Russia is destroying Ukraine’s economy, raising costs for U.S. and allies

The Washington Post

Russia is destroying Ukraine’s economy, raising costs for U.S. and allies

Jeff Stein and David L. Stern, The Washington Post – December 15, 2022

KYIV, Ukraine – Two months of relentless missile and drone attacks by Russia have decimated Ukraine’s critical infrastructure and blown a hole in projections for the country’s war-ravaged economy.

Before those strikes, Kyiv expected to need at least $55 billion in foreign assistance next year to meet basic expenses – more than the country’s entire annual prewar spending.

Now, with its energy systems severely battered, and more Russian attacks likely, some officials believe Ukraine could end up needing another $2 billion a month, and political leaders have begun trying to brace Western supporters for such worst-case scenarios.

“What do you do when you can’t heat your house, you can’t run your shops, factories or plants, and your economy is not working?” said Oleg Ustenko, an economic adviser to President Volodymyr Zelensky. “We are going to be requiring more financial assistance, and Putin is doing this to destroy unity among allies.”

At a closed-door meeting last week at the National Bank of Ukraine, which now has a military checkpoint just outside its headquarters, central bank officials pondered what might happen if Russia’s attacks intensify. People could flee Ukraine in droves, taking their money with them, potentially crashing the national currency as they seek to exchange their Ukrainian hryvnia for euros or dollars.

The Ukrainian government could be left without international reserves to pay for critical imports and unable to meet its foreign debt obligations – a doomsday scenario known as a balance-of-payments crisis.

One dire scenario predicted that Ukraine’s economy could contract by another 5 percent next year, on top of the 33 percent contraction this year, according to a person familiar with the bankers’ report who spoke on the condition of anonymity because it was not public.

Ukrainian Prime Minister Denys Shmyhal, at an international donor conference in Paris on Tuesday, said the contraction next year could reach 9 percent depending on the severity of continued Russian attacks.

As Russian President Vladimir Putin persists with his 10-month-old war, Ukraine’s survival hinges as much on outside economic aid as on donated weapons, and Putin now seems intent on making such help so costly that Kyiv’s Western backers give up.

Before the infrastructure attacks began on Oct. 10, Ukrainian officials were optimistic that Western financial aid would allow them to close most, if not all, of their enormous budget gap in 2023.

The European Union and United States collectively have pledged to send more than $30 billion to Ukraine next year, though not all of that money is formally approved. On Thursday, the E.U.’s 27 heads of state and government, meeting in Brussels, agreed to provide 18 billion euros, or just over $19 billion, in loans to Ukraine next year.

Some aid promised for this year was slow to materialize, forcing Kyiv to print money and devalue its currency to ensure its economy remained competitive, contributing to a spike in inflation of more than 20 percent.

But this help, even if it does come through, is intended only to keep the country afloat day-to-day. It doesn’t remotely begin to address the hundreds of billions in damage wrought by the war.

Russia’s invasion has destroyed hospitals, ports, fields, bridges and other parts of the country’s critical infrastructure. Agricultural exports have been decimated, despite an international accord to maintain some grain shipments. Huge swaths of Ukrainian industry are now in occupied territory. As much as one-third of the country’s forests have been destroyed.

In September, United Nations officials estimated that nearly 18 million Ukrainians needed humanitarian aid. With the country on the brink of a financial cliff, some advisers to Zelensky in recent weeks weighed asking Western governments to finance direct cash payments to Ukrainian citizens, according to two people familiar with the internal talks.

Now, with energy systems decimated, Kyiv and its partners face a head-splitting challenge. Key pillars of the economy – coal mining, industrial manufacturing, information technology – cannot function without electricity or internet service. The World Bank has warned that poverty could explode tenfold. Unemployment, already close to 30 percent, is likely to climb further.

“In case of full blackouts for longer periods, we will definitely need to get more resources to avoid humanitarian catastrophe,” Sergiy Nikolaychuk, Ukraine’s deputy central bank governor, who attended last week’s meeting, said in an interview.

The dire assessments reflect something Ukrainian officials and their Western supporters do not like to admit aloud: The Kremlin has made Ukraine’s economy a pivotal theater of the war – one in which Moscow is arguably having far more success than on the front lines, where its troops have struggled.

“How does an economy function at all – while supporting the war effort – with this level of damage to civilian infrastructure? I don’t think we’ve ever seen this,” said Simon Johnson, an economist at MIT who is in communication with Ukrainian officials. “I can’t think of any economy that’s ever tried to do this.”

Blackouts take up roughly half the workday. Valentyn Nyzkovolosov, co-owner of the Salt and Pepper catering service in Kyiv, and his partner, Andrii Boyarskyy, have their staff arrive at 5 a.m. – as early as possible under the wartime curfew in Kyiv. When the power goes out after sunset – before 4 p.m. these days – employees work with flashlights.

When Washington Post journalists arrived at Nyzkovolosov’s business recently, there was no electricity. Moments later, air raid sirens sounded and Salt and Pepper’s staff descended into a cramped cellar that serves as a bomb shelter. “This is the best example of the conditions that we work under,” Nyzkovolosov said. During a previous alert, a few weeks earlier, explosions were heard nearby, employees said.

Ukrainians are adamant that Russia’s missile attacks will not break their fighting spirit. But businesses and workers are struggling to adapt. For many, it is impossible to function without electricity.

Mining and manufacturing – which make up roughly one-fifth of Ukraine’s economy – are among the hardest-hit sectors. Two of the country’s biggest steel plants, located in the industrial southeast, shut down last month because of blackouts. Dozens of coal miners had to be rescued after a power failure trapped them underground.

“For large industrial and metallurgical plants, these blackouts are very dangerous,” said Dennis Sakva, an energy analyst at Dragon Capital, a Ukrainian investment firm, which recently downgraded its economic forecast for 2023 to a 6 percent contraction in economic output from 5 percent growth.

“If you’re in the middle of a technical complicated process with high temperatures and have a power outage, it can cause all sorts of problems,” Sakya said.

Ongoing internet outages could also wreak financial havoc. Information technology, for example, has emerged as a pillar of Ukraine’s economy, and was the only sector to have grown over the past year, said Mykhailo Fedorov, a vice prime minister who oversees digital transformation.

Yet due mainly to the recent attacks, the internet connectivity rate is down to 35 percent of its prewar level. Ukrainians are importing Starlink terminals for internet via satellite, but there are unlikely to be enough to manage widespread outages. And the internet disruptions impair not just the IT sector but basic public and private financial services, such as pension payments, mobile banking, tax collection and digital sales.

The biggest economic threat, however, is not a loss of connectivity but a loss of people. A lack of heat and water service during winter could set off a mass population exodus. Kyiv has already warned residents to be prepared to leave if its heat goes offline amid freezing temperatures. In that scenario, the city would have no choice but to cut off water to prevent pipes from freezing and rupturing.

In the southern cities of Mykolaiv and Kherson, authorities are urging citizens to evacuate, warning of a lack of critical services during winter. European countries are already sheltering millions of war refugees, and experts warn of a new crisis.

“You need to have a place to evacuate so many people,” Sakva, the Dragon analyst, said. “When the number of affected residents is in millions or the tens of millions, that’s a very hard question. I’m not sure anyone has a clear answer to it.”

Ukrainian Finance Minister Sergii Marchenko was already in the midst of asking Treasury Secretary Janet L. Yellen for billions in aid when he first alerted her to Russia’s bombing of infrastructure.

At the time, on Oct. 16, it appeared that the United States and Europe could help stave off an economic disaster in Ukraine. The Biden administration was helping to close a significant portion of Ukraine’s budget deficit. The E.U., while behind on pledges, was also providing aid.

Dominated by oligarchs and perennially in need of bailouts, Ukraine was a financial mess long before Russia’s invasion. Full-blown war sent its economy into a tailspin.

After Ukraine halted Russia’s assault on Kyiv last spring, the immediate emergency stabilized. By summer, Western officials had even started talking about forcing Russia to pay for postwar reconstruction, which the World Bank estimated would cost $350 billion. Ukrainian officials talked up a modern-day “Marshall Plan” that would also forge closer economic ties to the West.

When he met Yellen in October, Marchenko warned that the energy attacks could unravel previous calculations, but he had no idea how bad things would get. “Even at that week, we couldn’t estimate how far Russia could reach to destroy our energy infrastructure,” Marchenko recalled in an interview at the Finance Ministry on Monday, shortly after he and his team took cover in a parking lot amid another air raid siren.

The Zelensky and Biden administrations were already on edge about the rhetoric from U.S. Republicans who won a slim majority in the House, including the potential future speaker, Kevin McCarthy (R-Calif.), who warned that there would be no “blank check” for Ukraine.

As the humanitarian needs grow, Ukrainian economic officials have sounded out Western officials about the potential for an income support program to provide roughly $50 per person per month – at a cost of $12 billion over six months, one person familiar with the matter said.

They found a cool reception, however, from Western officials who were already wary of appearing to support too much aid for Ukraine, the person said.

After the energy attacks, some experts argue the West may be doing too little, not too much.

“We’re already giving them just enough to avoid hyperinflation,” said Jacob Kirkegaard, a senior fellow at the German Marshall Fund of the United States. “But there’s clearly a risk of a more serious economic contraction, and the only way to stop that will be to provide more financial assistance.” But, Kierkegaard added, “I don’t know if the will is there.”

Russia launches another major missile attack on Ukraine

Associated Press

Russia launches another major missile attack on Ukraine

Hanna Arhirova, Vasilisa Stepanenko, Jamey Keaten – December 16, 2022

A woman cries in front of the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka)
A woman cries in front of the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka
Debris of an apartment building damaged in a Russian rocket attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missile strikes across Ukraine on Friday, officials said, reporting explosions in at least four cities. At least two people were killed when a residential building was hit in central Ukraine, while electricity and water services were interrupted in the two largest cities, Kyiv and Kharkiv. (Ukrainian Emergency Service via AP Photo)
Debris of an apartment building damaged in a Russian rocket attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missile strikes across Ukraine on Friday, officials said, reporting explosions in at least four cities. At least two people were killed when a residential building was hit in central Ukraine, while electricity and water services were interrupted in the two largest cities, Kyiv and Kharkiv. (Ukrainian Emergency Service via AP Photo)
People rest in the subway station, being used as a bomb shelter during a rocket attack in Kyiv, Ukraine, Friday, Dec. 16, 2022. Ukrainian authorities reported explosions in at least three cities Friday, saying Russia has launched a major missile attack on energy facilities and infrastructure. Kyiv Mayor Vitali Klitschko reported explosions in at least four districts, urging residents to go to shelters. (AP Photo/Efrem Lukatsky)
People rest in the subway station, being used as a bomb shelter during a rocket attack in Kyiv, Ukraine, Friday, Dec. 16, 2022. Ukrainian authorities reported explosions in at least three cities Friday, saying Russia has launched a major missile attack on energy facilities and infrastructure. Kyiv Mayor Vitali Klitschko reported explosions in at least four districts, urging residents to go to shelters. (AP Photo/Efrem Lukatsky)
Ukrainian State Emergency Service firefighters work to extinguish a fire at the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka)
Ukrainian State Emergency Service firefighters work to extinguish a fire at the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka)
Ukrainian State Emergency Service firefighters work at the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka)
Ukrainian State Emergency Service firefighters work at the building which was destroyed by a Russian attack in Kryvyi Rih, Ukraine, Friday, Dec. 16, 2022. Russian forces launched at least 60 missiles across Ukraine on Friday, officials said, reporting explosions in at least four cities, including Kyiv. At least two people were killed by a strike on a residential building in central Ukraine, where a hunt was on for survivors. (AP Photo/Evgeniy Maloletka)

KYIV, Ukraine (AP) — Ukraine’s capital came under one of the biggest attacks of the war on Friday as Russia’s invading forces fired dozens of missiles across the country, triggering widespread power outages, Ukrainian officials said.

Gunfire from air defense systems and thudding explosions combined with the wail of air-raid sirens as the barrage targeted critical infrastructure in cities including Kyiv, Kharkiv, Kryvyi Rih and Zaporhizhzhia. The head of the Ukrainian armed forces said they intercepted 60 of 76 missiles launched.

“My beautiful sunshine. What am I going to do without you?” wailed Svytlana Andreychuk in the arms of Red Cross staffers. Her sister Olha was one of three people killed when a missile slammed into a four-story apartment building in Kryvyi Rih.

“She was so cheerful in life. She was a beauty. She helped everybody. She gave advice to everybody. How I love you so,” said Andreychuk.

In Kyiv, city council member Ksenia Semenova said 60% of residents were without power Friday evening, and 70% without water. The subway system was out of service and unlikely to be back in operation Saturday, she said.

Russian strikes on electricity and water systems have occurred intermittently since mid-October, increasing the suffering of the population as winter approaches. But the Ukrainian military has reported increasing success in shooting down incoming rockets and explosive drones.

Friday’s attacks took place after the United States this week agreed to give a Patriot missile battery to Ukraine to boost the country’s defense. Russia’s Foreign Ministry warned Thursday that the sophisticated system and any crews accompanying it would be a legitimate target for the Russian military.

The U.S. also pledged last month to send $53 million in energy-related equipment to help Ukraine withstand the attacks on its infrastructure. John Kirby, spokesman for the White House National Security Council, said Friday that the first tranche of that aid had arrived in the country.

More than half the Russian missiles fired Friday targeted Ukraine’s capital. The city administration said Kyiv withstood “one of the biggest rocket attacks” it has faced since Russia invaded Ukraine nearly 10 months ago. Ukrainian air defense shot down 37 of about 40 missiles that entered the city’s airspace, and one person was injured, it said.

Ukraine’s air force said Russian forces fired cruise missiles from the Admiral Makarov frigate in the Black Sea, while Kh-22 cruise missiles were fired from long-range Tu-22M3 bombers over the Sea of Azov, and tactical aircraft-fired guided missiles.

In Kryvyi Rih, President Volodymyr Zelenskyy’s hometown in central Ukraine, the apartment building hit by a missile had a gaping hole in its upper floors. Along with the three people killed, at least 13 were taken to the hospital, said Igor Karelin, deputy head of the city’s emergency services.

Rescue teams with sniffer dogs searched through the debris for a missing mother and her 18-month-old child.

Also at Kryvyi Rih, nearly 600 miners were stuck underground because of the missile strikes, but were later rescued, Mayor Oleksandr Vilkul said on state TV.

He said “several energy infrastructure facilities were completely destroyed.”

State-owned grid operator Ukrenergo wrote on Facebook that Friday’s attack was “the ninth wave of missile strikes on energy facilities,” and because of the repeated damage, “the restoration of power supply may take longer than before.”

Analysts have said Russian strikes targeting energy infrastructure are part of an attempt to freeze Ukrainians into submission after battlefield losses by Russian forces. Experts say that has only strengthened the resolve of Ukrainians to resist Russia’s invasion, while Moscow tries to buy time for a possible offensive in coming months after the current battlefield stalemate.

Kharkiv regional governor Oleh Syniehubov reported three strikes Friday on critical infrastructure in that city, Ukraine’s second-largest. By evening, about 55% of the city had its electricity restored.

The southeastern city of Zaporizhzhia and its surrounding region were hit by 21 rockets, city council secretary Anatoly Kurtev said. There were no initial reports of injuries.

And Kyiv Mayor Vitali Klitschko reported explosions in at least four districts there. Many residents were sheltering deep underground in subway tunnels.

At the site of one attempted strike in Kyiv, military commanders told The Associated Press that the city’s territorial defense mobile group had shot down a cruise missile with a machine gun. It wasn’t immediately clear whether other Ukrainian fire may have contributed to downing the rocket.

“Almost impossible to hit a missile with a machine gun, but it was done,” said a commander who asked to be identified only by the call sign “Hera” for security reasons.

Ukrzaliznytsia, the national railway operator, said power was out in a number of stations in the eastern and central Kharkiv, Kirovohrad, Donetsk and Dnipropetrovsk regions. But trains continued to run after electric power was switched to backup, steam-engine power.

In neighboring Moldova, the state-owned energy company reported disruptions to its electricity network and warned of a “high risk” of power outages. Moldova — whose Soviet-era systems remain interconnected with Ukraine’s — has already suffered two massive blackouts in recent months as Russia attacked Ukraine’s energy grid.

The previous such round of massive Russian air strikes across Ukraine took place on Dec. 5.

“Grateful for the work of Ukraine’s air defense amid more escalatory Russian attacks this morning on civilian infrastructure in Kyiv and around the country,” the U.S. ambassador in Kyiv, Bridget Brink, wrote on Twitter.

Kyiv warns of long cuts after Russian missiles batter grid

AFP

Kyiv warns of long cuts after Russian missiles batter grid

Dmytro Gorshkov – December 16, 2022

A barrage of deadly Russian strikes battered Ukraine’s grid on Friday, worsening dire conditions for Ukrainians across the winter-worn country by knocking out water and electricity services in several regions.

The national energy provider warned Ukrainians already braving near freezing temperatures that it could take longer to restore electricity after dozens of Russian missiles targeted key infrastructure sites in the north, south and centre of the country.

“Priority will be given to critical infrastructure: hospitals, water supply facilities, heat supply facilities, sewage treatment plants,” Ukrenergo said in a statement Friday.

Residents of the capital wrapped in winter coats crammed into underground metro stations after air raid sirens rang out early Friday: the ninth wave of Russian aerial bombardments since October.

“I woke up, I saw a rocket in the sky,” Kyiv resident 25-year-old Lada Korovai said. “I saw it and understood that I have to go to the tube.”

“We live in this situation. It’s a war, it’s real war,” she told AFP.

The onslaught is the latest brought by Russian forces to target what Moscow says are military-linked facilities. The air assaults follow a series of embarrassing battlefield defeats for Russia.

– ‘Biggest’ missile attack of invasion –

Ukraine’s second largest city Kharkiv, near the border with Russia, was left without electricity, its mayor said. Oleg Synegubov, head of Kharkiv’s regional adminstration, said later they planned to have power restored by midnight.

The central cities of Poltava and Kremenchuk were also without power and regional officials in Kryvyi Rig, where Ukraine President Volodymyr Zelensky was born, said the airstrikes had hit a residential building.

“A 64-year-old woman and a young couple died. Their little son still remains under the rubble of the house,” the region’s governor Valentyn Reznichenko said, adding that 13 more were injured.

Oleksandr Starukh, head of the frontline Zaporizhzhia region, which houses Europe’s largest nuclear power plant, said more than a dozen Russian missiles had targeted territory under Ukrainian control.

Kyiv meanwhile “withstood one of the biggest missile attacks since the beginning of the full-scale invasion. About 40 missiles were recorded in the capital’s airspace,” regional authorities said in a statement.

Air-defence forces had shot down 37 of them, they added.

Kyiv Mayor Vitali Klitschko said the water supply had been disrupted and that the metro had stopped running so people could shelter underground.

“Due to damage to the power system and emergency power outages, subway trains will not run until the end of the day today,” city officials later announced.

The Kyiv metro is a vital resource for the capital, which had a pre-war population of three million. It has been used as a city-wide bomb shelter since the Russian invasion.

– ‘Survive winter’ –

About half of Ukraine’s energy grid has been damaged in sustained attacks and the national provider warned Friday of emergency blackouts because of the “massive” wave of Russian attacks.

In Ukrainian-held Bakhmut — an eastern city at the epicentre of the war — some residents received wood stoves distributed by volunteers, AFP journalists said.

Bakhmut resident, 85-year-old Oleksandra was braving the cold to collect medication at a nearby pharmacy in the Donetsk region city.

“I’ll survive winter. I’ll just walk more to get warm,” the old woman told AFP.

In the south, fresh Russian shelling in Kherson, recently recaptured by Ukraine, killed one person and wounded three more.

Kherson has been subjected to persistent Russian shelling since Moscow’s forces retreated in November and power was cut in the city earlier this week.

The UN humanitarian coordinator for Ukraine, Denise Brown, said a woman working as a paramedic for the Ukrainian Red Cross had been killed by Thursday’s strikes on Kherson.

Russian attacks overall killed 14 on Thursday, the deputy head of the Ukrainian presidency Kyrylo Tymoshenko said.

In the Russian-controlled region of Lugansk in eastern Ukraine, Moscow-installed officials said shelling from Kyiv’s forces had killed eight and wounded 23.

– Putin to visit Belarus –

“The enemy is conducting barbaric shelling of cities and districts of the republic,” the Russian-installed leader of Lugansk Leonid Pasechnik said on social media.

Moscow has said the strikes on Ukrainian infrastructure are a response to an explosion on the Kerch bridge connecting the Russian mainland to the Crimean peninsula annexed by Moscow in 2014.

The Kremlin has said it holds Kyiv ultimately responsible for the humanitarian impact of the strikes for refusing to capitulate to Russian negotiation terms.

But Ukrainian defence officials said this week that its forces had shot down a swarm of more than a dozen Iranian-made attack drones launched at Kyiv, a sign that Western-supplied systems are having an impact.

Separately on Friday, Russian President Vladimir Putin announced he will visit Belarus next week for talks with his counterpart and ally Alexander Lukashenko.

Minsk said the pair would hold one-on-one talks as well as wider negotiations with their ministers on “Belarusian-Russian integration”.

Obesity was long considered a personal failing. Science shows it’s not.

USA Today

Obesity was long considered a personal failing. Science shows it’s not.

Karen Weintraub, USA TODAY – December 16, 2022

More than 70% of Americans are now considered overweight and 42% meet the criteria for having obesity.
More than 70% of Americans are now considered overweight and 42% meet the criteria for having obesity.

Editor’s note: Part 1 of a six-part USA TODAY series examining America’s obesity epidemic.

Barbara Hiebel carries 137 pounds on her 5-foot-11 frame. Most of her life she weighed 200 pounds more.

For decades she tried every diet that came along. With each failure to lose the extra weight or keep it off, her shame magnified.

In 2009, Hiebel opted for gastric bypass surgery because she had “nothing left in the gas tank” to keep fighting. She quickly dropped 200 pounds and felt better than she had in ages.

Over the next eight years though, 70 pounds crept back, and the shame returned.

“I knew everything to do to lose weight. I could teach the classes,” said Hiebel, 65, a retired marketing professional from Chapel Hill, North Carolina. She asked to be identified by her first and maiden name because of the sensitivity and judgment surrounding obesity. “I’m not a stupid person. I just couldn’t do it.”

Barbara Hiebel has tried every diet, surgery and now medication; she’s down 200 pounds from her heaviest.
Barbara Hiebel has tried every diet, surgery and now medication; she’s down 200 pounds from her heaviest.

The vast majority of people find it almost impossible to lose substantial weight and keep it off.

Medicine no longer sees this as a personal failing. In recent years, faced with reams of scientific evidence, the medical community has begun to stop blaming patients for not losing excess pounds.

Still, there’s a lot at stake.

Rethinking Obesity

Despite decades fighting America’s obesity epidemic, it’s only gotten worse. To try to understand why, USA TODAY spoke with more than 50 experts for this six-part series, which explores emerging science and evolving attitudes toward excess weight.

Obesity increases the risk for about 200 diseases, including heart disease, diabetes, asthma, hypertension, arthritis, sleep apnea and many types of cancer. Obesity was a risk factor in nearly 12% of U.S. deaths in 2019.

Even for COVID-19, carrying substantial extra weight triples the likelihood of severe disease.

Early in the pandemic, pictures from intensive care units repeatedly showed large people fighting for their lives. At Weill Cornell Medical Center in New York City, the average age for ICU patients was 72 if their weight was in the “normal” range and just 58 if they fit the medical definition for having obesity, said Dr. Louis Aronne, an obesity medicine specialist there.

As fat cells expand, the body produces inflammatory hormones. Combined with COVID-19, the inflammation creates a biological storm that damages people’s organs and leads to uncontrolled blood clotting, Aronne said.

The link between obesity and severe COVID-19 is surprisingly strong, said Dr. Anthony Fauci, who has dedicated his life to combating infectious diseases.

“The data were so strong,” Fauci said of a recent government study. Even for children, every increase in body mass index led to a greater risk of infection with COVID-19 and for a dangerous case of the viral illness.

“The more you learn about the deleterious consequences of obesity, the more reason and impetus you have to seriously address the problem,” Fauci said.

But despite more than 40 years of diets and workouts, billions of dollars spent on weight loss programs and medical care, and tens of millions of personal struggles like Hiebel’s, the obesity epidemic has only gotten worse. Nearly three-quarters of Americans are now considered overweight, and more than 4 in 10 meet the criteria for having obesity.

To try to understand why, USA TODAY spoke with more than 50 nutrition and obesity experts, endocrinologists, pediatricians, social scientists, activists and people who have fought extra pounds. The reporting resulted in a six-part series, which explores emerging science and evolving attitudes toward excess weight.

The experts pointed to an array of compounding forces. Social stigma. Economics. Stress. Ultra-processed food. The biological challenges of losing weight.

They agree people need to take responsibility for eating as well as they can, for staying fit, for sleeping enough. But simply promoting individual change won’t end the obesity epidemic – just as it hasn’t for decades.

It’s time to rethink obesity, they said.

Experts offered different ideas to change the trajectory.

Subsidize healthy food. Make ultra-processed foods healthier or scarcer. Teach kids to better care for their bodies. Provide insurance for prevention instead of just the consequences. Personalize weight loss programs to support, not stigmatize. Learn what makes fat unhealthy in some people and not in others.

Dr. Sarah Kim
Dr. Sarah Kim

For real progress to come, they agreed, society must stop blaming people for a medical condition that is beyond their control. And people must stop blaming themselves.

“There’s a lot of misperception among patients that they can somehow ‘behavior’ their way out of this – if they just had enough willpower and they just decided they were finally going to change their ways, they could do it,” said Dr. Sarah Kim, an endocrinologist at the University of California, San Francisco.

For the vast majority, trying to will or work themselves to thinness is just a prescription for misery, she said.

“There’s so much suffering associated with weight that is just so unnecessary.”

Origin story

Like many people who struggle with weight, Hiebel has a family tree that includes others with extra pounds. Her mother was heavy, as were other female relatives.

In childhood, Hiebel simply loved food. It gave her pleasure. A buzz.

In fourth grade, her mother brought up her weight with the pediatrician. He prescribed amphetamines.

“I was a fat kid who always wanted to be skinny,” Hiebel said. “My whole life. I wanted to be healthy. Thinner.”

She blamed herself. For not pushing away from the table sooner. For enjoying what she ate. For the thoughts about food that popped into her head every 30 seconds all day long. For not being able to throw away the plate of cake until she had devoured every bite.

Even though she was trained as a nurse, Hiebel, was petrified of getting medical care. “I spent 50 years largely avoiding doctors because they’re going to weigh me,” she said.

People who experience and internalize weight stigma are more likely to avoid health care and report lower quality of medical care, research shows.

Many fear the waiting room won’t have chairs strong enough to support their weight. They won’t fit on the examining table. The doctor will mock or criticize them for being overweight without offering realistic advice for how to lose their extra pounds.

Dr. Fatima Cody Stanford
Dr. Fatima Cody Stanford

“We treat them as if we obviously don’t care because obesity must be their fault,”  said Dr. Fatima Cody Stanford, an obesity medicine specialist at Massachusetts General Hospital. “We just tell them to eat less and exercise more, and when that fails, as it does 95% of the time, we don’t do anything about it.”

And people with obesity continue to punish themselves. Stanford tells a story about a patient whose weight kept climbing even after being prescribed medications that are usually effective.

The woman confessed she wasn’t taking the prescription because she hadn’t tried hard enough to lose weight on her own and didn’t deserve it. “I only do 15,000 steps a day,” the woman told Stanford. “I feel like I should be doing 20,000.”

Stanford ended up persuading her to take the medication. She explained that if someone had a disability weakening their legs, it wouldn’t be a failure for them to use a wheelchair.

Compassionate care 

Hiebel had excellent insurance coverage, but she remembers overhearing her internist arguing with the insurance company to get her weight loss surgery covered. She was required to try Weight Watchers for at least six months and a second weight loss program for another six months, although data shows the vast majority of people can’t lose substantial weight and keep it off.

It felt as if the whole insurance industry was telling her she was guilty for being fat.

Shame and embarrassment led Hiebel to avoid seeking help when she started regaining weight after the surgery. “People did all this work on you. You spent all this time and energy and you’re failing yet again,” she said.

But she didn’t want to let all her progress fall apart. She eventually went back to her surgeon.

He told her to make an appointment with Dr. Katherine Saunders at Weill Cornell – and to wait as long as was necessary to see her.

When Hiebel eventually found herself in Saunders’ office, she heard for the first time in her life the words: “This is not your fault.”

“In my head, I’m going, ‘Of course it’s my fault. I’m weak. I’ve got no willpower,'” Hiebel said.

Saunders told her weight loss would take hard work. Her body was conspiring against her to keep on the pounds. The free snacks in her office break room would be a constant temptation.

She offered Hiebel some new tools, including medication to address metabolic issues and her mental state.

With other weight loss doctors, Hiebel felt embarrassed to return for another appointment until she had lost 10 pounds. That often meant never going back. But Saunders told Hiebel to call immediately if she started to struggle.

“She was inoculating me against that from the beginning,” Hiebel said. “‘This isn’t your fault. I can help. And if you get into trouble, don’t do what you would normally do and actually call me.'”

The medication gave Hiebel some stomach problems. Saunders warned her that might happen and told her to tough it out for a few weeks. They would adjust the dosage or prescription if it got too bad.

Hiebel’s pounds started melting off. She felt great.

Then, for two days, Hiebel found herself repeatedly standing in front of her pantry. “Just looking,” she said. “I’d grab a cracker or shut the door. But you keep going back.”

Without noticing, she had missed two daily doses of Contrave, a prescription weight loss pill that also helps with mood disorders. Hiebel resumed taking the pills, and her pantry-gazing ended. “I went back to my normal habits almost overnight. Literally.”

That’s when she realized the power of the medications – and of the drive she carried within her.

“I always felt controlled by food,” she said. “Everything was about not eating.”

But the metabolic changes from the surgery and the boost from the medications finally changed that dynamic. Raw cookie dough, once her “fifth major food group,” lost its grip on her mind. “I kind of don’t really want it,” she said.

She can throw away a piece of cake after just a few bites, even leaving behind the icing. “Now I’m that person,” Hiebel said, “not because I somehow have the willpower, but because I don’t really want it.

“I feel liberated around food.”

Easy to gain, hard to lose 

Weight gain may be as simple as consuming more calories than you burn, but weight loss isn’t as simple as burning more calories than you eat.

The human body evolved over tens of thousands of years to hold on to excess calories through fat.

“The default is to promote eating. It’s very simple, very logical. If it were not this way, you would die after you’re born,” said Tamas Horvath, a neuroscientist at the Yale School of Medicine. “When you live out in the wild, you need to be driven to find food, otherwise you’re going to miss out on life.”

Severe calorie restriction is dangerous, said Horvath, who, with his colleague Joseph Schlessinger, has been studying the brain wiring that drives hunger.

In a study of mice whose calories were severely restricted, one-third lost weight and lived longer, as the experiment set out to prove, Horvath said. But nothing happened to another third. The remainder died young.

“When you engage in such behavior, you are basically playing Russian roulette,” he said.

Restricting calories seems to slow metabolism, meaning the body needs less fuel. “You have to keep restricting more and more to keep losing weight,” said Dr. David Ludwig, an endocrinologist and researcher at Boston Children’s Hospital. “This is a battle between mind and metabolism that most people don’t win.”

Genetics play a role, too. Some people seem destined from birth to be thin, like everyone else in their family.

Only about a quarter of the population, those with a genetic gift for thinness, seem to escape extra pounds in today’s food climate. Even these lucky few can develop the same metabolic problems seen with obesity, becoming “thin outside, fat inside,” according to Jose Ordovas, a professor at the Friedman School of Nutrition Science and Policy at Tufts University.

And everybody doesn’t gain the same amount of weight from overeating.

1990 study showed that a group of identical twin men fed an additional 1,000 calories a day for three months led some to gain roughly 10 pounds and others to gain 30. The twin pairs varied substantially from each other in how much weight they gained and where, but each twin responded nearly the same as his brother.

Overeating can distort the nerves in the brain that receive signals from hormones, said Aronne, at Weill Cornell.

“As you get more damage there, fewer hormonal signals are able to get through and tell your brain how much you’ve eaten and how much fat is stored,” he said. “As a result, your body keeps expanding your fat mass.”

Exercise doesn’t lead to weight loss either. “You can’t easily exercise off obesity,” said Marion Nestle, an emerita professor of nutrition and food science at New York University.

Still, experts agree that regular exercise is crucial to health at any size. And it may help prevent weight gain and regain.

“The Biggest Loser” TV show ran on NBC for 17 seasons, following participants as they lost weight through diet and exercise. In 2016, Kevin Hall, a National Institutes of Health researcher, examined what had happened to 14 of the 16 contestants from the 2009 season.

All but one regained some or all of their lost weight, Hall found. But the contestants who remained the most physically active kept off the most weight, he reported in a 2017 analysis of the results.

“The benefits of exercise when it comes to weight don’t seem to show up so much while people are actively losing weight,” he said, “but in keeping weight off over the long term.”

Adequate sleep also is essential for maintaining a healthy body weight and can help with weight loss, studies show.

To accomplish everything she wanted to do in a day, Hiebel often limited her sleep to five to six hours a night. Her solution to the resulting exhaustion was to snack. She remembers frequent coffee and cookie breaks, “as self-defeating as that is.”

Many people make the same decision to sleep less – and end up eating more.

In a study published earlier this year, people who had extra weight but not obesity were encouraged to sleep 1.2 hours more a night for two weeks. They ended up consuming 270 calories less a day than the volunteers who slept their typical 6½ hours or less a night.

“It’s about sufficient sleep making you feel less hungry, making you want to consume fewer calories,” said Dr. Esra Tasali, who led the study and directs the UChicago Sleep Center. “Basically not eating the extra chocolate bar.”

Growing hope 

Even though she knows how to work the system from her years in the insurance industry, Hiebel is struggling again to get her medication covered by insurance.

She may have to switch to two low-cost generics, provided at the wrong dose. “I’m going to have to cut a pill into fourths with a razor blade,” she said. “It’s ridiculous.”

But Heibel will do what she must to keep off the extra weight.

She feels healthier without those pounds. She used to dread the hills she faced on hikes with her husband. After losing weight, she barely notices them.

Barbara Hiebel wants to share her story of weight loss, so others know there's hope.
Barbara Hiebel wants to share her story of weight loss, so others know there’s hope.

“We’re not talking about Everest,” she said. “I’m not running marathons, but I can do this stuff and I don’t huff and puff.”

Before she started weight loss medications, she was heading into pre-diabetes. She had borderline high cholesterol and was managing hypertension. Now, her LDL and HDL hover around 70; 60 to 100 is considered optimal.

Just knowing it was possible to break food’s grip on her life, that there was hope, was transformative.

Hiebel wants to talk publicly about her story, about the shame she endured for decades, because she wants others to know it’s not their fault and help is out there.

The incident with the Contrave made her realize she’ll probably need to take a constellation of medications forever. And they still give her a rumbly tummy sometimes.

It’s a small price to pay, she said, “to do something that for 50 years I wasn’t able to do.”

“I’m happy as a clam, and I’m not looking back.”

Contact Karen Weintraub at kweintraub@usatoday.com.

Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competition in Healthcare. The Masimo Foundation does not provide editorial input.

Which Virus Is It This Time? New Yorkers Are Sick of Being Sick.

The New York Times

Which Virus Is It This Time? New Yorkers Are Sick of Being Sick.

Kimiko de Freytas-Tamura and Nate Schweber – December 16, 2022

Lester Sykes, who said New Yorkers are hyperaware of their health right now, in Brooklyn, Dec. 15, 2022.  (Ahmed Gaber/The New York Times)
Lester Sykes, who said New Yorkers are hyperaware of their health right now, in Brooklyn, Dec. 15, 2022. (Ahmed Gaber/The New York Times)

NEW YORK — For almost a month now, Sean Merriam has been walking around town with a stuffy nose and a mysterious cough that keeps clattering in his lungs. He knows it’s not COVID-19, because he tests regularly, and it’s not the flu, which he recovered from a few weeks ago.

The culprit may be the respiratory syncytial virus, known as RSV, that has been surging this season, but he’s not sure. It could be anything, really.

“I go through periods when I think it’s gone, and then I cough, and I’m like, yeah, it’s still there,” said Merriam, 55, a video editor who wheezed his way through McCarren Park in Brooklyn on Thursday. “It just won’t go away.”

His mystery virus is among a swirl of diseases assailing New Yorkers this winter with bewildering and miserable symptoms — a toxic cocktail made worse by cramped apartments, subway cars and classrooms, where masks are now optional.

In the face of such a relentless onslaught, New Yorkers appear to have mixed emotions, feeling apprehensive, weary and resigned to a new “new normal.” They are living not just among the coronavirus and its seemingly endless variants, but a bunch of other viruses too. Infectious disease experts have noted that other respiratory illnesses, such as rhinoviruses and adenoviruses, are also circulating.

“There’s always a sickness going on,” said Lester Sykes, 35, who lives in the Bedford-Stuyvesant neighborhood in Brooklyn and who was out walking Raja, his Pharaoh hound. “Everyone is hyperaware of their health now,” he said.

“It’s all about the feels until you get sick,” he said. “Then when you get sick, you’ve got to deal with it.”

According to city data, the number of COVID cases has jumped about 31% since Thanksgiving and now stands at about 3,600 per day. The actual total caseload is much higher, though, because that number does not include at-home testing, which is now prevalent. Meanwhile, flu cases have skyrocketed over the last two weeks and are at levels higher than at any point since 2018. A spot of good news: RSV appears to have peaked in mid-November and is on the decline, though its levels are also still high.

Although city officials have been recommending that New Yorkers wear masks in indoor public spaces, few are heeding that call. School attendance remains relatively high too, though it dipped a little recently. Restaurants and coffee shops are busy, and offices show no signs of closing. People are still going out to movies, music venues and cocktail bars.

Still, parents are worried, especially those of toddlers who were born at the start of, or during, the pandemic, when the lockdown protected them from germs and might have made them more vulnerable to the current crop of viruses

Merriam’s two daughters, 10 and 13, have had both the coronavirus and the flu. He never really worried about strep throat, but now that it is in the news — following fatal cases in Britain where nearly 20 children have died from strep A, a bacterial infection that causes strep throat — he is more attentive.

Dr. Matthew Harris, a Northwell Health physician who specializes in pediatric emergency medicine at the Cohen Children’s Medical Center in Queens, said that influenza and RSV appeared earlier than expected in the fall, and at higher volume and severity. RSV historically begins to peak in mid-to-late November and stays until the spring, he said, but this year, the virus arrived a month earlier.

RSV was the predominant viral cause of admission at Cohen followed by the flu, he said, while COVID was not a significant contributor. In the last seven days, he said, the hospital has averaged about 260 children in the emergency department daily and is operating at between 105% and 120% capacity.

He added that many children came with multiple viruses at the same time, for example, a combination of the flu and the coronavirus.

“Probably some of this has to do with the fact that children are now being exposed to viruses that they had not had any immunological exposure to over the past two years because of masking and social distancing and so forth,” Harris said. “The very nature of these viral illnesses has changed because of sort of the mitigation strategies that were taken.”

At Cohen, staff members are “overwhelmed,” he said, by the surge in visits and emergency room admissions and have to deal with a shortage of pediatricians, a nationwide trend.

“The percentage of kids requiring an admission to the ICU is not substantially higher than it’s been in the past,” he added, “but the total number of children presenting is far beyond anything I’ve ever seen. I can tell you that if you look back at the past 10 years of our children’s hospital, the seven busiest days have been in the last month.”

Judith Cabanas, 28, a mother of two who lives in Astoria, Queens, said she is anxious because her 5-year-old son, Benjamin, has been sick repeatedly for months.

“Every week or two weeks he’s been getting sick, fever, cough, runny nose,” she said. “I get scared.”

Cabanas has had to keep Benjamin home from school and said that she has to look for children’s Tylenol on Facebook, because stores have sold out. Although she is relieved that her 2-year-old daughter, Lily, seems to be healthy so far, she expects the season to get worse.

“I just want winter to be over,” she said.

Animals Are Running Out of Places to Live

The New York Times

Animals Are Running Out of Places to Live

Catrin Einhorn and Lauren Leatherby – December 16, 2022

Animals Are Running Out of Places to Live

Wildlife is disappearing around the world, in the oceans and on land. The main cause on land is perhaps the most straightforward: Humans are taking over too much of the planet, erasing what was there before. Climate change and other pressures make survival harder.

This week and next, nations are meeting in Montreal to negotiate a new agreement to address staggering declines in biodiversity. The future of many species hangs in the balance.

“If the forest disappears, they will disappear,” said Walter Jetz, a professor of biodiversity science at Yale University who leads Map of Life, a platform that combines satellite imaging with ecological data to determine how species ranges are changing around the world. Map of Life shared data with The New York Times.

Biodiversity — or all the variety of life on the planet, including plants, invertebrates and ocean species — is declining at rates unprecedented in human history, according to the leading intergovernmental scientific panel on the subject. The group’s projections suggest that 1 million species are threatened with extinction, many within decades.

The meeting in Montreal is intended to chart a different path. Delayed two years because of the pandemic, delegations are working to land a new, 10-year agreement to tackle biodiversity loss under a United Nations treaty called the Convention on Biological Diversity.

“With our bottomless appetite for unchecked and unequal economic growth, humanity has become a weapon of mass extinction,” U.N. Secretary-General António Guterres said in his opening remarks last week in Montreal.

The last global biodiversity agreement failed to meet a single target at the global level, according to the Convention on Biological Diversity itself, and wildlife populations continue to plummet.

Take the Honduran white bat.

At first glance, they resemble a cluster of cotton balls stuck under a leaf. But each tiny mound of fluff possesses an even tinier yellow snout and ears. Honduran white bats work together to fashion leaves into tent homes and are known to nurse one another’s young. At night, they fly out in search of a specific species of fig, dispersing its seeds in return.

These bats offer potential benefits to people. Their cuteness makes them an ecotourism draw, and they have an ability that’s rare in mammals to store carotenoids in their skin, which could hold promise for unlocking treatment for conditions such as macular degeneration.

But in the past 20 years, Honduran white bats have lost about half their range in Central America as people clear rainforest for pasture, crops and homes. Not yet considered endangered, they are nevertheless in steep decline, one of countless examples in this worsening global crisis.

It’s not only wildlife that will suffer as a result. Biodiversity loss can trigger ecosystem collapse, scientists say, threatening humanity’s food and water supplies. Alarm is growing that the threat is comparable in significance to the climate crisis.

“Climate change presents a nearer-term threat to the future of human civilization,” said Katharine Hayhoe, a prominent climate change researcher who also focuses on biodiversity as chief scientist at the Nature Conservancy. “The biodiversity crisis presents a longer-term threat to the viability of the human species.”

Scientists emphasize that one can’t be solved without the other because they are interconnected.

What Is Driving the Loss

The human population has doubled since 1970. Although the rate of population growth is slowing, the sheer number of people continues to rise. Consumption levels in different parts of the world mean some people put more pressure on nature. In the United States, for example, each person uses the equivalent of 8 global hectares on average, according to the Global Footprint Network, a nonprofit research group. In Nigeria, it’s about 1 hectare per person.

All that is related to the causes of biodiversity loss, which scientists have ranked. First are changes in land and sea use. Then comes the direct taking of species via, for example, hunting, fishing and wildlife trafficking. Climate change is next, followed by pollution and invasive species. Unfortunately for wildlife, these pressures build on one another.

In the future, scientists expect climate change to become the main driver of biodiversity loss as changes in temperature, rainfall and other conditions continue to transform ecosystems. That shift is expected “some decades down the road,” Jetz said. “But we might already be looking at a much-reduced set of species at that point.”

For the best chance at adapting to climate change, plants and animals need robust populations and room to migrate. Instead, they are depleted and hemmed in.

Why are people taking over so much land? Mostly for agriculture. In many parts of the world, that means exports driven by booming global trade. In recent decades, for example, Southeast Asia has become a major supplier of coffee, timber, rice, palm oil, rubber and fish to the rest of the world.

“All of that economic expansion has come at the cost of biodiverse habitat,” said Pamela McElwee, an environmental anthropologist at Rutgers University who studies the region.

Some momentum is building for companies to ensure that their products are deforestation-free. Reducing meat consumption and food waste are key to freeing up land for other species, McElwee said.

In many places, poverty, powerful interests and a lack of law enforcement make habitat loss especially hard to address.

In Central America, illegal cattle ranching drives deforestation on protected state and Indigenous lands, said Jeremy Radachowsky, director for Mesoamerica and the Caribbean at the Wildlife Conservation Society. Wealthy individuals, often affiliated with drug cartels, grab land, sometimes through illegal payments. They raise beef, some of which ends up in the United States, he said.

Elsewhere in the region and beyond, desperation sometimes pushes people to find remote areas with little government presence where they can simply take land to make a living.

“They need land in order to feed their families,” said David López-Carr, a professor of geography at the University of California Santa Barbara who studies how people interact with tropical forests in Latin America.

Rainforest countries such as Brazil and Congo are known for widespread deforestation. But the species that have lost the largest portions of their habitats tend to be concentrated in places that are geographically isolated in some way, such as the isthmus of Central America and Madagascar. Because animals there often have smaller ranges to begin with, habitat loss hits them especially hard.

For example, 98% of lemurs, primates that only exist in Madagascar, are threatened. Almost one-third are on the brink of extinction. “I don’t want to lose my hope,” said Jonah Ratsimbazafy, a primatologist who leads a nonprofit group on the island that seeks to save lemurs while helping people. Madagascar is among the poorest countries in the world.

Recognition is growing that stanching biodiversity loss requires addressing the needs of local communities.

“There needs to be a way that the people that live close to the forests benefit from the intact forests, rather than clearing the forest for short term gain,” said Julia Patricia Gordon Jones, a professor of conservation science at Bangor University in Wales. “That’s the ultimate challenge of forest conservation globally.”

The High Cost of Inaction

While countries in the global south are experiencing the most dramatic biodiversity losses right now, Europe and the United States went through their own severe declines hundreds of years ago.

“We lost pretty much 100% of primary forest in most parts of Europe,” Jetz said.

Now, with negotiations underway in Montreal, countries that are poor economically but rich in biodiversity argue that they need help from wealthier countries if they’re going to take a different route.

Overall, the financial need is daunting: hundreds of billions per year to help poorer countries develop and implement national biodiversity plans, which would include actions such as creating protected areas; restoring degraded lands; reforming harmful agricultural, fishing and forestry practices; managing invasive species; and improving urban water quality.

On the other hand, failing to address biodiversity loss carries enormous financial risk. A report by the World Economic Forum found that $44 trillion of economic value generation is “moderately or highly dependent on nature and its services and is therefore exposed to nature loss.”

A vast source of funding could come from redirecting subsidies that presently support fossil fuels and harmful agricultural practices, said David Cooper, deputy executive secretary of the Convention on Biological Diversity.

“Currently, most governments spend far more on subsidies that actually are destroying nature than they do on financing conservation,” Cooper said. “So, certainly a change in that will be critical.”

The United States is the only country besides the Holy See that isn’t a party to the convention, so although the United States will attend the meeting, it will be participating from the sidelines.

“We can play a very constructive role from the outside,” said Monica Medina, an assistant secretary of state who is also special envoy for biodiversity and water resources. But she acknowledged that being a member would be better. “I hope that someday we will be,” she said.

Of the many targets being negotiated, the one that has gotten the most attention seeks to address habitat loss head on. Known as 30×30, it’s a plan to safeguard at least 30% of the planet’s land and oceans by 2030. More than 100 countries back the proposal. Although some Indigenous groups fear it will lead to their displacement, others support the plan as a means to secure stronger land rights.

But experts emphasize that action will have to go further than lines on a map.

“You can set up a protected area, but you’ve not dealt with the fact that the whole reason you had habitat loss in the first place is because of demand for land,” McElwee said. “You have to tackle the underlying drivers. Otherwise, you’re only dealing with like half the problem.”

Methodology

All estimates on habitat loss come from Map of Life and its Species Habitat Index. Habitat loss estimates since 2001 run through 2021 and are approximations, based on models of geographic range that incorporate remote sensing and expert research. Map of Life shared data for terrestrial vertebrate species for which the group’s methods can confidently ascertain habitat loss. The researchers estimate many more species are experiencing significant habitat loss than are in the group’s data.

Common names for species used in this article come from Map of Life. Data used in the accompanying graphics showing habitat loss also comes from Map of Life.

Map of Life is led by Walter Jetz, professor of ecology at Yale University and scientific chair at the E.O. Wilson Biodiversity Foundation. Other Map of Life contributors to the research shown in this story include Kalkidan Fekadu Chefira, John Wilshire, Ajay Ranipeta, Yanina Sica and Rohan Simkin.

‘It could happen tomorrow’: Experts know disaster upon disaster looms for West Coast

USA Today

‘It could happen tomorrow’: Experts know disaster upon disaster looms for West Coast

Joel Shannon, USA TODAY – December 16, 2022

Brown pelicans fly in front of the San Francisco skyline Aug 17, 2018.
Brown pelicans fly in front of the San Francisco skyline Aug 17, 2018.

It’s the elevators that worry earthquake engineering expert Keith Porter the most.

Scientists say a massive quake could strike the San Francisco Bay Area at any moment. And when it does, the city can expect to be slammed with a force equal to hundreds of atomic bombs.

Porter said the shaking will quickly cut off power in many areas. That means unsuspecting people will be trapped between floors in elevators without backup power. At peak commute times, the number of those trapped could be in the thousands.

To escape, the survivors of the initial quake will need the help of firefighters with specialized training and tools.

But their rescuers won’t come – at least not right away. Firefighters will be battling infernos that could outnumber the region’s fire engines.

Running water will be in short supply. Cellphone service may not work at all. The aftershocks will keep coming.

And the electricity could remain off for weeks.

“That means people are dead in those elevators,” Porter said.

‘Problems on the horizon’

The situation Porter described comes from his work on the HayWired Scenario, a detailed look at the cascading calamities that will occur when a major earthquake strikes the Bay Area’s Hayward Fault, including the possibility of widespread power outages that will strand elevators.

The disaster remains theoretical for now. But the United States Geological Survey estimates a 51% chance that a quake as big as the one described in HayWired will occur in the region within three decades.

It’s one of several West Coast disasters so likely that researchers have prepared painstakingly detailed scenarios in an attempt to ready themselves.

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The experts who worked on the projects are highly confident the West Coast could at any moment face disasters with the destructive power to kill hundreds or thousands of people and forever change the lives of millions more. They also say there’s more that can be done to keep individuals – and society – safer.

“We’re trying to have an earthquake without having one,” Anne Wein told USA TODAY. Wein is a USGS researcher who co-leads the HayWired earthquake scenario and has worked on several other similar projects.

Such disaster scenarios are massive undertakings that bring together experts from various fields who otherwise would have little reason to work together – seismologists, engineers, emergency responders and social scientists.

That’s important because “it’s difficult to make new relationships in a crisis,” Wein said.

Similar projects aimed at simulating a future disaster have turned out to be hauntingly accurate.

The Hurricane Pam scenario foretold many of the devastating consequences of a major hurricane striking New Orleans well before Hurricane Katrina hit the city.

More recently, in 2017, the authors of “The SPARS Pandemic” called their disaster scenario “futuristic.” But now the project now reads like a prophecy of COVID-19. Johns Hopkins University even issued a statement saying the 89-page document was not intended as a prediction of COVID-19.

“The SPARS Pandemic” imagined a future where a deadly novel coronavirus spread around the world, often without symptoms, as disinformation and vaccine hesitancy constantly confounded experts’ efforts to keep people safe.

The “SPARS scenario, which is fiction, was meant to give public health communicators a leg up … Think through problems on the horizon,” author Monica Schoch-Spana told USA TODAY.

At the time that SPARS was written, a global pandemic was thought of in much the same way experts currently describe the HayWired earthquake: an imminent catastrophe that could arrive at any time.

‘It could happen tomorrow’

Disaster scenario researchers each have their own way of describing how likely the apocalyptic futures they foresee are.

“The probability (of) this earthquake is 100%, if you give me enough time,” seismologist Lucy Jones will often say.

Earthquakes occurring along major faults are a certainty, but scientists can’t predict exactly when earthquakes will happen – the underground forces that create them are too random and chaotic. But researchers know a lot about what will happen once the earth begins to shake.

Earthquakes like HayWired are “worth planning for,” Porter said. Because “it could happen tomorrow.”

“We don’t know when,” Porter said. But “it will happen.”

Wein says we’re “overdue for preparedness.” You might say we’re also overdue for a major West Coast disaster.

The kind of earthquake described in HayWired historically occurs every 100-220 years. And it’s been more than 153 years since the last one.

Farther south in California, it’s difficult to pin down exactly how at risk Los Angeles is for The Big One – the infamous theoretical earthquake along the San Andreas fault that will devastate the city. But a massive magnitude 7.5 earthquake has about a 1 in 3 chance of striking the Los Angeles area in the next 30 years, the United States Geological Survey estimates.

A 2008 scenario said a magnitude 7.8 quake could cause nearly 2,000 deaths and more than $200 billion in economic losses. Big quakes in Los Angeles are particularly devastating because the soil holding up the city will turn into a “bowl of jelly,” according to a post published by catastrophe modeling company Temblor.

Another scenario warns that a stretch of coast in Oregon and Washington state is capable of producing an earthquake much more powerful than the ones California is bracing for. Parts of coastline would suddenly drop 6 feet, shattering critical bridges, destroying undersea communication cables and producing a tsunami.

Thousands are expected to die, but local leaders are considering projects that could give coastal residents a better chance at survival.

It too “could happen at any time,” the scenario says.

Earthquake scenarios often focus on major coastal cities, but West Coast residents farther inland also have yet another disaster to brace for.

Megastorms are California’s other Big One,” the ARkStorm scenario says. It warns of a statewide flood that will cause more than a million evacuations and devastate California’s agriculture.

Massive storms that dump rain on California for weeks on end historically happen every few hundred years. The last one hit around the time of the Civil War, when weeks of rain turned portions of the state “into an inland sea.”

‘Decades to rebuild’

Whether the next disaster to strike the West Coast is a flood, an earthquake or something else, scenario experts warn that the impacts will reverberate for years or longer.

“It takes decades to rebuild,” Wein said. “You have to think about a decade at least.”

A major West Coast earthquake isn’t just damaged buildings and cracked roads.

It’s weeks or months without running water in areas with millions of people. It’s mass migrations away from ruined communities. It’s thousands of uninhabitable homes.

Depending on the scenario, thousands of people are expected to die. Hundreds of thousands more could be left without shelter. And those impacts will be a disproportionately felt.

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California already has a housing and homelessness crisis, and Nnenia Campbell said the next disaster is set to magnify inequalities. Campbell is the deputy director of the William Averette Anderson Fund, which works to mitigate disasters for minority communities.

Campbell doesn’t talk about “natural disasters” because there’s nothing natural about the way a major earthquake will harm vulnerable communities more than wealthy ones.

Human decisions such as redlining have led to many of the inequities in our society, she said. But humans can make decisions that will help make the response to the next disaster more equitable.

Many of those choices need to be made by local leaders and emergency management planners. Investing in infrastructure programs that will make homes in minority communities less vulnerable to earthquakes. Understanding how important a library is to unhoused people. Making sure all schools are built to withstand a disaster. Keeping public spaces open, even during an emergency.

But individuals can make a difference as well, Campbell said. You can complete training that will prepare you to help your community in the event of an emergency. Or you can join a mutual aid network, a group where community members work together to help each other.

Community support is a common theme among disaster experts: One of the best ways to prepare is to know and care about your neighbors.

If everyone only looks out for themselves in the next disaster, “we are going to have social breakdown,” Jones said.

What you can do

Experts acknowledge you’ll want to make sure you and your family are safe before being able to help others. Fortunately, many disaster preparedness precautions are inexpensive and will help in a wide range of emergency situations.

Be prepared to have your access to electricity or water cut off for days or weeks.

For electricity, you’ll at least want a flashlight and a way to charge your phone.

While cell service will be jammed immediately after a major earthquake, communications will likely slowly come back online faster than other services, Wein said. (And when trying to use your phone, text – don’t call. In a disaster, text messages are more reliable and strain cell networks less.)

To power your phone, you can cheaply buy a combination weather radio, flashlight and hand-crank charger to keep your cell running even without power for days.

A cash reserve is good to have, too, Jones said. You’ll want to be able to buy things, even if your credit card doesn’t work for a time.

Preparing for earthquakes specifically is important along the West Coast, too, experts said. Simple things like securing bookshelves can save lives. Downloading an early warning app can give you precious moments to protect yourself in the event of a big quake. Buying earthquake insurance can protect homeowners. And taking part in a yearly drill can help remind you about other easy steps you can take to prepare.

There’s even more you could do to ready yourself for a catastrophe, but many disaster experts are hesitant to rely on individuals’ ability to prepare themselves.

Just as health experts have begged Americans to use masks and vaccines to help keep others safe during the pandemic, disaster scenario experts believe community members will need to look out for one another when the next disaster strikes.

Telling people to prepare as if “nobody is coming to help you” is a self-fulfilling prophesy, Jones said.

For now, policymakers hold the real power in how prepared society will be for the next disaster. And there are many problems to fix, according to Porter, including upgrading city plumbing, because many aging and brittle water pipes will shatter in a major earthquake, cutting off water to communities for weeks or months.

“Shake it, and it breaks,” Porter said.

Getting ready for the next big earthquake means mundane improvements like even stricter building codesemergency water supply systems for firefighters and retrofitting elevators with emergency power.

The elevator change could prevent thousands of people from being trapped when the big San Francisco earthquake comes.

“A lot of that suffering can be avoided,” Porter said.

Get This: Strength Training Can Totally Count As Aerobic Exercise

Womens Health

Get This: Strength Training Can Totally Count As Aerobic Exercise

Julia Sullivan, CPT – December 16, 2022


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From consuming fruits and veggies daily to flossing to remembering to mute (or block) toxic exes, there are a lot of healthy habits that doctors and officials urge pretty much everyone to follow.

At the top of that list: getting in aerobic exercise. But images of legwarmer-clad women in a pastel-colored workout class aside, what exactly is aerobic exercise?

Aerobic exercise is “any type of exercise that uses oxygen for the production of energy and work by the body,” explains Jason Machowsky, CSCS, exercise physiologist. In more simple terms, aerobic exercise is defined by muscle mechanics, which means any activity that uses large muscle groups (like the legs and core) in a continuous, rhythmic nature to keep the heart rate elevated.

Meet the experts: Jason Machowsky, CSCS, is a board certified sports dietitian and registered clinical exercise physiologist who specializes in working with clients post-rehab. Holly Roser, CPT, is a certified personal trainer and owner of Holly Roser Fitness Studio in San Mateo, California, where she and her team of trainers teach her signature H-Method in person and online.

As for what an “elevated” heart rate means, Holly Roser, CPT, says that number hovers anywhere from 60 to 90 percent of your maximum heart rate (which varies depending on individual fitness and how intensely you’re working).

Here’s what counts as aerobic exercise, the benefits of adding them to your routine, how to track progress, and more from the experts.

8 Aerobic Exercise Examples

If you’re thinking aerobic exercise sounds a lot like cardio, you’re spot on. “The term cardio is a shorthand phrase that represents steady-state aerobic exercise where the energy for the working muscles is predominantly coming from “aerobic” energy production, or oxygen, which is being shuttled to the working muscles by the heart and blood vessels, or the cardio system,” says Machowsky.

When you’re doing aerobic exercise, you’re working your cardiovascular system. Here are the most common forms of aerobic exercise to add to your routine:

1. Running And Jogging

Any exercise that utilizes large muscle groups in a sustained, submaximal way (meaning you’re not all-out sprinting or hitting your max RPE) over a prolonged period of time counts as aerobic exercise, Machowsky says—which makes running and jogging ideal candidates. That’s because the movement activates a wide swath of lower-body muscles at once—like the hamstrings, quads, calves, and glutes—as well as the core.

2. Walking

Although walking might seem like one of the more mundane, low-intensity movements a person can do, it sure-as-heck counts as aerobic exercise. Walking can lower a person’s blood pressureimprove mood, and reduce the risk of cardiovascular events, studies show.

3. Swimming

Machowsky is a fan of swimming for aerobic exercise because it, like running, fires up a host of muscles—but with more upper-body involvement. It’s also low-impact and may be especially helpful for folks with chronic pain, arthritis, or other conditions that prevent more high-intensity forms of exercise.

4. Dancing

If you regularly take dance classes, or simply enjoy dropping it low in the kitchen while meal-prepping, you’re participating in aerobic exercise, says Roser. Bonus points: Following the choreography while dancing might also boost your brain function, as some studies show. (Spending all that time rehearsing TikTok dances is worth it.)

5. Rowing

Another low-impact movement, rowing (either on an indoor rowing machine or on an actual boat) is a killer form of aerobic exercise. It’s also a full-body exercise, as one study from the English Institute of Sport found that rowing could activate upwards of 86 percent of muscles in the body (when done with proper form). Rowing also torches serious calories.

6. Circuit Training

While strength training might not seem like an aerobic exercise, Machowsky says it definitely is—if you’re working in a fast-paced circuit style. He notes that you get an aerobic benefit when “strength training is spread across different muscle groups so your body has a raised heart rate to recover from one area working (i.e. legs) while another one is working (i.e. back).” The key, he says, is to keep rest periods to a minimum to ensure your heart rate stays high.

7. Hiking

Like running, jogging, and walking on flat surfaces, hiking or walking uphill activates most of the lower-body muscles, says Roser. In fact, some muscles might receive more activation with the incline than on flat surfaces, as one study found that muscle activation in the calves increased with a 6 percent grade.

8. Cycling (indoor or outdoor)

Whether you’re circling the local pond or tapping it back in spin class, cycling—no matter the form—keeps your heart rate high and lower-body muscles working, says Roser. Cycling in particular might be an effective sleep aid when performed roughly two hours prior to getting shut-eye, a 2021 study in Sleep Medicine Reviews found. (Healthy heart and sleep!)

What are the benefits of aerobic exercise?
1. Better endurance.

The primary benefit behind aerobic exercise, says Machowsky, is that your cardiovascular health will improve. “Aerobic exercise improves your endurance by ensuring a more effective transfer of oxygen into the body via the lungs and to the working muscles via the heart and blood vessels,” he explains.

2. Improved brain health.

Aerobic exercise has a direct tie to brain function, Machowsky says. “[Aerobic exercise] improves blood flow to the brain, leading to better cognitive function related to better blood flow and supply of oxygen to the brain,” he says.

A year of aerobic exercise—which included walking and light jogging—helped to increase blood flow to the brain in older adults, a 2022 study from the Journal of Applied Physiology found. Blood flow to the brain is directly tied to memory and decision-making skills, as well as serious disease like dementia.

3. Lower risk of serious disease.

Getting your heart pumping could save you years and make them healthier in the long run, science shows.

Engaging in regular high-intensity aerobic exercise could decrease a person’s chance for developing metastatic cancers, a recent review from the American Association for Cancer Research found. These findings were from data extending a 20-year period and had 2,734 participants. Other studies have noted that aerobic exercise can help stave off cardiovascular disease.

4. Boosted mood.

In addition to managing brain function years down the road, aerobic exercise can also provide an instant mental lift, says Machowsky. “Aerobic exercise can help boost your mood, fight depression, and reduce stress,” he notes. That runner’s high phenomenon has scientific proof.

For example, running for as little as 15 minutes per day, or walking for an hour per day, could help reduce the risk of developing depression, a 2019 study from JAMA Psychiatry found.

5. Better blood sugar management.

Aerobic exercise can help increase your body’s demand for glucose and receptiveness to insulin, Machowsky says. In other words, aerobic exercise can help your bod manage your blood sugar.

Moderate to intense aerobic exercise performed three times per week helped participants improve their insulin levels after an eight-week period, according to a 2015 study from the Global Journal of Health Science (a Canadian academic publication).

6. Balanced cholesterol levels.

Aerobic exercise helps stimulate enzymes that move LDL (or low-density lipoprotein, often referred to as “bad” cholesterol) from the blood to the liver to be cleared out, Machowsky says. Science backs it up, too. Moderate-intensity aerobic exercise can help reduce LDL cholesterol, according to studies.

How often should you do aerobic exercise?

Ideally you hit the 150 minutes of moderate-intensity aerobic exercise per week that the Physical Activity Guidelines for Americans (2nd Edition) recommends. You can also hit it with 75 minutes of vigorous-intensity aerobic exercise each week.

Moving daily is the best way to divide that exercise time up throughout the week, Roser recommends. “Ideally, you would be able to get 30 minutes of aerobic exercise every day,” says Roser. “It doesn’t have to be all at once though. If possible, do 10-minute spurts of cardio at a time [three times per day], working up to a full 30 minutes.”

Aerobic exercise can be used as a tool in managing or losing weight, Machowksy and Roser both note. However, many studies conclude that aerobic exercise produces minimal weight loss on its own. Moreover, when exercise is tied directly to weight loss goals, it makes the individual much less likely to enjoy working out—and less likely to stick to a regular routine of movement, other studies have found.

So, if your goal is strictly to lose weight, relying only on aerobic exercise isn’t your best bet.

How To Progress Your Aerobic Exercise

There are three main ways to track your aerobic exercise progress, according to Machowsky. These variables include: frequency (how many times per week you’re working out), intensity (speed or similar measurement), and duration (how long each individual session is).

“Try to only increase one variable at a time so you don’t do too much too soon and increase your risk for injury,” he explains. For example, when running, maybe you boost your mileage each week (or duration) or, when engaging in circuit training, try to perform additional reps each week in the allotted workout timeframe (intensity).

Another key factor in tracking progress: writing it down. “Keeping a training log can allow you to gradually increase some of these variables so you can see your progress over time,” Machowsky says. “Some people find it satisfying to go to an older workout from a few months ago and repeat it to see how much better you feel doing it after a few months of training.” Dropping the intel in a basic spreadsheet can work.

It also helps to hone in on what kind of benefit you want to get out of aerobic training, as Machowsky says that a boosted mood can be felt in as few as one to two sessions, while improved blood sugar and cholesterol levels requires six to 12 weeks of regular aerobic exercise.

Biden mocks Trump’s ‘major announcement’ on NFT ‘trading cards’ by touting his administration’s recent wins

Insider

Biden mocks Trump’s ‘major announcement’ on NFT ‘trading cards’ by touting his administration’s recent wins

Nicole Gaudiano – December 15, 2022

Joe Biden and Donald Trump
President Joe Biden, left, and former President Donald Trump, right, in a composite image.Getty Images
  • Former president Donald Trump used Truth Social to tease what he called a “MAJOR ANNOUNCEMENT.”
  • It turns out he’s selling NFT “trading cards” featuring himself for $99 each.
  • President Joe Biden mocked Trump by tweeting he has had some “MAJOR ANNOUNCEMENTS,” too.

President Joe Biden mocked what his predecessor billed as a “MAJOR ANNOUNCEMENT!” on Thursday with one of his own, releasing a checklist of his administration’s recent accomplishments.

Shortly after Donald Trump announced that he’s selling NFT “trading cards” for $99 each, Biden tweeted, “I had some MAJOR ANNOUNCEMENTS the last couple of weeks, too…”

He listed the easing of inflation, signing the Respect for Marriage Act, bringing home WNBA star Brittney Griner from Russian custody, lower gas prices and “10,000 new high-paying jobs in Arizona.”

It’s not the first time Biden has made fun of Trump on Twitter.

On the day Trump announced his 2024 presidential bid, Biden tweeted a video of Trump talking about infrastructure reform — and of Biden signing infrastructure legislation. “The difference between talking and delivering,” Biden tweeted.

Writing “Donald Trump failed America,” Biden also released another video that day criticizing Trump on jobs, health care, the economy, and for “coddling extremists.”

Trump’s big announcement came a day after he teased it on Truth Social, leaving people to speculate about whether he would announce a 2024 running mate.

Instead, the former president released a cartoon image of himself dressed as a superhero and announced on Truth Social that his “limited edition” digital trading card NFTs “feature amazing ART of my Life & Career!” He directed customers to a new website to purchase the cards and explained that they’re “very much like a baseball card, but hopefully much more exciting.”

He introduces himself in a video on the website as “hopefully your favorite president of all time, better than Lincoln, better than Washington.” The “artwork” displayed in the video portrays his likeness on Mount Rushmore, holding a torch near the Statue of Liberty, riding an elephant or shooting laser beams from his eyes as he rips open his shirt to reveal a superhero body.

Each card comes with a chance to win prizes, such as dinner with Trump or golf at one of his “beautiful” courses. “This makes a great Christmas gift,” he says.

Donald Trump’s $99 ‘Digital Trading Card’ Is The Saddest Thing I’ve Ever Seen

Kotaku

Donald Trump’s $99 ‘Digital Trading Card’ Is The Saddest Thing I’ve Ever Seen

Sisi Jiang – December 15, 2022

A muscular Trump poses in a skintight superhero outfit.
A muscular Trump poses in a skintight superhero outfit.

If you or a far-right-pilled relative wants to be a mark in Donald Trump’s latest grift, you’re in luck. For the low low price of $99 and your irreplaceable dignity, you can now own an official Donald Trump NFT.

A new line of, expensive non-fungible tokens is apparently the “major announcement” Trump first teased yesterday, in a Truth Social post declaring that “AMERICA NEEDS A SUPERHERO!” The accompanying teaser video showed a brief glimpse of a muscled, Trump-like figure adorned like Superman, complete with animated lasers beaming from its eyes. And now we know: That “major announcement” is just a new line of NFTs.

I went to Trump’s account on Truth Social so that you don’t have to. The former president wrote:

MAJOR ANNOUNCEMENT! My official Donald Trump Digital Trading Card collection is here! These limited edition cards feature amazing ART of my Life & Career! Collect all of your favorite Trump Digital Trading Cards, very much like a baseball card, but hopefully much more exciting. Go to collecttrumpcards.com/ & GET YOUR CARDS NOW! Only $99 each! Would make a great Christmas gift. Don’t Wait. They will be gone, I believe, very quickly!

Aside from Trump shooting flaming lasers out of both of his eyes, other NFTs in the range feature him photoshopped awkwardly in gaudy outfits. But wait, there’s more! If you buy one of these “digital collectibles,” you could win the opportunity to meet him over dinner, play a round of golf, or speak to the ex-president over a Zoom call.

I don’t know what’s more depressing: the sheer insecurity that oozes from these NFT trading cards, or the plausibility that his cult of Republican goons might actually purchase these in droves. There’s also a chance that he’s selling this junk to fund his next presidential campaign (he formally announced his intention to run last month).

The crypto industry is rife with scammers who successfully run off with millions of dollars, so I’m actually surprised that it’s taken him this long to start peddling a “digital collectible.” I’m guessing that he didn’t have much free time while he was busy fending off four major criminal investigations. Last December, the courts ruled against the Trump Organization for tax fraud. In August, the FBI raided his club at Mar-a-Lago and discovered that he had taken documents related to nuclear weapons.The New York Attorney General recently sued the Trump family for financial fraud. Last month, Trump was subpoenaed to testify in front of the committee investigating the January 6 insurrection.

If he manages to sell 40 of these “trading cards,” then he’d be able to pay off the $4,000 he owes for being found in contempt of court on Tuesday. I wish him all the best.