40°C.

    To spy on the birds without disturbing them, we set up a live-streaming webcam at a busy waterhole, recording their behaviour over an entire year. We watched how group size, body posture and daily routines shifted with the seasons and weather.

    What we found was striking.

    Our study challenges some common assumptions about how animals survive in extreme climates. Guineafowl don’t rely on cuddling for warmth like some penguins and some species of monkeys. Rather, they use behaviour – adjusting posture, timing their activity and changing group sizes according to food and safety needs – to navigate life’s temperature extremes.

    This strategy may help them cope with the growing unpredictability of climate.

    When they get together, it’s to exploit a food patch and nurture their offspring within close-knit social groups while foraging, or to fend off predators during coordinated mobbing behaviour.

    What we found

    The evidence we gathered shows that the guineafowl did not form bigger groups when temperatures dropped. There was no evidence they huddled together to stay warm. Even at night, when they roosted in trees, they perched in small family units – just two or three birds per branch.

    Our findings suggest that the reason guineafowl form groups has more to do with food and safety.

    During the dry winter months, when seeds and vegetation are scarce, the birds form large foraging flocks to help find food and stay safe from predators. More eyes mean better chances of spotting danger. This supports the widely recognised “many eyes” hypothesis, which shows that individuals in larger groups benefit from improved predator detection. But once the rains return and food becomes more plentiful and spread out, the guineafowl split into pairs or small groups to focus on breeding.

    While group size wasn’t tied to temperature, the birds used clever body postures to handle both heat and cold. On chilly mornings below 17°C, they puffed out their collar feathers and tucked their bare necks deep into their bodies, creating a rounded, fluffy ball that trapped heat.

    On warmer days, they stood tall with their necks fully extended, legs exposed, and feathers sleek to release excess heat. When temperatures soared above 30°C, they opened their beaks to pant, spread their wings slightly away from their bodies, and exposed bare skin to cool off, much as a dog pants on a hot day.

    One of the most delightful behaviours observed was “sunning”. On frosty winter mornings, guineafowl would fly down from their roosts and stand facing the rising sun, fluffing their feathers and soaking up warmth before starting their day. It’s a simple, effective way to heat up after a cold night.

    Another surprise was how rarely the birds drank water. Despite living in a dry environment, only about 2% of observed guineafowl visits were to the waterhole. In wet seasons, they likely get most of their moisture from eating green plants and insects. In the cold, dry season, when food is drier, drinking increased slightly, but still far less than expected.

    They drank even less when it was both hot and windy, possibly because the noise of the wind makes it harder to detect predators when standing out in the open. Avoiding water during hot periods is usual among helmeted guineafowl, which typically avoid exposing themselves during peak heat due to increased predation risk and the physiological stress of extreme temperatures. Most galliforms (gamebirds) and terrestrial species favour early morning or late afternoon activity patterns, limiting mid-day exposure.

    Every evening, the flock gathered at the same familiar “launching pad” near the waterhole and flew into nearby trees to roost. But once again, warmth wasn’t the reason for this behaviour. They roosted to avoid ground predators, not to share body heat. I have seen them for many years going into trees when predators or dogs chase them, unlike spurfowl and francolin just flying further on.

    Why insights are useful

    This research carries important lessons for understanding animal adaptation. Rather than relying on group warmth, guineafowl show how behavioural flexibility, adjusting posture, timing and habitat use, can buffer them against harsh conditions. It highlights how survival depends not just on temperature or water availability, but on having access to diverse habitat types: open grasslands for foraging and trees or dense bush for roosting and safety.

    As climates shift and ecosystems change, understanding how animals like guineafowl cope with extremes will be crucial for conservation planning.

    – Guineafowl can outsmart extreme temperatures: we spent a year finding out how
    – https://theconversation.com/guineafowl-can-outsmart-extreme-temperatures-we-spent-a-year-finding-out-how-260439

    MIL OSI Africa –

  • MIL-OSI Australia: Arrest – Domestic violence – Coconut Grove

    Source: Northern Territory Police and Fire Services

    The Northern Territory Police Force has arrested a 42-year-old male in relation to a domestic violence incident that occurred in Coconut Grove yesterday.

    Around 1:30pm, police received a report of an aggravated assault occurring on Dick Ward Drive in Coconut Grove. It is alleged the male offender was physically assaulting his female partner who fell unconscious as a result of the assault.

    Witnesses to the incident provided initial first aid to the victim prior to police arrival. She was subsequently conveyed to Royal Darwin Hospital by St John Ambulance for treatment of non-life-threatening injuries. Police arrested the offender at the scene.

    He has since been charged with Aggravated assault, Choking, strangling or suffocating, Intend serious harm, cause harm, and Make a threat to kill. He was remanded in custody to appear in court on 14 July 2025.

    Police would like to thank the bystanders who provided aid to the victim. Anyone who has information in relation to the incident is urged to contact police on 131 444. Please quote reference NTP2500070677.

    If you or someone you know are experiencing difficulties due to domestic violence, support services are available, including, but not limited to, 1800RESPECT (1800737732) or Lifeline 131 114.

    MIL OSI News –

  • Gaza truce talks faltering over withdrawal; 17 reported killed in latest shooting near aid

    Source: Government of India

    Source: Government of India (4)

    Progress is stalling at talks aimed at securing a ceasefire in Gaza, with the sides divided over the extent of Israeli forces’ withdrawal from the Palestinian enclave, Palestinian and Israeli sources familiar with the negotiations in Doha said on Saturday.

    The indirect talks over a U.S. proposal for a 60-day ceasefire continued throughout Saturday, an Israeli official told Reuters, seven days since talks began. U.S. President Donald Trump has said he hoped for a breakthrough soon based on a new U.S.-backed ceasefire proposal.

    In Gaza, medics said 17 people trying to get food aid were killed on Saturday when Israeli troops opened fire, the latest mass shooting around a U.S.-backed aid distribution system that the U.N. says has resulted in 800 people killed in six weeks.

    Witnesses who spoke to Reuters described people being shot in the head and torso. Reuters saw several bodies of victims wrapped in white shrouds as family members wept at Nasser Hospital. The Israeli military said its troops had fired warning shots, but that its review of the incident had found no evidence of anyone hurt by its soldiers’ fire.

    Delegations from Israel and Hamas have been in Qatar pushing for an agreement which envisages a phased release of hostages, Israeli troop withdrawals and discussions on ending the war.

    The Israeli official blamed the impasse on Hamas, which he said “remains stubborn, sticking to positions that do not allow the mediators to advance an agreement”. Hamas has previously blamed Israeli demands for blocking a deal.

    A Palestinian source said that Hamas had rejected withdrawal maps which Israel had proposed that would leave around 40% of Gaza under Israeli control, including all of the southern area of Rafah and further territories in northern and eastern Gaza.

    Two Israeli sources said Hamas wanted Israel to retreat to lines it held in a previous ceasefire before it renewed its offensive in March.

    The Palestinian source said aid issues and guarantees on an end to the war were also presenting a challenge.The crisis could be resolved with more U.S. intervention, the source said.

    Hamas has long demanded an agreement to end the war before it would free remaining hostages; Israel has insisted it would end the fighting only when all hostages are released and Hamas is dismantled as a fighting force and administration in Gaza.

    SHOOTING

    Saturday’s reported mass shooting near an aid distribution point in Rafah was the latest in a series of such incidents that the United Nations rights office said on Friday had seen at least 798 peoplekilled trying to get food in six weeks.

    “We were sitting there, and suddenly there was shooting towards us. For five minutes we were trapped under fire. The shooting was targeted. It was not random. Some people were shot in the head, some in the torso, one guy next to me was shot directly in the heart,” eyewitness Mahmoud Makram told Reuters.

    “There is no mercy there, no mercy. People go because they are hungry but they die and come back in body bags.”

    After partially lifting a total blockade of all goods into Gaza in late May, Israel launched a new aid distribution system, relying on a group backed by the United States to distribute food under the protection of Israeli troops.

    The United Nations has rejected the system as inherently dangerous and a violation of humanitarian neutrality principles. Israel says it is necessary to keep militants from diverting aid.

    The war began on October 7, 2023, when Hamas-led militants stormed into Israel, killing about 1,200 people and taking 251 hostages into Gaza. At least 20 of the remaining 50 hostages there are believed to still be alive.

    Israel’s campaign against Hamas has killed more than 57,000 Palestinians, according to Gaza health authorities, displaced almost the entire population of more than 2 million people, sparked a humanitarian crisis and left much of the territory in ruins.

    Thousands of Israelis rallied in central Tel Aviv on Saturday demanding a deal that would release all remaining hostages being held by Hamas.

    Protester Boaz Levi told Reuters here was there to pressure the government, “to get to a hostage deal as soon as possible because our friends, brothers, are in Gaza and it’s about the time to end this war. That is why we are here.”

    (Reuters)

  • MIL-OSI United Kingdom: New £63 million boost for Britain’s electric vehicle revolution

    Source: United Kingdom – Government Statements

    Press release

    New £63 million boost for Britain’s electric vehicle revolution

    Funding will help to build a fairer, cleaner future where every family can benefit from cheaper, greener transport.

    • major boost to charging investment to break down barriers to electric vehicle ownership and boost charging infrastructure across the UK, cutting costs for families, businesses and the public sector

    • £63 million package to support at-home charging for households without driveways, transition NHS fleets to save millions for the health service in England, create thousands of chargepoints at business depots across the UK

    • builds on £400 million invested in charging infrastructure and recent Zero Emission Vehicle Mandate updates to kickstart economic growth, create thousands of green jobs, and put more money in people’s pockets as part of the Plan for Change

    Drivers across England are set to benefit as the government today (13 July 2025) announces a £63 million investment package to supercharge Britain’s electric vehicle infrastructure, driving down charging costs and putting money back in the pockets of working people as part of the Plan for Change.

    A pioneering £25 million scheme for local authorities will expand access to cheaper at-home charging. This will provide access to cheaper household rates, allowing consumers to save up to £1,500 a year compared to running a petrol or diesel car, transforming how thousands of households without driveways power up their electric cars.

    The innovative cross-pavement technology will allow cables to run safely beneath pavements, connecting homes directly to parked vehicles, enabling more families to tap into cheaper domestic electricity rates for as little as 2 pence per mile even if they don’t have a driveway.

    The fund is the latest move to bolster the UK’s growing charging network which has reached a record 82,000 public chargepoints, with a further 100,000 expected to be installed as a result of the government’s Local EV Infrastructure Fund and £6 billion of private investment committed to 2030.

    To ensure the savings the EV transition can bring are felt in the public sector too, the NHS in England is also receiving a major sustainability upgrade with an £8 million fund to power the electrification of ambulances and medical fleets across over 200 NHS sites, saving millions in costs which can be invested into patient care.

    See a list of NHS trusts that are receiving funding to install electric vehicle chargepoints.

    Standing firmly on the side of British drivers, this latest investment is part of our major plan to support motorists, including a record £1.6 billion invested to tackle potholes and bring down and frozen fuel duty at 5p until Spring 2026, saving the average motorist £50 to £60 over the year.

    This investment underpins the government’s Plan for Change mission to kickstart economic growth and make life easier for working people, ensuring the transition to net zero delivers for working families whilst creating good jobs and driving economic growth across all regions of the UK.

    Transport Secretary Heidi Alexander said:  

    We are making it easier and cheaper to own an electric vehicle. We know access to charging is a barrier for people thinking of making the switch, so we are tackling that head on so that everyone – whether or not they have a driveway – can access the benefits of going electric.

    Our investment is about more than just charging points – it’s about charging up Britain’s economy. I’m proud that through this boost, we are helping deliver cheaper bills for families, massive savings for the NHS to reinvest in patient care, and thousands of new green jobs.

    This is what our Plan for Change mission to kickstart Britain’s economy looks like in practice. We’re not just boosting charging infrastructure, we’re building a fairer, cleaner future where every family can benefit from cheaper, greener transport, whilst creating thousands of good jobs across the country.

    In a pioneering move to help EV drivers plug into the rapidly expanding charging network, government is also modernising EV charging signage on major roads. EV charging hubs have more than doubled since the beginning of 2023 and immediate changes will allow larger EV charging hubs to be signposted from major A-roads for the first time. Government is committed to boosting charging for long journeys, with £400 million announced in the Spending Review to support charging infrastructure, including on the strategic road network.

    Alongside the boosts for electric car drivers, the government is also launching a major new grant scheme to help businesses install charging points at depots nationwide, supporting the nation’s heavy goods vehicles, vans and coach drivers in the transition to zero emissions.

    The action follows recent updates to the Zero Emission Vehicle (ZEV) Mandate to make it easier for the sector to switch to electric as part of government’s ongoing work to back British manufacturing. With over 1.2 million people employed in the freight and logistics sector in the UK alone, today’s announcement is the latest move to keep industry at the forefront of international competition in the face of global economic headwinds.

    Over 1,200 new charging sockets will deliver a more efficient, modern health system whilst generating millions in cost savings over the next two decades for the taxpayer on maintenance and fuel costs – valuable savings that can be prioritised for patient care and help rebuild the NHS.

    Owning and buying an EV is becoming increasingly cheaper, with 2 in 5 of used electric cars sold at under £20,000 and 34 brand new electric cars are available from under £30,000.

    The UK was also the largest EV market in Europe in 2024 and the third in the world with over 382,000 EVs sold – up a fifth on the previous year. There are now more than 82,000 public chargepoints in the UK – with one added every 30 minutes – ensuring that motorists are always a short drive from a socket.

    Health Minister Karin Smyth said: 

    This is a win-win: cheaper travel for the NHS and cleaner air for our communities.

    As part of our Plan for Change, we’re investing in green energy to build an NHS fit for the future — cutting pollution and saving millions in fuel costs.

    Edmund King, AA president, said:

    There are more public chargers than people realise, but they are often hidden in plain sight. Increasing signs for the public network is vital to help the EV transition as it will create confidence for drivers both now and in the future. 

    It is great to see more support for those without off-street parking so that they can also benefit from the EV revolution.

    Delvin Lane, CEO, InstaVolt said:

    We are pleased that the government has taken the crucial step of delivering official EV charging signage on the strategic road network – a move we believe will improve consumer confidence and bolster EV adoption. This marks a major milestone for the EV industry and drivers across the UK. 

    At InstaVolt, we have been relentless in our campaigning and have built a strong, collaborative relationship with the government to push this initiative forward. Our opinion research suggests that the rollout of clear, official signage will make a significant difference—helping EV drivers easily locate public charging points while on the move, and reassuring those considering making the switch to electric vehicles. 

    For years, we have emphasized that the UK’s public EV infrastructure, so critical to mass adoption, is already largely in place, and now this signage will finally showcase it to drivers in a visible, accessible way.” 

    As the UK’s largest ultra-rapid public charging network with over 2,000 chargers nationwide, InstaVolt is proud to be at the forefront of this transformation and excited to see how these signs will accelerate the adoption of electric vehicles.

    Ian Johnston, CEO, Osprey:

    Signage impacts all the UK’s drivers because consumers need to see it to believe it. Osprey have tirelessly highlighted the benefit that clear EV road signage would bring to drivers looking to make the switch and to the charging businesses installing the critical infrastructure underpinning transport decarbonisation.

    This is a welcome first step and we look forward to continuing to work closely with ministers and officials to achieve clear signage for the hundreds of high-quality EV charging hubs being opened across the nation.

    NHS Chief Sustainability Officer Chris Gormley said: 

    The NHS has already implemented hundreds of projects that reduce emissions and drive significant cost savings, all while improving patient care.

    This new £8 million investment, across 62 NHS Trusts and around 224 sites, supports the renewed commitment in the government’s 10 Year Health Plan to deliver a more sustainable NHS while also helping hospitals to save millions on fuel and maintenance costs and reducing air pollution. These savings can be reinvested directly into frontline care, ensuring the NHS continues to deliver for our patients and communities.

    Vicky Read, CEO of ChargeUK said:

    With 82,000 public charge points already installed across the UK, this positive action on strategic road signage will help more drivers see the extensive charging network that’s rapidly being built across the country. This has been a priority for our industry and will boost consumer confidence in making the switch to electric vehicles.

    Our members are investing £6 billion to ensure the deployment of charging infrastructure stays ahead of demand. Today’s announcement shows government recognising the vital role charging plays in the transition, and we look forward to working together to maintain the UK’s position as Europe’s leading EV market.

    Roads media enquiries

    Media enquiries 0300 7777 878

    Switchboard 0300 330 3000

    Updates to this page

    Published 13 July 2025

    MIL OSI United Kingdom –

  • MIL-OSI USA: Duckworth Secures Several Key Priorities in Committee-Passed NDAA To Expand IVF Coverage, Strengthen Oversight of Domestic Military Deployments, Boost American Manufacturing and More

    US Senate News:

    Source: United States Senator for Illinois Tammy Duckworth

    July 11, 2025

    [WASHINGTON, D.C.] — Combat Veteran and U.S. Senator Tammy Duckworth (D-IL)—who served in the Reserve Forces for 23 years and is a member of the U.S. Senate Armed Services Committee (SASC)—secured several important provisions to support servicemembers and boost American competitiveness and national security in the Fiscal Year (FY) 2026 National Defense Authorization Act (NDAA) that SASC approved this week and the full Senate will now consider. Among the provisions that the Senator secured in the Committee-passed legislation, Duckworth successfully led a provision to expand IVF access for uniformed servicemembers and ensure military families have the same level of coverage that Members of Congress and other federal employees already have. As President Donald Trump continues to misuse our military to intimidate American citizens across our nation, Duckworth also successfully secured provisions that would safeguard Americans’ civil rights when servicemembers assist law enforcement on U.S. soil.

    “The brave men and women in uniform who serve our nation at home and abroad deserve to know that our country fully supports them as they and their families sacrifice to defend our country and our Constitution,”?said Duckworth.?“While I don’t support every provision included in this bill, I’m proud that it includes several of my provisions to support our servicemembers and their families, boost American manufacturing, improve Americans’ faith in their military as well as rein in the Trump Administration. I look forward to working with my colleagues on both sides of the aisle to continue improving this NDAA and ensure Congress passes a strong final bill that lets our troops know we have their backs.”  

    NDAAs set our nation’s defense policy and laws, authorize funding for the U.S. Department of Defense (DoD) and ensure that our servicemembers have the tools they need to defend our nation. Additionally, this year’s committee-passed legislation authorizes funding to support a 3.8 percent pay raise for military members.

    Key Duckworth-led provisions secured in this year’s Committee-passed NDAA would:

    • Expand access to IVF for military families by requiring TRICARE to cover fertility treatment services, including IVF, to ensure servicemembers and their families have the same level of coverage that Members of Congress already receive. This is the second time Senator Duckworth secured this provision in the committee-passed version of an NDAA bill.  
      • Regarding this provision, Duckworth said: “Even before I was wounded, I had made the difficult decision to delay building a family because I knew getting pregnant would impact my ability to be an Army aviator—and to advance in the career I loved. Because of the miracle of IVF—and my access to reproductive healthcare through the VA—I’m now a mom to two beautiful girls. The reality is that the men and women of the uniformed services face unique challenges when trying to start or build a family, and studies show that servicemembers and Veterans have higher rates of infertility compared to the general population. After successfully securing this provision in last year’s Committee-passed bill, I’m so proud my colleagues helped me build on this progress by including it in this year’s bill as well. It’s past time our nation provides our military families with the same access to IVF that all Members of Congress already have and ensure our heroes can start the families they’ve dreamed of.” 
    • Strengthen public trust of the military and enhance civil rights by requiring that servicemembers identify themselves as part of the military when assisting federal law enforcement in the United States. As the Trump Administration continues to send federal agents and our nation’s military into our communities to intimidate their fellow Americans, this provision ensures that servicemembers identify themselves properly—to avoid public misunderstanding about who is providing logistical support versus conducting arrests or law enforcement duties.  
      • Regarding this provision, Duckworth said: “In my own experience serving in the National Guard, I saw firsthand the difference drawing a bright line between the roles of our military and law enforcement can make in terms of maintaining public trust in our military. I’m proud my colleagues agreed that this is a necessary requirement to provide accountability to the public during tense moments when troops might be interacting with citizens, from protests to natural disasters to humanitarian crises, and I hope the rest of my colleagues in the Senate do too.” 
    • Ensure all servicemembers know their legal obligations during deployments both at home and abroad by mandating legal training to all servicemembers, including a refresher within 90 days of any mobilization or deployment, on their responsibilities under the law of armed conflict, rules of engagement, defense support for civil authorities and standing rules for the use of force within the United States. In light of the Trump Administration’s increasing use of troops to support law enforcement within the United States, this provision will ensure troops know how to responsibly operate within the bounds of domestic laws and protect American civil rights.
    • Establish a senior leader of DoD Programs for military to civilian transition efforts by directing DoD to appoint a senior official to oversee policy and programs related to the transition of servicemembers to civilian life or to the reserves. This would elevate and strengthen DoD’s attention on services to assist troops as they leave service and enter civilian life, providing a streamlined conduit for coordination with the Department of Veterans Affairs. 
    • Explore international co-production of auxiliary vessels by requiring DoD to identify opportunities to enter joint ventures between U.S. military, U.S. companies and foreign partners to co-produce auxiliary vessels and small boats. Senator Duckworth’s effort aims to increase our nation’s sealift capacity and shipbuilding workforce through leveraging the strengths of our allies and partners in constructing smaller vessels as well as building our ability to surge production of these vessels closer to the point of need in the event of conflict. 
    • Enhance Congressional oversight of the military justice system by requiring the President and DoD to notify Congress of any removal of Judge Advocates General, to ensure that military commanders have the legal advice they need to make their difficult decisions. In addition to notice, the President and DoD must provide a justification for the involuntary removal of any of the top Judge Advocates General (JAG) at least five days before the JAG is removed. This follows Secretary Hegseth’s unceremonious firing of JAGs, which are our military’s legal experts on everything from administrative and domestic protections to international law.  
    • Protect servicemembers from dangerous PFAS in their protective garments by requiring the DoD’s to articulate its plan for acquiring chemical, biological, radiological and nuclear threat protective garments free from toxic PFAS chemicals as soon as possible. 
    • Enable the nonpartisan, Duckworth-created Afghanistan War Commission to finish its final report by authorizing DoD to provide non-reimbursable support services—like staff, facilities and funding—and authorizing the Commission to enter into contracts to obtain essential goods and servicesauthor, including the ability to publish its final report through a private publisher. These provisions align its authorities with similar commissions, including the 9/11 National Commission on Terrorist Attacks Upon the United States. 
    • Expand the successful Southeast Asia Cyber Pilot Program to allow U.S. forces to work with the Pacific Island nations to improve their cyber capabilities and reduce vulnerabilities, building resilience against threats in DoD’s priority region. 
    • Expand exchange opportunities for allies and partners by authorizing DoD to offer exchange opportunities at universities with ROTC programs for servicemembers from partner nations, creating a cost-effective way to train future leaders of key partner militaries.  
    • Ensure fairness in Special and Incentive Pay for Reservists by directing DoD to deliver a special and incentive pay assessment framework – which was required in the FY24 NDAA — by June 1, 2026, and also requiring DoD to make a specific determination about the percentage of aviation incentive pay that goes to maintaining skill proficiency. This provision is essential to ensuring Reservists are paid fairly when they are required to maintain skills and certifications that are expensive to maintain. 
    • Direct a GAO Report on Aviation Safety to review DoD policies and procedures for data gathering, risk assessment and risk mitigation of U.S. military flights, especially as in U.S. domestic civilian airspace. This provision follows investigations into the tragic crash at Reagan National Airport and close calls with military flights throughout civilian airspace.  
    • Bolster our nation’s aviation supply chain by encouraging the use of domestically manufactured helicopters in Initial Entry Rotary Wing pilot training by the Army. 
    • Improve servicemember mental health services and confidentiality by emphasizing support for consistent compliance with suicide prevention policy and confidential access to mental health care without retaliation for all servicemembers and across all branches. The Senator helped secure this provision alongside U.S. Senator Mark Kelly (D-AZ).  
    • Expand robotic enhancements for armaments manufacturing by authorizing an additional $5 million for the Secretary of the Army to expand prototyping and production capacity by integrating robotics, automation and digital manufacturing into the munitions industrial base. 
    • Use advanced manufacturing to improve the rapid repair of equipment in forward-based locations by authorizing digital manufacturing as part of the prototyping program for contested logistics and removing the sunset for the program. This provision would allow DoD to develop best practices regarding forward-based commercial, advanced digital manufacturing facilities for rapid, distributed parts production closer to the point of use. 
    • Elevate research on total force optimization by expressing support for investments in biomechanical, physiological, and psychological research to mitigate injury risks and improve physical resilience in combat operations.
    • Improve equipment connectivity for military airfields by encouraging the Air Force to integrate connectivity solutions for flightline support equipment, such as generators, light carts, and support vehicles, that are critical for ensuring our military aircraft can safely take off and land. This will improve equipment readiness to ensure our Airmen are prepared for expeditionary flightline operations in contested environments. 
    • Advance U.S. bio-industrial manufacturing innovation by supporting the innovative work being done at advanced facilities like the University of Illinois’s Fermentation and Agriculture Biomanufacturing Hub (iFAB) by requiring more information on how DoD is investing in this technology critical for national security. 
    • Illuminate gaps in the military footwear industrial base by requesting DoD provide data and analysis on the necessary war reserves for footwear and textiles, and the accompanying surge needs in the event of crisis or conflict. This report language is a modified version of the Senator’s Better Outfitting Our Troops (BOOTS) Act, which recognizes that our defense industrial base for combat boots needs investment in order for it to support our troops and help ensure they have the sturdiest and most protective boots in a possible war.  
    • Strengthen domestic suppliers of critical uniform components by prohibiting the DoD from sourcing clothing, fabrics or components from countries of concern—such as China, Iran, North Korea and Russia—when using domestic sourcing waivers under the Berry Amendment, to prevent further weakening of the U.S. clothing and textile industrial base.? 
    • Allow the Office of Strategic Capital (OSC) to explore investments in nuclear energy and Printed Circuit Board (PCB) manufacturing by authorizing inclusion of nuclear energy as a covered technology under Section 149 of Title 10 and directing OSC to explore the value of investments in PCBs. This change would enable DoD to explore new investments with these key industries critical for our national security.  
    • Accelerate commercially-useful Fault-Tolerant Quantum Computers (FTQC) by recognizing the importance of the Defense Advanced Research Projects Agency’s Quantum Benchmarking Initiative (QBI) program, which aims to build a commercially useful FTQC by 2033, and encouraging the Department to concurrently prepare algorithms to operate those machines, while the hardware is being built. This provision recognizes the importance of the development of the first FTQC, which is being built at the Illinois Quantum and Microelectronics Park in Chicago, Illinois. 
    • Improve cross-state medical license reciprocity for Title 32 National Guard medical providers by requiring DoD to analyze any barriers to ensuring medical license reciprocity for Guardsmen to train under Title 32 status. This follows reports from National Guardsmen medical providers that they struggle to get the permissions necessary to conduct essential training across state lines, especially in specialized hospitals for trauma care – vital kinds of training for combat care. 
    • Protect Rock Island Arsenal by restricting the Secretary of the Army from using any funds authorized for restructuring Army commands until the Army provides more information about their proposed plan to integrate Joint Munitions Command and Army Sustainment Command, ensuring operations at Rock Island Arsenal are not unnecessarily affected. 
    • Improve Arsenal Workload Sustainment by establishing a 5-year pilot program requiring DoD to give preference to public-private partnerships in arsenals, especially those non-public partners that ensure equitable workshare to DoD employees to protect critical skills. This provision is a modified version of the  Arsenal Workload Sustainment Act that Duckworth introduced alongside U.S. Senators Dick Durbin (D-IL), Chuck Grassley (R-IA) and Joni Ernst (R-IA) as well as U.S. Representative Eric Sorensen (D-IL-17) to help ensure Army arsenals and factories remain active and viable while preserving the skilled workforce, equipment and production capacity critical to our nation’s defense industrial base. 
    • Improve the governance of the organic industrial base by directing the Army to analyze the effectiveness of their current governance and resourcing model for the Army’s arsenals, depots as well as ammunition plants and identify opportunities for changes to ensure the enterprise and its workforce can support the military’s munitions and sustainment requirements now and in the future. The Senator helped secure this provision alongside Senator Tom Cotton (R-AK).  
    • Improve predictive manufacturing analytics at Army Arsenals by urging the continued implementation of industrial control networks across our Army’s arsenals to enable the collection, aggregation and analysis of data associated with the manufacture and repair of equipment and supplies. 
    • Ensure Lovell Federal Health Care Center (FHCC)’s continued success by securing a one-year extension of the Joint Medical Facility Demonstration Fund, which supports the operations of the North Chicago-based Lovell FHCC. This provision, led with Senator Durbin, will help safeguard continued access to vital services for military families and Veterans in the area. 
    • Improve the “Warm Hand-off Process” for Servicemembers by changing the current “opt-in” option on the DD-2648 form for sending servicemembers’ information to state veterans’ agencies to an “opt-out” option, aiming to streamline information flow to state services and improve the “warm hand-off” process for servicemembers when they separate or retire from the military service. The Senator helped secure this provision alongside U.S. Senators Angus King (I-ME) and Kevin Cramer (R-ND). 
    • Support the construction of a Child Development Center at Rock Island Arsenal by authorizing $50 million in Major Construction funds for a new addition to the Child Development Center at Rock Island Arsenal and to consolidate the existing facilities into a single building and make upgrades to meet DoD guidelines and safety requirements. This project will provide a necessary service to the Arsenal and surrounding community.
    • Support the design of a new Aircraft Maintenance Hangar at Scott Air Force Base by authorizing $6 million in Planning and Design funds for the construction of a new aircraft maintenance hangar to support the training and operational mission of the 126th Aerial Refueling Wing at Scott Air Force Base. The current hangar was constructed in 1956, remains in disrepair and no longer meets Department of Defense standards or mission requirements, making a new hangar critical to the Wing’s mission.
    • Support the design renovation to General Jones Readiness Center by authorizing $5 million in Planning and Design funds for major alternations to the General Richard L. Jones National Guard Readiness Center in Chicago. This facility was built in 1931 and remains one of the largest readiness centers in the country. Renovating it to meet mission requirements is a top priority for the Illinois National Guard.
    • Improving the Tactical Vehicle Fleet by authorizing an additional $168 million to speed up replacement of Marine Corps HMMWVs with modernized vehicles to improve readiness for global missions.

    In addition to these provisions, Duckworth also successfully worked to protect Universities across the country from having their DoD funding for critical technological research cut unnecessarily. 

    MIL OSI USA News –

  • AIIA to host Shalyacon 2025: A three-day national seminar on Ayurvedic surgery

    Source: Government of India

    Source: Government of India (4)

    The All-India Institute of Ayurveda (AIIA) in New Delhi will host Shalyacon 2025, a three-day national seminar from July 13 to 15, coinciding with Sushruta Jayanti, celebrated annually on July 15 to honor Acharya Sushruta, widely regarded as the Father of Surgery. Organized by AIIA’s Department of Shalya Tantra under the leadership of Prof. (Dr.) Yogesh Badwe, in collaboration with the National Sushruta Association, the event marks the 25th Annual Conference of the association.

    The inaugural ceremony on July 14 will be attended by Prataprao Ganpatrao Jadhav, Minister of State (Independent Charge) for the Ministry of Ayush, as the Chief Guest. Guests of Honour include Vaidya Rajesh Kotecha, Secretary of the Ministry of Ayush; Prof. Sanjeev Sharma, Vice Chancellor of the National Institute of Ayurveda, Jaipur; and Prof. (Dr.) Tanuja Nesari, Director of the Institute of Teaching & Research in Ayurveda, Jamnagar.

    Prof. (Dr.) Manjusha Rajagopala, Director (I/C) of AIIA, emphasized the institute’s commitment to advancing Ayurveda globally. “Shalyacon reflects AIIA’s dedication to integrating Ayurvedic principles with modern surgical advancements, equipping emerging Ayurvedic surgeons with the skills and confidence to practice integrated surgical care,” she said.

    The seminar, themed around Innovation, Integration, and Inspiration, will feature live surgical demonstrations on July 13 and 14, including general surgeries, anorectal procedures, and urosurgical cases. The first day will showcase ten general endoscopic laparoscopic surgeries, while the second day will feature sixteen anorectal surgeries, providing participants with real-time learning opportunities.

    Shalyacon 2025 is expected to draw over 500 scholars, surgeons, researchers, and academicians from India and abroad. The event will foster idea exchange, highlight clinical advancements, and explore emerging trends in Ayurvedic surgical practices. A special plenary session spanning all three days will cover topics such as General and Laparoscopic Surgery, Wound Management, Para-surgical Techniques, Anorectal Surgery, Asthi-Sandhi Marma Chikitsa, and surgical innovations.

    On the final day, over 200 oral and poster presentations will contribute to scholarly discussions. Additionally, a Scientific Session will provide a platform for researchers and clinicians to present their work, followed by a cultural program to conclude the event.
    This dynamic confluence of tradition and technology underscores AIIA’s mission to advance Ayurvedic surgery and promote its global relevance.

  • MIL-OSI USA: Grassley Pushes CMS to Crack Down on Obamacare Fraud

    US Senate News:

    Source: United States Senator for Iowa Chuck Grassley
    BUTLER COUNTY, IOWA – U.S. Sen. Chuck Grassley (R-Iowa), a senior member and former chairman of the Senate Finance Committee, is renewing calls for accountability after receiving information that builds on independent reports of widespread Obamacare fraud. In 2024, taxpayers reportedly footed the bill for approximately $20 billion in improper Obamacare subsidies.  This number could exceed $27 billion in 2025. Based on information provided to Grassley’s office, insurance agents are also using targeted internet advertisements to fraudulently enroll consumers with false income verification extension requests. 
    Last year, Grassley pushed for answers from top leaders in the Biden administration regarding their efforts to eliminate waste, fraud and abuse in the ACA marketplace. The Biden administration failed to respond to Grassley’s request. 
    “The Biden administration’s failure to adequately oversee these subsidies has had expensive consequences … The Wall Street Journal reported that in 2024 five million consumers may have inappropriately received health insurance coverage through subsidized Affordable Care Act (ACA) federal marketplace plans based on falsified income information, which may have cost the taxpayer an estimated $20 billion,” Grassley wrote. 
    Background:
    In 2021, the Biden administration increased premium tax credits (PTCs) for higher-income earners and reduced cost sharing through 2025. As a result, individuals whose income is within 100 and 150 percent of the federal poverty level (FPL) are eligible for fully subsidized health insurance plans. This policy change has compromised program integrity, particularly in states that have not expanded Medicaid. 
    According to CMS and other reporting, fraudulent enrollments occurred because insurance agents and brokers exploited vulnerabilities in the ACA’s design. 
    In his letter, Grassley cites the Trump Department of Justice’s (DOJ) February 19th indictment of Cory Lloyd and Steven Strong for engaging in a $161 million ACA enrollment fraud scheme.  
    Grassley applauds the Trump administration’s program integrity measures through the marketplace integrity and affordability rule. The One Big Beautiful Bill also established some additional premium tax credit program integrity measures.
    Text of the letter can be found HERE or below. 
    July 7, 2025
    VIA ELECTRONIC TRANSMISSION
    The Honorable Mehmet OzAdministratorCenters for Medicare & Medicaid Services 
    On June 20, 2024, The Wall Street Journal reported that in 2024 five million consumers may have inappropriately received health insurance coverage through subsidized Affordable Care Act (ACA) federal marketplace plans based on falsified income information, which may have cost the taxpayer an estimated $20 billion.[1]  According to CMS, as well as other reporting, these fraudulent enrollments occurred because insurance agents and brokers exploited vulnerabilities in the program’s design.[2]  On July 8, 2024, I wrote to CMS with concerns regarding fraudulent enrollments and requested information on how the Biden administration’s Department of Health and Human Services (HHS) and CMS had taken steps to combat fraud, waste, and abuse related to these enrollments and associated subsidies.[3]  Unfortunately, the previous administration failed to provide a response. 
    The Biden administration’s failure to adequately oversee these subsidies has had expensive consequences.  For instance, on February 19, 2025, the Trump Department of Justice (DOJ) indicted Cory Lloyd and Steven Strong for engaging in a $161 million ACA enrollment fraud scheme.[4]  According to the DOJ, “Lloyd and Strong targeted vulnerable, low-income individuals experiencing homelessness, unemployment, and mental health and substance abuse disorders, and, through ‘street marketers’ working on their behalf, sometimes offered bribes to induce those individuals to enroll in subsidized ACA plans.”[5]  Further, the two individuals used “misleading sales scripts and other deceptive sales techniques to convince consumers to state that they would attempt to earn the minimum income necessary to qualify for a subsidized ACA plan, even when the consumer initially projected having no income.”[6]
    Based on information provided to my office, I’ve been made aware of a similar type of fraud scheme used within the ACA marketplace.[7]  This scheme involved targeted internet advertisements for free health insurance.  These advertisements were used to entice consumers to fill out a webform with personal information which was then used by insurance agents to sign consumers up for healthcare in targeted zip codes.  Those zip codes were in states that use the federally-facilitated marketplace (FFM), rather than state-based exchanges, and where preferred insurance companies had $0 premium plans.[8]  Using information from the webforms, agents used HealthSherpa, one of the ten federally-approved private sector ACA federal marketplace enrollment websites, to sign consumers up.  During open enrollment periods, agents entered hundreds of applications per day and if the consumer noted on the webform that their income wasn’t between 100-150% of the federal poverty level (FPL), agents would fraudulently swap it out for a number to obtain maximum ACA federal marketplace plan premium subsidies and special enrollment period (SEP) eligibility.  To keep fraudulent enrollments on the books for as long as possible, agents allegedly submitted false income verification extension requests and prepopulated income explanation forms rather than submitting actual proof of income.
    So that Congress may conduct independent oversight of the ACA federal marketplace program, please provide the following information no later than July 21, 2025:
    Explain in detail the steps CMS has taken to detect, combat and deter the fraud scheme described above.
    What is CMS’s estimate of:
    the number of fraudulent enrollments in subsidized ACA federal marketplace plans occurring from 2019-2025; 
    the number of months fraudulently enrolled customers spent in subsidized ACA federal marketplace plans; and 
    the cost of these fraudulent enrollments.  Provide this information at the insurance agent, insurance agency, and health insurance company level.
    What efforts has CMS taken in coordination with the Internal Revenue Service (IRS) to recoup excess advanced premium tax credit payments?  How much money has been recovered annually from 2019 to 2025?
    What steps does CMS take after it terminates an agent’s ACA federal marketplace registration?  Who does CMS communicate termination information to and does CMS provide those entities with any guidance in relation to managing the termination?  Provide all records.
    Do insurance agencies face any consequences from CMS when their affiliated agents are terminated for improper activities or when they have disproportionately high rates of potentially fraudulent ACA federal marketplace plan enrollments?  If yes, describe the consequences and any associated investigative processes.
    How many agents did CMS terminate for improper enrollment behaviors from 2019 to 2025?  How many of those terminations has CMS rescinded?  List the data by year and state.  
    Thank you for your prompt review and response.  If you have any questions, please contact Tucker Akin with Committee staff at (202) 224-5225.
    Sincerely,
    Charles E. Grassley
    Chairman
    Committee on the Judiciary
    -30-

    [1] Brian Blase, The $20 Billion ObamaCare Subsidy Fraud, WSJ (June 19, 2024), https://www.wsj.com/articles/the-20-billion-obamacare-subsidy-fraud-abd89b0d; Brian Blase and Drew Gonshorowski, The Great Obamacare Enrollment Fraud, Paragon Health Inst. (June 2024), https://paragoninstitute.org/wp-content/uploads/2024/06/The-Great-Obamacare-Enrollment-Fraud_FOR_RELEASE_V2.pdf.
    [2] Id.; 2025 Marketplace Integrity and Affordability Proposed Rule (CMS-9884-P), Cntrs. for Medicare & Medicaid Srvcs. (Mar. 10, 2025), at 4 & 86, https://www.cms.gov/files/document/MarketplacePIRule2025.pdf, (183,553 complaints were related to enrollments without consent and 90,863 were related to switches without consent); Julie Appleby, ACA Plans Are Being Switched Without Enrollees’ OK, KFF Health News (Apr. 2, 2024), https://kffhealthnews.org/news/article/aca-obamacare-plans-switched-without-enrollee-permission-investigation/; Julie Appleby, Rising Complaints of Unauthorized Obamacare Plan-Switching and Sign-Ups Trigger Concern, KFF Health News (Apr. 8, 2024),  https://kffhealthnews.org/news/article/aca-unauthorized-obamacare-plan-switching-concern/; Julie Appleby, After Public Push, CMS Curbs Health Insurance Agents’ Access to Consumer SSNs, KFF Health News (Apr. 9, 2024), https://kffhealthnews.org/news/article/aca-marketplace-ssn-social-security-numbers-agents/; Julie Appleby, When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow, KFF Health News (April 15, 2024), https://kffhealthnews.org/news/article/aca-obamacare-plans-unauthorized-enrollment-tax-problems/.
    [3] Letter from Senator Charles E. Grassley to Secretary Xavier Becerra, U.S. Dept. of Health and Human Servs., and Administrator Chiquita Brooks-LaSure, Cntrs. for Medicare & Medicaid Servs. (July 8, 2024), https://www.grassley.senate.gov/imo/media/doc/grassley_to_hhs_and_cms_-_aca.pdf. 
    [4] Press Release, Department of Justice, President of Insurance Brokerage Firm and CEO of Marketing Company Charged in $161M Affordable Care Act Enrollment Fraud Scheme (Feb. 19, 2025), https://www.justice.gov/opa/pr/president-insurance-brokerage-firm-and-ceo-marketing-company-charged-161m-affordable-care.
    [5] Id.
    [6] Id.
    [7] Documents on file with Committee Staff.
    [8] Notes and Documents on file with Committee Staff.

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