Indonesia Rescuers Evacuating Thousands after Volcano Erupts

A woman and child look on at volcanic ash rising into the air during the eruption of Mount Ibu, as seen from Duono Village in West Halmahera, North Maluku province, on January 15, 2025. (Photo by AZZAM / AFP)
A woman and child look on at volcanic ash rising into the air during the eruption of Mount Ibu, as seen from Duono Village in West Halmahera, North Maluku province, on January 15, 2025. (Photo by AZZAM / AFP)
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Indonesia Rescuers Evacuating Thousands after Volcano Erupts

A woman and child look on at volcanic ash rising into the air during the eruption of Mount Ibu, as seen from Duono Village in West Halmahera, North Maluku province, on January 15, 2025. (Photo by AZZAM / AFP)
A woman and child look on at volcanic ash rising into the air during the eruption of Mount Ibu, as seen from Duono Village in West Halmahera, North Maluku province, on January 15, 2025. (Photo by AZZAM / AFP)

Hundreds of islanders have been evacuated, with thousands more awaiting their turn following increased volcanic eruptions in eastern Indonesia, officials said on Thursday.

Mount Ibu, located on the remote island of Halmahera in North Maluku province, erupted on Wednesday, sending a column of smoke up to four kilometers (2.5 miles) into the sky.

The volcano's alert status was immediately raised to the highest level by Indonesia's Geological Agency, prompting local authorities to call for the evacuation of 3,000 people living nearby.

As of Thursday morning, 517 residents from the village closest to the volcano had been evacuated, with the remaining residents scheduled to be moved later in the afternoon.

"The evacuation shelters have been prepared by the local administration, and today a thorough evacuation will be conducted for all residents in six villages," said a spokesman of local disaster management agency, Irfan Idrus.

He added that evacuations began on Wednesday at 6:00 pm (1100 GMT) but were delayed due to administrative and logistical issues.

Rainfall since Thursday morning further hampered the process, he said.

According to an AFP reporter, residents were still carrying out their daily activities in their respective villages as trucks prepared for evacuation.

"Of course, there is some fear and concern, but we are already used to the eruptions here," 32-year-old resident Rista Tuyu said.

"In a week, eruptions could happen three to four times, but the biggest ones occurred this week," she said.

She added that she hoped the volcano would calm down soon so the village community could resume to their daily lives.

Mount Ibu has shown a significant increase in volcanic activity since last June, following a series of earthquakes.

In the first weeks of January alone, the volcano, which is one of Indonesia's most active, erupted nine times.

Residents living near Mount Ibu and tourists have been advised to avoid a five to six kilometer exclusion zone around the volcano's peak and to wear face masks in case of falling ash.

As of 2022, around 700,000 people were living on Halmahera island, according to official data.

Indonesia, a vast archipelago, experiences frequent seismic and volcanic activity as it lies along the Pacific Ring of Fire.

Last November, Mount Lewotobi Laki-Laki, a 1,703-meter (5,587-foot) twin-peaked volcano on the tourist island of Flores erupted more than a dozen times in one week, killing nine people in its initial explosion.

Mount Ruang in North Sulawesi province erupted more than half a dozen times last year, forcing thousands from nearby islands to evacuate.



Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
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Obesity Won’t Be Solely Defined by BMI under New Plan for Diagnosis by Global Experts

A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)
A man uses measuring tape on his waist in California on Jan. 9, 2025. (AP)

A group of global experts is proposing a new way to define and diagnose obesity, reducing the emphasis on the controversial body mass index and hoping to better identify people who need treatment for the disease caused by excess body fat.

Under recommendations released Tuesday night, obesity would no longer be defined solely by BMI, a calculation of height and weight, but combined with other measurements, such as waist circumference, plus evidence of health problems tied to extra pounds.

Obesity is estimated to affect more than 1 billion people worldwide. In the US, about 40% of adults have obesity, according to the US Centers for Disease Control and Prevention.

"The whole goal of this is to get a more precise definition so that we are targeting the people who actually need the help most," said Dr. David Cummings, an obesity expert at the University of Washington and one of the 58 authors of the report published in The Lancet Diabetes & Endocrinology journal.

The report introduces two new diagnostic categories: clinical obesity and pre-clinical obesity.

People with clinical obesity meet BMI and other markers of obesity and have evidence of organ, tissue or other problems caused by excess weight. That could include heart disease, high blood pressure, liver or kidney disease or chronic severe knee or hip pain. These people would be eligible for treatments, including diet and exercise interventions and obesity medications.

People with pre-clinical obesity are at risk for those conditions, but have no ongoing illness, the report says.

BMI has long been considered a flawed measure that can over-diagnose or underdiagnose obesity, which is currently defined as a BMI of 30 or more. But people with excess body fat do not always have a BMI above 30, the report notes. And people with high muscle mass — football players or other athletes — may have a high BMI despite normal fat mass.

Under the new criteria, about 20% of people who used to be classified as obese would no longer meet the definition, preliminary analysis suggests. And about 20% of people with serious health effects but lower BMI would now be considered clinically obese, experts said.

"It wouldn't dramatically change the percentage of people being defined as having obesity, but it would better diagnose the people who really have clinically significant excess fat," Cummings said.

The new definitions have been endorsed by more than 75 medical organizations around the world, but it's not clear how widely or quickly they could be adopted in practice. The report acknowledges that implementation of the recommendations "will carry significant costs and workforce implications."

A spokesman for the health insurance trade group AHIP, formerly known as America's Health Insurance Plans, said "it's too early at this point to gauge how plans will incorporate these criteria into coverage or other policies."

There are practical issues to consider, said Dr. Katherine Saunders, an obesity expert at Weill Cornell Medicine and co-founder of the obesity treatment company FlyteHealth. Measuring waist circumference sounds simple, but protocols differ, many doctors aren't trained accurately and standard medical tape measures aren't big enough for many people with obesity.

In addition, determining the difference between clinical and pre-clinical obesity would require a comprehensive health assessment and lab tests, she noted.

"For a new classification system to be widely adopted, it would also need to be extremely quick, inexpensive, and reliable," she said.

The new definitions are likely to be confusing, said Kate Bauer, a nutrition expert at the University of Michigan School of Public Health.

"The public likes and needs simple messages. I don't think this differentiation is going to change anything," she said.

Overhauling the definition of obesity will take time, acknowledged Dr. Robert Kushner, an obesity expert at the Northwestern Feinberg School of Medicine and a co-author of the report.

"This is the first step in the process," he said. "I think it's going to begin the conversation."