TRANSKRIP 🔗
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Welcome to the reading of the New York Times for Friday,
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November 13th, 2026. As a reminder, Radio Eye is a
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reading service intended for people who are blind or have
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other disabilities that makes it difficult to read printed material.
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Your reader for today is Blanca Michael Ward. We begin
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with Merriam-Webster's Word of the Day. Impertinent. Impertinent. An adjective
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spelled I-M-P-E-R-T-I-N-E-N-T. What it means. Impertinent is a formal word
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describing someone or something that is rude and showing a
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lack of respect. Example. The band stopped doing interviews after
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years of journalists asking invasive and impertinent questions. Merriam-Webster's word
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of the day. Impertinent. We continue with the New York
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Times bestsellers in combined print and e-book nonfiction. In first place,
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four weeks on the list, In the Shadow of Eight
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by Colin Gosselin with Allie Kingsley Baker, a dark tell-all
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by one of the sextuplets from the reality TV series
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John and Kate Plus Eight. In second place, five weeks
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on the list, Blockers by Michael Lewis. The author of
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The Fifth Risk tells the story of President Trump's Department
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of Government efficiency through the lens of six public servants.
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In third place, 34 weeks on the list, Friends, Lovers,
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and the Big Terrible Thing by Matthew Perry. The late
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actor known for playing Chandler Bing on Friends shares stories
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from his childhood and his struggles with sobriety. In fourth place,
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12 weeks on the list, The Gales of November by
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John U. Bacon, an account of the sinking of the
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Edmund Fitzgerald, an American Great Lakes freighter, 50 years ago.
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And in fifth place, New This Week, My Book of
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Days by Eric Dane, a memoir by the late actor
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in which he describes his journey to sobriety and his
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ALS diagnosis. We continue with the New York Times bestsellers
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in combined print and e-book fiction. In first place, two
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weeks on the list, A Court of Splintered Harmony by
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Sarah
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J. Moss, the sixth book in the Court of
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Thorns and Roses series. Former alliances must be restored to
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fight the threat of Koschei the Deathless. In second place,
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49 weeks on the list, Theo of Golden by Alan Lovey.
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A man travels to a small southern town where he
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purchases pencil drawings of local residents and exchanges them for stories.
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In third place, two weeks on the list, The Hollow
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by Michael Connelly. the 21st book in the Harry Bosch series.
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Bosch investigates the facility where he was a ward of
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the state in his youth. In fourth place, 27 weeks
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on the list, The Calamity Club by Catherine Stockett. As
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things get tougher during the Depression, several women look for
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ways to improve their circumstances. And in fifth place, six
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weeks on the list, Threshing Day by Rebecca Yarrows. Thirteen
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short stories set in the Empyrean world in which cadets
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compete to earn the bond of a dragon. We continue
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with today's headlines from the front page of the New
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York Times. NVIDIA chief quits as second affair adds to scrutiny.
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China plays the long game when it sets the gentle trap.
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Wong was face of an AI boom and a spy scandal.
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Bricks rained down, then apartment walls fell. At least eight
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dead and 18 injured in a Brooklyn building collapse. Prostate
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cancer screening now broadly urged. All men ages 50 to
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69 seen as needing tests. Richard A. Posner, 1939 to 2026,
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legal scholar whose works had no equal. We begin with
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this story. Jensen Wong resigns from the NVIDIA program After Affairs.
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This was written by Trip Mickle and Maggie Haberman. Jensen Wong,
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NVIDIA's chief executive, resigned on Thursday after revelations that he
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had an affair with an executive who reported to him,
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as well as with a woman whom U.S. officials had
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identified as a Chinese spy. The chip company's 10-member board
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met for several hours Wednesday evening and agreed to name
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Colette Kress, the company's chief financial officer, as interim chief
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executive until a permanent successor has been named. The board
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said on Thursday that it would begin a search for
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a permanent replacement and would consider internal and external candidates.
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NVIDIA also appointed Harvey Jones, a longtime tech entrepreneur and investor,
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as the chip company's chairman. In a statement, Mr. Jones
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said that the board was confident in Ms. Kress and
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the executive team, and that it expected the company's operations
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customer commitments and product roadmap to continue without interruption. Mr.
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Huang's exit opens an uncertain chapter for NVIDIA, the premier
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maker of artificial intelligence chips, and will have widespread ripple effects.
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The Silicon Valley firm is a linchpin of the AI
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boom and one of the world's most valuable public companies,
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controlling an estimated 90% of the market for the computer
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chips used in the big AI projects that are driving
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the U.S. economy. That dominance has made Mr. Wang one
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of the world's wealthiest people, as well as an ally
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of President Trump's. Mr. Trump was previously informed about Mr.
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Huang's relationship with the woman believed to be a Chinese
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intelligence asset, but took no action. He has defended Mr.
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Huang over the past week, saying he was an honorable
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man who did not know the woman was a Chinese agent.
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Few Silicon Valley executives, with the possible exception of Elon
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Musk of Tesla and SpaceX and Steve Jobs of Apple,
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have been as synonymous with their companies as Mr. Wong, 63.
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He was a founder of NVIDIA in 1993. He manages
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all aspects of its business as chief executive, and his
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family members have steadily risen through the company's ranks. With
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a 3.56% stake, he is also NVIDIA's largest individual shareholder.
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He has had such a tight grip on the company
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that there is no clear successor. Jensen is very much
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the command and controlled, said Patrick Moorhead, the founder of
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More Insights and Strategy, a technology research firm. Just like
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nobody replaced Steve Jobs and ran the company like him,
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nobody can replace Jensen. There has to be a different
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operating system. Any fallout may widen because NVIDIA has also
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pumped money into AI startups, cloud companies, data centers, and
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other chip suppliers. With Mr. Wang as the ringleader, the
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company spread its tentacles across the AI industry and put
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itself at the epicenter. Public scrutiny of Mr. Wang began
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after the New York Times first reported last month that
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American intelligence agencies had discovered he had developed a close
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relationship with a Chinese citizen and chip buyer who U.S.
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officials concluded previously was gathering intelligence for Beijing. The chip
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buyer was Alice Wong, or Wong Lei, whose biography said
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she worked in China as a TV reporter before becoming
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a top executive at a Singapore-based data center company called
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Megaspeed that had become one of NVIDIA's biggest customers in
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Southeast Asia. Megaspeed has bought more than $ 4. 8 billion in
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chips since June 2024. The relationship raised questions of U.S.
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national security, given that the U.S. government had barred Chinese
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companies from buying the advanced chips. It also stoked geopolitical
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concerns as the United States and China compete for dominance
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in AI. China has denied the espionage claims. Ms. Huang
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has not responded to requests for comment. NVIDIA's board has
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largely been supportive of Mr. Huang, who is also on
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the board. The other members include outside executives and the
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company's early investors and longtime partners. They have served on
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the board for a combined 161 years, and many have
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a long history with Mr. Huang. But after the Financial
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Times reported last week that Mr. Wong's relationship with Miss
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Wong was romantic, NVIDIA's board said on Sunday that it
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was opening an investigation into his conduct. It hired the
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law firm Wachtell, Lipton, Rosen, and Katz to help lead
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its investigation. That same day,
Mr. Wong admitted that he
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had been unfaithful to his wife, Lori Wong, to whom
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he has been married for 41 years. He said he
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was proud and grateful to be an American and apologized
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for his behavior. My family bears no responsibility for my choices.
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I do, he said in a message to NVIDIA employees.
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Please give them privacy. His two children, Madison and Spencer,
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also work at the company. Mr. Wang's acknowledgment of the
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affair and the company's investigation immediately set off a firestorm.
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Nvidia shares are down about a third from their peak
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at the start of October, a decline of more than $ 1. 5
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trillion in market value. On Wednesday, The Times reported that Mr.
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Huang also had an extramarital relationship with Kimberly Powell, a
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NVIDIA vice president who reports to him. Under NVIDIA's Code
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of Conduct, employees are told to avoid situations where our
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actions create conflict, including personal relationships, and the company says
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that it promptly investigates reports of misconduct. Many corporations have
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policies prohibiting managers from having relationships with subordinates. Mr. Wong
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and Ms. Powell, 48, were captured on video being affectionate
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at a San Jose, California hotel during a NVIDIA conference
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in March. Ms. Powell, who is married, has not responded
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to requests for comment. After the Times approached NVIDIA on
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Wednesday about the second affair, the board began deliberating about Mr.
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Wong's future at the company. Ms. Kress is a NVIDIA
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veteran who joined the company 13 years ago. She previously
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worked at Microsoft and Cisco. In a note to employees
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on Thursday, she said she believed deeply in this company
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and each of its employees. This company has achieved so
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much because of the work that all of you bring
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to it every single day, Ms. Kress said. You are
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our greatest strength. She added that there would be a
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company meeting on Wednesday to discuss its future. NVIDIA reports
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its
next quarterly earnings on Tuesday. We continue with this story.
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In China's spy operations, romance can be a long game.
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This was written by Lily Kuo. At the height of
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the Cold War, a top official in China's intelligence agency
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said that his country would never use seduction to entrap
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a person. Such tactics might be for the CIA or
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the KGB, the official named Kang Yuan of the Central
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Investigation Department, told a group of agents in training in
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April 1960. But China was guided by principles. He looked
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at the few female comrades in the audience. Rest assured,
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we will not be asking you to go run beauty traps.
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Despite that pledge, captured in a 2010 memoir by a
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former Chinese diplomat, China's intelligence services have, for decades, used
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romantic entanglements to compromise or extract information from prominent people.
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American officials say that China's Ministry of State Security, which
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runs intelligence operations today, recruited a Chinese businesswoman to collect
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intelligence on Jensen Wang. Mr. Wang, who resigned on Thursday
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as the chief executive of NVIDIA, has been one of
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the most powerful figures in the artificial intelligence boom. It
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was not clear what role the woman, Alice Wong, or
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Huang Lei, might have had with the Chinese spy agency. Ms.
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Wong was a top executive of a Singapore company that
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operates data centers in Southeast Asia using NVIDIA chips and
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that rents their computing power to Chinese firms. Mr. Huang
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has acknowledged that he had an affair with Ms. Huang.
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President Trump has said that Mr. Huang told him he
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was not aware that the woman was a spy. China
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has rejected the espionage allegations against Ms. Huang, calling them
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smears against the country. U.S. officials have not provided evidence
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for their claims. Ms. Huang has not responded to requests
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for comment. The use of relationships or seduction in the
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world of espionage is not new or unique to China.
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The tactic was made infamous by East Germany's Romeo's male
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Stasi agents tasked with seducing the clerks of Western officials
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and by the Soviet Union's longtime use of sexual blackmail,
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among other examples. What is unique about China's use of
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the tactic is the amount of time invested, according to
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Nicholas Efetimadze, a retired senior American intelligence officer who writes
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about China's espionage operations. They play this long-term, he said.
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These are long-term relationships, sometimes marriages. Perhaps the most famous
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example involves Xi Peipu, a Peking opera singer, whose two-decade
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relationship with Bernard Brescott, who worked on French diplomatic missions
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in Beijing and Ulaanbaatar in Mongolia, drew Mr. Borchardt into
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spying for China. Both were arrested in France, at which
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point Mr. Borchardt learned his lover was a man. In 1986,
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they were convicted of espionage. Their story inspired the play M.
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Butterfly by David Henry Huang. More recent cases include Christine Fang,
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or Fang Fang, who was believed by counterintelligence officials to
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be a Chinese spy and who was in a physical
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relationship with former U.S. Representative Eric Swalwell between 2012 and 2015. Separately,
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a retired U.S. Army officer who was working as a
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contractor for the U.S. Pacific Command in Hawaii, was sentenced
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to prison in 2014 for emailing defense secrets, including details
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about joint training exercises between the United States and South Korea,
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to a 27-year-old Chinese woman with whom he had been
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involved romantically for almost two years. In 2003, an FBI agent,
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James J. Smith, who worked in Chinese counterintelligence, admitted that
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he had had an affair for nearly 20 years with
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a Chinese-American businesswoman suspected of being a Chinese double agent.
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The woman, whom he had recruited as an asset, was
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found to have given classified U.S. government information to Beijing.
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Both the United States and China appear to be concerned
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about the possibility of emotional or
other manipulation by the
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other side. Last year, the U.S. government prohibited American personnel
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in China from having romantic or sexual relationships with Chinese citizens,
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according to the Associated Press. China's intelligence agency itself frequently
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warns its citizens to look out for foreign operatives attempting
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to trap them. In May, China's Ministry of State Security
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published an article on WeChat that called on residents to
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be weary of sudden advances and overt displays of affection
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from seemingly perfect individuals of the opposite sex. Avoid falling
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into the gentle trap, it said. Alex Joski, managing director
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at Garnaut Global, an advisory firm, said the Chinese ministry's
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warnings about espionage are usually based on the kinds of
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things that they do, rather than what other countries actually do.
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Compared with Western intelligence agencies, the Chinese government is more
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willing to use blackmail and coercion in its operations, including
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romance and sexual activities, he argued. Western governments see blackmail
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as a less reliable way of motivating a source or asset,
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he said. China's Ministry of State Security, which oversees operations
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abroad as well as security within the country, is known
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for its highly coercive methods that include threats of arrest
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and detention. The agency also exploits other forms of relationships,
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like family ties. a former FBI agent in New York,
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was recruited with the help of his mother in China
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to pass information about the agency to Beijing. He pleaded
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guilty to the charges in 2016. China does engage in
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the kind of sexually baited entrapment one might see in
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the spy drama, according to former American intelligence officers. A diplomat,
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walks into his hotel room, and there's a girl in
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his bed. I mean, that stuff happens. It's just kind
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of ridiculous, Mr. Efetemad said. Dennis Wilder, who was senior
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China director at the National Security Council during the George W.
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Bush administration and a former senior intelligence officer, describes how
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when he traveled to Beijing, a woman would often be
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waiting in the elevator for him when he returned to
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his hotel. She'd say, You know, I can come to
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your room. And I'd say, Well, why do you want
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to come to my room? And they did this over
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and over again to see if they could get me,
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he said, noting that if he was ever to publicly
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accuse the Chinese of trying to entrap him, They could
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say the women were prostitutes working on their own volition.
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That's the beauty of this kind of thing. It's totally deniable, Mr.
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Wilder said. But more often than not, Mr. Atifamed said,
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Beijing is not sending operatives to stage romantic encounters for blackmail. Instead,
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it looks for people whose personal or professional lives give
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them access to potential targets, he said. Many details of
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the relationship between Mr. Wang and Ms. Wang, including when
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they met and under what circumstances Ms. Wang may have
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begun gathering information for Beijing, remain unclear. China's large diaspora
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includes executives, students, and others who can be recruited in
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what Mr. Atifamedz calls the country's whole-of-society approach to espionage.
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Of the many cases of Chinese spying that have come
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to light over the past few years, only a handful
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involve romantic relationships. In most cases, the best motivation is money, Mr.
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Joski says, but when it comes to targeting wealthy elites,
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money is not always as powerful a recruitment tool. So instead,
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You try to co-op someone in their circle, he said.
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That includes someone with whom that person has a close relationship.
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A close relationship is also conducive to another major goal
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of China's intelligence operations, which is to exert influence on
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key decision makers or gather information to sway other prominent
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figures to support policies favorable to Beijing. Once you become
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emotionally involved with somebody, your baseline judgment
changes, said Matthew Brazil,
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a senior fellow at the Jamestown Foundation focusing on Chinese
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intelligence operations. People want to please their lovers. We continue
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with this story. Rescue ends in Brooklyn after eight die
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in building collapse. This was written by Troy Clausen, Nate Schweber,
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Andrea Barnes, and Michael Levinson. After a night of frantic
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searches through the rubble of a Brooklyn building collapse that
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killed eight people, New York City officials announced on Thursday
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that they were ending their rescue efforts, concluding there were
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no more victims. Eighteen other people, including four firefighters, were
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injured in the collapse and its aftermath at 1321 Flatbush Avenue.
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Two children who were cousins were among the eight killed,
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according to an internal police report. Three were construction workers.
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The tragedy shattered the heavily immigrant neighborhood and set off
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a city investigation into excavation at the construction site next door,
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at 2625 Bedford Avenue. The collapse occurred around 4 p.m.
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on Wednesday. James Williams, who works at a deli across
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the street, said he had been hearing an incessant, loud
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hammering noise every few minutes from the construction site on
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Wednesday afternoon. He went outside and saw bricks falling from
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1321 Flatbush, a three-story apartment building. I'm like, oh hell,
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what is going on, he said. He watched as the
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building started to crumble, its front and sides sliding away,
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and a Czech cashing shop that he frequented underneath, all
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collapsing into the open construction site next door. He saw
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clothes and a microwave oven thrown into the dust-filled air.
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He heard people scream. the first firefighters arrived within a minute,
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followed by more from around New York City and from
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New Rochelle, New York, in Westchester County. The search and
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rescue efforts involved about 250 personnel in all. At 2625 Bedford,
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city officials had approved plans for a three-story building, and
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the developers of the site had submitted paperwork for a
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nine-story building with 64 apartments, a community space, and a
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grocery store. Previously, it had been home to a one-story building.
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City officials said that the developers had an active permit
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for excavation and foundation work on the lot, and that
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workers were excavating at the time of the collapse. Photos
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of the site showed shoring holding up the walls of
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the excavation site. In March, the New York City Department
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of Buildings had ordered the property owner to stop demolition
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work at the site after it found that there was
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inadequate protection for nearby properties. The department lifted the order
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in August after finding that the project team had corrected
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the violations. Mayor Zoran Mamdani, who pledged a full and
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thorough investigation into the collapse, said that officials had identified
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five entities associated with the construction site and were commencing
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sweeps of roughly 100 other sites across the city that
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had ties to them. Mr. Mamdani said he was incredibly troubled.
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that construction had continued at the site even though an
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inspection report in March had identified cracks in the north
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facade of the collapsed building. He said the city would
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hold anyone responsible for unsafe conditions fully accountable. This has
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been a devastating evening and mourning for our city, the
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mayor said. We are mourning too many people who we love.
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The general contractor at the construction site, Townhouse Builders, and
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the engineer on the project, LMW Engineering Group, did not
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respond to requests for comment. The limited liability company that
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owns the property is associated with two women, Faggy Fishman
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and Judy Swimmer. A man who answered a phone number
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listed for Ms. Fishman declined to speak to a reporter.
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Miss Swimmer did not respond to a message left at
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a phone number listed under her name. The collapsed building,
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which had faded letters on the
facade that read, Caesar Building,
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was built in 1930 and had four apartments, with a
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commercial space on the ground floor, according to city records.
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It was the last in a row of ten nearly
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identical buildings and sat on a block with a corner
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deli a furniture store, a nail salon, a pharmacy, a
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Pentecostal church, and a daycare center. The dead, Mr. Mamdani said,
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included parents and children, young families building their lives in
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our city, and immigrants from Mexico, Colombia, Ecuador, Trinidad, and beyond.
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As rain started to pelt Brooklyn on Thursday, Rescue workers
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were still scouring the site with search dogs, drones, helicopters,
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fire trucks, and heavy machinery. The collapse sheared off the
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wall of an adjacent building, leaving a staircase, a pink bedroom,
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and closets filled with clothing exposed to the elements. The
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American Red Cross said 14 adults and five children in
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seven households had signed up for emergency assistance, including... temporary housing.
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The police and family members identified the eight victims as
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Nicole Daniela Salvada Rodriguez, 9, Kevin Santiago Reyes Gonzalez, 10,
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Gabriel Siguencia, 22, Mamadou Bouy Barry, 23, Edgar Zapon, 26,
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Jose Luis Gaguana Cosquillo, 26, Mamadou Boy Nidae, 31, and
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Juan Daniel Salvada Guzman, 31. Mr. Seguencia migrated from Ecuador
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in March 2025 and started working on the construction site
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two weeks ago, according to his mother, Leonor Yupa. She
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had watched his rescue crews haul debris out of the site.
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When she learned that her son was among the dead,
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she dropped to her knees and screamed. A family friend,
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Javier Ortega, said that Mr. Seguencia came here looking for
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a better life, a means to live, like so many
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migrants do. Mr. Sapon, who was also a construction worker
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at the site, came to the United States from Guatemala
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three years ago. His relatives had spent the night searching
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for him at the morgue and then watching as bodies
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were pulled from the rubble, said, Maricela Vasquez, 35, whose
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niece was married to Mr. Sapon. He had a six-year-old son,
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and his wife arrived Wednesday evening after hearing of the collapse,
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hoping to find him. Mr. Caguana Cosquillo, an immigrant from
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Ecuador and also a construction worker at the site, was
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supporting a growing family. He would pick up his four-year-old
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son at a nursery school in Bushwick, Brooklyn, said Alexandra Simonian,
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the son's teacher, and his wife is expecting a child
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this month. They were very attached, a very sweet kind
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of family, she said. After the collapse on Wednesday, more
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than a dozen firefighters pulled a pregnant woman from the
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rubble as her husband broke down in tears. She is
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still alive. the man said at an impromptu news conference
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near the scene. I am very happy. Farah Lewis, a
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city council member who represents the neighborhood, said on Thursday
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that the woman, who was from the West African nation
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of Guinea, was in stable condition at a hospital. This
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is a very close-knit community, Miss Lewis said, adding. These
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folks are our neighbors. They're our friends. That's why the
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community is so heartbroken. The collapse renewed concerns about the
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rapid development that has been transforming Brooklyn. Godlo A. Sisuda,
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president of the New York Building Congress, a construction and
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real estate trade group, said smaller projects outside midtown Manhattan
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00:34:08.059 --> 00:34:12.659
often do not get the same close scrutiny, a frustration
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that many residents share. I know a lot of people
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00:34:16.639 --> 00:34:20.780
are not a fan of the new construction, said Yolanda Salomon,
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00:34:21.039 --> 00:34:26.239
a pastor in Flatbush. It seems it happened so fast.
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We continue with this story. Prostate cancer screening now broadly
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00:34:33.239 --> 00:34:39.500
recommended reversing past guidance. This was written by Nina Agrawal.
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The American Cancer Society on Thursday issued new guidelines recommending
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00:34:46.239 --> 00:34:52.019
that all men ages 50 to 69 undergo prostate cancer
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00:34:52.079 --> 00:34:57.010
screening using a blood test every two
years. Black men
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00:34:57.070 --> 00:35:01.429
and those with strong family history of prostate cancer should
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00:35:01.489 --> 00:35:07.710
start annual screening at 45, the guidelines said. Universal screening
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for prostate cancer, which accounts for about 2.5% of all
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00:35:12.500 --> 00:35:17.139
deaths among U.S. men, has long been a subject of controversy.
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00:35:17.780 --> 00:35:20.880
The evidence of the benefits of regular testing of blood
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00:35:20.940 --> 00:35:27.420
levels of prostate-specific antigen, or PSA, is somewhat limited, and
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there are well-documented harms associated with diagnosing and treating all
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prostate cancers, which are typically slow-growing and may not ever
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00:35:37.550 --> 00:35:41.579
cause issues in men who have them. The new guidelines
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diverge from earlier recommendations that patients and physicians decide together
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about screening based on careful consideration of the risks and
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benefits and patients' values. This is truly a reversal, said Dr.
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00:35:58.050 --> 00:36:02.670
Philip Dumb, a professor of urology at the University of Minnesota,
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who was not involved in the guidelines. The ACS said,
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It was updating its guidance based on new evidence and
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00:36:11.469 --> 00:36:16.809
changes in how doctors monitor and treat prostate cancers. While
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00:36:16.989 --> 00:36:21.329
experts agreed with the rationale for the update, some worried
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that the guidelines would lead doctors and patients to default
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to screening rather than having nuanced conversations about its pros
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00:36:30.699 --> 00:36:35.619
and cons. That could lead men to unnecessarily undergo screening.
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00:36:36.050 --> 00:36:40.610
biopsies and treatment like radiation and surgery, which can leave
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men with erectile dysfunction, urinary incontinence, and bowel problems. That way,
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that'll be operationalized by most physicians as they're just going
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to get this test on everyone, said Dr. Alex Christ,
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00:36:59.599 --> 00:37:04.159
a professor of family medicine at Virginia Commonwealth University. who
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00:37:04.219 --> 00:37:09.530
helped write another widely used prostate cancer guideline issued in
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2018 by the U.S. Preventive Services Task Force. It's a
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lot of harm still, and I'm not sure it's going
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00:37:16.969 --> 00:37:22.230
to have the benefits they're predicting. How have the recommendations changed?
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The previous ACS guideline essentially left it up to men
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00:37:27.300 --> 00:37:30.869
starting at age 50 to To make an informed decision
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00:37:30.969 --> 00:37:34.619
with her doctors about whether to undergo a PSA test,
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00:37:35.059 --> 00:37:38.619
which is done with a blood draw, the U.S. Preventive
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00:37:38.679 --> 00:37:43.280
Services Task Force, a government advisory panel that also makes
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screening recommendations, gave the same advice for men ages 55
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to 69. In 2023, less than 40% of men in
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that age group received a PSA test. In explaining the
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00:37:59.610 --> 00:38:04.719
decision to recommend screening every two years, Robert Smith, Senior
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00:38:04.760 --> 00:38:08.960
Vice President of Early Cancer Detection Science at the ACS,
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00:38:09.579 --> 00:38:15.079
cited a new follow-up study on a randomized controlled trial
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00:38:15.260 --> 00:38:20.710
of prostate cancer screening in Europe. After 23 years, the
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risk of death from prostate cancer was 13% lower among
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00:38:23.929 --> 00:38:29.800
men who were screened regularly compared with those who were
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not screened, meaning that about two deaths from prostate cancer
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00:38:34.460 --> 00:38:39.949
were averted per 1,000 men screened. The European study also
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found that prostate cancer screening reduced the incidence of metastatic disease.
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00:38:46.789 --> 00:38:52.039
The ACS published an analysis last year that suggested that
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advanced prostate cancer diagnosis rose after a recommendation not to screen. Dr.
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00:39:00.239 --> 00:39:04.059
Smith also pointed to changes in how doctors now manage
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a high PSA result, including by conducting repeat testing and
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00:39:10.119 --> 00:39:16.070
ordering an MRI before proceeding to biopsy, and by actively
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monitoring low-risk cancers rather than treating them immediately. The guideline
463
00:39:23.820 --> 00:39:28.269
recommends that doctors ensure patients are informed about the risks
464
00:39:28.429 --> 00:39:32.880
and benefits of screening. and give them the opportunity to
465
00:39:32.980 --> 00:39:37.760
raise any questions. It does not recommend rectal exams as
466
00:39:37.840 --> 00:39:41.860
a primary way of screening. Given the burden of disease
467
00:39:41.920 --> 00:39:44.599
and the fact that many men still want to undergo
468
00:39:44.699 --> 00:39:48.940
regular testing for prostate cancer, we felt it was important
469
00:39:48.980 --> 00:39:54.050
to be clear that prostate cancer screening does save lives, Dr.
470
00:39:54.130 --> 00:39:58.880
Smith said. And, he added, we have strategies right now that,
471
00:39:59.010 --> 00:40:03.940
if they're followed, will significantly reduce the risk of harms.
472
00:40:04.920 --> 00:40:09.659
Why is the
recommendation different for black men? Data show
473
00:40:09.719 --> 00:40:13.480
that black men are about 1.7 times more likely than
474
00:40:13.559 --> 00:40:17.519
white men to be diagnosed with prostate cancer and about
475
00:40:17.579 --> 00:40:21.369
twice as likely to die of it. Diagnosis in black
476
00:40:21.429 --> 00:40:24.909
men also start to climb at an earlier age, Dr.
477
00:40:24.969 --> 00:40:29.630
Smith said, which is why the ACS guideline recommends they
478
00:40:29.690 --> 00:40:35.139
begin screening at 45. Dr. Otis Brawley, a professor of
479
00:40:35.420 --> 00:40:40.880
oncology and epidemiology at Johns Hopkins University, who has studied
480
00:40:40.960 --> 00:40:46.530
cancer disparities, said he understood the recommendation to begin screening
481
00:40:46.750 --> 00:40:51.079
earlier but he wasn't aware of data suggesting that prostate
482
00:40:51.139 --> 00:40:56.369
cancer behaves more aggressively in black men. The primary reason
483
00:40:56.449 --> 00:40:59.829
black men have worse outcomes, he said, is because they
484
00:40:59.869 --> 00:41:04.969
have less access to high-quality care. Research has shown that
485
00:41:05.030 --> 00:41:08.289
when black men receive the same care in the same
486
00:41:08.389 --> 00:41:12.670
hospital system as white men, they have the same outcomes.
487
00:41:13.690 --> 00:41:20.420
What about the risks of over-diagnosis and over-treatment? Overdiagnosis occurs
488
00:41:20.519 --> 00:41:23.519
when cancers that would not have caused any harm during
489
00:41:23.579 --> 00:41:29.170
a person's lifetime are diagnosed. Overtreatment occurs when those cancers
490
00:41:29.369 --> 00:41:34.550
are then treated unnecessarily, providing no benefit at best and
491
00:41:34.610 --> 00:41:40.070
causing harm at worst. These are real risks. With prostate
492
00:41:40.139 --> 00:41:44.960
cancer screening, the U.S. Preventive Services Task Force has not
493
00:41:45.079 --> 00:41:50.219
backed universal screening. because it concluded that the potential benefits
494
00:41:50.300 --> 00:41:55.679
did not outweigh these harms. The task force estimated that
495
00:41:55.739 --> 00:42:01.590
for every 1,000 men offered screening, 100 true prostate cancers
496
00:42:01.650 --> 00:42:05.730
would be diagnosed, up to half of which would never grow, spread,
497
00:42:06.010 --> 00:42:11.369
or become harmful. Most would be treated nonetheless, and 65
498
00:42:11.369 --> 00:42:17.340
men would experience erectile dysfunction or urinary incontinence while five
499
00:42:17.420 --> 00:42:24.460
men would still ultimately die from prostate cancer even after treatment. Dr.
500
00:42:24.519 --> 00:42:28.820
Dahm of the University of Minnesota said the guidelines did
501
00:42:28.880 --> 00:42:34.929
establish guardrails to lessen these risks, including by recommending testing
502
00:42:35.449 --> 00:42:39.670
biannually and limiting testing to a core age group that
503
00:42:39.710 --> 00:42:44.260
was most likely to benefit. What should I do? if
504
00:42:44.480 --> 00:42:49.539
I have a high PSA result. The guidelines recommend that
505
00:42:49.619 --> 00:42:54.769
someone who has an elevated PSA be retested, as other
506
00:42:54.829 --> 00:43:00.469
conditions can cause elevated levels. If the repeat test also
507
00:43:00.550 --> 00:43:06.739
produces an abnormal result, the ACS recommends an MRI in
508
00:43:06.940 --> 00:43:13.340
order to distinguish between low-risk cancers and high-risk cancers. which
509
00:43:13.449 --> 00:43:19.000
need to be confirmed via biopsy. Tumors that appear to
510
00:43:19.059 --> 00:43:23.679
be low-risk can be treated with active surveillance, which can
511
00:43:23.760 --> 00:43:33.159
include PSA testing, monitoring, and biopsy. We continue with this story.
512
00:43:36.809 --> 00:43:42.550
The U.S. has lost its measles elimination status, data suggests.
513
00:43:43.239 --> 00:43:50.860
This was written by Apoorva Mandavili. Measles is once again endemic,
514
00:43:51.139 --> 00:43:56.289
a constant and predictable presence in the United States. 26
515
00:43:56.289 --> 00:44:00.210
years after it was declared eliminated in the country, an
516
00:44:00.289 --> 00:44:04.989
analysis of genetic data from outbreaks of the disease has found.
517
00:44:05.789 --> 00:44:09.420
Data from the outbreaks will be the focus of deliberations
518
00:44:09.519 --> 00:44:14.809
by an international panel of scientific experts convening on Tuesday
519
00:44:14.889 --> 00:44:19.449
to decide whether the United States should lose its official
520
00:44:19.530 --> 00:44:25.260
designation as a nation that has eliminated measles. An announcement
521
00:44:25.320 --> 00:44:29.420
of the decision is expected on November 17. The New
522
00:44:29.460 --> 00:44:34.070
York Times asked several scientists to analyze the publicly available
523
00:44:34.130 --> 00:44:39.869
genetic data before the meeting. Achieving elimination status in 2000
524
00:44:39.869 --> 00:44:44.010
was a hard-fought public health victory for the United States,
525
00:44:44.809 --> 00:44:48.710
but with skepticism about the safety of vaccines growing in
526
00:44:48.789 --> 00:44:54.230
recent years, outbreaks have become more frequent. Over the past
527
00:44:54.329 --> 00:45:00.190
two years, cases have soared, with nearly 5,200 reported so
528
00:45:00.269 --> 00:45:05.159
far this year. Last week alone, Pennsylvania, New York, and
529
00:45:05.199 --> 00:45:10.710
Wisconsin reported each reported a death associated with measles, bringing
530
00:45:10.769 --> 00:45:14.510
this year's total to eight, more than the combined deaths
531
00:45:14.610 --> 00:45:22.530
from 2000 through 2024. To officially lose elimination status, a
532
00:45:22.590 --> 00:45:26.289
committee of the Pan American Health Organization, a branch of
533
00:45:26.349 --> 00:45:31.070
the World Health Organization, must determine that the country has
534
00:45:31.139 --> 00:45:35.300
had uninterrupted transmission of measles for more than 12 months.
535
00:45:36.820 --> 00:45:41.309
Publicly available data shows that several chains of transmission have
536
00:45:41.349 --> 00:45:44.550
continued for more than a year in the United States,
537
00:45:45.110 --> 00:45:48.880
according to scientists who analyzed the data at the request
538
00:45:48.920 --> 00:45:53.000
of the New York Times. Three chains that were continuing
539
00:45:53.059 --> 00:45:57.820
in July 2026, two in Utah and one in Arizona,
540
00:45:58.400 --> 00:46:01.610
can all be traced to an outbreak in Texas more
541
00:46:01.650 --> 00:46:05.199
than a year earlier. One of those, which was still
542
00:46:05.260 --> 00:46:10.099
continuing in Utah in September, had been circulating for over
543
00:46:10.239 --> 00:46:14.980
a year in that state, occasionally spilling over into Oregon
544
00:46:15.360 --> 00:46:19.780
and Washington. This alone is strong evidence that there has
545
00:46:19.860 --> 00:46:25.320
been ongoing transmission for over a year, said Bill Hanage,
546
00:46:25.829 --> 00:46:29.710
co-director of the Center for Communicable Disease Dynamics at the
547
00:46:29.769 --> 00:46:35.590
Harvard T.H. Chan School of Public Health. Another transmission chain
548
00:46:35.650 --> 00:46:38.889
detected in Virginia at the start of the year was
549
00:46:38.929 --> 00:46:44.539
still spreading in Iowa, Indiana, and Pennsylvania as of mid-October.
550
00:46:45.239 --> 00:46:48.480
There is often a delay of several weeks before genetic
551
00:46:48.519 --> 00:46:53.880
data is available online. There's a general pattern of outbreaks
552
00:46:53.960 --> 00:46:59.989
seeding other outbreaks, said J.T. McCrone, an evolutionary biologist at
553
00:47:00.070 --> 00:47:05.369
the Fred Hutch Cancer Center, who helps oversee Nextstrain, the
554
00:47:05.449 --> 00:47:10.869
publicly available database that contains genetic information for measles and
555
00:47:10.949 --> 00:47:18.449
many other pathogens. Measles is very contagious. It spreads very easily, Dr.
556
00:47:18.510 --> 00:47:22.389
McCrone said. We have a lot of connected communities in
557
00:47:22.429 --> 00:47:26.039
the U.S., and so you can hop from population to
558
00:47:26.099 --> 00:47:33.139
population and maintain a transmission chain. Some critics consider the
559
00:47:33.199 --> 00:47:38.579
potential loss of elimination status a referendum on Health Secretary
560
00:47:38.739 --> 00:47:43.300
Robert F. Kennedy Jr., who has for decades questioned the
561
00:47:43.380 --> 00:47:48.380
safety of vaccines in general and the measles vaccine in particular.
562
00:47:49.059 --> 00:47:52.980
He has falsely said that the measles vaccine can be fatal,
563
00:47:53.469 --> 00:47:58.179
that it contains fetal debris, and that its effectiveness plummets
564
00:47:58.280 --> 00:48:01.900
over time. None of the eight Americans who died from
565
00:48:01.960 --> 00:48:06.599
measles this year had been vaccinated against the disease. Four
566
00:48:06.699 --> 00:48:10.389
were infants who were too young for the shot. Mr.
567
00:48:10.449 --> 00:48:14.849
Kennedy has repeatedly noted that measles is on the rise
568
00:48:14.929 --> 00:48:19.949
in many countries beyond the United States. Due in large
569
00:48:20.030 --> 00:48:24.809
part to a rise in vaccine hesitancy and misinformation since
570
00:48:24.889 --> 00:48:30.849
the pandemic, seven countries, including Canada, Spain, and Britain, have
571
00:48:30.949 --> 00:48:35.309
lost their elimination status in the past two years. Mexico
572
00:48:35.389 --> 00:48:38.309
is expected to lose it this month, along with the
573
00:48:38.389 --> 00:48:43.190
United States. But the explosion of cases in the United
574
00:48:43.269 --> 00:48:48.559
States has coincided precisely with his time in office. Last year,
575
00:48:48.639 --> 00:48:53.900
the Centers for Disease Control and Prevention recorded nearly 2,300
576
00:48:53.900 --> 00:48:58.460
cases and three deaths. Most cases of measles in the
577
00:48:58.539 --> 00:49:04.010
years since elimination were linked to travel abroad, particularly in
578
00:49:04.110 --> 00:49:09.909
countries where the disease is still endemic. But those importations
579
00:49:10.010 --> 00:49:14.039
did not spread widely and died out quickly. because more
580
00:49:14.079 --> 00:49:17.670
than 95% of children in the United States had been
581
00:49:17.869 --> 00:49:24.340
immunized against the disease. That percentage dropped to 92.4% in
582
00:49:24.639 --> 00:49:31.780
the school year beginning in 2025, leaving nearly 300,000 kindergartners
583
00:49:32.039 --> 00:49:37.699
at risk. Rising vaccine hesitancy has led to sharp increases
584
00:49:37.880 --> 00:49:43.460
in parents seeking exemptions for their children from school vaccination requirements.
585
00:49:44.219 --> 00:49:50.469
The COVID pandemic exacerbated the problem, first by derailing routine
586
00:49:50.630 --> 00:49:56.989
immunizations and then by intensifying mistrust of vaccines. Mr. Kennedy's
587
00:49:57.030 --> 00:50:01.260
statements from his pulpit as the country's top health official
588
00:50:01.539 --> 00:50:06.710
also fueled misplaced fears, that childhood vaccines might be more
589
00:50:06.809 --> 00:50:12.150
dangerous than the diseases they are intended to prevent. Regaining
590
00:50:12.309 --> 00:50:18.360
elimination status will require more than ending the current transmission chains,
591
00:50:18.590 --> 00:50:23.780
experts said. Public health officials will need to increase immunization
592
00:50:23.840 --> 00:50:27.400
rates across the country and cut down on the number
593
00:50:27.460 --> 00:50:31.639
of pockets into which the virus can jump. The measles
594
00:50:31.739 --> 00:50:37.000
virus evolves slowly, allowing the vaccine to be effective even
595
00:50:37.059 --> 00:50:42.420
without frequent updates. But its slow
evolution also means that
596
00:50:42.500 --> 00:50:48.860
pinpointing how the virus is changing or moving requires deeper analysis.
597
00:50:50.659 --> 00:50:55.239
Scientists have typically relied on snippets of the measles virus,
598
00:50:55.340 --> 00:50:59.059
which was enough to identify the sporadic cases in the country.
599
00:50:59.739 --> 00:51:03.639
but they now have the technology to decode the full
600
00:51:03.679 --> 00:51:08.920
genetic sequences of the samples, giving them clearer insight into
601
00:51:08.980 --> 00:51:13.019
how the virus is changing and moving and enabling them
602
00:51:13.119 --> 00:51:20.260
to distinguish endemic circulation from travel-associated cases. If this outbreak
603
00:51:20.300 --> 00:51:26.130
had occurred in 2006, We wouldn't have the technology to
604
00:51:26.170 --> 00:51:29.940
be able to do this, said Robert Potter, a clinical
605
00:51:30.159 --> 00:51:35.039
microbiologist at the Children's Hospital of Philadelphia. We never really
606
00:51:35.079 --> 00:51:39.889
had to study measles from a genomic perspective before because
607
00:51:39.949 --> 00:51:43.730
there were no measles to sequence, he added. It's giving
608
00:51:43.829 --> 00:51:47.409
us a lot of new information, but it's information that
609
00:51:47.449 --> 00:51:54.110
we didn't necessarily need to have. We continued. with this story.
610
00:51:54.130 --> 00:51:59.449
At a civil rights landmark, a night of jubilation over
611
00:51:59.550 --> 00:52:05.809
Collins' victory. This was written by Emily Cochran and Jennifer Medina.
612
00:52:07.369 --> 00:52:11.159
On the lawn of Tougaloo College, steps from the chapel
613
00:52:11.199 --> 00:52:14.840
where the civil rights leaders Fannie Lou Hammer and Medgar
614
00:52:15.000 --> 00:52:20.039
Evans gave speeches, they danced. Students from Tougaloo and other
615
00:52:20.099 --> 00:52:26.349
nearby Historically, black institutions lined the sidewalk to cheer and applaud.
616
00:52:26.969 --> 00:52:31.269
Members of black fraternities and sororities, dressed in their letters
617
00:52:31.349 --> 00:52:35.780
and colors, embraced one another. Thank the Lord, we did it,
618
00:52:36.159 --> 00:52:39.559
one woman declared. It was a day that many had
619
00:52:39.619 --> 00:52:43.679
prayed would come, though they could never know when. That evening,
620
00:52:44.099 --> 00:52:48.699
Scott Column, made their hopes a reality, speaking in front
621
00:52:48.760 --> 00:52:55.380
of the college chapel as the senator-elect from Mississippi. Tyler Dotson, 21,
622
00:52:55.369 --> 00:53:00.369
a freshman at Tougaloo College, was awestruck. It was everything,
623
00:53:00.590 --> 00:53:03.449
he said, describing how it felt to hear that Mr.
624
00:53:03.530 --> 00:53:08.269
Column had won. We've been waiting a long time. It's
625
00:53:08.329 --> 00:53:12.880
something big, remembered in history, he added, grinning. We'd back.
626
00:53:13.730 --> 00:53:17.550
When the U.S. Senate
race in Mississippi was called for Mr. Collum,
627
00:53:17.929 --> 00:53:20.889
who will become the first black senator from the state
628
00:53:20.969 --> 00:53:25.920
since the Reconstruction era, shouts of celebration erupted at the
629
00:53:25.980 --> 00:53:31.900
local NAACP office. At a law office in Jackson, everyone
630
00:53:31.980 --> 00:53:36.820
stopped working and screamed for joy. At Tougaloo, The rows
631
00:53:36.860 --> 00:53:40.769
of chairs filled long before the victory speech began, as
632
00:53:40.889 --> 00:53:43.710
hundreds gathered at the college that had been both a
633
00:53:43.769 --> 00:53:47.469
haven and a proving ground for a generation of civil
634
00:53:47.550 --> 00:53:52.369
rights activists and black leaders. It had been eight days
635
00:53:52.690 --> 00:53:57.730
since the election. It had been 63 years since Medgar Evers,
636
00:53:58.150 --> 00:54:01.349
the civil rights leader who led voting rights drives in
637
00:54:01.389 --> 00:54:06.869
the state, was assassinated in his driveway. and it had
638
00:54:06.909 --> 00:54:10.929
been more than 150 years since a black senator had
639
00:54:10.989 --> 00:54:16.739
been chosen to represent Mississippi. For generations, Mississippi was a
640
00:54:16.800 --> 00:54:23.840
bastion of slavery, segregation, lynching, and black voter suppression. Mr.
641
00:54:23.900 --> 00:54:27.880
Collum will be the third black senator to represent the state.
642
00:54:29.139 --> 00:54:32.610
The first two were chosen by the state legislature and
643
00:54:32.730 --> 00:54:37.340
served during Reconstruction. Mr. Column will be the first chosen
644
00:54:37.420 --> 00:54:42.199
by voters. It lets me know that my work isn't
645
00:54:42.320 --> 00:54:47.380
in vain, said Jamarius Everett, 20, wearing a black and
646
00:54:47.420 --> 00:54:52.090
gold jacket of Alpha Phi Alpha, the fraternity to which Mr.
647
00:54:52.119 --> 00:54:57.210
Column also belongs. I can sit in the seats that
648
00:54:57.409 --> 00:55:05.309
once controlled people like me. Some in Mississippi, including Nadia Colum, Mr.
649
00:55:05.389 --> 00:55:11.070
Colum's wife, pointed to President Barack Obama's election in 2008
650
00:55:11.070 --> 00:55:15.059
as the last moment where this kind of hope reverberated
651
00:55:15.239 --> 00:55:21.579
through their communities. At a bar in downtown Jackson, Robert Morris, 37,
652
00:55:21.579 --> 00:55:25.260
sat on the patio and said the Senate election had
653
00:55:25.340 --> 00:55:29.719
made history he never expected to witness as a lifelong
654
00:55:29.820 --> 00:55:34.460
resident of the Deep South. I never thought I'd see
655
00:55:34.500 --> 00:55:37.829
a black president. Never thought I'd see a black senator,
656
00:55:37.909 --> 00:55:43.750
especially a black senator from Mississippi, Mr. Morris said. Remember
657
00:55:43.849 --> 00:55:48.940
when Andre 3000 said the South has something to say? Well,
658
00:55:49.280 --> 00:55:53.900
now Mississippi does. Everybody is paying attention to us, and
659
00:55:53.960 --> 00:55:59.250
we're going to do things right. Many college-educated residents of
660
00:55:59.329 --> 00:56:02.429
Mississippi have left the state over the years to seek
661
00:56:02.510 --> 00:56:08.500
jobs in more progressive environments elsewhere. Terry Rogers II, a
662
00:56:08.519 --> 00:56:14.000
21-year-old senior studying political science at Tougaloo, said Mr. Colum's
663
00:56:14.099 --> 00:56:17.840
win could help change that. This is what we've been
664
00:56:17.880 --> 00:56:22.530
praying for, for years, for generations, he said. Mr. Rogers
665
00:56:22.590 --> 00:56:26.670
had spent Tuesday driving a college van to shuttle students
666
00:56:26.750 --> 00:56:30.510
between government offices to check on their ballots as the
667
00:56:30.570 --> 00:56:35.030
race remained uncalled. This makes me want to continue to
668
00:56:35.110 --> 00:56:39.500
be a Mississippian. This makes me love my state even
669
00:56:39.599 --> 00:56:44.320
more than I already did. As Mr. Rogers spoke, another
670
00:56:44.380 --> 00:56:49.920
student shouted in joyous disbelief. He won. You see that?
671
00:56:50.579 --> 00:56:54.210
You see that? This concludes the reading of the New
672
00:56:54.250 --> 00:56:57.940
York Times for today. Your reader has been Blanca Michael Ward.
673
00:56:58.460 --> 00:57:03.159
If you have any questions, comments, or suggestions concerning this program,
674
00:57:03.699 --> 00:57:10.579
please feel free to call us at 859-422-6390. Thank you
675
00:57:10.679 --> 00:57:14.489
for listening, and now please stay tuned for continued programming
676
00:57:14.829 --> 00:57:15.679
on Radio Eye.