Tag Archives: health

It Doesn’t Matter Which Diet You Choose

Mother Jones

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In the category of “news you can use,” Emily Oster summarizes a new study that compares weight loss on various diets. After cutting through all the muck, we get the chart on the right. The answer, it turns out, is that all of the diets are about equally effective.

So which one you choose is mostly a matter of preference. If you think you can stick to a low-carb diet, choose one of those. If you like vegetables, choose a veggie-based plan. If you think you can tolerate low fat, go for one of those. What matters isn’t so much the mechanics of the diet, but whether you can stick with it over the long haul.

(If your doctor recommends a particular diet because you suffer from some particular condition, then of course this changes things. And remember, “don’t be an idiot” is always an unvoiced component of all diet and health recommendations.)

As for me, I’m on the three-quarters diet. I do this about once a decade or so and then spend the succeeding decade gaining back the weight I lost. This is my third go-around. As you might guess, it’s a pretty simple diet: eat less food. In particular, I try to eat about three quarters of my usual meals and snacks. I’m finding it much more annoying this time than in the past—partly because I’m working at home, where temptation is ever present, and partly because my motivation and self-discipline have deteriorated over the years. However, the precipitous collapse of my body over the past six months is providing at least some short-term motivation, and yesterday I learned that my sleep apnea is apparently much worse than it was a decade ago. Maybe weight loss will help with that. I hope so, since I had no luck with a CPAP machine back then, and I kind of doubt I’ll have better luck this time around. But we’ll see.

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It Doesn’t Matter Which Diet You Choose

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And the Prize for Ebola Fearmongering Goes to Louisiana

Mother Jones

Louisiana attorney general Buddy Caldwell has a plan to stop Ebola: file a restraining order. Caldwell, a Republican, called the proposal to dispose of Dallas Ebola victim Eric Duncan’s incinerated belongings at a Lake Charles landfill “absurd” and pledged to use the legal process to stop the transfer. WBRZ Baton Rouge reports:

“We certainly share sadness and compassion for those who have lost their lives and loved ones to this terrible virus, but the health and safety of our Louisiana citizens is our top priority. There are too many unknowns at this point,” Caldwell said. The Louisiana Attorney General’s Office is in the process of finalizing the application for temporary restraining order and expects it to be filed as early as Monday morning.

Additionally, the office is sending a demand letter to Texas state and federal officials, along with private contractors involved seeking additional information into the handling of this waste.

Caldwell, whose decision was quickly supported by GOP Gov. Bobby Jindal, didn’t offer any details on how burying the incinerated materials would affect the people of his state. It’s hard to see any risk—Ebola is transmitted only through bodily fluids, and Chemical Waste Management Inc., which operates the storage facility, sees no problem. And it’s not as if the ashes are going particularly far, anyway—Lake Charles is just a quick jaunt over I-10 from Port Arthur, Texas, where Duncan’s belongings were burned.

But Caldwell’s stance is especially bizarre in light of the great lengths Louisiana lawmakers have gone to position the state as a repository for every other kind of waste. Fracking-waste disposal, for instance, has become a $30-billion industry nationwide over the last decade. Much of that waste water has been dumped into old wells in Louisiana. Louisiana may also soon begin accepting thousands of tons of other states’ shale waste-water, which will be shipped down the Mississippi on barges. In Louisiana you can even store radioactive materials in an abandoned salt cavern, and then, after the salt cavern collapses, creating a massive sinkhole and forcing hundreds of people to permanently relocate, pour wastewater directly into the sinkhole. Just don’t try to truck the ashes of an Ebola victim’s belongings across the Sabine.

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And the Prize for Ebola Fearmongering Goes to Louisiana

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Second US Patient Tests Positive for Ebola

Mother Jones

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The Centers for Disease Control and Prevention say that a hospital worker who cared for Thomas Eric Duncan, the Liberian patient who died of Ebola last Wednesday, has tested positive for the Ebola virus. This is the first case of Ebola being transmitted in the United States. Officials blame a “breach of protocol” during treatment of Duncan—and although all healthcare workers who came into contact with Duncan were wearing protective clothing, Dr. Thomas Frieden, the CDC director responsible for overseeing agency action against the Ebola crisis, said additional cases are possible because of the breach.

Frieden did not disclose the specifics of the breach, but he did stress the importance of following isolation protocol. “The bottom line is we know how Ebola spreads,” he said a morning press conference. “We know how to stop it from spreading. But it does re-emphasize how meticulous we have to be on every single aspect of the control measures—from rapid diagnosis, to effective isolation, to effective care, with infection control, to scrupulous contact investigation.”

Frieden also said that “while this is bad news, it is not news that should bring about panic.” Health officials emphasize that the virus is not contagious during the incubation stage, which typically lasts 8-10 days. Ebola can only be contracted through direct contact with the bodily fluids of an infected person.

The Texas Department of State Health Serviced announced in a statement Sunday that, after the patient reported a fever Friday night, she was put in isolation and officials began the process of interviewing those with whome she had come into contact. One additional person has already been placed in isolation and another 18 are being closely monitored.

“We knew a second case could be a reality, and we’ve been preparing for this possibility,” said Dr. David Lakey, commissioner of the Texas Department of State Health Services. “We are broadening our team in Dallas and working with extreme diligence to prevent further spread.”

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Second US Patient Tests Positive for Ebola

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Did Budget Cuts Hamper Response to Ebola and Enterovirus? Democrats Push for Hearing

Mother Jones

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Yesterday the Ranking Members of the Labor, Heath and Human Services, and Education Appropriations Subcommittee and the Appropriations Committee called for a hearing to examine how budget cuts may have led to not only the Ebola epidemic, but also the proliferation of Enterovirus D68, a rapidly spreading pediatric respiratory disease that has sickened 500 children in 42 states across the US.

Members of the subcommittee, which oversees the funding for two primary federal public health agencies—the Centers for Disease Control and the National Institutes of Health—penned a letter to the subcommittee chairman, Congressman Jack Kingston, detailing the effects budget cuts have had on response efforts:

“As you know, our subcommittee has been forced to make difficult choices due to our constrained budget environment over the past four years. That has resulted in the purchasing power of the NIH being reduced by 10 percent over the last four years. Our public health infrastructure at the CDC and HHS has also been forced to make do with less. CDC’s program that supports our state and local public health professionals who are working on the front lines to contain this current Ebola epidemic has been cut by 16 percent over the last four years after adjusting for inflation. The program at HHS that helps hospitals be ready to contain deadly epidemics like Ebola and prepare for patient surges from outbreaks like Entereovirus D68 has been reduced by 44 percent over the same period.”

Congress is currently in recess, not scheduled to reconvene until after the November elections. But, with one confirmed death from Ebola in the US and new reports about potential diagnoses coming in, they are calling for answers now.

“While we may disagree on the merits and the necessity of these cuts we have a responsibility to ensure that CDC, NIH and the other public health agencies under our jurisdiction have sufficient resources to protect the public health and are taking the appropriate actions today to address it. When Congress returns from the November elections we will have to determine the funding necessary for these agencies to respond to these public health cruses before the Continuing Resolution expires. Therefore, we urge you to convene a Subcommittee hearing this month to gather the information we need to make informed decisions for the remainder of the fiscal year.

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Did Budget Cuts Hamper Response to Ebola and Enterovirus? Democrats Push for Hearing

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Inside the $7 Million Fight to Tax Soda in San Francisco

Mother Jones

After a high-profile battle in New York, the front line in the War on Soda has moved to Northern California: next month, voters in San Francisco and Berkeley will consider whether to levy major taxes on sugary beverages.

Measure D and Proposition E sound like ordinary, small-time municipal ballot items, but in the past few months, they’ve become subjects of national attention. For Big Soda, defeating the tax in the liberal, health-conscious Bay Area would be their ultimate triumph—and kill hopes for similar taxes in other places. The American Beverage Association—lobbying arm for Pepsi and Coca-Cola—has poured Super Big Gulp–sized streams of cash into these contests: they’ve spent $7.7 million thus far fighting San Francisco’s Proposition E alone. It’s already the second most expensive ballot measure campaign in the city, and could easily break the record.

Proposition E was proposed by San Francisco Supervisor Scott Wiener and it’d place a two-cent per ounce tax on sugary beverages. (Berkeley’s Measure D proposes a one-cent tax.) It’s specific about what constitutes a taxable sugary beverage: soft drinks, energy drinks, sports drinks and juices will be subject to the tax, while milk, syrups, and alcohol will be exempt. Distributors of the drinks are meant to cover the hikes, but they’re likely to pass that cost onto retailers, so consumers will end up paying the price. So, if you’re buying a 21-ounce Coke in the city, you can expect to pay 42 cents more. If Prop E passes, San Francisco would become the first city in the country to tax soda.

Supporters say all those Cokes will generate over $30 million in revenue per year, which would be used to fund nutrition, fitness, and other public health programs in public schools and elsewhere. Beyond that, it’s projected to reduce consumption of sugary drinks by 30 percent, according to San Francisco city economist Ted Egan. All in all, Prop E seems to have addressed some of the issues that made past soda taxes hard to swallow: In nearby Richmond, a measure was sunk because it didn’t specify what drinks could be taxed, and in El Monte, Calif., their bill didn’t specify how revenue would be allocated.

Though it’s arguably one of the best-crafted soda taxes to be put to vote, the Prop E campaign has been competitive, to put it lightly. Thus far, it’s been rife with deception and nasty attacks on both sides. Buoyed by its multi-million-dollar warchest, the No on E camp has blanketed the city with ads that evoke typical anti-nanny-state rallying cries. Big Soda has funded a group called Californians for Beverage Choice, which has put up signs and sent spokesmen on TV to argue that “consumers should be able to make the choice for themselves without taxes or regulation trying to influence their behavior.”

The No on E campaign also focuses on the high cost of living in San Francisco, calling the soda tax a “regressive tax” that would disproportionately hurt low-income people. The soda lobby has been leaning on another front group, the appealingly-named Coalition for an Affordable City, to make that case. It’s put up billboards across the city featuring local shopkeepers who oppose the measure, and sponsored TV ads like this one:

The San Francisco Bay Guardian investigated, however, and found that many of the 700-plus retailers who are listed as opponents of Prop E actually favor it. The Guardian claims that the beverage lobby allegedly dispatched canvassers to get local shopkeepers to oppose the tax, without mentioning exactly what it was, or that their businesses would be included on a public list. The Guardian also alleged that the groups endorsing a no vote—they appear during the ad—were paid off in exchange. “The Young Democrats, who endorsed No on the Sugary Beverage Tax, got a whopping $20,000 for their troubles,” it said.

The Yes on E coalition, led by a group called Choose Health San Francisco, has also accused the measure’s opponents of being deliberately dishonest. In a formal complaint to the San Francisco Ethics Commission, Choose Health said the No on E committee didn’t disclose how much money it has received, and has failed to add a disclaimer that the American Beverage Association has been funding their campaign. Michelle Parker, a PTA member and supporter of E, called the soda lobby’s tactics “personally offensive.” The opposition has denied wrongdoing, and spokesman Roger Salazar countered by accusing E’s supporters of “going around, harassing our supporters and bullying them.”

For some, it might be enough to look at the millions that Big Soda has (and will) spend, and conclude that Proposition E is doomed. While it’s true the lobby has a lot of money—and some of the best consultants in the business—the measure’s supporters are hardly a ragtag bunch. Backers have raised nearly $300,000—including $50,000 from billionaire donors Lisa and John Pritzker—which is enough to mount a competitive campaign. And the political consultancy firm Erwin & Muir—which boasts a 90% success rate, according to Politico—is working for the yes camp, pro bono.*

Proposition E will need to be approved by at least two-thirds of voters to become law. Polling has found support hovering around 50%, but it could receive a bump after the San Francisco Chronicle endorsed the measure last weekend. Things could easily get nastier as Election Day nears.

Even if it fails, many are betting that its cross-bay counterpart, Measure D, will succeed in Berkeley. Former Labor Secretary Robert Reich wrote that “If a soda tax can’t pass in the most progressive city in America, it can’t pass anywhere. Big Soda knows that, which is why it’s determined to kill it here.”

The measure’s passage might not spark a nationwide movement—the ABA’s Salazar was quick to say Berkeley is “not a precedent-setter”—but it’s dangerous enough that his bosses have spent over $2 million to stop the tax there. And it’s dangerous enough to have merited national attention. If both Prop E and Measure D fail, the idea of the soda tax may go flat for years. But if one of them passes, it could very well be coming to a ballot box near you.

Correction: An earlier version of this article incorrectly identified the name of the political consultancy firm.

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Inside the $7 Million Fight to Tax Soda in San Francisco

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These 10 Countries Have Pledged $2.3 Billion to Fight Climate Change. The US Isn’t One of Them.

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Marijuana Grower’s Handbook – Ed Rosenthal & Tommy Chong

The all new Marijuana Grower’s Handbook shows both beginners and advanced growers how to grow the biggest most resinous, potent buds! This book contains the latest knowledge, tools, and methods to grow great marijuana – both indoors and outdoors. Marijuana Grower’s Handbook will show you how to use the most efficient technology and save time, […]

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Organizing Magic – Sandra Felton

Every busy, harried woman wants to be more organized. But actually satisfying that desire is another story. Why does organization have to be so difficult? It doesn’t! Not according to The Organizer Lady™. She’s back with an all new, forty day plan that will help women achieve a well-ordered home and life. Practical and easy […]

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Gardeners’ World Practical Gardening Handbook – Toby Buckland

In this brilliant official companion to Gardeners’ World , lead presenter Toby Buckland offers a complete guide to making you a better gardener. Toby sees the garden as connected to the kitchen, the compost heap and the world beyond. He encourages us to turn gardening into an adventure rather than a list of chores. It […]

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Codex: Dark Eldar (eBook Edition) – Games Workshop

From the dark city of Commorragh, the Dark Eldar launch their cruel raids upon the denizens of realspace, seeking slaves, plunder, and the rejuvenating draught of pain. Toweringly arrogant, the Dark Eldar view all the other races of the galaxy as their prey, lesser beings to be exploited and tormented at will. Striking hard and […]

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Codex: Dark Eldar (Enhanced Edition) – Games Workshop

From the dark city of Commorragh, the Dark Eldar launch their cruel raids upon the denizens of realspace, seeking slaves, plunder, and the rejuvenating draught of pain. Toweringly arrogant, the Dark Eldar view all the other races of the galaxy as their prey, lesser beings to be exploited and tormented at will. Striking hard and […]

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The Art of Raising a Puppy (Revised Edition) – Monks of New Skete

For more than thirty years the Monks of New Skete have been among America’s most trusted authorities on dog training, canine behavior, and the animal/human bond. In their two now-classic bestsellers, How to be Your Dog’s Best Friend and The Art of Raising a Puppy, the Monks draw on their experience as long-time breeders of […]

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Survival Mom – Lisa Bedford

Everything You Need to Know to Keep Your Family Safe and Secure—No Matter What Undaunted by the prospect of TEOTWAWKI (The End of the World as We Know It), Lisa Bedford tackles every what-if and worst-case scenario head-on, offering practical advice on how to prepare your family for whatever might come your way. From a […]

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ASK ANNA – Dean Koontz & Anna Koontz

Between the pages of ASK ANNA, you’ll find advice better than a belly rub. Dogs everywhere run to Anna with their questions about love, food, proper etiquette in the dog park, sibling rivalry, how to cope with lazy owners and a myriad of other topics. , and Anna’s advice solves all problems and Brighten Every […]

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White Dwarf Issue 36: 04 October 2014 – White Dwarf

The Dark Eldar go to war with a new Archon and Succubus, and to celebrate we’ve got a feature all about how these pernicious fiends wage war, and a Sprues and Glue about combining the new kits with existing Dark Eldar components. There’s also a Tau versus Imperium Apocalypse Battle Report, Designers Notes and more. […]

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Haemonculus Covens – A Codex: Dark Eldar Supplement (Enhanced Edition) – Games Workshop

Stalking out of the labyrinthine depths of the Dark City, the Haemonculus Covens are twisted syndicates of pitiless torturers and demented flesh-crafters. Capable of fathomless evil, the Haemonculi are the very personification of the Dark Eldar’s hedonistic excesses, turning surgical slaughter into a delightfully sadistic art form. Driven by an insatiable appetite for pain and […]

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These 10 Countries Have Pledged $2.3 Billion to Fight Climate Change. The US Isn’t One of Them.

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Jon Stewart Talks to Atul Gawande About Death, Dying, and Ebola

Mother Jones

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Jon Stewart had Atul Gawande, the fabulously talented writer and surgeon, on his show yesterday to laugh in the face of death. Gawande’s new book, Being Mortal, is a must-read for anyone who doesn’t want to die in an ICU. It tackles the thorny subject of how the medical profession has failed badly when it comes to the needs of the dying, or, as Gawande put it to me a few hours before the Daily Show taping, “We have medicalized aging, and that experiment is failing us.” Let’s hope this book makes a difference when the time comes.

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Jon Stewart Talks to Atul Gawande About Death, Dying, and Ebola

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Did Federal Budget Cuts Make Ebola Worse?

Mother Jones

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On Tuesday, the CDC confirmed the first case of Ebola diagnosed in the United States—the infected patient was a man who traveled from Liberia to visit family in Texas. It’s the latest development in the ever-worsening outbreak of the virus, which so far has sickened more than 6,500 people and killed more than 3,000. The United States government has pledged to send help to West Africa to help stop Ebola from spreading—but the main agencies tasked with this aid work say they’re hamstrung by budget cuts from the 2013 sequester.

On September 16, the Senate Committees on Appropriations and Health, Education, Labor and Pensions held a hearing to discuss the resources needed to address the outbreak. Rep. Patty Murray (D-WA) asked NIH representative Anthony Fauci about the sequester’s effect on the efforts.

“I have to tell you honestly it’s been a significant impact on us,” said Fauci. “It has both in an acute and a chronic, insidious way eroded our ability to respond in the way that I and my colleagues would like to see us be able to respond to these emerging threats. And in my institute particularly, that’s responsible for responding on the dime to an emerging infectious disease threat, this is particularly damaging.” The sequester required the NIH to cut its budget by 5 percent, a total of $1.55 billion in 2013. Cuts were applied across all of its programs, affecting every area of medical research.

Dr. Beth Bell, director of the Center for Disease Control and Prevention’s National Center for Emerging and Zoonotic Infectious Diseases, testified before the Committee, making a case for increased funding. Her department, which has led the US intervention in West Africa, was hit with a $13 million budget cut as a result of the cuts in 2013. Though appropriations increased in 2014 and are projected to rise further in 2015, the agency hasn’t yet made up for the deficit—according to Bell, $100 million has already gone toward stopping the Ebola epidemic, and much more is needed. The UN estimates it will take over $600 million just to get the crisis under control.

More MoJo coverage of the Ebola crisis.


Liberians Explain Why the Ebola Crisis Is Way Worse Than You Think


These Maps Show How Ebola Spread In Liberia


Why the World Health Organization Doesn’t Have Enough Funds to Fight Ebola


New Drugs and Vaccines Can’t Stop This Ebola Outbreak


We Are Making Ebola Outbreaks Worse by Cutting Down Forests

Bell also argued that the epidemic could have been stopped if more had been done sooner to build global health security. International aid budgets were hit hard by the sequester, reducing global health programs by $411 million and USAID by $289 million. “If even modest investments had been made to build a public health infrastructure in West Africa previously, the current Ebola epidemic could have been detected earlier, and it could have been identified and contained,” she said during her testimony. “This Ebola epidemic shows that any vulnerability could have widespread impact if not stopped at the source.”

Still, CDC officials have pledged to do everything in their power to stop Ebola in its tracks. “The sooner the world comes together to help West Africa, the safer we all will be,” CDC Director Tom Frieden says in a statement released in early September. “We know how to stop this outbreak. There is a window of opportunity to tamp this down—the challenge is to scale up the massive response needed.”

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Did Federal Budget Cuts Make Ebola Worse?

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First US Case of Ebola Confirmed

Mother Jones

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Update, September 30, 6:15 PM EDT: According to officials from the Centers for Disease Control, the patient, a male, arrived in the United States from Liberia on September 20. He planned to visit with family members in Texas. He initially sought treatment at a hospital on September 26 but was sent home, and then was readmitted on September 28. Texas public health officials believe that the patient had contact with “a handful” of people while he was infectious, including family members. The officials are currently in the process of tracing those contacts. CDC officials do not believe that anyone on the flight with him has any risk of contracting Ebola.

During a press conference, CDC officials reiterated that Ebola is not transmitted through the air, nor is it possible to catch it from someone who has been exposed but is not yet displaying symptoms.

“Ebola is a scary disease,” said CDC’s Dr. Thomas Frieden. “At the same time, we are stopping it in its tracks in this country.”

The Centers for Disease Control and Prevention has confirmed a case of Ebola in Dallas. While other patients have been flown back to the United States for treatment, this is the first time that a patient has been diagnosed stateside.

More MoJo coverage of the Ebola crisis.


Liberians Explain Why the Ebola Crisis Is Way Worse Than You Think


These Maps Show How Ebola Spread In Liberia


Why the World Health Organization Doesn’t Have Enough Funds to Fight Ebola


New Drugs and Vaccines Can’t Stop This Ebola Outbreak


We Are Making Ebola Outbreaks Worse by Cutting Down Forests

The patient is being kept in “strict isolation” at Texas Health Presbyterian Hospital. While hospital officials are not currently discussing which countries the patient has visited, no doubt US officials will be looking very closely at where he’s traveled in the recent past, especially within the United States. The CDC will be holding a press conference on this at 5:30 p.m. Eastern. You can see it live here.

Ebola has already infected more than 6,000 people—and killed more than 3,000—in West Africa. Quick action prevented the disease from spreading in Senegal and Nigeria, but the disease continues to wreak havoc in Liberia, Sierra Leone, and Guinea.

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First US Case of Ebola Confirmed

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Naomi Klein: Fossil Fuels Threaten Our Ability to Have Healthy Children

Mother Jones

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It’s self-evident that embryos, fetuses, and babies are vulnerable. We have strict laws protecting children because they cannot fend for themselves. And yet, too often, we ignore the impact that environmental disasters have on the very earliest stages of life. In her new book, This Changes Everything: Capitalism vs. the Climate, Naomi Klein examines the effect that our reliance on fossil fuels has on the most helpless members of the animal kingdom—as well as on our own children.

“In species after species, climate change is creating pressures that are depriving life-forms of their most essential survival tool: the ability to create new life and carry on their genetic lines,” Klein writes. “Instead, the spark of life is being extinguished, snuffed out in its earliest, most fragile days: in the egg, in the embryo, in the nest, in the den.”

Take the case of the leatherback sea turtles. These ancient creatures have been around for 150 million years, making them the longest-surviving marine animals on earth. As Klein points out, they’ve survived the “asteroid attacks” that likely wiped out the dinosaurs. But now they are threatened by a combination of poaching, fishing and climate change. One recent study found that as temperatures rise over the next century, “egg and hatchling survival will rapidly decline” for sea turtle populations in the Eastern Pacific.

The leatherback turtles have “survived so much,” says Klein on this week’s episode of the Inquiring Minds podcast. “But it’s not clear that they’re going to be able to survive even incremental climate change, because what’s happening already is that when the eggs are buried in the sand, even if the sand is just marginally hotter than it used to be, that the eggs are not hatching; they’re cooking in the sand.” What’s more, turtles don’t have sex chromosomes—they turn into males or females based on the ambient temperature of the sand in which they are born. Hotter sand means more female turtles hatch. And the danger is that warming could eventually result in a significant imbalance between males and females, ultimately decimating the species.

While writing the book, Klein was going through her own fertility crisis, so she says she was particularly attuned to the fragility of new life and the impacts that stressors can have on reproduction. And she began to notice a common theme in the after-effects of environmental catastrophes. In the wake of the 2010 BP oil spill, for example, she toured the Louisiana marshes. With Jonathan Henderson, an organizer with the Gulf Restoration Network, guiding the way, Klein and a few others set out to investigate whether the oil from the Deepwater Horizon had permeated the bayous. It was the fish jumping in dirty water and the coating of reddish brown oil that impressed Klein and her companions.

But what most concerned Henderson, recalls Klein, was the nearly invisible cost of the disaster: the tiny zooplankton and juveniles that grow into the shrimp, oysters, crabs, and fish that are the bedrock of the Gulf fisheries. “What he was preoccupied with was the fact that this was spawning seasoning,” says Klein. “And that even though we couldn’t see it, there was just a huge amount of proto-life surrounding us, and this was spring in the Gulf and everything was spawning.”

Drifting in the marshlands, Klein writes that she “had the distinct feeling that we were suspended not in water but in amniotic fluid, immersed in a massive multi-species miscarriage.”

These effects, she argues, may be felt years later, when those juveniles should be reaching maturity. “Looking into it in the context of the Gulf, we’ve heard a lot of really concerning stories directly from fishermen saying that they’re not seeing baby fish out there,” says Klein. “Or they’re seeing female crabs without eggs.” In her book, she recounts a 2012 interview with a Florida fisherman named Donny Waters who had noticed the absence of small fish in his catches. This hadn’t yet cut into his income, since small fish are thrown back. But Waters was worried that the impact would be felt in the years to come—specifically, in 2016 or 2017 when those fish that were in the larval stage during the spill would have grown up.

This wouldn’t be the first time that an oil spill had a delayed effect on the fishing industry. “The greatest and most lasting impacts on the fish in Alaska had to do with this delayed disaster,” says Klein, referring to the Exxon Valdez spill in 1989. “It wasn’t until three or four years after the spill that the herring fishery collapsed.” Twenty-five years later, it still hasn’t recovered.

What’s more, scientists say the spill might also help explain the deaths of an unusual number of young bottlenose dolphins in the northern Gulf of Mexico. In a paper published in PlosONE in 2012, Ruth Carmichael and her colleagues examined whether the spill contributed to a “perfect storm” of events that killed 186 dolphins—46 percent of whom were perinatal calves (that is, babies)—in the first four months of 2011.

An unusually high number of young bottlenose dolphins died in the Gulf of Mexico between January and April 2011. Graham Worthy/University of Central Florida

“When we put the pieces together,” explained Carmichael in a 2012 press release, “it appears that the dolphins were likely weakened by depleted food resources, bacteria, or other factors as a result of the 2010 cold winter or oil spill, which made them susceptible to assault by the high volumes of cold freshwater from heavy snowmelt coming from land in 2011 and resulted in distinct patterns in when and where they washed ashore.”

By April 2014, 235 stranded baby bottlenose dolphins had been found, “a staggering figure, since scientists estimate that the number of cetacean corpses found on or near shore represents only 2 percent of the ‘true death toll,'” Klein writes.

Of course, this research isn’t conclusive. A BP spokesperson notes that dolphins in the Gulf began dying off before the oil spill and that unusual mortality events “occur with some regularity.” For its part, the National Oceanic and Atmospheric Administration states that the “direct or indirect effects” of the spill are being “investigated as potential causes or contributing factors for some of the strandings” but that “no definitive cause has yet been identified.”

Dolphin strandings by age group for Louisiana, Mississippi, Alabama, and western Florida. Reprinted with permission from Carmichael et al., PlosONE, 2012.

Further up the food chain, Klein is also concerned about the potential impact of environmental pollution on human fertility. During the same trip that took her through the marshlands of Louisiana, she also visited Mossville, the historic African-American town notorious as a case study in environmental racism.

“This was a town formed by freed slaves, and after being established, it was surrounded by 14 massive petrochemical factories, and the land and water was just poisoned, and most of the people have already left,” says Klein.

While worries about cancers and other illnesses in Mossville have been covered fairly extensively in the media, the issue of fertility problems is less well known. “When I spoke to women who had lived in Mossville, what I heard about was just an epidemic of infertility and that just so many women had hysterectomies,” Klein says. These stories are anecdotal, but Klein hopes more research will be done. “This is often just an understudied part of science,” she says.

Klein also points to emerging research that links the fracking boom with various reproductive problems. In a Bloomberg View column earlier this year, Mark Whitehouse reported on data presented at the annual American Economic Association meeting from a yet-to-be published study of Pennsylvania birth records that apparently found a correlation between proximity to shale gas sites and low birth weight in babies. Babies born within a 2.5-kilometer radius of gas drilling sites were almost twice as likely to have a low birth weight (increasing from 5.6 percent to 9 percent of births) or a low APGAR score, the first evaluation of a baby’s health after birth. And a study published this year examining birth outcomes and proximity to natural gas development reported that mothers who lived within 10 miles of the highest number of fracking sites (125 wells within a 10-mile radius) were 30 percent more likely to have babies with congenital heart defects and twice as likely to have babies with neurological problems compared to mothers whose homes were at least 10 miles away from any fracking site.

Then there’s the threat that climate change itself poses to children. Last year, UNICEF warned that “more severe and more frequent natural disasters, food crises and changing rainfall patterns are all threatening children’s lives” and that by 2050, climate change could result in an additional 25 million children suffering from malnourishment.

“For all the talk about the right to life and the rights of the unborn,” writes Klein, “our culture pays precious little attention to the particular vulnerabilities of children, let alone developing life.”

Inquiring Minds is a podcast hosted by neuroscientist and musician Indre Viskontas and best-selling author Chris Mooney. To catch future shows right when they are released, subscribe to Inquiring Minds via iTunes or RSS. We are also available on Stitcher. You can follow the show on Twitter at @inquiringshow and like us on Facebook. Inquiring Minds was also recently singled out as one of the “Best of 2013” on iTunes—you can learn more here.

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Naomi Klein: Fossil Fuels Threaten Our Ability to Have Healthy Children

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