Day: June 9, 2024

If the babies didn’t get breast milk — which she didn’t have — Ikendi could lose them as well.

Thus began a desperate search for breast milk donors. She was lucky with a neighbor, a woman with a newborn baby to feed who was willing to donate a few milliliters at a time.

“You go and plead for milk. You are like, ‘Please help me, help my child,’” Ikendi told The Associated Press.

The neighbor helped until Ikendi heard about a Ugandan group that collects breast milk and donates it to mothers like her. Soon the ATTA Breastmilk Community was giving the breast milk she needed, free of charge, until her babies were strong enough to be discharged from the hospital.

ATTA Breastmilk Community was launched in 2021 in the Ugandan capital, Kampala, by a woman who had struggled like Ikendi without getting support. The registered nonprofit, backed by grants from organizations and individuals, is the only group outside a hospital setting in Uganda that conserves breast milk in substantial amounts.

ATTA, as the group is known, receives calls for support from hospitals and homes with babies born too soon or too sick to latch onto their mothers’ breasts.

More than 200 mothers have donated breast milk to support more than 450 babies since July 2021, with over 600 liters of milk delivered for babies in that period, according to ATTA’s records.

In a measure of efforts to build a reliable community, many donors have given multiple times while others help to find new ones, said ATTA administrator Racheal Akugizibwe.

“We are an emergency fix,” Akugizibwe said. “As the mother is working on their own production, we are giving (her) milk. But we do it under the directive and under the support of a lactation specialist and the medical people.”

She added: “Every mother who has given us milk, they are kind of attached to us. They are we; we are them. That’s what makes it a community.”

ATTA makes calls for donors via social media apps like Instagram. Women who want to donate must provide samples for testing, including for HIV and hepatitis B and C, and there are formal conversations during which ATTA tries to learn more about potential donors and motivations. Those who pass the screening are given storage bags and instructed in safe handling.

Akugizibwe spoke of ATTA’s humble beginnings in the home of its founder, Tracy Ahumuza, who would store the milk in her freezer. Ahumuza started the group amid personal grief: She hadn’t been able to produce breast milk for her newborn who battled life-threatening complications. Days later, after the baby died, she started lactating.

She asked health workers, “Where do I put the milk that I have now?’” Akugizibwe said. “They told her, ‘All we can do for you is give you tablets to dry it out.’ She’s like, ‘No, but if I needed it and I didn’t get it, someone could need it.’”

In the beginning, ATTA would match a donor to a recipient, but it proved unsustainable because of the pressure it put on donors. ATTA then started collecting and storing breast milk, and donors and recipients don’t know each other.

Akugizibwe said the group gets more requests for support than it can meet. Challenges include procuring storage bags in large quantities as well as the costs of testing. And donors are required to own freezers, a financial obstacle for some.

“The demand is extremely, extremely high,” Akugizibwe said, “but the supply is low.”

Lelah Wamala, a chef and mother of three in Kampala who twice has donated milk, said she was spurred to act when, while having a baby in 2022, she saw mothers whose premature babies were dying because they didn’t have milk.

Being a donor is a time-consuming responsibility, “but this is the right thing to do,” she said.

Via motorcycle courier on Kampala’s busy streets, breast milk from donors is taken to ATTA’s storage and delivered to parents in need.

ATTA’s goal is to set up a full-fledged breast milk bank with the ability to pasteurize. The service is necessary in a country where an unknown number of women suffer for lack of lactation support, said Dr. Doreen Mazakpwe, a lactation specialist who collaborates with ATTA.

Mazakpwe cited a range of lactation issues mothers can face, from sore nipples to babies born too sick or too weak to suckle and stimulate milk production.

If both mother and baby are healthy, “this mother should be able to produce as much milk as the baby needs because we work on the principle of supply and demand,” said Mazakpwe, a consultant with a private hospital outside Kampala. “So, in situations where there’s a delay in putting the baby on the breast, or the baby is not fed frequently enough … you can eventually have an issue where you have low supply.”

Mazakpwe said she advises mothers on how to establish their own supply within about a month of receiving donated breast milk, and sometimes all that’s needed is to hold the baby the right way. When mothers start lactating, it frees up supply for new ones who need ATTA’s help, she said.

Akugizibwe said their work is challenging in a socially conservative society where such a pioneering service raises eyebrows. Questions, even from recipients, include fears that babies who drink donated breast milk might inherit the bad habits of their benefactors.

In addition, “If you don’t breastfeed there is a lot of negativity,” said Ikendi, whose premature babies survived on donated milk. “Society looks at you as though you’ve just literally refused to breastfeed.”

She spoke of struggling even when she knew she had no choice after seeing her babies in the intensive care unit for the first time. Through the glass she saw they were so tiny, on oxygen therapy and bleeding from their noses. The babies, a boy and a girl, had been removed at seven months.

Ikendi’s babies received donated breast milk for two months.

One recent morning, an emotional Ikendi held her children as she described how the donated milk “contributed 100% to our babies’ growth.”

The Los Gatos, California, company, based more than 300 miles away from Hollywood, frequently reaches into its technological toolbox without viewers even realizing it. It often just uses a few subtle twists on the knobs of viewer recommendations to help keep its 270 million worldwide subscribers satisfied at a time when most of its streaming rivals are seeing waves of cancelations from inflation-weary subscribers.

Even when hit TV series like “The Crown” or “Bridgerton” have wide appeal, Netflix still tries to cater to the divergent tastes of its vast audience. One part of that recipe includes tailoring summaries and trailers about its smorgasbord of shows to fit the personal interests of each viewer.

So, someone who likes romance might see a plot summary or video trailer for “The Crown” highlighting the relationship between Princess Diana and Charles, while another viewer more into political intrigue may be shown a clip of Queen Elizabeth in a meeting with Margaret Thatcher.

For an Oscar-nominated film like “Nyad,” a lover of action might see a trailer of the title character immersed in water during one of her epic swims, while a comedy fan might see a lighthearted scene featuring some amusing banter between the two stars, Annette Bening and Jodie Foster.

Netflix is able to pull off these variations through the deep understanding of viewing habits it gleans from crunching the data from subscribers’ histories with its service — including those of customers who signed up in the late 1990s when the company launched with a DVD-by-mail service that continued to operate until last September.

“It is a secret sauce for us, no doubt,” Eunice Kim, Netflix’s chief product officer, said while discussing the nuances of the ways Netflix tries to reel different viewers into watching different shows. “The North Star we have every day is keep people engaged, but also make sure they are incredibly satisfied with their viewing experiences.”

As part of that effort, Netflix is rolling out a redesign of the home page that greets subscribers when they are watching the streaming service on a TV screen. The changes are meant to package all the information that might appeal to a subscriber’s tastes in a more concise format to reduce the “gymnastics with their eyes,” said Patrick Flemming, Netflix’s senior director of member product.

What Netflix is doing with its previews may seem like a small thing, but it can make a huge difference, especially as people looking to save money start to limit the number of streaming services they have.

Last year, video streaming services collectively suffered about 140 million account cancelations, a 35% increase from 2022 and nearly triple the volume in 2020, when the COVID-19 pandemic created a boom in demand for entertainment from people corralled at home, according to numbers compiled by the research firm Antenna.

Netflix doesn’t disclose its cancelation, or churn rate, but last year its streaming service gained 30 million subscribers — marking its second-biggest annual increase behind its own growth spurt during the 2020 pandemic lockdowns.

Part of last year’s subscription growth flowed from a crackdown on viewers who had been freeloading off Netflix subscribers who shared their account passwords. But the company is also benefiting from the technological know-how that helps it to keep funneling shows to customers who like them and make them think the service is worth the money, according to J. Christopher Hamilton, an assistant professor of television, radio and film at Syracuse University.

“What they have been doing is pretty ingenious and very, very strategic,” Hamilton said. “They are definitely ahead of the legacy media companies who are trying to do some of the same things but just don’t have the level of sophistication, experience nor the history of the data in their archives.”

Netflix’s nerdy heritage once was mocked by an entertainment industry that looked down at the company’s geekdom.

Not long after that put-down, Netflix began mining its viewing data to figure out how to produce a slate of original programming that would attract more subscribers — an ambitious expansion that forced Time Warner (now rolled into Warner Bros. Discovery) and other long-established entertainment companies such as Walt Disney Co. into a mad scramble to build their own streaming services.

Although those expansions initially attracted hordes of subscribers, they also resulted in massive losses that have resulted in management shakeups and drastic cutbacks, including the abrupt closure of a CNN streaming service. 

What Netflix is doing with technology to retain subscribers to boost its fortunes — the company’s profit rose 20% to $5.4 billion last year — now is widening the divide with rival services still trying to stanch their losses.

Disney’s 4-year-old streaming service recently became profitable after an overhaul engineered by CEO Bob Iger, but he thinks more work will be required to catch up with Netflix.

Netflix isn’t going to help its rivals by divulging its secrets, but the slicing and dicing generally starts with getting a grasp on which viewers tend to gravitate to certain genres — the broad categories include action, adventure, anime, fantasy, drama, horror, comedy, romance and documentary — and then diving deeper from there.

In some instances, Netflix’s technology will even try to divine a viewer’s mood at any given time by analyzing what titles are being browsed or clicked on. In other instances, it’s relatively easy for the technology to figure out how to make a film or TV series as appealing as possible to specific viewers.

If Netflix’s data shows a subscriber has watched a lot of Hindi productions, it would be almost a no-brainer to feature clips of Bollywood actress Alia Bhatt in a role she played in the U.S. film, “Heart of Stone” instead of the movie’s lead actress, Gal Gadot.

Safi, whose last name has been withheld for security reasons, is among 2 million people displaced in the West African country by growing violence between Islamic extremists and security forces.

About 60% of the displaced are children. Many are traumatized, but mental health services are limited and children are often overlooked for treatment.

“People often think that the children have seen nothing, nothing has happened to them, it’s fine,” said Rudy Lukamba, the health coordinator for the International Committee of the Red Cross in Burkina Faso.

He works on a program to help identify and treat traumatized children. It often relies on mothers to spot signs in children as young as 3 or 4. The chances of a successful outcome after treatment is greater when the children have a parental figure in their lives, he said.

Mass killings of villagers have become common in northern Burkina Faso as fighters linked to the Islamic State group and al-Qaida attack the army and volunteer forces. Those forces can turn on villages accused of cooperating with the enemy. More than 20,000 people have been killed since the fighting began a decade ago, according to the Armed Conflict Location and Event Data Project, a U.S.-based nonprofit group.

Mental health services in Burkina Faso are often reserved for only the most severe cases. A U.N. survey published in 2023 showed 103 mental health professionals in the country of more than 20 million people, including 11 psychiatrists.

Community-based mental health services by social workers are expanding, now numbering in the hundreds and supported by a small team of U.N. psychologists. In addition, traditional medicine practitioners in Burkina Faso say families are increasingly turning to them for help with traumatized children.

But the need is immense. The U.N. said surveys by it and partners show that 10 out of 11 people affected by the conflict show signs of trauma.

With no money and fearing another attack, Safi set off on foot with seven children, including her own, across the arid plains in search of safety. They settled in a community in Ouahigouya, the capital of Yatenga province, and sought help.

It was there that Safi learned how post-traumatic stress can affect children. They had nightmares and couldn’t sleep. During the day, they didn’t play with other children. Through the ICRC, Safi was connected with a health worker who helped through home visits and art, encouraging the children to draw their fears and talk about them.

Traditional medicine practitioners are also helping traumatized children. One, Rasmane Rouamba, said he treats about five children a month, adapting the approach depending on the trauma suffered.

Children in Burkina Faso also have lost access to education and basic healthcare in fighting-affected areas.

The closure of schools is depriving almost 850,000 children of access to education, the U.N. children’s agency has said. The closure of hundreds of health facilities has left 3.6 million people without access to care, it said.

Burkina Faso’s government has struggled to improve security.  

The country’s military leader, Capt. Ibrahim Traoré, seized power in 2022 amid frustrations with the government over the deadly attacks. He is expected to remain in office for another five years, delaying the junta’s promises of a democratic transition.

Around half of Burkina Faso’s territory remains outside government control. Civic freedoms have been rolled back and journalists expelled.

And the country has distanced itself from regional and Western nations that don’t agree with its approach, severing military ties with former colonial ruler France and turning to Russia instead for security support.

Safi, adrift with her children, said she plans to stay in her new community for now. She has no money or other place to go. 

“There’s a perfect harmony in the community, and they have become like family,” she said. 

Then, as sophomore year got under way, the unexpected problems surfaced. She missed a student government meeting arranged on Snapchat. Her Model U.N. team communicates on social media, too, causing her scheduling problems. Even the Bible Study club at her Connecticut high school uses Instagram to communicate with members.

Gabriela Durham, a high school senior in Brooklyn, says navigating high school without social media has made her who she is today. She is a focused, organized, straight-A student. Not having social media has made her an “outsider,” in some ways. That used to hurt; now, she says, it feels like a badge of honor.

With the damaging consequences of social media increasingly well documented, many parents are trying to raise their children with restrictions or blanket bans. Teenagers themselves are aware that too much social media is bad for them, and some are initiating social media “cleanses” because of the toll it takes on mental health and grades.

This is a tale of two families, social media and the ever-present challenge of navigating high school. It’s about what kids do when they can’t extend their Snapstreaks or shut their bedroom doors and scroll through TikToks past midnight. It’s about what families discuss when they’re not having screen-time battles. It’s also about persistent social ramifications.

The journeys of both families show the rewards and pitfalls of trying to avoid social media in a world that is saturated by it.

Concerns about children and phone use are not new. But there is a growing realization among experts that the COVID-19 pandemic fundamentally changed the relationship kids have with social media. As youth coped with isolation and spent excessive time online, the pandemic effectively carved out a much larger space for social media in the lives of American children.

Social media is where many kids turn to forge their emerging identities, to seek advice, to unwind and relieve stress. In this era of parental control apps and location tracking, social media is where this generation is finding freedom.

It is also increasingly clear that the more time youth spend online, the higher the risk of mental health problems.

Kids who use social media for more than three hours a day face double the risk of depression and anxiety, according to studies cited by U.S. Surgeon General Vivek Murthy, who issued an extraordinary public warning last spring about the risks of social media to young people.

The Bulkeleys and Gabriela’s mother, Elena Romero, both set strict rules starting when their kids were young and still in elementary school. They delayed giving phones until middle school and declared no social media until 18. They educated the girls, and their younger siblings, on the impact of social media on young brains, on online privacy concerns, on the dangers of posting photos or comments that can come back to haunt you.

At school, on the subway and at dance classes around New York City, Gabriela is surrounded by reminders that social media is everywhere — except on her phone.

Growing up without it has meant missing out on things. Everyone but you gets the same jokes, practices the same TikTok dances, is up on the latest viral trends. When Gabriela was younger, that felt isolating; at times, it still does. But now, she sees not having social media as freeing.

“From my perspective, as an outsider,” she says, “it seems like a lot of kids use social media to promote a facade. And it’s really sad.”

There is also friend drama on social media and a lack of honesty, humility and kindness that she feels lucky to be removed from.

Gabriela is a dance major at the Brooklyn High School of the Arts. Senior year got intense with college and scholarship applications capped by getting to perform at Broadway’s Shubert Theatre in March as part of a city showcase of high school musicals.

“My kids’ schedules will make your head spin,” Romero says. On school days, they’re up at 5:30 a.m. and out the door by 7. Romero drives the girls to their three schools scattered around Brooklyn, then takes the subway into Manhattan, where she teaches mass communications at the Fashion Institute of Technology.

In New York City, it’s common for kids to get phones early in elementary school, but Romero waited until each daughter reached middle school and started taking public transportation home alone.

In the upscale suburb of Westport, Connecticut, the Bulkeleys have faced questions about bending their rules. But not for the reason they had anticipated.

Kate was perfectly content to not have social media. Her parents figured at some point she might resist their ban because of peer pressure or fear of missing out. But the 15-year-old sees it as a waste of time. She describes herself as academic, introverted and focused on building up extracurricular activities.

That’s why she needed Instagram.

“I needed it to be co-president of my Bible Study Club,” Kate explains.

As Kate’s sophomore year started, she told her parents that she was excited to be leading a variety of clubs but needed social media to do her job. “It was the school that really drove the fact that we had to reconsider our rule about no social media,” says Steph Bulkeley, Kate’s mother.

Schools talk the talk about limiting screen time and the dangers of social media, says her dad, Russ Bulkeley. But technology is rapidly becoming part of the school day. Kate’s high school and their 13-year-old daughter Sutton’s middle school have cell phone bans that aren’t enforced. Teachers will ask them to take out their phones to photograph material during class time.

The Bulkeleys aren’t on board with that but feel powerless to change it.

Ultimately they gave in to Kate’s plea for Instagram because they trust her, and because she’s too busy to devote much time to social media.

Whether in football or politics, when the powerful present themselves as anti- establishment the goal is often self-serving

If you want a metaphor for the state of contemporary politics, you could do worse than keep an eye on the football. Not Euro 24, the tournament that begins at the end of the week, though it should be gripping, but rather the off-field drama created by a legal case that Manchester City is bringing against the Premier League, a case that could have major ramifications both within and beyond the game.

The Premier League is the wealthiest national football league, and Manchester City the most prestigious club within it, having just been crowned champions for an unprecedented fourth year in a row. Last year it had the greatest revenue generated by any Premier League club, the highest commercial revenues, and the largest wage bill.

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The 2024 House majority will mainly come down to just twenty-two House races in super competitive “toss up” districts. Here at Palmer Report we’re going to be highlighting these races regularly, so you know which candidates to donate to and volunteer for. Here’s one of those races:

AZ-06 (Arizona), Democratic candidate Kirsten Engel • Campaign website • Donate • Volunteer • Twitter

Remember, these “toss up” races will each come down to a point or two on election night – and whichever party wins the majority of these toss up races will win the overall House majority. So hit the above links and donate, phone bank, volunteer, sign up to help get out the vote, or follow and retweet the candidate on social media. Let’s go win this!

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