Wednesday, February 8, 2023
HomeHealthMariupol resistance, drug overdose deaths, masks mandate attraction : NPR

Mariupol resistance, drug overdose deaths, masks mandate attraction : NPR


Russia says it controls many of the Ukrainian port metropolis of Mariupol. The White Home has a plan to cut back drug overdose deaths. The Justice Division will attraction the masks ruling by a federal choose.


Russia says it desires to offer the U.S. and its allies one thing to consider.


That is why Russia examined an intercontinental ballistic missile, the sort that carries nuclear weapons. That threatening gesture comes at a second of continued frustration for Russia. The U.S. is sending extra weapons to Ukraine, and Russian invaders nonetheless don’t fairly have management of the port metropolis of Mariupol. In a kind of televised conferences that he typically holds, President Vladimir Putin informed his protection minister to not storm an enormous metal advanced the Ukrainian forces nonetheless maintain. The Russian chief mentioned he would reasonably maintain the plant sealed off and keep away from dropping the lives of much more Russian troopers.

MARTINEZ: Right here to make sense of all of that is NPR’s Tim Mak, who’s on the highway in central Ukraine. Tim, so what ought to we make of Vladimir Putin’s announcement?

TIM MAK, BYLINE: Nicely, Ukrainian media was fast to low cost it, saying that Ukrainian troops, quote, “are nonetheless current within the metropolis and proceed destroying enemy tools.” And it is onerous to make sense of how abandoning this effort to take over the past Ukrainian holdout within the metropolis may very well be portrayed as a Russian success. What we are able to say is the truth that Russia seems to be switching ways right here and principally signaling that they are giving up on these repeated assaults they have been executing on the holdouts, that is a major growth.

MARTINEZ: There are nonetheless troopers and civilians within the metal plant and within the metropolis. So what does this imply for them?

MAK: Nicely, Ukrainians have been centered on evacuating folks within the plant and in the remainder of town. There was hope {that a} deal had been struck between Ukrainian and Russian negotiators for an evacuation hall for civilians within the metropolis yesterday, however that fell by by the top of the day. Solely 4 buses left yesterday after they have been hoping to evacuate 1000’s of individuals. Ukrainian officers claimed that Russian forces would not maintain to the cease-fire. They’re hoping to ship in additional buses right this moment and pull out extra folks from town.

MARTINEZ: Tim, what is going on on in the remainder of the nation?

MAK: Nicely, I am on the way in which to a metropolis within the east, on the sting of the Donbas, the place this buildup of Russian forces has been going down. We’re additionally getting a way of what it is like for civilians attempting to go away Russian-controlled territory. I spoke with Sergei Protsenko (ph). He is a restaurateur from Kherson. That is close to the entrance traces of combating in southern Ukraine. He crossed 9 Russian-held checkpoints to make it into Ukrainian-held territory. He informed me about this expertise.

SERGEI PROTSENKO: (Non-English language spoken).

MAK: He mentioned he was informed to strip all the way down to see if he had any tattoos referring to the Ukrainian army. He made it out all the way in which to Odesa, the place I discovered him smoking a cigarette and admiring the Black Sea. When he made it to security on this aspect of the entrance traces, he mentioned he felt an enormous aid.

MARTINEZ: On the bottom, it simply looks as if there are new studies of atrocities dedicated by Russian forces on daily basis. I imply, the place does all of this put the hope for a peace plan? ‘Trigger, you already know, I do not know if anybody would blame Ukrainians in the event that they’ve given up on that.

MAK: Nicely, it is actually combined, proper? There are some Ukrainian officers who imagine there’s an upside to speaking to the Russian authorities on particular points, like these humanitarian corridors we have been discussing, the change of prisoners of conflict and so forth. But when we’re speaking about – extra broadly, about talks for peace, for a broader settlement that might finish the conflict, it simply does not actually look promising proper now. There have been these broader negotiations for peace a couple of weeks in the past, however a turning level was actually when Russia pulled again from the areas round Kyiv and left proof of atrocities in locations like Bucha. You could possibly actually really feel public opinion shift dramatically in a single day. Even these inclined in opposition to violence mentioned there may very well be no negotiations or broader discussions with the Russian authorities after photographs of, for instance, lifeless civilians emerged from these areas. So proper now the prospects for ending this conflict within the brief time period look fairly bleak, and any critical negotiations might not happen till the outcomes of this subsequent Russian offensive are clear.

MARTINEZ: That is NPR’s Tim Mak. Tim, thanks.

MAK: Thanks.


MARTINEZ: The Division of Justice now says it would attraction the top of a federal masks mandate.

INSKEEP: A federal choose the opposite day blocked that pandemic measure, which utilized to planes and trains and different public transit. The Facilities for Illness Management and Prevention insist the mandate is, quote, “essential for the general public well being.” For the second, the CDC says they can’t order you however they do nonetheless advise you to put on masks on public transportation.

MARTINEZ: With us now could be NPR well being correspondent Maria Godoy. Maria, with all of those combined indicators, I can think about individuals are a little bit confused proper now. So ought to we masks up or not?

MARIA GODOY, BYLINE: Nicely, there is no mandate. You are not required to put on a masks now. However the science says in lots of conditions it nonetheless is sensible to put on a masks on public transportation.

MARTINEZ: All proper, let’s begin with planes as a result of individuals are so jam-packed collectively. What can we do there?

GODOY: Nicely, yeah, it is counterintuitive since you are in a small, enclosed area, however the excellent news is that each researcher I’ve spoken with agrees that the air filtration and air flow on an airplane is actually about one of the best it may be for an indoor surroundings, which means the cabin will get replenished with new air loads. However there is a huge caveat to that. Here is Dr. David Freedman. He is president-elect of the American Society of Tropical Drugs and Hygiene.

DAVID FREEDMAN: I believe it is necessary to keep in mind that this phenomenal air flow is barely phenomenal when the airplane is within the air with the wheels up, with each engines working totally.

GODOY: While you’re within the crowded jetway, on the brink of board and even sitting in your seat on the runway, that air flow system is not all the time working at full blast, and infectious aerosols can accumulate round you. However when these methods are working, they’re fairly efficient. Freedman says airplanes filter the air each jiffy, and also you’re actually solely sharing air with the folks sitting near you. Even when different folks aren’t carrying a masks although, Freedman goes to maintain carrying his close-fitting N95 on flights as a result of it actually does defend the wearer.

MARTINEZ: Now, airplanes are solely a part of this image. What about trains and buses?

GODOY: Yeah. So information from the subway methods in New York Metropolis and San Francisco present they’ve good air air flow. If you happen to’re standing shoulder to shoulder with different riders, that air flow alone will not be sufficient. And as for buses, the state of affairs is worse. Jesse Capecelatro of the College of Michigan has researched how air flows on city buses.

JESSE CAPECELATRO: What we discovered was if the home windows are closed resulting from kind of the recirculation of the air within the bus, each time somebody breathes out, in about 45 seconds everybody within the bus is inhaling a portion of that.

GODOY: Now, opening home windows could make a giant distinction, however you’ll be able to’t all the time do this on buses. Capecelatro’s modeling exhibits when everybody on a bus is carrying a masks, that dramatically reduces transmission dangers. I additionally spoke with Neil Siegel. He is a well being coverage researcher on the College of Maryland. And he says the truth that air flow tends to be unhealthy on buses raises actual fairness considerations. Black and Hispanic individuals are twice as probably to make use of public transit, and many individuals with decrease incomes depend on it. So the top of masks mandates on buses means folks with fewer choices for safer journey at the moment are dealing with elevated danger.

MARTINEZ: So what’s subsequent, then, for this battle to manage public security measures?

GODOY: Nicely, this battle may drag out within the courts. But when the ruling is upheld, it may set a precedent in opposition to such sweeping use of federal energy in response to declared public well being emergencies and restrict what the CDC can do the following time there’s a critical outbreak.

MARTINEZ: NPR’s Maria Godoy. Thanks loads.

GODOY: My pleasure.


MARTINEZ: All proper, right this moment the Biden administration gives an strategy to drug overdoses.

INSKEEP: This ranks amongst one of the vital devastating issues in the US. CDC mortality information exhibits greater than 100,000 folks died over a 12-month interval ending in April 2021. The administration’s objective is hurt discount, making certain that drug customers die much less typically.

MARTINEZ: Reporter Martha Bebinger of WBUR joins us now to clarify the White Home technique. Martha, the White Home is emphasizing hurt discount. Precisely what does hurt discount imply?

MARTHA BEBINGER, BYLINE: A, hurt discount contains the entire instruments that assist drug customers keep alive. That is naloxone, the drug you’ll be able to squirt into somebody’s nostril in the event that they overdose to revive them. It is also syringe change applications to restrict the sharing of needles and the unfold of an infection. It is fentanyl take a look at strips so drug customers can discover out if this lethal opioid is within the drug that they are about to inject or snort. It is loads of instruments that critics declare allow drug use.

MARTINEZ: All proper, so then why is the White Home prioritizing this?

BEBINGER: Nicely, as a result of these instruments do save lives. The individuals who advocate for hurt discount stress you’ll be able to’t deal with somebody after they’ve died of a deadly overdose. And White Home drug czar Dr. Rahul Gupta insists that hurt discount is an strategy that may reduce throughout ideological traces.


RAHUL GUPTA: This isn’t a red-state problem or a blue-state problem; that is America’s problem.

BEBINGER: And Dr. Gupta stresses a latest bipartisan congressional report that did advocate adoption of extra hurt discount methods when he was explaining the Biden administration’s plan to, as he says, beat the overdose epidemic.

MARTINEZ: Now, to be clear – this can be a federal plan, however entry to hurt discount efforts varies loads from state to state.

BEBINGER: That is proper. There are states that prohibit entry to naloxone, and we’re seeing needle change applications shut in some cities and cities across the nation. That is occurring in West Virginia, the state with the best price of overdose deaths within the U.S. Robin Pollini is an affiliate professor at West Virginia College. She research injection drug use and hurt discount efforts.

ROBIN POLLINI: Whether or not you may have entry to those providers largely is dependent upon the place you reside.

BEBINGER: And Pollini says there are nonetheless federal obstacles, too, like a federal ban on paying for syringes distributed to drug customers, and that is going to make increasing needle change applications harder.

MARTINEZ: Martha, what else is within the Biden administration’s plan?

BEBINGER: The White Home says hurt discount is barely half of a bigger effort to deal with the 2 drivers of the overdose disaster – an absence of therapy and drug trafficking. So the opposite parts embrace a name to double the variety of folks in therapy with a concentrate on folks leaving prisons or jails or those that haven’t got steady housing. These are among the folks most in danger. Then to sluggish the drug provide, the Biden administration is proposing sanctions on drug traffickers, tighter border controls and extra worldwide cooperation. The Biden plan additionally spells out the necessity for higher real-time information on who’s most in danger for an overdose. Now, all of those proposals will likely be despatched to Congress right this moment for debate and overview.

MARTINEZ: That is Martha Bebinger of WBUR. Martha, thanks.


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