The air is filled with birds chirping, and the land is a tableau of soft greenery and gentle light. This is Ho’oulu ‘āina, a 100-acre reserve with an unusual twist. It is linked to a community health center and is where patients come to heal the land and themselves.
As climate change accelerates and the Trump administration abandons the fight, Ho’oulu ‘āina is an example of how people in all 50 red and blue states are working to restore land, clean waterways, reduce pollution and protect wildlife.
50 states, 50 revisions This is a series about local solutions to environmental issues. I’ll come more this year.
Twenty years ago, Ho’oulu ‘āina was ignored and overrunned with trash and invasive plants. But today it is thriving.
And then, volunteers and patients who spent a long time there, removing non-enemous plants and growing vegetables, fruits and herbs, experienced body and soul recovery.
There is Growing research It shows that spending time in nature can improve mental, physical and cognitive health.
Older people who once relied on canes and pedestrians have regained some mobility. Diabetics have seen their glucose levels drop. The depressed teens woke up brightly. In Hawaiian, the name Ho’oulu ‘āina means “growing for the land.”
“Many people within the health centre saw the land as a way and a kind of tool to improve human health,” said Puni Jackson, program director at Ho’oulu ‘āina. But for the native Hawaiians and Pacific Islanders who make up the majority of clinic patients, the connection to nature is both familial and profound, Jackson said. “It’s a sacred relationship,” she said.
Ho’oulu ‘āina is a 10-minute drive from the clinic, a bushy road, crossing a wooden bridge, above a rugged dirt driveway leading to grassy fields adjacent to the forest. The land features bread and banana trees, medicinal plants and taro, organic gardens, low-haired buildings, and a small pharmacist who watches patients by Jackson, an indigenous medical practitioner of Hawaii.
WEllen Kafamtengo felt a sharp pain in her lower abdomen and thought she might be going into labor. It was the ninth month of her first pregnancy, but she wasn’t taking any chances. With the help of her mother, the 18-year-old took a motorbike taxi and raced to a hospital in Malawi’s capital Lilongwe, a 20-minute drive away.
At Area 25 Health Center, she was told it was a false alarm and taken to the maternity ward. But when a routine ultrasound reveals that the baby is much smaller than expected at this stage of pregnancy, things quickly escalate, leading to suffocation, a condition that limits blood flow and oxygen to the baby may cause.
In Malawi, approx. 19 out of 1,000 babies Death occurs during childbirth or within the first month of birth. Childbirth asphyxia is the leading cause of neonatal death in this country and can result in brain damage to newborns with long-term effects such as developmental delays and cerebral palsy.
Doctors reclassified Ms Kafamtengo, who was expected to have a normal delivery, as a high-risk patient. Further tests using AI-powered fetal monitoring software revealed that the baby’s heart rate was slow. Stress tests revealed that the baby would not survive delivery.
Chikondi Chiweza, head of maternal and child care at Area 25 Health Center in Lilongwe, said: Photo: Provided by Halma plc
Chikondi Chiweza, the hospital’s head of maternal and child care, knew she had less than 30 minutes to deliver Kafamtengo’s baby by caesarean section. Having delivered thousands of babies in some of the city’s busiest public hospitals, she was well aware of how quickly a baby’s chances of survival can change during delivery.
Chiweza, who gave birth to Kafamtengo’s baby healthy, says the fetal monitoring program has made a huge difference to hospital births.
“[In Kaphamtengo’s case]we wouldn’t have realized what we did until later or as a stillborn baby,” she says.
Software donated by a birth safety technology company Perigen Through a partnership with the Malawi Ministry of Health, Texas Children’s Hospitaltracks your baby’s vital signs during delivery, giving clinicians early warning of abnormalities.
Since it began using the system three years ago, the number of stillbirths and neonatal deaths at the center has fallen by 82%. It is the only hospital in the country that has introduced this technology.
“The period around birth is the most dangerous for mothers and babies,” says Jeffrey Wilkinson, an obstetrician at Texas Children’s Hospital who leads the program. “Most deaths can be prevented by ensuring the baby’s safety during the birth process.”
AI monitoring systems require less time, equipment, and skilled staff than traditional fetal monitoring methods, making them essential for hospitals in low-income countries such as Malawi, which face severe health worker shortages. Routine fetal monitoring often relies on a doctor performing routine tests. This means that while the AI-assisted program provides continuous, real-time monitoring, important information may be missed during the interval. Traditional tests also require doctors to interpret raw data from various devices, which can be time-consuming and error-prone.
Area 25’s maternity ward handles approximately 8,000 births annually with a staff of 80 physicians. While only about 10% are trained to perform traditional electronic monitoring, most can detect abnormalities using AI software, helping doctors recognize higher-risk or more complicated births. Masu. Hospital staff also say that the use of AI has standardized key aspects of obstetric care in the clinic, such as interpreting fetal health status and deciding when to intervene.
Kafamutengo, who is excited to become a new mother, believes that doctors’ intervention may have saved her baby’s life. “They realized early enough that my baby was suffering and were able to take action,” she said as she held her son, Justice.
Doctors at the hospital hope the technology will be introduced to other hospitals in Malawi and across Africa.
“AI technology is being used in many fields, and saving the lives of babies is no exception,” Chiweza said. “We can really close the gap in the quality of care available to underserved populations.”
Google made a promise in July 2022 to remove location data of users who visited abortion clinics. However, little progress has been made in fulfilling this promise. This move would make it more difficult for law enforcement to use this information to investigate and prosecute people seeking abortions in states where abortion is banned or restricted. Recent research shows that Google still retains location history data in 50% of cases.
Google originally made this promise shortly after the Supreme Court’s decision to end federal abortion protections. The company stated it would remove entries for locations considered “private” or sensitive, including “health care facilities such as counseling centers, domestic violence shelters, and abortion clinics.” However, as of now, there has been no implementation of this policy. A study conducted by tech advocacy group Accountable Tech found that Google does not mask location data in all cases, even after claiming to prioritize user privacy and implement changes to its location retention policy “as promised” in early 2022.
Accountable Tech’s latest study revealed that while Google’s location retention rates had improved slightly, the company was still not deleting location history in all cases as promised. Google Maps’ Director of Products, Marlo McGriff, disputed this finding and stated that any claims of non-compliance are false.
Researchers used her latest Android device to guide her to an abortion clinic and tested what location data it stored about her trip in the latest study. The study also found that Google still holds data on the location search queries and other criminal data as well, from emails to Google search data. Law enforcement’s use of reverse search warrants and geofence location warrants have raised new concerns about user data privacy.
Recently, Google announced plans to change the way it stores location history data for all its users. This change includes storing location data on users’ devices by default and encrypting and deleting all location data backed up to Google’s cloud storage after three months. However, Accountable Tech remains skeptical of Google’s promises to protect location data, based on its history of unfulfilled commitments.
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