Category: Health

  • MIL-OSI Canada: Financial assistance for Gazans arriving in Canada

    Source: Government of Canada News (2)

    Canada remains deeply concerned about the ongoing conflict between Israel and Hamas, and the scale of the humanitarian crisis in Gaza. Since Hamas’ terrorist attack on October 7, 2023, Canada has been actively working to support family members of Canadians and permanent residents from the region, as well as Israelis and Palestinians already in Canada.

    October 16, 2024—Ottawa—Canada remains deeply concerned about the ongoing conflict between Israel and Hamas, and the scale of the humanitarian crisis in Gaza. Since Hamas’ terrorist attack on October 7, 2023, Canada has been actively working to support family members of Canadians and permanent residents from the region, as well as Israelis and Palestinians already in Canada.

    As part of these efforts, the Honourable Marc Miller, Minister of Immigration, Refugees and Citizenship, announced today that Palestinians impacted by the crisis who have left Gaza will receive transitional financial assistance after they arrive in Canada.

    The financial assistance will help Gazans meet their basic needs—such as food, clothing and housing—as they arrive in communities across Canada and find jobs. More details about this program will be shared when available.

    In addition to financial assistance, Gazans who are fleeing the conflict, regardless of whether they have applied to come to Canada under the special temporary immigration pathway for extended family or as regular temporary resident visa holders, will have access to the following supports in Canada:

    • three months of temporary health coverage under the Interim Federal Health Program to help address urgent medical needs upon arrival
    • settlement services such as language training, information about and orientation to life in Canada (such as help enrolling children in school or opening a bank account), and information and services to help them find a job
    • the ability to apply for fee-exempt study or open work permits from within Canada

    While it remains extremely difficult for people to exit Gaza at this time, Canada is taking proactive steps so that the necessary supports are in place for Gazans when they can arrive.

    “We remain deeply committed to supporting Palestinians during the humanitarian crisis in Gaza, and are concerned about the well-being of all people in the region. Providing settlement and financial support is critical to addressing the immediate challenges faced by Gazans finding safety in Canada. We will continue to help those seeking refuge live and thrive in communities across the country while advocating for everyone’s safety.”

    – The Honourable Marc Miller, Minister of Immigration, Refugees and Citizenship

    Renée LeBlanc Proctor
    Press Secretary
    Minister’s Office
    Immigration, Refugees and Citizenship Canada
    Renee.Proctor@cic.gc.ca

    Media Relations
    Communications Sector
    Immigration, Refugees and Citizenship Canada
    613-952-1650
    media@cic.gc.ca

    MIL OSI Canada News

  • MIL-OSI USA: Read More (Rep. Grijalva Announces Nearly $6 Million for AZ Health Centers to Launch and Expand Behavioral Health Services)

    Source: United States House of Representatives – Congressman Raul M Grijalva (D-AZ)

    Rep. Grijalva Announces Nearly $6 Million for AZ Health Centers to Launch and Expand Behavioral Health Services

    WASHINGTON – Today, Representative Raúl M. Grijalva announced $5,999,156 for 10 health centers in Arizona to launch and expand mental health and substance use disorder services. This is part of a larger announcement from the Health Resources and Services Administration (HRSA), an agency within the U.S. Department of Health and Human Services (HHS), which announced $240 million for more than 400 community health centers across the country that care for more than 10 million people. 

    “Improving access to mental health care is vital for communities of color and underserved populations like those I represent,” said Rep. Grijalva. “Community health centers have demonstrated their effectiveness in serving these communities. This funding will enhance their ability to provide crucial behavioral health services, benefiting rural, urban, and tribal neighborhoods across Arizona.”

    More information on the historic announcement can be found here.

    Award Information here:

    Awardee name City Amount
    AJO COMMUNITY HEALTH CENTER Ajo $600,000
    CHIRICAHUA COMMUNITY HEALTH CENTERS INC Douglas $600,000
    CREEK VALLEY HEALTH CLINIC Colorado City $600,000
    EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER Tucson $600,000
    MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT Phoenix $600,000
    MARIPOSA COMMUNITY HEALTH CENTER, INC. Nogales $600,000
    NATIVE HEALTH Phoenix $599,156
    TERROS INC Phoenix $600,000
    UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC. Green Valley $600,000
    YAVAPAI COUNTY GOVERNMENT PRESCOTT Prescott $600,000

    MIL OSI USA News

  • MIL-OSI Banking: In Tunisia, a pediatric clinic specializing in rare diseases puts smiles back on children’s faces

    Source: African Development Bank Group

    Soft lighting, brightly coloured walls, stencilled animal in the rooms, a warm atmosphere. At the Clinique pédiatrique de Tunis, everything is in place to help the patients forget the illnesses that have brought them here.

    “The best reward for a doctor is to be able to put a smile back on the faces of children and their parents,” says Dr. Nizar Nouaili. director of the clinic, which is located in the Jardins d’El Menzah, in Ariana Ville, to the north of the Tunisian capital.

    The medical facility is a recipient of financing from Tunisia’s Amen Bank, made possible by a €35 million line of credit extended by the African Development Bank to support various sectors of the economy.

    “This line of credit has made it possible to boost investment in all sectors, resulting in the creation of over 1,300 jobs. In this respect, the African Development Bank is a first-rate partner,” says Neji Ghandri, Chairman of the management board of Amen, one of the country’s largest banks.

    Director Nouaili explains how the clinic emerged. “The care of rare diseases was facing a gap, with no specialized structure in pediatrics, and a lack of intensive care beds. That’s why I decided to get involved.”

    Since its opening in 2019, the clinic has seen its occupancy rate rise from 30 percent in 2020 to 90 percent in 2023. A success story for the director and his staff. Over fifty doctors have been recruited, and 250 permanent jobs created. Today, the facility enjoys international recognition, and offers cutting-edge medical skills and state-of-the-art technology, bringing smiles to ailing children and hope to their parents.

    Fatima is a four-year-old girl suffering from a very rare auto-immune digestive disease. She traveled with her parents all the way from Guinea Conakry in West Africa. The Tunis Pediatric Clinic represented the last ray of hope for this family, who had already knocked on many doors without finding adequate treatment.

    Fatima has since come a long way from her initial emergency consultation, and is now in remission. Mohamed Bejaoui, a professor of pediatrics who has followed her every step of the way, says. “What’s interesting is that throughout this care journey, there has been a multidisciplinary approach.” He cites various resources and specialties within the clinic: gastroenterology, homeopathy, nutrition, immunology, radiology, hematology and pediatrics.

    Like Fatima, patients come from all across Africa, including Libya, Mauritania, Chad, Burkina Faso and Côte d’Ivoire, to benefit from these cutting-edge specialties. Dr. Nouaili is drawing on his extensive network of medical specialists to expand his clinic.

    “Our doctors are regional references in their specialties, which naturally helps us to forge international partnerships. For example, we have agreements with Libya for the treatment of cancer pathologies, leukemia and solid tumors,” he says, adding that he has also signed an agreement with the Mauritanian Health Insurance Fund and a number of international insurance companies, who send African patients to the clinic.

    The Clinique pédiatrique de Tunis now aims to build on its successes, strengthening its reputation as a center of excellence for serious medical and surgical pediatric diseases. “We carry out research in genetics, and we have a 70 percent positivity rate in our examinations,” the clinic director emphasizes.

    Over a million foreigners come to Tunisia each year for healthcare, and the Clinique pédiatrique de Tunis aims to position itself among the leaders in this flourishing medical tourism market. Director Nouaili stresses that the goal is to strengthen its African partnerships by exploring innovative practices, like the deployment of telemedicine to prepare patients remotely and monitor them after treatment. He’s proud of how far the clinic has come. “We’re very responsive to emergencies, and we offer highly competitive care,” he enthuses.

    MIL OSI Global Banks

  • MIL-OSI USA: Philadelphia City Council President Kenyatta Johnson and Pennsylvania Lt. Gov. Austin Davis Highlight Solutions and Strategies at Roundtable on Gun Violence Prevention

    Source: US State of Pennsylvania

    October 15, 2024Philadelphia, PA

    Philadelphia City Council President Kenyatta Johnson and Pennsylvania Lt. Gov. Austin Davis Highlight Solutions and Strategies at Roundtable on Gun Violence Prevention

    Philadelphia City Council President Kenyatta Johnson was joined by Pennsylvania Lt. Gov. Austin Davis for one of Johnson’s “Peace Not Guns” roundtable discussions, speaking with victims of gun violence and local leaders about the reinvigorated state Office of Gun Violence Prevention. The discussion featured more than a dozen victims and co-victims of gun violence in Philadelphia.

    “The voices of those who have been impacted by gun violence should be at the center of every conversation we have about gun violence,” said Lt. Gov. Davis, who chairs the Pennsylvania Commission on Crime and Delinquency (PCCD). “We want to hear from those who have been injured and those who have lost loved ones, as our Office of Gun Violence Prevention works to develop a plan to address this epidemic and continues our initiative to improve services and support for gun violence victims. I look forward to partnering with the Council President and the City of Philadelphia in our effort to make our neighborhoods and communities safer.”

    “I want to thank Lt. Gov. Austin Davis for coming to Philadelphia to hear from individuals and families impacted by gun violence and children who live with this issue,” Council President Johnson (Second District) said. “I have held Peace Not Guns discussions for years so elected officials can have open conversations with the leaders and advocates to hear from them what are some of the root causes of the shootings happening in Philadelphia and throughout the Commonwealth and what are some short-term and long-term solutions to solving the problem.”

    Speakers Include:
    Kenyatta Johnson, Philadelphia City Council President
    Lt. Gov Austin Davis
    Joseph Douglas, Impact Services
    Tyrique Glasgow, Young Chances Foundation
    Adam Garber, Ceasefire PA
    Chantay Love, EMIR Healing Center
    Taj Murdoch, Men of Courage
    Zarinah Loamax, The Apologues
    Ant Brown, Always Be Real Original
    Rickey Duncan, NOMO Foundation
    Joshu Harris, Philadelphia Office of Public Safety
    Adam Geer, Chief Public Safety Director
    Adam Combs, Esq., Philadelphia Victim Advocate
    Shania Bennett, Office of Youth Engagement
    Michelle Kerr-Spry, Mothers In Charge
    Anton Moore, Unity in the Community
    Zachary Frazier, Trust Factor
    Pastor Carl Day, Culture Changing Christians Inc.

    MIL OSI USA News

  • MIL-OSI USA: Kaine, Colleagues Push for DOD to Provide Increased Transparency for Children’s Hospitals Serving Defense Communities

    US Senate News:

    Source: United States Senator for Virginia Tim Kaine
    WASHINGTON, D.C. – U.S. Senator Tim Kaine (D-VA), a member of the Senate Armed Services Committee, joined 19 of his Senate and House colleagues in sending a letter to Secretary of Defense Lloyd Austin urging the Defense Health Agency (DHA) to provide clarity on the implementation of a change in reimbursements for children’s hospitals that provide care to military families covered by TRICARE, the government health care program for active duty servicemembers and their families.
    “We write to express our deep concerns about a 2023 Defense Health Agency (DHA) rule that catalyzed a major shift in the TRICARE reimbursement methodology for children’s hospitals,” wrote the lawmakers. “Children’s hospitals situated in defense communities in our home states are now grappling with the impacts of this change as well as the ripple effects that the ensuing financial challenges may have on the provision of care for military families. For states with large military populations and no specialty children’s hospital, any reduction in access to care would further complicate military families’ choices by increasing burdens placed on families who already have to travel outside of their own state for medical services.”
    DHA previously exempted children’s hospitals from the Medicare outpatient reimbursement model because the reimbursement rate did not adequately reflect the specialized care provided at children’s hospitals. Over 2.4 million children obtain care from children’s hospitals through TRICARE each year, and the change has created some challenges for children’s hospitals in major defense communities like Virginia. Children’s hospitals that serve many servicemembers’ children, such as The Children’s Hospital of the King’s Daughters in Norfolk, are seeking increased transparency on how these changes will be implemented. This clarity is crucial to ensuring the continuity of services and care that military families need.
    The Children’s Hospital Association (CHA) sent letters to the Department of Defense in 2020 and 2023 expressing their concerns about the proposed rule. In their letter, the lawmakers specifically asked the following questions:
    What dialogue has DHA had with the affected children’s hospitals to understand how this new reimbursement methodology impacts operations and access to care?
    What data and sources informed the agency’s analysis of the impact on children’s hospitals that care for TRICARE patients?
    How did the agency account for the financial impacts of military families traveling for care in circumstances where local services are no longer available?
    How did the agency develop the contingency payment and why did the DHA set a lower contingency payment for pediatrics?
    Can the agency verify the number of children’s hospitals that are expected to qualify for the contingency payment that is outlined in the rule?
    The full text of the letter is available here.

    MIL OSI USA News

  • MIL-OSI Asia-Pac: Celebrating World Food Day 2024 with Ayurveda Aahar for a Healthy and Sustainable Future

    Source: Government of India

    Celebrating World Food Day 2024 with Ayurveda Aahar for a Healthy and Sustainable Future

    Ayurveda Aahar helps maintaining a balanced body and mind: Shri Pratap Rao Jhadhav

    Posted On: 16 OCT 2024 7:35PM by PIB Delhi

    On October 16th, 2024, as the world marks World Food Day with the theme “Right to Food for a Better Life and Future,” the Ministry of Ayush is dedicated to supporting the United Nations’ Sustainable Development Goal 2 (SDG-2), aiming to eradicate hunger and enhance food security. The Ministry of Ayush is making all efforts in promoting a healthier, disease-free and sustainable world through the power of Ayurveda Aahar.

    Marking the significance of World Food Day, the Union Minister of State for Ayush (I/C) Shri Pratap Rao Jhadhav said, “On World Food Day, let’s remember that Ayurveda’s approach to food goes beyond mere sustenance – it aims to nourish the body, bring peace to the mind, and satisfy the soul, reconnecting us to our roots and guiding us to live in harmony with nature. Let us acknowledge the significance of Ayurveda Aahar, which sees food as more than just a source of energy, but as a crucial element in maintaining a balanced body and mind. This day serves as a reminder of how a proper diet can impact not only personal health but also global food security and sustainable development, in alignment with Ayurvedic principles.”

    Ayurveda provides cost-effective, sustainable and nutritious dietary solutions to combat the malnutrition crisis, as well as sustainability of food issue, affecting many regions globally. According to Ayurvedic principles – food is best medicine, thereby advising the consumers to partake right food in right manner, and nutritious enough to have a healthy life. While underlining the developments around Ayurveda Aahar, Vaidya Rajesh Kotecha, Secretary, Ministry of Ayush informed, “The Food Safety and Standards Authority of India (FSSAI), has notified Ayurveda Aahar regulations through a Gazette notification in 2021. Following this development, we have observed renewed interest from diverse stakeholder groups, including the industry, in the concept of Ayurveda Aahar and this is revolutionizing the sector.” 

    The Indian Thali has garnered global attention for its significant impact on nutrition and sustainability, as recognized by the WWF Living Planet Report. This traditional plant-based diet, centered on grains, pulses, lentils, and vegetables, has credited with reducing natural resource usage and greenhouse gas emissions compared to animal-based diets. According to the report, if the world adopts India’s consumption patterns, only 0.84 of an earth will be in need by 2050 to sustain global food production.

    Elaborating on the strength and potential of Ayurveda Aahar, Professor National Institute of Ayurveda (NIA) Jaipur, Anupam Srivastava said, “Ministry of Ayush’s innovative approach towards the concept of Ayurveda Aahar, is perfectly aligned with the Sustainable Development Goal-2 (SDG-2) that concerns hunger, food security, nutrition, and sustainability.”

    Based on this principle, the Ministry of Ayush has introduced the “Ayush Dietary Advisory for Kuposhan Mukt Bharat” to enhance nutritional outcomes, especially for children, pregnant women, and lactating mothers. In partnership with the Ministry of Women and Child Development, is taking significant strides toward realizing a Nourished India by endorsing an Ayush-based diet and lifestyle. The Ayush Dietary Advisory seeks to enhance the nutritional well-being of at-risk populations by integrating Ayurvedic dietary principles into daily meals, presenting a distinctive and efficient approach to malnutrition. This aligns with the national mission to eradicate malnutrition and promote the health of future generations.

    The Ministry of Ayush highlights how blending traditional wisdom with modern science can provide effective solutions for tackling global hunger and improving health outcomes for everyone through continuous efforts.

    As we celebrate World Food Day 2024, the Ministry of Ayush reaffirms its commitment to promoting a disease-free world through the principles of Ayurveda Aahar, emphasizing natural nutrition, prevention, and wellness. By adopting Ayush dietary practices, we can move towards a world where food is a powerful tool for health and longevity. Through collaborative efforts within India and internationally, the Ministry of Ayush continues to advance its mission of improving nutritional outcomes, and creating a brighter, healthier future for all.

    This acknowledgment positions India as a leader in sustainable food practices, demonstrating how local traditions can address environmental challenges while promoting overall health.

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    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: First-ever International conference – Advancements of Research & Global Opportunities for Holistic Ayurveda – AROHA-2024 to start tomorrow in Delhi

    Source: Government of India

    Posted On: 16 OCT 2024 7:36PM by PIB Delhi

    All India Institute of Ayurveda, New Delhi is organising its first-ever International conference – Advancements of Research & Global Opportunities for Holistic Ayurveda – AROHA-2024 starting tomorrow from Thursday 17th October to 19th October 2024. This distinguished event will feature in-person and virtual participation, offering an unparalleled opportunity for participants. The discourse will be centered on the theme ” Advancements in Research and Global Opportunities for Holistic Ayurveda” in this global event.

    The event will be inaugurated by Dr. Justice Dhananjaya Yeshwant Chandrachud, Hon’ble Chief Justice of India. He will be joined by esteemed guests, including Shri Prataprao Jadhav, Hon’ble Minister of State (Independent Charge) for the Ministry of Ayush and Health & Family Welfare; Vaidya Rajesh Kotecha, Secretary, Ministry of Ayush; and Dr. Shyama Kuruvilla, Director (ad interim) of the Global Traditional Medicine Centre, WHO, Jamnagar, Gujarat. Additionally, Lt. Gen. Madhuri Kanitkar, Vice Chancellor, Maharashtra University of Health Sciences (MUHS); Padma Bhushan Prof. Shiv Kumar Sarin, Director, ILBS; and Dr. Devendra Triguna will also grace the event.

    “AROHA-2024 will align with AIIA’s vision of positioning Ayurveda as a key pillar of global health and wellness. The conference will bring together scholars, industry leaders, and Ayurveda experts from Japan, Colombia, Australia, Germany, Sri Lanka, and Argentina will participate to explore the integration of traditional Ayurvedic wisdom with modern scientific advancements.” AIIA director Prof. (Dr.) Tanuja Nesari said.

    The conference agenda covers a wide range of topics, including Ayurveda, ethnomedicine, quality control, standardization, diagnosis, drug delivery, evidence-based understanding, and globalization. Experienced experts will share practical and  theoretical knowledge on Ayurvedic practices.

    The conference features three-day workshops and 16 scientific sessions, with over 400 research papers to be presented. The All India Institute of Ayurveda has a global presence in over 17 countries through academic and scientific collaborations with prominent organizations like the London School of Hygiene and Tropical Medicine, FIGZ Germany, AIST Japan, Western Sydney University Australia, UHN Canada, and national institutions like IGIB, AIIMS, CSIR, IIT, etc.

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    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: India Commits to Ethical AI with New EoI initiative

    Source: Government of India (2)

    India Commits to Ethical AI with New EoI initiative

    Empowering Society Through AI: IndiaAI mission selects 8 projects to enhance ethical AI development across diverse themes

    Top Indian institutions to make AI wise through bias mitigation, Machine Unlearning & making AI Ethical & ensure privacy

    Posted On: 16 OCT 2024 8:14PM by PIB Delhi

    The IndiaAI Mission has selected eight Responsible AI Projects against the Expression of Interest (EoI) floated under the Safe and Trusted AI Pillar of the IndiaAI Mission. Recognizing the need for adequate guardrails to advance the responsible development, deployment, and adoption of AI, the selected Responsible AI projects include the development of indigenous tools and frameworks, and establishing guidelines for ethical, transparent, and trustworthy AI technologies.

    Promoting responsible AI through 8 strategic projects

    As AI continues to permeate various sectors of society, India is committed to invest in agile mechanisms for developing indigenous governance tools, frameworks, and guidelines that are based on Indian datasets and reflect its unique challenges, opportunities, and datasets. To support this vision, IndiaAI has issued an Expression of Interest (EoI) to promote responsible AI projects across a range of critical themes. These include Machine Unlearning, Synthetic Data Generation, AI Bias Mitigation, Ethical AI Frameworks, Privacy-Enhancing Tools, Explainable AI, AI Governance Testing, and Algorithm Auditing Tools.

    More than 2000 proposals were received from reputed Academic Institutions, Start-ups, Research Organisations & Civil Society. A multi-stakeholder committee was created to provide technical expertise for the evaluation of the proposals, resulting in the selection of 8 projects across various themes.

    The details of the Selected Projects are given below:-
     

     

    S.No.

     

    Name of the Theme

     

    Name of the Selected Project

     

     

    Title of the Project

    1.  

    Machine Unlearning

    Indian Institute of Technology, Jodhpur

    Machine Unlearning in Generative Foundation Models

    1.  

    Synthetic Data Generation

    Indian Institute of Technology, Roorkee

    Design and Development of Method for Generating Synthetic Data for Mitigating Bias in Datasets; and Framework for Mitigating Bias in Machine Learning Pipeline for Responsible AI

    1.  

    AI Bias Mitigation Strategy

    National Institute of Technology Raipur

    Development of Responsible Artificial Intelligence for Bias Mitigation in Health Care Systems

    1.  

    Explainable AI Framework

    Defence Institute of Advanced Technology (DIAT), Pune in partnership with Mindgraph Technology Pvt. Ltd.

    Enabling Explainable and Privacy Preserving AI for Security

    1.  

    Privacy Enhancing Strategy

    Indian Institute of Technology, Delhi in partnership with Indian Institute of Technology, Dharwad, Indraprastha Institute of Information Technology, Delhi and Telecommunication Engineering Center (TEC)

    Robust Privacy-Preserving Machine Learning Models

    1.  

    AI Ethical Certification Framework

    Indraprastha Institute of Information Technology, Delhi in partnership with Telecommunication Engineering Center (TEC)

    Nishpaksh: Tools for assessing fairness of AI model

    1.  

    AI Algorithm Auditing Tool

    Civic Data Labs

    ParakhAI – An open-source framework and toolkit for Participatory Algorithmic Auditing

    1.  

    AI Governance Testing Framework

    Amrita Vishwa Vidyapeetham in partnership with Telecommunication Engineering Center (TEC)

    Track-LLM, Transparency, Risk Assessment, Context & Knowledge for Large Language Models

    Advancing India’s leadership in AI through the IndiaAI Mission

    This initiative aligns with the Government of India’s vision of leveraging AI for inclusive growth. IndiaAI, an IBD (Independent Business Division) under the Digital India Corporation (DIC) of the Ministry of Electronics and IT (MeitY), is the implementation agency of the IndiaAI Mission, which aims to democratize AI’s benefits across all strata of society, bolster India’s global leadership in AI, foster technological self-reliance, and ensure ethical and responsible use of AI.

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    MIL OSI Asia Pacific News

  • MIL-OSI Video: Lebanon, Gaza, Occupied Palestinian Territory & other topics – Daily Press Briefing (16 Oct 2024)

    Source: United Nations (Video News)

    Noon Briefing by Stéphane Dujarric, Spokesperson for the Secretary-General.

    Highlights:
    -Secretary-General
    -UNIFIL
    -Lebanon
    -Gaza
    -Occupied Palestinian Territory
    -Syria
    -Cyprus
    -Ukraine
    -Sudan
    -South Sudan
    -World food day
    -Briefings today
    -Briefings tomorrow

    SECRETARY-GENERAL
    This morning, the Secretary-General spoke to the Fifth Committee of the General Assembly on the proposed programme budget for 2025. He said that in a context of major global shocks, the United Nations is more needed than ever — with our unmatched convening power.
    He added that the 2025 programme budget proposal reflects the priorities set out in the Pact for the Future, the Global Digital Compact and the Declaration on Future Generations.
    The Secretary-General also said that the Organization will continue to work to cement its reforms. Some of the proposals he highlighted include continued investment in sustainable development; human rights; boosting support for the unprecedented humanitarian challenges in Gaza; advancing peace and security; and strengthening the UN’s capacities in investigation and ethics.

    UNIFIL
    The United Nations Interim Force in Lebanon or UNIFIL reports that intense exchanges of fire along and beyond the Blue Line continued over the past 24 hours.
    UNIFIL recorded 58 air violations – the highest number for a 24-hour period since 8 October 2023. UNIFIL also detected 1,279 projectiles across the Blue Line, the third highest since 8 October 2023. 1,208, originated from south of the Blue Line, 71 from the north.
    The mission also reported that indirect fire and firing from close to UN positions caused material damage to UN equipment and facilities near Dayr Amis in Sector West and Shab’a in Sector East. Fortunately, no peacekeepers were wounded in these incidents.
    These incidents continue to put UN peacekeepers, who are serving in southern Lebanon to support the implementation of Security Council Resolution 1701 (2006), at serious risk. The UN reiterates that the safety and security of UN personnel and property must be ensured by all actors on the ground and that the inviolability of UN premises must be respected at all times. 
    Meanwhile, the Special Coordinator for Lebanon, Jeanine Hennis-Plasschaert, continues her intensive engagements with all actors to urge an immediate ceasefire and that space be given for a diplomatic solution in line with Security Council Resolution 1701. Following further strikes that resulted in civilian deaths today, near Nabatiyeh, the Special Coordinator emphasized in a statement that violations of international humanitarian law are utterly unacceptable. Civilians and civilian infrastructure must be protected at all times.
    The Secretary-General again condemns the loss of civilian lives.

    LEBANON
    Today, the Office for the Coordination of Humanitarian Affairs says that multiple airstrikes were reported in Nabatiyeh and nearby areas in southern Lebanon. So far, according to local authorities, six fatalities have been confirmed, including the mayor of Nabatiyeh, as well as members of the Disaster Risk Management Unit killed in the strike on the municipality building during a relief management meeting.
    The UN’s health partners tell us that the violence continues to push an already overwhelmed health system to the brink, with devasting impacts on medical care amid huge health needs.
    Since 17 September, the World Health Organization says that it has verified 23 attacks on health care.
    It also flags the impact of intense bombardment and insecurity which are forcing a growing number of health facilities to shut down, particularly in the south.
    Out of 207 primary health care centres and dispensaries in conflict-affected areas, 100 are now closed.
    Despite the challenges, WHO and its partners continue to support Lebanese health authorities and to provide medical supplies for trauma care, cholera prevention. WHO also continues to coordinate with the Lebanese Red Cross and hospitals to equip blood banks with adequate supplies and is working with the Ministry of Public Health of Lebanon to establish trauma centres within the existing hospitals.
    On education, Lebanese authorities report that 77 per cent of public schools cannot provide education services due to either being used as collective shelters or being in directly affected areas.
    Meanwhile, the UN and partners continue to support the response, including by providing food, shelter, water, sanitation and hygiene assistance – but they warn that they are facing operational challenges due to the volatile security situation.

    Full Highlights: https://www.un.org/sg/en/content/noon-briefing-highlight?date%5Bvalue%5D%5Bdate%5D=16%20October%202024

    https://www.youtube.com/watch?v=Nxpq-u89-e0

    MIL OSI Video

  • MIL-Evening Report: Why do I have hay fever? I didn’t have it as a child

    Source: The Conversation (Au and NZ) – By Janet Davies, Respiratory Allergy Stream Co-chair, National Allergy Centre of Excellence; Professor and Head, Allergy Research Group, Queensland University of Technology

    Dragana Gordic/Shutterstock

    Hay fever (or allergic rhinitis) is a long-term inflammatory condition that’s incredibly common. It affects about one-quarter of Australians.

    Symptoms vary but can include sneezing, itchy eyes and a runny or blocked nose. Hay fever can also contribute to sinus and ear infections, snoring, poor sleep and asthma, as well as lower performance at school or work.

    But many people didn’t have hay fever as a child, and only develop symptoms as a teenager or adult.

    Here’s how a combination of genetics, hormones and the environment can lead to people developing hay fever later in life.

    Remind me, what is hay fever?

    Hay fever is caused by the nose, eyes and throat coming into contact with a substance to which a person is allergic, known as an allergen.

    Common sources of outside allergens include airborne grass, weed or tree pollen, and mould spores. Pollen allergens can be carried indoors on clothes, and through open windows and doors.

    Depending on where you live, you may be exposed to a range of pollen types across the pollen season, but grass pollen is the most common trigger of hay fever. In some regions the grass pollen season can extend from spring well into summer and autumn.

    How does hay fever start?

    Hay fever symptoms most commonly start in adolescence or young adulthood. One study found 7% of children aged six had hay fever, but that grew to 44% of adults aged 24.

    Before anyone has hay fever symptoms, their immune system has already been “sensitised” to specific allergens, often allergens of grass pollen. Exposure to these allergens means their immune system has made a particular type of antibody (known as IgE) against them.

    During repeated or prolonged exposure to an allergen source such as pollen, a person’s immune system may start to respond to another part of the same allergen, or another allergen within the pollen. Over time, these new allergic sensitisations can lead to development of hay fever and possibly other conditions, such as allergic asthma.

    Grass pollen is the most common trigger of hay fever.
    winyuu/Shutterstock

    Why do some people only develop hay fever as an adult?

    1. Environmental factors

    Some people develop hay fever as an adult simply because they’ve had more time to become sensitised to specific allergens.

    Migration or moving to a new location can also change someone’s risk of developing hay fever. This may be due to exposure to different pollens, climate and weather, green space and/or air quality factors.

    A number of studies show people who have migrated from low- and middle-income countries to higher-income countries may be at a higher risk of developing hay fever. This may due to local environmental conditions influencing expression of genes that regulate the immune system.

    2. Hormonal factors

    Hormonal changes at puberty may also help drive the onset of hay fever. This may relate to sex hormones, such as oestrogen and progesterone, affecting histamine levels, immune regulation, and the response of cells in the lining of the nose and lower airways.

    3. Genetic factors

    Our genes underpin our risk of hay fever, and whether this and other related allergic disease persists.

    For instance, babies with the skin condition eczema (known as atopic dermatitis) have a three times greater risk of developing hay fever (and asthma) later in life.

    Having a food allergy in childhood is also a risk factor for developing hay fever later in life. In the case of a peanut allergy, that risk is more than 2.5 times greater.

    What are the best options for treatment?

    Depending on where you live, avoiding allergen exposures can be difficult. But pollen count forecasts, if available, can be useful. These can help you decide whether it’s best to stay inside to reduce your pollen exposure, or to take preventative medications.

    You may also find alerts on thunderstorm asthma, where pollens combine with specific weather conditions to trigger breathing difficulties.

    If you have mild, occasional hay fever symptoms, you can take non-drowsy antihistamines, which you can buy at the pharmacy.

    However, for more severe or persistent symptoms, intranasal steroid sprays, or an intranasal spray containing a steroid with antihistamine, are the most effective treatments. However, it is important to use these regularly and correctly.

    Allergen immunotherapy, also known as desensitisation, is an effective treatment for people with severe hay fever symptoms that can reduce the need for medication and avoiding allergens.

    However, it involves a longer treatment course (about three years), usually with the supervision of an allergy or immunology specialist.

    When should people see their doctor?

    It is important to treat hay fever, because symptoms can significantly affect a person’s quality of life. A GP can:

    • recommend treatments for hay fever and can guide you to use them correctly

    • organise blood tests to confirm which allergen sensitisations (if any) are present, and whether these correlate with your symptoms

    • screen for asthma, which commonly exists with hay fever, and may require other treatments

    • arrange referrals to allergy or immunology specialists, if needed, for other tests, such as allergen skin prick testing, or to consider allergen immunotherapy if symptoms are severe.


    More information about hay fever is available from the Australasian Society of Clinical Immunology and Allergy and Allergy & Anaphylaxis Australia.

    Janet Davies receives funding from the ARC, NHMRC, Department of Health and Ageing, and MRFF. She has conducted research on diagnostics in collaboration with Abionic SA, Switzerland, supported by the National Foundation for Medical Research Innovation with co-contribution from Abionic. Her research has been supported by in-kind services or materials from Sullivan Nicolaides Pathology (Queensland), Abacus Dx (Australia), Stallergenes (France), Stallergenes Greer (Australia), Swisens (Switzerland), Kenelec (Australia), and ThermoFisher (Sweden), as well as cash or in-kind contributions from Partner Organisations for the NHMRC AusPollen Partnership Project GNT1116107, Australasian Society Clinical Immunology Allergy, Asthma Australia; Stallergenes Australia; Bureau Meteorology, Commonwealth Scientific Industrial Research Organisation, Federal Office of Climate and Meteorology Switzerland. QUT owns patents relevant to grass pollen allergy diagnosis (US PTO 14/311944 issued, AU2008/316301 issued) for which Janet Davies is an inventor. She is the Executive Lead, Repository and Discovery Pillar, and Co-Chair Respiratory Allergy Stream for the National Allergy Centre of Excellence.

    Unrelated to this article, Joy Lee has received funding from the Centre of Research Excellence in Treatable Traits in Asthma, Sanofi, Fondazione Menarini and GSK. This funding support was solely used for presenting at educational meetings in asthma and travel grants to attend international meetings and conferences in asthma and allergic diseases. She has been on advisory boards for Tezepelumab (Astra Zeneca). She is affiliated with the National Allergy Centre of Excellence as the co-chair of the Respiratory Allergy Leadership Group.

    ref. Why do I have hay fever? I didn’t have it as a child – https://theconversation.com/why-do-i-have-hay-fever-i-didnt-have-it-as-a-child-239409

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI USA: 2024 North Carolina Award Winners, State’s Highest Honor, Announced

    Source: US State of North Carolina

    Headline: 2024 North Carolina Award Winners, State’s Highest Honor, Announced

    2024 North Carolina Award Winners, State’s Highest Honor, Announced
    jejohnson6

    The state’s highest civilian honor, the North Carolina Award, will be presented to eight distinguished North Carolinians Thursday, Nov. 14, at the Raleigh Marriott City Center. Governor Roy Cooper will present the awards at a 7 p.m. banquet and ceremony.

    All proceeds from ticket sales for the awards ceremony will go to the North Carolina Disaster Relief Fund to help communities recover from Hurricane Helene.

    The award was created by the General Assembly in 1961 to recognize significant contributions to the state and nation in the fields of fine arts, literature, public service and science. The awards have been presented annually since 1964 and this year marks the 60th anniversary of the awards ceremony.

    The 2024 honorees are The Avett Brothers (Scott Avett, Seth Avett and Bob Crawford) for Fine Arts, Frank A. Bruni Jr. for Literature, William Henry Curry for Fine Arts, Thomas W. Earnhardt for Science, Christina Koch for Science, and Dr. Harold L. Martin Sr. for Public Service.

    “Over the past six decades, the North Carolina Award has been given to many remarkable North Carolinians,” said Reid Wilson, secretary of the N.C. Department of Natural and Cultural Resources. “This year’s awardees join an illustrious list of people who have benefitted North Carolina through their impressive accomplishments in public service, literature, science, and the arts. This year’s event will benefit our neighbors in Western North Carolina who were harmed by the devastating storm.”

    Since the award’s inception, more than 300 notable men and women have been honored by the state of North Carolina. Past recipients include William Friday, James Taylor, Etta Baker, Charles Kuralt, Maya Angelou, Lee Smith, Eric Church, Selma Burke, and Branford Marsalis.

    2024 Award Recipients:

    Fine Arts: The Avett Brothers

    Brothers Scott and Seth Avett and their longtime friend Bob Crawford lead the folk rock band The Avett Brothers. From Concord, N.C., Scott and Seth Avett have played music together since childhood. Their partnership began when the two brothers merged Seth Avett’s high school band, Margo, and Scott Avett’s college band, Nemo, and released three albums as Nemo. After the group disbanded Scott and Seth continued to write acoustic music together. In 2001 stand-up bassist Bob Crawford joined the Avetts, and the band released its first full-length album, Country Was in 2002. The band has been nominated for three Grammy awards and been nominated for and won several awards from the Americana Music Association, including Duo/Group of the Year and New/Emerging Artist of the Year awards in 2007. As cultural ambassadors for North Carolina, The Avett Brothers play a vital role in promoting the state’s rich musical heritage, inspiring future generations of artists while remaining deeply rooted in their origins.

    Literature: Frank A. Bruni Jr.

    Frank Bruni has been a prominent journalist for more than three decades, principally at The New York Times, where his various roles have included op-ed columnist, White House correspondent, Rome bureau chief and chief restaurant critic. As the Times’s first openly gay op-ed columnist, in 2016 Bruni was honored by the National Lesbian and Gay Journalists Association with the Randy Shilts Award for his lifetime contribution to LGBTQ equality. He is a graduate of the University of North Carolina at Chapel Hill, where he was a Morehead Scholar and wrote for the student paper, the Daily Tar Heel. Bruni is the author of five bestselling books including the most recent, “The Age of Grievance,” an examination of America’s political dysfunction and culture wars. In 2021, he became a full professor at Duke University, teaching media-oriented classes in the Sanford School of Public Policy. Now living in North Carolina, he continues to write his popular weekly newsletter for the New York Times and to produce occasional essays as a contributing opinion writer for the newspaper.

    Fine Arts: William Henry Curry

    William Henry Curry, a significant figure in contemporary American music, has made remarkable contributions as both a conductor and composer. His dedication to championing American composers, his trailblazing role as an African American in classical music, and his wide-ranging work in both concert and opera have established him as a pioneering force. Curry currently serves as the music director and conductor of the Durham Symphony Orchestra. From 1998 to 2016, he was the resident conductor and Summerfest artistic director of the North Carolina Symphony. During his career, he has conducted some of the world’s greatest orchestras, including the Chicago Symphony, the Cleveland Orchestra, the Los Angeles Philharmonic, and the major opera companies of New York, Chicago, and Houston. Maestro Curry is also a composer, and his works have been played by many of America’s finest orchestras. He has been a mentor for young musicians at the Peabody Conservatory, the Baltimore School of Arts, and many music schools in North Carolina.

    Science: Thomas W. Earnhardt

    Tom Earnhardt has dedicated his life to preserving and promoting North Carolina’s rich natural and cultural heritage. Earnhardt extensive career of service includes time as an assistant attorney general at the N.C. Department of Justice, assistant secretary of the N.C. Department of Administration, and as a professor at North Carolina Central University School of Law. In 1971 Earnhardt was one of the first attorneys hired at the N.C. Department of Justice in the “new arena” of environmental law. Later, while working with Governor Jim Holshouser he played a key role in helping to preserve critical natural areas, including the New River in northwestern North Carolina and the southernmost Outer Banks, today’s Cape Lookout National Seashore. Beyond his legal work, Earnhardt has long been passionate about conservation and environmental education. He served on the boards of numerous natural resource organizations, including The Nature Conservancy, the North Carolina Museum of Natural Sciences, and the North Carolina Botanical Garden. He is best known, however, through his work as the writer, host, and co-producer of the long-running PBS series “Exploring North Carolina,” which highlights the importance of our natural heritage in the life of every North Carolinian.

    Science: Christina Koch

    Christina Koch has blazed a trail for women in space exploration. Selected to be a NASA astronaut in 2013, Koch has set the record for the longest single spaceflight by a woman with 328 days in space, participated in the first all-female spacewalk, and was a flight engineer on the International Space Station for Expeditions 59 through 61. Koch is a graduate of the N.C. School of Science and Mathematics and North Carolina State University. Before becoming an astronaut, she worked at NASA’s Goddard Space Flight Center as an electrical engineer, contributing to instruments for various NASA space science missions. Koch is a passionate advocate for STEM education, actively encouraging young people, especially girls, to pursue careers in science and technology. Throughout her career, she has engaged in educational outreach, technical instruction, and volunteer tutoring, demonstrating her dedication to inspiring the next generation of scientists and engineers. As part of the Artemis II mission scheduled for 2025, Koch will become the first woman to participate in a lunar mission.

    Public Service: Dr. Harold L. Martin Sr.

    Dr. Harold Lee Martin, Sr., has dedicated his life to higher education and public service. Serving as the 12th chancellor of North Carolina Agricultural and Technical State University from 2009-2024, Martin became the first alumnus to lead the institution. His extensive experience in education, spanning over 40 years, made him a key figure in N.C. A&T’s growth to become the largest of the nation’s historically Black colleges and universities (HBCUs) and one of the country’s top public research institutions. Before becoming N.C. A&T’s chancellor, Martin served as senior vice president for Academic Affairs for the University of North Carolina System, where he helped shape policies benefiting institutions across North Carolina, and held leadership roles at Winston-Salem State University, where he served as the 11th chief administrator and seventh chancellor.

    The 2024 North Carolina Awards will be presented Thursday, Nov. 14 at the Raleigh Marriott City Center. This event is sponsored by Wells Fargo, Martin Marietta, RTI, Wolfspeed, Lenovo, Duke Energy, ECU Health, CBC/WRAL Community Fund of the Triangle Community Foundation, Friends of the North Carolina Museum of Natural Sciences, North Carolina Agricultural and Technical State University, PBS North Carolina, NCSU College of Engineering, N.C. School of Science and Mathematics, NC Opera, Dr. Myron S. Cohen and Dr. Gail Henderson, Honorable G K Butterfield, Justice W. Earl Britt, and Michael Alan McFee.

    About the North Carolina Department of Natural and Cultural Resources
    The N.C. Department of Natural and Cultural Resources (DNCR) manages, promotes, and enhances the things that people love about North Carolina – its diverse arts and culture, rich history, and spectacular natural areas. Through its programs, the department enhances education, stimulates economic development, improves public health, expands accessibility, and strengthens community resiliency.
    The department manages over 100 locations across the state, including 27 historic sites, seven history museums, two art museums, five science museums, four aquariums, 35 state parks, four recreation areas, dozens of state trails and natural areas, the North Carolina Zoo, the State Library, the State Archives, the N.C. Arts Council, the African American Heritage Commission, the American Indian Heritage Commission, the State Historic Preservation Office, the Office of State Archaeology, the Highway Historical Markers program, the N.C. Land and Water Fund, and the Natural Heritage Program. For more information, please visit www.dncr.nc.gov.
    Oct 16, 2024

    MIL OSI USA News

  • MIL-OSI USA: NCDHHS Announces First Flu Death of 2024-2025 Season, Encourages Residents to Get Annual Vaccines and Use Other Preventive Measures

    Source: US State of North Carolina

    Headline: NCDHHS Announces First Flu Death of 2024-2025 Season, Encourages Residents to Get Annual Vaccines and Use Other Preventive Measures

    NCDHHS Announces First Flu Death of 2024-2025 Season, Encourages Residents to Get Annual Vaccines and Use Other Preventive Measures
    hejones1

    The North Carolina Department of Health and Human Services is reporting the first flu-related death of the 2024-25 flu season. An adult in the Charlotte metropolitan area died due to complications of influenza during the second week of October. To protect the privacy of the family, additional information will not be released.

    “This is a sad reminder that influenza can be a very serious illness,” said State Epidemiologist Zack Moore, M.D., MPH. “Taking preventative measures against flu and other respiratory illnesses like getting vaccinated, regularly washing hands, covering your cough and staying home when sick are important to help protect you and your family.”

    Influenza, COVID-19 and respiratory syncytial virus (RSV) are expected to increase over the coming weeks. Vaccinations are the best way to prevent serious illness, hospitalization and death from these infections. Vaccinations are especially important for those at higher risk of severe viral respiratory disease, including people 65 years and older, children younger than 5, pregnant women, those with a weakened immune system and those with certain medical conditions such as asthma, diabetes, heart disease and obesity.

    The U.S. Centers for Disease Control and Prevention recommends all people aged 6 months and older receive a seasonal flu vaccine and COVID-19 vaccine. RSV vaccinations are also recommended to protect older adults 75 years and older, adults 60-74 years who are at increased risk of severe RSV and pregnant women during weeks 32 through 36 of pregnancy to protect infants. Parents should talk with their health care provider about other options to protect infants from severe RSV disease.

    Flu, COVID-19 and RSV vaccinations are available at pharmacies, private medical offices, some federally qualified health care centers and local health departments. These vaccines can be administered at the same visit. To find a vaccine near you, visit http://www.vaccines.gov/find-vaccines.

    Early testing and treatment with an antiviral drug can help prevent respiratory infections from becoming more serious. Treatments work best if started soon after symptoms begin. If you begin to feel sick, contact your doctor right away to see if you need treatment with a prescription antiviral drug. Treatment is especially important for those who are hospitalized, people with severe illness and those who at high risk of serious complications based on their age or medical conditions.

    In addition to vaccines and treatment, the following precautions should be taken to protect against the spread of respiratory viruses:

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

    For more information on respiratory viruses, including how to access vaccines, testing and treatment in your community, visit http://www.vaccines.gov/en/, flu.ncdhhs.gov or covid19.ncdhhs.gov.

    A respiratory virus surveillance summary that includes information on flu, COVID-19 and RSV-related activity across North Carolina is updated weekly at covid19.ncdhhs.gov/dashboard.

    El Departamento de Salud y Servicios Humanos de Carolina del Norte reporta la primera muerte relacionada con la gripe (influenza) de la temporada 2024-2025. Un adulto en el área metropolitana de Charlotte murió debido a complicaciones de la gripe (influenza) durante la segunda semana de octubre. Para proteger la privacidad de la familia, no se divulgará información adicional.

    “Este es un triste recordatorio de que la influenza puede ser una enfermedad muy grave”, dijo el epidemiólogo estatal Zack Moore, M.D., MPH. “Tomar medidas preventivas contra la gripe (influenza) y otras enfermedades respiratorias como vacunarse, lavarse las manos regularmente, cubrirse al toser y quedarse en casa cuando está enfermo son importantes para ayudar a protegerlo a usted y a su familia”.

    Se espera que la gripe (influenza), el COVID-19 y el virus respiratorio sincitial (VSR, por sus siglas en inglés) aumenten en las próximas semanas. Las vacunas son la mejor manera de prevenir enfermedades graves, hospitalizaciones y muertes por estas infecciones. Las vacunas son especialmente importantes para las personas con mayor riesgo de enfermedad respiratoria viral grave, incluidas las personas de 65 años o más, los niños menores de 5 años, las mujeres embarazadas, las personas con un sistema inmunológico comprometido y las personas con ciertas condiciones médicas como el asma, la diabetes, las enfermedades cardíacas y la obesidad.

    Los Centros para el Control y la Prevención de Enfermedades recomiendan que todas las personas mayores de 6 meses reciban una vacuna contra la gripe estacional y la vacuna contra el COVID-19. También se recomiendan las vacunas contra el VSR para proteger a los adultos mayores de 75 años o más, a los adultos de 60 a 74 años que tienen un mayor riesgo de VSR grave y a las mujeres embarazadas durante las semanas 32 a 36 del embarazo para proteger a los bebés. Los padres deben hablar con su proveedor de atención médica sobre otras opciones para proteger a los bebés de la enfermedad grave por el VSR.

    Las vacunas contra la gripe (influenza), el COVID-19 y el VSR están disponibles en farmacias, consultorios médicos privados, algunos centros de atención médica calificados a nivel federal y departamentos de salud locales. Estas vacunas se pueden administrar en la misma visita. Para encontrar una vacuna cerca de usted, visite http://www.vaccines.gov/find-vaccines.

    Las pruebas y el tratamiento tempranos con un medicamento antiviral pueden ayudar a prevenir que las infecciones respiratorias se vuelvan más graves. Los tratamientos funcionan mejor si se inician poco después de que comiencen los síntomas. Si comienza a sentirse enfermo, comuníquese con su médico de inmediato para ver si necesita tratamiento con un medicamento antiviral recetado. El tratamiento es especialmente importante para aquellos que están hospitalizados, personas con enfermedades graves y aquellos con alto riesgo de complicaciones graves en función de su edad o condiciones médicas.

    Además de las vacunas y el tratamiento, se deben tomar las siguientes precauciones para proteger contra la propagación de virus respiratorios:

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

    Para obtener más información sobre los virus respiratorios, incluido cómo acceder a las vacunas, las pruebas y el tratamiento en su comunidad, visite http://www.vaccines.gov/es/flu.ncdhhs.gov o covid19.ncdhhs.gov.

    Un resumen de la vigilancia del virus respiratorio que incluye información sobre la gripe, el COVID-19 y la actividad relacionada con el VSR en Carolina del Norte se actualiza semanalmente en covid19.ncdhhs.gov/dashboard.

    Oct 16, 2024

    MIL OSI USA News

  • MIL-OSI USA: Biden-Harris Administration Takes Groundbreaking Action to Expand Health Care Access by Covering Traditional Health Care Practices

    Source: US Department of Health and Human Services

    Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved section 1115 demonstration amendments that allow, for the first time ever, Medicaid and Children’s Health Insurance Program (CHIP) coverage of traditional health care practices provided by Indian Health Service (IHS) facilities, Tribal facilities, and urban Indian organizations (UIO). Today’s action is expected to improve access to culturally appropriate health care and improve the quality of care and health outcomes for tribal communities in Arizona, California, New Mexico, and Oregon, and will support IHS, Tribal, and UIO facilities in serving their patients. 

    MIL OSI USA News

  • MIL-OSI USA: UPDATE: Do Not Use Cue Health’s COVID-19 Tests Due to Risk of False Results: FDA Safety Communication

    Source: US Department of Health and Human Services – 3

    Español 简体中文 (Simplified Chinese) Tagalog

    Update: October 16, 2024

    The FDA has classified Cue Health’s recall of their two COVID-19 tests as Class II. FDA has also revoked the Emergency Use Authorization (EUA) for Cue Health’s two COVID-19 tests. Additional information is provided in FDA Actions.

    Date Issued: May 13, 2024

    The U.S. Food and Drug Administration (FDA) is warning home test users, caregivers, and health care providers not to use Cue Health’s COVID-19 Tests for Home and Over-the-Counter (OTC) Use and its COVID-19 Test intended for patient care settings due to increased risk of false results.

    Recommendations for Home Test Users and Caregivers

    • Do not use any Cue Health COVID-19 Tests for Home and OTC Use that you may still have. Dispose of the entire test cartridge in the household trash.
    • Talk to your health care provider if you were tested with the Cue Health COVID-19 Test for Home and Over the Counter (OTC) Use, and you are concerned about your results.
    • Consider retesting using a different COVID-19 test that received FDA authorization if you tested negative on the Cue Health COVID-19 Test for Home and OTC Use and still have symptoms. 
    • Report any problems you experience with the Cue Health COVID-19 Test for Home and Over the Counter (OTC) Use to the FDA, including suspected false positive or false negative results. See Reporting Problems with Your Test.

    Recommendations for Health Care Providers 

    • Do not use any Cue Health COVID-19 Tests that you may still have. Dispose of the entire test cartridge in your general waste disposal. 
    • Consider retesting your patients using a different FDA authorized test if you suspect an inaccurate result was given Cue COVID-19 Test. If testing was performed more than two weeks ago, and there is no reason to suspect current SARS-CoV-2 infection, it is not necessary to retest.
    • Report any problems you experience with the Cue Health COVID-19 Test to the FDA, including suspected false results. See Reporting Problems with Your Test.

    FDA Actions (Updated October 16, 2024) 

    On October 15, 2024, the FDA classified Cue Health’s voluntary recall of their two COVID-19 tests, the Cue COVID-19 Test and the Cue COVID-19 Test for Home and Over The Counter (OTC) Use, as a class II recall. Class II recalls are issued when the use of a product may cause a temporary or medically reversible adverse health consequence, or where the probability of serious adverse health consequences is remote. 

    On October 9, 2024, the FDA revoked the Emergency Use Authorizations for both of Cue Health’s COVID-19 test kits, the Cue COVID-19 Test, previously authorized for point-of-care use, and the Cue COVID-19 Test for Home and Over The Counter (OTC) Use, previously authorized for home use. 

    The FDA issued a Warning Letter to Cue Health on May 10, 2024, after an inspection revealed the company made changes to these tests and these changes reduced the reliability of the tests to detect SARS-CoV-2 virus. The FDA warned home test users, caregivers, and health care providers not to use Cue Health’s COVID-19 Tests due to this increased risk of false results. 

    The FDA originally issued Emergency Use Authorizations (EUAs) to Cue Health for two COVID-19 tests, both of which are intended to detect genetic material from SARS-CoV-2 virus in the nostrils. The Cue Health COVID-19 Test received initial EUA authorization on June 10, 2020. It was for use in point-of-care settings. The Cue Health COVID-19 Test for Home and Over-the-Counter Use received initial EUA authorization on March 5, 2021, and was authorized for use at home.

    The FDA will keep the public informed if significant new information becomes available.

    Reporting Problems with Your Device

    If you think you had a problem with your device, the FDA encourages you to report the problem through the MedWatch Voluntary Reporting Form.

    Health care personnel employed by facilities that are subject to the FDA’s user facility reporting requirements should follow the reporting procedures established by their facilities.

    Questions?

    If you have questions, email the Division of Industry and Consumer Education (DICE) at

    MIL OSI USA News

  • MIL-OSI Asia-Pac: SECL Becomes First Coal Company to Open Four AMRIT Pharmacies

    Source: Government of India (2)

    Posted On: 16 OCT 2024 5:00PM by PIB Delhi

    In a significant step towards providing affordable and accessible healthcare, South Eastern Coalfields Limited (SECL), Chhattisgarh-based subsidiary of Coal India, inaugurated the country’s 216th AMRIT (Affordable Medicines and Reliable Implants for Treatment) Pharmacy. Located at the Health Centre in SECL’s Indira Vihar Colony, Bilaspur, this new facility makes SECL the first coal company to operate four AMRIT pharmacies.

     

     

    The AMRIT pharmacies, part of a flagship initiative launched by the Ministry of Health and Family Welfare in 2015, provide a wide range of generic and life-saving branded drugs, implants, and surgical consumables at highly subsidized rates. SECL’s initiative will benefit both inpatients and outpatients, including SECL employees, the general public, and especially people from tribal and rural areas within the coal belt. The expansion of these pharmacies will ensure easier access to affordable medicines for communities in some of the most underserved regions.

    CMD, SECL, Dr. Prem Sagar Mishra highlighted the company’s commitment to inclusive growth, stating: “With the inauguration of our fourth AMRIT pharmacy, we are proud to enhance healthcare access not only for our employees but also for the larger community, particularly in tribal and rural areas of the coal belt. This initiative also aligns with promoting inclusivity which is one of the key focus areas of this year’s Special Campaign 4.0.”

    The Pharmacy has been built by cleaning and utilizing vacant space beside the health Centre emerging as an example of best practices under Special Campaign 4.0. 

    This pharmacy, along three others located in Central Hospitals in the operational areas of Gevra in Korba district, (CG), Sohagpur in Shahdol district (MP), and Chirimiri in Manendragarh-Chirimiri-Bharatpur district (CG), ensures that a wide array of medications for common and critical conditions such as cancer and cardiovascular diseases are available under one roof.

    By offering medicines directly to its employees through these pharmacies, SECL is also contributing to the judicious use of medical resources, helping reduce medical reimbursement costs while ensuring patients receive quality treatment.

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    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Update on Special Campaign 4.0

    Source: Government of India (2)

    Update on Special Campaign 4.0

    Secretary, Department of Administrative Reforms & Public Grievances and Union Health Secretary reviewed activities undertaken so far by the Department of Health & Family Welfare

    Approximately 190 offices of Central Government Hospitals, Subordinate Offices, Attached Offices, Autonomous Bodies, CPSU under DoHFW are participating in the Special Campaign 4.0

    482 cleanliness campaigns (including plantation) conducted nationwide, 1,971 Public Grievances and 275 Appeals addressed, 20,500 physical files reviewed, revenue of ₹10,66,207 generated and 11,769 Sq. ft. of space generated for office use from scrap disposal

    Posted On: 16 OCT 2024 6:13PM by PIB Delhi

    The Government of India launched ‘Special Campaign 4.0’ from 2nd October which will continue till 31st October, 2024. It is focused on institutionalising Swachhata and minimizing pendency in Government offices.

    In line with this initiative, Mr. V. Srinivas, Secretary, Department of Administrative Reforms & Public Grievances (DARPG) visited Nirman Bhawan in New Delhi and, along with Ms. Punya Salila Srivastava, Union Health Secretary, reviewed the activities undertaken so far by the Department of Health & Family Welfare (DoHFW) during the Campaign. Both the Secretaries emphasized the importance of monitoring pending matters on daily basis and advised the officers dealing with public grievances to contact the individuals to ensure that their grievances are being addressed effectively. Importance of evolving innovative and creative practices in the offices / hospitals / institutes was also emphasized.

    Approximately 190 offices of Central Government Hospitals, Subordinate Offices, Attached Offices, Autonomous Bodies, CPSU under DoHFW are participating in the Special Campaign 4.0. DoHFW is particularly focussing on minimizing references from Members of Parliament, references from PMO and resolving Public Grievances and associated Appeals.

     

    Key Highlights of Mid-Campaign Progress made by DoHFW:

    •  482 cleanliness campaigns (including plantation) have been conducted nationwide with an effort of institutionalising Swachhata.

    •  1,971 Public Grievances and 275 Appeals have been addressed by enhancing service delivery and public satisfaction.

    •  20,500 physical files have been reviewed resulting in weeding out of 16,057 files and 1,874 e-files have been reviewed resulting in closing of 1811 e-files by improving record management and creating a more efficient office environment.

    •  The Campaign has also generated revenue of ₹10,66,207 and 11,769 Sq. ft. of space has been generated for office use from scrap disposal, including e-waste.

     

    DoHFW remains committed to minimizing pending matters and maintaining cleanliness and beautification of office rooms and premises.

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    MIL OSI Asia Pacific News

  • MIL-OSI Russia: IMF Staff Completes Third Review Mission of the Extended Credit Facility (ECF) to Central African Republic

    Source: IMF – News in Russian

    October 16, 2024

    End-of-Mission press releases include statements of IMF staff teams that convey preliminary findings after a visit to a country. The views expressed in this statement are those of the IMF staff and do not necessarily represent the views of the IMF’s Executive Board. Based on the preliminary findings of this mission, staff will prepare a report that, subject to management approval, will be presented to the IMF’s Executive Board for discussion and decision.

    • Challenging business environment, regulatory uncertainty, insecurity, and exorbitant fuel prices at the pump continue to weigh on economic activity in the Central African Republic
    • A significant improvement in domestic revenues requires an improved contribution of fuel revenues to the tune of 20-25 percent of total revenue.
    • Increased support from the international community is essential to obtain financing assurances for 2025 and beyond.

    Washington, DC: A team from the International Monetary Fund (IMF), led by Mr. Albert Touna Mama, held discussions with the Central African Republic (CAR)’s authorities in Bangui from September 23 – October 2, 2024, in connection with the third review of CAR’s  program supported by the Extended Credit Facility (ECF). Discussions will continue in the coming weeks, virtually and then in Washington on the sidelines of the Annual Meetings of the International Monetary Fund and the World Bank Group.

    At the end of the discussions, Mr. Touna Mama made the following statement:

    “Despite progress in peacekeeping, CAR’s economic outlook remains subject to numerous challenges. Economic growth in 2024 has been revised slightly downward to 1.0 percent due to disruptions in the supply of electricity as well as significant delays in fuel imports via the Ubangi River. The still unfavorable business environment, regulatory uncertainty, persistent insecurity in certain mining areas as well as onerous fuel prices at the pump—among the highest in the world—continue to weigh on economic activity in CAR.

    “In a context of restoring state authority, coupled with significant humanitarian needs, the authorities continue to face strong budgetary pressures. Despite an increase in domestic revenue, which reached near CFAF 80 billion at the end of June 2024, a worsening of the domestic primary deficit was nevertheless noted over the same period. The authorities have committed to implementing a series of emergency measures—including the suspension of exceptional customs exemptions—as part of an upcoming revised budget to meet their deficit targets for 2024.

    “However, a significant improvement in domestic revenues in the short term will only be possible with a higher contribution of fuel taxation, whose current performance (about 9 percent of total domestic revenues in 2024) is well below its historical levels (between 20-25 percent). We thus urge the government to ensure the effective implementation of its reform commitments in the fuel sector, to reduce import costs, boost fiscal revenues, and relieve costs for Central African populations and businesses.

    “In the medium term, efforts to modernize tax and customs administrations remain the best guarantee of lasting improvement in the mobilization of domestic resources. Thus, the ongoing deployment of the new electronic tax declaration system at the General Directorate of Taxes and Domains, E-tax, combined with the introduction of a new unique identification number (NIU), constitute major advance. Progress is also expected in the systematic use of the integrated financial information system at the General Directorate of the Treasury as well as in sectoral ministries, including for expenditure by extraordinary procedures.

    “Furthermore, increased financial support by the international community is now more crucial than ever. Despite the resumption of budget support by certain donors, the overall envelope remains well below the historical levels, and thus of the needs to stabilize public finances and reduce dependence on more expensive sources of financing. Yet, significant uncertainties continue to weigh on sources of budgetary financing in 2025 and beyond.

    “We call on all donors to support the stabilization and public finance reform efforts underway in CAR through grants and highly concessional financing. In that vein, we encourage the authorities to maximize efforts to obtain the financing assurances needed for the continuation of the program supported by the Extended Credit Facility.

    “The mission wishes to thank the CAR authorities for their warm welcome and for the open and candid atmosphere in which the discussions were held.

    “The IMF delegation met with Prime Minister Moloua, President of the National Assembly Sarandji, Minister of Finance Ndoba, Minister of Economy Filakota, Minister of Energy Piri, Minister of Health Somse, Interministerial Committee in charge of the reforms in the fuel sector chaired by Minister of Justice Djoubaye, BEAC National Director Chaïbou and other senior officials, as well as representatives of development partners and the private sector.”

    IMF Communications Department
    MEDIA RELATIONS

    PRESS OFFICER: Pavis Devahasadin

    Phone: +1 202 623-7100Email: MEDIA@IMF.org

    @IMFSpokesperson

    https://www.imf.org/en/News/Articles/2024/10/16/pr-24375-central-african-republic-imf-staff-completes-3rd-review-mission-of-ecf

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  • MIL-OSI Asia-Pac: Department of Expenditure along with its organizations is implementing the Special Campaign 4.0 for institutionalizing swachhata and minimizing pendency

    Source: Government of India

    Department of Expenditure  along with its organizations is implementing the Special Campaign 4.0 for institutionalizing swachhata and minimizing pendency

    Campaign aims to improve overall cleanliness of Government offices and enhance public experience of common public with Government Offices

    Special health camps organised for Safai Mitras

    Swachhata pledge administered

    Posted On: 16 OCT 2024 6:44PM by PIB Delhi

    The Department of Expenditure along with its organizations namely Controller General of Accounts, Chief Adviser Cost, Central Pension Accounting Office, Arun Jaitley National Institute of Financial Management is implementing the Special Campaign 4.0 for institutionalizing swachhata and minimizing pendency. The Campaign aims to improve overall cleanliness of Government offices and enhance public experience of common public with Government Offices.

    The Campaign started with the Preparatory Phase from 16th to 30th September, 2024, wherein targets/ activities under various categories have been identified for implementation/disposal during Implementation Phase from 2nd to 31st October, 2024. With the start of implementation phase w.e.f 2nd October, 2024, the Department of Expenditure has started liquidating the pendencies/ targets identified in respect of Public Grievances, Public Grievances Appeals, MP References, State Government References, Inter Ministerial Reference, PMO References, simplification of rules/ procedures, record management, etc. During the remaining period of this phase, the focus will be on achieving maximum disposal of the identified targets.

    Apart from identifying and liquidating pendencies as well as regular cleaning activities, the Department of Expenditure  also undertook  thematic activities/practices during the Campaign.-

    The Senior Officers of the Department inspected the offices and building premises in North Block to monitor the preparations/ progress of the Campaign and emphasized on maintaining highest standards of cleanliness.

     

       

     

      

    A Medical Test Camp under Safai Mitra Surakasha Shivir was conducted on 17th September, 2024 at North Block, New Delhi for Safai Mitras. A team of lab technicians collected their blood samples for the purpose of conducting basic medicals tests such as LFT, KFT, Blood Sugar (HbA1c + BSF) and HMG. A total of 102 Safai Mitras participated in the Camp.

     

     

     

    Safai Mitra Surakasha Shivir was organized on 20th September, 2024 in North Block, New Delhi for Safai Mitras. The Shivir was inaugurated by Dr. Manoj Govil, Secretary (Expenditure) in a traditional lamp-lighting ceremony. More than 100 Safai Mitras, who underwent medical blood tests on 17th September, 2024, were examined in the Shivir by two general physicians from Rural Health Training Centre, Najafgarh and an Ophthalmologist from Sharp Sight Eye Centre, New Delhi. The medicines prescribed by the Doctors were also provided to the Safai Mitras. The Shivir concluded with a closing note of Additional Secretary (Pers.) and by felicitating the Doctors and their support staffs.

     

    Finance Secretary & Secretary (DIPAM), in presence of Secretaries of Department of Economic Affairs and Department of Expenditure, administered Swachhata Pledge to officials/staff of the Departments of Expenditure, Economic Affairs and Revenue on 25th September, 2024 to encourage cleanliness, environment protection and sustainable development.

     

    In addition to above activities, the Department of Expenditure has organized Swachhata Shramdaan drive on 3rd October, 2024 in the premises of North Block, New Delhi under the Special Campaign 4.0. The Secretaries of Department of Economic Affairs and Department of Expenditure led the cleanliness drive and other Senior Officers as well as Staff of Department of Expenditure, Department of Economic Affairs and Department of Revenue actively participated in the mega cleanliness drive to spread awareness about cleanliness and environmental friendliness.

     

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  • MIL-OSI United Nations: Experts of the Human Rights Committee Commend Iceland on Progress in Gender Equality, Raise Questions on Domestic and Gender-Based Violence and on Religious Affairs

    Source: United Nations – Geneva

    The Human Rights Committee today concluded its consideration of the sixth periodic report of Iceland on how it implements the provisions of the International Covenant on Civil and Political Rights, with Committee Experts commending Iceland for achieving impressive results in gender equality, while asking questions on domestic and gender-based violence and on religious affairs.

    A Committee Expert said over the past decade, Iceland had made significant progress in promoting civil and political rights, including by addressing several of the Committee’s previous concluding observations.  Notably, Iceland had achieved impressive results in gender equality, with significant representation of women in political leadership, both in Parliament and local governance. 

    Several Experts asked about domestic and gender-based violence.  One Expert asked what specific measures had been taken to continue to raise awareness among the population of domestic violence, including awareness raising campaigns for migrant women?  What had been the impact of these measures on improving the criminal justice response to domestic violence?  Another Expert asked who investigated and prosecuted cases of gender-based violence? An Expert asked if there were any specialised bodies with personnel who had been sensitised to the issue of gender-based violence? 

    An Expert noted that the Evangelical Lutheran Church was recognised as Iceland’s national church and had been granted legal status.  There were concerns that the Church’s status resulted in unequal financial support, compared to other religious organizations.  What measures were in place to ensure that the Constitutional recognition of the Church did not affect the equal enjoyment of rights guaranteed under the Covenant for organizations of other beliefs, particularly when it came to State funding?  How was it ensured that other groups were consulted when developing policies pertaining to religious matters?  What mechanisms were in place to allow children to change their religious affiliation before the age of 16? 

    The delegation said over the past several years, the Icelandic Government had focused strongly on efforts to prevent gender-based violence, including awareness raising campaigns and action plans. There was a gender equality fund, with bi-annual allocations.  Funding had been provided to a women’s shelter in the north of Iceland.  An awareness-raising campaign would take place in the north, drawing particular attention to the women’s shelter.  The Icelandic Government had focused strongly on efforts to prevent gender-based violence with legislative amendments.  New provisions on digital sexual violence and stalking had been added to the Penal Code in 2021.  A new definition of rape was defined in 2018, emphasising consent.

    The delegation said registered religious or philosophical organizations received the same amount of funding as the national church of Iceland.  If both parents belonged to the same religious organization, the child was automatically registered in that same organization.  If the parents’ religious organizations differed, the child was not registered in any and the parents were required to reach an agreement when registering their child.  Children who reached the age of 12 were required to sign the declaration on their religious affiliation with their parents.  At the age of 16, children could register or de-register from a religious organization without parental involvement.

    Introducing the report, Ragna Bjarnadóttir, Director General at the Ministry of Justice of Iceland and head of the delegation, said a significant step towards advancing human rights at home was taken in June this year when the Parliament passed a law establishing a national human rights institution which would become operational on 1 January 2025.  In 2020, a new Act on Gender Equality was enacted, which included the first-ever provision on multiple and intersecting forms of discrimination.  Additionally, Iceland had adopted two Anti-Discrimination Acts that aimed to ensure equal treatment both within and outside the labour market. 

    In concluding remarks, Ms. Bjarnadóttir thanked the Committee for the robust discussion.  The State awaited the concluding observations of the Committee with enthusiasm and would do everything possible to make improvements.

    In her concluding remarks, Tania María Abdo Rocholl, Committee Chairperson, thanked everyone who had participated in the dialogue.  The Committee had discussed many different issues relating to the rights enshrined in the Covenant. 

    The delegation of Iceland was made up of representatives of the Ministry of Social Affairs and Labour; the Ministry of Justice; and the Permanent Mission of Iceland to the United Nations Office at Geneva.

    The Human Rights Committee’s one hundred and forty-second session is being held from 14 October to 7 November 2024. All the documents relating to the Committee’s work, including reports submitted by States parties, can be found on the session’s webpage.  Meeting summary releases can be found here.  The webcast of the Committee’s public meetings can be accessed via the UN Web TV webpage.

    The Committee will next meet in public at 3 p.m. on Thursday, 17 October, to begin its consideration of the second periodic report of Pakistan (CCPR/C/PAK/2).

    Report

    The Committee has before it the sixth periodic report of Iceland (CCPR/C/ISL/6)

    Presentation of Report

    RAGNA BJARNADÓTTIR, Director General at the Ministry of Justice of Iceland and head of the delegation, said Guðmundur Ingi Guðbrandsson, Minister of Social Affairs and Labour, who was meant to lead Iceland’s delegation sent his highest regards, having had to return to Iceland for parliamentary elections which had been called for November. 

    A significant step towards advancing human rights at home was taken in June this year when the Parliament passed a law establishing a national human rights institution which would become operational on 1 January 2025.  Promoting equality and non-discrimination continued to be a core priority for Iceland.  Iceland had ranked first on the Global Gender Gap Index for 15 years in a row and continued to advance equality and drive progress through legislative amendments, policies and increased coordination and monitoring.  In 2020, a new Act on Gender Equality was enacted, which included the first-ever provision on multiple and intersecting forms of discrimination. 

    Additionally, Iceland had adopted two Anti-Discrimination Acts that aimed to ensure equal treatment both within and outside the labour market.  The State had implemented measures to promote gender equality, including through the implementation of equal pay certification. However, challenges persisted, particularly due to gender segregation in the labour market and the undervaluation of women-dominated sectors.  The focus was now shifting from pay equity, to different jobs of equal value based on factors such as education, skills, responsibility, and effort. 

    Important steps had also been taken to improve the right to work of citizens from countries outside the European Economic Area, including by granting unlimited work permits to all residents holding a humanitarian residence permit.  The advancement of the rights of lesbian, gay, bisexual, transgender and intersex persons was another key priority area. Recent important legal milestones included the enactment of the Gender Autonomy Act, and in 2022, the Parliament adopted the first comprehensive action plan on lesbian, gay, bisexual, transgender and intersex persons rights and equality.  These advancements propelled Iceland from ranking number 18 on the ILGA-Europe rainbow map to second place in six years.

    Regrettably, sexual and gender-based violence remained one of Iceland’s most pressing human rights challenges.  In recent years, the State had introduced several new policies and legislative reforms to address this scourge, including important amendments to the General Penal Code. In 2018 the definition of rape was amended to strengthen the legal protection for victims and survivors. Additionally, in 2021, new provisions on stalking and digital sexual violence entered into force. 

    In May 2023, a bill was passed to amend the Act on Health Care Workers to clarify their permission to inform the police when survivors of domestic violence sought related health services.  In 2021, amendments were made to the General Penal Code to further increase judicial protection of victims and survivors of trafficking.  At the start of 2024, a new inter-ministerial steering committee was established to develop a new action plan to combat trafficking in persons. 

    Several changes had been made to improve the rights of prisoners, including by giving more convicted individuals the right to serve their sentence through unpaid community service. The Ministry of Justice was also working on measures to reduce the overall length of proceedings within the justice system.  A permanent mental health team for prisoners had been established, and the number of team members was increased to improve the provision of services.  Ms. Bjarnadóttir said although Iceland had made significant progress, the State acknowledged that there was room for improvement.  Iceland looked forward to the discussion with the Committee.

    Questions by Committee Experts

    A Committee Expert said over the past decade, Iceland had made significant progress in promoting civil and political rights, including by addressing several of the Committee’s previous concluding observations.  Notably, Iceland had achieved impressive results in gender equality, with significant representation of women in political leadership, both in Parliament and local governance.  On the international stage, Iceland had expanded the role of human rights in its foreign policy, demonstrated by its recent election to the Human Rights Council for 2025-2027. The Committee was hopeful that Iceland would continue to work collaboratively with other States in the multilateral arena to advance and protect human rights.

    What was the State party currently doing to educate and raise public awareness about the Covenant, its Optional Protocols, and the Committee’s concluding observations among the judiciary, public officials, civil society and the general public? What information was publicly available about filing complaints under the Optional Protocol?  Was it accessible and in languages for non-Icelandic speakers, such as migrants?  Had Iceland implemented the Committee Views in the individual communications adopted in 2020?  In January 2023, the Office of the Prime Minister published a Green Paper on Human Rights.  What progress had Iceland made to follow through on the Paper’s initiative to develop a national plan on human rights issues for Iceland?  What measures were being taken to ensure ongoing engagement with civil society in developing and implementing the initiatives outlined in the Paper?

    How did Iceland ensure that draft laws which were under development aligned with the Committee’s interpretation of the State’s obligations under the Covenant?  What measures were in place to ensure that those conducting the assessments were trained and kept up to date on the application of the Covenant?  What steps would Iceland take to review and address the gaps between its international obligations and national legislation? Could information be provided on the cases since 2012 where parties had referred to provisions of the Covenant, and how the courts responded to these arguments?

    The Committee welcomed Iceland’s withdrawal of its reservations to the Covenant’s article 10, which mandated the segregation of juvenile offenders from adults, as well as article 14, concerning the principle of double jeopardy.  Iceland, however, retained its reservation to article 20 of the Covenant on prohibiting propaganda for war.  What actions were being taken to remove the reservation to article 20?

    What steps would be taken to fully incorporate articles 10 and 14 into Iceland’s domestic laws and practice?

    Another Expert said the Committee welcomed the recent enactment of legislation by Parliament establishing the Icelandic Institution for Human Rights, a national human rights institution.  What was the timeline for the establishment of the Institution?  How did the new Institution align with the Paris Principles in terms of addressing human rights issues and fulfilling its functions of advising, monitoring, and reporting?  Did it have a mechanism to handle individual complaints?  Could details be provided on the relationship between the new Institution, existing institutions, and civil society?  Were sufficient human, technical, and financial resources available to fully execute its mandate?  Were there any specific unresolved obstacles that had been identified in achieving the Institution’s mission, and if so, how would these be addressed? 

    Were the various agencies sufficiently coordinated so that no critical areas were being overlooked in efforts to address corruption?”  Regarding Act No 40/2020 on the Protection of Whistle Blowers, how many undertakings and other workplaces had introduced procedures for handling internal whistleblowing cases?  What percentage of workplaces with more than 50 eligible employees had implemented this internal whistleblowing procedures, and were these procedures aligned with the recommended model rules?  Had any fines been imposed on employers who had failed to establish such procedures?  It had been reported that Iceland amended its Information Act in 2013 to enhance transparency and freedom of information. However, press freedom advocates raised concerns about certain provisions, citing them as insufficiently robust.  Could a response to this be provided?  What was the current status of the ‘Fishrot’ case? 

    The State party report noted that “No specific plan had been made to implement a more robust framework for conduct for public servants and increase the capacity of the Parliamentary Ombudsman to counter corruption.” Could the State party clarify its position on these points?  Did the new Prosecutor’s Office have sufficient resources to effectively fulfil its mandate?  The State party referred to the establishment of the Judicial Administration.  What was the organizational structure of the Administration?  How were its members appointed? 

    According to the report, “The Act on Prevention of Conflicts of Interest banned the most senior officials within the government offices taking on lobbyist roles for six months after leaving their former position in the Government.”  While this framework was more stringent than before, was it sufficient to apply these restrictions solely to lobbyist positions?  Was a six-month period adequate to mitigate the potential influence of former positions?  How many cases, if any, had the oversight mechanism identified as violations of the law?

    Another Expert commended Iceland on its election to the Human Rights Council.  The State party mentioned that complaints could be lodged to the Equality Complaints Committee, which handed down written decisions on possible violations.  Was this Committee the only complaints mechanism that Icelandic society had?  How many complaints had been registered by the Committee?  What measures had been taken, in consultation with civil society, to guarantee reparation for the victims?  How many decisions published by the Committee had been referred to the courts? 

    Could further information be provided about measures taken to combat hate speech?  What was the role of the Working Group to combat hate speech?   What steps had been taken to implement the recommendations of the Working Group?  Did Iceland include Christian churches in efforts to prevent hate speech against Muslim minorities? 

    A Committee Expert congratulated Iceland for its progress in ensuring pay equality, stemming from the 2018 reforms.  What were the sectors of the economy where the majority of workers were men?  What had been the result of media campaigns aimed at reducing gender segregation in the labour market?  What progress had Iceland made in reducing the pay gap since the introduction of the pay equality system?  Could recent data be provided on gender distribution in decision-making positions in key sectors, including the foreign service, academia and the judiciary? What was being done to ensure there were more women in senior decision-making posts in the private sector? How had cases of multiple discrimination been tackled? 

    Since the implementation of the service law on persons with disabilities, how often had priority been given to persons with disabilities when recruiting staff in the public sector? 

    The Committee noted that the State party had taken significant steps to raise public awareness of domestic violence and sexual assault, including through the provision of training to judges, prosecutors, police officers and health workers.  Awareness-raising campaigns had also been organised to inform Icelandic and migrant women of their rights, including the “Breaking the Silence” project, implemented between 2017 and 2019.  However, in spite of these initiatives, conviction rates for sexual offences remained low and victims faced barriers in accessing justice.  What specific measures had been taken to continue to raise awareness among the population of domestic violence, including awareness raising campaigns for migrant women? 

    What results had initiatives like the “Breaking the Silence” project had?  What had been the impact of these measures on improving the criminal justice response to domestic violence?  Could data be provided on investigations, prosecutions and convictions, as well as protection measures, and how were they accessible to vulnerable populations, including women of foreign origin?  What steps had Iceland taken to increase resources for services for victims of domestic violence?  How was it ensured these resources were accessible to victims in all regions?

    What measures had the State party taken to ensure intersex children did not undergo unjustified surgical operations?  Despite important legislative measures prohibiting unnecessary surgery on intersex children without their free and informed consent, some reports claimed that these measures still contained worrying exceptions for certain types of variations of sex characteristics.  Since the adoption of law no. 154/2020, what concrete measures had Iceland taken to monitor and ensure compliance with this ban?  What safeguards were in place to ensure that evaluations of interventions on intersex children respected human rights, and how did the State party plan to address the shortcomings identified by certain stakeholders, including non-governmental organizations?  What were the objectives of the working group regarding interventions on intersex children? 

    Responses by the Delegation 

    The delegation said there was a special human rights section on the Government’s website where the Covenant could be found in English and translated into Icelandic.  The last report to the Committee was also published on this site.  There was also a special section on the Optional Protocol and the complaints procedure.  The Covenant was part of the syllabus in law and police studies.  The Judicial Administration oversaw the training of judges, including on human rights.  While there had not been a special course on the Covenant, there had been several courses on human rights issues. 

    A Green Paper published in 2023 was prepared for further policymaking in human rights.  It had been essential in the preparation of the bill on the national human rights institution.  In Iceland, domestic legislation was adapted to instruments or treaties that Iceland had ratified, rather than those treaties being incorporated in their entirety.  The Constitution was clearly connected with the Covenant.  It was not common that the Covenant was directly referenced in the courts.   

    Iceland had legislation on the new human rights institution which was passed in June and would begin operations in January 2025. The Icelandic Institution for Human Rights would operate under parliament but would be fully independent and in line with the Paris Principles.  The Institution had a budget of around 1.62 million USD.  Any further financing was up to Parliament.  It was anticipated that the Institution would be up and running by 1 January. 

    Iceland had a multi-faceted approach to anti-corruption and was a signatory to various treaties in the area of anti-corruption. In a recently adopted amendment to the Police Act, an independent quality control service within the police had been established, tasked with promoting better law enforcement and supervision.  A revised code of conduct was adopted this year with Icelandic law enforcement.  The Prime Minister’s Office had an overall coordinating role in regard to the Whistleblowers Act.  The law on access to information provided for several exceptions. Constant awareness raising among civil servants took place, with seminars on access to information. 

    The budget for the District Prosecutor increased in 2019 and 2020. Last year, the Ministry of Justice presented an action plan which included strengthening measures against organized crime.  Police received funding to strengthen their capacity in this regard, including in relation to corruption.  The District Prosecutor led the steering group for the investigative teams. Iceland participated in European financial and regulatory bodies. 

    A special Government agency was responsible for anti-discrimination legislation. There was a special complaints committee which handled complaints submitted under the Equality Act.  It provided written rulings if a provision of the Act had been violated.  From 2020 to 2023, the Equality Committee received 86 complaints of alleged discrimination.  Most of these cases involved discrimination on the basis of gender. The Equality Committee was the main body to address complaints about discrimination, but further complaints could be lodged with the Parliamentary Ombudsman.  Several steps had been taken to raise awareness on the anti-discrimination legislation, including a poster which was produced in multiple languages and distributed in schools. 

    Over the past several years, the Icelandic Government had focused strongly on efforts to prevent gender-based violence, including awareness raising campaigns and action plans.  There was a gender equality fund, with bi-annual allocations.  Funding had been provided to a women’s shelter in the north of Iceland.  A grant had been received to start an awareness campaign on gender-based violence. Information about the women’s shelter was available in many different languages.  An awareness-raising campaign would take place in the north, drawing particular attention to the women’s shelter.  The Icelandic Government had focused strongly on efforts to prevent gender-based violence with legislative amendments. 

    When it came to investigations of sexual and gender-based violence, Iceland had focused on the training of the individuals responsible for handling these cases.  In police studies, there was a mandatory course on violence and power relations. Special attention was paid to sexual violence, including rape, digital sexual violence, and child sexual abuse. Research on how unequal power positions could lead to gender-based violence was examined.  The centre for police training and professional development regularly had courses relating to gender-based violence.  New provisions on digital sexual violence and stalking had been added to the Penal Code in 2021.  A new definition of rape was defined in 2018, emphasising consent. 

    In recent years, Iceland had emphasised protecting vulnerable groups from hate speech.  Hate speech and discrimination were now punishable under the Penal Code.  The Prime Minister appointed a Working Group on hate speech in 2022, which was tasked with coordinating measures on hate speech.  An action plan was presented based on the Working Group’s recommendations, although this was not adopted.  The Icelandic Media Commission could issue a fine if media was found to initiate hatred. Hate speech on social media fell under the scope of the Icelandic Penal Code. 

    The law on equal pay certification came into force in 2018. As of 30 June this year, 607 companies and institutions had received equal pay certification, covering 83 per cent of the total workforce.  Smaller companies went through a simpler system to obtain equal pay recognition. Fines could be imposed on non-certified companies.  Software had been developed to support these efforts, making it easier for companies to implement equal pay systems.  Despite progress, gender pay remained a challenge, particularly due to gender segregation in the labour market.  The Government was working on a plan to address this.  Women remained underrepresented in leadership roles and Iceland continued to work towards this.  Recently, an agreement had been signed to increase the number of women in management positions in the business sector.  To increase the number of teachers, the Government started a plan in 2019, with a focus on young men. 

    The Act on Gender Autonomy prohibited unnecessary surgical procedures on inter-sex children.  The Act stipulated that carrying out surgical procedures on intersex minors who were unable to provide consent was prohibited unless the operation was completely necessary for medical reasons. 

    Questions by Committee Experts

    A Committee Expert said in 2022, after the Committee’s list of issues was developed, the Icelandic police commenced investigations against four journalists who had conducted investigations against a large fishing company which had allegedly bribed officials.  There was concern that the investigation was used to suppress investigative journalism. What measures were in place in Iceland to ensure that investigations into journalists’ work did not create a chilling effect on journalism?  What specific steps were being taken by the State party to guarantee free and independent media in order to protect journalists from harassment and reprisals? 

    Another Expert congratulated Iceland for the attention shown to human rights matters, particularly equality.  What legal aid services were provided for victims of domestic violence?  What resources were available to families challenging medical procedures?  What efforts were being made with regards to the internet and technologies in rural areas? 

    An Expert asked if all hate speech fell under hate propaganda?  To what extent had the State involved civil society in combatting hate speech?  What was Iceland’s position on defamation, and how did this affect victims of gender-based violence?  Did Iceland intend to amend its Criminal Code to prevent a prison sentence for defamation? 

    Another Committee Expert asked why Iceland did not plan to raise the capacity of the Ombudsperson? 

    A Committee Expert asked about horizontal discrimination in the labour market, particularly pertaining to persons with disabilities.  Were measures being taken to reduce discrimination?

    Another Expert asked what awareness raising and training campaigns were in place for members of the Prosecution?  What was the type of independence that the Prosecution enjoyed in Iceland?  Who investigated and prosecuted cases of gender-based violence? 

    An Expert asked if there was any type of specialisation of the judicial bodies? Were there any specialised bodies with personnel who had been sensitised to the issue of gender-based violence? 

    Responses by the Delegation 

    The delegation said the length of pretrial detention had been an issue.  Iceland was undergoing significant work within the Ministry of Justice, including on pretrial detention.  The issue of solitary confinement was also being examined.  The two domestic violence shelters were strategically located to cover as much of the country as possible.  Social services visited the shelters. 

    The Judicial Administration belonged to the judicial branch. The Director of Public Prosecutions was appointed by the Ministry of Justice.  The Office of the Director of Public Prosecutions was an independent authority, and Iceland took great steps to uphold this independence.  Cases of gender-based violence were investigated by the police or the Public Prosecutor, depending on the gravity of the case. Regarding legislative reforms on the definition of rape and consent, Iceland was investigating how this worked in practice. 

    There was a successful programme in place which promoted the participation of persons with disabilities in the labour market. However, it was difficult to have figures on this programme.  The segregation in the labour market for migrants was due to language proficiencies. Migrants heavily dominated two fields in the labour market – the tourism industry and construction – where the language barrier had been lessened.  These were considered to be low-skill work sectors.  Social partners, and unions in Iceland were very strong with a high participation.  Unions in Iceland attended also to complaints raised by non-Union members. 

    The Icelandic police had received training on the timeline of risky relationships to assess risks of gender-based violence.  What had initially served as training for the police had been shared on social media with the intention of reaching victims, or those close to them, to help them recognise the signs and seek help. Iceland was aware there were language barriers when it came to assisting the migrant population.  Telephone interpretation was used with operators who spoke English to overcome the language barrier.  Interpretation could be provided in over 200 languages in a few minutes.  The Government tried to target the migrant population in other languages through social media. 

    All operations on intersex children without their consent were prohibited, unless medically necessary.  When a child was older and able to consent, the consent of the child was required. 

    The Icelandic Equality Act protected individuals from harassment on the grounds of their religion. 

    The delegation said there was no specific body responsible for the coordination of the State’s anti-corruption policies.  Rather, it was the Prime Minister’s office that was responsible for this, with a focus on corruption within the executive branch, while the Ministry of Justice focused on corruption within the police.  The Parliamentary Ombudsman and others were also responsible for tackling corruption.  The Ministry of Justice was in the process of drafting a national corruption strategy with a focus on coordination.  The Whistleblower Act protected individuals who reported acts from the past.  The Ombudsman could initiate an investigation resulting from information received from the public. 

    Another significant step towards combatting corruption was improving access to public information.  Both the public and the media had the right to challenge decisions in the court.  An act had been passed to prevent conflict of interest in the executive branch, preventing senior Ministers from becoming lobbyists for up to six months after leaving their positions, unless granted an exemption. 

    Allegations into the “Fishrot” case were ongoing, and indictments had not yet been issued.  In criminal cases, journalists were protected from disclosing their sources.  There was no legal system in Iceland which prevented journalists from carrying out their work.  However, journalists were not immune from criminal charges, including in activities they had conducted when carrying out their work. 

    Freedom of expression was not seen as unlimited.  It could be curtailed, but this could only be done by law, and if necessary.  This needed to be kept in mind when deciding if expression was punishable as hate speech under the Penal Code.  The Media Commission was responsible for oversight of the media, and complaints could be made to this body.  No one had been sentenced to prison for defamation in Iceland for decades. 

    Icelandic authorities were introducing activities aimed at promoting employment opportunities for persons with disabilities.  This was modelled after initiatives in the United Nations disability strategy, with a focus on inclusive workplaces. 

    Questions by Committee Experts

    A Committee Expert thanked Iceland for the answers on the issue of anti-corruption efforts.  It was vital to make the system easier to understand.  According to the report, Iceland had agreed to begin efforts to include torture as a specific crime in the Penal Code.  What was the current status of these amendments?  What changes were anticipated in the proposed amendments? Would these include penalties proportionate to the crime of torture? 

    The Committee noted that the national preventive mechanism had been established as part of the Ombudsman office, which was under the legislative branch.  This was concerning as the Ombudsman did not consider itself able to comment on judicial decisions.  Could more information be provided on the legislation which was currently being prepared? Did the legislation include provisions to empower the Ombudsman to comment on judicial practices, as well as sufficient resources to enhance its capacity as an oversight mechanism?  Was the Ombudsman independent from Parliament? How was it structured?  What was the timeline for the legislation’s implementation?   There had been concern about the use of pepper spray, spit guards and tasers by the police.  Could the State party comment on this?

    Another Expert said the Committee had noted that the State party had strengthened its mechanisms for the protection of the rights of refugees and asylum seekers, including ensuring respect for the principle of non-refoulement in accordance with its Foreign Nationals Act.  However, according to information provided, some shortcomings remained, particularly with regard to appeal procedures and access to adequate legal representation.  What measures had the State party implemented to ensure the quality and fairness of the procedures for examining applications for international protection?  There were reports that following a change to the system of legal representation for asylum seekers in 2022, asylum seekers would no longer receive adequate legal assistance; could the State party comment on this? 

    Iceland’s Directorate of Immigration and the Immigration and Asylum Appeals Board assessed each application for asylum on a case-by-case basis. However, the Committee was concerned about reports received indicating that the principle of non-refoulement was indirectly violated.  Could the State party comment on these allegations and provide information on the measures put in place to ensure full respect for the principle of non-refoulement in any application for asylum?  Did the State party plan to take concrete steps to improve the efficiency of the processing of refugee claims while ensuring proper hearings?  Were there mechanisms in place to quickly identify and address delays or inefficiencies in the processing of applications? 

    In March 2023, the Government of Iceland amended its Foreign Nationals Act, aimed at enhancing the efficiency and quality of decision-making with humanitarian concerns.  What were the main changes brought about by this amendment to the Act, and how would these amendments contribute to strengthening the protection of the rights of migrants, refugees and asylum seekers?

    The Committee was pleased to note Iceland’s accession to the United Nations Statelessness Conventions in 2021 and the State’s efforts to align its national legislation with international standards.  How did the State party ensure that the definition of statelessness was applied consistently and in line with international standards, including in statelessness determination procedures? 

    The State party had taken steps to improve the protection of children from violence, including through the development of the (Children’s House), a multidisciplinary centre model that provided a safe environment for dealing with cases of abuse and sexual violence.  However, there were reports that resources for these services remained insufficient.  What steps had the State party taken to ensure that financial and educational resources for support centres for abused children were provided to make these centres accessible and responsive to the needs of all populations, including those in rural areas?  What specific measures had been implemented to integrate the prevention of sexual violence and harassment into educational and recreational activities for young people? How did Iceland ensure that online training on sexual violence and harassment was widely accessible and effectively attended by relevant professionals?  What had been the impact of the measures adopted on the effectiveness of the criminal prosecution of violence against children, including sexual violence? 

    Another Expert said there had been ongoing progress in assisting migrants with disabilities.  What were the entities involved in the procedures of identification of victims of trafficking in persons, and under whose coordination were their actions and functions carried out?  Were there plans to increase the resources of this national mechanism to improve identification and support to these victims?  How many victims of trafficking in persons had received legal aid since 2020?  What support was offered to men who were victims of trafficking? 

    In the report, it was noted that employers that exploited workers had acted freely with impunity, due to an inadequate Governmental response. There had been many cases of forced sexual work in nightclubs.  How could it be ensured that the recent legislative amendments in 2023 dealt with the exploitation of migrant workers who worked in areas including construction, tourism and domestic work?  How was it ensured that they were not exposed to abusive practices?  What safeguards had been implemented since 2022 to guarantee that victims were able to report cases without any reprisals? 

    A Committee Expert asked what criteria were used to determine when a minor could be held in the same centre as an adult in prison facilities? The Expert congratulated the State for the implementation of plural-disciplinary measures for mental health. However, the Committee was concerned about allegations regarding isolation cells.  How could Iceland justify the frequent use of these isolation cells?  What were the guarantees put in place when it came to holding minors and vulnerable people in isolation cells.  How was it ensured that these people were not put in isolation without medical screening? What possibilities were provided in Iceland for distance learning?  Were those suffering from mental health problems given appropriate help?  How was it ensured that those prisoners who had urgent needs, including drug addicts, had immediate care? 

    Another Expert said that given the establishment of the Court of Appeal, were there plans to extend the appeal process to minor cases? Recent amendments to the Police Act granted the police broader powers to conduct surveillance without an oversight mechanism.  What steps were being taken to ensure the amendments to the Police Act were not being used to violate privacy rights?  It was noted that the Evangelical Lutheran Church was recognised as Iceland’s national church and had been granted legal status.  There were concerns that the Church’s status resulted in unequal financial support, compared to other religious organizations. 

    What measures were in place to ensure that the Constitutional recognition of the Church did not affect the equal enjoyment of rights guaranteed under the Covenant for organizations of other beliefs, particularly when it came to State funding?  How was it ensured that other groups were consulted when developing policies pertaining to religious matters?  How did Iceland ensure that the registration processes for other groups, which did not apply to the Evangelical Lutheran Church, were fair and equal?  What mechanisms were in place to allow children to change their religious affiliation before the age of 16? 

    Responses by the Delegation

    The delegation said Iceland intended to add torture to the Penal Code as a specific criminal offence, including a punishment which was fitting to the crime.  Iceland had ratified the Optional Protocol in 2019, and the Parliamentary Ombudsman had been serving the role of the national preventive mechanism ever since, conducting unannounced visits to places of detention.  Recommendations by the Ombudsman were taken very seriously.  A full review of the prison system was underway, which included taking the recommendations of the Ombudsman into account.  The Ombudsman was a fully independent body, and the Parliament had no authority on which cases it investigated or on the conclusions.  The Ombudsman had been effective in its role, visiting all the prisons in Iceland and four police stations. 

    According to relatively recent changes, it was permitted for the police to use electro-static weapons when police believed other less severe measures would not be sufficient. 

    The Icelandic authorities were on a good path in processing asylum applications before the start of the war in Ukraine, when there was a surge in asylum applications.  Strict procedural guidelines were in place.  Staffing had been significantly increased, and digital tools had been introduced to improve efficiency and quality within the protection system.  Currently, 100 lawyers who had been thoroughly reviewed were considered as eligible spokespeople for asylum seekers.  An appeal could be considered in the case of compelling reasons. 

    The Directorate of Immigration determined statelessness. Stateless individuals who did not qualify as refugees did possess an independent right to international protection. After receiving refugee status, a stateless person could apply for Icelandic citizenship.  Various grants were available for voluntary return, including a reintegration and travel grant.  However, if an individual refused to leave the country, authorities were left with no choice but to initiate a forced deportation.

    A family justice centre was established for survivors of violence.  The centre led a specific unit which responded to human trafficking cases. The unit included representatives from the police, the directorate of immigration, social services, and the Women’s Shelter, among others.  Female victims were provided with secure housing in the women’s shelter.  Social services provided male victims with secure housing in a guesthouse and other accommodation when necessary.  Victims and presumed victims of human trafficking were entitled to emergency health care.  A leaflet had been produced on trafficking, which included a special section on children.  In June 2022, the Nordic Ministers of Justice established a Working Group on human trafficking, which met twice per year. 

    The principle of non-refoulment had been enacted in the Foreign Nationals’ Act.  Icelandic authorities respected and agreed with the principles of non-refoulement. It was clear in Icelandic legislation that children should never be held in the same prisons as adults, unless it was determined that it was in their own best interests.  There was constant and regular evaluation as to what was the best interest of the child.  Children could not be deprived of liberty for more than 14 days in the specialised centre. However, the situation was evaluated in each case, and sometimes it was determined it was better for the child to stay for a longer period of time.  Work was underway to revise the Child Protection Act, and put even more emphasis on the rights of children, including children deprived of liberty. 

    According to Icelandic legislation, police were obligated to release suspects after 24 hours or bring them before a judge and apply for pretrial detention.  This short time period explained why Icelandic authorities used pretrial detention more often than other countries.  In 98 per cent of cases, people were released after 24 hours. Pretrial detention was only used on around 2 per cent of cases, which was not excessive.  However, Iceland understood there were things to improve. Efforts had been made to diminish the effects of solitary confinement as much as possible, including by increasing access to physical exercise.  The accused always had the right to assistance from a legal counsel.  Nurses monitored new arrivals to the prison and screened them for medical issues and mental health, referring them to doctors if necessary.  All Ombudsman findings were public, and the Ombudsman followed up on the recommendations made to ensure they had been addressed.  There had been serious attempts to increase the collaboration between prison hospitals and the prison facilities. 

    The Ministry of Justice was reviewing the Act of Legal Competence and a bill had been drafted.  The bill aimed to strengthen individual rights when it came to involuntary hospitalisation, among other measures.  The bill was currently under review.  The added authority for the police on additional surveillance measures only applied to public areas; these rules could not be applied to private areas. These measures could only be instigated upon suspicion of a direct link to organised crime, or terrorism. 

    Registered religious or philosophical organizations received the same amount of funding as the national church of Iceland.  If both parents belonged to the same religious organization, the child was automatically registered in that same organization.  If the parents’ religious organizations differed, the child was not registered in any and the parents were required to reach an agreement when registering their child.  Children who reached the age of 12 were required to sign the declaration on their religious affiliation with their parents.  At the age of 16, children could register or de-register from a religious organization without parental involvement.

    Measures had been taken to improve the Barnahus system. The Government had formed a working group focused on different forms of violence against children. 

    Questions by Committee Experts

    A Committee Expert referred to the case of the four journalists; had the charges been dropped or were the cases still proceeding?  What steps had Iceland taken to ensure the push towards Christianity in education did not result in discrimination?

    Another Expert noted that the law on foreign nationals was in line with international standards.  What were the follow-up mechanisms which had been implemented to assess training programmes for professionals, to afford protection for stateless persons?  Could statistics on stateless persons be provided?  What mechanisms were available for access to justice for children who had experienced infringements of their rights?

    An Expert asked for the expected timeline for torture to be included within the Criminal Code.  In situations where there were concerns about the legal process, how were such issues addressed?  Did the national preventive mechanism have the authority to comment on judicial practices? 

    Another Committee Expert asked if there needed to be a judicial decision to enforce solitary confinement?

    An Expert asked what “social dumping” was and what the legislation entailed? 

    A Committee Expert said there were certain parts of the Covenant which were not similar to the European Conventions on Human Rights.  In cases of conflict, which were the guiding principles used? 

    Responses by the Delegation

    The delegation said the cases of the four journalists were not ongoing; the investigation had been terminated without indictment.  Reasons for this were publicly available.  According to the national curriculum guidelines, it was important that pupils learned about various religions and other beliefs in schools. 

    The United Nation High Commissioner for Refugees’ office for the Nordic countries had provided training to the Directorate of Immigration and other key holders on statelessness.  A foreign national who did not meet the criteria for a humanitarian visa was required to leave the country and return to their home country. An emergency shelter was provided by the Icelandic Red Cross which provided emergency assistance to foreign nationals who had received the final rejection of their application for international protection.  They could receive accommodation and food at this shelter. 

    The Parliamentary Ombudsman examined the access to education and work in prisons.  There was significant cooperation with non-governmental organizations.  Solitary confinement was always based on a judicial decision.  It was always the role of the Prosecutor to request pretrial detention, with solitary confinement only requested if necessary.  Proportionality was strictly upheld by the Prosecution and the courts. Efforts had been made to improve the number of health care staff in prison facilities. 

    There was an Ombudsman for Children in Iceland who acted as a spokesperson for all children.  Children could seek support and counselling from the Ombudsman.  A special action plan on “child friendly Iceland” focused on making justice mechanisms more child friendly. 

    The election of Iceland to the Human Rights Council was the result of significant work and formed part of the State’s strategy in mainstreaming human rights, both at home and abroad.  Equality and the rights of lesbian, gay, bisexual, transgender and intersex persons were a key focus.  Iceland continually strove to do better. 

    Closing Remarks 

    RAGNA BJARNADÓTTIR, Director General at the Ministry of Justice of Iceland and head of the delegation, thanked the Committee for the robust discussion.  The advancement of human rights was an ongoing process; Iceland remained committed to protecting the human rights of everyone. The State awaited the concluding observations of the Committee with enthusiasm and would do everything possible to make improvements. 

    TANIA MARÍA ABDO ROCHOLL, Committee Chairperson, thanked everyone who had participated in the dialogue.  The Committee had discussed many different issues relating to the rights enshrined in the Covenant.  The Committee was committed to ensuring that the highest level of civil and political rights was being achieved in Iceland.

     

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

     

    CCPR24.021E

    MIL OSI United Nations News

  • MIL-OSI Video: AHRQ Summit to Address Emergency Department Boarding | October 8, 2024 | Part 1

    Source: United States of America – Federal Government Departments (video statements)

    Boarding in emergency departments is a health system, public health, and health equity issue. Patients who need to be admitted to the hospital may spend hours – or in some cases, days – in the emergency department while waiting for an inpatient bed or transfer to another facility. This ultimately decreases quality of care, increases patient safety risks, and hinders access to care for patients while straining emergency department staff and hospital resources.

    The goal of this Summit is to engage public and private partners, including patients and consumers, clinicians, hospital and health system leaders, policy makers, experts in emergency medicine, community health, behavioral health, and specialty care providers, to identify actionable hospital- and health system-level solutions to systematically address emergency department boarding.

    To learn more, please visit the AHRQ Emergency Department Resource Page (link: https://www.ahrq.gov/topics/emergency-department.html#accordions).

    U.S. Department of Health and Human Services (HHS) | http://www.hhs.gov | HHS Privacy Policy | http://www.hhs.gov/Privacy.html

    https://www.youtube.com/watch?v=vIH-9kDnKsI

    MIL OSI Video

  • MIL-OSI Video: AHRQ Summit to Address Emergency Department Boarding | October 8, 2024 | Part 2

    Source: United States of America – Federal Government Departments (video statements)

    Boarding in emergency departments is a health system, public health, and health equity issue. Patients who need to be admitted to the hospital may spend hours – or in some cases, days – in the emergency department while waiting for an inpatient bed or transfer to another facility. This ultimately decreases quality of care, increases patient safety risks, and hinders access to care for patients while straining emergency department staff and hospital resources.

    The goal of this Summit is to engage public and private partners, including patients and consumers, clinicians, hospital and health system leaders, policy makers, experts in emergency medicine, community health, behavioral health, and specialty care providers, to identify actionable hospital- and health system-level solutions to systematically address emergency department boarding.

    To learn more, please visit the AHRQ Emergency Department Resource Page (link: https://www.ahrq.gov/topics/emergency-department.html#accordions).

    U.S. Department of Health and Human Services (HHS) | http://www.hhs.gov | HHS Privacy Policy | http://www.hhs.gov/Privacy.html

    https://www.youtube.com/watch?v=SlmIjmG9jX0

    MIL OSI Video

  • MIL-OSI Video: VA LGBTQ+ Health and Spirituality 10.08.2024

    Source: United States of America – Federal Government Departments (video statements)

    This outreach webinar provides VA CFBNP partners with information and resources regarding VA LGBTQ+ program and Health and Spirituality. This presentation is open to Veterans, their families, their beneficiaries, and the general public.

    The panelists for this training are:

    1. Dr. Jessica Morris, National Education Manager, LGBTQ+ Health Program, Office of Patient Care Services, Veterans Health Administration, U.S. Department of Veterans Affairs
    2. Chaplain Sammy Miller, Staff Chaplain, Jacksonville VA Outpatient Clinic, Veterans Health Administration, U.S. Department of Veterans Affairs

    https://www.youtube.com/watch?v=U_rFxx3tdKo

    MIL OSI Video

  • MIL-OSI Video: A Conversation on Lowering Drug Costs with HHS Secretary Becerra and Medicare Enrollees

    Source: United States of America – Federal Government Departments (video statements)

    Please join U.S. Department of Health and Human Services Secretary Xavier Becerra and Centers for Medicare & Medicaid Services Deputy Administrator and Center for Medicare Director Dr. Seshamani for a virtual roundtable discussion featuring Medicare enrollees from across the United States as they discuss the impact of the Biden-Harris Administration’s lower drug cost law, the Inflation Reduction Act. Through this law, President Biden and Vice President Harris are delivering lower costs for Americans with Medicare, including a $35 monthly cap for each covered insulin product and recommended vaccines for free like shingles, RSV, and Tdap. In 2024, some people with Medicare prescription drug coverage (Part D) who have high drug costs now have their out-of-pocket drug costs capped at about $3,500. Come January 2025, this benefit gets even better when everyone with Part D will have their out-of-pocket costs capped at $2,000. Finally, Medicare is now negotiating directly with participating drug companies to get lower prices for certain drugs.

    U.S. Department of Health and Human Services (HHS) | http://www.hhs.gov | HHS Privacy Policy | http://www.hhs.gov/Privacy.html

    https://www.youtube.com/watch?v=HEOxcQaV10w

    MIL OSI Video

  • MIL-OSI Global: Canada’s agricultural policies are falling short of health and sustainability goals

    Source: The Conversation – Canada – By Kathleen Kevany, Professor, Sustainable Food Systems, Dalhousie University

    Oct. 16 marks World Food Day, a global initiative drawing attention to the “right to foods for a better life and a better future.” However, Canada’s food and agricultural policies are falling short of this objective.

    Canada’s current agricultural policies are not serving the well-being of the public. Canada’s agricultural program payments and subsidies are not aligned with the government’s dietary guidelines and health goals.

    Very few agriculture investments go to the production of fruits and vegetables, even though Canadians under-consume them. Instead, financial support overwhelmingly goes to feed crops, agricultural export crops and foods high in saturated fat. This is particularly troubling, given the rise of food and lifestyle diseases in Canada, such as diabetes, obesity, coronary heart disease and high cholesterol.

    The health-care costs of diet-related diseases from not meeting the dietary guidelines are at least two per cent of all health-care costs in Canada, with some estimates putting it as high as 19 per cent. Agricultural policy is not just about food; it influences health, the economy and the environment.

    Climate change and agriculture

    Trying to address greenhouse gas emissions without paying attention to agriculture is like heating your home while not ensuring doors and windows are closed. Agriculture is a big contributor to Canada’s greenhouse gas emissions.

    As climate change intensifies, bringing more frequent and severe wildfires, droughts, floods, and heat domes , agriculture is being impacted. Instability in weather patterns threatens regional and global social stability and may require Canada to rethink the dominant role of international trade in shaping its current agricultural policies.




    Read more:
    How to fight climate change in agriculture while protecting jobs


    Government policies that largely support input-intensive crops and animal agriculture contribute significantly to methane and nitrous oxide emissions and global warming.

    Despite these concerns, Canada is not investing strategically or sufficiently in agriculture. Despite $12.5 billion dollars in annual agricultural supports, a surprising portion of Canadian farmers continue to financially struggle to survive. According to the National Farmers Union:

    “Over the last three decades, the agribusiness corporations that supply fertilizers, chemicals, machinery, fuels, technologies, services, credit, and other materials and services have captured 95 per cent of all farm revenues, leaving farmers just five per cent.”

    In 2016, 66 per cent of all farms in Canada were in the revenue class of $10,000 to $249,999. On average, these farms had expenses exceeding their revenue by a large margin.

    While Canada spends a large share of its budget on addressing the negative outcomes of how we produce and consume food, there remain greater opportunities for investing in preventive measures that promote a healthier, more sustainable food system. Canada’s 20th century agriculture policy regime is woefully insufficient for the challenges of the 21st century.

    Solutions to the crisis

    Transforming our food systems will help to avert devastating climate change and ecological devastation. Many Canadian farmers are already leading the way by incorporating principles of sustainability into their practices. And the good news is that healthy diets are also environmentally sustainable.

    Food outlets and school cafeterias can play a role in reducing inefficiencies in the food system, like food waste, and improving sustainability by promoting healthy eating. To make this happen, schools need more resources and autonomy to counter misinformation about food and position Canadians for success by making healthy choices attractive.




    Read more:
    How schools and families can take climate action by learning about food systems


    Many Canadians support local, bioregional food systems as an alternative to anonymous, transnational food systems. However, these local initiatives are not enough on their own to meet our health, community vitality and environmental goals.

    To truly make an impact, local food movements must be part of a larger, co-ordinated effort supported by policies that align agricultural production with healthy diets.
    A new approach to food policies that considers them from a holistic perspective, beyond GDP, and respects farmers while creating food systems based on the One Planet and One Health frameworks is needed.

    It’s important to recognize that farmers are not only just business operators; they are our neighbours, and are integral to our communities. Supporting them with better policies and giving everyone equitable access to nourishing and sustainable foods will ensure a healthier, more resilient future for all Canadians.

    Canada needs to provide stronger support for family farms practising agroecologically sound production methods. Government programs that support greater production and purchasing of grains, fruits and vegetables for direct human consumption are also needed. These initiatives would reduce Canada’s reliance on imports of these critical foods.

    In addition, federal and municipal governments should strengthen and broaden Canada’s bioregional food systems while also fostering the growth of small- and medium-sized food businesses. It’s also important to reduce the political and market power of oligopolies in Canada’s food system.

    A call for change

    None of these changes can happen without moving beyond the current, outdated productionist model that views agriculture in isolation and relies on the belief that only global-industrial food systems can feed the world.

    In fact, smaller-scale agroecological farmers operating in bioregional food systems are key. Achieving our broader societal goals means thinking of food through agriculture, human health and environmental sustainability lenses.

    Canada needs a new vision of agriculture that connects health and environment goals with sustainable diets and prosperous family farming. This vision must prioritize nutritious diets, human and environmental health, and the overall well-being of society beyond profits, market share and food exports. Also it must be formed collectively by decision-makers, farmers, food processors, community groups and the public.

    In Canada, governments, organizations and citizens must work together to create a food system vision for Canada, much like Food Secure Canada’s Resetting the Table process previously did.

    Further collaboration among agriculture, environment and health professionals can arise from these efforts, as can be seen with Canada’s National School Food program, which is aligning local farmers and suppliers of local options to meet Canada’s Food Guide. This is also an opportunity for Canada’s Food Policy Advisory Council to gain greater influence in shaping policy.

    Just as calls for health-care reform often focus on improving services, Canadians have the right to expect better outcomes from agricultural subsidies. By prioritizing economic, environmental and public health sustainability, Canada can ensure its agricultural policy is fit for its 21st-century food system.

    Kathleen Kevany received funding from Protein Industries Canada. She is an advisor to Farm to Cafeteria Canada.

    Howard Nye receives funding from the Social Sciences and Humanities Research Council of Canada. He is a board member and research lead for Canadians for Responsible Food Policy.

    Mark Kent Mullinix receives funding from Social Sciences and Humanities Research Council, Agriculture and Agri-Food Canada. Government of British Columbia, various foundations

    Talan B. Iscan is a project lead and receives funding from MacEachen Institute for Public Policy and Governance at Dalhousie University. He is a board member with the Halifax Cycling Coalition, a non-profit.

    ref. Canada’s agricultural policies are falling short of health and sustainability goals – https://theconversation.com/canadas-agricultural-policies-are-falling-short-of-health-and-sustainability-goals-239560

    MIL OSI – Global Reports

  • MIL-OSI USA: The Marshall Star for October 16, 2024

    Source: NASA

    NASA’s Europa Clipper has embarked on its long voyage to Jupiter, where it will investigate Europa, a moon with an enormous subsurface ocean that may have conditions to support life. The spacecraft launched at 11:06 a.m. CDT on Oct. 14 aboard a SpaceX Falcon Heavy rocket from Launch Pad 39A at NASA’s Kennedy Space Center.

    The largest spacecraft NASA ever built for a mission headed to another planet, Europa Clipper also is the first NASA mission dedicated to studying an ocean world beyond Earth. The spacecraft will travel 1.8 billion miles on a trajectory that will leverage the power of gravity assists, first to Mars in four months and then back to Earth for another gravity assist flyby in 2026. After it begins orbiting Jupiter in April 2030, the spacecraft will fly past Europa 49 times.
    “Congratulations to our Europa Clipper team for beginning the first journey to an ocean world beyond Earth,” said NASA Administrator Bill Nelson. “NASA leads the world in exploration and discovery, and the Europa Clipper mission is no different. By exploring the unknown, Europa Clipper will help us better understand whether there is the potential for life not just within our solar system, but among the billions of moons and planets beyond our Sun.”
    Approximately five minutes after liftoff, the rocket’s second stage fired up and the payload fairing, or the rocket’s nose cone, opened to reveal Europa Clipper. About an hour after launch, the spacecraft separated from the rocket. Ground controllers received a signal soon after, and two-way communication was established at 12:13 p.m. with NASA’s Deep Space Network facility in Canberra, Australia. Mission teams celebrated as initial telemetry reports showed Europa Clipper is in good health and operating as expected.
    “We could not be more excited for the incredible and unprecedented science NASA’s Europa Clipper mission will deliver in the generations to come,” said Nicky Fox, associate administrator, Science Mission Directorate at NASA Headquarters. “Everything in NASA science is interconnected, and Europa Clipper’s scientific discoveries will build upon the legacy that our other missions exploring Jupiter – including Juno, Galileo, and Voyager – created in our search for habitable worlds beyond our home planet.”
    The main goal of the mission is to determine whether Europa has conditions that could support life. Europa is about the size of our own Moon, but its interior is different. Information from NASA’s Galileo mission in the 1990s showed strong evidence that under Europa’s ice lies an enormous, salty ocean with more water than all of Earth’s oceans combined. Scientists also have found evidence that Europa may host organic compounds and energy sources under its surface.
    If the mission determines Europa is habitable, it may mean there are more habitable worlds in our solar system and beyond than imagined.
    “We’re ecstatic to send Europa Clipper on its way to explore a potentially habitable ocean world, thanks to our colleagues and partners who’ve worked so hard to get us to this day,” said Laurie Leshin, director, NASA’s Jet Propulsion Laboratory (JPL). “Europa Clipper will undoubtedly deliver mind-blowing science. While always bittersweet to send something we’ve labored over for years off on its long journey, we know this remarkable team and spacecraft will expand our knowledge of our solar system and inspire future exploration.”
    In 2031, the spacecraft will begin conducting its science-dedicated flybys of Europa. Coming as close as 16 miles to the surface, Europa Clipper is equipped with nine science instruments and a gravity experiment, including an ice-penetrating radar, cameras, and a thermal instrument to look for areas of warmer ice and any recent eruptions of water. As the most sophisticated suite of science instruments NASA has ever sent to Jupiter, they will work in concert to learn more about the moon’s icy shell, thin atmosphere, and deep interior.
    To power those instruments in the faint sunlight that reaches Jupiter, Europa Clipper also carries the largest solar arrays NASA has ever used for an interplanetary mission. With arrays extended, the spacecraft spans 100 feet from end to end. With propellant loaded, it weighs about 13,000 pounds.
    In all, more than 4,000 people have contributed to Europa Clipper mission since it was formally approved in 2015.
    “As Europa Clipper embarks on its journey, I’ll be thinking about the countless hours of dedication, innovation, and teamwork that made this moment possible,” said Jordan Evans, project manager, JPL. “This launch isn’t just the next chapter in our exploration of the solar system; it’s a leap toward uncovering the mysteries of another ocean world, driven by our shared curiosity and continued search to answer the question, ‘are we alone?’”
    Europa Clipper’s three main science objectives are to determine the thickness of the moon’s icy shell and its interactions with the ocean below, to investigate its composition, and to characterize its geology. The mission’s detailed exploration of Europa will help scientists better understand the astrobiological potential for habitable worlds beyond our planet.
    Managed by Caltech in Pasadena, California, JPL leads the development of the Europa Clipper mission in partnership with the Johns Hopkins Applied Physics Laboratory (APL) in Laurel, Maryland, for NASA’s Science Mission Directorate. The main spacecraft body was designed by APL in collaboration with JPL and NASA’s Goddard Space Flight Center, Marshall Space Flight Center, and Langley Research Center. The Planetary Missions Program Office at Marshall executes program management of the Europa Clipper mission.
    NASA’s Launch Services Program, based at NASA Kennedy, managed the launch service for the Europa Clipper spacecraft.
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    Get ready, get set, and let’s go take a look back at NASA’s 2024 Human Exploration Rover Challenge! Watch as talented student teams from around the world gather in Huntsville for the 30th annual competition to push the boundaries of innovation and engineering. These student teams piloted their human-powered rovers over simulated lunar and Martian terrain for a chance at winning an award during this Artemis student challenge. From jaw-dropping triumphs to unexpected setbacks, this year’s competition was a thrilling ride from start to finish. Buckle up and enjoy the ride as you witness the future of space exploration unfold!
    The challenge is managed by NASA’s Southeast Regional Office of STEM Engagement at the agency’s Marshall Space Flight Center. Learn more about the challenge.
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    NASA’s Chandra X-ray Observatory and other telescopes have identified a supermassive black hole that has torn apart one star and is now using that stellar wreckage to pummel another star or smaller black hole, as described in our latest press release. This research helps connect two cosmic mysteries and provides information about the environment around some of the bigger types of black holes.

    This artist’s illustration shows a disk of material (red, orange, and yellow) that was created after a supermassive black hole (depicted on the right) tore apart a star through intense tidal forces. Over the course of a few years, this disk expanded outward until it intersected with another object – either a star or a small black hole – that is also in orbit around the giant black hole. Each time this object crashes into the disk, it sends out a burst of X-rays detected by Chandra. The inset shows Chandra data (purple) and an optical image of the source from Pan-STARRS (red, green, and blue).
    In 2019, an optical telescope in California noticed a burst of light that astronomers later categorized as a “tidal disruption event”, or TDE. These are cases where black holes tear stars apart if they get too close through their powerful tidal forces. Astronomers gave this TDE the name of AT2019qiz.
    Meanwhile, scientists were also tracking instances of another type of cosmic phenomena occasionally observed across the Universe. These were brief and regular bursts of X-rays that were near supermassive black holes. Astronomers named these events “quasi-periodic eruptions,” or QPEs.
    This latest study gives scientists evidence that TDEs and QPEs are likely connected. The researchers think that QPEs arise when an object smashes into the disk left behind after the TDE. While there may be other explanations, the authors of the study propose this is the source of at least some QPEs.
    In 2023, astronomers used both Chandra and Hubble to simultaneously study the debris left behind after the tidal disruption had ended. The Chandra data were obtained during three different observations, each separated by about 4 to 5 hours. The total exposure of about 14 hours of Chandra time revealed only a weak signal in the first and last chunk, but a very strong signal in the middle observation.
    From there, the researchers used NASA’s Neutron Star Interior Composition Explorer (NICER) to look frequently at AT2019qiz for repeated X-ray bursts. The NICER data showed that AT2019qiz erupts roughly every 48 hours. Observations from NASA’s Neil Gehrels Swift Observatory and India’s AstroSat telescope cemented the finding.
    The ultraviolet data from Hubble, obtained at the same time as the Chandra observations, allowed the scientists to determine the size of the disk around the supermassive black hole. They found that the disk had become large enough that if any object was orbiting the black hole and took about a week or less to complete an orbit, it would collide with the disk and cause eruptions.
    This result has implications for searching for more quasi-periodic eruptions associated with tidal disruptions. Finding more of these would allow astronomers to measure the prevalence and distances of objects in close orbits around supermassive black holes. Some of these may be excellent targets for the planned future gravitational wave observatories.
    The paper describing these results appears in the Oct. 9 issue of the journal Nature. The first author of the paper is Matt Nicholl of Queen’s University Belfast in Ireland.
    NASA’s Marshall Space Flight Center manages the Chandra program. The Smithsonian Astrophysical Observatory’s Chandra X-ray Center controls science operations from Cambridge, Massachusetts, and flight operations from Burlington, Massachusetts.
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    The study of X-ray emission from astronomical objects reveals secrets about the universe at the largest and smallest spatial scales. Celestial X-rays are produced by black holes consuming nearby stars, emitted by the million-degree gas that traces the structure between galaxies, and can be used to predict whether stars may be able to host planets hospitable to life. X-ray observations have shown that most of the visible matter in the universe exists as hot gas between galaxies and have conclusively demonstrated that the presence of “dark matter” is needed to explain galaxy cluster dynamics, that dark matter dominates the mass of galaxy clusters, and that it governs the expansion of the cosmos.

    X-ray observations also enable us to probe mysteries of the universe on the smallest scales. X-ray observations of compact objects such as white dwarfs, neutron stars, and black holes allow us to use the universe as a physics laboratory to study conditions that are orders of magnitude more extreme in terms of density, pressure, temperature, and magnetic field strength than anything that can be produced on Earth. In this astrophysical laboratory, researchers expect to reveal new physics at the subatomic scale by conducting investigations such as probing the neutron star equation of state and testing quantum electrodynamics with observations of neutron star atmospheres.
    At NASA’s Marshall Space Flight Center, a team of scientists and engineers is building, testing, and flying innovative optics that bring the universe’s X-ray mysteries into sharper focus.
    Unlike optical telescopes that create images by reflecting or refracting light at near-90-degree angles (normal incidence), focusing X-ray optics must be designed to reflect light at very small angles (grazing incidence). At normal incidence, X-rays are either absorbed by the surface of a mirror or penetrate it entirely. However, at grazing angles of incidence, X-rays reflect very efficiently due to an effect called total external reflection. In grazing incidence, X-rays reflect off the surface of a mirror like rocks skipping on the surface of a pond.
    A classic design for astronomical grazing incidence optics is the Wolter-I prescription, which consists of two reflecting surfaces, a parabola and hyperbola (see figure below). This optical prescription is revolved around the optical axis to produce a full-shell mirror (i.e., the mirror spans the full circumference) that resembles a gently tapered cone. To increase the light collecting area, multiple mirror shells with incrementally larger diameters and a common focus are fabricated and nested concentrically to comprise a mirror module assembly (MMA).
    Focusing optics are critical to studying the X-ray universe because, in contrast to other optical systems like collimators or coded masks, they produce high signal-to-noise images with low background noise. Two key metrics that characterize the performance of X-ray optics are angular resolution, which is the ability of an optical system to discriminate between closely spaced objects, and effective area, which is the light collecting area of the telescope, typically quoted in units of cm2. Angular resolution is typically measured as the half-power diameter (HPD) of a focused spot in units of arcseconds. The HPD encircles half of the incident photons in a focused spot and measures the sharpness of the final image; a smaller number is better. 

    Marshall has been building and flying lightweight, full-shell, focusing X-ray optics for over three decades, always meeting or exceeding angular resolution and effective area requirements. Marshall utilizes an electroformed nickel replication technique to make these thin full-shell X-ray optics from nickel alloy.
    X-ray optics development at Marshall began in the early 1990s with the fabrication of optics to support NASA’s Advanced X-ray Astrophysics Facility (AXAF-S) and then continued via the Constellation-X technology development programs. In 2001, Marshall launched a balloon payload that included two modules each with three mirrors, which produced the first focused hard X-ray images of an astrophysical source by imaging Cygnus X-1, GRS 1915, and the Crab Nebula. This initial effort resulted in several follow-up missions over the next 12 years and became known as the High Energy Replicated Optics (HERO) balloon program.
    In 2012, the first of four sounding rocket flights of the Focusing Optics X-ray Solar Imager (FOXSI) flew with Marshall optics onboard, producing the first focused images of the Sun at energies greater than 5 keV. In 2019 the Astronomical Roentgen Telescope X-ray Concentrator (ART-XC) instrument on the Spectr-Roentgen-Gamma Mission launched with seven Marshall-fabricated X-ray MMAs, each containing 28 mirror shells. ART-XC is currently mapping the sky in the 4-30 keV hard X-ray energy range, studying exotic objects like neutron stars in our own galaxy as well as active galactic nuclei, which are spread across the visible universe. In 2021, the Imaging X-ray Polarimetry Explorer (IXPE), flew and is now performing extraordinary science with a Marshall-led team using three, 24-shell MMAs that were fabricated and calibrated in-house.
    Most recently, in 2024, the fourth FOXSI sounding rocket campaign launched with a high-resolution Marshall MMA. The optics achieved 9.5 arcsecond HPD angular resolution during pre-flight test with an expected 7 arcsecond HPD in gravity-free flight, making this the highest angular resolution flight observation made with a nickel-replicated X-ray optic. Currently Marshall is fabricating an MMA for the Rocket Experiment Demonstration of a Soft X-ray (REDSoX) polarimeter, a sounding rocket mission that will fly a novel soft X-ray polarimeter instrument to observe active galactic nuclei. The REDSoX MMA optic will be 444 mm in diameter, which will make it the largest MMA ever produced by MSFC and the second largest replicated nickel X-ray optic in the world.
    The ultimate performance of an X-ray optic is determined by errors in the shape, position, and roughness of the optical surface. To push the performance of X-ray optics toward even higher angular resolution and achieve more ambitious science goals, Marshall is currently engaged in a fundamental research and development effort to improve all aspects of full-shell optics fabrication.

    Given that these optics are made with the electroformed nickel replication technique, the fabrication process begins with creation of a replication master, called the mandrel, which is a negative of the desired optical surface. First, the mandrel is figured and polished to specification, then a thin layer of nickel alloy is electroformed onto the mandrel surface. Next, the nickel alloy layer is removed to produce a replicated optical shell, and finally the thin shell is attached to a stiff holding structure for use.
    Each step in this process imparts some degree of error into the final replicated shell. Research and development efforts at Marshall are currently concentrating on reducing distortion induced during the electroforming metal deposition and release steps. Electroforming-induced distortion is caused by material stress built into the electroformed material as it deposits onto the mandrel. Decreasing release-induced distortion is a matter of reducing adhesion strength between the shell and mandrel, increasing strength of the shell material to prevent yielding, and reducing point defects in the release layer.
    Additionally, verifying the performance of these advanced optics requires world-class test facilities. The basic premise of testing an optic designed for X-ray astrophysics is to place a small, bright X-ray source far away from the optic. If the angular size of the source, as viewed from the optic, is smaller than the angular resolution of the optic, the source is effectively simulating X-ray starlight. Due to the absorption of X-rays by air, the entire test facility light path must be placed inside a vacuum chamber.
    At the center, a group of scientists and engineers operate the Marshall 100-meter X-ray beamline, a world-class end-to-end test facility for flight and laboratory X-ray optics, instruments, and telescopes. As per the name, it consists of a 100-meter-long vacuum tube with an 8-meter-long, 3-meter-diameter instrument chamber and a variety of X-ray sources ranging from 0.25 – 114 keV. Across the street sits the X-Ray and Cryogenic Facility (XRCF), a 527-meter-long beamline with an 18-meter-long, 6-meter-diameter instrument chamber. These facilities are available for the scientific community to use and highlight the comprehensive optics development and test capability that Marshall is known for.
    Within the X-ray astrophysics community there exist a variety of angular resolution and effective area needs for focusing optics. Given its storied history in X-ray optics, Marshall is uniquely poised to fulfill requirements for large or small, medium- or high-angular-resolution X-ray optics. To help guide technology development, the astrophysics community convenes once per decade to produce a decadal survey. The need for high-angular-resolution and high-throughput X-ray optics is strongly endorsed by the National Academies of Sciences, Engineering, and Medicine report, Pathways to Discovery in Astronomy and Astrophysics for the 2020s.In pursuit of this goal, Marshall is continuing to advance the state of the art in full-shell optics. This work will enable the extraordinary mysteries of the X-ray universe to be revealed.
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    NASA’s Hubble Space Telescope and New Horizons spacecraft simultaneously set their sights on Uranus recently, allowing scientists to make a direct comparison of the planet from two very different viewpoints. The results inform future plans to study like types of planets around other stars.

    Astronomers used Uranus as a proxy for similar planets beyond our solar system, known as exoplanets, comparing high-resolution images from Hubble to the more-distant view from New Horizons. This combined perspective will help scientists learn more about what to expect while imaging planets around other stars with future telescopes.
    “While we expected Uranus to appear differently in each filter of the observations, we found that Uranus was actually dimmer than predicted in the New Horizons data taken from a different viewpoint,” said lead author Samantha Hasler of the Massachusetts Institute of Technology in Cambridge and New Horizons science team collaborator.
    Direct imaging of exoplanets is a key technique for learning about their potential habitability, and offers new clues to the origin and formation of our own solar system. Astronomers use both direct imaging and spectroscopy to collect light from the observed planet and compare its brightness at different wavelengths. However, imaging exoplanets is a notoriously difficult process because they’re so far away. Their images are mere pinpoints and so are not as detailed as the close-up views that we have of worlds orbiting our Sun. Researchers can also only directly image exoplanets at “partial phases,” when only a portion of the planet is illuminated by their star as seen from Earth.
    Uranus was an ideal target as a test for understanding future distant observations of exoplanets by other telescopes for a few reasons. First, many known exoplanets are also gas giants similar in nature. Also, at the time of the observations, New Horizons was on the far side of Uranus, 6.5 billion miles away, allowing its twilight crescent to be studied – something that cannot be done from Earth. At that distance, the New Horizons view of the planet was just several pixels in its color camera, called the Multispectral Visible Imaging Camera.
    On the other hand, Hubble, with its high resolution, and in its low-Earth orbit 1.7 billion miles away from Uranus, was able to see atmospheric features such as clouds and storms on the day side of the gaseous world.
    “Uranus appears as just a small dot on the New Horizons observations, similar to the dots seen of directly imaged exoplanets from observatories like Webb or ground-based observatories,” Hasler said. “Hubble provides context for what the atmosphere is doing when it was observed with New Horizons.”
    The gas giant planets in our solar system have dynamic and variable atmospheres with changing cloud cover. How common is this among exoplanets? By knowing the details of what the clouds on Uranus looked like from Hubble, researchers can verify what is interpreted from the New Horizons data. In the case of Uranus, both Hubble and New Horizons saw that the brightness did not vary as the planet rotated, which indicates that the cloud features were not changing with the planet’s rotation.

    However, the importance of the detection by New Horizons has to do with how the planet reflects light at a different phase than what Hubble, or other observatories on or near Earth, can see. New Horizons showed that exoplanets may be dimmer than predicted at partial and high phase angles, and that the atmosphere reflects light differently at partial phase.
    NASA has two major upcoming observatories in the works to advance studies of exoplanet atmospheres and potential habitability.
    “These landmark New Horizons studies of Uranus from a vantage point unobservable by any other means add to the mission’s treasure trove of new scientific knowledge, and have, like many other datasets obtained in the mission, yielded surprising new insights into the worlds of our solar system,” added New Horizons principal investigator Alan Stern of the Southwest Research Institute.
    NASA’s upcoming Nancy Grace Roman Space Telescope, set to launch by 2027, will use a coronagraph to block out a star’s light to directly see gas giant exoplanets. NASA’s Habitable Worlds Observatory, in an early planning phase, will be the first telescope designed specifically to search for atmospheric biosignatures on Earth-sized, rocky planets orbiting other stars.
    “Studying how known benchmarks like Uranus appear in distant imaging can help us have more robust expectations when preparing for these future missions,” concluded Hasler. “And that will be critical to our success.”
    Launched in January 2006, New Horizons made the historic flyby of Pluto and its moons in July 2015, before giving humankind its first close-up look at one of these planetary building block and Kuiper Belt object, Arrokoth, in January 2019. New Horizons is now in its second extended mission, studying distant Kuiper Belt objects, characterizing the outer heliosphere of the Sun, and making important astrophysical observations from its unmatched vantage point in distant regions of the solar system.
    The Hubble Space Telescope has been operating for over three decades and continues to make ground-breaking discoveries that shape our fundamental understanding of the universe. Hubble is a project of international cooperation between NASA and ESA (European Space Agency). NASA’s Goddard Space Flight Center manages the telescope and mission operations. Lockheed Martin Space, based in Denver, Colorado, also supports mission operations at Goddard. The Space Telescope Science Institute in Baltimore, Maryland, which is operated by the Association of Universities for Research in Astronomy, conducts Hubble science operations for NASA.
    The Johns Hopkins Applied Physics Laboratory (APL) in Laurel, Maryland, built and operates the New Horizons spacecraft and manages the mission for NASA’s Science Mission Directorate. Southwest Research Institute, based in San Antonio and Boulder, Colorado, directs the mission via Principal Investigator Alan Stern and leads the science team, payload operations and encounter science planning. New Horizons is part of NASA’s New Frontiers program, managed by NASA’s Marshall Space Flight Center.
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    Four International Space Station crew members continue waiting for their departure date as mission managers monitor weather conditions off the coast of Florida. The rest of the Expedition 72 crew stayed focused Oct. 14 on space biology and lab maintenance aboard the orbital outpost.

    NASA and SpaceX mission managers are watching unfavorable weather conditions off the Florida coast right now for the splashdown of the SpaceX Crew-8 mission with NASA astronauts Matthew Dominick, Mike Barratt, and Jeanette Epps, and Roscosmos cosmonaut Alexander Grebenkin. The homebound quartet spent Oct. 14 mostly relaxing while also continuing departure preps. Mission teams are currently targeting Dragon Endeavour’s undocking for no earlier than 2:05 a.m. CDT on Oct. 18. The Crew-8 foursome is in the seventh month of their space research mission that began on March 3.
    The other seven orbital residents will stay aboard the orbital outpost until early 2025. NASA astronaut Don Pettit is scheduled to return to Earth first in February with Roscosmos cosmonauts Alexey Ovchinin and Ivan Vagner aboard the Soyuz MS-26 crew ship. Next, station Commander Suni Williams and flight engineer Butch Wilmore are targeted to return home aboard SpaceX Dragon Freedom with SpaceX Crew-9 Commander Nick Hague, all three NASA astronauts, and Roscosmos cosmonaut Aleksandr Gorbunov.
    Williams had a light duty day Oct. 14 disassembling life support gear before working out for a cardio fitness study. Wilmore installed a new oxygen recharge tank and began transferring oxygen into tanks located in the Quest airlock. Hague collected his blood and saliva samples for incubation and cold stowage to learn how microgravity affects cellular immunity. Pettit also had a light duty day servicing biology hardware including the Cell Biology Experiment Facility, a research incubator with an artificial gravity generator, and the BioLab, which supports observations of microbes, cells, tissue cultures and more.
    The Huntsville Operations Support Center (HOSC) at NASA’s Marshall Space Flight Center provides engineering and mission operations support for the space station, the CCP, and Artemis missions, as well as science and technology demonstration missions. The Payload Operations Integration Center within HOSC operates, plans, and coordinates the science experiments onboard the space station 365 days a year, 24 hours a day.
    The first flight of Sierra Space’s Dream Chaser to the space station is now scheduled for no earlier than May 2025 to allow for completion of spacecraft testing. Dream Chaser, which will launch atop a ULA (United Launch Alliance) Vulcan rocket and later glide to a runway landing at NASA’s Kennedy Space Center, will carry cargo to the orbiting laboratory and stay on board for approximately 45 days on its first mission.
    Learn more about station activities by following the space station blog.
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    MIL OSI USA News

  • MIL-OSI USA: California is the best state for families. Here’s why.

    Source: US State of California 2

    Oct 16, 2024

    What you need to know: As leaders in Republican-led states continue to block reproductive freedoms, refuse to fund summer meal programs for kids, and fail to implement early childhood education, Governor Newsom signed a new package of legislation  — building on years of efforts — to support women and families.

    Sacramento, California – Governor Gavin Newsom and First Partner Jennifer Siebel Newsom celebrated the passage and recent signing of several pieces of legislation to support women, children, and families, just as national Republican leaders continue to block policies to support them. The package of bills the Legislature sent to the Governor includes new laws to support victims of revenge porn, protect kids from social media addiction and limit smartphone use distractions in classrooms, address gender-based violence, and expand access to healthier foods in schools. These bills demonstrate the ongoing work of the Newsom administration and the Legislature to ensure that California is the best state to raise a family. 

    “While leaders in Republican-led states go to work every day to make life harder for families in their states, from the classroom to the courtroom, we will keep fighting to make sure California is the best place in the nation to grow up and raise a family.”

    Governor Gavin Newsom

    “In California, we are committed to building a future where every child gets the best start in life, and every woman has the opportunity to thrive. Through California for ALL Kids and California for ALL Women, we are working to protect children, support families, and empower women. From safeguarding children’s mental health to advancing maternal care and combating gender based violence, these new laws reflect our unwavering dedication to creating a state where everyone has the resources and opportunity to live with dignity.”

    First Partner Jennifer Siebel Newsom

    Putting money in families’ pockets

    California has its own California Earned Income Tax Credit (CalEITC), which last year provided nearly 3.5 million California filers additional resources to make ends meet and provide for their families. California also added the Young Child Tax Credit and Foster Youth Tax Credit. These tax credits are inclusive of all Californians who file their taxes including immigrant families who pay their taxes with an IRS-provided Taxpayer Identification Number but are ineligible for most federal tax benefits. 

    Governor Newsom also launched the country’s largest college savings program, known as the CalKIDS program, which invests $1.9 billion into accounts for low-income school-age children in grades 1-12 and for newborn children born on or after July 1, 2022. All families of low-income public school students – 3.4 million across the state – can access college savings accounts created in their children’s names, with seed investments of between $500 and $1,500.

    The administration has also boosted paid leave benefits for lower- and middle-income employees to cover more of their regular income while they take much-needed time off to care for loved ones, including by increasing wage replacement rates for State Disability Insurance and Paid Family Leave beginning in 2025, and enabling workers to take paid sick leave or family leave in order to care for a person designated by the employee.

    Administration efforts to support healthy kids

    California standards already exceed federal rules for food safety in schools, ensuring children are consuming fewer amounts of added sugars, sodium, and more fruits, vegetables, and whole grains. Governor Newsom established first-in-the-nation state funding for universal school meals for all public school children in California and from that program, First Partner Jennifer Siebel Newsom championed efforts to develop the innovative California Farm to School initiative. California also participates in the federal SUN Bucks food program, unlike 13 Republican-led states, which ensures that children in families with low incomes have adequate nutrition while school is out for the summer.

    California’s leadership on reproductive rights

    In the over two years since the U.S. Supreme Court overturned Roe v. Wade, Governor Newsom, in partnership with the California Legislature, has built California into a national leader for reproductive freedom. Governor Newsom is a founding member of the Reproductive Freedom Alliance, a nonpartisan coalition of 23 Governors committed to protecting and expanding reproductive freedom. The Newsom administration has invested more than $240 million to protect and expand access to reproductive health care in California since the reversal of Roe. Last month, he signed SB 729 by Senator Caroline Menjivar (D-Van Nuys) to require large group health care service plan contracts and disability insurance policies to provide coverage for the diagnosis and treatment of infertility and fertility service, including in vitro fertilization (IVF). California also has one of the lowest maternal mortality rates in the country and the Surgeon General recently unveiled a new initiative – Strong Start & Beyond – to bring that number down further.

    New legislation to protect women

    • AB 1936 by Assemblymember Sabrina Cervantes (D-Riverside) – Maternal mental health screenings.
    • AB 2020 by Assemblymember Mia Bonta (D-Oakland) – Survivors of Human Trafficking Support Act.
    • AB 2319 by Assemblymember Lori Wilson (D-Suisun City) – California Dignity in Pregnancy and Childbirth Act.
    • AB 2515 by Assemblymember Diane Papan (D-San Mateo) – Menstrual products: perfluoroalkyl and polyfluoroalkyl substances (PFAS).
    • AB 2740 by Assemblymember Marie Waldron (R – San Diego) – Incarcerated persons: prenatal and postpartum care.
    • AB 2843 by Assemblymember Cottie Petrie-Norris (D-Irvine) – Health care coverage: rape and sexual assault.
    • SB 926 by Dr. Aisha Wahab, Senator (D-Hayward) – Crimes: distribution of intimate images.
    • SB 981 by Dr. Aisha Wahab, Senator (D-Hayward) – Sexually explicit digital images.
    • SB 1386 by Senator Anna Caballero (D-Merced) – Evidence: sexual assault.

    New legislation to support kids

    • AB 438 by Assemblymember Blanca Rubio (D-Baldwin Park) – Pupils with exceptional needs: individualized education programs: postsecondary goals and transition services. 
    • AB 1282 by Assemblymember Josh Lowenthal (D-Long Beach) – Mental health: impacts of social media.
    • AB 1831 by Assemblymember Marc Berman (D-Menlo Park) – Crimes: child pornography.
    • AB 1913 by Assemblymember Dawn Addis (D-Morro Bay) – Pupil safety: child abuse prevention: training.
    • AB 2229 by Assemblymember Lori Wilson (D-Suisun City) – California Healthy Youth Act: menstrual health education.
    • AB 2316 by Assemblymember Jesse Gabriel (D-Encino) – Pupil nutrition: substances: prohibition.
    • AB 2317 by Assemblymember Stephanie Nguyen (D-Elk Grove)– Child day care facilities: anaphylactic policy.
    • AB 3216 by Assemblymember Josh Hoover (R-Folsom) – Pupils: use of smartphones.
    • SB 939 by Senator Thomas Umberg (D- Santa Ana) – Education equity: schoolsite and community resources: neurodivergent pupils.
    • SB 976 by Senator Nancy Skinner (D-Berkeley) – Protecting Our Kids from Social Media Addiction Act.
    • SB 1043 by Senator Shannon Grove (R-Bakersfield) – Short-term residential therapeutic programs: dashboard: seclusion or behavioral restraints.
    • SB 1063 by Senator Shannon Grove (R-Bakersfield) – Pupil safety: identification cards.
    • SB 1248 by Melissa Hurtado (D-Bakersfield) – Pupil health: extreme weather conditions: physical activity.
    • SB 1283 by Senator Henry Stern (D-Los Angeles) – Pupils: use of social media. 
    • SB 1381 by Senator Aisha Wahab (D-Silicon Valley) –  Crimes: child pornography.
    • SB 1414 by Senator Shannon Grove (R-Bakersfield) – Crimes: solicitation of a minor.

    New legislation to build strong families

    • AB 51 by Assemblymember Mia Bonta (D-Oakland) – Early childcare and education: California state preschool program. 
    • SB 729 by Senator Caroline Menjivar (D-Van Nuys) – Health care coverage: treatment for infertility and fertility services.
    • SB 1197 by Senator Marie Alvarado-Gil (D-Jackson) – In-home respite services.
    • SB 1300 by Senator Dave Cortese (D-San Jose) – Health facility closure: public notice: inpatient psychiatric and perinatal services.

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    MIL OSI USA News

  • MIL-OSI USA: Anthropologist César Abadía Barrero awarded 2024 Alejandro Ángel Escobar National Prize in Social and Human Sciences

    Source: US State of Connecticut

    César Abadía Barrero, associate professor of anthropology, was awarded the 2024 Alejandro Ángel Escobar National Prize in Social and Human Sciences in Bogotá, Colombia, on Wednesday, Oct. 2. 

    He received the honor for his research detailed in the book “Health in Ruins: The Capitalist Destruction of Medical Care at a Colombian Maternity Hospital.” 

    The book investigates the effects of private sector involvement in Colombia’s health system during the 1990s, focusing on El Materno, the country’s oldest maternity and neonatal health center. 

    The Alejandro Ángel Escobar Foundation presents the National Science and Solidarity Awards annually to recognize the most innovative and socially impactful scientific work by Colombian scientists and organizations dedicated to solidarity causes. 

    Established nearly 70 years ago, the award is named for businessman Alejandro Ángel Escobar, who created these incentives inspired by the Nobel Prizes and the Rockefeller Foundation. 

    MIL OSI USA News

  • MIL-OSI USA: California expands access to traditional healing for substance use treatment

    Source: US State of California 2

    Oct 16, 2024

    What you need to know: California is expanding access to culturally-based substance use disorder (SUD) treatment services. Today marks the first time Medi-Cal will cover traditional health care practices that are deeply rooted in cultural practices and have been shown to improve health outcomes, particularly for individuals with SUDs. 

    Sacramento, California – Governor Gavin Newsom announced today that California is expanding access to culturally-based substance use disorder (SUD) treatment services.  

    After years of working toward this milestone, today marks the first time Medi-Cal will cover traditional health care practices in use since time immemorial. These are deeply rooted in cultural practices and have been shown to improve health outcomes, particularly for individuals with SUDs.

    Native Americans continue to be disproportionately impacted by the opioid epidemic, with higher overdose death rates than other racial and ethnic groups in the United States.

    As the home of the largest population of Native Americans in the country, California is committed to helping heal the historical wounds inflicted on tribes – including the glaring health disparities we see between Native communities and other groups. Like many of the issues that plague successive generations of Native people, those inequities can be traced back to the historical atrocities the U.S. inflicted on tribes across the country. By supporting greater access to traditional medicine and healing, we are taking another step toward a healthier, brighter future.

    Governor Gavin Newsom

    “Native American communities have long faced barriers to accessing traditional medicines and healing resources in this State,” said Tribal Affairs Secretary Christina Snider-Ashtari. “Support for these critical practices will again allow the rich and diverse Native populations who have lived here since time immemorial – along with those who now call California home – to access time-honored and tested methods to bolster wellness in Native families, communities, and tribal nations.”

    Traditional healers and natural helpers

    The Centers for Medicare & Medicaid Services’ (CMS) approval for California, alongside Arizona, New Mexico, and Oregon, allows two new categories of interventions to be covered by Medi-Cal, as developed by the state in partnership with tribal partners:  

    • The first, provided by traditional healers, includes music therapy (i.e., traditional music, songs, dancing, and drumming) and spiritual interventions (i.e., ceremonies, rituals, and herbal remedies). A traditional healer is any person currently recognized as a spiritual leader with at least two years of experience practicing in a setting recognized by a Native American tribe and who is contracted or employed by an Indian Health Care Provider (IHCP).
    • The second, provided through natural helpers, includes navigational support, psychological skill building, self-management, and trauma support. A natural helper is a health advisor who delivers health, recovery, and social supports in the context of tribal cultures. Natural helpers can be spiritual leaders, elected officials, or paraprofessionals who are trusted members of a Native American tribe.

    This marks a significant milestone in the state’s ongoing efforts to recognize the valuable contributions of traditional healing practices within the health care system. Traditional healing services have been trusted and tested methods of care for Native Americans for generations. They are deeply rooted in cultural practices and have been shown to improve health outcomes, particularly for individuals with SUDs.

    Studies have demonstrated that these culturally centered approaches can enhance engagement and recovery outcomes, making them an essential component of holistic care for Native communities. Additionally, the state recognizes that tribal communities understand themselves best – and that each tribe has different needs, traditions, and histories – so each participating IHCP will create its own process to identify and credential its own traditional healers and natural helpers.

    “CMS’ approval is first and foremost the fulfillment of the efforts of our tribal leader and Urban Indian Organization partners whose vision and steadfast advocacy made this a priority,” said State Medicaid Director Tyler Sadwith. “I am immensely proud that California tribal and Urban Indian communities now have access to culturally based traditional healing practices through Medi-Cal, marking a historic step toward health equity and honoring the rich traditions of our diverse Native communities.”

    “It is vital that we honor our traditional ways of healing and understand they are as important and valuable as Western medicine,” said Kiana Maillet, licensed therapist and owner of Hiichido Licensed Clinical Social Worker Professional Corporation. “Traditional healing is deeply engrained in our blood memory, our cultures, and our communities. Without it, we are missing a piece of who we are. As we continue to regain access to traditional ways – ways that our ancestors were punished for in the past – we move forward with healing from historical traumas and improving the health of our future generations.”

    Starting January 1, 2025, IHCPs can request Medi-Cal reimbursement for Traditional Healer and Natural Helper Services provided to residents of qualifying counties. In the coming months, the state will consult with tribes and tribal partners to develop guidance.

    Bigger picture

    In 2019, Governor Newsom apologized on behalf of the State of California to California Native American peoples, and announced the creation of the California Truth and Healing Council. Through collaborative and consultative work of the Council, the Governor’s Office of Tribal Affairs, and tribes across the state, a number of policies and programs have been developed so that the state can better address historical injustices and support tribes and tribal work in everything from health to climate. 

    Medi-Cal coverage for traditional healer and natural helper services strengthens the longstanding investments the state has made to expand SUD prevention, treatment, recovery, and harm reduction resources for California tribal and Urban Indian communities through the Tribal MAT Project

    This work also builds on the state’s broader efforts to address the opioid crisis and overdose epidemic, which is outlined in the Governor’s Master Plan for Tackling the Fentanyl and Opioid Crisis and on opioids.ca.gov, a one-stop tool for Californians seeking resources for prevention and treatment, as well as information on how California is working to hold Big Pharma and drug traffickers accountable in this crisis. More information on the state’s efforts can be found here.

    Press Releases, Recent News

    Recent news

    News What you need to know: As leaders in Republican-led states continue to block reproductive freedoms, refuse to fund summer meal programs for kids, and fail to implement early childhood education, Governor Newsom signed a new package of legislation  — building on…

    News What you need to know: A $3.5 million federal grant will fund cleanup efforts at the recently expanded San Gabriel Mountains National Monument to improve access to the site and enhance water quality on the East Fork of the San Gabriel River, a key Southern…

    News What you need to know: The state today broke ground on a project that expands ongoing restoration work at the Salton Sea to improve conditions for wildlife and surrounding communities. Most recently, $175 million in federal funding was made available to…

    MIL OSI USA News

  • MIL-OSI USA: Department of Labor cites Kumho Tire Georgia $271K in penalties, finds 15 safety violations in wake of 57-year-old worker’s fatal injury

    Source: US Department of Labor

    MACON, GA – Federal safety inspectors found a Macon tire manufacturing facility with a history of safety and health violations could have prevented the fatal injuries sustained by a 57-year-old maintenance worker in April 2024. 

    The U.S. Department of Labor’s Occupational Safety and Health Administration investigated the fatal incident at Kumho Tire Georgia Inc., which occurred on April 10, 2024, when a worker was fatally injured after the machine they were working on unexpectedly started. 

    OSHA cited Kumho Tire Georgia after an investigation found the company bypassed safety procedures meant to prevent machinery from accidentally starting during maintenance. The company relied on basic on/off controls and sensors instead of following proper safety measures. As a result, the company was cited for one repeat, 12 serious, and two other-than-serious violations. The company was also cited for repeatedly failing to train authorized employees to safely perform servicing and maintenance activities.

    “Kumho Tire Georgia has repeatedly failed to protect its employees, and this time that negligence resulted in a preventable tragedy,” said OSHA Area Director Joshua Turner in Atlanta. “Every year, thousands of these incidents occur, causing serious and sometimes fatal injuries. There is no excuse for endangering the lives of the employees who keep their operations running.”

    The agency found the employer’s facility lacked sufficient machine guarding, designed to protect workers from caught-in hazards. Investigators also found missing guardrails and uncovered holes, leaving workers exposed to fall hazards. Kumho Tire Georgia Inc. faces a total of $271,930 in penalties.

    Kumho Tire Georgia has a substantial history of non-compliance with safety and health requirements. Since 2015, the facility has been inspected nine times, resulting in 52 violations. 

    Located in Macon, Kumho Tire Georgia is a Chinese and Korean-owned tire manufacturer that employs approximately 560 workers from both Korea and the U.S. The facility has been in operation in the U.S. since 2016. 

    The employer has 15 business days from receipt of the citations and penalties to comply, request an informal conference with OSHA’s area director, or contest the findings before the independent Occupational Safety and Health Review Commission.

    Learn more about OSHA.

    MIL OSI USA News

  • MIL-OSI USA: Biden-Harris Administration Approves More Than $1.8 Billion for Hurricane Response and Recovery Efforts

    Source: US Federal Emergency Management Agency

    Headline: Biden-Harris Administration Approves More Than $1.8 Billion for Hurricane Response and Recovery Efforts

    Biden-Harris Administration Approves More Than $1.8 Billion for Hurricane Response and Recovery Efforts

    WASHINGTON — The Biden-Harris Administration has approved more than $1.8 billion in federal assistance for individuals and communities affected by Hurricanes Helene and Milton. FEMA Administrator Deanne Criswell continues to lead the federal response, working in coordination with state and local partners to ensure that survivors receive the resources they need to jumpstart their recovery. 

    Currently, FEMA has deployed more than 4,400 personnel to the affected areas, working side by side with over 8,000 federal responders to support state and local governments in their recovery efforts. FEMA personnel on the ground are actively coordinating with local officials, conducting damage assessments and helping individuals apply for disaster assistance programs.

    Federal assistance for those affected by the hurricanes includes $597 million to support survivors with housing repairs, personal property replacement and other essential recovery efforts. Additionally, over $934 million has been approved for debris removal and emergency protective measures, which are necessary to save lives, protect public health and prevent further damage to public and private property.

    Applying for assistance is a critical first step towards recovery. Disaster survivors in certain areas of Georgia, Florida (Helene), Florida (Milton), North Carolina, South Carolina, Tennessee and Virginia can begin their recovery process by applying for federal assistance through FEMA. Individuals affected by the hurricanes are encouraged to apply as soon as they are able to by visiting DisasterAssistance.gov, which is the fastest way to get an application started. Individuals can also apply using the FEMA App, calling 1-800-621-3362 or in person at a local Disaster Recovery Center. Disaster Recovery Centers in the affected communities can provide survivors with in-person help on their applications and answer questions. Center locations can be found at FEMA.gov/DRC. FEMA also has Disaster Survivor Assistance team members in the field supporting survivors and helping them with the application process.

    Federal assistance for individuals may include upfront funds to help with essential items like food, water, baby formula, breastfeeding supplies and other emergency supplies. Funds may also be available to repair storm-related damage to homes and personal property, as well as assistance to find a temporary place to stay. Homeowners and renters with damage to their home or personal property from previous disasters, whether they received FEMA funds or not, are still eligible to apply for and receive assistance for other federally declared disasters.   

    FEMA’s National Flood Insurance Program is ready to respond to insured flood losses. Those with an NFIP-backed flood insurance policy that suffered flood damage should begin filing their claim by contacting their flood insurance agent or company. 

    Recovery Update

    For those affected by Hurricane Helene, FEMA has approved over $911.1 million in assistance. This includes $581.1 million in assistance for individuals and families, along with more than $330 million for debris removal and efforts to protect public health and safety. In response to Hurricane Milton, FEMA has approved more than $620.2 million in assistance, with $16.2 million allocated for individuals and families and over $604 million for debris removal and safety measures.

    To support response and recovery efforts, FEMA delivered over 12.6 million meals and 12.9 million liters of water to states impacted by Helene. For Milton, FEMA delivered more than 2.2 million meals and 780,000 liters to Florida.

    FEMA continues to open Disaster Recovery Centers in affected communities, offering in-person assistance, information on available resources and help with FEMA assistance applications. Disaster Survivor Assistance Teams are also on the ground in all affected states, helping survivors apply for aid and connect with additional resources from state, local, federal and voluntary agencies.

    Support for North Carolina

    As ongoing response efforts continue in western North Carolina, FEMA has approved over $100 million in housing and other types of assistance for over 77,000 households.

    More than 3,000 families who cannot return home are staying in safe and clean lodging through FEMA’s Transitional Sheltering Assistance program. Shelter numbers remain steady, with 13 shelters housing just over 560 occupants

    Commodity distribution, mass feeding and hydration operations remain in areas of western North Carolina. Voluntary organizations are supporting feeding operations with bulk food and water deliveries coming via truck and aircraft. 

    • Residents can visit: ncdps.gov/Helene to get information and additional assistance.  
    • Residents can get in touch with loved ones by calling 2-1-1 or visiting unitedwaync.org to add them to search and rescue efforts.  

    There are over 370 Disaster Survivor Assistance members in communities providing support. There are also six Disaster Recovery Centers now open in Asheville, Bakersville, Boone, Lenoir, Marion and Sylva where survivors can speak directly with FEMA and state personnel for assistance with their recovery. To find the nearest center, visit FEMA.gov/DRC.

    Support for Florida 

    In response to Helene, FEMA has approved over $213 million in housing and other types of assistance for more than 71,000 households. Additionally, FEMA has approved more than $330 million in Public Assistance for debris removal and emergency work. In response to Milton, FEMA has approved over $16 million in housing and other types of assistance for over 19,000 households. Additionally, FEMA has approved more than $604 million in Public Assistance for debris removal and emergency work. 

    There are 120 Disaster Survivor Assistance members in communities to provide support. There are also 12 Disaster Recovery Centers now open supporting survivors from Debby, Helene and Milton where survivors can speak to state and federal personnel to help with their recovery. Survivors may find their closest center by visiting FEMA.gov/DRC.

    Residents in need of information or resources should call the State Assistance Information Line (SAIL) at 1-800-342-3557. English, Spanish and Creole speakers are available to answer questions.  

    Support for South Carolina 

    FEMA has approved over $132 million in housing and other types of assistance for more than 146,000 households. 

    There are 92 Disaster Survivor Assistance members in communities providing support. There are also five Disaster Recovery Centers now open in Anderson, Barnwell, Batesburg, Easley, Greenville and North Augusta where survivors can speak to state and federal personnel to help with their recovery. Survivors may find their closest center by visiting FEMA.gov/DRC.

    Residents with questions on Helene can call the state’s toll-free hotline, open 24 hours a day, at 1-866-246-0133. Residents who are dependent on medical equipment at home and who are without power due to Helene may be eligible for a medical needs shelter. Call the state’s Department of Public Health Care Line at 1-855-472-3432 for more information. 

    Support for Georgia 

    FEMA has approved over $119 million in housing and other types of assistance for more than 118,000 households

    There are 139 Disaster Survivor Assistance members in communities providing support. There are also four Disaster Recovery Centers now open in Valdosta, Douglas, Sandersville and Augusta where survivors can speak to state and federal personnel to help with their recovery. Survivors may find their closest center by visiting FEMA.gov/DRC.

    Residents can find resources like shelters and feeding sites at gema.georgia.gov/hurricane-helene. 

    Support for Virginia  

    To date, FEMA has approved over $4.7 million in housing and other types of assistance for more than 1,500 households

    There are about 57 Disaster Survivor Assistance members in communities providing support. There are also four Disaster Recovery Centers open in Damascus, Dublin, Independence and Tazewell where survivors can speak to state and federal personnel to help with their recovery. Survivors may find their closest center by visiting FEMA.gov/DRC.

    Residents can find resources like shelters and feeding sites at: Recover – Hurricane Helene | VDEM (vaemergency.gov).

    Support for Tennessee 

    FEMA has approved more than $11.8 million in housing and other types of assistance for more than 2,400 households. FEMA Disaster Survivor Assistance Teams are on the ground in neighborhoods across the affected counties, helping survivors apply for FEMA assistance and connecting them with additional state, local, federal and voluntary agency resources.

    There are more than 42 Disaster Survivor Assistance members in communities providing support. There is now one Disaster Recovery Center open in Erwin where survivors can speak to state and federal personnel to help with their recovery. Survivors may find their closest center by visiting FEMA.gov/DRC.

    Counties continue to establish donation centers. For the evolving list, visit TEMA’s website. 

    FEMA remains steadfast in its mission to support survivors as they begin their recovery from these historic storms. The agency will continue to work with federal, state and local partners to ensure the safety and well-being of those impacted by Milton and Helene.

    amy.ashbridge

    MIL OSI USA News