Wednesday, July 30, 2025

Morocco's extreme climate chaos fuels a storm of cloud seeding conspiracies across the country


Morocco’s cycle of droughts followed by floods has sparked a surge of cloud seeding conspiracy theories, as communities search for answers amid climate chaos

Basma El Atti
29 July, 2025
THE NEW ARAB


LONG READ


In the tiny village of Ouneine, nestled high in Morocco’s Middle Atlas Mountains, the sky is everything – a roof, a god, a broker of fortune. For generations, villagers have read the clouds like omens: dark belly, a shifting wind, the scent of damp soil. All signs that rain, finally, might fall.

But in recent years, the sky has kept its secrets. The rain has grown unpredictable, teasing in October, vanishing in March, then returning in furious torrents that carve ravines through parched earth.

On a Tuesday in early September 2024, just days after a week of bone-dry sun, a rain not seen in years swept through the Atlas Mountains, which form the spine of northwest Africa, separating the Sahara from the sea.

On a narrow pass near the road heading to Marrakech, cars came to a halt, their tyres trembling on the edge of an abyss amid an unexpected downpour. Drivers stepped out cautiously, picked through rubble with bare hands and stacked rocks to forge a path through a landslide, all while murmuring quiet prayers.

“This isn’t natural,” whispered Hassan, a local taxi driver. His passengers, a group of villagers huddled in the backseat, nodded or prayed for forgiveness.


“They say they’re playing with the clouds now. Trying to make rain, instead of leaving it to God,” he added.

In Morocco, rain is never just rain; it is a divine mood made manifest, a conversation between the heavens and the people. In past years, whenever winter came dry, King Mohammed VI, Amir al-Mu’minin, Commander of the Faithful, summoned prayer. Salat al-Istisqa, the prayer for rain, is a ritual pulled from the heart of prophetic tradition.

Worshippers, often barefoot, gather in open fields or mosque courtyards, their garments loose, praying for forgiveness and good. In rural areas, sometimes entire villages march together at dawn, with children leading the way, a reminder that innocence might draw divine mercy.

Elsewhere, in the rugged Amazigh communities of the Atlas, girls still perform Taghanja, an ancient rain rite older than Islam. Dressed in leaves, they parade through their villages, singing to the sky, while elders pour water over their heads in a symbolic invitation to the heavens. In such rituals, drought is not a scientific phenomenon but a test of collective spirit.

Salat al-Istisqa, the prayer for rain, is a ritual pulled from the heart of prophetic tradition [Getty]

“Rain is not just weather for us. It is baraka (a blessing). It comes when the earth is ready and the people are humble,” said Aicha, an elder from a valley near Ouarzazate.

It was in that village that I first began to understand what cloud seeding and what clouds themselves represent to communities so deeply rooted in the land.

The Amazigh New Year, after all, begins with the agricultural calendar. Here, rain is not just water from the sky; it is a sign, a covenant.

But layered over this spiritual connection is a gnawing mistrust, one shaped not by weather patterns, but by politics.

Many in these remote mountain areas speak of government officials not as civil servants but as distant figures from Rabat – “Rabat’s people,” they call them — men in suits whose names appear in headlines, whose policies shape lives from afar.

In these places, where officials rarely, if ever, visit, they turn into mythical creatures whose words and decisions drift in like rumours. Their promises, to many here, feel as intangible as the clouds themselves.



Related
Ilhem Rachidi


Morocco’s long struggles with drought, and now floods


Morocco has been gripped by its worst drought in decades. For six consecutive years, the kingdom’s skies have offered little more than dust. Rainfall fell below seasonal averages by as much as 67%.

The great reservoirs of Bin el Ouidane and Al Massira shrank into cracked basins, exposing old stones and sun-bleached fish skeletons. By 2023, the country’s dam-filling rate dipped below 30%, and in some southern provinces, water had to be trucked in weekly, sometimes daily.

Entire communities found themselves rationed. Taps in cities like Marrakech and Agadir ran dry by early evening, and showers were timed. In Casablanca, the Ministry of Equipment and Water imposed night-time water cuts and instructed traditional Hammams to close three days per week, citing “exceptional scarcity.”

In villages without plumbing, women and girls rose at dawn to walk kilometres to communal wells, only to return with plastic jugs half-filled with brackish water.

The impact on agriculture, the backbone of rural life in Morocco, was devastating. Wheat harvests withered. Olive yields shrank by half, turning olive oil, once a staple in the country’s households, into a luxury only a few can afford. In the saffron-growing belt near Taliouine, the precious crocus flowers emerged weeks late and in sparse numbers.

Nomadic herders in the High Atlas have lost entire flocks amid the climate crisis. “There’s nothing to feed them. We’ve sold them or watched them die,” said one Amazigh shepherd near Errachidia.

The government’s 2022 emergency drought plan offered subsidies to farmers and built new desalination plants, but for many, the help came too late, or not at all. As rural livelihoods withered, some families abandoned the land and moved to cities, adding to the growing number of people living in precarious urban conditions.

Morocco is currently experiencing a severe drought and is considered one of the worst in recent years [Getty]

In Zagora, an oasis town carved into the dusty plains where the Draa River once flowed freely, life has always orbited around the date palm. Rows of these ancient trees stretch out beneath the watchful gaze of the Jbel Bani mountains. For generations, the rhythm of the town has been dictated by the seasons: dates in autumn, wheat in winter, scorching heat by spring.

Here, water comes from deep wells and traditional khettaras, underground channels dug centuries ago to catch and guide each drop to crops and homes. But in recent years, the wells have started to run dry. Locals speak of sand creeping into their fields, of trees fruiting late or not at all. The river, once a lifeline, now appears only after rare rains, cutting a pale scar through the valley.

“We suffered a lot the last few years. The drought hit us hard,” said Abrani, a farmer in Zagora.

Then came the rain of September 2024 and again in February 2025. Not a gentle drizzle but a sky-splitting deluge that turned dry beds into torrents and alleys into rivers. The town’s fragile infrastructure buckled under the weight of water it was no longer built to receive.

“The rain didn’t help the farmers much; it has made the locals’ lives harder. Streets have flooded, but the oasis hasn’t got any better,” added the farmer.

In the arid southern regions of Drâa-Tafilalet, Tiznit, and Zagora, rivers reappeared where dry wadis had ruled for years. Zagora, where annual rainfall rarely breached double digits, received over 200 millimetres in two days, more than it often sees in a year.

In Tata, a desert oasis town, floodwaters tore through palm groves and earthen homes. At least 56 houses collapsed, according to the interior ministry. On 30 September, a man’s body was pulled from the swollen river near Tata. Nine days earlier, a bus carrying 29 villagers had vanished into the torrent. At least 18 people died in the incident, officials said.

“We have never witnessed anything like this,” said Aberahman, a displaced resident from Tata. In the surrounding oasis, around 90% of the date palms lay twisted, uprooted, ruined.

By late October, women and children still wandered among the ruins, digging for shoes, blankets, cooking pots, and small fragments of their interrupted lives.

This was southern Morocco – Tata, a desert town on the fringe of the Sahara – a place more accustomed to drought than deluge. As the waters rose, so too did a strange chorus of conspiracy theories. In cafés, in WhatsApp groups, on Facebook threads and YouTube channels, the same theory took root: Morocco had made it rain.

The notion isn’t entirely new.

Ilhem Rachidi


From Hatfield to Al-Ghait: cloud seeding’s conspiracies and politics

In 1915, an American named Charles Hatfield claimed he could summon rain with a secret brew of chemicals and bravado (critics might add here con artistry). He set up shop near San Diego, climbed a tower, and released his concoction into the sky. What followed was chaos: floods, deaths, lawsuits. He insisted he had delivered what he promised.

However, meteorologists at the time (and since) have pointed out that the region was already due for a significant rain event based on natural weather patterns. There’s no scientific evidence that Hatfield’s methods actually worked or caused the floods.

To some, Hatfield was a visionary and early practitioner of weather modification. To others, he was a lucky charlatan riding on coincidence and natural weather patterns.

A century later, the methods are more refined but no less controversial. Cloud seeding, the modern iteration of weather modification, involves coaxing moisture from existing clouds. Cloud seeding does not create clouds, nor does it conjure weather out of thin air.

“Oh, it would be great if we could make that much rain,” scoffed Mohamed Jadli, a Moroccan climate expert. “That would solve many problems.”

Simply put, precipitation occurs when water droplets and ice crystals in the clouds, which condense around tiny particles of dust or salt, become too heavy to stay afloat and fall back to Earth with gravity. Cloud seeding artificially stimulates this process by introducing substances into the clouds that simulate the natural process.

Scientists often use silver iodide dispersed from airplanes or ground generators. The substance promotes the creation of ice crystals due to its structure. When it works, the seeded cloud yields a little more rain than it might have otherwise. When it doesn’t, the cloud moves on.

Morocco has been seeding clouds for decades. Between 1984 and 1989, the country partnered with the United States on Programme Al Ghait, a $12 million initiative aimed at boosting water resources. The project equipped Morocco with its first weather radar, trained over a hundred specialists, and tested both airborne and ground-based cloud seeding techniques.

Since 2021, amid an intensifying drought, the Moroccan government has become more vocal about the programme, presenting data in parliament and launching 140 artificial rain operations – 52 by air, 88 from the ground.

"We don’t really know what this rain is. But we aren’t against technology if it’s efficient and it will help"

Yet as floods swept through parts of the country last year, scepticism began to grow. Some Spanish media outlets reported on rising suspicions across the region, particularly in southern Spain and in the Spanish enclaves of Ceuta and Melilla.

“Artificially altering the climate and meteorology can have unpredictable consequences for the entire region,” wrote journalist Pablo Ramos in El Tiempo, a Spanish weather publication. The article also warned that unilateral environmental interventions could provoke geopolitical tension, especially between neighbouring states impacted by cross-border weather events.

Madrid has not formally accused Rabat of triggering the floods.

Still, the idea of weather modification as a geopolitical tool has filtered into the world of online conspiracy, particularly in Algeria, where diplomatic ties with Morocco have long been fraught.

Now, cloud seeding has become the latest subject of speculation on YouTube and in social media circles, where it is portrayed as a covert instrument of influence.

In Rabat, Minister of Equipment and Water Nizar Baraka has tried to calm fears. No cloud seeding, he insisted, had been conducted in the southern regions struck by the severe flood in 2024 and 2025.

The programme, he emphasised, is scientifically guided, activated only during drought and strictly aligned with meteorological data.

In March, after another bout of heavy rainfall, I met Dr Abderrahim Moujane, a meteorologist with Morocco’s General Directorate of Meteorology.

“No, definitely, cloud seeding had nothing to do with the recent rain,” he said, with the air of someone who has fielded this question many times. “We don’t seed when there’s already rain in the forecast.”

Moujane could not give a precise date for the last Al Ghaith operation, but was adamant that none had taken place around the time of the floods.

That position was echoed by Omar Baddour, Head of Climate Monitoring and Policy Services at the World Meteorological Organisation (WMO). The flooding, he confirmed, took place in areas not targeted by cloud seeding and during a period outside the usual operational window.

Still, between official statements and online rumours lies a gulf of uncertainty, where farmers like Abrani, in the arid plains of Zagora, are left to make sense of rains that come too hard, too fast, and droughts that refuse to end.

“So far, despite the recent rain, we’re still struggling with drought,” said the farmer. “We don’t really know what this rain is. But we aren’t against technology if it’s efficient and it will help.”


A farmer installs a drip system on a potato field in Berrechid, Morocco's historically wheat-rich province situated some 40 kilometres southeast of Casablanca, on 7 February 2024 [Getty]

Cloud seeding: a solution or a problem for Morocco’s weather chaos?

I sought more answers at the Mohammed VI Polytechnic University, a hub for cutting-edge AI research, complex degrees, and students from across Africa seeking specialist qualifications.

Inside its library, I met Perez Kemeni, a researcher at the International Institute of Water Research (IWRI), a newly established research desk in the university. Kemeni spent three years meeting up with farmers, listening to their issues, and engaging in debates with them about agricultural policy.

“What we need is not just more technology – it’s communication. Because right now, the farmers are the ones living with the consequences of both droughts and floods,” he said.

Perez believes that in order to understand the recent drought-flood paradox in Morocco, you have to first understand the country’s complex climate through the eyes of farmers.

The most urgent threat to Morocco’s water resources isn’t just drought. It’s the erratic rhythm of climate change: the unpredictable tempo of rain, the rising heat, and the strain they place on the country’s fragile hydrology.

"What we need is not just more technology – it’s communication. Because right now, the farmers are the ones living with the consequences of both droughts and floods"

For farmers, the story begins, and often ends, with drought. Nearly 80% of them cite it as their main concern, according to the researcher. But drought in Morocco is not simply a matter of dry skies; it’s a cascading chain of climate consequences.

Higher temperatures lead to lower rainfall and faster melting of snowpack in the Atlas Mountains, the natural reservoirs that quietly feed Morocco’s rivers and dams.

With warming temperatures, the snow melts too quickly, overwhelming reservoirs briefly before vanishing, leaving dry fields in its wake. This flash of abundance is misleading. Farmers may celebrate after a heavy rain, but that celebration is often short-lived.

Mostafa Salah Benramel, an environmental expert and head of Manarat ecology, an NGO that works with local farmers, elaborated further: “These rains won’t help the farmers much because they came late and are inconsistent. Crops require consistency, not intensity.”

A wheat plant, for example, needs water during key stages of its growth. Miss the flowering period, and the plant fails to produce grain, regardless of how much water came before or after. Without a steady, predictable supply, the crop’s life cycle collapses.

“The real crisis isn’t that rain never comes. It’s that it no longer comes when needed, and when it does, it often arrives in violent bursts,” explained Kemeni.

Across the Mediterranean and into Morocco, rainfall is becoming more erratic and more extreme. A single deluge can trigger devastating floods, wash away topsoil, and drown delicate seedlings, only to be followed by weeks of drought.

In late 2024, severe flooding hit Tunisia, Algeria, and Spain, laying bare the region’s deepening vulnerability to climate shocks. In Spain, torrential rains claimed over 230 lives and caused billions in damage. Algeria and Tunisia, too, were overwhelmed by flash floods after rare, violent storms.

Morocco’s clay-heavy soils, while excellent at holding moisture, are poorly suited to these extremes. They flood easily and crack dry just as fast. Hydrologists reported spikes in reservoir levels during the storms, but the gains were fleeting. A brief overflow is little match for a month-long drought.

“It rained,” people will say. But to farmers, that kind of rain is almost meaningless. What they need is the slow, steady drizzle that allows seeds to germinate and fields to breathe.

"These rains won’t help the farmers much because it came late and inconsistent. Crops require consistency not intensity"

For Kemeni, cloud seeding is promising in theory, yet in practice, it is riddled with complications.

The climate change expert argues that rain induced by human intervention must still align with planting cycles. If it doesn’t, the result can be not just ineffectual, but harmful.

An unexpected downpour in a region with shallow reservoirs or neglected riverbeds can do more damage than good.

"Rural farmers need timely, clear information on when and where artificial rain might fall. Without it, seeds are sown too early, or too late. Cropping calendars shift silently, and harvests falter," Kemeni added.

Most Moroccan farmers depend entirely on rainfall for irrigation. If rainfall patterns shift and no one warns them, either through early warning systems or agricultural extension networks, then even the best-intentioned efforts fail.

“Worse, they can become wasteful. Cloud seeding is expensive,” added Kemeni, smiling as he weighed his words. “If it fails to deliver benefits to those who need it most, the cost is not only financial – it is existential.”

For the young researcher, who admits his limited knowledge vis-à-vis the technology, there is a more unsettling question: how much control does cloud seeding really offer? If clouds can be triggered to release rain, can we determine how much falls, or where it lands?

“If not, the country risks solving one crisis by unleashing another,” he said. “Floods can destroy entire harvests. And after that, few farmers can afford to replant. Seeds are expensive. Insurance is rare.”

In Morocco, the question is no longer whether it will rain – but how, when, and at what cost.

Related
Environment and Climate
The New Arab



Ancestral practices or modern technology?

Moroccan meteorological authorities, as well as the WMO, maintain that cloud seeding is used only when strictly necessary. While the El Ghaith programme reportedly doesn’t directly consult with farmers, it includes climate specialists familiar with the rhythms of the land.

Dr Abderrahim Moujane, a leading forecaster with Morocco’s General Directorate of Meteorology, insists the floods were a result of failing infrastructure, not cloud seeding. The technology, he added, has helped the country withstand prolonged droughts.

Yet even internationally, the promise of cloud seeding is fading. Australia scaled back major programmes in the 2000s after inconclusive results. In the United States, only a handful of states continue using the technology, mostly in mountainous regions. Senegal, once a partner in Morocco’s weather modification efforts, has since retreated, citing inconsistent rainfall outcomes and shifting climate conditions.

Omar Baddour, a senior climate official at the WMO, estimates that cloud seeding can, at best, increase rainfall by 15%, if conditions are favourable. “That is not enough,” he said.

"At the heart of Morocco’s water crisis is a model of agricultural development that has prioritised exports over resilience"

In parallel, Morocco is scaling up desalination projects, particularly around Casablanca and Agadir. But local groups warn these are stopgap measures.

“At the heart of Morocco’s water crisis is a model of agricultural development that has prioritised exports over resilience,” says Abdeljalil Takhim of Nechfate (a Darija word meaning “it dried”), a local platform focused on raising awareness on climate change issues.

Since the early 2000s, state policy has shifted towards liberalisation, championing high-value crops such as tomatoes and berries for European markets. The 2008 Green Morocco Plan deepened this focus, investing in drip irrigation and genetically improved seeds to boost yields and foreign currency.

But this model has marginalised rain-fed agriculture – the backbone of subsistence farming in Morocco’s mountains and oases. Cereal crops and other staples, once central to food security, have been dismissed as low-value.

Even water-saving technologies have had a paradoxical effect: widespread adoption has led to excessive groundwater extraction, draining aquifers faster than they can replenish, according to Nechfate.

“Government subsidies have mostly benefited large agribusinesses, enabling water-intensive practices while leaving smallholder farmers behind,” Takhim said. “And much of the subsidised produce isn’t even consumed locally – it’s shipped to European grocery stores.”

The profits rarely reach the rural communities whose wells are running dry.

Related
Lauren Lewis

What Morocco needs now, Nechfate argues, is a philosophical shift: away from export-oriented agribusiness and toward agroecology and sustainable, locally rooted practices rooted in the knowledge of those who have cultivated these lands for generations.

“Traditional water-sharing systems, drought-resistant crops, smallholder farms, these carry not just genetic diversity, but a legacy of resilience,” Takhim said.

In a country where rainfall is both omen and algorithm, the future may depend on an uneasy partnership: Rabat’s satellites, silent and precise, scanning the upper air; and the mountain farmers, reading the clouds as their ancestors once did.

Between them lies not just distance, but a different way of knowing. Yet for environmental experts, only in that fragile space, Morocco may find its way out of its climate crisis, not by controlling the sky, but by learning to coexist with its caprice.


This article was produced as part of the first edition of the AMWAJ Media Fellowship in 2025. The article was originally published in English by AMWAJ

Basma is The New Arab’s Morocco correspondent, covering local affairs and social and cultural events in the Maghreb region. She began her career as a journalist in a Moroccan anglophone outlet, before joining the New Arab in 2022

Follow her on Instagram: @basmaelatti

New research dispels myth of conspiracy theorists as isolated outsiders






Real-life study finds that the participatory culture offered by conspiracy theorists is expanding the scope of fringe ideas




University of Bath

Dr Tim Hill dispels myths around conspiracy theories 

video: 

Dr Tim Hill from the University of Bath's School of Management dispels common myths on conspiracy theories

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Credit: University of Bath School of Management





A five-year study dispels the stereotype of conspiracy theorists as angry loners or keyboard warriors. Rather, social and emotional connections provided by conspiracy theorists are recruiting diverse participants on a growing scale.

The researchers, from the University of Bath’s School of Management and Trinity College Dublin, followed individuals on the cusp of becoming conspiracy theorists to understand how people become involved in fringe ideas. They joined closed groups in online social networks, and attended public meetings, conferences and protests.

“We were initially apprehensive about approaching groups often depicted as delusional, dangerous and angry,” said Dr Tim Hill. “In practice, when we went to events, we found people were welcoming, inquisitive, and enthusiastic. This social quality of these contexts became key to our findings.”

The researchers say they hope the study will reshape discussions of how people become involved in conspiracy theories, moving away from ideas that belief in conspiracy theory is motivated by personality or irrational thinking alone. By understanding troubling life circumstances and people’s subsequent search for solutions and support, this study helps to explain how and why conspiracy theories are growing.

The research, published in the journal Sociology, took place in two stages. During the first stage of data collection (2017-2018), they were introduced to a community interested in a variety of conspiracy theories. These included anti-5G narratives, flat-earth ideas, alternative health and vaccine hesitancy, as well as New Age spirituality.

During the second stage of data collection (2018-2022), the researchers attended various events organised by conspiracy theorists, attending public meetings, conferences and protests at locations in the South of England and South Wales.

From 32 interviews with 23 participants, they identified three main stages to believing in conspiracy theories. Firstly, an experience that leads people to question trusted sources of knowledge – in many cases this could be feeling let down by public sector services or authority figures, which leads them to feel emotionally connected to conspiracy ideas.

Secondly, people make sense of conspiracy theories together, which strengthens shared beliefs. Referred to as ‘awakenings’, people feel they are understanding the truth about the world for the first time.

Elle*, a 20-year-old massage therapist who came to believe that Covid-19 was coordinated by powerful groups of ‘deep state’ actors said: “My friends and I, we see the world now through a new set of eyes. The pandemic made us see the light, to see the truth. It was like a revelation.”

Dr Hill said: “Conspiracy theories provide reassuringly simple answers, but more than just solving problems, they create shared emotions, belonging and community.

“We went to venues that were buzzing - a campaigner opens with a story and then people stand up to share theirs. The campaigner will give their thoughts which are followed by clapping, giving a sense of solidarity and positivity that a clear, definitive answer has been identified.”

In the final stage, people not only believe in the theories but also take action based on them - to protest as part of a conspiracy movement. Often this follows on from ‘doing their own research’ - reading official documents and taking on board a wealth of conspiracy-related information, which enables them to produce their own conspiratorial explanations.

Co-author Professor Robin Canniford, also from Bath’s School of Management, said: “The participatory aspect of conspiracy theories encourages people to become involved. It can feel very positive and supportive. It’s a thriving and welcoming social scene where people feel they are better informed about the workings of the world and are ready to take action.”

However, the social nature of conspiracy theory communities does not mean they are benevolent. One participant had become estranged from his family and received a criminal conviction following his involvement in anti-lockdown protests, demonstrating how conspiracy theories can tear apart families and lives.

Co-author Dr Stephen Murphy, from Trinity Business School, said: “While these groups offer a sense of belonging, it’s crucial to recognize that they can equally lead to division and distress in personal relationships outside of conspiracy communities.” 

Resonant Awakenings: the social lives of conspiracy theorists, is published in Sociology: Resonant Awakenings: The Social Lives of Conspiracy Theorists - Tim Hill, Stephen Murphy, Robin Canniford, 2025

 

Stroke center certification and within-hospital racial disparities in treatment




JAMA Network Open



About The Study:

 In this cohort study, the likelihood of receiving stroke treatments increased for white but not Black patients within the same facility after the center was stroke certified as a primary stroke center or a thrombectomy-capable or comprehensive stroke center. These within-hospital racial differences serve as sobering evidence that racial disparities in stroke care persist despite increased access to care. 


Corresponding Author: To contact the corresponding author, Renee Y. Hsia, MD, MSc, email renee.hsia@ucsf.edu.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jamanetworkopen.2025.24027)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

#  #  #

Embed this link to provide your readers free access to the full-text article 

http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2025.24027?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=073025

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

Journal

Mortality among surgeons in the United States



JAMA Surgery




About The Study:

 Although nonsurgeon physicians have lower mortality rates than other highly educated professionals, this mortality benefit does not extend to surgeons. Because surgeons and nonsurgeon physicians have similar levels of health care knowledge and resources, higher mortality rates among surgeons might reflect differences related to work environment, professional demands, and lifestyle. The results of this study indicate that several causes of death (e.g., motor vehicle collisions), disproportionately affect surgeons, aligning with evidence that hazardous driving events associated with extended work hours are especially pronounced among surgeons.



Corresponding Author: To contact the corresponding author, Anupam B. Jena, MD, PhD, email jena@hcp.med.harvard.edu.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jamasurg.2025.2482)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

#  #  #

Embed this link to provide your readers free access to the full-text article 

https://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/jamasurg.2025.2482?guestAccessKey=3c3bafb5-17d3-4646-9ec0-f40cc72dd4db&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=073025

 

Public knowledge high on smoking and alcohol risks during pregnancy



Survey finds knowledge gaps on vaccines, weight gain, iron supplement use



Annenberg Public Policy Center of the University of Pennsylvania

Knowledge of Vaccine Recommendations During Pregnancy 

image: 

Annenberg Science and Public Health (ASAPH) Survey Apr. 2025

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Credit: Annenberg Public Policy Center




Most Americans know that it’s important for someone to take care of their health before getting pregnant and during pregnancy to increase their chance of having a healthy baby. Many people know, for instance, that smoking or drinking alcohol can have detrimental effects during pregnancy, increasing the likelihood that a baby is delivered early, is underweight, or has birth defects.

But many people are unsure of other consequential knowledge that affects having a healthy pregnancy and healthy baby, according to an Annenberg Public Policy Center (APPC) health survey. The maternal health survey, conducted with a sample of more than 1,600 U.S. empaneled adults from April 15-28, 2025, finds that most people are uncertain about which vaccinations are safe and recommended for pregnant people by medical professionals and what the appropriate pregnancy weight gain is for a healthy person.

The following findings for adults 18 and older also highlight responses from the subset of survey respondents who are women of childbearing age, 18-49 years old, when their responses differ significantly from the overall public. (See the topline.)

“Because those around us influence our health decisions, persons of childbearing age and their families and friends should know the risks of smoking and alcohol use before, during, and after pregnancy and which vaccines should and should not be taken during pregnancy,” said Patrick E. Jamieson, director of the policy center’s Annenberg Health and Risk Communication Institute.

Highlights

The Annenberg Public Policy Center’s April 2025 health survey finds that:

  • Most U.S. adults know some of the factors that contribute to a healthy pregnancy, but there are gaps in their knowledge – for example, many don’t know that iron supplements are required only for people with anemia or what a normal weight gain during pregnancy is. Nearly a quarter of the population does not know that untreated high blood pressure can increase the risk of stroke among pregnant people.
  • There’s uncertainty about which vaccinations medical professionals recommend as safe for pregnant people – and fewer people know today which are recommended, compared with a year ago. Knowledge of which vaccines are recommended ranges from about a third of the public to over half. Just 11% of the public knows the measles vaccine is not recommended for pregnant people.

How to have a healthy pregnancy and infant

The vast majority of survey respondents are knowledgeable about consequential behaviors and medical conditions before and during pregnancy, including doctors’ recommendations about taking medication and supplements.

What most people get right about pregnancy health:

  • Health during pregnancy: Nearly everyone (91%) knows that how well someone takes care of their health during pregnancy affects their baby’s health.
  • Health before becoming pregnant: Nearly as many survey respondents (86%) know that how well a person takes care of their health before getting pregnant affects the health of their baby. But among women 18-49 years old, fewer (75%) get this right, a drop from 86% in 2023.
  • Diabetes: 80% say correctly that pregnant individuals should be tested for diabetes.
  • High blood pressure: Nearly three-quarters (73%) correctly say that untreated high blood pressure increases the likelihood that a pregnant person will have a stroke. Nearly a quarter (23%) are not sure if this is true.
  • Folic acid: 71% know that people who are or may become pregnant should take a daily vitamin containing folic acid, a B vitamin. This dropped from 76% in 2023.
  • Natural immunity: 69% know that it’s false to say that because babies are born with natural immunity, they don’t need to be vaccinated against an illness until they’re likely to be exposed to it. But 15% incorrectly think this is true and 16% are not sure.

When asked to consider which of several statements is more accurate:

  • Taking medications: 87% of respondents say correctly that if someone finds out they’re pregnant, they should talk with their doctor before stopping or starting any medications. However, this is true only for 78% of women of childbearing age.
  • Breastfeeding: Over three-quarters of respondents (77%) know that it’s more accurate to say that breastfeeding benefits both the baby and the parent than just the baby (12%), up from 71% when this question was asked in 2023.

What more people need to know:

  • Iron supplements are needed for those who are anemic: When asked what comes closer to the recommendation made by the U.S. Centers for Disease Control and Prevention (CDC) regarding taking an iron supplement during pregnancy, less than half of respondents (42%) know that the recommendation that people who are pregnant should take an iron supplement if their health care provider finds that they’re anemic is closer to what the CDC recommends. About a fifth (19%) think that those who are pregnant should take an iron supplement every day. Another 39% are not sure which comes closest to what the CDC recommends.
  • Normal weight gain during pregnancy: The CDC recommends that a person of normal weight should gain between 25 and 35 pounds during their pregnancy. Less than half of those surveyed (46%) say a person of normal weight should gain between 25 and 35 lbs. – as compared with the 25% who say a person of normal weight should gain 5 to 10 lbs. during pregnancy, and 25% who are not sure.

Smoking, drinking, and pregnancy

In questions on the effects of smoking and drinking alcohol during pregnancy, the survey finds that most people understand the negative impacts and how they can be avoided.

Avoiding negative impacts:

  • Birth defects: 82% know that smoking during pregnancy increases the chances that the baby will have birth defects.
  • Early delivery: 77% know that smoking during pregnancy increases the chances that the baby will be born early, up from 72% when this was asked in 2023.
  • SIDS: 56% know smoking in the home of a baby increases the chances that the baby will die from sudden infant death syndrome, or SIDS. (See more of our previously released data on preventing SIDS.)
  • Underweight: 81% know it’s more accurate to say that smoking during pregnancy increases the chances that the smoker’s baby will be underweight at birth (up from 76% in 2023), compared with the tiny numbers of those who say smoking will increase the chances a baby will be overweight (1%) or that it will have no effect (2%). Fifteen percent are not sure which is correct.

Not drinking alcohol is another way to avoid negative impacts – but women of childbearing age are less likely than other people (men and older women) to know that they should abstain from alcohol if they are seeking to get pregnant:

  • Drinking alcohol: Nearly two-thirds (64%) of respondents say it’s more accurate to say that someone who wants to get pregnant should stop drinking both before and during pregnancy, which is what the CDC advises. However, nearly a quarter (23%) think it’s more accurate to say that someone seeking to get pregnant should stop drinking as soon as they learn they’re pregnant.
    • Compared with the rest of the population, women 18-49 are significantly less likely to say that someone who wants to get pregnant should stop drinking alcohol before and during pregnancy (58% vs. 66%). In addition, the proportion of women 18-49 years old who think, incorrectly, that it’s more accurate to say drinking should stop as soon as they learn they are pregnant increased significantly to 25% from 17% in 2024.
  • Drinking while pregnant: 84% know that it’s false to claim that drinking wine or beer while pregnant is safe.

Fewer know which vaccines medical professionals advise during pregnancy

Medical professionals recommend that most pregnant people take the following vaccines while they are pregnant if they have not yet taken these vaccines during their pregnancy: Tdap (tetanus, diphtheria, and pertussis), seasonal flu, and RSV (respiratory syncytial virus). (See the CDC’s recommendations here.)

The survey finds a significant drop over the past year, since April 2024, in the numbers of people who know that medical professionals recommend these three vaccines for most pregnant people.

The measles vaccine (MMR) is not recommended but the survey finds that most people are unsure whether or not it is recommended.

This section presents results for the full adult sample and among women 18-49 years old. The women ages 18-49 are more knowledgeable that doctors recommend the Tdap vaccine (52%) than the rest of the population (31%). There are no statistically significant differences between this subgroup and the rest of the population in knowing that doctors recommend the other vaccines (flu and RSV) or knowing that doctors do not recommend the MMR vaccine, though women 18-49 are less uncertain about which vaccines are recommended than everyone else.

  • Tdap: Just over a third of U.S. adults (37%) say medical professionals recommend that most people who are pregnant should take the Tdap vaccine, down from 43% in April 2024, and 57% are not sure. Among women of childbearing age (18-49 years old), over half (52%) say this is correct while 39% are not sure. Nearly two-thirds (64%) of those not in this childbearing age group say they are not sure and just 31% say that Tdap is recommended to pregnant women by medical professionals.
  • Flu: Over half of U.S. adults (55%) know that medical professionals recommend the flu vaccine for pregnant people, down from 60% in April 2024, while 39% are not sure. Women in the childbearing age group are less likely to say they are not sure about the flu vaccine recommendation than everyone else (32% vs. 42%).
  • RSV: Less than half of U.S. adults (47%) know that the vaccine against RSV (respiratory syncytial virus) is recommended for pregnant people, down from 52% in April 2024, while an equal number (47%) are not sure. The proportion of women of childbearing age who correctly know this is recommended dropped 10 points to 52% from 62% in 2024.
  • Measles: The measles or MMR vaccine (measles, mumps, and rubella), is not recommended during pregnancy because it is a live virus vaccine, according to the CDC. There is a great deal of public uncertainty about whether pregnant people should get a measles vaccine: only 11% correctly know that medical professionals do not recommend it for pregnant people. Nearly 3 in 10 adults (29%) say incorrectly that medical professionals do recommend it for people who are pregnant and 60% are not sure. Women of child-bearing age are less likely to say they are not sure (52%) when compared to the rest of the population (63%).

An APPC news release in May 2025 explored survey findings that the risks of measles during pregnancy are not widely understood.

APPC’s Annenberg Science and Public Health knowledge survey

The survey data come from the 24th wave of a nationally representative panel of 1,653 U.S. adults conducted for the Annenberg Public Policy Center by SSRS, an independent market research company. Most have been empaneled since April 2021. To account for attrition,  replenishment samples have been added over time using a random probability sampling design.  The most recent replenishment, in September 2024, added 360 respondents to the sample. This wave of the Annenberg Science and Public Health (ASAPH) survey was fielded April 15-28, 2025. The margin of sampling error (MOE) is ± 3.4 percentage points at the 95% confidence level. All figures are rounded to the nearest whole number and may not add to 100%. Combined subcategories may not add to totals in the topline and text due to rounding.

Download the topline and the methods report.

The policy center has been tracking the American public’s knowledge, beliefs, and behaviors regarding vaccination, Covid-19, flu, RSV, and other consequential health issues through this survey panel for four years. In addition to Jamieson, APPC’s ASAPH survey team includes research analysts Laura A. Gibson and Shawn Patterson Jr., and Ken Winneg, managing director of survey research.

See other recent Annenberg health survey news releases:

The Annenberg Public Policy Center was established in 1993 to educate the public and policy makers about communication’s role in advancing public understanding of political, science, and health issues at the local, state, and federal levels.

Boeing 787 Dreamliner in US declares Mayday over engine failure, dumps fuel mid-air

The pilots' 'Mayday' call alerted Air Traffic Control (ATC). They then requested permission for fuel dumping while maintaining the required altitude. ATC guided the pilots to a safe zone away from surrounding air traffic as the aircraft proceeded to dump fuel.


Moments after taking off at around 5:40 pm local time on July 25, the left engine of the flight failed. (Photo: Reuters)

India Today News Desk
New Delhi, Jul 29, 2025

 In Short

United Airlines Boeing 787-8 faced engine failure after takeoff from Washington Dulles

Pilots declared 'Mayday' and requested fuel dumping at 6,000 feet

Aircraft circled for 2 hours 38 minutes to reduce landing weight


More than a month after a Boeing 787-8 Dreamliner crashed in Ahmedabad, the same aircraft model operated by United Airlines experienced a major engine failure, prompting the pilots of the Munich-bound UA108 flight to declare a 'Mayday' shortly after taking off from Washington Dulles International Airport.

According to popular flight tracking website, Flightradar 24, the aircraft circled in the air for 2 hours and 38 minutes at 6,000 feet, dumping fuel before making a safe landing at the US airport.
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Fuel dumping is typically done at an altitude of 5,000 to 6,000 feet when a commercial aircraft needs to jettison fuel for an emergency landing after takeoff. This is done to reduce the aircraft’s weight below its Maximum Landing Weight (MLW) to ensure a safe landing.

That explains why the plane was circling at an altitude of above 5,000 feet for more than two hours—to allow the jet fuel to evaporate before reaching the ground.

Moments after taking off at around 5:40 pm local time on July 25, the left engine of the flight failed.

The pilots' 'Mayday' call alerted the Air Traffic Control (ATC). They then requested the ATC for fuel dumping while maintaining the requisite altitude.

The ATC guided the pilots to a safe zone away from surrounding air traffic as the aircraft proceeded to dump fuel. After completing the fuel dumping process, the airline requested clearance to land via the Instrument Landing System (ILS) approach.

After constant to and fro chatter, the ATC finally gave the pilot clearance to safely approach the runway for landing. There were no injuries reported.

- Ends

 

‘Liberalism Much More Dangerous and Harmful than Satanism,’ Dugin Says

Paul Goble

Tuesday, July 29, 2025

            Staunton, July 28 – Aleksandr Dugin, the influential advocate of neo-Eurasianism, says that liberalism is “much more dangerous and harmful than satanism,” a remark that suggests at least some in Moscow would like to ban some invented “International Liberalism Movement much as it recently banned a non-existent “International Satanist Movement.

            Doing so, precisely because these groups don’t exist and so the powers that be can define what constitutes “liberalism,” there is a danger that Dugin’s words are the opening salvo of an attack on liberalism in Russia, one that could result in increased persecution. (On such bans and their use, see windowoneurasia2.blogspot.com/2025/07/banning-groups-that-dont-exist.html.)

            Dugin made his comments in the course of a roundtable discussion of “Russia as the Center of Orthodox Civilization.” He specifically contrasted Western civilization based on liberalism and Russian civilization based on Orthodox Christianity and the traditions of Russian statehood (business-gazeta.ru/article/678746).

            “A distinctive characteristic of Western civilization,” he says, “consists in the fact that it seeks to escape from its roots and constantly distances itself from them … “Our civilization in contrast constantly returns to its origins … That is, “the West proceeds by the denial of its roots while we do not.”

            That makes Russian culture a model for emulation by others and thus a universal civilization while the West is not universal despite its pretensions to being on because it keeps rejecting its past in the name of a future that its past does not define, the Russian neo-Eurasianist says. 

ANARCHISM IS RADICAL LIBERALISM