Wednesday, November 18, 2020

Tackling the Menstruation Taboo

Sarah Fourcassier  JUNE 2020  GREEN EUROPEAN JOURNAL 


The fight against single-use plastics has been a key battle for environmentalists in recent years. Yet while items like plastic straws have received much attention, the same cannot be said of disposable menstrual products, though their ecological impact may be much higher. Sarah Fourcassier explores how menstrual capitalism reproduces deeply entrenched taboos to profit at the expense of wellbeing, environment and gender equality. Taking a stand, radical menstrual activism demands fairer, healthier and sustainable practices.

In the last couple of years, the number of ecological alternatives to traditional tampons and sanitary pads has exploded on the femcare market, from menstrual cups and reusable pads to period panties. Most of these products are not innovations. On the contrary, they have long histories and have failed to succeed in the past.

Socio-political structures in Western culture have shaped our perceptions of menstruation to sell products that are harmful to human health and the environment. They have created a system that feeds off and reinforces negative perceptions of menstruation: menstrual capitalism. Looking at the evolution of these perceptions from the 1800s reveals how the menstrual care industry and its marketing strategies are born from the inequalities of patriarchal society.


Menstrual activism highlights the multifaceted problems of this system, both in terms of its gendered and ecological impacts. Radical menstrual activists propose a way forward that puts aside the interests of femcare corporations to instead serve the environment and human health in an inclusive way.

Perceptions of menstruation: a brief history


Nearly every civilisation has socially constructed taboos about menstruation. Prior to the rise of modern science in Western countries during the late 19th century, menstrual blood was shrouded in contradictions based on fear, misunderstanding, and the beliefs of mainly patriarchal religions such as Judaism, Christianity, Islam, and Hinduism. Such taboos remain current in many parts of the world today. In India, almost 80 per cent of menstruating girls observe religious restrictions, half observe restrictions on touching people or special foods, and a quarter sit or sleep separately from other family members.

Through this education, girls internalise the male gaze attached to feelings of shame and disgust, and the need to hide and conceal menstrual blood.

In the Western world, the medical sciences shifted perceptions of menstruation from pre-modern taboos to medicalisation focused on hygiene. Yet the male-centred view retained its influence. The belief that menstrual blood was toxic and abject persisted in medical sciences through the 20th century but its roots lie in ancient superstition. The Greek physician Hippocrates, the “Father of Medicine”, claimed that menstruation served to rid the body of harmful substances. In 1920, Dr Bela Schick coined the term “menotoxin” after concluding that flowers handled by a menstruating nurse wilted more quickly. Menotoxin was thought to be the source of the toxicity of menstrual blood. During the first decades of the 20th century, menstruation was still believed to be a way to get rid of “bad blood”. This theory was only disproved in the late 1950s. More than just blood, the menstruation process as a whole began to be seen as a feminine handicap. Medical texts framing menstruation as dirty and taboo date back to the 13th century, but it was until well into the 20th century that swimming or taking a bath during menstruation was thought to induce illness.

The rise of medical knowledge and its importance in daily life enabled subtle forms of social control over the human body. Today, pubescent girls are instructed on the “proper way” to menstruate and what it means for their body: they are able to procreate. Socially, this rite has often been linked to entering womanhood and perpetuates “feminine” stereotypes such as the “crazy menstruating woman”, or assumptions that all women menstruate. Through this education, girls internalise the male gaze attached to feelings of shame and disgust, and the need to hide and conceal menstrual blood. Because it is mostly women that menstruate, menstruation is associated with inferiority, legitimising women’s oppression.

Corporate control


In the UK, this control most notably plays out through the education system. Femcare companies donate period education lesson plans and product samples to schools. These are branded and point students to the brand’s website for more information (such as Always in the UK and the US). These marketing techniques are disguised as “corporate social responsibility” to improve the school attendance of female pupils. The environmental impacts of the products are ignored and few lesson plans present alternatives to the companies’ single-use products.

While menstrual education and school attendance are important, the need for branded samples and teaching resources is debatable. It is the only school subject reliant on branded materials. Policymakers need to help schools form a curriculum which provides holistic and impartial menstruation education, without the involvement of private interests. Schools should provide unbranded products and make toilets available and clean at all times, with water, dryers, and bins. In the UK, the Period Positive campaign aims to change perceptions of menstruation by developing positive narratives through a menstrual literacy programme for teenagers.

Today, periods are characterised as a shameful hassle, best kept hidden even from the person menstruating. Femcare companies capitalise on this taboo, creating products that will help the menstruator to erase the reality of menstruation. Reminders like stains are markers of the stigmatisation of menstruators as unclean and irrational, and often result in social distancing. Some go to great hygienic lengths, using products and practices such as douching to “pass” as non-bleeders. For some, disposable products are an effective way for women to hide their periods.[1] Yet the promotion of “passing” reinforces the shame associated with this bodily process, a perception handed down to the next generation. Tampax applicator tampons are one of the oldest and most successful products on the global femcare market, in part due to their disposability and a design that makes it unnecessary to touch blood. The success of menstrual cups has been much more unsteady, for precisely the opposite reason. Adverts promote products that can be opened silently, are discreet and easy to dispose of. Brands push “innovative” products at a higher price but these innovations tend to come down to aesthetics: the product may “smell like flowers”, be “odourless”, or have new packaging.


As these corporations spread their products across the world, they spread the ideal of the modern menstruator as discreet, clean, active, female, and white.

Corporations use processes of international development to extend their control over menstruating bodies. Global North-based corporations have long donated menstrual education programmes and products to developing countries, often in collaboration with policymakers. Procter & Gamble, for example, conducts a programme across India’s schools to educate young girls about menstruation and the importance of sanitary products for hygiene. This project is based on a logic assuming that the use of cloth or natural materials rather than disposable products is “backwards”.

As these corporations spread their products across the world, they spread the ideal of the modern menstruator as discreet, clean, active, female, and white. This notionally emancipated and sophisticated Western version of menstruation creates a disparity between individuals who can afford disposable menstrual products and those who cannot. Moreover, the commodification contributes to the increasing flow of wealth to Western countries from less-developed nations.

Another marketing ploy is the appropriation of feminist or environmental messaging. This pink- and green-washing is apparent in Always’ “Always Keeping Girls in School” campaign in Africa or, more globally, Tampax’s organic tampons. Such strategies play on the idea of empowerment through making periods less time-consuming and inconvenient at work. Disposable products are presented as more hygienic, easier, and more comfortable.

The idea of emancipation through the control of menstruation was also promoted by parts of second-wave feminism.[2] Some third-wave feminists, however, distance themselves from this view and criticise it as being manipulated by corporations and blinded by taboo. From this critique, two strands of activism have emerged: feminist spiritualist menstrual activism – focused on challenging the taboo and the denigration of menstruation and the female body – and radical menstruation, which sits at the intersection of third-wave feminism, environmental concern, and consumer rights.

Menstruation as a social concern


The Toxic Shock Syndrome (TSS) scandal of the 1980s marks a key moment in the history of menstrual activism. At the time, activism focused on reforms and holding corporations to account. When activists pushed for uniform tampon absorbency ratings, they were trying to improve the existing femcare industry. Health issues associated with tampons (such as micro lacerations of the vaginal wall) are often down to misuse due to a lack of information. Catering to the taboo associated with period blood, menstrual products are made to appear as clean as possible, often using dangerous and toxic products for bleaching. Consumers in the US have demanded more transparency on what is in menstrual products, and the State of New York now requires full disclosure of ingredients on product packaging. Whilst producers now must also mention the risk of toxicity associated with highly absorbent internal products, this is usually not clear enough to customers: many know about TSS but do not link it to the product’s absorbency. In the EU, no specific legislation is in place for menstrual products, which fall under the General Product Safety Directive (only safe products can be placed on the market); producers do not have to disclose what the products are made of.

Aside from human health, the taboos surrounding menstruation also have a negative ecological impact. The chemicals used for bleaching products can damage the environment as well as our bodies. Plastic is another issue, both in terms of production and waste. With the popularisation of plastic wrappers, corporations began to use plastic in all of their products. Tampon applicators, for example, went from being cardboard-based to plastic. Most menstruators are expected to produce around 150 kilograms of waste in their lifetime, of which a significant amount will end up in environmentally sensitive areas such as coastal regions. Today, tampon applicators are the fifth most common item found on European beaches. A report by Zero Waste Europe found that in 2017 the EU-28 generated about 590 000 tonnes of waste from over 49 billion disposable menstrual products.

Most menstruators are expected to produce around 150 kilograms of waste in their lifetime, of which a significant amount will end up in environmentally sensitive areas such as coastal regions.

Just as plastic straws are being progressively banned all over the world, menstrual products should not be excluded from debates about plastic waste. Sanitary pads are composed of up to 90 per cent plastic. The processing of polyethylene used in tampon applicators and pads requires large amounts of fossil fuel-generated energy. Each of those products takes 500 to 1000 years to decompose. Many component chemicals pollute groundwater and soil, while those flushed into the underground water system clog drains and pollute the oceans with microplastics.

Looking to the start of the product lifecycle, the raw materials used in production also create soil and water pollution. Most tampons and pads are made of cotton, or a blend of cotton and rayon. Cotton production degrades soil and uses large amounts of agro-chemicals and water. The production of rayon, a synthetic fibre created from wood pulp, is highly energy- and water-intensive, and causes deforestation and soil impoverishment.

When it comes to carbon footprint, the 46 billion tonnes of menstrual products used yearly in Europe equates to the equivalent of 245 000 tonnes of CO2, equivalent to the annual impact of 52 000 cars. Research has found that using sanitary pads for one year (approximately 240 products) amounts to the equivalent of 8.5 kilograms of CO2 (7.2 kilogrammes for organic pads). The figure falls to 5.3 kilograms for tampons and between 0.02 and 0.04 kilograms for menstrual cups. Environmental impact assessments of reusable menstrual products are currently harder to find but, on the whole, reusable menstrual products are far more environmentally friendly than single-use ones.

The economic dimension of menstruation should also not be overlooked. Buying menstrual products represents a significant cost, especially considering the socio-economic disadvantage already faced by women. This cost is compounded by the “pink tax”. Period products – in countries such as US and UK – are classed as “luxury items” and are taxed at higher rates. The rate applied to menstrual products varies from place to place, from 5 per cent in the UK to up to 27 per cent in Hungary in 2019. The estimated lifetime cost depends on various physiological and social factors but range from 1730 euros according to the BBC in 2017 to an estimated 5360 euros according to NGO Bloody Good Period. Whatever the cost, it is prohibitively high for some, with students and the homeless most affected.

A red warning: menstrual activism

Menstrual activism attributes the harmful environmental, health and economic effects to the corporate and capitalist system, more concerned with profit than ecological concerns or consumer wellbeing.[3] It advocates not reform of the system but its outright rejection, and it challenges the corporate control of the femcare industry over menstruators through their creation of a manufactured dependency on disposable products. Radical menstruation activists oppose the stigma faced by menstruators and the association of menstruation with femininity and womanhood, preferring a more inclusive gender-neutral approach. They recognise the importance of including all genders, specifically trans, non-gender conforming, and non-binary individuals, as well as giving a voice to trans men who menstruate (by putting bins in all bathrooms, for instance) and trans women who do not bleed but still experience a hormonal cycle (through the appearance of certain symptoms). They use the term “menstruators” instead of “women who menstruate” as a strategy to disgender menstruation through language.


Inspired by the punk movement, menstrual activists propose taking power and control over their bodies and menstruation back from corporations. Through shock actions, festivals, and workshops, they present alternatives and deconstruct the “passing” ideal menstruator.

Inspired by the punk movement, menstrual activists propose taking power and control over their bodies and menstruation back from corporations.

The Bloodsisters are widely considered the leaders of the radical menstruation movement.[4] Founded in Montreal in 1995 by Courtney Dailey amongst others, the Bloodsisters fused aesthetic sensibility with political analysis to challenge the status quo on menstruation. Their actions were diverse: zines; activist information networks; graffiti; health, DIY, and self-help workshops; art exhibitions; and industry boycotts. Building on the work of second-wave activists before them (such as the Boston-based women’s collective Our Bodies Ourselves[5]), they rendered the invisible visible, translating menstruation into public actions.

But feminism was not the only movement taking action. The Student Environmental Action Coalition in the US led a campaign in the early 2000s to replace corporate menstrual products. Their Tampaction campaign included traditional workshops and talks but also radical cheerleading.[6] Today, the UK-based Women’s Environmental Network and the NGO Zero Waste Europe have campaigned on the environmental impacts of menstrual products. While the former focuses on education and awareness-raising (through a dedicated “environmenstrual” week), the latter has published reports on the environmental and economic costs of single-use menstrual products and potential solutions, calling for European countries to take action.

In recent years, menstrual activism has made a comeback in the mainstream. In April 2016, the premier news magazine Newsweek ran a feature on menstrual activism. As the movement has grown, it has become more dynamic and difficult to categorise. While their approaches vary, these activists all confront and resist a medical and consumer culture which exploits the menstrual experience for profit and devalues the menstruating body as inferior, dirty, and sick.[7]

The end of menstrual capitalism?

We are still far from having healthier, more inclusive and environmentally friendly menstrual practices and products. Our current habits have emerged from a patriarchal capitalist society and are shaped by increasing commodification. A feminist political ecology approach, which considers the social constructs around menstruation practices as well as economic and environmental considerations, challenges this. It looks at traditional gender roles and perceptions of menstruation as socioecological dimensions of economic processes.



Future generations should understand that periods are not something to be ashamed of and that menstrual practices and choices cannot be separated from the environment or our wider societies.

Menstrual activism frames menstruation and the practices surrounding it as an important factor in decisions concerning environmental and health policy. Recognising this would radically change the way we perceive menstruation. The stigmas around menstruation can be broken, through education and a conscious effort from governments to better promote reusable and toxic-free alternatives, still unknown to the majority of the population. Future generations should understand that periods are not something to be ashamed of and that menstrual practices and choices cannot be separated from the environment or our wider societies.

FOOTNOTES

[1] See for example Sharra Vostral. Under Wraps: a history of menstrual hygiene technology. 2008, Lexington Books.

[2] See for instance the foreword from Judith Lorber in Chris Bobel’s book New blood, third wave feminism and the politics of menstruation (2010).

[3] For more on radical menstruation activism, see Chris Bobel’s book New Blood: Third Wave Feminism and the Politics of Menstruation (2010, Rutgers University Press).

[4] While the Bloodsisters are the most well-known menstrual activist group (mainly for their “chocking” actions), individuals have been taking a stand on menstrual products since the 1970s. In 1976, Janice Delaney, Mary Jane Lupton, and Emily Toth published The Curse: A Cultural History of Menstruations, in which the links between environmental degradation and menstrual products were first exposed.

[5] Their book Our Bodies, Ourselves was originally published in 1970. A French version of the book was published in 2020.


[6] Radical cheerleading is a popular third-wave feminist street protest technique. One of the most notorious actions was carried out at the Colorado State University campus, where radical cheerleaders shouted the “Ax Tampax Poem Feministo”, later published in one of the Bloodsisters zines in 2002.

[7] Chris Bobel and Breanne Fahs distinguish four types of menstrual activism: “laughing while bleeding” (such as the UK-based stand-up comedian Chella Quint); “the visual is political” (for example, the 2015 global art show “Widening the Cycle”; “(going back) to Washington”(activism via legal reforms such as the 2017 Menstrual Equity Act); and “access and affordability” (for low-income, homeless and incarcerated menstruators).


Protests erupt in Brazil after supermarket security guards beat Black man to death

Issued on: 21/11/2020 - 
Brazilian police clash with demonstrators outside a Carrefour supermarket, where a black man was beaten to death by security guards, in Porto Alegre, Brazil, on November 20, 2020. © Silvio Avila, AFP

Text by:
NEWS WIRES|

Video by:
Erin Ogunkeye

The death of a black man beaten by white security guards at a supermarket sparked protests across Brazil Friday as the country celebrated Black Consciousness Day.

A video of Thursday night's incident in the southern city of Porto Alegre captured on a witness's mobile phone was broadcast on social networks and Brazilian media.

As the clip went viral, around 1,000 protesters in Sao Paulo marched to a branch of the French-owned Carrefour supermarket chain and stoned the glass storefront before storming the premises, trashing and burning goods, according to an AFP photographer on the scene.

"Carrefour's hands are dirty with black blood," read one banner held up by demonstrators.

Carrefour de Sao Paulo
pic.twitter.com/jYpp23b67l— Rene Silva (@eurenesilva) November 20, 2020

Police in Porto Alegre used tear gas and flash bang grenades to disperse a protest that had formed in front of the supermarket where the death occurred, according to local television


Protests also broke out in the capital Brasilia, Belo Horizonte and Rio de Janeiro, where a crowd picketed a Carrefour supermarket to prevent customers from reaching the checkouts.

"Carrefour can close, it has killed our brother, it will not work!" chanted dozens of young people carrying banners and masks with the slogan "Black Lives Matter".

The video on social media shows 40-year-old welder Joao Alberto Silveira Freitas repeatedly being punched in the face and head by a security guard while he is being restrained by another at the supermarket.

A woman stands beside them, filming with her mobile phone.

The military police in Rio Grande do Sul state said the man had threatened a female worker at the supermarket, who called security.

Silveira Freitas lost consciousness during the assault and died on the spot as medics tried to revive him.

'Could not breathe'

A friend of the victim who witnessed the beating told G1 news that as the security guards were hitting him, Silveira Freitas "screamed that he could not breathe," a scene reminiscent of the death of George Floyd, a black man who suffocated beneath the knee of a white US police in Minneapolis last May.

That killing sparked massive protests across the United States.

#USCitizens: Demonstrations against the Carrefour store chain have been reported throughout Brazil after a man was killed by security guards at a Carrefour in Porto Alegre. For your safety, avoid Carrefour locations while protests are ongoing. Monitor local media for updates. pic.twitter.com/qi1VhbgN8z— Embaixada EUA Brasil (@EmbaixadaEUA) November 21, 2020

Both the supermarket security guards were arrested. One of them was identified as a member of the military police who worked part-time at the supermarket.

In a statement, Carrefour's Brazilian subsidiary deplored the "brutal death" of Silveira Freitas and promised to take "appropriate measures to hold accountable those involved in this criminal case."

Carrefour said it would cut ties with the security company that employed the guards.

In a series of tweets in Portuguese, the French head of Carrefour, Alexandre Bompard, expressed his condolences and said the images posted on social media were "unacceptable."

Em primeiro lugar, gostaria de expressar meus profundos sentimentos, após a morte do senhor João Alberto Silveira Freitas. As imagens postadas nas redes sociais são insuportáveis.— Alexandre Bompard (@bompard) November 20, 2020

"Internal measures have immediately been implemented by the Carrefour Group Brazil, principally on the question of security company contracts. These measures are insufficient. My values, and the values of Carrefour, do not allow for racism and violence," he wrote, calling for a complete review of employee training, diversity and intolerance.

Structural racism

The killing sparked outrage on social networks and overshadowed Brazil's Black Consciousness Day, a holiday in several states.

"From one November 20 to another, and every day, the racist structure of this country brings us brutality as a rule," social activist Raull Santiago said on Twitter.

"It seems that we have no way out... not even on Black Consciousness Day," Brazil international footballer Richarlison said.

"In fact, what conscience? They killed a black man, beaten in front of the cameras. They beat him and filmed. Decency and shame have been lost to violence and hatred," the Everton player said on Twitter.

In Brazil, the last country in the Americas to abolish slavery -- in 1888 -- around 55 percent of the population of 212 million identifies as black or mixed-race.

Brazil's far-right President Jair Bolsonaro had not commented directly on the death late Friday, but tweeted that the country's problems "go beyond racial issues" and that the "great evil" of Brazil continues to be "moral, social and political corruption."

- O Brasil tem uma cultura diversa, única entre as nações. Somos um povo miscigenado. Brancos, negros, pardos e índios compõem o corpo e o espírito de um povo rico e maravilhoso. Em uma única família brasileira podemos contemplar uma diversidade maior do que países inteiros.— Jair M. Bolsonaro (@jairbolsonaro) November 21, 2020

"As president, I am colorblind: everyone is the same color. There is no one color [of skin] better than the others. There are good men and bad men," added Bolsonaro.

Bolsonaro's vice president Hamilton Mourao called the killing "regrettable."

Mourao said it was the work of "a security agent unprepared for the work" and denied that it was a racist act.

"For me, in Brazil, there is no racism. That is something that they want to import here to Brazil. That does not exist here," said Mourao.

Philosopher Djamila Ribeiro, one of the most influential voices in the fight against racism in Brazil, told AFP that "the naturalization and justification of the death of black people as a result of violence is present in political, legal, business and media discourses."

(AFP)









Rape, abuses in palm oil fields linked to top beauty brands


By MARGIE MASON and ROBIN McDOWELL today

SUMATRA, Indonesia (AP) — With his hand clamped tightly over her mouth, she could not scream, the 16-year-old girl recalls – and no one was around to hear her anyway. She describes how her boss raped her amid the tall trees on an Indonesian palm oil plantation that feeds into some of the world’s best-known cosmetic brands. He then put an ax to her throat and warned her: Do not tell.

At another plantation, a woman named Ola complains of fevers, coughing and nose bleeds after years of spraying dangerous pesticides with no protective gear. Making just $2 a day, with no health benefits, she can’t afford to see a doctor.

Hundreds of miles away, Ita, a young wife, mourns the two babies she lost in the third trimester. She regularly lugged loads several times her weight throughout both pregnancies, fearing she would be fired if she did not.

These are the invisible women of the palm oil industry, among the millions of daughters, mothers and grandmothers who toil on vast plantations across Indonesia and neighboring Malaysia, which together produce 85 percent of the world’s most versatile vegetable oil.


Palm oil is found in everything from potato chips and pills to pet food, and also ends up in the supply chains of some of the biggest names in the $530 billion beauty business, including L’Oréal, Unilever, Procter & Gamble, Avon and Johnson & Johnson, helping women around the world feel pampered and beautiful.



This combination of November 2020 photos shows the hands of five generations of women from a family that has worked on the same palm oil plantation since the early 1900s, ranging in age from 6 to 102. They each hold products made by iconic Western companies that source palm oil from Indonesia and Malaysia. (AP Photo)




The Associated Press conducted the first comprehensive investigation focusing on the brutal treatment of women in the production of palm oil, including the hidden scourge of sexual abuse, ranging from verbal harassment and threats to rape. It’s part of a larger in-depth look at the industry that exposed widespread abuses in the two countries, including human trafficking, child labor and outright slavery.

Women are burdened with some of the industry’s most difficult and dangerous jobs, spending hours waist-deep in water tainted by chemical runoff and carrying loads so heavy that, over time, their wombs can collapse and protrude. Many are hired by subcontractors on a day-to-day basis without benefits, performing the same jobs for the same companies for years – even decades. They often work without pay to help their husbands meet otherwise impossible daily quotas.


“Almost every plantation has problems related to labor,” said Hotler Parsaoran of the Indonesian nonprofit group Sawit Watch, which has conducted extensive investigations into abuses in the palm oil sector. “But the conditions of female workers are far worse than men.”

Parsaoran said it’s the responsibility of governments, growers, big multinational buyers and banks that help finance plantation expansion to tackle issues related to palm oil, which is listed under more than 200 ingredient names and contained in nearly three out of four personal-care products – everything from mascara and bubble bath to anti-wrinkle creams.

The AP interviewed more than three dozen women and girls from at least 12 companies across Indonesia and Malaysia. Because previous reports have resulted in retaliation against workers, they are being identified only by partial names or nicknames. They met with female AP reporters secretly within their barracks or at hotels, coffee shops or churches, sometimes late at night, usually with no men present so they could speak openly.

A casual worker removes floating aquatic plants from a canal in a palm oil plantation in Sumatra, Indonesia. (AP Photo/Binsar Bakkara)

Female workers carry heavy loads of fertilizer at a palm oil plantation in Sumatra, Indonesia. (AP Photo/Binsar Bakkara)


The Malaysian government said it had received no reports about rapes on plantations, but Indonesia acknowledged physical and sexual abuse appears to be a growing problem, with most victims afraid to speak out. Still, the AP was able to corroborate a number of the women’s stories by reviewing police reports, legal documents, complaints filed with union representatives and local media accounts.

Reporters also interviewed nearly 200 other workers, activists, government officials and lawyers, including some who helped trapped girls and women escape, who confirmed that abuses regularly occur.

___

This story was funded in part by the McGraw Center for Business Journalism at CUNY’s Newmark Graduate School of Journalism

FEATURE LONG READ

READ THE FULL ARTICLE HERE https://tinyurl.com/y3ywj8j6
TRIFECTA
After malaria and covid, British man survives cobra bite in India

Issued on: 21/11/2020 -
An Indian snake-catcher extracts venom from a cobra. Snake bites are common in rural areas ARUN SANKAR AFP/File

New Delhi (AFP)

A British charity worker who survived coronavirus, dengue and malaria was recovering after a potentially deadly snake bite in western India's Rajasthan state.

Ian Jones was bitten by an Indian cobra in rural Jodhpur district of the desert state and admitted to hospital in Jodhpur city, about 350 kilometres (220 miles) from the regional capital Jaipur.

"Jones came to us last week after a snake bite in a village in the region. Initially it was suspected that he is also Covid-19 positive (for the second time) but he tested negative for that," doctor Abhishek Tater, who treated him at the local Medipulse Hospital, told AFP on Saturday.

"While with us, he was conscious and had snake bite symptoms including blurring of vision and difficulty to walk, but these are generally transient symptoms," Tater added.

Jones was discharged earlier in the week. "We feel that there won't be any long term effects. If he hasn't already improved, he'd do so within next few days," the doctor added.

He said snake bites were not uncommon in the rural parts of the region.

"Dad is a fighter, during his time out in India he had already suffered from malaria and dengue fever before Covid-19," his son, Seb Jones, said in a statement on a GoFundMe page set up to help pay his medical bills and travel back to the Isle of Wight in southern England.

"He had not been able to travel home due to the pandemic and as a family we understood his desire to continue to support the many people who relied on him," he added.

Jones works with traditional craftsmen in Rajasthan and through his charity-backed social enterprise, Sabirian, helps import their goods into Britain to help them escape poverty.

© 2020 AFP
Remains of two victims of 79 AD volcanic eruption unearthed at Pompeii



Issued on: 21/11/2020 - 
The remains of the two men, believed to have been a master and servant 
Handout POMPEI ARCHAEOLOGICAL PARK/AFP

Pompeii (Italy) (AFP)

The remains of two victims of the eruption of Mount Vesuvius almost 2,000 years ago have been unearthed at a grand villa on the fringes of Pompeii, officials at the archaeological site said Saturday.

"Two skeletons of individuals caught in the fury of the eruption have been found," the officials at the Italian site near Naples said in a statement.

The researchers believe the figures are those of a young slave and a richer older man, around 40 and presumed to be his owner, based on the vestiges of clothing and their physical appearance.

The ruined city of Pompeii was submerged in ash after the eruption of Mount Vesuvius in 79 AD. It is now Italy's second-most visited tourist attraction after Rome's Colosseum, receiving nearly 4 million visits last year.

The massive site that spreads over 44-hectares (110-acres) is what remains of one of one the richest cities in the Roman empire. Layers of ash buried many buildings and objects in a nearly pristine state, including curled-up corpses of victims.

After the latest human remains were uncovered, the bones were analysed and then plaster was poured in, a technique invented by Giuseppe Fiorelli in 1867.

This creates a plaster cast which shows the shapes of the bodies of the two victims, in a supine position, where they fell.

The two skeletons were found, during ongoing excavations at Civita Giuliana, around 700 metres northwest of Pompeii, at a villa overlooking the Bay of Naples where previously a stable and the remains of three harnessed horses had been found.

The two bodies were found in a side room of the "cryptoporticus" a corridor below the villa where the could have gone to seek shelter.

While excavations continue at the Pompeii site, tourism has stopped due to coronavirus measures.

© 2020 AFP

Tuesday, November 17, 2020

 

ALBERTA
Contact tracing is broken and it’s the canary in the coal mine

Your weekly update on Alberta politics for November 17, 2020
on the web at theprogressreport.ca/progress_report_242

Dr. Hinshaw told us on November 5th that contact tracers would now only be contacting people in “high priority settings.” Only the close contacts of health care workers, minors, and individuals who live or work within communal facilities (like long term care homes) would be notified that they had been exposed to COVID-19 and that they should self-quarantine. People sick with COVID in a non-priority setting were now expected to now do all of this on their own. 

Alberta’s team of contact tracers had worked diligently since March to do the epidemiological shoe-leather investigative work of finding out who COVID infected people had been in contact with and where, logging that information and contacting those people. Keeping track of who has COVID and where they’ve spread it has been the primary tactic used by every country and jurisdiction that has had any success against this bug. 

Yet an incredible 86 per cent of reported cases between Nov. 6 and 12 had an unknown source of suspected transmission. In Alberta, we’re flying blind. One contact tracer we spoke with even told us he was working on two-week old files. 

On Nov. 12 Tyler Shandro said that Alberta has posted 425 new positions to the contact tracing team. There are 22 positions posted on the Alberta Health Services careers website that have “COVID-19 contact tracing” in the job description. Even if 400 some contact tracers were hired tomorrow it would still take 3-5 weeks at minimum for them to get their police checks completed, get their training and be on the phones. 

“AHS and Shandro don’t want to admit that this has taken a toll on us, the contact tracers. We get threats, we get treated terribly,” said a contact tracer who wishes to remain anonymous. 

The ratio of good to bad calls is about 80/20. “But the 20 per cent sometimes take it very personally.”

“There is so much hostility to the government here it’s not like Jason Kenney is making calls. He wouldn’t last 5 minutes on the phone,” said the contact tracer.  

That’s just the manual side. On the digital side of things, the Premier continues to refuse the federal COVID tracking app, and is stubbornly keeping the province on its own proprietary version – a version that hasn’t been working since he hastily dumped a pile of money on consultants to avoid collaborating with hated foe Justin Trudeau months ago.

The Globe and Mail just revealed that the province’s app, ABTraceTogether, has identified only 70 close contacts in 19 cases since it launched in May. This means the app traced contacts in about 0.05 per cent of cases since it launched. 

I’ll leave you with the words of Dr. Carrie Kollias, a Canadian doctor living in Melbourne, Australia, a place that’s nearly eradicated COVID-19 after a successful lockdown. “Once you have overwhelmed contact tracing capabilities, the horse has bolted from the barn.”

It doesn’t have to be like this. Australia, South Korea, Taiwan, New Zealand, China have all done a far better job at containing COVID than we have. But on all sides it seems our Premier is constrained by problems of his own making – ideologically the conservatives refuse any of the real policy measures, like paid sick leave or a circuit breaker lockdown, that would help. Working with the federal government would require cooperating with Trudeau, and Kenney can’t have that, and most importantly, he has just too much of an ego to admit that his administration’s approach has been lazy and negligent.

Thanks to that negligence we’re entering a terrifying phase in the pandemic. COVID is still here, it’s spreading faster than ever, our hospital capacity is being overwhelmed and our best tool, contact tracing, is broken. 

Sundries

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Producers need immediate action on BC’s meat processing crisis

 

The COVID-19 pandemic has revealed a meat processing crisis in BC. Abattoirs are critical for small-scale livestock producers, but provincial policy and regulatory structures currently prevent them from meeting the high demand for local, sustainable, and niche meat products. The critical shortfall in abattoir and cut/wrap capacity is making it impossible for farmers to provide consumers with the meat they want, even in these times of heightened concern about food sovereignty.

Today, Monday, November 16, the National Farmers Union (NFU) submitted its report, “A vibrant small-scale meat industry for British Columbians: NFU recommendations to BC Ministry of Agriculture”, in response to the BC Ministry of Agriculture (MoA) Intentions Paper on “Rural Slaughter Modernization.” The NFU outlines the current crisis and proposes a path forward. Over 13 organizations have joined with the NFU in urging the Ministry to take immediate and meaningful action to ensure a vibrant and resilient meat sector in BC. The BC Chamber of Commerce, David Suzuki, BC Farmers Markets, FarmFolk CityFolk, Small-Scale Meat Producers Association, and several food policy councils were among those to sign onto a letter endorsing the NFU report.

“Resolving the meat-processing crisis in BC will determine whether I can pursue livestock farming in the long-term. As a young farmer, it is very encouraging to see the MoA tackling this complex situation. I hope that the MoA will immediately take meaningful action,” said Freya Kellet (23), NFU BC Climate Coordinator. “Many producers are unable to harvest their animals this fall and this puts their direct-to-consumer business model at risk. Farmers, agricultural organizations, and other stakeholders are telling me that a place-based meat system is integral to the food security of British Columbians, rural economic and community development, animal welfare, COVID-19 recovery, as well as for mitigating the impacts of the climate crisis.”

When COVID-19 spread in Canada’s big processing plants, it exposed the vulnerability of a concentrated meat industry and disrupted the national beef and hog market for producers and consumers. At the same time, consumer demand for local meat greatly increased. Although COVID-19 has created an unprecedented opportunity for many farmers and ranchers in BC to grow their business, and contribute to their local economies and food security, these opportunities will be lost without access to slaughter and processing services in all regions.

“We hope this issue will be a central focus in the upcoming Ministerial mandate, and that concrete details and timelines will follow. NFU members and the many organizations and people who have signed-on to our letter, are willing to step forward to participate in task forces, committees, and other engagement processes to ensure that the voices of farmers are heard and that any modernization leads to a more resilient, climate-friendly, financially-prosperous meat sector in BC.” concluded Kellet.  

Organizations/People in Support:

FarmFolk CityFolk
David Suzuki
BC Chamber of Commerce
BC Association of Farmers Markets
Small-Scale Meat Producers Association
Certified Organic Associations of BC
BC Goat Association
Kent Mullinx, Director, Institute for Sustainable Food Systems, Kwantlen Polytechnic University
Vancouver Farmers’ Markets
Kamloops Food Policy Council
Central Kootenay Food Policy Council
Capital Region Food and Agriculture Initiatives Roundtable
South Island Prosperity Partnership

MONOPOLY CAPITALI$M
Amazon opens online pharmacy, shaking up another industry

By JOSEPH PISANI and TOM MURPHY

FILE - In this Oct. 1, 2020 file photo, an Amazon logo appears on an Amazon delivery van, in Boston. Amazon opened an online pharmacy Tuesday, Nov. 17 giving shoppers the chance to buy their medication and order refills on their phones and computers and have it delivered to their doorsteps in a couple of days. (AP Photo/Steven Senne, File)


NEW YORK (AP) — Now at Amazon.com: insulin and inhalers.

The retail colossus opened an online pharmacy Tuesday that allows customers to order medication or prescription refills, and have them delivered to their front door in a couple of days.

The potential impact of Amazon’s arrival in the pharmaceutical space rippled through that sector immediately. The stocks of CVS Health Corp., Walgreens and Rite Aid all tumbled Tuesday.

The big chains rely on their pharmacies for a steady flow of shoppers who may also grab a snack or shampoo or groceries on the way out. All have upped online services and touted their abilities to deliver prescriptions and other goods as the COVID-19 pandemic has pushed more consumers to stay home. But Amazon.com has mastered these things, and its online store is infinitely larger, with millions of loyal shoppers already buying books, TVs and just about anything else.

“The news represents a disruption to the system and competitive threat that will likely shift scripts away from the retail channel,” analysts at Citi Research said in a note.

Amazon has a history of disruption. Launched in 1995 as an online book store, it pushed other booksellers to sell online. But those that couldn’t keep up went out of business, like the Borders bookstore chain, which disappeared in 2011.

Its purchase of Whole Foods three years ago sent supermarket stocks spiraling, but many have been able to hold their own against Amazon, offering home delivery and curbside pickup of groceries.




Amazon has also become a threat to shipping companies, delivering more than half of its own packages itself. Vans stamped with the Amazon logo have become as common a sight as the UPS truck.

The company said its online pharmacy will offer commonly prescribed medications in the U.S., including creams, pills, as well as medications that need to stay refrigerated, like insulin. Shoppers have to set up a profile on Amazon’s website and have their doctors send prescriptions there. It won’t ship medications that have a high risk of being abused, like some opioids.

Most insurance is accepted, Amazon said. But Prime members who don’t have insurance can also buy generic or brand name drugs from Amazon for a discount. They can also get discounts at 50,000 physical pharmacies around the country at Costco, CVS, Walgreens, Walmart and other stores.

Health economist Craig Garthwaite sees several reasons Amazon may become an attractive option for patients looking to fill prescriptions.

The retailer is a known entity that many people already use. It may be able to make price shopping for prescriptions more pleasant, and it might be competitive on the pricing of generic drugs, said Garthwaite, who teaches at Northwestern University’s Kellogg School of Management.

Amazon’s prescription business could be appealing to the uninsured or people who have plans that make them pay a high deductible first before their coverage starts, added John Boylan, an analyst who covers Walgreens for Edward Jones.

He said Amazon’s move will mostly affect smaller drugstores that don’t have either the retail giant’s purchasing power or deals that major drugstore chains have with insurers to funnel patients to their stores for prescriptions.

Amazon has eyed the health care industry for some time. Two years ago, it spent $750 million to buy online pharmacy PillPack, which organizes medication in packets by what time and day they need to be taken.

Separately, it also has formed a venture named Haven with JPMorgan Chase and Berkshire Hathaway to focus on improving the care their employees receive and managing the expense.

CVS and Walgreens, which had opened thousands of drugstores nationwide to get closer to customers, have been been trying to adjust to the rise of online shopping by offering same-day deliveries in many markets.

Walgreens also has a partnership with FedEx for a delivery service that takes a day or two. Walgreens CEO Stefano Pessina told analysts in July that the company has seen “unprecedented demand” for both home delivery and online services as the COVID-19 pandemic unfolded earlier this year.

Both companies also are providing more care and helping customers monitor chronic conditions like diabetes with services that can’t be delivered by competitors such as Amazon.

CVS Health also operates one of the nation’s largest health insurers — Aetna — and a big pharmacy benefit management, or PBM, business that runs prescription drug plans. Spokesman T.J. Crawford said in a statement that new pharmacy competition is no surprise, but he noted that CVS Health has evolved into “so much more” than a corner drugstore.

Amazon may continue to evolve as well, said the economist Garthwaite.

“We could think of this one day as the first step toward Amazon becoming a PBM,” he said.

Shares of CVS closed Tuesday nearly 10% lower and Walgreens shed nearly 9%. Rite Aid Corp.’s stock plunged more than 16%, while Amazon’s shares finished slightly higher.


NATO chief warns of high price if troops leave Afghanistan
TRUMPS AMERICA HAS NO ALLIES

By LORNE COOK

FILE - In this Friday, Sept. 11, 2020 file photo, NATO Secretary General Jens Stoltenberg speaks during a ceremony marking the 19th anniversary of the Sept. 11 attacks, at NATO headquarters in Brussels. NATO Secretary-General Jens Stoltenberg warned Tuesday, Nov. 17, 2020 that the military organization could pay a heavy price for leaving Afghanistan too early, after a U.S. official said President Donald Trump is expected to withdraw a significant number of American troops from the conflict-ravaged country in coming weeks. (AP Photo/Francisco Seco, Pool, File)


BRUSSELS (AP) — NATO could pay a heavy price for leaving Afghanistan too early, its chief warned Tuesday after a U.S. official said President Donald Trump is expected to withdraw a significant number of American troops from the conflict-ravaged country in the coming weeks.

NATO has fewer than 12,000 troops from dozens of nations in Afghanistan helping to train and advise the country’s national security forces. More than half are not U.S. troops, but the 30-nation alliance relies heavily on the United States for transport, air support, logistics and other assistance. It’s unlikely that NATO could even wind down its operation without U.S. help.

“We now face a difficult decision. We have been in Afghanistan for almost 20 years, and no NATO ally wants to stay any longer than necessary. But at the same time, the price for leaving too soon or in an uncoordinated way could be very high,” NATO Secretary-General Jens Stoltenberg said in a statement Tuesday.

He said Afghanistan still “risks becoming once again a platform for international terrorists to plan and organize attacks on our homelands. And ISIS (Islamic State) could rebuild in Afghanistan the terror caliphate it lost in Syria and Iraq.”

The U.S. decision comes just days after Trump installed a new slate of loyalists in top Pentagon positions who share his frustration with the continued troop presence in war zones. The expected plans would cut U.S. troop numbers almost in half by Jan. 15, leaving 2,500 troops in Afghanistan.

U.S. officials said military leaders were told over the weekend about the planned withdrawal and that an executive order is in the works but has not yet been delivered to commanders.

NATO took charge of the international security effort in Afghanistan in 2003, two years after a U.S-led coalition ousted the Taliban for harboring former al-Qaida leader Osama bin Laden. In 2014, it began to train and advise Afghan security forces, but has gradually pulled troops out in line with a U.S.-brokered peace deal.

Stoltenberg said that “even with further U.S. reductions, NATO will continue its mission to train, advise and assist the Afghan security forces. We are also committed to funding them through 2024.”

NATO’s security operation in Afghanistan is its biggest and most ambitious undertaking ever. It was launched after the military alliance activated its mutual defense clause — known as Article 5 — for the first time, mobilizing all the allies in support of the United States in the wake of the 9/11 attacks on New York and Washington.

“Hundreds of thousands of troops from Europe and beyond have stood shoulder to shoulder with American troops in Afghanistan, and over 1,000 of them have paid the ultimate price,” Stoltenberg said.

“We went into Afghanistan together. And when the time is right, we should leave together in a coordinated and orderly way. I count on all NATO allies to live up to this commitment, for our own security,” he said.

The United States is by far NATO’s biggest and most influential ally. It spends more on defense than all the other countries combined. But Trump’s term in office has marked a particularly tumultuous time for the organization. He has routinely berated other leaders for not spending enough on defense, and has pulled out of security agreements that European allies and Canada consider important for their security, such as the Iran nuclear deal and the Open Skies aerial surveillance pact.

French President Emmanuel Macron said last year that NATO was suffering from “brain death,” in part due to a lack of U.S. leadership.

Stoltenberg has refrained from publicly criticizing Trump or his decisions since Trump came to power in 2016.
US Public health programs see surge in students amid pandemic

By MICHELLE R. SMITH and KATHY YOUNG

1 of 6 PHOTOS
University of Illinois student Sarah Keeley poses for a portrait on the college campus in Urbana, Ill., Tuesday, Oct. 6, 2020. As the coronavirus was emerging in the news in January, Keeley was working as a medical scribe and considering what to do with her biology degree. In August, she began studying to become an epidemiologist. (AP Photo/Charles Rex Arbogast)

PROVIDENCE, R.I. (AP) — As the novel coronavirus emerged in the news in January, Sarah Keeley was working as a medical scribe and considering what to do with her biology degree.

By February, as the disease crept across the U.S., Keeley found her calling: a career in public health. “This is something that’s going to be necessary,” Keeley remembered thinking. “This is something I can do. This is something I’m interested in.”

In August, Keeley began studying at the University of Illinois at Urbana-Champaign to become an epidemiologist.

Public health programs in the United States have seen a surge in enrollment as the coronavirus has swept through the country, killing more than 247,000 people. As state and local public health departments struggle with unprecedented challenges — slashed budgets, surging demand, staff departures and even threats to workers’ safety —- a new generation is entering the field.

Kelsie Campbell, a student at Florida International University in Miami, poses for a photo on campus, Thursday, Oct. 8, 2020. When Campbell, who is part Jamaican and part British, heard in both the British and American media that Black and ethnic minorities were being disproportionately hurt by the pandemic, she wanted to focus on why. (AP Photo/Wilfredo Lee)


Among the more than 100 schools and public health programs that use the common application — a single admissions application form that students can send to multiple schools — there was a 20% increase in applications to master’s in public health programs for the current academic year, to nearly 40,000, according to the Association of Schools and Programs of Public Health.



COVID-19 is driving a surge of new students to pursue a public health degree, even as the pandemic has posed unprecedented challenges to those in the profession, including overwhelming demand and threats to workers’ safety. (Nov. 17)

Some programs are seeing even bigger jumps. Applications to Brown University’s small master’s in public health program rose 75%, according to Annie Gjelsvik, a professor and director of the program.

Demand was so high as the pandemic hit full force in the spring that Brown extended its application deadline by over a month. Seventy students ultimately matriculated this fall, up from 41 last year.

“People interested in public health are interested in solving complex problems,” Gjelsvik said. “The COVID pandemic is a complex issue that’s in the forefront every day.”

It’s too early to say whether the jump in interest in public health programs is specific to that field or reflects a broader surge of interest in graduate programs in general, according to those who track graduate school admissions. Factors such as pandemic-related deferrals and disruptions in international student admissions make it difficult to compare programs across the board.

Magnolia E. Hernández, an assistant dean at Florida International University’s Robert Stempel College of Public Health and Social Work, said new student enrollments in its master’s in public health program grew 63% from last year. The school has especially seen an uptick in interest among Black students, from 21% of newly admitted students last fall to 26.8% this year.

Kelsie Campbell is one of them. She’s part Jamaican and part British. When she heard in both the British and American media that Black and ethnic minorities were being disproportionately hurt by the pandemic, she wanted to focus on why.

“Why is the Black community being impacted disproportionately by the pandemic? Why is that happening?” Campbell asked. “I want to be able to come to you and say, ‘This is happening. These are the numbers and this is what we’re going to do.’”

The biochemistry major at Florida International said she plans to explore that when she begins her MPH program at Stempel College in the spring. She said she hopes to eventually put her public health degree to work helping her own community.

“There’s power in having people from your community in high places, somebody to fight for you, somebody to be your voice,” she said.

Public health students are already working on the front lines of the nation’s pandemic response in many locations. Students at Brown’s public health program, for example, are crunching infection data and tracing the spread of the disease for the Rhode Island Department of Health.

Some students who had planned to work in public health shifted their focus as they watched the devastation of COVID-19 in their communities. In college, Emilie Saksvig, 23, double-majored in civil engineering and public health. She was supposed to start working this year as a Peace Corps volunteer to help with water infrastructure in Kenya. She had dreamed of working overseas on global public health.

The pandemic forced her to cancel those plans, and she decided instead to pursue a master’s degree in public health at Emory University.

“The pandemic has made it so that it is apparent that the United States needs a lot of help, too,” she said. “It changed the direction of where I wanted to go.”





These students are entering a field that faced serious challenges even before the pandemic exposed the strains on the underfunded patchwork of state and local public health departments. An analysis by The Associated Press and Kaiser Health News found that since 2010, per capita spending for state public health departments has dropped by 16%, and for local health departments by 18%. At least 38,000 state and local public health jobs have disappeared since the 2008 recession.


And the workforce is aging: Forty-two percent of governmental public health workers are over 50, according to the de Beaumont Foundation, and the field has high turnover. Before the pandemic, nearly half of public health workers said they planned to retire or leave their organizations for other reasons in the next five years. Poor pay topped the list of reasons. Some public health workers are paid so little that they qualify for public aid.

Brian Castrucci, CEO of the de Beaumont Foundation, which advocates for public health, said government public health jobs need to be a “destination job” for top graduates of public health schools.

“If we aren’t going after the best and the brightest, it means that the best and the brightest aren’t protecting our nation from those threats that can, clearly, not only devastate from a human perspective, but from an economic perspective,” Castrucci said.

The pandemic put that already stressed public health workforce in the middle of what became a pitched political battle over how to contain the disease. As public health officials recommended closing businesses and requiring people to wear masks, many, including Dr. Anthony Fauci, the U.S. government’s top virus expert, faced threats and political reprisals, AP and KHN found. Many were pushed out of their jobs. An ongoing count by AP/KHN has found that more than 100 public health leaders in dozens of states have retired, quit or been fired since April.

Those threats have had the effect of crystallizing for students the importance of their work, said Patricia Pittman, a professor of health policy and management at George Washington University’s Milken Institute School of Public Health.

“Our students have been both indignant and also energized by what it means to become a public health professional,” Pittman said. “Indignant because many of the local and the national leaders who are trying to make recommendations around public health practices were being mistreated. And proud because they know that they are going to be part of that frontline public health workforce that has not always gotten the respect that it deserves.”

Saksvig compared public health workers to law enforcement in the way they both have responsibility for enforcing rules that can alter people’s lives.

“I feel like before the coronavirus, a lot of people didn’t really pay attention to public health,” she said. “Especially now when something like a pandemic is happening, public health people are just on the forefront of everything.”

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KHN Midwest correspondent Lauren Weber and KHN senior correspondent Anna Maria Barry-Jester contributed to this report.

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This story is a collaboration between The Associated Press and Kaiser Health News, which is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente.