Archive for the ‘Media Control’ Category

Kim Jong Un’s Tortuous Path to Economic Reform – War on the Rocks

Though the epidemic prevention situation is harsh at present there should be nothing missed in the planned economic work, Kim Jong Un said last month. The North Korean leaders appeal to keep up economic production while combating a COVID outbreak which Kim described as a great upheaval, an unusually strong formulation to refer to a domestic situation in North Korea shows just how vulnerable the countrys economy is. Pyongyangs surprising acknowledgment of a COVID-19 outbreak in the country raises many questions, one of which is how the epidemic might impact the economy. That it was already ailing before COVID arrived is something Kim himself has alluded to and admitted on multiple occasions.

Notwithstanding the high level of interest in the North Korean economy, it is a murky topic for most followers of the country. For a nation that devotes a great deal of its media space to economic news, it reveals surprisingly little useful information about the actual state of the economy. Even the annual budget breakdowns and production growth rates at parliamentary sessions the only set of official economic statistics provided by the North are all percentages and not actual amounts, which is hardly helpful to economists seeking hard data on the countrys economic conditions. Articles that seem as though they might provide some insight into the Kim regimes thinking on economic policy are often long and obscure, taking the art of deciphering state propaganda to new heights.

While numbers and percentages may provide instant gratification in finding answers to North Koreas current economic conditions, the fundamental matter at hand is economic policy, for it is this that will have longer-term consequences for the future of the country and possibly even the Korean Peninsula. And central to North Koreas economic policy is the Kim regimes current and future calculus on market-oriented measures, which this article shall loosely refer to as reform. How much progress North Korea makes on these initiatives, as well as the extent to which it is willing to forge ahead with them, will shape the countrys domestic and foreign policy agenda. How North Koreas increased focus on defense programs as demonstrated by its missile campaign since the beginning of the year that included intercontinental ballistic missile tests figures into its economic thinking also is food for thought.

In that vein, the questions to ask at this juncture are as follows: What is the status of North Koreas economic reform under Kim Jong Un? What might we expect of the countrys discourse on reform in the light of reinforced central control, the Norths renewed commitment to strengthen its nuclear and missile capabilities, and its apparent lack of interest in diplomatic engagement with the United States and South Korea? Pyongyangs continued quest for reform will to a large extent hinge on how it manages issues related to control, as well as the allocation of national resources. This balancing act will be seriously challenged by the countrys pivot to greater centralization and isolationism.

Kims Reform: A Work in Progress

In December 2011, Kim Jong Un inherited a decrepit economy that was still reeling from the aftermath of a failed currency reform two years earlier. Resuscitating the economy was clearly a top priority on his mind. The new leader sought to do just that by resuming his fathers July 1 economic measures, reforms that were launched in 2002 but in effect had been reversed by the end of Kim Jong Ils rule. Immediately after his fathers funeral, Kim gave senior Workers Party functionaries broad guidelines on economic management methods of our style, a code for market-oriented policies within the parameters of socialism that would be the governing principle of his economic policy.

After undergoing a period of research, planning, and conducting trial runs, North Korea between 2014 and 2015 rolled out reforms in farms, enterprises (the equivalent of companies in a capitalist system), and the financial and banking sector, in that order. The essence of the reforms was incentivizing individual units and workers to become more productive by decentralizing decision-making. Notably, North Korea codified Kims hallmark reform initiative, the socialist enterprise responsibility management system, or SERMS, in the constitution in 2019, indicating the regimes firm resolve to continue with its reformist policies. SERMS grants individual enterprises actual management rights across planning, resources, production, and profits.

Where, then, does North Koreas reform stand now? After a decade, Kims reform-oriented economic measures are still a work in progress. Reform has suffered setbacks, most clearly evidenced in the form of greater central control, but there is no evidence that these initiatives are being reversed.

North Koreas Eighth Party Congress in January 2021 generated much debate among North Korea watchers about the fate of Kims economic reform. The prevailing view seemed to be that reform was in retreat, with some arguing that reform was still in place, albeit with increased emphasis on centralization.

It is understandable why the party congress readout should have led to so many conclusions about North Korea backtracking on reform: State medias summary of Kims report to the party congress contained formulations indicating tighter central control, such as the states unified guidance on or management of resources and products, and the restoration of the states leading role and control in commerce. Moreover, greater central control had been a dominant theme in North Korean propaganda in the months leading up to the Eighth Party Congress.

The question then becomes: Is greater central control necessarily an antithesis of market-based economic reform? Or is Pyongyang trying to achieve both implementation of reform in a more controlled setting, one where it can better manage how reform initiatives are carried out? Evidence points to the latter.

North Korea continues to publicly endorse reform initiatives in enterprises and farms at authoritative levels. Reform in the financial and banking sector continues to be supported less publicly in academic journals by scholars who are likely involved in economic policymaking. Kim Jong Un, in his concluding speech at the Eighth Party Congress, called for push[ing] forward energetically with the research and completion of the economic management methods. This, when placed in the context of Kims earlier remarks that pointed to greater central control, indicated the countrys intent to carry on with reforms in a more controlled environment. In fact, the North is still in the stages of continuously improving and completing economic management methods of our style, according to a recent meeting of the North Korean Cabinet.

Logically and technically speaking, greater centralization results in reduced autonomy, initiative, and creativity in individual work units and among workers all essential ingredients of economic reform. But we need to recall that reform in the North Korean context comes with certain strings attached. In short, central control specifically the states unified guidance of the economy, giving greater freedom to enterprises within the bounds of the socialist economy, and the partys leadership over economic work has been an innate part of Kim Jong Uns reform policy since its inception.

Bumps in the Road

The general assessment is that giving greater autonomy to farms and enterprises and incentivizing workers have by and large resulted in increased production and the growing marketization of the economy under Kim Jong Un. But one can reasonably deduce that economic reforms have not been as easy to shape or implement as Kim Jong Un had hoped. If nothing else can serve as a data point, this can: Nine years after Kim called for the completion of economic management methods, North Korea is still working on them.

There are multiple internal and external reasons for this difficulty. The most obvious one is that there has been no progress on the nuclear issue, without which international sanctions will remain in force and continue to undermine the countrys economy and its prospects for reform and opening. The border closures the North has instituted since early 2020 to keep COVID-19 at bay, including nearly two years of suspended trade by rail with China and the continued prohibition of border crossings by individuals, and the recent outbreak of the virus at home have posed further obstacles.

As is often the case, the bigger, more fundamental challenges have lain tucked within the intricacies of policymaking. Of all these, Pyongyang seems to be faced with two enduring dilemmas associated with economic reform: the balance of control and the allocation of national resources. They have no doubt shaped discussions within the regime about the direction of, and impacted its ability to deliver, reform. And they will determine the future of North Koreas reform, depending on how Pyongyang chooses to tackle these issues.

Control Versus Autonomy

It would not be an exaggeration to say that the question of central control versus autonomy for lower-level economic units lies at the heart of North Koreas reform. The North has wrestled with this issue for the past decade. It will likely remain a sensitive issue as the regime continues to research, improve, and perfect its reform initiatives.

North Korean academic journals often serve as a platform for policy discussions that are not evident in central media like newspapers, where messaging tends to be more consistent and uniform. The journals are thus useful for gaining insight into the different lines of argument taken in the countrys policymaking circles sometimes vocally, sometimes subtly on a range of reform-related topics, some of which are contentious. And all key reform issues discussed in these journals boil down to lines of responsibility between central institutions and individual economic units, how much control the party or the cabinet should exert, and how much latitude typically expressed in terms of initiative and creativity lower-level units and workers should be granted. And more articles actually support giving greater autonomy to individual economic units than we might expect.

The cabinet-party dynamic is another key problem associated with control. North Korea continues to reaffirm the cabinets leading role in the national economy at high-level party and state meetings despite Kim Jong Uns repeated criticism of the cabinets failure to lead the economy properly. This is meaningful in the North Korean context, as the cabinet traditionally has stood for pragmatism (economic reform) and still appears to while the party has represented conservatism (ideology). However, North Korean media have both emphasized the partys economic leadership and repeatedly attempted to clarify a long-standing principle governing the party-state relationship in the management of the countrys economy: the partys role is to provide broader guidance on party policies without encroaching on the execution of party policies by state organs, including the cabinet. This recurring reminder suggests the lines of responsibility between the party and the cabinet are not always clear and there is room for the party to exert more control over the economy than is intended or desired.

As North Korea continues to struggle with the fundamental question of control and lines of responsibility, the countrys shift to a hard line since the collapse of the Hanoi summit in February 2019 is concerning. The countrys stronger pivot to conservatism since it sealed off its borders in early 2020 makes it probable that North Korea will stay on the course of greater centralization revolving around the party for the time being.

Kim Jong Uns main message at a party meeting held in April 2019, while the wound was still fresh from the failed Hanoi summit, was self-reliance, an isolationist term historically used by North Korea when it is not interested in engagement or diplomacy with the outside world, namely the United States. Kims message was quickly followed by North Koreas resumption of missile launches that coincided with a broader media campaign emphasizing ideological purity, the rule of law, and discipline, including in the economic sector in short, tightening the noose and preparing the populace to hunker down for a potentially prolonged period of hardship. The head-on breakthrough battle policy that Kim proclaimed at the December 2019 Party Plenum as he warned of a protracted confrontation with the United States was an extension of the self-reliance narrative.

North Korea has further expanded social controls and reportedly exercised greater dominance over markets since it instituted border closures, partly taking advantage of self-isolation to rein in the public and partly out of need to control market prices and foreign currency reserves. In early 2022, the North Korean premier said the country will keep working to recover the unitary trade system of the state, indicating unified resource and foreign currency management by the state and diminished (or perhaps little to no) trade autonomy for enterprises. Pyongyang appears poised to tighten the partys control even more as it combats the COVID-19 outbreak, with Kim Jong Un repeatedly emphasizing unconditionally obeying party policies at a recent meeting with the countrys top leadership. North Korean state media has renewed calls since early 2021 for building communism, the supposedly ideal end state of socioeconomic development and a concept that was wiped from the party charter and the constitution in the last reigning years of Kim Jong Il. These calls may simply be exhortative and have limited, if any, policy implications. But the campaign reflects a conservative shift in the country and is by no means reassuring from the viewpoint of reform.

Civilian Economy Versus National Defense

Kim Jong Uns ambition to continue nuclear development, coupled with the Norths resumption of intercontinental ballistic missile tests and a probable seventh nuclear test, begs the question of whether North Korea is reverting, or already has returned, to the byungjin line of simultaneously developing the economy and nuclear forces. The byungjin line was in effect from March 2013 to April 2018, when Kim declared the victory of byungjin and announced a transition to the new strategic line of concentrating all efforts on the economy. During the byungjin years, North Korea accelerated its nuclear and missile programs and declared that it attained the goal of completing the state nuclear force. And Kims commitment in recent months to prioritize the economy while defining national defense as an invariable priority policy and goal would seem to signal a return to byungjin, although North Korean medias focus by and large remains on the economy. Unlike in the past, Kim is present at only select missile launches, and missile launch reports, if they are carried by state media at all, have been pushed back to the second or third page of the countrys most authoritative daily, Rodong Sinmun.

If North Korea has in effect returned to byungjin without publicly announcing such a major policy transition from the new strategic line, it would only underscore the sensitivities of reconciling increased defense spending with Kim Jong Uns people-first principle. Irrespective of North Koreas current policy brand, Pyongyang has clearly shifted to a greater prioritization of national defense, and this will almost certainly have negative ramifications for reform. It is not so much that byungjin and economic reform are incompatible. In fact, North Korea introduced and made progress on its reform initiatives during the years of byungjin, while at the same time making strides in its weapons programs. But a greater focus on national defense does mean competing priorities and possibly even a shift in policy priorities. This leads us to a question fundamental to reform: resource allocation.

A study of North Korean journals suggests that the regime has been discussing questions relating to defense spending and the allocation of resources between the civilian economy and the defense industry for years. These questions revolve around the defense industrys place in the national economy, whether the industry contributes to the civilian economy, and whether the country should be spending more money on longer-term investment like national defense or on the more immediate economic needs like spurring growth and providing greater material incentives to workers.

And North Koreas position on these questions will have profound consequences for reform. This is because the more foothold gained by those in the North Korean leadership who support building up national defense, the more resources that will be earmarked for defense spending, leaving that much less resources for revitalizing the civilian economy and for reformist ideas and initiatives to blossom and take root. Unfortunately, North Koreas renewed pledge to advance its nuclear and missile programs suggests that the regime may once again be diverting resources away from the civilian economy to the national defense industry. North Korea typically cites the Iraq and Libya examples to emphasize the importance of strength. Likewise, it is possible that the Russian invasion of Ukraine has empowered proponents of greater defense spending in Pyongyang.

At this juncture, Kim Jong Uns remark at the countrys first national defense exhibition in October 2021 may be worth highlighting: [A]ny development and success of our revolution is inconceivable separated from the preferential development of the national defence capability. North Korea typically uses the logic that strong national defense is essential for stable economic development when it needs to justify greater defense spending.

Looking Ahead

There is a clear pattern of North Korea shifting to diplomatic engagement when it prioritizes economic development and intends to give impetus to economic reform. A peaceful external environment would be favorable to economic development not only because it increases the likelihood of improving diplomatic relations with the United States and attracting foreign capital but also because it is easy to justify directing more resources to the civilian economy.

The connection between Pyongyangs increased diplomatic outreach and economic development was clear in the lead-up to and following the launch of Kim Jong Ils economic reform measures in July 2002. Kim Jong Il sought to improve relations with the United States, met with the South Korean president for the first time, held summit meetings with the Chinese and Russian presidents and the Japanese prime minister, and established relations with European nations. Similarly, North Korea made diplomatic overtures toward China, South Korea, and the United States in early 2018 in the lead-up to a major policy shift from byungjin to concentrating on the economy.

Given this history, we may say North Koreas current lack of appetite for diplomatic engagement since 2019 indicates economic reform is not a top priority. North Koreas continued endorsement of reform at the highest levels indicates it has not reversed or given up on it, but the regime appears to be content experimenting with and improving reform initiatives for the time being. Pyongyangs priority appears to be maintaining the economic status quo and, if possible, improving the economy. It appears to believe it can manage to keep the economy afloat even improve it by using this self-isolation period to work out various domestic political and economic issues and maximizing the countrys capacity for self-reliance, primarily through encouraging local production and recycling and improving science and technology, which are some of the prominent economic themes in North Korean literature.

When North Korea decides it is time to focus on economic development and by a natural extension of that, reform, it will return to diplomacy as it did in 2018. But that likely will happen only after the North attains or at least makes substantial progress with its weapons advancement goals as outlined during the Eighth Party Congress, which it believes will give the country more negotiating power vis--vis Washington. And the current global environment, one where the United States and the West are pitted against China and Russia, provides the perfect opportunity for Kim Jong Un to advance his nuclear and missile capabilities without running too many political or economic risks.

Kim clearly envisioned improving the economy by injecting foreign capital into the country. To that end, the North enacted and amended investment laws and even created special economic zones between 2013 and 2019. For now, all these ideas, laws, and zones look good on paper only. The next time Pyongyang decides to return to negotiations, enough progress will hopefully have been made for the country to follow through on these and other economic initiatives. Until then, North Korea will chug along wearily but tenaciously as it always has, with promised economic development and reform remaining far from reach.

Rachel Minyoung Lee is Regional Issues Manager at Vienna-based Open Nuclear Network and a nonresident fellow at Stimson Centers 38 North Program. Lee was a North Korea open source collection expert and analyst with the U.S. government from 2000 to 2019.

Image: CC-BY 2.0, Flickr user Prachatai

See the rest here:
Kim Jong Un's Tortuous Path to Economic Reform - War on the Rocks

Rep. Sherrill Secures Provisions to Combat Flooding, Harmful Algal Blooms, PFAS in North Jersey in House Water Bill – Mikie Sherrill

Washington, DC -- Representative Mikie Sherrill (NJ-11) delivered key wins for North Jersey in the bipartisan 2022 Water Resources Development Act (WRDA) passed by the House this week. WRDA authorizes funding for locally-driven projects and studies led by the U.S. Army Corps of Engineers (ACOE) to tackle water resource challenges across the country, including NJ-11. This bill advances critical flood control projects and supports programs for water and wastewater services for North Jersey communities. It now moves to the Senate for a vote.

The Water Resources Development Act ensures our local communities are able to get the support they need from the federal government on tackling key water infrastructure issues, such as flooding, PFAS, and harmful algae blooms, said Rep. Sherrill. I am particularly proud that this bipartisan bill includes provisions that will continue my work to respond to the impacts of severe weather by strengthening flood control and river management as well as building resilient neighborhoods. This legislation will be essential to bringing our hard-earned tax dollars back to local communities in NJ-11 to tackle these important issues. I urge the Senate to swiftly pass this critical piece of legislation so we can bring it to the Presidents desk.

WRDA advances critical projects and studies for flood risk management in NJ-11, which Rep. Sherrill championed in Congress, in response to hearing directly from the community and local stakeholders, including authorizing:

Earlier this spring, Rep. Sherrill secured passage of her legislation, the Providing Research and Estimates of Changes In Precipitation (PRECIP) Act, in the House. The PRECIP Act updates out-of-date precipitation data by providing the National Oceanic and Atmospheric Administration (NOAA) with consistent funding to collect data and conduct studies. This legislation works to protect communities from the increasing frequency of flooding and rainfall in North Jersey.

Rep. Sherrill also secured funding for a number of local community projects in NJ-11 to mitigate flooding and strengthen our water infrastructure in the House Appropriations Committee Fiscal Year 2022 bill. On behalf of NJ-11, Rep. Sherrill submitted requests for additional community projects to address critical water infrastructure challenges in the upcoming House Appropriations Committee Fiscal Year 2023 bill.

###

Original post:
Rep. Sherrill Secures Provisions to Combat Flooding, Harmful Algal Blooms, PFAS in North Jersey in House Water Bill - Mikie Sherrill

Working in the Diablo Canyon reactor control room turned this mom into a nuclear advocate – CNBC

Heather Hoff was working in the control room of the Diablo Canyon nuclear plant near in San Luis Obispo County, Calif., when an earthquake caused a tsunami that shut off the power supply cooling three nuclear reactors at the Fukushima Daiichi nuclear power plant in Japan. Three nuclear reactor cores at Fukushima melted down.

"It was super scary," Hoff told CNBC in a video interview. "It's my worst nightmare as an operator to be there and think about these other operators just across the ocean from us. They don't know what's going on with their plant. They have no power. They don't know if people are hurt."

In the first days after the accident, "what I was hearing on TV in the media was pretty scary," Hoff said.

Heather Hoff, co-founder of Mothers for Nuclear, has worked at Diablo Canyon nuclear power reactor for 18 years. Here she is seen in approximately 2014 in the control room simulator.

Photo courtesy Heather Hoff

But as time passed and information about the meltdown became more available, the consequences of the accident became clear. While three employees who worked for the Tokyo Electric Power Company died because of the earthquake and resulting tsunami, nobody died because of the nuclear reactor accident.

"Three plants had meltdowns and that's scary and horrible and expensive, but it didn't really hurt anyone," Hoff said. "And that was really surprising to me."

In the wake of the Fukushima accident, Hoff went from fearing that she would need to leave her job to being committed to the potential of nuclear to be a safe, clean contribution to the global energy supply.

"Now I feel even more strongly that nuclear is the right thing to do and that the damaging parts about nuclear are actually not the technology itself, but our fear, our human responses to nuclear."

After going through her own evolution in her thinking about nuclear energy, Hoff went on to co-found an advocacy group, Mothers for Nuclear, in 2016 with her colleague and friend Kristin Zaitz.

"There's so much fear and so much misinformation it's a convenient villain," Hoff said. "It's okay to be scared, but that's not the same thing as dangerous."

Hoff did not anticipate her career in nuclear energy.

Hoff came to San Luis Obispo, Calif., to attend California Polytechnic State University, where she graduated in 2002 with a degree in materials engineering. After graduating, she worked "random jobs around town," she said, including a clothing store, winery, and manufacturing animal thermometers for cows.

Hoff applied for and got a job as a plant operator at Diablo Canyonn in 2004. From the outset, Hoff was not sure what her job would entail and how she would feel about it, and her family was nervous about her taking a job working at a nuclear plant. So she decided to deal with the uncertainty by seeking out information herself.

"I'd heard a lot of stories of scary things and just didn't really know how I felt about nuclear," Hoff told CNBC. "I spent the first probably six years of my career there asking tons and tons of questions." For a while, she assumed it was only a matter of time before she would discover some "nefarious thing" happening at the nuclear reactor facility.

Her change in sentiment about nuclear energy was a gradual process. "I started feeling proud to work there, proud to help make such a huge quantity of clean electricity on a really small land footprint," she told CNBC. Nuclear power actually is "in really good alignment with my environmental and humanitarian values," she said.

Heather Hoff, co-founder of Mothers for Nuclear

Photo courtesy Heather Hoff

As of now, Hoff has worked at Diablo Canyon for 18 years and she's clear with herself that she's a believer in the importance of nuclear energy.

From 2006 through 2008, Hoff took training classes from the Nuclear Regulatory Commission to be able to operate the reactor. Now she writes operations and engineering procedures for Diablo Canyon, a job she's had since 2014.

Diablo Canyon provides 8% of California's total electricity and 15% of California's carbon-free electricity, which is enough to power about 3 million homes, she told CNBC.

Hoff and Zaitz founded Mothers for Nuclear in 2016 to share what they had learned about nuclear energy.

"We're not utility executives. We're not guys in suits. We're not mad scientists," Hoff told CNBC. They're mothers. They understand the doubt and the fear that nuclear power arouse, and then educate people about the science of nuclear energy in compassionate language.

The Mothers for Nuclear group has a couple thousand followers on Twitter, Instagram and Facebook. The group has evolved since its founding.

"When we first started Mothers for Nuclear, I think I was picturing our job as mostly being outreach to the public, but we have also grown into a role of being advisors to our own industry, and we spend a lot of time sharing about how we should all be communicating differently," she told CNBC.

Not only does the nuclear industry do a poor job of advertising the benefits of nuclear energy, but it has, in many ways, hurt its own image by focusing on the safety precautions. Those extra layers of backup add cost, are often cases of operational redundancy, and send a subtle message that nuclear power must be terrifying and dangerous.

"It's completely shot us in the foot," Hoff said.

Heather Hoff, co-founder of Mothers for Nuclear, standing by the Unit 2 main transformer during a regularly scheduled maintenance and refueling in approximately 2017. The steam behind Hoff is a normal part of scheduled outage, she said.

Photo courtesy Heather Hoff

Given that Diablo Canyon is facing a very controversial closure, she knows some might think her nuclear advocacy group is cover for a public effort to protect her own job.

But she says it would be "a lot easier for me" to get a job working on a plant decommission or at another nuclear power plant elsewhere.

Instead, she says, she believes she has a calling to tell the story of nuclear power as a solution to climate change.

"The more I learn about nuclear and our energy options, the more worried I get and the more passionate I get, and the more I feel like it's my duty to to speak out and help change people's minds and help us realize that keeping existing plants open can help us address climate change can help us reach our energy goals," Hoff told CNBC.

Despite all the hurdles, Hoff is optimistic about some of the new advanced nuclear reactor technology being developed. And she says the energy sector really needs to get "a new bad guy."

Notably, Hoff does not want to target fossil fuels as that bad guy.

"I also don't want fossil fuels to be the enemy, because I think energy is so important for people to have a good quality of life and we need more energy," Hoff said. "I don't know, maybe the enemy is extremism like people that aren't willing to talk about the options and what's the best combination of all the stuff that we have to do to make people's lives better while also protecting the planet."

CNBC's Magdalena Petrova contributed to this report.

Read this article:
Working in the Diablo Canyon reactor control room turned this mom into a nuclear advocate - CNBC

Diseases suppressed during Covid are coming back in new and peculiar ways – CNBC

Dowell | Moment | Getty Images

The Covid-19 pandemic has abated in much of the world and, with it, many of the social restrictions implemented to curb its spread, as people have been eager to return to pre-lockdown life.

But in its place have emerged a series of viruses behaving in new and peculiar ways.

Take seasonal influenza, more commonly known as the flu. The 2020 and 2021 U.S. winter flu seasons were some of the mildest on record both in terms of deaths and hospitalizations. Yet cases ticked up in February and climbed further into the spring and summer as Covid restrictions were stripped back.

"We've never seen a flu season in the U.S. extend into June," Dr. Scott Roberts, associate medical director for infection prevention at the Yale School of Medicine, told CNBC Tuesday.

"Covid has clearly had a very big impact on that. Now that people have unmasked, places are opening up, we're seeing viruses behave in very odd ways that they weren't before," he said.

And flu is just the beginning.

We are seeing very atypical behaviors in a number of ways for a number of viruses.

Dr Scott Roberts

associate medical director for infection prevention, Yale School of Medicine

Respiratory syncytial virus, a cold-like virus common during winter months, exhibited an uptick last summer, with cases surging among children in Europe, the U.S and Japan. Then, in January this year, an outbreak of adenovirus 41, usually responsible for gastrointestinal illness, became the apparent cause of a mysterious and severe liver disease among young children.

Elsewhere, Washington State has been experiencing its worst flare-up of tuberculosis in 20 years.

And now, a recent outbreak of monkeypox, a rare viral infection typically found in Central and West Africa, is baffling health experts with over 1,000 confirmed and suspected cases emerging in 29 non-endemic countries.

At least two genetically distinct monkeypox variants are now circulating in the U.S., likely stemming from two different spillover infections from animals to humans, the U.S. Centers for Disease Control and Prevention said last week.

The World Health Organization noted earlier last week that the virus, whose symptoms include fever and skin lesions, may have been going undetected in society for "months or possibly a couple of years."

A section of skin tissue, harvested from a lesion on the skin of a monkey, that had been infected with monkeypox virus, is seen at 50X magnification on day four of rash development in 1968.

CDC | Reuters

"The two strains probably indicate this has been going on longer than we first thought. We're at a concerning time right now," said Roberts. He noted that the coming weeks will be telling for the course of the virus, which has an incubation period of 5 to 21 days.

It is not yet clear whether the smallpox-like virus has mutated, though health experts have reported that it is behaving in new and atypical ways. Most notably, it appears to be spreading within the community most commonly through sex as opposed to via travel from places where it is typically found. Symptoms are also appearing in new ways.

"Patients are presenting differently than we were previously taught," said Roberts, noting that some infected patients are bypassing initial flu-like symptoms and immediately developing rashes and lesions, specifically and unusually on the genitals and anus.

"There's a lot of unknowns that do make me uneasy. We are seeing very atypical behaviors in a number of ways for a number of viruses," he said.

One explanation, of course, is that Covid-induced restrictions and mask-wearing over the past two years have given other infectious diseases little opportunity to spread in the ways they once did.

Where viruses did manage to slip through, they were frequently missed as public health surveillance centered largely on the pandemic.

That indeed was the case in Washington's tuberculosis outbreak, according to local health authorities, who said parallels between the two illnesses allowed TB cases to go undiagnosed.

During the Covid pandemic, access to primary care, including childhood vaccinations, was unavailable to many children.

Jennifer Horney

professor of epidemiology, University of Delaware

Now, as pandemic-induced restrictions have eased and usual habits resumed, viruses that were in retreat have found a fertile breeding ground in newly social and travel-hungry hosts.

The recent monkeypox outbreak is thought to have stemmed, at least in part, from two mass events in Europe, a lead adviser to the WHO said last month.

Meantime, two years of reduced exposure have lowered individual immunity to diseases and made society as a whole more vulnerable. That is especially true for young children typically germ amplifiers who missed opportunities to gain antibodies against common viruses, either through their mother's womb or early years socializing.

That could explain the uptick in curious severe acute hepatitis cases among children, according to health experts who are looking into possible links to Covid restrictions.

"We are also exploring whether increased susceptibility due to reduced exposure during the Covid-19 pandemic could be playing a role," the U.K. Health Security Agency said in April.

Morsa Images | Digitalvision | Getty Images

The Centers for Disease Control and Prevention has also expressed concern that lockdowns may have caused many children to miss childhood vaccinations, potentially raising the risks of other vaccine-preventable illnesses such as measles and pertussis.

"During the Covid pandemic, access to primary care, including childhood vaccinations, was unavailable to many children," Jennifer Horney, professor of epidemiology at the University of Delaware, told CNBC.

"To prevent increases in these diseases, catch-up vaccination campaigns are needed globally," she added.

That said, there is also now greater awareness and surveillance of public health issues in the wake of the pandemic, making diagnoses of some outbreaks more commonplace.

"Covid has raised the profile of public health matters so that we are perhaps paying more attention to these events when they occur," said Horney, adding that public health systems set up to identify Covid have also helped diagnose other diseases.

Professor Eyal Leshem, infectious disease specialist at Sheba Medical Center, agreed: "The general population and the media have become much more interested in zoonotic outbreaks and infectious diseases."

It's not that the disease is more prevalent, but that it gets more attention.

Professor Eyal Leshem

infectious disease specialist, Sheba Medical Center

However, he also warned of the role of "surveillance bias," whereby individuals and medical professionals are more likely to report cases of diseases as they grow more high profile. That suggests that some viruses, such as monkeypox, may appear to be growing when in fact they were previously underreported.

"It's not that the disease is more prevalent, but that it gets more attention," Leshem said.

Still, the increased monitoring of infectious disease outbreaks is no bad thing, he noted. With the increased spread and mutation of infectious diseases as seen with Covid-19 the more awareness and understanding of the changing nature of diseases, the better.

"The public and media attention will help governments and global organizations direct more resources into surveillance and protection of future pandemics," Leshem said, highlighting research, surveillance and intervention as three key areas of focus.

"These investments have to occur globally to prevent and mitigate the next pandemic," he said.

Continue reading here:
Diseases suppressed during Covid are coming back in new and peculiar ways - CNBC

OPINION: Why this Nigerian doctor is angry at media coverage of monkeypox : Goats and Soda – NPR

Monkeypox was spread by prairie dogs in the U.S. in 2003. Above: The prairie dog Chuckles was a pet belonging to Tammy and Steve Kautzer and their 3-year-old daughter, of Dorchester, Wisconsin. They caught monkeypox from another pet prairie dog that since died. Mike Roemer/Getty Images hide caption

Monkeypox was spread by prairie dogs in the U.S. in 2003. Above: The prairie dog Chuckles was a pet belonging to Tammy and Steve Kautzer and their 3-year-old daughter, of Dorchester, Wisconsin. They caught monkeypox from another pet prairie dog that since died.

The world is in the midst of a monkeypox outbreak. The World Health Organization has recorded more than 500 cases in 30 countries this year including the United Kingdom, the United States and a number of European nations.

And how do Western media outlets illustrate the story? The BBC, the Independent, CNBC and ABC News are among those that have used a stock photo of a Black person with monkeypox blisters.

It would be as if Nigeria, which has seen 247 cases since 2017 and 66 so far this year, would use photos exclusively of white people with monkeypox in covering its national epidemic.

Absurd, right?

Africans and health equity advocates have been swift in reacting to the Western media's use of Black arms and faces with monkeypox. Nigerian journalist Mercy Abang tweeted, "Here is an example of media bias at its finest; monkeypox has been reported in nations worldwide, but a search shows only [photos of] blacks. Tragic."

Dr. Madhu Pai, professor of epidemiology and global health at McGill University, tweeted, "Journalists and editors of global North media outlets badly need training on how to not be racist & stigmatizing in their reporting Ebola, Covid, monkeypox."

The coverage echoes media reporting following the outbreak in Nigeria in 2017. I was a co-author of a BMJ Global Health Journal review of media coverage of monkeypox. Here's how a story from the publication "Voice from Europe" described the first case of monkeypox in England in 2018: a "horrible Nigerian disease called monkeypox spreads in the United Kingdom for the first time."

The message then and now: Blame Africa for monkeypox.

Here are my suggestions for Western journalists on how to frame the monkeypox story and advice for public health officials on how to deal with the spread of this disease.

Present the facts.

The World Health Organization describes monkeypox as a zoonosis: a disease transmitted from animals to humans. The virus primarily occurs in Central and West Africa, often in proximity to tropical rainforests. However, it can crop up anywhere in the world.

In 2003, the first outbreak of monkeypox outside Africa was reported in six U.S. states Illinois, Indiana, Kansas, Missouri, Ohio and Wisconsin. That outbreak was caused by human contact with infected prairie dogs kept as pets. Prairie dogs are herbivorous burrowing mammals native to the grasslands of North America; the pets were reportedly infected after an Illinois animal distributor had reportedly housed them near imported small mammals from Ghana.

That outbreak resulted in more than 70 reported cases, all transmitted by contact with an infected prairie dog or with a person who had been infected by a prairie dog.

Genetic evidence shows that the international outbreak likely originated in Nigeria, but the virus has likely been spreading by person-to-person contact in Europe and the U.K. for months.

Investigate the reasons behind the current outbreak.

There has always been a threat of monkeypox spreading internationally. But it hasn't until now. So the job for journalists is to talk to scientists who are trying to see if something changed about the virus and the way it spreads.

Look at how Africa is responding to monkeypox.

There is no need for the affected countries to reinvent the wheel in fighting the spread of this virus. Africa has the expertise to prevent, detect and respond to infectious disease outbreaks. We do this routinely, including for monkeypox. Recently, Ifedayo Adetifa, director-general of the Nigeria Centre for Disease Control, tweeted about Nigeria's monkeypox experience:

Nigeria's 1st case of #MonkeyPox was identified in 1971 and after a 40-year hiatus, monkeypox revisited in 2017. Since then, we have experienced sporadic cases and managed them. Now that there is increased attention being paid to #Monkeypox, these are @NCDCgov resources on the subject.

The resources Adetifa shared includes the National Monkeypox Public Health Response Guidelines. The document provides important information that would help Western nations in responding to this outbreak as well as improve detection and prevention of future outbreaks. One important lesson from Nigeria is the setting up of a monkeypox emergency operations center to coordinate all aspects of the response, led by a senior staff member of the Nigeria Centre for Disease Control and supported by other global health agencies working in the country.

In conclusion, here's what I'd tell my kids.

If my two daughters, Yagazie, age 12, and Chimamanda, age 9, were to ask me to explain what's happening with monkeypox, here's what I'd tell them: Monkeypox outbreaks are common in Africa but can happen anywhere. The infection is transmitted from some animals to humans. Human to human transmission happens when one comes into contact with sores and body fluids of those infected. Cases are now being reported in countries outside Africa, and this is scaring people in those countries.

I would also give them some monkeypox prevention advice: Monkeypox is not as deadly as it looks. The strain currently circulating is not typically fatal. However, they must always remember to wash their hands anytime they get back home from an outing, just as their mother and I have taught them to do that's one of the measures that helps keep you safe from infection

And if they wanted to know why there's biased reporting in Western media, I'd tell them that global health has a colonial history and some Western media outlets are holding on to the vestiges of colonialism by depicting Africa as a backwards, disease-ridden continent.

I would also tell them not to allow the media or for that matter, anyone make them feel inferior because they are Black, and they must keep pushing back.

Ifeanyi Nsofor is the director of policy and advocacy at Nigeria Health Watch and is a senior New Voices fellow at the Aspen Institute.

Excerpt from:
OPINION: Why this Nigerian doctor is angry at media coverage of monkeypox : Goats and Soda - NPR