Science
Russia spread anti-vax lies in Ukraine. Will it cause a COVID crisis for Europe?
Lengthy earlier than Russia launched its navy assault on Ukraine, its residents had been focused for years by one other Russian marketing campaign — one designed to undermine confidence in Western vaccines and the governments providing them to their residents.
The anti-vaccine messages have been actively inspired by President Vladimir Putin’s authorities, broadcast by Russian state tv, and amplified on social media by Russian laptop bots. The offensive was half of a bigger effort to sow division inside fledgling democracies and heighten suspicion of the West throughout Jap Europe and the previous Soviet republics.
In Ukraine, the seeds of vaccine skepticism fell on significantly fertile floor. Simply 35% of residents are totally vaccinated in opposition to COVID-19, and just one% extra are partially vaccinated — among the many lowest such charges in Europe, based on knowledge from Oxford College. Childhood immunizations for ailments like measles and polio are among the many continent’s lowest as nicely.
That provides public well being officers cause for fear as greater than 3.6 million Ukrainian refugees have poured into different nations and thousands and thousands extra are displaced inside Ukraine, usually hunkered down in crowded, frigid locations with out clear water or electrical energy.
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“COVID doesn’t want crowded refugee camps to thrive,” stated Dr. Chris Beyrer, the director of the Heart for Public Well being and Human Rights on the Johns Hopkins Bloomberg Faculty of Public Well being. “Crowded gyms, crowded buses and crowded trains will probably be sufficient.”
The flight of refugees by way of historical past has incited warnings that they carried illness and pestilence — prices sparked extra usually by xenophobic hysteria than reality. Throughout Europe, nonetheless, hostility towards Ukrainian refugees has been just about absent, and public well being specialists have aired their issues fastidiously to keep away from compounding refugees’ trauma.
Many Ukrainian refugees have been settled away from the congested borders, the European Centre for Illness Prevention and Management stated in a latest bulletin. However as rising numbers of Ukrainians get backed up at receiving facilities, “there’s a larger threat of communicable illness outbreaks,” the ECDC warned.
COVID-19 is excessive on the listing of worries.
Ukrainians’ dismal vaccination charge should overstate their degree of safety, Beyrer stated. That’s as a result of the COVID-19 vaccines made out there to them have assorted of their effectiveness in opposition to the Omicron variant, and the minority who’re totally vaccinated are most unlikely to have gotten boosters, which provide the perfect safety in opposition to extreme illness. And just about none of Ukraine’s youngsters have been vaccinated in opposition to COVID-19.
However the coronavirus is much from the one concern. Sizable minorities have additionally eschewed tried-and-true vaccines in opposition to polio and measles, placing refugees — and to a lesser extent, their new hosts — at an elevated threat of outbreaks as they cram into tight locations, stated Dr. Gabriele Fontana, UNICEF’s regional well being advisor for Europe and Central Asia.
Having low vaccination charges in opposition to preventable ailments could seem to be the least of Ukrainians’ worries proper now. Russia’s bombardment of hospitals and civilian facilities has killed a minimum of 1,035 individuals, together with greater than 112 youngsters, and introduced the care of individuals with life-threatening and power sicknesses to a halt.
Nonetheless, illness outbreaks may compound the miseries of Ukrainians, pose challenges for the nations that shelter them and add to the warfare’s demise toll.
It will “add to the litany of woes,” Beyrer stated.
Past that, the refugee disaster may gas a contemporary wave of COVID-19 in Europe, specialists stated.
Austria, Germany, the Czech Republic and Slovakia — 4 nations which might be taking in tons of of hundreds of displaced Ukrainians — are already experiencing a serious resurgence of recent coronavirus infections, pushed largely by the hyper-contagious “stealth Omicron” variant. Hungary additionally has seen a big uptick in new circumstances in latest days.
Including to the danger is the truth that a lot of Ukraine’s neighbors have low vaccination charges as nicely. Slovakia, Romania, Moldova and Bulgaria all have charges round 50% or under.
The ECDC has suggested nations accepting Ukrainian refugees to supply eligible adults and kids a jab of COVID-19 vaccine in the event that they haven’t been vaccinated, or a booster if they’ve. To scale back outbreaks at reception facilities, the ECDC additionally means that displaced Ukrainians be examined upon arrival or, if testing isn’t out there, that individuals with COVID-like signs be “triaged and managed as attainable circumstances, with applicable supportive care.”
There’s little proof that any of that’s occurring at crowded border crossings, and Fontana expressed skepticism in regards to the knowledge of providing vaccines whereas many households are in transit, given the opportunity of fevers and achiness that always comply with an inoculation.
Final fall, as COVID-19 deaths in Ukraine hovered close to 100,000 and fewer than 20% of his countrymen have been immunized, President Volodymyr Zelensky spoke up. He blamed social media propaganda fueled by Russia and begged Ukrainians to decide on vaccination.
Ukrainians have to “change off social networks and switch in your mind,” Zelensky stated. Getting vaccinated “is the one resolution,” he added.
His appeals largely fell flat in Ukrainian cities and villages, stated Kateryna Odarchenko, a political advisor who has carried out focus teams about vaccine skepticism throughout the nation.
“Individuals consider completely in misinformation, and so they don’t consider the federal government,” Odarchenko stated.
Ukrainians’ vaccine hesitancy is hardly restricted to COVID-19.
In 2021, simply 53% of Ukrainian infants have been vaccinated in opposition to polio of their first yr of life, and the nation skilled outbreaks in 2015 and 2021. The reappearance of polio in a area that had been declared “polio-free” in 2002 spurred an aggressive vaccination marketing campaign that was nonetheless underway when Russia’s navy attacked. At this time, 76% of Ukraine’s youngsters are thought of totally vaccinated in opposition to polio, however that also leaves practically 1 in 4 weak to a illness that may paralyze youngsters and trigger demise or lifelong incapacity.
The virus that causes polio is unfold by way of oral-fecal publicity, which makes it a potent risk to Ukrainian youngsters hiding from the Russians in basements and subway stations with out plumbing or correct sanitation.
Measles are one other concern. Ukraine’s low vaccination charge led to nearly 100,000 circumstances and 31 deaths amongst youngsters there between 2017 and early 2019, and it drove a resurgence of measles that unfold throughout Europe. At this time, 87% of Ukrainian youngsters are totally vaccinated in opposition to measles — nicely under the 98% that public well being specialists say is required to stop outbreaks.
Polio and measles are much less doubtless than COVID-19 to comply with refugees out of Ukraine as a result of a lot of their host nations have pretty excessive childhood vaccination charges, Fontana stated. However those who share Ukraine’s vaccine skepticism — significantly Moldova, Romania and Bulgaria — may very well be be in peril.
When not saved in examine by vaccines, measles outbreaks are likely to recur each three years, he added. For the reason that final outbreak led to 2019, this may very well be the yr the illness returns.
UNICEF will deal with this threat by providing measles and polio vaccinations to Ukrainian refugees who need them, Fontana stated.
“With out stigmatizing refugees … is it price doing catch-up vaccinations in Ukrainians fleeing the combating? Sure,” he stated. “Does the inflow of refugees improve the danger of outbreaks in a few of the nations they’re fleeing to? Sure, marginally.”
There’s, nonetheless, a glimmer of hope that Ukrainians’ resistance to vaccination could ease as European governments open their doorways to refugees.
Vaccine resistance in Ukraine is deeply rooted in an “epic mistrust” of the federal government in Kyiv, stated College of Pennsylvania anthropologist Kristen Ghodsee. Years of corruption and mismanagement had such a corrosive impact that solely 14% of Ukrainians polled in December 2020 stated that they had confidence of their authorities.
“Getting vaccinated requires belief,” she stated. “You need to consider that the medical institution … really cares and can deal with you.”
The sympathetic welcome Ukrainians are getting from neighboring nations could nicely elicit the belief they’ve withheld from their very own authorities.
“In the event that they’re in a refugee camp scenario, that’s a horrible public well being threat, and persons are going to be anxious about their youngsters,” Ghodsee stated. “On condition that the European Union has bent over backwards to deal with them, I think about a whole lot of Ukrainians will in the end, possibly reluctantly, say sure” to vaccines.
Science
How to protect yourself from the smoke caused by L.A. wildfires
You don’t have to live close to a wildfire to be affected by its smoke. With severe winds fanning the fires in and around Pacific Palisades, the Pasadena foothills and Simi Valley, huge swaths of the Southland are contending with dangerous air quality.
Wildfire smoke can irritate your eyes, nose, throat and lungs. The soot may contain all kinds of dangerous pollutants, including some that may cause cancer. The tiniest particles in smoke can travel deep into your lungs or even enter your bloodstream.
Conditions like these aren’t good for anyone, but they’re particularly bad for people in vulnerable groups, including children, those with asthma or other respiratory conditions, people with heart disease and those who are pregnant.
Here’s what you should know to keep yourself safe.
Stay indoors
Minimize your exposure to unhealthy air by staying inside and keeping your doors and windows shut.
If you have a central heating and air conditioning system, you can keep your indoor air clean by turning it on and keeping it running. Make sure the fresh-air intake is closed so that you’re not drawing in outdoor air.
Keep your pets inside
They shouldn’t breathe the unhealthy air either.
Check your air filters
Clean filters work better than dirty ones, and high-efficiency filters work better than regular ones. The California Air Resources Board and the South Coast Air Quality Management District recommend filters with a MERV rating of 13 or higher.
You might consider using portable high-efficiency air cleaner in a room where you spend the most time. The U.S. Environmental Protection Agency has information about them here, and CARB has a list of certified cleaning devices here.
Don’t pollute your indoor air
That means no burning candles or incense. If your power is out and you need to see in the dark, you’re much better off with a flashlight or headlamp.
If you’re cold, bundle up. This is not the time to start a cozy fire in the fireplace. Don’t use a gas stove or wood-fired appliances, since these will make your indoor air quality worse, not better, the AQMD says.
The CDC also advises against vacuuming, since it can stir up dust and release fine particles into the air.
Take care when cleaning up
You don’t want your skin to come into contact with wildfire ash. That means you should wear long sleeves, pants, gloves, socks and shoes. The AQMD even wants you to wear goggles.
If you’re sweeping up ash outdoors, get a hose and mist it with water first. That will keep it from flying up in the air as you move it around. Once the ash is wet, sweep it up gently with a broom or mop. Bag it up in a plastic bag and throw it away.
It’s a good idea to wash your vehicles and outdoor toys if they’re covered in ash. Try not to send ashy water into storm drains. Direct the dirty water into ground areas instead, the AQMD advises.
Those with lung or heart problems should avoid clean-up activities.
Discard spoiled food…
If you lost power for a significant length of time, the food in your refrigerator or freezer may be spoiled.
Food kept in a fridge should stay safe for up to four hours if you’ve kept the door closed. If you’ve been without power for longer than that, you’ll need to toss all perishable items, including meat, poultry, fish, eggs, milk and cut fruits and vegetables. Anything with “an unusual smell, color, or texture” should be thrown out as well, according to the U.S. Centers for Disease and Control Prevention.
Refrigerated medicines should be OK unless the power was out for more than a day. Check the label to make sure.
…even if it was in the freezer
Your freezer may be in better shape, especially if it’s well-stocked. Items in a full freezer may be safe for up to 48 hours if it’s been kept shut, and a half-full freezer may be OK for up to 24 hours. (The frozen items help keep each other cold, so the more the better.)
If items have remained below 40 degrees Fahrenheit (4 degrees Celsius) or you can still see ice crystals in them, they may be OK to use or refreeze, according to the federal government’s food safety website.
Ice cream and frozen yogurt should be thrown out if the power goes out for any amount of time. Meat, poultry, seafood, eggs, milk and most other dairy products need to go if they were exposed to temperatures above 40 degrees F for two hours or longer. The same goes for frozen meals, casseroles, soups, stews and cakes, pies and pastries with custard or cheese fillings.
Fruit and fruit juices that have started to thaw can be refrozen unless they’ve started to get moldy, slimy or smell like yeast. Vegetables and vegetable juices should be discarded if they’ve been above 40 degrees F for six hours or more, even if they look and smell fine.
Breakfast items like waffles and bagels can be refrozen, as can breads, rolls, muffins and other baked goods without custard fillings.
Consider alternative shelter
If you’ve done everything you can but your eyes are still watering, you can’t stop coughing, or you just don’t feel well, seek alternative shelter where the air quality is better.
Hold off on vigorous exercise
Doing anything that would cause you to breathe in more deeply is a bad idea right now.
Mask up outdoors
If you need to be outside for an extended time, be sure to wear a high-quality mask. A surgical mask or cloth mask won’t cut it — health authorities agree that you should reach for an N95 or P-100 respirator with a tight seal.
Are young children at greater risk of wildfire smoke?
Very young children are especially vulnerable to the effects of wildfire smoke because their lungs are still rapidly developing. And because they breathe much faster than adults, they are taking in more toxic particulate matter relative to their tiny bodies, which can trigger inflammation, coughing and wheezing.
Any kind of air pollution can be dangerous to young children, but wildfire smoke is about 10 times as toxic for children compared to air pollution from burning fossil fuels, said Dr. Lisa Patel, clinical associate professor of pediatrics at Stanford Children’s Health. Young children with preexisting respiratory problems like asthma are at even greater risk.
Patel advises parents to keep their young children indoors as much as possible, create a safe room in their home with an air purifier, and try to avoid using gas stoves to avoid polluting the indoor air.
Children over the age of 2 should also wear a well-fitting KN95 mask if they will be outdoors for a long period of time. Infants and toddlers younger than that don’t need to mask up because it can be a suffocation risk, Patel said.
What are the risks for pregnant people?
Pregnant people should also take extra precautions around wildfire smoke, which can cross the placenta and affect a developing fetus. Studies have found that exposure to wildfire smoke during pregnancy can increase the risk of premature birth and low birth weight. Researchers have also linked the toxic chemicals in smoke with maternal health complications including hypertension and preeclampsia.
What about other high-risk populations?
Certain chronic diseases including asthma, chronic obstructive pulmonary disease or other respiratory conditions can also make you particularly vulnerable to wildfire smoke. People with heart disease, diabetes and chronic kidney disease should take extra care to breathe clean air, the CDC says. The tiny particles in wildfire smoke can aggravate existing health problems, and may make heart attacks or strokes more likely, CARB warns.
Get ready for the next emergency
Living in Southern California means another wildfire is coming sooner or later. To prepare for the bad air, you can:
- Stock up on disposable respirators, like N95 or P-100s.
- Have clean filters ready for your A/C system and change them out when things get smoky.
- Know how to check the air quality where you live and work. The AQMD has an interactive map that’s updated hourly. Just type in an address and it will zoom in on the location. You can also sign up to get air quality alerts by email or on your smartphone.
- Know where your fire extinguisher is and keep it handy.
- If you have a heart or lung condition, keep at least five days’ worth of medication on hand.
Times staff writer Karen Garcia contributed to this report.
Science
Punk and Emo Fossils Are a Hot Topic in Paleontology
Mark Sutton, an Imperial College London paleontologist, is not a punk.
“I’m more of a folk and country person,” he said.
But when Dr. Sutton pieced together 3-D renderings of a tiny fossil mollusk, he was struck by the spikes that covered its wormlike body. “This is like a classic punk hairstyle, the way it’s sticking up,” he thought. He called the fossil “Punk.” Then he found a similar fossil with downward-tipped spines reminiscent of long, side-swept “emo” bangs. He nicknamed that specimen after the emotional alt-rock genre.
On Wednesday, Dr. Sutton and his colleagues published a paper in the journal Nature formally naming the creatures as the species Punk ferox and Emo vorticaudum. True to their names, these worm-mollusks are behind something of an upset (if not quite “anarchy in the U.K.”) over scientists’ understanding of the origins of one of the biggest groups of animals on Earth.
In terms of sheer number of species, mollusks are second only to arthropods (the group that contains insects, spiders and crustaceans). The better-known half of the mollusk family tree, conchiferans, contains animals like snails, clams and octopuses. “The other half is this weird and wacky group of spiny things,” Dr. Sutton said. Some animals in this branch, the aculiferans, resemble armored marine slugs, while others are “obscure, weird molluscan worms,” he said.
Punk and Emo, the forerunners of today’s worm-mollusks, lived on the dark seafloor amid gardens of sponges, nearly 200 million years before the first dinosaurs emerged on land. Today, their ancient seafloor is a fossil site at the border between England and Wales.
The site is littered with rounded rocky nodules that “look a bit like potatoes,” Dr. Sutton said. “And then you crack them open, and some of them have got these fossils inside. But the thing is, they don’t really look like much at first.”
While the nodules can preserve an entire animal’s body in 3-D, the cross-section that becomes visible when a nodule is cracked open can be difficult to interpret “because you’re not seeing the full anatomy,” Dr. Sutton said.
Paleontologists can use CT scans to see parts of fossils still hidden in rock, essentially taking thousands of X-rays of the fossil and then stitching those X-ray slices together into one digital 3-D image. But in these nodules, the fossilized creatures and the rock surrounding them are too similar in density to be easily differentiated by X-rays. Instead, Dr. Sutton essentially recreated this process of slicing and imaging by hand.
“We grind away a slice at a time, take a photo, repeat at 20-micron intervals or so, and basically destroy but digitize the fossil as we go,” Dr. Sutton said. At the end of the process, the original fossil nodule is “a sad-looking pile of dust,” but the thousands of images, when painstakingly digitally combined, provide a remarkable picture of the fossil animal.
Punk and Emo’s Hot Topic-worthy spikes set them apart from other fossils from the aculiferan branch of the mollusk family. “We don’t know much about aculiferans, and it’s unusual to find out we’ve suddenly got two,” Dr. Sutton said.
Stewart Edie, the curator of fossil bivalves at the Smithsonian National Museum of Natural History, said that Punk and Emo’s bizarre appearances shook up a long-held understanding of how mollusks evolved. Traditionally, scientists thought that the group of mollusks containing snails, clams and cephalopods “saw all of the evolutionary action,” said Dr. Edie, who was not involved with the new discovery. “And the other major group, the aculiferans, were considerably less adventurous.” But Punk and Emo “buck that trend,” he said.
The new alt-rock aculiferans reveal the hidden diversity of their group in the distant past and raise questions about why their descendants make up such a small part of the mollusk class today. “This is really giving us an almost unprecedented window into the sorts of things that were actually around when mollusks were getting going,” Dr. Sutton said. “It’s just this little weird, unexpected, really clear view of what was going on in the early history of one of the most important groups of animals.”
Science
FDA sets limits for lead in many baby foods as California disclosure law takes effect
The U.S. Food and Drug Administration this week set maximum levels for lead in baby foods such as jarred fruits and vegetables, yogurts and dry cereal, part of an effort to cut young kids’ exposure to the toxic metal that causes developmental and neurological problems.
The agency issued final guidance that it estimated could reduce lead exposure from processed baby foods by about 20% to 30%. The limits are voluntary, not mandatory, for food manufacturers, but they allow the FDA to take enforcement action if foods exceed the levels.
It’s part of the FDA’s ongoing effort to “reduce dietary exposure to contaminants, including lead, in foods to as low as possible over time, while maintaining access to nutritious foods,” the agency said in a statement.
Consumer advocates, who have long sought limits on lead in children’s foods, welcomed the guidance first proposed two years ago, but said it didn’t go far enough.
“FDA’s actions today are a step forward and will help protect children,” said Thomas Galligan, a scientist with the Center for Science in the Public Interest. “However, the agency took too long to act and ignored important public input that could have strengthened these standards.”
The new limits on lead for children younger than 2 don’t cover grain-based snacks such as puffs and teething biscuits, which some research has shown contain higher levels of lead. And they don’t limit other metals such as cadmium that have been detected in baby foods.
The FDA’s announcement comes just one week after a new California law took effect that requires baby food makers selling products in California to provide a QR code on their packaging to take consumers to monthly test results for the presence in their product of four heavy metals: lead, mercury, arsenic and cadmium.
The change, required under a law passed by the California Legislature in 2023, will affect consumers nationwide. Because companies are unlikely to create separate packaging for the California market, QR codes are likely to appear on products sold across the country, and consumers everywhere will be able to view the heavy metal concentrations.
Although companies are required to start printing new packaging and publishing test results of products manufactured beginning in January, it may take time for the products to hit grocery shelves.
The law was inspired by a 2021 congressional investigation that found dangerously high levels of heavy metals in packaged foods marketed for babies and toddlers. Baby foods and their ingredients had up to 91 times the arsenic level, up to 177 times the lead level, up to 69 times the cadmium level, and up to five times the mercury level that the U.S. allows to be present in bottled or drinking water, the investigation found.
There’s no safe level of lead exposure for children, according to the U.S. Centers for Disease Control and Prevention. The metal causes “well-documented health effects,” including brain and nervous system damage and slowed growth and development. However, lead occurs naturally in some foods and comes from pollutants in air, water and soil, which can make it impossible to eliminate entirely.
The FDA guidance sets a lead limit of 10 parts per billion for fruits, most vegetables, grain and meat mixtures, yogurts, custards and puddings and single-ingredient meats. It sets a limit of 20 parts per billion for single-ingredient root vegetables and for dry infant cereals. The guidance covers packaged processed foods sold in jars, pouches, tubs or boxes.
Jaclyn Bowen, executive director of the Clean Label Project, an organization that certifies baby foods as having low levels of toxic substances, said consumers can use the new FDA guidance in tandem with the new California law: The FDA, she said, has provided parents a “hard and fast number” to consider a benchmark when looking at the new monthly test results.
But Brian Ronholm, director of food policy for Consumer Reports, called the FDA limits “virtually meaningless because they’re based more on industry feasibility and not on what would best protect public health.” A product with a lead level of 10 parts per billion is “still too high for baby food. What we’ve heard from a lot of these manufacturers is they are testing well below that number.”
The new FDA guidance comes more than a year after lead-tainted pouches of apple cinnamon puree sickened more than 560 children in the U.S. between October 2023 and April 2024, according to the CDC.
The levels of lead detected in those products were more than 2,000 times higher than the FDA’s maximum. Officials stressed that the agency doesn’t need guidance to take action on foods that violate the law.
Aleccia writes for the Associated Press. Gold reports for The Times’ early childhood education initiative, focusing on the learning and development of California children from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed.
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