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CDC Health Advisory

This is an official CDC Health Advisory CDC Link Distributed via Health Alert Network April 25, 2009, 3:00 EST (03:00 PM EDT) CDCHAN-000281-2009-04-25-ALT-N Investigation and Interim Recommendations: Swine Influenza (H1N1) CDC, in collaboration with public health officials in California and Texas, is investigating cases of febrile respiratory illness caused by swine influenza (H1N1) viruses. As of 11 AM (EDT) April 25, 2009, 8 laboratory confirmed cases of Swine Influenza infection have been confirmed in the United States. Four cases have been reported in San Diego County, California. Two cases have been reported in Imperial County California. Two cases have been reported in Guadalupe County, Texas. Of the 8 persons with available data, illness onsets occurred March 28-April 14, 2009. Age range was 7-54 y.o. Cases are 63% male. The viruses contain a unique combination of gene segments that have not been reported previously among swine or human influenza viruses in the U.S. or elsewhere. At this time, CDC recommends the use of oseltamivir or zanamivir for the treatment of infection with swine influenza viruses. The H1N1 viruses are resistant to amantadine and rimantadine but not to oseltamivir or zanamivir. It is not anticipated that the seasonal influenza vaccine will provide protection against the swine flu H1N1 viruses. CDC has also been working closely with public health officials in Mexico, Canada and the World Health Organization (WHO). Mexican public health authorities have reported increased levels of respiratory disease, including reports of severe pneumonia cases and deaths, in recent weeks. CDC is assisting public health authorities in Mexico by testing specimens and providing epidemiological support. As of 11:00 AM (EDT) April 25, 2009, 7 specimens from Mexico at CDC have tested positive for the same strain of swine influenza A (H1N1) as identified in U.S. cases. However, no clear data are available to assess the link between the increased disease reports in Mexico and the confirmation of swine influenza in a small number of specimens. WHO is monitoring international cases. Further information on international cases may be found at: http://www.who.int/csr/don/2009_04_24/en/index.html Clinicians should consider swine influenza infection in the differential diagnosis of patients with febrile respiratory illness and who 1) live in San Diego or Imperial counties, California, or Guadalupe County, Texas, or traveled to these counties or 2) who traveled recently to Mexico or were in contact with persons who had febrile respiratory illness and were in one of the three U.S. counties or Mexico during the 7 days preceding their illness onset. Patients who meet these criteria should be tested for influenza, and specimens positive for influenza should be sent to public health laboratories for further characterization. Clinicians who suspect swine influenza virus infections in humans should obtain a nasopharyngeal swab from the patient, place the swab in a viral transport medium, refrigerate the specimen, and then contact their state or local health department to facilitate transport and timely diagnosis at a state public health laboratory. CDC requests that state public health laboratories promptly send all influenza A specimens that cannot be subtyped to the CDC, Influenza Division, Virus Surveillance and Diagnostics Branch Laboratory. Persons with febrile respiratory illness should stay home from work or school to avoid spreading infections (including influenza and other respiratory illnesses) to others in their communities. In addition, frequent hand washing can lessen the spread of respiratory illness. CDC has not recommended that people avoid travel to affected areas at this time. Recommendations found at http://wwwn.cdc.gov/travel/contentSwineFluUS.aspx will help travelers reduce risk of infection and stay healthy. Clinical guidance on laboratory safety, case definitions, infection control and information for the public are available at:http://www.cdc.gov/swineflu/investigation.htm. • Swine Influenza A (H1N1) Virus Biosafety Guidelines for Laboratory Workers: http://www.cdc.gov/swineflu/guidelines_labworkers.htm • Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting: http://www.cdc.gov/swineflu/guidelines_infection_control.htm • Interim Guidance on Case Definitions for Swine Influenza A (H1N1) Human Case Investigations: http://www.cdc.gov/swineflu/casedef_swineflu.htm Morbidity and Mortality Weekly Reports Dispatch (April 24) provide detailed information about the initial cases at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58d0424a1.htm For more information about swine flu: http://www.cdc.gov/swineflu
Additional information is also available by calling 1-800-CDC-INFO (1-800-232-4636) ____________________________________________________________________________________ Categories of Health Alert messages: Health Alert conveys the highest level of importance; warrants immediate action or attention. Health Advisory provides important information for a specific incident or situation; may not require immediate action. Health Update provides updated information regarding an incident or situation; unlikely to require immediate action. ##This Message was distributed to State and Local Health Officers, Public Information Officers, Epidemiologists and HAN Coordinators as well as Clinician organizations##

Local flu preparedness planning

As of 4:30 pm PDT, 11 cases of H1N1 swine flu have been confirmed in the US -- now including Kansas.

U.S. Human Cases of Swine Flu Infection
State	# of laboratory confirmed cases
California	7 cases
Texas	2 cases
Kansas	2 cases
TOTAL COUNT	11 cases
International Human Cases of Swine Flu Infection See: World Health Organization
As of April 25th, 2009 7:30 p.m. EDT

Oregon Flu Plan 

Marion County Pandemic Flu Resource Page

Marion County Family Preparedness Brochure

Swine Flu with Pandemic Potential Hits US and Mexico: Previous Study indicated that the only way to delay spread of an epidemic is to contain the local epidemics and to prevent international travel

WHO warned today that it may be too late to prevent the spread of the swine flu that has been reported in three places in Mexico as well as California and Texas.  WHO Swine Flu Home page WHO Swine flu fact sheet  Mexico is currently conducting health screening of international air travelers.  However, that precaution, according to the Caley study published on this blog two years ago with respect to the pandemic flu threat, will be ineffective at even delaying the spread of the flu. 

The most recent news from WHO on the Stage 3 pandemic alert is WHO link.

Experts at WHO and elsewhere believe that the world is now closer to another influenza pandemic than at any time since 1968, when the last of the previous century's three pandemics occurred. WHO uses a series of six phases of pandemic alert as a system for informing the world of the seriousness of the threat and of the need to launch progressively more intense preparedness activities.  The designation of phases, including decisions on when to move from one phase to another, is made by the Director-General of WHO.  Each phase of alert coincides with a series of recommended activities to be undertaken by WHO, the international community, governments, and industry. Changes from one phase to another are triggered by several factors, which include the epidemiological behaviour of the disease and the characteristics of circulating viruses.  The world is presently in phase 3: a new influenza virus subtype is causing disease in humans, but is not yet spreading efficiently and sustainably among humans.

WHO reported this after today's Emergency Committee meeting:  

In response to cases of swine influenza A(H1N1), reported in Mexico and the United States of America, the Director-General convened a meeting of the Emergency Committee to assess the situation and advise her on appropriate responses. The establishment of the Committee, which is composed of international experts in a variety of disciplines, is in compliance with the International Health Regulations (2005). The first meeting of the Emergency Committee was held on Saturday 25 April 2009.  After reviewing available data on the current situation, Committee members identified a number of gaps in knowledge about the clinical features, epidemiology, and virology of reported cases and the appropriate responses. The Committee advised that answers to several specific questions were needed to facilitate its work. The Committee nevertheless agreed that the current situation constitutes a public health emergency of international concern.  Based on this advice, the Director-General has determined that the current events constitute a public health emergency of international concern, under the Regulations.

Concerning public health measures, in line with the Regulations the Director-General is recommending, on the advice of the Committee, that all countries intensify surveillance for unusual outbreaks of influenza-like illness and severe pneumonia.  The Committee further agreed that more information is needed before a decision could be made concerning the appropriateness of the current phase 3.

WHO currently considers this phase 3 of a pandemic. You might want to read the Global Influenza Preparedness Plan to see what happens in phase 3 and look at phase 4 and 5, which is probably where we are heading.  WHO Global Influenza Plan

From my research, the only effective measure is to contain the local epidemic and prevent international travel, especally air travel.  The occurrence of the same flu in California and Texas suggests that the Mexico flu has already escaped to the US.  Now, internal travel restrictions  within the western US and Mexico as well as international travel probably need to be implemented.  To quote the conclusion of the Caley study:

The delay until an epidemic of pandemic strain influenza is imported into an at-risk country is largely determined by the course of the epidemic in the source region and the number of travelers attempting to enter the at-risk country, and is little affected by non-pharmaceutical interventions targeting these travelers. Short of preventing international travel altogether, eradicating a nascent pandemic in the source region appears to be the only reliable method of preventing country-to-country spread of a pandemic strain of influenza.

The US and Mexico have not even advised people not to travel to Mexico, California, and Texas, much less prevented travel:

CDC has NOT recommended that people avoid travel to Mexico at this time. If you are planning travel to Mexico, follow these recommendations to reduce your risk of infection and help you stay healthy. CDC travel recommendations

In my judgment, it is irresponsible to travel into or out of these areas at this time.  I also believe the governments need to respond more strongly to what is obviously a virulent strain of communicable flu.  But, if they're doing what they are supposed to in phase 3, I admit they are probably busy.

WHO press release yesterday:

24 April 2009 -- The United States Government has reported seven confirmed human cases of Swine Influenza A/H1N1 in the USA (five in California and two in Texas) and nine suspect cases. All seven confirmed cases had mild Influenza-Like Illness (ILI), with only one requiring brief hospitalization. No deaths have been reported. The Government of Mexico has reported three separate events. In the Federal District of Mexico, surveillance began picking up cases of ILI starting 18 March. The number of cases has risen steadily through April and as of 23 April there are now more than 854 cases of pneumonia from the capital. Of those, 59 have died. In San Luis Potosi, in central Mexico, 24 cases of ILI, with three deaths, have been reported. And from Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.Of the Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1, while 12 of those are genetically identical to the Swine Influenza A/H1N1 viruses from California.The majority of these cases have occurred in otherwise healthy young adults. Influenza normally affects the very young and the very old, but these age groups have not been heavily affected in Mexico. Because there are human cases associated with an animal influenza virus, and because of the geographical spread of multiple community outbreaks, plus the somewhat unusual age groups affected, these events are of high concern. The Swine Influenza A/H1N1 viruses characterized in this outbreak have not been previously detected in pigs or humans. The viruses so far characterized have been sensitive to oseltamivir, but resistant to both amantadine and rimantadine.

The World Health Organization has been in constant contact with the health authorities in the United States, Mexico and Canada in order to better understand the risk which these ILI events pose. WHO (and PAHO) is sending missions of experts to Mexico to work with health authorities there. It is helping its Member States to increase field epidemiology activities, laboratory diagnosis and clinical management. Moreover, WHO's partners in the Global Alert and Response Network have been alerted and are ready to assist as requested by the Member States.  WHO acknowledges the United States and Mexico for their proactive reporting and their collaboration with WHO and will continue to work with Member States to further characterize the outbreak.

CDC Information: CDC link - Human Swine Influenza Investigation

April 25, 2009 1:00 p.m. ET

Human cases of swine influenza A (H1N1) virus infection have been identified in the U.S. in San Diego County and Imperial County, California as well as in San Antonio, Texas. Internationally, human cases of swine influenza A (H1N1) virus infection have been identified in Mexico.

U.S. Human Cases of Swine Flu Infection
State	# of laboratory confirmed cases
California	6 cases
Texas	2 cases
International Human Cases of Swine Flu Infection See: World Health Organization
As of April 25th, 2009 11:00 a.m. ET

Investigations are ongoing to determine the source of the infection and whether additional people have been infected with similar swine influenza viruses.

CDC is working very closely with state and local officials in California, Texas, as well as with health officials in Mexico, Canada and the World Health Organization. On April 24th, CDC deployed 7 epidemiologists to San Diego County, California and Imperial County, California and 1 senior medical officer to Texas to provide guidance and technical support for the ongoing epidemiologic field investigations. CDC has also deployed to Mexico 1 medical officer and 1 senior expert who are part of a global team that is responding to the outbreak of respiratory illnesses in Mexico.

Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. There are many things you can to do preventing getting and spreading influenza:

There are everyday actions people can take to stay healthy.

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
• Avoid touching your eyes, nose or mouth. Germs spread that way.

Try to avoid close contact with sick people.

• Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.
• If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

Topics on this page:

• General Information
• Summary Guidance
• Guidance Documents
• Travel Notices
• Transcripts
• Reports & Publications
• Related Links
• Past Updates

Residents of California and Texas

CDC has identified human cases of swine influenza A (H1N1) virus infection in people in these areas. CDC is working with local and state health agencies to investigate these cases. We have determined that this virus is contagious and is spreading from human to human. However, at this time, we have not determined how easily the virus spreads between people. As with any infectious disease, we are recommending precautionary measures for people residing in these areas.

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
• Try to avoid close contact with sick people.
• If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.
• Avoid touching your eyes, nose or mouth. Germs spread that way.

There is no vaccine available at this time, so it is important for people living in these areas to take steps to prevent spreading the virus to others. If people are ill, they should attempt to stay at home and limit contact with others. Healthy residents living in these areas should take everyday preventive actions.

People who live in these areas who develop an illness with fever and respiratory symptoms, such as cough and runny nose, and possibly other symptoms, such as body aches, nausea, or vomiting or diarrhea, should contact their health care provider. Their health care provider will determine whether influenza testing is needed.

Clinicians

Clinicians should consider the possibility of swine influenza virus infections in patients presenting with febrile respiratory illness who:

1. Live in San Diego County or Imperial County, California or San Antonio, Texas or
2. Have traveled to San Diego and/or Imperial County, California or San Antonio, Texas or
3. Have been in contact with ill persons from these areas in the 7 days prior to their illness onset.

If swine flu is suspected, clinicians should obtain a respiratory swab for swine influenza testing and place it in a refrigerator (not a freezer). Once collected, the clinician should contact their state or local health department to facilitate transport and timely diagnosis at a state public health laboratory.

State Public Health Laboratories

Laboratories should send all unsubtypable influenza A specimens as soon as possible to the Viral Surveillance and Diagnostic Branch of the CDC’s Influenza Division for further diagnostic testing.

Public Health /Animal Health Officials

Officials should conduct thorough case and contact investigations to determine the source of the swine influenza virus, extent of community illness and the need for timely control measures.

Bird Flu Blues: Source Country Suppression is the Only Viable Means to Prevent the International Transmission of Pandemic Strains

Peter Caley , Niels Becker, and David Philp of the National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia have modelled the impacts of various pandemic preparedness efforts on the timing of international spread of pandemic strains.  The bottom line is that "[s]hort of preventing international travel altogether, eradicating a nascent pandemic in the source region appears to be the only reliable method of preventing country-to-country spread of a pandemic strain of influenza."PLoSOne link The entire article is available courtesy of a Creative Commons license:

Background

The time delay between the start of an influenza pandemic and its subsequent initiation in other countries is highly relevant to preparedness planning. We quantify the distribution of this random time in terms of the separate components of this delay, and assess how the delay may be extended by non-pharmaceutical interventions.

Methods and Findings

The model constructed for this time delay accounts for: (i) epidemic growth in the source region, (ii) the delay until an infected individual from the source region seeks to travel to an at-risk country, (iii) the chance that infected travelers are detected by screening at exit and entry borders, (iv) the possibility of in-flight transmission, (v) the chance that an infected arrival might not initiate an epidemic, and (vi) the delay until infection in the at-risk country gathers momentum. Efforts that reduce the disease reproduction number in the source region below two and severe travel restrictions are most effective for delaying a local epidemic, and under favourable circumstances, could add several months to the delay. On the other hand, the model predicts that border screening for symptomatic infection, wearing a protective mask during travel, promoting early presentation of cases arising among arriving passengers and moderate reduction in travel volumes increase the delay only by a matter of days or weeks. Elevated in-flight transmission reduces the delay only minimally.

Conclusions

The delay until an epidemic of pandemic strain influenza is imported into an at-risk country is largely determined by the course of the epidemic in the source region and the number of travelers attempting to enter the at-risk country, and is little affected by non-pharmaceutical interventions targeting these travelers. Short of preventing international travel altogether, eradicating a nascent pandemic in the source region appears to be the only reliable method of preventing country-to-country spread of a pandemic strain of influenza.

Funding: Funding by Australian National Health & Medical Research Council grants (358425, 410224), an Australia Research Council grant (DP0558357) and the Australian Department of Health and Ageing is gratefully acknowledged.

Competing interests: The authors have declared that no competing interests exist.

Academic Editor: John Ioannidis,   University of Ioannina School of Medicine, Greece

Citation: Caley P, Becker NG, Philp DJ (2007) The Waiting Time for Inter-Country Spread of Pandemic Influenza. PLoS ONE 2(1): e143. doi:10.1371/journal.pone.0000143

Received: August 18, 2006; Accepted: December 9, 2006; Published: January 3, 2007

Copyright: © 2007 Caley et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* To whom correspondence should be addressed. E-mail: Peter.Caley@anu.edu.au             

Introduction

The emergence of a pandemic strain of influenza is considered inevitable [1]. Provided the emerged strain is not too virulent, it may be possible to eliminate a nascent influenza pandemic in the source region via various combinations of targeted antiviral prophylaxis, pre-vaccination, social distancing and quarantine [2], [3]. If early elimination in the source region is not achieved, then any delay in a local epidemic that a country can effect will be highly valued. To this end, countries may consider introducing non-pharmaceutical interventions such as border screening, promoting early presentation of cases among arriving passengers, requiring the use of personal protective equipment during travels (e.g. the wearing of masks), and reducing traveler numbers. While the case for believing that measures such as these can not stop the importation of an epidemic from overseas has been argued strongly, whether it be SARS or influenza [4]–[6], the extent to which such interventions delay a local epidemic is currently not well quantified, and hence of considerable interest.

In this paper we demonstrate how the delay to importation of an epidemic of pandemic strain influenza may be quantified in terms of the growing infection incidence in the source region, traveler volumes, border screening measures, travel duration, in-flight transmission and the delay until an infected arrival initiates a chain of transmission that gathers momentum. We also investigate how the delay is affected by the reproduction number of the emerged strain, early presentation of cases among arriving passengers, and reducing traveler numbers. As noted in previous simulation modeling [7], many aspects of this delay have a significant chance component, making the delay a random variable. Therefore, the way to quantify the delay is to specify its probability distribution, which we call the delay-distribution.

Some issues of the delay distribution, such as the natural delay arising in the absence of intervention and the effect that reducing traveler numbers has on this delay has been studied previously [6]–[8]. Specifically, if the originating source is not specified, and homogeneous mixing of the worlds population is assumed, then the most likely time to the initial cases arising in the United States is about 50 days assuming R             ₀ = 2.0 [7]. The additional delay arising from travel restrictions appears minimal until a>99% reduction in traveler numbers [6]–[8].

This paper adds to previous work [5]–[8] by simultaneously including a wider range of epidemiological factors and possible interventions, such as elevated in-flight transmission, flight duration, the effect of wearing of mask during flight, early presentation of cases among travelers, and quarantining all passengers from a flight with a detected case at arrival.

Methods

General

Consider a region in which a new pandemic strain of influenza has emerged, and a region currently free from the infection. We refer to these as the source region and the at-risk country, respectively. Travel between these countries is predominantly via commercial air travel and/or rapid transport which could potentially be subject to border screening and other interventions. We restrict our discussion to air travel. The aim is to assess the effects that a variety of non-pharmaceutical border control measures have, individually and in combination, on the time it takes before the epidemic takes off in the at-risk country. An epidemic is said to have “taken off” when it reaches 20 current infectious cases, after which its growth is highly predictable (i.e. nearly deterministic) and the probability of fade-out by chance is very low, if intervention is not enhanced. The source country of origin will undoubtedly have a large impact on the natural delay until importation of an epidemic, although this is difficult to quantify [7]. An alternative is to fix the originating city, for example a highly connected city such as Hong Kong [6], with the obvious effect that results are highly dependent on the choice. We adopt no specific source region, but assume that the number of international travelers originating from it is reasonably small (see Methods), suggestive of a rural or semi-rural source region [2]. It is further assumed that the current heightened surveillance for pandemic influenza is continued and that a nascent pandemic with human-to-human transmission is identified and the pandemic is declared when there are 10 concurrent cases in the source region.

For an epidemic to take off in an at-risk country, a series of events need to occur. First, the epidemic needs to get underway in the source region. Second, an intending traveler needs to be infected shortly before departure. Third, the infected traveler must actually travel and successfully disembark in the at-risk country. Fourth, the infected traveler, or fellow travelers infected during the flight, must initiate an epidemic in the at-risk country with the infectiousness that remains upon arrival. Finally, the epidemic needs to reach a sufficient number of cases to begin predictable exponential growth.

Infected travelers

International spread of the emerged pandemic strain of influenza may occur when a recently infected person travels. By ‘recently infected’ we mean that their travel is scheduled to occur within ten days of being infected. We assume that the number of individuals traveling from the source region to the at-risk country each day is known. The probability that a randomly selected traveler is a recently-infected person is taken to be equal to the prevalence of recently-infected people in the source region on that day. The incidence of infection in the source region is assumed to grow exponentially initially, with the rate of exponential growth determined by the disease reproduction number (the mean number of cases a single infective generates by direct contact) and the serial interval (the average interval from infection of one individual to when their contacts are infected) (Figure 1A).

Figure 1.  

The process through which a pandemic is imported. (A) The prevalence in the source region, which determines the probability that a randomly selected traveler is infected at scheduled departure. (B)–(D) Density functions of the time since infection during the early stages of the epidemic in the source region for infected travelers (B) before and (C) after departure screening, and (D) after arrival screening for clinical symptoms. In (B), the step illustrates the probabilistic removal of travelers who have completed their incubation period. In (D), the distribution of time since infection in (C) will have shifted to the right by an amount equal to the flight duration, and cases incubated in-flight may be detected by symptomatic screening, as will those symptomatic cases that were not detected previously. Screening sensitivity for this illustration is 60% on both departure and arrival. (E) Upon entering the community undetected, an infected traveler may initiate a minor (inconsequential) or major epidemic, depending on the characteristics of the disease and public health policy.

doi:10.1371/journal.pone.0000143.g001

The time since infection of a recently-infected traveler is a key component of the calculations, because it affects the chance of positive border screening, the chance of in-flight transmission and the infectivity remaining upon arrival in the at-risk country. The time since infection at the time of scheduled departure is random and the dependence of its probability distribution on the exponential growth rate of infection is illustrated by Figure 1B (see also Supporting Information). The higher the epidemic growth rate in the source region, the greater the probability than an infected traveler will have been infected more recently.

Traveler screening at departure

It is assumed that individuals detected by departure screening are prevented from traveling. To be detected by screening an infected traveler must be symptomatic and positively screened. An individual is assumed to become symptomatic 48 hours after being infected (cf. [3] who use 1.9 days). The probability of being symptomatic when presenting for departure screening is computed from the curve in Figure 1B. The distribution of the time since infection immediately after departure screening, given that the infected traveler was not detected, is given by the curve in Figure 1C. It contains an adjustment for the probability of being detected at departure.

In-flight transmission

The instantaneous rate at which susceptible contacts are infected depends on the time since infection, and is described by an infectiousness function ([9], page 45). We use a peaked infectiousness function, motivated by viral shedding and household transmission data [2], which has a serial interval of 2.6 days. The basic reproduction number (R                ₀), namely the reproduction number when there is no intervention in place and every contacted individual is susceptible, is given by the area under the infectiousness function. However, our concern is with the effective reproduction number R that holds when various interventions are in place. We obtain any R by simply multiplying the infectiousness function by the appropriate constant (to make the area under the curve equal to R). This keeps the serial interval the same. In the absence of suitable data we assume for most scenarios that the aircrafts ventilation and filtration systems are functioning properly, and that infected travelers transmit the infection at the same rate during a flight as they would while mixing in the community. We examine the sensitivity of this assumption by increasing the in-flight transmission by as much as 10-fold (as could potentially happen if air-circulation and filtration systems malfunction, e.g. see [10]). The in-flight transmission rate is set to zero under the optimistic scenario that all travelers wear 100% effective masks during transit. In terms of a sensitivity analysis this illustrates what would be achievable in a best-case scenario. The number of offspring that an infected traveler infects during a flight is a random variable, taken to have a Poisson distribution with a mean equal to the area under the infectiousness function over to the flight duration.

Traveler screening at arrival

Travelers infected during flights of less than 12 hours duration are asymptomatic at arrival and will not be detected by screening. The probability that an arriving traveler who was infected in the source region is detected on arrival is computed from the distribution of the time since infection on arrival. This distribution is obtained from the curve in Figure 1C by shifting it to the right by an amount equal to the duration of the flight. The distribution of the time since infection for an individual infected in the source region, who passes through arrival screening undetected has a further adjustment for the chance of being detected at arrival (Figure 1D). This curve shows that an infected traveler who escapes detection at departure and arrival is highly likely to enter the at-risk country with most, or all, of their infectious period remaining.

Authorities are assumed to implement one of two control options when detecting an infected traveler by arrival screening. Under option one (individual-based removal), all passengers who test negative are released immediately and only passengers who test positive are isolated. Under the second option (flight-based quarantining), authorities prevent all passengers from dispersing into the community until the last person has been screened from that flight. Should any one passenger be detected as infected then all passengers will be quarantined, as previously recommended [5].

Transmission chains initiated by infected arrivals

Transmission chains can be initiated in the at-risk country by infected travelers who mix within the community upon arrival. Suppose now that a flight arrives with one, or more, infected passengers who mix within the community. We classify these infected arrivals into those who are ‘pre-symptomatic’ and those who are ‘symptomatic’ at entry. It is assumed that the ‘symptomatic’ infected arrivals do not recognize their symptoms as pandemic influenza and will not present to medical authorities. In other words, they spend the remainder of their infectious period mixing in the community. On the other hand, the ‘pre-symptomatic’ infected arrivals, including all individuals infected during flight, are assumed to mix freely in the community only from entry until they present to medical authorities after some delay following the onset of symptoms.

Probability that an undetected infected traveler initiates a major epidemic

Not all infected travelers entering the community initiate a ‘major’ epidemic, even when the reproduction number (R) exceeds one. Quite generally, the distribution of the size of an epidemic initiated by an infected arrival is bimodal, with distinct peaks corresponding to a major epidemic and a minor outbreak (Figure 1E). In the latter event the outbreak simply fades out by chance despite there being ample susceptibles in the population for ongoing transmission [11]. The number of cases in an outbreak that fades out is typically very small compared to an epidemic.

The probability that a typical infective generates a local epidemic is computed by using a branching process approximation [12] for the initial stages of the epidemic, and equating ‘epidemic’ with the event that the branching process does not become extinct. This calculation is well known (e.g. [13], page 473), but is modified here to allow for the fact that the process is initiated by a random number of infected arrivals and some of them have spent a random part of their infectious period before arriving in the at-risk country. The distribution for the random number of individuals infected by an infected individual when all their contacts are with susceptible individuals is needed for the calculation. The lack of data prevents a definitive conclusion for the most appropriate offspring distribution for influenza transmission [14], and we use a Poisson distribution with a mean equal to R, discounted for individuals who spent only some of their infectious period mixing in the at-risk country. A Poisson offspring distribution is appropriate when the area under the infectiousness function is non-random (i.e. all individuals have the same infection ‘potential’). We assume that R is the same in the source region and the at-risk country. For an undetected infected traveler and all their in-flight offspring to fail to initiate an epidemic on arrival, all of the chains of transmission they initiate must fail to become large epidemics (see Supporting Information).

The delay until an epidemic gathers momentum in the at-risk country

We calculate the probability distribution of D, the total delay until an epidemic gathers momentum by noting that it is given by D = D                ₁+D                ₂, where D                ₁ is the time until an epidemic is first initiated and D                ₂ is the time from initiation until the local epidemic gathers momentum. For an epidemic to be first initiated in the at-risk country on day d, it must have not been initiated on all previous days. Hence the probability distribution of the time delay (D                ₁) until the epidemic is first initiated in the at-risk country following identification in the source region is described by:

                                  

where p_d                 denotes the probability that the epidemic is initiated on day d , and                                    denotes the probability that the epidemic is not initiated on day d (see Supporting Information for calculation of p_d                ).

Once successfully initiated, an epidemic may initially hover around a handful of cases before reaching a sufficient number of cases for its growth to become essentially predictable. As mentioned, 20 concurrent cases is our criterion for an epidemic to have gathered momentum. We determine the distribution of D                ₂, the time to this occurrence, from 10,000 stochastic simulations and approximate this empirical distribution by a shifted gamma distribution. Our criterion of 20 concurrent cases is conservatively high, as results from the theory of branching processes shows that the probability of a minor epidemic (and hence no take-off) starting from 20 concurrent cases is about 3×10⁻⁸ when R = 1.5, and even smaller for higher values of R. Finally, the distribution of the total delay (D = D                ₁+D                ₂) from the pandemic being identified in the source region until 20 cases in the at-risk country was calculated by the convolution of the distributions of D                ₁ and D                ₂.

Parameter values

For the illustrative purposes, we chose values of 1.5, 2.5 and 3.5 for R, which encompass estimates proposed for previous pandemics [2], [3], [15]. The number of people within the infected source region was assumed reasonably small (5 million), and there was one flight per day traveling from the source region to the at-risk country carrying 400, 100 or 10 passengers. A higher number of travelers affects the delay only marginally, assuming the epidemic takes off in the source region (see Results). We assume a typical travel duration between attempted departure and possible arrival of 12 hours, but also examine the effect of varying this from 0–48 hours. The time to presentation following symptom onset is varied from ‘immediately’ to ‘never presenting’, with a time of 6 hours considered likely in the presence of an education campaign. The sensitivity of symptomatic screening is varied from 0–100%, with results presented for 0, 50 and 100% sensitivity.

Results

Evading traveler screening

The probability that a recently infected traveler evades screening is substantial even if screening reliably detects symptomatic travelers (Figure 2A), because the typical travel duration is shorter than the 2-day incubation period. In addition, during the early stages of the epidemic a high R in the source region acts to increase the probability that an infected traveler has been infected quite recently and hence will escape detection due to being asymptomatic during their travels (Figure 2A). For example, assuming 100% sensitivity for detecting symptomatic infection, we calculate that during the early stages of the epidemic the proportion of infected travelers that evade both departure and arrival screening after 12 hours of travel is 0.26, 0.45 and 0.59 for disease reproduction numbers 1.5, 2.5 and 3.5, respectively.

Figure 2.  

Effects of border screening and early presentation. (A) The effects of screening sensitivity andon the probability of escaping detection on both departure and arrival during a 12 hour transit. (B) The effects of screening sensitivity and travel duration on the probability than an infected traveler escapes detection during transit and initiates an epidemic after arrival (assuming no other symptomatic individuals on the same flight are identified). R = 3.5 with no early presentation. (C) The effects of R and the time from symptom onset to presentation on the probability that an infected traveler, having entered the wider community following arrival, will initiate an epidemic. There is no screening.

doi:10.1371/journal.pone.0000143.g002

As the duration of travel approaches the disease incubation period, effective symptomatic screening substantially reduces the likelihood that a traveler evades screening and initiates an epidemic (Figure 2B). Reducing the time from the onset of symptoms to presentation (and subsequent isolation) for each infected arrival also reduces the probability that a major epidemic is initiated, however the best case scenario of infected travelers and all their in-flight offspring presenting immediately following the onset of symptoms still poses a substantial risk of epidemic initiation arising from pre-symptomatic transmission (Figure 1C).

The time until an epidemic gathers momentum in the at-risk country

The delay contains a fairly substantial natural component, primarily due to the time it takes to increase the number of infectives in the source region sufficiently to make the chance of a recently infected traveler appreciable (Figure 3A), and the time (D                ₂) it takes for a local epidemic in the at-risk country to gather momentum following successful seeding (Figure 4A). In the absence of any interventions, the number of infected individuals who successfully enter the community of the at-risk country initially increases exponentially (Figure 3A). With individual-based removal of infected travelers, the number of individuals entering the at-risk country undetected by screening is proportionately reduced over the course of the epidemic (Figure 3A). With flight-based quarantining, the number of infected individuals entering the at-risk country undetected is dramatically reduced over the course of the epidemic, even for relatively insensitive screening (Figure 3A). With flight-based quarantining, the number of infected passengers slipping through undetected is bimodal, with the first peak occurring when the number of infected travelers attempting to travel is still in single figures.

Figure 3.  

Components of delay until initiation and effects of border screening. (A) The number of infected people successfully arriving and entering the community of an at-risk country (K_A                      ) on each day following the identification of an outbreak of pandemic type strain influenza, assuming a source region population of 5 million, 400 intending travelers per day, R = 1.5, and three levels of symptomatic screening (solid line = nil, dashed line = 50% sensitivity with individual-based removal, dotted line = 50% sensitivity with flight-based quarantining). (B) Corresponding daily probability of initiation (p_d                      ) as a function of time since pandemic identified. (C) Distribution of the delay time until the initiation (D                      ₁) of an epidemic in an at-risk country by an infected traveler from a source region.

doi:10.1371/journal.pone.0000143.g003

Figure 4.  

Components of the delay in at-risk country following initiation. (A) Results of 10,000 simulations (bars) and fitted shifted-Gamma distribution of delay time (D                      ₂) until 20 concurrent cases occur in the at-risk country, given that an epidemic has been initiated, andequals 1.5 with a serial interval of 2.6 days. (B) The total delay distribution until there are 20 concurrent cases in the at-risk country from when a pandemic type strain of influenza outbreak is identified in a source region with a population of 5 million, 400 intending travelers day⁻¹, an R of 1.5, and three levels of symptomatic screening (solid line = nil, dashed line = 50% sensitivity with individual removal, dotted line = 50% sensitivity with flight-based quarantining).

doi:10.1371/journal.pone.0000143.g004

Without screening, the daily probability that an epidemic is initiated (p_d                ) increases, and becomes near certain once the number of infected travelers arriving undetected exceeds about 10 (Figure 3B, solid line). With screening and individual-based removal of infected individuals, p_d                 follows a similar pattern only reduced somewhat. With screening in combination with flight-based quarantining, this probability is changed dramatically. After an initial rise it dips, to become essentially zero during the height of the epidemic in the source region (Figure 3B, dotted line). This arises because once a flight has several infected travelers, the probability that at least one is detected approaches one (even if screening is imperfect), and all passengers on such a flight are quarantined. Once the epidemic starts to wane in the source region (assuming the unlikely event of the pandemic strain is restricted to the source region), the probability of initiation rises once again. The corresponding distribution of D                ₁, the delay until the epidemic is first initiated in the at-risk country, is bi-modal in the presence of screening (Figure 3C).

Although flight-based quarantining is effective in preventing the entry of infected travelers during the height of the epidemic, a substantial cumulative risk of initiation has already occurred before this from the handful of infectives that have slipped through undetected (Figure 3B). Hence, whilst the effect of border screening, particularly in conjunction with flight-based quarantining, on the daily probability of initiation is dramatic, its effect on the delay to initiation is much less pronounced (Figure 3C). Border screening, even with perfect sensitivity for detecting symptomatic cases, tends to increase D                ₁, the time to an epidemic being initiated, by a matter of days to weeks. The time (D                ₂) from initiation (the arrival of the index case) to an epidemic reaching 20 concurrent cases within the at-risk country is adequately modeled using a shifted Gamma distribution (Figure 4A). The convolution of this right-skewed Gamma distribution with the left-skewed delay-distribution of D                ₁ (Figure 3C) yields the distribution for D, the total delay until the epidemic reaches 20 cases in the at-risk country (Figure 4B). The distribution of D is approximately symmetrical. The effect of border screening on the total delay D is quite modest, though sensitive to how screening is implemented. For example, with R = 1.5 and 400 travelers per day, 100% sensitive screening with individual-based removal increases the median delay from 57 to 60 days (Figure 4B). Flight-based quarantining would extend the median delay to 70 days. In general, the added delay arising from flight-based quarantining is about four-fold that arising from individual-based removal.

The natural component of the delay is highly sensitive to the disease reproduction number (Figure 5A). For example, with 400 passengers per day departing the source country and in the absence of any interventions, the median delay ranges from a low of 17 days for R = 3.5 to 57 days for R = 1.5 (Table 1). The delay is less sensitive to the number of intending travelers, with little appreciable increase in the median delay occurring until traveler numbers become very low (Figure 5B). For example, if R = 1.5, with no other border control measures, decreasing the number of intending travelers departing the source region from 400 to 100 per day increases the median total delay D from 57 to 66 days. A further decrease in the number of intending travelers to 10 per day increases the median delay to 83 days (Table 1).

Figure 5.  

Effects of interventions on the total delay D. (A) The effects of R on delay-distribution. (B) The effects of daily traveler number on the median delay for different values of R. (C) The effects of the time from symptom incubation until presentation and isolation (t_SP                      ) on the delay-distribution. (D) Additive effects of implementing 100% sensitive border screening (individual removal), the wearing of masks during transit, immediate presentation following symptom onset, and flight-based quarantining on the median delay, assuming 400 travelers per day attempting to depart the source region.

doi:10.1371/journal.pone.0000143.g005

Table 1. Summary measures of the expected time until an epidemic of pandemic strain influenza in an at-risk country reaches 20 cases, for three values of R and three values for the number of intending travelers when the source region contains 5 million people.

doi:10.1371/journal.pone.0000143.t001

The delay is quite insensitive to the rate of transmission in-flight. For example, with R = 1.5, a 12-hour flight, 400 travelers per day and no other interventions, preventing in-flight transmission altogether increases the median delay from 57 to 58 days. Conversely, doubling the rate of in-flight transmission reduces the median delay from 57 to 56 days. A 10-fold increase in the rate of transmission in-flight only decreases the median delay from 57 to 53 days. Encouraging the early presentation of cases among travelers following the onset of symptoms has a limited effect on the delay distribution (Figure 5C). For example, for R = 1.5, 400 intending travelers per day and no other interventions, reducing the time to presentation from ‘never presenting’ to 6 hours increases the median delay from 57 to 61 days. Immediate presentation at symptom onset only increases the median delay a further day in this scenario.

In general, the additional delay achieved by introducing non-pharmaceutical border control measures is generally small in comparison with the natural delay (Figure 5D). For the scenario with R = 1.5 and 400 intending travelers per day, a combination of 100% flight-based quarantining, 100% compliance with mask wearing during travel and immediate presentation at symptom onset extends the estimated median delay from 57 to 79 days (Figure 5D). This added delay diminishes in absolute terms as R increases. For example, if the same interventions are applied with R = 3.5, the median delay is extended from 17 to just 20 days (Figure 5D). The one exception to this generalisation is when travel numbers are reduced dramatically. The added delay achieved when a drastic reduction in travel numbers is combined with other border control measures appears to be greater than adding the delays each achieves on its own. For example, if R = 1.5, and we reduce the number of intending travelers from 400 to 10 per day, implement 100% flight-based quarantining, implement compulsory mask wearing during travel and presentation at 6 hours following symptom onset then there is a substantial probability (0.74) that the pandemic strain will never be imported (assuming the epidemic is confined to the source country). The estimated quartile delay (the median in this case is undefined) to the start of a major epidemic in an at-risk country is extended from 50 to 125 days. Again, the added delay decreases rapidly as R increases, and if the above interventions were applied with R = 3.5, the estimated median delay is extended from 17 to 26 days, and the importation of the epidemic is certain (Figure 5D).

Discussion

We have formulated a model of the importation of an infectious disease from a source region to an at-risk country that permits a comprehensive analysis of the effect of border control measures. Our results are most relevant to the early stage of a pandemic when most cases are contained within a single source region. Once the pandemic has spread to several countries, models with greater complexity and ability to more realistically model global mixing patterns [6]–[8] are required. Our model is developed with a pandemic-strain of influenza in mind, but could apply to any emerging infectious disease that is transmitted from person to person. We have assumed a Poisson distribution for the number of secondary infections, which a natural choice when each infected individual has the same infectivity profile. A distribution with a larger variance is appropriate when individuals vary substantially in their infectiousness. Our results are conservative in the sense that they give an upper bound for the probability that an infected traveler manages to initiate an epidemic, compared to an offspring distribution with a greater variance but the same reproduction number [14].

The nature of the next pandemic influenza virus, and particularly its reproduction number, is uncertain. If its reproduction number is low (R<2.0), our results indicate that at-risk countries receiving a reasonably small number of travelers (say 400 per day) from the infected source region can expect a natural delay until importing an epidemic of the order of 2 months. This is quite variable and under favourable conditions it could be 4 months. However, the natural delay decreases rapidly as R increases.

The additional delay from isolating individuals detected by border screening is merely a few days under most plausible scenarios, even if both departure and arrival screening is introduced and screening detects every symptomatic traveler. While the extra delay is more than quadrupled if flights with a detected case(s) are quarantined, the effect remains modest (weeks at most) and it is questionable whether the extra delay achieved warrants the disruption created by such a large number of quarantined passengers.

In-flight transmission is a commonly raised concern in discussions about the importation of an infection, so inclusion of in-flight transmission is an attractive feature of our model. Events of substantial in-flight transmission of influenza have been documented [10], [16] and modeling of indoor airborne infection risks in the absence of air filtration predicts that in-flight transmission risks are elevated [17]. However, it difficult to estimate the infectiousness of influenza in a confined cabin space, as there is undoubtedly substantial under-reporting of influenza cases who travel and fail to generate any offspring during flight. Provided the aircraft ventilation system (including filtration) is operational, it is considered that the actual risk of in-flight transmission is much lower than the perceived risk [18]. Our results indicate that the delay is relatively insensitive to the rate of in-flight transmission, making in-flight transmission less of an issue than commonly believed. A highly elevated transmission rate in-flight will hasten the importation of an epidemic only marginally. Consistent with this, eliminating in-flight transmission by wearing protective masks increases the delay only marginally.

Early presentation by infected arrivals not detected at the borders was found to add only a few days to the delay. To some extent this arises due to our assumption that pre-symptomatic transmission can occur, for which there is some evidence. In contrast, Ferguson et al. [2] assume that the incubation and latent periods are equal, with a mean of 1.5 days. In their model pre-symptomatic transmission is excluded and infectiousness is estimated to spike dramatically immediately following symptom onset and declining rapidly soon afterwards. Under their model assumptions, immediate presentation at onset of symptoms would reduce transmission effectively. However, as presentation occurs some time after onset of symptoms and the bulk of infectivity occurs immediately after onset of symptoms the results on the effect of early presentation of cases are likely, in practical terms, to be similar to those found here. Given the variable nature of influenza symptoms, there is likely to be a difference between the onset of the first symptoms as measured in a clinical trial (e.g. [19]) and the time that a person in the field first suspects that they may be infected with influenza virus. To fully resolve the issue of how effective very early presentation of infected travelers is in delaying a local epidemic we need better knowledge about the infectiousness of individuals before and just after the onset of symptoms.

Of the border control measures available, reducing traveler numbers has the biggest effect on the delay and even then it is necessary to get the number of travelers down to a very low number. An equivalent control measure is to quarantine all arriving passengers with near perfect compliance.

Our results indicate that short of virtually eliminating international travel, border control measures add little to avoiding, or delaying, a local epidemic if an influenza pandemic takes off in a source region. All forms of border control are eventually overwhelmed by the cumulative number of infected travelers that attempt to enter the country. The only way to prevent a local epidemic is to rapidly implement local control measures that bring the effective reproduction number in the local area down below 1, or to achieve rapid elimination in the source region, in agreement with other recent studies [6]–[8]. Preventing the exponential growth phase of an epidemic in the source region appears to be the only method able to prevent a nascent influenza pandemic reaching at-risk countries.

Supporting Information

Text S1.

Estimating the daily probability of epidemic initiation

(0.08 MB PDF)

Acknowledgments

We thank James Wood, Katie Glass and Belinda Barnes and an anonymous reviewer for helpful comments.

Author Contributions

Conceived and designed the experiments: NB PC. Performed the experiments: PC DP. Analyzed the data: NB PC DP. Contributed reagents/materials/analysis tools: PC DP. Wrote the paper: NB PC.

References

1. Germann TC, Kadau K, Longini IM, Macken CA. (2006) Mitigation strategies for pandemic influenza in the United States. Proceedings of the National Academy of Science 103: 5935–5940. Find this article online
2. Ferguson NM, Cummings DAT, Cauchemez S, Fraser C, Riley S, et al. (2005) Strategies for containing an emerging influenza pandemic in Southeast Asia. Nature  437: 209214. Find this article online
3. Longini IM, Nizam A, Xu S, Ungchusak K, Hanshoaworakul W, et al. (2005) Containing pandemic influenza at the source. Science  309: 1083–1087. Find this article online
4. John RK St, King A, de Jong D, Bodie-Collins M, Squires SG, et al. (2005) Border screening for SARS. Emerging Infectious Diseases  11: 6–10. Find this article online
5. Pitman RJ, Cooper BS, Trotter CL, Gay NJ, Edmunds WJ. (2005) Entry screening for severe acute respiratory syndrome (SARS) or influenza: policy evaluation. British Medical Journal 331: 1242–1243. Find this article online
6. Cooper BS, Pitman RJ, Edmunds WJ, Gay NJ. (2006) Delaying the international spread of pandemic influenza. PloS Medicine  3: e212. Find this article online
7. Ferguson NM, Cummings DAT, Fraser C, Cajka JC, Cooley PC, et al. (2006) Strategies for mitigating an influenza pandemic. Nature  442: 448–452. Find this article online
8. Hollingsworth TD, Ferguson NM, Anderson RM. (2006) Will travel restrictions control the international spread of pandemic influenza? Nature Medicine  12: 497–499. Find this article online
9. Becker NG (1989) Analysis of Infectious Disease Data. London: Chapman and Hall. 
10. Moser MR, Bender TR, Margolis HS, Noble GR, Kendal AP, et al. (1979) An outbreak of influenza aboard a commercial airline. American Journal of Epidemiology  110: 1–6. Find this article online
11. Lloyd-Smith JO, Cross PC, Briggs CJ, Daugherty M, Getz WM, et al. (2005) Should be expect population thresholds for wildlife disease? Trends in Ecology and Evolution  20: 511–519. Find this article online
12. Harris TE (1963) The Theory of Branching Processes. Berlin: Springer. 230 p p. 
13. Caswell H (2000) Matrix Population Models: Construction, Analysis, and Interpretation. Sunderland, , Massachusetts: Sinauer Associates, Inc. 727 p p.
14. Lloyd-Smith JO, Schreiber SJ, Kopp PE, Getz WM. (2005) Superspreading and the effect of individual variation on disease emergence. Nature  438: 355–359. Find this article online
15. Mills CE, Robins JM, Lipsitch M. (2004) Transmissibility of 1918 pandemic influenza. Nature  432: 904–906. Find this article online
16. Marsden AG. (2003) Influenza outbreak related to air travel. The Medical Journal of Australia  179: 172–173. Find this article online
17. Liao C, Chang C, Liang H. (2005) A probabilistic transmission dynamic model to assess indoor airborne infection risks. Risk Analysis  25: 1097–1107. Find this article online
18. Mangili A, Gendreau MA. (2005) Transmission of infectious diseases during commercial air travel. The Lancet  365: 989–996. Find this article online
19. Hayden FG, Treanor JJ, Fritz RS, Lobo M, Betts RF, et al. (1999) Use of the oral neuraminidase inhibitor oseltamivir in experimental human influenza. Journal of the American Medical Association 282: 1240–1246. Find this article online

Ocean acidification

According to the Science blog:

The U.S. Environmental Protection Agency has asked scientists how to revise the Clean Water Act to protect seas against ocean acidification from atmospheric carbon dioxide. Under the current rules, waters are designated as impaired if their pH deviates from naturally occurring levels by 0.2 units. But biologists say that some organisms are affected by smaller changes. A more complex approach would also take into account how organisms or ecosystems are affected differently by changing pH levels.

Call for Entries - 4th International Water Film Festival

If you're traveling this summer, you might want to film something about water and submit your masterpiece to the 4th International Water Film Festival.  Entries are due July 31st.  For more info, visit  Drink Water for Life blog - water film festival.

65% see current economic crisis as opportunity for sustainability

I was browsing at Worldwatch Institute and saw these results from their poll.  By the way, I voted for reengineering the energy system:

What opportunities for sustainability may emerge in 2009
because of the current economic crisis?

The world could get a respite from surging carbon emissions.

8% (312 votes)

Significant steps will be made to reengineer the energy system in order to create jobs.

32% (1288 votes)

People will buy less stuff, and generally produce less waste.

25% (987 votes)

Opportunities will actually be hindered because bad economic times put the environment low on policymakers’ agendas.

35% (1387 votes)

Total votes: 3974

Arctic Sea Ice Melting Fast

According to a new report by Wang and Overland in Geophysical Research Letters, the arctic sea ice is melting fast enough that it will be largely gone within 30 years.  The ice is melting so fast because arctic temperatures in the last four years have risen to a level (a 9 degree Fahrenheit increase) which was not expected to occur for another 60 years.  The sea ice reflects sunlight so the planet will heat even faster as the ice melts.  So....perhaps all of those changes that we were expecting in 2010 may be here by 2040, or earlier.

Common Dreams reports:

[Wang and Overland] expect the area covered by summer sea ice to decline from about 2.8 million      square miles normally to 620,000 square miles within 30 years.Last year's summer minimum was 1.8 million square miles in September, second lowest only to 2007 which had a minimum of 1.65 million square miles...Arctic sea ice reached its winter maximum for this year at 5.8 million square miles on Feb. 28. That was 278,000 square miles below the 1979-2000 average making it the fifth lowest on record. The six lowest maximums since 1979 have all occurred in the last six years.  Common Dreams Arctic Sea Ice

Water News from Water Advocates

New Congressional Legislation: Strong support for drinking water and
sanitation continues on Capitol Hill, where legislation introduced in
the Senate would put the U.S. in the lead among governments in
responding to the Millennium Development Goals for water and sanitation.
Companion legislation is expected soon in the House. Titled "The Senator
Paul Simon Water for the World Act of 2009" (S624), the bipartisan bill
introduced by Senators Durbin, Corker and Murray on March 17 seeks to
reach 100 million people with safe water and sanitation by 2015 and to
strengthen the capacity of USAID and the State Department to carry out
the landmark Senator Paul Simon Water for the Poor Act of 2005.

USAID: Dozens of USAID missions, notably in Sub-Saharan Africa and
Southeast Asia, are gearing up to utilize increased appropriations to
implement the Senator Paul Simon Water for the Poor Act, after years of
lacking the tools to help extend safe, sustainable water, sanitation and
hygiene. USAID this past month announced a number of initiatives
including: new strategic partnerships to extend water and sanitation
access to the urban poor in Africa and the Middle East (with
International Water Association), new multilateral revolving funds (in
the Philippines), new collaborations (with Rotary International) and a
new USAID Water Site http://tinyurl.com/newUSAIDwater.

Appropriations: Through the recently passed Omnibus legislation,
Congress appropriated $300 million for Fiscal Year 2009, for "water and
sanitation supply projects pursuant to the Senator Paul Simon Water for
the Poor Act of 2005." As with last year's appropriations, forty percent
of the funds are targeted for Sub-Saharan Africa. Priority will remain
on drinking water and sanitation in the countries of greatest need.
Report language suggests increased hiring of Mission staff with
expertise in water and sanitation. It also recommends that $20 million
of the appropriation be available to USAID's Global Development Alliance
to increase its partnerships for water and sanitation, particularly with
NGOs.

In Fiscal Year 2010, a broad spectrum of U.S. nonprofit organizations,
corporations and religious organizations are urging $500 million to
implement the Senator Paul Simon Water for the Poor Act, as part of an
overall increase of foreign development assistance, a level also called
for by InterAction and the "Transition to Green" Report. 

For more water news, visit Drink Water for Life. 

The New Subsistence Society

Sometimes its a good idea to stand back and contemplate the universe.  Today's early news that the Dow Jones Industrial Index took another header because of AIG's $60+ billion loss prompts me to do that. 

What is the vector of our society?  What will it look like after all the dust has settled?  It is not just the financial crisis that prompts me to contemplate this.  Although the phrase is over-used, we are in the midst of a perfect storm -- a global economy that creates and distributes goods and services through the internet, computerized machines and cheap labor virtual collapse of the financial system, the advent of peak oil, and the climate crisis.  How will all of these things cumulatively affect our future?

We've lived with the first problem for decades now -- what do people do as they  become less and less important to production of goods and services.  The science fiction of our times: what happens when people and their primary asset, labor, becomes virtually superfluous.  Certainly countries with high labor costs relative to Asia and South America already are beginning to experience the problem.  Computerized machines can plant, water, and harvest the fields; robots can make the cars and prefabricated housing; department stores, bank branches, car dealers, even retail grocery stores can be replaced by internet marketing; 100 law professors lecturing to law students and 1000 college professors lecturing to college students is more than enough -- creating the prospect of a British or continental education system, with those professors raised to unseemly heights and the remainder left to do the grunge work of tutors; even more radically, 100 K-12 teachers can teach a nation of students with computer graded exams, if we believe that convergent answers are the goal of education; priests and ministers can be replaced by TV showmen and megachurch performers. 

So what do the other 6.95 billion of us do?  Now, we consume.  Voraciously.  If we don't, then the basics can be provided by a very few and the rest of us become unwanted baggage.  A non-consumer is a drag on the system.  We depend on the velocity of money, excess consumption, and inefficiency to provide each of us with a job and to maintain the current economy.

And what happens when money moves at a crawl, when people stop consuming, when production becomes life-threatening to the planet, and when a key resource for production, oil, reaches the point of no return???  The answer is a new subsistence economy.  A new world where a few are need to produce, a few more can consume, and the remainder have no economic role and are left to subsist as best they can.

Admittedly, it will be subsistence at a higher level -- through the internet, computerization, and technology, each of us will have the capacity to do things for ourselves that are beyond the imagination of today's impoverished subsistence farmers.  But, relative to those who own all of the means of production, a few entertainers (be they basketball players, lecturers, moviestars, or mega-church leaders), and a few laborers (building the machines, computers, the information infrastructure and doing basic and applied research), we will all be poor.  Perhaps only relatively and perhaps only in material terms.  But poor, living at a subsistence level, consuming food from our own gardens, building our own houses, wearing clothes for function not fashion, educating our own children through the internet, capturing essential power through distributed energy, and buying very little of goods that are bound to be too expensive for most -- probably just computers.  It won't necessarily be bad.  Perhaps we can refocus on relationships, family, community, art, music, literature, and life, rather than define ourselves in terms of our job and our things.  Perhaps we can refocus on spirituality instead of materialism. Who knows?  Maybe the new society won't be such a bad thing after all -- at least if we insist that the few who have the privilege of production have a responsibility to share the wealth with the many.

Obama gains nothing on tar sands in Canada

President Obama appears to have made no progress with Canadian Prime Minister Stephen Harper about the Canadian tar sands issue.  Harper has requested that tar sands production be excluded from any global climate treaty -- which would be disasterous in terms of the greenhouse gas emissions associated with tar sands development.  Obama appears to have been overly diplomatic in his discussions with Harper -- perhaps in hopes of softening Harper up over time.  I trust that he isn't really prepared to concede on the tar sands issue.

Muckracker posted this analysis on Grist (Grist link) about Obama's visit north with respect to tar sands and clean energy:

President Obama ventured north to Canada on Thursday to meet with Prime Minister Stephen Harper, but environmentalists looking for any indication that the two leaders would issue unequivocal calls for action on global warming or a curtailing of America's dependence on Canada's vast oil deposits were left disappointed. The two leaders, instead, promised a "clean energy dialog" that commits senior officials from both countries to collaborate on technologies that will reduce greenhouse gases and combat climate change, said Harper. That will include a monetary partnership on the development of carbon capture and storage technologies -- the holy grail for many oil and coal boosters who insist that renewable energies can't replace fossil fuels. The United States already committed to using the $3.4 billion in the newly enacted economic stimulus package for carbon capture and storage demonstrations, while Canada has committed $1 billion to a Clean Energy Fund in the government's Economic Action Plan. The two leaders also agreed to partner on the development of smart grid technologies.

"How we produce and use energy is fundamental to our economic recovery, but also our security and our planet, and we know we can't afford to tackle these issues in isolation," said Obama during a joint news conference.

Beyond dialog and promised investments in technology, there weren't a whole lot of answers from either leader on how their governments will deal with energy and climate in the short term. A major issue between the two nations has been oil from Canada's tar sands. The United States imports a lot of Canadian oil - 1.9 million barrels a day in 2008, to be exact. That's more than the U.S. imported from Saudi Arabia, Venezuela, and all those other nations that are so often targeted in complaints about U.S. energy "dependence."

Harper's government wants any climate pact to exempt the vast tar sands of Alberta from regulation. The tar sands contain up to 173 billion barrels of oil, but their extraction is an environmental nightmare (not to mention the problem of burning it). Thousands of acres of forests have to be destroyed to get to the oil. Separating the oil from the sand and clay is extremely energy intensive, and the waste material drenches waterways in toxic sludge. 

Asked about the issue today, Obama compared the tar sands problem with the coal problem in the United States (a comparison many Canadians have also made). While he was clear that carbon capture technologies are not cost effective at this point, he implicitly endorsed efforts to spend billions more on researching them. "In the United States, we have issues around coal, for example, which is extraordinarily plentiful and runs a lot of our power plants and if we can figure out how to capture the carbon, that would make an enormous difference in how we operate," said Obama. "Right now, the technologies are at least not cost effective. So my expectation is is that this clean energy dialog will move us in the right direction."

In an interview with the CBC on Tuesday, Obama acknowledged that tar-sands oil "creates a big carbon footprint," but was optimistic that the both the tar sands and coal problems "can be solved by technology."

              

Enviros aren't particularly happy about the Obama-Harper focus on making dirty energy sources cleaner.

"Tar sands oil is the dirtiest oil on earth. It is the fastest growing source of global warming emissions in Canada. It has no place in a clean energy economy," said Sierra Club Dirty Fuels Campaign Coordinator Pat Gallagher in a statement on today's meeting. "Unfortunately, carbon capture and storage is an unproven technology that isn't in use yet. As President Obama noted today, the technology is not yet cost-effective. We should be focusing on the clean energy and efficiency solutions that already exist, the solutions President Obama has laid out that will create green jobs and stimulate our economy."

Canadian clean-energy campaigners reserved most of their criticism for Harper. "Given the level of ambition President Obama has already shown in tackling global warming, it's disappointing that the only thing Stephen Harper committed to today is holding talks on technology research and pilot projects," said Matthew Bramley, director of the climate change program at Canada's Pembina Institute. "Talking is worthwhile, but it won't reduce Canada's emissions anytime soon."

President Obama's "State of the Union" Speech

The White House has published the "Remarks of President Barack Obama -- Address to Joint Session of Congress" as prepared for delivery on Tuesday, February 24th, 2009. White House link   The President called for Congress to send him a cap and trade bill to address climate change and stressed investments in clean energy as the path to America's future.  What a difference from last year!

As the President says about the long term investments that are absolutely critical to our economic future:

It begins with energy.

We know the country that harnesses the power of clean, renewable energy will lead the 21st century.  And yet, it is China that has launched the largest effort in history to make their economy energy efficient.  We invented solar technology, but we’ve fallen behind countries like Germany and Japan in producing it.  New plug-in hybrids roll off our assembly lines, but they will run on batteries made in Korea.

Well I do not accept a future where the jobs and industries of tomorrow take root beyond our borders – and I know you don’t either. It is time for America to lead again.

Thanks to our recovery plan, we will double this nation’s supply of renewable energy in the next three years.  We have also made the largest investment in basic research funding in American history – an investment that will spur not only new discoveries in energy, but breakthroughs in medicine, science, and technology.

We will soon lay down thousands of miles of power lines that can carry new energy to cities and towns across this country.  And we will put Americans to work making our homes and buildings more efficient so that we can save billions of dollars on our energy bills.

But to truly transform our economy, protect our security, and save our planet from the ravages of climate change, we need to ultimately make clean, renewable energy the profitable kind of energy.  So I ask this Congress to send me legislation that places a market-based cap on carbon pollution and drives the production of more renewable energy in America.  And to support that innovation, we will invest fifteen billion dollars a year to develop technologies like wind power and solar power; advanced biofuels, clean coal, and more fuel-efficient cars and trucks built right here in America.

As for our auto industry, everyone recognizes that years of bad decision-making and a global recession have pushed our automakers to the brink.  We should not, and will not, protect them from their own bad practices.  But we are committed to the goal of a re-tooled, re-imagined auto industry that can compete and win.  Millions of jobs depend on it.  Scores of communities depend on it.  And I believe the nation that invented the automobile cannot walk away from it.

None of this will come without cost, nor will it be easy.  But this is America.  We don’t do what’s easy.  We do what is necessary to move this country forward.

Remarks of President Barack Obama – As Prepared for Delivery
Address to Joint Session of Congress
Tuesday, February 24th, 2009

(en español)

Madame Speaker, Mr. Vice President, Members of Congress, and the First Lady of the United States:

I’ve come here tonight not only to address the distinguished men and women in this great chamber, but to speak frankly and directly to the men and women who sent us here.

I know that for many Americans watching right now, the state of our economy is a concern that rises above all others.  And rightly so.  If you haven’t been personally affected by this recession, you probably know someone who has – a friend; a neighbor; a member of your family. You don’t need to hear another list of statistics to know that our economy is in crisis, because you live it every day.  It’s the worry you wake up with and the source of sleepless nights.  It’s the job you thought you’d retire from but now have lost; the business you built your dreams upon that’s now hanging by a thread; the college acceptance letter your child had to put back in the envelope.  The impact of this recession is real, and it is everywhere.   

But while our economy may be weakened and our confidence shaken; though we are living through difficult and uncertain times, tonight I want every American to know this:

We will rebuild, we will recover, and the United States of America will emerge stronger than before.

The weight of this crisis will not determine the destiny of this nation.  The answers to our problems don’t lie beyond our reach.  They exist in our laboratories and universities; in our fields and our factories; in the imaginations of our entrepreneurs and the pride of the hardest-working people on Earth.  Those qualities that have made America the greatest force of progress and prosperity in human history we still possess in ample measure.  What is required now is for this country to pull together, confront boldly the challenges we face, and take responsibility for our future once more.

Now, if we’re honest with ourselves, we’ll admit that for too long, we have not always met these responsibilities – as a government or as a people.  I say this not to lay blame or look backwards, but because it is only by understanding how we arrived at this moment that we’ll be able to lift ourselves out of this predicament.

The fact is, our economy did not fall into decline overnight.  Nor did all of our problems begin when the housing market collapsed or the stock market sank.  We have known for decades that our survival depends on finding new sources of energy.  Yet we import more oil today than ever before.  The cost of health care eats up more and more of our savings each year, yet we keep delaying reform.  Our children will compete for jobs in a global economy that too many of our schools do not prepare them for.  And though all these challenges went unsolved, we still managed to spend more money and pile up more debt, both as individuals and through our government, than ever before.

In other words, we have lived through an era where too often, short-term gains were prized over long-term prosperity; where we failed to look beyond the next payment, the next quarter, or the next election.  A surplus became an excuse to transfer wealth to the wealthy instead of an opportunity to invest in our future.  Regulations were gutted for the sake of a quick profit at the expense of a healthy market.  People bought homes they knew they couldn’t afford from banks and lenders who pushed those bad loans anyway.  And all the while, critical debates and difficult decisions were put off for some other time on some other day.

Well that day of reckoning has arrived, and the time to take charge of our future is here.

Now is the time to act boldly and wisely – to not only revive this economy, but to build a new foundation for lasting prosperity.  Now is the time to jumpstart job creation, re-start lending, and invest in areas like energy, health care, and education that will grow our economy, even as we make hard choices to bring our deficit down.  That is what my economic agenda is designed to do, and that’s what I’d like to talk to you about tonight.

It’s an agenda that begins with jobs.

As soon as I took office, I asked this Congress to send me a recovery plan by President’s Day that would put people back to work and put money in their pockets.  Not because I believe in bigger government – I don’t.  Not because I’m not mindful of the massive debt we’ve inherited – I am.  I called for action because the failure to do so would have cost more jobs and caused more hardships.  In fact, a failure to act would have worsened our long-term deficit by assuring weak economic growth for years.  That’s why I pushed for quick action. And tonight, I am grateful that this Congress delivered, and pleased to say that the American Recovery and Reinvestment Act is now law.   

Over the next two years, this plan will save or create 3.5 million jobs.  More than 90% of these jobs will be in the private sector – jobs rebuilding our roads and bridges; constructing wind turbines and solar panels; laying broadband and expanding mass transit.

Because of this plan, there are teachers who can now keep their jobs and educate our kids.  Health care professionals can continue caring for our sick.  There are 57 police officers who are still on the streets of Minneapolis tonight because this plan prevented the layoffs their department was about to make.

Because of this plan, 95% of the working households in America will receive a tax cut – a tax cut that you will see in your paychecks beginning on April 1st.

Because of this plan, families who are struggling to pay tuition costs will receive a $2,500 tax credit for all four years of college. And Americans who have lost their jobs in this recession will be able to receive extended unemployment benefits and continued health care coverage to help them weather this storm.

I know there are some in this chamber and watching at home who are skeptical of whether this plan will work.  I understand that skepticism.  Here in Washington, we’ve all seen how quickly good intentions can turn into broken promises and wasteful spending.  And with a plan of this scale comes enormous responsibility to get it right.

That is why I have asked Vice President Biden to lead a tough, unprecedented oversight effort – because nobody messes with Joe.  I have told each member of my Cabinet as well as mayors and governors across the country that they will be held accountable by me and the American people for every dollar they spend.  I have appointed a proven and aggressive Inspector General to ferret out any and all cases of waste and fraud.  And we have created a new website called recovery.gov so that every American can find out how and where their money is being spent.

So the recovery plan we passed is the first step in getting our economy back on track.  But it is just the first step.  Because even if we manage this plan flawlessly, there will be no real recovery unless we clean up the credit crisis that has severely weakened our financial system.

I want to speak plainly and candidly about this issue tonight, because every American should know that it directly affects you and your family’s well-being.  You should also know that the money you’ve deposited in banks across the country is safe; your insurance is secure; and you can rely on the continued operation of our financial system.  That is not the source of concern.

The concern is that if we do not re-start lending in this country, our recovery will be choked off before it even begins.

You see, the flow of credit is the lifeblood of our economy.  The ability to get a loan is how you finance the purchase of everything from a home to a car to a college education; how stores stock their shelves, farms buy equipment, and businesses make payroll.

But credit has stopped flowing the way it should.  Too many bad loans from the housing crisis have made their way onto the books of too many banks.  With so much debt and so little confidence, these banks are now fearful of lending out any more money to households, to businesses, or to each other.  When there is no lending, families can’t afford to buy homes or cars.  So businesses are forced to make layoffs.  Our economy suffers even more, and credit dries up even further.

That is why this administration is moving swiftly and aggressively to break this destructive cycle, restore confidence, and re-start lending.

We will do so in several ways.  First, we are creating a new lending fund that represents the largest effort ever to help provide auto loans, college loans, and small business loans to the consumers and entrepreneurs who keep this economy running.   

Second, we have launched a housing plan that will help responsible families facing the threat of foreclosure lower their monthly payments and re-finance their mortgages.  It’s a plan that won’t help speculators or that neighbor down the street who bought a house he could never hope to afford, but it will help millions of Americans who are struggling with declining home values – Americans who will now be able to take advantage of the lower interest rates that this plan has already helped bring about.  In fact, the average family who re-finances today can save nearly $2000 per year on their mortgage.   

Third, we will act with the full force of the federal government to ensure that the major banks that Americans depend on have enough confidence and enough money to lend even in more difficult times.  And when we learn that a major bank has serious problems, we will hold accountable those responsible, force the necessary adjustments, provide the support to clean up their balance sheets, and assure the continuity of a strong, viable institution that can serve our people and our economy.

I understand that on any given day, Wall Street may be more comforted by an approach that gives banks bailouts with no strings attached, and that holds nobody accountable for their reckless decisions.  But such an approach won’t solve the problem.  And our goal is to quicken the day when we re-start lending to the American people and American business and end this crisis once and for all.

I intend to hold these banks fully accountable for the assistance they receive, and this time, they will have to clearly demonstrate how taxpayer dollars result in more lending for the American taxpayer. This time, CEOs won’t be able to use taxpayer money to pad their paychecks or buy fancy drapes or disappear on a private jet.  Those days are over.

Still, this plan will require significant resources from the federal government – and yes, probably more than we’ve already set aside.  But while the cost of action will be great, I can assure you that the cost of inaction will be far greater, for it could result in an economy that sputters along for not months or years, but perhaps a decade.  That would be worse for our deficit, worse for business, worse for you, and worse for the next generation.  And I refuse to let that happen.    

I understand that when the last administration asked this Congress to provide assistance for struggling banks, Democrats and Republicans alike were infuriated by the mismanagement and results that followed. So were the American taxpayers.  So was I.

So I know how unpopular it is to be seen as helping banks right now, especially when everyone is suffering in part from their bad decisions.  I promise you – I get it.

But I also know that in a time of crisis, we cannot afford to govern out of anger, or yield to the politics of the moment.  My job – our job – is to solve the problem.  Our job is to govern with a sense of responsibility.  I will not spend a single penny for the purpose of rewarding a single Wall Street executive, but I will do whatever it takes to help the small business that can’t pay its workers or the family that has saved and still can’t get a mortgage.

That’s what this is about.  It’s not about helping banks – it’s about helping people.  Because when credit is available again, that young family can finally buy a new home.  And then some company will hire workers to build it.  And then those workers will have money to spend, and if they can get a loan too, maybe they’ll finally buy that car, or open their own business.  Investors will return to the market, and American families will see their retirement secured once more. Slowly, but surely, confidence will return, and our economy will recover.    

So I ask this Congress to join me in doing whatever proves necessary.  Because we cannot consign our nation to an open-ended recession.  And to ensure that a crisis of this magnitude never happens again, I ask Congress to move quickly on legislation that will finally reform our outdated regulatory system.  It is time to put in place tough, new common-sense rules of the road so that our financial market rewards drive and innovation, and punishes short-cuts and abuse.

The recovery plan and the financial stability plan are the immediate steps we’re taking to revive our economy in the short-term.  But the only way to fully restore America’s economic strength is to make the long-term investments that will lead to new jobs, new industries, and a renewed ability to compete with the rest of the world. The only way this century will be another American century is if we confront at last the price of our dependence on oil and the high cost of health care; the schools that aren’t preparing our children and the mountain of debt they stand to inherit.  That is our responsibility.

In the next few days, I will submit a budget to Congress.  So often, we have come to view these documents as simply numbers on a page or laundry lists of programs.  I see this document differently.  I see it as a vision for America – as a blueprint for our future.

My budget does not attempt to solve every problem or address every issue.  It reflects the stark reality of what we’ve inherited – a trillion dollar deficit, a financial crisis, and a costly recession.

Given these realities, everyone in this chamber – Democrats and Republicans – will have to sacrifice some worthy priorities for which there are no dollars.  And that includes me. 

But that does not mean we can afford to ignore our long-term challenges.  I reject the view that says our problems will simply take care of themselves; that says government has no role in laying the foundation for our common prosperity.

For history tells a different story.  History reminds us that at every moment of economic upheaval and transformation, this nation has responded with bold action and big ideas.  In the midst of civil war, we laid railroad tracks from one coast to another that spurred commerce and industry.  From the turmoil of the Industrial Revolution came a system of public high schools that prepared our citizens for a new age.  In the wake of war and depression, the GI Bill sent a generation to college and created the largest middle-class in history.  And a twilight struggle for freedom led to a nation of highways, an American on the moon, and an explosion of technology that still shapes our world.

In each case, government didn’t supplant private enterprise; it catalyzed private enterprise.  It created the conditions for thousands of entrepreneurs and new businesses to adapt and to thrive.

We are a nation that has seen promise amid peril, and claimed opportunity from ordeal.  Now we must be that nation again.  That is why, even as it cuts back on the programs we don’t need, the budget I submit will invest in the three areas that are absolutely critical to our economic future:  energy, health care, and education.

It begins with energy.

We know the country that harnesses the power of clean, renewable energy will lead the 21st century.  And yet, it is China that has launched the largest effort in history to make their economy energy efficient.  We invented solar technology, but we’ve fallen behind countries like Germany and Japan in producing it.  New plug-in hybrids roll off our assembly lines, but they will run on batteries made in Korea.

Well I do not accept a future where the jobs and industries of tomorrow take root beyond our borders – and I know you don’t either. It is time for America to lead again.

Thanks to our recovery plan, we will double this nation’s supply of renewable energy in the next three years.  We have also made the largest investment in basic research funding in American history – an investment that will spur not only new discoveries in energy, but breakthroughs in medicine, science, and technology.

We will soon lay down thousands of miles of power lines that can carry new energy to cities and towns across this country.  And we will put Americans to work making our homes and buildings more efficient so that we can save billions of dollars on our energy bills.

But to truly transform our economy, protect our security, and save our planet from the ravages of climate change, we need to ultimately make clean, renewable energy the profitable kind of energy.  So I ask this Congress to send me legislation that places a market-based cap on carbon pollution and drives the production of more renewable energy in America.  And to support that innovation, we will invest fifteen billion dollars a year to develop technologies like wind power and solar power; advanced biofuels, clean coal, and more fuel-efficient cars and trucks built right here in America.

As for our auto industry, everyone recognizes that years of bad decision-making and a global recession have pushed our automakers to the brink.  We should not, and will not, protect them from their own bad practices.  But we are committed to the goal of a re-tooled, re-imagined auto industry that can compete and win.  Millions of jobs depend on it.  Scores of communities depend on it.  And I believe the nation that invented the automobile cannot walk away from it.

None of this will come without cost, nor will it be easy.  But this is America.  We don’t do what’s easy.  We do what is necessary to move this country forward.

For that same reason, we must also address the crushing cost of health care.   

This is a cost that now causes a bankruptcy in America every thirty seconds.  By the end of the year, it could cause 1.5 million Americans to lose their homes.  In the last eight years, premiums have grown four times faster than wages.  And in each of these years, one million more Americans have lost their health insurance.  It is one of the major reasons why small businesses close their doors and corporations ship jobs overseas.  And it’s one of the largest and fastest-growing parts of our budget.

Given these facts, we can no longer afford to put health care reform on hold.

Already, we have done more to advance the cause of health care reform in the last thirty days than we have in the last decade.  When it was days old, this Congress passed a law to provide and protect health insurance for eleven million American children whose parents work full-time.  Our recovery plan will invest in electronic health records and new technology that will reduce errors, bring down costs, ensure privacy, and save lives.  It will launch a new effort to conquer a disease that has touched the life of nearly every American by seeking a cure for cancer in our time.  And it makes the largest investment ever in preventive care, because that is one of the best ways to keep our people healthy and our costs under control.

This budget builds on these reforms.  It includes an historic commitment to comprehensive health care reform – a down-payment on the principle that we must have quality, affordable health care for every American.  It’s a commitment that’s paid for in part by efficiencies in our system that are long overdue.  And it’s a step we must take if we hope to bring down our deficit in the years to come.

Now, there will be many different opinions and ideas about how to achieve reform, and that is why I’m bringing together businesses and workers, doctors and health care providers, Democrats and Republicans to begin work on this issue next week.

I suffer no illusions that this will be an easy process.  It will be hard.  But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down our economy and the conscience of our nation long enough.  So let there be no doubt: health care reform cannot wait, it must not wait, and it will not wait another year.    

The third challenge we must address is the urgent need to expand the promise of education in America.   

In a global economy where the most valuable skill you can sell is your knowledge, a good education is no longer just a pathway to opportunity – it is a pre-requisite.   

Right now, three-quarters of the fastest-growing occupations require more than a high school diploma.  And yet, just over half of our citizens have that level of education.  We have one of the highest high school dropout rates of any industrialized nation.  And half of the students who begin college never finish.

This is a prescription for economic decline, because we know the countries that out-teach us today will out-compete us tomorrow.  That is why it will be the goal of this administration to ensure that every child has access to a complete and competitive education – from the day they are born to the day they begin a career.

Already, we have made an historic investment in education through the economic recovery plan.  We have dramatically expanded early childhood education and will continue to improve its quality, because we know that the most formative learning comes in those first years of life.  We have made college affordable for nearly seven million more students.  And we have provided the resources necessary to prevent painful cuts and teacher layoffs that would set back our children’s progress.

But we know that our schools don’t just need more resources.  They need more reform.  That is why this budget creates new incentives for teacher performance; pathways for advancement, and rewards for success.  We’ll invest in innovative programs that are already helping schools meet high standards and close achievement gaps.  And we will expand our commitment to charter schools. 

It is our responsibility as lawmakers and educators to make this system work.  But it is the responsibility of every citizen to participate in it.  And so tonight, I ask every American to commit to at least one year or more of higher education or career training.  This can be community college or a four-year school; vocational training or an apprenticeship.  But whatever the training may be, every American will need to get more than a high school diploma.  And dropping out of high school is no longer an option.  It’s not just quitting on yourself, it’s quitting on your country – and this country needs and values the talents of every American.  That is why we will provide the support necessary for you to complete college and meet a new goal:  by 2020, America will once again have the highest proportion of college graduates in the world. 

I know that the price of tuition is higher than ever, which is why if you are willing to volunteer in your neighborhood or give back to your community or serve your country, we will make sure that you can afford a higher education.  And to encourage a renewed spirit of national service for this and future generations, I ask this Congress to send me the bipartisan legislation that bears the name of Senator Orrin Hatch as well as an American who has never stopped asking what he can do for his country – Senator Edward Kennedy.

These education policies will open the doors of opportunity for our children.  But it is up to us to ensure they walk through them.  In the end, there is no program or policy that can substitute for a mother or father who will attend those parent/teacher conferences, or help with homework after dinner, or turn off the TV, put away the video games, and read to their child.  I speak to you not just as a President, but as a father when I say that responsibility for our children's education must begin at home.

There is, of course, another responsibility we have to our children.  And that is the responsibility to ensure that we do not pass on to them a debt they cannot pay.  With the deficit we inherited, the cost of the crisis we face, and the long-term challenges we must meet, it has never been more important to ensure that as our economy recovers, we do what it takes to bring this deficit down. 

I’m proud that we passed the recovery plan free of earmarks, and I want to pass a budget next year that ensures that each dollar we spend reflects only our most important national priorities.

Yesterday, I held a fiscal summit where I pledged to cut the deficit in half by the end of my first term in office.  My administration has also begun to go line by line through the federal budget in order to eliminate wasteful and ineffective programs.  As you can imagine, this is a process that will take some time.  But we’re starting with the biggest lines.  We have already identified two trillion dollars in savings over the next decade.

In this budget, we will end education programs that don’t work and end direct payments to large agribusinesses that don’t need them. We’ll eliminate the no-bid contracts that have wasted billions in Iraq, and reform our defense budget so that we’re not paying for Cold War-era weapons systems we don’t use.  We will root out the waste, fraud, and abuse in our Medicare program that doesn’t make our seniors any healthier, and we will restore a sense of fairness and balance to our tax code by finally ending the tax breaks for corporations that ship our jobs overseas.

In order to save our children from a future of debt, we will also end the tax breaks for the wealthiest 2% of Americans.  But let me perfectly clear, because I know you’ll hear the same old claims that rolling back these tax breaks means a massive tax increase on the American people:  if your family earns less than $250,000 a year, you will not see your taxes increased a single dime.  I repeat: not one single dime.  In fact, the recovery plan provides a tax cut – that’s right, a tax cut – for 95% of working families.  And these checks are on the way.   

To preserve our long-term fiscal health, we must also address the growing costs in Medicare and Social Security.  Comprehensive health care reform is the best way to strengthen Medicare for years to come. And we must also begin a conversation on how to do the same for Social Security, while creating tax-free universal savings accounts for all Americans.

Finally, because we’re also suffering from a deficit of trust, I am committed to restoring a sense of honesty and accountability to our budget.  That is why this budget looks ahead ten years and accounts for spending that was left out under the old rules – and for the first time, that includes the full cost of fighting in Iraq and Afghanistan. For seven years, we have been a nation at war.  No longer will we hide its price.

We are now carefully reviewing our policies in both wars, and I will soon announce a way forward in Iraq that leaves Iraq to its people and responsibly ends this war.

And with our friends and allies, we will forge a new and comprehensive strategy for Afghanistan and Pakistan to defeat al Qaeda and combat extremism.  Because I will not allow terrorists to plot against the American people from safe havens half a world away.

As we meet here tonight, our men and women in uniform stand watch abroad and more are readying to deploy. To each and every one of them, and to the families who bear the quiet burden of their absence, Americans are united in sending one message: we honor your service, we are inspired by your sacrifice, and you have our unyielding support. To relieve the strain on our forces, my budget increases the number of our soldiers and Marines. And to keep our sacred trust with those who serve, we will raise their pay, and give our veterans the expanded health care and benefits that they have earned.

To overcome extremism, we must also be vigilant in upholding the values our troops defend – because there is no force in the world more powerful than the example of America. That is why I have ordered the closing of the detention center at Guantanamo Bay, and will seek swift and certain justice for captured terrorists – because living our values doesn’t make us weaker, it makes us safer and it makes us stronger. And that is why I can stand here tonight and say without exception or equivocation that the United States of America does not torture.

In words and deeds, we are showing the world that a new era of engagement has begun.  For we know that America cannot meet the threats of this century alone, but the world cannot meet them without America. We cannot shun the negotiating table, nor ignore the foes or forces that could do us harm.  We are instead called to move forward with the sense of confidence and candor that serious times demand.

To seek progress toward a secure and lasting peace between Israel and her neighbors, we have appointed an envoy to sustain our effort. To meet the challenges of the 21st century – from terrorism to nuclear proliferation; from pandemic disease to cyber threats to crushing poverty – we will strengthen old alliances, forge new ones, and use all elements of our national power.

And to respond to an economic crisis that is global in scope, we are working with the nations of the G-20 to restore confidence in our financial system, avoid the possibility of escalating protectionism, and spur demand for American goods in markets across the globe.  For the world depends on us to have a strong economy, just as our economy depends on the strength of the world’s.

As we stand at this crossroads of history, the eyes of all people in all nations are once again upon us – watching to see what we do with this moment; waiting for us to lead.    

Those of us gathered here tonight have been called to govern in extraordinary times.  It is a tremendous burden, but also a great privilege – one that has been entrusted to few generations of Americans.  For in our hands lies the ability to shape our world for good or for ill.

I know that it is easy to lose sight of this truth – to become cynical and doubtful; consumed with the petty and the trivial.

But in my life, I have also learned that hope is found in unlikely places; that inspiration often comes not from those with the most power or celebrity, but from the dreams and aspirations of Americans who are anything but ordinary.

I think about Leonard Abess, the bank president from Miami who reportedly cashed out of his company, took a $60 million bonus, and gave it out to all 399 people who worked for him, plus another 72 who used to work for him.  He didn’t tell anyone, but when the local newspaper found out, he simply said, ''I knew some of these people since I was 7 years old.  I didn't feel right getting the money myself."

I think about Greensburg, Kansas, a town that was completely destroyed by a tornado, but is being rebuilt by its residents as a global example of how clean energy can power an entire community – how it can bring jobs and businesses to a place where piles of bricks and rubble once lay.  "The tragedy was terrible," said one of the men who helped them rebuild.  "But the folks here know that it also provided an incredible opportunity."    

And I think about Ty’Sheoma Bethea, the young girl from that school I visited in Dillon, South Carolina – a place where the ceilings leak, the paint peels off the walls, and they have to stop teaching six times a day because the train barrels by their classroom.  She has been told that her school is hopeless, but the other day after class she went to the public library and typed up a letter to the people sitting in this room.  She even asked her principal for the money to buy a stamp.  The letter asks us for help, and says, "We are just students trying to become lawyers, doctors, congressmen like yourself and one day president, so we can make a change to not just the state of South Carolina but also the world.  We are not quitters."

We are not quitters.

These words and these stories tell us something about the spirit of the people who sent us here.  They tell us that even in the most trying times, amid the most difficult circumstances, there is a generosity, a resilience, a decency, and a determination that perseveres; a willingness to take responsibility for our future and for posterity.

Their resolve must be our inspiration.  Their concerns must be our cause.  And we must show them and all our people that we are equal to the task before us.

I know that we haven’t agreed on every issue thus far, and there are surely times in the future when we will part ways.  But I also know that every American who is sitting here tonight loves this country and wants it to succeed.  That must be the starting point for every debate we have in the coming months, and where we return after those debates are done.  That is the foundation on which the American people expect us to build common ground.

And if we do – if we come together and lift this nation from the depths of this crisis; if we put our people back to work and restart the engine of our prosperity; if we confront without fear the challenges of our time and summon that enduring spirit of an America that does not quit, then someday years from now our children can tell their children that this was the time when we performed, in the words that are carved into this very chamber, "something worthy to be remembered."  Thank you, God Bless you, and may God Bless the United States of America.

Creating a Sustainable Society - the Role of Social Entrepreneurs and Volunteers

Today, the House Committee on Education and Labor had a Congressional hearing on volunteerism. Both Van Jones and Cheryl Dorsey testified to the value of volunteerism for the future of the green movement and social entrepreneurship.  Cheryl Dorsey’s video testimony can be found here Dorsey video link  and her written testimony is here. Dorsey written link  Van Jones’ video testimony is here Jones video link  and his written testimony is here.Jones' written link   Although we frequently focus on using regulation to control traditional profit-oriented business endeavors, it's good to remind ourselves that social entrepreneurs and volunteers can make a real difference in the quality of life in our communities as well as the quality of the environment.

National Environmental Law Moot Court Competition

Congratulations to all of the participants in the National Environmental Law Moot Court Competition held at Pace University during the last few days.  Roughly 70 law schools participated in the competition, which featured a difficult and oft-times confusing problem about salvage of a Spanish shipwreck.  The law covered by the problem included admiralty law, administrative law, international law such as the UNESCO treaty and the Law of the Sea, the National Marine Sanctuaries Act, the Endangered Species Act, the Clean Water Act, the Rivers and Harbors Act, the Outer Continental Shelf Lands Act, and for good measure, the Submerged Military Craft Act.  Just typing that list makes me tired!

The learning is in participating, but the honors for Best Briefs go to University of Houston, Georgetown, and University of California at Davis, with Houston winning overall Best Brief.  The Best Oralist Honor goes to Louisiana State University.  The final round of the competition featured Lewis & Clark law school, University of Utah, and Louisiana State. Lewis & Clark prevailed, winning the overall competition for the 2d time in a row.  If I recall correctly, that may be the first back to back win.  Congratulations to everyone!

The students of Pace University deserve special mention for sacrificing their ability to compete and for running a flawless competition.  More details can be found at the NELMCC site.

Christopher Field and Anny Cazenave AAAS reports on rapidly worsening climate change

On Saturday, I noted the AAAS meeting report on climate change by Christopher Brown.Climate change worsens more rapidly than IPCC anticipated   Here's a bit more on Christopher Field's report from MSNBC:

Carbon emissions have been growing at 3.5 percent per year since 2000, up sharply from the 0.9 percent per year in the 1990s..."It is now outside the entire envelope of possibilities" considered in the 2007 report of the International Panel on Climate Change...The largest factor is the widespread adoption of coal as an energy source... "and without aggressive attention societies will continue to focus on the energy sources that are cheapest, and that means coal."  Past projections for declines in the emissions of greenhouse gases were too optimistic, he added. No part of the world had a decline in emissions from 2000 to 2008.

Anny Cazenave of France's National Center for Space Studies [reported] that improved satellite measurements show that sea levels are rising faster than had been expected... Rising oceans can pose a threat to low level areas such as South Florida, New York and other coastal areas as the ocean warms and expands and as water is added from melting ice sheets...And the rise is uneven, with the fastest rising areas at about 1 centimeter — 0.39 inch — per year in parts of the North Atlantic, western Pacific and the Southern Ocean surrounding Antarctica...

MSNBC link
 

Chartering Sustainable Transnational Corporations

This link connects to a paper I just posted on SSRN.  I presented the paper at the 6th Colloquium of the IUCN International Academy of Environmental Law in Mexico City in November 2008.  I am submitting a short version of the paper for possible publication in a book incorporating papers presented at the conference on the theme of Alleviating Poverty and Environmental Protection.  And I am preparing a more complete and elaborate version for possible law review publication.  I would deeply appreciate your comments on the subject of how we ensure that transnational corporations act in a sustainable manner and the obstacles or concerns with the approach I suggest.  SSRN link

Abstract:    
Using a recent innovative Oregon sustainable corporation law as a springboard, this article argues for requiring all transnational corporations to be chartered as sustainable corporations. Given the far-reaching effects of their operations and their uniquely powerful role, the global wealth that has been accumulated in these organizations must be fundamentally redirected toward creating a sustainable world. As a privilege of doing transnational business, transnational corporations should be required to incorporate environmental and social responsibility into their corporate charters-the document that sets forth the prime mission of the corporation and its directors, essentially baking sustainability into the corporate DNA of transnational corporations.

To be both effective and to harness the entrepreneurial creativity of these organizations, the sustainable corporation charter must be implemented per provisions that require transnational corporations to develop corporate sustainability strategies in accordance with the guidance provided by the implementing provisions. The implementing provisions should also require that the transnational corporations monitor and report in a standardized manner compliance with the corporate sustainability strategy, with sustainability-related laws, and with nonbinding environmental, labor, human rights, corruption, and other sustainability-related standards.

The sustainable corporation charter requirement should be imposed as a matter of international law, through an international convention and administered by an international commission. The requirements should be directly applicable to transnational corporations as a condition of doing transnational business. The commission should be authorized to take enforcement action directly against the corporation. In addition, both home and host nations to transnational corporations should agree to compel the corporations - either incorporated in that nation or doing business in that nation-to comply with the sustainable corporation charter requirement as a condition of doing any business. Nations that fail to join the international convention, or that fail to enforce the international convention, should be subject to mandatory trade and other economic sanctions by all signatories to the international agreement.

We can no longer allow transnational corporations to aggregate the bulk of societal wealth and then operate in an environmentally and socially irresponsible manner. The proposals in this article are one step toward turning transnational corporations into sustainable corporations.

Keywords: transnational corporations, corporate charters, multi-national corporations, sustainability, environmental, international convention, environmental assessment, voluntary compliance, environmental standards, alien tort, corporate social responsibility, human rights, international law, enforcement

Let Clean Water Flow

Here's my church's video to launch our 2009 Drink Water for Life lenten challenge.  If you benefit from the work I do on this blog, please, please, please......take the challenge or find another way to contribute to organizations that do community-based water projects.  Church World Service or Global Ministries are great faith-based organizations.  Water for Life and Water for People are great secular groups. Every 15 seconds, a child dies from a water borne disease like cholera or dysentery from lack of clean water and sanitation.  Together, we can change this.  Village by village. 

Let Clean Water Flow 

Nourish the Hungry

Greenwire reported on the Madrid meeting next week that will be examining progress on addressing the worldwide food crisis -- where one of every seven people in the world is hungry.  What a wonderful time to begin to make a difference!  Although the crisis in food prices that fueled the Rome discussions last summer has abated, the long-term problem remains.  And, if the Administration is swift and sure-footed enough, President Obama can use the discussions in Madrid to signal that the United States is serious about fulfilling his inaugeral promises:

UNITED NATIONS -- One of President Barack Obama's first forays into into multilateral diplomacy will be following up on a food crisis that engulfed the world's poorest countries last year. Though food prices have fallen sharply in recent months, diplomats will gather Monday in Madrid to see whether they are keeping their promises of food aid and support for agricultural development made at U.N. Food and Agriculture Organization (FAO) talks in Rome last June. "The Madrid meeting will raise the political profile of food security," said David Nabarro, coordinator of a U.N. task force established last year by Secretary-General Ban Ki-moon to address the crisis. "The food systems of the world have been in crisis, continue to be in crisis and will go on being in crisis until we're able to create a situation where they work in the interests of poor people."

U.N. officials estimate that about 1 billion people are undernourished and at least 100 million would face imminent starvation were it not for emergency food assistance. Last year, record oil prices, burgeoning demand for food, and failing crops contributed to a upward spiral in the price of most food basics, especially rice, wheat and corn.

U.S. farm income rose by about 50 percent during the boom, but most of the world suffered. Food prices have since plunged, but Nabarro told reporters here yesterday that food commodities are still much more expensive than they were in decades past. And officials fear that under-investment in agriculture expected during the current market slump is only setting the stage for greater problems down the road. "The food crisis is not the story that's on the tip of everybody's tongue right now. It's the financial crisis," said J.B. Reed of the nonprofit Nuru Project, which staged a New York photography exhibit last month showing images of starving people and Third World food riots. "But the financial crisis has implications for the food crisis."

Average food prices more than doubled worldwide over three years. Farm subsidies in wealthy countries, the popularity of biofuels and market speculators were among the culprits blamed. But a long neglect of the importance of Third World agricultural productivity by organizations like the World Bank, the International Monetary Fund and the U.S. Agency for International Development contributed greatly. For 20 years, aid efforts have focused mostly on industrial infrastructure, figuring the developing world could simply import cheap food grown efficiently in the West. Agriculture enjoyed about 20 percent of international aid dollars back in the late 1980s, but skewed priorities have shrunk its share to just barely 3 percent today. FAO estimates that by mid-2008 food prices were 64 percent higher than 2002 levels. The only other time prices shot up so quickly was in the wake of the oil shock of the 1970s.

In total, governments pledged about $6.6 billion in new spending on food aid and agriculture programs in Rome last year. The lion's share of commitments came from Washington, which pledged to spend $5 billion over the next two years. Since then, the global financial crisis has diverted hundreds of billions of dollars in government resources to shoring up banks and protecting deposits. Meanwhile, collapsed commodity prices and rising food stocks have largely eliminated any sense of urgency. "Actually, most countries that pledged in Rome have followed up, but the follow-up has been a lot slower than we would like," Nabarro said. "One of the things we will be doing in Madrid is tracking that follow-up." Experts who have stayed focused on food security issues worry that the financial crisis will affect future food production more than many appreciate. Falling prices and weaker demand mean farmers in developed countries have little incentive to grow more this year. And the tight credit environment makes it difficult for farmers to finance expanded yields even if they wanted to....

U.N. leaders have said that between $20 billion and $40 billion in new annual spending on agriculture is needed over the next several years to keep up with population growth and expanding demand as nations like India and China grow richer. Nabarro said he hopes at least some new commitments for additional spending will materialize in Madrid, with the new Obama administration playing a lead role. "We take a view that in a world where 14 percent of the population remains hungry ... that is an extremely unsatisfactory situation," Nabarro said. "That is a representation of a crisis."

Lower food costs give public policymakers some breathing room as they focus on halting the decline in the global economy, which began in the developed world but is now hitting developing countries hard, as well. Agricultural economists predict that prices for most food commodities will stay low for much or all of 2009. "World production of wheat, maize and rice is expected to exceed demand and contribute to a partial replenishment of stocks," experts with the U.N. Department of Economic and Social Affairs say in their latest global economic outlook. But economists warn that once the financial system recovers, so will food markets. And price declines over the last few months still don't make up for much of the increases experienced over three years. The World Food Programme's budget for 2009 is estimated at $5.2 billion, a record....

Most of the green team confirmed today: Jackson, Sutley, and Clinton remain

E & E News reported:

The Senate unanimously confirmed seven of President Barack Obama's Cabinet picks today, including Agriculture Secretary Tom Vilsack, Energy Secretary Steven Chu and Interior Secretary Ken Salazar, but postponed debate on his nominees to lead the State Department, U.S. EPA and White House Council on Environmental Quality...In a post-inauguration session, the Senate quickly approved Chu, Salazar, Vilsack, Education Secretary Arne Duncan, Homeland Security Secretary Janet Napolitano, Veterans Affairs Secretary Eric Shinseki and Office of Management and Budget Director Peter Orszag.

Senate Majority Leader Harry Reid (D-Nev.) also scheduled a 3 p.m. roll call vote for tomorrow on Sen. Hillary Rodham Clinton (D-N.Y.), Obama's nominee to be secretary of the State Department.... The Senate did not take up two other Obama nominations: Lisa Jackson to be the next EPA administrator and Nancy Sutley to be the chairwoman of the White House CEQ. Both nominees did not face significant scrutiny during their confirmation hearings last week, leaving several Senate Republican and Democratic leadership aides today searching for answers about who was holding up the two Obama environmental picks....Andrew Wheeler, Republican staff director for the Senate Environment and Public Works Committee, said ranking member James Inhofe (R-Okla.) supports both nominees and isn't sure who raised the objection to Jackson and Sutley's confirmations, though he said the objection to Sutley being confirmed today was because her position is not Cabinet-level.

Visitors from Mozambique and Inaugural Awe

Today I had the pleasure as Director of our law school's Certificate Program in Law and Government to host two visitors from Mozambique through the International Leadership Visitor Program funded by the State Department.  This program focuses on bringing emerging leaders from developing countries concerned with good governance to the United States, to expose them first-hand to various aspects of American governance.  Last year, we hosted 16 visitors from more than a dozen African countries.  Today's session was more informal and a bit more manageable.

Our visitors were the Governor of a northern province and the second in command of a major department within the national government.  They were interested in learning how the United States trains its graduate or advanced students in law and government.  We were able to share some aspects of our program, including attending and speaking with my first year Lawmaking Process class.  They were also fascinated by how the United States is evolving with its election of President Obama. 

The treat, of course, for me was to learn first-hand something about Mozambique, its politics and policy, and role in Africa.  Certainly, its thorough integration of woman into the power structure and into all aspects of administration is a lesson for Americans as well as other Africans.  This is beginning to happen here, witness Hillary Clinton, Nancy Pelosi, Diane Feinstein, the corps of talented Governors through the US and the league of women joining the Obama administration.  But, until a woman stands where President Obama stood today, we still lag behind virtually every developed country in the world -- and many, such as Mozambique, in the developed world.  Women took their place in the struggle for independence in Mozambique -- even on the battlefield.  They have continued to serve in Parliament and throughout government, with stature and an assured equality that American woman still lack.

Their challenge is to solidify their independence and their emerging democracy -- and to solve the problem of poverty.  There, President Obama gave them reason to hope: "To the people of poor nations, we pledge to work alongside you to make your farms flourish and let clean waters flow; to nourish starved bodies and feed hungry minds.  And to those nations like ours that enjoy relative plenty, we say we can no longer afford indifference to suffering outside our boders; nor can we consume the world's resources without regard to effect.  For the world has changed, and we must change with it."

As you who read this blog regularly no doubt realize, these words, especially about providing clean water and reducing our consumption of resources, were music to my ears.  And perhaps to yours.

We have a President who in the midst of the raging storms of the failure of our economy and two wars, understands that "each day brings further evidence that the ways we use energy strengthen our adversaries and threaten our planet."  That the work to be done includes the promise that "[w]e will harness the sun and the winds and the soil to fuel our cars and run our factories."  That "we will work tirelessly...to roll back the specter of a warming planet."

As my new friends from Mozambique realize, President Obama has not become just an American president, but he is today the most important leader of the whole world.  Not just by virtue of our relative prosperity and military power, but by virtue of our willingness to turn the page of history and to pledge to live up to our responsibilities to people seeking peace and justice and equality and means to enjoy their full measure of happiness throughout the world.

Today, my friends, let us celebrate with all of our new friends...and pledge ourselves to making this vision become a reality, in law, in policy, and in how we conduct our obscure, everyday lives.