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World Health Organization Will No Longer Classify Being Transgender As Mental Disorder

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  • In their new version of the International Statistical Classification of Diseases, the World Health Organization has removed the term “gender identity disorder” from the mental disorders chapter.
  • The organization now places “gender incongruence” in the sexual health chapter.
  • Transgender rights activists have applauded this decision, as they believe it will destigmatize the trans community.

WHO Updates Terminology

The World Health Organization has decided to no longer categorize being transgender as a mental disorder.

The WHO revised their International Statistical Classification of Diseases, or ICD, on May 25. In their new version, ICD-11, the group decided to remove the term “gender identity disorder” from its section on mental health. The group will instead use the term “gender incongruence” to describe being transgender. It will be included in ICD-11’s chapter on sexual health.

When discussions of switching the verbiage took place in June, Dr. Lale Say, a coordinator for the WHO’s Adolescents and At-Risk Populations Team, said she expects this choice will reduce stigmas associated with being transgender.

“It was taken out from the mental health disorders because we had a better understanding that this wasn’t actually a mental health condition, and leaving it there was causing stigma,” she said in a Q&A published by the WHO.

So, in order to reduce the stigma while also ensuring access to necessary health interventions, this was placed in a different chapter, the sexual health chapter.”

This decision could have a serious impact on how medical professionals work with transgender patients. The ICD is one of the major publications used to set guidelines for healthcare worldwide. Another prominently used publication, which is made by the American Psychiatric Association, removed the term “gender identity disorder” back in 2012, and now uses the term “gender dysphoria.”

Some countries currently require a diagnosis of “gender identity disorder,” before their identity is changed on documents and other legal identification forms. The WHO is aiming to have their 194 member states implement ICD-11 into their practices by January 1, 2022.

Activists Respond to Change

Activists for transgender rights view this change as a big win for the community. Graeme Reid, an LGBT Rights Director at Human Rights Watch said this switch “will have a liberating effect on transgender people worldwide.”

“Governments should swiftly reform national medical systems and laws that require this now officially outdated diagnosis,” he said in a statement.

Trans Lifeline, a crisis hotline for the transgender community, also celebrated the WHO’s decision.

“We applaud the destigmatization of being trans on this international stage, and hope it leads to better access for trans people around the globe,” the group tweeted.

A joint statement from several international transgender rights groups published on GATE applauded the WHO, but still noted that there is more work to be done in removing stigmas for the community.

“It has taken us a long time to get here. Until a few years ago, removing pathologizing categories affecting trans and gender diverse people from the ICD-10 list of mental disorders seemed impossible. Today, we know that full depathologization can be achieved and will be achieved in our lifetime,” the statement says.

“The term ‘gender incongruence’ has been strongly contested by trans and gender diverse activists involved in the ICD reform process, and collective submissions on alternative wording and criteria have been made.”

See what others are saying: (CNN) (TIME) (CBS News)

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New Zealand Considers Banning Cigarettes For People Born After 2004

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  • New Zealand announced a series of proposals that aim to outlaw smoking for the next generation with the hopes of being smoke-free by 2025.
  • Among the proposed provisions are plans to gradually increase the legal smoking age and possibly prohibit the sale of cigarettes and tobacco products to anyone born after 2004; effectively banning smoking for that generation.
  • Beyond that, the level of nicotine in products will likely be significantly reduced, setting a minimum price for tobacco and heavily restricting where it can be sold.
  • The proposals have proven to be popular as one in four New Zealand cancer deaths are tobacco-related, but some have criticized them as government overreach and worry a ban could lead to a bigger and more robust black market.

Smoke Free 2025

New Zealand announced sweeping new proposals on Thursday that would effectively phase out the use of tobacco products, a move that is in line with its hopes to become a smoke-free country by 2025.

Among a number of provisions, the proposals include plans to gradually increase the legal smoking age and bar anyone born after 2004 from buying tobacco products. Such a ban would effectively end tobacco sales after a few decades. The government is also considering significantly reducing the level of nicotine allowed in tobacco products, prohibiting filters, restricting locations where tobacco products can be purchased, and setting a steep minimum price for tobacco.

“We need a new approach.” Associate Health Minister Dr. Ayesha Verral said when announcing the changes on Thursday. 

“About 4,500 New Zealanders die every year from tobacco, and we need to make accelerated progress to be able to reach [a Smoke Free 2025]. Business-as-usual without a tobacco control program won’t get us there.”

The proposals received a large welcome from public health organizations and local groups. Shane Kawenata Bradbrook, an advocate for smoke-free Maori communities, told The Guardian that the plan “will begin the final demise of tobacco products in this country.” 

The Cancer Society pointed out that these proposals would help combat health inequities in the nation, as tobacco stores were four times more likely to be in low-income neighborhoods, where smoking rates are highest.

Not Without Flaws

The proposals weren’t completely without controversy. There are concerns that a complete ban could bankrupt “dairy” store owners (the equivalent to a U.S. convenience store) who rely on tobacco sales to stay afloat. 

There are also concerns that prohibition largely doesn’t work, as has been seen in other nations with goods such as alcohol or marijuana. Many believe a  blanket ban on tobacco will increase the incentive to smuggle and sell the products on the black market. The government even acknowledged the issue in a document outlining Thursday’s proposals. 

“Evidence indicates that the amount of tobacco products being smuggled into New Zealand has increased substantially in recent years and organised criminal groups are involved in large-scale smuggling,” the document said.

Some are also concerned about how much the government is intervening in people’s lives.

“There’s a philosophical principle about adults being able to make decisions for themselves, within reason,” journalist Alex Braae wrote. 

The opposition ACT party also added that lowering nicotine content in tobacco products could lead to smokers smoking more, a particular concern as one-in-four cancer cases in New Zealand are tobacco-related.

See what others are saying: (Stuff) (Independent) (The Guardian)

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Egypt Seizes Ship That Blocked Suez Canal Until Owners Pay Nearly $1 Billion

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  • Egyptian authorities seized the Ever Given, a mega-ship that blocked the Suez Canal for nearly a week last month, after a judge ruled Wednesday that the owners must pay $900 million in damages.
  • The ship was seized just as it was deemed fit to return to sea after undergoing repairs in the Great Bitter Lake, which sits in the middle of the Suez Canal.
  • The vessel’s owners said little about the verdict, but insurance companies covering the ship pushed back against the $900 million price tag, saying it’s far too much for any damage the ship actually caused.

Ever Given Still in Egypt

An Egyptian court blocked the mega-ship known as the Ever Given from leaving the country Wednesday morning unless its owner pays nearly $1 billion in compensation for damages it caused after blocking the Suez Canal for nearly a week last month.

The Ever Given’s ordeal started when it slammed into the side of the canal and became lodged, which caused billions of dollars worth of goods to be held up on both sides of the canal while crews worked round the clock to free the vessel. An Egyptian judge found that the Ever Given becoming stuck caused not only physical damage to the canal that needed to be paid for but also “reputational” damage to Egypt and the Suez Canal Authority.

The ship’s Japanese owner, Shoei Kisen Kaisha, will need to pay $900 million to free the ship and the cargo it held, both of which were seized by authorities after the ship was transported to the Great Bitter Lake in the middle of the canal to undergo now-finished repairs. Shoei Kisen Kaisha doesn’t seem to want to fight the judgment in court just yet. It released a short statement after the ruling, saying that lawyers and insurance companies were working on the claims but refused to comment further.

Pushing Back Against The Claim

While Shoei Kisen Kaisha put in a claim with insurers, those insurance companies aren’t keen on just paying the bill. One of the ship’s insurers, UKP&I, challenged the basis of the $900 million claim, writing in a press release, “The [Suez Canal Authority] has not provided a detailed justification for this extraordinarily large claim, which includes a $300 million claim for a ‘salvage bonus’ and a $300 million claim for ‘loss of reputation.’”

“The grounding resulted in no pollution and no reported injuries. The vessel was re-floated after six days and the Suez Canal promptly resumed their commercial operations.”

It went on to add that the $900 million verdict doesn’t even include payments to the crews that worked to free the ship, meaning that the total price tag of the event could likely be far more for Shoei Kisen Kaisha and the multiple insurance companies it works with.

See what others are saying: (Financial Times) (CNN) (The Telegraph)

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Treated Radioactive Water From Japanese Nuclear Power Plant Will Be Released Into Ocean

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  • The Japanese government confirmed Tuesday that it will officially move forward with plans to dump millions of gallons of radioactive water from the Fukushima nuclear power plant into the ocean.
  • The government spent a decade decontaminating the water, only leaving a naturally occurring isotope in it that scientists recognize as safe for people and the environment.
  • Despite the safety claims, protesters took to the streets in Tokyo to show disapproval of the decision. Local business owners, in particular, have expressed fears that more municipalities worldwide could ban Fukushima products, including fish, because of distrust in the water.
  • Meanwhile, officials have insisted that the dump is necessary as the water takes up a massive amount of space, which is needed to store highly radioactive fuel rods from the remaining cores at the now-defunct nuclear facility.

Editor’s Note: The Japanese government has asked Western outlets to adhere to Japanese naming conventions. To that end, Japanese names will be written as Family Name followed by Given Name.

Radioactive or Bad Publicity?

After years of discussions and debate, the Japanese government announced Tuesday that it will dump radioactive water from the Fukushima nuclear power plant into the ocean.

Government officials consider the move necessary, but it’s facing backlash from local businesses, particularly fisheries, over potential consequences it could have. Many are especially concerned that the decision will create bad press for the region as headlines about it emerge. For instance, a headline from the Guardian on the issue reads, “Japan announces it will dump contaminated water into sea.”

While the water is contaminated and radioactive, it’s not nearly what the headlines make it out to be. The government has spent the last decade decontaminating it, and now it only contains a trace amount of the isotope tritium. That isotope is common in nature and is already found in trace amounts in groundwater throughout the world. Its radiation is so weak that it can’t pierce human skin, meaning one could only possibly get sick by ingesting more than that has ever been recorded.

According to the government, the decontaminated water at Fukushima will be diluted to 1/7 of the WHO’s acceptable radiation levels for drinking water before being released into the ocean over two years.

Something Had To Eventually Be Done

Over the last decade, Japan has proposed this plan and other similar ones, such as evaporating the water, which the International Atomic Energy Agency said last year met global standards.

The water has been sitting in containers for years, so why is there a push to remove it now? Space and leakage seem to be the primary reasons.

The water containers are slowly being filled by groundwater, and the government expects to run out of space relatively soon. Space is sorely needed, as Prime Minister Suga Yoshihide has pointed out in the past that the government wants to use the space to store damaged radioactive fuel rods that still need to be extracted from the plant. Unlike the water, those rods are dangerously radioactive and need proper storage.

Regardless, Suga reportedly recognizes that removing the water is going to end up as a lose-lose situation.

“It is inevitable that there would be reputational damage regardless of how the water will be disposed of, whether into the sea or into the air,” he said at a press conference last week. As expected, the government’s decision did trigger backlash, prompting many demonstrators to take to the streets of Tokyo Tuesday in protest.

To this day, eleven countries and regions still ban many products from the Fukushima prefecture despite massive clean-up efforts that have seen people returning to the area to live.

See what others are saying: (NPR) (KBS World) (NBC News)

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