Friday, April 26, 2024

Smaller towns in South Korea bear brunt of doctors’ shortage

South Korea has 2.6 doctors for every 1,000 people, one of the lowest rates among developed countries.

APR 26, 2024

INCHEON, South Korea – Hospitals in South Korea’s smaller cities are struggling with a lack of physicians, as a nationwide strike of trainee doctors enters its third month in protest against plans to tackle the shortage by boosting medical school admissions.

Seoul, the capital, boasts top-level hospitals, but smaller cities are starved of doctors in a trend experts say will only get worse as the population ages at one of the world’s fastest rates, while birth rates are the lowest in the world.

“Our artificial kidney room was closed for almost two years because we didn’t have a doctor and we couldn’t find one… but this is a national phenomenon,” said Dr Cho Seung-yeon, director of the Incheon Medical Centre in the port city.

The shortage is at the heart of government plans to add thousands of medical school students from 2025 that face stiff opposition from trainee doctors and some medical groups who doubt it will improve poor working conditions.

South Korea has 2.6 doctors for every 1,000 people, one of the lowest rates among developed countries, according to the Organisation of Economic Cooperation and Development. In contrast, top-ranked Austria has 5.5 for every 1,000 people.

“I hope the number of doctors will increase in the future due to our rapidly ageing society, which means more and more people will visit hospitals,” said Mr Yoo Byung-seon, 66, one of those being treated in the Incheon hospital.

Because it cannot find staff, the hospital’s cardiology department has resorted to using roving doctors from a nearby university hospital, Dr Cho added.

In a complaint this week, the Korea Medical Association, a leading critic of the government’s reforms, accused Dr Cho and another staffer of breaking the law by using unlicensed personnel for some medical procedures.

Dr Cho denies those claims, a hospital spokesperson told Reuters.

Medical interns and resident doctors who began their strike late in February say they are underpaid and overworked, conditions the government must tackle before adding more physicians.

Dr Cho acknowledged that policies must also change to ensure the new doctors work in underserved areas and do not just gravitate back to Seoul, but adding practitioners was a necessary first step.

The prolonged strike will only hurt physician assistants who often perform some of a doctor’s duties though without the same protection, said Ms Choi Hee-sun, president of the Korean Health and Medical Workers’ Union.

“It’s only doctors who say there is no shortage of doctors,” she said, faulting both the government and the striking doctors for early failures to strike up dialogue, where stalemate persists.

Medical outcomes can vary widely outside the capital, where government figures show there were 4.82 active doctors for every 1,000 people in 2022, compared to Incheon’s equivalent of 2.65.

The city racked up South Korea’s highest rate of avoidable deaths, an indicator of healthcare quality, at 51.49 per 100,000 people in 2021, while the corresponding rate for Seoul was 38.56, health ministry figures show.

One 82-year-old woman who spent a month at a hospital in Incheon, Madam Yoon Geum-ja, said she was satisfied with the healthcare system now, but added: “I’m worried there won’t be many doctors around in future.” 

REUTERS

Ocean Heat Pummels the Great Barrier Reef, Again



 
 APRIL 26, 2024
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Image by Yanguang Lan.

It’s never been so bad.

The Great Barrier Reef, which is one of nature’s most iconic mosaics of biodiversity, is on the ropes because of extreme global warming. Coral bleaching at the World Heritage-listed reef is “experiencing its worst mass bleaching event on record.” (Source: Australia’s Great Barrier Reef is ‘Transforming’ from Repeated Coral Bleaching, Nature, April 19, 2024)

Subtitle to the article: “The coral reef is currently experiencing its worst mass bleaching event on record — warming waters brought on by climate change are to blame.”

This is deadly serious business and could spin out of control unless, and until, according to marine biologist Terry Hughes, James Cook University, Australia (world class marine research): “The solution to the Great Barrier Reef’s bleaching problem is clear. Reduce greenhouse gas emissions. Full stop.”

The good news/bad news is coral can recover from bleaching if the stress causing the bleaching diminishes; however, the entire globe is fast approaching non-stop repeating frequency of unchecked severity, meaning coral mortality is at stake like never before; consequences would be devastating. Coral mortality is on the line. Then, there is no recovery.

Coral reefs are called “the rainforests of the sea” and host 25% of all ocean species. Hard Coral, the building blocks of reefs, can live for more than 4,000 years.

Greenhouse gas emissions that ultimately cause bleaching are on track to quadruple via oil and gas production. According to Global Energy Monitor, oil and gas companies plan on quadrupling output by 2030. And according to Carbon Tracker (CT), every oil and gas company has flunked the CT grading system by not coming close to aligning with the central goals of a severely compromised Paris 2015 climate agreement that insists upon nation/states cutting greenhouse gas emissions, like CO2, sharply by 2030 to achieve Net Zero emissions by 2050, which is as dead as a doornail ever since fossil fuel companies took control of the International Panel on Climate Change, IPCC, thus orchestrating a grand PR scheme “we’re onside with climate science” which is really truly a grand deception, e.g., the leader of Saudi Aramco at a recent oil conference in Texas said the world should “abandon the fantasy of phasing out oil and gas.”

Meanwhile, unprecedented bleaching is very similar to ongoing degradation of the Amazon Rainforest that’s caused by drought sequences occurring too severely, too often, another casualty of global warming. According to NASA: “The rainforest doesn’t react like it used to. It does not have enough time between droughts to heal itself and regrow. Throughout all recorded history, this has never been witnessed.” (Source: Amazon Rainforest is Drying Out. How Much More Abuse Can It Take? DownToEarth).

Humanity is in the midst of massive pre-disaster warnings of ecosystem crashing events on a global scale never witnessed before (check-out geophysicist Bill McGuire’s warning at the end, herein), but it happens where nobody lives and thus does not impact society enough, not yet, to take charge to do something constructive. Thus, the bane of modern-day society’s artificial environments, i.e., concrete, glass, asphalt, steel, fabricated wood, aluminum, chemical textiles, all not connected to nature. People do not connect with impending danger found throughout the planet in nature’s wilderness. They do not live where nature carries a burden that highlights human ignorance.

According to geophysicist Bill McGuire, it’s time to face up to the harsh reality that the global warming curse is attacking/degrading the planet’s most sacred, most iconic natural ecosystems. Portions of the Amazon Rainforest are now emitting CO2 in competition with fossil fuels at the same time as severe bleaching mortality, like the Grim Reaper, stares down at the Great Barrier Reef.

The extraordinary bleaching event is global; it’s not only the Great Barrier Reef; it’s everywhere on the planet and deeply concerning, according to the National Oceanic and Atmospheric Administration, NOAA: “From February 2023 to April 2024, significant coral bleaching has been documented in both the Northern and Southern Hemispheres of each major ocean basin,” according to Derek Manzello, Ph.D., NOAA CRW coordinator. (Source: NOAA Confirms 4th Global Coral Bleaching Event, NOAA.gov, April 15, 2024.

Coral bleaching, when stressed, expels colorful resident zooxanthellae. According to a report released on 17 April by the Great Barrier Reef Marine Park Authority, the Australian government’s reef management agency, the reef is experiencing its worst mass bleaching event on record. The Reef Snapshot claims three-quarters of the entire reef is showing signs of bleaching and nearly 40 percent is showing high or extreme bleaching. The report is based on aerial surveys of 1,080 of the Great Barrier Reef’s estimated 3,000 individual reefs.

“We’ve never seen this level of heat stress across all three regions of the Great Barrier Reef,” according to Brisbane-based marine biologist Lissa Schindler, the Australian Marine Conservation Society, Ibid.

The Great Barrier Reef is experiencing its 5th mass bleaching event in only 8 years. It’s now increasing in frequency. Over the past 6 years, bleaching has occurred every other year, 2020, 2022, 2024 with regularity. According to Terry Hughes of James Cook University, there’s not enough time for the reef to recover. This is getting deadly serious at the same time as fossil fuel companies crank up CO2 emissions by a factor of four.

All of this is happening as global sea surface temperatures, the main protagonist, broke records in 2023: “There have been very high temperatures driven by climate change all across the world, and there has been coral bleaching in many other countries,” according to environmental scientist Roger Beeden, chief scientist for the Great Barrier Reef Marine Park Authority.

Several respondents to articles like this have commented that oil is woven into the fabric of neoliberal capitalism so tightly that it’s hard to shake loose but not impossible.

But how much longer can rainforests and coral reefs hold on?

Of more than passing interests: According to a recent Futurism article: Scientist Terrified by How the Climate is Falling Apart d/d March 9, 2024: “We’re staring down the barrel of an impending climate crisis, and according to University College London geophysical and climate hazards professor Bill McGuire: ‘We should be absolutely terrified of what’s still to come.”

In short, world leadership doesn’t know which way to turn next, like a deer in the headlights, meaning it’s incumbent upon climate scientists to tell it like it is to arouse the public: “Scientists are forced to ‘rouse the public’ to try and force through the enormous changes required to curb global heating… While those of us working in the climate science field know the true picture, and understand the implications for our world, most others do not. And this is a problem — a big one. That kind of gap in our knowledge could prove fatal, allowing narratives of climate denial to flourish.” (McGuire)

According to McGuire, “fear is very much part of the equation, instead of relying on sanitized versions of the truth, informing the public of the cold hard facts could be transformative.”

Robert Hunziker lives in Los Angeles and can be reached at rlhunziker@gmail.com.

 

Bangladesh children sweat at home as heatwave shuts schools

    Classes are cancelled across Bangladesh due to searing heat, but high school student Mohua Akter Nur found the soaring temperatures at home left her in no state for homework.

Millions of pupils were told to stay home this week as the South Asian nation swelters through one of its worst heatwaves on record, with temperatures 4-5 degrees Celsius (7.2-9 degrees Fahrenheit) above the long-term average.

Few schools in the capital Dhaka have air conditioning, and trying to conduct classes would have been futile.

But the government’s decision to shutter schools was no relief to 13-year-old Nur.

Her cramped one-room home in the megacity, shared with her younger brother and parents, feels almost as suffocating as the streets outside.

“The heat is intolerable. Our school is shut, but I can’t study at home. The electric fan does not cool us,” she told AFP. 

“When the power went out for an hour or two, it felt terrible.”

– ‘Unbearable’ –

Nur’s mother Rumana Islam was laying down in a corner of their home after a sleepless night, coated in sweat after cooking for her family.

“Last year was hot, but this year is too hot — more than ever. Just unbearable,” she said.

“In villages, you can step out and cool yourself under the shade of trees. 

“There is some breeze coming from the farmland. But here in Dhaka, all you can do is sit at home.”

Temperatures across the country have reached more than 42C (108F) in the past week.

The heat prompted thousands of Bangladeshis to gather in city mosques and rural fields, praying for relief from the scorching heat that forecasters expect to continue through the weekend.

Bangladesh authorities expect to reopen schools from April 28, before temperatures are expected to recede.

Extensive scientific research has found climate change is causing heat waves to become longer, more frequent and more intense.

The United Nations said this week Asia was the region most affected by climate and weather hazards in 2023, with floods and storms the chief causes of casualties and economic losses.

Millions of people across South and Southeast Asia have again sweltered through unusually hot weather this week.

Bangladesh and its 171 million people are already at the forefront of the global climate crisis, regularly battered by powerful cyclones and floods of increasing frequency and severity.

– ‘Like you are burning’ –

The latest bout of extreme weather has spurred an outbreak of diarrhoea in the country’s south, due to higher temperatures and the resulting increased salinity of local water sources.

Around the tenement building where Nur’s family lives, alongside dozens of other low-income families, adults tried to block out the worst of the heat by dozing fitfully in their homes through the afternoon.

“The heat is so intense that it’s tough to be out driving in these conditions,” said 40-year-old Mohammad Yusuf, who like Nur’s father and many of their neighbours, makes ends meet as a driver.

“You can get some respite when the air conditioner is on,” he said. “But when you are outside, it feels like you are burning”.

by Shafiqul ALAM

Submerged Philippine settlement reappears due to drought

The ruins of a church in the old sunken town of Pantabangan in Nueva Ecija province, on April 24. PHOTO: AFP

APR 26, 2024

PANTABANGAN - A centuries-old settlement submerged by the construction of a dam in the northern Philippines in the 1970s has reappeared as water levels drop due to a drought affecting swathes of the country.

The ruins in the middle of Pantabangan Dam in Nueva Ecija province are a tourist draw, even as the region swelters in extreme heat.

Parts of a church, municipal hall marker and tombstones began to resurface in March after several months of “almost no rain”, said Mr Marlon Paladin, a supervising engineer for the National Irrigation Administration.

It is the sixth time the nearly 300-year-old settlement has resurfaced since the reservoir was created to provide irrigation water for local farmers and generate hydro-power.

“This is the longest time (it was visible) based on my experience,” Mr Paladin told AFP.

The reservoir’s water level has fallen nearly 50m from its normal high level of 221m, figures from the state weather forecaster show.

The months of March, April and May are typically the hottest and driest in the archipelago nation, but conditions in 2024 have been exacerbated by the El Nino weather phenomenon.

About half of the country’s provinces, including Nueva Ecija, are officially in drought.

Tourists wanting a close-up of the ruins pay around 300 pesos (S$7) to fishermen for a short boat ride out to the temporary island in the middle of the reservoir.

Ms Nely Villena, who lives in Pantabangan municipality, regularly visits a viewing platform overlooking the dam to see the ruins.

“The view is better when the water level is low. If the water is too high... all I can see is water,” Ms Villena, 48, told AFP, as a strong wind whipped across the water, providing relief from the scorching heat.
‘Badly need water’

The actual air temperature in Nueva Ecija has reached around 37 deg C most days this week, with the heat index hovering above the “danger” level of 42 deg C.

The heat index measures what a temperature feels like, taking into account humidity.

Hundreds of residents of the submerged villages and farms where the dam is located were moved by the government to higher ground.

The ruins of a church in the old sunken town of Pantabangan in Nueva Ecija province on April 26. PHOTO: AFP


Ms Melanie Dela Cruz, 68, was a teenager when her family was forced to leave their home. In 2024 she returned for the first time.

“I got emotional because I got to recall my old life there,” Ms Dela Cruz told AFP.

“My heart was overwhelmed because I studied there, I was even born there.”

The receding water level forced two hydropower plants near the dam to stop operating earlier in April, ahead of the normal shutdown on May 1.

It also deprived many rice farmers of much-needed irrigation water, forcing some to switch to growing vegetables, which require less water.

Ms Dela Cruz said she prays for rain even though it means her old home will again disappear from view.

“Our farmers badly need water for their fields,” she said. 

AFP

German unemployment rising to highest level in almost a decade

26 April 2024 -
BY KLAUS LAUER



Germany's economic weakness is finally taking a toll on the labour market, with the number of unemployed workers expected to rise to the highest level in almost a decade, according to a study by the German Economic Institute (IW).

The study, seen by Reuters ahead of its release on Friday, showed unemployment will rise to an average of just under 2.8-million this year, the highest level since 2015.

However, the figure is well below the peak in 2005, when almost 4.9-million people were unemployed and Germany was considered the "sick man of Europe".

"Last year the labour market was quite stable, despite the recession," said IW labour market expert Holger Schaefer.

"But this year we are feeling the consequences of the economic crisis more strongly."

Companies' employment plans do not indicate any growth for the rest of the year, Schaefer said.

"The number of newly registered vacancies fell to its lowest level in five years in March," he said.

Germany's unemployment rate is expected to rise to 6% this year, according to IW.

Other leading German economic institutes see the unemployment rate at 5.8% this year and falling to 5.5% next year. They forecast just under 2.7-million unemployed people for 2024 in their spring report for the German government.

The German economy contracted by 0.3% in 2023. Despite the downturn, the number of people employed rose by 340,000, or 0.7%.

IW experts attribute the jump in employment to labour hoarding as companies tend to retain skilled workers even if they do not have enough work for them, fearing labour shortages in the future due to demographic changes.

Companies, however, can usually only do this for a short time.

Schaefer said: "As the period of weakness extends, it is increasingly likely staffing levels will have to be adjusted as permanent declines in productivity will undermine the competitiveness of companies."

Reuters

Tata Electronics to soon manufacture iPhone casings in India



So far, Tata has been importing iPhone casings from China
Apr 26, 2024

What's the story

Tata Electronics, a subsidiary of the Tata Sons, has recently embarked on a strategic collaboration aimed at bringing iPhone casing production to India.This move indicates a shift away from dependence on China for these components.The company has invested in advanced machinery crucial for manufacturing iPhone casings, marking an important step towards self-reliance.Tata Electronics has joined forces with companies in Pune and Bengaluru to advance the development of precision machinery for iPhone casing production.

Export goals

Tata Electronics's initiative could pave the way for future exports

This initiative by Tata Electronics is not just about boosting local production; it also paves the way for potential future exports.It could significantly contribute to India's ambitious target of achieving $300 billion in electronics exports by 2025."The Tata Group is testing these machines in a staged manner at their Hosur facility," an insider disclosed to Economic Times.

Manufacturing ecosystem

Tata Electronics to establish 40 production lines at Hosur plant

Tata Electronics's commitment to enhancing local capabilities is evident in its plan to establish approximately 40 production lines at its Hosur plant.This strategy goes beyond mere assembly and aims to foster a comprehensive manufacturing ecosystem within India.Tata Group is close to securing a controlling interest in Pegatron's Indian iPhone manufacturing facilities.Bloomberg reported that the Tata Group may finalize a deal to take control of Pegatron's iPhone manufacturing operations in India as early as May.