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He spared millions of people from a debilitating parasite

Guinea worm, once a disease that plagued millions, now affects fewer than 20 people worldwide—an incredible transformation driven by Jimmy Carter’s tireless advocacy.

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Credit: LBJ Library and Museum

“I’d like the last Guinea worm to die before I do,” former US president Jimmy Carter told reporters in 2015. While Carter’s passing on December 29, 2024, came before this goal was fully realized, his extraordinary efforts have brought the world to the brink of achieving the unimaginable. Guinea worm, once a disease that plagued millions, now affects fewer than 20 people worldwide—an incredible transformation driven by Carter’s tireless advocacy. His unwavering dedication has not only changed the course of public health but has also made complete eradication a realistic, imminent goal.

In the mid-1980s, former US president and Nobel Prize-winning peacemaker Jimmy Carter’s life and legacy took a turn toward global health when he witnessed the damage caused by Guinea worm disease in rural Ghana. It was an encounter that would shape not only his post-presidency but also the lives of millions of people in some of the world’s poorest regions. As he toured the villages, Carter was confronted by a sight that would forever remain etched in his memory: children and adults alike suffering from the parasitic worms that emerge painfully through the skin, often causing severe physical and emotional distress.

“Once you’ve seen a small child with a two- or three-foot-long live Guinea worm protruding from her body, right through her skin, you never forget it,” Carter reflected in later years (An Hour Before Daylight: A Personal Journey, 2001). His commitment to eradicating this disease would become one of the defining aspects of his post-presidential work.

Carter’s focus on Guinea worm disease and his contributions to global health remain a commendable testament to the role of science and leadership in solving complex public health challenges. Guinea worm disease, also called Dracunculiasis, was a significant health crisis, affecting millions of people annually. It was estimated that around 3.5 million cases of this debilitating disease occurred worldwide each year, primarily in rural communities where access to clean water was scarce. Guinea worm, transmitted through contaminated water, is a parasitic infection that involves the slow emergence of long worms from the skin, causing excruciating pain. The cycle of infection was perpetuated by the human tendency to seek relief by submerging affected body parts in water, inadvertently facilitating the worms’ reproduction.

Jimmy Carter consoles a young patient having a worm removed from her body in Savelugu, Ghana, in February 2007. Credit: The Carter Center

In 1982, the former president and the former first lady Rosalynn Carter established the Carter Center, a non-profit organization dedicated to advancing human rights and improving public health worldwide. Just four years later, in 1986, the organization launched a determined initiative to eliminate Guinea worm disease. This initiative came at a critical moment when the World Health Organization (WHO) set its sights on eradicating the disease globally. The disease’s grip on affected regions demanded a multifaceted approach, and Carter’s leadership brought together political will, scientific expertise, and on-the-ground action to begin a comprehensive campaign against the parasitic threat, along with WHO.

The Carter Center’s strategy was simple yet revolutionary: improve access to clean water, educate communities about prevention, and mobilize local governments and international bodies to take action. One of the key interventions was the provision of filtration devices, called “poultices”, that helped people avoid ingesting copepods, the tiny fleas responsible for spreading the parasite. By ensuring that people had access to clean drinking water, Carter’s team was able to significantly reduce the cycle of infection, ultimately breaking the transmission chain of the parasite.

Carter’s ability to mobilize global resources and create lasting partnerships made Guinea worm disease one of the most successful examples of disease eradication in history. Under his guidance, the incidence of Guinea worm disease plummeted from 3.5 million cases in the 1980s to just 13 reported cases in 2022, according to the U.S. Centers for Disease Control and Prevention (CDC). The disease, which had once ravaged communities across parts of Africa and Asia, was now on the verge of becoming only the second human disease in history, after smallpox, to be fully eradicated.

Sharon Roy and Vitaliano Cama, scientists at the CDC who worked closely with the Carter Center, have consistently praised Carter’s leadership. “Carter’s bold vision, leadership, and ability to create political will for supporting Guinea worm eradication in affected countries were instrumental in this success,” Cama remarked (Carter Center, 2022). The fight against Guinea worm disease continues today, but the almost complete eradication of the parasite is a reflection of Carter’s unyielding dedication to improving the health of the world’s most vulnerable populations.

This extraordinary public health achievement is not just a victory for science, but a lasting mark to the power of compassionate leadership in advancing global health. Carter’s work with the Guinea worm eradication program is often cited as one of the most effective and far-reaching scientific interventions of the 20th century. His legacy demonstrates that when science is combined with moral vision and political resolve, great change is possible—even in the most challenging circumstances.

Jimmy Carter passed away on December 29, 2023, in Plains, Georgia, at the age of 99, after entering hospice care earlier in the year. His death marked the end of a remarkable life dedicated to public service, humanitarian causes, and advancing global health. Alongside his wife, Rosalynn Carter, who passed away in November 2023, Jimmy Carter left an indelible mark on global health, using his platform to better the lives of those in need.

The nearly eradicated Guinea worm disease stands as one of the greatest successes in the field of public health. As we pay tribute to the late president, it is clear that his scientific interventions and humanitarian work will continue to inspire efforts to combat disease, poverty, and suffering for generations to come. Through his vision and the ongoing work of the Carter Center, Jimmy Carter’s legacy in the world of science and global health will remain an enduring example of the positive impact one individual can have on the lives of millions.

Reference:

  • Carter, Jimmy. An Hour Before Daylight: A Personal Journey. 2001.
  • Vitaliano Cama and Sharon Roy, U.S. Centers for Disease Control and Prevention. “Global Guinea Worm Eradication Efforts and Achievements.” Carter Center, 2022.

(The article first appeared in the February 2025 edition of EdPublica magazine)

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The Rise of U.S. Retail Giants: A Century of Political and Economic Shaping

Currently, 90% of Americans live within 10 miles of a Walmart, and five of the top 10 U.S. employers—Walmart, Amazon, Home Depot, Kroger, and Target—are retailers

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MIT political scientist Kathleen Thelen’s new book, “Attention, Shoppers!”Credits:Photo: Gretchen Ertl

The U.S. retail sector, once dominated by small, independent merchants, has transformed over the past century into a landscape controlled by retail giants. In the late 19th century, most U.S. retail was local. However, this shifted with the rise of catalog retailers like Sears and Roebuck, which saw rapid growth, followed by Montgomery Ward’s expansion. By the 1930s, chain stores began to proliferate, with the Atlantic and Pacific (A&P) supermarkets leading the pack with over 15,000 locations.

Fast-forward to today, and the dominance of retailers like Walmart, Amazon, and Target is undeniable. Currently, 90% of Americans live within 10 miles of a Walmart, and five of the top 10 U.S. employers—Walmart, Amazon, Home Depot, Kroger, and Target—are retailers. In addition, logistics giants UPS and FedEx play a crucial role in supporting the retail economy.

This prevalence of massive retail chains is largely unique to the U.S., where domestic consumption is a driving force behind economic growth. Additionally, the U.S. has five times as much retail space per capita as Japan and the U.K., and 10 times as much as Germany. Unlike in Europe, the U.S. has few regulations limiting shopping hours.

How did we arrive at this point? While major chains like Walmart and Amazon are known for their business prowess, the full story involves over a century of political and legal debates that shaped the landscape of U.S. retailing. MIT political scientist Kathleen Thelen, in her new book Attention, Shoppers! American Retail Capitalism and the Origins of the Amazon Economy, dives into the role of political and legal forces in the rise of large, low-cost retailers.

“The markets that we take as given, that we think of as the natural outcome of supply and demand, are heavily shaped by policy and by politics,” Thelen explains.

Thelen’s book offers a unique perspective, drawing comparisons with European economies and taking a historical approach to the growth of chain retailing. For instance, she highlights how alternative commercial arrangements, like cooperatives, were stifled by U.S. antitrust laws, which favored big corporations while suppressing smaller competitors. This legal framework gave a significant advantage to large retailers, including Sears, which relied on the U.S. Postal Service’s money order system to reach customers who lacked bank accounts.

Smaller retailers resisted the expansion of large chains, particularly during the Great Depression, but big retailers found ways around regulatory constraints. “Antitrust laws in the United States were very forbearing toward big multidivisional corporations and very punitive toward alternative types of arrangements like cooperatives, so big retailers got a real boost in that period,” Thelen says. Over time, antitrust law increasingly prioritized consumer prices, further benefiting low-cost retailers.

As Thelen argues, prioritizing price reduction often leads to lower wages for workers, with large retailers driving down wages both directly and through pressure on suppliers. “If you prioritize prices, one of the main ways to reduce prices is to reduce labor costs,” she says, noting that low-cost discounters are often low-wage employers.

In her analysis, Thelen suggests that the American retail system’s focus on low prices, low wages, and high consumer convenience has led to a “deep equilibrium,” where low-wage workers rely on these retail giants to make ends meet. Meanwhile, the speed of modern delivery systems has become a normal part of American shopping culture.

“The triumph of these types of retailers was not inevitable,” Thelen reflects. “It was a function of politics and political choice.” With ongoing debates about labor law reforms and antitrust enforcement, the current retail equilibrium may persist for the foreseeable future, unless significant changes are made to the system.

Through Attention, Shoppers!, Thelen offers readers a comprehensive look at the economic forces that have shaped the retail sector, helping explain the giant retail landscape many Americans take for granted today.

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Jio Joins Forces with SpaceX’s Starlink to Bring High-Speed Internet to India

India’s richest man Mukesh Ambani’s Jio Partners with SpaceX for a Digital Revolution

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In a groundbreaking move, Jio Platforms Limited (JPL), a subsidiary of India’s Reliance Industries Limited, has announced a strategic partnership with SpaceX to offer Starlink’s high-speed broadband internet services across India. This collaboration comes as part of Jio’s ambition to expand its broadband offerings and transform connectivity in the country, especially in rural and remote areas.

The partnership between Jio, led by India’s richest man, Mukesh Ambani, and SpaceX, led by US billionaire Elon Musk, marks a significant step in bridging the digital divide and accelerating India’s digital ecosystem. By bringing Starlink’s advanced low Earth orbit (LEO) satellite internet into its fold, Jio is positioning itself at the forefront of India’s broadband evolution, promising to provide affordable and high-speed internet to even the most remote corners of the country.

Through this agreement, Jio will integrate Starlink’s services into its vast network, offering them to both consumers and businesses across India. Customers will be able to access Starlink’s solutions through Jio’s retail outlets as well as its online platforms, ensuring a seamless and efficient experience for users nationwide.

“Ensuring that every Indian, no matter where they live, has access to affordable and high-speed broadband remains Jio’s top priority,” said Mathew Oommen, Group CEO of Reliance Jio, in a statement. “Our collaboration with SpaceX to bring Starlink to India strengthens our commitment and marks a transformative step toward seamless broadband connectivity for all. By integrating Starlink into Jio’s broadband ecosystem, we are expanding our reach and enhancing the reliability and accessibility of high-speed broadband in this AI-driven era, empowering communities and businesses across the country.”

Jio’s extensive infrastructure, paired with Starlink’s pioneering satellite technology, will address the connectivity challenges in India’s most underserved areas, ensuring the benefits of the digital age are accessible to all. The collaboration will also allow Jio to complement its existing broadband services, such as JioAirFiber and JioFiber, by providing high-speed internet in hard-to-reach locations more quickly and affordably.

Additionally, Jio and SpaceX are exploring further areas of collaboration, looking for innovative ways to strengthen India’s digital landscape. Gwynne Shotwell, President and Chief Operating Officer of SpaceX, commented, “We applaud Jio’s commitment to advancing India’s connectivity. We are looking forward to working with Jio and receiving authorization from the Government of India to provide more people, organizations, and businesses with access to Starlink’s high-speed internet services.”

In an interesting twist, Jio’s partnership with Starlink comes just one day after India’s second-largest telecom operator, Airtel, also signed a deal with Starlink. This move indicates that India’s telecom sector is witnessing a significant transformation as leading operators race to offer cutting-edge broadband services through satellite technology, further boosting the country’s digital revolution.

As part of its long-term strategy, Jio continues to innovate and diversify its offerings, positioning itself as a leader in the broadband space with cutting-edge solutions. With this collaboration, Jio not only aims to enhance the reach of its broadband services but also solidifies its role in advancing India’s goal of becoming a global leader in the digital economy.

The union of Jio’s expansive infrastructure and SpaceX’s space-based internet promises to accelerate India’s journey toward becoming a digitally connected nation, ensuring that no part of the country is left behind in the fast-evolving digital landscape.

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New Research Could Allow People to Correct Robots’ Actions in Real-Time

Through basic interactions like pointing to the object, tracing a path on a screen, or physically nudging the robot’s arm, you could guide it to complete the task more accurately.

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Graduate student Felix Yanwei Wang nudges a robotic arm that is manipulating a bowl in a toy kitchen set up in the group’s lab. Using the framework Wang and his collaborators developed, slightly nudging a robot is one way to correct its behavior. Credits:Credit: Melanie Gonick, MIT

A breakthrough framework developed by researchers from MIT and NVIDIA may soon allow people to correct a robot’s actions in real-time using simple, intuitive feedback—similar to how they would guide another person.

Imagine you’re doing the dishes and a robot grabs a soapy bowl from the sink—but its gripper misses the mark. Instead of having to retrain the robot from scratch, a new method could enable you to fix its behaviour in real time. Through basic interactions like pointing to the object, tracing a path on a screen, or physically nudging the robot’s arm, you could guide it to complete the task more accurately.

This new approach eliminates the need for users to collect data and retrain the robot’s machine-learning model, unlike other traditional methods. Instead, it allows the robot to immediately adjust its actions based on user feedback to get as close as possible to fulfilling the user’s intent.

In tests, the framework’s success rate was 21 percent higher than an alternative method that did not leverage human corrections.

“This approach is designed to let robots perform tasks effectively right out of the box,” says Felix Yanwei Wang, an MIT graduate student in electrical engineering and computer science (EECS) and the lead author of a paper on the framework. “We can’t expect laypeople to gather data and fine-tune models. If a robot doesn’t work as expected, users should have an intuitive way to fix it.”

Wang’s co-authors include Lirui Wang PhD ’24, Yilun Du PhD ’24, senior author Julie Shah, MIT professor of aeronautics and astronautics and director of the Interactive Robotics Group at CSAIL, along with Balakumar Sundaralingam, Xuning Yang, Yu-Wei Chao, Claudia Perez-D’Arpino PhD ’19, and Dieter Fox from NVIDIA. The research will be presented at the upcoming International Conference on Robots and Automation.

A New Approach to Robot Correction

Currently, many robots use generative AI models trained on vast amounts of data to perform tasks. These models can solve complex tasks but often struggle to adapt to real-world situations that differ from their training environment. For example, a robot might fail to pick up a box from a shelf if the shelf in the user’s home is arranged differently than in its training environment.

To address this, engineers often collect new data and retrain the model—a time-consuming and costly process. However, the new MIT-NVIDIA framework allows users to interact with the robot during deployment, correcting its behavior in real time without the need for retraining.

“We want users to guide the robot without causing mistakes that could misalign with their intent,” says Wang. “The goal is to provide feedback that adjusts the robot’s behavior in a way that is both valid and aligned with the user’s goals.”

The system offers three ways for users to provide feedback: they can point to the object they want the robot to interact with, trace a desired trajectory on a screen, or physically nudge the robot’s arm. Wang explains, “Physically nudging the robot is the most direct way to specify user intent without losing any of the information.”

Ensuring Valid Actions

To avoid the robot making invalid moves—like colliding with nearby objects—the researchers developed a sampling procedure. This technique ensures that the robot chooses actions that are both feasible and aligned with the user’s request.

“Rather than just imposing the user’s will, we allow the robot to take the user’s intent into account while ensuring the actions remain valid,” Wang says.

The researchers’ framework outperformed other methods during tests with a real robot arm in a toy kitchen. While the robot might not always complete tasks immediately, the system allows users to correct it on the spot, without waiting for it to finish and then provide new instructions.

The framework also has the potential to learn from user corrections. For instance, if a user nudges the robot to pick up the correct bowl, the robot could log this action and incorporate it into its future behavior, gradually improving over time.

“The key to continuous improvement is having a way for users to interact with the robot,” says Wang. “This method makes that possible.”

Looking ahead, the researchers aim to improve the speed of the sampling procedure and test the framework in new, more complex environments, paving the way for robots that are more adaptable to real-world scenarios.

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