As Biden Prepares to Address the Nation, More Than 6 in 10 US Adults Doubt His Mental Capability 

United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
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As Biden Prepares to Address the Nation, More Than 6 in 10 US Adults Doubt His Mental Capability 

United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)
United States President Joe Biden takes questions from reporters as he departs the White House for a weekend trip to Camp David in Washington, DC, USA, 01 March 2024. (EPA)

A poll finds that a growing share of US adults doubt that 81-year-old President Joe Biden has the memory and acuity for the job, turning his coming State of the Union address into something of a real-time audition for a second term.

Roughly 6 in 10 say they're not very or not at all confident in Biden's mental capability to serve effectively as president, according to a new survey by The Associated Press-NORC Center for Public Affairs Research. That's a slight increase from January 2022, when about half of those polled expressed similar concerns.

By the same token, nearly 6 in 10 also say they lack confidence in the mental capability of former President Donald Trump, the 77-year-old Republican front-runner.

For many voters, this year's election looks like a showdown for the world's toughest job between two men who are well beyond the standard retirement age. The next president will probably need to steer through global conflicts, fix domestic emergencies and work with a dysfunctional Congress.

Biden is likely to address those challenges and more in his State of the Union address on Thursday as he tries to convince Americans that he deserves another term.

Going into the big event, just 38% of US adults approve of how Biden is handling his job as president, while 61% disapprove. Democrats (74%) are much likelier than independents (20%) and Republicans (6%) to favor his performance. But there’s broad discontent on the way Biden is handling a variety of issues, including the economy, immigration and foreign policy.

About 4 in 10 Americans approve of the way Biden is handling each of these issues: health care, climate change, abortion policy and the conflict between Russia and Ukraine. But people are less satisfied by Biden’s handling of immigration (29%), the conflict between the Israelis and the Palestinians (31%) and the economy (34%) — all of which are likely to come up in the speech before a joint session of Congress.

Nearly 6 in 10 (57%) Americans think the national economy is somewhat or much worse off than before Biden took office in 2021. Only 3 in 10 adults say it’s better under his leadership. Still, people are more optimistic about the state of their own bank accounts: 54% say their personal finances are good.

Many respondents to the survey were deeply pessimistic about their likely choices in November because of age and the risk of cognitive decline.

Paul Miller, himself 84, said Biden is just too old — and so is Trump.

“He doesn’t seem to have the mental whatever to be a president,” Miller said of Biden. He added that Trump is “too old, too, and half crazy.”

The retiree from Carlisle, Pennsylvania, said he voted for Trump in 2020 but he wouldn’t do so again.

“I don’t think I’m going to vote for either one of them,” he said. “I hope somebody else is available.”

The president faces added pressure about his age after unflattering descriptions of him contained in a special counsel’s report that did not recommend criminal prosecution of Biden for his mishandling of classified records, unlike Trump who was indicted for keeping classified material in his Florida home. The report said that Biden's memory was “hazy,” “fuzzy,” “faulty,” “poor” and had “significant limitations."

Biden has tried to deflect concerns by joking about his age and taking jabs at Trump's own gaffes. Yet the president's age is a liability that has overshadowed his policy achievements on infrastructure, manufacturing and addressing climate change.

About one-third of Democrats said they're not very or not at all confident in Biden's mental capability in the new survey, up from 14% in January 2022. Only 40% of Democrats said they're extremely or very confident in Biden's mental abilities, with approximately 3 in 10 saying they're “somewhat” confident.

And in a major risk for Biden, independents are much more likely to say that they lack confidence in his mental abilities (80%) compared with Trump's (56%).

Republicans are generally more comfortable with Trump’s mental capabilities than Democrats are with Biden’s. In the survey, 59% of Republicans are extremely or very confident that Trump has the mental abilities to be president. An additional 20% are somewhat confident, and 20% are not very or not at all confident.

But if there is one thing Democrats and Republicans can agree upon, it's that the other party's likely nominee is not mentally up to the task. About 9 in 10 Republicans say Biden lacks the mental capability to serve as president, while a similar share of Democrats say that about Trump.

Part of Biden's problem is that his policies have yet to break through the daily clutter of life.

Sharon Gallagher, 66, worries about inflation. She voted for Biden in 2020, but believes he has not done enough for the economy. She also feels Trump is a bit too quick to anger. The Sarasota, Florida, resident said she doesn't have the bandwidth to really judge their policies.

“I don’t pay enough attention to politics to even know,” Gallagher said. “I have grandchildren living with me and I have children’s shows on all day.”

Justin Tjernlund, 40, from Grand Rapids, Michigan, said Biden “seems like he's mostly still there,” but even if he was in decline he has “a whole army of people to help him do the job.” Trjenlund said he voted for Trump in 2020 and plans to do so again because the Republican is “interesting” and “refreshing.”

Still, because of both candidates' ages, Greg Olivo, 62, said he plans to focus on Vice President Kamala Harris and whomever Trump, if he's the nominee, picks for a running mate.

“Keep a close eye on the vice president,” said the machinist from Valley City, Ohio, who voted for Biden in 2020 and would do so again. “Because that person will probably be the president in four years, one way or another.”



What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
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What Is Known About Polio’s Return to the Gaza Strip 

Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)
Displaced kids sort through trash at a street in Deir al-Balah, central Gaza Strip, Tuesday, Aug. 27, 2024. (AP)

Health authorities in the Gaza Strip confirmed the first case of polio in 25 years earlier this month.

The infection and subsequent partial paralysis of the nearly year-old Abdul-Rahman Abu Al-Jidyan has hastened plans for a mass vaccination campaign of children across the Palestinian enclave starting on Sept. 1.

Three-day pauses in fighting in each of Gaza's three zones have been agreed by Israel and Hamas to allow thousands of UN workers to administer vaccines.

ORIGINS

The same strain that later infected the Palestinian baby, from the type 2 vaccine-derived polio virus that has also been detected in wastewater in some developed countries in recent years, was detected in July in six sewage samples taken in Khan Younis and Deir al-Balah.

It is not clear how the strain arrived in Gaza but genetic sequencing showed that it resembles a variant found in Egypt that could have been introduced from September 2023, the WHO said.

The UN health body says that a drop in routine vaccinations in the Occupied Palestinian Territories, including Gaza, has contributed to its re-emergence.

Polio vaccination coverage, primarily conducted through routine immunization, was estimated at 99% in 2022 and fell to 89% in 2023. Health workers say the closure of many hospitals in Gaza, often because of Israeli strikes or restrictions on fuel, has contributed to lower vaccination rates. Israel blames Hamas, saying they use hospitals for military purposes.

Aid workers say poor sanitation conditions in Gaza where open sewers and trash piles are commonplace after nearly 11 months of war have created favorable conditions for its spread.

MASS VACCINATIONS

Israel's military and the Palestinian armed group Hamas have agreed to three separate, zoned three-day pauses in fighting to allow for the first round of vaccinations.

The campaign is due to start in central Gaza on Sunday with three consecutive daily pauses in fighting, then move to southern Gaza, where there would be another three-day pause, followed by northern Gaza. There is an agreement to extend the pause in each zone to a fourth day if needed.

The vaccines, which were released from global emergency stockpiles, have already arrived in Gaza and are due to be issued to 640,000 children under 10 years of age.

They will be given orally by some 2,700 health care workers at medical centers and by mobile teams moving among Gaza's hundreds of thousands of people displaced by the war, UN aid workers say.

The World Health Organization says that a successful roll-out requires at least 95% coverage.

The Israeli military's humanitarian unit (COGAT) said that the vaccination campaign would be conducted in coordination with the Israeli military "as part of the routine humanitarian pauses that will allow the population to reach the medical centers where the vaccinations will be administered".

A second round is planned in late September.

RISKS

The Gaza case which is vaccine-derived is seen as a setback for the global polio fight which has driven down cases by more than 99% since 1988 thanks to mass vaccination campaigns.

Wild polio is now only endemic in Pakistan and Afghanistan although more than 30 countries are still listed by the WHO as subject to outbreaks, including Gaza's neighbors Egypt and Israel.

The World Health Organization has warned of the further spread of polio within Gaza and across borders given the poor health and hygiene conditions there.

Poliomyelitis, which is spread mainly through the faecal-oral route, is a highly infectious virus that can invade the nervous system and cause paralysis and death in young children with those under 2 years old most at risk. In nearly all cases it has no symptoms, making it hard to detect.