Category: Health

  • MIL-OSI Video: Promoting Mental Health at Workplace for UN personnel

    Source: United Nations (Video News)

    UN personnel often work under incredibly challenging circumstances, especially in the deep field where the security situation is volatile and emergencies or critical incidents are the norm. On this #WorldMentalHealthDay, we celebrate all stress counsellors who promote #MentalHealthintheWorkplace.

    https://www.youtube.com/watch?v=AFgv1qaeJos

    MIL OSI Video

  • MIL-OSI Video: Lebanon, Syria & other topics – Daily Press Briefing | United Nations

    Source: United Nations (Video News)

    Noon briefing by Farhan Haq, Deputy Spokesperson for the Secretary-General.

    Highlights:

    – Lebanon
    – Lebanon/Humanitarian
    – Syria
    – Occupied Palestinian Territory
    – Secretary-General Travel
    – Deputy Secretary-General
    – Sudan
    – Central African Republic
    – Myanmar
    – Protection of children
    – World Mental Health Day
    – Guest today

    Lebanon
    The UN Interim Force in Lebanon (UNIFIL) issued a statement this morning saying that two of its peacekeepers were injured after an IDF Merkava tank fired its weapon toward an observation tower at UNIFIL’s headquarters in Naqoura, directly hitting it and causing them to fall. The injuries are fortunately – this time – not serious, but the peacekeepers remain in hospital.
    In a separate incident, Israel Defense Force (IDF) soldiers also fired on UN position (UNP) 1-31 in Labbouneh, hitting the entrance to the bunker where peacekeepers were sheltering, and damaging vehicles and a communications system. An IDF drone was observed flying inside the UN position up to the bunker entrance.
    Also, UNIFIL says that, yesterday, IDF soldiers deliberately fired at and disabled the position’s perimeter-monitoring cameras. They also deliberately fired on UNP 1-32A in Ras Naqoura – where regular Tripartite meetings were held before the conflict began. Lights and a relay station were damaged.
    UNIFIL reminds the IDF and all parties of their obligations to ensure the safety and security of UN personnel and property and to respect the inviolability of UN premises at all times. UNIFIL peacekeepers are present in south Lebanon to support a return to stability under a Security Council mandate. Any deliberate attack on peacekeepers is a grave violation of international humanitarian law and of Security Council Resolution 1701. Our peacekeepers are following up with the IDF on these matters.
    This comes as the recent escalation along the Blue Line is causing widespread destruction of towns and villages in south Lebanon, while rockets continue to be launched towards Israel, including civilian areas.
    In the past days, our peacekeepers say incursions from Israel into Lebanon were seen in Naqoura and other areas. IDF soldiers have clashed with Hizbullah elements on the ground in Lebanon.
    Later this afternoon, the Under-Secretary-General for Political and Peacebuilding Affairs, Rosemary DiCarlo, and the Under-Secretary-General for Peace Operations, Jean-Pierre Lacroix, will brief Security Council members on the situation in Lebanon. That meeting will be followed by consultations.

    Lebanon/Humanitarian
    The Office for the Coordination of Humanitarian Affairs says that despite the challenges and a tense security situation, humanitarian organizations continue to deliver aid in coordination with national and local authorities.
    Today, a joint mission comprising UN and NGO partners delivered 12 trucks of aid to the towns of Rmeish, Ain Ebel, and Debel in the south of the country. The supplies included food, water, hygiene kits and will support more than 4,000 people. This was the first mission there since July 2024.
    UNICEF has also delivered 33 tons of medical supplies to the Ministry of Public Health, including emergency health kits to ensure safe deliveries for pregnant women, as well as essential medicine.
    To maintain these efforts, additional funding is urgently needed. While commitments are appreciated, immediate contributions to the $426 million Flash Appeal – which is 12 per cent funded – are vital to continue the response.

    Full Highlights: https://www.un.org/sg/en/content/noon-briefing-highlight?date%5Bvalue%5D%5Bdate%5D=10%20October%202024

    https://www.youtube.com/watch?v=EgwELSf4zrQ

    MIL OSI Video

  • MIL-OSI Asia-Pac: Ministry of Education organises workshop on Mental Health & Cyber Security on World Mental Health Day

    Source: Government of India

    Posted On: 10 OCT 2024 7:42PM by PIB Delhi

    The Department of School Education and Literacy (DoSEL), Ministry of Education, organized a national online workshop on Mental Health and Cyber Security for the engagement of youth on World Mental Health Day today. The workshop had two sessions on mental health by Dr. Rajesh Sagar, Professor (MD), Psychiatry Department at AIIMS Delhi and on cyber security by and Dr. Rashmi Sharma Yadav, DCP, Indian Cybercrime Coordination Centre, MHA. The workshop was broadcast live on YouTube, reaching over 20 lakh students and educators nationwide.

     

    Shri Vipin Kumar, Additional Secretary, DoSEL, highlighted the importance of mental well-being and safe utilization of the internet among students. He emphasized the necessity of early intervention to mitigate the potential adverse effects of mental health challenges in today’s digital age.

     

    Smt. Archana Sharma Awasthi, Joint Secretary, DoSEL, reinforced the commitment of the National Education Policy 2020 to prioritize student well-being. She highlighted the significance of mental health for both students and educators and exhorted everybody to attentively listen and follow the advice given by the experts to maintain good mental health and prevent themselves from being victims of cybercrime.

    Dr. Rajesh Sagar provided valuable insights into prevalent mental health issues such as stress, anxiety, and depression. He emphasized that nearly 50% of mental health disorders emerge before the age of 14, advocating for early intervention. Dr. Sagar identified common stressors including academic pressure, parental conflicts, and bullying, and shared effective coping strategies, such as deep breathing and cognitive restructuring, to foster a happier childhood.

    In her presentation, Dr. Rashmi Sharma Yadav highlighted the importance of cyber hygiene and security for children. She outlined preventive measures against cyberbullying, grooming, and fraudulent online gaming applications. She encouraged students to report cyber fraud through the helpline 1930 and @cyberdost, stressing the importance of responsible internet use, parental awareness, and safeguarding personal information. Both experts suggested that students should share any issues arising with their elders like parents and teachers.

    The workshop engaged students from classes VI to XII from Navodaya Vidyalaya Samiti, Kendriya Vidyalaya Sangathan, Kasturba Gandhi Balika Vidyalayas, CBSE and state government schools across the country and was simultaneously presented in sign language, ensuring accessibility for all participants. The initiative received widespread appreciation from attendees, reflecting a collective commitment to fostering a safer and healthier educational environment.

    *****

    SS/AK

    (Release ID: 2063950) Visitor Counter : 18

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: English translation of India’s National Statement at the 21st ASEAN-India Summit delivered by Prime Minister Narendra Modi

    Source: Government of India

    Posted On: 10 OCT 2024 8:36PM by PIB Delhi

    Your Majesty,

    Excellencies,

    Thank you all for your valuable insights and suggestions. We are committed to strengthening the Comprehensive Strategic Partnership between India and ASEAN. I am confident that together we will continue to strive for human welfare, regional peace, stability, and prosperity.

    We will continue to take steps to enhance not only physical connectivity but also economic, digital, cultural, and spiritual ties.

    Friends,

    In the context of this year’s ASEAN Summit theme, “Enhancing Connectivity and Resilience,” I would like to share a few thoughts.

    Today is the tenth day of the tenth month, so I would like to share ten suggestions.

    First, to promote tourism between us, we could declare 2025 as the “ASEAN-India Year of Tourism.” For this initiative, India will commit USD 5 million.

    Second, to commemorate a decade of India’s Act East Policy, we could organise a variety of events between India and ASEAN countries. By connecting our artists, youth, entrepreneurs, and think tanks etc., we can include initiatives such as a Music Festival, Youth Summit, Hackathon, and Start-up Festival as part of this celebration.

    Third, under the “India-ASEAN Science and Technology Fund,” we could hold an annual Women Scientists’ Conclave.

    Fourth, the number of Masters scholarships for students from ASEAN countries at the newly established Nalanda University will be increased twofold. Additionally, a new scholarship scheme for ASEAN students at India’s agricultural universities will also be launched starting this year.

    Fifth, the review of the “ASEAN-India Trade in Goods Agreement” should be completed by 2025. This will strengthen our economic relations and will help in creating a secure, resilient and reliable supply chain.

    Sixth, for disaster resilience, USD 5 million will be allocated from the “ASEAN-India Fund.” India’s National Disaster Management Authority and the ASEAN Humanitarian Assistance Centre can work together in this area.

    Seventh, to ensure Health Resilience, the ASEAN-India Health Ministers Meeting can be institutionalised. Furthermore, we invite two experts from each ASEAN country to attend India’s Annual National Cancer Grid ‘Vishwam Conference.’

    Eighth, for digital and cyber resilience, a cyber policy dialogue between India and ASEAN can be institutionalised.

    Ninth, to promote a Green Future, I propose organising workshops on green hydrogen involving experts from India and ASEAN countries.

    And tenth, for climate resilience, I urge all of you to join our campaign, ” Ek Ped Maa Ke Naam” (Plant for Mother).

    I am confident that my ten ideas will gain your support. And our teams will collaborate to implement them.

    Thank you very much.

    DISCLAIMER – This is the approximate translation of Prime Minister’s remarks. Original remarks were delivered

    MIL OSI Asia Pacific News

  • MIL-OSI USA: SBA to Help Pennsylvania Businesses Affected by Drought

    Source: United States Small Business Administration

    ATLANTA – The U.S. Small Business Administration (SBA) announced today that federal Economic Injury Disaster Loans (EIDLs) are available in Pennsylvania for small businesses, small agricultural cooperatives, small businesses engaged in aquaculture, and most private nonprofit organizations with economic losses from drought that began on Sept. 24.

    The declaration includes the primary county of Greene, and the adjacent counties of Fayette and Washington in Pennsylvania, and Marshall, Monongalia and Wetzel in West Virginia.  

    “Working capital loans from the SBA are essential to eligible small businesses when the Secretary of Agriculture declares a disaster due to farmers’ crop losses,” said Francisco Sánchez, Jr., associate administrator for the SBA’s Office of Disaster Recovery and Resilience. “These loans help sustain rural economies when a disaster occurs.”

    Under this declaration, the SBA’s Economic Injury Disaster Loan (EIDL) program is available to eligible farm-related and nonfarm-related entities that suffered financial losses as a direct result of this disaster.  Apart from aquaculture enterprises, SBA cannot provide disaster loans to agricultural producers, farmers, and ranchers. Nurseries are eligible to apply for economic injury disaster loans for losses caused by drought conditions. 

    The loan amount can be up to $2 million with interest rates of 4% for small businesses and  
    3.25% for private nonprofit organizations, with terms up to 30 years. Interest does not accrue, and payments are not due, until 12 months from the date of the first loan disbursement. The SBA sets loan amounts and terms based on each applicant’s financial condition. Eligibility is based on the size of the applicant, type of activity and its financial resources. These working capital loans may be used to pay fixed debts, payroll, accounts payable, and other bills that could have been paid had the disaster not occurred. The loans are not intended to replace lost sales or profits. 

    For information and to apply online visit SBA.gov/disaster. Applicants may also call the SBA’s Customer Service Center at (800) 6592955 or email disastercustomerservice@sba.gov for more information on SBA disaster assistance. For people who are deaf, hard of hearing, or have a speech disability, please dial 7-1-1 to access telecommunications relay services. 

    Submit completed loan applications to SBA no later than June 2, 2025. 

    ###

    About the U.S. Small Business Administration

    The U.S. Small Business Administration helps power the American dream of business ownership. As the only go-to resource and voice for small businesses backed by the strength of the federal government, the SBA empowers entrepreneurs and small business owners with the resources and support they need to start, grow, expand their businesses, or recover from a declared disaster. It delivers services through an extensive network of SBA field offices and partnerships with public and private organizations. To learn more, visit http://www.sba.gov. 

    MIL OSI USA News

  • MIL-OSI USA: US Department of Labor urges Florida emergency, response workers; public to recognize, avoid hazards created by hurricanes Milton, Helene

    Source: US Department of Labor

    WHO:             U.S. Department of Labor’s Occupational Safety and Health Administration

    Emergency and recovery response workers

    Residents in areas affected by hurricanes Milton and Helene

    What:             The U.S. Department of Labor’s Occupational Safety and Health Administration urges emergency response and recovery workers and people living in areas affected by hurricanes Milton and Helene to be cautious when facing hazards related to flooding, power loss, structural damage, fallen trees and storm debris. 

    Storm recovery activities – such as restoring electricity and communications, clearing and removing debris, repairing or replacing roofs and trimming trees – present dangers that demand people involved in recovery and cleanup be experienced, trained properly and familiar with equipment used.

    In a storm’s aftermath, those involved in response and recovery must do the following:

    • Evaluate work areas for hazards.
    • Assess the stability of structures and walking surfaces.
    • Ensure fall protection when working from elevated surfaces.
    • Assume all powerlines are live.
    • Operate chainsaws, portable generators, ladders and other equipment properly.
    • Use personal protective equipment, such as gloves, hard hats, hearing, foot and eye protection. 

    Background:  OSHA offers comprehensive hurricane preparedness and response information, including safety tips for employers and workers and an alert on keeping workers safe during flood cleanup. Individuals involved in response and recovery efforts may call OSHA’s toll-free hotline at 800-321-OSHA (6742).     

    Quote: “While thousands of brave emergency responders and recovery workers help to restore our communities after catastrophic weather events like hurricanes Milton and Helene, we strongly urge them to take great care to protect themselves and others from the wide range of dangers of workplace hazards they face,” explained OSHA Regional Administrator Kurt Petermeyer in Atlanta. “Having clear knowledge of the hazards at-hand, following safe work practices and using proper personal protective equipment during cleanup can reduce the risks of injuries and fatalities significantly. OSHA is ready to assist and provide guidance on avoiding hazards to those doing the difficult work needed after catastrophic weather strikes.” 

    MIL OSI USA News

  • MIL-OSI USA: Magellan Diagnostics Sentenced for Concealing Malfunction in Lead Testing Devices

    Source: US Food and Drug Administration

    Department of Justice
    U.S. Attorney’s Office
    District of Massachusetts 

    FOR IMMEDIATE RELEASE
    Thursday, October 10, 2024

    Company failed to notify FDA about serious malfunction in lead testing devices that resulted in inaccurately low blood level results in children and adults

    BOSTON –Magellan Diagnostics, Inc., a medical device company headquartered in Billerica, Mass., was sentenced yesterday in federal court in Boston for criminal charges related to the concealment of a device malfunction that produced inaccurately low lead test results for tens of thousands of children and other patients.

    Magellan has been ordered to pay a $21.8 million fine, $10.9 million in forfeiture and a minimum of $9.3 million to compensate patient victims. Magellan pleaded guilty to two counts of introducing a misbranded medical device into interstate commerce. Magellan was charged criminally on May 21, 2024

    “Keeping the people of Massachusetts safe takes a variety of forms. In the case of Magellan Diagnostics, it means protecting children who may have been exposed to dangerous levels of lead that can lead to serious health consequences. This company has admitted that it left lead blood level monitoring devices in pediatricians’ offices that it knew were providing inaccurately low readings, putting thousands of kids at risk of not having their elevated lead levels accurately diagnosed. In addition to holding the company accountable, this criminal sentence requires the company to undertake an extensive effort to identify and compensate victims.”

    “Medical device makers have an obligation to provide truthful information to protect patients. By deliberately concealing and consistently misleading consumers and the FDA about device malfunctions, Magellan acted with gross disregard for its responsibility to comply with FDA requirements and put patients at risk,” said Fernando McMillian, Special Agent in Charge, FDA Office of Criminal Investigations, New York Field Office. “We will continue to thoroughly investigate those whose actions undermine the integrity of the FDA regulatory process which exists to protect consumer health.”

    “It’s absolutely appalling that Magellan Diagnostics was more concerned about its bottom line than it was about coming clean to their customers and the FDA about a serious malfunction in its lead testing devices that we believe unnecessarily endangered the health of incredibly vulnerable victims,” said Jodi Cohen, Special Agent in Charge of the Federal Bureau of Investigation, Boston Division. “When you’re not feeling well, and you’re trying to find out why, the last thing you should have to worry about is whether the diagnostic test you’re relying on lives up to its manufacturer’s claims. The FBI is grateful to see that the victims affected by Magellan’s actions in this case are one step closer to being compensated.”

    “Magellan concealed a serious flaw in its lead testing devices while ignoring the well-being of patients and knowingly providing inaccurate results of lead levels in the blood,” said Roberto Coviello, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General. “This type of egregious conduct, which only sought to benefit the corporate bottom line, can erode the public’s trust in our nation’s health care system. Today’s sentencing should send a clear message that any company engaging in such dangerous activity will be held accountable.”

    Magellan’s LeadCare Ultra and LeadCare II devices detected lead levels and lead poisoning in the blood of children and adults using either venous (blood draws through the arm) or fingerstick samples. LeadCare II, which was predominantly used to test fingerstick samples, accounted for more than half of all blood lead tests conducted in the United States from 2013 through 2017. LeadCare Ultra was predominantly used to test venous samples.

    According to court documents, Magellan failed to timely notify the FDA about a serious malfunction that caused the company’s LeadCare devices to produce inaccurate blood lead level results when used to test venous blood samples. Magellan also changed the user instructions for the LeadCare devices without prior FDA notice or approval.

    Magellan first learned that a malfunction in its LeadCare Ultra device could cause inaccurate lead test results – specifically, lead test results that were falsely low – during the FDA clearance process in June 2013. Magellan, however, released LeadCare Ultra to the market in late 2013 without informing customers or the FDA of the malfunction. In August 2014, LeadCare Ultra customers independently discovered the malfunction and complained about inaccurate results. FDA regulations required the company to file a medical device report about the malfunction within 30 days, but Magellan did not do so.

    In November 2014, Magellan sent a letter to its LeadCare Ultra customers advising them of the malfunction and recommending that they wait 24 hours before running their tests. This contradicted the instructions for use approved by the FDA. Magellan did not, however, report the malfunction to the FDA or advise the FDA of its change to the instructions until April 2015, nearly 21 months after Magellan discovered the malfunction and almost 8 months after customers discovered the malfunction on their own. In August 2015, Magellan changed the label instructions for the LeadCare Ultra device to require users to wait 24 hours before using the device to test blood samples, rather than testing the samples immediately. FDA regulations required the company to provide advance notice of the label change and file necessary reports of device correction, but Magellan did neither.  

    Magellan’s testing in 2013 also indicated that the same malfunction affected the LeadCare II device when it was used to test venous samples. Magellan, however, did not notify the FDA about the LeadCare II malfunction until November 2016.

    The FDA ultimately found that the LeadCare devices could not accurately test venous samples, leading to a recall of all LeadCare devices using venous samples and a warning to the public not to use LeadCare Ultra, LeadCare II or LeadCare Plus for testing venous blood samples because of the malfunction and a recommendation that doctors retest certain patients.

    According to the Centers for Disease Control and Prevention, there is no safe level of lead in the blood. Lead exposure may cause irreversible lifelong physical and mental health problems. Young children and pregnant women are most vulnerable to lead exposure, especially those from low-income households and those who live in housing built before 1978 because those homes are more likely to contain lead-based paint and have fixtures containing lead.

    As part of the criminal resolution, Magellan has agreed to compensate patients who were demonstrably harmed for the economic damages they suffered as a result of the malfunction in Magellan’s blood lead testing devices. If you or a family member believe you received an inaccurate blood lead test result from a LeadCare device between 2013–2017, please complete the questionnaire located on the FBI’s website at www.fbi.gov/MagellanCaseInquiry. Information about the status of the case is located on the U.S. Attorney’s Office website: https://www.justice.gov/usao-ma/victim-and-witness-assistance-program/magellan-diagnostics-inc.

    Acting U.S. Attorney Levy; FDA SAC McMillan; FBI SAC Cohen; and HHS-OIG SAC Coviello made the announcement today. Assistant U.S. Attorneys James Herbert, Kelly Lawrence and Leslie Wright of the Health Care Fraud Unit prosecuted the case.

    MIL OSI USA News

  • MIL-OSI USA: FEMA Urges Floridians to Heed Officials’ Directions in the Aftermath of Hurricane Milton

    Source: US Federal Emergency Management Agency

    Headline: FEMA Urges Floridians to Heed Officials’ Directions in the Aftermath of Hurricane Milton

    FEMA Urges Floridians to Heed Officials’ Directions in the Aftermath of Hurricane Milton

    FEMA Administrator Criswell Remains in Florida to Survey Storm Damage with Local Officials 

    WASHINGTON – The joint federal and state emergency response and damage assessments are underway today as Hurricane Milton moves out of Florida. FEMA encourages everyone in the affected areas to continue following the directions of state and local officials, only returning home when told to do so. While the immediate danger from the storm has passed, conditions on the ground require Floridians to take extreme caution as they begin their recovery.

    FEMA Administrator Deanne Criswell is on the ground in Florida with state and local officials assessing the impacts of the storm. 

    “Because of President Biden’s swift approval of the pre-landfall emergency declaration, we were able to deploy some of our search and rescue teams to help in those counties that were impacted by the tornados,” said FEMA Administrator Deanne Criswell. “We have over 1,000 federal responders that have been in the state supporting the response and recovery efforts, and not just from Helene, but also the recovery efforts from Ian, Idalia and Debby. Once we know more about the impacts of Milton, we can move in more resources to support them at the state’s request.”

    Commodities, volunteer agencies, response assets and federal personnel are being coordinated through the FEMA Region 4 Regional Response Coordination Center in Atlanta and the National Response Coordination Center in Washington, D.C. Both facilities are activated on 24-hour operations to support the state.

    • Several FEMA Incident Management Assistance Teams have been deployed to various parts of the state to assist with requests for assistance immediately after the storm. 
    • Ten federal search and rescue teams are in the state to assist survivors. 
    • FEMA Urban Search and Rescue teams are conducting operations near Orlando and Tampa. Assets including planes, helicopters and boats from the Department of Defense and the U.S. Coast Guard are positioned to support the state’s efforts.  
    • Millions of bottles of water and meals are at air bases and logistics sites in Alabama, Georgia, Florida and North Carolina for rapid deployment should the state request additional supplies, in addition to tarps and sheeting for interim home repairs. FEMA and the state have been in close coordination to pre-position federal resources to best support their needs.
    • Healthcare System Assessment Teams are onsite in Florida to work with state officials to assess the storm’s impacts to hospitals, nursing homes, dialysis centers, and other healthcare facilities. 
    • As of Thursday morning, more than 280 shelters were open overnight throughout the state with more than 83,000 people.

    Stay Safe After the Storm

    • DO NOT enter your damaged home if you smell gas, floodwaters remain around the building or if authorities have not declared it safe to return. If your home has received significant flood damage, ensure that the electricity is off and that you are wearing appropriate safety gear before entering.  
    • NEVER use generators indoors. Carbon monoxide has no smell or color and can be deadly. Keep generators at least 20 feet away from your home.
    • Stay out of floodwater. Walking or driving through flood waters is extremely dangerous. Standing water may be electrically charged from underground or downed power lines or contain hazards such as wild or stray animals, human and livestock waste, and chemicals that can lead to illness. 
    • If you do not feel safe in your home, a list of emergency shelters, including those that can accommodate people who need assistance and those who have pets, can be found at Shelter Status | Florida Disaster.
    • If you need help with damages caused by Hurricane Milton, call Florida’s Crisis Cleanup hotline at 844-965-1386.
    • You can also call 833-GET-HOPE for free assistance and resources such as food, household goods, or debris removal. Hope Navigators stand ready to listen and help.

    amy.ashbridge

    MIL OSI USA News

  • MIL-OSI United Nations: Experts of the Committee on the Elimination of Discrimination against Women Commend New Zealand’s Promotion of Gender Equality, Ask about Initiatives to Address Violence against Women and Discrimination against Māori Women and Girls

    Source: United Nations – Geneva

    The Committee on the Elimination of Discrimination against Women today considered the ninth periodic report of New Zealand, with Committee Experts praising the State’s achievements in promoting gender equality and raising questions about initiatives to address high levels of violence against women and discrimination against Māori women and girls, and reports of reduced funding for those initiatives.

    In the dialogue, several Committee Experts commended New Zealand’s efforts promoting gender equality.  One Expert welcomed that the State party had achieved gender parity in Parliament recently, while another Expert congratulated the State party on ranking fourth in the Global Gender Gap Index.

    Natasha Stott Despoja, Committee Expert and Rapporteur for New Zealand, said the rates of violence against women and girls in New Zealand were alarming. She also expressed concern about reports of reduced funding for initiatives to prevent violence against women.

    Another Committee Expert said Māori women and girls continued to face disproportionate levels of discrimination.  The Committee was alarmed by austerity measures which weakened efforts to fight discrimination in many Government bodies, including the disestablishment of the Māori Health Authority.  How would the State party promote the rights of indigenous peoples?

    Saunoamaali’i Dr Karanina Sumeo, Acting Chief Human Rights Commissioner of New Zealand, said that although Māori women and girls continued to experience various inequalities, the Government was reviewing the role of the Māori Tribunal and had stopped all efforts to implement the United Nations Declaration on the Rights of Indigenous Peoples.  The Government needed to implement the Declaration, she said.

    Introducing the report, Kellie Coombes, Secretary for Women and Chief Executive of the Ministry for Women of New Zealand and head of the delegation, said New Zealand’s women leaders had held the role of Prime Minister for 16 out of the last 27 years.  In October 2022, women Members of Parliament gained an equal share of seats in the New Zealand House of Representatives, making the State one of only six countries in the world to have achieved gender equality in Parliament.

    The delegation added that the Government had implemented temporary special measures to improve women’s representation in political bodies and the defence force.  A woman had been appointed as the leader of the New Zealand Army in September 2024. New Zealand also held back funding from sporting bodies that did not have a certain level of female representation on their boards.

    Emma Powell, Chief Executive of the Interdepartmental Executive Board for the Elimination of Family Violence and Sexual Violence of New Zealand, said the National Strategy for the Elimination of Family Violence and Sexual Violence guided efforts to address the underlying social conditions and norms that led to family violence and sexual violence.  The State party aimed to reduce the number of annual crimes against women by 11,000 in the next two years.  For 2024, ministers had agreed not to cut the budget devoted to combatting family and sexual violence.

    Paula Rawiri, Deputy Secretary of Policy at Te Puni Kōkiri (Ministry for Māori Development) of New Zealand, said New Zealand was working to ensure that it was a nation where Māori women and girls could thrive.  The Ministry for Māori Development would soon publish reports on disparities in justice, health, education, employment and socio-economic wellbeing.  This body of work would yield valuable insights on legislative and policy levers to combat intersecting forms of discrimination against Māori women and girls.

    In closing remarks, Ms. Coombes said New Zealand had made good progress toward gender equality and the empowerment of women and girls, underpinned by its commitment to the Convention.  There was more work to be done, and the Committee’s concluding observations would help the State party to achieve its goals.

    Ana Peláez Narváez, Committee Chair, in concluding remarks, thanked the delegation for the constructive dialogue, which had allowed the Committee to better understand the situation of women and girls in the State party.  The Committee called on the State party to implement its recommendations for the benefit of all women and girls in New Zealand.

    The delegation of New Zealand consisted of representatives from the Executive Board for the Elimination of Family Violence and Sexual Violence; Te Puni Kōkiri (Ministry of Māori Development); Ministry for Women; and the Permanent Mission of New Zealand to the United Nations Office at Geneva.

    The Committee will issue the concluding observations on the report of New Zealand at the end of its eighty-ninth session on 25 October.  All 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 Monday, 14 October to hold a meeting with non-governmental organizations and national human rights institutes from Chile, Canada, Japan and Cuba, whose reports will be reviewed next week.

     

    Report

     

    The Committee has before it the ninth periodic report of New Zealand (CEDAW/C/NZL/9).

    Presentation of Report

    KELLIE COOMBES, Secretary for Women and Chief Executive of the Ministry for Women of New Zealand and head of the delegation, said New Zealand strongly valued diversity and took pride in promoting human rights and equal treatment for all people.  It was the first country where women gained the right to vote and had a strong record of women’s political leadership.  In September, the State marked the one hundred and thirty-first anniversary of women’s suffrage.  Women leaders had held the role of Prime Minister for 16 out of the last 27 years. In October 2022, women Members of Parliament gained an equal share of seats in the New Zealand House of Representatives, making the State one of only six countries in the world to have achieved gender equality in Parliament.  New Zealand ranked fourth out of 146 nations on the World Economic Forum Global Gender Gap Index.

    Since the last report was submitted, New Zealand had had a change of Government.  The new Government’s key focus areas included rebuilding the economy, restoring law and order, and delivering better public services.  It was committed to the protection of the human rights of all women and girls in New Zealand, the promotion of gender equality, upholding women’s safety and wellbeing, protecting women and girls from all forms of violence, and reducing gender inequities in health.  Through deliberate action, the public service gender pay gap had fallen from 12.2 per cent in 2018 to 7.1 per cent in 2023, its lowest level. Work was now progressing alongside New Zealand businesses to develop a gender pay gap calculation tool.

    Work towards improving health outcomes for women and girls included the extension of free breast cancer screening for women aged 70-74, which would mean around 120,000 more women would be eligible for screening every two years.  The introduction last year of a world-leading self-test for cervical screening had seen more than 80 per cent of women being tested take up this option.  In 2023, for the fourth consecutive year, women’s representation on public sector boards reached 50 per cent or above, with women now holding 53.9 per cent of these roles.  Women were also better represented in board chair roles, reaching 46.2 per cent – a significant increase from 41.9 per cent in 2022. 

    Māori and ethnic diversity of public sector boards had also continued to increase since data collection for ethnicity began in 2019. The Global Women and the Champions for Change Group had achieved at least 40 per cent representation of women at board level.  Women’s representation on councils was the highest it had ever been, at nearly 46 per cent at the 2022 elections.  The online safety organization “Netsafe” was developing an online toolkit for workplaces to protect women in leadership positions from harassment and abuse.

    Women’s participation in the New Zealand labour force had steadily increased, from 54.3 per cent in 1991 to 67.4 per cent in June 2024. The women’s employment rate was currently at 64.5 per cent, remaining the fifth highest since measurement began in 1986.  Families in New Zealand had been negatively impacted by rising living costs.  Recent initiatives to support working parents included a six per cent increase in paid parental leave, and the introduction of the “FamilyBoost” payment to help families meet the cost of early childhood education.  The Government had also committed to prioritising a bill to allow parents to share parental leave as they see fit and introduce a three-day stay policy to ensure mothers and babies were entitled by law to 72 hours post-partum care.

    Health outcomes were improving overall for women in New Zealand and women had a longer life expectancy than men.  However, women spent more years in poor health than men with more medical interventions for conditions experienced across their lifetime. Health challenges were bigger for many groups of women and girls, including wāhine Māori (Māori women), Pacific women, rural women and disabled women.

    The State party was committed to gender equality in New Zealand for all women and girls.  Despite significant progress, challenges remained, and the Government needed to continue to build on the progress it had made to improve outcomes for all women and girls.

    EMMA POWELL, Chief Executive of the Interdepartmental Executive Board for the Elimination of Family Violence and Sexual Violence of New Zealand, said New Zealand had high and concerning rates of family violence and sexual violence.  Women were three times as likely as men to experience intimate partner violence. One in three women experienced sexual assault in their lifetime. In December 2021, the National Strategy for the Elimination of Family Violence and Sexual Violence was launched. It guided the efforts of the Government, indigenous peoples, communities and specialist sectors to address the underlying social conditions and norms that led to family violence and sexual violence. 

    The first action plan to implement the strategy, spanning 2021-2023, was now complete, and from its 40 actions progress had been made across a range of areas, including the development and implementation of new family violence workforce capability frameworks and training, and expanded community-led responses to violence.  The next action plan would be published by the end of the year.  It would prioritise improving multi-agency responses, and strengthening the evaluation of what worked to support investment, further equipping workforces to respond to victims of violence.

    PAULA RAWIRI, Deputy Secretary of Policy at Te Puni Kōkiri (Ministry for Māori Development) of New Zealand, said that after a period of nationwide mourning of the recent passing of Kingi Tuheitia Pōtatau Te Wherowhero IIV, a beacon of implicit reverence for indigenous women had appeared through the anointment of a young Māori queen.  New Zealand was driving a transformational journey of advancement for Māori women and girls, working to ensure that New Zealand was a nation where Māori women and girls could thrive.  The Ministry for Māori Development had implemented research arising from the Mana Wāhine Kaupapa Inquiry on systemic discrimination, deprivation and inequities experienced by Māori women as a result of Treaty of Waitangi breaches by the Crown.  An initial tranche of reports would shortly be published on the representation of Māori women in public sector decision-making roles and disparities in justice, health, education, employment and socio-economic wellbeing.  This body of work would yield valuable insights on legislative and policy levers to combat intersecting forms of discrimination against Māori women and girls. 

    The Ministry had also developed a series of national strategies, which were driving better outcomes and equality for Māori women and girls across fields such as justice, child protection, living with disabilities, access to technology, housing and education.  It was working to ensure greater representation of Māori women in public sector decision-making roles and within Māori communities. Māori women, girls and families continued to carry the burden of socio-economic inequity.  There was much more to do but when Māori society thrived, New Zealand society also thrived.

    SAUNOAMAALI’I DR KARANINA SUMEO, Acting Chief Human Rights Commissioner of New Zealand, said the Human Rights Commission had “A” status accreditation under the Paris Principles.  Māori women and girls continued to experience various inequalities. The Government was reviewing the role of the Māori Tribunal and had stopped all efforts to implement the United Nations Declaration on the Rights of Indigenous Peoples.  The Government needed to implement the Declaration and provide mental health support for Māori women and girls.  There had been a recent reduction in funding for responses to gender-based violence. 

    This year, a report from a Royal Commission of Inquiry revealed cases of torture of women and girls in New Zealand institutions. The State party needed to implement the Inquiry’s recommendations and develop legislation to reduce online harm against women.  The social security system disadvantaged women and could lead to their financial entrapment.  In 2023, one in eight children lived in poverty in New Zealand and gender and ethnic pay gaps persisted.  For every one dollar a New Zealand man earned, Māori and Pacific women earned less than 70 cents.  The Government lacked urgency to address this issue.  Workplace harassment was also affecting women.  The Government needed to reinstate the Fair Payment Agreement Act and ensure the right to equal work for all genders and persons with disabilities.

    Questions by a Committee Expert 

    NATASHA STOTT DESPOJA, Committee Expert and Rapporteur for New Zealand, said that New Zealand had long been a global leader in national development, both with regard to its labour force, being the first country to introduce minimum wage, and with regard to gender equality, being the first country in the world to afford women with the right to vote.  She commended the progress that had been made toward ensuring women in rural communities had access to abortion through the national establishment of the abortion telehealth service.  However, there were concerns around the Government’s reinterpretation of the Treaty of Waitangi and the removal of several equity measures, including the Māori health authority, and removal of State support for the United Nations Declaration on the Rights of Indigenous Peoples.  Māori women and girls had reported feeling unhoused, unnoticed and unsafe.  What progress had been made in protecting their rights, and in implementing the recommendations issued by the Royal Commission of Inquiry into abuse of Māori women and girls in institutions?

    The Committee noted recent steps taken to address family and sexual violence, including the 2018 passing of the Family Violence Act, the Sexual Violence Legislation Act in 2021, and the launch of the National Strategy and Action Plan to Eliminate Family Violence and Sexual Violence in 2022.  However, the rates of violence against women and girls in New Zealand were alarming.  Women were disproportionately at risk of facing violence.  Ms. Stott Despoja expressed concern about reports of reduced funding for initiatives to prevent violence against women, and the cessation of a safety-focused regulatory review of online services and platforms before it was completed.  What had been the impact of the 2019 Christchurch mosque shooting on women and girls?  Were women and girls of Muslim faith facing increased social hostility in the public space?

    It was welcome that the Convention and New Zealand’s reports had been published on the Ministry for Women’s website.  Did the State party plan to publish these in Pacific languages? There was a concerning lack of specific mentions of gender within New Zealand’s Human Rights Act.  What steps had been taken to amend the Act to include specific prohibitions of discrimination on the grounds of gender identity, gender expression, and sex characteristics?  It was also concerning that legal aid funding for cultural reports had been removed.  Around 67 per cent of women in prison in New Zealand were Māori.  Did the State party have a replacement strategy for these reports? How many times had gender-discrimination cases been brought before the courts in the last five years, and how many times had the Convention been invoked?

    Responses by the Delegation

    The delegation said the New Zealand Law Commission was reviewing whether the Human Rights Act adequately protected transgender people and people with diverse sexual characteristics.  The Government would consider any recommendations made when the review was completed in 2025.  In September this year, the Government launched a Human Rights Monitor, which recorded and tracked recommendations from the United Nations treaty bodies. The Government would consider the recommendation to publish information related to the Convention in Pacific languages. 

    Recently, New Zealand had changed the threshold for persons who could receive legal aid, increasing access for marginalised women and girls, including Māori and Pacific women and girls.  There had been six court cases since 2018 that had referred to the Convention.

    The Ministry for Women had developed a working relationship with the New Zealand Islamic Council since the Christchurch shooting and was working to support Muslim women and girls in the community, including to reach leadership positions.  The Government had launched an impactful campaign that sought to challenge perceptions of this group.

    New Zealand was committed to the United Nations Declaration on the Rights of Indigenous Peoples and the Treaty of Waitangi, and the positive outcomes that both sought for the Māori community.  The Government had decided to focus on meeting targets in nine key areas, aiming to support families at community level, so as to implement the Declaration.  Recent policy changes had affected the Māori community.  The Government would work together with Māori organizations to address concerns related to these changes.

    Questions by Committee Experts 

    One Committee Expert congratulated New Zealand for ratifying all nine of the United Nations human rights treaties.  New Zealand’s first national action plan on women, peace and security concluded in 2019.  The Committee hoped that the next iteration of the plan would include measures addressing security both internally and externally.  Could more information on New Zealand’s feminist diplomacy be provided? The omission of language as grounds for discrimination in State legislation needed to be revisited.  It was welcome that the 2023 budget included a gender lens.  Did the budget address intersectional discrimination against women with disabilities?

    It was welcome that there were six Supreme Court judgements on the Convention. Did the Māori Tribunal apply the Convention in its decision making?  Data was part of the Māori knowledge system, and the way that the digital domain was governed had implications in this regard.  The Government had reportedly failed to protect Māori from online risks, including related to the protection of their data.  How would the Government protect and support access to data for Māori women?

    Another Committee Expert said that New Zealand had made history in the nineteenth century by being the first country to allow women to vote.  It was welcome that the State party had achieved gender parity in Parliament recently.  Māori women and girls continued to face disproportionate levels of discrimination. The current Government had disestablished the Māori Health Authority.  The Committee was also alarmed by austerity measures which weakened efforts to fight discrimination in many Government bodies.  What temporary special measures was the State party planning to achieve full gender parity in political representation?  How would the State party address gaps created by budget cuts in the protection of the rights of women and girls?  How would the State party increase Māori representation in local governments and promote the rights of indigenous peoples domestically and internationally?

    Responses by the Delegation

    The delegation said New Zealand continued to progress work aligned to its national action plan on women, peace and security.  It was developing a second national action plan, but no decisions had been made yet.  The State had co-hosted a women, peace and security summit in Samoa in 2019, which had launched a gender defence network that included defence forces from countries in the region.  New Zealand had also supported gender mainstreaming in Fiji and the development of the State’s first women, peace and security action plan.  There was also a gender focal point network within the defence force.  The New Zealand police provided support in eight Pacific nations to strengthen the frontline response to gender-based violence.

    New Zealand supported women’s leadership, and equitable access to health and education in the Pacific.  In 2021, it launched a gender action plan to ensure that its official development assistance incorporated a gender lens.  At least 60 per cent of official development assistance focused on promoting gender equality.  The State party published an annual report of official development assistance, which outlined spending on policies promoting gender equality.

    The State party had ministries supporting Pacific peoples and persons with disabilities.  It had developed databases of women in leadership positions.  The Ministry for Women had developed a tool that supported Government bodies to implement a gender perspective.

    The State party ensured the independence of the judiciary.  Judges and members of the judiciary received training that encouraged them to operate in a gender responsive manner.

    The Government had implemented temporary special measures to improve women’s representation in political bodies and the defence force.  A woman had been appointed as the leader of the New Zealand Army in September 2024.  New Zealand held back funding from sporting bodies that did not have a certain level of female representation on their boards.  Women currently held 31 per cent of board-level roles in private companies. The Government was considering policies to accelerate progress in this area.  New Zealand was encouraging women and girls to pursue careers in science, technology, engineering and maths fields, and was working to address online harassment of women in leadership through its “Netsafe” programme.

    New Zealand was advocating for issues, including reproductive health and rights, equal pay for equal work, and women’s participation within the United Nations human rights mechanisms.  The State had also worked to strengthen language on gender equality and women’s empowerment in General Assembly resolutions.

    Funding for the Ministry for Women had recently been reduced by around seven per cent. It continued to work to fulfil its mandate with this budget.  The Ministry worked collaboratively with other Government bodies to achieve results for the communities they represented.

    Questions by Committee Experts 

    NATASHA STOTT DESPOJA, Committee Expert and Rapporteur for New Zealand, asked whether the 2024 budget had gender budgeting.  Was the Government planning a national action plan on the rights of women and girls?

    A Committee Expert congratulated the State party on ranking fourth in the Global Gender Gap Index and for its efforts to reduce harmful gender stereotyping.  However, some stereotypes against women remained prevalent.  What measures were in place to address these?  The high level of violence against women and girls was alarming.  Domestic violence rates had increased over the last five years.  How was the Government responding to this?  How did it protect women who left violent partners? Two-thirds of family violence incidents were not reported to the police.  Was the Government considering restorative justice models to address family and sexual violence, and raising awareness on economic harm as a form of family violence?

    There had been an increase in gender-based abuse on online platforms, yet funding for reducing online harm had been reduced.  Would the State party review laws to increase accountability and transparency for online companies?  The Committee welcomed a new bill that would make stalking a crime.  What was the timeline for its implementation?

    The Crimes Act of 1961 was amended in 2016 to address trafficking in persons for various purposes, including forced labour.  How many traffickers had been penalised for sex trafficking over the reporting period?  The Government had implemented legislation to address modern slavery, but had this year disbanded the modern slavery leadership group.  How was the Government addressing modern slavery?  The State party fully decriminalised prostitution in 2003.  What had been the positive and negative implications of this legal measure?

    The Government had also rolled back protections for migrant workers in work visa and seasonal employment schemes.  Employers were now allowed to increase accommodation costs, and visa applications for migrants’ spouses and children were no longer supported.  Did the State party intend to ratify the International Labour Organization Convention 190 on workplace violence?

    Responses by the Delegation

    The delegation said gender budgeting was not included in the 2024 budget due to time constraints after the formation of the new Government.  However, agencies reported on the implications of budgeting for women.  The Ministry for Women was not currently prioritising the development of a national action plan on the rights of women and girls.

    Sport played an important role in countering gender stereotypes.  The 2023 Women’s World Cup, which was co-hosted by New Zealand, had increased the profile of women’s sports and athletes. The Broadcasting Standards Authority monitored portrayals of women and girls in the media and had issued guidance on their representation.

    New Zealand’s Crime and Victims Survey showed that there had been an increase in family violence and sexual assault in the last two years.  The State party aimed to further strengthen data collection on these crimes and reduce the number of annual crimes against women by 11,000 in the next two years.  The National Strategy on Family and Sexual Violence had been renewed and the Government was developing a new set of actions under the strategy.  For 2024, ministers had agreed not to cut the budget devoted to combatting family and sexual violence.  Judicial and police training programmes had clear curricula addressing family and sexual violence and capacity building efforts were ongoing.

    Work was underway to recognise stalking as a crime and the bill on stalking was expected to pass by the end of this year.  Economic harm against women and girls was pervasive in New Zealand. The Government would strengthen awareness raising campaigns on this issue, targeting vulnerable groups.

    New Zealand’s policy was to not ratify international conventions until domestic law aligned with them.  The State party would consider aligning domestic legislation with International Labour Organization Convention 190 before ratifying it.  Employers were allowed to recruit seasonal migrant workers in sectors where there were staff shortages.  They were required to pay for half of workers’ airfares, provide quality accommodation for employees, and respect their rights.

    Work on addressing trafficking in persons was ongoing.  In the last 12 months, there had been 17 certified instances of trafficking identified, but there had been no convictions secured related to people trafficking over the reporting period.  The action plan against forced labour, people trafficking and slavery was in place until 2025.  There had been various policies and laws implemented to prevent trafficking and exploitation of migrants under the action plan.  Training in trafficking in persons had been provided for 400 frontline border officials, and fora on combatting trafficking in persons were held annually.

    The Prostitution Reform Act of 2003 decriminalised prostitution, aiming to protect sex workers’ rights.  There was an issue with section 19 of the Act, which prohibited foreign nationals from engaging in sex work.  This section aimed to protect migrants from exploitation but could have a negative impact on migrant workers.  Changes to this legislation would require careful consultation with stakeholders. On balance, the Act was a positive advancement for sex workers’ rights in New Zealand, but the State party would continue to assess how it was implemented.

    Questions by Committee Experts

    A Committee Expert asked about the causes of the recent rise in gender-based violence.  The Expect welcomed the State’s efforts to prevent underage marriage.  What these made any achievements?  Was the Government working to identify underage and forced marriages that went under the radar?

    Another Committee Expert welcomed efforts by the State party to promote women’s participation in sports and address sexual and family violence.  What work was the State party doing with perpetrators of sexual violence?  How many complaints were reported of discrimination against intersex persons each year?

    Responses by the Delegation

    The delegation said the cost-of-living crisis had exacerbated the situation of vulnerable families, potentially leading to an increase in rates of violence. There was also a high rate of revictimisation, indicating that some State responses lacked effectiveness. The State party was working with civil society to address this issue.

    Coerced marriage was illegal in New Zealand.  A Family Court judge needed to provide permission for young people aged 16 or 17 to marry.  The police’s policy on forced and underaged marriages had been updated to address a wider range of coerced unions.  Sexual offenders were required to participate in 50 hours of counselling sessions.  The Government was changing the design of rehabilitation programmes to counter reoffending and implementing awareness raising programmes promoting positive masculinity.  The Ministry of Māori Development was involved in community-led efforts to address sexual and family violence against Māori women.

     

    Questions by Committee Experts

    One Committee Expert said New Zealand had made remarkable steps in promoting gender balance.  The Inter-Parliamentary Union ranked New Zealand at fifteenth worldwide in women’s representation in political bodies.  However, the representation of women in Parliament had recently decreased from the 2022 peak.  Some political parties had implemented quotas of 50 per cent female representation, but not all had.  Only 29 per cent of the managerial positions of private companies were held by women. Did the State party plan to introduce gender quotas for all political parties?  What initiatives were in place to support women politicians and women in the foreign service?  What was the representation of women in the judiciary?

    Another Committee Expert said that since 2006, persons born in New Zealand were not automatically entitled to New Zealand nationality; at least one parent needed to now be a New Zealand or Australian citizen for the child to receive nationality.  What was the status of the bill to repeal this legislation and were there measures to address the harm it had caused, including for Western Samoan persons? The process for granting citizenship for stateless persons was too long and did not have a deadline.  Would the State party consider ratifying the 1954 Convention relating to the status of stateless persons?

    Responses by the Delegation

    The delegation said that in 2022, the Government announced funding for intersex healthcare, including peer support and training for practitioners.  The Government promoted a human rights-based approach to intersex health.  There was a lack of data on intersex healthcare, but work was underway to collect such data by 2027.

    New Zealand had a Harmful Digital Communications Act that addressed online stalking and posting images without consent.  Complaints related to online abuse could be sent to the Online Safety Authority “NetSafe”, which could bring cases to courts as necessary.  The Authority was pushing back strongly against online abuse.

    The issue of gender quotas within political parties was a matter for the parties themselves.  There was a push to make Parliament more family friendly.  Parliamentary recess periods were being aligned with school holidays and there was a play area on Parliament grounds.  Several women parliamentarians were balancing work and childcare.  The share of women in the judiciary was 53 per cent.

    Questions by Committee Experts 

    NATASHA STOTT DESPOJA, Committee Expert and Rapporteur for New Zealand, asked if there would be further legal amendments to ensure intersex persons had the same protection as males and females.

    Another Committee Expert commended New Zealand’s progress in women’s education, including its endorsement and implementation of the Safe Schools Declaration, and provision of educational support to pregnant teenagers and Māori girls. Around 34 per cent of women with disabilities had received no education and there was a lack of teaching aides for children with disabilities.  How would the State party address these issues? 

    Indigenous and poor children lacked access to internet services.  How would the State party facilitate online learning for poor and indigenous women?  There continued to be high levels of bullying of marginalised children in schools.  How would the State party address impunity for bullying in schools?  The Government had recently cut funding for the school lunches programme by over 100 million United States dollars.  Did the State party intend to revive this funding?  How was the State party facilitating the teaching of indigenous and Pacific languages in schools?

    One Committee Expert said New Zealand had progressive traditions that had been reflected in its achievements in women’s employment and representation in managerial positions.  What measures were being developed to support migrant women and Pacific Islander women to access employment, particularly in the private sector?  Was the State party using new technologies to analyse the employment market and barriers to it? 

    There was reportedly a high level of workplace violence; 38 per cent of women had suffered such violence.  The State party had not ratified International Labour Organization conventions related to workplace violence.  How many complaints had been submitted to the Human Rights Commission on workplace harassment?  What progress had been made in the plan to combat workplace harassment?  Had the State party considered measures to support working mothers, such as a four-day working week?  Were women able to access employment in fast-growing technology sectors?

    Responses by the Delegation

    The delegation said the Law Commission had published an issues paper on legislation on intersex persons.  Consideration of this paper would address increased protection for intersex persons.

    New Zealand was committed to ensuring that education was accessible and inclusive for all students, including women and girls.  School boards needed to ensure that schools were safe, inclusive places for all students and staff and that students could receive the highest standard of education.  There were measures in place to strengthen the learning support system for children with disabilities, including measures to increase teachers’ ability to meet the needs of all learners. 

    The Ministry of Education’s digital technologies programme aimed to increase students’ access to digital technology for learning and their digital literacy. The rural broadband initiative had significantly increased access to the internet in rural areas.  When the programme was completed in 2025, more than 99 per cent of rural areas would have access to the internet.  More than 650 Māori communities had gained access to the internet through the programme. 

    Data on bullying indicated that students with disabilities, poor students and lesbian, gay, bisexual, transgender and intersex students were disproportionately affected by it.  Bullying prevention and response work by the Bullying Prevention Advisory Group aimed to foster safe and inclusive environments in schools.  The Department of Internal Affairs had developed resources that helped children and parents to stay safe online.  The school lunches programme was still in place, though its funding had been reduced.

    Education legislation included provisions that called on the Crown to respect Māori persons’ education rights.  The Government had committed to a Māori education action plan that promoted their identity, culture, language and rights as indigenous peoples, and fostered educational environments free from racism.  Barriers to implementing this plan included the lack of teachers in rural areas.

    In August 2024, the employment action plan was launched, which aimed to promote access to employment for marginalised groups, including women.  The State party was developing a voluntary calculation tool for the gender wage gap.  It would consider whether to make the tool mandatory in the future.  Over 100 businesses had already published their gender pay gaps online as part of the initiative.

    In 2023, changes were made to the legal system to help women to seek justice when they experienced workplace harassment.  The deadline for filing a complaint was extended from 90 days to one year.  Grievances related to workplace harassment could be raised with mediation bodies, the Employment Relations Authority, or courts if required.  The Government provided 26 weeks of paid parental leave for workers of either gender.  Pay was equal to workers’ normal pay up to a threshold of 700 New Zealand dollars, and leave could be shared between both parents.

    Questions by Committee Experts 

    A Committee Expert said it was remarkable that the Government provided free period products to students.  Was the State party considering making education in indigenous languages compulsory in all schools across the State?

    Another Committee Expert said New Zealand had a shortage of nurses due to the aging of society and the demands of the profession.  There was also a shortage of midwives.  The wages of these professions were not following inflation. What measures were in place to increase the number of nurses and midwives, particularly in rural areas? What measures were in place to protect persons with disabilities from sterilisation procedures being implemented on them without their free, prior and informed consent?

    Abortion services had been made legal and available for most women, but there was a lack of training on abortion for rural health workers, limiting access in rural areas.  How was the State party ensuring access to abortion services in rural areas and preventing stigmatisation of persons who sought abortions?  What measures were in place to speed up the diagnosis of endometriosis? How would the State party prevent cervical and uterus cancer in Māori women and implement the Committee’s general recommendation 39 on indigenous health?

    NATASHA STOTT DESPOJA, Committee Expert and Rapporteur for New Zealand, said women made up 90 per cent of COVID-19 pandemic-related redundancies in 2020. Marginalised women had disproportionately high levels of poverty and women obtained an average of 25 per cent less superannuation than their male counterparts.  How was the State party addressing this?  The 2023 budget had included funds for free early childcare for two-year-old children.  Had these funds been invested as planned in 2024?

    Responses by the Delegation

    The delegation said education providers were required to provide Māori language education to all students who wished to receive it.  Making such education compulsory would require extensive consultations with stakeholders.

    The health workforce plan for 2023 and 2024 aimed to address challenges in the workforce and attract more healthcare staff.  Support funding was provided to former midwives to encourage them to return to the profession.  Support was also being provided to nursing and midwifery students to help them to access work, with additional support being provided to Māori and Pacific students. The State party had exceeded its targets for recruiting Māori and Pacific nurses.

    It was illegal for sterilisations to be performed without consent.  Persons with disabilities had the right to informed consent regarding such procedures and the right to refuse medical treatment. The Health and Disability Commissioner received and worked to resolve complaints related to health services. In 2024, the Ministry of Health had implemented a programme to respond to the needs of persons with disabilities and promote supported decision making.

    Medical practitioners were provided with training on abortion care and contraception.  Self-screening technologies were being implemented to increase cancer screenings. The Māori Health Authority’s role had been brought within the Health New Zealand agency.  The Authority had provided health services tailored to Māori, including Māori women.  Health New Zealand would continue with this mandate, aiming to provide faster and higher quality health services, including cancer screening, for Māori women.

    The 2024 budget included a partial refund for early childhood education fees. The first allotment of these funds had recently been distributed to families.  Families could access 20 free hours of early childhood education per week once their children turned three.

    New Zealand had a high level of occupational segregation, which led to the COVID-19 pandemic disproportionately impacting women in the tourism and hospitality sector.  Support payments were provided to persons impacted by the pandemic.

    Questions by Committee Experts 

    ANA PELÁEZ NARVÁEZ, Committee Chair, said that the 1979 law on sterilisation allowed parents and guardians to make a decision on sterilisation on behalf of persons with disabilities in their care.  Was this law still being applied?

    A Committee Expert asked how women could lead data governance.  What mental health services would be made available to rural women farmers, who were disproportionately affected by climate change? Was the State party implementing relevant international conventions on climate change?

    Would the State party follow the Bangkok Rules in its treatment of women prisoners?  What legal services were available for migrant women who were victims of harmful practices?  Forty per cent of women with disabilities experienced intimate partner violence. How was the State party addressing this?

    Another Committee Expert asked about measures implemented to address issues in the family court system, including measures with a gender lens.  There was a shortage of family law legal aid providers, especially in rural areas.  How was this being addressed?  What child support payments had been ordered for fathers in the past 10 years?  Had payments decreased?  How did the State party train family court mediators on parental alienation?  How were family members protected from violent fathers?  Was the State party investigating discriminatory inheritance practices?

    Responses by the Delegation

    The delegation said the Ministry of Health was focused on delivering better outcomes for women living in rural communities.  It was working to increase awareness of telehealth services and improve transport and accommodation assistance for rural people seeking healthcare.

    The State party had implemented measures to increase access to healthcare, including maternal healthcare, for women in prisons and had invested in employment, re-education and training programmes for those women.  The Bangkok Rules were reflected in the State’s 2004 and 2005 legislation on correctional facilities.

    New Zealand had victims support services and legal aid services that were available for migrants.  In 2025, the Government planned to conduct a review of its legal aid services. Migrants, including temporary migrants, who were victims of family violence could apply for a special residency visa that fast-tracked access to New Zealand citizenship.  The State party would engage with stakeholders to assess how harmful practices were affecting migrant women.

    The State party would continue to increase the reach of training for family court staff.  Resources had been updated to increase the accessibility of family courts for children and young people.  There were bills before parliament that aimed to protect women from abuse in courts and that removed the mandatory two-year period for resolving family disputes. Judges were compelled to take note of family violence when considering guardianship of children, and to incorporate child witness statements when assessing family violence.  The Government continued to pursue improvements in legislation related to family courts.

    Concluding Remarks 

    KELLIE COOMBES, Secretary for Women and Chief Executive of the Ministry for Women of New Zealand and head of the delegation, said the Committee’s questions and reflections showed the time and energy it had invested into analysing the situation of women and girls in New Zealand.  New Zealand had made good progress toward gender equality and the empowerment of women and girls, underpinned by its commitment to the Convention.  There was more work to be done, and the Committee’s concluding observations would help the State party to achieve its goals.  The dialogue with the Committee had been positive, constructive and engaging.

    ANA PELÁEZ NARVÁEZ, Committee Chair, thanked the delegation for the constructive dialogue, which had allowed the Committee to better understand the situation of women and girls in the State party.  The Committee called on the State party to implement its recommendations for the benefit of all women and girls in New Zealand.

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    CEDAW24.026E

    MIL OSI United Nations News

  • MIL-OSI Asia-Pac: KEYNOTE ADDRESS BY MR ONG YE KUNG, MINISTER FOR HEALTH, AT THE SINGAPORE HEALTH & BIOMEDICAL CONGRESS 2024, ON THURSDAY 10 OCTOBER 2024, SINGAPORE EXPO

    Source: Asia Pacific Region 2 – Singapore

    Navigating Health Technology

    Mr Tan Tee How

    Board Chairman, National Healthcare Group

    Professor Joe Sim

    Group CEO, National Healthcare Group

    Dr David Ng

    Chairman, Organising Committee of the Singapore Health & Biomedical Congress 2024

    Ladies and gentlemen, friends, a very good morning

              It is my pleasure to join you at the Singapore Health and Biomedical Congress.

    2.       Throughout human history, technological breakthroughs have always been doubled-edged swords. For example, the invention of the steam engine and spinning jenny ushered in the industrial revolution. World trade and GDP went up, but at the same time, there was oppression of workers which gave rise to Marxism, Communism, and the Cold War, which is still playing out today. 

    3.       Closer to the present times, the Internet makes infinite amounts of knowledge accessible to everybody, but with it comes cybercrime and a threat to the mental health of one whole generation. 

    4.       Healthcare is at the verge of a historical technological breakthrough. The unprecedented availability of data can fundamentally transform healthcare. 

    5.       In particular, I believe the convergence of three very powerful scientific and policy forces – genomics, AI (or artificial intelligence) and the focus on preventive care – these will have profound impact on healthcare when they come together.

    6.       Today, I will talk about how we are going to respond to the healthcare technological breakthrough, recognising that this will be a double-edged sword.

    Safeguarding the Downsides

    7.       Let me talk first about mitigating the key risks. I believe innovation can only take off in its fullest potential only when we know we are protected against the main risks. There are two significant ones in healthcare. 

    8.       First, the undermining of the moral and ethical mores of society. Genetics define the core make-up of a person. Advances in science have made it possible for genetic information to be easily and inexpensively mapped out, and even for the genes to be manipulated. 

    9.      Hence, defective genes can now be edited to treat diseases. But the same technology could theoretically be used to design babies before they are born, or select employees and grant university and medical school places, based on genetic qualities. It is not impossible.

    10.    Insurers can use genetic information to decide on insurance coverage – how much can you be charged and what to exclude. That undermines the whole purpose of insurance, which is to protect us against unexpected bad luck, including being dealt with a bad genetic hand at birth. 

    11.    That is why the Ministry of Health (MOH) has worked with the Life Insurance Association to put in place a ‘Moratorium on Genetic Testing and Insurance’, which disallows the use of genetic test results for insurance underwriting. At some point, we need to strengthen the moratorium and give it some permanence.

    12.    MOH is therefore working on new legislation to govern the use of genetic and genomic test data. It aims to address the potential undesirable outcomes, such as the discriminatory use of genetic information in areas such as insurance and employment. We will conduct broad consultations and hope to submit the Bill to Parliament in the next one to two years.  

    13.    The second major risk is the escalation of healthcare costs. Genomics has made precision medicine possible. This means tailoring medical treatment to the unique genetic qualities of a patient to treat serious diseases like cancer. But because this is tailor-made treatment, precision medicine can be very expensive, costing hundreds of thousands of dollars per treatment.

    14.     In healthcare, the language of innovation is quite different from most other sectors. In other  sectors, innovation means better performance or quality, at the same or even lower price. Just look at the performance and prices of semiconductor chips, TVs, smart phones, laptops and automobiles over the decades, and we understand the value and benefit of innovation.

    15.     However, in healthcare, innovation often means something else. It means increasing the chances of treating a serious disease, or prolonging quality life, at a higher cost. This is the double-edged dimension of precision medicine.

    16.    In time, precision medicine will increasingly become mainstream clinical practice. However, I don’t think any healthcare financing system in this world is designed to fully fund precision medicine. This means that left on its own, it is very likely that only the rich will be able to afford precision medicine, leading to serious inequity in healthcare. 

    17.    We are therefore taking steps to embrace precision medicine, and prepare for the day when it becomes mainstream and do it in a sustainable way. 

    18.     For example, we are investing in local capabilities to develop precision medicine treatments, shorten production times and lower costs in the near future. 

    19.     We have strengthened health technology assessment to robustly evaluate the cost effectiveness of high-cost treatments, including precision medicine. Even if the medicine increases the chance of a treatment that can prolong quality life, but costs so much more, we can conclude that it is not cost-effective. Where they are proven to be clinically and cost effective, we will subsidise these therapies.   

    20.    The MediShield Life Council is releasing their recommendations next week. on the review of MediShield Life. They are releasing the report next week, but let me break some of the news that they are going to recommend. They have recommended for MediShield Life coverage to be extended to approved precision medicine therapies. 

    21.    MOH intends to accept this recommendation. That way, the approved precision medicine therapies or high-cost therapies can be  brought into our subsidy, MediShield Life and MediSave, or S+2M, support framework, and all Singaporeans can benefit from these therapies. 

    22.     Mitigating the risks of technological breakthrough is often a reactive necessity, but harnessing its opportunities to transform healthcare requires proactive enterprise. 

    23.     For the rest of my speech today, I will focus on the upside of breakthrough technology in healthcare. There are three aspects:

    • First, applying AI in health institutions;
    • Second, developing predictive preventive care; and
    • Third, building up the IT infrastructure systems to enable these capabilities.  

    AI-Enhanced Healthcare

    24.    First, how we apply AI in hospitals and clinics.

    25.    Healthcare has an advantage in embracing technology because it is a highly regulated sector. Contrast this with the creative industry, where AI is almost wreaking havoc. You can use publicly available AI tools to create a song in the style of say, Taylor Swift, sung in her voice. and even create her image Or you can make a dead actor come to life. and star in a movie. All this is possible. It undermines artistic creation, and the genie is already out of the bottle. I don’t think you can bottle it back.

    26.     In healthcare, because we are so well regulated and we have so many well-established laws and regulations, you can ensure there is always clinical gatekeeping, and the judgment of a healthcare professional is never disintermediated.

    27.     Our basic approach is therefore to ensure healthcare can be AI-enabled or AI-enhanced, but not AI-decided.

    28.     That said, we also cannot swing to other extreme, hemming ourselves in with rules and regulations, and failing to harness the opportunities of AI. We must proactively identify use cases for AI in healthcare and adapt our rules and regulations to facilitate them.

    29.      Part of this effort is to encourage ground-up innovation by our public healthcare clusters. I can see that the National Healthcare Group is doing a lot of it. During my regular visits to hospitals and polyclinics, a key highlight is to witness how such innovations are being done on the ground.

    30.      For example, at Sengkang General Hospital, doctors are using AI to detect polyps in patients undergoing colonoscopy. The polyps are automatically highlighted in green boxes and appear on the screen. I was there with Dr Koh Poh Koon and he was so excited. It is like having an extra pair of eyes to detect the polyps. This has helped increase detection rates by endoscopists, and also made their job easier as it is less strenuous.

    31.     At Ng Teng Fong General Hospital, AI tools will analyse the vital signs of warded patients and send predictive warnings to doctors and nurses of possible worsening conditions. I met a nurse who was holding four phones and two walkie-talkies. She said that each one is for a different pilot and one particular phone is for warning her if any patient has a possibility of a worsening condition in the next 12 hours. This AI tool has reduced the number of ICU admissions of warded patients from the wards by over 10%.

    32.      Doctors at Geylang Polyclinic are using imaging AI to triage chest X-rays. This helps them to prioritise the X-rays with significant abnormalities, allowing patients with more urgent conditions to see a doctor more quickly.

    33.      To support ground up innovation initiatives, MOH will inject about $200 million over the next five years into the MOH Health Innovation Fund. This is over and above the government’s investments in research and development through the Research, Innovation and Enterprise initiative.

    34.     However, if we want to make a strong impact with technology, we got to go beyond ground up innovation. Some centralised push will be necessary. MOH will identify proven and impactful technology or use cases, and scale them up into system-wide, national projects. We will start with two projects.

    35.     First, we will use generative AI to reduce toil. One immediate opportunity is to automate repetitive and time-consuming tasks, such as routine documentation and reviewing of medical records.

    36.     It is essential for healthcare professionals to do that for every patient, to keep their medical history up to date. But it takes up a lot of time. Further, many patients thought that the doctor or nurse is busy on their computer and is not paying attention to them, when they are actually carefully listening to and updating the record of the patients at the same time.

    37.     AI tools can now automatically transcribe and summarise conversations between healthcare professionals and patients, and then ingest this information into medical records.

    38.     The information will still have to be reviewed by a healthcare professional, before becoming official medical records. That is what I meant when I said AI-enabled and not AI-decided. It will therefore not replace the human, but will enhance our efficiency.

    39.     GovTech has developed a tool to do this, called Scribe, which can handle English, Malay, Chinese, and even Singlish, and it will be progressively rolled out to more public healthcare users. Our health clusters have also adopted various tools to do this.

    40.     MOH will coordinate the effort of our public health institutions to roll out automated record updating throughout our public healthcare system, before the end of 2025.

    41.     With that, our doctors, nurses, allied health professionals and medical social workers can spend more time interacting with patients and hopefully, will not be mistaken as being preoccupied with their computer screens and keyboards.

    42.     Second, use AI for imaging, to improve quality of care. I mentioned earlier how our hospitals are using AI for chest X-rays and colonoscopy. We can make these standard practices across our system.

    43.     A word of caution here: imaging AI is very powerful and can pick up even the most minute anomalies, but not all anomalies seen in a scan are clinically significant. We should not try to respond to every anomaly detected – it will just raise unnecessary patient anxiety and lead to excessive and unproductive care. We will create a nation of hypochondriacs.

    44.     There is a phrase to describe this. It was taught to me by Professor Kenneth Mak. It is called V.O.M.I.T., which stands for Victims of Modern Imaging Technology. Hence, we should use AI imaging technology responsibly, to detect and follow up only on clinically significant signs. That way, we can detect these signs earlier, and manage them in good time before they become serious, without causing unnecessary worry and alarm.

    45.      Other than colonoscopy and chest X-rays, we will also evaluate how AI image analysis can be adopted for screening mammography.

    46.      If proven effective, from end 2025, we will start progressive rollout of screening using AI for mammography across the system, with the proper workflows and care pathways in place.

    47.    To accelerate its deployment, we have set up an IT platform, called AimSG. Through AimSG, public hospitals can access different imaging AI models through one single platform and monitor the performance of the models.

    Developing Predictive Preventive Care

    48.   Second, we will use AI to deliver predictive preventive care.

    49.    There is well known correlation between current risk factors and future diseases. For example, if you smoke or vape, you are more likely to develop many chronic diseases, including cancer or dementia. If you do not exercise and consume too much sugar, you are predisposed to diabetes. If a teenager is deprived of sleep and spends a lot of time on social media, he or she is at higher risk of developing depression.

    50.    With AI, it is now possible to have disease prediction models that are far more sophisticated and multi-variate, including parameters such as health status, lifestyles, social economic circumstances. The addition of genetic information can make such models even more powerful. 

    51.     In Singapore, about 60 people every day have a heart attack or stroke. With enough data and a well-trained model, it can be possible to pre-warn many of these individuals well ahead of time. We can then prescribe precautionary measures, including changes to their lifestyles or taking some medication.

    52.      We can therefore avoid pain and suffering in a very significant way. It is a major transformation. We need to be careful with predictions, if not it can also cause a lot of unnecessary worry and alarm. We should therefore proceed deliberately but cautiously.

    53.     We will start with the first use case, which is Familial Hypercholesterolemia, or FH. FH is caused by defects in our genes that affect the way the body processes cholesterol. Individuals with this condition are more prone to having very high cholesterol levels. They are 20 times more likely to have a heart disease, and at much higher risk of experiencing a heart attack at a much younger age. It is also hereditary, meaning it can be passed down in families.

    54.      We are starting with FH for this use case, because it is relatively straightforward for us to tell if someone has FH through a genetic test. It is a panel test. The association between the genetic mutations and abnormally high cholesterol levels is also very well established for FH.

    55.      MOH has been working with Precision Health Research, Singapore (PRECISE) and our hospitals over the last year, to design an appropriate predictive preventive care pathway for FH.

    56.      Healthier SG family doctors and polyclinics will help identify patients with abnormally high cholesterol levels and recommend them to be tested for the defective gene for FH. The test will be subsidised and the remainder can be paid using MediSave.

    57.      If an individual tests positive for FH, their parents, siblings and children will be encouraged to undergo the same test. Not the spouse – for obvious reasons – but parents, siblings, and children. This is called cascade screening. By repeating this process, we can pick up as many people in Singapore with the genetic disorder early.

    58.      We will then advise them to adopt healthier lifestyles as early as possible and start cholesterol lowering therapies, if necessary, to reduce their risk of premature heart diseases.

    59.      As a matter of fiscal discipline, our health economists at MOH have done the sums.  Essentially, we are incurring more costs to do genetic screening and support preventive care. In return, we avoid the costs in treating heart attacks. Our estimation shows that over a 30-year period, we will incur about $14,000 to avoid a heart attack, which is considered cost-effective. This is a pure fiscal calculation.

    60.      However, in time to come, as the cost of genetic tests continues to fall, we get better at identifying affected individuals, we can test once but use the results to prevent a few diseases, such a predictive preventive care approach may become not just cost-effective, I think it can become cost-saving. This is before counting the avoided pain and suffering.

    61.      We will start implementing the FH use case from the middle of next year, including setting up a Genetic Assessment Centre. If successful, we will work on other major severe diseases, the possibilities are breast and colon cancers, diabetes, kidney failure, stroke and heart attacks. They will require sophisticated, high-parameter, and multi-variate AI models to be trained. 

    62.      This is predictive preventive care. We will not be able to implement this if we have not invested in genomics research for many years, and we will not be able to do this now if we had not set up the Healthier SG system, which gives us a policy implementation platform.

    63.      Just think about this – behind the scenes we leverage the wizardry of AI and its predictive powers. At the front end it is a friendly interface, through Healthier SG and through our family doctors.

    64.     Family doctors will be alerted by the backend systems if their patients are at high risk of specific severe conditions. The doctors would therefore be able to take the necessary medical actions, to counsel and advise the patients on what to do, to avoid a serious disease in the future.

    65.      With new technology, we enable the family doctor to deliver better care, and empower individuals to better take care of our own health.

    Building Up IT Infrastructure

    66.     Finally, we will build up the necessary IT infrastructure to underpin these new capabilities I talked about.

    67.     As we use a large amount of data to transform healthcare delivery and prevent severe disease, there will inevitably be concerns about data security and privacy.

    68.     We had a serious health data breach in 2018. Since then, we have thoroughly reviewed our IT systems and processes, and have been investing heavily in cyber security. For security reasons, I won’t be able to elaborate on what we have done, but let me cite two commonly known initiatives.

    69.     Number one, we have stored our healthcare data onto dedicated clouds managed by GovTech and Synapxe, where we have full control of the data.

    70.     Two, our office devices are not fully connected to the Internet. Healthcare staff use a virtual browser to access whitelisted internet sites. Although inconvenient, this is one of the simplest and most effective cybersecurity measure.

    71.     As for safeguarding data privacy, the government developed the TRUST data exchange two years ago. This is a national platform where datasets can be shared for purposes of research.

    72.     Through TRUST, patients’ identity and identifiers are removed from various datasets according to government anonymisation standards. Researchers have to submit a detailed request to access data for research and if approved, the requested data will be brought together in the secure TRUST environment to allow analysis. Researchers cannot download any of the data and once the analysis is done, the data is deleted.

    73.    In the coming years, we will further develop our IT systems to power up innovation, while ensuring cybersecurity and data privacy.

    74.    The first major development is a consolidated Electronic Medical Record (EMR) system throughout the public healthcare system. Two out of our three health clusters are already using the same EMR system. The final cluster will come on in a few years’ time.

    75.     By then, I think Singapore will probably be the only country in the world where the entire public healthcare system uses the same EMR System. This will increase the accessibility and quality of data collected at every step of a patient’s journey, to better inform doctors’ decisions across institutions and settings.

    76.     At the same time, AI tools will be accessible and integrated into the EMR system, to be part of the clinical and operational workflow. It will be embedded and you don’t have to toggle between screens or between software and systems.

    77.     Second, we will develop the IT platform to train and develop AI tools. As you know, AI capabilities are strictly speaking not developed or built. They emerge after being trained and continuously refined using real-life data. So as you train an AI model, sometimes they surprise us by doing things that we didn’t intend them to do, and their capabilities emerge.

    78.     This is done through a new platform called HEALIX, which stands for Health Empowerment through Advance Learning and Intelligent eXchange. It will enable the secure sharing of up-to-date, consistent and anonymised clinical, socio-economic, lifestyle, healthcare operations and genomic data.

    79.     With these data, HEALIX will train various AI and machine learning tools, including for predictive preventive care initiatives I mentioned earlier. HEALIX will be the AI technology factory of the healthcare system.

    Closing

    80.     Today’s speech verges on being esoteric but is probably the most significant I made this year. Because it is many years in the making, it is about the future, it is about a positive transformation of healthcare.

    81.      I speak before many learned and experienced participants. I hope what I have painted is a sufficiently ambitious plan that is befitting of the technological era that we are living in.

    82.      If I have, it is due to the work of many experts and agencies, over many years. We have been building this block by block, step by step – from EMR in one cluster, to two clusters, to three, and TRUST to Healthier SG and HEALIX – and now we have a strategic plan for the future.

    83.     We embarked on this journey because we have been compelled by necessity, for Singapore is ageing very fast and the status quo is unsustainable. Indeed, necessity is the mother of invention.

    84.     I hope this spirit of innovation and hunger will continue to grow in the healthcare sector and spread to every venture that Singapore embarks on. With this spirit and hunger, I hope we can achieve 15 million years of good life. Thank you very much and I wish you a successful conference. 

    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Prime Minister’s participation in the 21st ASEAN-India Summit in Lao PDR

    Source: Government of India

    Posted On: 10 OCT 2024 5:43PM by PIB Delhi

    The 21st ASEAN-India Summit was held in Vientiane, Lao PDR, on 10 October 2024. Marking a decade of India’s Act East Policy, Prime Minister Shri Narendra Modi joined ASEAN leaders to review the progress of ASEAN-India Comprehensive Strategic Partnership and chart the future direction of cooperation. This was Prime Minister’s 11th participation in the Summit.

    2. In his address, PM reiterated India’s support for ASEAN Unity, ASEAN Centrality and ASEAN Outlook on the Indo-Pacific. Calling the 21st century as the Asian century, he noted that India-ASEAN ties were critical to guiding Asia’s future. Emphasizing the vibrancy of India’s Act East Policy, PM noted that in the last ten years India-ASEAN trade had doubled to over USD 130 billion; ASEAN is today one of India’s largest trade and investment partners; direct flight connectivity established with seven ASEAN countries; promising beginning made with Fin-tech collaboration with the region; and significant progress made in restoration of shared cultural heritage in five ASEAN countries. PM underlined the need to complete the review of ASEAN-India FTA (AITIGA) in a time bound manner towards harnessing greater economic potential for the benefit of the ASEAN-India community. PM also spoke about the progress in India-ASEAN knowledge partnership through the scholarships provided to ASEAN youth at the Nalanda University.

    3. In keeping with the Chair’s theme of “Enhancing Connectivity and Resilience”, PM announced a 10-point plan which includes:

    i) Celebrating the year 2025 as ASEAN-India Year of Tourism for which India would make available USD 5 million towards joint activities;

    ii) To celebrate a decade of Act East Policy through several people centric activities including Youth Summit, Start-up Festival, Hackathon, Music Festival, ASEAN-India Network of Think Tanks and Delhi Dialogue;

    iii) To organise ASEAN-India Women Scientists Conclave under ASEAN-India Science and Technology Development Fund;

    iv) Doubling the number of scholarships at Nalanda University and provision of new scholarships for ASEAN students at Agricultural Universities in India;

    v) Review of ASEAN-India Trade in Goods Agreement by 2025;

    vi) Enhancing Disaster Resilience for which India would make available USD 5 million;

    vii) Initiate a new Health Ministers’ track towards building Health Resilience;

    viii) Initiate a regular mechanism of ASEAN-India Cyber Policy Dialogue towards strengthening Digital and Cyber Resilience;

    ix) Workshop on Green Hydrogen; and

    x) Invited ASEAN Leaders to join ‘Plant a Tree for Mother’ campaign towards building climate resilience.

    4. In the meeting, Leaders agreed to create a new ASEAN-India Plan of Action (2026-2030) that will guide both sides in realizing the full potential of the ASEAN-India partnership and adopted Two Joint Statements:

    i) Joint Statement on Strengthening ASEAN-India Comprehensive Strategic Partnership for Peace, Stability and Prosperity in the Region in the context of the ASEAN Outlook on the Indo-Pacific (AOIP) with the Support of India’s Act East Policy (AEP) – Leaders recognized the contribution of India’s Act East Policy in advancing the partnership between ASEAN and India. Full text of the Joint Statement can be accessed here.

    ii) ASEAN-India Joint Statement on Advancing Digital Transformation Leaders appreciated India’s leadership in the field of digital transformation and welcomed partnership with India in digital public infrastructure. Full text of the joint statement can be accessed here.

    5. Prime Minister thanked Prime Minister of Laos for successfully hosting the 21st ASEAN-India Summit and for his warmth and hospitality. Prime Minister also thanked Singapore for its constructive role as Country Coordinator over the last three years and looked forward to working with the Philippines, the new Country Coordinator for India.

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    MJPS/SR/SKS

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    MIL OSI Asia Pacific News

  • MIL-OSI Asia-Pac: Ministry of Health & Family Welfare celebrates World Mental Health Day and two years of Tele MANAS

    Source: Government of India (2)

    Ministry of Health & Family Welfare celebrates World Mental Health Day and two years of Tele MANAS

    Theme of this year’s World Mental Health Day Prioritises Mental Health at Workplace

    Tele MANAS Mobile App, WHO’s Tele MANAS Rapid Assessment Report and a Selfcare Module for Employees released

    Posted On: 10 OCT 2024 3:51PM by PIB Delhi

    The Union Health Ministry celebrated the completion of two years of National Tele Mental Health Programme, Tele Mental Health Assistance and Networking across States (Tele MANAS) on World Mental Health Day, here today. The theme of this year’s World Mental Health Day is: “It is time to prioritize Mental Health at Workplace”.

    Smt. Aradhana Patnaik, Additional Secretary, MoHFW & Managing Director, National Health Mission (NHM) launched the Tele MANAS app and Tele MANAS video call facility in the presence of Dr. Roderico H. Ofrin, World Health Organization (WHO) Representative to India, Shri Saurabh Jain, Joint Secretary, MoHFW, Dr. Partima Murthy, Director, National Institute of Mental Health and Neuro Sciences (NIMHANS) and other senior officers from the Ministry.

    Tele MANAS app is a comprehensive mobile platform that has been developed for providing support for mental health issues. The app has a library of information including tips on self-care, recognizing distress signals, managing early signs of stress, anxiety, and emotional struggles. It facilitates engagement of the user through mind challenges, games and mindfulness practices providing a user-friendly experience. The app will help users connect for free and get confidential mental health support through trained mental health professionals across India, 24×7 for immediate counseling.

    Video consultations in Tele MANAS is another upgrade to the already existing audio calling facility. This will be undertaken by the mental health professionals who are taking audio call escalations to get further information about the caller as part of history taking and clarification. This can also enable a brief physical examination or a Mental State Examination (MSE) for the caller to confirm any findings. This facility will be initially launched in the states of Karnataka, Jammu & Kashmir and Tamil Nadu and later scaled up to the whole country.

     

    In her inaugural address, Smt. Aradhana Patnaik stated that “Mental health is fundamental to health and plays a crucial role in enabling individuals, families and communities to function at their highest level, work productively and contribute to society. Unhealthy work environments and other unfavorable working conditions have an impact on one’s general health, well-being, mental health, and involvement or productivity at work. There is a need for creating a good work environment and work-life balance for more productive results in the workplace.”

     

    She stated that “Tele MANAS has reached a significant milestone, having handled over 14.5 lakh calls since its launch.”

    Underlining the importance of adolescent mental health and issues faced by the adolescent population, Smt. Patnaik stressed “the need for Information, Education, and Communication (IEC)  to ensure awareness about the Tele MANAS App”. 

    Talking about mental health in the workplace, Dr. Roderico H. Ofrin, WHO Representative to India, stated that issues like gender inequity, disrespectful unsupportive colleagues, lack of work-life balance, and job satisfaction lead to mental health challenges for the employees in the workplace. He emphasized the responsibility of employers and managers to create a supportive work environment.

    Congratulating the Ministry for two years with the successful implementation of Tele-MANAS, he stated that “WHO review of Tele-MANAS has shown a successful model for mental health. It has the potential to work well. The primary healthcare especially the Ayushmann Arogya Mandirs have proven to be successful in improving mental health and well-being of the people”. He also highlighted the importance of collective efforts of all stakeholders to enhance mental health at the workplace. 

    Tele MANAS reflects the government’s commitment to nurturing the nation’s mental well-being. The Tele MANAS toll-free helpline numbers 14416 or 1-800-891-4416 offer multi-language support in 20 languages and have been pivotal in facilitating communication between callers and mental health professionals.

    The Report of Tele MANAS rapid assessment by World Health Organizations (WHO) and a Selfcare Module for Employees titled ‘Taking charge of your mental health- because it matters” was also released at the event.

     

    In order to evaluate the performance and progress of Tele MANAS, a rapid assessment was organized by MoHFW in coordination with WHO India, World Health Organization (WHO) Regional Office for South-East Asia (WHO SEARO), WHO Headquarters & NIMHANS. The assessment was based on desk reviews of national data and primary data collected from four states/Union Territories- Jammu and Kashmir, Karnataka, Madhya Pradesh, and Odisha. The report appreciates the novel initiative of the Government of India and highlights some significant milestones achieved by Tele MANAS in providing mental health support and its robust technological architecture.

    The booklet ‘Taking Charge of Your Mental Health- Because It Matters” focuses on the efforts that individuals could make to maintain mental health and well-being. The booklet attempts to clear some of the misconceptions regarding mental health and offers a few strategies that individuals could try to explore by themselves. It also specifically focuses on stress arising out of difficult workplace situations.

     

    The event further had roundtable discussions with a variety of panelists coming from a diversified group of people that include Ministry of Health & Family Welfare, Ministry of Ayush, Ministry of Labour and Employment, Institutions such as National Institute of Mental Health and Neuro Sciences (NIMHANS), All India Institute of Medical Sciences (AIIMS) New Delhi, Institute of Human Behaviour and Allied Sciences (IHBAS), WHO, Industry associations such as Federation of Indian Chambers of Commerce & Industry (FICCI)/ Confederation of Indian Industry (CII) and NAT Health (Healthcare Federation of India), Development partners such as Program for Appropriate Technology in Health (PATH), organizations promoting wellness such as Art of Living Foundation and Arogya World, and Civil society organization like Jan Sahas.

    The topics discussed during the sessions included policies and frameworks to foster mental health resilience at workplaces; Mental Wellbeing at Informal Workplaces / Challenges, Opportunities, and Inclusive Solutions; and Preventive Mental Health- The Role of Holistic Practices in Promoting Well-being. The panelists also explored the role of Ayushman Arogya Mandirs (AAMs) & Tele MANAS in promoting mental health support. Furthermore, Union Health Ministry has sought active participation from other Ministries of the Government to implement employee engagement activities designed to support mental health in the workplace.

     

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    MV

    HFW/Tele MANAS app launched at World Mental Health Day Celebration/10th October 2024/1

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    MIL OSI Asia Pacific News

  • MIL-OSI Australia: Public health warning: viral gastroenteritis on the rise

    Source: New South Wales Health – State Government

    ​NSW Health is encouraging the community to stay on alert for symptoms of gastroenteritis, with testing and hospital data showing a significant rise in cases in recent weeks across the state.
    The increase is being driven by two pathogens which commonly cause vomiting and diarrhoea, rotavirus and norovirus. Rotavirus can be particularly severe in young children. Norovirus is common cause of outbreaks are common in residential aged care facilities, schools and child care centres.
    The latest testing data shows rotavirus notifications are at some of their highest levels in recent years.
    Director of NSW Health’s One Health branch Keira Glasgow said it’s important to reduce the spread of gastro before schools return next week.
    “Last week, there were more than 2,700 presentations to NSW emergency departments with symptoms of gastroenteritis. Presentations were particularly high in children who are under five years of age,” Ms Glasgow said.
    “The message to the community is clear – simple measures can help stop the spread of gastro. Maintaining good hand hygiene and keeping children at home when they are unwell will give us a good chance to slow the spread.”
    Viruses are spread from the vomit or stool (faeces) of an infected person. This can occur through close contact with unwashed hands, touching contaminated surfaces, when cleaning up body fluids, sharing of contaminated objects, consuming contaminated food or drink, and occasionally inhaling airborne particles when people vomit.
    Viral gastroenteritis symptoms include nausea, vomiting, diarrhoea, fever, abdominal pain, headache and muscle aches. They can take up to three days to develop and usually last between one or two days, and sometimes longer.
    Advice for parents and caregivers includes:

    Immunisation to prevent rotavirus infection is recommended and part of the childhood immunisation schedule. Immunisation is free for children under six months of age. The vaccine is given as two oral doses, at six weeks and four months of age, with completion of the course by 24 weeks of age.
    The main treatment for viral gastroenteritis is to rest and drink plenty of fluids. Most people recover without complications but more urgent care may need to be sought for infants, people with suppressed immune systems, and the elderly, who may experience more serious illness.
    View more information on how to prevent the spread of gastroenteritis.​

    MIL OSI News

  • MIL-OSI Security: Registered Sex Offender Arrested on Federal Charges Alleging He Targets & Exploits Local High School Students

    Source: Federal Bureau of Investigation (FBI) State Crime Alerts (c)

    COLUMBUS, Ohio – Law enforcement agents arrested a Columbus man this morning on federal charges alleging he sexually exploited high school girls and coerced them into engaging in commercial sex acts.

    Terrance P. Cummings, 29, has a criminal history of unlawful sexual conduct with minors dating back to 2016. In this case, Cummings’s federal child exploitation charge carries a mandatory minimum of 25 years and up to 50 years in prison and the coercion and enticement charge pending against him is punishable by at least 10 years and up to life in prison.

    The FBI asks anyone with information related to the criminal allegations against Cummings to text 740-428-0739.

    According to an affidavit filed in support of the criminal complaint, in July 2024, the Central Ohio Human Trafficking Task Force received information about a 16-year-old victim allegedly receiving gifts and illicit substances from Cummings in exchange for sex acts.

    The court documents allege Cummings had sex with numerous minor victims in exchange for drugs in addition to requesting nude images of them. On some occasions, Cummings would allegedly provide the drug to the minor victims before engaging in sex acts with them. It is alleged that Cummings sold or provided fentanyl, marijuana, Xanax, cocaine, acid and ecstasy. 

    While executing a search warrant at Cummings’s apartment in August, agents discovered a variety of narcotics, along with two iPhones submerged in the water tank on the back of the bathroom toilet, which Cummings had allegedly attempted to destroy after learning about the warrant.

    Cummings’s electronics and other accounts contained more than 18,000 sexual images and videos including child pornography. The investigation revealed that Cummings requested sexually explicit content in exchange for money, gifts and drugs.

    Cummings is charged with sexually exploiting a minor, distributing, receiving or possessing child pornography, coercion and enticement of a minor, and obstruction of justice. His case was unsealed today, and he appeared in federal court at 1:15pm.

    Kenneth L. Parker, United States Attorney for the Southern District of Ohio; Elena Iatarola, Special Agent in Charge, Federal Bureau of Investigation (FBI), Cincinnati Division; and Ohio Attorney General Dave Yost announced the charges. Assistant United States Attorneys Emily Czerniejewski and Jennifer Rausch are representing the United States in this case.

    The Central Ohio Human Trafficking Task Force was formed under Ohio Attorney General Dave Yost’s Ohio Organized Crime Investigations Commission, and includes resources from the Columbus Division of Police, Homeland Security Investigations, Delaware County Sheriff’s Office, Powell Police Department, Bureau of Criminal Investigations, The Ohio State University Police Department, Marysville Division of Police, Salvation Army, Southeast Healthcare, the Franklin County Prosecutor’s Office and the Delaware County Prosecutor’s Office.

    A criminal complaint merely contains allegations, and defendants are presumed innocent unless proven guilty in a court of law.

    # # #

    MIL Security OSI

  • MIL-OSI Security: Court Prohibits Two Texas Physicians from Prescribing Opioids and Imposes $1.2M in Civil Penalties for Alleged Unlawful Opioid Distribution

    Source: United States Attorneys General

    A federal court has prohibited two Dallas-area physicians from prescribing opioids and other controlled substances and imposed a total of $1.2 million in judgments against them in a case alleging the physicians violated the Controlled Substances Act (CSA), the Justice Department announced today.

    In a civil complaint filed in 2019 in the Northern District of Texas, the United States alleged that Cesar B. Pena Rodriguez M.D. and Leovares A. Mendez M.D. violated the CSA by issuing prescriptions for opioids and other powerful drugs outside the usual course of professional practice and not for a legitimate medical purpose. The complaint alleged that the defendants issued thousands of prescriptions without apparent regard for patient harm, including prescriptions for a combination of an opioid, a short-acting benzodiazepine, and a muscle relaxer — a dangerous and frequently-abused drug cocktail known as the “trinity.” In an order filed Oct. 8, the court imposed a $291,451 civil penalty judgment against Mendez in addition to a $914,021 civil penalty judgment against Pena Rodriguez entered earlier this year.

    “Prescribing opioids for no legitimate purpose betrays the trust placed in our medical professionals and significantly threatens the communities they serve,” said Principal Deputy Assistant Attorney General Brian Boynton, head of the Justice Department’s Civil Division. “The Justice Department will continue to use every available tool to stop doctors who fail to uphold their obligation to prescribe controlled substances lawfully.”

    “Doctors are charged with protecting and healing us when we are sick and vulnerable. Instead of healing vulnerable members of our community, these doctors sought to profit off of their addictions,” said U.S. Attorney Leigha Simonton for the Northern District of Texas. “The U.S. Attorney’s Office’s Civil Division, in conjunction with our partners in the Consumer Protection Branch, sought immediate injunctive relief to prevent these doctors from prescribing to addicts and have now terminated their ability to ever put their patients at risk in this way again.”

    “Peña-Rodríguez and Mendez were distributing deadly controlled substances mix known as the ‘trinity’ outside the course of a legitimate medical need, simply to get rich,” said Special Agent in Charge Eduardo A. Chávez of the Drug Enforcement Administration (DEA) Dallas. “Following our successful criminal prosecution, we issued a trinity of ourselves through not just criminal penalties, but now civil and administrative ones as well. Standards for our medical professionals must stay high because patients deserve a doctor they can trust. We will continue to partner with the U.S. Attorney’s Office to seek all avenues of justice and accountability against all medical providers who violate their code of conduct.”

    The defendants agreed to consent judgments to settle the allegations in the complaint. The orders entered by the court permanently prohibit Pena Rodriguez and Mendez from ever again prescribing, dispensing, administering or distributing controlled substances. The orders also bar them from holding DEA registrations or working at, supervising or owning a medical practice where controlled substances are present.

    In a separate criminal action, Pena Rodriguez previously pleaded guilty to one count of conspiracy to unlawfully distribute controlled substances. Mendez was found guilty at a jury trial of one count of conspiracy to distribute a controlled substances and six counts of unlawful distribution of controlled substances. Mendez was sentenced to seven years in prison. Dr. Pena Rodriquez was sentenced to two years in prison.

    The DEA investigated the case.

    Assistant U.S. Attorney Sarah Delaney for the Northern District of Texas and Trial Attorney Scott B. Dahlquist of the Civil Division’s Consumer Protection Branch prosecuted the case.

    The claims made in the complaint are allegations that the United States would need to prove by a preponderance of the evidence if the case proceeded to trial.

    MIL Security OSI

  • MIL-OSI USA: Rep. Watson Coleman Meets with Local Midwives and Doulas

    Source: United States House of Representatives – Congresswoman Bonnie Watson Coleman

    October 10, 2024

    Ewing, NJ (Thursday, October 10, 2024) – Today, as part of National Midwifery Week, Congresswoman Bonnie Watson Coleman (NJ-12) sat down with midwives, doulas, healthcare professionals, and their patients at the Children’s Home Society of New Jersey in Trenton. At the listening session, they discussed how healthcare is evolving, centering on the diverse needs of mothers, from education to advocacy to postnatal recovery, as well as the importance of culturally competent care. 

    “Midwives and doulas represent an important part of the broader team that helps mothers through the incredible journey that is bringing a child into the world,” said Rep. Watson Coleman. “Doulas and midwives help mothers every step of the way, from education to attending prenatal visits and serving as an advocate for the mother, helping the mother give birth, and assisting new mothers in those crucial first months of life. More and more families are turning to midwives and doulas for the special care they provide. I remain committed to ensuring well-trained, culturally competent doulas and midwives are available to the mothers who need them.”

    “Midwives in New Jersey applaud Congresswoman Bonnie Watson Coleman’s resolution recognizing the value of midwifery care with its proven positive outcomes,” said Dr. Julie Blumenfeld, Certified Nurse Midwife for Capital Health Prenatal Clinic in Trenton & President of NJ Affiliate of American College of Nurse Midwives. “Increasing access to midwifery care will contribute to improved maternal health outcomes and ensure equity for birthing people and their families in New Jersey and across the nation.”

    “We proudly and strongly support United States Congresswoman Bonnie Watson Coleman’s resolution honoring the life-saving work of certified nurse midwives,” said Donna C. Pressma, CHSofNJ President & CEO. “Every day, we witness certified nurse midwives and doulas’ caring, trained services producing for diverse pregnant and postpartum mothers more healthy full-term and full-weight births.”

    “Midwives are licensed clinicians who provide high-quality care that reduces maternal mortality rates. Pairing midwifery care with the support of a doula can further improve health outcomes for birthing people and their families,” said Armonie Pierre-Jacques, NJ Health Care Quality Institute (NJHCQI).  

    “For over 20 years, CHSofNJ has been committed to providing a continuum of services that ensure birthing people feel supported, respected, and treated with dignity,” said Socorro Garcia, CHSofNJ Mercer County Program Administrator, Family and Maternal Child Health Services. “Today’s listening session with Congresswoman Watson Coleman reinforces our shared dedication to be a voice for Central NJ families. Thank you, Congresswoman, for listening and for your continuous support.”

    “Working together with midwives to support pregnant women makes a difference for doulas; it’s beautiful, because everyone understands each other’s role in supporting the mother, and at the same time, we work as a team for the well-being of both the mother and the baby,” said Silvia Corado, CHSofNJ Program Administrator of Community Based Doula Programs.

    Children’s Home Society was able to train and hire an additional 26 doulas in part thanks to Community Project Funding directed by Congresswoman Watson Coleman in 2023.

    This week, Congresswoman Watson Coleman and Congresswoman Ashley Hinson (IA-02) introduced a resolution recognizing National Midwifery Week as October 6th through October 12th.

    MIL OSI USA News

  • MIL-OSI Global: R v. Kloubakov: Supreme Court of Canada ignores sex workers in case on sex work

    Source: The Conversation – Canada – By Vincent Wong, Assistant Professor of Law, University of Windsor

    The Supreme Court of Canada will soon hear a case, R v. Kloubakov, in which two men charged with financially benefiting from sex work are claiming the charges violate their Charter rights.

    The accused worked as drivers for sex workers in Calgary. A court in Alberta found them guilty of benefiting financially from prostitution and being parties to procuring women into the sex trade. They argue that Canada’s sex work laws criminalize people who work with sex workers in non-exploitative situations, and are therefore unconstitutional.

    While the appellants in this case are not sex workers themselves, the outcome greatly impacts sex workers and their rights because it could, among other things, undermine their security and ability to put in place safety measures. Migrants arrested under these laws also face the prospect of loss of status, detention and deportation.

    Nevertheless, the Supreme Court has chosen to exclude a national coalition of 23 sex worker organizations, the Canadian Alliance for Sex Work Law Reform (CASWLR), and two organizations that work with migrant sex workers (the Migrant Workers Alliance for Change and the Canadian Association of Refugee Lawyers.

    The court has concluded their views are irrelevant to the case at hand. This exclusion rehearses Canada’s longer history of excluding those connected with sex work based on race, gender and immigration status.

    Canada’s sex work law

    This case centres on the procurement and material benefits provisions in Canada’s criminal code. They are part of the Protection of Communities and Exploited Persons Act (PCEPA), which was passed in 2014 after the Supreme Court struck down previous provisions targeting sex work.

    PCEPA criminalizes “everyone who procures a person to offer or provide sexual services” and anyone “who receives a financial or other material benefit” from sex work, with certain exceptions.

    The law assumes that sex workers are victims and ignores their agency and labour. While being a sex worker is not directly made an offence, the law criminalizes the purchase of sexual services and thus renders illegal all commercial transactions for sex. Activists have argued that doing so has driven sex work further underground. Sex workers, and those wishing to purchase sexual services, must avoid police for fear of detection, apprehension and in the case of migrant women, deportation.

    Going underground means sex workers are at amplified risk of exploitation and physical harm because they have reduced bargaining power and cannot use safety measures, such as hiring third parties or implementing certain vetting and safety protocols in the spaces they would like to use, for fear of attracting the attention of police.

    CASWLR argues that the law’s criminalization of sex workers and third parties replicates and even exacerbates the harms of the former laws that the Court found violated sex workers’ Charter rights to security of the person.

    As a sex worker-led umbrella organization, CASWLR members have lived expertise and intimate knowledge of how these laws still harm sex workers in ways that can crucially inform the question of whether the laws are constitutional.

    Migrant sex workers

    Aside from direct criminalization, migrant sex workers may face additional and distinct consequences under immigration laws if they are charged, convicted or merely under criminal investigation. Migrant sex workers could lose their status in Canada, be detained and deported and be barred from re-entering the country. Further, it is not just sex workers themselves who are affected. Migrant third parties and their family members’ immigration status and future could be imperilled as well.

    These potential consequences may drive migrant sex workers to do their work in unsafe conditions to avoid detection by police and immigration enforcement. Sex workers are effectively forced into these precarious conditions because of the existing laws.

    In our view, loss of immigration status and deportation for engaging in non-exploitative, consensual activity are consequences of the current law that are not justified under the Charter because of the risks of violence and other harms that arise from avoiding detection.

    The Court, however, has decided it will not be considering this aspect at all and has excluded the only two organizations that work with migrant sex workers. The Court did grant intervener status to some organizations who will do a reasonable job in detailing some of the harms of the laws. However, none are sex worker-led and none represent migrant sex workers who may experience additional harms.

    The Supreme Court denied intervener status to these organizations because they perceived their interventions as providing new information that would unduly expand the case. Denying standing to these organizations, however, has the ultimate effect of not hearing from those directly impacted by the laws being examined.

    Courts are meant to consider the wider implications of how laws are interpreted, implemented and the potential ways they affect others. This is particularly important in constitutional challenges where it is both foreseeable and expected that legal decisions will have widely ranging effects on multiple groups.

    History of migrant exclusion

    Unfortunately, this exclusion is tied to the history of discrimination and stigmatization of Asian migrant sex workers, ostensibly for their own protection. Though many Canadians may have heard of Canada’s law that restricted Chinese immigration, including the infamous Head Tax, many may not know that it explicitly barred “any Chinese woman who is known to be a prostitute.”

    This law took influence from the very first immigration ban in the United States, the 1875 Page Act. This law barred the immigration of women from “any Oriental country” if they were “imported for the purposes of prostitution.” The exclusion and policing of Asian sex workers was justified by ideas of carceral humanitarianism, which proposes that exclusion and policing are a necessary way of protecting people from being trafficked.

    These so-called safety measures did not achieve either goal — in the past or present. Migrant sex workers who are directly targeted and harmed by the law were never directly asked what they desired or whether they needed saving.

    We see these long-standing patterns at work again today with the Supreme Court’s exclusion of migrant sex workers (and other sex workers) in R v. Kloubakov. The court is demonstrating that it has clearly not learned from history.

    When courts deny those most impacted by the law a hearing, they do not take into account all of the considerations they should. Cases can take years to reach the Supreme Court. When courts do take up the task to review law, it should welcome those directly affected by it, particularly when there are groups that have been traditionally marginalized from political and legal power.

    For courts to be effective, they must hear from those who can best explain how their rights are violated and excluded from the discussion. Trust in our justice system and our laws are diminished when those directly harmed by it have no say and no recourse.

    The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    ref. R v. Kloubakov: Supreme Court of Canada ignores sex workers in case on sex work – https://theconversation.com/r-v-kloubakov-supreme-court-of-canada-ignores-sex-workers-in-case-on-sex-work-240417

    MIL OSI – Global Reports

  • MIL-OSI Australia: Arrest – Stabbing incident – Parap

    Source: Northern Territory Police and Fire Services

    Northern Territory Police have arrested a 19-year-old woman following a series of random attacks in Parap yesterday evening.

    At around 6:15pm, police received multiple reports of the woman pursuing individuals with scissors and attacking them.

    Three victims suffered injuries during the incident. A woman in her 60s was taken to Royal Darwin Hospital by St John Ambulance with non-life-threatening injuries. A 70-year-old man and a 27-year-old man suffered minor injuries and were treated at the scene.

    CCTV operators monitored the situation in real time, enabling police to quickly locate and arrest the offender nearby. She was taken into custody and transported to Palmerston Watch House, where she has since been charged with 3 counts of Aggravated assault and one count of Going armed in public. She was remanded to appear in Darwin Local Court today. 

    Police are continuing their investigation and interviewing witnesses. Anyone who witnessed the incident, or was in the area, is encouraged to contact police at 131 444 or Crime Stoppers at 1800 333 000.

    MIL OSI News

  • MIL-OSI Australia: Arrest – Domestic violence – Karama

    Source: Northern Territory Police and Fire Services

    Northern Territory Police have arrested an adult female in relation to a domestic violence incident that occurred early this morning.

    Around 1:00am, police received reports that a 39-year-old woman had allegedly assaulted a male with an edged weapon.  

    Both the victim and the offender were later transported to Royal Darwin Hospital to receive treatment.

    The matter is under investigation by the Northern Domestic Violence Unit.

    The male and female are known to each other.

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

    MIL OSI News

  • MIL-OSI Canada: Government of Canada Passes Legislation for a First Phase of National Universal Pharmacare

    Source: Government of Canada News (2)

    Today, the Pharmacare Act received Royal Assent and immediately came into force. The Minister of Health will continue working with provinces and territories to reach bilateral agreements to provide universal, single-payer, first-dollar access to a range of contraception and diabetes medications.

    Pharmacare Act includes universal access to contraception and diabetes medications.

    October 10, 2024 | Ottawa, Ontario | Health Canada 

    Everyone in Canada deserves access to the medications they need, regardless of where they live or their ability to pay. Canadians should not have to choose between purchasing the medications that keep them healthy and putting food on the table.

    Today, the Pharmacare Act received Royal Assent and immediately came into force. The Minister of Health will continue working with provinces and territories to reach bilateral agreements to provide universal, single-payer, first-dollar access to a range of contraception and diabetes medications as the first phase of a national universal pharmacare program. These agreements will support reproductive freedom by providing up to nine million women and gender diverse people in Canada free access to contraception. Additionally, the 3.7 million people in Canada living with diabetes will have universal access to a suite of medications that reduce the risk of serious health complications and improve quality of life.

    The Act also requires that Canada’s Drug Agency develop a list of essential drugs and related products to inform the development of a national formulary, a national bulk purchasing strategy to help further reduce drug prices, and a pan-Canadian strategy on the appropriate use of prescription medications. The Government of Canada will consult with provinces, territories, Indigenous Peoples, and other partners and stakeholders about the path forward to improve the accessibility, affordability, and appropriate use of pharmaceutical products. The Act also requires that a committee of experts be established within thirty days to make recommendations on the operation and financing of national, universal, single-payer pharmacare in Canada. 

    Passing the Pharmacare Act is a crucial step forward to improve health equity, affordability, and outcomes, and will result in long-term savings to the health care system. The government is determined to work towards a plan where Canadians can obtain their medication as prescribed, regardless of where they live or if they can afford it. 

    • Many Canadians have no insurance for prescription medication or are under-insured. In 2021, Statistics Canada found that one in five adults in Canada did not have the insurance they needed to cover their medication costs.

    • On February 29, 2024, the Government of Canada introduced Bill C-64, An Act respecting pharmacare (Pharmacare Act).

    • In addition to providing access to a number of contraception and diabetes medications, the Act will also establish a fund for diabetes devices and supplies to help Canadians manage and monitor their diabetes and administer their medication. 

    • On December 18, 2023, the Government of Canada announced the creation of Canada’s Drug Agency with an investment of over $89.5 million over 5 years, starting in 2024-25. The Agency will help Canadians achieve better health outcomes by providing the dedicated leadership and coordination needed to make Canada’s drug system more sustainable and better prepared for the future. 

    • On March 22, 2023, the Government of Canada announced measures in support of the first-ever National Strategy for Drugs for Rare Diseases, with an investment of up to $1.5 billion over three years to help increase access to, and the affordability of, effective drugs for rare diseases. Bill C-64 commits to a model for long-term funding through bilateral agreements with provinces and territories, beginning with funding for the National Strategy for Drugs for Rare Diseases.

    • In August 2021, the Governments of Canada and Prince Edward Island (PEI) announced the Improving Affordable Access to Prescriptions Drugs Program that provides federal funding to PEI to improve access to prescription drugs and make them more affordable for Island residents. Since then, PEI residents have saved over $2 million in out-of-pocket costs on more than 230,000 prescriptions under PEI’s $5 copay program, which was launched in June 2023 and reduced copays for almost 60% of medications regularly used by Island residents. 

    Matthew Kronberg
    Press Secretary
    Office of the Honourable Mark Holland
    Minister of Health
    343-552-5654

    MIL OSI Canada News

  • MIL-OSI Australia: Address to Aspen Medical Foundation annual report launch, Canberra

    Source: Australian Treasurer

    I acknowledge the Ngunnawal people, on whose traditional lands we meet, and pay respect to all First Nations people here today.

    Thank you to Glenn Keys and his team for the invitation to address you and launch Aspen Medical Foundation’s first annual report.

    Some starting presumptions. If you’re here today, it is highly probable you’re a friend to the Foundation, perhaps as a contributor to its initiatives, or as a beneficiary of them.

    I will also presume you appreciate the role played by smart, innovative philanthropy in modern society.

    The role of reimagining what’s possible.

    This annual report demonstrates how Aspen Medical Foundation’s contributions have done just that.

    I was particularly moved by the story of Dr Tahni Derbin, one of the Foundation’s First Nations scholarship recipients, who graduated last year from Griffith University with a medical degree.

    Dr Derbin’s example highlights the resonance of philanthropy. How helping an individual can create changes that reverberate through communities to uplift, transcend and inspire.

    Working across 3 pillars of First Nations Health, Disability Health and Indo‑Pacific Health – the Aspen Medical Foundation has focused on big impacts.

    Since its establishment in 2008, the foundation has provided a way for Aspen Medical’s shareholders to allocate a percentage of profits to charitable causes – generating social impact and public good from the success of the company.

    Across a range of the Foundation’s initiatives I see a common thread – a goal of inspiring health care workers and young doctors to build community resilience and lasting human impact.

    It shows a belief that people might ultimately be the best health solution. Producing grounded, networked and well‑trained health workers and health advocates is an investment in human potential well beyond the direct recipients.

    Ambassadors who can change behaviour and build health knowledge in their day to day relationships as well as their professional lives, reaching across their extended families and their community.

    It’s a broad community based approach which sets of ripples of influence that go beyond purely medical outcomes.

    One of the best examples of this ripple effect is the Maalpa Young Doctors for Life program. This program, running in Perth and the South West regions of Western Australia, aims to turn students into health ambassadors. It takes students aged between 9 and 12 and gives them culturally appropriate teaching on how to set their own ‘health destiny’ and improve the outcomes for their family.

    The students are shown practical and hands‑on skills by Aboriginal elders, doctors and paramedics across a range of personal hygiene, mental health and nutrition – and this gives them the authority to shape better habits around them.

    This is a program deeply rooted in First Nations culture and it’s a charming and subtle approach to improving health among family groups in the region.

    But the foundation is also able to react quickly to global challenges, funding life‑enhancing prosthetics to victims of the catastrophic conflict in the Ukraine.

    These subtle and agile approaches to big problems show philanthropy at its smartest and most compassionate.

    Doubling giving by 2030

    Two years ago, when the Albanese government committed to double philanthropic giving by 2030, we envisaged ourselves as one participant in a partnership that also included the business, philanthropy and non‑profit sectors.

    That’s why we asked the Productivity Commission to undertake a once‑in‑a‑generation inquiry to examine the policy framework supporting philanthropy.

    The result was the Future Foundations for Giving report, which contains short‑ and long‑term recommendations to improve conditions for giving.

    What we’ve already done

    As many of you know, the government has been laying the foundations to improve conditions for giving.

    These changes are a clear signal of the government’s commitment to sectoral reform.

    We’ve made regulatory changes so the system works for charities, not against them.

    For example, we reduced red tape by giving the ATO responsibility of the deductible gift recipient application process for environmental organisations, harm‑prevention charities, cultural organisations, and overseas aid organisations.

    These types of charities will now spend fewer resources meeting requirements and more on pursuing charitable purposes.

    Second, we created a new deductible gift recipient category for ‘community foundations’. These are charities that directly support local and regional communities across Australia. The guidelines for the ‘community charity’ deductible gift recipient category will be made available for public consultation this year and I encourage everyone to have their say.

    Third, we gave new powers and resources to the Australian Charities and Not‑for‑profits Commission. It can now publish information about investigating misconduct allegations, which will improve transparency and accountability in the charity sector.

    Fourth, we established the not‑for‑profit–led Blueprint Expert Reference Group to identify priority areas for reform.

    The group is developing a blueprint to capitalise on the strengths and the experiences of not‑for‑profits around the country to chart a path to a better‑connected Australia.

    Closing remarks

    Let me finish by saying that I am sure you, like me, are excited to see what comes next from Aspen Medical Foundation. As well as from other philanthropic organisations like yours that are shaping the pathway to doubling giving by 2030.

    I am sure many of you are thinking about what comes next now that the Productivity Commission’s inquiry has been published.

    The double‑giving goal is not just a government objective – it’s a shared objective.

    I’d like to suggest that everyone asks themselves the same question. ‘How can I contribute to that goal?’

    The Productivity Commission’s recommendations, alongside the data contained in this first Annual Report, present Aspen Medical Foundation with the opportunity to ponder that question.

    And by taking the right steps, Dr Tahni Derbin will have many more fellow scholarship recipients and graduates working at her side by 2030.

    Thank you.

    References

    Aspen Medical Foundation (2024), Impact Report 2023/24, p 12.

    Aspen Medical (12 July 2024) Aspen Medical Foundation and Alcoa Foundation partner to being program empowering kids to become ‘Young Doctors’ to Western Australia [media release].

    MIL OSI News

  • MIL-OSI Canada: Government of Canada to provide an update on pharmacare

    Source: Government of Canada News

    Media advisory

    October 10, 2024, Ottawa, ON – The Honourable Mark Holland, Minister of Health will provide an update and answer questions from media about pharmacare.

    Date

    October 11, 2024

    Time

    7:30 AM

    Location

    The event will be held virtually only, on Zoom:

    https://hc-sc-gc-ca.zoom.us/j/63092931633
    Passcode: 716640

    To help ensure optimal sound quality, journalists are encouraged to use a microphone (headphones/headset) or, when possible, a landline, and to avoid using speaker mode if queuing up for questions.

    X: @GovCanHealth
    Facebook: Healthy Canadians

    Media Inquiries:

    Matthew Kronberg
    Press Secretary
    Office of the Honourable Mark Holland
    Minister of Health
    343-552-5654
    matthew.kronberg@hc-sc.gc.ca

    Media Relations
    Health Canada
    613-957-2983
    media@hc-sc.gc.ca

    MIL OSI Canada News

  • MIL-OSI United Kingdom: Plaid Leader sets sights on government with vision for healthier Wales

    Source: Party of Wales

    Plaid leader promises a government with both immediate impact and a vision for long-term change toward a healthier, wealthier Wales

    Plaid Cymru Leader Rhun ap Iorwerth MS will today address his party’s Annual Conference in Cardiff, criticising 25 years of Labour leadership and spelling out his vision for a healthier and wealthier Wales.

    Rhun ap Iorwerth MS will set out Plaid Cymru’s commitment to “break the cycle of short-term thinking which shortchanges Wales”. On key issues of the economy, education and health, he’ll promise action to implement immediate improvement but set out the need for longer term change that Wales desperately needs.

    In health that means a pledge that under a Plaid Cymru Government, spending on preventative health measures will increase every year.

    He will also announce that a Plaid Cymru Cabinet would include a Minister for Public Health, “ensuring a truly national mission of creating healthier lives which in turn deliver substantial savings.”

    Describing the NHS as “born on Labour’s watch” with a promise of a “rebirth under a Plaid Cymru government” Rhun ap Iorwerth MS is expected to say:

    “My government will break the cycle of short term thinking which shortchanges Wales.

    Unlike Eluned Morgan, I will acknowledge that some things are  broken but more importantly I’ll be determined that nothing is beyond repair.

    My government will not consider issues in isolation. Silo working helps no one when one decision so often affects another.

    Unlocking our economic potential will need major improvements in education attainment, but another bedrock of a healthy economy is a well Wales – its people active in body and mind.

    This year, as waiting lists grew – Labour for some inexplicable reason cut the amount it spends on preventative health policies.

    Friends, this is short-term thinking with long term pain guaranteed. It feeds the problem as opposed to solving it, putting further pressure on front line staff, filling our hospitals with ever sicker patients.

    Plaid Cymru will reverse the thinking, it’s something I’m determined to do , ensuring the NHS is fit for its centenary celebrations and beyond.”

    The Plaid leader will launch a new approach to preventative health as part of wider NHS changes by saying:

    “For too long, Labour’s priority has been managing people’s pain but I want to keep people healthy and I can announce that in the first 100 days of a Plaid Cymru government we will bring forward a new budget – based on the principles of a healthier, wealthier Wales – with a promise that spending on preventative health measures will increase every year

    No more sticking plaster, no more blaming the individual, no more passing the buck.

    This is grown-up government – taking responsibility, empowering people and protecting the NHS.

    And we have an enormous task ahead of us. On improving the NHS estate, we’ll go further than the last 8 Labour Health Ministers, clearing the emergency maintenance backlogs over the duration of the next Senedd term. Only this week, a critical incident was declared at the Princess of Wales Hospital in Bridgend because of serious long-term damage to its roof. We have to have an NHS estate fit for purpose!

    We’ll introduce a target focused cancer contract for every patient and reform the governance of the NHS, bringing standards back where they should be and waiting lists down.

    And with a new Minister for Public Health, we’ll put the ‘N’ back in the NHS – ensuring a truly national mission of creating healthier lives which in turn deliver substantial savings.

    Our treasured National Health Service – born on Labour’s watch, given a rebirth by the Plaid Cymru government I will lead.”

    MIL OSI United Kingdom

  • MIL-OSI New Zealand: Health warning of extreme risk for Lake Rotoroa (Hamilton Lake) lifted, though a health warning remains in place

    Source: Waikato District Health Board

    The Public Health warning of extreme risk for Lake Rotorua issued on 19th July 2024 has now been lifted. This is due to significant reductions in the concentration of cyanobacterial biovolumes, which earlier prompted the increased level of risk and vigilance. Please note a health warning still remains in place at Lake Rotoroa (Hamilton Lake), as cyanobacterial levels continue to be above the warning levels.

    Lakes Hakanoa, Waikare, Rotokauri, Whangape and Kainui also continue to have a cyanobacterial health warning in place.

    Dr Richard Vipond, Health New Zealand – Te Whatu Ora Medical Officer of Health for Waikato recommends that where cyanobacteria health warnings are in place, lakes should not be used for any activity that involves skin contact with the affected water.

    “Swallowing water from lakes affected by blooms should also be avoided,” said Dr Vipond.

    “Cyanobacteria can release toxins which can trigger asthma and hayfever symptoms, and can cause skin rashes, stomach upsets, and in some cases neurological effects such as tingling around the mouth, headaches, breathing difficulties and visual problems.

    “These symptoms may not appear until some time after contact with the affected water.

    “Scums are a particular risk because they contain a high level of toxins.  If contact with scum does occur, skin should be rinsed clean and clothing changed as soon as possible. This warning is particularly important for children.

    “If people do come into contact with the lake when warnings are in place, or any other lake where there are visible changes to water colour, they should shower and change their clothing as soon as possible afterwards, even if no symptoms are noticeable,” he said.

    Dog owners should prevent their dogs from drinking or swimming in the water, as dogs are particularly sensitive to cyanobacteria.

    Up-to-date information on cyanobacterial cell counts is available by visiting the Land Air Water Aotearoa (LAWA) website at https://www.lawa.org.nz/explore-data/waikato-region/

    National Public Health Service – Waikato would like to be informed about health problems that develop after exposure to any of the lakes with health warnings in place. Please contact on (07) 838 2569.

    MIL OSI New Zealand News

  • MIL-OSI Canada: ASEAN-Canada Joint Leaders’ Statement on Enhancing ASEAN Connectivity and Resilience

    Source: Government of Canada – Prime Minister

    We, the Member States of the Association of Southeast Asian Nations (ASEAN) and Canada gathered in Vientiane, Lao Peoples’ Democratic Republic on 10 October 2024, at the ASEAN-Canada Special Summit on Enhancing ASEAN Connectivity and Resilience, in support of the priorities of the Lao PDR’s ASEAN Chairmanship in 2024; 

    Recalling the establishment of an ASEAN-Canada Strategic Partnership on 6 September 2023 and REAFFIRMING our shared commitment to jointly address new challenges, including through cooperation in ASEAN-led mechanisms, such as the ASEAN Regional Forum (ARF); 

    Emphasising the importance of adhering to key principles, shared values and norms enshrined in the Charter of the United Nations (UN), the ASEAN Charter, the Treaty of Amity and Cooperation in Southeast Asia (TAC), and the 1982 United Nations Convention on the Law of the Sea (UNCLOS); 

    Recognising the long history of cooperation between ASEAN and Canada since the establishment of Dialogue Relations in 1977; 

    Noting that both the ASEAN Outlook on the Indo-Pacific (AOIP) and Canada’s Indo-Pacific Strategy share relevant fundamental principles in promoting an ASEAN-centred, open, inclusive, transparent, resilient, and rules-based regional architecture that upholds international law; 

    Acknowledging Canada’s support for ASEAN Centrality in the evolving regional architecture, which underscores Canada’s commitment to regional peace, security and prosperity and to ASEAN integration and ASEAN Community-building process; 

    Supporting this year’s ASEAN Chairmanship theme of “ASEAN: Enhancing Connectivity and Resilience”; 

    Noting that Canada, as G7 president in 2025, is keenly interested in ensuring that its presidency is informed by the views of ASEAN Member States; 

    We hereby declare our intention to:

    1. Expand collaboration through the ASEAN-Canada Strategic Partnership which will include a special focus in 2024-2025 on ASEAN-Canada digital cooperation, and an expanded Canadian commercial engagement in the ASEAN region. 
    2. Build on the Plan of Action to Implement the Joint Declaration on ASEAN-Canada Enhanced Partnership (2021-2025) and support the ASEAN Community Vision 2025, ASEAN Community Vision 2045 and its Strategic Plans as well as the implementation of the AOIP.

    Connectivity 

    Cooperation on Transforming for the Digital Future 

    1. Strengthen digital cooperation between ASEAN and Canada, noting Canada’s interest in becoming a Dialogue/Development Partner of the ADGSOM. 

    Cooperation on Integrating and Connecting Economies 

    1. Strengthen economic ties by increasing ASEAN-Canada trade and investment, including through Team Canada Trade Missions to the ASEAN region. 
    2. Promote greater regional economic integration, development, and resilience, including through the timely conclusion of an ASEAN-Canada Free Trade Agreement (ACAFTA) and underscore our shared commitment to a rules-based multilateral trading system; and achieve fair, open and free markets, as well as sustainable and inclusive economic growth and development. 
    3. Welcome the establishment of the Export Development Canada office in Jakarta, and planned expansion to other countries in Southeast Asia, striving to support Canadian companies doing business in Indonesia and other ASEAN markets through direct financing to Canadian exporters and investors and support local buyers involved in projects with Canadian content. 
    4. Welcome the establishment of FinDev Canada’s office in Singapore, which will accelerate the deployment of the corporation’s equity, financing, blended financing and technical assistance solutions in the region, enabling sustainable development and inclusive growth through the private sector. 

    Resilience 

    Environmental Cooperation 

    1. Support ASEAN’s objectives to enhance sustainable development, including strengthening resilience against climate risks, extreme floods and droughts, including through relevant ASEAN regional mechanisms, ASEAN centres, and institutions. 
    2. Advance ocean management initiatives in the region, in line with the ASEAN-Canada Plan of Action, including by supporting ocean and climate scientific research, promoting biodiversity protection and conservation initiatives, and monitoring and enforcement capacity. 

    Food Security 

    1. Advance technical cooperation by sharing best practices and capacity building in research and development on agricultural product and agri-food innovation in the agricultural sector to support long-term, reliable trade relationships and a stronger supply chain as outlined in the ASEAN-Canada Joint Leaders’ Statement on Strengthening Food Security and Nutrition in Response to Crises. 
    2. Welcome the establishment of Canada’s first Indo-Pacific Agriculture and Agri-Food Office in Manila which aims to strengthen ASEAN-Canada cooperation on food security and promote mutual trade objectives in the agriculture sector. 
    3. Explore possible cooperation to promote responsible fishing practices and to combat illegal, unreported and unregulated (IUU) fishing. 

    Cooperation on ASEAN Centrality 

    1. Promote maritime security and safety, freedom of navigation and overflight, unimpeded commerce, mutual trust and confidence, the exercise of self-restraint, the non-use of force or the threat to use force, and the resolution of disputes by peaceful means, in accordance with universally recognised principles of international law, including the 1982 UNCLOS, the relevant Standards and Recommended Practices of the International Civil Aviation Organisation, and the relevant instruments and conventions of the International Maritime Organisation. 
    2. Enhance cooperation in maintaining peace, security and stability, and addressing traditional and non-traditional security challenges in the region, including maritime security; transnational crime such as trafficking in persons, people smuggling, illicit precursor and drug trafficking; non-proliferation and disarmament; cyber security and cybercrime; international terrorism and violent extremism, with support from Canada’s capacity building efforts, including through the Anti-Crime and Counter-Terrorism Capacity Building Programs, and in alignment with the ASEAN Regional Forum and the ASEAN Senior Officials Meeting on Transnational Crime. 

    Cooperation on Women’s Empowerment and the Women, Peace and Security Agenda (WPS) 

    1. Commit to strengthen efforts in advancing the Women, Peace and Security (WPS) agenda globally, including through sharing of information and best practices, enhancing security related cooperation in the context of WPS within the ASEAN-led mechanisms, launching of a regional WPS initiative; advancing the Elsie Initiative for Women in Peace Operations and regionally, the ‘Empowering Women for Sustainable Peace’ initiative and cooperation with UN Women involving CAD8.5 million to support ASEAN-led efforts to advance the WPS agenda in ASEAN including support for the implementation and localisation of the ASEAN Regional Plan of Action on WPS. 

    Cooperation on Health Security Initiatives 

    1. Further promote health security and health system resilience through ongoing support for the ASEAN-Canada Mitigation of Biological Threats (MBT) in the ASEAN Region Program, including supporting the development and operationalisation of the ASEAN Leaders’ Declaration on Biosafety and Biosecurity and the ASEAN Centre for Public Health Emergencies and Emerging Diseases (ACPHEED) and other collaboration to enhance regional preparedness and response to future health crisis. 
    2. Further strengthen collaboration through the ASEAN-Canada MBT in the ASEAN Region Program to enhance capacities to prevent, detect and respond to all manner of biological threats, whether natural, accidental or deliberate in origin. 

    Cooperation on Disaster Management 

    1. Enhance cooperation between ASEAN and Canada to support the implementation of ASEAN Agreement on Disaster Management and Emergency Response (AADMER) Work Programme (2021-2025) and the next AADMER Work Programme, as well as strengthen collaboration with the ASEAN Coordinating Centre for Humanitarian Assistance on disaster management (AHA Centre). 

    Cross-Cutting Issues 

    1. Commit to consolidate the ASEAN-Canada partnership and strategic engagement through more frequent and meaningful dialogues at various levels. We welcome Canada’s support for ASEAN-led mechanisms and note its interest in joining the East Asia Summit (EAS) and the ASEAN Defence Ministers’ Meeting Plus (ADMM-Plus), subject to these mechanisms’ respective enlargement processes. 
    2. Strengthen Canada’s support for ASEAN’s increased engagement with international and multilateral fora, including the UN, the Organisation for Economic Co-operation and Development (OECD), the Asia-Pacific Economic Cooperation (APEC) and G20, and in Canada’s role as G7 president in 2025 to explore synergies and collaboration with ASEAN as it adopts the ASEAN Community Vision 2045 and its Strategic Plans. 
    3. Support ASEAN’s efforts in narrowing the development gaps, including through the implementation of the Initiative for ASEAN Integration (IAI) Work Plan IV (2021-2025) and its successor documents as well as sub-regional frameworks in the ASEAN region, which would contribute to promoting sustainable and equitable development and inclusive growth across the ASEAN Community by aligning sub-regional growth with the comprehensive development of ASEAN. 
    4. Recognise the importance of further enhancing regional connectivity, including through support for the implementation of the Master Plan on ASEAN Connectivity (MPAC) 2025 and its successor document and the ASEAN Connectivity Post-2025 Agenda, as well as promoting links and synergies with other relevant connectivity initiatives through ASEAN’s Connecting the Connectivities approach. 
    5. As we adopt this Joint Statement, we task our relevant officials to implement the above initiatives to complement the programmes and goals identified in the Plan of Action to Implement the Joint Declaration on ASEAN-Canada Enhanced Partnership (2021-2025) as well as the Joint Leaders’ Statement on ASEAN-Canada Strategic Partnership, based on mutual respect, mutual trust and mutual benefit. We reaffirm our commitment to our relationship, as ASEAN and Canada commence negotiations of the next iteration of the ASEAN-Canada Plan of Action (2026 – 2030). 

    MIL OSI Canada News

  • MIL-OSI China: Dozens killed as Israel continues offensives in Gaza

    Source: China State Council Information Office

    Two kids stand on the rubble of destroyed buildings in the city of Khan Younis in the southern Gaza Strip, Oct. 6, 2024. [Photo/Xinhua]

    Israel continued to pursue offensives in Lebanon and the Gaza Strip on Thursday, pressing forward with its military objectives on the two fronts.

    On Thursday evening, Israel launched heavy airstrikes on central Beirut, targeting Wafiq Safa, head of Hezbollah’s Liaison and Coordination Unit. The strike has resulted in at least 22 deaths and 117 injuries, according to the Lebanese Health Ministry.

    A huge fire erupted, and heavy smoke billowed from a building in al-Noueiri, a densely populated area of central Beirut, following the airstrike. Ambulances were dispatched to the scene, and crowds gathered near the targeted site, TV footage of Lebanese broadcaster Al Jadeed showed.

    In addition, Lebanese sources reported that during the afternoon and evening hours, Israeli warplanes launched 16 raids in southern Lebanon and nine more in eastern Lebanon, leaving 21 dead and 41 injured.

    Among the attacked individuals were six Lebanese soldiers who were wounded in an Israeli drone attack on a military checkpoint at the Hosh al-Sayyed Ali crossing in eastern Lebanon near the border with Syria.

    Also on Thursday, Hezbollah members hit an Israeli tank with guided missiles in southern Lebanon, the Lebanese armed group said, adding that the attack occurred as an Israeli infantry force backed by five tanks was advancing toward the Ras al-Naqoura axis.

    Meanwhile, the United Nations Interim Force in Lebanon (UNIFIL) said in a statement that two UN peacekeepers were injured after an Israeli tank fired on a watchtower in UNIFIL’s headquarters in Naqoura in southern Lebanon.

    Italian Defense Minister Guido Crosetto said at a news conference that the tank fire “was not a mistake and not an accident,” adding that the attack “could constitute a war crime and represented a very serious violation of international military law.”

    In a statement, the Israel Defense Forces accused Hezbollah of operating “from within and near civilian areas in southern Lebanon, including areas near UNIFIL posts.”

    On their southern front, Israeli forces launched Thursday a deadly airstrike on Rafida School near the headquarters of the Palestine Red Crescent Society in Deir al-Balah, a city in central Gaza, killing at least 28 Palestinians and injuring more than 54 others.

    The Israeli military said in a statement that it carried out a “precise strike” targeting militants inside “a command and control center” within the school compound.

    The strike took place as fighting between Hamas and Israeli soldiers continued in Gaza. The Al-Qassam Brigades, Hamas’s military wing, claimed Thursday that its fighters ambushed an Israeli army mechanized infantry company east of the Jabalia camp in northern Gaza, inflicting casualties among Israeli soldiers.

    According to the brigades, the company comprised 12 vehicles and trucks loaded with soldiers. “We detonated explosive devices in the Israeli vehicles before our fighters finished off the soldiers from zero distance,” it said.

    In a statement, Israel’s military confirmed three Israeli reserve troops were killed when an explosive device detonated, saying they “fell during combat in the northern Gaza Strip.” Enditem

    MIL OSI China News

  • MIL-Evening Report: What is pelvic organ prolapse and how is it treated?

    Source: The Conversation (Au and NZ) – By Jennifer King, Senior Clinical Lecturer, University of Sydney

    Halfpoint/Shutterstock

    As a urogynaecologist I care exclusively for women with pelvic floor problems. These are the women with leaking bladders and weak supporting tissues allowing the vaginal walls to bulge outside.

    Pelvic organ prolapse can be distressing or embarrassing and interfere with everyday activities. But it’s also common. For many women treatment is simple, effective and doesn’t involve surgery.

    What is it pelvic organ prolapse?

    Pelvic organ prolapse occurs when the supporting muscles and ligaments holding up the vagina are weakened, allowing the vaginal tissues to sag or stretch. The pelvic organs behind the vaginal walls – such as the bladder, bowel and uterus – can then drop out of position.

    One or more organ may be involved. But other than being out of position, there is not necessarily any problem with how these organs function.

    Prolapse is usually described according to which organ has dropped, for example “bladder prolapse” (cystocele). Severity is graded according to extent the vaginal wall has descended from its previous position.

    Prolapse can occur when the pelvic muscles holding organs in place are weakened.
    Pepermpron/Shutterstock

    What does it feel like?

    Most women don’t know an organ or organs have prolapsed until they notice a protrusion from the vaginal opening. They may feel a soft lump bulging in the vagina when they’re washing.

    Many simply feel aware “something is coming down”.

    Other women may notice they can’t trust their bladder not to leak when they’re jumping on a trampoline or running at the gym. Or perhaps they find it harder to keep a tampon in position than it was before children.

    How common is it?

    Prolapse is very common and its likelihood increases with age. Based on routine vaginal examination (for example, for cervical screening), easily 50% of women in developed countries will be classified as having prolapse. Most of these will have no symptoms at all.

    When defined by symptoms such as a vaginal bulge or difficulty passing urine, around 5% will have specific symptoms.

    What causes pelvic organ prolapse?

    Pregnancy and vaginal birth generally cause physical changes, such as relaxation of the vaginal tissues. For most women these are minor, but for some, prolapse can seriously impact quality of life.

    After pregnancy some women may find they need to adjust physical activities – particularly high impact exercise or repetitive heavy lifting – as this can make prolapse symptoms more noticeable.

    Women who give birth via caesarean section are less likely to experience prolapse and incontinence. However as caesareans have their own risk of serious complications, they can’t be recommended purely to avoid pelvic floor issues.

    After vaginal delivery, ageing is the second-most common cause of prolapse. This is because the strength of the pelvic floor deteriorates as we age and especially after menopause.

    Excessive weight lifting and high-impact exercise can also weaken these muscles.

    Chronic lung problems, diabetes, high cholesterol, constipation and obesity further increase the severity of prolapse and incontinence.

    Some women also have genetically poorer quality connective tissues, making them more at risk.

    How is it treated?

    Severe prolapse, which persistently extends through the vagina and causes significant discomfort, is often managed with surgery.

    But it is not always required. In developed countries, only 6-18% of those diagnosed with pelvic prolapse will have surgery.

    For milder cases, a clinician will usually recommend pelvic floor therapy.

    Specific exercises can help strengthen the pelvic floor during pregnancy and after child birth.
    Cerrotalavan/Shutterstock

    Structured pelvic floor muscle exercises (generally working with a therapist over time) are effective as an initial treatment when prolapse has occurred. Pelvic floor training during late pregnancy can also be used to treat and prevent further prolapse or urinary incontinence.




    Read more:
    Men have pelvic floors too – and can benefit when they exercise them regularly


    Interestingly, general body strength and fitness does not translate into strong pelvic floor muscles – only specific exercises do this. But keeping your weight under control and managing other health conditions can help reduce symptoms.

    Intravaginal support devices, called pessaries, can also substantially reduce symptoms. These are usually silicone rings or discs to help support the vaginal walls. They can be fitted by doctors, nurses or physiotherapists and can often be managed by women themselves.

    Pessaries are often made of silicone.
    Pepermpron/Shutterstock

    Prolapse can also cause mental health distress. Some women may find their body image suffers, and they may experience anxiety or depression which needs specific management.

    What does surgery involve?

    In severe cases, a clinician might recommend surgery if conservative management (such as pelvic floor muscle training) has been ineffective.

    Surgery can also be necessary in those uncommon cases where the prolapse is affecting kidney or bowel function. In these situations surgery can restore quality of life.

    Surgery for prolapse can be performed through the abdomen (usually keyhole approach) or vaginally. For most women, mesh is not required and the surgery involves reshaping and reattaching the stretched tissues to strong ligaments.

    Unfortunately this is not always successful, particularly when the tissues are very weak. Approximately 25% of women will need further surgery.

    In 2017, the Australian Therapeutic Goods Administration withdrew their approval for vaginal mesh products for prolapse, after safety concerns. There has since been a marked reduction in surgery for prolapse and urinary incontinence.

    However we have not seen a corresponding increase in non-surgical treatments, so we can only assume many women are simply not seeking treatment at all.

    We do need to continue working towards better and safer products to improve the durability of our pelvic floor repairs. But in the meantime we must also continue to provide individualised care for every affected woman.

    For many, maintaining pelvic floor strength and a healthy lifestyle will be enough to return to and enjoy their normal activities. The first step is to talk to your GP, who can explain what options will work best for you.

    Jennifer King is affiliated with the International Urogynecological Association – secretary

    ref. What is pelvic organ prolapse and how is it treated? – https://theconversation.com/what-is-pelvic-organ-prolapse-and-how-is-it-treated-239199

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI China: Agri-food system to be revamped

    Source: China State Council Information Office 2

    Researchers have seen a decline in consumer demand for grains and cereals in China and a rising interest in protein-rich and nutrient-dense foods, a change they said underscores the need to revamp the country’s agri-food system, which heavily relies on arable land.
    In 2022, food sourced from crop fields accounted for 83.5 percent of China’s total food consumption. In contrast, forest products contributed only 4.8 percent, grassland products 0.4 percent, aquatic harvests 1.5 percent and livestock 10 percent, according to agrarians and nutritionists from institutions such as China Agricultural University, Zhejiang University and the Chinese Center for Disease Control and Prevention.
    The researchers also highlighted additional structural challenges, including unsustainable production methods and a significant reliance on imports for items such as soybeans, which undermine the resilience of a populous nation’s food supply.
    The findings were published in the China and Global Food Policy Report 2024 during the World Agri-food Innovation Conference in Beijing.
    The report noted that by capitalizing on the food-yielding potential of forests, grasslands, rivers and lakes, China can conserve 6.5 million hectares of arable land and cut carbon emissions by 180 million metric tons, a 19 percent decrease from current levels.
    The researchers also proposed fostering the alternative protein industry, which focuses on creating protein-rich food sources not reliant on traditional animal agriculture. The aim is to alleviate pressure on water and soil resources and mitigate greenhouse gas emissions.
    They predict that by replacing 10 percent of pork and beef with plant-based meats and another 1 percent with lab-grown meat, as well as substituting 15 percent of milk from livestock with plant-based milk and using insect protein feed for 10 percent of soybean meal, livestock production could decrease by 8.2 percent and dairy production by 16.6 percent by 2035.
    This shift would lessen the demand for grains and soybean meal by 15.9 million tons and 9.23 million tons, respectively, while conserving 1.2 million hectares of arable land and reducing agricultural carbon emissions by 9 percent, the researchers said.
    “Alternative proteins hold significant promise in addressing environmental impacts and enhancing public health,” said Fan Shenggen, professor at the China Agricultural University, the lead author of the report.
    Fan said China, confronting environmental and health issues within its food systems, has the potential to spearhead global progress in alternative proteins. To translate these possibilities into tangible outcomes, he stressed the necessity of public investments in research and development, regulatory reforms, incentivizing the private sector and shifting consumption patterns.
    Bruce Friedrich, the founder and president of the Good Food Institute, a Washington-based think tank, said China has the potential to lead a global shift in protein sources, just as it has successfully promoted the expansion of renewable energy and electric vehicles.
    “The world is eating more and more meat, and that’s not going to change. But we can make that meat using science,” he said, adding plant-based and lab-grown meat could be a $1.1 trillion industry.
    Lasse Bruun, the United Nations Foundation’s director for climate and food, said by showcasing the socioeconomic and food security advantages of alternative protein, China could set a precedent for other BRICS+ nations.
    “We need to see a transition toward a global equitable and climate-safe consumption of animal products …and this transition will not be possible unless countries with excessive animal agriculture embrace alternative protein from plants, cells and fermentation,” he said.
    The report was published during a nationwide initiative to advocate for the idea of macro food, as China investigates novel protein and carbohydrate sources beyond traditional crops.
    In February, the most recent No 1 Central Document, a crucial annual policy declaration, reaffirmed its backing for deep-sea aquaculture. It called on local authorities to uphold a “macro food perspective”.

    MIL OSI China News

  • MIL-OSI Russia: Mental Health and Longevity: Older Muscovites Attend Psychology Classes

    MILES AXLE Translation. Region: Russian Federation –

    Source: Moscow Government – Government of Moscow –

    For project participants “Moscow Longevity” Psychology classes are organized. Together with professionals, they analyze various situations – from conflict resolution and building communication with relatives to questions on how to maintain motivation for personal development.

    “Psychology classes are becoming an alternative to personal therapy for project participants. In old age, the number of psychological needs for many increases: there is a desire to rethink life, strengthen relationships with grown-up children and grandchildren, and most importantly, to realize their own importance. Psychology is one of the priority areas of the project. According to the latest study, which we conducted jointly with the Research Institute of Health Organization and Medical Management of the Moscow Department of Health, project participants have a positive attitude towards psychological trainings and seeking help from specialists. This may indicate a high degree of trust among the older generation in the project’s classes and a desire to deal with psychological issues, to approach mental health consciously,” said the Deputy Head of the Department of Labor and Social Protection of the Population of the City of Moscow

    Vladimir Filippov.

    There are currently over 300 psychology groups open. The classes are attended by over 19,000 senior citizens. Teachers select topics for discussion based on the requests of the participants themselves.

    “The main goal of the classes is to give participants various techniques and practices that they can immediately begin to apply in life. In addition, the classes help not only the older generation, but also their children and grandchildren become happier. Adult family members play a major role in shaping the personality of children, and when grandparents can set an example with their behavior and correctly build communication with their grandchildren, this is a great contribution to their upbringing and future,” shared Olga Dobrynina, a psychology teacher at the Silver University of the Moscow Longevity project.

    Research by the Research Institute of Health Organization and Medical Management of the capital Department of Health and the Moscow Longevity project showed that its participants have a higher mental well-being index, are less prone to anxiety and consider themselves active in socio-cultural life. 76 percent of respondents are not afraid of developing mental disorders and believe that the main tools in preventing them are working on themselves and engaging in activities that support and develop cognitive functions.

    To university for knowledge, to yoga for health: what opportunities do older Muscovites haveSergei Sobyanin spoke about the capital’s active longevity systemThe number of Moscow longevity centers has increased to 134 — Sergei Sobyanin

    All interested senior citizens are invited to join the classes of the Moscow Longevity project. You can choose a group and sign up for the project on the portal mos.ruor by contacting any Moscow longevity center. The project offers more than 40 types of classes – from vocals and drawing to computer graphics and animation.

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.

    https://vvv.mos.ru/nevs/item/145090073/

    MIL OSI Russia News

  • MIL-OSI: The Mahjong Portal for Seniors. SharpMind Games, a gaming company from Christchurch, is announcing the launch of a new gaming portal.

    Source: GlobeNewswire (MIL-OSI)

    CHRISTCHURCH, New Zealand, Oct. 11, 2024 (GLOBE NEWSWIRE) — Christchurch gaming industry news

    New Zealand has its own online gaming portal for seniors with this new Mahjong portal designed primarily for elderly players aged 65+. The goal of this project was to create the best Mahjong game tailored to the specific needs of our senior audience, helping them easily interact with the game elements.

    According to the latest studies, Mahjong solitaire and other similar puzzle games, when played regularly, can help prevent neurological conditions associated with cognitive decline and may even enhance cognitive function. For instance, a study published in Frontiers in Neurology by the National Institute of Health demonstrated that playing Mahjong for 12 weeks improved executive function in elderly individuals with mild cognitive impairment (Zhang et al., 2020).

    The senior audience can significantly benefit from playing online puzzle games like Mahjong. However, many seniors find it difficult, or even impossible, to play modern browser games due to various challenges such as vision problems and limited hand or finger mobility. For example, vision problems can make it hard to distinguish game elements on the screen. Or it can be difficult, and sometimes even painful, to click mouse buttons due to limited finger mobility. In response, SharpMind created a web-site to allow the largest number of senior players to enjoy the game comfortably.

    The main factors considered during the development of the new product were the following:

    • Availability of special high-contrast modes for people with vision impairments,
    • Ability to scale elements and customize the interface to personal preferences,
    • Brightness and contrast adjustment options for UI and game board elements,
    • High-quality customer support, recognizing that elderly users may be less familiar with modern technical environments and may need patient, friendly assistance,
    • Additional features such as special tile layouts, relaxing music, and more.

    As a result, TheMahjong.com addresses all these needs, providing senior players with a highly comfortable Mahjong online gaming experience.

    TheMahjong.com is another great game for seniors joining alongside TheJigsawPuzzles.com in its home of New Zealand.

    According to Quantcast, their site TheJigsawPuzzles.com is the most popular entertainment website in the U.S. for people aged 65+, and it ranks among the top five overall websites in the U.S. for a senior audience.

    Contact information: yurilukas@shaprmind.com or call +64 21 157 6470

    A photo accompanying this announcement is available at 
    https://www.globenewswire.com/NewsRoom/AttachmentNg/4def66fc-5c87-43eb-aedd-7940440d03d5

    The MIL Network