Poland’s Health Ministry Clarifies Abortion Law After Woman’s Death

Poland’s Health Ministry issued instructions Sunday to doctors confirming that it is legal to terminate a pregnancy when the woman’s health or life is in danger, a directive that comes amid apparent confusion over a new restriction to the country’s abortion law.

The document addressed to obstetricians comes in reaction to the hospital death of a 30-year-old mother whose pregnancy was in its 22nd week. The woman died in September but her death became widely known this month. Doctors at the hospital in Pszczyna, in southern Poland, held off terminating her pregnancy despite the fact that her fetus lacked enough amniotic fluid to survive, her family and a lawyer say.

The doctors have been suspended and prosecutors are investigating.

Angered Poles held massive nationwide protests over the weekend, blaming the woman’s death on Poland’s restrictive abortion law. Women’s rights activists say it has a chilling effect on doctors in this predominantly Roman Catholic nation.

The ministry stressed it is in line with the law to terminate a pregnancy when the woman’s health is in danger, even more so in case of threat to her life. It included guidance in case of premature loss of the amniotic fluid.

“It should be clearly stressed that doctors must not be afraid to take evident decisions. stemming from their experience and the available medical knowledge,” the ministry said.

Until a year ago, women in Poland could have abortions in three cases: if the pregnancy resulted from a crime like rape, if the woman’s health or life was at risk, or in the case of irreparable defects of the fetus. That last possibility was eliminated a year ago, when the Constitutional Tribunal ruled it went against Poland’s law.

Source: Voice of America

High Winds Off Florida Delay Return of Space Station Crew

High wind off the Florida coast have prompted SpaceX to delay the return of four space station astronauts who have been in orbit since spring.

The U.S., French and Japanese astronauts were supposed to leave the International Space Station on Sunday, with their capsule splashing down in the Gulf of Mexico on Monday morning. But with gusts exceeding safety limits, SpaceX bumped the departure to Monday afternoon, with a nighttime return to conclude their six-month mission.

The good news is that their trip home will now last eight hours, less than half as long as before. The toilet in their capsule is broken, and so the four will need to rely on diapers while flying home.

SpaceX still is aiming for a Wednesday night launch, at the earliest, of their replacements. This flight also has been delayed by bad weather, as well as an astronaut’s undisclosed medical issue. The issue, described as minor, should be resolved by launch time, officials said.

Last week, SpaceX and NASA flipped the order of the launch and landing because of the deteriorating weather and the looming deadline to get the capsule back from the space station. SpaceX capsules are certified for a maximum 210 days in orbit, and the one there now is approaching 200 days.

Source: Voice of America

Broken Toilet Leaves SpaceX Crew Stuck Using Diapers

The astronauts who will depart the International Space Station on Sunday will be stuck using diapers on the way home because of their capsule’s broken toilet.

NASA astronaut Megan McArthur described the situation Friday as “suboptimal” but manageable. She and her three crewmates will spend 20 hours in their SpaceX capsule, from the time the hatches are closed until Monday morning’s planned splashdown.

“Spaceflight is full of lots of little challenges,” she said during a news conference from orbit. “This is just one more that we’ll encounter and take care of in our mission. So we’re not too worried about it.”

After a series of meetings Friday, mission managers decided to bring McArthur and the rest of her crew home before launching their replacements. That SpaceX launch already had been delayed more than a week by bad weather and an undisclosed medical issue involving one of the crew.

SpaceX is now targeting liftoff for Wednesday night at the earliest.

French astronaut Thomas Pesquet, who will return with McArthur, told reporters that the past six months have been intense up there. The astronauts conducted a series of spacewalks to upgrade the station’s power grid, endured inadvertent thruster firings by docked Russian vehicles that sent the station into brief spins, and hosted a private Russian film crew — a space station first.

They also had to deal with the toilet leak, pulling up panels in their SpaceX capsule and discovering pools of urine. The problem was first noted during SpaceX’s private flight in September, when a tube came unglued and spilled urine beneath the floorboards. SpaceX fixed the toilet on the capsule awaiting liftoff but deemed the one in orbit unusable.

Engineers determined that the capsule had not been structurally compromised by the urine and was safe for the ride back. The astronauts will have to rely on what NASA describes as absorbent “undergarments.”

On the culinary side, the astronauts grew the first chili peppers in space — “a nice morale boost,” according to McArthur. They got to sample their harvest in the past week, adding pieces of the green and red peppers to tacos.

“They have a nice spiciness to them, a little bit of a lingering burn,” she said. “Some found that more troublesome than others.”

Also returning with McArthur and Pesquet: NASA astronaut Shane Kimbrough and Japanese astronaut Akihiko Hoshide. SpaceX launched them to the space station on April 23. Their capsule is certified for a maximum 210 days in space, and with Friday marking their 196th day aloft, NASA is eager to get them back as soon as possible.

One American and two Russians will remain on the space station following their departure. While it would be better if their replacements arrived first — in order to share tips on living in space — Kimbrough said the remaining NASA astronaut will fill in the newcomers.

Source: Voice of America

Restoring Mexico’s Mangroves Can Shield Shores, Store Carbon

When a rotten egg smell rises from the mangrove swamps of southeast Mexico, something is going well. It means that this key coastal habitat for blunting hurricane impacts has recovered and is capturing carbon dioxide — the main ingredient of global warming.

While world leaders seek ways to stop the climate crisis at a United Nations conference in Scotland this month, one front in the battle to save the planet’s mangroves is thousands of kilometers away on Mexico’s Yucatan Peninsula.

Decades ago, mangroves lined these shores, but today there are only thin green bands of trees beside the sea, interrupted by urbanized areas and reddish segments killed by too much salt and by dead branches poking from the water.

A few dozen fishermen and women villagers have made building on what’s left of the mangroves part of their lives. Their work is supported by academics and donations to environmental groups, and government funds help train villagers to organize their efforts.

The first time they came to the swamp for seasonal restoration work was more than a decade ago with Jorge Alfredo Herrera, a researcher at the Center for Research and Advanced Studies of the Mexican Polytechnic Institute in Yucatan. He told them the mangroves needed a network of interlaced canals where fresh and salt water would mingle.

To dig them was a hard work and paid only $4 a day. Men from Chelem, a fishing village of Progreso, turned down the job but a group of women took it on, believing they could accomplish a lot with little money.

Recently, after an intense rainy season, the women worked to finish the second part of the restoration process: planting young mangroves in a swamp near this port city. Under the sun, they chuckled, remembering the time they encountered a crocodile and barely managed to run away.

Then they placed 20-inch mangrove seedlings into mounds of mud held together by mesh, creating tiny islands about a yard (meter) square.

“The happiest day is when our plants take,” said 41-year-old Keila Vázquez, leader of the women who now are paid $15 a day and take pride in putting their “grain of sand” into the planet’s well-being. “They are like our children.”

GLOBAL THREAT TO MANGROVES

This mangrove restoration effort is similar to others around the globe, as scientists and community groups increasingly recognize the need to protect and bring back the forests to store carbon and buffer coastlines from climate-driven extreme weather, including more intense hurricanes and storm surges. Other restorations are underway in Indonesia, which contains the world’s largest tracts of mangrove habitat, Colombia and elsewhere.

“Mangroves represent a very important ecosystem to fight climate change,” said Octavio Aburto, a marine biologist at Scripps Institution of Oceanography in San Diego, California.

While the tropical trees only grow on less than 1% of the Earth’s land, he said, “on a per-hectare basis, mangroves are the ecosystem that sequesters the most carbon … They can bury around five times more carbon in the sediment than a tropical rain forest.”

Yet around the globe, mangroves are threatened.

From 1980 to 2005, 20% to 35% of the world’s mangrove forests were lost, according to the U.N. Food and Agriculture Organization.

From 2000 to 2016, the rate of loss declined as governments and environmental groups spotlighted the problem, but destruction continued — and about 2% of the world’s remaining mangrove forests disappeared, according to NASA satellite imagery.

In Mexico, as in much of the world, the largest threat to mangroves is development. The region near Cancun lost most of its historic mangroves to highways and hotels starting in the 1980s.

Tracts of mangroves on the country’s southern Pacific coast also have been cleared to make room for shrimp farming, while oil exploration and drilling in shallow waters off the Gulf of Mexico threatens mangroves there, said Aburto.

Mexico began to protect some of its mangroves only after the excessive tourism development of the 1980s. And although Mexico took steps to establish a climate action plan in 1998 and was one of the first developing countries to make voluntary commitments under the Paris Climate Accord, its commitment to the environment began to backslide in 2015, said Julia Carabias, a professor on the science faculty at the National Autonomous University of Mexico.

In the past six years, Mexico has cut resources for environmental conservation by 60%, according to Carabias.

And that, combined with increasing government support of fossil fuel energy and ongoing infrastructure and tourist projects in the region, is sounding alarms.

Despite the country’s monitoring system, local researchers say that for every hectare (2.5 acres) of mangrove restored in southeast Mexico, 10 hectares are degraded or lost.

EFFORTS TO SAVE SWAMPS

The halting efforts in Mexico to protect and restore mangroves, even as more are lost, mirror situations elsewhere. The U.N. Food and Agriculture Agency estimated in 2007 that 40% of Indonesia’s mangroves had been cut down for aquaculture projects and coastal development in the previous three decades.

But there have been restoration efforts as well.

In 2020, the Indonesia government set an ambitious target of planting mangroves on 600,000 hectares (1.5 million acres) of degrading coastline by 2024. Key ministries are involved in restoration efforts that include community outreach and education.

Yet there have been some setbacks. Precise mapping and data on mangroves is hard to come by, making it difficult for agencies to know where to concentrate. Newly planted mangroves have been swept out to sea by strong tides and waves. Community outreach and education have been slowed by the COVID-19 pandemic.

In Mexico, successes exist, even if they are slow in coming.

Manuel González, a 57-year-old fisherman known as Bechá, proudly shows off recovering mangroves in the seaside community of Dzilam de Bravo, about 60 miles (97 kilometers) east of Progreso. He walks through mud, avoiding the interlaced mangrove roots that burrow into it. Some trees are already 30 feet (9 meters) tall.

In 2002, Hurricane Isidoro devastated this area, but after a decade of work, 297 acres have been restored. The fisherman says that now storms don’t hit the community as hard. And the fish, migratory birds, deer, crocodiles and even jaguars have returned.

But the mangroves face a new risk, as stumps scattered among the trees attest.

“In 10 years, you have a very nice mangrove for someone with a chainsaw to come and take it,” González said. “That’s something that hurts me a lot.”

Cutting mangroves has been a crime since 2005, but González says authorities shut down and fine projects, only to have them later reopen.

The Yucatan state government said it is aware of complaints of illegal logging yet the harvest has only grown.

While more funds are needed for protection and restoration, some communities prefer to think about how to make conservation a profitable activity.

José Inés Loría, head of operations at San Crisanto, an old salt harvesting community of about 500 between Progreso and Dzilam, thinks the way to make the local mangrove part “of the community’s business model” is using the new financial tools such as blue carbon credits.

Those instruments, already in use in Colombia and other countries, allow polluting businesses to compensate for emissions by paying others to store or sequester greenhouse gases.

Some in Mexico say credits are still not well regulated in the country and could invite fraud and scams. But Loria defends them. “If conservation doesn’t mean improving the quality of life of a community, it doesn’t work.”

Source: Voice of America

South Korea Showed How to Contain COVID, Now It Will Try to Live With It

Seats are once again packed at professional baseball games in South Korea. Just as in pre-pandemic times, fans can drink beer and eat fried chicken. They can clap their hands, stomp their feet, and wave inflatable noisemakers to support their team.

What they are not allowed to do, though, at least not yet, is shout or sing fight songs, a key feature of Korean baseball crowds.

“If you shout a lot, the virus will leak through your mask,” Prime Minister Kim Boo-kyum pleaded with fans on a radio show this week, after crowds were seen as being too vocally supportive of their teams during tense playoff games.

It is a microcosm of how life is going in South Korea: basically, things are returning to normal, but they are not quite there yet.

Although South Korea never locked down during the coronavirus pandemic, it was never fully open either, especially as the country has battled a fourth wave of infections since July.

However, starting this week, the government rolled out the first step of its “living with COVID-19” plan. Bigger crowds can now gather in Seoul. Restaurants and cafes, including those that serve alcohol, are no longer subject to a nighttime curfew. Sports fans have returned to stadiums and arenas.

Barring setbacks, South Korea will phase out all social distancing rules by the end of February, two years after the country experienced one of the world’s first COVID-19 outbreaks.

South Korea’s COVID-19 approach has unquestionably been a success so far. It is one of very few countries to avoid both mass lockdowns and mass deaths.

Now, after outperforming its global peers at nearly every stage of the pandemic, South Korea hopes it can demonstrate how to live with COVID-19.

A cautious opening

For starters, few in South Korea are declaring victory. That is in contrast to countries such as the United States and Britain, where leaders announced independence from the virus and quickly eased social distancing, only to see the delta variant sweep through their populations, killing tens of thousands more in each country.

“The goal here is to set up a system where the government can relax the restrictions, but at the same time has criteria for moving back,” said Jerome Kim, director-general of the International Vaccine Institute in Seoul.

There are good reasons for caution. Although over 75% of South Koreans are vaccinated, the number of daily confirmed COVID-19 cases has not fallen since the fourth wave began.

“We do, I think at this point, have a realization that the vaccines are doing what they’re supposed to do, which is preventing severe disease, hospitalization, and death. But they don’t necessarily prevent infection,” Kim said.

Officials have repeatedly warned the opening up could be reversed. And they say some precautions, such as mandatory facemasks, may be around for the foreseeable future.

South Koreans seem receptive. According to a recent poll by Seoul National University, about 49% of South Koreans have mixed feelings about the loosened restrictions. Twenty-seven percent think it will be impossible to ever stop wearing masks, according to a survey by Gallup Korea.

Getting public support

Unlike many countries, South Korea has seen almost no domestic backlash to its pandemic approach.

Businesses largely complied with mandatory curfews. There has been no successful anti-vaccine movement. Virtually everyone wears masks, even when running alone outside on empty paths.

That public buy-in has been at the heart of South Korea’s COVID-19 success, according to public health experts. Not only has it given authorities more anti-pandemic tools, those tools are less coercive and more precise.

For instance, no vaccine mandates have been necessary; about 90% of adults have received the COVID-19 vaccine. Mass lockdowns, too, are unheard of; during the pandemic it has always been possible to go shopping or eat at a restaurant.

Perhaps the most invasive tool is South Korea’s system of contact tracing.

Using cellphone, credit card, and other personal data, authorities can quickly determine where those infected with COVID-19 have gone and who they may have contacted.

The contact tracing only became possible after South Korea’s National Assembly loosened privacy laws following a public outcry over the government’s handling of a deadly 2015 outbreak of Middle East respiratory syndrome, or MERS.

“I think there are a number of choices that people here have made in order to have freedom, which is really what it is,” Kim said.

Moving ahead

As South Korea makes the transition toward living with the virus, it will continue to use many of those same tools, which have become a part of daily life.

Customers at every restaurant in Seoul are required to check in either via their phones or on a sign-up sheet at the counter. Temperature checks remain at the entrance of almost every business. Soon, electronic vaccine passes will be required to enter sporting events, concerts, and other large venues.

Some health experts caution that new standards may be necessary for defining COVID-19 success, though.

While many news outlets continue to focus on the number of confirmed daily cases, it will soon be important to pay attention to more meaningful measurements, such as the number of intensive care unit beds available or the number of serious illnesses.

“Even if there are 10,000 confirmed cases, it will still be more important to know the number of serious cases or what the fatality rate is,” said Chun Eun-mi, a respiratory disease specialist at Ewha Womans University Medical Center in Seoul.

Experts also warn inconsistencies may need to be addressed as authorities figure out the best path to follow.

During a previous round of social distancing, many South Korean newspapers mocked the strangely specific guidelines for Seoul fitness centers, which were prohibited from playing music with a tempo higher than 120 beats per minute. Joggers were also prevented from running faster than 6 kph on the treadmill.

More recently, Korean baseball fans are the ones questioning the rules against cheering. Why are they allowed to attend baseball games, they ask, but remain forbidden to vocally support their team?

South Korean officials insist that cheering may be allowed during future rounds of opening up.

For now, South Korea’s prime minister asked fans, “please reduce your shouts by just a little.”

Source: Voice of America

Pfizer: COVID-19 Pill Cuts Risk of Severe Disease by 89%

U.S. pharmaceutical company Pfizer announced Friday its new COVID-19 pill showed an 89% reduction in risk of COVID-19-related hospitalization or death in clinical trials and they plan to submit the drug to U.S. regulators for emergency use approval.

In a release Friday, Pfizer said the latest clinical trials of its pill, Paxlovid, featured a randomized, double-blind study of non-hospitalized adult patients with COVID-19 who are at high risk of progressing to severe illness.

The company said interim analysis of the oral antiviral showed an 89% reduction in risk compared to a placebo in patients treated within three days of symptom onset.

Pfizer said it has received an independent data monitoring committee recommendation to pause enrollment in the Phase 3 trial due to the overwhelming efficacy demonstrated in the latest results.

The company plans to submit the data as part of its ongoing application to the FDA for Emergency Use Authorization as soon as possible.

Pfizer is now the second drug manufacturer to develop an oral treatment for COVID-19. U.S. company Merck last month introduced its COVID-19 pill, which clinical studies showed to provide a 50% reduction in hospitalizations and deaths due to COVID-19. It has been submitted to the FDA, and the federal agency is scheduled to rule on it late this month.

Currently, all COVID-19 treatments approved in the United States require injection or intravenous drip. Pills have the advantage of being distributed by pharmacies and taken at home.

Britain’s Medicines and Healthcare products Regulatory Agency approved Merck’s pill, known as Molnupiravir, Thursday. The European Union’s drug regulator, the European Medicines Agency (EMA), said it would speed up its review of the Merck pill, and is prepared to give advice to individual EU member states so they can make the pill available for emergency use ahead of the EMA authorization.

When Merck’s pill was submitted for approval last month, White House Coronavirus Response Coordinator Jeff Zients said the U.S. government had already arranged to buy 1.7 million doses of the pill, with an option to acquire more if needed.

Source: Voice of America