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CCI, Carta abierta al Dr. Flores

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CCI

Carta abierta al rector

Doctor Eduardo Flores
Rector de la Universidad de Panamá
Ciudad Universitaria
Panamá, Republica de Panamá
E. S. D.

Respetado Sr. Rector

El Movimiento de Ciudadanos Contra la Impunidad (CCI), como es de su conocimiento, lleva a cabo, una serie de actividades ciudadanas, con el propósito de denunciar, combatir y repudiar la corrupción y la impunidad, que pretenden destruir a nuestra Patria.

Inicialmente, antes de dar vida a este Movimiento Cívico, nos dirigimos a Usted en su calidad de Rector de nuestra primera Casa de estudios, para que la Universidad de Panamá, tornara la bandera contra la corrupción y fuese Portaestandarte del sentir Nacional, por ser la llamada a jugar el papel relevante en la vida de nuestra Nación, tal como Ud. Manifestara durante su campaña para aspirar al alto cargo que hoy detenta y convocase la opinión del pueblo Panameño para que el escándalo de Odebrecht fuese debidamente denunciado e investigado y sus autores condenados de acuerdo a nuestro ordenamiento jurídico, sin dilaciones ni encubrimientos.

Su respuesta esquiva y negativa de entonces, nos sorprende hoy de sobremanera, al saber que Ud. está organizando un “Congreso Universitario “del 8 al 10 de marzo, exclusivamente para “discutir posibles cambios a la Ley Orgánica de la Universidad de Panamá”, especialmente lo relativo a garantizar su reelección en el cargo recién asumido.

La situación que vive nuestro país con motivo del Caso Odebrecht, no le es desconocida y, por ello, el CCI se pregunta qué motiva el que nuestra Universidad se abstenga de tener una activa participación en la organización de un permanente debate académico que aborde la discusión sobre la corrupción y la impunidad, de presencia rampante y ofensiva en el quehacer de la Republica, para que la juventud universitaria pueda ser instruida y vacunada contra estas nefastas prácticas.

Reiteramos nuestro llamado patriótico para que la Universidad vuelva a ser conciencia crítica y faro de luz de nuestros compatriotas y se avoque a la convocatoria de un Gran Debate Nacional en toda la sede central de nuestra capital, en todos sus Centros Regionales, en todas sus aulas, sobre el acontecer nacional con el decidido repudio público a las prácticas de corrupción e impunidad, tan en boga en nuestros días.

Ello sin duda alguna, es mucho más importante que la “reelección” de las recién electas autoridades universitarias.

Don Octavio Méndez Pereira, primer Rector de la Universidad, y antecesor suyo nos enseñó que:

Es uno de los imperativos de una Universidad Moderna, sentir y tratar de remediar las hondas conmociones que sacuden a la humanidad, abrir sus puertas y ventanas para echarse a la calle y renovar su ciencia con la vida, mezclar su cultura con las grandes inquietudes del mundo que la rodea, con los bajos fondos de la existencia colectiva.

y nosotros agregamos para que se haga la luz en la administración de Justicia en donde hoy rondan las Tinieblas de la impunidad.

En la seguridad que el Sr. Rector de la Universidad Nacional de Panamá, sabrá escuchar nuestro respetuoso llamado y por su conducto, a la conciencia colectiva universitaria orientada por la mejor intelectualidad y la Juventud de nuestro país; haciendo honor a los prohombres que le antecedieron en tan meritorio cargo.

Atentamente,

Dr. Alfredo Oranges Bustos
Coordinador CCI- Cedula 8-1121-942

 

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¿Wappin? Looking away in time and place after Carnival

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Isabel PantojaIsabel Pantoja. Foto por Carlos Delgado.

¿Wappin? Looking out in time and place from The Crossroads of The World

The Supremes – My World Is Empty Without You
https://youtu.be/dObwPyAKyw8

Robert Johnson – Love in Vain
https://youtu.be/SnsBlY4rKwM

Bob Marley – Wait in Vain
https://youtu.be/8WQVb_nuKvs

Carly Simon – You’re So Vain
https://youtu.be/mQZmCJUSC6g

Zahara & Robbie Malinga – Bengirongo
https://youtu.be/egbYl7UlSWo

Youssou Ndour – Djiguene Gni
https://youtu.be/zZweEsGkmIo

Panteón Rococó & Denise Gutiérrez – La Dosis Perfecta
https://youtu.be/fZbusX0dt9o

Mon Laferte & Juanes – Amárrame
https://youtu.be/l_ZyDlTfndE

Romeo Santos – Vale La Pena El Placer
https://youtu.be/Eqd03Ms1ip4

Santana – Soul Sacrifice
https://youtu.be/7dTH32ClRwI

Babatunde Olatunji – Jin-Go-Lo-Ba
https://youtu.be/ZYhFyF8dvU4

Herbie Hancock – Chameleon
https://youtu.be/UbkqE4fpvdI

Rolling Stones – Paint It Black
https://youtu.be/O4irXQhgMqg

Sippie Wallace – Murder Gonna Be My Crime
https://youtu.be/6Xzyg5V4Ks8

Isabel Pantoja – Festival de Viña del Mar 2017
https://youtu.be/xri9wGWdtlQ

 

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Things to do

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biomueso

ACP Cultural Billboard

THEATER
• Metropolitan opera live and HD. Theater of the Visitor Center of Miraflores. March 11, from 11 am. Broadcast HD live from the Metropolitan Opera in New York. Tickets on sale in Development Golf Coronado.
• “The adventures of the pirate Sinbad in the seven seas”, from 11 February to 26 March. Saturdays 5:00 pm Sundays at 11:30 am / 2:00 pm / 4:00 pm in “Bambalinas at Teatro La Estación. Reserve at 203-6662 or teatroestacion@gmail.com Discount for ACP employee.

MUSIC
• Serious Rock Night – February 4, 8 pm- 1am. Pineapple Skull, Old Town. Series of presentations that includes the maximum exponents of Panamanian rock music. Free pass.
• Classical guitar night – Prisma hall, Hotel Riu Plaza, Calle 50, March 4, from 8 to 11 pm. Recital of classical music by the Argentine guitarist Néstor Benito. For reservations call 6208-4764.

VARIOUS
• Biomuseo
* Activities for children from four to 12 years. For more information write to ventas@biomuseopanama.org
* Entrance to the galleries will be free on Sunday, March 5 from 10 am to noon for Panamanians and residents who show their identification. Tickets can be used all day until closing time at 5 pm.
• Smithsonian Summer – for future scientists between the ages of seven and 12. The activity seeks to cultivate the curiosity of children in a fun, motivating and educational environment. For more information write to puntaculebra@si.edu or call 212-8793.
• Summer season at the UP – until March 24. 8:00 pm (Tuesday to Saturday) and 4:00 pm (Sunday), at the University of Panama. There will be workshops of plastic arts, mixed volleyball, classical dance, folkloric, modern fusion and hip-hop, among others. There are also scheduled shows such as the choreography presentation of the Coraza Group and the musical concert of the UP Philharmonic Orchestra. For more information call 523-5000.
• “Via Plural”, street art festival. Central Avenue and Old Town, February 4, 9 am, Participation of national and international artists, creating interactions directly on the streets.
• Urban market, avenue of the market, in front of La Plaza. City of Knowledge, Clayton
• Night of bats in Gamboa, March 5, 7 to 9 p.m. Laboratory of Gamboa of STRI. Open public event for the whole family. Attendees will be able to observe live bats, caught in mist nets and learn about their natural history. Free pass. Www.PageLab.WixSite.com/BatNights
• Festival of comets and tambourines, March 12, Panama Pacific Complex, former Howard base. 11am – 6pm. Festival of Chinese culture with kites, traditional tambourines. Event organized by Aprochipa, www.Aprochipa

REMEMBER TO VISIT
• Miraflores Visitor Center – open daily from 9:00 am to 5:00 pm – Tel: 276-8617 and 276-8427.
• Agua Clara Visitor Center – Gatun – open every day from 8:00 am to 4:00 pm Tel: 443-5727.
• Interoceanic Canal Museum – open Tuesday through Sunday from 9:00 am to 5:00 pm – Tel: 211-1649 / 211-1650.
• Museum of Biodiversity – Amateur. Monday 10:00 am-4pm- Wednesday and Thursday 10:00 am – 4:00 pm Friday, Saturday and Sunday 10:00 am to 5:00 pm. Tuesday Closed.
• El Níspero- Zoo in El Valle de Antón – open every day from 7:00 am to 5:00 pm.
• Metropolitan Natural Park – Open daily from 6:00 am to 5:00 pm – Tels: 232-5552 / 5516.
• Archaeological Park El Caño – Tuesday to Sunday from 8:00 a.m. to 4:00 p.m.- Monday and public holidays: closed.
• Church of Natá- visit with specialized guide of the INAC- Tuesday to Saturday from 8:00 am to 4:00 pm.
• Explora Museum – interactive museum for children – Condado del Rey.
• Anthropological and Ethnographic Museum Dr. Roberto de la Guardia – located at the Félix Olivares School in David – open to the public from Monday to Friday – from 9:00 am to 12 noon and from 1:00 to 3:00 pm – guided visits – Information: 775-2854.

bohemio

 

Nestor Benito

 

IFF

 

Picasso

 

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Port of Corozal bids due despite doubts and objections

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ACP stuff.
The Panama Canal Authority has come up with all sorts of charts and hype, but the worldwide shipping and ports sectors are in a long slump and structural changes in the world economy may keep them from ever coming back as far as Panama is concerned. But PanCanal publicists — who in 2006 used public funds to promise that the canal expansion would create a quarter of a million jobs — apparently count on a short and superficial public attention span.

Bids due for Corozal port

by Eric Jackson

After many delays and politically forced revisions that kept the Motta family and others out of the running, bids are due to be presented to the Panama Canal Authority by those prequalified companies that want to build and run a seaport at Corozal and Diablo. The companies that will be allowed to submit bids — and some of them may not — are two Dutch enterprises, APM Terminals BV and Terminal Investment Limited SA, the French Terminal Link and the partially Singaporean state-owned PSA International Pte Ltd. The latter currently runs a small port facility on the west side of the canal, just north of the old US naval station at Rodman.

Worldwide port business has its ups and downs, in the context of a global shipping industry that’s well over capacity. Panama’s current local problems are largely those of Northern South America, for which we are a transportation hub and wholesaling and warehousing center. Low oil prices have collapsed Venezuela’s economy and weakened those of Brazil and Ecuador, cutting their demand for things coming through the Panama Canal or sold at our duty-free import and export zones.

(One rarely reads about the woes of Panama’s ports and duty-free zones in the worldwide English-language press these days. Google News in particular has set its algorithms to play up this idyllic view of and “invest NOW!” hype about the Panamanian economy, such that made-up stuff by International Living and its ilk takes precedence over day-to-day facts that are commonplace in the Panamanian media. Would-be investors in Panama should be careful, do their due diligence in Spanish as well as English and dig deeper than Google searches.)

If, led by the United States, countries insist upon the manufacturing of things for their markets within the country, that would have a negative effect on worldwide shipping. There are new rail and Arctic routes coming, and possibly a canal through Nicaragua, which will add competition to the Panama Canal. We don’t know what emerging manufacturing and energy technologies bode for the Panama Canal over the long term. Thus investment in a new port in Panama is a risky bet.

And why is the Panama Canal Authority doing this, rather than the Panama Maritime Authority that has until now had dibs of the port business? There can be and are various sinister theories about political racketeers angling for pieces of the action, but the more obvious thing is that the usage and revenue projections that the ACP made a decade ago were way too optimistic and the canal authority is now looking for new sources of revenue besides the tolls that ships pay to pass through the waterway.

The bids are due at 3:00 p.m. on March 3, said deadline having been moved back several times. Then there will be evaluations and decisions about which, if any, of the bids will be accepted. It may be down to a single bidder, or no bidder, or bids lower than the ACP would accept.

Beyond that, the pending lawsuits related to this port project — for compensation by people whose Diablo boat sheds were taken, by residents of Diablo trying to fend off eminent domain, by people and organizations with constitutional objections to an expanded ACP role in Panama’s economy, by companies that were excluded from bidding on the port project, by Panama Ports that does not want the competition and so on — have proliferated and now approach two dozen. Plus the legislature has not yet approved a new ports concession and may move to block it. There are also people in the ACP and Ministry of Canal Affairs who may be affected by the Odebrecht and Moncada Luna corruption scandals. Meanwhile, litigation related to the lowball bid accepted by the ACP for the construction of the new locks has yet to run its course.

Thus the Port of Corozal project advances, but with tentative steps.

 

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Women picketing a woman for International Women’s Day

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take her away
So, does being female mean being in need of special protection? Not to Panama’s feminists, who will be picketing the office of arguably the country’s highest-ranking female public official.

No slack for Attorney General Kenia Porcell on International Women’s Day!

From 8 a.m. until noon on Wednesday, March 8, there will be feminists picketing in front of the Public Ministry (across from Parque Porras), where Attorney General Kenia Porcell works. It might be argued that Vice President and Foreign Minister Isabel de Saint Malo ranks higher than Porcell, but the VP is pretty much subordinate to President Varela, while the AG is pretty much autonomous. Regardless, it seems that the Odebrecht scandal involves very few women, that it was greedy men paying and receiving the bribes. But the women of this country paid just like the men, and because there is systematic discrimination in job opportunities and pay scales on the whole women could afford the corruption tax less than men.

In any case March 8 is International Women’s Day. To start the day’s observances local feminists felt it appropriate to picket Porcell’s office that morning. There is great apprehension, given a new plea bargaining law, that Porcell might make a deal that lets Odebrecht pay a fine and allows those whom it bribed to go unidentified and unpunished.

There are many other issues that feminists have with the legal system of which Porcell is a major leader. The high incidence of violence against women, pervasive gender discrimination, impunity for money laundering of assets stolen from women in the course of divorce proceedings and lax enforcement of child support orders are some of the grievances.

 

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Gandásegui, Trump’s phone calls

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"no anchovies on that pizza"
Trump on the phone at the golf course. State Department photo.

Trump’s calls

by Marco Gandásegui, hijo

Last week the president of the United States, Donald Trump, made a phone call to his Panamanian counterpart, Juan Carlos Varela. Varela said that Trump “congratulated him for his administration” for the “good that’s coming to the country” and that soon he wanted receive him in Washington.

According to other sources, Trump also spoke to Varela about Venezuela. The relations between Panama and Caracas are good. Everything indicates, according to those who analyzed the phone call, that the US president wants to change this tie, which is above all based on commercial interests. In the case of relations between Panama and the United States — and with the rest of the region — in the backdrop there is the ever-present analogy of the carrot and the stick. The United States may offer a “carrot” in exchange for some favor by the country in question. The carrot may be in kind, in cash or, usually, a promise not to use the ‘stick’ against the interests of the affected.

Trump still hasn’t stated in any explicit way his policy toward the Latin American region. However, his denigration of Mexican leaders (and in passing that country’s people) was expressed in his first campaign speech in 2015, when he announced his decision to build a wall. Although all of the oligarchies of Latin America think that they have “special relations” with the United States, all are seen with disdain by the North American establishment. Trump makes this explicitly known. Trump speaks not only in his own name or in the name of an extreme sector of public opinion. He speaks for the ruling class of his country, as its founding fathers clearly expressed it almost 250 years ago.

Trump’s calls to his colleagues around the world follow a very clear pattern. It helps to refer to the analysis of Cuban journalist Néstor García to follow the chronology. The pattern — probably designed by Trump’s advisers — first of all, privileges the rulers of countries with Anglo-Saxon’roots: Great Britain, Canada, Australia and New Zealand. Followed by Japan, the honorable ally of the Anglo Saxon countries. He called rulers who are sitting on huge oil fields in Africa and the Middle East. It would have to be added, then, calls to to India, South Africa and Israel (the US aircraft carrier in the Eastern Mediterranean). In Latin America, he contacted countries with policies closer to US interests. It seems that the intention is to build a ‘political’ wall around Venezuela. Panama, Trinidad and Tobago, and Colombia are the closest points to the Bolivarian homeland. He also called the president of Argentina and sat in the White House with the president of Peru, both considered an important part of the ‘rearguard’ of a future offensive against Caracas.

He had a one-hour conversation with the Russian president, Vladimir Putin, and another more formal talk with the leader of China. His apparent admiration for the Russian leader has often been publicized. He called the president of France and the chancellor of Germany, with whom he exchanged diplomatic greetings. He also called European leaders in Spain, Italy and Ukraine. He ignored the rest of the members of the European Community and of NATO.

In Latin America he initially did not call the leaders of Mexico, Central America or supposedly allied countries like Chile, Brazil, Paraguay or Uruguay. Nor did he make any effort to build a bridge — even if symbolic — to the ALBA countries.

The direction that Trump’s foreign policy will take is not based on his phone calls. They may, however, reflect a trend. He has his inclinations, the powerful American establishment has others. Trump wants to see China’s “containment” and an “alliance” with Russia. He wants to destroy the Islamic state and “take oil from Iraq,” as well as collect what he considers to be old debts owed by Europe.

In the case of Latin America, Trump’s policy is reflected in his campaign against Mexico, which continues despite his already having occupied the White House more than a month ago. Perhaps it will focus its attention on Venezuela, due to the oil reserves beneath its soil. He has already accused the vice president of that country of being a drug trafficker, without evidence. (It’s a formula widely used by Washington to discredit). The United States has the OAS as a tool to activate the “Charter for Democracy.” But it needs the support of President Varela and the other leaders in the region to first strike the diplomatic blow, and then to deploy military force if necessary.

 

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Were I John Podesta…

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idiot trap
A trap that might have been set by a hardened international mobster, the spy agency of a hostile power or a 14-year-old kid.

Were I John Podesta, I might just click on that link.

Were I one of the techies who came to the Democratic National Committee with Debbie Wasserman Schultz’s entourage, I might tell Podesta that it’s OK for him to to that.

Bear that in mind as the investigations of the Russia scandals unfold.

they're on the loose
A bipartisan statement from the House side of Capitol Hill.

 

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The Panama News blog links, March 1, 2017

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A jam session in Boquete

The Panama News blog links

a Panama-centric selection of other people’s work
una selección Panamá-céntrica de las obras de otras personas

Canal, Maritime & Transportation / Canal, Marítima & Transporte

Port Strategy, Corozal bid deadline pushed back

La Estrella, Alemán Zubieta formará parte de Junta Asesora del Canal

TradeWinds, German shipping faces ongoing upheaval

La Estrella, CNA pide revisar integrantes de la Autoridad del Canal

Prensa Latina, Bolivia to define partners for railroad

Sports / Deportes

SD Union-Tribune, Bethancourt to pitch

Telemetro, Panamá en el Grupo C de la Copa Mundial de Beach Soccer

SB Nation, CONCACAF U20: Honduras beats Panama, 2-0

Prensa Latina, Fiscalía allanó instalaciones de la Federación Panameña de Fútbol

Economy / Economía

ANP, Panamá aumenta aranceles a productos colombianos

E&N, 72% del software en Panamá es ilegal

La Estrella, Campesinos reclaman tierras en la comarca

Vice news, Unauthorized immigrants paid $100 billion into US Social Security

ALAI, Trump dismantling Dodd-Frank

EFE, Chile y Argentina piden integrar Mercosur y la Alianza del Pacífico

ECNS.cn, China’s relations with Latin America near turning point

Science & Technology / Ciencia & Tecnología

STRI, Lianas can suppress tree growth in young tropical forests for decades

Scientific American, Dispute over first land bridge from North to South America

Canada Free Press, Corals more resilient than thought

Inside Climate News, EPA removes mentions of climate change

Latin American Herald Tribune, Summit Zoo awaits makeover

Indo Asian News Service, Dogs have social skills similar to toddlers

Smithsonian, Score one for insect intelligence

TVN, ¿Qué hacer si es atacado por abejas africanizadas?

Genetic Literacy Project, World’s largest flower: parasite swaps genes with host

Engadget, YouTube TV is Google’s live TV service

News / Noticias

DW, Kids save the mangroves in Panama

La Estrella, Rosas & Rosas recibió $1.4 millones de Odebrecht

Plus55, Marcelo Odebrecht: the man who could implode Brazil’s government

Dominican Today, DR mulls plea bargain with Odebrecht

El País, La mayor constructora peruana tiembla por el caso Odebrecht

BBC, Ecuador will hold run-off to choose new president

The Guardian, Berta Cáceres murder suspects’ links to US-trained elite troops

BBC, Bannon hails “new political order”

Opinion / Opiniones

Patrick, Brexit and the undeclared data war driving right wing campaigns

Feldstein, A conservative plan to fight global warming

Karon, Trump and the rebirth of press freedom

Greenwald, Five uncomfortable truths about the United States and Russia

Walt, Five ways Donald Trump is wrong about Islam

Astore, Losing the Afghanistan War one bad metaphor at a time

Ash, Tom Perez: a good man in a bad situation

Velasco, Free trade without the USA

Stiglitz & Guzman, From bad to worse in Puerto Rico

Sundaram, Washington rules change again

Brieger, Ecuador: los dilemas de la segunda vuelta

Vargas Llosa, Las delaciones premiadas

Simpson, Control de daños

Culture / Cultura

The AV Club, Review: My Favorite Thing is Monsters

Atlantic, Review: the Oscar-nominated “Fire at Sea”

Video: A closing prayer for Standing Rock’s Oceti Sakowin

Telemetro, Panameños abarrotan Terminal de Albrook para viajar por Carnaval

Video, Desfile de Calle Arriba de Los Santos

 

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Plastic bags — real problem, odd legislation

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sea trash
A jellyfish shares the marine environment with plastic bags. Photo by the US National Institutes for Health.

Two real problems: plastic bag pollution and bad legal drafting

by Eric Jackson

Yes, it’s true. You don’t have to go too far to see the mess that plastic bags have made all over Panama. You can even be blind, sitting in your home in many parts of Panama and smell it, via the distinctive stench of burning plastic. There ought to be a law. In a growing number of places there are laws.

So, as a member of the National Assembly’s third-largest caucus, the Panameñista Party, perhaps Florentino Ábrego figures that it’s his big chance to do something that might make his constituents think of him as a wise statesman, perhaps even worthy of re-election. Et voila:

Ábrego law
So WHAT does the title of this proposed law suggest is to be done?

Actually, the law does not, as its title suggests, propose to REQUIRE the use of non-degradable plastic bags in supermarkets. Deputy Ábrego would like to, over a two-year period, mostly PROHIBIT the distribution of these materials. As published on the legislature’s website, it’s one of the classics of incompetent legal drafting in an institution renowned for its sloppy work.

Ábrego might reasonably argue that the errors will be corrected in the legislative process, but meanwhile he has raised an issue that needed to be raised in the hallowed halls of the legislative branch of government. Fair enough.

However, there a some questionable premises embedded in his proposal.

Is “the culture of recycling and responsible use in full development” in Panama? It may seem that way to Panamanians who have never been anywhere else, or have only been to places even more backward on this subject than we are. But try to recycle your steel fish cans — the metal truck only wants aluminum. Recycling is in its infancy in Panama and is anything but systematic. To the extent that reuse comes into the equation, plastic bags do get reused, especially during rainy season, by people who want to make sure that certain things in their knapsacks, purses or chacaras stay dry in a tropical cloudburst.

And is a biodegradable plastic bag that decomposes in a few months, or another sort of degradable bag that dissolves over the course of about a year, therefore harmless when it’s part of the debris clogging an urban storm drain or covering a coral reef?

In many jurisdictions, the biggest of them China, there are full or partial bans on the free distribution of plastic bags at stores. The Chinese boast of how much petroleum that would otherwise go into the production of such bags is saved. Some US jurisdictions that require a charge of a few cents for each bag justify it in terms of how much litter is reduced.

A lot of the plastic bags given away in Panamanians stores are already of the biodegradable or degradable sorts. Toss a bit of baking soda into the plastic-making mix and the bags will decompose much more quickly. You will see the effect in disintegrating plastic bags along the footpaths of small-town Panama. But you won’t be able to smell the difference when people are burning their garbage, much of which will be plastic.

When — and if — Ábrego’s proposal is the subject of public hearings, perhaps the interested parties who show up to testify will include those who would limit or ban plastic bag distribution, so as to restore the old culture of people bringing their own more durable bags or baskets when they go shopping. Perhaps Panama City’s street sweepers or parks maintenance people might be there to weigh in. Perhaps someone who thinks that the shift to degradable plastic bags is a good idea, and who is more competent at legal drafting than the scrivener of Ábrego’s proposal, would have some proposed amendments.

In any case, it does seem that the plastic bag issue is about to become the subject of public debate in Panama.

 

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WHO issues urgent list for new antibiotics

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AB bad guy
Acineotobacter baumannii — a usually benign microbe that grows on your skin, which is the stuff of deadly hospital infections that present antibiotics can’t treat.

Bacteria for which new antibiotics are urgently needed

by the World Health Organization

On February 27 the World Health Organization (WHO) published its first ever list of antibiotic-resistant “priority pathogens” — a catalogue of 12 families of bacteria that pose the greatest threat to human health.

The list was drawn up in a bid to guide and promote research and development (R&D) of new antibiotics, as part of WHO’s efforts to address growing global resistance to antimicrobial medicines.

The list highlights in particular the threat of gram-negative bacteria that are resistant to multiple antibiotics. These bacteria have built-in abilities to find new ways to resist treatment and can pass along genetic material that allows other bacteria to become drug-resistant as well.

“This list is a new tool to ensure R&D responds to urgent public health needs,” says Dr. Marie-Paule Kieny, WHO’s Assistant Director-General for Health Systems and Innovation. “Antibiotic resistance is growing, and we are fast running out of treatment options. If we leave it to market forces alone, the new antibiotics we most urgently need are not going to be developed in time.”

The WHO list is divided into three categories according to the urgency of need for new antibiotics: critical, high and medium priority.

The most critical group of all includes multidrug resistant bacteria that pose a particular threat in hospitals, nursing homes, and among patients whose care requires devices such as ventilators and blood catheters. They include Acinetobacter, Pseudomonas and various Enterobacteriaceae (including Klebsiella, E. coli, Serratia, and Proteus). They can cause severe and often deadly infections such as bloodstream infections and pneumonia.

These bacteria have become resistant to a large number of antibiotics, including carbapenems and third generation cephalosporins — the best available antibiotics for treating multi-drug resistant bacteria.

The second and third tiers in the list — the high and medium priority categories — contain other increasingly drug-resistant bacteria that cause more common diseases such as gonorrhoea and food poisoning caused by salmonella.

G20 health experts will meet this week in Berlin. Hermann Gröhe, Federal Minister of Health, Germany says “We need effective antibiotics for our health systems. We have to take joint action today for a healthier tomorrow. Therefore, we will discuss and bring the attention of the G20 to the fight against antimicrobial resistance. WHO’s first global priority pathogen list is an important new tool to secure and guide research and development related to new antibiotics.”

The list is intended to spur governments to put in place policies that incentivize basic science and advanced R&D by both publicly funded agencies and the private sector investing in new antibiotic discovery. It will provide guidance to new R&D initiatives such as the WHO/DNDi Global Antibiotic R&D Partnership that is engaging in not-for-profit development of new antibiotics.

Tuberculosis — whose resistance to traditional treatment has been growing in recent years — was not included in the list because it is targeted by other, dedicated programs. Other bacteria that were not included, such as streptococcus A and B and chlamydia, have low levels of resistance to existing treatments and do not currently pose a significant public health threat.

The list was developed in collaboration with the Division of Infectious Diseases at the University of Tubingen, Germany, using a multi-criteria decision analysis technique vetted by a group of international experts. The criteria for selecting pathogens on the list were: how deadly the infections they cause are; whether their treatment requires long hospital stays; how frequently they are resistant to existing antibiotics when people in communities catch them; how easily they spread between animals, from animals to humans, and from person to person; whether they can be prevented (e.g. through good hygiene and vaccination); how many treatment options remain; and whether new antibiotics to treat them are already in the R&D pipeline.

“New antibiotics targeting this priority list of pathogens will help to reduce deaths due to resistant infections around the world,” says Professor Evelina Tacconelli, Head of the Division of Infectious Diseases at the University of Tubingen and a major contributor to the development of the list. “Waiting any longer will cause further public health problems and dramatically impact on patient care.”

While more R&D is vital, alone, it cannot solve the problem. To address resistance, there must also be better prevention of infections and appropriate use of existing antibiotics in humans and animals, as well as rational use of any new antibiotics that are developed in future.

WHO priority pathogens list for R&D of new antibiotics

Priority 1: Critical

1. Acinetobacter baumannii, carbapenem-resistant
2. Pseudomonas aeruginosa, carbapenem-resistant
3. Enterobacteriaceae, carbapenem-resistant, ESBL-producing

Priority 2: High

4. Enterococcus faecium, vancomycin-resistant
5. Staphylococcus aureus, methicillin-resistant, vancomycin-intermediate and resistant
6. Helicobacter pylori, clarithromycin-resistant
7. Campylobacter spp., fluoroquinolone-resistant
8. Salmonellae, fluoroquinolone-resistant
9. Neisseria gonorrhoeae, cephalosporin-resistant, fluoroquinolone-resistant

Priority 3: Medium

10. Streptococcus pneumoniae, penicillin-non-susceptible
11. Haemophilus influenzae, ampicillin-resistant
12. Shigella spp., fluoroquinolone-resistant

 

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