NEWS

Human Heart Cells Grown on Spinach Leaves

Spinach is known as a super food for its nutritional value, but a new experiment reveals another power of the green leaf.

Researchers say they’ve grown beating human heart cells on spinach leaves, using the vascular network of the plant to transport fluids. The finding could eventually lead to being able to grow working human cardiac tissue that could one day be used to replace heart cells damaged by heart attacks.

“Plants and animals exploit fundamentally different approaches to transporting fluids, chemicals, and macromolecules, yet there are surprising similarities in their vascular network structures,” said researchers from Worcester Polytechnic Institute (WPI), the University of Wisconsin-Madison, and Arkansas State University-Jonesboro. “The development of decellularized plants for scaffolding opens up the potential for a new branch of science that investigates the mimicry between plant and animal.”

The breakthrough is important because so far, bioengineering such as 3-D printing, can’t replicate the complex system of blood vessels in the human body that deliver the oxygen, nutrients, and essential molecules required for proper tissue growth.

For the experiment, researchers first stripped plant cells from spinach leaves and passed beads the size of human blood cells through the leftover vascular system and seeded the spinach veins with human cells that line our blood vessels.

“We have a lot more work to do, but so far this is very promising,” said Glenn Gaudette, PhD, professor of biomedical engineering at WPI and corresponding author of the paper. “Adapting abundant plants that farmers have been cultivating for thousands of years for use in tissue engineering could solve a host of problems limiting the field.”

Researchers added that other plants have been shown to offer the same kind of promise, including parsley, Artemesia annua (sweet wormwood), and peanut hairy roots.

“The spinach leaf might be better suited for a highly vascularized tissue, like cardiac tissue, whereas the cylindrical hollow structure of the stem of Impatiens capensis (jewelweed) might better suit an arterial graft. Conversely, the vascular columns of wood might be useful in bone engineering due to their relative strength and geometries,” the authors wrote.

Using plants could also be economical.

“By exploiting the benign chemistry of plant tissue scaffolds,” researchers wrote, “we could address the many limitations and high costs of synthetic, complex composite materials. Plants can be easily grown using good agricultural practices and under controlled environments. By combining environmentally-friendly plant tissue with perfusion-based decellularization, we have shown that there can be a sustainable solution for pre-vascularized tissue engineering scaffolds.”

The paper, “Crossing kingdoms: Using decelluralized plants as perfusable tissue engineering scaffolds” is published online in advance of the May 2017 issue of the journal Biomaterials.
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Matthew, Otto Being Retired as Atlantic Tropical Storm Names

The names Matthew and Otto have been retired for Atlantic tropical storms and hurricanes following the deadly 2016 season.

According to a statement Monday from the National Oceanic and Atmospheric Administration, the World Meteorological Organization will use Martin and Owen for future Atlantic storms. The new names might first be used in 2022.

Names get retired when a storm is so deadly or destructive that future use of its name would be insensitive.

Hurricane Matthew caused 585 deaths, including over 500 deaths in Haiti before it made landfall in Cuba, the Bahamas and South Carolina. It was the strongest Atlantic hurricane since 2007 and the deadliest Atlantic hurricane since 2005.

Heavy rainfall and flooding from Hurricane Otto caused 18 deaths in Central America.

 
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Trump to Roll Back Obama-era Environmental Rules

White House officials say President Donald Trump will sign executive orders Tuesday that would effectively dismantle Obama era environmental regulations, rekindling the highly-charged partisan debate about how human activity affects the earth’s climate, and deepening concern decades of work on global climate treaties may be unraveling.

“Many agree that would be disastrous,” Dutch Nobel laureate Paul Crutzen told VOA in a telephone interview. “Whatever has been achieved could be destroyed, so I don’t think many scientists would be pleased with this,” said Crutzen, who won the 1995 Nobel Prize for work explaining the depletion of the earth’s ozone layer.

Trump has repeatedly signaled disdain for his predecessor’s climate policy. On the campaign trail he called President Obama’s Clean Power Plan “stupid”, largely because it puts in place what he calls “job killing” regulations. The executive orders he is set to sign Tuesday directs the Environmental Protection agency to thoroughly revise regulations outlined in the Clean Power Plan.

Trump’s 2018 budget proposal slashes EPA funding by 31 percent, including an almost total cut of climate research funds. Trump’s Budget Director Mick Mulvaney told a White House briefing, “We’re not spending money on that any more.”

International effect

Less clear is the president’s commitment to international agreements such as the 2015 Paris Climate Accord, signed by Obama. Trump has an aversion to treaties that cede U.S. authority to global bodies, and EPA Administrator Scott Pruitt, speaking Sunday on ABC’s This Week, called the Paris treaty a “bad deal.”

Early drafts of the executive orders were said to have included language critical of the Paris deal. News reports, however, say two of his closest confidants, daughter Ivanka and Secretary of State Rex Tillerson, a former chief of the global energy giant ExxonMobil, intervened to have references to the Paris Accord dropped from the final draft.

The EPA’s Pruitt said Sunday that revising the Clean Power Plan is aimed at unshackling American industry. “This is about making sure we have a pro-growth and pro-environment approach to how we do regulation in this country,” he said.

A hot issue

Leaked details of the executive orders have ignited a firestorm among climate scientists.

Tim Barnett, emeritus research geophysicist at the Scripps Institute of Oceanography in California says even he, a Trump supporter, would find it “unconscionable” to roll back regulations contained in the Clean Power Plan. “Global warming is not a Democratic issue or a Republican issue,” he said. “If you look at what’s going on the Arctic, the Antarctic, by continuing to put carbon dioxide in the atmosphere we’re making the oceans more acidic. It is thought that by 2040 half the planktonic creatures will be under stress.”

In Washington views on climate change generally split along party lines. With Republicans controlling the White House and both chambers of Congress, the views of climate skeptics, largely marginalized during the Obama years, are finding fresh voice.

EPA chief Pruitt was known for numerous legal challenges to EPA regulations when he was attorney general of Oklahoma. His official biography describes him as “a leading advocate against the EPA’s activist agenda.”

On Capitol Hill, the House Science Committee has scheduled hearings this week to look into the methods of climate scientists, as Chairman Lamar Smith (R-TX) pushes forward a bill to require the EPA to make public the data it uses to justify environmental regulations. The hearing will feature three prominent academics who question the scientific consensus, alongside Michael E. Mann, director of the Earth System Science Center at Penn State University and author of the “hockey stick” graph that suggests a steep rise in the earth’s temperature since fossil fuels came into wide use.

Speaking to VOA, Mann said the rising profile of climate change doubters in Washington is part of a well-funded campaign by big energy industry interests, mainly Charles and David Koch, who are major contributors to conservative political and policy groups.

“Trump’s administration has been filled with individuals who have close ties to polluting interests, ExxonMobil obviously, but the Koch brothers, the largest privately owned fossil fuel interests in the country,” Mann said. “… and their agenda has long been to gut all government regulations so they can increase their own profits from the sale of fossil fuels.”

Climate skeptics agree money has corrupted the scientific debate, but they differ on its effect. The dissenters argue that fierce competition for the billions of dollars in government research grants has forced academics to exaggerate the danger of climate chance.

Richard Lindzen, professor emeritus of meteorology at Massachusetts Institute of Technology, represents the small minority of scientists who find fault with the overwhelming consensus on climate change. He argues universities have given in to the temptation to exaggerate climate change as they have become increasingly dependent on billions of dollars in government research funding, effectively making bureaucrats the real judges of science.

“We went way backward in studying climate and replaced it with this single variable, (CO2) and increased funding by 1500% and created a whole new community that had never studied climate but was willing to attribute everything to it,” he said.

Lindzen supports Trump’s initiative to limit funding for climate change research. “Then only people interested in the physics of climate change would remain,” he said.
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Devastated by War or Disaster, Children Find Healing in New York

Elissa Montanti can rattle off the stories without hesitation of the hundreds of wounded children who have come through the doors of her small New York charity to get medical help.

Marci, a five-year-old from Afghanistan, was shot in the face in a Taliban ambush. She lost her eye, and her father died trying to shield her.

Hamandani, nine, was hanging from a tree, trying not to be swept away in Indonesia’s 2004 tsunami when he fell and crushed his arm.

And Sarki stumbled into a wood stove as a toddler living high in the Himalayas, a six-hour trek from the nearest passable road. Her burned arm healed into a frozen position, with a web-like hand.

They are among the more than 200 children injured in disaster or conflict and brought to the United States for surgery, prosthetics and other medical treatment, courtesy of Montanti’s Global Medical Relief Fund (GMRF).

Almost all come more than once, especially when growing children need larger prosthetics, bringing the number of follow-up visits to about a thousand.

“All the kids are in my head and in my heart,” said Montanti, who founded GMRF 20 years ago. “I love all of them.

“People say, ‘Do you have kids?’ and I say, ‘Yeah, 200,'” she said with a laugh. “I look good for 200 kids.”

Actually, those 200-plus children take a toll on Montanti, who puts them up in a four-bedroom house down the street from her own in the New York City borough of Staten Island.

“It’s not 9 to 5,” she told Reuters in a recent interview. “I’m up the street at 12, 1, 2 in the morning seeing who has a fever, who’s got a cold.”

And she gets some criticism.

“People say why don’t you help kids here,” she said. “These kids have no resources. Why shouldn’t we help them? They don’t have half of what we have.”

GMRF has hosted children from the United States as well as 40 other countries, their lives shredded by war or calamity.

Some are missing limbs, and others are severely burned or disfigured. Some must be carried off airplanes when they arrive, she said.

Staying in New York City with Montanti, they are treated at no cost by the Shriners Hospital in Philadelphia. Some also have been treated by New York’s Northwell Health hospital.

‘Healing and love’

The first to be helped by Montanti was a boy who lost both arms and a leg stepping on a landmine in Bosnia. Word spread, especially among U.S. soldiers who befriended young war victims and sought her help for them.

That brought her children like Ahmed, who lost his vision and an arm in an explosion in Iraq as he walked home from school at age seven.

This week, Montanti has four children with albinism from Tanzania who lost limbs in brutal attacks and need prosthetics.

Albinos in Tanzania are targeted for body parts, which are highly valued in witchcraft and can fetch a high price.

The four children are on a return visit, having first come to the United States and Montanti two years ago for care.

At the same time, she has three amputee children from Nicaragua — two teenage boys who lost limbs in car accidents and the mischievous seven-year-old Alexis Pineda who was born missing one arm below the elbow.

Alexis likes to show off that he is adept at tying his shoes without his prosthetic but with it, he can grab things and use scissors, his mother said through an interpreter.

“”There are a lot of bullies. In Nicaragua, they look at him. It’s hard,” said his mother, Cristian Marcela Pineda, who accompanied him to New York from Managua. “Now they can look at him but at least he has another hand.”

Daniel Solis, 14, who lost his leg in a hit-and-run accident in his Nicaraguan hometown of Masaya, grabbed Montanti in a hug as he practiced walking on his prosthetic.

“We are best friends,” he said in Spanish.

As the children grow up and move on, they stay in touch, often on Facebook, where Montanti said she recently got birthday greetings from children she helped from Bosnia in 1998.

“In this little house with four bedrooms, there’s a lot of healing and love that goes on under the roof,” she said.
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Schumer Seizes on Trump Team’s Offer to Work With Democrats on Health Care

President Donald Trump’s aides opened the door to working with moderate Democrats on health care and other issues while Senate Democratic leader Chuck Schumer quickly offered to find common ground with Trump for repairing former President Barack Obama’s health care law.

Schumer said Sunday that Trump must be willing to drop attempts to repeal his predecessor’s signature achievement, warning that Trump was destined to “lose again” on other parts of his agenda if he remained beholden to conservative Republicans.

Trump initially focused the blame for the failure on Democrats and predicted a dire future for the current law. But on Sunday he turned his criticism toward conservative lawmakers for the failure of the Republican bill, complaining on Twitter: “Democrats are smiling in D.C. that the Freedom Caucus, with the help of Club For Growth and Heritage, have saved Planned Parenthood & Ocare!”

The Freedom Caucus is a hard-right group of more than 30 GOP House members who were largely responsible for blocking the bill to undo the Affordable Care Act, or “Obamacare.”

The bill was pulled from the House floor Friday in a humiliating political defeat for the president, having lacked support from conservative Republicans, some moderate Republicans and Democrats.

In additional fallout from the jarring setback, Rep. Ted Poe, R-Texas, said he was leaving the caucus. Poe tweeted Friday that some lawmakers “would’ve voted against the 10 Commandments.”

“We must come together to find solutions to move this country forward,” Poe said Sunday in a written statement. “Saying `no’ is easy, leading is hard but that is what we were elected to do.”

On Sunday, Trump aides made clear that the president could seek support from moderate Democrats on upcoming legislative battles ranging from the budget and tax cuts to health care, leaving open the possibility he could revisit health care legislation. Whether he would work to repair Obama’s law was a big question.

White House chief of staff Reince Priebus scolded conservative Republicans, explaining that Trump had felt “disappointed” with a “number of people he thought were loyal to him that weren’t.”

“It’s time for the party to start governing,” Priebus said. “I think it’s time for our folks to come together, and I also think it’s time to potentially get a few moderate Democrats on board as well.”

As he ponders his next steps, Trump faces decisions on whether to back administrative changes to fix Obama’s health care law or undermine it as prices for insurance plans rise in many markets. Over the weekend, the president tweeted a promise of achieving a “great healthcare plan” because Obamacare will “explode.”

Priebus did not answer directly regarding Trump’s choice, saying that fixes to the health law will have to come legislatively and he wants to ensure “people don’t get left behind.”

“I don’t think the president is closing the door on anything,” he said.

Schumer, a New York Democrat, suggested that “if he changes, he could have a different presidency.”

“But he’s going to have to tell the Freedom Caucus and the hard-right special wealthy interests who are dominating his presidency … he can’t work with them, and we’ll certainly look at his proposals,” Schumer said.

Their comments came after another day of finger-pointing among Republicans, both subtle and otherwise. On Saturday, Trump urged Americans in a tweet to watch Judge Jeanine Pirro’s program on Fox News that night. She led her show by calling for House Speaker Paul Ryan to resign, blaming him for the defeat of the bill in the Republican-controlled chamber.

Priebus described the two events as “coincidental,” insisting that Trump was helping out a friend by plugging her show and no “preplanning” occurred.

“He doesn’t blame Paul Ryan,” Priebus said. “In fact, he thought Paul Ryan worked really hard. He enjoys his relationship with Paul Ryan, thinks that Paul Ryan is a great speaker of the House.”

Priebus said Trump was looking ahead for now at debate over the budget and a tax plan, which he said would include a border adjustment tax and middle-class tax cuts.

“It’s more or less a warning shot that we are willing to talk to anyone. We always have been,” he said. “I think more so now than ever, it’s time for both parties to come together and get to real reforms in this country.”

Congressman Mark Meadows, R-N.C., chairman of the Freedom Caucus, acknowledged he was doing a lot of “self-critiquing” after the health care defeat. He insisted the GOP overhaul effort was not over and that he regretted not spending more time with moderate Republicans and Democrats “to find some consensus.”

Priebus spoke on Fox News Sunday, and Schumer and Meadows appeared on ABC’s This Week.
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Tidal Energy Taking Hold In England

A massive renewable energy project could change the seascape of the Welsh city of Swansea in coming years. The plan is to encase the city’s lagoon in a horshoe shaped causeway that will serve as a giant tidal generator. The four year project is massive but if its approved would create a long-term reliable source of clean energy. VOA’s Kevin Enochs report.
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UN Makes Big Push to Wipe Out Polio on African Continent

The World Health Organization and U.N. children’s fund are spearheading a massive immunization campaign across Africa to rid the continent of the last vestiges of polio.

Tens of thousands of health workers will fan out across 13 central and western African countries to vaccinate more than 116 million children under age five against the crippling disease.

The U.N. agencies report more than 190,000 volunteers, traveling on foot or bicycle, will go house to house across all cities, towns, and villages in 13 countries to vaccinate every child under age five against polio.

The synchronized vaccination campaign, one of the largest ever conducted in Africa, will run from March 25-28. Director of Polio Eradication at the World Health Organization Michel Zaffran said children must be immunized in a short span of time to raise childhood immunity to polio across the continent.

“The synchronization of this immunization campaign is needed to rapidly strengthen protection,” he said. “If all children are vaccinated at the same time or around the same time in a very short period of time, the virus cannot find anywhere to hide.”​

In August 2016, four children were paralyzed by polio in Borno State, in northeast Nigeria, which has been under attack by Boko Haram militants for several years. It was the first time in more than two years that polio was detected in Africa.

Governments in the Lake Chad basin declared a public health emergency and a vaccination campaign was conducted. Zaffran said there has been no case of polio since the last one was detected on August 21.

Nevertheless, he told VOA there is concern the polio virus still may be circulating in this area because of the humanitarian crisis, exacerbated by political instability and conflict. He said health workers are operating under very dangerous and difficult circumstances.

“We cannot be sure that some of our vaccinators or health workers cannot be collateral damages of suicide bombing, which is not directly attacking the vaccination site,” he said. “This has not been the target of these insurgents, but there could actually be hurt because of the proximity of the events.”

The African countries will be declared polio free if no case of polio is detected in the next three years.That will bring the goal of global polio eradication very near as only five cases of polio remain in Afghanistan and Pakistan.
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US Charity Brings Hearing Aid to Syrian Refugee Children

There are an estimated 1.1 million Syrian refugees in Lebanon, 500,000 of them are children. For many of them, getting enough food and water are their biggest challenges. Children who are hearing impaired face even bigger obstacles. But some of them are getting help, thanks to a U.S. based charity called Deaf Planet Soul. VOA’s Kevin Enochs reports.
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Monuments, Countries Douse Lights for ‘Earth Hour’

It was lights out in about 170 countries on Saturday as millions of people and thousands of cities took part in Earth Hour, a global effort to draw attention to climate change.

The World Wide Fund for Nature organized the first Earth Hour in 2007 in Australia. The international effort began as a grass-roots event to urge people to reduce their use of energy as a way to help combat climate change.

Dozens of well-known monuments, buildings and locales — from Red Square in Moscow to Big Ben in London to the Sydney Opera House to the Burj Khalifa, the world’s tallest building in Dubai — took part, dousing their lights for 60 minutes at 8:30 p.m., local time.

“We started Earth Hour in 2007 to show leaders that climate change was an issue people cared about,” coordinator Siddarth Das of WWF told the French news agency AFP. “For that symbolic moment to turn into the global movement it is today, is really humbling and speaks volumes about the powerful role of people in issues that affect their lives.”

Many events were staged to draw awareness to how human activities contribute to climate change.

In India, hundreds of cyclists participated in “Pedal for the Planet,” part of a campaign to encourage people to save energy and minimize the use of fossil fuels.

Organizer Anuj Mathur told Reuters news agency, “This is for our society, this is for the well-being of our planet and this is something we need to give to our kids, to our generation. So this we are doing for the planet, and this is a small initiative to show our commitment toward our country and society.”

Largest group of its kind

The World Wide Fund for Nature dates to 1961, when it was founded in Switzerland as the World Wildlife Fund. The world’s largest conservation organization changed its name years later to reflect a broader focus on all environmental issues rather than just wildlife; it is still known as the World Wildlife Fund in the United States and Canada, and all units worldwide use the acronym WWF.

In January, NASA and the U.S. National Oceanic and Atmospheric Administration said research has shown that 2016 was the hottest year on record, for the third year in a row. “The 2016 globally averaged surface temperature ended as the highest since record-keeping began in 1880,” the two agencies said.

They also said temperatures, raised mainly by man-made greenhouse gases and partly by a natural El Nino weather event that released heat from the Pacific Ocean, beat the previous record in 2015, when 200 nations signed on to the Paris Agreement, a plan to limit global warming.
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Data Show How Powerful Quake Shifted Parts of New Zealand

New data shows that parts of New Zealand’s South Island moved several meters closer to the North Island during last November’s 7.8 magnitude earthquake.

The data, including satellite radar imagery, shows that parts of New Zealand’s South Island have shifted more than 5 meters closer to the North Island, and that some areas were raised by up to 8 meters.

Other information has come from observations on the ground and the analysis of coastal regions by GNS science, a New Zealand government research agency.

The tremor, near the tourist town of Kaikoura, ruptured a swath of land almost 200 kilometers long.

Research coming out

GNS has published the first of 10 papers on the powerful quake in mid-November 2016 in the international journal Science. Two people were killed when the magnitude 7.8 earthquake struck and Kaikoura was cut off by landslides.

Ian Hamling is the lead author of the research paper. He says the shifting of the earth in New Zealand occurred when powerful seismic forces pulled the ground in different directions.

“It is kind of like a shearing, so I guess the classic people always think of is a San Andreas-style fault, where you get the two sides of the fault zone move in opposite directions,” Hamling said. “And so that is what we see, is that parts of inland Kaikoura up to Cape Campbell have gone to the northeast and then in some areas to the south of that have gone in the opposite direction.”

The earthquake struck last November northeast of the city of Christchurch. It was felt in the New Zealand capital, Wellington, on the North Island, 200 kilometers away.

Shaky Isles

Christchurch is still recovering from a devastating 2011 earthquake that killed 185 people and destroyed the city center.

New Zealand is known as the Shaky Isles. The South Pacific nation lies on the unpredictable Ring of Fire that circles almost the entire Pacific rim.

Each year more than 15,000 earthquakes are recorded in New Zealand, but only about 150 are large enough to be felt.

The research paper, led by GNS, included the work of 29 co-authors from 11 national and international institutes such as the NASA laboratory in California and the University of Leeds in Britain.
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Some Elated, Others Frustrated by Health Care Bill’s Withdrawal

Some Americans breathed a sigh of relief, others bubbled with frustration, and nearly all resigned themselves to the prospect that the latest chapter in the never-ending national debate over health care would not be the last.

The withdrawal of the Republican-sponsored health bill in the face of likely defeat Friday in the U.S. House seemed to ensure that the deep divisions over the Affordable Care Act and its possible replacement would continue to simmer.

As news spread, Americans fell into familiar camps, either happy to see a Democratic effort live another day, or eager to see Republicans regroup and follow through with their “repeal Obamacare” promises.

“Yessssss,” elated artist Alysa Diebolt, 27, of Eastpointe, Michigan, typed on Facebook in response to the news, saying she was relieved those she knew on Affordable Care Act plans wouldn’t lose their coverage. “I’m excited, I think it’s a good thing,” she said.

Millions more shared her view, and #KillTheBill was a top trending topic on Twitter on Friday afternoon.

Among those who have long sought to see Obama’s health law dismantled, though, there was disappointment or chin-up resolve that they still could prevail.

“Hopefully, they’ll get it right next time,” said Anthony Canamucio, 50, owner of a barbershop in Middletown Township, Pennsylvania. He gave his vote to Trump in November and wanted to see Obama’s health law repealed, but found himself rooting for the GOP replacement bill to fail. He is insured through his wife’s employer and laments the growing deductibles and out-of-pocket costs, blaming Obama’s law even as health economists say those trends in employer-provided health coverage preceded the legislation.

Sticking with Trump

For Canamucio, the Republicans’ bill didn’t go far enough in dismantling the ACA. But he remains steadfast behind Trump and said he believes the president will still deliver.

Cliff Rouse, 34, a banker from Kinston, North Carolina, likewise was willing to give the president he helped elect a chance to make good on his promise. He sees Obama’s law as government overreach, even as he knows it could help people like his 64-year-old father, who was recently diagnosed with dementia but refused to buy coverage under a law he disagreed with. Rouse sees Trump’s moves on health care as hasty but believes the GOP will eventually come around with better legislation.

“They’ve not had enough time to develop a good plan,” Rouse said. “They should keep going until they have a good plan that Americans can feel confident in.”

It remained far more than a petty political debate, though, and some like Janella Williams, framed the issue as a question of life and death.

The 45-year-old graphic designer from Lawrence, Kansas, spent Friday in the hospital hooked up to an intravenous drip for a neurological disorder, getting the drugs that she says allow her to walk. Under her Affordable Care Act plan, she pays $480 a month for coverage and has an out-of-pocket maximum of $3,500 a year. If she were to lose it, she wouldn’t be able to afford the $13,000-a-year out-of-pocket maximum under her husband’s insurance. Her treatments cost about $90,000 every seven weeks.

As she followed the efforts to undo Obama’s law, Williams found herself yelling at the TV a lot. She wrote her senators, telling how she felt “helpless and out of control,” and how her hope was dwindling.

‘I am thankful’

After watching coverage on Friday while tethered to a port in an outpatient area, she said when the bill was withdrawn, “I am thankful. I hope that this makes Trump the earliest lame duck ever.”

Whatever comes of the developments, they became the latest chapter in a long-running policy debate — from Teddy Roosevelt’s call for national health insurance in 1912; through waves of New Deal and Great Society legislation that brought Social Security, Medicare and Medicaid, but no comprehensive health system for all; to an unsuccessful attempt at universal coverage at the start of Bill Clinton’s administration. For now at least, Trump joins a list of American presidents who sought but failed to bring major health-related reform.

Trump has railed against the 2010 ACA since the start, and GOP leaders in Congress have rallied for its repeal with dozens of votes during the Obama years. Republicans won the chance to replace the health law with Trump’s win and control of both chambers of Congress.

“This is our opportunity to do it,” White House spokesman Sean Spicer said Friday. “We’ve talked about this thing since 2010. Every Republican … has campaigned, from dogcatcher on up, that they would do everything they could to repeal and replace Obamacare.”

ACA approval rises

Meantime, the Affordable Care Act has enjoyed growing approval with Obama’s departure from the White House and the emergence of details of Trump’s plan. For the first time, the law drew majority approval in a Pew Research Center poll last month, with 54 percent of Americans in favor.

Even some of Trump’s voters have come around to supporting the Obama law, or to a late realization that their coverage was made possible by it.

Walt Whitlow, 57, a carpenter from Volente, Texas, gave Trump his vote even as he came to view Obama’s law as “an unbelievable godsend.” He went without health coverage for nearly 20 years, but after the ACA passed, he signed up. Two months later, he was diagnosed with tongue cancer. He proclaims himself opposed to government handouts that he thinks people grow too dependent on, though he wouldn’t say what he hoped would happen with the GOP bill. Still, its withdrawal brought relief for a man who said his ACA coverage kept him from massive debt and maybe worse.

“It saved my life,” he said. “I really don’t know what to say.”
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Kenya Releases Results of National TB Prevalence Survey

Kenya on Friday recognized World Tuberculosis Day by releasing results of a TB study by the country’s ministry of health  — the first of its kind since Kenya’s independence. TB remains high in Kenya, and experts say the country lags in the fight against the disease.

The survey represents a united front by many committed parties to determine the true burden of tuberculosis and how to best combat the fourth-leading cause of death in Kenya.

The survey is intended to provide an accurate estimate of Kenya’s TB burden, determine existing challenges in delivering TB testing and treatment, and identify people with TB not yet detected by the National TB control program. It was conducted to inform the government on how to effectively respond to TB control.

More than 63,000 people across 45 counties in Kenya were screened for the survey and, for the first time, there is accurate data on TB’s prevalence.

Dr. Enos Masini, the head of the National Tuberculosis, Leprosy and Lung disease program at the Ministry of Health, said the survey was driven by a need to know what the country was facing.

“We undertook to do this survey in the community to provide us with the exact data of the burden of the disease in Kenya, but also to go further and find out which groups of people are affected by the disease and what would be the best strategies for us to reach them,” he said.

The report states that there are more TB cases in Kenya than previously estimated, with a TB prevalence of 558 per 100,000 people.

TB was found to be higher in men between the ages of 25 and 34 years, urban dwellers, and women over the age of 65.

The majority (83 percent) of TB cases were HIV negative, suggesting that broad efforts at controlling TB in people with and without HIV are needed.

“For a long time, the estimates that we have used to accurately determine the burden of tuberculosis has been provided by the World Health Organization,” said Masini. “And this has been derived from the data we get from hospital records. We have always suspected that there could be a huge number of patients in the community that go untreated and undiagnosed and, therefore, fuel the transmission of the disease.”

Now, with the findings, he said the government and various stakeholders can deal with the disease effectively.

“Now we are not groping in the dark,” he said. “We know how much disease there is in this country. Secondly, we know that 40 percent of disease that occurs in this country remains undetected and untreated, and then we have a pretty good idea where people who are undetected, who are called missing TB cases, are.”

Masini said this information will help with planning. “We can … have strategic plans that really target people at most risk, people who are missed. And so we are able to find them and provide them with treatment.”

The United States Agency for International Development (USAID) and the U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC) provided technical and scientific support to the government of Kenya in the design and implementation of the survey and $575,000 in funding to conduct it.

According to Kenya’s National Tuberculosis, Leprosy and Lung Disease Program, the major factor responsible for the large TB disease burden is the concurrent HIV epidemic.

Other contributing factors include poverty and social deprivation that have led to a mushrooming of peri-urban slums between cities and the countryside, and limited access to general health care services.

The survey findings also reveal that the current practice of screening for TB symptoms and using microscopy as the only test misses many cases. Using GeneXpert, an innovative technology for the diagnosis of TB, has led to the detection of 78 percent of TB cases among those screened, making it a more reliable and efficient test.

A statement from the Cabinet secretary of Health, Dr. Cleopa Mailu, said in part “the government was committed to making TB diagnostics accessible”  by expanding “the use of Chest X-rays to screen all persons presumed to have TB and make GeneXpert the first diagnostic test for all presumed TB cases.”

The government also said that it would increase engagement with the private sector, carry out targeted approaches through community-based action, and improve community awareness of TB symptoms in an effort to make TB everyone’s business.
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Spacewalking Astronauts Prep Station for New Parking Spot

Astronauts ventured out on a spacewalk Friday to prep the International Space Station for a new parking spot.

NASA’s Shane Kimbrough and France’s Thomas Pesquet emerged early from the orbiting complex, then went their separate ways to accomplish as much as possible 250 miles up.

“We are ready to get to work,” Mission Control informed them.

Their main job involves disconnecting an old docking port. This port needs to be moved in order to make room for a docking device compatible with future commercial crew capsules, and provide more clearance. The new docking device — the second of two — will fly up late this year or early next and hook onto this port.

If all goes well, flight controllers in Houston will relocate the old docking port Sunday, using the station’s robotic arm. Then next Thursday, the crew will conduct another spacewalk to secure the unit.

SpaceX and Boeing are developing capsules capable of flying astronauts to and from the space station. Until the SpaceX Crew Dragon and Boeing Starliner come on line — possibly next year — U.S. astronauts will have to keep riding Russian rockets to orbit.

Before working on the docking port, Kimbrough replaced a computer-relay box with an upgraded version. Pesquet, meanwhile, looked for signs of a small ammonia coolant leak in outdoor plumbing. He patted and tugged at hoses, but did not spot any frozen flakes of ammonia. A GoPro camera caught his every move for playback later.

“No flakes. All good,” Pesquet reported.

Also on the spacewalkers’ to-do list Friday: Replace a pair of Japanese cameras and grease latching mechanisms on the end of the big robot arm.

NASA wants to cram in two and possibly three spacewalks before Kimbrough, the station’s commander, returns to Earth on April 10.

Before a third spacewalk can be conducted, however, Orbital ATK needs to launch a cargo ship to the space station with replacement parts. That shipment was supposed to be there by now, but repeatedly has been delayed because of rocket concerns. It’s unclear when the Atlas V rocket will be ready to soar from Cape Canaveral, Florida.

NASA has been contracting out cargo deliveries since the end of the space shuttle program in 2011. The space agency is counting on private companies to do the same with astronauts.
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