Nairobi, Kenya — Overcrowding in African hospitals is blamed on the scarcity of health facilities and doctors, especially in rural areas.

According to the United Nations, there is only one doctor for every 5,000 people in Africa, a continent that bears 25% of the global disease burden. But with the number of mobile phone users on the rise, some technological innovations are helping to bridge the doctor-patient gap and expand health care coverage. 

Yaw Asamoah is head of MedPharma Care in Ghana. The company has developed an app that allows patients to connect face-to-face with doctors and pharmacies online so they can get medicine in their homes.

He says the system improves patients’ experiences when they seek health care services.

“That’s where MedPharma care comes in to see how we can digitize the whole idea of health care bringing telemedicine — making it possible for people either [to] have e-consultation, e-prescription, get their medicine delivered to them wherever they are, either at the office or at home… do their diagnostic remotely,” Asamoah said.

The World Health Organization says 57 countries are suffering from a critical shortage of health personnel, 36 of them in Africa.

The 2001 Abuja Declaration requires that African Union countries allocate 15% of their annual budgets to health, a requirement most governments have yet to fulfill.

Funding and infrastructure issues have blocked millions of Africans’ access to quality health care, but experts say digital tools could improve access to services in hard-to-reach areas that lack doctors.

Mountaga Keita is a Guinean-born businessman who invented three portable diagnostic terminals which can monitor a patient’s temperature, blood pressure, heart function and conduct ultrasounds.

“The benefit of that is the ease it brings to doctors and patients instead of clogging hospitals,” Keita said. “Now the doctors or nurses can get to the patient collected data and send the data in a very secure manner to the hospitals, and people can analyze and bring it back to the patient.”

Keita has so far deployed 40 kits to different hospitals in Guinea.

According Keita, the diagnostic terminals have attracted the attention of other countries like Gabon, which has requested six machines. He is in talks with the governments of Burkina Faso, Ivory Coast, and Senegal to supply the kits there.

Keita said his technology can help solve the doctor-to-patient ratio problem and save patients money.   

“With this kind of technology, all the vital signs of a patient, forward it in a very secure manner, encrypted to a specialist who is in Tunisia, who is in Kenya, who is in Tokyo, Paris to interpret and bring the result,” he said. “Then we know if we are supposed to spend that 45,000 euros to evacuate … or if we can locally cure the person.”

Since the COVID-19 pandemic, telemedicine has grown expansively and gained attention in Africa.

Asamoah said telemedicine provides access to many doctors who specialize in different diseases, easing the burden on health care facilities. 

“In a normal circumstance, if you went to a clinic in Ghana, you wanted to talk to a specialized consultant, you might probably not get either because they don’t have, they haven’t booked you, or they are not available,” he said. “But telemedicine can make it possible for you to make your appointment and talk to any doctor.”

McKinsey & Company, a global management consulting firm, analyzed the impact of digital health tools in Kenya, Nigeria, and South Africa and found that the tools could reduce the continent’s total health care costs by 15% by 2030.
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Some bosses might want all their workers back in the office, but a clear majority of U.S. workers crave the flexibility of remote or hybrid jobs. And studies have found that such work, if managed well, will not harm a company’s culture or capability to innovate. But some companies concerned about productivity are using software to monitor employees working from home. Maxim Adams has the story. Camera: Aleksandr Bergan
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Manzini, Eswatini — Eswatini has launched an initiative to achieve sustainable development by harnessing the power of nuclear technology in such sectors as agriculture, health and energy planning. The plan was developed with the support of the International Atomic Energy Agency.

The aim of the Country Program Framework, or CPF, launched two weeks ago by Eswatini Minister of Natural Resources and Energy Prince Lonkhokhela, is to leverage nuclear technology for social and economic development. Its key focus areas are energy security, food security and human health, aligning with the country’s National Development Plan and the United Nations Sustainable Development Cooperation Framework.

Bongekile Matsenjwa, a chemical engineer and engineering manager for the Eswatini National Petroleum Company, believes the partnership between Eswatini and the International Atomic Energy Agency, or IAEA, can help the country make well-informed decisions about its energy future.

“Access to clean, affordable and safe, reliable energy is an important ingredient for the sustainable development of the country,” he said. “I believe that this partnership can help Eswatini to make knowledgeable decisions on energy supply options with the help of energy planning so the country … can independently chart our national energy future.”

Sonia Paiva, a sustainable agriculture expert and advocate for nuclear technology, who was a panelist at the COP28 U.N. Climate Change Conference, believes Eswatini’s focus on nuclear technology is happening at the perfect moment, as the country has already established policies around the topic and is now moving toward implementation.

“The whole world is looking to see how we can make our planet a better place to live in,” she said.

In addition to its potential benefits in agriculture and energy, Dr. Mduduzi Mbuyisa, a medical doctor, believes this technology has immense potential to improve the health care system in Eswatini.

“Nuclear medicine has a potential to ensure our diagnostic capabilities such that it helps us to take clearer pictures and help us in advanced imaging because we [are] using what we call PET or SPECT, which help to improve the care and overall health care system,” he said. It will also … help develop new skills and open up new career opportunities.”

Eswatini’s venture into nuclear technology is part of a larger trend of African countries seeking to harness the benefits of this technology. Against the backdrop of rising energy demands and climate change concerns, nuclear energy is increasingly seen as a potential solution.
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In Nairobi, a new restaurant is generating business and buzz – not just because of the food, but because of the staff. Robots serving dishes is the main attraction of diners who flock to the Robot Cafe. Juma Majanga reports. Camera: Jimmy Makhulo.
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islamabad — From sharing memes to sealing deals, millions of Pakistanis are struggling to communicate digitally as internet and data services have slowed down across much of the country. 

Officials are blaming internet service providers for the slowdown, but media reports indicate the problem may stem from the deployment of a nationwide internet firewall aimed at controlling online content and traffic. 

Crippling economy 

The problem, which began several weeks ago, has worsened in recent days, frustrating freelancers like Moadood Ahmad, who is seeing a drop in income. 

“If I don’t show as available on Upwork or Fiverr, then new clients can’t even approach me. Older clients are also disturbed,” Ahmad told VOA. The Lahore-based digital marketing services provider says he has made virtually no money in the last two weeks. 

According to DataReportal.com, 111 million Pakistanis in the nation of more than 240 million have access to internet. The country has nearly 189 million active cellular connections. State Bank of Pakistan put the country’s IT exports at $3.2 billion in the financial year that ended in July 2024. 

The spokesperson’s office of the Pakistan Telecommunication Authority (PTA) told VOA it has only heard about issues with internet speed and web access through media. Speaking to VOA in late July, a PTA spokesperson blamed the slowdown at that time on a possible technical glitch. 

During a hearing Thursday, the secretary for the Ministry of Information Technology and Telecommunication told a Senate committee that it was gathering data about the situation from mobile operators. 

But the slump in services is not limited to mobile data users. In a statement to the media Thursday, an alliance of internet service providers (ISPs) said internet speeds had plummeted by 30% to 40%, “crippling [the] digital economy.” 

“Many are leaving the smaller ISPs because they can’t sustain the poor service quality anymore. If this continues, we will see a mass exodus of businesses from Pakistan,” said the Wireless and Internet Service Providers Association of Pakistan (WISPAP). 

Speaking to VOA, WISPAP Chairman Shahzad Arshad said his alliance members were inundated with customer complaints. 

“The authorities should at least tell us a timeframe that we can give to the customer,” Arshad said. 

Without mentioning the firewall, WISPAP’s statement blamed increased “security and surveillance” for the decline in service quality. 

“While the government remains steadfast in its commitment to enhancing security, the question remains: at what cost to the nation’s digital economy?” the statement asked. 

Controlling access 

A source familiar with the nationwide firewall told VOA the system — acquired from China and installed through the Ministry of Defense — is based at a cable landing station in Pakistan, the place where the undersea internet data cable meets a country’s internet system.    

The firewall, also placed on the systems used by data providers, can give Pakistani authorities information about an individual user’s online activities and where they are operating from, allowing for targeted monitoring, the source said. 

Efforts to deploy the firewall on servers that major international companies use to store content close to end users are also underway. This can give authorities deeper access to an individual’s data and control of their online activities. 

Digital rights activists reject the government’s claim that the firewall is only a cybersecurity tool.

“To me, this is about political control. This desperation to do whatever they can,” said Farieha Aziz, co-founder of the digital rights group Bolo Bhi, an Urdu name that means “speak up.” 

Government officials “are still not transparent and open about the capability [of the firewall], what kind of monitoring is happening,” said Aziz. “What are they attempting?” 

The country’s latest efforts to control internet traffic and user activity come as the powerful military frequently complains of rising “digital terrorism,” a term it uses for those who criticize or mock the armed forces on social media. 

Digital rights activist Aziz also criticized telecom companies and internet service providers for not being transparent with users about the reasons for service disruptions. 

Digital freedom is limited in Pakistan. Global rights watchdog Freedom House describes Pakistan as “not free,” with a low score of only 26 out of 100 on its internet freedom index. 

Pakistanis trying to bypass poor connectivity and speed by using VPNs are not faring much better either. 

“Even those who use VPNs, and use our internet services, are unable to connect,” WISPAP’s Shahzad confirmed to VOA. 

A PTA official told the Standing Committee on Cabinet Sec­retariat, earlier this month that the regulator was working on a plan to approve certain virtual private networks. All other VPNs would be blocked. 

Senator Palwasha Khan, chairperson of the Senate’s standing committee on IT, told VOA she expected internet speed to normalize in Pakistan within days. She said the committee was not informed if the problem was because of the firewall, but said she supported the censorship tool. 

“I do agree that if some security measures are taken to control the chaos on social media, I don’t have any problem with that,” said Khan, a senator from the Pakistan People’s Party, which is part of the ruling alliance. 

Struggling to share voice notes and visual content with clients via a popular messaging app, freelancer Moadood Ahmad told VOA he regretted moving back to Pakistan from the United Arab Emirates. 

“I am thinking I made a mistake,” Ahmad said. “I should go back.” 
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NEW YORK — Google said Wednesday that an Iranian group linked to the country’s Revolutionary Guard had tried to infiltrate the personal email accounts of roughly a dozen people linked to President Joe Biden and former President Donald Trump since May. 

The tech company’s threat intelligence arm said the group was still actively targeting people associated with Biden, Trump and Vice President Kamala Harris, who replaced Biden as the Democratic candidate last month when he dropped out of the presidential race. It said those targeted have included current and former government officials, as well as presidential campaign affiliates. 

The new report from Google’s Threat Analysis Group affirmed and expanded upon a Microsoft report released Friday that revealed a suspected Iranian cyber intrusion in this year’s U.S. presidential election. It shed light on how foreign adversaries are increasing their efforts to disrupt the election that is now less than three months away. 

Google’s report said its threat researchers detected and disrupted a “small but steady cadence” of the Iranian attackers using email credential phishing, a type of cyberattack where the attacker poses as a trusted sender to try to get an email recipient to share login details. John Hultquist, chief analyst for the company’s threat intelligence arm, said the company sends suspected targets of these attacks a Gmail pop-up that warns them that a government-backed attacker might be trying to steal their passwords. 

The report said Google observed the group gaining access to one high-profile political consultant’s personal Gmail account. Google reported the incident to the FBI in July. Microsoft’s Friday report had shared similar information, noting that the email account of a former senior adviser to a presidential campaign had been compromised and weaponized to send a phishing email to a high-ranking campaign official. 

The group is familiar to Google’s threat intelligence arm and other researchers, and this isn’t the first time it has tried to interfere in U.S. elections, Hultquist said. The report noted that the same Iranian group targeted both the Biden and Trump campaigns with phishing attacks during the 2020 cycle, as early as June of that year. 

The group also has been prolific in other cyber espionage activity, particularly in the Middle East, the report said. In recent months, as the Israel-Hamas war has fueled tension in the region, that activity has included email phishing campaigns targeted at Israeli diplomats, academics, nongovernmental organizations and military affiliates. 

Trump’s campaign said Saturday that it had been hacked and that sensitive internal documents had been stolen and distributed. It said Iranian actors were to blame. 

The same day, Politico revealed it had received leaked internal Trump campaign documents by email, though it wasn’t clear whether the leaked documents were related to the suspected Iranian cyber activity. The Washington Post and The New York Times also received the documents. 

While the Trump campaign hasn’t provided specific evidence linking Iran to the hack, both Trump and his longtime friend and former adviser Roger Stone have said they were contacted by Microsoft related to suspected cyber intrusions. Stone’s email was compromised by hackers targeting Trump’s campaign, a person familiar with the matter said. 

Google and Microsoft wouldn’t identify the people targeted in the Iranian intrusion attempts or confirm that Stone was among them. Google did confirm that the Iranian group in its report, which it calls APT42, is the same as the one in Microsoft’s research. Microsoft refers to the group as Mint Sandstorm. 

Harris’ campaign has declined to say whether it has identified any state-based intrusion attempts but has said it vigilantly monitors cyber threats and isn’t aware of any security breaches of its systems. 

The FBI on Monday confirmed that it’s investigating the intrusion of the Trump campaign. Two people familiar with the matter said the FBI also is investigating attempts to gain access to the Biden-Harris campaign. 

The reports of Iranian hacking come as U.S. intelligence officials have warned of persistent and mounting efforts from both Russia and Iran to influence the U.S. election through their online activity. Beyond these hacking incidents, groups linked to the countries have used fake news websites and social media accounts to churn out content that appears intended to sway voters’ opinions. 

While neither Microsoft nor Google specified Iran’s intentions in the U.S. presidential race, U.S. officials have previously hinted that Iran particularly opposes Trump. U.S. officials also have expressed alarm about Tehran’s efforts to seek retaliation for a 2020 strike on an Iranian general that was ordered by Trump. 

Iran’s mission to the United Nations, when asked about the claim of the Trump campaign, denied being involved. 

“We do not accord any credence to such reports,” the mission told The Associated Press. “The Iranian government neither possesses nor harbors any intent or motive to interfere in the United States presidential election.” 

The mission did not immediately respond to a request for comment Wednesday about Google’s report.
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WELLINGTON, New Zealand — The New Zealand government said Tuesday that it would introduce new legislation to make it easier for companies and researchers to develop and commercialize products using gene technologies such as gene editing. 

Science, Innovation and Technology Minister Judith Collins said in a statement that rules and time-consuming processes have made research outside the lab almost impossible. 

“These changes will bring New Zealand up to global best practice and ensure we can capitalize on the benefits,” she said. 

Current regulations mean that genetically modified organisms (GMOs) cannot be released out of containment without going through a complex and vigorous process and it is difficult to meet the set standard. Furthermore, gene editing is considered the same as genetic modification even when it doesn’t involve the introduction of foreign DNA. 

Under the new law, low-risk gene editing techniques that produce changes indistinguishable from conventional breeding will be exempted from regulation, local authorities will no longer be able to prevent the use of GMOs in their regions and there will be a new regulator of the industry. 

“This is a major milestone in modernizing gene technology laws to enable us to improve health outcomes, adapt to climate change, deliver massive economic gains and improve the lives of New Zealanders,” Collins said. 

The government hopes to have the legislation passed and the regulator in operation by the end of 2025.
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beijing — Engineers sent China’s biggest-yet cargo drone on a test run over the weekend while a helicopter taxi took to the skies on a soon-to-open 100-km route to Shanghai, laying new milestones for the country’s expanding low-altitude economy.

Packing a payload capacity of 2 metric tons, the twin-engine aircraft took off on Sunday on an inaugural flight, state media said, citing developer Sichuan Tengden Sci-tech Innovation Co., for a trip of about 20 minutes in southwestern Sichuan province.

China’s civilian drone makers are testing larger payloads as the government pushes to build a low-altitude economy, with the country’s aviation regulator envisioning a $279-billion industry by 2030, for a four-fold expansion from 2023.

The Tengden-built drone, with a wingspan of 16.1 meters and a height of 4.6 meters, is slightly larger than the world’s most popular light aircraft, the four-seat Cessna 172.

The trial run followed the maiden flight in June of a cargo drone developed by state-owned Aviation Industry Corp of China (AVIC), the leading aerospace enterprise.

The AVIC’s HH-100 has a payload capacity of 700 kilograms and a flight radius of 520 km. Next year, AVIC plans to test its biggest cargo drone, the TP2000, which can carry up to 2 tons of cargo and fly four times farther than the HH-100.

China has already begun commercial deliveries by drone.

In May, cargo drone firm Phoenix Wings, part of delivery giant SF Express, started delivering fresh fruit from the island province of Hainan to southern Guangdong, using Fengzhou-90 drones developed by SF, a unit of S.F. Holding 002352.SZ.

Cargo drones promise shorter delivery times and lower transport costs, Chinese industry insiders say, while widening deliveries to sites lacking conventional aviation facilities, such as rooftop spaces in heavily built-up cities.

They could also ferry people on taxi services.
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WUHAN, China — Liu Yi is among China’s 7 million ride-hailing drivers. A 36-year-old Wuhan resident, he started driving part-time this year when construction work slowed in the face of a nationwide glut of unsold apartments.

Now he predicts another crisis as he stands next to his car watching neighbors order driverless taxis.

“Everyone will go hungry,” he said of Wuhan drivers competing against robotaxis from Apollo Go, a subsidiary of technology giant Baidu 9888.HK.

Baidu and the Ministry of Industry and Information Technology declined comment.

Ride-hailing and taxi drivers are among the first workers globally to face the threat of job loss from artificial intelligence as thousands of robotaxis hit Chinese streets, economists and industry experts said.

Self-driving technology remains experimental but China has moved aggressively to green-light trials compared with the U.S which is quick to launch investigations and suspend approvals after accidents.

At least 19 Chinese cities are running robotaxi and robobus tests, disclosure showed. Seven have approved tests without human-driver monitors by at least five industry leaders: Apollo Go, Pony.ai, WeRide, AutoX and SAIC Motor 600104.SS.

Apollo Go has said it plans to deploy 1,000 in Wuhan by year-end and operate in 100 cities by 2030.

Pony.ai, backed by Japan’s Toyota Motor 7203.T, operates 300 robotaxis and plans 1,000 more by 2026. Its vice president has said robotaxis could take five years to become sustainably profitable, at which point they will expand “exponentially.”

WeRide is known for autonomous taxis, vans, buses and street sweepers. AutoX, backed by e-commerce leader Alibaba Group 9988.HK, operates in cities including Beijing and Shanghai. SAIC has been operating robotaxis since the end of 2021.

“We’ve seen an acceleration in China. There’s certainly now a rapid pace of permits being issued,” said Boston Consulting Group managing director Augustin Wegscheider. “The U.S. has been a lot more gradual.”

Alphabet’s GOOGL.O Waymo is the only U.S. firm operating uncrewed robotaxis that collect fares. It has over 1,000 cars in San Francisco, Los Angeles and Phoenix but could grow to “thousands,” said a person with knowledge of its operations.

Cruise, backed by General Motors GM.N, restarted testing in April after one of its vehicles hit a pedestrian last year.

Cruise said it operates in three cities with safety its core mission. Waymo did not respond to a request for comment.

“There’s a clear contrast between U.S. and China” with robotaxi developers facing far more scrutiny and higher hurdles in the U.S., said former Waymo CEO John Krafcik.

Robotaxis spark safety concerns in China, too, but fleets proliferate as authorities approve testing to support economic goals. Last year, President Xi Jinping called for “new productive forces,” setting off regional competition.

Beijing announced testing in limited areas in June and Guangzhou said this month it would open roads citywide to self-driving trials.

Some Chinese firms have sought to test autonomous cars in the U.S. but the White House is set to ban vehicles with China-developed systems, said people briefed on the matter.

Boston Consulting’s Wegscheider compared China’s push to develop autonomous vehicles to its support of electric vehicles.

“Once they commit,” he said, “they move pretty fast.”

‘Stupid radishes’

China has 7 million registered ride-hailing drivers versus 4.4 million two years ago, official data showed. With ride-hailing providing last-resort jobs during economic slowdown, the side effects of robotaxis could prompt the government to tap the brakes, economists said.

In July, discussion of job loss from robotaxis soared to the top of social media searches with hashtags including, “Are driverless cars stealing taxi drivers’ livelihoods?”

In Wuhan, Liu and other ride-hailing drivers call Apollo Go vehicles “stupid radishes” – a pun on the brand’s name in local dialect – saying they cause traffic jams.

Liu worries, too, about the impending introduction of Tesla’s TSLA.O “Full Self-Driving” system – which still requires human drivers – and the automaker’s robotaxi ambitions.

“I’m afraid that after the radishes come,” he said, “Tesla will come.”

Wuhan driver Wang Guoqiang, 63, sees a threat to workers who can least afford disruption.

“Ride-hailing is work for the lowest class,” he said, as he watched an Apollo Go vehicle park in front of his taxi. “If you kill off this industry, what is left for them to do?”

Baidu declined to comment on the drivers’ concerns and referred Reuters to comments in May by Chen Zhuo, Apollo Go’s general manager. Chen said the firm would become “the world’s first commercially profitable” autonomous-driving platform.

Apollo Go loses almost $11,000 a car annually in Wuhan, Haitong International Securities estimated. A lower-cost model could enable per-vehicle annual profit of nearly $16,000, the securities firm said. By contrast, a ride-hailing car earns about $15,000 total for the driver and platform.

‘Already at the forefront’

Automating jobs could benefit China in the long run given a shrinking population, economists said.

“In the short run, there must be a balance in speed between the creation of new jobs and the destruction of old jobs,” said Tang Yao, associate professor of applied economics at Peking University. “We do not necessarily need to push at the fastest speed, as we are already at the forefront.”

Eastern Pioneer Driving School 603377.SS has more than halved its instructor number since 2019 to about 900. Instead, it has teachers at a Beijing control center remotely monitoring students in 610 cars equipped with computer instruction tools.

Computers score students on every wheel turn and brake tap, and virtual reality simulators coach them on navigating winding roads. Massive screens provide real-time analysis of driver tasks, such as one student’s 82% parallel-parking pass rate.

Zhang Yang, the school’s intelligent-training director, said the machines have done well.

“The efficiency, pass rate and safety awareness have greatly improved.”
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