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Wednesday, November 13, 2024

'Zhuhai car attack: China clears memorial as government scrambles to respond'

 Authorities in the southern Chinese city of Zhuhai removed wreaths, candles and bottles of Chinese alcohol, offerings laid at the scene of the deadliest mass killing in the country in a decade, as the government scrambled to respond and censor online outrage.

On Monday, a male driver angry at his divorce settlement, according to police, rammed his car into a crowd at a sports centre in the city of 2.5 million, killing 35 people and injuring 43. The government took almost a day to announce the death toll.

This prompted outrage on Chinese social media, where posts complaining about the government's slow response and raising questions about the mental health of a nation shaken by a recent spate of similar killings, were being quickly removed.

"The authorities hadn’t released any information - some colleagues mentioned it and I couldn’t believe it at first, but it was confirmed later," said a 50-year-old man who identified himself as Zheng who brought flowers to the site.

“It’s just a spontaneous feeling I had. Even though I don’t know them personally, I had family members who passed away in the past, so I understand that feeling,” said Zheng.

Delivery drivers on motor-bikes kept dropping off flowers at the site on Wednesday but the bouquets were being immediately removed by security personnel deployed there, sometimes even before a person was able to put them on the ground.

"A lot of people placed orders last night at midnight and had the flowers delivered to the stadium," said a nearby florist surnamed Qiu. "We usually get off work at 10 p.m. but yesterday was a special case because many customers wanted to order flowers, so we worked until almost 1 a.m.," said Qiu.

Some wreaths, captured on photographs by Reuters reporters, carried handwritten notes: "Strangers travel well. May there be no demons in heaven,” read one. On another: “May there be no thugs in heaven. Good will triumph over evil. Rest in peace.”

The attack happened as Zhuhai captured China's attention with the country's largest aviation exhibition, which every two years showcases the nation's civil and military aerospace achievements and where a new stealth jet fighter is on display this year.

While there is no indication that the two events are related, Chinese people often pick large national events with round-the-clock media coverage in an attempt to circumvent the tight censorship and highlight their grievances.

This was the second such incident to occur during the Zhuhai airshow. In 2008, at least four people were killed and 20 injured when a man drove a truck into a crowded schoolyard during the airshow. Police said that attacker had been seeking revenge over a traffic dispute.

'CONTROL THE NARRATIVE'

China's state broadcaster CCTV did not mention the attack in its 30-minute midday news bulletin. Instead, the programme led with President Xi Jinping's departure for the APEC summit in Peru and devoted a portion of the airtime to the airshow.

Other state media, such as China Daily's Chinese language website, also prominently displayed the news of Xi's Peru trip. The current affairs part of China Daily's website and the local area page did not mention the incident either.

The Weibo messaging site censored a hashtag that mentioned the death toll.

Media backed by local government on Tuesday night published a 1,000-word write-up of a local officials' meeting on the killing. It emphasized, among other things, the importance of "earnestly shouldering the political responsibility of 'promoting the development of one party and ensuring the safety of one party'" but it did not mention the details of the incident or the death toll.

Rose Luqiu, who researches Chinese censorship at Hong Kong's Baptist University, said the way information was curtailed in Zhuhai was consistent with other incidents in China that involve significant numbers of deaths.

"The censorship is normal because all these incidents are censored to try to control the narrative. The police statement will be the only official explanation, and they won't allow people to challenge or to discuss it," said Luqiu.

"I think the purpose of this is to reduce panic and … if you look at previous incidents like the stabbing of Japanese school children, they're also trying to reduce the copycat effect."

Luqiu was referring to an incident from September, when an assailant stabbed and ultimately killed a student at a Japanese school in southern China, marking a second such attack on Japanese citizens this year.

Even though there was no indication that Japanese citizens were involved in the Zhuhai attack, the Japanese embassy in Beijing on Tuesday released a warning asking Japanese nationals living in China to keep their voices down when speaking in Japanese and to avoid going out at night.

"As far as we know, there are no casualties that are foreign nationals in this case," China's foreign ministry spokesperson Lin Jian told a news briefing, adding that China would continue to protect the safety of foreigners.

Luqiu added that in China, local officials can sometimes be fired for incidents that cause mass deaths, even if it is clearly an individual act, so they tend to be reluctant to release any information to the public.

Guangdong's provincial governor Wang Weizhong on Wednesday visited the victims at the Zhuhai People's Hospital, Guangdong government said on its Wechat account. He urged local and provincial health departments to deliver "prompt and professional" treatment of the injured, and make every effort to save lives "no matter how slim the chance".

https://www.yahoo.com/news/chinas-leaders-urge-investigation-zhuhai-005158674.html

'Biden officials 'ask EU to align methane rules with US to ease LNG flows, letter says

 President Joe Biden’s administration has asked the European Union to ensure liquefied natural gas shipments that meet U.S. methane regulations automatically comply with Europe’s standards for imports, according to a letter seen by Reuters.

Linking U.S. and EU methane standards would safeguard United States’ growing LNG trade with Europe while also cementing Biden’s methane rules, even if they are eventually repealed by President-elect Donald Trump’s incoming administration.

"We understand that this process will take time. However, we would like to begin discussions as soon as possible, to ensure the continued reliable and stable supply of natural gas from the United States to Europe," the U.S. officials wrote in an Oct. 28 letter, just days before Trump’s decisive win in the Nov. 5 election.

The letter was signed by Brad Crabtree, head of the Department of Energy’s fossil energy office, and Joe Goffman, head of the Environmental Protection Agency's air office, and addressed to the European Commission's top energy official Ditte Juul Jørgensen.

A European Commission spokesperson did not immediately respond to a request for comment.

A spokesperson for the EPA confirmed it sent the letter with the DOE and that the EU had confirmed receipt.

The United States is the world’s top oil and gas producer, and its exports of LNG surged after Russia’s invasion of Ukraine led European countries to cut their dependence on Russian energy and seek other sources.

Methane, the main component in natural gas and LNG, is a powerful greenhouse gas and more than 150 countries, including the U.S. and EU members, have pledged to slash its emissions by 30% this decade to fight climate change.

European Union countries approved a law in May to impose methane emissions limits on Europe's oil and gas imports from 2030, pressuring international suppliers to cut leaks of the potent greenhouse gas during production and transport.

The EU has not yet designed the exact methane limits, or determined how another country's domestic methane regulations could be considered "equivalent" to its own.

The Biden Administration, meanwhile, passed rules late last year cracking down on U.S. oil and gas industry releases of methane, which are being administered by the EPA.

On Tuesday, it finalized a methane charge on large methane leaks at oil and gas facilities.

Trump has said he plans to reverse or revoke dozens of Biden administration regulations to ease burdens and costs for the US energy industry, with methane rules among the first likely targets. On Monday, he announced that ally and former New York lawmaker Lee Zeldin would be his EPA administrator, and said Zeldin would "ensure fair and swift deregulatory decisions that will be enacted in a way to unleash the power of American businesses."

In August, 10 US-based trade groups including the Chamber of Commerce and American Petroleum Institute flagged concerns to EU officials about their methane-related import requirements.

"The importers failing to comply with these obligations might be prevented from importing their supplies to the EU, and therefore the EU’s security of supply could be severely impacted," they wrote in an Aug 2. letter.

Jonathan Banks, global director on methane at the Clean Air Task Force, an environmental group, said the EU's standards, along with others in the works, will require U.S. suppliers to clean up regardless of any U.S. regulatory rollbacks.

"Market access will be dictated by proof of low methane emissions," he said.

https://www.msn.com/en-gb/news/world/biden-officials-ask-eu-to-align-methane-rules-with-us-to-ease-lng-flows-letter-says/ar-AA1tZyOr

Blinken, in Brussels, pledges to shore up Ukraine support ahead of Trump transition

 U.S. Secretary of State Antony Blinken assured NATO on Wednesday that the Biden administration would bolster its support for Ukraine in the few months before Donald Trump's return as president and would try to strengthen the alliance in that time.

Meeting NATO Secretary General Mark Rutte in Brussels, Blinken also said the deployment of North Korean troops to help Russia in the Ukraine war "demands and will get a firm response".

President-elect Trump, who has questioned U.S. military support for Ukraine, says he will quickly end Russia's war without saying how, raising concern among U.S. allies he could try to force Kyiv to accept peace on Moscow's terms. Biden leaves office on Jan. 20.

Blinken said after meeting Rutte at the alliance’s headquarters that they had discussed ongoing support for Ukraine, where Russian forces have been making gains on the eastern front lines, and the work NATO must do strengthen its defence industrial base.

The outgoing U.S. administration would "continue to shore up everything we're doing for Ukraine" to ensure it can fight effectively next year or negotiate peace with Russia from a position of strength, he said.

Biden will "use every day to continue to do what we have done these last four years, which is strengthen this alliance," Blinken said, adding that Biden officials were working to deliver all the aid approved by the U.S. Congress for Ukraine before leaving office.

Meeting Blinken in Brussels, Ukrainian Foreign Minister Andrii Sybiha said the war was at a critical moment and called for "strength" rather than "appeasement" toward Russia.


"Ukraine’s defence cannot be put on hold and wait... We need to speed up all critical decisions," he said.

Speaking about the deployment of North Korean troops to support Russia, Blinken told reporters Moscow's relationship with Pyongyang was a "two-way street," and there was "deep concern about what Russia is or may be doing to strengthen North Korea's capacity" including its nuclear capacity.

Blinken was also meeting NATO Supreme Allied Commander Europe General Christopher Cavoli, top EU officials and British foreign secretary David Lammy in Brussels on Wednesday.

https://www.usnews.com/news/world/articles/2024-11-13/blinken-meets-nato-chief-in-ukraine-talks-ahead-of-trump-transition

'Menendez jury shown improper evidence by mistake, prosecutors say'

The jury that found former Sen. Bob Menendez (D-N.J.) guilty of corruption was accidentally shown improper evidence, though the mistake should not imperil his conviction, federal prosecutors said Wednesday.

Menendez resigned from the Senate in August after he was convicted on all 16 counts he faced, including bribery and acting as a foreign agent. He has maintained his innocence and vowed to appeal.

The government now says that nine exhibits shown to jurors during deliberations displayed material that should have been redacted, after the laptop they used to view evidence was inadvertently loaded with alternative versions.

Assistant U.S. Attorney Paul Monteleoni wrote in a court filing that neither prosecutors nor defense lawyers noticed the mistake and that the unredacted content likely did not impact the jurors’ verdict.

In fact, Monteleoni said it’s “extraordinarily unlikely” jurors even “became aware” of the incorrect exhibit versions while deliberating, making it “inappropriate” to conduct a new trial over the error.

“In sum, no action is required due to all parties’ inadvertent oversight,” Monteleoni said.

The Hill requested comment from Menendez’s attorney.

Menendez’s sentencing is set for Jan. 29.

Once chair of the powerful Senate Foreign Relations Committee, the New Jersey Democrat now stares down decades in prison after jurors determined he engaged in widespread corruption, from accepting luxurious bribes in exchange for his political clout to acting as a foreign agent of Egypt.

https://thehill.com/regulation/court-battles/4989031-menendez-corruption-jury-mistake/

Trump nominates Florida Rep. Matt Gaetz for AG

 President-elect Donald Trump selected Rep. Matt Gaetz (R-Fla.) to serve as his Attorney General Wednesday in a surprising pick.

“It is my Great Honor to announce that Congressman Matt Gaetz, of Florida, is hereby nominated to be The Attorney General of the United States,” Trump wrote in a Truth Social announcement.

The Florida congressman supported Trump at his New York trial.Steven Hirsch
Matt Gaetz has been a fierce supporter of Trump.AP
Gaetz defended Trump during House impeachment investigationsAP

“Matt is a deeply gifted and tenacious attorney, trained at the William & Mary College of Law, who has distinguished himself in Congress through his focus on achieving desperately needed reform at the Department of Justice. Few issues in America are more important than ending the partisan Weaponization of our Justice System.”

“Matt will end Weaponized Government, protect our Borders, dismantle Criminal Organizations and restore Americans’ badly-shattered Faith and Confidence in the Justice Department. On the House Judiciary Committee, which performs oversight of DOJ, Matt played a key role in defeating the Russia, Russia, Russia Hoax, and exposing alarming and systemic Government Corruption and Weaponization. He is a Champion for the Constitution and the Rule of Law,” the Truth statement read.

https://nypost.com/2024/11/13/us-news/trump-nominates-florida-rep-matt-gaetz-for-attorney-general-in-surprise-pick/

Hims & Hers launches GLP-1 tracker in response to FDA's shortage decision

 Hims & Hers (HIMS) is launching a new GLP-1 tracker in its efforts to fight back against the FDA’s decision to end compounded GLP-1s on the market.

The tracker allows patients to self-identify, provide their location, and say which brand of GLP-1 drug they are not able to find. The data will be aggregated and regularly published by Hims in order to provide proof to the FDA that the shortages of the branded drugs haven’t ended, according to co-founder and CEO Andrew Dudum.

"We shared, as of a week ago, north of 80,000 people on our platform ... are not able to get access to these medicines and [are] reporting shortage. And that's really only accelerating. Last week, we had more than 2,000 people in one day," Dudum told Yahoo Finance in an exclusive interview.

"The reality on the ground is that it's a very widespread shortage," he said.

The move comes after the FDA took tirzepatide, the key ingredient in Eli Lilly’s (LLY) diabetes drug Mounjaro and weight-loss drug Zepbound, off its shortage list. The agency is also evaluating Novo Nordisk’s (NVO) semaglutide drugs for the same label. After significant pushback, the FDA said it will reevaluate tirzepatide’s status.

The branded drug companies "do not have adequate supply," Dudum said. "On earnings, they say very clearly they expect demand to outstrip supply for years to come. And if you look at the earnings from major wholesalers, you know, the Cardinals, McKesson, etc., the sentiment was the same. We don't have anywhere near enough."


"I think there is an immense amount of pressure that they are applying to the FDA to indicate that they are in widespread availability, but [they] are also themselves communicating the realities on the ground with regard to patients having access," he added.

Once the shortages are declared over, compounding pharmacies have a 60-day window to halt production of copycats — which has been a booming market over the past two years. Some copycats provided by medical spas and wellness clinics have been deemed risky since they use a different type of substance compared to the branded drug formulas.

The same shadow of doubt has been cast over compounded pharmacy drugs since they do not receive the same stringent clinical trial oversight as branded drugs. But Dudum said patients have been getting better care through the compounding process with no greater reporting of issues than the branded drugs and that the FDA tracks all adverse events.


https://finance.yahoo.com/news/hims--hers-launches-glp-1-tracker-in-response-to-fdas-shortage-decision-144818745.html

'We Haven’t Kicked Our Pandemic Drinking Habit'

 Welcome to Impact Factor, your weekly dose of commentary on a new medical study. I’m Dr F. Perry Wilson from the Yale School of Medicine.

You’re stuck in your house. Work is closed or you’re working remotely. Your kids’ school is closed or is offering an hour or two a day of Zoom-based instruction. You have a bit of cabin fever which, you suppose, is better than the actual fever that comes with COVID infections which are running rampant during the height of the pandemic. But still — it’s stressful. What do you do?

We all coped in our own way. We baked sourdough bread. We built that treehouse we’d been meaning to build. We started podcasts. And… we drank. Quite a bit, actually.

During the first year of the pandemic, alcohol sales increased 3%, the largest year-on-year increase in more than 50 years. There was also an increase in drunkenness across the board, though it was most pronounced in those who were already at risk from alcohol use disorder.

photo of AUD status

Alcohol-associated deaths increased by around 10% from 2019 to 2020. Obviously, this is a small percentage of COVID-associated deaths, but it is nothing to sneeze at.

photo of alcohol related deaths

But look, we were anxious. And say what you will about alcohol as a risk factor for liver disease, heart disease, and cancer — not to mention traffic accidents — it is an anxiolytic, at least in the short term.

But as the pandemic waned, as society reopened, as we got back to work and reintegrated into our social circles and escaped the confines of our houses and apartments, our drinking habits went back to normal, right? 

Americans’ love affair with alcohol has been a torrid one, as this graph showing gallons of ethanol consumed per capita over time shows you. 

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What you see is a steady increase in alcohol consumption from the end of prohibition in 1933 to its peak in the heady days of the early 1980s, followed by a steady decline until the mid-1990s. Since then, there has been another increase with, as you will note, a notable uptick during the early part of the COVID pandemic.

What came across my desk this week was updated data, appearing in a research letter in the Annals of Internal Medicine, that compared alcohol consumption in 2020 — the first year of the COVID pandemic — with that in 2022 (the latest available data). And it looks like not much has changed.

This was a population-based survey study leveraging the National Health Interview Survey, including around 80,000 respondents from 2018, 2020, and 2022. 

They created two main categories of drinking: drinking any alcohol at all and heavy drinking.

In 2018, 66% of Americans reported drinking any alcohol. That had risen to 69% by 2020, and it stayed at that level even after the lockdown had ended, as you can see here. This may seem like a small increase, but this was a highly significant result. Translating into absolute numbers, it suggests that we have added between 3,328,000 and 10,660,000 net additional drinkers to the population over this time period.

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This trend was seen across basically every demographic group, with some notably larger increases among Black and Hispanic individuals, and marginally higher rates among people under age 30.

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But far be it from me to deny someone a tot of brandy on a cold winter’s night. More interesting is the rate of heavy alcohol use reported in the study. For context, the definitions of heavy alcohol use appear here. For men, it’s any one day with five or more drinks or 15 or more drinks per week. For women it’s four or more drinks on a given day or eight drinks or more per week. 

The overall rate of heavy drinking was about 5.1% in 2018 before the start of the pandemic. That rose to more than 6% in 2020 and it rose a bit more into 2022. The net change here, on a population level, is from 1,430,000 to 3,926,000 new heavy drinkers. That’s a number that rises to the level of an actual public health issue.

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Again, this trend was fairly broad across demographic groups. Although in this case, the changes were a bit larger among White people and those in the 40- to 49-year age group. This is my cohort, I guess. Cheers.

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The information we have from this study is purely descriptive. It tells us that people are drinking more since the pandemic. It doesn’t tell us why, or the impact that this excess drinking will have on subsequent health outcomes, although other studies would suggest that it will contribute to certain chronic conditions, both physical and mental. 

Maybe more important is that it reminds us that habits are sticky. Once we become accustomed to something — that glass of wine or two with dinner, and before bed — it has a tendency to stay with us. There’s an upside to that phenomenon as well, of course; it means that we can train good habits too. And those, once they become ingrained, can be just as hard to break. We just need to be mindful of the habits we pick. New Year 2025 is just around the corner. Start brainstorming those resolutions now.

F. Perry Wilson, MD, MSCE, is an associate professor of medicine and public health and director of Yale’s Clinical and Translational Research Accelerator. His science communication work can be found in the Huffington Post, on NPR, and here on Medscape. He posts at @fperrywilsonand his bookHow Medicine Works and When It Doesn’tis available now

https://www.medscape.com/viewarticle/we-havent-kicked-our-pandemic-drinking-habit-2024a1000kjk