Tuesday, August 24, 2021

Unveiling a century-old mystery: Where the Milky Way's cosmic rays come from


Peer-Reviewed Publication

NAGOYA UNIVERSITY

Gamma-ray (Figure 1) 

IMAGE: FIGURE 1. SCHEMATIC IMAGES OF GAMMA-RAY PRODUCTION FROM COSMIC-RAY PROTONS AND ELECTRONS. COSMIC-RAY PROTONS INTERACT WITH INTERSTELLAR PROTONS SUCH AS MOLECULAR AND ATOMIC HYDROGEN GAS. THE INTERACTION CREATES NEUTRAL PION THAT QUICKLY DECAYS INTO TWO GAMMA-RAY PHOTONS (HADRONIC PROCESS). COSMIC-RAY ELECTRONS ENERGIZE INTERSTELLAR PHOTONS (MAINLY COSMIC MICROWAVE BACKGROUND; CMB) INTO GAMMA-RAY ENERGY VIA INVERSE COMPTON SCATTERING (LEPTONIC PROCESS). view more 

CREDIT: ASTROPHYSICS LABORATORY, NAGOYA UNIVERSITY

Astronomers have succeeded for the first time in quantifying the proton and electron components of cosmic rays in a supernova remnant. At least 70% of the very-high-energy gamma rays emitted from cosmic rays are due to relativistic protons, according to the novel imaging analysis of radio, X-ray, and gamma-ray radiation. The acceleration site of protons, the main components of cosmic rays, has been a 100-year mystery in modern astrophysics, this is the first time that the amount of cosmic rays being produced in a supernova remnant has been quantitatively shown and is an epoch-making step in the elucidation of the origin of cosmic rays.

 

The origin of cosmic rays, the particles with the highest energy in the universe, has been a great mystery since their discovery in 1912. Because cosmic rays promote the chemical evolution of interstellar matter, understanding their origin is critical in understanding the evolution of our Galaxy. The cosmic rays are thought to be accelerated by supernova remnants (the after-effects of supernova explostions) in our Galaxy and traveled to the Earth at almost the speed of light. Recent progress in gamma-ray observations has revealed that many supernova remnants emit gamma-rays at teraelectronvolts (TeV) energies. If gamma rays are produced by protons, which are the main component of cosmic rays, then the supernova remnant origin of cosmic rays can be verified. However, gamma rays are also produced by electrons, it is necessary to determine whether the proton or electron origin is dominant, and to measure the ratio of the two contributions (see also Figure 1). The results of this study provide compelling evidence of gamma rays originating from the proton component, which is the main component of cosmic rays, and clarify that Galactic cosmic rays are produced by supernova remnants.

  

CAPTION

Figure 2. Maps of gamma-ray intensity Ng, interstellar gas density Np, and X-ray intensity Nx

CREDIT

Astrophysics Laboratory, Nagoya University

The originality of this research is that gamma-ray radiation is represented by a linear combination of proton and electron components. Astronomers knew a relation that the intensity of gamma-ray from protons is proportional to the interstellar gas density obtained by radio-line imaging observations. On the other hand, gamma-rays from electrons are also expected to be proportional to X-ray intensity from electrons. Therefore, they expressed the total gamma-ray intensity as the sum of two gamma-ray components, one from the proton origin and the other from the electron origin. This led to a unified understanding of three independent observables (Figure 2). This method was first proposed in this study. As a result, it was shown that gamma rays from protons and electrons account for 70% and 30% of the total gamma-rays, respectively. This is the first time that the two origins have been quantified. The results also demonstrate that gamma rays from protons are dominated in interstellar gas-rich regions, whereas gamma rays from electrons are enhanced in the gas-poor region. This confirms that the two mechanisms work together and supporting the predictions of previous theoretical studies.

  

CAPTION

Figure 3. Three-dimensional fitting of a flat plane expressed by an equation of Ng = a Np + b Nx, where a and b are constants. The data points are colored by the code in the figure according to Ng and are shown by filled and open symbols for those above and below the plane. The blue, green, yellow, and red represent Ng is less than 1.2 counts arcmin−2, 1.2–1.7 counts arcmin−2, 1.7–2.2 counts arcmin−2, and greater than 2.2 counts arcmin−2, respectively. The blue, green, orange, red, and purple dashed lines on the best-fit plane indicate 1.0, 1.5, 2.0, 2.5, and 3.0 counts arcmin−2, respectively.

CREDIT

Astrophysics Laboratory, Nagoya University

“This novel method could not have been accomplished without international collaborations,” says Emeritus Professor Yasuo Fukui at Nagoya University. He led this project and has accurately quantified interstellar gas density distribution using the NANTEN radio telescope and Australia Telescope Compact Array since 2003. Although the gamma ray resolution was insufficient to perform a full analysis at that time, Professor Gavin Rowell and Dr. Sabrina Einecke of the University of Adelaide and the H.E.S.S. team dramatically improved the spatial resolution and sensitivity of gamma rays over the years, making it possible to compare them precisely with interstellar gas. Dr. Hidetoshi Sano of the National Astronomical Observatory of Japan led the X-ray imaging analysis of archival datasets from the European X-ray satellite XMM-Newton. Dr. Einecke and Prof. Rowell worked closely with Prof. Fukui and Dr. Sano on making the detailed studies that examined the correlations across the gamma-ray, X-ray and radio emission. “This novel method will be applied to more supernova remnants using the next-generation gamma-ray telescope CTA (Cherenkov Telescope Array) in addition to the existing observatories, which will greatly advance the study of the origin of cosmic rays.”

PULLING A PUTIN
Philippines' Duterte to run for vice president, says party

Rodrigo Duterte is barred under the constitution from seeking another term as president 
LISA MARIE DAVID POOL/AFP

Issued on: 24/08/2021 - 

Manila (AFP)

Philippine President Rodrigo Duterte will run for vice president in next year's elections, his party said Tuesday, after months of speculation about whether he would seek to stay in power.

Duterte, who was elected to the top job in 2016 and is barred under the constitution from seeking another term, has previously flagged the possibility of contesting the country's second-highest office.

"President Rodrigo Roa Duterte agreed to make the sacrifice and heed the clamour of the people, and accepted the endorsement of the PDP Laban Party for him to run as vice president in the 2022 national elections," the party said in a statement.

The party is also expected to endorse Duterte's top aide, Senator Christopher Lawrence "Bong" Go, to be their presidential candidate.

Duterte has not said publicly yet that he will run, but PDP-Laban president Alfonso Cusi told AFP: "He confirmed he is running for VP in 2022."

The vice president and president are elected separately in the Philippines, with the former assuming the top job if the latter dies, becomes incapacitated, or resigns while in office.

During his term Duterte has waged a brutal war against drug users and dealers that rights groups say has killed tens of thousands of people.

International Criminal Court prosecutors are seeking to launch a full-blown investigation into the anti-narcotics crackdown, raising the stakes for next year's elections.

Duterte's daughter, Sara, is widely expected to contest the presidency and, if she were to win, could help protect her father from criminal charges.

Recent polls show the Davao city mayor -- the same position her father held before he took power -- with the most voter support.

Duterte told a meeting of party officials last month that he was "seriously thinking of running for vice president".

But he expressed concern that a political foe could win the presidency, rendering him useless for the next six years.

"The president that will win must be a friend of mine (with) whom I can work with," Duterte said.

The deadline for registering as a candidate for next year's elections is October 8. A sitting president has never before made a bid for the vice presidency in the Philippines.

Presidential spokesman Harry Roque told reporters that Duterte would make a televised address later Tuesday where he is expected to discuss the PDP-Laban announcement.

© 2021 AFP
Japan and disability: will the Tokyo Paralympics bring change?



Issued on: 24/08/2021 -
Masaaki Suwa, a Japanese para-canoeist who missed the cut for the Tokyo Games, will be cheering for Japan's team on television Philip FONG AFP

Tokyo (AFP)

As the Paralympic Games begin, Japan's efforts to improve accessibility and inclusion are in the spotlight, with many arguing there is still plenty of work to do.

Some 4,400 athletes with impairments will compete in Tokyo at the world's biggest parasports tournament.

It's a place for sporting history, but also an event organisers say can change attitudes towards people with disabilities.

"It's a precious event," said Masaaki Suwa, a Japanese para-canoeist who missed the cut for the Tokyo Games but will be cheering for Japan's team on television.

"They are doing great things but they are not superhumans. I want people to know that they are human beings just like you," the 35-year-old told AFP.

It's a bittersweet moment for Suwa, who had hoped to compete in his hometown, but he's counting on other Paralympians to make an impact on Japanese society.

"I hope (the Paralympics) will be a springboard that allows people to live more closely alongside disabled people," said Suwa, who uses a wheelchair.

Disability rights experts and activists paint a mixed picture of the situation in Japan.

The Paralympics will feature 4,400 athletes from 162 teams Charly TRIBALLEAU AFP/File

There has been progress on barrier-free infrastructure, with officials calling accessibility important both for people with disabilities but also the country's large elderly population.

A barrier-free enforcement law has been revised twice in recent years to promote accessibility at public facilities.

- 'Marginal' change -

Particular efforts have been made in Tokyo's mammoth train system, with elevators operating at around 96 percent of stations as of 2019, the city government says.

By 2019, 82 percent of Tokyo subway stations also had platform gates to keep visually impaired passengers and others safe -- up from 56 percent in 2013.

New hotels with more than 50 rooms are also required to make at least one of every 100 barrier-free.

"In terms of the number of barrier-free facilities, Japan appears advanced," said Miki Matheson, deputy chief of Japan's Paralympic delegation.

But the three-time Paralympic gold medallist, who lives in Canada and is in Tokyo for the Games, says accessibility is not the same as inclusion.

Former Paralympian Miki Matheson says she is treated as a disabled person when in Japan, unlike at home in Canada 
Behrouz MEHRI AFP/File

"I'm often treated as a disabled person when I'm back in Japan," said Matheson, who uses a wheelchair.

"In Canada, I live without noticing my disability at all."

Activists say the workplace is an example of the barriers that remain.

Under government rules, workers with disabilities must make up at least 2.3 percent of staff at all companies. Larger firms face fines for non-compliance.

In 2018, the government was forced to apologise for routinely overstating the number of disabled people on its staff to meet quotas.

Motoaki Fujita, a sports sociology professor at Nihon Fukushi University and a parasports expert, says Japan has become more inclusive, "but the change is still marginal."

Some 57 percent of people surveyed by Fujita's team last year said they "certainly or somewhat" believe people with disabilities are weak and have difficulty living with non-disabled people.

That's only slightly less than the 61 percent who felt the same in a 2014 poll.


- Paralympic 'catalyst' -


Tokyo's Paralympics will take place with almost no spectators because of virus rules, which some fear could blunt its impact on Japanese society.

"The Paralympics is a very good chance to change people's thinking," said Shigeo Toda, head of a Tokyo-based research institute studying the lifestyles of people with disabilities.

"But we can't help but think that momentum could sag if people can't watch them in person," Toda said.

Saki Takakuwa, a Paralympic runner who competes with a prosthetic blade, worries about the spectator ban's effect.

"I know people will watch the Games on TV, but I wonder how they will respond," she told the Mainichi Shimbun daily.

Activists and experts say Japan has work to do on disability access and inclusion
 Charly TRIBALLEAU AFP

"Compared to past Games, it's difficult for me to have hope that people will feel something", added the 29-year-old, who is contesting her third Paralympics.

International Paralympic Committee President Andrew Parsons admits the spectator ban is "a challenge," but argues broadcasts will reach billions around the world.

"The Games themselves are a catalyst," he told AFP.

"It's the moment when people see athletes in action, and that's when this change really occurs."

In Japan, he added, there is "still a lot of progress to be made."

"But we believe that we have started to see a change."

© 2021 AFP
Delta variant sends deaths soaring in remote French Polynesia

Issued on: 24/08/2021 - 
Extra beds set up in a hall to accommodate patients at the French Polynesia Taaone Hospital in Papeete
 Mike LEYRAL AFP

Papeete (AFP)

Covid infections are soaring in the sparsely populated Pacific territory of French Polynesia, with health authorities reporting 54 deaths from the virus over the weekend as the Delta variant spreads among a largely unvaccinated population.

More than 300 people have died from Covid-19 since the pandemic hit the remote archipelago -- home to 280,000 inhabitants. Over half of those deaths have come in the last three weeks.


The territory has so far recorded 7,591 infections, though the true figure is likely higher as most asymptomatic people are not being tested.

High rates of diabetes and obesity have made the population more vulnerable.

The territory's limited health care system has struggled to cope, with one major hospital setting up beds in hallways to handle the rising number of patients. Bodies have been loaded onto refrigerator trucks to relieve pressure on the overwhelmed morgue.

The Polynesian archipelago is now under a curfew and the Society Islands -- which include the largest island of Tahiti and other more densely populated areas -- are under lockdown.

But the rules, which allow for a modicum of economic activity, have been difficult to enforce.

The territory's president Edouard Fritch was forced to apologise after being spotted playing guitar at a wedding party attended by hundreds of maskless people in defiance of the regulations.


Schools have been closed for at least two weeks and efforts are being made to teach online but many underprivileged students do not have access to the internet.

The French government has voiced alarm about Covid-19 infection rates in its overseas territories.

© 2021 AFP
Road-trip surgeon brings hope of health to rural Cameroon

Issued on: 24/08/2021 - 
Mobile hospital: Georges Bwelle operates on an inmate with hernia at Nkongsamba prison in remote Cameroon 
Adrien MAROTTE AFP

Nkongsamba (Cameroon) (AFP)

"Are you feeling OK?" surgeon Georges Bwelle asks the prisoner lying on a makeshift bed.

He picks up his scissors and forceps and returns to operating on a small hernia.

The music playing in the room next door in the rural jail grows louder, and the doctor sings along.


During the week, Bwelle, 49, is a top doctor specialising in intestinal surgery at the main hospital in Yaounde, the capital of Cameroon.

At the weekend, though, he takes to the road.

He heads a lively team of volunteers who cram into a minibus and head out into remote areas -- a tiny mobile clinic that provides basic healthcare to those in need.

Today, his NGO, called ASCOVIME, has gone to the prison at Nkongsamba, a town lying in green hills about 350 kilometres (215 miles) northwest of Yaounde.

The team is welcomed by the prison administrator and an NGO called Agriculture for Africa, which is hosting the trip.

Every weekend, the ASCOVIME minibus heads out to a distant part of Cameroon, laden with medical gear and crammed with young doctors 
Adrien MAROTTE AFP

Today, almost 500 prisoners and their families will be examined.

A clean room is provided near the cells.

"It's perfect," says Bwelle.

Immediately, a chain of volunteers forms to bring in the equipment, transforming the room into a small field hospital, complete with departments for general medicine, ophthalmology, dentistry and even minor surgery.

The inmate, 35, emerges from the operating room, his hernia now fixed.

"Thank God I have been freed from this ailment -- the doctors looked after me," he says, clearly moved.

- Huge needs -


Bwelle's drive to help others can be traced to his childhood.

Born into a family of modest means, the young Bwelle saw his father's health deteriorate because of the lack of access to a specialist doctor following a road accident.

After his studies, Bwelle began to travel throughout his country.

"With the little money I had, I bought medicines and treated three or four people, then 10, then 100," he told AFP.

Little by little, a team of doctors with a panoply of skills gathered around him.

In 2008 he set up ASCOVIME, an acronym in French meaning Association of Skills for a Better Life.


Today, the NGO carries out about 40 missions a year, provides medical consultations to 40,000 people, carries out around 1,400 operations and gives school equipment to 20,000 children.

In Cameroon, a central African country of about 25 million people ruled for more than 38 years by Paul Biya, almost four people in 10 live below the poverty line and life expectancy is around 60.

Most of the time, ASCOVIME visits rural areas where health care is scarce and difficult to access, including two English-speaking regions plagued by separatist conflict, and the far north, affected by jihadist incursions by the Boko Haram group.

"In every village, there is at least one medical hut run by a nurse, often a Cameroonian government employee," he explains.

But the needs are almost limitless -- "the main problem is poverty and lack of equipment."

The most frequent medical complaints are malaria, joint pain and hernias -- diseases linked to working the land, says Bwelle.

- Volunteers' joy -


In a summer camp atmosphere, the bus -- its sides emblazoned with the English words "Local initiative to reduce people suffering" -- traces its route to the rhythm of traditional Cameroonian music.

Dressed in shorts and a navy blue sweatshirt, Bwelle, who also teaches at the University of Yaounde, adds his voice and claps his hands.

Consultation: ASCOVIME doctors talk to patients in Nkongsamba. Health services are sketchy and life expectancy is low in many parts of Cameroon
 Adrien MAROTTE AFP

He grabs his young proteges by the shoulder, tells jokes, and beams.

"It's a bit silly, but I love making people smile. And for me, that means treating those who need it," Bwelle says.

Emmanuella Mounjid, a sixth-year medical student, is one of the weekend volunteers.

"I am learning a lot about medicine. Specialist doctors come with us and answer our questions," she says.

"But the experience is the richest at the human level. There is nothing more beautiful than receiving a smile."

© 2021 AFP
Senegal's capital floods again as experts blame poor planning


Senegal's Interior Minister, Antoine Felix Abdoulaye Diome, visits flooded areas after heavy rain in Dakar SEYLLOU AFP


Issued on: 24/08/2021 -
Dakar (AFP)

Senegal's Interior Minister Antoine Felix Abdoulaye Diome is up to his knees in water, in a suburb of the West African country's capital, surveying flood damage.

He's inspecting a home in the eastern Keur Massar district: The first floor and courtyard have been submerged in brown water for three days.

Dragonflies hover over the swampy courtyard, which a lone pump is struggling to drain. Inside, furniture has been raised off the ground.

The owner of the home, who declined to be named, is scathing.

"They are incapable," he tells AFP, gesturing towards the minister and his entourage.

Anger has been growing over the increasingly routine flooding in Dakar.

Diome and other officials were booed as they toured Keur Massar, and protesters elsewhere in Dakar blocked a highway.

Comprising about 3.7 million people, the city regularly floods during the July-October rainy reason. But the problem is getting worse. This year, heavy flooding struck after only two days of rain.

The floods have also come after repeated government promises to solve the problem.

Moise David Ndour, another Keur Massar resident, is also fed up. "Nothing has been done," he says. "Some people have even moved away because of this".

Many are expecting worse flooding to come as the rains continue.

According to experts interviewed by AFP, whole districts are built on flood plains, and on soft soils close to the water table. Planning is haphazard and local authorities appear to exert little control.


- 'Worrying paradox -


Senegalese President Macky Sall launched a 10-year plan to combat flooding when he came to power in 2012, with a budget the equivalent of about 1.14 billion euros ($1.4 billion).

Water pumps and culverts have been installed in some areas of Dakar, successfully warding off flooding. However, other districts of the rapidly expanding city have been left untouched.

Dakar regularly floods during the July-October rainy reason, but the problem is getting worse SEYLLOU AFP

About a quarter of Senegal's population of 16 million people live in the seaside city, where there is fierce pressure to build because of housing shortages.

The government has sought to relieve inundated areas without tackling the reasons underlying regular flooding, according to Senegalese geologist Pape Goumbo Lo.

"The construction of housing must take into account the nature of the soil," he said, adding that there is a need for more studies of the land and the water table.

Free-for-all construction has also exacerbated flooding even as downpours have become less frequent.

"This is a very worrying paradox," says Cheikh Gueye, a geographer and researcher at the Dakar-based NGO Enda Tiers-Monde.

"Less and less rain is causing more and more damage," he adds.

- Horses to the rescue -


In Mbao, another Dakar suburb, it hasn't rained in three days, but the main road is still flooded with stagnant water.

The government has sought to relieve inundated areas without tackling the reasons underlying regular flooding, experts say SEYLLOU AFP/File

Motorbikes, scooters and public transportation vehicles can no longer use it.

Ibrahim Cisse, a local with water lapping round his ankles, says "we have no choice but to get wet or use the horse-drawn carriages to cross the street".

In front of him, about a dozen people are perched on a horse-cart, which are common in Senegal but are mostly used to transport goods.

"There is a lot of damage, the shopkeepers can't open," says another local, who declines to be named. "We have to get past this".

But Cheikh Gueye, the geographer, is pessimistic.

"We build in flood zones: Every day new neighbourhoods are created, and the same mistakes are made".

© 2021 AFP
STALINISM 2.0
Hong Kong censorship law to check old films for national security breaches

Hong Kong historically boasted a thriving film scene and for much of the latter half of the last century, Cantonese cinema was world-class 
VIVEK PRAKASH AFP/File

Issued on: 24/08/2021 - 



Hong Kong (AFP)

Hong Kong will scrutinise past films for national security breaches under a tough new censorship law announced on Tuesday in the latest blow to the financial hub's political and artistic freedoms.

Authorities have embarked on a sweeping crackdown to root out Beijing's critics after huge and often violent democracy protests convulsed the city two years ago.

A new China-imposed security law and an official campaign dubbed "Patriots rule Hong Kong" has since criminalised much dissent and strangled the democracy movement.

Authorities previously announced in June that the city's censorship board would check any future films for content that breached the security law.

But on Tuesday they unveiled a new hardened censorship law which would also cover any titles that had previously been given a green light.

"Any film for public exhibition, past, present and future, will need to get approval," commerce secretary Edward Yau told reporters.

Hong Kong's national security law bans anything authorities deem to be secession, subversion, terrorism or collusion with foreign forces.

Almost all those arrested under the law so far are democracy activists and a legislative brief given to reporters on Tuesday specifically mentioned recent documentaries that "glorified" or "incited" protests.

The new law must be approved by the city's legislature -- a near certainty, given it has been purged of any opposition over the last year.

The maximum sentence for showing illegal films will be increased to up to three years jail and a HK$1 million ($130,000) fine.

Titles deemed a national security risk by censors will not be able to appeal via the usual channels.

Instead they will have to launch a judicial review in Hong Kong's courts, a long and costly legal procedure.

Authorities can also revoke viewing licenses of venues that show titles deemed "contrary to the interests of national security".

The law will bring Hong Kong much closer to the Chinese mainland, where films are rigorously vetted and only a handful of Western movies or documentaries see a commercial release each year.

Hong Kong historically boasted a thriving film scene and for much of the latter half of the last century, Cantonese cinema was world-class.

The city still maintains some key studios, a handful of lauded directors and a thriving indie scene, but new political red lines are being drawn each month.

The announcement of Tuesday's new censorship law came as Hollywood star Nicole Kidman is filming an Amazon-funded series in the city based on a book about the gilded lives of the city's "expats".

Authorities allowed Kidman and her film crew to skip quarantine, sparking public anger last week.

© 2021 AFP

Maersk orders eight carbon-neutral container ships

Issued on: 24/08/2021 - 
Global maritime transport accounts for almost three percent of greenhouse gas emissions, according to the International Maritime Organization. Don MacKinnon AFP/File

Copenhagen (AFP)

Danish shipping giant AP Moller-Maersk said Tuesday it was speeding up plans for an environment-friendly fleet with the order of eight carbon-neutral container vessels, a pioneering project in the highly-polluting industry.

Maersk said in a statement that it will introduce the "groundbreaking" ocean-going vessels, capable of operating on carbon-neutral methanol, in the first quarter of 2024.

The ships, built by Hyundai Heavy Industries (HHI) and equipped with dual fuel engines, will be able to each transport 16,000 containers, and will account for about three percent of the company's fleet.

The deal with HHI includes an option for four more vessels in 2025.

According to Maersk, the new ships will enable the company to reduce its annual CO2 emissions by about one million tonnes.

Global maritime transport is more polluting than the aviation sector, according to the Higher Institute of Maritime Economics (Isemar).

It is responsible for 2.98 percent of global greenhouse gas emissions, 2018 figures from the International Maritime Organization (IMO) show.

"The time to act is now, if we are to solve shipping's climate challenge," AP Moller-Maersk chief executive Soren Skou said in the statement.

"This order proves that carbon-neutral solutions are available today across container vessel segments and that Maersk stands committed to the growing number of our customers who look to decarbonise their supply chains."

"Further, this is a firm signal to fuel producers that sizable market demand for the green fuels of the future is emerging at speed," he added.

In February, the group announced it would launch its first carbon-neutral vessel in 2023, seven years ahead of its initial target.

That ship will operate on bio-methanol and will sail intra-regional routes.

Maersk, which sold its oil division in 2017 to TotalEnergies, aims to be carbon neutral by 2050.

In 2020, it said it had reduced its carbon emissions by 42 percent from the previous year.

© 2021 AFP

RACIST MEDICINE USA

Mount Sinai study identifies significant inequalities among low-risk births, finds higher rates of unexpected complications for Black and Hispanic infants


Peer-Reviewed Publication

THE MOUNT SINAI HOSPITAL / MOUNT SINAI SCHOOL OF MEDICINE

Mount Sinai researchers who examined racial and ethnic disparities among low-risk newborns found that Black and Hispanic newborns have higher risks of complications compared to white and Asian babies. Their findings, published in the journal Pediatrics on Tuesday, August 24, identify hospital quality as a contributing factor to racial and ethnic inequalities in unexpected complications among relatively healthy newborns.

The study examined more than 480,000 live births at term gestation, or pregnancies carried to at least 37 weeks, in New York City from 2010 through 2014 and found the overall rate of unexpected complications was 48 per 1,000 births. Complication rates were higher among Black (about 72 per 1,000) and Hispanic (54 per 1,000) newborns than among white (about 35 per 1,000) and Asian (about 36 per 1,000) infants. Black infants were roughly twice as likely, and Hispanic infants roughly 1.5 times as likely, to have a complication as white infants, according to the study, which used logistic regression models adjusted for maternal sociodemographic characteristics including age, insurance coverage, and educational attainment.

The researchers also found that Black and Hispanic women typically delivered in different and lower-quality hospitals than did white women, further demonstrating the importance of the delivery hospital. One-third of Black and Hispanic women—33.1 percent and 34.3 percent, respectively—gave birth in hospitals with risk-adjusted newborn morbidity rates ranking in the highest third, compared to only 10 percent of white and Asian women.

“Term births make up the vast majority of deliveries, and minimizing potentially preventable morbidity at term would have substantial population-level impact,” said senior investigator Kimberly B. Glazer, PhD, MPH, Assistant Professor of Population Health Science and Policy, and Obstetrics, Gynecology and Reproductive Science, at the Icahn School of Medicine at Mount Sinai. “By identifying disparities among otherwise healthy, low-risk infants, we emphasize patient safety and quality improvement—targeting routine obstetric and neonatal care—as a critical but underutilized approach to disparity reduction.”

More than 90 percent of births occur at term, most with relatively low risk for complications. Still, babies carried to term can face significant complications, including severe infection, shock, organ failure, and respiratory distress, which can lead to critical consequences for immediate and long-term well-being.

In the new study, Mount Sinai researchers evaluated the extent to which racial and ethnic disparities exist among low-risk, term newborns, and estimated the influence of hospital quality on such disparities. Most research to date has only studied preterm birth and quality of care for high-risk deliveries.

The retrospective cohort study examined birth certificates linked to hospital discharge records for more than 480,000 live births in New York City from 2010 through 2014. The research team considered the “unexpected newborn complications” quality measure used by The Joint Commission to identify potentially avoidable severe and moderate complications among relatively healthy, term births. Using the “unexpected newborn complications” quality measure, the researchers determined whether these complication rates varied by race and ethnicity, and identified whether differences in the delivery hospital explained patterns in morbidity risk. To evaluate hospital quality, the researchers calculated risk-standardized newborn complication rates for each of the 40 New York City hospitals in the study’s sample. They ranked hospitals by these adjusted morbidity rates and compared the distribution of births between racial and ethnic groups across hospital rankings.

The study’s findings are consistent with previous research on disparities among high-risk preterm and low-birth-weight deliveries, and calls attention to a critical need for hospital quality improvement through targeting routine obstetric and neonatal care for greater equity in perinatal outcomes. The study relies on the accuracy of diagnosis and procedure codes in hospital discharge data, and the researchers recommend future research include information on contextual factors such as the neighborhood environment.

The Mount Sinai team collaborated with researchers from the Obstetrical Perinatal and Pediatric Epidemiology Research Team at the Centre of Research in Epidemiology and Statistics (CRESS), INSERM, Université de Paris; the Grossman School of Medicine, New York University; the School of Public Health, University of Washington; and the Department of Obstetrics & Gynecology, Perelman School of Medicine at the University of Pennsylvania.

This study is supported by a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, a part of the National Institutes of Health, under Award Number R01HD078565.

About the Mount Sinai Health System

The Mount Sinai Health System is New York City’s largest academic medical system, encompassing eight hospitals, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region. We advance medicine and health through unrivaled education and translational research and discovery to deliver care that is the safest, highest-quality, most accessible and equitable, and the best value of any health system in the nation. The Health System includes approximately 7,300 primary and specialty care physicians; 13 free-standing joint-venture centers; more than 410 ambulatory practices throughout the five boroughs of New York City, Westchester, and Long Island; and more than 30 affiliated community health centers. The Mount Sinai Hospital is ranked in U.S. News & World Report’s “Honor Roll” of the top 20 U.S. hospitals and among the top in the nation by specialty: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Urology, and Rehabilitation. Mount Sinai Kravis Children's Hospital is ranked in U.S. News & World Report’s “Best Children’s Hospitals” among the country’s best in four out of 10 pediatric specialties. New York Eye and Ear Infirmary of Mount Sinai is ranked among the Top 20 nationally for ophthalmology. The Icahn School of Medicine at Mount Sinai is one of three medical schools that have earned distinction by multiple indicators: ranked in the top 20 by U.S. News & World Report's “Best Medical Schools,” aligned with a U.S. News & World Report “Honor Roll” Hospital, and No. 14 in the nation for National Institutes of Health funding. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and top five globally, and Mount Sinai Morningside as top 20 globally, and “The World’s Best Specialized Hospitals” ranks Mount Sinai Heart as No. 1 in New York and No. 5 globally and the Division of Gastroenterology as No. 5 globally.

For more information, visit https://www.mountsinai.org or find Mount Sinai on FacebookTwitter and YouTube.

What effect does early social contact have on dairy calves’ welfare?

New research in the Journal of Dairy Science® examines behavioral, performance, and health effects of early socialization among young calves

Peer-Reviewed Publication

ELSEVIER

Philadelphia, August 24, 2021 – In addition to needs such as food, water, shelter, and medical care, social contact is an important aspect of welfare for animals, just as it is for humans. Yet early socialization of dairy calves is sometimes given lesser priority in the interest of physical health, with young calves housed individually to prevent the spread of contagious diseases such as those that cause diarrhea, or scours, a major source of calf mortality. In a new study appearing in the Journal of Dairy Science®, scientists from the University of Florida Department of Animal Sciences investigated whether this individually housed tactic is justified and what unintended consequences it may have.

Given different practical considerations, dairy calves’ age of introduction to social housing varies from farm to farm. Different ages of first socialization may affect behavioral development and responses to later social grouping. In this study, Holstein calves were housed either individually or in pairs during their first two weeks of life and then moved, first to groups of four and later to groups of eight, reflecting the dynamic conditions of many farms’ housing systems. Throughout the study, researchers monitored the calves’ ability to learn to feed independently from the teat bucket in early life, and then from the autofeeder. Calf health, feed intake, and weight gain were recorded, as well as activity and social interactions—with surprising results.

“We anticipated that calves reared with social contact in the first weeks would engage more with novel pen resources, have increased social interaction, and have increased lying time upon social grouping, compared with calves previously individually housed,” said lead investigator Emily Miller-Cushon, PhD, University of Florida, Gainesville, FL, USA. However, the scientists found little difference in most of the measured outcomes between the differently socialized groups. The most important difference was consistently greater social resting time among initially pair-housed calves, suggesting greater overall comfort with pen-mates, even upon first introduction.

Miller-Cushon added that the results showed “minimal other effects on behavior and no detrimental effects on performance.” There was even a tendency for fewer days of diarrhea among calves housed in pairs after birth. Thus, the authors observed, “Although concern for calf health is often cited as reason to house calves individually, at least for a short period after birth, we found a tendency for reduced scours in pair-housed calves, providing evidence that social housing does not negatively affect, and may benefit, early-life calf health.”