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Vox - Front Page
Vox - Front Page
Cholera is making a comeback — and the world doesn’t have enough vaccines
A nurse administers a dosage of the cholera vaccine during the launch of the campaign to immunize people in affected areas, at the Kuwadzana Polyclinic in Harare on January 29, 2024. | Jekesai Njikizana/AFP via Getty Images “A billion people at risk”: How worldwide cholera outbreaks are threatening lives. Amid a global resurgence of cholera, the world is fighting with one hand tied behind its back. The global stockpile of the oral cholera vaccine — a supply whose needs are difficult to predict and fill anyway — has dwindled to nearly nothing after the Indian drug manufacturer that produced about 15 percent of the world’s supply stopped making the vaccine last year. While other companies are setting up new production capacity, the stockpile is now effectively nonexistent. Demand is so great that as soon as doses are produced, they must immediately ship to one of the world’s current cholera hot spots. This crisis is symptomatic of a larger problem: the persistent lack of political will and financial investment to dramatically reduce cholera deaths. Cholera flourishes in areas where there is contaminated water, poor sanitation, and people living in crowded conditions — like the city of Rafah, currently home to more than 1 million Palestinians displaced by Israel’s war in Gaza. Cholera has not yet been detected there, since no one from outside Gaza can bring it in, but an outbreak would be catastrophic given the decimation of Gaza’s health care system and the lack of access to humanitarian goods like clean water and medication. The disease is typically spread when an infected person or people contaminate a water source by defecating in or near it. People get sick after drinking the contaminated water, suffering from acute diarrhea and vomiting — which can, without treatment, kill an infected person within a day. It’s a disease that rich countries with clean water and good sanitation infrastructure do not have to worry about anymore. But cholera cases are rising worldwide now after a period of decline from 2017 through 2021, according to the World Health Organization’s cholera team leader Philippe Barboza. There are currently active cholera outbreaks in Zambia, Mozambique, Sudan, the Democratic Republic of the Congo, Syria, Ethiopia, Somalia, Zimbabwe, and Haiti. “Once it is there in these situations, because of the very poor water and sanitation and hygiene situation, it can spread like wildfire,” Paul Spiegel, director of the Johns Hopkins Center for Humanitarian Health, told Vox. As many as 143,000 people die from this preventable disease each year — which could even be an underestimate, since some countries do not have the capacity to detect or compile data on cholera cases. According to some metrics, it is becoming more fatal because many infected people do not have adequate access to health care. Concurrent outbreaks throughout the world are straining the global health sector’s resources to respond. “It’s a really horrible way to die,” Mohammad Fadlalla, an Ohio-based physician who volunteers with Medecins Sans Frontieres and has responded to multiple cholera outbreaks, told Vox. With the increase in outbreaks and limited countermeasures, particularly vaccines, “We are talking about a billion people at risk” in the immediate term, Barboza said. “And this is an underestimate. This is a very conservative estimate.” Why aren’t there enough cholera vaccine doses? There are a few intersecting crises that have led to cholera’s comeback and the world’s limited capacity to combat it. One pivotal moment came in 2020, when Shantha (now Sanofi India), a fully owned subsidiary of French pharmaceutical company Sanofi based in India, announced that it would stop manufacturing its oral cholera vaccine at the end of 2022. “We took this decision in a context where we were already producing very small volumes versus the total demand for cholera vaccines and in the knowledge that other cholera vaccine manufacturers (current and new entrants) had already announced an increased supply capacity in the years to come,” Sanofi told the Guardian in 2022. The company said at the time that it had shared information about how its vaccine was manufactured with public health partners like the International Vaccine Institute (IVI), which has transferred the vaccine technology to new manufacturers. But those contingencies weren’t enough to offset a total shutdown by the company that was manufacturing about 15 percent of the global vaccine supply depending on the year, as Jerome Kim, director general of the IVI, told Vox. That left just one other manufacturer, South Korea’s EuBiologics, in the market as global cholera cases surged. “WHO has contacted [Sanofi] several times to ask first to increase [vaccine production], second to maintain, and third, to postpone their decision,” Barboza said. “So we have tried all the possible things and the rationale of [Sanofi is], ‘Oh, no, there will be other manufacturers that are coming.’” In an email to Vox, Sanofi said that the decision to exit the cholera vaccine market was not about profitability, but rather based on an understanding that EuBiologics would increase its output and other manufacturers would enter the market. EuBiologics will produce as many as 50 million doses of an oral cholera vaccine this year. The WHO announced in April that it approved a simplified, but still effective, version of the present formula for use, which will help mitigate the vaccine shortage. The world has already been forced to start rationing vaccine doses. In 2022, the WHO recommended halving the vaccine dose from two to one, which downgrades the vaccine’s efficacy but does offer protection for a year or more, and obviously increases the number of people who can receive someprotection with limited supplies. Last year, all of the 36 million regimens were distributed to 72 million people to take one dose each. Today, with only EuBiologics now producing a cholera vaccine, doses are allocated as soon as they are made to one of the areas with an active outbreak, said DerrickSim, managing director of vaccine markets and health security at Gavi, the international vaccine alliance. Because of the global shortfall, there are no vaccine doses available for preventive campaigns that would keep cholera out of communities in the first place. And absent an international commitment to improve the water supply and sanitation in poor countries at risk for cholera outbreaks — an approximately $114 billion yearly commitment — vaccination would be a powerful tool for preventing sickness and death from cholera in areas where outbreaks could occur. There are some important developments in vaccine technology in the pipeline, such as a temperature-stable pill form that would be much easier to transport and administer than the current liquid form, which must be kept between 2 and 8 degrees Celsius. At least three companies are currently working to develop new cholera vaccines, but they won’t be on the market until at least the end of 2025, and potentially years later. Gavi, which supports vaccine programs in developing countries and has contributed to the vaccination of nearly 1 billion children since its founding in 2000,is also working with smaller manufacturers in developing countries in Africa to bolster the global supply and produce the vaccine closer to where it will ultimately be used, Sim said. But developing cholera vaccines — from research to improve them to transferring the vaccine technology to new manufacturers, from clinical trials to purchasing and distributing them — also requires money. The WHO budgeted about $12 million for its cholera vaccination efforts last year, but that number will need to increase as cases do. That could potentially help address some of these supply issues — but it also highlights why they exist in the first place. “The big manufacturers are not interested in investing in a vaccine that only the poor countr[ies] can buy,” Barboza said, “and that will cost only $1.50 or $1 per dose.” Why are cholera cases rising in the first place, in the 21st century no less? At the time Sanofi decided to exit the cholera vaccine market in 2020, cholera was trending downward after a 20-year high in 2017. The Global Task Force for Cholera Control — a collaboration between the WHO, GAVI, and other stakeholders — had released a road map to reducing cholera deaths by 90 percent by 2030, and poor and developing countries where cholera is endemic or an active concern were implementing national cholera vaccination plans. In retrospect, experts believe the world missed an opportunity to work aggressively toward prevention, an effort that would have been aided by Sanofi’s continued production of its cholera vaccines. But Covid-19, which diverted resources and attention away from most other global diseases including cholera; an increase in displacement due to violence and conflict; and extreme weather events caused by climate change that both displace people and make environments more conducive to cholera have combined to allow the disease to spread more rapidly. Four of the five worst years for cholera in recent history have come since 2017. This is all the more concerning because cholera is fairly simple to prevent, with the supplies to provide clean drinking water and sanitation. It’s easy to treat, too: All it takes to cure cholera in most cases is clean water and oral rehydration salts, antibiotics in the worst-case scenarios. With proper medical intervention, no one should die from it. In situations of extreme instability like in Sudan, or where the medical sector has been decimated as in Gaza, those interventions become more challenging. And while some countries have long had routine cholera outbreaks, it’s not always easy to predict when or where they’ll hit, or how big they will grow, because contaminated water sources and infected people can cross borders, as likely occurred in Lebanon in 2022. Cholera is common in neighboring Syria, where the Assad regime has decimated local infrastructure and displaced hundreds of thousands of people. Though Lebanon had not experienced an outbreak since 1993, conditions were ripe for it. Years of government corruption and incompetence have led to a breakdown in public infrastructure including health care and sanitation — all of which helped trigger the outbreak in 2022. That outbreak saw at least 6,000 confirmed and suspectd cases. In August 2023, Fadlalla was responding to an outbreak in Al Qadarif, Sudan, which has been in a devastating civil conflict for a year now. “A lot of the governmental institutions were [at the time] eight months without their people getting paid their salaries, and the bureaucracy was not really functioning or operating,” he said. “And this is including the Ministries of Health. The whole medical sector was not getting paid, supplies were not getting restocked.” Climate change and the conflict and displacement related to it also significantly contribute to the uptick in cholera outbreaks, according to experts Vox spoke with. Higher temperatures and changing weather patterns make the environmental conditions ripe for outbreaks in new places unused to the disease. But climate change is not going to be reversed any time soon, nor is the global community going to commit to improving sanitation in developing countries or mitigating displacement. So in the meantime, vaccines remain one of the most important ways to prevent cholera deaths. “It’s not that nothing is happening,” Barboza said. “There are a lot of things that are happening, but are they acting fast enough, with enough money?”
1 h
vox.com
How rioting farmers unraveled Europe’s ambitious climate plan
Farmer protests in Nîmes, France, in March. According to reports, large tires were set on fire during the blockade. | Luc Auffret/Anadolu via Getty Images Road-clogging, manure-dumping farmers reveal the paradox at the heart of EU agriculture. In February 2021, in the midst of the deadly second year of the Covid-19 pandemic, Grégory Doucet, mayor of Lyon, France, temporarily took red meat off the menus of the city’s school cafeterias. While the change was environmentally friendly, the decision was driven by social distancing protocols: Preparing one hot meal that could be served to meat-eaters, vegetarians, and those with religious restrictions rather than serving multiple options was safer and more efficient. The response from the French agricultural establishment was hysterical. “We need to stop putting ideology on our children’s plates!,” then-Minister of Agriculture Julien Denormandie tweeted. Livestock farmers clogged Lyon’s downtown with tractors and paraded cows in front of city hall, brandishing banners declaring, “Stopping meat is a guarantee of weakness against future viruses.” An impromptu coalition of livestock producers, politicians, and parents unsuccessfully petitioned the city’s court to overturn the change. It may have seemed a tempest in a teacup — a quintessentially French squabble. But it was a microcosm of European agricultural politics, reflecting the great paradox of European Union (EU) farmers’ relationship to the state. On one hand, farmers are wards of the welfare state, dependent on national governments and the European Union for the generous subsidies and suite of protectionist trade policies that keep them in business. On the other, they are business people who balk at regulations, restrictions, and perceived government overreach. The tension between these positions regularly erupts into farmer revolts when governments attempt to regulate food or farming in the public interest as it might any other industry. EU politicians, meanwhile, often feel the need to kowtow to agribusiness because of its ability to mobilize protesters and voters alike. This year, it has become clear these protests have the power to transform Europe’s future. This past February, three years almost to the day after Doucet’s school lunch announcement, roads around Lyon were again blocked by farmers raging against the French government and the EU. It was one surge in the wave of protests that has swept through Europe in recent months, set off by a litany of demands, including continued subsidies and no new environmental regulations. In short, all the benefits of government with none of the governance. In Paris, farmers traded blows with police at the country’s Salon de l’Agriculture trade fair. In Germany, they tried storming a ferry carrying the country’s economy minister. In Brussels, they rammed through police barricades with tractors. In the Netherlands, they lit asbestos on fire alongside highways. In Poland, they massed along the Ukrainian border to prevent the import of cheap grain. In Czechia, they paved Prague’s streets with manure. The protests have come as the EU seeks to pass a slate of laws as part of its Green Deal, a sweeping climate plan that includes checking the worst harms of industrial agriculture, which takes up more than a third of the continent’s landmass and contributes disproportionately to its ecological footprint. That agenda is colliding with Europe’s longtime paradigm of few-strings-attached welfare for agribusiness. Agribusiness interests have been working to foil the Farm to Fork strategy, the crown jewel of the Green Deal meant to overhaul Europe’s food system, since its inception in 2020. This year, with the specter of right-wing populism looming over upcoming European Parliament elections (part of the EU’s legislative branch), farmers’ protests across the continent have succeeded at not only stalling new sustainability reforms, but also undermining existing environmental regulations. Now, plans to make Europe a global leader in sustainable agriculture appear to be dead on arrival. Dursun Aydemir/Anadolu via Getty Images Farmers dump manure on streets in the EU quarter of Brussels in March. How European agriculture got this way Despite its centrality to European politics and policy, agriculture is a very small industry within the bloc’s economy, making up about 1.4 percent of the EU’s GDP and no more than 5 percent of GDP in any of the Union’s 27 countries. The sector is also one of the biggest recipients of EU funds, with subsidies to farmers and investment in rural development consuming about a quarter of the EU’s budget, on top of often generous national subsidies. Meanwhile, European agriculture’s environmental footprint is vastly disproportionate to its economic contribution. It uses a third of all water on the increasingly arid continent. It’s responsible for 10 percent of the EU’s greenhouse gas emissions, including much of its methane and nitrous oxide, both highly potent greenhouse gases primarily released by animal agriculture. It accounts for about a quarter of global pesticide use, which has been linked to soil and water contamination, biodiversity loss, and a slew of impacts on human health. Of course, we need to eat, and food needs to be produced. But Europe’s monocrop- and livestock-intensive agriculture system is anything but sustainable. Yet the EU continues to pour massive amounts of money into subsidizing an economically negligible sector that is responsible for many of the continent’s environmental problems and that, off the back of those subsidies, organizes to prevent environmental regulations or even conditions on those very subsidies. Many countries around the world generously subsidize food production — including, famously, the United States, where agriculture makes up less than 1 percent of GDP and punches far above its weight politically. But much of the US ag sector’s billions in annual federal payouts comes in indirect forms like subsidized crop insurance, including more than a third of the $24 billion it received in 2021 — and these subsidies make up a much smaller share of the industry’s contribution to GDP relative to agriculture subsidies in the EU. In Europe, decades of government policy have integrated food production into an extensive state welfare framework where, on paper, the good of farmers is equated with the public good. That system emerged from the ruins of World War II, when shoring up farming and food security became an existential policy imperative on the devastated and often starved continent. Post-war policies were designed to secure the food supply, provide farming families with a stable income, and stimulate rural economies in the interest of the public good. European agriculture policy became its own welfare system defined by subsidies and protection from foreign competition. It worked. By 1950, agricultural production in Western Europe had recovered to pre-war levels. When the European Economic Community (EEC), the precursor to the EU, formed in 1957, agriculture was central to the discussions, as economic integration would require dealing with the problem of highly subsidized and protected farming in member states. The answer was the Common Agricultural Policy (CAP), launched in 1962, a centerpiece of EEC and later EU policy. An extension of national-level agricultural welfare policies, the goal of the CAP was “to ensure a fair standard of living for the agricultural community, in particular by increasing the individual earnings of persons engaged in agriculture.” In other words, rather than using policy to build agriculture into a viable competitive business, the goal was to protect agriculture from the market and commit to a long-term policy of keeping farmers in business. CAP was “from the outset a public policy reflecting highly subjective political ‘preferences,’ not rational commercial interests,” economic historian Ann-Christina Knudsen argues in her book Farmers on Welfare: The Making of Europe’s Common Agricultural Policy. For decades, CAP has been the EU’s biggest budget line. As recently as the 1980s, it made up about two-thirds of the Union’s budget. While bouts of trade liberalization and the rise of other priorities have steadily reduced its relative size, about a third of the EU’s 2021-2027 budget was earmarked for CAP. Over 70 percent of this money is distributed as direct payments to farmers. Since payments are primarily based on farm size, the biggest farms get the lion’s share of that money. Over half of the EU’s 9 million farms produce less than 4,000 euros of products per year and make up a combined 2 percent of Europe’s farm production, while the top 1 percent of farms — those that bring in over 500,000 euros — control 19 percent of all farmland and are responsible for over 40 percent of output. The top 0.5 percent of farms receive over 16 percent of all CAP payments. Lavish subsidies have helped make Europe a net exporter of agricultural products, with early concerns about food security long since displaced by a global thirst for Irish whiskey and Dutch beer and hunger for Irish butter and French cheese. Coupled with decades of government policy incentivizing industrial production methods that favor big operations, such as factory farming and large-scale monocropping, CAP has served to push Europe’s farmers to get big or get out. Between 2005 and 2020, the EU lost over 5 million farms, virtually all of them small operations sold by retiring farmers or those simply unable to compete with their larger neighbors. Large farmers, in turn, have organized into powerful political interest groups that aim to dictate agricultural policy to their governments. Farmers and their political allies pack the EU’s agriculture committee. Lobby organizations like Copa-Cogeca, which represents large farmers’ unions across the EU, and CropLife Europe, a pesticide trade group, pressure governments to entrench the status quo, including maintaining CAP as an ever-open spigot gushing taxpayer money. And where governments are seen as truant in delivering on their promises, cities and nations can be brought to a standstill by blockades of tractors, helping galvanize public opinion and push politicians into acquiescence. Europe’s turn toward environmental protections is clashing with farming interests Today, the growing importance of environmental goals in EU politics has driven a wedge into the sometimes contentious but mostly cozy relationship between farming interests and governments. While EU subsidies do come with some environmental strings attached, such as requirements to protect wetlands or engage in soil-friendly crop rotation, these are often poorly enforced and noncompliance is common. In Europe, much like in the US, agriculture is governed with a lighter touch compared to other industries, a paradigm often known as agricultural exceptionalism. In the Netherlands, for instance, farms have for decades been granted a derogation on nitrogen emissions, allowed to emit more than any other industry. This meant that, over the years, dairy farms and heavily fertilized crop fields leached nitrogen into the soil and water, poisoning rivers and wetlands. In 2019, the Dutch government sought to close the loophole and buy out livestock farmers unable to comply with the restriction. Farmers launched a series of protests marked by the now-ubiquitous use of tractors to block roads and public spaces in a show of force against government bureaucrats. Many felt aggrieved that government, by pushing the resource-intensive industrial farming that had made the Netherlands into an agricultural powerhouse, had helped create the very environmental problems now being blamed on farmers. Peter Boer/Bloomberg via Getty Images A two-week old calf on a dairy farm in Hazerswoude, Netherlands. Livestock farmers have been protesting the Dutch government’s efforts to limit polluting nitrogen emissions from farms. Cities across the country ground to a halt, and the protesters formed a new political party, the far-right-aligned BoerBurgerBeweging (the Farmer-Citizen Movement, or BBB). Last year, it won the country’s provincial elections in a landslide on the back of rural votes as well as broader anti-government and anti-EU sentiment, controlling 20 percent of seats in the Dutch senate. It was a portent of things to come. 2019 was also the year the European Commission, the executive branch of the EU, proposed the Green Deal, which aims to achieve net zero emissions across the EU by 2050 through emissions reduction across all industries, renewable energy and electric vehicle adoption, and reforestation programs. Farm to Fork, the food system component of the plan, calls for dramatically reducing pesticide use and food waste, and promoting more sustainable dietary choices through product labeling and school lunches; independent modeling suggested it could cut agricultural emissions by up to 20 percent and halve biodiversity destruction. Environmental policies are broadly popular with the European electorate, and that plan was arrived at through the EU’s highly bureaucratic — but nonetheless democratically deliberative — process. But because it originated with the European Commission, whose members are unelected, it was seen by some as being mandated by unaccountable functionaries. Farmers bristled at the idea of being told to devote some of their land to biodiversity and nature restoration. Growers of monocrop products like grains and grapes for wine balked at drastic pesticide reductions. The pesticide industry and its lobby saw its profits threatened. But most impacted would be livestock, the sector least able to meet stringent environmental or animal welfare standards. Animal agriculture makes up 40 percent of European agricultural production, releases more than 80 percent of the continent’s emissions from agriculture, and receives more than 80 percent of CAP subsidies, according to a recent study using data from 2013. Immediately, the agricultural lobby began petitioning politicians to delay or do away with the proposed rules, starting with the proposed pesticide reduction measures. At first, EU politicians held in their support for reforms, voting in 2021 to implement Farm to Fork. But as Covid-19, with its disruption of food supply chains, dragged on and Russia invaded Ukraine, raising the specter of a food shortage, ag lobby groups gained new ammunition to fire at what they framed as the Green Deal’s attack on food security and the livelihood of farmers. Attacks on pro-Green Deal politicians escalated, including threats of violence against its staunchest supporters. Bit by bit, political support for Farm to Fork began to erode. By the end of 2023, before most of Farm to Fork had even been implemented, many of its core initiatives were already watered down or abandoned, including pesticide reduction mandates and farm animal welfare improvements. Also declawed was the nature restoration law, which would require EU member states to restore 20 percent of degraded habitats to preserve biodiversity, by calling on farmers to plant tree and flower strips along the edges of fields, for example. Industrial beef and dairy operations were also granted an exemption from industrial emissions targets despite being among the food system’s biggest emitters, responsible for most agricultural methane emissions. Throughout, political allies of agricultural lobbies like the right-wing European People’s Party have celebrated these wins over the specter of “NGO environmental dictatorship.” Farming interests are blocking the development of sustainable alternatives The same groups pushing against environmental regulation in the name of keeping the government out of business have few compunctions about turning to governments to thwart their competition. Meat producers in particular are threatened not only by environmental regulations that would affect them most, as the food system’s biggest emitters, but also by meat alternatives that have the potential to cut into their market share. Cell-cultivated meat, a novel technology that can harvest animal tissue from stem cells rather than slaughtered animals, has not yet received regulatory approval for sale in the EU and remains largely theoretical. That did not stop politicians in Italy, under pressure from agricultural lobby groups, from passing legislation last November banning not just the sale of cellular agriculture products, but also scientific research into the technology. Agriculture Minister Francesco Lollobrigida, a member of the country’s far-right ruling party Fratelli d’Italia (Brothers of Italy), declared cultivated meat a threat to Italian culture and civilization. Soon thereafter, members of the Italian delegation to the EU, joined by representatives from 11 other countries, called on the Council of Europe to “ensure that artificially lab-grown products must never be promoted as or confused for authentic foods,” ostensibly in the public interest. Farming lends itself to populism, which often acts as a cover for cold business calculations. The cultivated meat ban reveals that agricultural lobby group demands are generally about realpolitik rather than a principled position about state intervention — no different from any business that aims to protect its bottom line. Political scientist Leah Stokes, in her book Short Circuiting Policy, has described such policy fights as “organized combat” between interest groups, which tends to favor powerful incumbents over new constituencies aiming to build political support for social or economic change. In Italy, an entrenched and politically well-connected agricultural lobby had the power to write its preferences into policy while proponents of cellular agriculture did not, allowing them to nip potential competition in the bud. Something similar is at work in the unraveling of the EU’s green agenda. Proponents of environmental legislation, while technically having science and public support on their side, were either unprepared or lacked the heart for a fight with the battle-tested farming lobby. All that took place before Europe became engulfed by protests. Then came the tractors. Last December, a proposed cut to diesel subsidies (used to power tractors and other farm machinery) in Germany, which had more to do with the country’s budgetary crisis than with environmental regulations, sent aggrieved farmers into the streets. Dozens of other protests erupted around Europe stemming from particular national issues. But as they grew, they coalesced into a generalized grievance about the failure of government and the EU to sufficiently support farmers, with new environmental policies offering a particularly easy target for ire. Alan Matthews, an Irish economist and preeminent expert on the CAP, recently argued that part of the problem is the changing social capital of farmers: “Instead of being seen as heroic producers of a vital commodity, they are increasingly described as environmental villains and climate destroyers. ... Instead of taking responsibility for these problems, farmers often adopt a defensive position of denial.” The protests have brought farmers of all stripes to the streets, big and small, organic and conventional. Despite their differences and the historic exclusion of small farmers from EU policymaking, most of Europe’s farmers share a common interest in maintaining subsidies and reducing regulation. They also raise some valid points about the contradictions in EU policy, such as in their calls for more protection from foreign competitors that produce with lower standards than in Europe, including livestock produced in jurisdictions with no animal welfare protections or raised using growth stimulants banned in Europe. But this argument is undermined by farmers’ calls to weaken those very standards. By late February, when a massive protest by farmers from across the continent ran amok through the EU quarter of Brussels, politicians across the continent were buckling to farmers’ demand. At the EU, even the watered-down version of the nature restoration law that had passed a vote in EU Parliament despite protests was stalled — perhaps indefinitely — as states including Belgium and Italy withdrew their support. But perhaps most worrying has been the willingness of EU politicians to weaken already existing environmental standards, including loosening environmental conditions and reporting requirements for all farms smaller than 10 hectares. These decisions may have also been motivated by upcoming EU elections. Many Europeans support the farmers’ cause, and as the Dutch case showed, the protests have the potential to galvanize voters to support parties seen as “pro-farmer.” With widespread concern about large gains for right and far-right parties in the EU Parliamentary elections next month, even ostensibly pro-Green Deal politicians, including European Commission President Ursula von der Leyen, have been forced to act appropriately deferential to the protesters. Frederick Florin/AFP via Getty Images European Commission President Ursula von der Leyen speaks at the European Parliament on February 6, the same day that she recommended shelving a plan to cut pesticide use as a concession to protesting farmers. Sooner or later, climate change will force a reckoning with farming practices The latest progress report on the EU’s quest for carbon neutrality, released by the European Scientific Advisory Board on Climate Change amid the protests in January, showed little improvement, especially in agriculture. It called for reductions in production of meat and dairy, higher consumer prices of highly emitting foods, more incentives for farmers to embrace green practices, and, as a political hint, more ambitious policy plans. In short: the opposite of the situation on the ground. Arriving at a viable agricultural policy that marries support for farmers, green goals, and liberal trade policies is a difficult balancing act with few clear-cut solutions. It is unlikely that these could be achieved without continued state and EU involvement in shaping how food is produced in Europe through some mix of protectionism, policy nudges, and regulation. CAP, in one form or another, isn’t going anywhere. But to the extent that it remains primarily a subsidy program, there is no reason why conditions on meeting strict climate and environmental targets should not be massively strengthened, rather than weakened, and enforcement ramped up. And there is no reason not to use policy to steer production away from highly polluting industries like meat and dairy toward less harmful ones. To be in favor of more sustainable farming is not to be against farmers; it is to be against unsustainable farming practices. To allow these two to be conflated is to lose the fight, as the EU is currently doing. After all, to the extent farmers see themselves as businessmen, a sign of business acumen is making a profit within regulatory and market constraints. One thing is certain: Bowing to the demands of special interests whose only interest is maintaining agricultural exceptionalism only precipitates a sooner reckoning with environmental crises, which will force farming to change whether farmers want to or not. The EU, however, seems to be taking marching orders from a parasite of its own creation, abandoning the very notions of public good that led to the creation of its agricultural policies in the first place.
2 h
vox.com
Marijuana could be classified as a lower-risk drug. Here’s what that means.
Federal law requires all research in federally funded laboratories to use only marijuana from a single facility located in Oxford, Mississippi. | Brad Horrigan/Hartford Courant/Tribune News Service/Getty Images A potential policy change could have big benefits for marijuana businesses. The United States Department of Drug Enforcement and Administration (DEA) reportedly now plans to reclassify marijuana as a lower-risk drug, a change that could further destigmatize the substance’s use and have a major impact on how the cannabis industry operates. In the US, marijuana is currently classified as a Schedule I drug, in the same category as heroin, and treated as more dangerous than fentanyl and cocaine. Schedule I drugs are described by DEA as drugs with “no accepted medical use and and a high potential for abuse.” After a request from the Biden administration for the relevant agencies to review its status, the Department of Health and Human Services (HHS) suggested the DEA — which is in charge of scheduling drugs — alter its classification to Schedule III, a category that includes anabolic steroids and ketamine. This week, the DEA moved forward with that plan, which now awaits approval from the Office of Management and Budget. Once it receives that sign-off, the agency will field public comments about its decision to reschedule the drug before officially implementing this update. Practically, a move to reschedule marijuana could be a major boon to weed businesses, allowing them to access tax breaks that they currently aren’t able to use. Rescheduling marijuana does not legalize it federally, however. And while individuals could see reduced federal penalties for weed possession, having marijuana could still be criminalized at the federal level, meaning drug charges would remain a risk. Many criminal justice reform advocates and lawmakers have called for weed to be descheduled — much like alcohol — which would mean that it can be regulated, but that states would have more leeway for reforms. Rescheduling falls short of this, though it could still meaningfully dilute some of the stigma around the medical and recreational use of the drug, and may pave the way for other policy changes. Drug scheduling, briefly explained There are five categories that a drug can be “scheduled” as under the Controlled Substances Act (CSA), with each demarcating its medical uses and potential for abuse. Schedule I is the harshest classification that’s available, while Schedule V is the least, signaling that a drug is less likely to be abused. Weed could be moved to Schedule III. Schedule III drugs are described by the DEA as drugs with “moderate to low potential for physical and psychological dependence,” and believed to have some medical applications. Some drugs, like nicotine and alcohol, are descheduled, which means there’s limited federal oversight and that they’re not regulated as part of the CSA at all. Instead, descheduled drugs are subject to public health laws and state-level regulations. Many activists and advocates, as well as a group of Senate Democrats, have argued that cannabis should be descheduled rather than rescheduled in order to truly decriminalize it and remove harmful legal penalties altogether. “The case for removing marijuana from Schedule I is overwhelming. The DEA should do so by removing cannabis from the CSA altogether, rather than simply placing it in a lower schedule,” a dozen senators including Sens. Elizabeth Warren (D-MA) and Chuck Schumer (D-NY) previously wrote in a letter to the agency. [Related: The federal drug scheduling system, explained] What a change to weed’s federal classification could mean The changing of weed’s classification could portend key changes for weed businesses and for drug researchers. Because weed is currently a Schedule I drug, businesses that sell it are subject to a high tax rate and limited deductions, something that marijuana businesses often claim make for difficult margins. One marijuana CEO told Politico access to federal financial business incentives would create a “healthier cannabis industry.” A reclassification could also open up possibilities for scientific research on the medical benefits of weed and other questions, since Schedule III drugs aren’t subject to as onerous of an approval process for such studies. A rescheduling of marijuana could also mean that more medicinal products that contain it could be approved by the Food and Drug Administration. And that could lead to a more regulated medical marijuana industry for those who use the drug to treat conditions like Parkinson’s disease or lupus. Other Schedule III drugs like ketamine, for example, can be obtained via a prescription. For individuals, access to recreational marijuana could still vary depending on their specific state’s laws, as could access to medicinal marijuana, depending on if the FDA chooses to approve more specific treatments. Recreational use at the federal level would also still be illegal. Legislation to legalize marijuana federally has had some bipartisan support in Congress from the likes of House Minority Leader Hakeem Jeffries (D-NY) and Rep. Dave Joyce (R-OH), but it still hasn’t picked up sufficient backing to pass both chambers. That’s despite a majority of Americans supporting marijuana legalization and growing momentum to pass such laws at the state level: 23 states have legalized the use of recreational marijuana and 38 states have approved access to medical marijuana. All that means, however, that there could still be risk of arrest and federal charges for marijuana. There is a chance that rescheduling could “reduce or potentially eliminate criminal penalties for possession,” according to the Associated Press. Activists, however, warn that it’s not yet clear just how much such penalties would change. “Rescheduling cannabis from 1 to 3 does not end criminalization, it just rebrands it. People will still be subject to criminal penalties for mere possession, regardless of their legal status in a state-level medical program,” cannabis advocate Justin Strekal told Politico. One thing rescheduling would have is significant symbolic heft. It would alter the way that weed is formally being treated at the federal level, and would do more to normalize its use. Theoretically, that could act as an early step to more transformative federal policy that could one day legalize marijuana more broadly and provide more consistent regulations on the subject. Update, May 1, 5:10 pm ET: This piece was originally published on August 31, 2023, and has been updated with the DEA’s recent decision.
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Take a mental break with the newest Vox crossword
New Vox Crossword puzzles come out Monday through Saturday | Amanda Northrop For the curious in all of us. Can you solve it? Welcome to the Vox crossword. Puzzles come out Monday through Saturday. Make sure to bookmark this page (or add to your phone’s home screen) to find new ones each day. You can also get a weekly email reminder by signing up for our crossword newsletter. Puzzles are constructed by these great people and edited by Elizabeth Crane. If you want to get in touch, email us at crosswords@vox.com. And if you solve our crosswords often, consider chipping in to help keep them free for everybody. Looking for even more crosswords? Our first-ever crosswords books are now available for purchase wherever you buy books. The first,theVox Mega Book of Mini Crosswords, features 150 of our bite-sized weekday puzzles. The second, theVox Pop Culture Crosswords book, highlights pop culture references in our big Saturday puzzles ranging from Mario Kart to iCarly. More crossword puzzles
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Philosophers are studying Reddit’s “Am I the Asshole?”
If the Ancient Greek philosophers had had access to the internet, perhaps they would have created something like Reddit’s “Am I the Asshole?” | Getty Images In which philosophy tries to understand how normal people think about morality. Philosophers, bless them, are trying to understand how normal people think about morality. Normal people, as you may have heard, hang out on the internet. And what is the internet’s biggest trove of everyday moral dilemmas? Why, it’s Reddit’s “Am I the Asshole?” forum! So, why not comb through millions of comments there to find out how people make moral decisions? This might sound like a joke, but it’s actually been the past four years of Daniel Yudkin’s life. As he was doing a postdoctoral fellowship at the University of Pennsylvania, Yudkin thought about how moral psychology and moral philosophy — his fields of research — mostly focus on hypothetical, contextless scenarios involving strangers. For example, the famous “trolley problem” asks if you should actively choose to divert a runaway trolley so that it kills one person if, by doing so, you can save five people along a different track from getting killed. That’s a pretty weird way to study moral decision-making. In real life, the trade-offs we face often involve people we actually know, but the trolley problem imagines a world where you have no special relationship to anybody. It doesn’t ask whether you should make a different decision if one of the people tied to the tracks is, say, your mother. Yudkin, now a visiting scholar at Penn, hypothesized that this style of investigating morality overlooks an important aspect of real life: the relational context. And Yudkin worried about that omission. Philosophy doesn’t only matter for the ivory tower — it can shape how we set up our societies. “If we’re living in a society that omits the importance of relational obligations,” he told me, “​​there’s a risk that we see ourselves as atomic individuals and we aren’t focused enough on what we owe each other.” So, together with a group of co-authors on a recent preprint paper, he set about studying the popular subreddit where people describe how they acted in a moral conflict — whether with a spouse, a roommate, a boss, or someone else — and then ask that all-important question: Am I the asshole? What studying morality on Reddit reveals Yudkin and his co-authors scraped roughly 369,000 posts and 11 million comments written between 2018 and 2021 on “Am I the Asshole?” (AITA for short). Then they used AI to sort the dilemmas into several categories. Those include procedural fairness (like “AITA for skipping the line?”), honesty ( “AITA for saying I don’t speak English in awkward situations?”), and relational obligations ( “AITA for expecting my girlfriend to lint roll my jacket?”). The researchers found that the most common dilemmas had to do with relational obligations: dilemmas about what we owe to others. Courtesy of Daniel Yudkin With the help of AI, Yudkin and his co-authors categorized posts on Reddit’s “Am I the Asshole?” according to their moral themes. Next, they wanted to find out whether certain types of dilemmas were more likely to pop up in certain types of relationships. Will some dilemmas arise more often with your sister, say, than with your manager? So the researchers examined how often each dilemma popped up in 38 different relationships. Surprise, surprise: The likelihood of encountering different dilemmas, they found, does depend on whom you’re dealing with. If you’re hanging out with your sister, you’re more likely to be worrying about relational obligations, while interactions with your manager are more likely to get you thinking about procedural fairness. The truth is, you don’t need a fancy study to tell you this.If you’ve ever had a sister or a manager — or if you’ve ever had the experience of being, you know, a human — you probably already know this in your bones. It’s probably obvious to most of us that relational context is super important when it comes to judging the morality of actions. It’s common to think we have different moral obligations to different categories of people — to your sister versus to your manager versus to a total stranger. So what does it say about modern philosophy that it’s largely ignored relational context? Uncovering philosophy’s blind spots Let’s get a bit more precise: It’s not as though allof philosophy has ignored relational context. But one branch — utilitarianism — is strongly inclined in this direction. Utilitarians believe we should seek the greatest happiness for the greatest number of people — and we have to consider everybody’s happiness equally. So we’re not supposed to be partial to our own friends or family members. This ethical approach took off in the 18th century. Today, it’s extremely influential in Western philosophy — and not just in the halls of academia. Famous philosophers like Peter Singer have popularized it in the public sphere, too. Increasingly, though, some are challenging it. “Moral philosophy has for so long been about trying to identify universal moral principles that apply to all people regardless of their identity,” Yudkin told me. “And it’s because of this effort that moral philosophers have really moved away from the relational perspective. But the more that I think about the data, the more clear to me it is that you’re losing something essential from the moral equation when you abstract away from relationships.” Moral psychologists like Princeton’s Molly Crockett and Yale’s Margaret Clark have likewise been investigating the idea that moral obligations are relationship-specific. “Here’s a classic example,” Crockett told me a few years ago. “Consider a woman, Wendy, who could easily provide a meal to a young child but fails to do so. Has Wendy done anything wrong? It depends on who the child is. If she’s failing to provide a meal to her own child, then absolutely she’s done something wrong! But if Wendy is a restaurant owner and the child is not otherwise starving, then they don’t have a relationship that creates special obligations prompting her to feed the child.” According to Crockett, being a moral agent has become trickier for us with the rise of globalization, which forces us to think about how our actions might affect people we’re never going to meet.“Being a good global citizen now butts up against our very powerful psychological tendencies to prioritize our families and friends,” Crockett told me. Utilitarians would say that we should overcome those powerful psychological tendencies, but many others would beg to differ. Philosopher Patricia Churchland once told me that utilitarianism is unrealistic because “there’s no special consideration for your own children, family, friends. Biologically, that’s just ridiculous. People can’t live that way.” But just because our brains may incline us to care for some more than others doesn’t necessarily mean we ought to bow to that, does it? “No, it doesn’t,” Churchland said, “but you would have a hard time arguing for the morality of abandoning your own two children in order to save 20 orphans. Even [Immanuel] Kant thought that ‘ought’ implies ‘can,’ and I can’t abandon my children for the sake of orphans on the other side of the planet whom I don’t know, just because there’s 20 of them and only two of mine. It’s not psychologically feasible.” If you ask me, that’s fair enough. While I’d respect the decision of those who choose to save the 20 orphans, I certainly wouldn’t fault someone for acting in line with an impulse that is hardwired into them. So ... am I the asshole?
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High interest rates probably aren’t going away anytime soon
Jerome Powell, chairman of the US Federal Reserve, at the Wilson Center in Washington, DC, on April 16, 2024. | Samuel Corum/Bloomberg via Getty Images The Federal Reserve will give an announcement on interest rates during its May meeting Wednesday. Even borrowing money is more expensive these days — and the Federal Reserve might decide to keep it that way for a while. All eyes are on the Fed’s May meeting today, where Fed chair Jerome Powell will make an announcement about interest rates. Though analysts do not expect the Fed to cut rates just yet, some had projected a cut might be coming soon. That now appears increasingly unlikely. Instead, his remarks are expected to shed light on how much longer the US economy will have to endure high interest rates, which are squeezing everyone from prospective home buyers to people who have racked up credit card debt. High interest rates have helped cool a too-hot economy, significantly bringing down inflation to 3.5 percent from its 9.1 percent peak in June 2022. But it’s still well above the Fed’s target rate of 2 percent, and inflation has increased slightly in the last few months, which means we might not see a rate cut anytime soon. “The ‘last mile’ ... to the Fed’s target range was expected to be more difficult than what came before it,” said Matt Colyar, an economist at Moody’s Analytics. “Even with that expectation, however, inflation data in the first three months of 2024 has been surprisingly high.” Why inflation has remained high A few factors are driving stubborn inflation. Housing costs have been the biggest contributor by far. Inflation in rent and homeowners’ cost of living in their own homes has moderated somewhat but by less than expected, Colyar said. Auto insurance and repair costs have also risen sharply even though car prices have fallen. And health care costs have also picked up. Nicole Narea/Vox But this isn’t necessarily a “strong indication that inflation will remain similarly high for the rest of 2024,” Preston Caldwell, chief US economist at Morningstar, said in a note to investors Friday. The US economy has so far staved off a recession, growing at a slower but still solid pace in the first quarter of 2024 in part because Americans are continuing to spend a lot. The job market also remains strong, with the US blowing past projections to add 303,000 jobs in March. That hasn’t given the Fed much urgency to cut rates anytime soon. “It’s not an economy in obvious need of the pick-me-up that a rate cut would deliver,” Colyar said. Strong consumer spending, though, isn’t expected to last as Americans deplete any savings they accrued in the pandemic and rack up more household debt. That will likely cause US economic growth to slow in the coming year, which “should be sufficient to cool off remaining excess inflation,” Caldwell told Vox. When will the Fed cut interest rates? After the Fed’s December meeting, financial analysts were expecting six interest rate cuts in 2024, beginning in June. But given that inflation has remained high and the economy is still going strong, that doesn’t seem to be happening anytime soon. Caldwell said he’s now expecting three cuts this year starting in September. Other top economists at UBS, Barclays, Goldman Sachs, and Bank of America have also pushed back their projections for a rate cut. For example, Bank of America is projecting only a single rate cut in December. Some Fed officials also have not ruled out the possibility of another rate hike, which would be the first since last July. Fed Governor Michelle Bowman recently said she would support a rate hike “should progress on inflation stall or even reverse.” But Caldwell said that still seems a far-off possibility. “The mere fact that they’re delaying rate cuts already has a contractionary effect on the economy,” he said. Colyar said he will be watching Powell’s remarks to discern “how spooked they have been by the hotter-than-expected inflation data in the first quarter” and to what extent he attributes the stickiness of inflation to a few industries, rather than an indication of current overall cost pressures. What continued higher interest rates might mean for the economy Recent economic data has already dampened earlier enthusiasm in the stock market about an imminent interest rate cut. Powell’s remarks might have a similar depressive effect, depending on how pessimistic he is about the Fed winning its battle against inflation in the near term. “The first effect is psychological,” Colyar said. “Persistently high borrowing costs are painful and will eventually break something.” It’s already slowing down the real estate market significantly. Mortgage rates have surpassed 7 percent, and that’s keeping prospective home buyers and sellers on the bench. People who secured lower interest rates just a few years ago don’t want to sell and would have to secure a higher-rate mortgage for their new lodging, so there are fewer homes on the market, keeping prices higher than many buyers can afford. Americans’ total credit card debt also hit a record $1.13 trillion earlier this year, and repaying that in a high interest rate environment is bound to hurt their wallets. At the same time, the US economy has proved resilient even in a high interest rate environment. The Fed doesn’t need to step in just yet given steady job growth and economic growth, as well as strong consumer spending. “However, I would argue that the time to start loosening policy is before things are flashing red,” Colyar said. “Waiting too long because shelter prices are slow in moderating I think is an unnecessary risk.” This story appeared originally in Today, Explained, Vox’s flagship daily newsletter. Sign up here for future editions.
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Want to know how to reduce gun crime? Look at Detroit.
People walk through downtown Detroit, Michigan, on April 3, 2024. The city has experienced a historic turnaround on crime that is both part of a national trend and the result of a transformation in the city’s policing. | Spencer Platt/Getty Images Last year, Detroit saw its fewest homicides since 1966. Here’s how it did it — and how other cities can do the same. In 2021, Detroit was in trouble. The city, which already had one of the highest murder rates in the country, was experiencing a surge in gun violence coinciding with the Covid-19 pandemic. In the first five months of the year, homicides were up 27 percent, and nonfatal shootings were up 44 percent. James White, who was Detroit’s assistant police chief from 2012 to 2020, had only been retired from the department for a year when he got the call to return, this time as chief of police, in June 2021. When he came back, he said, “policing had completely changed.” “It was on the heels of the George Floyd murder, it was the pandemic — all those things kind of intersected,” White told Vox. It wasn’t just Detroit: Homicide spiked 30 percent across the US in 2020, the largest single-year increase since the FBI began tracking it. “We found ourselves [facing] a really big question, and rightly so, about the validity of policing and the model of policing that was happening around the country.” Three years into his time as chief, White and others in the community have much to celebrate. At the end of 2023, the city reported the fewest homicides since 1966, a decline of 18 percent over the previous year. Nonfatal shootings fell nearly 16 percent, and carjackings dropped by a third. By the end of 2023, the city’s homicide rate had returned to pre-pandemic levels. Detroit is on the leading edge of a national trend. Across US cities last year, homicides fell more than 12 percent, the largest single-year decline in violent crime since the FBI began keeping track. In Buffalo, they fell 46 percent from a year earlier — the fewest homicides since 2011. In Philadelphia, they dropped 21 percent. New York and Los Angeles also saw double-digit declines, according to preliminary data. What explains the precipitous rise — and sharp fall — in violent crime? Experts caution that several complex, intersecting factors drive crime trends, and no single explanation can easily answer the question. The best working theory is that multiple overlapping social crises — including pandemic-related disruptions that kept more people stuck at home and out of work, and the unrest across major cities after the murder of George Floyd — contributed to a breakdown of trust between the public and police, and created conditions ripe for violence in a country awash in too many guns. The decrease, meanwhile, may have much to do with society reopening and stabilizing, but it also probably has something to do with changes to the way some police, prosecutors, and civic leaders — in Detroit and elsewhere — have been operating after the major challenges of 2020. For Detroit, what worked was a coordinated effort across multiple agencies and community organizations that was targeted at reducing and preventing gun crime and mobilizing the judicial system after a pandemic-era shutdown seriously hampered the courts. That’s not to say Detroit, like other cities in the US, doesn’t face severe challenges when it comes to reducing violent crime. Though the city saw the fewest killings since 1966, it also had a much larger population back then, meaning 2023’s per capita homicide rate of around 41 people per 100,000 is much higher than the 1966 homicide rate of 15 people per 100,000. Still, White says, elected officials and community leaders in Detroit are encouraged by the fact that homicide fell back to the pre-pandemic baselines. “We’re not satisfied,” White says, but there’s satisfaction in “knowing our plans are working.” Jim Watson/AFP via Getty Images US President Joe Biden shakes hands with Detroit Police Chief James White in February in Washington. Biden met with White to tout Detroit’s efforts to reduce crime, including using federal funds to transform policing and community interventions. It’s not just the chief of police saying that, either. “I think our people are hardwired to be skeptical of any news that comes from top to bottom, like, is this a political ploy? Is it real?” says Alia Harvey-Quinn, the founder of FORCE Detroit, a community violence intervention program that is active in northwest Detroit and is part of the effort to reduce gun violence. “We’re hearing people actually feel safer as of late, and that’s exciting.” Violent crime is continuing to fall across the US this year, but it’s still a major voter concern, driving politicians to pass laws aimed at reducing it further. Here’s how Detroit is reducing crime, and what other cities can learn from their success. Detroit changed the way police respond to some calls In 2020, in response to the murder of George Floyd, the city came up with plans for a Crisis Intervention Team, a partnership between mental and behavioral health specialists and police. The Detroit Wayne Integrated Health Network (DWIHN) staffs 911 call centers with mental health professionals and offers week-long training programs for police officers to learn about trauma-informed policing. The network also partners with police on a centralized mental health unit co-response team, where officers are paired with behavioral health specialists who can respond to people experiencing mental health crises. DWIHN’s Andrea Smith, who has answered 911 calls and worked with the crisis response team on in-person calls, says the goal is always “to bring a situation down instead of contributing to an escalation of the crisis,” and to help officers find other ways of responding to certain calls. The approach, modeled on methods first implemented by a team in Memphis, Tennessee, “contributes to a lower number of incidents of use of force,” says Smith. “It’s allowed us to have more of a focus on, ‘OK, this person might not have a behavior problem. It might be a behavioral health problem.’ … When you have the community that knows that the police are looking at alternatives to just pulling out their gun, that enhances or improves the relationship between the police and citizens.” For White, who in addition to being police chief is also a licensed mental health counselor, paying attention to the mental health needs of community members makes sense, but it was far from the only strategy. The city also unveiled a 12-point “summer surge” plan that increased police presence, curfew enforcement, and strategic traffic restrictions to secure downtown Detroit following the murder of a security guard last year. Police also cracked down on drag racing and stepped up their presence at community events where they had reason to believe there might be a risk of gun violence. The city council also approved a contract that gave officers a roughly $10,000 raise at the end of 2022 to help offset the recruiting problem other police departments are also facing across the country. White was careful to point out, though, that the work is far from over: “The challenge is to continue to drive down violent crime while providing policing excellence to our community and treating everyone fairly,” he says. Prosecutors made community outreach a key priority Courts across the country shut down because of Covid-19, delaying trials and preventing felony charges from moving through the adjudication process. To get the system moving again and to reduce the backlog of felony gun cases, district and circuit courts moved to get more hearings on the calendar. The US attorney for Eastern Michigan, Dawn Ison, also partnered with federal agencies to prosecute gun crimes and take illegal weapons off the street. Ison also led violence prevention and reentry efforts for formerly incarcerated people. “The studies show enforcement alone has never been effective at moving the needle to reduce violent crime. We have to be transparent and bring legitimacy. We can’t do this work without the community,” Ison says. When developing One Detroit, her office’s program to reduce violence in the two city precincts with the highest rates of gun crime, Ison drew upon several evidence-based strategies outlined in the bookBleeding Out: The Devastating Consequences of Urban Violence—and a Bold New Plan for Peace in the Streets by Thomas Abt, founding director of the Violence Reduction Center at the University of Maryland. This included reaching out last summer to 200 individuals who, based on their previous interaction with the state’s legal system, were believed to be at highest risk of becoming a victim of, or perpetrating, gun violence. They were invited to a roundtable to hear from people who’d been incarcerated in an effort to deter them from violence. Ison’s office also focused on engagement with the city’s residents. In the summer, she goes into the precincts with high rates of gun crime and hands out fliers letting the public know that her office is looking to prosecute the small number of people driving most of the gun violence in the city. The office also puts on what they call “peacenics,” or summer block parties with DJs, bounce castles, and vendors from the city and local government who help people with basic services, like getting a driver’s license or having their record expunged for low-level offenses. “My vision is for it to be our non-enforcement engagement with the community,” Ison says. “We have to be talking to them, and not only there when we’re kicking in their doors or arresting somebody.” By the end of 2023, the city reported that homicides were down 17 percent in the precincts targeted by One Detroit, and carjackings were down 63 percent. Kirby Lee/Getty Images The Detroit skyline. Ison isn’t the only prosecutor focusing on violent crime reduction. At the direction of the Office of the Attorney General, each US attorney was asked to come up with their own district-specific violence reduction plan in response to the pandemic-related spike. But Thomas Abt says that the energy Ison brings to the effort is unusual. “The US attorney and Chief White are demonstrating an exciting new form of collaborative leadership,” Abt says. “They’re people who can celebrate the successes of others. I think that’s really positive and constructive.” Detroit invested in community violence interruption Detroit received $826 million through the American Rescue Plan Act in 2021, and in 2023, the city allocated a small slice of the money to a handful of community-based programs working to reduce gun violence in the neighborhoods that suffered from it the most. One of those programs is FORCE Detroit, which works on the west side of Detroit in a neighborhood that saw a significant reduction in gun violence last year. “Our goal is to create peace, so we’re dealing with people on multiple sides of conflict,” says Harvey-Quinn, the group’s founder. “They understand that our space is a neutral zone.” Since FORCE has begun its work, she says, the group has had at least 87 instances of intervention or deescalation. Those incidents range from getting someone to take down a threat made on social media before it escalates into violence to convening rival gang members and saying, “Let’s sit everyone down, and as long as people don’t want to go to prison, or die, there has to be a solution.” Mostly, it’s about connecting young people with credible messengers who have served time and lost friends to gun violence and are now trained by her organization in deescalation and crisis mitigation strategies. FORCE Detroit was touted by city leaders when the neighborhood they serve saw no homicides between November 2023 and January 2024. “We’re working with the people who shoot guns, and we’re encouraging them not to,” Harvey-Quinn says. “Statistically, less than 2 percent of our community is ever going to shoot a gun.” By designing programs focused on meeting that 2 percent in their own neighborhoods, she says, “you have a real opportunity to deeply impact them. It really matters whether or not they get the good, wraparound services. It really matters that they have mentors that care.” With polls showing that voters think of crime as a major concern this election year, political leaders are looking to show that they’re serious about reducing it. If they’re interested in what reduces crime, they should look at what worked in Detroit. It wasn’t the “tough on crime” approach that so many leaders are now pursuing as a too-late reaction to the crime surge of 2020 and 2021. Detroit succeeded by thinking creatively, working cooperatively, and asking the city’s residents to partner with them in the effort. City leaders demonstrated that they were willing to offer resources to help, even as they acknowledge there’s so much more work to be done. It’s a strategy designed for long-term improvement, not election-year grandstanding.
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Could bird flu cause a human pandemic?
A dairy farm worker prepares cows for milking in Ontario, Canada, in July 2022. | Irfan Khan/Los Angeles Times via Getty Images Here’s what’s worrying experts right now about H5N1’s spread among dairy cows — and what isn’t. Last year, when an H5N1 avian flu virus — commonly known as bird flu — was spilling over from bird populations into a variety of wild mammals, Seema Lakdawala, a virologist and influenza A transmission specialist at Emory University, was “not overly concerned” about human risk. We don’t have “much of an interface with seals or with foxes, for that matter, or polar bears,” she says. But when it comes to cows, that interface is vast. People on dairy farms regularly interact with cows and their milk; when the animals and their milk are infected with a virus that can cause disease in humans, and that mutates constantly, each of those interactions functions as an opportunity for the virus to workshop its adaptability. Now, says Lakdawala, “I am more concerned than I have been, and it’s not for the general public — it is for dairy workers.” The H5N1 outbreak among cows on 34 dairy farms in nine states has so far led to only one very mild human infection. However, the virus was likely spreading among cows for months before it was detected. Lakdawala’s greatest concern is that this highly changeable virus has now arrived at an important point of human-animal convergence, and that we are not prepared. For a virus to cause a human pandemic, it has to have three important characteristics, say flu experts. It has to cause human disease; it has to be something our immune systems haven’t encountered before; and it must spread easily among humans, especially through the air. The latest events do not yet demonstrate that H5N1 has new capacities in any of these categories. However, they hint that the virus has the machinery to evolve those capacities — and that it could do so before we know it. In dairy cows, H5N1 has found an excellent laboratory for evolving traits dangerous to humans Although Lakdawala was concerned when mink, seals, and other mammals were infected with H5N1 last year and the year before, cows are different. An outbreak among “mammals with a large interface with humans” is a red flag to her. It’s a numbers game. Although all viruses mutate routinely, flu viruses are particularly good at shapeshifting and can even swap entire chunks of genetic material with other flu viruses if an animal is co-infected with more than one of them. These mutations happen randomly, and most don’t make the viruses more dangerous to humans — but it’s entirely realistic to imagine that some occasionally do. If that occasionally human-threatening mutation happens to a flu virus that has infected, say, a wild fox, it doesn’t pose a particularly high risk of causing a pandemic among humans. After all, few wild foxes have contact with humans. If it happens in a cow, however, there are far more opportunities for the virus to effectively workshop its new features. People who work on dairy farms are constantly interacting with cows and their milk — they check udders, hook and unhook milking machines, and perform other tasks to care for the animals. That puts them in lots of contact with any virus infecting the cows. If the virus were one that didn’t infect and kill people or that doesn’t mutate and adapt as easily as the flu does, perhaps it wouldn’t be as concerning — but H5N1 does infect people at close proximity to animals, and at least half of the more than 900 people who’ve been infected with the virus since it came on the scene in 1996 have died. “There is a high viral load in milk of these infected cows, and so it is a concern to me in terms of spillover [from] cows into workers,” says Lakdawala. “And the more often the virus has an attempt to spill over, the more likely it is to adapt.” We already know the virus is adapting in mammals, she says. “The more spillover events, the more attempts that the virus has to find a successful variant that can take off or infect the human — and then one infected individual, three infected individuals, go home” to their families, where they could potentially spread the virus further. It’s not a pandemic right now, she says, but now is the time to act to reduce the opportunities for spillover events. For the first time, we have proof of H5N1 spreading among a mammalian species When a virus leaps from one species into another, that’s not usually enough to cause a large outbreak. You could look at H5N1’s history: Although the virus has leapt from animals into people hundreds of times, it has very rarely spread among people. When infections effectively stop spreading once they cross species lines, the non-transmitting species is called a “dead-end host.” Birds readily transmit H5N1 to other birds, but until recently, scientists have thought mammals getting infected with H5N1 were dead-end hosts. In the past couple of years, they’ve had some sneaking suspicion that minks and other mammals getting infected with the virus were spreading it among themselves — but they never had definitive proof. That is, they couldn’t rule out the possibility that all the animals had gotten infected by eating bits of the same sick bird, or through another so-called “common source” exposure. It’s much harder to contain a pathogen’s spread within a species if members of that species can transmit it to each other. What the dairy cow outbreak shows for the first time is that mammals can indeed now infect each other with H5N1 — and can do it efficiently. “Genetic data and epidemiologic data are all quite strongly suggesting that these viruses are getting transmitted in some way between these cows,” says Louise Moncla, a veterinary pathobiologist at the University of Pennsylvania School of Veterinary Medicine whose team has analyzed genetic data from infected cows that the US government recently made available. This virus’s mode of transmission isn’t apparent yet — and it matters It’s not yet clear how the virus is being spread through and between dairy cow herds. High viral loads in cows’ udders and in their unpasteurized milk make it possible that contact with contaminated milking machines is doing most of the transmission. However, it’s also possible the virus is spreading through the fecal-oral route or through contaminated air; the latter would be particularly concerning because it’s so much harder to prevent. (Moncla notes that while the classic genetic fingerprint for a bird flu’s ability to spread through air between mammals is absent from this strain of H5N1, that doesn’t mean we’ve ruled out respiratory spread.) Regardless of exactly how H5N1 is spreading among cows, the significance that they’re transmitting the virus to each other is clear to flu experts: If the virus has adapted to spread among one mammalian species, it raises the specter that it can also adapt to spread among humans. There is a precedent for flu viruses to spread from livestock to humans, leading to a pandemic: The H1N1 flu outbreak began when a flu virus spread from pigs to humans. It caused far less death than expected through a stroke of luck — because the virus had similarities to strains that circulated in the first few decades of the 20th century, many older adults still had some flu immunity left over from childhood infections. If H5N1 develops the ability to spread among humans, it would be a novel infection to most immune systems, giving us much less protection from old flu infections. There are “no signs of that [ability] so far in the cattle sequences,” says Andrew Pekosz, a virologist who studies respiratory virus biology at Johns Hopkins University’s Bloomberg School of Public Health. “That’s a good thing.” Still, because we don’t know much about how influenza A viruses like H5N1 behave in cows, we don’t yet know what cautionary measures will do the most to slow their spread. In 2011, scientists learned that the influenza D virus causes respiratory illness in cattle. However, not all flu viruses are created equal: “I did not ever anticipate seeing an influenza A in cattle,” says Lakdawala. While influenza D infections don’t appear to cause much disease in humans, influenza A viruses very much do: All of the past global flu pandemics have been caused by influenza A viruses. Because this is such an unusual event, says Moncla, “we know very little about how flu replicates and transmits in cows.” That makes it hard to quickly design and implement precautions to prevent the virus from spreading to the people who handle them. “What would calm me down is if we started implementing interventions that would mitigate the presence of the virus and its transmission amongst cattle, and spilling over into humans,” says Lakdawala. “Say, okay: Every dairy farm worker is gonna wear a face shield,” she said. It would help to know whether cows that are infected but asymptomatic have infectious virus in their milk, and whether they can transmit virus to each other, says Pekosz. Ongoing studies by academics and federal agencies should help answer those questions. Here’s why you shouldn’t panic At the moment, there are more “coulds” than “ares” with H5N1: Although the virus is showing that it couldadapt further to spread among humans, so far it hasn’t; and while it’s reasonable to conduct studies to ensure pasteurization works against this particular strain of H5N1, there’s no reason to think it won’t. It’s also worth noting that according to the USDA spokesperson, the virus has so far not caused severe disease or death in the cows it has infected — they’ve all recovered with supportive care. In that way, this outbreak is very different from the ones we’ve seen in some other mammals. Furthermore, testing at the Centers for Disease Control and Prevention has already demonstrated that existing antiviral medications are effective at preventing human infections with this strain of H5N1 and that two existing candidate vaccines could be used to rapidly scale up mass production of human vaccines against this virus if needed. So for now, the general public shouldn’t be overly concerned about the virus, says Pekosz. “Scientists are … working extra overtime for this. But the general public should still feel safe.”
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Why we keep seeing egg prices spike
With a new wave of bird flu affecting hens, egg prices are ticking up again. | Matthew Hatcher/Bloomberg via Getty Images How corporate greed plays a role in making bird flu outbreaks — and egg prices — worse. Egg prices are rising again. The culprit, again: bird flu. At least, that’s the surface-level reason. In the current wave, according to the CDC, the H5N1 bird flu has been found in over 90 million poultry birds across almost every state since 2022, and has even spread to dairy cattle, with over 30 herds in nine states dealing with an outbreak at the time of this writing. The last time bird flu struck US farms, in early 2022, egg prices more than doubled during the year, reaching a peak of $4.82 for a dozen in January 2023. During the bird flu outbreak in 2014 to 2015, egg prices also briefly soared. While prices now are still nowhere near the peak they reached in January 2023, they’ve been creeping up again since last August, when a dozen large eggs cost $2.04. As of March, we’re bumping up against the $3 mark, which is a nearly 47 percent increase. It’s also a huge increase from the price we were used to a few years ago: In early 2020, a dozen eggs were just $1.46 on average. The H5N1 strain of bird flu is highly contagious and obviously poses a big risk to hens. But the fact that bird flu outbreaks keep battering our food system points to a deeper problem: an agriculture industry that has become brittle thanks to intense market concentration. The egg market is dominated by some major players The egg industry, like much of the agricultural sector, is commanded by a few heavyweights — the biggest, Cal-Maine Foods, controls 20 percent of the market — that leave little slack in the system to absorb and isolate shocks like disease. Hundreds of thousands of animals are packed tightly together on a single farm, as my colleague Marina Bolotnikova has explained, where disease can spread like wildfire. According to the government and corporate accountability group Food & Water Watch, three-quarters of the country’s hundreds of millions of egg-laying hens are crammed into just 347 factory farms. The system also uses genetically similar animals that farms believe will maximize egg production — but that lack of genetic diversity means animal populations are less resistant to disease. When a hen gets infected, stopping the spread is an ugly, cruel business; since 2022 it has led to the killing of 85 million poultry birds. For the consumer, it often means paying a lot more than usual for a carton of eggs. Preventing any outbreaks of disease from ever happening isn’t realistic, but the model of modern industrial farming is making outbreaks more disruptive. And it’s not just these disruptions driving price spikes. Egg producers also appear to be taking advantage of these moments and hiking prices beyond what they’d need to maintain their old profit margins. “It is absolutely a story of corporate profiteering,” says Rebecca Wolf, senior food policy analyst at Food & Water Watch. Cal-Maine’s net profit in 2023 was about $758 million — 471 percent higher than the year prior, according to its annual financial report. Most of this fortune was made through hoisting up prices; the number of eggs sold, measured in dozens, rose only 5.9 percent. Last year, several food conglomerates, including Kraft and General Mills, were awarded almost $18 million in damages in a lawsuit alleging that egg producers Cal-Maine and Rose Acre Farms had constrained the supply of eggs in the mid- to late 2000s, artificially bumping prices. A farmer advocacy group last year called on the FTC to look into whether top egg producers were price gouging consumers. Are we doomed to semi-regular price surges for eggs? Our food system didn’t become so consolidated — and fragile — by accident. We got here because of three big reasons, Wolf says: by not enforcing environmental laws, by not enforcing antitrust laws, and by giving away “tons of money” to the agriculture industry. During the New Deal era, the federal government put in place policies that would help manage food supply and protect both farmers and consumers from sharp deviations in what the former earned and the latter paid. Under Secretary of Agriculture Earl Butz in the 1970s, though, those policies started getting chipped away; Butz’s famous motto was for farmers to “get big or get out.” The spread of giant factory farms is in part a product of this about-face in managing supply. Because our food system is so concentrated and intermingled, it also means any single supply chain hiccup — whether due to disease, wars, or any other reason — can have ripple effects on others, affecting prices in a vast number of essential consumer goods and services. “When we have things like E. coli outbreaks, it’s hard to know where the problem lies because the way that we process and manufacture is so hyper-industrialized that you then have a problem with millions of pounds of food,” says Wolf. Thankfully, the Biden administration has been making some strides in loosening up food industry consolidation, often by shoring up enforcement of long-existing antitrust laws. But there’s still more we could do. There are bills that have been introduced to Congress, like Sen. Elizabeth Warren’s Price Gouging Prevention Act, that would give the FTC the authority to first define what counts as price gouging and then crack down on companies that raise prices excessively. The cycle of food chain snags and higher prices doesn’t have to keep repeating. “We are maximizing profit truly over everything else — over the welfare of the animals, over the rights and wages of people who work in the food system, for even consumers who are at the grocery store,” Wolf says. “None of this is inevitable — we shouldn’t have to be here.” This story appeared originally in Today, Explained, Vox’s flagship daily newsletter. Sign up here for future editions.
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