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	<title type="text">Science | Vox</title>
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	<updated>2026-07-22T19:24:01+00:00</updated>

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			<author>
				<name>Elie Dolgin</name>
			</author>
			
			<title type="html"><![CDATA[An HIV vaccine is within reach]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/495791/mrna-vaccines-science-hiv-prevention-trump-funding" />
			<id>https://www.vox.com/?p=495791</id>
			<updated>2026-07-22T15:24:01-04:00</updated>
			<published>2026-07-22T06:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[In January 2025, Linda-Gail Bekker stood inside a vaccine manufacturing plant and allowed herself to believe that the first HIV vaccine candidate conceived through African science and led by Africans might finally become a reality. The vaccine would be built on mRNA technology, the same platform that had helped tame the Covid-19 pandemic. Bekker hoped [&#8230;]]]></summary>
			
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<img alt="An illustrated scientific researcher standing and shining a light on plants within a dark, underground space with a closing skylight." data-caption="" data-portal-copyright="Hokyoung Kim for Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/07/Vox_HIV_funding_HokyoungKim.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p class="wp-block-paragraph">In January 2025, Linda-Gail Bekker stood inside a vaccine manufacturing plant and allowed herself to believe that the first HIV vaccine candidate conceived through African science and led by Africans might finally become a reality.</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading">Key takeaways</h2>



<ul class="wp-block-list">
<li>HIV has stubbornly resisted prevention via a vaccine. But in mRNA, scientists think they have finally found a technology to develop one.&nbsp;</li>



<li>mRNA, which was used for the successful Covid vaccines, is a way to agilely iterate and develop new candidate vaccines quickly.&nbsp;</li>



<li>Funding for HIV research has been yanked away by the Trump administration, and mRNA vaccines have faced political scrutiny, all threatening this breakthrough.</li>
</ul>
</div>

<p class="wp-block-paragraph">The vaccine would be built on mRNA technology, the same platform that had <a href="https://www.vox.com/future-perfect/404099/covid-coronavirus-pandemic-sars-mrna-vaccine-warp-speed">helped tame the Covid-19 pandemic</a>. Bekker hoped it might finally crack the puzzle that had <a href="https://www.vox.com/future-perfect/484425/hiv-aids-pepfar-epidemic-usaid-act-up">frustrated HIV researchers for more than four decades</a>.</p>

<p class="wp-block-paragraph">No virus has proved more evasive. Hundreds of HIV vaccines have entered testing; none has succeeded at providing durable protection against infection. And the need remains vast: In 2025, roughly 1.2 million <a href="https://www.unaids.org/en/resources/fact-sheet">new HIV infections</a> were reported; anti-retroviral treatments have turned it into more of a survivable disease, but more than half a million people died from AIDS-related causes the same year. There is still no known cure.</p>

<p class="wp-block-paragraph">So researchers like Bekker, an infectious disease specialist at the University of Cape Town, have more hope now, in part because there is finally a clearer idea of what an effective vaccine needs to do. It must coax the immune system into producing a particular type of protective antibody, a rare class of defender, capable of recognizing and disabling HIV despite the virus’s extraordinary diversity and rapid ability to mutate.</p>

<p class="wp-block-paragraph">No one yet knows how to reliably do that. But mRNA is uniquely suited to the task of finding out, vaccinologists say. Thanks to <a href="https://www.youtube.com/watch?v=mvA9gs5gxNY">the platform’s speed and flexibility</a>, researchers can iterate rapidly through the otherwise laborious process of designing, testing, and refining the series of vaccine components needed to guide the body toward making those essential antibodies.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/07/gettyimages-1386008123.jpg?quality=90&amp;strip=all&amp;crop=0,0,100,100" alt="A nurse in a white shirt and latex gloves prepares an injectable needle." title="A nurse in a white shirt and latex gloves prepares an injectable needle." data-has-syndication-rights="1" data-caption="&lt;p&gt;A nurse preparers a trial dose of PrepVacc to inject into a participant in 2022 in Masaka, Uganda, as part of an African-led HIV prevention trial.&lt;/p&gt; | Luke Dray/Getty Images" data-portal-copyright="Luke Dray/Getty Images" />
<p class="wp-block-paragraph">At the start of last year, Bekker and her colleagues were ready to put that strategy to the test. The clinical trial for their new mRNA-based HIV vaccine was just on the verge of enrolling its first participants. But the project depended on the same backing that had sustained HIV vaccine research for decades: US government funding. Washington had long supplied <a href="https://avac.org/wp-content/uploads/2025/07/hiv-vaccine-funding_july2025.pdf">roughly 90 percent of the world’s investment in the field</a>. Then President Donald Trump returned to office.</p>

<p class="wp-block-paragraph">Within hours of his inauguration, Trump signed <a href="https://www.kff.org/global-health-policy/u-s-foreign-aid-freeze-dissolution-of-usaid-timeline-of-events/">an executive order freezing foreign aid</a>. The $45 million contract from the US Agency for International Development (USAID) that was supposed to fund clinical trials like Bekker’s disappeared, as did a web of other funds, many routed through the National Institutes of Health (NIH), that had helped fuel the field’s progress for years.</p>

<p class="wp-block-paragraph">The timing could hardly be more cruel. After 40-odd years of chasing a shape-shifting foe, scientists believe they now know what kind of immune response an HIV vaccine must generate — and have in mRNA a powerful new tool for pursuing it. But just as many researchers have finally glimpsed a path to victory, the United States and much of the funding has pulled away from the fight.&nbsp;</p>

<h2 class="wp-block-heading"><strong>Pushing the envelope</strong></h2>

<p class="wp-block-paragraph">From the outset, the target for preventing HIV was clear. Within a year of identifying the virus as the cause of AIDS in 1983, researchers had <a href="https://www.science.org/doi/abs/10.1126/science.6204380">zeroed in on its envelope protein</a> as the most promising point of attack for a vaccine.</p>

<p class="wp-block-paragraph">Protruding from the virus’s surface in knobby clusters, the envelope protein acts like a molecular grappling hook, latching onto immune cells before pulling the virus itself inside. Without this feature, HIV cannot infect a cell.</p>

<p class="wp-block-paragraph">Much as the coronavirus spike protein would later become the basis for Covid vaccines, this protein on the surface of HIV seemed an obvious bullseye. But identifying the target didn’t mean researchers could hit it. Most of what the immune system sees of the envelope protein is actually just a decoy. The parts that stick out and draw the strongest immune response are also its most changeable, differing from one strain to the next and mutating freely whenever antibodies close in, leaving the body to waste its firepower on a target that keeps slipping away.</p>

<p class="wp-block-paragraph">Candidate vaccines kept making the same mistake. They would elicit plenty of antibodies, but not the kind that could keep up with the virus. Time and again, promising candidate vaccines generated excitement in the laboratory, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11305931/">only to come up empty</a> when it mattered most in large-scale clinical testing.</p>

<p class="wp-block-paragraph">The field’s fortunes started to change in the late 2000s when researchers began studying the small fraction of people living with HIV who developed antibodies capable of recognizing the virus’s concealed, conserved features. Though these hard-won antibodies came too late to protect their makers, they gave scientists a molecular blueprint for the defenses a vaccine would need to build.</p>

<p class="wp-block-paragraph">As the field came to learn, these “<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11324036/#abstract1">broadly neutralizing antibodies</a>” do not appear overnight but rather after years of battle with the virus.&nbsp;</p>

<p class="wp-block-paragraph">The challenge, then, was to design a vaccine that would not just trigger an immune response but guide a person’s immune system through the same evolutionary journey. This would require a succession of vaccine components to prompt a carefully choreographed process within the body, rather than the single, fixed target that suffices for shots against measles or hepatitis B.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/07/gettyimages-2246799566.jpg?quality=90&amp;strip=all&amp;crop=0,0,100,100" alt="A blue-gloved hand holds a vial to a large pipette, transferring mRNA material." title="A blue-gloved hand holds a vial to a large pipette, transferring mRNA material." data-has-syndication-rights="1" data-caption="A researcher dilutes mRNA at a lab in Orleans, France. Researchers are working to develop new treatments for numerous diseases using messenger RNA, which became widely known to the public through the vaccines developed against Covid. | Jean-Francois Monier/AFP/Getty Images" data-portal-copyright="Jean-Francois Monier/AFP/Getty Images" />
<p class="wp-block-paragraph">It was a strategy rooted in rational design but dependent on trial and error. Progress would come through a steady stream of small proof-of-concept studies, each informing the next generation of vaccine candidates. Ordinarily, it would take at least a year — often longer — to manufacture and prepare each vaccine iteration before it could be tested in people.&nbsp;</p>

<p class="wp-block-paragraph">But then the Covid pandemic rocketed mRNA into the spotlight.</p>

<h2 class="wp-block-heading"><strong>The mRNA advantage</strong></h2>

<p class="wp-block-paragraph">mRNA technology upends the old recipe of vaccine development. Conventional shots work by showing the immune system a mugshot of the enemy: a killed or weakened germ, or one of its proteins, grown batch by batch in vats of cells or eggs. An mRNA vaccine takes a different route. Rather than supplying the mugshot, it supplies the instructions to draw one: a short, lab-printed strip of messenger RNA, the molecule cells normally use to ferry genetic directions from DNA to their protein-making machinery.</p>

<p class="wp-block-paragraph">Inject the right sequence, and it will program the body’s own cells to become tiny factories, producing the target protein and presenting it to the immune system as if it were the real intruder. Because it is all just code, refining a design means editing text, not rebuilding a factory — the work of days, not months.</p>

<p class="wp-block-paragraph">“We’ve been able to design vaccines in real time,” said University of Pennsylvania Perelman School of Medicine assistant professor Ted Kreider, who is a specialist in infectious diseases.</p>

<p class="wp-block-paragraph">To HIV researchers, the appeal was obvious. HIV’s greatest weapon was its ability to shift and adapt. Now, at last, a vaccine could, too.&nbsp;</p>

<p class="wp-block-paragraph">The timing was ideal. Just as researchers were beginning to map the path to an effective vaccine, mRNA offered a way to move down that path at speed. With vaccine designs no longer bottlenecked by design and manufacturing, what once might have taken decades of stepwise vaccine development could, thanks to mRNA, be compressed into years.</p>
<div class="youtube-embed"><iframe title="mRNA vaccines, explained" src="https://www.youtube.com/embed/mvA9gs5gxNY?rel=0" allowfullscreen allow="accelerometer *; clipboard-write *; encrypted-media *; gyroscope *; picture-in-picture *; web-share *;"></iframe></div>
<p class="wp-block-paragraph">Across a growing number of clinical trials, researchers are now testing different vaccine components, different sequences, and different delivery platforms, searching for the combination that most effectively nudges the immune system toward a truly HIV-thwarting response.</p>

<p class="wp-block-paragraph">A paper published last month in <em>Nature</em> offered one such path forward, showing in monkeys that a painstaking sequence of <a href="https://www.nature.com/articles/s41586-026-10837-5">eight shots could coax the immune system</a> into producing potent antibodies capable of neutralizing a broad range of HIV strains. But even the study’s authors see a catch. “It’s still too many [shots] to be practical in humans,” said Dennis Burton, a professor of immunology and microbiology at Scripps Research who worked on the project.</p>

<p class="wp-block-paragraph">Whether mRNA ultimately becomes the vaccine itself — or simply the tool that helps researchers discover it — remains an open question.</p>

<p class="wp-block-paragraph">The fundamental challenge for now, after all, is vaccine design, notes Mark Feinberg, president and CEO of IAVI, a nonprofit research organization focused on developing vaccines against HIV. And for that task, he says, “the most obvious advantage of mRNA is simply the speed of getting an idea from the laboratory to the clinic.”</p>

<p class="wp-block-paragraph">But if the technology reaches the finish line, researchers say it could offer other advantages as well. Because the protein is made inside the body’s own cells rather than in a lab, it folds and displays itself much as it would on the real virus, giving the immune system a more faithful target to train against. That way, when the real virus arrives, the body already knows its true face.</p>

<p class="wp-block-paragraph">It also gives vaccine designers an unusual number of knobs to turn, notes Kristie Bloom, an mRNA vaccine researcher and molecular biologist at the University of Witwatersrand in South Africa. By altering the vaccine’s formulation, dose, or genetic design, researchers can shape not just the magnitude of the immune response but also its balance: favoring antibody-producing B cells, virus-killing T cells, or some mix of the two.</p>

<p class="wp-block-paragraph">With mRNA, “there’s quite a bit of flexibility,” she said.</p>

<h2 class="wp-block-heading"><strong>Not so fast</strong></h2>

<p class="wp-block-paragraph">For all the putative upsides, however, mRNA does carry some baggage. There are <a href="https://www.nature.com/articles/s41541-024-01019-3">concerns about public acceptance</a> given the <a href="https://www.jmir.org/2024/1/e53375">intense backlash and misinformation campaigns</a> that followed the rollout of Covid-19 vaccines. And though those shots ultimately proved remarkably safe, with very low rates of serious side effects, a peculiar skin problem has emerged in early-stage trials of mRNA vaccine candidates for HIV specifically.&nbsp;</p>

<p class="wp-block-paragraph">In <a href="https://www.science.org/doi/10.1126/science.1187659">two</a> separate <a href="https://www.science.org/doi/10.1126/science.adr8382">trials</a> reported last year, around one in 12 participants who received mRNA-based HIV vaccines manufactured by Moderna developed chronic urticaria, a form of persistent hives that in some cases endured for years. The vaccines encoded different portions of HIV’s envelope protein, yet both produced the same unexpected side effect.</p>

<p class="wp-block-paragraph">The fact that the reactions appeared across distinct vaccine designs — but never before in Moderna’s other mRNA vaccine programs — has fueled suspicion that something about HIV’s envelope protein itself may be involved. Even so, <a href="https://www.acpjournals.org/doi/10.7326/ANNALS-25-01102">no clear explanation has emerged</a>.&nbsp;</p>

<p class="wp-block-paragraph">“We’ve ruled a bunch of things out,” said William Schief, a professor at Scripps Research’s department of immunology and microbiology who doubles as vice president for protein design at Moderna, “but there’s no smoking gun.”</p>

<p class="wp-block-paragraph">Schief is continuing to investigate the source of the immune reactions. But not wanting an unresolved safety signal to bring the program to a halt, he and his collaborators have pressed ahead with lower-dose versions of the vaccine, betting that the hives will fade while the desired immune response remains intact.&nbsp;</p>

<p class="wp-block-paragraph">That strategy is now being evaluated in an IAVI-backed trial led by Bekker in South Africa. <a href="https://www.iavi.org/press-release/iavi-announces-first-vaccinations-in-iavi-g004-a-phase-1-clinical-trial-of-a-promising-hiv-vaccine-approach/">Known as IAVI G004</a>, it has yielded encouraging early results. (Unlike the African-developed vaccine whose launch was derailed by the USAID funding freeze, this study is testing a different mRNA vaccine candidate, manufactured by Moderna.)</p>

<p class="wp-block-paragraph">At the lowest dose tested, just one-tenth of the amount used in the original studies, the hives that had troubled earlier trials never materialized, Bekker said. Her team has since moved on to a somewhat higher dose, seeking the sweet spot between safety and immune potency. </p>

<p class="wp-block-paragraph">All of these discoveries and challenges along the way have helped map a path forward. “We know what we need to do,” said Barton Haynes, director of the Human Vaccine Institute at the Duke University School of Medicine. The task for them now is to move through the necessary iterations as quickly as the science — and the funding and political landscape — allow.</p>

<h2 class="wp-block-heading"><strong>“A black hole”</strong></h2>

<p class="wp-block-paragraph">When Bekker and her team learned about the sudden funding cut that would halt their African-designed, USAID-funded vaccine study in January 2025, they were already in Tanzania to prepare its launch. They immediately had to stop work on the project, which had been years in the making. “It was like falling into a black hole of depression,” she said. </p>

<p class="wp-block-paragraph"><a href="https://www.vox.com/future-perfect/487139/pepfar-trump-cuts-data-hiv">And the setbacks kept coming</a>. With prominent vaccine critic Robert F. Kennedy Jr. overseeing US health policy, the federal government moved to undermine both vaccine science broadly and mRNA technology in particular.</p>

<p class="wp-block-paragraph">The NIH, in addition to terminating dozens of smaller HIV-related grants, <a href="https://www.science.org/content/article/devasting-nih-cancels-future-funding-plans-hiv-vaccine-consortia">began winding down</a> its flagship Consortia for HIV/AIDS Vaccine Development (CHAVD) program, which has long served as a cornerstone of global HIV vaccine research, while other federal agencies <a href="https://www.vox.com/the-logoff-newsletter-trump/422666/rfk-jr-mrna-vaccines-defund-pandemic-bird-flu">curtailed support for mRNA vaccine projects</a> across multiple disease areas.</p>

<p class="wp-block-paragraph">At the same time, South Africa, the continent’s leading center for biomedical research, found itself in the Trump administration’s crosshairs over <a href="https://www.vox.com/politics/399855/south-africa-donald-trump-elon-musk">allegations of anti-white discrimination</a>. New federal research grants were no longer permitted to support collaborations with South African scientists, severing ties that had underpinned years of international HIV research.</p>

<p class="wp-block-paragraph">“That’s a perfect storm to prevent us from building on the most exciting science HIV vaccines have had in 45 years,” said Mitchell Warren, executive director of AVAC, a nonprofit dedicated to HIV prevention access and policy. </p>

<p class="wp-block-paragraph">Yet for all the financial and political disruption, the scientific momentum hasn’t stopped. Philanthropic organizations and governments elsewhere have stepped up to help fill the funding gap, allowing key trials to move forward, although in scaled-down forms with more modest ambitions.&nbsp;</p>

<p class="wp-block-paragraph">The Africa-led effort that Bekker had dreamed of was salvaged, <a href="https://www.samrc.ac.za/press-releases/samrc-strengthening-health-systems-400-00000-funding-boost">with emergency backing</a> from the South African Medical Research Council, albeit in diminished form and built, in the end, on the same protein-based technology that mRNA was meant to leapfrog.</p>

<p class="wp-block-paragraph">The only mRNA-based HIV vaccine study that is actually underway in Africa is IAVI G004: a program designed by US scientists, not by locals, and funded largely by the Gates Foundation.</p>

<p class="wp-block-paragraph">A longtime backer of HIV research, that foundation is estimated to invest around $70 million annually — with $64 million being invested in 2022, and $70 million in 2026 —&nbsp;across a global portfolio of HIV vaccine programs. That’s a substantial sum, though only a fraction of the hundreds of millions of dollars once provided by the NIH, USAID, and other federal agencies.&nbsp;</p>

<p class="wp-block-paragraph">For now, some of that funding continues to flow. But even what remains is far from assured. The Trump administration’s proposed 2026 budget would slash the National Institute of Allergy and Infectious Diseases — <a href="https://www.mdpi.com/2076-393X/14/6/480">the NIH institute that has long anchored HIV vaccine science</a> — along with the <a href="https://aidsunited.org/aids-united-statement-on-the-release-of-president-trumps-fy27-budget/">Office of AIDS Research</a> that coordinates HIV research across the entire NIH, leaving the field’s longer-term future in doubt.</p>

<p class="wp-block-paragraph">“We’re not going to be able to fill the gap that’s been left by the US government,” said Nina Russell, director of TB<strong> </strong>&amp; HIV research and development at the Gates Foundation. Still, she says, the foundation remains determined to keep the most promising vaccine programs moving forward: “We are super committed to it.”</p>

<p class="wp-block-paragraph">All of these changes have left the research field daunted, but not hopeless. “It’s been a very disruptive time,” said Burton, who leads one of the CHAVD research hubs. But he remains convinced the field is on the right track. “The pieces of the puzzle are in place,” he said. “It’s obviously been a long, long journey, but you can begin to see the end.”</p>

<h2 class="wp-block-heading"><strong>A higher bar</strong></h2>

<p class="wp-block-paragraph">The funding crisis and political challenges are not the only forces reshaping HIV vaccine development.</p>

<p class="wp-block-paragraph">For much of the HIV epidemic, which has <a href="https://www.unaids.org/en/resources/fact-sheet">killed over 40 million people worldwide</a>, even a partially effective vaccine might have been enough to transform the course of HIV. Today, however, vaccine researchers are also competing against <a href="https://www.vox.com/future-perfect/464468/lenacapavir-hiv-drug-pepfar-foreign-aid-gilead-drug">long-acting preventive drugs</a> that can protect people for months at a time with just two injections.&nbsp;</p>

<p class="wp-block-paragraph">These drugs are an enormous step forward for HIV protection, but they also raise the standard the vaccine field must meet, Warren said. “The bar for a licensed vaccine that is going to have a public health impact has gotten much higher,” he said.</p>

<p class="wp-block-paragraph">But these prophylactic drugs, which began as daily pills and have evolved into long-acting injectables, are only as good as the systems that deliver them. Cost, stigma, and the need for regular clinic visits have <a href="https://www.vox.com/future-perfect/486596/prep-hiv-epidemic-america">limited access in many countries with the highest HIV burdens</a>. A vaccine, by contrast, that provided years of protection after a handful of doses could overcome many of those barriers.</p>

<p class="wp-block-paragraph">That is precisely why many scientists view the current retreat of the US government <a href="https://www.thinkglobalhealth.org/article/nih-budget-cuts-threaten-hiv-research">with such alarm</a>. After decades of disappointments and billions of dollars in investment, the field finally believes it has a coherent strategy for building an effective HIV vaccine.<strong> </strong>The <a href="https://onlinelibrary.wiley.com/doi/10.1002/jia2.70077">fear is that momentum could stall</a> just as researchers have begun to see a path across the finish line. As a result, what once seemed like a scientific problem increasingly looks like a political one.</p>

<p class="wp-block-paragraph">For Bekker, the current moment feels all too familiar. In the early 2000s, South Africa’s government <a href="https://www.bbc.co.uk/programmes/w3ct2wp9">embraced AIDS denialism</a>, delaying the rollout of lifesaving treatments and forcing researchers and clinicians to battle both the virus and the state. A quarter-century later, she says, the political opponent has merely changed address to Washington, DC, threatening once again to undermine the fight against HIV and cost countless lives.</p>

<p class="wp-block-paragraph">“When politics interferes in science,” Bekker said, “that is the death of scientific progress.”</p>

<p class="wp-block-paragraph">Bekker still does not know whether the vaccine she watched being manufactured last year will ever reach the people it was designed to protect. She and her colleagues still hope to carry out the made-in-Africa mRNA vaccine trial they spent years designing — if they can find a way to pay for it. But Bekker remains convinced that the scientific strategy behind it is the right one, and that mRNA may yet do for HIV what it did for Covid-19, rapidly transforming decades of scientific groundwork into an effective shot.</p>

<p class="wp-block-paragraph">She only hopes politics does not succeed where HIV itself has failed in slowing the field’s progress. “We should only be fighting the virus,” Bekker said. “But we’re fighting the administration and its policies, and that is a waste of our energy.”</p>
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					</entry>
			<entry>
			
			<author>
				<name>Jonathan Watts</name>
			</author>
			
			<title type="html"><![CDATA[The world’s oceans just broke a disturbing record]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/climate/493968/record-ocean-temperatures-2026-el-nino" />
			<id>https://www.vox.com/?p=493968</id>
			<updated>2026-07-01T17:17:31-04:00</updated>
			<published>2026-07-02T07:15:00-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[This story originally appeared in&#160;The Guardian&#160;and is republished here as part of the&#160;Climate Desk&#160;collaboration. Temperatures on the ocean surface have hit a record high, raising fears of another burst of extreme heat this summer. On June 21, temperatures outside the polar regions exceeded the extraordinary highs observed at the same time in 2023 and 2024, [&#8230;]]]></summary>
			
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<figure>

<img alt="silhouettes of people in front of an orange sunset over the ocean " data-caption="The coastal promenade in Trabzon, Turkey, on June 27, 2026, just days after the record-setting ocean temps were recorded on June 21. | Ertugrul Bastan/Anadolu/Getty Images" data-portal-copyright="Ertugrul Bastan/Anadolu/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/07/gettyimages-2283217675.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	The coastal promenade in Trabzon, Turkey, on June 27, 2026, just days after the record-setting ocean temps were recorded on June 21. | Ertugrul Bastan/Anadolu/Getty Images	</figcaption>
</figure>
<p class="wp-block-paragraph"><em>This story originally appeared in&nbsp;<a href="https://www.theguardian.com/environment/2026/jul/01/ocean-surface-temperatures-hit-a-record-high-for-june?CMP=share_btn_url" target="_blank" rel="noreferrer noopener">The Guardian</a>&nbsp;and is republished here as part of the&nbsp;<a href="https://www.climatedesk.org/">Climate Desk</a>&nbsp;collaboration.</em></p>

<p class="wp-block-paragraph">Temperatures on the ocean surface have hit a record high, raising fears of another burst of extreme heat this summer.</p>

<p class="wp-block-paragraph">On June 21, temperatures outside the polar regions exceeded the extraordinary highs observed at the same time in 2023 and 2024, the Copernicus Climate Change Service said on Wednesday.</p>

<p class="wp-block-paragraph">It warned the new peak would probably bring “consequences for weather patterns, global climate and marine ecosystems,” not least because it would coincide with the earliest phases of&nbsp;<a href="https://www.theguardian.com/environment/2026/jun/21/el-nino-fears-godzilla-strength-hunger-famine">an El Niño event</a>&nbsp;they forecast to be the strongest in decades.</p>

<p class="wp-block-paragraph">When the previous ocean record for June was set in 2023, <a href="https://www.theguardian.com/environment/2023/jul/03/a-perfect-storm-scientists-ponder-if-climate-has-entered-a-new-erratic-era">scientists described</a> the trends as “worrying,” “terrifying,” and “bonkers,” because they were so far outside their expectations. That presaged an El Niño and a period of devastating global heatwaves, floods, and storms.</p>

<p class="wp-block-paragraph">That 2023 record has now been surpassed, and much of the world is once again seeing an alarming rise in temperatures. Last month, the UK and many other countries in Europe sweltered amid new heat records, while <a href="https://www.theguardian.com/environment/2026/jun/10/record-winter-temperatures-in-antarctic-raise-fears-over-speed-of-climate-breakdown">Antarctica experienced</a> unprecedentedly balmy winter conditions.</p>

<p class="wp-block-paragraph">Although the focus is usually on land temperatures, oceans give a fuller picture of how much the climate is being pushed out of balance by human-caused warming.</p>

<p class="wp-block-paragraph">Surface temperatures are affected by solar radiation, water currents, and the buildup of heat in the depths.</p>

<p class="wp-block-paragraph">Oceans absorb more than 90 percent of the excess energy in the Earth system, which is primarily caused by burning fossil fuels, such as oil, coal and gas. That imbalance hit a record 23 zettajoules last year, more than double the average of the previous two decades.</p>

<p class="wp-block-paragraph">As a result, the oceans are warming at an accelerating rate. In 2020, the amount of heat being added to the oceans was equivalent to about five Hiroshima bombs a second. Last year, it was closer to 11 Hiroshima&nbsp;<a href="https://www.theguardian.com/environment/2026/mar/24/what-are-zettajoules-earth-energy-imbalance">explosions a second</a>. The UN’s secretary general, António Guterres, has warned “Earth is being pushed beyond its limits.”</p>

<p class="wp-block-paragraph">Scientists said it was too early to say whether the sea surface heating would prove temporary or even worsen, because annual peaks are usually registered in July and August.</p>

<p class="wp-block-paragraph">But Carlo Buontempo, Copernicus director at the European Centre for Medium-Range Weather Forecasts, warned it could indicate the beginning of a new phase, leading, once more, to uncharted territory, “With ocean temperatures at these levels and El Niño on the horizon, we are likely to see more temperature records fall in the coming months.”</p>

<p class="wp-block-paragraph">Copernicus is part of the EU’s space programme.</p>

<p class="wp-block-paragraph"></p>
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					</entry>
			<entry>
			
			<author>
				<name>Jonquilyn Hill</name>
			</author>
			
			<title type="html"><![CDATA[Why we don’t actually want a world without mosquitoes]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/explain-it-to-me/492353/mosquitoes-malaria-plasmodium-research-explained" />
			<id>https://www.vox.com/?p=492353</id>
			<updated>2026-06-18T14:22:05-04:00</updated>
			<published>2026-06-21T07:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Explain It to Me" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Podcasts" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[I want you to close your eyes and imagine a perfect summer girls’ night out: It’s dusk and you assemble your crew and hit up the ultimate cookout. You avoid hanging out by the grill because you don’t want all that smoke in your face, but the food really starts calling your name. And it’s [&#8230;]]]></summary>
			
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<img alt="A close-up photo shows a mosquito on a green leaf." data-caption="A mosquito lands on a leaf. | Seung-il Ryu/NurPhoto via Getty Images" data-portal-copyright="Seung-il Ryu/NurPhoto via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/gettyimages-2279885597.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	A mosquito lands on a leaf. | Seung-il Ryu/NurPhoto via Getty Images	</figcaption>
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<p class="has-text-align-none wp-block-paragraph">I want you to close your eyes and imagine a perfect summer girls’ night out: It’s dusk and you assemble your crew and hit up the ultimate cookout. You avoid hanging out by the grill because you don’t want all that smoke in your face, but the food really starts calling your name. And it’s quite the spread! You gorge yourself on a delicious meal and then — even though you hate to dine and dash — you head out. You got what you needed and you’re off to the next spot.</p>

<p class="has-text-align-none wp-block-paragraph">That is the perfect Saturday night… for a mosquito.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">These bloodthirsty insects are more than an annoyance that feasts on your ankles. Mosquitoes are the deadliest animal on the planet. They spread illnesses like malaria, which kills over 600,000 people a year. </p>

<p class="has-text-align-none wp-block-paragraph">The good news: Scientists are working on swatting our mosquito problem away for good. Google’s Debug program, for example, recently asked the Environmental Protection Agency for permission to release <a href="https://www.theguardian.com/technology/2026/jun/01/google-permission-release-mosquitoes-california-florida">over 30 million sterile male mosquitoes</a> in Florida and California, with the goal of shrinking the mosquito population by limiting reproduction.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">It’s a great strategy to curb diseases spread by mosquitoes, such as Zika and dengue. But would it be possible to get rid of these annoying insects altogether? And if so, should we?&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">That’s a question Greg Kaebnick, a research scholar at the Hastings Center for Bioethics, tackled for the National Academies of Sciences. “We got together a group of environmental ethicists, conservation biologists, and ecologists to think about this question: Would it be okay ever to wipe out a species?” he told Vox. “We brought together folks like me [who are] predisposed to try to protect species. But we were persuaded that sometimes the case could be made.”</p>

<p class="has-text-align-none wp-block-paragraph">So, what factors should you account for when you think about whether a species should exist? We answer that and more, including what to do about the mosquito bites you do get, on the most recent episode of <em>Explain It to Me</em>, Vox’s weekly call-in podcast.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Below is an excerpt of my conversation with Kaebnick, edited for length and clarity. You can listen to the full episode, on <a href="https://podcasts.apple.com/us/podcast/explain-it-to-me/id1042433083">Apple Podcasts</a>, <a href="https://open.spotify.com/show/1vSUO6Bg4abtjRF7fnGpT1">Spotify</a>, or wherever you get your podcasts. If you’d like to submit a question, send an email to askvox@vox.com or call 1-800-618-8545.</p>
<div class="spotify-embed"><iframe src="https://open.spotify.com/embed/show/1vSUO6Bg4abtjRF7fnGpT1" width="100%" height="152" frameborder="0" allowfullscreen="" allow="autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture" loading="lazy"></iframe></div>
<p class="has-text-align-none wp-block-paragraph"><strong>I have to admit that I would not be terribly upset if mosquitoes were gone tomorrow. Are there people who think, why not just get rid of them all? What is stopping that idea from happening?</strong></p>

<p class="has-text-align-none wp-block-paragraph">There&#8217;s nobody doing research on these technologies or looking at the diseases who&#8217;s saying let&#8217;s get rid of all mosquitoes. For one thing, getting rid of all of them would be phenomenally difficult. The real goal for the people who are doing this work is to address the underlying public health problem.</p>

<p class="has-text-align-none wp-block-paragraph">With malaria, the mosquito is a vector. It&#8217;s part of the lifecycle of plasmodium, which is this single-cell microbe that gets into your bloodstream and causes malaria, and you can get rid of malaria by getting rid of plasmodium. You don&#8217;t have to get rid of the mosquito.</p>

<p class="has-text-align-none wp-block-paragraph">The people who are working on getting rid of plasmodium are pretty careful to say “We&#8217;re not targeting the mosquito, but absolutely we&#8217;re getting rid of plasmodium.” I think intuitively, people have slightly different views about species at different levels. I haven&#8217;t seen anyone lament the possible loss of plasmodium.</p>

<p class="has-text-align-none wp-block-paragraph"><strong>How do we get rid of it? Can we just copy, paste, repeat and make it so malaria is not a thing anymore?</strong></p>

<p class="has-text-align-none wp-block-paragraph">We hope so, but it was a huge undertaking getting rid of malaria in this country. There was a big endeavor funded by the Rockefeller Foundation to create a huge center in Atlanta. It was in the southern United States where malaria was really a problem. That whole organization created by Rockefeller later was given to the federal government and turned into the CDC.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The effort was pesticides to kill the mosquitoes. It was a habitat change. It was draining swamps, it was clinical care. In order for the plasmodium life cycle to continue, a person who is infected with plasmodium has to be bitten by a mosquito. But if you take a sick person and you put them in a bedroom with screens, that alone helps you get rid of plasmodium. It was a combination of a whole lot of things like this that allowed us to get rid of it.</p>

<p class="has-text-align-none wp-block-paragraph"><strong>Would it be okay just to eliminate certain species since there are some that don’t carry the disease?</strong></p>

<p class="has-text-align-none wp-block-paragraph">That&#8217;s essentially where we came down in Anopheles gambiae [species complex]. We thought, this one is really pretty horrific. There are about 800 species of mosquito in Africa. You could get rid of Anopheles gambiae across sub-Saharan Africa, and chances are there would be little to no environmental impact from losing it. </p>

<p class="has-text-align-none wp-block-paragraph">Then there are other kinds of mosquitoes that have been spread around the world. They&#8217;re not native, and so you&#8217;re not necessarily changing a natural system if you get rid of them.</p>

<p class="has-text-align-none wp-block-paragraph"><strong>I noticed that you said “chances are” that it would probably be fine. How do we know for sure?</strong></p>

<p class="has-text-align-none wp-block-paragraph">You don&#8217;t know for sure. Then the question is, “Well, do you need to know for sure? How do you feel about the level of uncertainty here?”&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">If you&#8217;re in a burning building and you need to jump to the ground, do you know for sure that you can get to the ground without killing yourself? You don&#8217;t necessarily, but if the building is on fire, you&#8217;ll go ahead and take the chance. Malaria is a little bit like that.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph"><strong>When you get bitten up in the summer, what do you think of it? Does doing this type of research change your relationship with all that buzzing in your ear?</strong></p>

<p class="has-text-align-none wp-block-paragraph">A little bit, it does. I like to go up to the Adirondacks and go canoe camping up there, and if we go at the wrong time, there will probably be a few species of mosquitoes biting us and there could be several species of fly biting us and it can be really pretty tough to be up there. But I would not want to get rid of all of the species of mosquito and biting black fly up there. It&#8217;s part of the whole system and I want to leave it alone. </p>

<p class="has-text-align-none wp-block-paragraph">I think that the reluctance that we have to wipe out mosquitoes is representative of the value that we find in the natural world. This is why the Endangered Species Act is the landmark environmental policy accomplishment of the 20th century. Wild species are a marker of the value of the natural world, and it feels like a particularly awful thing to do to get rid of a species. And so the argument in favor of it, if you were ever to do it, would have to be really quite strong.</p>
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					</entry>
			<entry>
			
			<author>
				<name>Shayna Korol</name>
			</author>
			
			<title type="html"><![CDATA[The next AI safety fight may actually be about DNA]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/491660/artificial-intelligence-openai-anthropic-dna-bioweapons" />
			<id>https://www.vox.com/?p=491660</id>
			<updated>2026-06-15T10:14:14-04:00</updated>
			<published>2026-06-12T07:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Artificial Intelligence" /><category scheme="https://www.vox.com" term="Defense &amp; Security" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Infectious Disease" /><category scheme="https://www.vox.com" term="Innovation" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[AI company CEOs Sam Altman (OpenAI), Demis Hassabis (Google DeepMind), and Dario Amodei (Anthropic) disagree on a lot, like how fast the technology should develop, the best way to regulate it, and how to prepare society for smarter-than-human AI, among other things.&#160; That makes it all the more remarkable that they — along with 85 [&#8230;]]]></summary>
			
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<p class="has-text-align-none wp-block-paragraph">AI company CEOs Sam Altman (OpenAI), Demis Hassabis (Google DeepMind), and Dario Amodei (Anthropic) disagree on a lot, like how fast the technology should develop, the best way to regulate it, and how to prepare society for smarter-than-human AI, among other things.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">That makes it all the more remarkable that they — along with 85 other experts in tech, biology, and national security policy — recently signed on to an <a href="https://screendna.org/">open letter</a> calling for more robust regulations around <a href="https://synbio-tech.com/gene-synthesis-guide-definition-types-uses">gene synthesis</a>. They’re all concerned that AI systems might be used to help develop and even deploy dangerous biological weapons designed through gene synthesis, which is used to chemically build custom DNA sequences in a lab, rather than relying solely on existing natural DNA templates.</p>

<p class="has-text-align-none wp-block-paragraph">The simple fact of multiple CEOs of fiercely competitive AI companies aligning on anything is remarkable. But to understand how they came to this agreement, we have to take a step back to understand what gene synthesis is, how it works, and why the possibility of AI-assisted misuse of the technology generates so much fear.&nbsp;&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Modern microbiology owes a lot to gene synthesis. Researchers can order synthetic genes from commercial DNA providers to <a href="https://www.biobasic.com/us/blog/gene-synthesis-a-quick-overview-including-different-synthesis-techniques-and-applications.html">develop</a> new vaccines, drugs, and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11845088/">gene therapies</a> for inherited diseases like <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10011720/">hemophilia</a>; produce human <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC393054/">insulin</a>, <a href="https://engineering.stanford.edu/news/new-synthetic-genetic-circuits-could-help-plants-amid-climate-change">boost</a> agricultural output, and more. Gene synthesis is a <a href="https://www.biosynth.com/blog/nucleoside-chemistry-blog-series-iv-exploring-nucleic-acid-synthesis-and-its-applications">foundational technology</a> for successful CAR-T cell therapies for cancer and many diagnostic tools. The <a href="https://www.fortunebusinessinsights.com/dna-synthesis-market-109799">demand</a> for synthetic DNA is growing globally, and it’s never been <a href="https://ibbis.bio/our-work/common-mechanism/">cheaper</a> or simpler to write genetic code.&nbsp;&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But for all its power, gene synthesis also carries substantial risk. The same technology that can enable life-saving new gene therapies can also <a href="https://www.vox.com/future-perfect/471726/where-lab-made-dna-is-created-and-barely-policed">assist</a> in the creation of deadly pathogens by assembling some of the same nucleotides — the genetic building blocks that create the code for all of life — in a different order.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Most US companies that provide gene synthesis services screen orders for genetic sequences of concern, such as those that can make a pathogen more <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9119117/">dangerous</a> or transmissible, and to verify that customers are legitimate. They do so voluntarily, well aware of the potential dangers.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But not every provider does so. “As long as screening remains voluntary, some companies will not do it,” Becky Mackelprang, the director for security programs at the Engineering Biology Research Consortium, told me over email. There’s a real risk that bad actors could find a gene synthesis company with more lax standards, and that might mean disaster.</p>

<p class="has-text-align-none wp-block-paragraph">We’ve been fortunate so far. “This technology has been commercially deployed for more than 20 years and has never been misused to cause harm,” James Diggans, the vice president of policy and biosecurity at gene synthesis company Twist Bioscience, told me over email.</p>

<p class="has-text-align-none wp-block-paragraph">But AI threatens to complicate matters, opening up new frontiers of risk.</p>

<h2 class="wp-block-heading has-text-align-none"><strong>For good or for ill</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Both large language models (LLMs) and <a href="https://www.nti.org/analysis/articles/developing-guardrails-for-ai-biodesign-tools/">AI biodesign tools</a> enable scientists to design entirely novel genetic sequences. This is a boon for industrial and medical applications — and a challenge for current screening systems, which use similarity to known pathogenic or toxic sequences in order to detect risk. A screening system should catch someone trying to order sequences of a known dangerous virus like Ebola, for example, but it might miss a new sequence that could still be risky. Last year, a study <a href="https://www.science.org/doi/10.1126/science.adu8578">published</a> in <em>Science</em> demonstrated that our screening systems have kept pace with AI capabilities <em>so far</em>. “But the industry clearly understands this will not be the case forever,” Diggans said.&nbsp; &nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Mackelprang is worried that AI could reduce the knowledge barriers that have historically prevented bad actors from developing bioweapons. Frontier AI systems, for example, seem to already <a href="https://www.virologytest.ai/">outperform</a> expert virologists on questions about performing complex laboratory procedures.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But there is knowing and there is doing, and biological lab work is still <em>hard</em>. “Researchers spend years trying to make a protocol work even after consulting directly with others who have perfected that exact same protocol. I think AI can help someone ‘level up’ their laboratory skills, but I do not think AI can enable someone without any biological training to create a serious hazard,” Mackelprang told me.</p>

<p class="has-text-align-none wp-block-paragraph">That means that gene synthesis companies are still a primary chokepoint for anyone trying to produce a novel genetic sequence. Mackelprang’s main concern is that aspiring bioterrorists might use AI to generate harmful genetic sequences that can <a href="https://securebio.substack.com/p/how-frontier-ai-models-perform-on">evade</a> current or future screening systems. “In the near term, I think the likelihood of these types of misuse are quite low. But when the potential consequences are severe and technologies continue to develop rapidly, we have a responsibility…to develop reasonable prevention and mitigation options,” she said.</p>

<p class="has-text-align-none wp-block-paragraph">Maximizing the benefits of gene synthesis while minimizing the risks is difficult, but not impossible. That’s why Diggans and Mackelprang — along with Altman, Hassabis, and Amodei, as well as other gene synthesis providers, tech entrepreneurs, life science executives, and national security experts — signed the <a href="https://screendna.org/">open letter</a> calling for mandatory gene synthesis screening and recordkeeping of orders.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Co-organized by the think tanks Institute for Progress and the Foundation for American Innovation, the open letter also calls for providers to record synthesis orders and sequence data to support biosecurity investigations “so that any threat that might evade initial screening can be <a href="https://www.vox.com/future-perfect/491119/we-dont-know-how-the-ebola-outbreak-started-thats-a-problem">traced back to its source</a>…Awareness of traceability itself deters misuse.” This would, ideally, address Mackelprang’s concern that AI might eventually help bad actors evade existing screening protocols.</p>

<p class="has-text-align-none wp-block-paragraph">“Screening every DNA synthesis order before it&#8217;s manufactured is the kind of unglamorous, common-sense step that prevents a much bigger problem later,” DJ Kleinbaum, the co-founder of the biotech startup Emerald Cloud Lab, an automated lab scientists can access remotely, and one of the signatories, said.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But Altman, Hassabis, and Amodei’s shared signatures may be the most meaningful evidence that the letter matters. For all their disagreements, they are well aware that their tools can be used for tremendous — even catastrophic — harm.&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>AIxBio risk: A thing on which we can all agree</strong></h2>

<p class="has-text-align-none wp-block-paragraph">While it’s far from the first time frontier AI companies have spoken to AI-enabled biological risk, the open letter is the first place they’ve come together to do so in a single voice. “Support for screening does not depend on any particular view of AI,” the letter reads. “This is a rare moment of agreement across stakeholders that are often at odds.”</p>

<p class="has-text-align-none wp-block-paragraph">The letter calls for Congress to act now. “We applaud the legislative efforts currently underway,” the letter says, alluding to the bipartisan <a href="https://www.congress.gov/bill/119th-congress/senate-bill/3741/text">Biosecurity Modernization and Innovation Act</a>, a bill that gives the Department of Commerce a year to develop new gene synthesis screening rules. The letter also suggests that US states should implement screening requirements based on federal and industry guidelines to create a unified national standard rather than an inconsistent set of laws.</p>

<p class="has-text-align-none wp-block-paragraph">The letter isn’t about applying biosecurity regulations to the AI companies themselves, which likely would have limited the number of tech signatories. (Though major companies do actively try to prevent their models from giving away dangerous biological knowledge, <a href="https://theconversation.com/ai-can-design-and-run-thousands-of-lab-experiments-without-human-hands-humanity-isnt-ready-for-the-new-risks-this-brings-to-biology-279191">albeit not always successfully</a>.) Focusing on screening is tractable, has the buy-in of several gene synthesis providers, and provides a concrete example of how AI can lower the barrier to doing both great and terrible things. And of course, it’s ultimately something a human being has to do at this point.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The AI companies are actively thinking about the catastrophic risks that their technologies might enable. Anthropic is hiring a technical chemical, biological, radiological, and nuclear threat investigator for its threat intelligence team. In May, after <a href="https://openai.com/index/introducing-gpt-rosalind/">launching</a> GPT-Rosalind, a frontier model to accelerate life sciences research and drug discovery, OpenAI introduced <a href="https://openai.com/index/strengthening-societal-resilience-with-rosalind-biodefense/">Rosalind Biodefense</a>, a program that allows trusted developers to use GPT-Rosalind to build biodefense tools. On June 4, the day after the open letter went live, security specialists at OpenAI and Anthropic served as panelists at the Bipartisan Commission for Biodefense’s <a href="https://www.atlanticcouncil.org/event/pandoras-prompt-ai-and-the-biological-threat/">meeting</a> on AI and biological threats.</p>

<p class="has-text-align-none wp-block-paragraph">But according to Twist Biosciences’s Diggans, the best way to defend against misuse of AI models to design harmful pathogens is to use AI models as defense. These defensive models can be used to detect attempted misuse before anything happens. DNA synthesis companies can employ these models to ensure orders for highly-engineered sequences are given the same scrutiny and evaluation as orders for naturally occurring sequences.</p>

<p class="has-text-align-none wp-block-paragraph">“[Gene synthesis] companies have to agree to have their order screened not just against a list of sequences but by an AI that people agree is smart enough to recognize and thwart an adversary who&#8217;s trying to build a deadly pathogen,” David Haussler, the scientific director of the UC Santa Cruz Genomics Institute and a signatory of the open letter, told me.</p>

<h2 class="wp-block-heading has-text-align-none"><strong>Using AI to protect against AI</strong></h2>

<p class="has-text-align-none wp-block-paragraph">The good news is that this work is already underway. Last year, I <a href="https://www.vox.com/future-perfect/466368/openai-for-profit-restructure-biodefense-valthos">reported</a> that OpenAI provided $30 million in seed funding to biodefense startup Valthos, which develops frontier AI systems to detect biological threats and create medical countermeasures. Valthos’s co-founder Kathleen McMahon signed the open letter.</p>

<p class="has-text-align-none wp-block-paragraph">In September 2025, the Coalition for Epidemic Preparedness Innovations (CEPI) and philanthropic nonprofit <a href="https://sentinelbio.org/">Sentinel Bio</a> <a href="https://cepi.net/securing-pandemic-preparedness-engine">created</a> the Pandemic Preparedness Engine AI platform (sometimes referred to simply as “the Engine”). They’re taking a biosecurity-by-design approach, considering biosecurity risks from the outset. “This includes a <a href="https://thebulletin.org/2026/02/agentic-life-sciences-ai-is-exacerbating-bioweapons-concerns-heres-what-to-do-about-it/">multi-layered approach</a> to biosecurity: from protecting biosecurity-sensitive data needed to train the AI to carefully managing who has access to the Engine and monitoring how they use it,” Sarah Carter, a biosecurity consultant at CEPI, told me over email.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Users of the Pandemic Preparedness Engine would use AI prompts to interact with the system, similar to how people use consumer platforms. User prompts could be monitored in real time by a specialized AI agent built to assess the risk of misuse potential or attempts to “<a href="https://www.cyberark.com/resources/threat-research-blog/jailbreaking-every-llm-with-one-simple-click">jailbreak</a>” an LLM to get it to generate prohibited content, such as the “recipe” for assembling a deadly virus.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Still, even commercially available technologies may present problems of their own. This week, Anthropic <a href="https://www.anthropic.com/news/claude-fable-5-mythos-5">launched</a> Claude Fable 5, a version of its highly powerful and restricted Mythos model that the company has aimed to make <a href="https://www.theguardian.com/technology/2026/jun/09/anthropic-claude-mythos-ai-model">safe for public use</a>. Claude automatically stops use of Fable if it detects requests involving cybersecurity, biology, chemistry, or distillation (attempting to extract Claude’s capabilities to train competing AI models), shunting those requests to a less powerful model. Users have complained that trying to discuss biology for legitimate purposes with Fable 5 results in the model <a href="https://www.reddit.com/r/ClaudeAI/comments/1u1nh7g/fable_are_we_not_allowed_to_discuss_biology_at_all/">refusing</a> to engage or <a href="https://www.linkedin.com/pulse/mythos-masses-how-anthropic-releasing-frontier-ai-wolfe-pereira--deg5c">defaulting</a> to less capable models instead. The Fable example shows that it’s possible to overcorrect, limiting the potential upside of using AI for the life sciences.</p>

<p class="has-text-align-none wp-block-paragraph">“The major providers of LLMs are doing their best to prevent the models from answering questions that would enable somebody to do something dangerous,” Haussler told me. “[But] the end product of jailbreaking an LLM that&#8217;s capable of teaching you how to build a deadly virus is that you now have an LLM that&#8217;s capable of teaching anybody how to build a very dangerous virus. And we don’t want that to happen.”</p>

<p class="has-text-align-none wp-block-paragraph">It’s here that the letter’s signatories hope they can stop a still-simmering problem before it comes to a full boil. “Mandatory synthesis screening is that rare case where a threat is clearly visible and substantial prevention clearly achievable before any crisis has occurred,” said Richard Danzig, a natural security expert who served as the 71st Secretary of the Navy under former President Bill Clinton. “Opportunities to act in advance are unusual in this field. I think we should take this one.”</p>

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			<author>
				<name>Bryan Walsh</name>
			</author>
			
			<title type="html"><![CDATA[Designer babies. Self-improving AI. Are we ready for either?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/491386/artificial-intelligence-gene-editing-crispr-anthropic" />
			<id>https://www.vox.com/?p=491386</id>
			<updated>2026-06-10T11:05:43-04:00</updated>
			<published>2026-06-10T08:30:00-04:00</published>
			<category scheme="https://www.vox.com" term="Artificial Intelligence" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Innovation" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[How do we know when the world has changed? On June 1, a team of scientists published a preprint scientific paper claiming they had edited human embryonic DNA with more precision than any previous attempt. As a technical achievement, the work is undoubtedly impressive, largely avoiding the errors that had accompanied earlier efforts to gene [&#8230;]]]></summary>
			
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<img alt="Robotic arms of the type used in car manufacturing surround a globe with a double helix of DNA inside." data-caption="" data-portal-copyright="Getty Images/Science Photo Libra" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/GettyImages-2261206478.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p class="has-text-align-none wp-block-paragraph">How do we know when the world has changed?</p>

<p class="has-text-align-none wp-block-paragraph">On June 1, a team of scientists published a <a href="https://www.biorxiv.org/content/10.64898/2026.05.30.728989v1">preprint scientific paper</a> claiming they had edited human embryonic DNA with more precision than any previous attempt. As a technical achievement, the work is undoubtedly impressive, largely avoiding the errors that had accompanied earlier efforts to gene edit embryos. With further development, such embryonic editing could free future children from fatal or debilitating genetic diseases, but as the veteran science writer Carl Zimmer <a href="https://www.nytimes.com/2026/06/04/science/embryos-gene-editing-crispr.html">reported in the New York Times later that week</a>, the real headline news was that the work “could open the way to babies engineered with particular characteristics” — designer children, in other words.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The same day the Times piece published, the AI company Anthropic <a href="https://www.anthropic.com/institute/recursive-self-improvement">published a post</a> asserting that AI was already accelerating AI development, which the authors argue may represent an early step toward recursive self-improvement (RSI) — AI systems that design and build their own successors, faster and faster. Already most of the code that runs Anthropic’s Claude was written by Claude itself, which has helped the company’s engineers ship eight times as much code as they did two years ago. While more is not automatically better, and Claude is still <a href="https://www.vox.com/future-perfect/476614/ai-claude-constitution-soul-amanda-askell">far from being able to guide itself</a>, the possibility of self-improving AI is on the horizon — and “it could come sooner than most institutions are prepared for,” as Anthropic co-founder Jack Clark and Anthropic Institute head Marina Favaro wrote.&nbsp; &nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">These two writings were published by academic biologists and the employees of an AI company, in two wildly disparate disciplines, but they nonetheless point to a possible near future that is fundamentally different from the world we live in now.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Both events are potential key steps toward unprecedented powers — not all of which we would have firm control over: newly designed intelligences and newly designed humans. What the two share is not just consequence, but bivalence — the possibility of both the miraculous and the catastrophic. The biological precision that could eradicate an inherited disease like Huntington’s could also pave the way to a genetic caste system. The AI capability that could accelerate decades of scientific progress could also utterly disempower its makers — us.</p>

<p class="has-text-align-none wp-block-paragraph">The world may have walked through a historic door with both of these advances last week. But we can’t yet know which kind.</p>

<h2 class="wp-block-heading">Designing ourselves</h2>

<p class="has-text-align-none wp-block-paragraph">Take the biology step first. Strip away the headlines — which come from the media, not from the scientists themselves — and the experiment is fairly narrow.</p>

<p class="has-text-align-none wp-block-paragraph">Using so-called base editors, which make a small nick in a gene strand rather than chopping out an entire segment, as CRISPR does, Columbia University geneticist Dieter Egli and his team edited two genes: PCSK9 and HBG. You might have heard of the first one; PCSK9 <a href="https://my.clevelandclinic.org/health/drugs/22550-pcsk9-inhibitors">produces</a> a protein that affects the body’s ability to clear cholesterol from the blood, and certain mutations in the gene can drive LDL cholesterol levels dangerously high. HBG <a href="https://synapse.patsnap.com/article/what-are-hbg-gene-stimulators-and-how-do-they-work">encodes</a> a form of hemoglobin that the body relies on before birth and normally switches off afterward. Being able to control these genes could prevent the mutations that increase heart disease risk (PCSK9) and reactivate that fetal hemoglobin in adulthood, easing — though not curing — sickle cell disease and beta-thalassemia (HBG).</p>

<p class="has-text-align-none wp-block-paragraph">The researchers delivered their base editors into fertilized eggs and into two-cell human embryos, and in some cases they managed to make the edits without the chromosomal damage that had been <a href="https://www.cuimc.columbia.edu/news/study-identifies-pitfall-correcting-mutations-human-embryos-crispr">associated with earlier attempts to edit using CRISPR</a>.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The paper — which has yet to be peer-reviewed — is an impressive step forward in the effort to use gene editing technology on human embryo genes with greater precision. But impressive is still far from perfect, or even safe — some edits landed at the wrong spot in the genome, and relatively few of the embryos went on to develop normally. (The embryos, which had been donated by IVF patients, were developed no further than very early stages, and none were implanted.) Egli and his colleagues were clear in the paper that any notion of using the base editing technique as it is now for treatment is “premature.” But the paper does show such editing can now apparently be done without shredding chromosomes. </p>

<p class="has-text-align-none wp-block-paragraph">When the Chinese scientist He Jiankui <a href="https://www.science.org/content/article/chinese-scientist-who-produced-genetically-altered-babies-sentenced-3-years-jail">used conventional CRISPR</a> to edit human embryos in 2018, producing three children, his work was widely rejected not just for moral reasons, but technical ones, as his clumsy gene editing did real genetic damage. Should the new paper’s results bear out, the technical obstacles to embryo engineering begin to vanish.&nbsp;&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">No one knows what comes next. Certain genetic disorders like sickle-cell anemia can be fixed with a single gene edit, but preventing more complex health problems — or engineering the traits <a href="https://www.vox.com/conversations/2016/10/24/13357298/michael-bess-biotechnology-bioengineering-technology-revolution-science">some people might dream about</a>, like height or intelligence — would require editing hundreds or even thousands of genes in combinations we don’t fully understand yet. But if the technical barriers keep falling, that will only leave <a href="https://www.vox.com/future-perfect/459003/designer-babies-embryo-selection-polygenic-testing-ethics">the moral ones</a> — and the moral ones have rarely held back a technology for long.&nbsp;</p>

<h2 class="wp-block-heading">Designing intelligence</h2>

<p class="has-text-align-none wp-block-paragraph">As revolutionary as the ability to truly engineer human beings would be, biology still moves slowly. The same can’t be said for the subject of the other document released last week.</p>

<p class="has-text-align-none wp-block-paragraph">Anthropic’s post uses over 5,000 words and plenty of (I’m guessing) Claude-produced graphics to make a single point: The proportion of human work that goes into building AI is shrinking at every stage. Engineers who once wrote the code now mostly review what Claude itself writes. Experiments once designed manually are now increasingly proposed and run by the model. While humans still make the judgment call about what is worth building, Anthropic argues that even that has started to change, as employees increasingly defer to what the model proposes to do next. </p>

<p class="has-text-align-none wp-block-paragraph">A research loop that is increasingly dominated by AI itself is one that could move ever faster. Technology has always changed at the rate of human beings — how fast they can think, plan, and act. An AI capable of improving itself eliminates that speed limit, allowing for the very real possibility of it moving faster than any human or any human-run institution charged with governing it can follow. Intelligence itself goes critical — each smarter model building a smarter one, the reaction sustaining itself.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">That might seem like a lot to put on a few months of internal coding data from an AI company that has a vested interest in making its models look as strong and as smart as possible. (Especially if that AI company happens to have a <a href="https://fortune.com/2026/06/01/anthropic-confidentially-files-ipo-965-billion-valuation/">potentially record-breaking IPO on the horizon</a>.) In the post, Anthropic itself concedes that simply counting lines of code only goes so far, and that speed is only at best a partial metric of success. But <a href="https://metr.org/time-horizons/">independent research</a> has shown that AI models are able to spend longer and longer on a single task, which allows them to work not just quicker but deeper. We can quibble over the speed, but not on the idea that AI is moving forward, and fast.</p>

<p class="has-text-align-none wp-block-paragraph">Powerful and blindingly quick AI could lead to rapid economic, scientific, and medical progress — all the dreams Anthropic CEO Dario Amodei <a href="https://www.darioamodei.com/essay/machines-of-loving-grace">has laid out in his own writing</a>.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But it also threatens to be <a href="https://www.vox.com/future-perfect/489976/ai-successionism-transhumanism-posthumanism">existentially dangerous</a> as well as profoundly disempowering for most of us, not unlike genetic human enhancement could be for those left out. And the potential speed of such change is so great that Anthropic makes the unusual proposal of calling for AI companies to consider collectively slowing down or even temporarily pausing frontier AI development, to enable societal structures and AI alignment research to keep up. The authors of the Anthropic post specifically cite the international regimes built to control past dangerous technology like nuclear weapons, which, for all their problems, have so far kept the world from annihilating itself. But those institutions, like the International Atomic Energy Agency, took decades of white-knuckling to build, and as the Anthropic leaders note, when it comes to self-improving AI: “We don’t have that long.”&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>

<h2 class="wp-block-heading">History’s hinge</h2>

<p class="has-text-align-none wp-block-paragraph">How do we know when the world has changed?</p>

<p class="has-text-align-none wp-block-paragraph">Sometimes it’s immediate. When Otto Hahn and Fritz Strassmann <a href="https://www.aps.org/apsnews/2007/12/december-1938-discovery-nuclear-fission">achieved</a> nuclear fission in December 1938, experts understood the implications almost immediately: A nuclear bomb would be possible. Sometimes the scientists see it, and the rest of the world doesn’t. When Jennifer Doudna and Emmanuelle Charpentier published the seminal paper detailing CRISPR in 2012, initial press attention was all but nonexistent, and the institutions that would eventually need to govern it had no idea what had just happened.</p>

<p class="has-text-align-none wp-block-paragraph">The hardest cases of all are the ones where even the experts can only see half of it. Fission pointed one way, toward a weapon, and the people who understood it could do little to stop it. Each of the two advances of last week points in two ways at once. The same editing technology that could spare a child from a fatal disease is one that could eventually sort children into genetic castes. The same intelligence that could give us “a country of geniuses in a data center,” as Amodei <a href="https://www.darioamodei.com/essay/machines-of-loving-grace">once put it</a>, could also leave us as little more than spectators in the world. </p>

<p class="has-text-align-none wp-block-paragraph">So we are left where we began, at a threshold we cannot see past. The danger is not just that we may have walked through the wrong door. It is that we’ve walked through without noticing there was one.</p>

<p class="has-text-align-none wp-block-paragraph"><em>A version of this story originally appeared in the&nbsp;</em><a href="https://www.vox.com/future-perfect"><em><strong>Future Perfect</strong></em></a><em>&nbsp;newsletter.&nbsp;</em><a href="https://www.vox.com/pages/future-perfect-newsletter-signup"><em><strong>Sign up here!</strong></em></a></p>
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			<entry>
			
			<author>
				<name>Gabriel Matias Castilho</name>
			</author>
			
			<title type="html"><![CDATA[There’s a new threat to the World Cup. FIFA might not be ready.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/culture/491233/fifa-world-cup-2026-extreme-heat-us" />
			<id>https://www.vox.com/?p=491233</id>
			<updated>2026-06-09T08:44:26-04:00</updated>
			<published>2026-06-09T07:45:00-04:00</published>
			<category scheme="https://www.vox.com" term="Climate" /><category scheme="https://www.vox.com" term="Culture" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Science of Everyday Life" /><category scheme="https://www.vox.com" term="Sports" />
							<summary type="html"><![CDATA[This story was originally published by&#160;Inside Climate News&#160;and is reproduced here as part of the&#160;Climate Desk&#160;collaboration. Sávio Bortolini Pimentel just missed getting on the roster to represent his national team, Brazil, at the 1994 FIFA World Cup in the United States. At the time, he was a 20-year-old professional player with the Rio de Janeiro [&#8230;]]]></summary>
			
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<img alt="a soccer player wipes sweat from his forehead with his jersey shirt" data-caption="Nuno Mendes of Paris Saint-Germain wipes away sweat from his forehead during the FIFA Club World Cup 2025 final match between Chelsea FC and Paris Saint-Germain at MetLife Stadium on July 13, 2025, in East Rutherford, New Jersey. | Robin Alam/ISI Photos/ISI Photos/Getty Images" data-portal-copyright="Robin Alam/ISI Photos/ISI Photos/Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/gettyimages-2224952107.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	Nuno Mendes of Paris Saint-Germain wipes away sweat from his forehead during the FIFA Club World Cup 2025 final match between Chelsea FC and Paris Saint-Germain at MetLife Stadium on July 13, 2025, in East Rutherford, New Jersey. | Robin Alam/ISI Photos/ISI Photos/Getty Images	</figcaption>
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<p class="has-text-align-none wp-block-paragraph"><em>This story was originally published by&nbsp;<a href="https://insideclimatenews.org/news/30052026/fifa-world-cup-extreme-heat/" target="_blank" rel="noreferrer noopener">Inside Climate News</a>&nbsp;and is reproduced here as part of the&nbsp;<a href="https://www.climatedesk.org/">Climate Desk</a>&nbsp;collaboration.</em></p>

<p class="has-text-align-none wp-block-paragraph">Sávio Bortolini Pimentel just missed getting on the roster to represent his national team, Brazil, at the 1994 FIFA World Cup in the United States.</p>

<p class="has-text-align-none wp-block-paragraph">At the time, he was a 20-year-old professional player with the Rio de Janeiro team Flamengo. He recalls other players telling him after the fact that the weather during some matches was just too hot. And the heat was “intense,” they said, during the final match at the Rose Bowl in Pasadena, California, under a 32 degree Celsius (90 degrees Fahrenheit) sun, when Brazil prevailed over Italy.</p>

<p class="has-text-align-none wp-block-paragraph">Players in the upcoming 2026 FIFA World Cup in June and July face an even greater risk of unsafe temperatures than they did in 1994 — the last time the World Cup was held in the United States — according to estimates from researchers at Imperial College London. Human-induced climate change has made these conditions significantly more likely in the <a href="https://www.fifa.com/en/tournaments/mens/worldcup/canadamexicousa2026/host-cities" target="_blank" rel="noreferrer noopener">16 host cities</a> in the US, Mexico and Canada, according to the <a href="https://www.worldweatherattribution.org/climate-change-big-player-at-fifa-world-cup-2026/" target="_blank" rel="noreferrer noopener">report</a>. </p>

<p class="has-text-align-none wp-block-paragraph">The report predicted that five games could take place in unsafe heat, up from three games in 1994. The report used a threshold for unsafe temperatures that may require postponements based on wet bulb globe temperatures of 28°C (83°F), which is recommended by FIFPRO, the international player’s union. Wet bulb globe temperatures are calculated based on a variety of factors — including the sun, humidity, and temperature — to show the stress on the human body. FIFA also uses wet bulb globe temperatures but currently considers postponing matches <a href="https://digitalhub.fifa.com/m/1fc77540eab37831/original/FIFA-Emergency-Care-Manual-EN.pdf" target="_blank" rel="noreferrer noopener">only at levels exceeding 32°C (90°F)</a>. </p>

<p class="has-text-align-none wp-block-paragraph">Chris Mullington, a consultant anesthetist at the Imperial College London who presented the report at a webinar, explained why soccer uses wet bulb temperatures to calculate if weather conditions are safe for players.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/gettyimages-1152907538.jpg?quality=90&amp;strip=all&amp;crop=0,0,100,100" alt="a sign in a soccer stadium displays the message: “cooling break” with fans seated below " title="a sign in a soccer stadium displays the message: “cooling break” with fans seated below " data-has-syndication-rights="1" data-caption="&lt;p&gt;Cooling break during the quarter-finals in the 2019 women’s World Cup at Stade du Hainaut in France&lt;/p&gt;&lt;br&gt; | &lt;p&gt;Julien Mattia/NurPhoto/Getty Images&lt;/p&gt;" data-portal-copyright="&lt;p&gt;Julien Mattia/NurPhoto/Getty Images&lt;/p&gt;" />
<p class="has-text-align-none wp-block-paragraph">“A 30 [degrees] Celsius [86°F] day in dry, breezy conditions is very different from a 30 [degrees] Celsius [86°F] day with high humidity, strong sun, and little wind,” he said. “High humidity reduces the evaporation of sweat, limiting the body’s primary cooling mechanism.”</p>

<p class="has-text-align-none wp-block-paragraph">Sixty current and former professional soccer players from around the world recently issued an&nbsp;<a href="https://www.newweather.org/wp-content/uploads/2026/05/Players-Open-Letter-FIFA.pdf" target="_blank" rel="noreferrer noopener">open letter</a>&nbsp;urging FIFA to update its heat guidelines for events happening under dangerous heat before the World Cup.</p>

<p class="has-text-align-none wp-block-paragraph">“It can make you feel light-headed, dizzy, experience fatigue, muscle cramps and worse. You can run less and it becomes impossible to play with the same intensity as with more average temperatures,” the players wrote.</p>

<p class="has-text-align-none wp-block-paragraph">The players also asked the league to do what it can to ease the climate change crisis by dropping fossil fuel sponsors and changing game schedules to reduce travel and the league’s fossil fuel footprint.</p>

<p class="has-text-align-none wp-block-paragraph">Friederike Otto, professor of climate science at the Imperial College London and one of the authors of the report, said the increased risk for hotter temperatures shows climate change is having a real and measurable impact on the viability of holding World Cups during the northern hemisphere summer. The final match of the tournament, scheduled to be played on July 19 at the MetLife Stadium in New Jersey, has a 12.5 percent chance of exceeding the 26°C (7°F) mark and a 3 percent chance of reaching 28°C (83°F).</p>

<p class="has-text-align-none wp-block-paragraph">“That the World Cup Final itself — one of the biggest sporting occasions on the planet — faces a non-insignificant risk of being played in ‘cancellation-level’ heat [28°C or 83°F] should be a wake-up call for FIFA and fans, highlighting the urgent need to realize that there is no aspect of society not affected by climate change,” Otto said.</p>

<p class="has-text-align-none wp-block-paragraph">The 2022 World Cup, held in Qatar, was moved from summer to winter because of the threat of extreme heat. Last summer’s Club World Cup, held in 12 locations around the United States, served in many ways as a prelude for this year’s World Cup. In that tournament, no games were postponed due to heat, even though temperatures soared above 32°C (90°F).</p>

<p class="has-text-align-none wp-block-paragraph">The Imperial College report shows nearly a quarter of all World Cup games are likely to be played in temperatures higher than 26°C (79°F), and about 5 matches are expected to occur above 28°C (83°F) — almost double the number from the 1994 World Cup.</p>

<h2 class="wp-block-heading"><strong>The risk for athletes</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Under severe heat and dehydration, athletes’ heart rates rise, their muscles fatigue faster, and they sweat more. “Your body is trying to prevent the rapid rate of rise of your body temperature; it’s just a protective mechanism,” said Douglas Casa, chief executive officer of the Korey Stringer Institute, a nonprofit based at the University of Connecticut that works to educate and prevent heat illness and sudden death in athletes and laborers.</p>

<p class="has-text-align-none wp-block-paragraph">Under extreme conditions, around 40°C (104°F), Casa said, the body enters into the volitional exhaustion phase: the point during exercise where you voluntarily stop because you feel unable to continue doing the same movements. </p>

<p class="has-text-align-none wp-block-paragraph">Sávio said players now are likely more resilient to the heat.</p>

<p class="has-text-align-none wp-block-paragraph">“There are athletes that are more used to the cold than to the heat — that’s normal,” he said. “But today’s athletes are much more prepared, and even more so than in 1994, due to the evolution of preparation techniques, equipment, and products.”</p>

<p class="has-text-align-none wp-block-paragraph">But training only goes so far. Sávio, who won bronze with the Brazilian team during the 1996 Summer Olympics in Atlanta and is now retired from soccer, said&nbsp;<a href="https://insideclimatenews.org/news/16112025/southern-college-football-stadiums-excessive-heat-health/">athletes feel the heat</a>&nbsp;on the pitch much more dramatically.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">“If we’re looking at 35°C [95°F], like what happened in 1994 when we even heard of matches played at 40°C (104°F), then yes, it’s increasingly demanding,” he said. “The pace is automatically reduced.” </p>

<p class="has-text-align-none wp-block-paragraph">But there are alternatives, even if FIFA does not choose to postpone eligible matches. Casa urged FIFA to make aggressive cooling strategies available at all stadium locker rooms. He also recommended extending hydration breaks from the mandated three minutes to six, as the heat could influence the athletes’ recovery from one game to the next.</p>

<p class="has-text-align-none wp-block-paragraph">“Do you realize people could easily be 103 or 104°F [40°C] when they come in at halftime?” Casa said. “My point is, if you have 15 minutes and you get in quickly at the stoppage, you could have 10 or 11 minutes of aggressive cooling: rotating freezing cold wet towels over your whole body, going into a cold plunge, anything like that.”</p>

<h2 class="wp-block-heading"><strong>The risk for fans</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Casa said he is not against playing games in the heat, but high temperatures and dehydration at the World Cup can lead to lower-quality soccer games.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">“Why not give the fans who just spent a fortune on these tickets the best quality game that they could possibly watch with these elite soccer players?” he asked.</p>

<p class="has-text-align-none wp-block-paragraph">Kevin Muneton Ramirez, a 27-year-old American-Colombian dual citizen, is excited to watch the Portuguese star Cristiano Ronaldo play in what is expected to be his last World Cup. He bought tickets for the June 27 match in Miami between Portugal and Colombia, and he expects his home country’s team to win the game.</p>

<p class="has-text-align-none wp-block-paragraph">Muneton Ramirez said, as a fan, he does not really mind games when the players get exhausted at the end.</p>

<p class="has-text-align-none wp-block-paragraph">“The game turns into a different game, it’s more ‘mentality,’” he said. “The one that commits less mistakes is the one that ends up winning.”</p>

<p class="has-text-align-none wp-block-paragraph">For fans, Casa said FIFA should at least include free water-filling stations inside stadiums. Fans could fall ill as a result of overwhelming heat and dehydration, even if they’re not moving too much.</p>

<p class="has-text-align-none wp-block-paragraph">According to FIFA’s&nbsp;<a href="https://digitalhub.fifa.com/m/50ebae81c412b7d5/original/FIFA-World-Cup-2026-Stadium-Code-of-Conduct.pdf" target="_blank" rel="noreferrer noopener">stadium code of conduct</a>, last updated on June 2, fans are not allowed to bring empty containers that can be refilled at a water fountain or dispenser. Bottles containing “baby milk and sterilized water in containers” or liquids that a fan requires for medical reasons are allowed with approved documentation.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Muneton Ramirez does not usually go to stadiums to watch soccer.</p>

<p class="has-text-align-none wp-block-paragraph">“But if I have the opportunity to go to a World Cup…at least once in my lifetime, I’d go to any game,” he said.</p>
						]]>
									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Shayna Korol</name>
			</author>
			
			<title type="html"><![CDATA[We don’t know how the Ebola outbreak started. That&#8217;s a problem.]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/491119/we-dont-know-how-the-ebola-outbreak-started-thats-a-problem" />
			<id>https://www.vox.com/?p=491119</id>
			<updated>2026-06-08T13:40:23-04:00</updated>
			<published>2026-06-08T07:15:00-04:00</published>
			<category scheme="https://www.vox.com" term="Artificial Intelligence" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Infectious Disease" /><category scheme="https://www.vox.com" term="Innovation" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[In just 10 days over the summer of 1854, 500 people died of cholera in the Soho neighborhood of London. The city’s population had more than doubled to 2.3 million people in the first half of the 1800s, and its sewage system could not keep up. But the streams of human waste flowing into the [&#8230;]]]></summary>
			
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<img alt="a person wearing a yellow hazmat suit, blue gloves, a white face mask, goggles, and a white apron stands with their arms in a T position" data-caption="Doctors Without Border personnel at the Elikya clinic Ebola treatment center is sprayed with disinfectants upon leaving the hospital rooms for Ebola patients in Bunia, in the eastern Democratic Republic of the Congo, on June 5, 2026. | Glody Murhabazi/AFP via Getty Images" data-portal-copyright="Glody Murhabazi/AFP via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/gettyimages-2279287333.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	Doctors Without Border personnel at the Elikya clinic Ebola treatment center is sprayed with disinfectants upon leaving the hospital rooms for Ebola patients in Bunia, in the eastern Democratic Republic of the Congo, on June 5, 2026. | Glody Murhabazi/AFP via Getty Images	</figcaption>
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<p class="has-text-align-none wp-block-paragraph">In just 10 days over the summer of 1854, 500 people died of cholera in the Soho neighborhood of London. The city’s population <a href="https://www.victorianlondon.org/population/population.htm">had more than doubled</a> to 2.3 million people in the first half of the 1800s, and its sewage system could not keep up. But the streams of human waste flowing into the street and seeping into the water supply were considered unconnected to the cholera crisis. The prevailing theory of the day was that bad air — <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/miasma-theory">miasma</a> — caused illness.</p>

<p class="has-text-align-none wp-block-paragraph">The English physician John Snow thought differently. Five years before the outbreak he had <a href="https://johnsnow.matrix.msu.edu/MCC1-PMCC-51MT.pdf">suggested</a> that the diarrheal disease was actually caused by a waterborne infection rather than miasma. He soon had a chance to test his theory, mapping the location of cholera-related deaths in Soho. Snow <a href="https://www.sciencemuseum.org.uk/objects-and-stories/medicine/cholera-victorian-london#john-snows-theory-of-how-cholera-spread">realized</a> that the victims used one specific water pump on Broad Street, and he persuaded city officials to remove the pump’s handle to prevent anyone else from using it. With the source eliminated, the outbreak, which had already passed its peak, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7150208/">ended</a> in days.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Though it took years for Snow’s theory to achieve widespread acceptance, his approach is central to modern epidemiology. Investigating the source of outbreaks <a href="https://wwwnc.cdc.gov/eid/article/4/1/98-0104_article#">can prevent new cases</a>, but it also gives us a better understanding of diseases and helps manage public fear. Even when infections have stopped, outbreak investigations are useful to develop strategies for preventing — and, failing that, responding to — future outbreaks.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Two recent outbreaks have demonstrated the necessity — and the challenges — of such investigations, almost two centuries after Snow’s pioneering work. The first was the hantavirus outbreak that <a href="https://www.vox.com/future-perfect/488471/hantavirus-pandemic-covid-cruise-ship-cdc-trump">dominated</a> headlines last month. Then, on May 17, the World Health Organization (WHO) <a href="https://www.who.int/news/item/17-05-2026-epidemic-of-ebola-disease-in-the-democratic-republic-of-the-congo-and-uganda-determined-a-public-health-emergency-of-international-concern">declared</a> a public health emergency of international concern, the <a href="https://academic.oup.com/isagsq/article/4/4/ksae083/7905428">highest level</a> of global health alert, in response to an outbreak of the deadly hemorrhagic disease Ebola in the Democratic Republic of the Congo (DRC), which, as of June 2, had <a href="https://www.cdc.gov/ebola/situation-summary/index.html">killed</a> 62 people, with 363 confirmed cases. It’s the 17th Ebola outbreak in the DRC and one of the largest on record. It has spread to neighboring Uganda, where, as of June 4, there are 16 confirmed cases, one confirmed death, and one probable case and likely death.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The first confirmed case, a healthcare worker in Bunia, DRC, died on April 24, but the outbreak may have been spreading undetected since as early as January. Investigators haven’t identified patient zero — the <a href="https://www.thinkglobalhealth.org/article/charting-ebola-responses-how-2026-stacks-up-after-aid-cuts">index case</a> — and still don’t know how this outbreak began. Abdou Sebushishe, a doctor working with the International Medical Corps in Goma, DRC, <a href="https://www.cbsnews.com/news/ebola-outbreak-congo-uganda-who-suspected-cases/">told</a> CBS News that up to 20 percent of current patients are themselves healthcare workers. He estimated that it may be more than six months before the outbreak could be controlled, given that the disease is outpacing the current response.</p>

<p class="has-text-align-none wp-block-paragraph">Part of the challenge is that the current outbreak is caused by the Bundibugyo strain of Ebola, which is relatively uncommon and has a genome about 30 percent different from the Ebola viruses that usually <a href="https://www.npr.org/2026/05/18/g-s1-122655/ebola-outbreak-democratic-republic-congo-uganda">spark</a> outbreaks. Testing for more common variants didn’t pick up the Bundibugyo virus right away, and ongoing conflict in the DRC contributed to the delay and continues to make <a href="https://www.who.int/news-room/questions-and-answers/item/contact-tracing">contact tracing</a> difficult. Unlike other strains, the Bundibugyo virus has no approved therapeutics or vaccines.&nbsp;&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">In the past, researchers have had some success identifying the index case of Ebola outbreaks. Investigators managed to identify the first patient of the 2014-2016 West Africa Ebola epidemic — the <a href="https://www.mercycorps.org/blog/ebola-outbreaks-africa-guide/chapter-2">largest and deadliest</a> in history, with more than 15,000 confirmed cases and 11,000 deaths — as a <a href="https://pubmed.ncbi.nlm.nih.gov/25550396/">toddler</a> in the west African nation of Guinea. What’s harder to definitively determine is how the boy, who died in December 2013 before the outbreak had been identified, contracted it. It’s possible that he came into contact with an Ebola-infected fruit bat or its droppings while <a href="https://www.science.org/content/article/bat-filled-tree-may-have-been-ground-zero-ebola-epidemic">playing</a> in a hollow tree, but scientists can’t say for sure.</p>

<p class="has-text-align-none wp-block-paragraph">Investigating outbreak origins is inherently fraught and can lead to the international fingerpointing that characterized much of the Covid-19 pandemic. But it’s not primarily about assigning blame. Instead, knowing where and how outbreaks began informs how we respond to them, halt transmission, communicate to the public, and prevent them from happening again. It can identify high-risk regions and influence how public health officials monitor a disease. As the recent Ebola and hantavirus outbreaks demonstrate, however, that effort is often complicated by a host of factors, and the resulting uncertainty makes it that much harder to manage public health concerns efficiently and well.&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>The curious case of Legionnaires’ disease in New York City</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Our epidemiological tools have come a long way since John Snow <a href="https://education.nationalgeographic.org/resource/mapping-a-london-epidemic/">used hand-drawn maps</a> to identify the source of the Soho cholera outbreak. The value of these new tools lies in the information they generate — which is crucial to fighting outbreaks.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Take the case of New York City’s biggest — and deadliest — outbreak of Legionnaires’ disease (LD), a bacterial infection that <a href="https://www.cdc.gov/legionella/hcp/clinical-signs/index.html">causes a severe pneumonia and has a fatality rate of 10 percent</a>. By the time public health investigators <a href="https://stacks.cdc.gov/view/cdc/49574">detected it in the summer of 2015</a>, dozens had already been hospitalized. It was the <a href="https://preventlegionnaires.org/the-history-of-legionnaires-disease-origins-and-major-outbreaks/">second-largest</a> LD outbreak in US history, infecting 138 people and killing 16.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The initial epidemiologic investigation <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5466019/#sec4">started</a> with contact tracing to find the source of the disease, but the results didn’t suggest any shared exposures. Cooling towers, which provide water for air conditioning systems in the form of an inhalable mist, had been involved in previous LD outbreaks, but officials didn’t <a href="https://www.nytimes.com/2015/08/07/opinion/missing-the-warnings-on-legionnaires-disease.html">know</a> how many cooling towers there were in the city or how well-maintained they were.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Investigators ultimately located and tested 55 cooling towers in the South Bronx, where cases were clustered, for Legionella. They identified the source: a single cooling tower atop the Opera House Hotel. The hotel disinfected the tower, and New York’s City Council passed new regulations requiring every building in the city with a cooling tower to register it with the health department, test it every 90 days, and remediate it if Legionella was found.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Within a year, the health department inspected almost 80 percent of the city’s towers — detection and disinfection that would have never been conducted otherwise. No large LD outbreaks emerged — until inspections <a href="https://www.nytimes.com/2025/08/29/nyregion/nyc-legionnaires-disease-harlem-hospital.html">declined in 2025</a>. “Regulations do not enforce themselves,” Jay Varma, a physician and epidemiologist who served as incident manager for the 2015 New York outbreak, <a href="https://www.healthbeat.org/newyork/2025/08/20/legionnaires-disease-outbreak-lessons-learned-inspections/">wrote</a> last year in Healthbeat. “The Covid pandemic has sparked a strong backlash against government authority, and austerity budgets are now starving public health agencies. Infections may be inevitable, but outbreaks are a choice.”</p>

<p class="has-text-align-none wp-block-paragraph">Cholera and LD are waterborne, but Ebola and hantavirus, which first cross over to humans from animal reservoirs, present a different challenge.&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>The challenge of hantavirus and Ebola</strong></h2>

<p class="has-text-align-none wp-block-paragraph">“The end of the world, the beginning of everything” is the <a href="https://boxxersblog.com/2015/02/12/ushuaia-argentina-the-end-of-the-road/">motto</a> of Ushuaia, Argentina, the southernmost city on the planet, where tourists flock to watch birds and <a href="https://www.wral.com/news/ap/7e166-argentinas-icy-outpost-at-the-end-of-the-world-fears-the-hantavirus-will-chill-tourism/">embark</a> on cruise ships. It’s the main gateway to Antarctica, making up <a href="https://www.nytimes.com/2025/04/15/travel/ushuaia-argentina-antarctica-cruises.html">90 percent</a> of all cruise departures to the continent.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">It’s here that a Dutch couple may have contracted the <a href="https://www.unmc.edu/healthsecurity/health-emergencies/andes-hantavirus.html">Andes virus</a>, the only strain of hantavirus <a href="https://www.nbcnews.com/health/health-news/hantavirus-us-andes-cruise-ship-2026-spread-symptoms-rcna344575">known</a> to spread from person to person, before sparking an outbreak on the MV Hondius. The Argentinian government’s prevailing <a href="https://apnews.com/article/cruise-ship-hantavirus-andes-strain-south-africa-cb424510bb0c934c781f6bd42ce2e7c8">theory</a> is that the couple got infected while birdwatching at a landfill in Ushuaia before the cruise, coming into contact with the rodents that carry the Andes strain.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Well, <a href="https://www.scientificamerican.com/article/doubts-grow-over-theory-that-bird-watchers-trip-to-argentine-landfill-sparked-hantavirus-outbreak/">maybe not</a>.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">“The current theory of a couple birdwatching in southern Argentina may not be plausible, because the [long-tailed pygmy] rice rat that is responsible for spreading the Andes strain of the virus is usually found in northern Argentina or Chile, and we know the birdwatching at the landfill occurred in the southern part of Argentina,” Omer Awan, a physician and public health expert, told me over email. There have been <a href="https://www.bbc.com/news/articles/cx21ej471g2o">no recorded cases</a> of hantavirus in Tierra del Fuego province, where Ushuaia is located, before.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">“Understanding the origins of the outbreak will be helpful in guiding interventions like rodent control, isolation protocols, and…how the rare Andes strain of Hantavirus is transmitted,” Awan said. “[And] identifying the source of the [2026] ebola outbreak can influence response strategy and how public health officials monitor the virus.”</p>

<p class="has-text-align-none wp-block-paragraph">Delayed detection and human movement — especially for illnesses like hantavirus and Ebola that can incubate over the course of weeks — make tracing the source of an outbreak difficult, even in the best of circumstances. We still don’t know the original source of the first Ebola outbreak in 1976, which occurred in two simultaneous waves. Debates still rage over whether Covid-19 emerged naturally through zoonotic spillover — the virus jumping from an animal host to humans — or if it potentially escaped from a lab in an accident. We know that the hantavirus and Ebola outbreaks are natural in origin, but there are still international <a href="https://www.nytimes.com/2026/05/14/world/americas/hantavirus-cruise-ship-argentina.html">efforts to shift the “blame”</a> from Argentina to neighboring Chile, especially with economic interests on the line.</p>

<p class="has-text-align-none wp-block-paragraph">Such spillover events have only become more likely as humans destroy ecosystems and infringe on animal habitats. Climate change exacerbates existing infectious disease risk. “Because of our choices as a society, there’s a one-in-five chance that another pandemic will occur in the next decade that will kill at least 25 million people,&#8221; Neil Vora, the executive director of <a href="https://www.preventingfuturepandemics.org/">Preventing Pandemics at the Source</a> coalition, <a href="https://time.com/article/2026/05/22/the-ebola-and-hantavirus-outbreaks-offer-an-ominous-warning/">wrote</a> in Time Magazine.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Determining the source of outbreaks is even more difficult — and politically perilous — in the post-Covid era. The US and Argentina have <a href="https://genevasolutions.news/global-health/hantavirus-what-happens-when-countries-walk-away-from-who">pulled out of WHO</a>. Global health funding cuts, on the part of the US as well as other countries, have weakened our biosurveillance architecture and ability to effectively respond to infectious disease.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Compared to Covid, the scale of the 2026 Bundibugyo and hantavirus outbreaks are small. It’s still proving hard to get answers. That’s going to be a serious problem whenever the next pandemic arrives — and it is a matter of <a href="https://hsph.harvard.edu/news/next-pandemic-not-if-but-when/"><em>when</em>, not <em>if</em></a>.&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>An evolving threat landscape</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Although we face escalating spillover risks from habitat destruction and climate change, we can’t count on the next global infectious disease threat being naturally occurring in origin when it does come.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">“It&#8217;s very clear that artificial intelligence capabilities are advancing incredibly rapidly,” Jaime Yassif, senior advisor for global biological policy and programs at the Nuclear Threat Initiative (NTI), told me. “[That could] make it easier for novice actors to engineer pathogens that we [already] know about or for sophisticated actors to engineer novel pathogens that are more dangerous than what&#8217;s found in nature.”</p>

<p class="has-text-align-none wp-block-paragraph">If there is an outbreak of uncertain origin — where it’s unclear if it’s natural, accidental, or deliberate — we lack robust international mechanisms that can investigate the source and quickly arrive at a conclusion. That would make it harder to address the source proactively, whether that means stopping future natural spillover events, preventing lab accidents, or holding bad actors to account.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Public health professionals would need to take additional precautions if there was a risk of a deliberate outbreak, as we saw with the <a href="https://www.fbi.gov/history/cases-and-criminals/amerithrax-or-anthrax-investigation">2001 anthrax attacks</a>, where letters laced with Bacillus anthracis were sent in the mail, infecting 17 people and killing five. A naturally-occurring anthrax exposure would have required a different response, since a bioterrorism investigation has to contend with the additional challenge of determining criminal responsibility.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">And as we’ve seen with the debates around Covid-19 origins, suspicion that something was caused by human activity can be incredibly corrosive to international trust, making necessary geopolitical cooperation in the face of outbreaks significantly harder.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">NTI identified that preparedness gap and proposed a <a href="https://www.nti.org/wp-content/uploads/2021/10/Joint-Assessment-Mechanism-White-Paper_No-Watermark.pdf">Joint Assessment Mechanism</a> to identify the source of outbreaks of uncertain origin. It would be housed in the UN Secretary-General’s Mechanism for Investigation of Alleged Use of Chemical and Biological Weapons (UNSGM) in order to pull together different components of the UN system and bridge security and public health.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">That project (which I <a href="https://www.nti.org/about/programs-projects/project/joint-assessment-mechanism-to-determine-pandemic-origins/">supported</a> and <a href="https://www.nti.org/risky-business/identifying-outbreak-origins-how-the-joint-assessment-mechanism-can-improve-pandemic-response/">advocated</a> when I worked at NTI from 2022 to 2024) is currently on pause. “We still think it&#8217;s a vital gap and really important, but we just couldn’t get the political will to move it forward in the system, notwithstanding the significant support for it internationally in various quarters,” Yassif said.</p>

<p class="has-text-align-none wp-block-paragraph">We are simply unprepared domestically and internationally to prevent, detect, and respond to global infectious disease threats. Emerging infectious disease outbreaks threaten us all, and we are nowhere near where we should be in order to protect vulnerable populations and countries around the world. While the current Ebola and hantavirus outbreaks are very unlikely to become pandemics on the scale of Covid-19, they’re still dangerous and deadly. Unless we can determine where and how they began, we’ll be ill-equipped to stop them from recurring. And next time, things could be far worse.</p>
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					</entry>
			<entry>
			
			<author>
				<name>Bryan Walsh</name>
			</author>
			
			<title type="html"><![CDATA[The most hopeful cancer news in years]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/491138/pancreatic-cancer-asco-daraxonrasib-trump-administration" />
			<id>https://www.vox.com/?p=491138</id>
			<updated>2026-06-05T16:56:19-04:00</updated>
			<published>2026-06-06T08:30:00-04:00</published>
			<category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Good News" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Trump Administration" />
							<summary type="html"><![CDATA[In a darkened convention hall in Chicago on May 31, a Harvard oncologist named Brian Wolpin stood at a podium and in a voice that sounded as if he was reading from the phone book, recited a set of numbers that brought a roomful of cancer doctors to their feet for 42 seconds. Adam Feuerstein, [&#8230;]]]></summary>
			
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<img alt="A room full of attendees at a cancer summit" data-caption="Attendees cheer as Dr. Brian Wolpin presents his results at the 2026 ASCO annual meeting in Chicago on May 31, 2026. | ASCO/Scott Morgan 2026" data-portal-copyright="ASCO/Scott Morgan 2026" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/06/ASCO2026_SM_5045.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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	Attendees cheer as Dr. Brian Wolpin presents his results at the 2026 ASCO annual meeting in Chicago on May 31, 2026. | ASCO/Scott Morgan 2026	</figcaption>
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<p class="has-text-align-none wp-block-paragraph">In a darkened convention hall in Chicago on May 31, a Harvard oncologist named Brian Wolpin <a href="https://www.oncologynewscentral.com/pancreatic-cancer/standing-ovation-at-asco-2026-for-grand-slam-pancreatic-cancer-data-daraxonrasib-doubles-survival">stood at a podium</a> and in a voice that sounded as if he was reading from the phone book, recited a set of numbers that brought a roomful of cancer doctors to their feet for 42 seconds. Adam Feuerstein, a biotech correspondent for the health news site Stat who has covered cancer conferences like this for two decades, said he had <a href="https://x.com/adamfeuerstein/status/2061184024668672253?s=20">never witnessed anything like it</a>. The applause lasted so long that Wolpin, caught off-guard, ad-libbed: “That time was not built into my talk.”&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">What Wolpin had just shown attendees at the American Society of Clinical Oncology&#8217;s (ASCO) annual meeting was a simple line graph: a drug called daraxonrasib <a href="https://www.vox.com/good-medicine-newsletter/489324/pancreatic-cancer-treatment-survival-cause-cure">had nearly doubled median overall survival</a> in a 500-patient trial of a form of previously treated advanced pancreatic cancer. ASCO’s chief medical officer Julie Gralow <a href="https://www.koreabiomed.com/news/articleView.html?idxno=31879">termed the result</a> not a home run but a “grand slam.” Toronto oncologist Jennifer Knox called it a “game changer.”</p>

<p class="has-text-align-none wp-block-paragraph">Wolpin received such a rapturous response at ASCO because pancreatic cancer is among the most pernicious and treatment-resistant cancers in existence, <a href="https://www.cancer.org/cancer/types/pancreatic-cancer/about/key-statistics.html">killing more than 50,000 Americans a year</a>, among them Supreme Court Ruth Bader Ginsburg. The cancer has a <a href="https://www.cityofhope.org/hope-matters-blog/why-pancreatic-cancer-survival-improved">five-year survival rate in the low teens</a>.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Wolpin, who began his career in the mid-2000s at the world-class Dana-Farber Cancer Institute, <a href="https://www.thebulwark.com/p/cancer-research-machine-trump-is-gutting-just-delivered-big-breakthrough-pancreatic-cancer-daraxonrasib">told The Bulwark</a>: “I think I saw several patients that first year of fellowship who had pancreatic cancer, and they all died in like three months. It’s not supposed to happen here, right? You’re supposed to have figured this out.” For decades after President Richard Nixon <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8749321/">declared a “war on cancer,” </a>deaths <a href="https://pressroom.cancer.org/FactsFigs2013">continued to mount</a> and medical progress on many cancers remained all too limited.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">But a change is well underway. The US death rate from <a href="https://pressroom.cancer.org/cancer-statistics-report-2026">cancer has fallen 34 percent</a> from its 1991 peak through 2023, and the five-year relative <a href="https://ascopost.com/issues/february-25-2026/acs-report-shows-5-year-survival-rate-for-all-cancers-combined-has-reached-70/">survival for all cancers</a> combined reached 70 percent for people diagnosed between 2015 tto 2021, up from 50 percent in the 1970s. And while daraxonrasib got the standing ovation, it was only the loudest moment in a week — and a decade — of steady, compounding victories over cancer.</p>

<h2 class="wp-block-heading"><strong>The immune system, turned up</strong></h2>

<p class="has-text-align-none wp-block-paragraph">One major driver of the shift is immunotherapy. Rather than attacking a tumor directly as conventional chemotherapy does, these treatments use a patient’s own immune system to hunt and kill cancer cells. You can see immunotherapy’s powerful effects through the <a href="https://www.nbcnews.com/health/cancer/jimmy-carter-drug-immunotherapy-melanoma-rcna153166">story of former President Jimmy Carter</a>, who was diagnosed in 2015 at age 90 with metastatic melanoma that had spread to his liver and brain. That should have been a sign for newspaper editors to update their planned obituaries immediately; yet after being treated with the immunotherapy drug pembrolizumab, as well as surgery and radiation, Carter watched his tumors vanish and managed to live another decade.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">And scientists keep pushing the frontier further. Moderna and Merck reported that the combination of a <a href="https://www.merck.com/news/moderna-merck-announce-5-year-data-for-intismeran-autogene-in-combination-with-keytruda-pembrolizumab-demonstrated-sustained-improvement-in-the-primary-endpoint-of-recurrence-free-survival-i/">personalized mRNA vaccine</a> — the technology behind the Covid shots, retrained on each patient’s own tumor — and an immuontherapy drug (pembrolizumab) reduced the risk of recurrence or death for high-risk melanoma by 49 percent after five years. In a small, early <a href="https://www.mskcc.org/news-releases/new-phase-1-data-from-mskcc-shows-investigational-cancer-vaccine-may-elicit-lasting-immune-response-in-patients-with-pancreatic">Memorial Sloan Kettering trial</a> of a similar vaccine appeared to help some pancreatic cancer patients stay cancer-free longer after surgery. Seven of the eight patients who responded to the vaccine were still alive four to six years later, with a larger trial now underway.</p>

<p class="has-text-align-none wp-block-paragraph">A <a href="https://www.mskcc.org/news-releases/new-phase-1-data-from-mskcc-shows-investigational-cancer-vaccine-may-elicit-lasting-immune-response-in-patients-with-pancreatic">Memorial Sloan Kettering trial</a> of a similar vaccine in 2024 kept pancreatic cancer at bay in patients whose immune systems responded to it. And for blood cancers, a single infusion of <a href="https://www.chop.edu/news/emily-whitehead-first-pediatric-patient-receive-car-t-cell-therapy-celebrates-cure-10-years">reengineered immune cells</a> — called CAR T-cell therapy — has begun producing something that looks close to a cure: Emily Whitehead, the first child with cancer ever treated with CAR T, is now more than a decade cancer-free and attending college. (I <a href="https://www.vox.com/health/415812/cancer-death-rates-myeloma-immunotherapy-smoking">wrote in more detail</a> about immunotherapy and CAR T last year.)&nbsp;</p>

<h2 class="wp-block-heading"><strong>From treatment to prevention</strong></h2>

<p class="has-text-align-none wp-block-paragraph">And scientists’ ambitions are growing, from treating cancer to stopping it before it starts. Last week, a team led by the Francis Crick Institute’s Charles Swanton reported that a blood test measuring 14 proteins, combined with basic risk factors like age, smoking, and lung disease, could help <a href="https://www.ucl.ac.uk/news/2026/jun/blood-protein-signature-can-predict-lung-cancer-risk-years-earlier">identify people likely to develop lung cancer</a> years before diagnosis. They also found an intriguing clue from an older drug trial: An anti-inflammatory drug seemed to cut lung cancer risk nearly in half among people with the highest inflammation levels.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">This is still early evidence — not yet a blood test and prevention treatment doctors can offer patients — but Swanton compared it to how <a href="https://www.vox.com/future-perfect/418849/heart-attack-deaths-cardiovascular-disease-progress-medicine">statins work for heart disease</a>. Just as cholesterol tests can predict a person’s risk of heart disease, and then statins can be given to lower cholesterol, the protein test identifies lung cancer risk and the anti-inflammatory drug reduces it.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">And no story on modern medical miracles would be complete without an appearance from GLP-1 drugs, which truly do seem to do everything. A University of Pennsylvania study of more than 110,000 women, also reported at the ASCO meeting this week, found that taking <a href="https://www.pennmedicine.org/news/glp-1-use-linked-to-lower-breast-cancer-incidence">GLP-1 drugs</a> like Ozempic was associated with about 30 percent lower breast cancer incidence.</p>

<p class="has-text-align-none wp-block-paragraph">Both findings are early, so we shouldn’t expect major changes overnight. It <a href="https://www.acs.org/education/whatischemistry/landmarks/merck.html#:~:text=Even%20more%20striking%2C%20the%204S,patients%20treated%20with%20the%20statin.">took decades</a> between the development of a test for LDL cholesterol levels, the introduction of statins, and the undeniable proof of heart disease prevention. But oncology is clearly moving toward catching cancer before it takes hold, just as <a href="https://www.vox.com/future-perfect/418849/heart-attack-deaths-cardiovascular-disease-progress-medicine">we have with heart attacks</a>.&nbsp;</p>

<h2 class="wp-block-heading"><strong>Beyond the numbers</strong></h2>

<p class="has-text-align-none wp-block-paragraph">Medical advances come with a literal cost. The new medicines are brutally expensive, with the average monthly price of a new cancer drug <a href="https://ascopubs.org/doi/10.1200/EDBK_100028">more than doubling</a> between 2009 and 2019, while <a href="https://www.patientsforaffordabledrugs.org/2026/03/23/new-p4ad-analysis-pharma-hikes-prices-on-cancer-drugs-while-lobbying-to-obstruct-reform/">about half</a> of surveyed American cancer patients and survivors have to take on debt to pay for treatment.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Many of those high prices <a href="https://www.medscape.com/viewarticle/cancer-biosimilars-falling-prices-rising-margins-2026a100092n">will eventually fall</a>, once patents run out and generic versions emerge. But a greater worry is that the scientific engine driving these advances is being throttled. Almost every advance I’ve mentioned can be traced back to federally funded basic research, which the <a href="https://www.vox.com/future-perfect/482363/nih-medical-research-grants-cut-2025">Trump administration has been attacking</a> relentlessly.</p>

<p class="has-text-align-none wp-block-paragraph">In 2025, the administration <a href="https://www.npr.org/2025/12/22/nx-s1-5642965/what-cuts-to-research-under-trump-have-meant-for-science-in-2025">froze or canceled</a> thousands of National Institutes of Health (NIH) and National Science Foundation (NSF) grants, while new NIH awards fell by billions of dollars. Congress <a href="https://www.statnews.com/2026/01/20/nih-funding-deal-trump-cuts-rejected-budget-boosted-415-million/">later rejected</a> the deepest proposed NIH cuts, but the damage was already real: Hundreds of NIH-funded clinical trials were disrupted, and early-career scientists became much less likely to win major grants. In saving dollars with those cuts, we risk losing discoveries that would save lives, at the very moment when cancer research is paying off.</p>

<p class="has-text-align-none wp-block-paragraph">The cost of those lives was made visceral at the ASCO meeting. In the opening address, ASCO’s outgoing president Eric Small <a href="https://www.statnews.com/2026/06/01/cancer-oncologists-grief-asco-2026/">spoke about his partner</a>, Amy Lin, a University of San Francisco San Francisco oncologist. Lin had died in December of <a href="https://www.myovariancancerteam.com/resources/clear-cell-carcinoma-diagnosis-prognosis-and-management">metastatic clear cell ovarian cancer</a>, a deadly disease that still has few treatment options. He brought on the grief expert and author David Kessler to <a href="https://x.com/oncology_bg/status/2060820962640023659">give a talk on compassionate end-of-life care</a>.&nbsp;&nbsp;&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Perhaps more than any other medical specialty, grief and loss have always been an inseparable, if rarely discussed, part of oncology. Brian Wolpin started his career watching pancreatic patients die within months and feeling certain it wasn&#8217;t supposed to happen at a place like Dana-Farber. The ovation he got was the sound of a room realizing he might be right — that the disease that once seemed untreatable is starting to lose its terrible power.</p>

<p class="has-text-align-none wp-block-paragraph"><em>A version of this story originally appeared in the Good News newsletter.&nbsp;<a href="https://www.vox.com/pages/good-news-newsletter-signup">Sign up here!</a></em></p>
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									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Pratik Pawar</name>
			</author>
			
			<title type="html"><![CDATA[A flesh-eating parasite has arrived in the US. Can we stop it?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/460454/new-world-screwworm-case-us-human-cattle-beef" />
			<id>https://www.vox.com/?p=460454</id>
			<updated>2026-06-05T13:29:13-04:00</updated>
			<published>2026-06-05T13:25:00-04:00</published>
			<category scheme="https://www.vox.com" term="Animal Welfare" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[A flesh-eating parasite that the United States spent decades eradicating, and even longer trying to keep at bay, has now shown up in Texas. Federal officials confirmed this week that New World screwworm, a fly whose larvae burrow into living tissue, had been found in a 3-week-old calf in Zavala County in Southwest Texas. It [&#8230;]]]></summary>
			
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<figure>

<img alt="A worker walks through empty corrals at the Union Ganadera Chihuahua cattle import facility in New Mexico" data-caption="A worker walks through empty corrals at the Union Ganadera Chihuahua cattle import facility in Santa Teresa, New Mexico, on June 20, 2025. | Paul Ratje/Bloomberg via Getty Images" data-portal-copyright="Paul Ratje/Bloomberg via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2025/09/gettyimages-2220351429.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	A worker walks through empty corrals at the Union Ganadera Chihuahua cattle import facility in Santa Teresa, New Mexico, on June 20, 2025. | Paul Ratje/Bloomberg via Getty Images	</figcaption>
</figure>
<p class="has-text-align-none wp-block-paragraph">A flesh-eating parasite that the United States spent decades eradicating, and even longer trying to keep at bay, has now shown up in Texas.</p>

<p class="has-text-align-none wp-block-paragraph">Federal officials confirmed this week that <a href="https://www.aphis.usda.gov/news/agency-announcements/usda-confirms-presence-new-world-screwworm-united-states">New World screwworm</a>, a fly whose larvae burrow into living tissue, had been found in a 3-week-old calf in Zavala County in Southwest Texas. It is the state’s first c<a href="https://www.nal.usda.gov/exhibits/speccoll/exhibits/show/stop-screwworms--selections-fr/introduction%20">onfirmed detection since the early 1980s</a>, and the first in US livestock in several decades. This infestation marks a new stage in the parasite’s northward resurgence through Central America and Mexico <a href="https://www.cdc.gov/new-world-screwworm/situation-summary/index.html">that began in 2023</a>.</p>

<p class="has-text-align-none wp-block-paragraph">Human infestations from these flies are rare in the United States, and the <a href="https://www.cdc.gov/new-world-screwworm/situation-summary/index.html">Centers for Disease Control and Prevention says</a> there have been no locally acquired human cases reported in the country. But the unwelcome infestation in Texas could be a serious test for ranchers and animal agriculture in the US. Beef prices are <a href="https://apnews.com/article/beef-cattle-ranchers-steak-hamburger-ab7141857a9ea236b884acf4e8648b96">already near record high</a>, and if screwworm spreads beyond this single detection, it could push prices and ripple through the economy.</p>

<p class="has-text-align-none wp-block-paragraph">Texas officials are now trying to answer the most urgent question: Was this a single stray case, or a sign that adult screwworm flies are already in the area?</p>

<p class="has-text-align-none wp-block-paragraph">A spokesperson for the Texas Animal Health Commission (TAHC) told Vox that officials had not confirmed any additional cases and were conducting ranch-to-ranch animal surveillance and fly surveillance around the infested zone. That zone covers about 12 miles around the detection site. Warm-blooded animals, such as cattle, horses, and pets, cannot be moved out of this zone unless they are inspected.</p>

<p class="has-text-align-none wp-block-paragraph">Texas has been watching for this moment. The TAHC told Vox it has had fly traps along the Texas-Mexico border since July 2025, which has since collected over 54,000 suspicious flies. None of them were confirmed to be New World screwworm.</p>

<p class="has-text-align-none wp-block-paragraph">But the detection of this case in Zavala County has moved the state from precautionary work to containment. The TAHC told Vox that sterile flies are being deployed through ground release chambers where the infestation was detected, and aerial dispersal was expected to follow. The idea is to flood the area with sterilized flies, so wild screwworms mate without producing offspring — it’s the same strategy that the United States used to eradicate the parasite decades ago. Texas had already been doing these precautionary aerial sterile-fly drops over South Texas since late January, but after this case, officials said those releases were now being redirected toward the 20-kilometer response zone around the detection site.</p>

<h2 class="wp-block-heading">What went wrong</h2>

<p class="has-text-align-none wp-block-paragraph">While the containment efforts are on, it’s still unclear how the calf got infected. The TAHC told Vox that it was not aware of any recent animal movement off the ranch where the calf was found, or any known link to Mexico or another affected area.</p>

<p class="has-text-align-none wp-block-paragraph">If the calf had no movement history, Phillip Kaufman, an entomologist at Texas A&amp;M University who has worked with state officials on screwworm response planning, said, “there certainly have to be adult flies in the area,” that laid eggs on it. Maxwell Scott, an entomologist at North Carolina State University who studies screwworm control, also said that if the livestock itself was not moved up from Mexico, “then the fly had to be here.”</p>

<p class="has-text-align-none wp-block-paragraph">That doesn’t mean that screwworms are established in Texas. Scott said it is possible the case came from a single female fly, and <a href="https://www.aphis.usda.gov/news/agency-announcements/usda-confirms-presence-new-world-screwworm-united-states">US Department of Agriculture says</a> there have been no further detections so far. But it does mean that the US is no longer preparing for a hypothetical threat.</p>

<p class="has-text-align-none wp-block-paragraph">In Mexico, screwworms-related export restrictions have cost cattle exporters more than $1.3 billion, according to the country’s <a href="https://cna.org.mx/cna-respalda-plan-binacional-mexico-eua-contra-el-gusano-barrenador/">National Agricultural Council</a>. And in Texas alone, a widespread outbreak could drain as much as $1.8 billion a year from ranchers and the wider economy, according to a <a href="https://www.aphis.usda.gov/sites/default/files/nws-historical-economic-impact.pdf">USDA estimate</a>.</p>

<p class="has-text-align-none wp-block-paragraph">The US has a history of eradicating screwworms before, and for years it kept the parasite at a distance through an invisible sterile-fly barrier near the Panama-Colombia border. But that barrier has cracked, and screwworm is now spread across a much wider front in Mexico and Central America. Livestock production is also vastly larger than it was when the US first eradicated the parasite. And the sterile-fly supply is limited. Scott, the NC State entomologist, said that the only current production plant in Panama is running at full capacity — 24/7, 365 days a year — and producing about 100 million flies a week, only half of which are males, the sex that actually suppresses the population.</p>

<p class="has-text-align-none wp-block-paragraph">The USDA is moving to raise that ceiling, including by<a href="https://www.usda.gov/about-usda/news/press-releases/2025/06/18/secretary-rollins-announces-bold-plan-combat-new-world-screwworms-northward-spread"> renovating a facility in Metapa, Mexico</a>, and <a href="https://www.usda.gov/about-usda/news/press-releases/2025/08/15/usda-announces-sweeping-plans-protect-united-states-new-world-screwworm#:~:text=Construction%20of%20the%20%248.5%20million,is%20helping%20renovate%20in%20Mexico.">building new production capacity in Texas</a>. Newer genetic engineered strains, including a male-only fly known as Novofly, could also make existing plants more efficient by producing only the sex that actually suppress the wild population. But those tools still need regulatory approval and field testing before they could be deployed.</p>

<p class="has-text-align-none wp-block-paragraph">The response is unfolding after a bruising year for the agencies and programs that manage animal disease. <a href="https://www.reuters.com/world/us/more-than-15000-usda-employees-have-taken-trump-financial-incentive-leave-2025-05-04/">More than 15,000 USDA employees</a> accepted the Trump administration’s incentives to leave the department, while  the Animal and Plant Health Inspection Service, the USDA agency responsible for animal and plant health, <a href="https://www.reuters.com/world/us/staff-exodus-us-farm-agency-leaves-fewer-experts-battle-bird-flu-2025-05-12/">lost more than 1,300 staff</a> that included veterinarians and animal health personnel. The “Department of Government Efficiency,” which is officially scheduled to sunset next month, also listed an <a href="https://www.evalcommunity.com/wp-content/uploads/2025/03/Update-on-USAID-Financial-and-Personnel-Status-as-of-March-21-2025-.pdf">$84 million cut</a> last year to a <a href="https://www.usaspending.gov/award/ASST_NON_7200GH22IO00005_7200">USAID grant</a> that supported animal-disease surveillance and outbreak response. Agri-Pulse, an agriculture trade publication, <a href="https://www.agri-pulse.com/articles/22636-bird-flu-screwworm-monitoring-among-foreign-aid-programs-killed-by-trump">reported</a> that the terminated work included screwworm monitoring in Central America.</p>

<p class="has-text-align-none wp-block-paragraph">It is unclear whether those cuts have affected the current response in Texas or the US’s broader ability to track northward movement of screwworm, but it sharpens the question: whether the US has enough surveillance, staffing, and sterile-fly capacity to meet a fast-moving animal health threat.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2025/09/WOHMU-how-screwworm-resurged-toward-texas-.png?quality=90&amp;strip=all&amp;crop=0,0,100,100" alt="How screwworm resurged toward Texas" title="How screwworm resurged toward Texas" data-has-syndication-rights="1" data-caption="" data-portal-copyright="" />
<h2 class="wp-block-heading has-text-align-none">What exactly is a New World screwworm?</h2>

<p class="has-text-align-none wp-block-paragraph">The New World screwworm is a parasitic fly found today across parts of South America and the Caribbean, Central America, and Mexico. They have shiny blue-gray bodies and look similar to house flies that swarm your local dumpster. But unlike those ordinary flies, screwworm flies love fresh wounds.  </p>

<p class="has-text-align-none wp-block-paragraph">Female screwworm flies are attracted to warm-blooded animals, and lay their eggs in open cuts or natural openings like ears or nostrils. Each female can lay up to 200 eggs at a time, which hatch some 12 to 24 hours later. Upon hatching, the larvae twist into flesh like corkscrews tearing deeper as they feed, causing extreme pain and tissue damage. Their scientific name, Cochliomyia hominivorax, translates roughly to man-eater, and their common name, screwworm, capture their horror: a spiral larva that feeds on living flesh. </p>

<figure class="wp-block-pullquote"><blockquote><p>Missed cases can allow the flies to reproduce and spread, making an outbreak much harder to contain.</p></blockquote></figure>

<p class="has-text-align-none wp-block-paragraph">After feeding for up to a week, the larvae wriggle back out of the wound and drop to the ground, where they pupate in the soil before emerging as adult screwworm flies — ready to repeat the cycle.</p>

<p class="has-text-align-none wp-block-paragraph">Most infestations – including livestock cases like the one in Zavala County — are treatable when caught early. But missed cases can allow the flies to reproduce and spread, making an outbreak much harder to contain.</p>

<p class="has-text-align-none wp-block-paragraph">What makes screwworms particularly brutal is they <em>only</em> consume living flesh. A single infested wound can attract more flies, leading to repeated infestations in the same animal. Infestations in humans are excruciating and disfiguring, but rarely fatal with treatment. In animals, untreated cases can be devastating, causing severe wounds, blood loss, secondary infections and sometimes death.</p>

<p class="has-text-align-none wp-block-paragraph">But there’s an Achilles’ heel: Female screwworms mate only once in their life — a unique biological quirk that has underpinned the US&#8217;s control strategy for decades.</p>

<h2 class="wp-block-heading has-text-align-none">How the US beat screwworms</h2>

<p class="has-text-align-none wp-block-paragraph">Screwworms once terrorized the American South and the Western US, and killed millions of dollars’ worth of cattle each year. By the mid-20th century, the fly was <a href="https://www.aphis.usda.gov/sites/default/files/nws-historical-economic-impact.pdf">costing America’s ranchers</a> up to $100 million annually.</p>

<p class="has-text-align-none wp-block-paragraph">But starting in the 1950s, USDA scientists found a way to use the fly’s biology against itself. If they could find a way to get the female flies to mate with sterile mates, they could stop the flies’ population in its tracks. And that’s how the sterile insect technique (SIT) was developed.</p>

<p class="has-text-align-none wp-block-paragraph">The SIT is fairly straightforward: Rear huge numbers of screwworms in a lab and sterilize the pupae through radiation (a discovery from the post-war atomic age when scientists realized they could make flies infertile without killing them). Then these freshly sterilized pupae are packed onto twin-engine planes, timed so the flies hatch in the air. These flies are then sprayed out over the forest and ranchlands by the millions. They wake in warm air and do what flies do: They mate. Those pairings then produce nothing. If you do that at a sufficient scale and for a long enough time, the population will eventually collapse.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The first eradication program in the American Southeast ran through the 1950s followed by a larger push across Southwest, costing roughly $42 million in total. Ranching groups pushed the USDA for eradication, Texas cattlemen even wrote letters to USDA <a href="https://www.nal.usda.gov/exhibits/speccoll/exhibits/show/stop-screwworms--selections-fr/1958-1969">urging the agency to expand SIT</a>. And unlike today’s debates around genetically modified mosquitoes, screwworms never stirred much controversy. The technique was targeted, pesticide-free, and spared other insects, which is why it was an unusually “green” pest control, said <a href="https://cals.ncsu.edu/entomology-and-plant-pathology/people/mjscott3/">Max Scott</a>, a professor of entomology at NC State University. By 1966, the fly was gone.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The technique then was adopted in Mexico and parts of Central America, pushing the flies all the way to a narrow band of dense rainforests between Panama and Colombia called the Darién Gap. The Pan-American Highway famously stops there, the region is sparsely populated, treacherous to cross, and light on livestock. It’s exactly the kind of chokepoint where a biological “firewall” can hold. </p>

<p class="has-text-align-none wp-block-paragraph">Since 1998, a US-Panama program called Commission for the Eradication and Prevention of Screwworm (COPEG) has held the line at the Darién Gap. Planes drop off millions of sterile flies each week, and inspectors patrol the frontier town (not the deep Darién itself) to spot infestations, pluck out maggots manually, and treat wounds with insecticides — because SIT only works if you also knock down active infestations.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">The program <a href="https://newsroompanama.com/2025/05/10/why-the-united-states-releases-millions-of-flies-over-panama-every-week/">costs about $15 million</a> annually and is <a href="https://www.congress.gov/crs_external_products/IN/PDF/IN12558/IN12558.1.pdf">funded mostly by USDA</a>, with Panama contributing a small share. “It was one of the greatest achievements of the USDA in the 20th century,” Scott said.</p>

<p class="has-text-align-none wp-block-paragraph">But, in 2023, the firewall cracked.</p>

<p class="has-text-align-none wp-block-paragraph">Smuggling of cattle through Central America seeded fresh outbreaks in new regions, and climate shifts — higher temperatures and humidity — aided their spread. By spring 2025, <a href="https://www.usda.gov/about-usda/news/press-releases/2025/06/18/secretary-rollins-announces-bold-plan-combat-new-world-screwworms-northward-spread">Mexico was reporting</a> detections as far north as Oaxaca and Veracruz, a stretch of land far wider and difficult to contain than the narrow Darién. COPEG has been running flat out, turning out around 100 million larvae each week. But even at maximum capacity, the plant can only do so much. The screwworm front continued to advance, and has now reached continental US. </p>

<h2 class="wp-block-heading has-text-align-none">What happens next</h2>

<p class="has-text-align-none wp-block-paragraph">The response underway in Texas — animal movement restrictions, fly and animal surveillance, sterile-fly releases — is the standard screwworm playbook, and it may be enough if the Zavala County case remains to just one calf. </p>

<p class="has-text-align-none wp-block-paragraph">The harder question is what happens if more cases appear.</p>

<figure class="wp-block-pullquote"><blockquote><p>For now, the United States is relying on the basic strategies that worked decades ago, while racing to rebuild the capacity that made it work.</p></blockquote></figure>

<p class="has-text-align-none wp-block-paragraph">SIT only works when sterile males vastly outnumber fertile wild males. Scott said earlier eradication programs often aimed for a 9-to-1 or 10-to-1 ratio of sterile to fertile males, because lab-reared flies that have been sterilized are not perfect competitors in the wild. Right now, the main production plant in Panama is producing about 100 million sterile flies a week. But only about half are males, and males are the ones that suppress reproduction.</p>

<p class="has-text-align-none wp-block-paragraph">That could become the bottleneck if the response has to expand. During the eradication campaign in Mexico, Scott said, officials had access to a plant producing roughly 500 million flies a week. That kind of capacity may not be necessary if Texas stamps out this case quickly. But Texas is vast, and the larger resurgence in Mexico and Central America has not gone away.</p>

<p class="has-text-align-none wp-block-paragraph">There’s also a trade-off. The sterile flies that are now being released in Texas are redirected from the Panama plant, and those flies would have otherwise been used in northern Mexico. That may be necessary to constrain the Zavala Country case. But the more flies officials have to pull north, the fewer flies they have to push back the broader front of screwworm moving through Mexico.</p>

<p class="has-text-align-none wp-block-paragraph">That capacity is coming but not immediately. USDA is <a href="https://www.usda.gov/about-usda/news/press-releases/2025/06/18/secretary-rollins-announces-bold-plan-combat-new-world-screwworms-northward-spread">renovating a facility in Metapa, Mexico</a>, that is expected to add tens of millions of sterile flies per week, and it is <a href="https://www.usda.gov/about-usda/news/press-releases/2025/08/15/usda-announces-sweeping-plans-protect-united-states-new-world-screwworm#:~:text=Construction%20of%20the%20%248.5%20million,is%20helping%20renovate%20in%20Mexico.">building new production capacity in Texas</a>. The Food and Drug Administration has also <a href="https://www.fda.gov/animal-veterinary/safety-health/animal-drugs-new-world-screwworm">issued emergency authorizations</a> for some animal treatments, bringing more tools to prevent and treat infestations while containment is underway.</p>

<p class="has-text-align-none wp-block-paragraph">And new genetic tools could eventually help too. Scott’s lab helped develop a male-only screwworm strain, called NovoFly, that could make sterile-fly production much more efficient. Instead of producing male and female flies, a plant using this strain could produce only the males needed for population control, effectively doubling the useful output of existing facilities.</p>

<p class="has-text-align-none wp-block-paragraph">But Novofly isn’t here yet. Scott said his lab developed the strain around 2018, and that it has spent years in storage because there was no urgent plan to use it. Now it is moving through <a href="https://www.nasda.org/nasda-submits-comments-on-epas-review-of-the-novofly-ge-screwworm-fly/">EPA review</a>, but it would need US approval, as well as approval from Panamanian regulators and field testing, before they could be deployed in the real world.</p>

<p class="has-text-align-none wp-block-paragraph">For now, the United States is relying on the basic strategies that worked decades ago, while racing to rebuild the capacity that made it work. The new few weeks will determine whether Texas is dealing with a contained incursion or something more serious.</p>

<p class="has-text-align-none wp-block-paragraph"><em><strong>Update, June 5, 1:25 pm ET</strong>: This story was originally published on September 7, 2025, and has been updated with the latest information about screwworm in Texas.</em></p>
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			<entry>
			
			<author>
				<name>Dylan Scott</name>
			</author>
			
			<title type="html"><![CDATA[The worst kind of cancer suddenly isn’t so scary anymore]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/good-medicine-newsletter/489324/pancreatic-cancer-treatment-survival-cause-cure" />
			<id>https://www.vox.com/?p=489324</id>
			<updated>2026-05-26T11:19:47-04:00</updated>
			<published>2026-05-21T16:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Good Medicine" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Science" />
							<summary type="html"><![CDATA[In a family of killer diseases, pancreatic cancer has long been one of the scariest. It could grow undetected for years, and by the time most people knew something was wrong, their prognosis was grim. The vast majority of patients, nearly 90 percent, would die within the first five years of their diagnosis. Even as [&#8230;]]]></summary>
			
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<p class="has-text-align-none wp-block-paragraph">In a family of killer diseases, pancreatic cancer has long been one of the scariest. It could grow undetected for years, and by the time most people knew something was wrong, their prognosis was grim. The vast majority of patients, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11564214/">nearly 90 percent</a>, would die within the first five years of their diagnosis. Even as <a href="https://www.vox.com/health/415812/cancer-death-rates-myeloma-immunotherapy-smoking">other cancers saw their mortality rates drop</a> in recent years, pancreatic cancer’s death rate actually increased slightly from 1999 to 2020.</p>

<p class="has-text-align-none wp-block-paragraph">And despite their best efforts, scientists felt stuck. In the 1980s, they identified a gene, KRAS, that seemed to be pivotal to the uncontrolled cell growth that drove the disease’s development. But over and over again, most treatments in clinical trials failed. Dr. Anirban Maitra, director of NYU Langone’s Laura and Isaac Perlmutter Cancer Center and a longtime pancreatic cancer researcher, told me that pharmaceutical companies came to regard pancreatic cancer as a “graveyard” for future drug development. Experts feared the gene was, in effect, “undruggable,” Maitra said.</p>

<p class="has-text-align-none wp-block-paragraph">But recent breakthroughs have brought what once seemed impossible within reach. A group of researchers is preparing to publish <a href="https://ir.revmed.com/news-releases/news-release-details/daraxonrasib-demonstrates-unprecedented-overall-survival-benefit">results from their clinical trial</a>, already <a href="https://www.nytimes.com/2026/05/12/health/pancreatic-cancer-daraxonrasib-kras.html?unlocked_article_code=1.h1A.tK9h.XRlUyvIB-mYq&amp;smid=url-share">reported in the New York Times</a>, that found a KRAS-targeting pill called daraxonrasib roughly doubled survival, from seven months to 13 on average, among a group of patients who had metastatic pancreatic cancer and had already tried chemotherapy.</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading">Sign up for the Good Medicine newsletter</h2>



<p class="has-text-align-none wp-block-paragraph">Our political wellness landscape has shifted: new leaders, shady science, contradictory advice, broken trust, and overwhelming systems. How is anyone supposed to make sense of it all? Vox’s senior correspondent&nbsp;<a href="https://www.vox.com/authors/dylan-scott">Dylan Scott</a>&nbsp;has been on the health beat for a long time, and every week, he’ll wade into sticky debates, answer fair questions, and contextualize what’s happening in American healthcare policy. Sign up&nbsp;<a href="https://www.vox.com/pages/good-medicine-newsletter-signup">here</a>.</p>
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<p class="has-text-align-none wp-block-paragraph">“For the first time, there is some optimism in this disease,” Maitra told me. “Oncologists who have been treating this cancer for decades have always been so pessimistic about the fact that so many trials have failed. These patients, unfortunately, live for a few months and die. But now we finally have the foundation on which to build.”</p>

<p class="has-text-align-none wp-block-paragraph">Effectively treating pancreatic cancer — or even possibly, some day, curing it —&nbsp;will ultimately demand more than one successful clinical trial. It’ll require improving the full spectrum of care, which means identifying who is at risk, detecting the disease early, and producing even more effective treatments that can offer patients hope of many more years to live, not just more months.</p>

<p class="has-text-align-none wp-block-paragraph">We are getting closer to being able to diagnose and treat pancreatic cancer with remarkable precision. Here’s what it will take to get all the way there —&nbsp;and what everyone should know.</p>

<h2 class="wp-block-heading">Doctors are getting better at figuring out who’s at risk</h2>

<p class="has-text-align-none wp-block-paragraph">One major problem with pancreatic cancer is that your pancreas is buried deep in your abdomen. You could have cancer growing there for years with no symptoms. Improving the outlook starts with detecting it early —&nbsp;and that work begins with figuring out who is most at risk.</p>

<p class="has-text-align-none wp-block-paragraph">Many people, and even doctors, may not be aware of what to look out for, Maitra told me. There have been some high-profile deaths that temporarily put the disease in the public eye —&nbsp;actor <a href="https://www.yahoo.com/lifestyle/patrick-swayzes-widow-reveals-first-140841450.html">Patrick Swayze</a>, tech titan <a href="https://abcnews.com/Health/CancerPreventionAndTreatment/steve-jobs-pancreatic-cancer-timeline/story?id=14681812">Steve Jobs</a> —&nbsp;but it hasn’t been the focus of major awareness campaigns like breast or even more recently colon cancer. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11564214/">Pancreatic cancer accounts</a> for about 3 percent of all cancer cases — but more than 8 percent of cancer deaths, about 39,000 every year.</p>

<p class="has-text-align-none wp-block-paragraph">Smoking, age, and obesity are all <a href="https://www.cancer.org/cancer/types/pancreatic-cancer/causes-risks-prevention/risk-factors.html">considered to be risk factors</a> — but that is something pancreatic cancer shares with many other types of cancer. One unique risk factor is the sudden onset of adult diabetes, especially when accompanied by weight loss, Maitra said.</p>

<p class="has-text-align-none wp-block-paragraph">“If you’re like a 65-year-old and you’re presenting with new-onset diabetes and you just lost 10 pounds, I would be very worried about that person. I’d make sure I get some tests done on that person,” Maitra said. “Awareness is so important.” He clarified that most new-onset diabetes in an adult is just that, and isn’t a reason to panic. Still, he said, the connection is something more people and health care providers should be aware of. </p>

<p class="has-text-align-none wp-block-paragraph">New artificial intelligence programs could also help doctors identify who is most at risk. Hospitals are starting to experiment with scanning electronic health records or genetic samples, Maitra said, and singling out patients who may be at higher risk based on their medical history or the presence of <a href="https://ascopubs.org/doi/pdf/10.1200/JCO.22.00298">certain genes</a> that are associated with a greater chance of developing pancreatic cancer (including the breast cancer-causing gene BRCA2).</p>

<h2 class="wp-block-heading">Clinicians have better tools for detecting pancreatic cancer early</h2>

<p class="has-text-align-none wp-block-paragraph">Once doctors identify people who are at risk, they can deploy a host of new surveillance tools to look for pancreatic cancer’s development.</p>

<p class="has-text-align-none wp-block-paragraph">Blood tests, commonly referred to as liquid biopsies, have received a lot of investment, as well as <a href="https://www.vox.com/future-perfect/353429/what-if-colon-cancer-screening-didnt-involve-poop">media</a> <a href="https://www.nytimes.com/2025/12/02/well/cancer-detecting-blood-tests-are-on-the-rise-do-they-work.html">attention</a>. Some companies aspire to create a test that could search for <a href="https://www.fightcancer.org/what-we-do/emergent-science-multi-cancer-early-detection-tests">multiple cancers from one sample</a>, but in the meantime, single-disease versions have shown <a href="https://www.vox.com/future-perfect/353429/what-if-colon-cancer-screening-didnt-involve-poop">promising if not quite ironclad results</a> —&nbsp;including for pancreatic cancer. One blood test developed by Oregon Health &amp; Science University had an <a href="https://news.ohsu.edu/2025/02/12/new-blood-test-identifies-hard-to-detect-pancreatic-cancer-with-85-accuracy">85 percent accuracy rate</a> in diagnosing early-stage pancreatic cancer when it was used in tandem with an existing antigen test.</p>

<p class="has-text-align-none wp-block-paragraph">Once again, AI programs could help doctors get ahead of the disease. A recent study found that an AI program developed by Mayo Clinic researchers and used to examine routine abdominal CT imaging scans could <a href="https://gut.bmj.com/content/early/2026/04/22/gutjnl-2025-337266">spot pancreatic cancer at nearly double the detection rate</a> of two human radiologists, finding the disease up to three years before a normal clinical diagnosis would occur.</p>

<p class="has-text-align-none wp-block-paragraph">“This is where AI can really help because they can pick out subtle patterns that the human eye can miss,” Maitra said.</p>

<h2 class="wp-block-heading">Scientists are developing better pancreatic cancer treatments</h2>

<p class="has-text-align-none wp-block-paragraph">Once doctors find the pancreatic cancer, they can treat it —&nbsp;and their options are getting better there too.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">Maitra said the best treatment remains surgical removal plus therapy —&nbsp;and the smaller the tumor, the better, which is why early detection is so essential. It also prevents the cancer from having more time to metastasize and spread.</p>

<p class="has-text-align-none wp-block-paragraph">Even after surgery, the cancer can come back. But new vaccines are showing promise in preventing that kind of recurrence; small preliminary studies have identified <a href="https://www.nature.com/articles/s41586-024-08508-4">multiple</a> vaccine <a href="https://www.nature.com/articles/s41591-025-03876-4">candidates</a> that allowed patients to live longer without a relapse and survive overall longer than the historical norms for pancreatic cancer patients.</p>

<p class="has-text-align-none wp-block-paragraph">And for the people facing the most dire scenario, when their cancer cannot be removed by surgery, that’s where the new treatments targeting KRAS — the gene that drives pancreatic cancer’s growth — could be a game-changer.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">To dramatically simplify the scientific breakthrough here, KRAS has been described by researchers as a “greasy ball” that for a long time no drug molecules were able to attach themselves to. As the Times reported, Kevan Shokat, a scientist at the University of California San Francisco, figured out how to make a molecule attach to KRAS in 2013; around the same time, Greg Verdine at Harvard University was working on a molecular “glue” that could disable KRAS. The new drugs build on this research to deliver a compound to the gene that can slow the out-of-control cell growth that causes pancreatic cancer.</p>

<p class="has-text-align-none wp-block-paragraph">But we should think of daraxonrasib, which seems likely to receive FDA approval, as the “ground floor” for this class of drugs, Maitra told me. Many people still do not respond to the treatment or experience severe side effects. The drug also stops working after a period of time, as people’s bodies develop a resistance to it. But other drugs that combine different molecules in an attempt to extend the treatment’s effectiveness are already in the pipeline.&nbsp;</p>

<p class="has-text-align-none wp-block-paragraph">In the future, pancreatic cancer treatment could end up becoming a combination of all of the above: early detection, surgical removal to get the bulk of a tumor out, with vaccines and/or KRAS-based treatments used to prevent the cancer from coming back. And people who can’t undergo surgery for some reason might try a combination of vaccines and KRAS-targeting drugs.</p>

<p class="has-text-align-none wp-block-paragraph">The work is far from finished. But for the first time, after decades of disappointments, there is real reason for hope.</p>
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