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Opinion: Biden’s bout with Covid provides a sharp contrast to the situation with Trump

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Opinion: Biden’s bout with Covid provides a sharp contrast to the situation with Trump
His sickness on this time of vaccines and new therapies supplies a pointy distinction to the state of affairs former President Donald Trump confronted when, in early October 2020, only a month earlier than the presidential election, he, too, was identified with the illness. His situation is believed by many consultants to have been far more worrisome than his employees let on on the time, a posture abetted by Trump’s stiff higher lip and insistence he was “doing very effectively.”

Leaving to others a consideration of the 2 males’s comparatively totally different governing kinds in addition to their ranges of obvious religion in scientific info, their sicknesses, simply 21 months aside, present a superb alternative to match the accessible medical choices in addition to the frustrations introduced by a brand new illness in its first months to a a lot better-studied illness effectively into its third yr.

There are three fundamental variations between these two presidents’ experiences with the illness.

At first is the supply of a number of vaccines, which had been in scientific trials and never but accessible to Trump within the autumn of 2020. Not like the vaccinated Biden, his predecessor had no immunity to the virus, which put him at considerably increased threat for extreme sickness. Biden’s vaccinations place him in a bunch at extraordinarily low threat for severe an infection, even for an individual in his late 70s. .
Whether or not you consider that Trump was sicker than he initially acknowledged when he contracted the virus, or he was merely getting the presidential remedy, early intervention could have made all of the distinction for him. The remedy he acquired undoubtedly helped him — and anybody else lucky to obtain the Covid-19 “cocktail,” which was a significant advance at the moment. In October 2020, this “cocktail” included intravenous monoclonal antibody remedy, corticosteroids (dexamethasone) and remdesivir, an intravenous antiviral drug.
In distinction, Biden has entry to Paxlovid, a more recent antiviral oral medicine that’s taken twice day by day for 5 days. The most important benefit that Biden has, although, is his vaccination standing: he’s twice vaccinated and twice boosted.
Subsequent is the bodily situation of every man on the time of his prognosis. Trump was 74 years previous in late 2020, greater than 5 years youthful than Biden is now; with every passing yr, the danger of extreme sickness will increase, even among the many vaccinated. We have no idea a lot about Trump’s general health or whether or not he has any comorbidities, apart from that he’s chubby, which is a well known threat for a worse consequence from Covid-19. Biden has no publicly recognized comorbid situations that will predispose him to a extra severe an infection (although we do know that Biden was taking medicine meant to decrease ldl cholesterol in addition to drugs to forestall blood clots which may have an effect on his well being). On stability, I see no clear benefit to both president primarily based on their general well being.
Lastly, the virus of October 2020 was a special variant than the one circulating now. Although we have no idea which variants contaminated both president (we could discover out in Biden’s case within the coming days), the dominant variant within the US on the time of Trump’s an infection was the unique pressure, which many consultants suppose precipitated extreme illness as a consequence of intrinsic virulence (exacerbated by a scarcity of vaccines), resulting in the astonishing first wave of deaths and hospitalizations.
In distinction, the present dominant pressure is Omicron subvariant BA.5, which is extra transmissible than the unique virus from 2020. Nevertheless it’s not but clear how BA.5 measures up by way of the severity of illness it causes, and till that’s higher understood, it is inconceivable to match Trump’s expertise to Biden’s.
Trying on the huge image, 2022 is a a lot better time to develop the illness than was 2020. Biden’s 21-second video, shot quickly after his prognosis was introduced exhibits him talking lengthy, relaxed sentences — not the type of huffing and puffing one can see in somebody with a extreme respiratory an infection.

Nevertheless, although the percentages for a great consequence are closely in Biden’s favor, the unhappy fact about prediction fashions is that they’re fantastic for anticipating how massive teams of individuals will fare however can solely ship a “chance” to the person affected person.

And, as we now have realized all through the pandemic, a chance, although reassuring, is just not the identical as a promise. As a health care provider, I all the time inform sufferers that I hope they’ve probably the most boring illness course potential. This, too, is my want for Biden: Mr. President, right here is hoping for a brilliant boring subsequent few days.

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Photos: Pacific Palisades Wildfire Engulfs Homes in an L.A. Neighborhood

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Photos: Pacific Palisades Wildfire Engulfs Homes in an L.A. Neighborhood

A fire in Los Angeles grew with dizzying speed on Tuesday and by the afternoon had engulfed many homes in Pacific Palisades, an affluent coastal neighborhood on the city’s west side.

The fire grew from 300 acres to almost 3,000 by the evening. It was fueled by a fierce windstorm, and the worst could be yet to come: Gusts of up to 100 miles per hour, the strongest Southern California has seen in a decade, were forecast through Wednesday.

The evacuation of Pacific Palisades, home to about 24,000 people and many celebrities, stalled traffic along Sunset Boulevard. Some people abandoned their vehicles and escaped on foot. The Los Angeles Fire Department said it would use a bulldozer to move about 30 abandoned vehicles.

“By no stretch of the imagination are we out of the woods,” Gov. Gavin Newsom said at a news conference on Tuesday afternoon.

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Indonesia places a $28bn bet on free school meals

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Indonesia places a bn bet on free school meals

This article is part of the FT’s Financial Literacy and Inclusion Campaign joint seasonal appeal with Magic Breakfast

Before dawn in the highlands of West Java, dozens of kitchen staff are hard at work making free meals for more than 3,000 schoolchildren in the Indonesian town of Warungkiara.

From 3am, as rain pours outside, employees arrive at a kitchen in a one-storey building to chop and cook hundreds of kilogrammes of fruit, vegetables, rice and eggs. From about 7am, when the town’s children start heading to schools, the kitchen is ready to begin distributing food to students.

Warungkiara’s kitchen is a pilot project. Thousands like it will be rolled out across the country beginning this month as part of President Prabowo Subianto’s flagship programme to provide free lunch for all school children and pregnant mothers. 

Fully implemented, it will be one of the world’s largest free meals programmes, reaching more than 82mn people at an estimated cost of $28bn a year.

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It is a sum expected to strain Indonesia’s already-stretched government finances. But Prabowo, who took office in October, has touted the programme as a solution to improve children’s nutrition and boost local economies — which he hopes will have a ripple effect on economic growth and development in the world’s fourth most-populous country.

“This is a long-term investment in human capital,” said Dadan Hindayana, head of the newly created national nutrition agency, which will oversee the free meals programme. 

“Children who have never seen balanced meals will get to enjoy [such meals] at least once a day, every day. It will impact their growth,” he told the Financial Times in an interview in Jakarta. 

Nasrudin, a field co-ordinator for the free nutritious meal programme © Mas Agung Wilis Yudha Baskoro/FT
Yuni Munggaranti stands in the kitchen, holding a tray with compartments containing various food items.
Yuni Munggaranti, a nutritionist working with the programme © Mas Agung Wilis Yudha Baskoro/FT

Dadan also said the programme would boost productivity across Indonesia as the government increases sourcing of food products.

That could help Prabowo meet his ambitious goal of boosting annual growth from 5 per cent to 8 per cent — though economists say other reforms and investments are also needed.

Prabowo promised the free lunches during his election campaign, but the pledge was dismissed by critics as a populist measure. However, others say there are real benefits, particularly for children’s health and academic performance.

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Stunting — impaired growth and development in children from poor nutrition and repeated infections — has been an issue in Indonesia for decades. Government data shows the prevalence of stunting dropped from 37 per cent in 2013 to 21.5 per cent in 2023, but it remains a problem with longer-term impact. 

The OECD says stunting can lead to lasting impairments to physical and cognitive abilities, as well as disadvantages for health, life expectancy, skills and jobs.

It says infant malnutrition has contributed to poor education performance in primary schools: in 2022 as in previous years, Indonesian students scored significantly worse than the OECD averages in mathematics, reading and science.

The free lunch programme, along with other efforts, “will better prepare children for learning and growing”, the OECD said in a report in November.

A worker in a test kitchen prepares meals by distributing a mixture, possibly scrambled eggs, into compartmentalised trays
The kitchen feeds about 3,000 students every day © Mas Agung Wilis Yudha Baskoro/FT

The pilot project at Warungkiara, a town of 66,000, got under way shortly before Prabowo won February’s presidential election, and illustrates the kind of social and economic impact that the government hopes to trigger. 

Run by a think-tank called Indonesia Food Security Review, which is advising the government on how to implement the programme nationally, it employs about 50 people including cooks, drivers and cleaners. It distributes meals to 20 schools, six days a week. A nutritionist helps design the meals.

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Pahmi Idris, the kitchen manager, said the pilot project had created local jobs and boosted income for staff who were previously housewives, unemployed or worked in the informal sector. All produce is sourced from local farmers and suppliers, Pahmi said.

“Locals who previously did not have income now work here,” he told the FT. Farmers, hawkers and small retailers in the town have seen their income double and farmers are expanding to meet the kitchen’s demand, he added. 

Fahmi Idris stands in a kitchen in Warungkiara Village
Kitchen manager Pahmi Idris: ‘Locals who previously did not have income now work here’ © Mas Agung Wilis Yudha Baskoro

Schools that receive the free meals also said they had seen an improvement in attendance.

“Over time, the absence rate has been decreasing. This also influences the learning process,” said Iswah Ismatullah, principal at the Himmatussalam Islamic high school, which has 109 students.

Primary school head Atmaja, who goes by one name, said some students take a portion of the free meals home to share with siblings or their parents, most of whom are farmers or do odd jobs. 

The Warungkiara kitchen is seen as the benchmark for the programme’s national rollout, but expansion across the vast archipelago of 17,000 islands will face many challenges.

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Indonesia will have to avoid the pitfalls seen in India, which runs the world’s largest free meals programme, catering to 118mn students. Indian government officials and others say the programme has been mismanaged in some places.

Setting up kitchens, sourcing food and distribution in some remote islands could also prove difficult. Dadan from the national nutrition agency said the government could rope in the police, military and non-governmental organisations to help. Indonesia plans to set up nearly 30,000 kitchens, each serving about 3,000 students, when the programme reaches full scale by 2027.

“This is a massive programme that will need the involvement of all parties,” he said.

Two young students smile and enjoy a free lunch
Students at Warungkiara have a free lunch of noodles and vegetables © Mas Agung Wilis Yudha Baskoro/FT

Another big hurdle is finance. An average meal is expected to cost Rp10,000 per day, and the total $28bn cost is expected to include setting up the kitchens and other operational costs.

Indonesia has budgeted Rp71tn ($4bn) for the first year of the programme, but expanding it will test Jakarta’s fiscal strength. Rating agencies say more borrowing could hurt the country’s credit rating.

“The gradual rollout of the free meal programme may add to some recent pressures on Indonesia’s government finances,” said Thomas Rookmaaker, head of Asia-Pacific sovereigns at Fitch Ratings.

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On a recent visit to China, Prabowo signed an agreement with Beijing to support funding for the programme, though the governments did not provide details. 

Any fiscal strains are a distant concern in Warungkiara. Eneng, who works in the pilot kitchen, said the programme had helped increase her family’s income.

“This (kitchen] really helps. The women around here previously did not have any income. Now that we’re working here, we can help our husbands and children,” she said, peeling garlic along with other women in preparation for the next day’s meals.

“As for our children, we are assured that they will have healthy meals. It gives parents peace of mind.”

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Palisades fire: 'Worst is yet to come' as winds gain speed

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Palisades fire: 'Worst is yet to come' as winds gain speed

Firefighters are in for a long and dangerous night battling the Palisades fire as fearsome winds are forecast to grow even stronger and could hinder efforts to fight the blaze by air.

The fire ignited at Piedra Morada Drive at 10:30 a.m. and — fueled by intense wind gusts — had scorched 2,921 acres by early evening, forcing more than 30,000 residents to flee their homes. The extreme wind event blasting Southern California is forecast to peak between 10 p.m. Tuesday and 5 a.m. Wednesday, posing a serious challenge to overnight efforts to combat the growing blaze.

“This event is not only not over, but it is just getting started and will get significantly worse before it gets better,” UCLA climate scientist Daniel Swain said in a briefing just after 4 p.m. Tuesday.

The strongest and most widespread winds are “yet to come,” Swain said, as is the lowest humidity.

Winds were expected to pick up into the evening, possibly making an air attack unfeasible if sustained wind speeds break 30 to 40 mph, said L.A. County Fire Chief Anthony Marrone around 4 p.m. Tuesday.

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Although it might be frustrating for residents to see firefighting aircraft grounded, extreme winds can make those efforts less effective, as water or retardant that is dropped is immediately dispersed by the wind, said Gov. Gavin Newsom, who visited the site of the Palisades fire Tuesday.

“We can be up there all day, making people feel good,” he said, “but we’re not doing any good.”

The combination of extreme winds and critically low humidity create a dangerous recipe for new fires to break out overnight.

“We are anticipating — hopefully we’re wrong — but we’re anticipating other fires happening,” said Newsom, adding that the state had strategically positioned resources in areas of high fire risk.

Swain echoed the governor, saying, “Unfortunately, I do think that is likelier than not that that does, in fact, occur.”

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By around 6:30 p.m. Tuesday, that prediction had come true as a fire broke out in the foothills of Pasadena and quickly grew to 20 acres, according to Pasadena spokeswoman Lisa Derderian. The Pasadena Fire Department was on scene and concerned about the potential for rapid spread amid the fierce winds.

Another fire broke out Tuesday night in the hills above Altadena near Eaton Canyon. The fire has burned around 400 acres by 8:14 p.m. and prompted evacuations in the area west of the Eaton Canyon Golf Course, according to the U.S. Forest Service.

Meanwhile, the Palisades fire continued to charge forward, threatening thousands of homes and scores of businesses.

On Tuesday afternoon, crews were racing to save the Getty Villa and Palisades Charter High School from flames lapping their grounds. The Reel Inn, a seafood restaurant that has been a Malibu institution for more than three decades, appears to have burned in the fire.

The National Weather Service predicts that the ongoing windstorm will be the most destructive to have hit the Los Angeles region since 2011.

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The weather service issued a “particularly dangerous situation” warning for extreme fire danger in wide swaths of Los Angeles and eastern Ventura counties, prior to the ignition of the Palisades fire. That warning is set to expire Thursday.

Although the worst of the winds are expected Tuesday night and Wednesday morning, fire danger will remain high throughout the week.

“The vegetation will become progressively drier the longer the wind event goes on,” said Swain. “So some of the strongest winds will be at the beginning of the event, but some of the driest vegetation will actually come at the end, and so the reality is that there’s going to be a very long period of high fire risk.”

Recent rainfall patterns are exacerbating the fire danger, said Alex Hall, director of the UCLA Center for Climate Science.

“Southern California has experienced a particularly hot summer, followed by almost no precipitation during what is normally our wet season,” he explained. “And all of this comes on the heels of two very rainy years, which means there is plenty of fuel for potential wildfires.”

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Climate change has a part to play in this particularly dangerous event, Swain said.

There’s not much evidence that climate change has increased the likelihood of extreme wind events. There is evidence, however, that it is increasing the overlap between these wind events and periods of extremely dry vegetation conditions during what would typically be the wet season, he said.

Newsom echoed the sentiment that fire danger is no longer contained to a fire season.

“We were here not too long ago [for] the Franklin fire and, a few weeks prior to that, the Mountain fire,” he said. “November, December, now January — there’s no fire season. It’s fire year. It’s year round.”

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