Science
U.S. Terminates Funding for Polio, H.I.V., Malaria and Nutrition Programs Around the World
“People will die,” said Dr. Catherine Kyobutungi, executive director of the African Population and Health Research Center, “but we will never know, because even the programs to count the dead are cut.”
The projects terminated include H.I.V. treatment programs that had served millions of people, the main malaria control programs in the worst-affected African countries and global efforts to wipe out polio.
Here are some of the projects that The New York Times has confirmed have been canceled:
A $131 million grant to UNICEF’s polio immunization program, which paid for planning, logistics and delivery of vaccines to millions of children.
A $90 million contract with the company Chemonics for bed nets, malaria tests and treatments that would have protected 53 million people.
A project run by FHI 360 that supported community health workers’ efforts to go door-to-door seeking malnourished children in Yemen. It recently found that one in five children was critically underweight because of the country’s civil war.
All of the operating costs and 10 percent of the drug budget of the Global Drug Facility, the World Health Organization’s main supply channel for tuberculosis medications, which last year provided tuberculosis treatment to nearly three million people, including 300,000 children.
H.I.V. care and treatment projects run by the Elizabeth Glaser Pediatric AIDS Foundation that were providing lifesaving medication to 350,000 people in Lesotho, Tanzania and Eswatini, including 10,000 children and 10,000 pregnant women who were receiving care so that they would not transmit the virus to their babies at birth.
A project in Uganda to trace contacts of people with Ebola, conduct surveillance and bury those who died from the virus.
A contract to manage and distribute $34 million worth of medical supplies in Kenya, including 2.5 million monthlong H.I.V. treatments, 750,000 H.I.V. tests, 500,000 malaria treatments, 6.5 million malaria tests and 315,000 antimalaria bed nets.
Eighty-seven shelters that took care of 33,000 women who were victims of rape and domestic violence in South Africa.
A project in the Democratic Republic of Congo that operates the only source of water for 250,000 people in camps for displaced people located in the center of the violent conflict in the east of the country.
Pre- and postnatal health services for 3.9 million children and 5.7 million women in Nepal.
A project run by Helen Keller Intl in six countries in West Africa that last year provided more than 35 million people with the medicine to prevent and treat neglected tropical diseases, such as trachoma, lymphatic filariasis, schistosomiasis and onchocerciasis.
A project in Nigeria providing 5.6 million children and 1.7 million women with treatment for severe and acute malnutrition. The termination means 77 health facilities have completely stopped treating children with severe acute malnutrition, putting 60,000 children under the age of 5 at immediate risk of death.
A project in Sudan that runs the only operational health clinics in one of the biggest areas of the Kordofan region, cutting off all health services.
A project serving more than 144,000 people in Bangladesh that provided food for malnourished pregnant women and vitamin A to children.
A program run by the aid agency PATH, called REACH Malaria, which protected more than 20 million people from the disease. It provided malaria drugs to children at the start of the rainy season in 10 countries in Africa.
A project run by Plan International that provided drugs and other medical supplies, health care, treatment of malnutrition programming, and water and sanitation for 115,000 displaced or affected by the conflict in northern Ethiopia.
More than $80 million for UNAIDS, the United Nations agency, which funded work to help countries improve H.I.V. treatment, including data collection and watchdog programs for service delivery.
The President’s Malaria Initiative program called Evolve, which did mosquito control in 21 countries by methods that include spraying insecticide inside homes (protecting 12.5 million people last year) and treating breeding sites to kill larvae.
A project providing H.I.V. and tuberculosis treatment to 46,000 people in Uganda, run by the Baylor College of Medicine Children’s Foundation, Uganda.
Smart4TB, the main research consortium working on prevention, diagnostics and treatment for tuberculosis.
The Demographic and Health Surveys, a data collection project in 90 countries that were crucial and sometimes the only sources of information on maternal and child health and mortality, nutrition, reproductive health and H.I.V. infections, among many other health indicators. The project was also the bedrock of budgets and planning.
Science
California regulators approve rules to curb methane leaks and prevent fires at landfills
In one of the most important state environmental decisions this year, California air regulators adopted new rules designed to reduce methane leaks and better respond to disastrous underground fires at landfills statewide.
California Air Resources Board members voted 12-0 on Thursday to approve a batch of new regulations for the state’s nearly 200 large landfills, designed to minimize the release of methane, a powerful greenhouse gas produced by decomposing organic waste. Landfills are California’s second-largest source of methane emissions, following only the state’s large dairy cow and livestock herds.
The new requirements will force landfill operators to install additional pollution controls; more comprehensively investigate methane leaks on parts of landfills that are inaccessible with on-the-ground monitoring using new technology like drones and satellites; and fix equipment breakdowns much faster. Landfill operators also will be required to repair leaks identified through California’s new satellite-detection program.
The regulation is expected to prevent the release of 17,000 metric tons of methane annually — an amount capable of warming the atmosphere as much as 110,000 gas-fired cars driven for a year.
It also will curtail other harmful landfill pollution, such as lung-aggravating sulfur and cancer-causing benzene. Landfill operators will be required to keep better track of high temperatures and take steps to minimize the fire risks that heat could create.
There are underground fires burning in at least two landfills in Southern California — smoldering chemical reactions that are incinerating buried garbage, releasing toxic fumes and spewing liquid waste. Regulators found explosive levels of methane emanating from many other landfills across the state.
During the three-hour Air Resources Board hearing preceding the vote, several Californians who live near Chiquita Canyon Landfill — one of the known sites where garbage is burning deep underground — implored the board to act to prevent disasters in other communities across the state.
“If these rules were already updated, maybe my family wouldn’t be sick,” said Steven Howse, a 27-year resident of Val Verde. “My house wouldn’t be for sale. My close friend and neighbor would still live next door to me. And I wouldn’t be pleading with you right now. You have the power to change this.”
Landfill operators, including companies and local governments, voiced their concern about the costs and labor needed to comply with the regulation.
“We want to make sure that the rule is implementable for our communities, not unnecessarily burdensome,” said John Kennedy, a senior policy advocate for Rural County Representatives of California, a nonprofit organization representing 40 of the state’s 58 counties, many of which own and operate landfills. “While we support the overarching goals of the rule, we remain deeply concerned about specific measures including in the regulation.”
Lauren Sanchez, who was appointed chair of the California Air Resources Board in October, recently attended the United Nations’ COP30 climate conference in Brazil with Gov. Gavin Newsom. What she learned at the summit, she said, made clear to her that California’s methane emissions have international consequences, and that the state has an imperative to reduce them.
“The science is clear, acting now to reduce emissions of methane and other short-lived climate pollutants is the best way to immediately slow the pace of climate change,” Sanchez said.
Science
See How Home Insurance Premiums Are Changing Near You
Insurance premiums are rising fast in the parts of the United States most exposed to climate-related disasters like wildfires and hurricanes.
New research shows that, as insurance has sharply pushed up the cost of owning a home, the price shock is starting to reverberate through the broader real estate market.
Rising insurance costs are eating into household budgets.
In some areas of the country that are exposed to disasters, homes are not selling because prospective buyers can’t afford both the mortgage and the insurance.
In parts of the hail-prone Midwestern states, insurance now eats up more than one-fifth of the average homeowner’s total housing payments, including mortgage costs and property taxes. In Orleans Parish, La., that number is nearly 30 percent.
Home insurance costs have soared where climate hazards are highest.
Nationally, insurance rates have risen by an average of 58 percent since 2018, outpacing inflation by a substantial margin. But that growth has been highly uneven across the United States.
Places that are most vulnerable to climate-related disasters like hurricanes, fires and hail are seeing some of the largest premium increases. It’s not always the case that the highest climate risk translates into the highest insurance costs. Local policies and regulations have helped keep prices lower in high-risk places, like parts of California. Other factors, like a homeowner’s credit score, can affect premiums, too.
What’s driving up insurance prices?
Since 2017, an obscure part of the insurance market, known as reinsurance, has helped push up premiums. Insurance companies buy reinsurance to help limit their exposure when a catastrophe hits. Over the past several years, reinsurance companies have experienced what Benjamin Keys and Philip Mulder, the researchers who led the new study, call a “climate epiphany.” As a result, the rates they charge to protect home insurance companies against catastrophic losses have roughly doubled.
Insurance providers have, in turn, passed these costs on to homeowners. The rapid repricing of climate risk is responsible for about 20 percent of home insurance premium increases since 2017, according to Dr. Keys and Dr. Mulder.
What else is contributing to high rates? Rebuilding costs are responsible for about 35 percent of the recent changes, the research found. Population shifts and inflation are factors, too.
High insurance prices are weighing down home values.
Since 2018, a financial shock in the home insurance market has meant that homes in the ZIP codes most exposed to hurricanes and wildfires sell for an average of $43,900 less than they otherwise would have, the research found.
In many places, insurance has been a relatively small part of the homebuying equation. Now, for many, it’s a major consideration.
For several homeowners we interviewed in Louisiana, monthly insurance costs are now higher than their home loan payments.
The research shows buyers may be factoring rising insurance costs into the prices they’re willing to pay for homes. As a result, homes in some areas are selling for less.
Methodology
Benjamin Keys and Philip Mulder calculated annual homeowners’ insurance costs by separating mortgage and tax payments from loan-level escrow data obtained from CoreLogic, a property and risk analytics firm. Households whose payments were captured by CoreLogic were not necessarily present in all years of data from 2014 to 2024.
The home insurance share of total home payments is based on mean values. Total home payments include insurance, property tax and mortgage principal and interest costs. Escrow payments typically do not include utilities, homeowners’ association fees.
Science
L.A. County’s first flu death confirmed in a season that could be harsh
L.A. County has had its first flu death in a season that health officials have warned could be severe.
The county Department of Public Health confirmed the influenza-associated fatality on Wednesday.
The death occurred in an elderly individual with underlying health conditions who had not received a flu vaccination this season, according to the Department of Public Health.
“We send our condolences to the family and loved ones of the person we lost. This tragic death reminds us how serious influenza can be,” Dr. Muntu Davis, Los Angeles County health officer, said in a news release.
Flu activity is low at the moment, though it is likely to increase with Thanksgiving next week and the holiday season, which typically involves more plane travel and indoor gatherings.
Last year’s flu season was the worst California had seen in years — and state health officials have already warned that this year could be just as bad.
Health experts, including the Centers for Disease Control and Prevention, recommend an annual flu vaccination for everyone older than 6 months.
Nationwide, the number of children who died from flu last season — 280 — was the highest in about 15 years, according to one report. About 9 in 10 of those children were not vaccinated, officials said.
The flu vaccine can be administered at the same time as the COVID-19 vaccine and takes two weeks for protection to develop.
“You can also reduce your risk by taking simple but powerful steps,” Davis said. “[W]ash your hands frequently, stay home and away from others when you feel sick, and wear a well-fitting mask in crowded indoor spaces, around people at higher risk, or whenever you have symptoms.”
As respiratory virus activity increases in L.A. County, the Department of Public Health also recommends that everyone 6 months and older receive an updated COVID-19 vaccine. RSV immunization is also recommended for older adults, pregnant people and infants.
L.A. County residents can find a vaccine site near them by visiting the department’s website.
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