Friday, March 29, 2024

 

US Doctors received approximately $12.1 billion from drug and device makers between 2013-2022


Peer-Reviewed Publication

PENN STATE





HERSHEY, Pa. — Despite evidence that financial conflicts of interest may influence medical practice and research and may erode patient trust in medical professionals, these relationships remain pervasive. According to a new analysis of the Open Payments platform, a database that tracks payments between physicians and industry, a team led by a Penn State researcher found that doctors received approximately $12.1 billion from drug and device makers between 2013 and 2022. 

Their findings published today (March 28) in JAMA. It’s one of the first studies to look at industry payments longitudinally and by specialty. 

“Overall, it shows that the Open Payments is not much more than a ledger sheet. Whether there is a need for deterrence or changed behaviors requires a broader conversation with public involvement,” said Andrew Foy, associate professor, Penn State College of Medicine and corresponding author on the paper.

In 2013, the Physician Payments Sunshine Act was passed in response to calls for greater transparency on financial relationships between physicians and teaching hospitals and the makers of drugs and medical devices. It led to the creation of the Open Payments database. Manufacturers are required to submit information on all payments and transfers of value.

For this paper, the team used data from Open Payments from 2013 to 2022. They included payments (both cash and non-cash equivalents) to physicians for consulting services, non-consulting services, food and beverages, travel and lodging, entertainment, education, gifts, grants, charitable contributions and honoraria. They analyzed data across 39 specialties. They also looked at within-specialty variation — the difference between the median amount paid to physicians in a specialty and the mean amount paid to the top 0.1% of physicians in that specialty. Lastly, they determined the 25 drugs and medical devices associated with the largest total payments.

The analysis showed that more than half of physicians received at least one payment and roughly 94% of payments were associated with one or more marketed medical product. A small percentage of physicians received the largest amounts, often exceeding $1 million. Orthopedic surgeons received the greatest sum of payments while pediatric surgeons received the least amount. 

Other authors on the paper are Ahmed Sayed from Ain Shams University, Joseph Ross from Yale School of Medicine, John Mandrola from Baptist Health, Lisa Soleymani Lehmann from Harvard Medical School.

This project was not supported by external grants or funds.

 

Manganese plays a surprising role in soil carbon sequestration


Exchangeable manganese, like that emitted by industry, cuts carbon storage in boreal forests


DUKE UNIVERSITY

Boreal Forest in Daxing'an Mountains, China 

IMAGE: 

A SCENE FROM THE BOREAL FOREST OF THE DAXING'AN MOUNTAINS IN CHINA.

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CREDIT: JINGHUA YU




DURHAM, N.C. – Manganese in the soil of boreal forests has been found to work against the carbon storage capacity of these crucial northern habitats.

Located predominantly in cold regions at high latitude, boreal forests are estimated to store nearly 30 percent of the world’s soil carbon, making them the world’s largest reservoir of land-based carbon. This stored carbon is found mostly in the forests’ humus layer, which contains decomposed leaves and other organic matter.

A global, long-term study led by Duke University researchers has found that higher levels of manganese in this layer stimulated decomposition of soil organic matter, and released more carbon dioxide than did those forest plots with less or no manganese. The work appeared March 19  in the Proceedings of the National Academy of Sciences (PNAS).

“Conventional wisdom is these forests are like a global vault of carbon, where carbon is put into the vault versus taken out,” said William H. Schlesinger, professor emeritus at Duke University’s Nicholas School of the Environment and study co-author. “These findings reveal a crack in the vault, where enough manganese over time stimulates the release of carbon dioxide into the atmosphere, which has implications for climate mitigation efforts and the global carbon cycle,” said Schlesinger. 

Certain industrial processes, such as metal smelting or combustion of manganese-containing fuels, can release airborne manganese which is later deposited in soils downwind. 

This is one of many human activities, such as the burning of fossil fuels, deforestation, and land-use changes, that have disturbed the natural carbon cycle, leading to an increase in atmospheric carbon dioxide concentrations that contribute to global warming and climate change. 

“Carbon inventorying is still an evolving science,” said Yunyu Zhang, lead author and graduate student from the Chinese Academy of Sciences. “It is essential to figure out which factors regulate this huge carbon pool [in boreal forests’ soil], especially given continuous… industrialization.”  

Researchers analyzed data from boreal forests worldwide, and fertilized soil with manganese over 14 years (2009-2023) in China’s Daxing’an Mountains. Results showed the level of exchangeable manganese -- the part of manganese that plants can use as nutrients -- determined how much carbon was stored in boreal forest soil. After four years, carbon storage on plots fertilized with manganese fell by nearly 13 percent, meaning more carbon was released into the atmosphere.  

“To develop effective and sustainable strategies, it is critical to understand complex interactions between trace nutrients and carbon storage,” Zhang said. “It is even more important to predict how those interactions work in the long term, considering the impact of human activities.”    

Schlesinger emphasized the need for further research and action, noting how the study’s findings highlight the importance of soil nutrient dynamics, such as the level of exchangeable manganese, in climate change mitigation efforts.  

He urged further study of the role of manganese not only in soil, but also in the air, on land-based carbon emissions, the boreal forest ecosystem, and climate mitigation.

“There’s no proverbial foolproof vault or absolute forest sink,” Schlesinger said. “We need integrated approaches to land management and climate mitigation. Climate has traditionally been considered a major factor in carbon storage, but we now see how manganese is also a key indicator, something that has long been overlooked and underexamined.” 

The National Natural Science Foundation of China and Chinese Academy of Sciences co-funded the study.

CITATION: “Exchangeable Manganese Regulates Carbon Storage in the Humus Layer of Boreal Forests,” Yunyu Zhang, Sarah E. Hobbie, William H. Schlesinger, Bjorn Berg, Tao Sun, Jiaojun Zhu. Proceedings of the National Academy of Science, March 19, 2024. DOI: 10.1073/pnas.2318382121  

Online: https://www.pnas.org/doi/10.1073/pnas.2318382121

 

 

Blueprint for mandating indoor air quality for public buildings in form of standards


Peer-Reviewed Publication

QUEENSLAND UNIVERSITY OF TECHNOLOGY

QUT Professor Lidia Morawska 

IMAGE: 

PROFESSOR MORAWSKA IS LEADING INTERNATIONAL EXPERTS PRESENTING A BLUEPRINT FOR NATIONAL INDOOR QUALITY STANDARDS FOR PUBLIC BUILDINGS.

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CREDIT: QUT




  • International experts set out standards for monitoring three key indoor pollutants
  • Adequate ventilation for number of occupants and activities must be taken into account
  • Carbon dioxide and PM2.5 particles and carbon monoxide are three pollutants requiring monitoring to assess healthy

    The experts addressed setting standards for three key indoor pollutants – carbon dioxide (CO2), carbon monoxide (CO), PM2.5 which are particles so small they can lodge deep in the lungs and enter the bloodstream - and ventilation rate.

    Distinguished Professor Morawska, from the QUT School of Earth and Atmospheric Sciences, internationally known, among others, for leading the appeal to the WHO to recognise the airborne transmission spread of the Covid-19 virus early in the pandemic, has continued to raise the importance of adequate indoor air quality for public spaces.

    “M­­­ost countries do not have any legislated indoor air quality (IAQ) performance standards for public spaces that address concentration levels of IA pollutants,” Professor Morawska said.

    “To have practical value, IAQ standards must be implementable by designing new buildings that are built, operated and maintained to standard or retrofitted to meet the standards.

    “While there is a cost in the short term, the social and economic benefits to public health, wellbeing and productivity will likely far outweigh the investment in cost in achieving clean indoor air.”

    Professor Morawska said COsensors were readily available, inexpensive and robust and should be used as a proxy to measure pathogens and COduring human occupancy in a public space.

    “COcan serve as a proxy for occupant-emitted contaminants and pathogens and to effectively assess ventilation quality,” she said.

    “We propose a COconcentration level of 800ppm with the proviso that outdoor concentration is used as a baseline and recognition of the fact that outdoor concentrations are increasing due to emissions to the atmosphere that outweigh removal.

    “Another key indicator of air quality we addressed is the amount of PM2.5 and we propose the WHO air quality guidelines as a basis for indoor air quality standards but with a 1-hour averaging time, as the 24 hours of the WHO AQG is much longer than people usually spend in public places.”

    Professor Morawska said mechanical ventilation systems should remove and dilute human-emitted and other indoor-generated pollutants at a higher rate than their production so that they would not accumulate in indoor air.

    “The technologies for measuring ventilation already exist in most modern mechanically ventilated buildings but monitoring ventilation rates in terms of clean air delivered to the space requires us to consider the number of people and their activities in the space to ensure adequate IAQ.

    “A practical ventilation standard could be air from outside (assumed to be clean), or clean recirculated air to the entire occupied zone and with airflow not directed from one person to another.

    Additional measures in support of ventilation, such as air cleaning and disinfection, could greatly reduce the need to increase the outdoor air supply, which carries a heavy energy demand.

    “Filtering recirculated air is an effective way to reduce concentration of, and thus our exposure to, airborne particulate matter, allergens and pathogens.”

    Mandating indoor air quality standards in public buildings was published in Science.

    The expert contributors were  Professor Morawska, Professor Belinda Bennett, and Professor Amanda Kennedy, QUT, Australia; Associate Professor Joseph Allen, Harvard University, USA; Professor William Bahnfleth, The Pennsylvania State University, USA; Professor Philomena M. Bluyssen and Professor Atze Boerstra, Delft University of Technology, The Netherlands; Professor Giorgio Buonanno, University of Cassino and Southern Lazio, Cassino, Italy; Professor Junji Cao, Chinese Academy of Science, China; Professor Stephanie J. Dancer, Edinburgh Napier University, UK; Professor Andres Floto and Dr Charles Haworth, University of Cambridge, UK; Francesco Franchimon, Franchimon ICM, The Netherlands;  Professor Trish Greenhalgh, University of Oxford, UK;  Jaap Hogeling, International Standards at ISSO, The Netherlands;  Associate Professor Christina Isaxon and Associate Professor Aneta Wierzbicka, Lund University, Sweden;  Professor Jose L. Jimenez and Professor Shelly L. Miller, University of Colorado, USA; Professor Prashant Kumar, University of Surrey, UK; Professor Jarek Kurnitski, Tallinn University of Technology, Estonia;  Professor Yuguo Li, University of Hong Kong, China;  Associate Professor Marcel Loomans, Eindhoven University of Technology, The Netherlands;  Professor Guy Marks, University of New South Wales;  Professor Linsey C. Marr, Virginia Tech, USA, Professor Livio Mazzarella, Politecnico di Milano, Italy; Professor Arsen Krikor Melikov and Professor Pawel Wargocki, Technical University of Denmark, Denmark;  Professor Donald K. Milton, University of Maryland;  Professor Jason Monty, University of Melbourne, Australia; Associate Professor Peter V. Nielsen, Aalborg University, Denmark; Professor Catherine Noakes, University of Leeds, UK; Professor Jordan Peccia, Yale University, USA; Professor Kimberly A. Prather, University of California, USA; Professor Xavier Querol, Institute of Environmental Assessment and Water Research, Spain; Professor Tunga Salthammer, Fraunhofer WKI, Germany; Professor Chandra Sekhar  and Associate Professor Kwok Wai Tam, National University of Singapore, Singapore; Associate Professor Olli Seppänen, Aalto University Finland;  Professor Shin-ichi Tanabe, Waseda University, Japan; Associate Professor Julian W. Tang, University of Leicester, UK;  Associate Professor Raymond Tellier, McGill University, Canada; Professor Maosheng Yao,Peking University, China.

    ventilation levels

 

U.S. landfills emit significant amounts of methane


AMERICAN ASSOCIATION FOR THE ADVANCEMENT OF SCIENCE (AAAS)





A new survey finds that United States open landfills are emitting significant amounts of methane, one of the most important greenhouse gases causing global climate change. The study by Daniel Cusworth and colleagues was conducted using airborne imaging spectrometers that observe methane emissions and is the largest airborne or ground-based survey of U.S. landfills to date, representing 20% of the nation’s landfills. Among the 250 sites across 18 states surveyed between 2018 and 2022, the researchers were able to detect significant point-source methane emissions at 52% of sites. This percentage “far exceed[s] the point-source detection rate from other methane emission sectors,” Cusworth et al. conclude, suggesting that solid waste is an important contributor to greenhouse gas emission in the U.S. The findings also uncover a large discrepancy in the emission estimates calculated by airborne detection and more traditional estimates made by walking over landfill sites. On average, aerial emission rates were a factor 2.7 higher than those reported to the U.S. Greenhouse Gas Reporting Program, the researchers note. Point-source emissions are emission “hotspots” confined to a local area, as compared to emissions spread over a broad area of the landfill. Point-source emissions are important to regulate because they often represent a significant emission source and are more likely to be linked to the dynamic operations of a landfill. The point-source emissions observed in the study sometimes persisted for months or even years. The researchers even found a distinct population of landfills where point-source activity continued almost throughout the entire study period. “This long-duration population represents more than 60% of all landfills, and 87% of all quantified emissions,” the researchers write.

Revolving Door Spins as Ex-Fossil Fuel Regulator Joins Carbon Capture Firm

"This move is intended to make sure policymakers continue to make bad bets on carbon capture ever working," said one critic.



Neil Chatterjee, then-chairman of the Federal Energy Regulatory Commission, spoke at a summit in New York City on September 23, 2019.
(Photo: Riccardo Savi/Getty Images for Concordia Summit)

"Carbon capture has a long history of failure in the real world, but these companies have had great success in securing billions in government handouts."


JESSICA CORBETT
Mar 27, 2024
COMMON DREAMS

CarbonCapture Inc. on Wednesday announced the appointment of Neil Chatterjee to its board of directors—sparking fresh criticism of technology to capture and store carbon dioxide, the former U.S. regulator, and the revolving door between government and industry.

Chatterjee was appointed to the Federal Energy Regulatory Commission in 2017 by then-President Donald Trump, now the presumptive Republican presidential nominee. Chatterjee served as FERC's chair twice before his term expired in 2021. Prior to joining the commission, he advised U.S. Senate Minority Leader Mitch McConnell (R-Ky.) on energy.

"After greenlighting oil and gas expansion at FERC, Chatterjee is now capitalizing off of attempts to undo those harms," Hannah Story Brown, a senior researcher in climate and governance at the Revolving Door Project, told Common Dreams. "It would have been far less costly to the public interest and the public purse if Chatterjee had helped stanch the flow of carbon pollution into our atmosphere when he was in the position to."

"After greenlighting oil and gas expansion at FERC, Chatterjee is now capitalizing off of attempts to undo those harms."

Food & Water Watch policy director Jim Walsh said that "the so-called 'carbon capture' industry relies on billions of dollars in giveaways from the federal government, so it should not be a surprise that a company like this would add a Beltway insider to its board of directors."

CarbonCapture Inc.'s statement on Chatterjee celebrates his "deep ties in Washington and across the industry," saying that "in his time on Capitol Hill and at FERC, he established a reputation as a bipartisan operator who built alliances and cut through red tape."

The company's CEO, Adrian Corless, said that Chatterjee's "deep understanding of the energy landscape in the U.S. and abroad will be incredibly important as we source large amounts of clean energy in the face of grid expansion challenges and bottlenecks."

The firm builds "deeply modular" direct air capture (DAC) machines, which "use solid sorbents that soak up atmospheric CO2 when cooled and release concentrated CO2 when heated," as its website details. "The captured CO2 can then be permanently stored underground or used to make synthetic fuels, low-carbon concrete, carbon black, or other industrial products that require clean CO2."

Stressing the need to "decarbonize the atmosphere as quickly as possible," Chatterjee said Wednesday that "CarbonCapture's groundbreaking, modular direct air capture machines have put our country on the fast track to scale a proven solution at the speed and cost necessary to make a meaningful impact."

Food & Water Watch agrees that the warming world requires swift and sweeping action on planet-heating pollution. Along with advocating for a rapid and just global phaseout of fossil fuels, the group prioritizes "calling foul on fake solutions" to the climate emergency.

"The fossil fuel industries are eager to tout carbon waste sequestration and direct air capture because they bolster the dominance of dirty energy sources like oil and gas," Walsh told Common Dreams. "This is why they are called 'false solutions'—they delay the necessary actions to get off fossil fuels."

Citing an International Energy Agency analyst in an article about the "major hurdles" that remain as DAC ramps up, Yale Environment 360reported last week that "about three-quarters of all globally captured CO2 (which comes mainly from industrial flue stacks) is currently being used for enhanced oil recovery," which involves injecting CO2 into wells to bury it and extract more oil.

As a pair of Walsh's colleagues detailed for Food & Water Watch's website last year, other issues with DAC include the technology's high energy needs, toxic solvents, and risky storage options.

"Carbon capture has a long history of failure in the real world, but these companies have had great success in securing billions in government handouts," Walsh said. In terms of Chatterjee's appointment, he added that "this move is intended to make sure policymakers continue to make bad bets on carbon capture ever working."

As Story Brown pointed out, "Neil Chatterjee's prototypical spin of the revolving door, moving from pro-industry regulator to regulated industry, comes with added irony."

"As a regulator, he positioned himself as preferring market-based 'solutions' over government mandates, subsidies, and regulations," she explained. "But all that skepticism apparently vanished when he joined the carbon capture business, whose only hope of profitability comes from government subsidies like those in the Inflation Reduction Act."


Corless was among those who welcomed what Timecalled a "bonanza for the carbon capture industry" in the 2022 legislation. Shortly before President Joe Biden signed the bill, the CEO said that "it's going to make it easy for us to raise the capital to build the project earlier and to build it faster."

However, it's not just the government that is bankrolling CarbonCapture Inc. and similar ventures, as Story Brown noted.

"Neil Chatterjee hasn't left the lure of market magic behind," she said. "His firm has pre-sold millions in carbon removal credits so that energy-guzzling firms from Amazon to Aramco can greenwash their operations."
'Troublemakers' Block Amazon HQ Over Plan to Link Data Centers With Gas Pipeline


"Amazon is breaking its Climate Pledge by powering new data centers with fracked gas," said one member of the new activist group. "So we came to demand that they honor the pledge."



Members of the Troublemakers activist group block an entrance to Amazon's headquarters in Seattle on March 27, 2024.
(Photo: The Troublemakers)

BRETT WILKINS
Mar 27, 2024
COMMON DREAMS

A recently formed group of climate activists on Wednesday shut down entrances to Amazon's downtown Seattle headquarters to protest the tech titan's plans to link some of its data centers with an upgraded fracked gas pipeline.

Members of the Troublemakers—who describe themselves as "an ever-growing community of people who are committed to taking action for life on Earth"—blockaded the doors to the Day 1 Building on 7th Ave. in opposition to Amazon Web Services' (AWS) plan to connect three data centers near Boardman, Oregon to TC Energy's Gas Transmission Northwest (GTN) XPress Project.

As Common Dreamsreported last October, GTN XPress, which has been approved by the Federal Energy Regulatory Commission, would upgrade compressor stations in Kootenai County, Idaho; Sherman County, Oregon; and Walla Walla County, Washington. TC Energy plans to boost the 60-year-old pipeline's capacity by 150 million cubic feet of fracked gas by increasing the conduit's pressure.


"The decision to use fracked gas from the GTN XPress adds to Amazon's carbon emissions problems," the Troublemakers said in a statement. "Amazon's 2022 carbon emissions totaled 71.27 million metric tons, marking an 18% rise from 2020 and a 40% surge since 2019, the year Amazon unveiled its Climate Pledge. This alarming trend is in stark contrast to the global imperative to halve emissions by 2030."

The group wrote in a March 19 letter to Amazon CEO Andy Jassy:
Amazon prides itself on innovation. Using fossil fuel is not innovation... It is relying on a dying technology that is killing the planet. Utilizing GTN XPress would increase Amazon's carbon footprint and contribute greatly to climate change... We urge you to publicly commit to financing solar or wind projects to provide clean energy for Amazon's operations, and reject the GTN XPress.

The Troublemakers are calling on Amazon to:Publicly renounce the plan to connect to GTN XPress;
Commit to not powering AWS data centers with fossil fuels; and
Commit to using 100% renewable energy in each operation while funding wind and solar generation, storage, and distribution.

"We see Amazon's greenwashing every time we pass by Climate Pledge Arena," said Troublemaker Valerie Costa, who was referring to the home of the Seattle Kraken and Seattle Storm professional sports franchises. "Until Amazon drops its plan to buy fracked gas from GTN XPress, we'll keep showing up. Every fossil fuel project in the [Pacific Northwest] will be met with fierce resistance."

Leonard Sklar, a scientist and Troublemaker, asserted that "Amazon is breaking its Climate Pledge by powering new data centers with fracked gas. So we came to demand that they honor the pledge."

"We know they have the power to be 100% renewable energy," he added, "and that's what this moment requires."

'Enough Is Enough': Ireland Joins ICJ Genocide Case Against Israel

"What  we are seeing in Gaza now, represents the blatant violation of international humanitarian law on a mass scale," said one top Irish official.



Palestinian and South African flags are seen at a January 13, 2024 protest for Gaza in Dublin, Ireland.

(Photo: Stringer/Andalou via Getty Images)

BRETT WILKINS
Mar 27, 2024
COMMON DREAMS

Citing Israel's "blatant" human rights violations in Gaza, Ireland's second-highest-ranking official said Wednesday that the country will join the South Africa-led genocide case before the International Court of Justice in The Hague.

Irish Tánaiste Micheál Martin—the equivalent of a deputy prime minister in other parliamentary nations—said that Ireland decided to intervene in the case after analyzing the "legal and policy issues" pertaining to the case under review by the United Nations' top court.

"It is for the court to determine whether genocide is being committed," Martin—who also serves as Ireland's foreign and defense minister—said in a statement. "But I want to be clear in reiterating what I have said many times in the last few months; what we saw on October 7 in Israel, and what we are seeing in Gaza now, represents the blatant violation of international humanitarian law on a mass scale."




Martin continued:
The taking of hostages. The purposeful withholding of humanitarian assistance to civilians. The targeting of civilians and of civilian infrastructure. The indiscriminate use of explosive weapons in populated areas. The use of civilian objects for military purposes. The collective punishment of an entire population.

The list goes on. It has to stop. The view of the international community is clear. Enough is enough. The U.N. Security Council has demanded an immediate cease-fire, the unconditional release of hostages, and the lifting of all barriers to the provision of humanitarian assistance at scale. The European Council has echoed this call.

South Africa's case—which is supported by over 30 countries, the Arab League, African Union, and others—incisively details Israel's conduct in the war, including the killing of tens of thousands of Palestinians, mostly women and children; the wounding of tens of thousands more; the forcible displacement of 90% of the besieged enclave's 2.3 million people; and the inflicting of conditions leading to widespread starvation and disease. The filing also cited numerous genocidal statements by Israeli officials.

On January 26, the ICJ issued a preliminary ruling that Israel is plausibly committing genocide in Gaza and ordered its government and military to prevent genocidal acts. Palestinian and international human rights defenders say Israel has ignored the order.

A draft report released this week by the U.N.'s Human Rights Council found "reasonable grounds to believe" that Israel is committing genocide in Gaza, a move that came on the same day as the U.N. Security Council passed a resolution demanding an immediate cease-fire in the ongoing war.

"The situation could not be more stark; half the population of Gaza face imminent famine and 100% of the population face acute food insecurity," said Martin. "As the U.N. secretary-general said as he inspected long lines of blocked relief trucks waiting to enter Gaza during his visit to Rafah at the weekend: 'It is time to truly flood Gaza with lifesaving aid. The choice is clear: surge or starvation.' I echo his words today."

In a St. Partick's Day White House meeting with U.S. President Joe Biden—a staunch supporter of Israel—Irish Toaiseach (Prime Minister) Leo Varadkar, who announced earlier this month that he would soon step down, said that "the Irish people are deeply troubled about the catastrophe that's unfolding before our eyes in Gaza."

"And when I travel the world, leaders often ask me why the Irish have such empathy for the Palestinian people," he added. "And the answer is simple: We see our history in their eyes—a story of displacement, of dispossession and national identity questioned and denied, forced emigration, discrimination, and now hunger."
'Horrifying' Footage Shows IDF Killing Two Gazans, Burying Their Bodies With a Bulldozer

"When the Israeli army can do these things and get away with it, it can only then do more of it knowing that it will not meet any punishment," said one analyst.


A screengrab from video footage broadcast by Al Jazeera shows Israeli forces burying the bodies of two Palestinians with a bulldozer.
(Photo: Al Jazeera)

JAKE JOHNSON
Mar 28, 2024
COMMON DREAMS

Video footage broadcast Wednesday by Al Jazeera shows Israeli soldiers gunning down two Palestinians on the coast of northern Gaza, even as one of them waves what appears to be a piece of white fabric.

The footage shows one of the men walking in the direction of an Israeli military vehicle with both hands raised. Despite the absence of any clear evidence that the man posed a threat, Israeli forces shot him from a short distance away. Another man is seen on the ground not far behind.

Al Jazeera's Tareq Abu Azzoum said the killings took place near where World Central Kitchen recently dropped off food aid.

The video then shows Israeli soldiers burying the bodies with a bulldozer.

"Probably certain words should be invented for this sort of thing," Marwan Bishara, AI Jazeera's chief political analyst, said in response to the footage. "I am not sure we have the sufficient vocabulary to describe this sort of twilight zone of Israel's fantasy of being the world's most moral army."

"It's a fantasy that meets the reality of a genocide," Bishara added. "An attempt to kill or destroy much of Palestine and Palestinians and hide the evidence and lie about it. When the Israeli army can do these things and get away with it, it can only then do more of it knowing that it will not meet any punishment."

Watch:



Richard Falk, former United Nations special rapporteur on the human rights situation in the occupied Palestinian territories, toldAl Jazeera that the footage provides "vivid confirmation of continuing Israeli atrocities" and spotlights the "unambiguous character of Israeli atrocities that are being carried out on a daily basis."

"The eyes and ears of the world have been assaulted in real-time by this form of genocidal behavior," said Falk. "It is a shocking reality that there has been no adverse reaction from the liberal democracies in the West. It is a shameful moment."

The Euro-Mediterranean Human Rights Monitor, whose board Falk chairs, has documented numerous examples of Israeli soldiers conducting close-range field executions in Gaza since October 7, when Israel launched its latest assault following a Hamas-led attack.

In less than six months, Israeli forces have killed more than 32,500 people in Gaza and sparked one of the worst humanitarian catastrophes in modern history.

The video footage emerged just days after the United Nations Security Council approved a resolution demanding an immediate cease-fire in Gaza. The U.S., Israel's leading arms supplier, abstained from the vote and falsely claimed the measure was "nonbinding."

The Israeli government, for its part, immediately signaled that it would disregard the resolution, just as it has ignored orders from the International Court of Justice.

Sophie McNeill, a human rights campaigner, called the footage released Wednesday "horrifying" and demanded that the International Criminal Court "urgently prioritize investigating and charging all those carrying out war crimes in Gaza."

"There just so happened to be a camera here in this moment. What are we not seeing?" McNeill asked. "This impunity must end."