Ensuring safe schooling during COVID-19
Ensuring safe schooling during COVID-19

“I’m not too sure that I want to go back to school because I’ve lost my will to learn. But I’m also not so sure that I want to stay at home; I am just really confused at this time.”

This is the reflection of one young person in the WHO European Region who took part in a survey looking at the experience of being a student during the COVID-19 pandemic.

The survey was run voluntarily by students Emilia, Frida and Malika, and included a total of 927 responses from 10- to 19-year-olds from 16 countries collected over 4 months. Pupils responding to the survey also called attention to problems with online learning and the sacrifices they have made to support the wider community. These are some of their responses.

“[Online learning] … isn’t the same as in-class learning. It feels like some of the teachers and students very rarely have enough energy to give to the lesson, and to let the information be absorbed properly.”

“Our education system is not ready for online learning, and the problems we have now online are the same we had a year ago. Sometimes you don’t even hear the teacher … I know that teachers are also sad about the situation.”

“Of course, we don’t want our grandparents to die or intensive care units (ICUs) to be overburdened. Of course, we want to do our share for our community and protect it. But we also need to see our community do their share for us. How can we justify the closing of schools while shops or hairdressers and restaurants reopen?”

Situation in the WHO European Region

These were just some of the responses shared at the 4th meeting of the Technical Advisory Group (TAG) on Safe Schooling During the COVID-19 Pandemic, held on 9 March 2021. The TAG pointed out that children and adolescents have missed 22 weeks of school on average, due to partial or complete closures caused by COVID-19.

A status report presented at the meeting noted that as of 8 March 2021, 31 countries in the Region have suspended in-person teaching at some levels or for specific age groups. Ten countries have suspended schooling at all levels and have moved entirely to distance education. Eleven countries have in-person teaching but require adaptations such as masks, physical distancing and hand hygiene.

There is also variation across the Region in terms of rapid diagnostic testing, with 16 countries having either a standing recommendation or a requirement for students, teachers, staff or home communities to complete a rapid diagnostic test. Six countries require rapid diagnostic testing for teachers only, 1 country requires students to provide negative COVID-19 tests when travelling to school, and 2 countries require parents to present tests when dropping off or picking up their children.

Thirteen countries in the Region have a standing recommendation or requirement for students, teachers or staff to wear masks when in the school environment.

Recommendations in keeping with emerging evidence

The TAG was set up to provide advice to WHO/Europe on matters relating to schooling in times of COVID-19. This includes advice on the epidemiology of school transmission, infection prevention and control, and public health measures and their effects on the development and well-being of school-aged children.

It aims to identify findings from emerging evidence to inform policy decisions on educational, social, developmental and health outcomes for children and adolescents. Based on their review, the TAG noted that:

  • even with the wider spread of more infectious variants, there is no evidence that schools contribute in a major way to community transmission;
  • school closures by themselves will not control the pandemic; and
  • measures such as physical distancing, masks, hand hygiene and ventilation, applied in an age-appropriate way, should allow schools to stay open even with increasing numbers of infected people in the community.

The TAG also reiterated points raised in earlier meetings, including that:

  • closing schools should be a last resort;
  • schools should be among the first to reopen; and
  • young people in schools need to be part of the decision-making process on prioritizing and implementing interventions that affect them.
Strong chain of care links sectors to deliver essential health services and leave no one behind in Romania
Strong chain of care links sectors to deliver essential health services and leave no one behind in Romania

“I came to the centre to get my second dose of vaccine – I am happy to get any. I have heard of COVID, how could I not? Everyone is talking about it on the streets, in the centre. I hear about it on the radio, I see it on TV,” says Alexandru, aged 53, from Bucharest. After working for 35 years as an operator in a chemical plant, he is now without work and, following a family break-up, is also homeless.

Alexandru is one of the dozens of people dealing with underlying health conditions and living in difficult circumstances who have been vaccinated against COVID-19, thanks to joined-up health services in Romania’s capital that seek to leave no one behind.

“Romania appreciates the essential contribution of the WHO Regional Office for Europe in these difficult times generated by the COVID-19 pandemic,” says President of Romania Mr Klaus Werner Iohannis. “The cooperation and solidarity of the entire international society is our common response to a challenge of this magnitude, and the World Health Organization is a cornerstone in guiding this process.”

From community outreach to governmental support

This chain of care begins with community outreach undertaken by the nongovernmental organization (NGO) Carusel. Its staff speak to people living and working on Bucharest’s streets, advising them on when and where they can receive health services, including vaccinations, and referring them to social-care centres to register for the COVID-19 vaccination.

Established a decade ago, Carusel focuses on harm reduction and seeks to improve the quality of life for drug and alcohol users, sex workers, people who live on the streets, socially and economically challenged people, and those at risk of illness or facing social exclusion.

Vaccination sessions take place at social-care institutions such as Sfântul Ioan, the largest in the city. Both a day and a night centre, Sfântul Ioan provides health and social services and shelter to up to 450 people. Capacity has now been reduced by half because of COVID-19 restrictions. The centre’s 45 staff, comprising social workers, health-care professionals, a chef, a driver, cleaning staff and security services, are employed by the Bucharest General Directorate for Social Assistance, a specialized institution under Bucharest’s General Mayoralty.

A mobile medical team from Saint Pantelimon Hospital was assigned to Sfântul Ioan, and during 2 sessions it administered COVID-19 vaccines to over 150 people. The team’s activities are managed and financed by the Ministry of Health.

By bringing together a community-level NGO, municipal health services and coordinated support from several national ministries, Bucharest can provide accessible, tailored services to people most in need.

Witnessing joined-up services first-hand

WHO Regional Director for Europe Dr Hans Henri P. Kluge is currently on an official visit to Romania, where he is witnessing this chain of care and the importance of ensuring that health services and support are available to everyone, including during the COVID-19 pandemic.

“Tackling health inequities is at the top of my agenda. It is more important than ever as we rebuild after the pandemic,” Dr Kluge explained at a high-level dialogue on climate change, the human–nature relationship and public health, held today.

“One of the goals of WHO’s European Programme of Work until 2025 is to leave no one behind. That is a centrepiece of the work of the Regional Office as it strives to support Member States in building back better. We do this through technical support, capacity-building, partnerships and alliances – aiming for fairer, healthier recoveries and further investments in what has been coined well-being economies,” he added.

World Health Day focuses on health equity

On this year’s World Health Day – 7 April – WHO’s focus is on promoting health equity. COVID-19 has hit all countries hard, but its impact has been harshest on communities that were already vulnerable. These groups are more exposed to the disease, less likely to have access to quality health-care services, and more likely to experience adverse consequences as a result of measures implemented to contain the pandemic. Yet these inequities – due to living conditions, social and human capital, access to quality health care, and employment and working conditions – are not new.

Alexandru’s greatest wish is to find a job. “It’s very difficult to have no activity and no money of your own. I’ve been working since I was a kid. Sitting around doing nothing is not good,” he concludes.

Today, there is an urgent need to protect, test and treat the whole global population: only when this happens can we end the pandemic. As well as assuring an equitable supply of vaccines, tests and treatments, we must strengthen health systems to deliver them. A strong health workforce and primary health care are key to ensuring people can obtain services when and where they need them, as close to home as possible, without financial hardship.

Through its chain of care, Romania offers a positive example of how vulnerable people can receive appropriate support and health services, and some hope, during the COVID-19 crisis and beyond.

World Health Day: Putting equity at the heart of COVID-19 recovery
World Health Day: Putting equity at the heart of COVID-19 recovery

COVID-19 has affected us all, but some have fared worse than others simply because of the jobs they do and the insecurity of their living conditions and livelihoods.

People who have been hit the hardest are also among those least protected by national policies and systems, and the pandemic has brought their precarious situation into sharp focus.

“Why is it that some people have felt the effects of COVID-19 more acutely? Quite simply, the cards have been stacked against them in terms of jobs, housing, community, social support and health care. It’s time for everyone to be dealt a fair hand, and time for us to rebuild from the pandemic, setting our sights not merely on surviving but on thriving”, said Dr Hans Henri P. Kluge, WHO Regional Director for Europe.

This World Health Day, WHO is calling on leaders to address health inequities and ensure that everyone has:

  • secure living and working conditions that enable them to live a healthy life and to thrive; and
  • access to quality health services when and where they need them, without experiencing financial hardship.

COVID-19’s long shadow

Our world was already unequal when COVID-19 hit.

Existing inequities have deepened, particularly for people experiencing multiple insecurities due to poverty, gender, ethnicity, education, occupation, migrant status, disability and discrimination, and new risks have emerged. For example:

  1. Deprivation is a risk factor for COVID-19 infection and early loss of life. We have seen that those most at risk of infection or testing positive include people at risk of poverty or social exclusion, living in deprived areas. For example, in Sweden, 30% of residents of a low-income area tested positive for COVID-19, compared to only 4.1% in high-income areas.
  2. Gender inequities. Globally, women make up 70% of the health and social care workforce, and they are more likely to be frontline health workers. Recent data from Germany, Italy and Spain show that confirmed COVID-19 cases among female health workers are two to three times higher than those observed among their male counterparts.
  3. Race and ethnicity. People in Black and minority ethnic groups have experienced a disproportionately high risk of serious infection and premature death during the COVID-19 pandemic. For example, 34.5% of critically ill COVID-19 patients in the United Kingdom were from a Black, Asian and minority ethnic background.
  4. People in detention and receiving care. New evidence is emerging of heightened risk for people in detention and being cared for in institutional settings. A particular risk factor for COVID-19 mortality is residency in a nursing home. Between 42% and 57% of COVID-19 deaths occurred in long-term care facilities for older people in Belgium, France, Ireland, Italy and Spain.

Drivers of health inequity holding people back in life and in health

Action is urgently needed in the health sector and across government to remove the barriers to a fairer and healthier life for all. A 2019 report by WHO/Europe pinpointed the five main drivers of health inequities in the WHO European Region:

  • Health systems: barriers to access, poor quality, financial hardship caused by out-of-pocket payments
  • Financial security: poverty and not being able to make ends meet
  • Living conditions: lack of decent housing, food, fuel; living in underdeveloped, unsafe neighbourhoods
  • Social and human capital: isolation, powerlessness and lack of education and training opportunities
  • Employment and work: lack of decent work and poor working conditions.

Putting equity at the heart of recovery

Governments and communities can work together to tackle the root causes of inequities and put inclusiveness and equity at the heart of all recovery responses to create a fairer, healthier world.

84% of Europeans believe that reducing inequities should be at the top of their government’s agenda.

When the right policies are implemented, results can be achieved very quickly.

Resetting our world

Inequities in health are not only unfair – they are preventable. Giving both girls and boys an equal, good start in life and promoting health across the life course is essential for the well-being and resilience of today’s society and for future generations.

The European Programme of Work, WHO’s vision to ensure healthy lives and well-being for everyone in the European Region, is shaped around the goals of leaving no one behind and reinforcing the capacities of health authorities. Monitoring and strengthening equity in health and health systems will therefore be a core element of WHO’s work over the next 10 years.

Opportunity for improvement as new WHO report sheds light on promotion of unsuitable baby foods in Poland
New WHO report sheds light on promotion of unsuitable baby foods in Poland

Opportunity for improvement

Inappropriate promotion of commercial baby foods can undermine parents’ confidence in home-produced foods and breastfeeding, as well as encourage dietary habits that may lead to obesity and noncommunicable diseases (NCDs).

A new WHO/Europe report, “Improving the nutritional quality of commercial foods for infants and young children in Poland”, concludes that inappropriate promotion is a widespread practice, echoing other recent reports coming from many countries of the WHO European Region.

“Good nutrition in infancy and early childhood is the foundation of good health and development later in life. Exclusive breastfeeding for the child’s first 6 months, and establishing healthy nutritional habits early on, can protect children from both overweight and obesity – conditions that are associated with cardiovascular diseases, diabetes, cancer and other NCDs in adulthood,” said Dr Nino Berdzuli, Director of the Division of Country Health Programmes at WHO/Europe.

It has long been recognized that the promotion of commercial foods such as breastmilk substitutes undermines breastfeeding and optimal nutrition for infants and young children. “Yet there is now growing evidence that inappropriate promotion of commercial baby and toddler foods is widespread in several countries of the WHO European Region and may be harmful for health,” Dr Berdzuli continued.

Promotion against WHO guidelines

According to the latest WHO/Europe report for Poland, many commercial baby foods marketed in the country are inappropriately promoted and are not nutritionally suitable. For example, 43% of baby food products are marketed as being suitable for infants under the age of 6 months. Promoting such products contradicts WHO nutrition guidelines that recommend infants be exclusively breastfed for the first 6 months of life.

Even though such products are legal under European Union law – which permits complementary foods to be marketed as suitable for babies from 4 months – they are in violation of the International Code of Marketing of Breast-milk Substitutes and the global WHO Guidance on Ending the Inappropriate Promotion of Foods for Infants and Young Children.

In 2010, the World Health Assembly called on Member States to end the inappropriate promotion of foods for infants and young children. The WHO Guidance was agreed in 2016 to help countries take action on this issue. Nonetheless, many manufacturers and distributors choose to ignore these recommendations.

Too much sugar, too little protein

The study, conducted by the WHO European Office for the Prevention and Control of Noncommunicable Diseases (NCD Office) and the Institute of Mother and Child in Poland, found that, overall, over half (58%) of the products promoted for babies and toddlers in Poland provide more than 30% of calories from sugars. In addition, around a quarter of products contain added sugar or another sweetening agent, such as concentrated fruit juice.

According to the criteria proposed by WHO, certain categories of products with high levels of sugars should not be marketed as suitable for infants or children under 3 years of age.

The study also indicates that around 40% of baby food products promoted in the country provide too few calories per 100 g to meet infants’ needs, while some meat-, poultry- or fish-based ready-to-eat foods do not provide enough protein to meet WHO’s proposed minimum requirements.

Babies deserve good nutrition

“The nationwide study conducted by the Institute of Mother and Child shows that 70–98% of infants receive baby food products intended for infants and young children. The quantitative and qualitative composition of baby food for the youngest children should meet their nutritional needs,” said Dr Tomasz Maciejewski, Director of the Institute of Mother and Child. “The conclusions from the project with WHO indicate the need for health-promoting reformulation of these products.”

“The study should be taken as an opportunity for improvement – every day, parents and caregivers in Poland are facing an array of commercial products that are telling a misleading story. These products are being promoted as healthy food, but in fact such products risk undermining the optimal nutrition, and thus long-term health, of babies and toddlers,” said Dr Paloma Cuchí, Head of the WHO Country Office in Poland.

The findings presented in the WHO report add to earlier evidence that inappropriate promotion is a widespread practice in other countries of the Region. Policy-makers can bring much-needed change to the sector by implementing the following WHO-recommended practices.

  • Prevent the marketing of fruit drinks and juices, sweetened milk, confectionery, and sweet snacks as suitable for infants and young children up to 36 months.
  • Limit the total sugar content of dry, savoury snack foods to ≤ 15% of energy.
  • Prohibit added sugars and other sweetening agents (including syrups, honey, fruit juice, fruit juice concentrate and non-sugar sweeteners) in all commercial baby foods.
  • Limit the use of puréed fruit, particularly in savoury foods, to ≤ 5% of total weight.
  • Improve product labelling of sugar and total fruit contents, with a flag to highlight high sugar content on front-of-pack labels.
COVID-19 lays bare social inequality says UN chief, as COVAX doses top 36 million
COVID-19 lays bare social inequality says UN chief, as COVAX doses top 36 million

Highlighting the inequalities and injustices that have been apparent throughout the pandemic, Secretary-General António Guterres said in his message for the day to be marked on Wednesday, that the vast majority of vaccine doses administered so far, have been confined to “a few wealthy countries” or those producing the shots cleared for distribution.

“Within countries, illness and death from COVID-19 has been higher among people and communities that contend with poverty, unfavourable living and working conditions, discrimination and social exclusion”, said Mr. Guterres.

Countries forced to ‘watch and wait’

Thanks to the COVAX initiative, the UN backed international effort to provide equitable vaccines across the world, more countries are receiving doses, “but most people in low and middle income countries still must watch and wait”, the UN chief added.

“Such inequities are immoral, and they are dangerous for our health, our economies and our societies.”

86 countries reached

To date, COVAX has shipped more than 36 million doses to 86 countries, the UN Spokesperson Stéphane Dujarric told correspondents at UN Headquarters on Monday.

Algeria received more than 36,000 doses over the weekend from COVAX, he said, helping to accelerate the vaccination campaign already underway there.  

“The UN Resident Coordinator, Eric Overvest, said the new doses will help ensure that no one is left behind”, Mr. Dujarric added. “Our teams on the ground have helped to train healthcare workers, sensitize people on vaccines, and supported the cold chain. 

And in Laos, the country has vaccinated more than 4,000, including frontline healthcare workers, with doses received from COVAX, Mr. Dujarric told reporters.

The UN team, led by the Resident Coordinator Sara Sekkenes Tollefsen, is supporting the country’s vaccination campaign, which began on Friday.  

More than 130 million cases

As of 5 April, the World Health Organization (WHO) is reporting that there have been nearly 131,021,000 confirmed cases of COVID-19, including more than 2,850,520 deaths.

Up to the end of 31 March, there had been 547,727,346 vaccine doses administered worldwide.

Vaccines for all

“As we recover from the COVID-19 pandemic, we must implement policies and allocate resources so all can enjoy the same health outcomes”, said Mr. Guterres.

That will involve reaching the Sustainable Development Goals by 2030, he added, “and it means delivering universal health coverage so everyone, everywhere, can thrive.”

What is Airbnb farming and how could it improve food supply chains?
What is Airbnb farming and how could it improve food supply chains?

In 2011, amid Spain’s economic crisis, brothers Gabriel and Gonzalo Úrculo quit their jobs to return to the beautiful orange grove in Valencia where they had grown up to revive the family fruit business.

But they soon encountered problems. The low prices paid by supermarkets and other intermediaries made it almost impossible to make a living. On top of that, part of the harvest would always go to waste because they couldn’t sell it.

So in a bid to disrupt what they saw as an inefficient and opaque food supply chain, they came up with an idea to cut out the middleman and harvest fruit “on demand” for individual customers.

The brothers put their trees up for “adoption,” allowing people to pay for each tree’s care in return for receiving the harvest when it was ready. The customers knew they were getting good fruit from a small farm using sustainable methods. The farmers got a guaranteed price for a certain amount of fruit in advance of the season, allowing them to plan better and reduce waste.

In 2017, they expanded the idea outside of their own orange grove and launched CrowdFarming.com – a platform that works a bit like Airbnb for agriculture. Customers can log on, read about a farm, who runs it and the methods they use. They can then adopt a plant or part of a field to receive the harvest – whether it’s avocados from Spain, or potatoes from Germany, or even wine from France. If there’s any leftover, customers can also order boxes of surplus food.

The platform had been slowly growing in popularity but last year’s lockdowns gave it a massive boost. More people were turning to online grocery shopping or looking for new ways to make sure they could access fresh food. Sales tripled, and the number of farmers signed on to the scheme also doubled. CrowdFarming says it is now serving 200,000 households across Europe – particularly in Germany, Austria, France, and the Nordic countries.

“Europeans have been demanding more organic and sustainable products for years, and the pandemic has only accelerated this shift in consumer behaviour,” says co-founder Gonzalo Úrculo.

As for farmers, “many have seen their traditional sales channels collapse because of the coronavirus crisis.”

How does it shorten food supply chains?

CrowdFarming is ambitious. In its marketing materials, it insists it is “not trying to digitalise the traditional food supply chain. We are not an online supermarket. We are building technology for a new food supply chain that allows new experiences for consumers, stable income for farmers, and that rethinks the whole cultivation, harvest, and logistic process.”

It’s one of a spate of initiatives that have sprung up in recent years to “shorten” the food supply chain, offering customers more transparency about where their food is coming from and giving farmers respite from the pressures of supplying supermarkets.

Emerging models include community supported agriculture (CSA), where residents share the risks and rewards of the harvest with a local farmer through arrangements such as co-ownership or investment in a farm; and online farmers’ markets. It usually involves a distributor working with local farms to bundle items for the consumer.

CrowdFarming involves elements of both. “I think these hybrid models are becoming more popular,” says Danielle Nierenberg, president of the Food Tank, a think tank focused on fixing the food system, “whether it’s preventing food waste or supporting regional food systems.”

“These kinds of innovations were being developed pre-pandemic, but the need for farmers and food businesses to pivot is increasing their spread.”

Ordering in bulk requires ‘a mindset shift’

Operating across Europe, CrowdFarming offers a far bigger network than most online farmers’ markets or CSA models. Customers also don’t have to rely on options available in their local area. But there is no middleman to “bundle” items together – central to the goal of reducing inefficiencies is that customers buy directly from the farmers. That typically means buying in bulk.

“It requires a mindset shift on the part of the consumer,” says Abigail, 38, who works in tech in the U.K and has used CrowdFarming to adopt a sheep (receiving the cheese from its milk in return), an orange tree and a walnut tree.

“It was intimidating at the start… but it pushed me to think and research the ways in which people traditionally manage large harvests,” she says. While things like cheese and nuts can last a long time, she has had to learn how to dry, pickle and candy citrus fruit to preserve parts of her orders – skills she thinks others may have learned during lockdown too.

For Abigail, the past year increased the appeal of options like CrowdFarming because access to fresh food hasn’t felt so reliable. “I think understanding how much we rely on, for example, mainland Europe for our fresh fruit has expanded, and people want to explore ways they can take responsibility for their own food,” she says.

A relative newcomer to the idea, 44-year-old Karin Gstöttmayr who lives with her family in Switzerland, recently made her first order of a 4kg box of avocados. They came with storage instructions to help the fruit ripen gradually.

“It worked out perfectly,” she says. “We were able to stretch the consumption to almost three weeks. They were flawless and delicious.” Some customers also split large deliveries with friends and neighbours.

Karin puts the platform’s surging popularity down to a growing desire to make consumption “more conscious, to tackle climate change and to feel independent from the ‘big, evil corporations’.” CrowdFarming has a “very personal set-up” which fits this perfectly, she says.

What are the environmental benefits?

These social and environmental benefits are at the heart of what CrowdFarming claims to be doing. All the farms it lists are organic and have to meet certain sustainability requirements in terms of their production methods, packaging and working conditions.

Pandemic permitting, adopters can even visit the farms to check it out for themselves. The idea is that transparency incentivizes sustainable practices, and farmers can invest more in it because they are receiving a higher price for their produce.

Marco Jostmeier, a potato farmer in Germany who sells through CrowdFarming, notes that this level of transparency and personalization comes with “a huge amount of extra work” for the farmer. But for his team, being able to set their own price for their product and have a more personal relationship with customers means “we are happy to do it.”

“We believe that the bond between producer and consumer will strengthen in the future and that more consumers want to know where their food comes from,” Jostmeier says. “CrowdFarming is not the only way but… it is one good way.”

The online platform is much less local than many sustainable food models. Still, Úrculo argues that it is far more environmentally-friendly for European customers to buy avocados or mangoes from Spain than from South America or Asia, where these products would typically be shipped from.

“Transportation represents 6 per cent of total greenhouse gas emissions in EU food-chains,” he says. “The most important factor is what we cultivate and how we do it.

“A short, fast, and efficient supply-chain reduces energy consumption and thus CO2 emissions.”

While the social and environmental impacts can be hard to unpick, Karin and Abigail say they hope they are contributing to a positive change – even if in a small way.

“Eating oranges thousands of miles from their origin is always going to come at some cost … but what I’ve read and experienced is sufficient to suggest to me that I am making reasonable enough choices,” says Abigail.

Karin agrees. The social and environmental benefit “is important to me,” she says. “I hope I am supporting a good cause here enjoying guacamole.”

Every weekday, Euronews Living brings you a cutting edge, environmental story from somewhere around the world. Download the Euronews app to get an alert for this and other breaking news. It’s available on Apple and Android devices.

Secretary-General welcomes US decision to lift sanctions against ICC officials
Secretary-General welcomes US decision to lift sanctions against ICC officials

President Joseph Biden on Friday revoked a Trump-era executive order issued after the ICC announced it was investigating alleged war crimes committed by all sides in the conflict in Afghanistan, including the US.

Executive Order 13928 of 11 June 2020 imposed economic sanctions against ICC Prosecutor Fatou Bensouda and the Head of the Jurisdiction, Complementarity and Cooperation Division, Phakiso Mochochoko.  A separate 2019 policy regarding visa restrictions on certain court staff was also terminated. 

“These decisions reflect our assessment that the measures adopted were inappropriate and ineffective”, US Secretary of State Anthony J. Blinken said in a statement.

In welcoming the decision, the Secretary-General noted that the ICC “plays an important role in advancing accountability for international crimes”, his Spokesperson, Stéphane Dujarric, said in a statement on Saturday.

Ready to re-engage

The Court, which is based in The Hague, in the Netherlands, prosecutes the most serious crimes of concern to the international community, such as genocide, war crimes, and crimes against humanity.

It was established in July 1998 under a treaty known as the Rome Statute, which more than 120 countries have signed. The US is not a party to the treaty.

The ICC also issued a statement on Saturday welcoming the developments from Washington.

“The Court is mindful that the United States has traditionally made important contributions to the cause of international criminal justice,” the statement said.

“The Court stands ready to reengage with the US in the continuation of that tradition based on mutual respect and constructive engagement.”

China agrees to import Pakistani meat after lifting restrictions
China agrees to import Pakistani meat after lifting restrictions

KARACHI: China has allowed a Pakistani firm to export meat to one of the world’s biggest markets after lifting quarantine restrictions, although the neighbouring country expressed concern over hurdles in bilateral economic relationship, it was learnt on Friday.

The Organic Meat Company received an approval from Chinese customs authorities for export of heat treated meat to China.

“The company has pioneered the heat treatment process whereby foot and mouth disease virus can be removed from beef meat,” the company said in a filing with the bourse. “This process will enable us to access more markets for value-added meat products.” China is one of the world’s largest beef consumers and that imports half a million tons annually to reduce gap in demand and supply.

Chinese authorities had imposed quarantine restrictions on Pakistan’s meat which has the world’s lowest price. Pakistan exports beef to Vietnam in bulk and from there it enters into China without any restrictions, according to the Federation of Pakistan Chambers of Commerce and Industry President Nasser Hyatt Maggo.

Maggo lamented the bilateral trade figures are not reflecting the narrative of close friendship. There are multiple hidden tariff barriers imposed on trade with Pakistan.

“We don’t have direct relations with importers in China,” he said during a meeting with Chinese Consul General in Karachi Li Bijian and Economic and Commercial Counselor Guo Chunshui.

“China should give Pakistan its due share in Chinese imports to let Pakistani businessmen take benefits by exports to China.”

Javed Ilyas, chairman of Pak-China Business Council said bilateral trade was $18 billion in 2019 after signing of second phase of free trade agreement. Of this, Chinese exports were $16 billion while imports from Pakistan were only $1.9 billion as Pakistani businessmen faced barriers from China.

Amjad Rafi, former president of Karachi Chamber of Commerce and Industry said Pakistani basmati rice is best in the world and in much demanded in Europe. Indian Basmati was banned in the European Union and Pakistan exported $2 billion basmati last year, but Chinese authorities imposed quota on basmati rice.

“If Pakistani exporters are allowed free dealing in China the trade ratio could be enhanced many times,” Rafi said.

The participants discussed the matter of mutual interests and the state of affairs in China-Pakistan Economic Corridor.

Bijian said there are various hurdles in business relations between Pakistan and China. He expressed concerns over safety and security situation for Chinese businessmen and workforce in Pakistan. He also complained about inconsistent economic policies of the government.

Lack of basic infrastructure is also harming trade and industrial relations, he said. Unskilled labours are damaging the business environment. “We spend our money, effort and time in training the labour but after some time they change their loyalties.”

The envoy said Gwadar government has not built any power plant. China is establishing its own electricity sources, which would take time. Karachi is the largest port city “that suits us.”

First Person: A diabetes fighter in Eswatini pours all her efforts into beating COVID-19
First Person: A diabetes fighter in Eswatini pours all her efforts into beating COVID-19

“Our association trained over 300 caregivers, who can empower other community leaders, and ensure that their support groups are effective. In addition, we led an initiative to train a total of 48 rural health motivators in five chiefdoms in the region of Shiselweni, and another group of 20 rural health motivators was trained in the Lubombo region.

WHO/Daniel Toro

Eswatini : How the world’s highest HIV-prevalence country turned around, and in record time.

A lack of medication

Even though the lockdown negatively affected our operations, we managed to visit health centers across the country, and we soon discovered that most rural clinics did not have relevant and adequate medication, so we pressed for more of them to made available, working closely with the Ministry of Health.  

We have also been in close contact with the United Nations: the UN country team in Eswatini has intensified its effort to help the government procure sufficient stocks of medical supplies at health care facilities in response to the coronavirus pandemic, and the World Health Organization (WHO) has supported Diabetes Association Eswatini in developing information and educational materials, helping us to communicate a wide variety of critical issues such as nutrition, coping mechanisms, and prevention.

WHO/Daniel Toro

Eswatini : How the world’s highest HIV-prevalence country turned around, and in record time.

Creating opportunities out of the COVID crisis

When I was diagnosed with diabetes in 2005, I didn’t know how to deal with my condition, and there was no help readily available. I was in a coma for three days and, when I woke up, I told myself that I was going to learn everything there was to learn about this disease. Since then, nothing has stopped me from going the extra mile to fulfil my purpose: spreading my knowledge and helping other diabetic patients. Not even COVID-19.

In this time of economic crisis, we are also helping people with diabetes to improve their livelihoods. For example, I mobilized a group of women in my community to start a textile and handicraft business. I was lucky enough to successfully convince local textile companies to donate waste material to us, that we recycle to produce a lot of useful products that we then sell to the community, including facemasks, soaps and sanitizers.

And we have other plans to help unemployed young people to make a living: a branch of the association in Shiselweni, located in the south of the country, has embarked on a project to establish a vocational centre that will provide them with this skills they need. 

We must create a stronger health system to meet the needs of people living with diabetes. There’s a lot of work to do if we are to have a healthier future in Eswatini: we need to invest more in prevention, early diagnosis, screening, treatment, and rehabilitation.”
 

Use COVID-19 recovery to make inclusion ‘a reality’, UN chief says on World Day
Use COVID-19 recovery to make inclusion ‘a reality’, UN chief says on World Day

“The crisis has created new obstacles and challenges. But efforts to reignite the global economy offer an opportunity to reimagine the workplace to make diversity, inclusion and equity a reality”, Secretary-General António Guterres said

“Recovery is also a chance to rethink our systems of education and training to ensure that persons with autism are afforded opportunities for realizing their potential”, he added. 

Breaking ‘old habits’ crucial 

Mr. Guterres also emphasized that breaking old habits will be crucial. For persons with autism, he added, access to decent work on an equal basis requires creating an enabling environment, along with reasonable accommodations. 

“To truly leave no one behind in pursuit of the 2030 Agenda on Sustainable Development, we must realize the rights of all persons with disabilities, including persons with autism, ensuring their full participation in social, cultural and economic life”, he said. 

“Let us work together with all persons with disabilities and their representative organizations to find innovative solutions to recover better and build a better world for all.” 

Inequalities worsened by COVID-19

According to the UN World Health Organization (WHO), one in 160 children has an autism spectrum disorder (ASD). ASD begins in childhood and tends to persist into adolescence and adulthood. 

Intervention during early childhood is important to promote the optimal development and well-being of persons with an ASD, WHO added, emphasizing the importance of monitoring of child development as part of routine maternal and child health care. 

While some individuals with ASD are able to live independently, others have severe disabilities and require life-long care and support. Persons with an ASD are also often subject to stigma and discrimination, including unjust deprivation of health care, education, protection under law, and opportunities to engage and participate in their communities.

The World Day

The World Autism Awareness Day, to be commemorated annually on 2 April, was established in December 2007 by the UN General Assembly, which affirmed that “ensuring and promoting the full realization of all human rights and fundamental freedoms for all persons with disabilities is critical to achieving internationally agreed development goals”. 

The General Assembly also highlighted the importance of early diagnosis and appropriate research and interventions for the growth and development of the individual, and called for efforts to raise awareness throughout society, including at the family level, regarding children with autism. 

Nature Bio Foods BV inaugurates futuristic organic food processing plant in Netherlands
Nature Bio Foods BV inaugurates futuristic organic food processing plant in Netherlands

Nature Bio Foods BV (NBF BV), a 100% subsidiary of Nature Bio Foods (NBF) India, one of leading organic food producers and a subsidiary of LT Foods on Wednesday announced the inauguration of its futuristic organic food processing plant at Maasvlakte near Rotterdam, Netherlands.
The new state-of-the-art integrated organic ingredients processing facility of Nature Bio Foods is another step in the company’s efforts to provide organic food ingredients to customers through a sustainable supply chain.

Nature Bio Foods BV offers a vast bouquet of quality organic food ingredients, which are directly sourced from sustainable organic farms of India, Africa, and other Asian countries. NBF in the past few years has set-up its distribution channels in the US and Europe to fortify its business model and other existing networks across geographies.

Strengthening its establishments further, Nature Bio Foods has setup now food processing capabilities in EU which would allow it to reach its customers and brands directly.

The inauguration of the new state-of-the-art line was presided over by the Ambassador of India to the Netherlands Mr. Pradeep Kumar Rawat.

Commenting on the occasion, chairman Mr. V K Arora said, “Nature Bio Foods has had an impeccable legacy in supplying quality organic food ingredients to its customers in some of the most regulated & demanding markets across the globe. We take immense pride in adding yet another induction of latest technology in our Rotterdam facility which is in-line with the long-term vision of the Company to expand and strengthen its organic business in Europe.”

COVID-19 origins report inconclusive: We must ‘leave no stone unturned’ – WHO chief
COVID-19 origins report inconclusive: We must ‘leave no stone unturned’ – WHO chief

“This report is a very important beginning, but it is not the end”, said WHO Director-General, Tedros Adhanom Ghebreyesus. “We have not yet found the source of the virus, and we must continue to follow the science and leave no stone unturned as we do.”

He welcomed the findings of the 34-member team, which in January, visited the Chinese city of Wuhan where the first cases of the then new coronavirus came to light at the end of 2019.

But the WHO chief was clear that overall, it raises “further questions that will need to be addressed by further studies, as the team itself notes in the report.”

He noted that although much data had been provided, to fully understand the earliest cases, they would need access from Chinese authorities “to data including biological samples from at least September” 2019.

“In my discussions with the team, they expressed the difficulties they encountered in accessing raw data. I expect future collaborative studies to include more timely and comprehensive data sharing.”

Animal markets’ role, ‘still unclear’

Tedros welcomed the recommendations for further studies to understand the earliest human cases and clusters, and to trace animals sold at markets in and around Wuhan, but “the role of animal markets is still unclear.”

The team confirmed there had been widespread contamination in the large market of Huanan but could not determine the source of this contamination.

“Again, I welcome the recommendations for further research, including a full analysis of the trade in animals and products in markets across Wuhan, particularly those linked to early human cases”, he said.

He agreed that farmers, suppliers and their contacts should be interviewed, and that more study was needed to identify what role “farmed wild animals may have played in introducing the virus to markets in Wuhan and beyond.”

Lab leak theory not ruled out

The team also visited several laboratories in Wuhan and considered the possibility that the virus had entered the human population as a result of a laboratory incident, noted Tedros.

“However, I do not believe that this assessment was extensive enough. Further data and studies will be needed to reach more robust conclusions”, he said.

“Although the team has concluded that a laboratory leak is the least likely hypothesis, this requires further investigation, potentially with additional missions involving specialist experts, which I am ready to deploy.”

As far as WHO is concerned “all hypotheses remain on the table”, he told the Member State briefing on the report in Geneva.

“Finding the origin of a virus takes time and we owe it to the world to find the source so we can collectively take steps to reduce the risk of this happening again. No single research trip can provide all the answers.”

Here are the 10 best places in the world to retire
Here are the 10 best places in the world to retire

If you’re considering retirement abroad, you need information, and you need lots of it. But more than that, you need guidance on how to interpret that information. That’s what we’re here for, and that’s why we’ve compiled the 2021 Annual Global Retirement Index: to help you with the exciting business of choosing where in the world will best suit your needs.

When it was first conceived, our Retirement Index was our special way of coping with an embarrassment of riches. At that stage, IL had already spent over a decade exploring all manner of dream locales. The result was a huge and exciting variety of choice and opportunity. Fast-forward to 2021.

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Three decades have gone by, during which our scouts have scoured every corner of the globe many times over. The result is a much bigger and ever-growing selection of outstanding destinations where you can live a healthier and happier life, spend a lot less money, and get a whole lot more.

But how do you choose?

The Retirement Index is the most comprehensive and in-depth survey of its kind. It’s the best way we know of to sift through the wealth of opportunity the world offers, bring some order, and help you pinpoint the best destination for you.

Our index is informed by hundreds of opinions and real-life experiences—information—compiled by our trusted sources in the best retirement destinations across the globe. We think of it as a tool for you, our reader. A way for you to quickly compare and contrast your best options and begin to narrow down your choices.

We have our people out there pounding the pavement in attractive overseas communities we know you should consider. They’re reporting back to us with insights, and information about what’s really going on. They’re not beholden to relocation service providers or real-estate agents or tourism boards or economic development organizations. They work for you.

In no way is our Global Retirement Index meant to be a scientific output. It’s designed to be a useful tool for people, constructed out of real-world, on-the-ground information interpreted through a lens of well-informed experience and opinion.

Our sources are living in the places where they’re gathering their intelligence. And we trust their judgment. If they say the healthcare is good, or that a meal for two in a nice restaurant costs $20, then we believe them.

Our intention with this index is that it be genuinely useful. We’re not looking for random input from random people around the world—you can get that with a simple internet search. Instead, we’re in the business of providing sound recommendations about a refreshingly limited number of options.

Beyond data, it offers information, opinions, perspective and guidance.

   What has their research revealed about the best retirement havens in 2021? Read on…
10. Vietnam By Wendy Justice “You’ll know within 36 hours of coming here whether you love it or not,” says 65-year-old Redwood City, California expat Deb Aronson. “I knew within three months of being in Vietnam that this would be my home. It captured my soul.” That was 21 years ago, and she’s still under the spell. She’s one of a growing number of expats who lives long term in Vietnam. I’ve lived here for 10 years now—in the coastal resort city of Nha Trang, in the progressive and delightfully livable city of Da Nang, and currently in Hanoi, Vietnam’s 1,010-year-old capital city. When I’m not at home, I’m often exploring other parts of the country—the wild, remote mountains of the far north, the pristine beaches of the central coast, the waterfalls and pine forests of the Central Highlands, and the skyscraper-filled skylines of Vietnam’s rapidly developing cities. Vietnam’s meteoric rise has been nothing short of phenomenal. It’s hard to imagine that this war-torn nation of 40 years ago has developed into the world’s fastest-growing economy in 2020. The signs of growth are everywhere: high-rise condos and gated communities with private yacht clubs and international schools, shiny new hospitals with all the latest equipment, controlled-access freeways, and even the occasional Rolls Royce. Despite the development that you see in every town and city, Vietnam hasn’t sold its soul. Ancient traditions, like the burning of offerings on the full moon and exotic ceremonies honoring the Mother Goddess, are still very much a part of life here. The ornate mansions left behind by the French during their lengthy occupation house embassies, government offices, and fancy restaurants now. The many parks and streets lined with century-old shade trees—also a legacy of the French—give a certain European grandeur to Vietnam’s urban areas. Glitzy shopping malls with the latest fashions and electronics compete with cavernous traditional markets selling gallon-size jugs of ginseng, traditional medicines, and $2 jeans. Elegant restaurants serving fresh lobster and Wagyu steak sit alongside humble street food stalls selling spring rolls and chicken soup. The rising middle class have no issues taking a meal at either place; they’re happy to splurge on occasion, but nothing quite compares to sharing a humble kettle of “hot pot” in the company of friends and family. Vietnam may be growing in leaps and bounds, but for retirees looking for a delightfully comfortable lifestyle, it remains one of the least expensive countries on earth. Couples who have made their homes in the mountain town of Dalat say they’re not sacrificing a thing to stay within a budget of $800 per month or less, and expats in Nha Trang rave about spending $1,000 per month and “living rich.” Even in the most expensive cities—Hanoi, Da Nang, and Ho Chi Minh City (Saigon)—you can live comfortably for less than $1,500 per month. 70-year-old Texas native Larry Chilcoat has lived in Dalat since 2018. He says, “I’m able to live well on just my social security alone. My monthly budget, with travel and everything, is $800 to $1,000 per month and I don’t hurt for anything–I have everything that I want and need. Things are so reasonable here.” The Vietnamese language is notoriously difficult to learn. Fortunately, the Vietnamese know this and are thrilled if you attempt to speak just a few words of the language, no matter how badly you might mangle it. Many locals speak excellent English, especially in urban areas. Vietnam scores well on the English Proficiency Index—higher than most other Asian and even Latin American countries. They are also eager to practice their English skills; many friendships are formed through informal language exchanges. That’s one of the things that makes Vietnam stand out from other countries: it’s an easy place to make local friends. Age isn’t a barrier here, either. One retired couple I met in Da Nang said that they were invited to their neighbor’s high school prom. My best friend is my daughter’s age. Whether they’re hoping to practice their English or simply curious about seeing a new face in town, the Vietnamese aren’t shy about initiating conversations. They’ll ask your name, your age, whether you’re married and if so, how many children you have and their ages. Before you know it, you’re invited to their house for dinner or to visit their ancestral home in the countryside. Many expats are drawn to Vietnam for its beaches, which stretch more than 2,000 miles along the entire length of the country. Places on the central coast like Da Nang, Hoi An, and Nha Trang have exceptionally pretty beaches, while offering residents the benefits of city life, too. In other places, such as the south-central village of Mui Ne and the southern island of Phu Quoc, the laid back lifestyle is centered around the coast. Wherever you are in Vietnam, you’re never far from quiet, rural roads, stunning mountain scenery, and tiny hamlets where life hasn’t changed much in the past century. It’s a country that invites exploration and adventure; scenic wonderlands like Halong Bay and Sapa, minority villages overlooking terraced rice fields that extend to the horizon, and the world’s largest caves attract tens of thousands of visitors. Vietnamese cuisine is delightfully regional, with savory broths in the north, spicy noodles in the south, and incredibly delicious dishes and specialties that are found in only one town or village in the entire country. The food is fresh and healthy, with complex flavors expertly blended to create unique dishes. The country is also famous for its coffee—strong, rich, and locally grown, it’s a source of pride for the Vietnamese, who are its biggest consumers. Vietnam is a regional travel hub. Several international airports serve regional destinations, while airports in Hanoi and Ho Chi Minh City offered flights to all major global destinations, including direct, non-stop flights to the U.S., and likely will again, once borders reopen. Budget carriers like VietJet Air, Pacific Airlines, and Bamboo Airways offer ridiculously low promotional fares, while the signature carrier, Vietnam Airlines, has full-service flights.Get Your Free Report on the World’s Best Places to Retire: 9. Malta By Mary Charlebois Sitting right at the heart of the Mediterranean, Malta blends the best of southern-European graciousness with one of the best qualities of life to be found in Europe. First-World standards of service and infrastructure, a wealth of historical and architectural treasures from its eons of history, and the sparkling Mediterranean—all in a country one-tenth the size of Rhode Island—ensure that this tiny island will keep you occupied. Malta has three islands, Malta, Gozo, and Comino. The three islands have a total of 122-square miles, with a population of just over 500,000 people. Malta and Gozo are populated, while Camino is virtually uninhabited, having only 1.35-square miles of land. The weather is stable and the same everywhere in Malta. The average temperature is 72 F. Malta has one of the highest numbers of sunshine hours per year in Europe. Blue skies appear most every day. Cool north-westerly and dry north-easterly winds make life sweet. Malta’s ancient cities and villages were laid out to catch the prevailing breeze. Natural air conditioning flows down narrow streets, cooling apartments and houses through windows and vents in the sandstone. Whether it’s a lazy day on the beach or an afternoon exploring, there is plenty to see, do, and taste. Explore megalithic temples, bronze-age burial sites, age-old salt farms, spectacular churches, museums, and fortified cities. Immerse yourself in local fiestas and celebrations for crops, fishing, seasons, Village Saint Day, and more. Local, fresh, high-quality food is the standard in Malta. A trip to the market will seem a bargain. Supermarkets carry a wide variety of local and imported food. Better yet, are village shops, bakeries, greengrocers, fishmongers, and butchers. Prices are up to 25% less than in the U.S. Meals in cafés and restaurants cost less than in the U.S., too. From traditional street food to fine European dining, the quality is excellent, and the value is remarkable. A street food traditional pizzette lunch and a local Cisk beer will run around $2.60. A three-course dinner with a bottle of local wine and dessert in a village café will cost about $30 per person. Housing in Maltese cities is more expensive than in the countryside. Harbor or beachside living will cost a bit more. A modern one-bedroom apartment, fully furnished, including utilities and Wi-Fi, can run as low as $460 per month. A fully furnished four-bedroom classic villa with a pool, gardens, and stunning views is closer to $1,930 a month. There are bargains to be found on Gozo, especially for long-term renters. These are small islands so a car really isn’t needed. Public transportation in Malta is efficient and inexpensive. A monthly bus pass is $26. Lower rates are available for seniors and residents. Round-trip ferry tickets to Gozo are $6.15. Permanent residents pay $1.50. Ferries are free for permanent residents 60 and over. Taxis, car rental, and rideshare transportation are ubiquitous. Malta has modern, high-quality healthcare. It’s a popular medical tourism destination. Maltese citizens have a choice of free public healthcare or paid private facilities and physicians. Permanent residents can take advantage of discounts available in the private sector with the right type of insurance. Malta is a dual-language country, both English and Maltese. English is taught in schools and spoken by everyone. Maltese is a Semitic language heavily influenced by a mix of Arabic, Italian, English, and a bit of French. Maltese language classes are readily available in local schools. Permanent residency is easy to obtain for 12 months at a time. The status can be obtained by non-E.U. citizens with an application and a small fee made in person in Valletta. It can be renewed each year. One of the best reasons to live in Malta is its location. It’s 60-miles south of Italy, 176-miles east of Tunisia, and 207-miles north of Libya. A short flight away is—Greece, Turkey, Syria, Israel, Egypt, Algeria, Morocco, Spain, France, and many more. This tiny island nation in the center of the Mediterranean and the crossroads of history is surrounded by Europe, the Middle East, and Africa. All are a ferry ride or a short flight away. Malta is ideal for travel to Europe, Africa, and the Middle East. But the best part will be living the charming, easygoing Maltese way of life.
   <strong>8. France</strong>
By Tuula Rampont France is a dynamic, diverse country that offers retirement options for every taste and budget. If you’re a fan of fine European-living, look no further than this gourmet and cultural gem. From the flowing lavender fields of Provence to the charming cafés of Paris and the stunning scenery of the Brittany coast, opportunities for a rich, fulfilling retirement can be found throughout the country. While France keeps pace with modern times, much of its attractiveness lies in the time-honored traditions practiced throughout the country. Long lunches with fine bottles of wine, or picnics among the local vineyards, are examples of the joie de vivre that comes with living in France. Life is never rushed, and great care is taken to ensure that each day is lived to the fullest. You’ll find it at your local village café, where friends share a café au lait and a croissant before heading out to do their morning shopping. A visit to the farmers market is one of the most important stops of the day. Market stalls are piled high with the freshest seasonal fruits and vegetables—each beautifully displayed with the finest local products. No detail is overlooked. The cheesemaker (fromagerie) spreads out several goat cheeses prepared at a nearby farm, while the baker (boulanger) sets up a selection of freshly-baked fare—rustic baguettes, flaky pain au chocolats, and specialty bread like black-olive filled fougasse (a pretzel-like specialty from the south of France). Each artisan takes immense pride in their work, as they have done for generations. The wine merchant (cavist) can speak for hours on the importance of location (terroir) when it comes to grape-growing and will make sure you have the perfect wine pairing for your meal. The French passion for cuisine is infectious, and life in la belle France will provide you with access to its many gourmet pleasures. Although it all may sound a tad sophisticated, enjoying the French lifestyle doesn’t have to be expensive. While retiring in one of the country’s larger cities (Paris or Lyon, for example) will be a costlier option, France is full of affordable regions. A couple can live comfortably for $2,083 to $2,483 a month—with some retirees living on less than $2,000. The real day-to-day savings comes from housing costs, where, in certain areas, you can find two-bedroom, one-bathroom homes for under $150,000. While you can hit on these bargain prices in different pockets around the country, the most popular destinations (which combine attractive real estate deals with a high standard of living) include Normandy, Brittany, the Dordogne, and areas within Occitanie (formerly the Languedoc). Healthcare costs are also a huge factor when considering a move to France. Frequently cited as one of the top healthcare systems in the world, residents enjoy high-quality care at cut-rate prices. After living here for three months in the country, expats are eligible for universal coverage. Under the French system, members are reimbursed 70% of doctor’s visits and up to 100% on prescription drugs. Given that a visit to the doctor is $29, out-of-pocket costs are around $9—a 70% discount. Prices are fixed by the government, so you’ll pay the same $9 to see a doctor in Paris, Nice, or Strasbourg. There are no age restrictions or pre-existing condition limitations, everyone is eligible for healthcare. While you’ll pay a small percentage of your annual income to join, passive income (pensions and social security benefits) is exempt from the charge due to a tax treaty with the U.S. Besides its tempting lifestyle and impressive social system, France is a traveler’s paradise. Each region is more beautiful than the next, and with the country’s efficient, high-speed rail service, exploring the best of France is only a train ride away. As one of the world’s most captivating cities, Paris may be a pricey retirement choice, but it makes for a wonderful travel stop. From world-class cuisine to classic bistros and head-turning fashions, the City of Lights is one of the top draws for considering a move to France. And, it’s all a lot closer than you may think. Aix-en-Provence, a popular retirement destination in the south of France, is less than four hours away by TGV (high-speed) train. To the east, Alsace and Lorraine are refined regions that captivate with their cozy, flower-laden villages and half-timbered homes. A hop, skip, and a jump from the German border, the cuisine is hearty and the people gracious and welcoming. History buffs will be drawn to the seafaring regions of Normandy and Brittany. Beyond a rich, cultural heritage, these maritime strongholds provide some of the most picturesque scenery in all of France. Beautiful seaside towns like St. Malo and Dieppe are delightful getaways and tempting retirement locals. The sun-drenched regions of southern France have elevated easy-living to an art form. Splash out like a celebrity at lavish Côte d’Azur resort cities like Nice, St. Tropez, and Cannes or head to the “other” south of France—Provence and the Occitanie regions. Here you’ll find France at its most open and exuberant. Leaning heavily on Spanish influences, the university towns of Toulouse and Montpellier are full of the “fiesta” attitude. Life is meant to be lived out-of-doors, and you’ll discover residents soaking up the sun on café terraces around town—a chilled glass of rosé and a few spicy tapas make for the perfect southern happy hour. Many other fascinating areas exist for travel or retirement. Bordeaux and Burgundy attract wine-lovers from near and far, while the Loire Valley and the Dordogne offer stunning castle-filled views and lush, romantic landscapes. In France, there’s no shortage of things to keep you busy and you’ll find an endless list of hobbies and activities to take part in—cooking lessons, arts and crafts, outdoor clubs, and volunteer opportunities, to name a few. Whether retirees decide to settle along the beaches of the Mediterranean or take up residence in a charming hilltop village lost in the vineyards of Provence, France provides an idyllic retirement for those seeking the best of European living. 7. Malaysia By Keith Hockton Cities with a buzz, idyllic beaches, islands that seduce the senses, and some of the most pristine ancient rainforests in Southeast Asia—this is Malaysia. And these are just some reasons why I call it home. It has everything. Its weather is a tropical 82 F all year round and its beaches, islands, and jungles are pristine. It has some of the region’s best street food, great restaurants, bars, shopping malls, and movie theaters—and it’s all affordable. My wife, Lisa, and I vacationed in Malaysia in 2008 and at that stage, we were taking at least two holidays a year somewhere in Asia. When we got back and did the sums we realized that we could actually live in Malaysia and vacation back home, effectively reversing our situation and saving a heap of money. We started to make plans to do just that and moved to Penang in early 2010. Malaysia’s an easy place to make friends and integrate as English is the unofficial first language, so you don’t have to learn another language here if you don’t want to. Malaysian law is based on the British system and all road signs are in both English and Malay, which makes driving around easy. Lots of expats live in Kuala Lumpur and Penang and numerous organizations here can help you get settled and integrated. On $2,500 a month, a couple can live extremely well, rent in a modern high-rise with a pool, a gym, 24-hour gated security, covered car space or two, a shared communal area with a barbecue, and it will cost between $750 to $1,000 per month. For that price, you will get a modern 2,300-square-foot condo with three or four bedrooms, three to five bathrooms, and a balcony overlooking the ocean. If you don’t care to live with a view, or by the beach, you can rent a two- or three-bedroom place for about $550 to $650, which means you could easily live on less than $2,000 a month. As for healthcare, when you compare surgery prices between the U.S. and Malaysia, the benefits are obvious. More than 1 million foreigners seek treatment in the hospitals in Penang and Kuala Lumpur every year. There are specialists in every hospital, but unlike in the U.S., you don’t have to wait for months to get an appointment. Just turn up to the hospital, register, then take a number and wait your turn. If you are then referred to another doctor or need to get an X-ray or scan, that will also happen on the same day in the same place. Prescriptions in Malaysia cost a fraction of what you pay at home. But it’s not just the cost that’s attractive; it’s the service. The pharmacists, like the rest of Malaysia’s medical staff, are well trained and informed. Malaysians are friendly people, but it’s the genuine interest that they take in you, no matter how small or large the issue, which impresses. It takes you back to a time when personal service meant something. That same service is alive and well here. There are direct flights to more than 30 different countries from Kuala Lumpur and Penang international airports. The country makes a perfect base from which you can explore the innumerable natural, historical, and cultural treasures that Southeast Asia has to offer. The proliferation of cheap Asian airlines in recent years has made it easier (and more affordable) than ever to explore ThailandIndonesia, India, and Japan. In Malaysia, Asia is truly at your doorstep. There are plenty of international grocery stores around as well, Tesco is one of the more popular ones, and you don’t have to forfeit your little tastes of home, like good cheese and French wine. In all the major cities, there are movie theaters playing the latest Hollywood flicks, and fantastic air-conditioned shopping malls to get your retail fix. Making friends and meeting new people in Malaysia is easy. The locals are kind and curious about what expats and tourists think of their country. They are proud of being Malaysian, and second to asking where you are from, is the question, “have you eaten yet?” Food is a crucial part of the culture throughout Malaysia, so it isn’t uncommon for your taxi driver, store clerk, or hairstylist to tell you where to go for the best plate of noodles. 6. Ecuador By Donna Stiteler Ecuador is the land of diversity. Whether you want to live, vacation, retire, or simply relax in Ecuador, you’ll find the perfect combination of climate, culture, and affordability to make your dreams come true. It’s a country Anthony Bourdain described as “a republic on the equator lying on the west coast of South America and is the 2nd smallest country on the continent. With 1,200 miles of beach, one of the world’s highest active volcanoes, and the Galápagos Islands, it is one of the most ecologically diverse places on the planet.” Ecuador is a largely undiscovered country not yet gentrified but still offering the conveniences of modern living including high-speed fiber optic internet, American dollar currency, temperate weather, good public transportation, and affordable healthcare and housing.  It has a tranquillo culture where manana means sometime in the future, and people welcome each other with cheek kisses and deep hugs. It’s often described as a trip back to the 1950s, only now the indigenous men in tribal dress pulling donkeys on long ropes are talking on iPhones. Walk down any major city street and you will see a mix of indigenous, Spanish descendants, mixed ethnicities, North Americans, and Europeans. Because of its unique geological topography with the equator creating temperate weather, you can live on the beach and enjoy cool sea breezes which makes the weather in the 70s and mid-80s. Or settle in the Andes, where the equator places the mountains closer to the sun, making even locations at 8,000 altitudes produce weather in the 60s–70s F. Visit the beaches and you can sit on the shores of Puerto Lopez and whale watch while you enjoy a pilsner and eat freshly made ceviche in beachside canopies. Venture north on the coast and you’ll encounter small sleepy coastal towns that attract expats wanting to escape the rat race, surfers, and hippies riding bicycles in towns like Montanita. Further north is the launching point to explore the Galápagos Islands and its famous blue-footed boobies and giant green tortoises. On the southern coastal tip of Ecuador is Salinas, a modern oceanside town known for its party bars, seafood, and year-round fiestas. Head inland and you’re in the Andes, where you can zip line over mountain valleys, white water raft, get purified by Shamans, and shop for colorful textiles loomed by the indigenous. Many expats settle in Quito or Cuenca to enjoy the 16th century Spanish colonial and 18th century French Republican architecture which earned these cities UNESCO Heritage site designations. Both these colonial towns offer modern conveniences and have a booming tourist industry. Their stone-laden streets are lined with shops, chic bars, and restaurants tucked into scenic historic buildings. Go east into the Amazon rainforests and you can paddle down the Puyo river where you’ll see the indigenous tribes who live on the river with their children, who hoist blow dart guns to test their aim. Expats are scattered all over Ecuador depending on their lifestyle choices. Larger expat communities are in Salinas, with its beaches lined with modern condos; Cotacachi, a small sleepy village where craftsman make everything from leather goods to alpaca ponchos; Cuenca, the modern Andean town which is the cultural center of Ecuador, where music, art, and New Orleans-style architecture attracts visitors from around the world; and Vilcabamba, the home of the Valley of Longevity known for its indigenous centurions and laid back expats who sit outside at cafés trading philosophies. While I appreciate the natural beauty and the mix of indigenous, Incan, and Spanish culture, one of my favorite benefits is the affordable lifestyle. There are few places where living is as affordable as in Ecuador. There is something for everyone, regardless of your budget. Consider that you can own a home on a Pacific Coast beach or a condo with great views in the Andes for less than $150,000. Rentals are plentiful and affordable too with a two-bedroom, two-bathroom condo available in downtown Cuenca for $500. A couple can live here for anywhere from $1,650 to $1,825 a month, depending on location and lifestyle. Since the land produces excellent food, mostly with year-round growing seasons, prices at local mercados are so low, it is difficult to carry more than $15 worth of fruits and vegetables. Household help is available for $20 per day, and services like pedicures and haircuts are just a few dollars. No need for heating and cooling bills in most of the country, and you can live most places without a car, paying 30 cents or less for buses, and $2 to $5 for cab rides. There are tight-knit active expat communities and many activities to get involved in—day trips to nearby towns, card games, dinner clubs, trivia, art classes, hikes in the Cajas, and long lunches with friends. Every day I get up and have a choice of what I’d like to do. Living in Ecuador has given me the retirement I could only have dreamed about if I had stayed in the U.S. 5. Portugal By Terry Coles It’s no wonder that Portugal has topped the charts for the best places to retire through the years. This tiny country in the southwest corner of Europe has something for everyone. Vibrant cities full of Old World charm, miles of golden sandy beaches, green, rolling hills, some of the best healthcare in the world, low cost of living, and safety. But for me, the best part about living in Portugal is the people. The Portuguese people are warm, friendly and greet everyone with double-cheeked kisses. Since English is taught in the schools, many Portuguese speak some English, which makes retiring here a little easier. Last year my husband Clyde took our car into a service center for an oil change. To pass the time he went next door to a family-run café for a cup of coffee. The lady of the house was in the next room preparing to serve lunch to her family and insisted that Clyde join them. Since he had already eaten, he declined but had to smile about her generous offer. If you are looking to retire in a city full of Old World charm, check out Lisbon. The city comes alive with colorful tiles, museums, palaces, nightlife, and a tram system that navigates the steep, cobbled roads. Take a deep breath and inhale the sweetness of the pastries that are all around. Sample an original custard tart in the famous bakery of Belem that has been baking these delectable treats since 1837. Head north to visit Portugal’s second-largest city, Porto. Famous for its production of port wine, stately bridges, a colorful riverfront area, university vibe, and tours along the Douro river, there is much to explore. Porto also has an international airport, one of three in the entire country which makes it easy to come and go. Looking to retire and live without a car? Then city life in either Lisbon or Porto might be for you. Portugal has an excellent long-distance bus and train system also making it easy to visit other areas of the country. South of Lisbon is the Alentejo region that includes the cities of Beja and Évora. The largest and most rural region of the country, it is famous for the fields of wildflowers, stately cork oaks, historic towns, and a sparse population. Life here is slow, winters are cool, and summers are hot and dry. The southernmost region of Portugal is the Algarve. Known for its Atlantic beaches, fishing villages, golf resorts, water parks, hot, dry summers, and tourists. Due to its long history of British tourists coming here on holiday, English is widely spoken. So, how much do you need to retire to Portugal? Although it depends on many factors, you can estimate that you can live on about one-third less here. A couple can live comfortably, but not lavishly in Portugal on $2,500 per month. If you want to live in Lisbon, Porto, Cascais, or the Algarve, you should bump that number up to $3,000 or more. My husband Clyde and I have called Portugal our home for over two years now. We began life here one hour north of Lisbon near the city of Caldas da Rainha. For just $400 per month, we rented a fully furnished, three-bedroom home. The house offered views of lush, rolling hills and fertile farmland that we loved. But the winters were too cold and wet for us, so we moved further south. Now we live in Vilamoura, an unincorporated area near the city of Quarteira. Here we rent a two-bedroom condominium in a gated complex with a pool for $1,030 per month. We love Portugal and have never regretted our decision to move here. Read: Want to retire to Portugal for less than $30,000 a year? Check out these seven places Also: Hot springs in January, no traffic, and universal health care — the best retirement escape you’ve never heard of 4. Colombia By Nancy Kiernan Located at the northern tip of South America, the gateway country of Colombia is where the Pacific and the Caribbean collide with the Andes mountains and the Amazon rainforest. It’s a country that is more beautiful, dramatic, and diverse than nearly any other. It offers colonial towns and thriving cosmopolitan cities; places to enjoy the mountains and Caribbean beach towns to soak up the sun. Just three hours from Miami and Fort Lauderdale, Colombia welcomes nonstop flights into its major cities of Bogotá, MedellínArmeniaBarranquillaSanta MartaCartagena, and Cali. Colombia offers something that will appeal to just about everyone. You will find that Colombia is a more developed country than most in Latin America, with the infrastructure, modern products, and services you’d expect in a country on the move. Colombia is no longer Latin America’s best-kept secret because more and more expats are moving here to start a new life in this beautiful country…either retiring or continuing to generate an income. Colombia provides high-quality healthcare at a low cost with easy access for expats. I spent 30 years working in healthcare when I lived in the States, so I know good healthcare when I see it. The World Health Organization (WHO) ranks Colombia’s health system at number 22 in the world, far better than Canada at number 30 and the U.S. at number 37. Colombia is home to 24 of the top 58 Latin American hospitals. Four of them are Joint Commission International accredited hospitals. Two are in the capital of Bogotá, one is in Medellín, and one is in Bucaramanga. Medellín is one of the fastest-growing expat havens in Colombia. Due to the near-perfect climate, flowers are constantly in bloom and dot the streets with color year-round. Spend just a few hours walking around the city and you will see why it is nicknamed “The City of Eternal Spring.” This is what first drew me to the city. I lived in Maine for 27 years before I moved to Medellín in 2012, and I am ecstatic to announce that I have not had to deal with snow since my move. If you want hot and tropical, consider retiring to the lovely Caribbean coastal cities of Santa Marta or Cartagena. These cities are havens for sun and sea worshipers. The clear, tranquil waters off the beaches offer scuba divers the opportunity to spend hours exploring the coral reefs and photographing the large variety of vibrant-colored tropical fish, who have made their homes in the wrecks. Or spend hours soaking up the sun on the sandy beaches. Eddie Echeverri opened the Coffee Tree Boutique Hostel in the quaint town of Salento, within Colombia’s coffee triangle. He says, “for tourists, they kill three birds with one stone in Salento. There is colonial architecture, coffee farms, and then one thing that no other town has, even other colonials: Valle Cocora. That’s the number one attraction. It’s a beautiful hike of five to six hours that takes you through a striking landscape. I haven’t met anybody who wasn’t impressed by it.” Visiting Colombia is simple. You can come for 90 days with just your U.S., EU, Canadian, or Australian passport, and then extend for another 90 days. Any longer than that and you will need a visa. Retirement visas are relatively easy to get, require proof of at least $750 monthly Social Security income, or $2,500 from a private pension or 401(k), and are issued for up to three years. Retirement dollars go much further in Colombia. A couple can live in many cities around Colombia for $2,000 per month or less. Of course, your cost of living will depend on your lifestyle and where you choose to live. I can tell you that my living expenses are 60% less than they were back in Maine. Just the fact that I don’t have to pay heating or cooling costs has saved me about $3,400 per year alone. Michael Huseby freelances as a copywriter for clients around the world from his home in the coffee triangle region. “My modern, top-floor apartment in Manizales, Colombia—with a gym and a balcony—costs $500 per month. I found this accommodation through Airbnb, and in my experience, long-term rentals on Airbnb tend to have reasonable rates in Colombia. Many of the country’s larger cities also have English-language websites dedicated to helping expats find furnished houses and apartments. “Other living expenses are likewise significantly cheaper than in the U.S. In Manizales, a movie theater tickets cost $2, beer at a bar costs $1, and a crosstown taxi rarely costs more than $5. Meanwhile, health insurance premiums run up to 70% less than in the States.” The dark days of Colombia’s past are gone, and it has been transformed into a country that is thriving. One of the best things about the country is the warm, welcoming Colombian people. Don’t let a lack of Spanish keep you from trying out life here. As the expression goes, “You don’t meet a Colombian…you meet the entire family.” Here you’ll always feel part of the community. 3. Mexico By Jason Holland Mexico has been a retirement haven for residents of its North American neighbors to the north for 50, 60 years. More than 1 million Americans and a half-million Canadians call the country home today, living there either full-time or part of the year (often in winter, to escape cold weather). This makes Mexico one of the most popular—if not the most popular—expat destinations in the world. That makes your transition to a new life in Mexico all that much easier. This large expat community is very welcoming to newcomers, and there is no shortage of activities, clubs, events, happy hours, and more to take part in. you can easily meet new people and make friends. Plus, because of its proximity and trade and cultural ties to the United States, you’ll find that much of what you find on store shelves, on restaurant plates, on TV, and elsewhere is familiar to you. And you have modern conveniences like a well-maintained highway network, cellphone service, high-speed internet, including fiber optic, cable and satellite TV, and any other amenity you might want. Yet, at the same time, the distinct culture of Mexico is still very much alive. With its traditions, celebrations, and holidays very much in evidence throughout the year. The Mexican people have a real zest for life, with plenty of singing and dancing in the streets, welcoming attitudes towards new neighbors, and a live and let live attitude. Oh, and don’t forget the food, which comes in as many varieties as their distinct regions. It’s not just tacos, although they are all very delicious. You have ceviche and other seafood on the coasts, the marinated roast pork cochinita pibil of the Maya people in the Yucatán, hefty tortas (sandwiches) at street stalls, and grilled corn slathered in mayo and cheese and sprinkled heavily with chile powder. And that’s just a small taste of real Mexican cuisine. Those who move to Mexico are drawn by a multitude of other benefits too. A retired couple can live well in Mexico on a fraction of what they might spend back home. Cost of living is, of course, very dependent on specific people and their lifestyle, but on average, you could spend under $2,000 per month per couple—for all expenses, and have a life filled with fun, no scrimping necessary. This is possible because of low-cost real estate (to rent and buy), affordable food at the market and in restaurants, cheap transportation, low-cost medical care, free and affordable entertainment options, and more. Residence is easy to qualify for and obtain. The application and approval process is streamlined, much of it is online, and you can secure residence in a matter of a few months. You start with an initial appointment at the Mexican embassy or a Mexican consulate in your home country. There are dozens of consulates in the U.S. You can make an appointment online and then bring in documentation to prove your home country citizenship, marriage (if applying with a spouse), and income. You finish the process at the immigration office nearest your new home in Mexico. There are two types of residence most expats apply for. Temporary residence requires an income of $1,600, or $82,000 in the bank. (These amounts vary based on the exchange rate between the U.S. dollar and Mexican peso.) Some consulates require that the income comes from Social Security, a pension, or some other guaranteed source. Some are okay with investment or other forms of income. You can be a temporary resident for up to four years at a time. At that point, you can re-apply for temporary residence or convert to permanent. For permanent residence, which you can apply for right out the gate, you must have $2,000 in monthly income, or $102,000 in the bank. Once you have either form of residence you are free to stay in Mexico as much or as little as you want. There is no minimum amount of time required to stay in the country, except you can only renew your residence in Mexico. One of the major benefits for folks of retirement age in Mexico is the widespread availability of high quality/low cost healthcare. In one of the government-run healthcare systems, INSABI, care is actually free to Mexican citizens and foreigners with temporary and permanent residence. There is also another government program, IMSS, that provides coverage (but excludes pre-existing conditions) for $40 per person per month. There are also private doctors (of every specialty), clinics, and world-class hospitals with all the modern equipment throughout the country, including several that are Joint Commission International certified, which is the gold standard in healthcare. You can pay cash at private facilities or use local or international insurance. Costs are a fraction of what you’d pay in the U.S. Plus, because Mexico is so large (it’s about three times the size of Texas), it has a great diversity of climates, landscapes, and lifestyles. You can be in a world-class big city, rural village, colonial town, funky beach town, or bustling resort area… You can be in a condo or villa on the beach, high in the cool mountains, off-grid, and in the middle of the jungle… You can enjoy heat, humidity, and sea breezes on the coast. Temperate climates in the Colonial Highlands… the dry heat of Los Cabos… or the southern California “perfect” climate of northern Baja. With so many locations to choose from, there really is something for everybody in Mexico. And no matter where you go, you can expect a comfortable life of friends and fun, along with a no-hassle residence process, warm weather, beautiful landscapes, modern conveniences, quality healthcare, and more. Read: I’m 60 and want to retire on between $800 and $1,200 a month, ideally near the ocean in Mexico — where should I go? 2. Panama By Jessica Ramesch Panama has ranked at the top of IL’s retirement index many times for many reasons. Even after all these years, the country consistently delivers when it comes to overall value. This is particularly true for anyone looking to stay in the Western Hemisphere. Panama offers ocean views, warm weather, and big-city amenities in a hurricane-free environment. Think about it—how many places in the region offer so much while also making it easy and affordable to live there? Thanks to Panama’s strategic position outside the hurricane belt we enjoy very mild weather, with lots of sunshine throughout the year. Even during the May through November “rainy season” we have mostly sunny mornings, with an hour or two of rain in the afternoon. Daily highs in the city and beaches are usually around 88 F, with lows around 78 F. In mountain towns like Boquete and El Valle, temperatures are 10 to 15 degrees cooler. There’s truly something for everyone here. Panama’s location also made it the ideal “Hub of the Americas.” Completed in 1914, the Panama Canal has helped make Panama one of the richest countries in the region. These days big ships pay hundreds of thousands of dollars for each transit. Panama is also a flight hub. It’s just over three hours from Miami, and many of the airlines that serve the U.S. offer direct flights here. Panama’s Copa Airlines is one of the best regional airlines, while Tocumen International Airport is the best airport in the Central America/Caribbean region as well as one of Latin America’s top 10 passenger-friendly airports. It’s easy to travel in-country, too. We have reliable inter-city buses and domestic flights to multiple destinations. The capital, Panama City, is home to Central America’s only light-rail or metro system. The infrastructure here is top-notch across the board. Panama is one of few countries in the region that boasts well-paved roads, potable tap water, and top-notch Internet and cellphone connections. And yet Panama remains affordable and accessible. The Pensionado or Pensioner visa has earned Panama a top score, year after year, in the “Benefits and Discounts” category of the index. The program was created to ensure retired Panamanians could live with dignity as active members of society. If you have a pension—regardless of your age—you too can apply to become a resident pensionado. The main requirement is straightforward: you must have a pension of at least $1,000 a month. Once you become a retiree resident of Panama, you gain access to all the pensioner discounts offered to locals. The savings are almost too good to be true…25% off power bills, 50% off movie and show tickets, 25% off plane fares, 20% off medication, 25% off meals at restaurants, and the list goes on. Panama isn’t the cheapest country in the region, but given all it has to offer, it is incredibly affordable. Including rent, it costs me about $2,600 a month to live well in cosmopolitan Panama City. I live in a nice apartment just a seven-minute walk from a metro station. I can take an air-conditioned train and get downtown in 10 minutes for $0.35. If it’s a late night, an Uber home costs me $3 or $4. On my budget I can afford to go out often. From film and music festivals to gourmet restaurants and wine expos, I’m spoiled for choice. This is Central America’s most modern, happening city. It’s incredibly international, and whatever your interests, they’re likely to be represented here. There are language and cultural institutes, museums and galleries, sporting and fitness events of every type…. From skydiving clubs to motorcycle enthusiasts, I’ve seen it all. My vacations and weekends away are inexpensive, though they seem very glamorous to my friends back in the U.S. I can get a round-trip ferry ticket to Taboga Island for $20 (the trip takes 45 minutes). Contadora Island is a little more upscale—the ferry costs about $98 and takes less than two hours. Or I can hop in my car and—within an hour and at very little expense—find myself in a completely different environment. There are beaches like Chame, Gorgona, and Coronado…the mountain town of Cerro Azul…Campana National Park…again, I’m spoiled for choice. Staying home is fun, too. In Panama City we now have great options for everything from sushi and sashimi to pizza and pasta. Many restaurants offer delivery, and with services like Uber Eats things have only gotten easier. The food scene is so exciting that in 2019 UNESCO recognized Panama City as an Ibero-American Capital of Culture with a rich culinary landscape. Of course, you don’t have to be in the city to enjoy a great meal. I’ve had excellent Indian food in Caribbean Bocas del Toro, Peruvian in the mountain hamlet of Boquete, Argentinian in beachy San Carlos, Cambodian in the rural village of Santa Fe, and Italian in the crater town of El Valle. At supermarkets and shops across the country you’ll find cheap local produce and products as well as imports from around the globe. From European cheeses to primo aged beef, you can get pretty much anything you want. And when it comes to wine, the prices and selection are unbelievable. (By the way…from wine shops to pharmacies to supermarkets, there are plenty of companies here that offer home delivery.) Then there’s the worry-free healthcare: Panama’s private facilities are among the best in the region. And there are English-speaking doctors all over the country. I pay $10 to $20 to see a doctor, $40 for dental cleanings, and $100 for five chiropractic sessions. My health insurance is less than $150 a month. I no longer worry about getting older and having medical bills eat up all my savings. Add to that the warm and welcoming people I’ve met here…the fertile land yielding abundant crops…the two coastlines lined with beaches…and it’s easy to see why I choose to stay. I’ve been here since 2005, and my life has just gotten better and better. Sure, I enjoy traveling and exploring different parts of the world. But I’m always thrilled to come home. For me, Panama still checks all the boxes. Read: ‘It is an act of insanity to stay in the U.S.’: Why this 63-year-old teacher ditched Massachusetts to retire in the highlands of Panama 1. Costa Rica By Kathleen Evans On the narrow, volcanic isthmus of land between the continents of North and South America, there exists a country so rich in natural beauty, the adjective is actually in its name. “Rich Coast” or Costa Rica attracts millions of visitors and foreign residents throughout the year with its tropical climate; lower cost of living; friendly locals; affordable medical care; vast real estate options; and, of course, its natural beauty. Earning the nickname “Switzerland of Central America” this peace-loving democracy shines in a region often plagued by political and civil unrest. Costa Rica abolished their army in 1948 and pledged that budget to education and healthcare. Resulting in a well-educated population and medical access for all citizens and legal residents. This republic is internationally known for its safety, neutrality, and commitment to the environment—with roughly a quarter of its land protected as national parks and wildlife refuges. The current democratic government, under Carlos Alvarado Quesada, is considered progressive and LGBTQ equal rights are mandated—officially legalizing same-sex marriage in May 2020.  A rare policy to find in Latin America. Once you have acquired your residency, you pay approximately 7% to 11% of your reported monthly income into the Caja Costarricense de Seguro Social healthcare system (Caja for short) and the national medical program is available to you without pre-existing exclusions or age disallowance. Residents have the option to blend public healthcare with private medical care either through out-of-pocket self-insuring or with the purchase of insurance policies. You can purchase these through familiar names like Blue Cross/Blue Shield, CIGNA, Aetna, or a Costa Rican private policy. All at a fraction of the cost compared to the U.S. You will find three JCI accredited private hospitals in the San José area, as well as numerous private clinics throughout the country. The public system has over 29 hospitals and nearly 250 regional clinics, making it easy to find healthcare no matter where you choose to settle. A couple can live comfortably, but not necessarily extravagantly, here for around $2,000 a month. This includes renting a two-bedroom home with North American amenities, air conditioning, plus groceries, entertainment, transportation, and healthcare. If your monthly budget is closer to $2,500 to $3,000, you will find a relaxed lifestyle with every comfort you require. One of the things you hear often from expats is how warm and welcoming the ticos (Costa Ricans) are. They are wonderful people, eager to share the magic of their culture, food, and traditions with foreigners. You will also find engaging international communities of expats who will help you through the process of acclimation. The vast majority of new arrivals say it is very easy to make friends and fit in here. Black Americans are also finding peace in Costa Rica away from the systemic racism associated with the U.S. The Costa Rican government’s official proclamation rejects all forms of racism and discrimination. Pura Vida is a common Costa Rican phrase. Although it translates to “pure life,” this definition merely scratches the surface of a phrase deeply woven into Costa Rican culture, and used to convey anything from “hello” and “goodbye,” to “great news,” “cheers!” and countless declarations in between. Expat, Nicole Rangel, explains it in this way, “What makes Pura Vida such a check-all statement is that it translates to more than just a greeting. It is a solution, an action, and a way of life. When you approach life with a Pura Vida state of mind, you are opening yourself up to the possibilities of life beyond what you experienced before. You are sharing together in this communal acceptance that life doesn’t have to be controlled or mandated, you can make it what you want, you can have friends you never thought you would have, you experience things you never thought possible because you are opening up to a life less complicated. “That is why so many people come to Costa Rica and find the best version of themselves—they embrace a new appreciation on life. It is just a bonus that it is in such a beautiful setting,” she continues. Most expats will confirm living a healthier lifestyle once they arrive. Costa Rica is an outdoor culture—with no shortage of physical activities from fishing, golfing, and horseback riding to hiking, surfing, and yoga. Plus, there are less processed foods, and abundantly healthy choices of locally grown fruits, vegetables, organic eggs, and endless seafood and grass-fed beef. It is no surprise to hear reports about expats having shed unwanted weight, taking fewer prescription drugs, and overall better fitness of mind, body, and soul. This revelation should come as little surprise since Costa Rica possesses one of only five “Blue Zones” on the entire planet—located on the Nicoya Peninsula in Guanacaste. These zones were discovered by National Geographic scientists and longevity researchers in the early 2000s. They consist of regions that have an unusually high population of centenarians (100+ year-olds). Ten times greater than in the U.S. The research confirms qualities such as healthy diets, natural calcium-enriched water, sunshine, active lifestyles, strong familial and friendship ties, and faith contribute greatly to their longevity. Costa Rica, like all of Latin America, is predominantly Roman Catholic with approximately 75% identifying with Catholicism. However, you will not find the deeply rooted religious holiday traditions you find in other Latin countries. Costa Rica is considered quite secular. The government assures religious freedom for all. You will also find Evangelicals, Protestants, Jehovah’s Witnesses, and small numbers of Jews, Mormons, and Muslims. Expats who settle in larger international communities will find English-speaking churches—primarily nondenominational Protestants. With a dozen official climate zones and hundreds of microclimates, there is someplace for everyone’s personal weather preferences. Many people love the temperate “eternal spring” climate of San José, the capital, and the surrounding Central Valley. Or the dry, hot beaches of Guanacaste, or the lush, green landscape of the jungles in the south and Caribbean side. Like everywhere in the world, the pandemic has dealt the Costa Rican economy a harsh blow and put strains on the healthcare system. Even so, the country remains a good long-term bet as we move toward a post-COVID world, given its natural beauty, resilient population, and progressive vision. Read: ‘I could live on my Social Security and still save money’: This 66-year-old left Chicago for ‘calming’ Costa Rica — where he now plans to live indefinitely How we compile the Annual Global Retirement Index Each year, we use our ever-expanding network of editors, correspondents, and contributors all over the world to give us the on-the-ground information and recommendations we need to put our index together… All these people were once in your shoes. All of them wondered if they could find a better life abroad. Many of them were former International Living readers who took the plunge, and now want to share their love for their new home with the world. These are the people we draw upon to put together our index each year. We rank and score each of the 25 countries in the Index across the following 10 categories:
  • Housing. This looks at the value of real estate and how easy it is to buy or rent your dream home overseas. We assess things like the price of houses and condos in areas an expat retiree would like to live in, annual property tax, and if there are any restrictions on expats owning property. We also asked our correspondents whether there are good opportunities to invest in property as a means of earning a rental or capital return.
  • Benefits & Discounts. In some countries, as a retiree you can get discounts on lots of things, from airfare and food to electricity and public transport. All the benefits and discounts retirees can get in the country are factored into this category.
  • Visas & Residence. If you can’t legally and easily call a country home, it won’t be much good as a retirement spot. This category looks at things like how easy it is to get permanent residence, whether the income you make outside of the country will be taxed within it, and if there are any special residence options for retirees.
   <p><strong>Read:</strong> <a href="http://www.marketwatch.com/story/heres-how-you-can-get-foreign-citizenship-and-a-second-passport-in-as-little-as-two-years-11601480137" target="_blank" class="icon none" rel="nofollow noopener">Here’s how you can get foreign citizenship and a second passport in as little as two years</a></p><ul class="articleList"> <li> 
  <strong>Fitting In/Entertainment.</strong> This isn’t just about making friends with locals and expats. It’s also about feeling at home. Can you pick up your favorite North American comforts when you need them? And how easy is it to adapt to the local culture? This category looks at all of these things. Also, what will you do when you’re there? Are there lots of museums, events, and exhibitions? Are there lots of outdoor activities? And can you catch a movie in English when you want to?


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  <strong>Development.</strong> You wouldn’t want to live anywhere where you couldn’t stream your favorite movies, call home, or access reliable electricity. You’ll also want quality roads and an efficient public transport network. These are just some of the factors that feed into the Development category.


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  <strong>Climate.</strong> Moving abroad gives you the chance to escape from the extremes of weather back home. You can find places overseas where the weather is just perfect for you. In this category, we rate the climate of each country, factoring in things like rainfall, temperature, and humidity.


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  <strong>Healthcare.</strong> In this category, we put our experts to the test like never before. How much will you have to pay for things like laser eye surgery, a tooth crown, or a blood transfusion? Can you get common medications for things like asthma and diabetes? And do you need a prescription to get a refill? When it comes to assessing healthcare, we factor in both quality and price to give you a fair and balanced view.


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  <strong>Governance.</strong> Knowing that your new home respects personal freedom, keeps the bureaucracy to a minimum, and offers a stable and safe environment in which to enjoy retirement is a nice feeling. You’ll also appreciate an efficient banking system. And how well did each country cope with the COVID-19 situation, according to our correspondents? The Governance category examines these factors.


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  <strong>Opportunity.</strong> Retirement doesn’t need to be a grinding halt. Maybe you have a business project you’d like to try out, or perhaps you’ve thought about supplementing your income with some freelancing work or online employment. We’ve examined how well the local authorities support small business, whether it’s easy to work remotely, and whether there’s a strong economy in each country. You’ll see the answers reflected in the Opportunity score.


  </li> <li> 
  <strong>Cost of Living.</strong> A country has to be affordable to be a great retirement spot. It’s that simple. And to assess how affordable each country is, we got our experts on the ground to fill out a comprehensive monthly budget. Everything from the cost of a liter of milk to a bottle of beer to a movie ticket was factored in.


  </li> </ul> 
   <p><em>Note: We’ve given Nicaragua and Bolivia low scores in the Opportunity and Governance categories. They’re still viable retirement locations, but because they’ve experienced political instability in recent years, proceed with caution.</em></p> <p><em><a href="https://internationalliving.com/the-best-places-to-retire/" target="_blank" class="icon none" rel="nofollow noopener">This story originally appeared in International Living</a>.</em>


  </div>

3 Top Medical Instruments Stocks to Beat COVID
3 Top Medical Instruments Stocks to Beat COVID

The unprecedented nature of the COVID-19 crisis has in a way drastically transformed the fortunes of the medical instrument industry. While full-fledged vaccine rollouts are going on, industry watchers are still unable to gauge the magnitude of economic revival in 2021 because of the emergence of new virus strains. In such a scenario, primarily, diagnostic testing lab and non-service providers making significant strides in the field of COVID-19 testing have seen their stocks rally amid the economic volatility. Natus Medical (NTUS Free Report) , IDEXX Laboratories (IDXX Free Report) and Hologic Inc. (HOLX Free Report) are a few such stocks.

On the other hand, there are many stocks catering to specialized non-COVID niches like Intersect ENT and Dexcom, which, even after one year of the pandemic, are still struggling to cope up with the impact of delayed elective procedures.

Industry Description

The Zacks Medical – Instruments industry is highly fragmented, with participants engaged in research and development of new devices for specific therapeutic areas. This FDA-regulated industry comprises an endless number of products, starting from transcatheter heart valves to orthopedic and trauma products to imaging equipment.

Before the outbreak of COVID-19, the Medical Instruments space was advancing well in terms of research and development (R&D). Among the path-breaking inventions of recent times, wireless brain sensors, Bluetooth-enabled smart inhalers, artificial pancreas, human-brain pacemaker, electronic skin that displays vital signs of the body, needle-free injections, precision medicine and many more are worth mentioning.

However, over the past several months, the pandemic has put a brake on the flow of seamless R&D operations. Many non-coronavirus and non-emergency-line innovations have been stuck or delayed due to the lockdown.  Edwards Lifesciences and Varian Medical are among the companies whose R&D has taken a hit.

Notably, some of the key players in this industry are Thermo Fisher Scientific (TMO Free Report) , Intuitive Surgical, Inc. (ISRG Free Report) , and Abiomed, Inc. (ABMD Free Report) .

4 Trends Shaping the Future of the Medical Instruments Industry

Trend Improvement in the Cards: Even amid the new waves, medical instruments companies’ collective business growth has started to show strong signs of rebound in base sales volumes. Particularly, companies that have invested in virtual physician education, remote clinical support and digital sales enablement suitable for healthcare support amid the pandemic are riding on huge market adoption of their COVID-19-related healthcare-support products and services. Per Fed’s latest Economic Projection, average economic growth is expected to be 6.5% in 2021, a significant rise from December 2020 prediction of 4.2%. Unemployment rate is pegged at 4.5% for 2021, a reduction from December prediction of 5%. Core PCE inflation (the percentage rates of change in the price index for personal consumption expenditures excluding food and energy) is now expected to be 2.2% (up from 1.8% projected earlier). The Fed’s upbeat forecast is particularly based on the latest $1.9 trillion stimulus package known as the America Rescue Plan with once again possibility of near-zero interest rate. This has significantly bolstered investors’ confidence across sectors including medical instruments.

M&A Trend Continues: The medical instruments space has been benefiting from the ongoing merger and acquisition (M&A) trend. In fact, various reports suggest that M&A has been the key catalyst in the U.S. MedTech space of late. It is a known fact that smaller and mid-sized industry players attempt to compete with the bigshots through consolidation. The big players attempt to enter new markets through a niche product. Smaller tuck-in acquisitions are dominating the M&A space even amid the pandemic with Medtronic, Stryker and Exact Sciences being a few prime line acquirers. Among the colossal deals, Varian Medical’s previously announced acquisition by Siemens Healthineers is expected to close in the first half of calendar year 2021.

Focus on Emerging Markets: Growing medical awareness and economic prosperity have been increasing the uptake of medical instruments in emerging economies. An aging population, increasing wealth, government focus on healthcare infrastructure and expansion of medical insurance coverage make these markets a happy hunting ground for global medical instruments players. A Mercer Capital report states that although Americas is still the largest medical device market in the world, Asia/Pacific and Western Europe are expected to expand at a quicker pace over the next several years. Going by the pre-pandemic picture, the MedTech market in China is projected to grow significantly through 2022. India’s MedTech market is currently growing at a rate of 15% annually (per Business Standard). If this continues, India may give tough competition to Japan and Germany by 2022.

Digital Revolution: With an increase in the adoption of digital platforms within the medical device space, robotic surgeries, big-data analytics, bioprinting, 3D printing, electronic health records (EHR), predictive analytics, real-time alerting and revenue cycle management services are gaining prominence in the United States. A June 2019 Health care News report suggests that this market, valued at $123 billion in 2018, is witnessing CAGR of 25%. Various other reports suggest that companies that adopted artificial intelligence technologies witnessed a 50% reduction in treatment costs and also experienced more than 50% improvement in patient outcome.

Amid the pandemic, this line of healthcare is becoming a major choice for contactless healthcare services. Telemedicine stocks received an impressive response, when, in February, the Centers for Disease Control and Prevention asked healthcare service communities to broaden the use of telemedicine. Further, the FDA approved the expanded use of remote patient monitoring technologies with the aim of minimizing hospital visits, thereby reducing the risk of exposure to the virus. MedTech companies are currently collaborating with technology majors like Google, Apple and IBM to grow in this space.

Zacks Industry Rank Indicates Bright Prospects

The Zacks Medical Instruments industry falls within the broader Zacks Medical sector. It carries a Zacks Industry Rank #127, which places it in the top 50% of more than 250 Zacks industries.

The group’s Zacks Industry Rank, which is basically the average of the Zacks Rank of all the member stocks, indicates strong near-term prospects. Our research shows that the top 50% of the Zacks-ranked industries outperforms the bottom 50% by a factor of more than 2 to 1.

We will present a few stocks that have the potential to outperform the market based on a strong earnings outlook. But it’s worth taking a look at the industry’s shareholder returns and current valuation first.

 

Industry Underperforms S&P 500, Outperforms Sector

The industry has underperformed the Zacks S&P 500 composite but outperformed its own sector in the past year.

The industry has gained 42.9% compared with the S&P 500’s 55.6% increase and the broader sector’s 21% rally in a year’s time.

One Year Price Performance

Industry’s Current Valuation

On the basis of the forward 12-month price-to-earnings (P/E), which is commonly used for valuing medical stocks, the industry is currently trading at 34.10X compared with the broader industry’s 21.57X and the S&P 500’s 22.44X.

Over the past five years, the industry has traded as high as 41.56X, as low as 22.81X and at the median of 29.94X, as the charts show below.

 

Price-to-Earnings Forward Twelve Months (F12M)

 

Price-to-Earnings Forward Twelve Months (F12M)

3 Stocks to Buy Right Now

Natus Medical: Even amid the changing economic and business environment through the pandemic months, Natus Medical business began to recover from the second half of 2020. In 2021, Natus Medical expects to continue to bring innovative products and solutions to market, including a new handheld newborn hearing screener, cloud telemedicine capability for certain products and a variety of product software enhancements.

Price and Consensus: NTUS

The Zacks Consensus Estimate for this Zacks Rank #1 (Strong Buy) company’s 2021 sales is pegged at $465.7 million, indicating 12% rise year over year. The same for adjusted earnings per share is pegged at $1.18, indicating an increase of 202.6% from the year-ago period. The company has returned 6.9% in a year’s time. You can see the complete list of today’s Zacks #1 Rank stocks here.

IDEXX Laboratories: The company is consistently registering sturdy gains in CAG (Companion Animal Group) Diagnostics recurring revenues, supported by high organic gains in both the United States and International markets. The company’s performance in major geographies is also encouraging. Further, the company’s human health business, OPTI Medical Systems’ COVID-19 human Polymerase Chain Reaction (PCR) testing is also contributing to the top line. The upbeat initial financial outlook for 2021 instills investors’ confidence in the stock.

Price and Consensus: IDXX

The Zacks Consensus Estimate for this Zacks Rank #2 (Buy) company’s 2021 sales is pegged at $3.09 billion, indicating 14.3% rise year over year. The same for adjusted earnings is pegged at $7.59 per share, indicating an increase of 13.1% from the year-ago period.

Hologic: Robust demand for COVID-19-related products and ongoing recovery in other arms have enabled Hologic to provide a strong outlook. Recently announced buyouts of Biotheranostics and SOMATEX Medical Technologies GmbH, along with the receipt of a slew of regulatory approvals bode well for the company. Expansion of both margins looks encouraging.

Price and Consensus: HOLX

The consensus estimate for this Zacks Rank #2 company’s fiscal 2021 sales is pegged at $5.70 billion, indicating 50.8% rise year over year. The same for adjusted earnings per share is pegged at $8.81, indicating 121.4% improvement from the year-ago period figure.

Breakout Biotech Stocks with Triple-Digit Profit Potential

The biotech sector is projected to surge beyond $775 billion by 2024 as scientists develop treatments for thousands of diseases. They’re also finding ways to edit the human genome to literally erase our vulnerability to these diseases.

Zacks has just released Century of Biology: 7 Biotech Stocks to Buy Right Now to help investors profit from 7 stocks poised for outperformance. Our recent biotech recommendations have produced gains of +50%, +83% and +164% in as little as 2 months. The stocks in this report could perform even better.

See these 7 breakthrough stocks now>>

World leaders call for new international treaty to improve pandemic response
World leaders call for new international treaty to improve pandemic response

In a joint article published on Tuesday across leading news platforms, the signatories said that the coronavirus pandemic had been a “stark and painful reminder that nobody is safe until everyone is safe” and that “there will be other pandemics and other major health emergencies”. 

‘Not if, but when’

“The question is not if, but when. Together, we must be better prepared to predict, prevent, detect, assess and effectively respond to pandemics in a highly coordinated fashion”, they said.

The question is not if, but when. Together, we must be better prepared to predict, prevent, detect, assess and effectively respond to pandemics in a highly coordinated fashion

The main goal of the treaty, which would be rooted in the WHO Constitution, would be to foster a comprehensive approach to strengthen national, regional and global capacities and resilience to future pandemics, the leaders added.

Standing with WHO Director-General Tedros Adhanom Ghebreyesus, the leaders signing on so far, represent Albania, Chile, Costa Rica, the European Council, Fiji, France, Germany, Greece, Indonesia, Italy, Kenya, the Netherlands, Norway, Portugal, the Republic of Korea, Romania, Rwanda, Senegal, Serbia, South Africa, Spain, Thailand, Trinidad and Tobago, Tunisia, the United Kingdom, and Ukraine.

“At a time when COVID-19 has exploited our weaknesses and divisions, we must seize this opportunity and come together as a global community for peaceful cooperation that extends beyond this crisis”, the leaders said.

‘We must act boldly’: Dr. Tedros 

Speaking at a press conference later in the day, WHO Director-General Dr. Tedros highlighted that the idea behind the proposal for the treaty is to “systematically tackle the gaps exposed by COVID-19”. 

The pandemic has brought out the best and worst in humanity, he added, recalling “acts of incredible courage” from health workers and communities around the world, on a daily basis, but also inequalities in societies, geopolitical fault lines and frayed trust in public institutions. 

“The impacts on our societies, economies and health, especially for the poor and the most vulnerable, are too significant”, Dr. Tedros said, stressing that “we cannot do things the way we have done them before and expect a different result…we must act boldly”. 

We cannot do things the way we have done them before and expect a different result … we must act boldly 
– Dr. Tedros 

He went on to note that the treaty would strengthen the implementation of the International Health Regulations (IHR) as well as provide a framework for international cooperation and solidarity.   

It would help build resilience to pandemics and other global health emergencies, with robust national and global preparedness systems; ensure timely and equitable access to pandemic countermeasures, including vaccines; support sustainable funding and capacity for prevention, detection, and responses to outbreaks; and promote mutual trust. 

Member States’ decision 

Dr. Tedros also said that ultimately, the Member States would decide. 

“How such a treaty is developed and what it looks like, and whether it is ratified, is a matter for our Member States – the nations of the world”, he added. 

“We must leave a legacy for our children: a safer world for all.”

Spanish resorts languish while Madrid hosts Europe's parties
Spanish resorts languish while Madrid hosts Europe’s parties

                                                                                                                                                    <figure class="inline photoswipe_slides full" readability="5">                      <a href="https://media.winnipegfreepress.com/images/EM103-326_2021_210405.jpg" data-index="1" data-size="650x433" rel="nofollow">                                                   </a>                        &#13;
                    <figcaption readability="10">Tourists and locals have drinks at a bar in downtown Madrid, Spain, Friday, March 26, 2021. With its policy of open bars and restaurants, Madrid has built itself a reputation of something like Europe's last reduct for fun. That's driving some business to locals and giving politicians and the media much to debate about ahead of a regional election. (AP Photo/Bernat Armangue)</p></figcaption>                  </figure>                                                                                                                                                   




                    <p>MADRID - In Madrid, the real party starts at 11 p.m. after the bars close — and curfew kicks in.         </p>                                                                                                                                                        




                    <p>That's when young, polyglot groups of revelers from Italy, the Netherlands, Germany and, most noticeably, France, join their Spanish contemporaries in Old Madrid's narrow streets to seek illicit fun. Most are in their early 20s, eager to party in the Spanish capital like they haven't been able to do for months at home under strict lockdowns.          </p>                            





                    <p>With its policy of open bars and restaurants — indoors and outdoors — and by keeping museums and theatres running even when outbreaks have strained hospitals, Madrid has built a reputation as an oasis of fun in Europe’s desert of restrictions.          </p>                                                                                                                                                        




                    <p>Other Spanish regions have a stricter approach to entertainment. Even sunny coastal resorts offer a limited range of options for the few visitors that started to arrive, coinciding with Easter week, amid a set of contradictory European travel rules.            </p>                                                                                                                                                        




                    <p>“It’s a real privilege for me to go into bars because in France you can’t. Here I can go to restaurants, share time with friends outside of home, discover the city,” Romy Karel said. The 20-year-old Berliner flew to Madrid last Thursday from Bordeaux, the southern French city where she's studying social sciences.           </p>                                                                                                                                                        




                    <p>"I can’t remember when was the last time I did this,” she said.          </p>                                                                                                                                                                                                    




                    <p>The visitors are bringing some vital business to locals and giving politicians much to debate about before a polarized regional election. Isabel Díaz Ayuso, the regional president of Madrid who is running for reelection, is trying to attract votes beyond her conservative supporters by campaigning under the slogan of “freedom."         </p>                                                                                                                                                        




                    <p>Outside the capital, efforts to jumpstart tourism are drawing mixed results. In part, that's due to a patchwork of rules at regional, national and even European levels that curb domestic nonessential travel in many countries while leaving a loophole for those seeking a Spanish holiday.           </p>                                                                                                                                                        




                    <p>Although Germany has banned all domestic tourism and discouraged travel abroad, the government allows trips to Spain's Balearic Islands, which have a low infection rate. Bookings of flights and hotels followed even though many were disappointed to find on arrival that bars and restaurants were shut at night.            </p>                                                                                                                                                <figure class="inline photoswipe_slides full" readability="5">                      <a href="https://media.winnipegfreepress.com/images/EM111-327_2021_095123.jpg" data-index="2" data-size="650x433" rel="nofollow">                                                   </a>                        &#13;
                    <figcaption readability="10"><p>Two women meet at Palma de Mallorca Airport on the Spanish Balearic Island of Mallorca, Spain, Saturday, March 27, 2021. Efforts in Spain to restart tourism activity is drawing a mixed picture due to a patchwork of national, regional and European rules on travel that is confusing both tourists and their hosts. (AP Photo/Francisco Ubilla)</p></figcaption>                    </figure>                                                                                                                                                   




                    <p>“In Germany, we have so many rules that coming here feels like freedom," said Marius Hoffman, 18, shortly after he landed in the archipelago's capital, Palma de Mallorca, this past weekend.            </p>                                                                                                                                                        




                    <p>David Stock, another German traveller who visited Granada's famed Alhambra complex this week, acknowledged the paradox of his government's rules combined with Spain's embracing of tourists.            </p>                                                                                                                                                        




                    <p>“There are strange rules everywhere these days,” Stock said.         </p>                                                                                                                                                        




                    <p>In France, hard-hit regions are curtailing free movement to a 10-kilometre (roughly six-mile) radius from home. Together with the nationwide nighttime curfew and the total closure of bars and restaurants since last October, it's proving too much for many, who look south for excitement.           </p>                                                                                                                                                                                                    




                    <p>France now accounts for one-fifth of all incoming flights to Madrid, while cellphone roaming data analysis has shown an increasing uptick of French mobiles in the Spanish capital since January — peaking around weekends.          </p>                                                                                                                                                        




                    <p>When curfew begins, many of the fun-seekers head for underground gatherings advertised via messaging groups. Others recruit fellow party animals on their way back to their rented Airbnbs. Last weekend, police said they broke up more than 350 illegal parties, with some of the attendees hiding in closets or other “implausible” places.           </p>                                                                                                                                                        




                    <p>Spain recently said it would extend a negative coronavirus test requirement in effect for arrivals by sea or air to include those entering from France by land.          </p>                                                                                                                                                        




                    <p>Still, foreigners like Hoffman or Karel can fly direct from Munich or Bordeaux to beach resorts or cultural wonders in Spain, while Spaniards can’t travel across regions in the country to their second homes or visit relatives.           </p>                                                                                                                                                        




                    <p>This rankles with many, such as Nuria López, a 45-year-old pastry shop owner in the Spanish capital.         </p>                                                                                                                                                        




                    <p>“It's unfair,” López said. “But it does help the economy in Madrid and we need that.”            </p>                                                                                                                                                        




                    <p>Like her, many see the need to boost an industry that in 2019 accounted for 12.5% of Spain's gross domestic product and employed nearly 13% of its workforce. The near-total halt of international travel, paired with last year's first uncompromising lockdown, meant that the economy shrank 10.8% in 2020, the biggest drop since the Spanish Civil War in the 1930s.            </p>                                                                                                                                                                                                    




                    <p>So even as hospitals filled once again after Christmas, politicians resisted the pressure to follow other European countries in ordering full stay-at-home orders, closing schools or most businesses.           </p>                                                                                                                                                        




                    <p>To this day, Spain has avoided imposing quarantines for visitors from other EU member countries — unlike neighbouring Portugal, which on Monday tightened the mandatory isolation requirement for most incoming travellers.          </p>                                                                                                                                                        




                    <p>Pablo Díaz, a tourism expert with the Barcelona-based UOC university, said pandemic fatigue, especially among younger generations, and a lack of a common European policy have meant that "tourism has found ways to establish direct corridors in an organic way where the supply and demand meet."         </p>                                                                                                                                                        




                    <p>The uptick in bookings ahead of Easter week, he said, “has been like a breath of fresh air for tourism."         </p>                                                                                                                        





                    <p>“But that doesn't mean that the industry is going to come out of ICU any time soon,” he added.           </p>                                                                                                                                                        




                    <hr/><p>Bernat Armangue and Iain Sullivan in Madrid, Francisco Ubilla in Palma de Mallorca, Sergio Rodrigo in Granada, Thomas Adamson in Paris, and Kirsten Grieshaber in Berlin, contributed to this report.           </p>                                                                                                                                                        




                    <hr/><p>Follow AP’s pandemic coverage at:           </p>                                                                                                                                                                                            




                    <p>https://apnews.com/hub/coronavirus-pandemic          </p>                                                                                                                                                        




                    <p>https://apnews.com/hub/coronavirus-vaccine           </p>                                                                                                                                                        




                    <p>https://apnews.com/UnderstandingtheOutbreak          




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CapVest enters into an agreement with Sofina Foods for the sale of Eight Fifty Food Group
CapVest enters into an agreement with Sofina Foods for the sale of Eight Fifty Food Group
            <!--UdmComment--><!--/UdmComment-->
              <h2 class="fe_heading2">CapVest enters into an agreement with Sofina Foods for the sale of Eight Fifty Food Group</h2>
              </p><div readability="187.46054519369">

Mar, ON, Mar 29, 2021 (Canada NewsWire via COMTEX) —

Funds managed by CapVest Partners LLP (“CapVest”), an international private equity firm, have agreed on the sale of Eight Fifty Food Group (“Eight Fifty” or “the Group”) to Sofina Foods Inc. (“Sofina Foods”), a leading Canadian multi-protein producer, for an undisclosed consideration.

CapVest acquired Karro Food Group, a leading UK pork processor, in 2017. CapVest and Management subsequently acquired iconic seafood business Young’s Seafood in 2019 to create Eight Fifty Food Group. Eight Fifty later consolidated five other protein businesses from across Europe to create what is today a leading European multi-protein specialist.

Sofina Foods is one of Canada’s largest food producers and has a 25-year history of acquisitions, growth and success. Sofina Foods is one of the country’s leading manufacturers of primary and further processed protein products for both retail and foodservice customers. Its brands are staples in Canadian households and include Cuddy; Lilydale; Janes; Mastro; San Daniele; Fletcher’s, Vienna and Zamzam. Sofina Foods currently operates 21 different sites and employs approximately 5,000 people.

Eight Fifty is a leading supplier of both branded and own-label seafood and pork. The pork division is one of the largest processors and suppliers of products across the UK and Ireland. The seafood division is the largest provider of chilled and frozen products across the UK, including the Young’s brand, and is a major player in frozen seafood across Germany and France.

The Group employs around 8,300 people, across 23 manufacturing sites. The business will remain under the leadership of Di Walker and will complement Sofina Food’s existing leading North American platform. As Europe’s multi-protein specialist, Eight Fifty will continue to provide sustainable, high-quality food products while focussing on growth.

Jason Rodrigues, Partner at CapVest, said: “We’ve created a leading European multi-protein business through a combination of strategic investment in our core asset base and complementary acquisitions of fantastic national champions. Eight Fifty delivers best-in-class products to our customers and consumers and we are all very proud of what Di Walker and her team have achieved over the last four years. We’re confident that Eight Fifty will continue to flourish under Sofina Food’s ownership.”

Di Walker, CEO of Eight Fifty, said: “We began this journey as a UK-only pork supplier doing less than £500 million in sales and after several years of transformational organic and acquisitive progress are now the European multi-protein specialist with over £2 billion in sales. This transaction and the interest in Eight Fifty is a great reflection on the quality of the business and testament to the work that CapVest and our entire management team have completed. We’re very excited to join Sofina Foods to deliver on their ambitious future growth plans.”

Michael Latifi, Founder and Executive Chairman of Sofina Foods, said: “As a leading Canadian multi-protein specialist, this acquisition allows Sofina Foods to continue on our path of ambitious expansion. Sofina Foods is one of Canada’s largest food producers and we have created a solid global foundation for continued growth. With a history of excellence in food production and processing spanning over 25 years, the strong brands of Eight Fifty Food Group align perfectly with our prominent brands and our shared future vision.”

The new company will have over 13,000 employees globally across 44 sites and near $6B in annual revenue.

Bob Wilt, President and CEO of Sofina Foods, said “Our team in Canada and our new partners at Eight Fifty Food Group have set the stage for considerable growth. I look forward to working with Di and to welcoming Eight Fifty to the Sofina family, and to drawing upon the significant expertise that exists across both businesses.”

CapVest and Management received financial advice from Jefferies, JP Morgan and Rothschild & Co, legal advice from Willkie Farr & Gallagher and Walker Morris, and financial and tax due diligence services from KPMG.

Sofina Foods received financial advice from Rabobank as the lead financial advisor and Scotiabank as the co-financial advisor. Additional advice was provided by PWC, Stikeman Elliott and Taylor Wessing.

The transaction is subject to approval from regulatory authorities.

About CapVest:

CapVest is a leading international private equity investor that partners with ambitious companies that supply essential goods and services. As an active and patient investor, CapVest has established a strong track record of success in delivering attractive returns by working closely with management teams in supporting transformation in the size and scale of its portfolio companies through a combination of investing behind organic and acquisition-led growth. For more information, visit www.capvest.co.uk

About Eight Fifty Food Group:

Eight Fifty Food Group is a leading supplier of both branded and own-label seafood and pork. The pork division is a leading processor and supplier of pork products across the UK and Ireland. The seafood division is a provider of chilled and frozen products across the UK, Germany and France. Central to its proposition is the iconic 200-year-old Young’s brand, benefitting from elevated brand awareness and unparalleled trust as the UK’s fish and seafood specialist.

Eight Fifty employs around 8,300 people, across 23 manufacturing sites. Eight Fifty is focussed on providing sustainable, high-quality food products while continuing to grow alongside its valued customer base.

About Sofina Foods Inc.

Sofina Foods Inc. is a privately owned Canadian company headquartered in Markham, Ontario, Canada dedicated to providing great tasting, high quality food products for consumers. As one of the nation’s leading manufacturers of primary and further processed protein products for both retail and foodservice customers, Sofina Foods has a broad portfolio of branded and private label pork, beef, fish, turkey, and chicken products. Sofina’s family of branded products consists of: Cuddy, Lilydale, Janes, Mastro, San Daniele, Fletcher’s, Vienna and Zamzam. Sofina Foods currently operates 16 HACCP-approved manufacturing facilities, 2 distribution centres, 3 hatcheries and employs close to 5,000 people. To learn more about Sofina Foods, visit www.sofinafoods.com.

SOURCE Sofina Foods Inc.

View original content to download multimedia: http://www.newswire.ca/en/releases/archive/March2021/29/c0606.html

SOURCE: Sofina Foods Inc.

Media contacts: CapVest Partners LLP, Ben Valdimarsson (ReputationInc), +447889805930
/ bvaldimarsson@reputation-inc.com; Sofina Foods, Lisa Joyce, (905) 747-3322 ext 2118
/ ljoyce@sofinafoods.com; Eight Fifty Food Group, Alex Beagley / Tom Hufton / Fiona
Walker, (FTI Consulting), +442037271000 / Alex.Beagley@FTIConsulting.com

Copyright (C) 2021 CNW Group. All rights reserved.

 billion a year by 2025 needed to get back on track to tackle AIDS, say UNAIDS
$29 billion a year by 2025 needed to get back on track to tackle AIDS, say UNAIDS

UNAIDS adopted the new Global AIDS Strategy 2021–2026 during a special session, chaired by the Minister of Health of Namibia, held on 24 and 25 March 2021.

2020 targets unmet

The strategy updates the 2016 targets for 2020, which were not met, and was developed utilising extensive analysis of HIV data and input from more than 10,000 stakeholders from 160 countries.  

It found the total resource needs for lower income, and lower-middle income countries, is around $13.7 billion. Donor resources are mainly needed for these countries. 

For upper-middle income countries, which account for 53% of the investments needed, domestic resources are the predominant source of funding.

The strategy’s three priorities are to: 

  • Maximise equitable and equal access to comprehensive people-centred HIV services. 
  • Break down legal and societal barriers to achieving HIV outcomes. 
  • Fully resource and sustain HIV responses and integrate them into systems for health, social protection and humanitarian settings.

A key focus of the strategy is the call on countries to utilise the full potential of HIV prevention tools, especially for adolescent girls and young women in sub-Saharan Africa, sex workers, people who inject drugs, gay men and other men who have sex with men, transgender people and people in prison settings.

If the targets of the strategy are achieved:

  • The number of people who newly acquire HIV will decrease from 1.7 million in 2019 to less than 370,000 by 2025. 
  • The number of people dying from AIDS-related illnesses will decrease from 690,000 in 2019 to less than 250,000 by 2025. 
  • The number of new HIV infections among children will drop from 150,000 in 2019, to less than 22,000 in 2025.. .

The strategy comes after the 2016 United Nations Political Declaration on Ending AIDS agreed to invest $26 billion in the HIV response by 2020. 

Resources in low and middle income countries peaked in 2017 but they started decreasing in 2018. 

The failure to achieve the targets has come at a tragic human cost: an additional 3.5 million people were infected with HIV and an additional 820 000 people died of AIDS-related illnesses between 2015 and 2020.

“We must not repeat the mistakes of the past”, said Jose Izazola, UNAIDS Special Advisor on Strategic Information and Evaluation. “The time to invest is now.”