“In January, when an undersea telecommunications cable connecting this far-flung Arctic archipelago to mainland Norway and the rest of Europe was damaged, Norwegian officials called to port the only fishing vessel for miles, a Russian trawler. Police in the northern city of Tromsø interviewed the crew and carried out an investigation into the incident, which was seen as a major threat to the security of Norway and other nations, including the United States. Had there not been a back-up cable, the damage would have severed internet to the world’s largest satellite relay, one that connects the National Oceanic and Atmospheric Administration (NOAA), NASA and other government agencies from around the world to real-time space surveillance.
The investigation’s findings were inconclusive, if worrisome. Something “man-made” had damaged the cable, but Norwegian police could not prove the Russian fishing vessel was responsible, authorities told me. The police allowed the fishing boat crew to return to their ship and set back out to sea.”
“today, this Arctic desert is rapidly becoming the center of a new conflict. The vast sea ice that covers the Arctic Ocean is melting rapidly due to climate change, losing 13 percent per decade — a rate that experts say could make the Arctic ice-free in the summer as soon as 2035. Already, the thaw has created new shipping lanes, opened existing seasonal lanes for more of the year and provided more opportunities for natural resource extraction. Nations are now vying for military and commercial control over this newly accessible territory — competition that has only gotten more intense since Russia’s invasion of Ukraine.”
“For the past two decades, Russia has been dominating this fight for the Arctic, building up its fleet of nuclear-capable icebreakers, ships and submarines, developing more mining and oil well operations along its 15,000 miles of Arctic coastline, racing to capture control of the new “Northern Sea Route” or “Transpolar Sea Route” which could begin to open up by 2035, and courting non-Arctic nations to help fund those endeavors.
At the same time, America is playing catch-up in a climate where it has little experience and capabilities. The U.S. government and military seems to be awakening to the threats of climate change and Russian dominance of the Arctic — recently issuing a National Strategy for the Arctic Region and a report on how climate change impacts American military bases, opening a consulate in Nuuk, Greenland, and appointing this year an ambassador-at-large for the Arctic region within the State Department and a deputy assistant secretary of defense for Arctic and Global Resilience. America’s European allies, too, have been rethinking homeland security, increasing national defense budgets and security around critical energy infrastructure in the Arctic as they aim to boost their defense capabilities and rely less on American assistance.
But 17 Arctic watchers — including Norwegian diplomats, State Department analysts and national security experts focusing on the Arctic — said they fear that the U.S. and Europe won’t be able to maintain a grip on the region’s energy resources and diplomacy as Russia places more civilian and military infrastructure across the Arctic, threatening the economic development and national security of the seven other nations whose sovereign land sits within the Arctic Circle.”
“In Norway’s High North, a term used to describe the Norwegian Arctic territories, no fewer than seven Russian citizens have been detained over the last few months for flying drones, prohibited under the same bans for Russian airlines in European airspace. The drones were discovered flying near areas of critical infrastructure. One of those arrested in October was Andrey Yakunin, 47, the son of Vladimir Yakunin, the former president of Russian Railways and an ally of Russian President Vladimir Putin who was sanctioned by the State Department after Russia’s annexation of Crimea in 2014.”
“Some portion of this steep rise in cases is related to the fact that more people are being tested for the flu than in previous years. Over the month of November, about twice as many flu tests were done at clinical labs nationwide as during the same period last year (about 540,000 versus 265,000). More testing means more cases will get picked up.
However, there are corroborating warning signs that this is truly a bad season. Flu hospitalizations have been off the charts and are rising quickly. In a press conference Monday, CDC director Rochelle Walensky said there have already been 78,000 flu hospitalizations this season, or nearly 17 out of every 100,000 Americans. That’s “the highest we’ve seen at this time of year in a decade,” she said. In keeping with past trends, the highest hospitalization rates are among adults 65 and older.
What’s making these high hospitalization rates particularly concerning is their overlap with surges in other viruses causing many people to get sick enough to require admission. One of those is RSV, which has been packing pediatric hospitals for more than six weeks. And while Walensky noted there were signals RSV transmission was slowing in parts of the country, Covid-19 hospitalizations recently began to tick upward.”
“There is a possibility there were other elements to the deal. There might be something entirely secret that we don’t know and won’t know, something that it would be both in Russia’s and the US’s interests to keep behind closed doors. After all, that’s how the 1962 Cuban Missile Crisis was resolved, through quiet diplomacy, a complete picture of which wasn’t clear until later.”
“According to a 2022 report from the National Academies of Sciences, Engineering, and Medicine, “on average, the number of ongoing drug shortages has been increasing and are lasting longer.” The root cause of that problem, per a report from the Food and Drug Administration, is the economics of the pharmaceutical market itself.
The reasons for shortages are generally consistent no matter the drug: either a shortage of raw materials or a problem at the plant where the drug is manufactured. Shortages for medicines that a patient can pick up at the pharmacy often draw the most headlines, but most of the medications that end up in short supply are generic, injectable drugs that are used in hospitals: usually, these drugs have only one or two suppliers. So if there is a problem at the factory of one company, there is not an easy way to scale up production to make up for a shortfall. And they are usually cheap, which means the companies that manufacture them do not have a strong economic incentive to produce any excess supply.”
““It makes a lot of sense when you think about it from their perspective. But when you think about it from the hospital perspective, it’s very frustrating.”
Some of these shortages have led directly to patient deaths. An Associated Press report in 2011 linked at least 15 deaths over the prior 15 months to drug shortages. A more recent study, following the year-long shortage of a drug used to treat septic shock, found higher mortality rates for patients who relied on a substitute. Even short of death, drug shortages can meaningfully change the care patients get — if, for example, a pregnant person undergoes a cesarean delivery, with its higher risk of complications and longer recovery time, because the drug that could have induced labor earlier is out of stock.
Experts do have ideas about how to make the pharmaceutical supply chain more resilient. But they require action by the federal government. Until that happens, there is little reason to think the pace and duration of America’s drug shortages will slow down.”
“These companies rely on razor-thin margins and massive scale to make their business work. They have a “just in time” production schedule, which means almost as soon as the product rolls out of the factory, it is delivered to health care providers. There aren’t warehouses with emergency stockpiles, because it wouldn’t really make financial sense for manufacturers to produce and store the excess supply.”
“The goal is to send National Advanced Surface-to-Air Missile Systems to Ukraine in the next three to six months, CEO Greg Hayes said in an interview. The U.S. would then backfill those systems with new NASAMS in the Middle East over the next 24 months.
“There are NASAMS deployed across the Middle East, and some of our NATO allies and we [the U.S.] are actually working with a couple of Middle Eastern countries that currently employ NASAMS and trying to direct those back up to Ukraine,” Hayes said.
He noted that shifting systems from the Middle East is faster than building them in the U.S. “Just because it takes 24 months to build, it doesn’t mean it’s going to take 24 months to get in [the] country,” he said.”
It takes two years to build NASAMS because of the lead time required to buy electronic components and rocket motors, Hayes said.”