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The first documented burial took place on April 22, 1869, according to Melinda Hunt, director of the Hart Island Project, a nonprofit organization identifying and tracking burials on the island.

This concept of honoring the dead was particularly relevant during the AIDS epidemic of the late ’80s and ’90s, which killed more than 100,000 people in New York. Many AIDS patients were laid to rest at Hart Island in an isolated area from other remains and in deeper individual graves because of the stigma and lack of knowledge about how AIDS spread.

Those epidemics include the yellow fever and tuberculosis outbreaks of the 19th century, when the island was used as a quarantine station for those who were infected. It also proved key in handling the waves of victims associated with the spread of the great flu pandemic of 1918, when over 30,000 deaths were recorded in the city — 20,000 of which came that fall alone.

Mass burials on Hart Island often hold a negative association, most likely because of the way burials have evolved throughout history, as private funerals have become the norm.

Hunt says New York City as a whole has never run out of burial space. “The city is able to recycle graves after 25 years

The burials were long conducted by inmates, most often from Rikers Island. “You hear people who say if you go to Hart’s, you’re going to be haunted the rest of your life,” said Saxon Palmer, a former Rikers inmate, who was on the job for the entirety of his four-month sentence in 2019. “Then most people wouldn’t come back the next week.”

“I’ve often referred to Hart Island as New York City’s family tomb. … There’s something really meaningful about that, to be buried with earlier generations,” Hunt said. “We want for people to be able to stay connected … because that’s what is going to make us feel safe in the end, that the city has honored every life.”

hey will have enough to vaccinate no more than 22.5 million Americans by January.

Based on its recent discussions, the C.D.C. committee will almost certainly recommend that the nation’s 21 million health care workers be eligible before anyone else, along with three million mostly elderly people living in nursing homes and other long-term care facilities.

Federal officials have said they plan to ship the first 6.4 million doses within 24 hours after the F.D.A. authorizes a vaccine, and the number each state receives will be based on a formula that considers its adult population.

Some participants in both Pfizer’s and Moderna’s trials have said they experienced symptoms including fever, muscle aches, bad headaches and fatigue after receiving the shots, but the side effects generally did not last more than a day.

By September, Pfizer’s trial had 44,000 participants; no serious safety concerns have been reported.

Probably. Although people who have contracted the virus do have immunity, it is too soon to know how long it lasts. So for now, it makes sense for them to get the shot. The question is when.

"may not be out of the woods yet."

just because he's going home, he's not completely out of the woods,

some of these patients have long-term lung impact

Trump's oxygen levels were healthy and he was breathing well, but he declined to answer a reporter question about whether there is evidence of pneumonia on the President's lung scans

Masud notes that recovering COVID-19 patients who were hospitalized need to be closely monitored in case they get worse, especially older adults.

It's a good sign that he was well enough to be discharged

"Individuals that have mild disease to start out with, just mild symptoms, they can in a week or so feel worse, worse enough to be in an ICU," she says.

most people with mild symptoms don't get the kind of aggressive treatment that Trump received. He's received an experimental antibody treatment, a course of remdesivir and the steroid dexamethasone, all treatments generally reserved for patients hospitalized with severe symptoms.

The President did have a fever, fatigue and a mild cough late last week, but hasn't had fever in 72 hours, his doctors said.

he'll be getting his vitals checked at least every day or every couple times a day in order to make sure nothing is happening." He will also need to complete his course of medications — the Remdesivir and dexamethasone

"It's possible that [the interventions] could make him better sooner," she says. "[But] we don't know really what happens to people that have mild disease and then get treatment with antibody medications, antivirals or steroids. I think we're sort of a little bit in a data-free zone, where we're not sure."

confusion, issues with memory, fatigue and not being able to catch their breath

Though Trump is not on oxygen now, his physicians did disclose he had "several little temporary drops in his oxygen" and took supplemental oxygen twice.

Masud says if he had a patient with Trump's profile — male, over 70 years and overweight — who was hospitalized for a few days and received aggressive treatments, he would want to monitor the patient's oxygen levels closely even after they went home.

We like to watch them for a day or two to make sure there's no relapse because we've had patients who relapsed also and required oxygen, especially when they become active ... they get tired and they can't catch their breath."

also monitor markers of inflammation

When speaking with reporters, Conley said the President would be closely monitored by the medical team at the White House at least through the weekend. "If we can get through Monday with him remaining the same or improving, better yet, then we will all take that final, big sigh of relief," he said.

one of the key things which has been shown to help patients recover is having good sleep, long duration of sleep

With a grueling election season ahead of him, lack of sleep and adequate breaks could hurt Trump's recovery, he adds.

Conley acknowledged that his evasive answers "came off that we were trying to hide something" but said that "wasn't necessarily true,"

Conley acknowledged that the President has experienced "two episodes of transient drops in his oxygen saturation"

When asked if they had dropped below 90, he replied, "We don't have any recordings here of that." Pressed again on whether they had dropped below 90, Conley said the President's blood oxygen levels didn't get down into "the low 80s."

"There's some expected findings, but nothing of any major clinical concern," Conley said, not explaining whether they were expected findings in a normal patient or a Covid-19 patient.

Some seven months into a pandemic that has killed more than 209,000 Americans, the nation is now facing a grave governing crisis with its commander in chief hospitalized

Late Saturday night, the public learned new details about why Trump was airlifted to the hospital Friday, when chief of staff Mark Meadows said during an interview with Fox News that Trump had a fever on Friday morning and his oxygen level had "dropped rapidly." Meadows added that Trump has made "unbelievable improvements from yesterday morning."

"made substantial progress" since his diagnosis but "is not yet out of the woods."

Speaking from a White House that already has a huge credibility problem with the public, Meadows' statement capped a 24-hour period that served as a master class in opacity and contradiction that raised major questions about the President's health

Trump has been watching and critiquing coverage of his hospitalization from the presidential suite at Walter Reed

Those people told CNN that Trump seemed particularly upset when he saw a quote saying he was displaying "concerning" symptoms on Friday

The President's construct crumbled Friday when he was airlifted to Walter Reed after contracting the virus,

The White House seemed to be continuing to downplay concerns about the severity of the virus Saturday morning when the President's physician, Navy Cmdr. Dr. Sean Conley, gave a news conference at Walter Reed where he described the President as upbeat and feeling good, without revealing any of the alarming developments with his oxygen levels the day before.

Many of the Trump aides or contacts who have recently tested positive for Covid-19 attended the White House festivities honoring Supreme Court nominee Amy Coney Barrett on September 26, in the Rose Garden.

It "seems highly likely this originated at the SCOTUS announcement last week," a senior administration official told CNN's Jake Tapper of the outbreak among GOP officials. "It may have come from the Hill. The next major concern will be securing Capitol Hill and protecting lawmakers," the official added.

The President said he was "starting to feel good" and that he was receiving therapeutics he said are like "miracles coming down from God."

"I had to be out front and this is America, this is the United States, this is the greatest country in the world, this is the most powerful country in the world," Trump continued in the video. "I can't be locked up in a room upstairs and totally safe, and just say, hey whatever happens, happens. I can't do that."

The President tweeted that he had tested positive for coronavirus around 1 a.m. ET Friday, hours after attending a Thursday night fundraiser in Bedminster, New Jersey, where he met with a small group of donors indoors with no masks, before addressing a larger crowd outdoors. Trump got his first positive coronavirus test result Thursday after returning from that trip, a White House official said Saturday evening.

He declined to say whether medical tests had revealed any damage to the President's lungs.

Conley said Trump had been fever-free for 24 hours and had experienced an "extremely mild cough," nasal congestion and fatigue.

"The President's vitals over the last 24 hours were very concerning and the next 48 hours will be critical in terms of his care. We are still not on a clear path to a full recovery," the source later identified as Meadows told pool reporters.

Once Trump was at Walter Reed, doctors initiated the antiviral drug remdesivir. He is receiving a five-day course of the drug, which has been shown to shorten recovery time for some coronavirus patients.

World Health Organization data published in September showed there were twice as many cholera cases in 2022 than in 2021. Outbreaks were recorded in countries where cholera had been under control for years, including Yemen and Lebanon.

2. Mosquitoes on the march

Rising temperatures and frequent floods also unlock new places where disease-carrying insects thrive. The mosquitoes that carry the viruses that cause dengue fever and mala

Nor is the disease confined to developing countries. There are fears that it is spreading in southern Europe, partly owing to the warm weather. More than 8 billion people could be at risk of malaria and dengue fever by 2080, scientists have warned.

3. Human-animal contact

Many existing diseases will get more dangerous, but new illnesses could also emerge as people are increasingly forced into areas where there is wildlife. Diseases can jump from animals to humans. These diseases, such as Ebola, avian flu and Sars, are called “zoonoses” and they make up the majority of new illnesses.

Scientists have found that the climate crisis is helping to circulate diseases between species that previously did not encounter each other. As the planet heats up, many animal species are forced to move into new areas to find suitable conditions.

It has been estimated that zoonoses are responsible for as many as 2.5bn cases of human illness and 2.7m human deaths worldwide each year, and that animals have played a major part in nearly every major disease outbreak since 1970.

4. Severe weather events

Although governments are getting better at preparing for severe weather events, nine out of 10 deaths linked to weather disasters since 1970 happened in small island nations and developing countries in Africa, Asia and South America.

5. The air that we breathe

Outside air pollution has been linked to numerous cancers and diseases and is estimated to be responsible for more than 4m premature deaths globally each year.

Changing weather patterns are expected to make this already bad situation worse as more dust, rain and wildfire smoke are added to the mix. Children are especially likely to get sick from air pollution because their brains, lungs and other organs are still developing.

6. The psychological cost

Environmental deterioration has a knock-on effect on the economic and social systems that keep society productive and happy, setting in motion a downward spiral of psychological hardship.

If crops are destroyed during extreme weather events, children may get less nutritious food, the consumption of which is linked to psychological conditions such as anxiety and depression.

When people can’t get the help they need, they may self-medicate with alcohol or drugs, which in turn makes them more likely to engage in risky behaviour (such as unprotected sex) that could result in infections such as HIV, or illnesses that can result from spending time in crowded places, such as tuberculosis.

In 2021, scientists studying evidence of a potential link between heat exposure and mental health found a 2.2% increase in mental health-related mortality per 1C rise in temperature.

7. Salty water and perilous pregnancies

Drinking water is becoming saltier. One reason for this is that sea levels are rising, so there is more sea water flowing into rivers and other sources of fresh water during floods and tropical storms.

Taking in too much salt can lead to high blood pressure (hypertension). Over time, this condition damages the body’s veins, arteries and major organs (including the brain, heart, kidneys and eyes) since they’re working so much harder overall.

Hypertension is doubly dangerous for pregnant women and their babies

8. Food insecurity

More frequent and severe droughts and floods make it harder to grow the grains, fruit and vegetables that people need to eat to stay healthy. Small island states in the Caribbean, Atlantic, Pacific and Indian Ocean bear the brunt of the effects of the crisis, in part because most people live close to sea level.

As a result, people who live in one of the 39 small island nations are the most likely to die from one of the four main NCDs: cancer, diabetes, heart disease and lung disease.

9. The stress of extreme heat

The scorching temperatures this year broke records in Europe, China and North America. Heat is one of the most dangerous effects of the climate crisis and the top cause of weather-related deaths in the U

When it gets too hot, the body’s temperature rises faster than it can cool itself down, less blood flows to other organs, and the kidneys have to work harder. This puts strain on the heart and can lead to organ failure. Heatstroke is the most serious heat-related illness.

In particular, people whose jobs require long hours of physical labour in the sun face an increased risk of kidney disease as temperatures rise, research suggests. Repeated instances of heat stress can lead to permanent damage and chronic kidney disease.

In June, the Guardian revealed how young migrant workers were returning to Nepal with chronic kidney disease after working in extreme heat conditions in the Gulf and Malaysia. “One factor highlighted again and again is heat. Prolonged exposure to h

10. Millions on the move

It’s hard to predict exactly how many people will be on the move because of the climate crisis, but extreme weather events are likely to make conditions worse for the more than 100 million displaced people around the world.

If nothing changes, the number of people who need humanitarian aid to recover from floods, storms and droughts could double by 2050,

That means more than 200 million people will need aid annually. The displacement of millions of people also means cramped and often unsanitary living. For example, more than 900,000 Rohingya refugees live in makeshift shelters in Bangladesh, often built on unstable ground that’s prone to landslides.

Among many progressive leaders, though, it’s been received eagerly and gratefully. It “helped to put language to tensions and trends facing our movement organizations,” Christopher Torres, an executive director of the Leadership for Democracy and Social Justice institute, said at a Tuesday webinar devoted to the article.

Mitchell’s piece systematically lays out some of the assertions and assumptions that have paralyzed progressive outfits.

Among them are maximalism, or “considering anything less than the most idealistic position” a betrayal; a refusal to distinguish between discomfort and oppression; and reflexive hostility to hierarchy.

He criticizes the insistence “that change on an interpersonal or organizational level must occur before it is sought or practiced on a larger scale,” an approach that keeps activists turned inward, along with the idea that progressive organizations should be places of therapeutic healing.

All the problems Mitchell elucidates have been endemic to the left for a long time. Destructive left-wing purity spirals are at least as old as the French Revolution.

It’s not surprising that such counterproductive tendencies became particularly acute during the pandemic, when people were terrified, isolated and, crucially, very online

“On balance, I think social media has been bad for democracy,” Mitchell told me.

as Mitchell wrote in his essay, social media platforms reward shallow polemics, “self-aggrandizement, competition and conflict.” These platforms can give power to the powerless, but they also bestow it on the most disruptive and self-interested people in any group, those likely to take their complaints to Twitter rather than to their supervisors or colleagues.

The gamification of discourse through likes and retweets, he said, “flies in the face of building solidarity, of being serious about difference, of engaging in meaningful debate and struggle around complex ideas.”

The publication of “Building Resilient Organizations” and the conversation around it are signs that the fever Mitchell describes is beginning to break.

that doesn’t mean the dysfunctions Mitchell identified will go away on their own once people start spending more time together. He puts much of the onus on leaders to be clear with employees about the missions of their organizations and their decision-making processes and to take emotional maturity into account in hiring decisions.

the ultimate aim of social justice work should not be the refinement of one’s own environment. “Building resilient and strong organizations is not the end goal,” said Mitchell. “It’s a means to building power so we can defeat an authoritarian movement that wants to take away democracy.” Here’s to remembering that in 2023.

For some years now the Claremont Institute has been promoting the idea that Wilson was a kind of double agent, whipping the Huns in World War I while surreptitiously introducing the Hegelian bacillus into the American water supply and turning us into zombie-slaves of an elite-run progressivist State.

Yes, the hydra-headed Progressive movement, resisting varied but real economic threats to democratic self-­government, did extend the jurisprudential limits of government activity in ways that were wise and sometimes not so wise. Yes, the New Deal did convince Americans that citizens are not road kill and that government can legitimately protect public welfare and basic human dignity. And yes, the Great Society’s liberal architects vastly overreached and overpromised, destroying the public’s confidence in active government and threatening the solid achievements of the New Deal and the Progressive Era.

Reagan did in fact restore (then overinflate) America’s self-confidence, and he did bequeath to Republicans a clear ideological alternative to Progressivism. But he also transformed American liberalism. As an author named Barack Obama once wrote, Reagan “put us on a fundamentally different path because the country was ready for it.” By delegitimizing Great Society liberalism and emphasizing growth, he forced the Democratic Party back toward the center, making the more moderate presidencies of Bill Clinton and Barack Obama possible. Reagan won the war of ideas, as everyone knows. Except conservatives.

Conservatives need a psychological specialist, someone at the level of the great Jewish sage and sometime physician Maimonides. In the late 12th century Maimonides received a letter from a group of rabbis in Marseille who had worked themselves into a frenzy over astrological predictions of the End Times. His prescription — I translate loosely from the Hebrew — was, Get a grip!

the right’s rage against Obama, which has seeped out into the general public, has very little to do with anything the president has or hasn’t done. It’s really directed against the historical process they believe has made America what it is today. The conservative mind, a repository of fresh ideas just two decades ago, is now little more than a click-click slide projector holding a tray of apocalyptic images of modern life that keeps spinning around, raising the viewer’s fever with every rotation.

the conservatives have also spooked themselves. They now really believe the apocalyptic tale they’ve spun, and have placed mild-mannered Barack Obama at the center of it.

Kesler admits that “Obama is at pains to be, and to be seen as, a strong family man, a responsible husband and father urging responsibility on others, a patriot, a model of pre-’60s, subliminally anti-’60s, sobriety.” But that’s just a disguise. In fact, he’s the “latest embodiment of the visionary prophet-statesman” of the Progressives, someone who “sees himself engaged in an epic struggle” whose success will mean “the Swedenization of America.”

what is Kesler’s evidence for these extravagant claims? He hasn’t any. Early in the book he writes that Obama came to office planning “bold, systemic changes to energy policy, environmental regulation, taxation, foreign policy” — though he never describes these plans and in fact never mentions them again. He carefully avoids Obama’s moderate record

By now conservative intellectuals and media hacks have realized that it’s much easier to run a permanent counterrevolution out of their plush think-tank offices and television studios than to reflect seriously, do homework and cut a deal. All they have to do is spook their troops into believing that the Progressive Idea is still on the march and that they are setting out to meet it at Armageddon.

more than a few of our fellow citizens are loathing themselves blind over Barack Obama. Why?

Whenever conservatives talk to me about Barack Obama, I always feel quite certain that they mean something else. But what exactly? The anger, the suspicion, the freestyle fantasizing have no perceptible object in the space-time continuum that centrist Democrats like me inhabit. What are we missing? Seen from our perspective, the country elected a moderate and cautious straight shooter committed to getting things right and giving the United States its self-­respect back after the Bush-Cheney years.

Kesler’s history of Progressivism doesn’t involve real public figures making real choices about real policies under real constraints in real time. It follows the determined historical journey of the Progressive Idea in words, from the New Freedom platform of Wilson’s first campaign, down through the New Deal speeches of Franklin Roosevelt (who spoke German as a child), then to Lyndon Johnson’s announcements of the War on Poverty and the Great Society. Once that rhetorical lineage is established, he then tries to show how the Idea spread out into American culture at large, bringing with it existentialist self-absorption, moral relativism and passivity in the face of the new administrative state, so that by the midcentury we nearly became Europeans (only fatter)

These articles are submitted to a group from Translators Without Borders that produces medical articles for Wikipedias in languages spoken in countries that often lack high-quality medical information. Examples include an article in Javanese on dengue fever and one in Hindi on urinary tract infection. Creating these high-quality medical articles fits neatly with efforts by the Wikimedia Foundation to make deals with cellphone carriers to provide Wikipedia content free of data charges, especially in the developing world

“If we want to get high-quality information to all the world’s population, Wikipedia is not just a viable option, but the only viable option,” Dr. Azzam said.

Every sensible person, most Republican politicians included, could recognize that the shutdown fever would blow up in the party’s face. Even the shutdown’s ardent champions never advanced a remotely compelling story for how it would deliver its objectives. And everything that’s transpired since, from the party’s polling nose dive to the frantic efforts to save face, was entirely predictable in advance.

just because the Republican strategy has been irrational doesn’t make it inexplicable. The trends that brought us to this point are clear enough: the discrediting of the Republican establishment during the Bush era; the rise of a populist right that often sees opposition as an end unto itself; the willingness of too many media figures, activists and politicians to stoke that wing’s worst impulses; and the current Republican leadership’s desire both to prevent an intraparty civil war and avoid a true national disaster like default.

the bursting of the debt bubble three years ago was not just a severe example of the ups and downs that are an inevitable part of American capitalism. Rather, it was the ultimate consequence of the modern global economy. Chief among the changes that have taken place is the integration of China, Russia, India and other countries into the global economic mainstream. The developed world once had maybe 500 million workers. Today, say the authors, we’ve added another two billion people to the global work force. That change alone has had a great deal to do with the stagnant wages, income inequality and the oversupply of labor in America that was masked by rising home prices and access to credit.

Now that the curtain has been pulled back, cheap credit alone can’t fix our problems. The country is in a deflationary cycle that is very difficult to get out of: as wages decrease (or more workers become unemployed), people become afraid to spend. Assets like homes drop in value. Businesses react by lowering prices and laying off yet more workers — which only triggers a new round of deflation. The only thing that doesn’t change is the unsustainably high debt that was accrued during the bubble.

Reducing government spending in the short term will only make things worse.

they believe that this is perhaps the best time in recent history for the government to take on a sustained infrastructure program, lasting from five to seven years, to create jobs and demand. “Labor costs will never be lower,” says Hockett. “Equipment costs will never be lower. The cost of capital will never be lower. Why wait?” Their plan calls for $1.2 trillion in spending — not all by the government, but all overseen by government — that would add 5.2 million jobs each year of the program.

they call for a “global rebalancing,” which includes a radical change in the current dysfunctional relationship between creditor and debtor nations, and even a new global currency that would be administered by the International Monetary Fund.

His theory draws upon many of the most prominent views of how humans emerged. These range from our evolution of the ability to run long distances to our development of the earliest weapons, which involved the improvement of hand-eye coordination. Dramatic climate change in Africa over the course of a few tens of thousands of years also may have forced Australopithecus and Homo to adapt rapidly. And over roughly the same span, humans became cooperative hunters and serious meat eaters, vastly enriching our diet and favoring the development of more-robust brains. By themselves, Wilson says, none of these theories is satisfying. Taken together, though, all of these factors pushed our immediate prehuman ancestors toward what he called a huge pre-adaptive step: the formation of the earliest communities around fixed camps.

“When humans started having a camp—and we know that Homo erectus had campsites—then we know they were heading somewhere,” he told me. “They were a group progressively provisioned, sending out some individuals to hunt and some individuals to stay back and guard the valuable campsite. They were no longer just wandering through territory, emitting calls. They were on long-term campsites, maybe changing from time to time, but they had come together. They began to read intentions in each other’s behavior, what each other are doing. They started to learn social connections more solidly.”

“The humans become consistent with all the others,” he said, and the evolutionary steps were likely similar—beginning with the formation of groups within a freely mixing population, followed by the accumulation of pre-adaptations that make eusociality more likely, such as the invention of campsites. Finally comes the rise to prevalence of eusocial alleles—one of two or more alternative forms of a gene that arise by mutation, and are found at the same place on a chromosome—which promote novel behaviors (like communal child care) or suppress old, asocial traits. Now it is up to geneticists, he adds, to “determine how many genes are involved in crossing the eusociality threshold, and to go find those genes.”

Wilson posits that two rival forces drive human behavior: group selection and what he calls “individual selection”—competition at the level of the individual to pass along one’s genes—with both operating simultaneously. “Group selection,” he said, “brings about virtue, and—this is an oversimplification, but—individual selection, which is competing with it, creates sin. That, in a nutshell, is an explanation of the human condition.

“Within groups, the selfish are more likely to succeed,” Wilson told me in a telephone conversation. “But in competition between groups, groups of altruists are more likely to succeed. In addition, it is clear that groups of humans proselytize other groups and accept them as allies, and that that tendency is much favored by group selection.” Taking in newcomers and forming alliances had become a fundamental human trait, he added, because “it is a good way to win.”

If Wilson is right, the human impulse toward racism and tribalism could come to be seen as a reflection of our genetic nature as much as anything else—but so could the human capacity for altruism, and for coalition- and alliance-building. These latter possibilities may help explain Wilson’s abiding optimism—about the environment and many other matters. If these traits are indeed deeply written into our genetic codes, we might hope that we can find ways to emphasize and reinforce them, to build problem-solving coalitions that can endure, and to identify with progressively larger and more-inclusive groups over time.

His prescription: End through strict regulation and resilience tests the scandal of too-big-to-fail, where “bankers made enormous sums” and “taxpayers picked up the tab for their failures.”

Anyone seeking the source of the anger behind populist movements in Europe and the United States (and the Piketty fever) need look no further than this. Anti-immigration, anti-Europe movements won in European elections because people feel cheated, worried about their children. As Bill Clinton noted a couple of hours before Carney’s speech, the first reaction of human beings who feel “insecure and under stress” is the urge to “hang with our own kind.” And the world’s greatest challenge is defining “the terms of our interdependence.”

Recreate fair and effective markets with real transparency and make every effort — through codes of conduct and even regulatory obligations — to instill a new integrity among traders (even if social capital cannot be contractual).

Curtail compensation offering large bonuses for short-term returns; end the overvaluing of the present and the discounting of the future; ensure that “where problems of performance or risk management are pervasive,” bonuses are adjusted “for whole groups of employees.”

Above all, understand that, “The answers start from recognizing that financial capitalism is not an end in itself, but a means to promote investment, innovation, growth and prosperity. Banking is fundamentally about intermediation — connecting borrowers and savers in the real economy. In the run-up to the crisis, banking became about banks not businesses; transactions not relations; counterparties not clients.”

We did not understand the enemy, a guerrilla network embedded in a quarrelsome, suspicious civilian population. We didn’t understand our own forces, which are built for rapid, decisive conventional operations, not lingering, ill-defined counterinsurgencies. We’re made for Desert Storm, not Vietnam.

those who served deserve an accounting from the generals. What happened? How? And, especially, why? It has to be a public assessment, nonpartisan and not left to the military. (We tend to grade ourselves on the curve.) Something along the lines of the 9/11 Commission is in order.

Today we are hearing some, including those in uniform, argue for a robust ground offensive against the Islamic State in Iraq. Air attacks aren’t enough, we’re told. Our Kurdish and Iraqi Army allies are weak and incompetent. Only another surge can win the fight against this dire threat. Really? If insanity is defined as doing the same thing over and over and expecting different results, I think we’re there.

I’d like to suggest an alternative. Maybe an incomplete and imperfect effort to contain the Islamic State is as good as it gets. Perhaps the best we can or should do is to keep it busy, “degrade” its forces, harry them or kill them, and seek the long game at the lowest possible cost. It’s not a solution that is likely to spawn a legend. But in the real world, it just may well give us something better than another defeat.

Republicans won this election in part because they re-established their party’s traditional personality. The beau ideal of American Republicanism is the prudent business leader who is active in the community, active at church and fervently devoted to national defense.

These candidates won in the general election because working-class voters will trust Republican corporate types so long as they are deeply embedded in their communities, so long as they have demonstrated loyalty to the whole society and not just the upper crust.

Republicans won among white-working-class voters by 30 percentage points. They tied Democrats among Asian-Americans. They severely cut their losses among Hispanics.

The new Republican establishment is different from the old one. It is more conservative. It’s shaped more by the ideas of The Wall Street Journal’s editorial page and the American Enterprise Institute than it is by the mores of the country club.

During the Palin spasm, Republicans seemed to detest the craft of governing. Hothouse flowers like Senator Ted Cruz preferred telegenic confrontation to compromise and legislation. Continue reading the main story Write A Comment But current party leaders are talking about incremental progress, finding areas where they can get bipartisan support: on trade, corporate taxes, the XL oil pipeline, the medical devices tax, patent reform, maybe even tax reform generally.

At least 12 groups are working to develop a vaccine.

European Medicines Agency (EMA), Europe's drugs regulator, said it established an expert task force to advise companies working on Zika vaccines and medicines, mirroring similar action during the two-year-long Ebola epidemic that started in December 2013 and the pandemic flu outbreak in 2009.

There are no vaccines or treatment for Zika and none even undergoing clinical studies. Most infected people either have no symptoms or develop mild ones like fever and skin rashes.

"The good news is this is not like Ebola; people don't die of Zika. A lot of people get it and don't even know that they have it," Obama told CBS News

Most of the money sought by Obama, who faces pressure from Republicans and some fellow Democrats to act decisively on Zika, would be spent in the United States on testing, surveillance and response in affected areas, including the creation of rapid-response teams to contain outbreak clusters.

Dr. Anne Schuchat, principal deputy director of the U.S. Centers for Disease Control and Prevention, said she was not expecting "large-scale amounts of serious Zika infections" in the continental United States as warmer months bring larger and more active mosquito populations.

Obama's funding request to Congress includes $335 million for the U.S. Agency for International Development to support mosquito-control, maternal health and other Zika-related public health efforts in affected countries in the Americas.

Fauci said he anticipated beginning a so-called Phase 1 trial this summer for a Zika vaccine that would take about three months to test if it is safe and induces a good immune response before further studies can be conducted.

The CDC said its Zika emergency operations center, with a staff of 300, has been placed on its highest level of activation, reflecting a need for accelerated preparedness for possible local virus transmission by mosquitoes in the continental United States.

Much remains unknown about Zika, including whether the virus actually causes microcephaly, a condition marked by abnormally small head size that can result in developmental problems.Brazil is investigating the potential link between Zika infections and more than 4,000 suspected cases of microcephaly. Researchers have identified evidence of Zika infection in 17 of these cases, either in the baby or in the mother, but have not confirmed that Zika can cause microcephaly. 

Word that Zika can be spread by sexual transmission and blood transfusions and its discovery in saliva and urine of infected people have added to concern over the virus.

The World Health Organization declared the outbreak an international health emergency on Feb. 1, citing a "strongly suspected" relationship between Zika infection in pregnancy to microcephaly.

Brazil is grappling with the virus even as it prepares to host the Olympic Games in Rio de Janeiro in August, with tens of thousands of athletes and tourists anticipated.The U.S. Olympic Committee has told U.S. sports federations that athletes and staff concerned about their health due to Zika should consider not going to the Olympics.

Former Olympian Donald Anthony, president and board chairman of USA Fencing, said, "One of the things that they immediately said was, especially for women that may be pregnant or even thinking of getting pregnant, that whether you are scheduled to go to Rio or no, that you shouldn't go."

"One minute, 32 seconds — ha! I beat you by one second!" a triumphant Margarita Maluchenkova, an 18-year-old with crimson-tinted hair,

They absently point the muzzle at other club members seated around a table watching the practice

I like handling guns, though it's more interesting when they are loaded,"

She believes Russia stands tall in the world.

Clubs such as Our Army have been cropping up across Russia at a fevered pace amid heightened tensions with the West and with former Soviet republics that have defected from Moscow's orbit.

heir year of compulsory military service.

he military has been experiencing a renaissance in recent years as the government spends billions to modernize and looks to its upcoming conscripts to fend off Western enemies the Kremlin sees as encroaching on Russian borders.

Support from the Kremlin — and Putin — has elevated the image of the military profession, she says.

"You should know your enemy, and, make no mistake, we do consider the Western world an enemy, especially America. That is the most dangerous threat to our future."

"We don't teach hatred, though hatred can be a powerful force," he acknowledges.

Russia has every single one of these features in place," Trudolyubov says. "Being healthy and sporting is good for everyone — there's no argument about that. But in what context does it develop?"

"It used to be that those newly inducted into the army learned how to use a Kalashnikov or drive an armored vehicle in basic training.

when the demoralized Soviet Red Army was mired in a costly and unwinnable war in Afghanistan and military careers were a sentence to poverty and hardship. Respect for the armed services continued to decline after the 1991 breakup of the Soviet Union.

It's a normal and natural process when young people understand that the state gives them a free education and the means to make a living, and for that they pay a debt to society by serving in the army.

Vladimir Putin is a star in the eyes of Russian children," she says.

he Crimea gambit has brought the wrath of the democratic world down on Russia in the form of sanctions that have blacklisted dozens of senior Kremlin officials and cronies and deepened an economic crisis brought on by fallen oil prices.

At the Our Army clubhouse, the teens count off into two squads for assault training, the "twos" taking a synchronized step forward, heads snapping to the left, eyes fixed on an unseen point in the distance.

There is no vaccine against the Zika virus. Efforts to make one have just begun, and creating and testing a vaccine normally takes years and costs hundreds of millions of dollars.

The study authors acknowledge that S. enterica may have interacted with other circulating pathogens. The method does not rule them out. In particular, the team can only detect DNA, but some viruses carry RNA instead. “If all these people died from RNA viruses, we will never know, at least not with these techniques,

Three years later, after ratification of the 19th Amendment, universal suffrage was a reality.

“To reject the advice of experts is to assert autonomy, a way for Americans to insulate their increasingly fragile egos from ever being told they’re wrong about anything.”

Nichols is best known these days as an outspoken “Never Trump” Republican, a lifelong conservative

In December, Politico named Nichols to its annual list of 50 people whose ideas are “blowing up American politics,” and Foreign Affairs listed an article excerpted from his book as one of its best, and best-read, of 2017. Readers regularly approach Nichols with stories of their own disregarded expertise: doctors, lawyers, plumbers, electricians who’ve gotten used to being second-guessed by customers and clients and patients who know little or nothing about their work. “So many people over the past year have walked up to me and said, ‘You wrote what I was thinking,’” he says. 

His own expertise is in nuclear policy and Russian affairs—during the Cold War, he was what was called a Sovietologist—and Nichols is a professor at the U.S. Naval War College. Since 2005 he has also taught at the extension school, on subjects like international security, nuclear deterrence, and Cold War pop culture

The Death of Expertise diagnoses a malady decades in the making, for which Trump represents only one case, albeit perhaps its most famous and extreme. “I didn’t know ahead of time that Trump was going to happen,” Nichols says now, “but I knew that someday something like him would.” 

“It strikes me that the affluence and convenience of modern society lull people into thinking that it all kind of happens magically, without any human intervention. People live in a world that functions, and not just because of technical experts, but policy experts too.”

Meanwhile, the Internet’s openness offers a “Google-fueled, Wikipedia-based, blog-sodden” mirage of knowledge, Nichols argues, and an inexhaustible supply of “facts” to feed any confirmation bias. “The Internet encourages not only the illusion that we are all equally competent,” he says, “but that we are all peers. And we’re not. There was once a time when saying that would have been considered unremarkable.”

Along the way, The Death of Expertise dissects the Dunning-Kruger Effect, formulated in 1999, which holds that the less competent people are, the greater the belief they tend to have in their own competence.

Nichols draws from prior cultural studies like Susan Jacoby’s The Age of American Unreason, Robert Hughes’s Culture of Complaint, and Richard Hofstadter’s landmark 1963 work, Anti-Intellectualism in American Life.

There is a chapter on the failures of experts—“like plane crashes, spectacular but rare,” he argues, and a reason to find better experts, not to abandon expertise—and admonitions that experts are the servants and not the masters of democratic society.

At the bottom of all of it, Nichols finds “a growing wave of narcissism.” Voters increasingly see political figures as extensions of themselves—“He’s just like me!”—imagining shared personalities and values. Narcissism elevates feelings above facts, and it breeds social resentment, a major driver, Nichols believes, of the revolt against expertise.

“People cannot accept ever being at a disadvantage in a conversation with anybody else,” he says. “It’s a persistent insecurity that goads people into having to say that they know something even when they don’t. Which didn’t used to be the case—we used to be a much more reasonable culture. You know, everybody doesn’t have to know everything.” 

The indictments the book levels are numerous: misguided egalitarianism run amok; the “protective, swaddling environment” of higher education, whose institutions increasingly treat students as customers to be kept satisfied; the 24-hour news cycle and the pressure on journalists to entertain rather than inform; the chaotic fusion of news and punditry and citizen participation.

“People have just gotten used to remarkable ease,” he says. “They look around and say, ‘How hard could this be?’ You know? ‘How hard can it be?’…That idea is totally animating our political life right now. People say, ‘We’ll elect Donald Trump and he’ll just put in a bunch of guys. We don’t need those experts. That’s the swamp. Because, really, how hard can any of this be?’”

How does it end? This turn away from expertise, this willfully inexpert presidential administration, this age of ignorance and unreason. He doesn’t know. He hopes the answer is not disaster:

“This idea that we don’t really need experts, that everyone knows as much as the experts, it’s the kind of illusion that we can indulge ourselves in until something terrible happens. Everybody wants to second-guess their doctor until their fever hits 104. And then suddenly—I mean, you don’t see a lot of people in emergency rooms arguing with the doctor.

“If I have a slogan about the past year in politics, it’s something I stole from the old Barry Goldwater bumper sticker: ‘In your heart, you know he’s right.’ Even the people who resist my argument, in their hearts, they know they’re wrong. People who say, ‘I don’t have to listen to my doctor’—deep down you know you should. The people who say that Donald Trump is right and experts are idiots—deep down you know you’re wrong about that.

In truth, though, Nichols really is worried. A year after the book’s publication, he finds himself even more pessimistic than he was when he wrote it.

Nichols had told similar stories about the Cold Warriors, who in one administration after another were responsible for nuclear diplomacy; knowledge and experience about the scale and scope of consequences lent real seriousness to their approach, Nichols said. Today, he said, “I think we’ve forgotten the horribleness of the decision we were contemplating.” However clinically they discussed their options, he added, Cold War officials understood that they were talking about the end of civilization. 

On the last day of class, he and the students returned to a question they’d begun the semester with: what are nuclear weapons for? War? Deterrence? History has strangely failed to nail down an answer, Nichols said. In the early days after Hiroshima and Nagasaki, some feared nuclear attacks would become a regular part of warfare. But no nation since then has dropped a nuclear bomb.

that’s his point: something held. “In the end, it boiled down to a very human question: is there anything worth doing this over?”

In The Death of Expertise, Nichols writes about the role of experience in expertise. He describes a Sovietologist at Columbia who could divine hidden policy positions from the featureless sameness of the Soviet press. It seemed like sorcery, but it wasn’t; it was years of practice, skill honed to second nature, a certain kind of intimacy.

“In the longer term, I’m worried about the end of the republic,” he answered. Immense cynicism among the voting public—incited in part by the White House—combined with “staggering” ignorance, he said, is incredibly dangerous. In that environment, anything is possible. “When people have almost no political literacy, you cannot sustain the practices that sustain a democratic republic.”

approach this question with real seriousness. Because that is part of what I think has kept the peace with nuclear weapons for so long. It’s not just a strategic issue; there is embedded in nuclear weapons a kind of different moral calculus.” And that, too, requires expertise.